Cameron Memorial Community Hospital

All Charges

Charge

Type

Setting

Price

APR-DRG 36.00: ALTERATION IN CONSCIOUSNESS

Facility

$2,766.58

Service Code	APR-DRG 0521
Min. Negotiated Rate	$1,761.88
Max. Negotiated Rate	$2,766.58
Rate for Payer: Anthem Blue Cross of IN Medicaid	$1,761.88
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$1,761.88
Rate for Payer: Managed Health Services Medicaid	$1,761.88
Rate for Payer: MDWise Medicaid	$1,761.88

APR-DRG 36.00: ALTERATION IN CONSCIOUSNESS

Facility

$9,034.61

Service Code	APR-DRG 0524
Min. Negotiated Rate	$8,175.10
Max. Negotiated Rate	$9,034.61
Rate for Payer: Anthem Blue Cross of IN Medicaid	$8,175.10
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$8,175.10
Rate for Payer: Managed Health Services Medicaid	$8,175.10
Rate for Payer: MDWise Medicaid	$8,175.10

APR-DRG 36.00: ALTERATION IN CONSCIOUSNESS

Facility

$3,587.91

Service Code	APR-DRG 0522
Min. Negotiated Rate	$3,065.66
Max. Negotiated Rate	$3,587.91
Rate for Payer: Anthem Blue Cross of IN Medicaid	$3,065.66
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$3,065.66
Rate for Payer: Managed Health Services Medicaid	$3,065.66
Rate for Payer: MDWise Medicaid	$3,065.66

APR-DRG 36.00: ALTERATION IN CONSCIOUSNESS

Facility

$5,187.34

Service Code	APR-DRG 0523
Min. Negotiated Rate	$3,911.36
Max. Negotiated Rate	$5,187.34
Rate for Payer: Anthem Blue Cross of IN Medicaid	$3,911.36
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$3,911.36
Rate for Payer: Managed Health Services Medicaid	$3,911.36
Rate for Payer: MDWise Medicaid	$3,911.36

APR-DRG 36.00: AMPUTATION OF LOWER LIMB EXCEPT TOES

Facility

$4,798.29

Service Code	APR-DRG 3051
Min. Negotiated Rate	$4,580.88
Max. Negotiated Rate	$4,798.29
Rate for Payer: Anthem Blue Cross of IN Medicaid	$4,580.88
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$4,580.88
Rate for Payer: Managed Health Services Medicaid	$4,580.88
Rate for Payer: MDWise Medicaid	$4,580.88

APR-DRG 36.00: AMPUTATION OF LOWER LIMB EXCEPT TOES

Facility

$16,513.02

Service Code	APR-DRG 3054
Min. Negotiated Rate	$11,416.95
Max. Negotiated Rate	$16,513.02
Rate for Payer: Anthem Blue Cross of IN Medicaid	$11,416.95
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$11,416.95
Rate for Payer: Managed Health Services Medicaid	$11,416.95
Rate for Payer: MDWise Medicaid	$11,416.95

APR-DRG 36.00: AMPUTATION OF LOWER LIMB EXCEPT TOES

Facility

$10,028.85

Service Code	APR-DRG 3053
Min. Negotiated Rate	$9,020.80
Max. Negotiated Rate	$10,028.85
Rate for Payer: Anthem Blue Cross of IN Medicaid	$9,020.80
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$9,020.80
Rate for Payer: Managed Health Services Medicaid	$9,020.80
Rate for Payer: MDWise Medicaid	$9,020.80

APR-DRG 36.00: AMPUTATION OF LOWER LIMB EXCEPT TOES

Facility

$6,527.40

Service Code	APR-DRG 3052
Min. Negotiated Rate	$5,708.48
Max. Negotiated Rate	$6,527.40
Rate for Payer: Anthem Blue Cross of IN Medicaid	$5,708.48
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$5,708.48
Rate for Payer: Managed Health Services Medicaid	$5,708.48
Rate for Payer: MDWise Medicaid	$5,708.48

