Cameron Memorial Community Hospital

All Charges

Charge

Type

Setting

Price

APR-DRG 36.00: CELLULITIS & OTHER SKIN INFECTIONS

Facility

$2,184.72

Service Code	APR-DRG 3831
Min. Negotiated Rate	$2,074.93
Max. Negotiated Rate	$2,184.72
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: CELLULITIS & OTHER SKIN INFECTIONS

Facility

$2,889.47

Service Code	APR-DRG 3832
Min. Negotiated Rate	$2,766.58
Max. Negotiated Rate	$2,889.47
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

$8,256.51

Service Code	APR-DRG 3834
Min. Negotiated Rate	$4,827.54
Max. Negotiated Rate	$8,256.51
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

$4,322.78

Service Code	APR-DRG 3833
Min. Negotiated Rate	$4,017.07
Max. Negotiated Rate	$4,322.78
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: CERVICAL SPINAL FUSION & OTHER BACK/NECK PROC EXC DISC EXCIS/DECOMP

Facility

$15,605.24

Service Code	APR-DRG 3213
Min. Negotiated Rate	$12,262.65
Max. Negotiated Rate	$15,605.24
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

$9,942.39

Service Code	APR-DRG 3212
Min. Negotiated Rate	$7,963.68
Max. Negotiated Rate	$9,942.39
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

$7,305.50

Service Code	APR-DRG 3211
Min. Negotiated Rate	$6,272.27
Max. Negotiated Rate	$7,305.50
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: CERVICAL SPINAL FUSION & OTHER BACK/NECK PROC EXC DISC EXCIS/DECOMP

Facility

$20,792.57

Service Code	APR-DRG 3214
Min. Negotiated Rate	$15,751.16
Max. Negotiated Rate	$20,792.57
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: CESAREAN DELIVERY

Facility

$4,841.51

Service Code	APR-DRG 5403
Min. Negotiated Rate	$4,263.74
Max. Negotiated Rate	$4,841.51
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: CESAREAN DELIVERY

Facility

$2,607.57

Service Code	APR-DRG 5401
Min. Negotiated Rate	$2,507.21
Max. Negotiated Rate	$2,607.57
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

$10,677.27

Service Code	APR-DRG 5404
Min. Negotiated Rate	$8,457.00
Max. Negotiated Rate	$10,677.27
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

$3,312.32

Service Code	APR-DRG 5402
Min. Negotiated Rate	$3,198.86
Max. Negotiated Rate	$3,312.32
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: CHEMOTHERAPY FOR ACUTE LEUKEMIA

Facility

$3,717.59

Service Code	APR-DRG 6951
Min. Negotiated Rate	$3,558.99
Max. Negotiated Rate	$3,717.59
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

$23,515.92

Service Code	APR-DRG 6954
Min. Negotiated Rate	$22,270.10
Max. Negotiated Rate	$23,515.92
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: CHEMOTHERAPY FOR ACUTE LEUKEMIA

Facility

$11,887.65

Service Code	APR-DRG 6953
Min. Negotiated Rate	$10,183.64
Max. Negotiated Rate	$11,887.65
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

$5,965.44

Service Code	APR-DRG 6952
Min. Negotiated Rate	$3,558.99
Max. Negotiated Rate	$5,965.44
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: CHEST PAIN

Facility

$2,896.26

Service Code	APR-DRG 2032
Min. Negotiated Rate	$2,255.20
Max. Negotiated Rate	$2,896.26
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

$3,587.91

Service Code	APR-DRG 2033
Min. Negotiated Rate	$2,959.95
Max. Negotiated Rate	$3,587.91
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

$5,749.30

Service Code	APR-DRG 2034
Min. Negotiated Rate	$2,959.95
Max. Negotiated Rate	$5,749.30
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

$2,593.67

Service Code	APR-DRG 2031
Min. Negotiated Rate	$1,902.83
Max. Negotiated Rate	$2,593.67
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

APR-DRG 36.00: CHOLECYSTECTOMY

Facility

$8,861.70

Service Code	APR-DRG 2633
Min. Negotiated Rate	$5,743.71
Max. Negotiated Rate	$8,861.70
Rate for Payer: Anthem Blue Cross of IN Medicaid	$5,743.71
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$5,743.71
Rate for Payer: Managed Health Services Medicaid	$5,743.71
Rate for Payer: MDWise Medicaid	$5,743.71

APR-DRG 36.00: CHOLECYSTECTOMY

Facility

$5,230.56

Service Code	APR-DRG 2631
Min. Negotiated Rate	$4,122.79
Max. Negotiated Rate	$5,230.56
Rate for Payer: Anthem Blue Cross of IN Medicaid	$4,122.79
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$4,122.79
Rate for Payer: Managed Health Services Medicaid	$4,122.79
Rate for Payer: MDWise Medicaid	$4,122.79

APR-DRG 36.00: CHOLECYSTECTOMY

Facility

$6,440.94

Service Code	APR-DRG 2632
Min. Negotiated Rate	$5,144.68
Max. Negotiated Rate	$6,440.94
Rate for Payer: Anthem Blue Cross of IN Medicaid	$5,144.68
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$5,144.68
Rate for Payer: Managed Health Services Medicaid	$5,144.68
Rate for Payer: MDWise Medicaid	$5,144.68

APR-DRG 36.00: CHOLECYSTECTOMY

Facility

$14,956.82

Service Code	APR-DRG 2634
Min. Negotiated Rate	$14,306.42
Max. Negotiated Rate	$14,956.82
Rate for Payer: Anthem Blue Cross of IN Medicaid	$14,306.42
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$14,306.42
Rate for Payer: Managed Health Services Medicaid	$14,306.42
Rate for Payer: MDWise Medicaid	$14,306.42

APR-DRG 36.00: CHRONIC KIDNEY DISEASE

Facility

$3,198.86

Service Code	APR-DRG 4702
Min. Negotiated Rate	$2,854.24
Max. Negotiated Rate	$3,198.86
Rate for Payer: Anthem Blue Cross of IN Medicaid	$2,854.24
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$2,854.24
Rate for Payer: Managed Health Services Medicaid	$2,854.24
Rate for Payer: MDWise Medicaid	$2,854.24

Know your out-of-pocket cost for care.

All Charges