Cameron Memorial Community Hospital

All Charges

Charge

Type

Setting

Price

APR-DRG 36.00: CONNECTIVE TISSUE DISORDERS

Facility

$4,798.29

Service Code	APR-DRG 3462
Min. Negotiated Rate	$3,770.41
Max. Negotiated Rate	$4,798.29
Rate for Payer: Anthem Blue Cross of IN Medicaid	$3,770.41
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$3,770.41
Rate for Payer: Managed Health Services Medicaid	$3,770.41
Rate for Payer: MDWise Medicaid	$3,770.41

APR-DRG 36.00: CONNECTIVE TISSUE DISORDERS

Facility

$7,175.81

Service Code	APR-DRG 3463
Min. Negotiated Rate	$4,439.93
Max. Negotiated Rate	$7,175.81
Rate for Payer: Anthem Blue Cross of IN Medicaid	$4,439.93
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$4,439.93
Rate for Payer: Managed Health Services Medicaid	$4,439.93
Rate for Payer: MDWise Medicaid	$4,439.93

APR-DRG 36.00: CONTUSION, OPEN WOUND & OTHER TRAUMA TO SKIN & SUBCUTANEOUS TISSUE

Facility

$3,760.82

Service Code	APR-DRG 3842
Min. Negotiated Rate	$2,924.71
Max. Negotiated Rate	$3,760.82
Rate for Payer: Anthem Blue Cross of IN Medicaid	$2,924.71
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$2,924.71
Rate for Payer: Managed Health Services Medicaid	$2,924.71
Rate for Payer: MDWise Medicaid	$2,924.71

APR-DRG 36.00: CONTUSION, OPEN WOUND & OTHER TRAUMA TO SKIN & SUBCUTANEOUS TISSUE

Facility

$8,602.33

Service Code	APR-DRG 3844
Min. Negotiated Rate	$5,708.48
Max. Negotiated Rate	$8,602.33
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: CONTUSION, OPEN WOUND & OTHER TRAUMA TO SKIN & SUBCUTANEOUS TISSUE

Facility

$3,069.17

Service Code	APR-DRG 3841
Min. Negotiated Rate	$2,466.62
Max. Negotiated Rate	$3,069.17
Rate for Payer: Anthem Blue Cross of IN Medicaid	$2,466.62
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$2,466.62
Rate for Payer: Managed Health Services Medicaid	$2,466.62
Rate for Payer: MDWise Medicaid	$2,466.62

APR-DRG 36.00: CONTUSION, OPEN WOUND & OTHER TRAUMA TO SKIN & SUBCUTANEOUS TISSUE

Facility

$5,360.25

Service Code	APR-DRG 3843
Min. Negotiated Rate	$4,122.79
Max. Negotiated Rate	$5,360.25
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: CORONARY BYPASS W AMI OR COMPLEX PDX

Facility

$18,544.73

Service Code	APR-DRG 1652
Min. Negotiated Rate	$14,376.90
Max. Negotiated Rate	$18,544.73
Rate for Payer: Anthem Blue Cross of IN Medicaid	$14,376.90
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$14,376.90
Rate for Payer: Managed Health Services Medicaid	$14,376.90
Rate for Payer: MDWise Medicaid	$14,376.90

APR-DRG 36.00: CORONARY BYPASS W AMI OR COMPLEX PDX

Facility

$30,951.10

Service Code	APR-DRG 1654
Min. Negotiated Rate	$28,859.51
Max. Negotiated Rate	$30,951.10
Rate for Payer: Anthem Blue Cross of IN Medicaid	$28,859.51
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$28,859.51
Rate for Payer: Managed Health Services Medicaid	$28,859.51
Rate for Payer: MDWise Medicaid	$28,859.51