APR-DRG 36.00: ANAL PROCEDURES

Facility

$3,981.84

Service Code	APR-DRG 2261
Min. Negotiated Rate	$3,804.05
Max. Negotiated Rate	$3,981.84
Rate for Payer: Anthem Blue Cross of IN Medicaid	$3,981.84
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$3,981.84
Rate for Payer: Managed Health Services Medicaid	$3,981.84
Rate for Payer: MDWise Medicaid	$3,981.84

APR-DRG 36.00: ANAL PROCEDURES

Facility

$4,755.06

Service Code	APR-DRG 2262
Min. Negotiated Rate	$3,981.84
Max. Negotiated Rate	$4,755.06
Rate for Payer: Anthem Blue Cross of IN Medicaid	$3,981.84
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$3,981.84
Rate for Payer: Managed Health Services Medicaid	$3,981.84
Rate for Payer: MDWise Medicaid	$3,981.84

APR-DRG 36.00: ANAL PROCEDURES

Facility

$7,435.18

Service Code	APR-DRG 2263
Min. Negotiated Rate	$4,404.69
Max. Negotiated Rate	$7,435.18
Rate for Payer: Anthem Blue Cross of IN Medicaid	$4,404.69
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$4,404.69
Rate for Payer: Managed Health Services Medicaid	$4,404.69
Rate for Payer: MDWise Medicaid	$4,404.69

APR-DRG 36.00: ANAL PROCEDURES

Facility

$11,109.54

Service Code	APR-DRG 2264
Min. Negotiated Rate	$5,320.86
Max. Negotiated Rate	$11,109.54
Rate for Payer: Anthem Blue Cross of IN Medicaid	$5,320.86
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$5,320.86
Rate for Payer: Managed Health Services Medicaid	$5,320.86
Rate for Payer: MDWise Medicaid	$5,320.86

APR-DRG 36.00: ANGINA PECTORIS & CORONARY ATHEROSCLEROSIS

Facility

$7,089.36

Service Code	APR-DRG 1984
Min. Negotiated Rate	$4,298.98
Max. Negotiated Rate	$7,089.36
Rate for Payer: Anthem Blue Cross of IN Medicaid	$4,298.98
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$4,298.98
Rate for Payer: Managed Health Services Medicaid	$4,298.98
Rate for Payer: MDWise Medicaid	$4,298.98

APR-DRG 36.00: ANGINA PECTORIS & CORONARY ATHEROSCLEROSIS

Facility

$2,896.26

Service Code	APR-DRG 1982
Min. Negotiated Rate	$2,572.34
Max. Negotiated Rate	$2,896.26
Rate for Payer: Anthem Blue Cross of IN Medicaid	$2,572.34
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$2,572.34
Rate for Payer: Managed Health Services Medicaid	$2,572.34
Rate for Payer: MDWise Medicaid	$2,572.34

APR-DRG 36.00: ANGINA PECTORIS & CORONARY ATHEROSCLEROSIS

Facility

$2,463.98

Service Code	APR-DRG 1981
Min. Negotiated Rate	$1,550.45
Max. Negotiated Rate	$2,463.98
Rate for Payer: Anthem Blue Cross of IN Medicaid	$1,550.45
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$1,550.45
Rate for Payer: Managed Health Services Medicaid	$1,550.45
Rate for Payer: MDWise Medicaid	$1,550.45

APR-DRG 36.00: ANGINA PECTORIS & CORONARY ATHEROSCLEROSIS

Facility

$3,847.27

Service Code	APR-DRG 1983
Min. Negotiated Rate	$2,572.34
Max. Negotiated Rate	$3,847.27
Rate for Payer: Anthem Blue Cross of IN Medicaid	$2,572.34
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$2,572.34
Rate for Payer: Managed Health Services Medicaid	$2,572.34
Rate for Payer: MDWise Medicaid	$2,572.34

APR-DRG 36.00: ANOXIC & OTHER SEVERE BRAIN DAMAGE

Facility

$6,916.45

Service Code	APR-DRG 0593
Min. Negotiated Rate	$4,263.74
Max. Negotiated Rate	$6,916.45
Rate for Payer: Anthem Blue Cross of IN Medicaid	$4,263.74
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$4,263.74
Rate for Payer: Managed Health Services Medicaid	$4,263.74
Rate for Payer: MDWise Medicaid	$4,263.74

