Southern Ohio Medical Center

All Charges

Charge

Type

Setting

Price

EAPG 3.18: MULTIPLE SCLEROSIS AND OTHER DEMYELINATING DISEASES

Facility

$86.62

Service Code	EAPG 00523
Min. Negotiated Rate	$86.62
Max. Negotiated Rate	$86.62
Rate for Payer: Aetna CHP/Medicaid	$86.62
Rate for Payer: Humana OH Medicaid	$86.62

EAPG 3.18: MUSCULOSKELETAL EXCISIONS, BIOPSIES, AND DRAINAGE PROCEDURES

Facility

$757.58

Service Code	EAPG 00051
Min. Negotiated Rate	$757.58
Max. Negotiated Rate	$757.58
Rate for Payer: Aetna CHP/Medicaid	$757.58
Rate for Payer: Humana OH Medicaid	$757.58

EAPG 3.18: MUSCULOSKELETAL MALIGNANCY AND PATHOLOGICAL FX DUE TO MALIGNANCY

Facility

$109.89

Service Code	EAPG 00653
Min. Negotiated Rate	$109.89
Max. Negotiated Rate	$109.89
Rate for Payer: Aetna CHP/Medicaid	$109.89
Rate for Payer: Humana OH Medicaid	$109.89

EAPG 3.18: MYELOGRAPHY AND DISCOGRAPHY IMAGING PROCEDURES

Facility

$420.16

Service Code	EAPG 00284
Min. Negotiated Rate	$420.16
Max. Negotiated Rate	$420.16
Rate for Payer: Aetna CHP/Medicaid	$420.16
Rate for Payer: Humana OH Medicaid	$420.16

EAPG 3.18: NAIL PROCEDURES

Facility

$64.64

Service Code	EAPG 00005
Min. Negotiated Rate	$64.64
Max. Negotiated Rate	$64.64
Rate for Payer: Aetna CHP/Medicaid	$64.64
Rate for Payer: Humana OH Medicaid	$64.64

EAPG 3.18: NEEDLE AND CATHETER BIOPSY, ASPIRATION, LAVAGE AND INTUBATION

Facility

$425.33

Service Code	EAPG 00061
Min. Negotiated Rate	$425.33
Max. Negotiated Rate	$425.33
Rate for Payer: Aetna CHP/Medicaid	$425.33
Rate for Payer: Humana OH Medicaid	$425.33

EAPG 3.18: NEONATAL AFTERCARE

Facility

$95.67

Service Code	EAPG 00873
Min. Negotiated Rate	$95.67
Max. Negotiated Rate	$95.67
Rate for Payer: Aetna CHP/Medicaid	$95.67
Rate for Payer: Humana OH Medicaid	$95.67

EAPG 3.18: NEONATAL DIAGNOSES

Facility

$99.55

Service Code	EAPG 00771
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: NEPHRITIS AND NEPHROSIS

Facility

$95.67

Service Code	EAPG 00722
Min. Negotiated Rate	$95.67
Max. Negotiated Rate	$95.67
Rate for Payer: Aetna CHP/Medicaid	$95.67
Rate for Payer: Humana OH Medicaid	$95.67

EAPG 3.18: NERVE AND MUSCLE TESTS

Facility

$96.96

Service Code	EAPG 00213
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: NERVOUS SYSTEM MALIGNANCY

Facility

$93.08

Service Code	EAPG 00521
Min. Negotiated Rate	$93.08
Max. Negotiated Rate	$93.08
Rate for Payer: Aetna CHP/Medicaid	$93.08
Rate for Payer: Humana OH Medicaid	$93.08

EAPG 3.18: NON-BACTERIAL GASTROENTERITIS, NAUSEA AND VOMITING

Facility

$96.96

Service Code	EAPG 00627
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: NON-BACTERIAL INFECTIONS OF NERVOUS SYSTEM

Facility

$100.84

Service Code	EAPG 00519
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: NONINVASIVE VENTILATION SUPPORT

Facility

$133.16

Service Code	EAPG 02020
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: NON-PRESSURE CHRONIC SKIN ULCERS

Facility

$111.18

Service Code	EAPG 00670
Min. Negotiated Rate	$111.18
Max. Negotiated Rate	$111.18
Rate for Payer: Aetna CHP/Medicaid	$111.18
Rate for Payer: Humana OH Medicaid	$111.18

EAPG 3.18: NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION W/O INFARC

Facility

$87.91

Service Code	EAPG 00534
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: NONTRAUMATIC STUPOR & COMA

Facility

$108.60

Service Code	EAPG 00528
Min. Negotiated Rate	$108.60
Max. Negotiated Rate	$108.60
Rate for Payer: Aetna CHP/Medicaid	$108.60
Rate for Payer: Humana OH Medicaid	$108.60

EAPG 3.18: NORMAL NEONATE

Facility

$80.15

Service Code	EAPG 00770
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

EAPG 3.18: OBESITY

Facility

$86.62

Service Code	EAPG 00695
Min. Negotiated Rate	$86.62
Max. Negotiated Rate	$86.62
Rate for Payer: Aetna CHP/Medicaid	$86.62
Rate for Payer: Humana OH Medicaid	$86.62

EAPG 3.18: OBSERVATION

Facility

$20.68

Service Code	EAPG 00450
Min. Negotiated Rate	$20.68
Max. Negotiated Rate	$20.68
Rate for Payer: Aetna CHP/Medicaid	$20.68
Rate for Payer: Humana OH Medicaid	$20.68

EAPG 3.18: OBSTETRICAL PROCEDURES

Facility

$726.55

Service Code	EAPG 00205
Min. Negotiated Rate	$726.55
Max. Negotiated Rate	$726.55
Rate for Payer: Aetna CHP/Medicaid	$726.55
Rate for Payer: Humana OH Medicaid	$726.55

EAPG 3.18: OBSTETRICAL ULTRASOUND

Facility

$90.50

Service Code	EAPG 00470
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: OCCUPATIONAL THERAPY

Facility

$93.08

Service Code	EAPG 00270
Min. Negotiated Rate	$93.08
Max. Negotiated Rate	$93.08
Rate for Payer: Aetna CHP/Medicaid	$93.08
Rate for Payer: Humana OH Medicaid	$93.08

EAPG 3.18: OCULAR AND PERIOCULAR MALIGNANCY

Facility

$96.96

Service Code	EAPG 00556
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: OCULAR IMAGING AND RELATED SERVICES

Facility

$73.69

Service Code	EAPG 00156
Min. Negotiated Rate	$73.69
Max. Negotiated Rate	$73.69
Rate for Payer: Aetna CHP/Medicaid	$73.69
Rate for Payer: Humana OH Medicaid	$73.69

Know your out-of-pocket cost for care.

All Charges