Southern Ohio Medical Center

All Charges

Charge

Type

Setting

Price

EAPG 3.18: ALIMENTARY TESTS AND TUBE INSERTION OR PLACEMENT

Facility

$354.23

Service Code	EAPG 00130
Min. Negotiated Rate	$354.23
Max. Negotiated Rate	$354.23
Rate for Payer: Aetna CHP/Medicaid	$354.23
Rate for Payer: Humana OH Medicaid	$354.23

EAPG 3.18: ALLERGIC REACTIONS

Facility

$112.47

Service Code	EAPG 00850
Min. Negotiated Rate	$112.47
Max. Negotiated Rate	$112.47
Rate for Payer: Aetna CHP/Medicaid	$112.47
Rate for Payer: Humana OH Medicaid	$112.47

EAPG 3.18: ALLERGY TESTS

Facility

$178.41

Service Code	EAPG 00116
Min. Negotiated Rate	$178.41
Max. Negotiated Rate	$178.41
Rate for Payer: Aetna CHP/Medicaid	$178.41
Rate for Payer: Humana OH Medicaid	$178.41

EAPG 3.18: ALLERGY THERAPY

Facility

$23.27

Service Code	EAPG 00458
Min. Negotiated Rate	$23.27
Max. Negotiated Rate	$23.27
Rate for Payer: Aetna CHP/Medicaid	$23.27
Rate for Payer: Humana OH Medicaid	$23.27

EAPG 3.18: ALTERATION IN CONSCIOUSNESS

Facility

$107.30

Service Code	EAPG 00883
Min. Negotiated Rate	$107.30
Max. Negotiated Rate	$107.30
Rate for Payer: Aetna CHP/Medicaid	$107.30
Rate for Payer: Humana OH Medicaid	$107.30

EAPG 3.18: AMBULATORY PATIENT MONITORING AND RELATED ASSESSMENTS

Facility

$130.57

Service Code	EAPG 00418
Min. Negotiated Rate	$130.57
Max. Negotiated Rate	$130.57
Rate for Payer: Aetna CHP/Medicaid	$130.57
Rate for Payer: Humana OH Medicaid	$130.57

EAPG 3.18: ANCILLARY DRUG ADMINISTRATION

Facility

$27.15

Service Code	EAPG 00109
Min. Negotiated Rate	$27.15
Max. Negotiated Rate	$27.15
Rate for Payer: Aetna CHP/Medicaid	$27.15
Rate for Payer: Humana OH Medicaid	$27.15

EAPG 3.18: ANEMIA, BLOOD AND BLOOD-FORMING ORGAN DISORDERS

Facility

$85.32

Service Code	EAPG 00785
Min. Negotiated Rate	$85.32
Max. Negotiated Rate	$85.32
Rate for Payer: Aetna CHP/Medicaid	$85.32
Rate for Payer: Humana OH Medicaid	$85.32

EAPG 3.18: ANGINA PECTORIS AND CORONARY ATHEROSCLEROSIS

Facility

$89.20

Service Code	EAPG 00598
Min. Negotiated Rate	$89.20
Max. Negotiated Rate	$89.20
Rate for Payer: Aetna CHP/Medicaid	$89.20
Rate for Payer: Humana OH Medicaid	$89.20

EAPG 3.18: ANTEPARTUM ENCOUNTERS FOR NON-ROUTINE AND ABNORMAL FINDINGS

Facility

$99.55

Service Code	EAPG 00768
Min. Negotiated Rate	$99.55
Max. Negotiated Rate	$99.55
Rate for Payer: Aetna CHP/Medicaid	$99.55
Rate for Payer: Humana OH Medicaid	$99.55

EAPG 3.18: ANTEPARTUM PROCEDURES

Facility

$535.22

Service Code	EAPG 00178
Min. Negotiated Rate	$535.22
Max. Negotiated Rate	$535.22
Rate for Payer: Aetna CHP/Medicaid	$535.22
Rate for Payer: Humana OH Medicaid	$535.22

EAPG 3.18: ARTERIOVENOUS FISTULA CREATION OR REVISION FOR HEMODIALYSIS

Facility

$1,790.53

Service Code	EAPG 00059
Min. Negotiated Rate	$1,790.53
Max. Negotiated Rate	$1,790.53
Rate for Payer: Aetna CHP/Medicaid	$1,790.53
Rate for Payer: Humana OH Medicaid	$1,790.53

