Cameron Memorial Community Hospital

All Charges

Charge

Type

Setting

Price

APR-DRG 36.00: CARDIAC VALVE PROCEDURES W/O AMI OR COMPLEX PDX

Facility

$24,942.44

Service Code	APR-DRG 1633
Min. Negotiated Rate	$16,314.96
Max. Negotiated Rate	$24,942.44
Rate for Payer: Anthem Blue Cross of IN Medicaid	$16,314.96
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$16,314.96
Rate for Payer: Managed Health Services Medicaid	$16,314.96
Rate for Payer: MDWise Medicaid	$16,314.96

APR-DRG 36.00: CARDIOMYOPATHY

Facility

$2,680.12

Service Code	APR-DRG 2051
Min. Negotiated Rate	$1,867.59
Max. Negotiated Rate	$2,680.12
Rate for Payer: Anthem Blue Cross of IN Medicaid	$1,867.59
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$1,867.59
Rate for Payer: Managed Health Services Medicaid	$1,867.59
Rate for Payer: MDWise Medicaid	$1,867.59

APR-DRG 36.00: CARDIOMYOPATHY

Facility

$9,293.98

Service Code	APR-DRG 2054
Min. Negotiated Rate	$4,827.54
Max. Negotiated Rate	$9,293.98
Rate for Payer: Anthem Blue Cross of IN Medicaid	$4,827.54
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$4,827.54
Rate for Payer: Managed Health Services Medicaid	$4,827.54
Rate for Payer: MDWise Medicaid	$4,827.54

APR-DRG 36.00: CARDIOMYOPATHY

Facility

$3,328.54

Service Code	APR-DRG 2052
Min. Negotiated Rate	$1,867.59
Max. Negotiated Rate	$3,328.54
Rate for Payer: Anthem Blue Cross of IN Medicaid	$1,867.59
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$1,867.59
Rate for Payer: Managed Health Services Medicaid	$1,867.59
Rate for Payer: MDWise Medicaid	$1,867.59

APR-DRG 36.00: CARDIOMYOPATHY

Facility

$4,841.51

Service Code	APR-DRG 2053
Min. Negotiated Rate	$2,959.95
Max. Negotiated Rate	$4,841.51
Rate for Payer: Anthem Blue Cross of IN Medicaid	$2,959.95
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$2,959.95
Rate for Payer: Managed Health Services Medicaid	$2,959.95
Rate for Payer: MDWise Medicaid	$2,959.95

APR-DRG 36.00: CELLULITIS & OTHER SKIN INFECTIONS

Facility

$3,155.63

Service Code	APR-DRG 3832
Min. Negotiated Rate	$2,889.47
Max. Negotiated Rate	$3,155.63
Rate for Payer: Anthem Blue Cross of IN Medicaid	$2,889.47
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$2,889.47
Rate for Payer: Managed Health Services Medicaid	$2,889.47
Rate for Payer: MDWise Medicaid	$2,889.47

APR-DRG 36.00: CELLULITIS & OTHER SKIN INFECTIONS

Facility

$4,625.37

Service Code	APR-DRG 3833
Min. Negotiated Rate	$4,017.07
Max. Negotiated Rate	$4,625.37
Rate for Payer: Anthem Blue Cross of IN Medicaid	$4,017.07
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$4,017.07
Rate for Payer: Managed Health Services Medicaid	$4,017.07
Rate for Payer: MDWise Medicaid	$4,017.07

APR-DRG 36.00: CELLULITIS & OTHER SKIN INFECTIONS

Facility

$6,959.68

Service Code	APR-DRG 3834
Min. Negotiated Rate	$4,827.54
Max. Negotiated Rate	$6,959.68
Rate for Payer: Anthem Blue Cross of IN Medicaid	$4,827.54
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$4,827.54
Rate for Payer: Managed Health Services Medicaid	$4,827.54
Rate for Payer: MDWise Medicaid	$4,827.54

