Southern Ohio Medical Center

All Charges

Charge

Type

Setting

Price

EAPG 3.18: DIAGNOSTIC CARDIAC CATHETERIZATION

Facility

$1,269.53

Service Code	EAPG 00084
Min. Negotiated Rate	$1,269.53
Max. Negotiated Rate	$1,269.53
Rate for Payer: Aetna CHP/Medicaid	$1,269.53
Rate for Payer: Humana OH Medicaid	$1,269.53

EAPG 3.18: DIAGNOSTIC DENTAL PROCEDURES

Facility

$29.73

Service Code	EAPG 00376
Min. Negotiated Rate	$29.73
Max. Negotiated Rate	$29.73
Rate for Payer: Aetna CHP/Medicaid	$29.73
Rate for Payer: Humana OH Medicaid	$29.73

EAPG 3.18: DIALYSIS PROCEDURES

Facility

$177.11

Service Code	EAPG 00168
Min. Negotiated Rate	$177.11
Max. Negotiated Rate	$177.11
Rate for Payer: Aetna CHP/Medicaid	$177.11
Rate for Payer: Humana OH Medicaid	$177.11

EAPG 3.18: DIAPHRAGMATIC PROCEDURES AND RELATED HERNIA REPAIR

Facility

$1,639.27

Service Code	EAPG 00073
Min. Negotiated Rate	$1,639.27
Max. Negotiated Rate	$1,639.27
Rate for Payer: Aetna CHP/Medicaid	$1,639.27
Rate for Payer: Humana OH Medicaid	$1,639.27

EAPG 3.18: DIGESTIVE MALIGNANCY

Facility

$81.45

Service Code	EAPG 00620
Min. Negotiated Rate	$81.45
Max. Negotiated Rate	$81.45
Rate for Payer: Aetna CHP/Medicaid	$81.45
Rate for Payer: Humana OH Medicaid	$81.45

EAPG 3.18: DIVERTICULITIS AND DIVERTICULOSIS

Facility

$94.37

Service Code	EAPG 00616
Min. Negotiated Rate	$94.37
Max. Negotiated Rate	$94.37
Rate for Payer: Aetna CHP/Medicaid	$94.37
Rate for Payer: Humana OH Medicaid	$94.37

EAPG 3.18: EAR, NOSE, MOUTH, THROAT, CRANIAL AND FACIAL MALIGNANCIES

Facility

$96.96

Service Code	EAPG 00560
Min. Negotiated Rate	$96.96
Max. Negotiated Rate	$96.96
Rate for Payer: Aetna CHP/Medicaid	$96.96
Rate for Payer: Humana OH Medicaid	$96.96

EAPG 3.18: EATING DISORDERS

Facility

$85.32

Service Code	EAPG 00830
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: ECHOCARDIOGRAPHY

Facility

$228.83

Service Code	EAPG 00081
Min. Negotiated Rate	$228.83
Max. Negotiated Rate	$228.83
Rate for Payer: Aetna CHP/Medicaid	$228.83
Rate for Payer: Humana OH Medicaid	$228.83

EAPG 3.18: ECTOPIC PREGNANCY PROCEDURES

Facility

$1,136.37

Service Code	EAPG 00179
Min. Negotiated Rate	$1,136.37
Max. Negotiated Rate	$1,136.37
Rate for Payer: Aetna CHP/Medicaid	$1,136.37
Rate for Payer: Humana OH Medicaid	$1,136.37

EAPG 3.18: ELECTROCONVULSIVE THERAPY

Facility

$271.49

Service Code	EAPG 00212
Min. Negotiated Rate	$271.49
Max. Negotiated Rate	$271.49
Rate for Payer: Aetna CHP/Medicaid	$271.49
Rate for Payer: Humana OH Medicaid	$271.49

EAPG 3.18: ELECTROENCEPHALOGRAM

Facility

$125.40

Service Code	EAPG 00211
Min. Negotiated Rate	$125.40
Max. Negotiated Rate	$125.40
Rate for Payer: Aetna CHP/Medicaid	$125.40
Rate for Payer: Humana OH Medicaid	$125.40