APR-DRG 36.00: CORONARY BYPASS W AMI OR COMPLEX PDX

Facility

$22,997.19

Service Code	APR-DRG 1653
Min. Negotiated Rate	$16,984.47
Max. Negotiated Rate	$22,997.19
Rate for Payer: Anthem Blue Cross of IN Medicaid	$16,984.47
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$16,984.47
Rate for Payer: Managed Health Services Medicaid	$16,984.47
Rate for Payer: MDWise Medicaid	$16,984.47

APR-DRG 36.00: CORONARY BYPASS W AMI OR COMPLEX PDX

Facility

$16,599.48

Service Code	APR-DRG 1651
Min. Negotiated Rate	$9,831.26
Max. Negotiated Rate	$16,599.48
Rate for Payer: Anthem Blue Cross of IN Medicaid	$9,831.26
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$9,831.26
Rate for Payer: Managed Health Services Medicaid	$9,831.26
Rate for Payer: MDWise Medicaid	$9,831.26

APR-DRG 36.00: CORONARY BYPASS W/O AMI OR COMPLEX PDX

Facility

$27,579.34

Service Code	APR-DRG 1664
Min. Negotiated Rate	$22,869.14
Max. Negotiated Rate	$27,579.34
Rate for Payer: Anthem Blue Cross of IN Medicaid	$22,869.14
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$22,869.14
Rate for Payer: Managed Health Services Medicaid	$22,869.14
Rate for Payer: MDWise Medicaid	$22,869.14

APR-DRG 36.00: CORONARY BYPASS W/O AMI OR COMPLEX PDX

Facility

$13,962.58

Service Code	APR-DRG 1661
Min. Negotiated Rate	$9,760.79
Max. Negotiated Rate	$13,962.58
Rate for Payer: Anthem Blue Cross of IN Medicaid	$9,760.79
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$9,760.79
Rate for Payer: Managed Health Services Medicaid	$9,760.79
Rate for Payer: MDWise Medicaid	$9,760.79

APR-DRG 36.00: CORONARY BYPASS W/O AMI OR COMPLEX PDX

Facility

$16,210.42

Service Code	APR-DRG 1662
Min. Negotiated Rate	$11,135.05
Max. Negotiated Rate	$16,210.42
Rate for Payer: Anthem Blue Cross of IN Medicaid	$11,135.05
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$11,135.05
Rate for Payer: Managed Health Services Medicaid	$11,135.05
Rate for Payer: MDWise Medicaid	$11,135.05

APR-DRG 36.00: CORONARY BYPASS W/O AMI OR COMPLEX PDX

Facility

$20,230.61

Service Code	APR-DRG 1663
Min. Negotiated Rate	$14,694.04
Max. Negotiated Rate	$20,230.61
Rate for Payer: Anthem Blue Cross of IN Medicaid	$14,694.04
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$14,694.04
Rate for Payer: Managed Health Services Medicaid	$14,694.04
Rate for Payer: MDWise Medicaid	$14,694.04

APR-DRG 36.00: CRANIOTOMY EXCEPT FOR TRAUMA

Facility

$10,244.99

Service Code	APR-DRG 0211
Min. Negotiated Rate	$7,012.26
Max. Negotiated Rate	$10,244.99
Rate for Payer: Anthem Blue Cross of IN Medicaid	$7,012.26
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$7,012.26
Rate for Payer: Managed Health Services Medicaid	$7,012.26
Rate for Payer: MDWise Medicaid	$7,012.26

APR-DRG 36.00: CRANIOTOMY EXCEPT FOR TRAUMA

Facility

$26,628.32

Service Code	APR-DRG 0214
Min. Negotiated Rate	$21,177.74
Max. Negotiated Rate	$26,628.32
Rate for Payer: Anthem Blue Cross of IN Medicaid	$21,177.74
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$21,177.74
Rate for Payer: Managed Health Services Medicaid	$21,177.74
Rate for Payer: MDWise Medicaid	$21,177.74

APR-DRG 36.00: CRANIOTOMY EXCEPT FOR TRAUMA

Facility

$13,573.53

Service Code	APR-DRG 0212
Min. Negotiated Rate	$8,034.15
Max. Negotiated Rate	$13,573.53
Rate for Payer: Anthem Blue Cross of IN Medicaid	$8,034.15
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$8,034.15
Rate for Payer: Managed Health Services Medicaid	$8,034.15
Rate for Payer: MDWise Medicaid	$8,034.15