APR-DRG 36.00: CELLULITIS & OTHER SKIN INFECTIONS

Facility

$2,507.21

Service Code	APR-DRG 3831
Min. Negotiated Rate	$2,184.72
Max. Negotiated Rate	$2,507.21
Rate for Payer: Anthem Blue Cross of IN Medicaid	$2,184.72
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$2,184.72
Rate for Payer: Managed Health Services Medicaid	$2,184.72
Rate for Payer: MDWise Medicaid	$2,184.72

APR-DRG 36.00: CERVICAL SPINAL FUSION & OTHER BACK/NECK PROC EXC DISC EXCIS/DECOMP

Facility

$19,106.69

Service Code	APR-DRG 3214
Min. Negotiated Rate	$15,751.16
Max. Negotiated Rate	$19,106.69
Rate for Payer: Anthem Blue Cross of IN Medicaid	$15,751.16
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$15,751.16
Rate for Payer: Managed Health Services Medicaid	$15,751.16
Rate for Payer: MDWise Medicaid	$15,751.16

APR-DRG 36.00: CERVICAL SPINAL FUSION & OTHER BACK/NECK PROC EXC DISC EXCIS/DECOMP

Facility

$10,072.08

Service Code	APR-DRG 3212
Min. Negotiated Rate	$7,963.68
Max. Negotiated Rate	$10,072.08
Rate for Payer: Anthem Blue Cross of IN Medicaid	$7,963.68
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$7,963.68
Rate for Payer: Managed Health Services Medicaid	$7,963.68
Rate for Payer: MDWise Medicaid	$7,963.68

APR-DRG 36.00: CERVICAL SPINAL FUSION & OTHER BACK/NECK PROC EXC DISC EXCIS/DECOMP

Facility

$16,513.02

Service Code	APR-DRG 3213
Min. Negotiated Rate	$12,262.65
Max. Negotiated Rate	$16,513.02
Rate for Payer: Anthem Blue Cross of IN Medicaid	$12,262.65
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$12,262.65
Rate for Payer: Managed Health Services Medicaid	$12,262.65
Rate for Payer: MDWise Medicaid	$12,262.65

APR-DRG 36.00: CERVICAL SPINAL FUSION & OTHER BACK/NECK PROC EXC DISC EXCIS/DECOMP

Facility

$7,608.09

Service Code	APR-DRG 3211
Min. Negotiated Rate	$6,272.27
Max. Negotiated Rate	$7,608.09
Rate for Payer: Anthem Blue Cross of IN Medicaid	$6,272.27
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$6,272.27
Rate for Payer: Managed Health Services Medicaid	$6,272.27
Rate for Payer: MDWise Medicaid	$6,272.27

APR-DRG 36.00: CESAREAN DELIVERY

Facility

$4,495.69

Service Code	APR-DRG 5402
Min. Negotiated Rate	$3,312.32
Max. Negotiated Rate	$4,495.69
Rate for Payer: Anthem Blue Cross of IN Medicaid	$3,312.32
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$3,312.32
Rate for Payer: Managed Health Services Medicaid	$3,312.32
Rate for Payer: MDWise Medicaid	$3,312.32

APR-DRG 36.00: CESAREAN DELIVERY

Facility

$12,579.29

Service Code	APR-DRG 5404
Min. Negotiated Rate	$8,457.00
Max. Negotiated Rate	$12,579.29
Rate for Payer: Anthem Blue Cross of IN Medicaid	$8,457.00
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$8,457.00
Rate for Payer: Managed Health Services Medicaid	$8,457.00
Rate for Payer: MDWise Medicaid	$8,457.00

APR-DRG 36.00: CESAREAN DELIVERY

Facility

$3,501.45

Service Code	APR-DRG 5401
Min. Negotiated Rate	$2,607.57
Max. Negotiated Rate	$3,501.45
Rate for Payer: Anthem Blue Cross of IN Medicaid	$2,607.57
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$2,607.57
Rate for Payer: Managed Health Services Medicaid	$2,607.57
Rate for Payer: MDWise Medicaid	$2,607.57