APR-DRG 36.00: ANOXIC & OTHER SEVERE BRAIN DAMAGE

Facility

$10,244.99

Service Code	APR-DRG 0594
Min. Negotiated Rate	$6,201.80
Max. Negotiated Rate	$10,244.99
Rate for Payer: Anthem Blue Cross of IN Medicaid	$6,201.80
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$6,201.80
Rate for Payer: Managed Health Services Medicaid	$6,201.80
Rate for Payer: MDWise Medicaid	$6,201.80

APR-DRG 36.00: ANOXIC & OTHER SEVERE BRAIN DAMAGE

Facility

$5,014.42

Service Code	APR-DRG 0592
Min. Negotiated Rate	$4,263.74
Max. Negotiated Rate	$5,014.42
Rate for Payer: Anthem Blue Cross of IN Medicaid	$4,263.74
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$4,263.74
Rate for Payer: Managed Health Services Medicaid	$4,263.74
Rate for Payer: MDWise Medicaid	$4,263.74

APR-DRG 36.00: ANOXIC & OTHER SEVERE BRAIN DAMAGE

Facility

$4,263.74

Service Code	APR-DRG 0591
Min. Negotiated Rate	$3,112.40
Max. Negotiated Rate	$4,263.74
Rate for Payer: Anthem Blue Cross of IN Medicaid	$4,263.74
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$4,263.74
Rate for Payer: Managed Health Services Medicaid	$4,263.74
Rate for Payer: MDWise Medicaid	$4,263.74

APR-DRG 36.00: APPENDECTOMY WITH COMPLEX PRINCIPAL DIAGNOSIS

Facility

$8,386.19

Service Code	APR-DRG 2333
Min. Negotiated Rate	$5,849.43
Max. Negotiated Rate	$8,386.19
Rate for Payer: Anthem Blue Cross of IN Medicaid	$5,849.43
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$5,849.43
Rate for Payer: Managed Health Services Medicaid	$5,849.43
Rate for Payer: MDWise Medicaid	$5,849.43

APR-DRG 36.00: APPENDECTOMY WITH COMPLEX PRINCIPAL DIAGNOSIS

Facility

$13,141.25

Service Code	APR-DRG 2334
Min. Negotiated Rate	$10,571.25
Max. Negotiated Rate	$13,141.25
Rate for Payer: Anthem Blue Cross of IN Medicaid	$10,571.25
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$10,571.25
Rate for Payer: Managed Health Services Medicaid	$10,571.25
Rate for Payer: MDWise Medicaid	$10,571.25

APR-DRG 36.00: APPENDECTOMY WITH COMPLEX PRINCIPAL DIAGNOSIS

Facility

$4,625.37

Service Code	APR-DRG 2331
Min. Negotiated Rate	$4,228.50
Max. Negotiated Rate	$4,625.37
Rate for Payer: Anthem Blue Cross of IN Medicaid	$4,228.50
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$4,228.50
Rate for Payer: Managed Health Services Medicaid	$4,228.50
Rate for Payer: MDWise Medicaid	$4,228.50

APR-DRG 36.00: APPENDECTOMY WITH COMPLEX PRINCIPAL DIAGNOSIS

Facility

$5,965.44

Service Code	APR-DRG 2332
Min. Negotiated Rate	$5,849.43
Max. Negotiated Rate	$5,965.44
Rate for Payer: Anthem Blue Cross of IN Medicaid	$5,849.43
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$5,849.43
Rate for Payer: Managed Health Services Medicaid	$5,849.43
Rate for Payer: MDWise Medicaid	$5,849.43

APR-DRG 36.00: APPENDECTOMY WITHOUT COMPLEX PRINCIPAL DIAGNOSIS

Facility

$4,322.78

Service Code	APR-DRG 2341
Min. Negotiated Rate	$3,030.43
Max. Negotiated Rate	$4,322.78
Rate for Payer: Anthem Blue Cross of IN Medicaid	$3,030.43
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$3,030.43
Rate for Payer: Managed Health Services Medicaid	$3,030.43
Rate for Payer: MDWise Medicaid	$3,030.43

Know your out-of-pocket cost for care.

All Charges