Southern Ohio Medical Center

All Charges

Charge

Type

Setting

Price

EAPG 3.18: SPINAL IMPLANTATION OF DRUG INFUSION DEVICE

Facility

$10,008.86

Service Code	EAPG 03030
Min. Negotiated Rate	$10,008.86
Max. Negotiated Rate	$10,008.86
Rate for Payer: Aetna CHP/Medicaid	$10,008.86
Rate for Payer: Humana OH Medicaid	$10,008.86

EAPG 3.18: SPINE INJECTIONS AND OTHER RELATED PROCEDURES

Facility

$390.43

Service Code	EAPG 00053
Min. Negotiated Rate	$390.43
Max. Negotiated Rate	$390.43
Rate for Payer: Aetna CHP/Medicaid	$390.43
Rate for Payer: Humana OH Medicaid	$390.43

EAPG 3.18: STATUS ASTHMATICUS

Facility

$94.37

Service Code	EAPG 00579
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: STRABISMUS AND MUSCLE EYE PROCEDURES

Facility

$1,226.87

Service Code	EAPG 00239
Min. Negotiated Rate	$1,226.87
Max. Negotiated Rate	$1,226.87
Rate for Payer: Aetna CHP/Medicaid	$1,226.87
Rate for Payer: Humana OH Medicaid	$1,226.87

EAPG 3.18: SUPERFICIAL INJURY TO SKIN AND SUBCUTANEOUS TISSUE

Facility

$117.64

Service Code	EAPG 00777
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: SUPERFICIAL NEEDLE BIOPSY AND ASPIRATION

Facility

$356.81

Service Code	EAPG 00002
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

EAPG 3.18: SYNCOPE AND COLLAPSE

Facility

$106.01

Service Code	EAPG 00605
Min. Negotiated Rate	$106.01
Max. Negotiated Rate	$106.01
Rate for Payer: Aetna CHP/Medicaid	$106.01
Rate for Payer: Humana OH Medicaid	$106.01

EAPG 3.18: TESTICULAR AND EPIDIDYMAL PROCEDURES

Facility

$917.89

Service Code	EAPG 00180
Min. Negotiated Rate	$917.89
Max. Negotiated Rate	$917.89
Rate for Payer: Aetna CHP/Medicaid	$917.89
Rate for Payer: Humana OH Medicaid	$917.89

EAPG 3.18: THERAPEUTIC DRUG MONITORING

Facility

$14.22

Service Code	EAPG 00405
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: THERAPEUTIC NUCLEAR MEDICINE

Facility

$274.07

Service Code	EAPG 00340
Min. Negotiated Rate	$274.07
Max. Negotiated Rate	$274.07
Rate for Payer: Aetna CHP/Medicaid	$274.07
Rate for Payer: Humana OH Medicaid	$274.07

EAPG 3.18: THORACENTESIS, RELATED BIOPSY AND PLEURAL DRAINAGE PROCEDURES

Facility

$425.33

Service Code	EAPG 00068
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: THROMBOLYSIS

Facility

$148.67

Service Code	EAPG 00095
Min. Negotiated Rate	$148.67
Max. Negotiated Rate	$148.67
Rate for Payer: Aetna CHP/Medicaid	$148.67
Rate for Payer: Humana OH Medicaid	$148.67

EAPG 3.18: THYROID AND PARATHYROID DIAGNOSES

Facility

$87.91

Service Code	EAPG 00696
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: THYROID AND PARATHYROID PROCEDURES

Facility

$2,060.72

Service Code	EAPG 00263
Min. Negotiated Rate	$2,060.72
Max. Negotiated Rate	$2,060.72
Rate for Payer: Aetna CHP/Medicaid	$2,060.72
Rate for Payer: Humana OH Medicaid	$2,060.72

EAPG 3.18: TONSIL AND ADENOID PROCEDURES

Facility

$1,017.43

Service Code	EAPG 00256
Min. Negotiated Rate	$1,017.43
Max. Negotiated Rate	$1,017.43
Rate for Payer: Aetna CHP/Medicaid	$1,017.43
Rate for Payer: Humana OH Medicaid	$1,017.43

EAPG 3.18: TOXIC EFFECTS OF NON-MEDICINAL SUBSTANCES

Facility

$100.84

Service Code	EAPG 00854
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: TOXICOLOGY TESTS

Facility

$15.51

Service Code	EAPG 00404
Min. Negotiated Rate	$15.51
Max. Negotiated Rate	$15.51
Rate for Payer: Aetna CHP/Medicaid	$15.51
Rate for Payer: Humana OH Medicaid	$15.51

EAPG 3.18: TRACHEOSTOMY AND RELATED TRACHEAL PROCEDURES

Facility

$1,407.86

Service Code	EAPG 00072
Min. Negotiated Rate	$1,407.86
Max. Negotiated Rate	$1,407.86
Rate for Payer: Aetna CHP/Medicaid	$1,407.86
Rate for Payer: Humana OH Medicaid	$1,407.86

EAPG 3.18: TRANSIENT ISCHEMIA

Facility

$86.62

Service Code	EAPG 00526
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: TRAUMATIC INJURIES

Facility

$106.01

Service Code	EAPG 00568
Min. Negotiated Rate	$106.01
Max. Negotiated Rate	$106.01
Rate for Payer: Aetna CHP/Medicaid	$106.01
Rate for Payer: Humana OH Medicaid	$106.01

EAPG 3.18: TUBE REPLACEMENT, REVISION OR REMOVAL

Facility

$253.39

Service Code	EAPG 00421
Min. Negotiated Rate	$253.39
Max. Negotiated Rate	$253.39
Rate for Payer: Aetna CHP/Medicaid	$253.39
Rate for Payer: Humana OH Medicaid	$253.39

EAPG 3.18: ULTRASOUND GUIDANCE

Facility

$149.96

Service Code	EAPG 00472
Min. Negotiated Rate	$149.96
Max. Negotiated Rate	$149.96
Rate for Payer: Aetna CHP/Medicaid	$149.96
Rate for Payer: Humana OH Medicaid	$149.96

EAPG 3.18: URINALYSIS

Facility

$9.05

Service Code	EAPG 00410
Min. Negotiated Rate	$9.05
Max. Negotiated Rate	$9.05
Rate for Payer: Aetna CHP/Medicaid	$9.05
Rate for Payer: Humana OH Medicaid	$9.05

EAPG 3.18: URINARY STONES AND ACQUIRED UPPER URINARY TRACT OBSTRUCTION

Facility

$98.25

Service Code	EAPG 00724
Min. Negotiated Rate	$98.25
Max. Negotiated Rate	$98.25
Rate for Payer: Aetna CHP/Medicaid	$98.25
Rate for Payer: Humana OH Medicaid	$98.25

EAPG 3.18: URINARY STUDIES AND PROCEDURES

Facility

$299.93

Service Code	EAPG 00161
Min. Negotiated Rate	$299.93
Max. Negotiated Rate	$299.93
Rate for Payer: Aetna CHP/Medicaid	$299.93
Rate for Payer: Humana OH Medicaid	$299.93

Know your out-of-pocket cost for care.

All Charges