EAPG 3.18: ELECTROLYTE DISORDERS

Facility

$94.37

Service Code	EAPG 00694
Min. Negotiated Rate	$94.37
Max. Negotiated Rate	$94.37
Rate for Payer: Aetna CHP/Medicaid	$94.37
Rate for Payer: Humana OH Medicaid	$94.37

EAPG 3.18: ELECTRONIC ANALYSIS FOR PACEMAKERS AND OTHER DEVICES

Facility

$58.18

Service Code	EAPG 00420
Min. Negotiated Rate	$58.18
Max. Negotiated Rate	$58.18
Rate for Payer: Aetna CHP/Medicaid	$58.18
Rate for Payer: Humana OH Medicaid	$58.18

EAPG 3.18: EMERGING TECHNOLOGY PROCEDURES

Facility

$58.18

Service Code	EAPG 04001
Min. Negotiated Rate	$58.18
Max. Negotiated Rate	$58.18
Rate for Payer: Aetna CHP/Medicaid	$58.18
Rate for Payer: Humana OH Medicaid	$58.18

EAPG 3.18: ENCOUNTERS FOR CONTACT WITH HEALTH SERVICES

Facility

$90.50

Service Code	EAPG 00867
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: ESOPHAGITIS AND OTHER ESOPHAGEAL DIAGNOSES

Facility

$87.91

Service Code	EAPG 00623
Min. Negotiated Rate	$87.91
Max. Negotiated Rate	$87.91
Rate for Payer: Aetna CHP/Medicaid	$87.91
Rate for Payer: Humana OH Medicaid	$87.91

EAPG 3.18: ESOPHAGOGASTRIC RESTRICTIVE PROCEDURES AND GASTRIC FUNDOPLICATION

Facility

$1,781.48

Service Code	EAPG 00129
Min. Negotiated Rate	$1,781.48
Max. Negotiated Rate	$1,781.48
Rate for Payer: Aetna CHP/Medicaid	$1,781.48
Rate for Payer: Humana OH Medicaid	$1,781.48

EAPG 3.18: ESRD CASE MANAGEMENT

Facility

$14.22

Service Code	EAPG 00261
Min. Negotiated Rate	$14.22
Max. Negotiated Rate	$14.22
Rate for Payer: Aetna CHP/Medicaid	$14.22
Rate for Payer: Humana OH Medicaid	$14.22

EAPG 3.18: EXERCISE TOLERANCE TESTS

Facility

$117.64

Service Code	EAPG 00080
Min. Negotiated Rate	$117.64
Max. Negotiated Rate	$117.64
Rate for Payer: Aetna CHP/Medicaid	$117.64
Rate for Payer: Humana OH Medicaid	$117.64

EAPG 3.18: EXPANDED HOURS ACCESS

Facility

$10.34

Service Code	EAPG 00448
Min. Negotiated Rate	$10.34
Max. Negotiated Rate	$10.34
Rate for Payer: Aetna CHP/Medicaid	$10.34
Rate for Payer: Humana OH Medicaid	$10.34

EAPG 3.18: EXTENDED EEG STUDIES

Facility

$227.53

Service Code	EAPG 00210
Min. Negotiated Rate	$227.53
Max. Negotiated Rate	$227.53
Rate for Payer: Aetna CHP/Medicaid	$227.53
Rate for Payer: Humana OH Medicaid	$227.53

EAPG 3.18: EXTENSIVE 3RD DEGREE OR FULL THICKNESS BURNS W/O SKIN GRAFT

Facility

$116.35

Service Code	EAPG 00860
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: FALSE LABOR

Facility

$142.21

Service Code	EAPG 00764
Min. Negotiated Rate	$142.21
Max. Negotiated Rate	$142.21
Rate for Payer: Aetna CHP/Medicaid	$142.21
Rate for Payer: Humana OH Medicaid	$142.21

EAPG 3.18: FAMILY PSYCHOTHERAPY

Facility

$80.15

Service Code	EAPG 00317
Min. Negotiated Rate	$80.15
Max. Negotiated Rate	$80.15
Rate for Payer: Aetna CHP/Medicaid	$80.15
Rate for Payer: Humana OH Medicaid	$80.15

Know your out-of-pocket cost for care.

All Charges