APR-DRG 36.00: CRANIOTOMY EXCEPT FOR TRAUMA

Facility

$18,717.64

Service Code	APR-DRG 0213
Min. Negotiated Rate	$15,892.11
Max. Negotiated Rate	$18,717.64
Rate for Payer: Anthem Blue Cross of IN Medicaid	$15,892.11
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$15,892.11
Rate for Payer: Managed Health Services Medicaid	$15,892.11
Rate for Payer: MDWise Medicaid	$15,892.11

APR-DRG 36.00: CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA

Facility

$14,870.23

Service Code	APR-DRG 9101
Min. Negotiated Rate	$10,763.72
Max. Negotiated Rate	$14,870.23
Rate for Payer: Anthem Blue Cross of IN Medicaid	$14,870.23
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$14,870.23
Rate for Payer: Managed Health Services Medicaid	$14,870.23
Rate for Payer: MDWise Medicaid	$14,870.23

APR-DRG 36.00: CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA

Facility

$18,977.00

Service Code	APR-DRG 9103
Min. Negotiated Rate	$14,870.23
Max. Negotiated Rate	$18,977.00
Rate for Payer: Anthem Blue Cross of IN Medicaid	$14,870.23
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$14,870.23
Rate for Payer: Managed Health Services Medicaid	$14,870.23
Rate for Payer: MDWise Medicaid	$14,870.23

APR-DRG 36.00: CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA

Facility

$14,870.23

Service Code	APR-DRG 9102
Min. Negotiated Rate	$11,541.82
Max. Negotiated Rate	$14,870.23
Rate for Payer: Anthem Blue Cross of IN Medicaid	$14,870.23
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$14,870.23
Rate for Payer: Managed Health Services Medicaid	$14,870.23
Rate for Payer: MDWise Medicaid	$14,870.23

APR-DRG 36.00: CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA

Facility

$29,394.90

Service Code	APR-DRG 9104
Min. Negotiated Rate	$23,010.09
Max. Negotiated Rate	$29,394.90
Rate for Payer: Anthem Blue Cross of IN Medicaid	$23,010.09
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$23,010.09
Rate for Payer: Managed Health Services Medicaid	$23,010.09
Rate for Payer: MDWise Medicaid	$23,010.09

APR-DRG 36.00: CRANIOTOMY FOR TRAUMA

Facility

$16,037.51

Service Code	APR-DRG 0203
Min. Negotiated Rate	$10,500.77
Max. Negotiated Rate	$16,037.51
Rate for Payer: Anthem Blue Cross of IN Medicaid	$10,500.77
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$10,500.77
Rate for Payer: Managed Health Services Medicaid	$10,500.77
Rate for Payer: MDWise Medicaid	$10,500.77

APR-DRG 36.00: CRANIOTOMY FOR TRAUMA

Facility

$23,256.56

Service Code	APR-DRG 0204
Min. Negotiated Rate	$17,407.33
Max. Negotiated Rate	$23,256.56
Rate for Payer: Anthem Blue Cross of IN Medicaid	$17,407.33
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$17,407.33
Rate for Payer: Managed Health Services Medicaid	$17,407.33
Rate for Payer: MDWise Medicaid	$17,407.33

APR-DRG 36.00: CRANIOTOMY FOR TRAUMA

Facility

$11,239.23

Service Code	APR-DRG 0202
Min. Negotiated Rate	$7,998.91
Max. Negotiated Rate	$11,239.23
Rate for Payer: Anthem Blue Cross of IN Medicaid	$7,998.91
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$7,998.91
Rate for Payer: Managed Health Services Medicaid	$7,998.91
Rate for Payer: MDWise Medicaid	$7,998.91

Know your out-of-pocket cost for care.

All Charges