APR-DRG 36.00: CESAREAN DELIVERY

Facility

$5,273.79

Service Code	APR-DRG 5403
Min. Negotiated Rate	$4,263.74
Max. Negotiated Rate	$5,273.79
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: CHEMOTHERAPY FOR ACUTE LEUKEMIA

Facility

$5,144.11

Service Code	APR-DRG 6952
Min. Negotiated Rate	$3,558.99
Max. Negotiated Rate	$5,144.11
Rate for Payer: Anthem Blue Cross of IN Medicaid	$3,558.99
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$3,558.99
Rate for Payer: Managed Health Services Medicaid	$3,558.99
Rate for Payer: MDWise Medicaid	$3,558.99

APR-DRG 36.00: CHEMOTHERAPY FOR ACUTE LEUKEMIA

Facility

$12,925.11

Service Code	APR-DRG 6953
Min. Negotiated Rate	$10,183.64
Max. Negotiated Rate	$12,925.11
Rate for Payer: Anthem Blue Cross of IN Medicaid	$10,183.64
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$10,183.64
Rate for Payer: Managed Health Services Medicaid	$10,183.64
Rate for Payer: MDWise Medicaid	$10,183.64

APR-DRG 36.00: CHEMOTHERAPY FOR ACUTE LEUKEMIA

Facility

$4,063.41

Service Code	APR-DRG 6951
Min. Negotiated Rate	$3,558.99
Max. Negotiated Rate	$4,063.41
Rate for Payer: Anthem Blue Cross of IN Medicaid	$3,558.99
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$3,558.99
Rate for Payer: Managed Health Services Medicaid	$3,558.99
Rate for Payer: MDWise Medicaid	$3,558.99

APR-DRG 36.00: CHEMOTHERAPY FOR ACUTE LEUKEMIA

Facility

$25,504.40

Service Code	APR-DRG 6954
Min. Negotiated Rate	$22,270.10
Max. Negotiated Rate	$25,504.40
Rate for Payer: Anthem Blue Cross of IN Medicaid	$22,270.10
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$22,270.10
Rate for Payer: Managed Health Services Medicaid	$22,270.10
Rate for Payer: MDWise Medicaid	$22,270.10

APR-DRG 36.00: CHEST PAIN

Facility

$3,631.14

Service Code	APR-DRG 2032
Min. Negotiated Rate	$2,255.20
Max. Negotiated Rate	$3,631.14
Rate for Payer: Anthem Blue Cross of IN Medicaid	$2,255.20
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$2,255.20
Rate for Payer: Managed Health Services Medicaid	$2,255.20
Rate for Payer: MDWise Medicaid	$2,255.20

APR-DRG 36.00: CHEST PAIN

Facility

$6,051.89

Service Code	APR-DRG 2034
Min. Negotiated Rate	$2,959.95
Max. Negotiated Rate	$6,051.89
Rate for Payer: Anthem Blue Cross of IN Medicaid	$2,959.95
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$2,959.95
Rate for Payer: Managed Health Services Medicaid	$2,959.95
Rate for Payer: MDWise Medicaid	$2,959.95

APR-DRG 36.00: CHEST PAIN

Facility

$4,020.19

Service Code	APR-DRG 2033
Min. Negotiated Rate	$2,959.95
Max. Negotiated Rate	$4,020.19
Rate for Payer: Anthem Blue Cross of IN Medicaid	$2,959.95
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$2,959.95
Rate for Payer: Managed Health Services Medicaid	$2,959.95
Rate for Payer: MDWise Medicaid	$2,959.95

APR-DRG 36.00: CHEST PAIN

Facility

$3,242.09

Service Code	APR-DRG 2031
Min. Negotiated Rate	$1,902.83
Max. Negotiated Rate	$3,242.09
Rate for Payer: Anthem Blue Cross of IN Medicaid	$1,902.83
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$1,902.83
Rate for Payer: Managed Health Services Medicaid	$1,902.83
Rate for Payer: MDWise Medicaid	$1,902.83

Know your out-of-pocket cost for care.

All Charges