EAPG 3.18: ASTHMA

Facility

$116.35

Service Code	EAPG 00575
Min. Negotiated Rate	$116.35
Max. Negotiated Rate	$116.35
Rate for Payer: Aetna CHP/Medicaid	$116.35
Rate for Payer: Humana OH Medicaid	$116.35

EAPG 3.18: ATRIAL AND VENTRICULAR RECORDING AND PACING

Facility

$378.79

Service Code	EAPG 00096
Min. Negotiated Rate	$378.79
Max. Negotiated Rate	$378.79
Rate for Payer: Aetna CHP/Medicaid	$378.79
Rate for Payer: Humana OH Medicaid	$378.79

EAPG 3.18: ATRIAL FIBRILLATION

Facility

$90.50

Service Code	EAPG 00602
Min. Negotiated Rate	$90.50
Max. Negotiated Rate	$90.50
Rate for Payer: Aetna CHP/Medicaid	$90.50
Rate for Payer: Humana OH Medicaid	$90.50

EAPG 3.18: AUDIOMETRY

Facility

$54.30

Service Code	EAPG 00257
Min. Negotiated Rate	$54.30
Max. Negotiated Rate	$54.30
Rate for Payer: Aetna CHP/Medicaid	$54.30
Rate for Payer: Humana OH Medicaid	$54.30

EAPG 3.18: BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM

Facility

$100.84

Service Code	EAPG 00518
Min. Negotiated Rate	$100.84
Max. Negotiated Rate	$100.84
Rate for Payer: Aetna CHP/Medicaid	$100.84
Rate for Payer: Humana OH Medicaid	$100.84

EAPG 3.18: BASIC CHEMISTRY TESTS

Facility

$5.17

Service Code	EAPG 00402
Min. Negotiated Rate	$5.17
Max. Negotiated Rate	$5.17
Rate for Payer: Aetna CHP/Medicaid	$5.17
Rate for Payer: Humana OH Medicaid	$5.17

EAPG 3.18: BEHAVIORAL HEALTH RESIDENTIAL TREATMENT

Facility

$85.32

Service Code	EAPG 00333
Min. Negotiated Rate	$85.32
Max. Negotiated Rate	$85.32
Rate for Payer: Aetna CHP/Medicaid	$85.32
Rate for Payer: Humana OH Medicaid	$85.32

EAPG 3.18: BEHAVIORAL HEATLH ASSESSMENT

Facility

$133.16

Service Code	EAPG 00323
Min. Negotiated Rate	$133.16
Max. Negotiated Rate	$133.16
Rate for Payer: Aetna CHP/Medicaid	$133.16
Rate for Payer: Humana OH Medicaid	$133.16

EAPG 3.18: BIPOLAR DISORDERS

Facility

$85.32

Service Code	EAPG 00823
Min. Negotiated Rate	$85.32
Max. Negotiated Rate	$85.32
Rate for Payer: Aetna CHP/Medicaid	$85.32
Rate for Payer: Humana OH Medicaid	$85.32

EAPG 3.18: BLOOD PROCESSING, STORAGE AND RELATED SERVICES

Facility

$32.32

Service Code	EAPG 00499
Min. Negotiated Rate	$32.32
Max. Negotiated Rate	$32.32
Rate for Payer: Aetna CHP/Medicaid	$32.32
Rate for Payer: Humana OH Medicaid	$32.32

EAPG 3.18: BONE CONDUCTION HEARING DEVICE IMPLANTATION

Facility

$2,412.36

Service Code	EAPG 03011
Min. Negotiated Rate	$2,412.36
Max. Negotiated Rate	$2,412.36
Rate for Payer: Aetna CHP/Medicaid	$2,412.36
Rate for Payer: Humana OH Medicaid	$2,412.36

EAPG 3.18: BONE DENSITY AND RELATED PROCEDURES

Facility

$116.35

Service Code	EAPG 00291
Min. Negotiated Rate	$116.35
Max. Negotiated Rate	$116.35
Rate for Payer: Aetna CHP/Medicaid	$116.35
Rate for Payer: Humana OH Medicaid	$116.35

EAPG 3.18: BONE MARROW BIOPSIES

Facility

$356.81

Service Code	EAPG 00124
Min. Negotiated Rate	$356.81
Max. Negotiated Rate	$356.81
Rate for Payer: Aetna CHP/Medicaid	$356.81
Rate for Payer: Humana OH Medicaid	$356.81

Know your out-of-pocket cost for care.

All Charges