Cameron Memorial Community Hospital

All Charges

Charge

Type

Setting

Price

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: CVA & PRECEREBRAL OCCLUSION W INFARCT

Facility

$6,138.35

Service Code	APR-DRG 0453
Min. Negotiated Rate	$4,933.25
Max. Negotiated Rate	$6,138.35
Rate for Payer: Anthem Blue Cross of IN Medicaid	$4,933.25
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$4,933.25
Rate for Payer: Managed Health Services Medicaid	$4,933.25
Rate for Payer: MDWise Medicaid	$4,933.25

APR-DRG 36.00: CVA & PRECEREBRAL OCCLUSION W INFARCT

Facility

$3,415.00

Service Code	APR-DRG 0451
Min. Negotiated Rate	$2,783.76
Max. Negotiated Rate	$3,415.00
Rate for Payer: Anthem Blue Cross of IN Medicaid	$2,783.76
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$2,783.76
Rate for Payer: Managed Health Services Medicaid	$2,783.76
Rate for Payer: MDWise Medicaid	$2,783.76

APR-DRG 36.00: CVA & PRECEREBRAL OCCLUSION W INFARCT

Facility

$11,276.00

Service Code	APR-DRG 0454
Min. Negotiated Rate	$10,201.76
Max. Negotiated Rate	$11,276.00
Rate for Payer: Anthem Blue Cross of IN Medicaid	$11,276.00
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$11,276.00
Rate for Payer: Managed Health Services Medicaid	$11,276.00
Rate for Payer: MDWise Medicaid	$11,276.00

APR-DRG 36.00: CVA & PRECEREBRAL OCCLUSION W INFARCT

Facility

$4,409.24

Service Code	APR-DRG 0452
Min. Negotiated Rate	$3,382.80
Max. Negotiated Rate	$4,409.24
Rate for Payer: Anthem Blue Cross of IN Medicaid	$3,382.80
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$3,382.80
Rate for Payer: Managed Health Services Medicaid	$3,382.80
Rate for Payer: MDWise Medicaid	$3,382.80

APR-DRG 36.00: CYSTIC FIBROSIS PULMONARY DISEASE

Facility

$9,020.80

Service Code	APR-DRG 1311
Min. Negotiated Rate	$4,668.60
Max. Negotiated Rate	$9,020.80
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: CYSTIC FIBROSIS PULMONARY DISEASE

Facility

$9,020.80

Service Code	APR-DRG 1312
Min. Negotiated Rate	$7,651.32
Max. Negotiated Rate	$9,020.80
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: CYSTIC FIBROSIS PULMONARY DISEASE

Facility

$10,244.99

Service Code	APR-DRG 1313
Min. Negotiated Rate	$9,020.80
Max. Negotiated Rate	$10,244.99
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: CYSTIC FIBROSIS PULMONARY DISEASE

Facility

$12,017.33

Service Code	APR-DRG 1314
Min. Negotiated Rate	$11,628.38
Max. Negotiated Rate	$12,017.33
Rate for Payer: Anthem Blue Cross of IN Medicaid	$11,628.38
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$11,628.38
Rate for Payer: Managed Health Services Medicaid	$11,628.38
Rate for Payer: MDWise Medicaid	$11,628.38

APR-DRG 36.00: D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY FOR OBSTETRIC DIAGNOSES

Facility

$2,114.25

Service Code	APR-DRG 5441
Min. Negotiated Rate	$2,114.25
Max. Negotiated Rate	$2,114.25
Rate for Payer: Anthem Blue Cross of IN Medicaid	$2,114.25
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$2,114.25
Rate for Payer: Managed Health Services Medicaid	$2,114.25
Rate for Payer: MDWise Medicaid	$2,114.25

APR-DRG 36.00: D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY FOR OBSTETRIC DIAGNOSES

Facility

$2,572.34

Service Code	APR-DRG 5442
Min. Negotiated Rate	$2,572.34
Max. Negotiated Rate	$2,572.34
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: D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY FOR OBSTETRIC DIAGNOSES

Facility

$3,664.70

Service Code	APR-DRG 5443
Min. Negotiated Rate	$3,664.70
Max. Negotiated Rate	$3,664.70
Rate for Payer: Anthem Blue Cross of IN Medicaid	$3,664.70
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$3,664.70
Rate for Payer: Managed Health Services Medicaid	$3,664.70
Rate for Payer: MDWise Medicaid	$3,664.70

APR-DRG 36.00: D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY FOR OBSTETRIC DIAGNOSES

Facility

$7,857.96

Service Code	APR-DRG 5444
Min. Negotiated Rate	$7,857.96
Max. Negotiated Rate	$7,857.96
Rate for Payer: Anthem Blue Cross of IN Medicaid	$7,857.96
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$7,857.96
Rate for Payer: Managed Health Services Medicaid	$7,857.96
Rate for Payer: MDWise Medicaid	$7,857.96

APR-DRG 36.00: DEGENERATIVE NERVOUS SYSTEM DISORDERS EXC MULT SCLEROSIS

Facility

$6,413.23

Service Code	APR-DRG 0423
Min. Negotiated Rate	$6,095.12
Max. Negotiated Rate	$6,413.23
Rate for Payer: Anthem Blue Cross of IN Medicaid	$6,413.23
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$6,413.23
Rate for Payer: Managed Health Services Medicaid	$6,413.23
Rate for Payer: MDWise Medicaid	$6,413.23

APR-DRG 36.00: DEGENERATIVE NERVOUS SYSTEM DISORDERS EXC MULT SCLEROSIS

Facility

$4,322.78

Service Code	APR-DRG 0422
Min. Negotiated Rate	$4,052.31
Max. Negotiated Rate	$4,322.78
Rate for Payer: Anthem Blue Cross of IN Medicaid	$4,052.31
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$4,052.31
Rate for Payer: Managed Health Services Medicaid	$4,052.31
Rate for Payer: MDWise Medicaid	$4,052.31

APR-DRG 36.00: DEGENERATIVE NERVOUS SYSTEM DISORDERS EXC MULT SCLEROSIS

Facility

$11,239.23

Service Code	APR-DRG 0424
Min. Negotiated Rate	$7,188.45
Max. Negotiated Rate	$11,239.23
Rate for Payer: Anthem Blue Cross of IN Medicaid	$7,188.45
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$7,188.45
Rate for Payer: Managed Health Services Medicaid	$7,188.45
Rate for Payer: MDWise Medicaid	$7,188.45

APR-DRG 36.00: DEGENERATIVE NERVOUS SYSTEM DISORDERS EXC MULT SCLEROSIS

Facility

$3,371.77

Service Code	APR-DRG 0421
Min. Negotiated Rate	$2,043.78
Max. Negotiated Rate	$3,371.77
Rate for Payer: Anthem Blue Cross of IN Medicaid	$2,043.78
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$2,043.78
Rate for Payer: Managed Health Services Medicaid	$2,043.78
Rate for Payer: MDWise Medicaid	$2,043.78

APR-DRG 36.00: DENTAL DISEASES AND DISORDERS

Facility

$2,809.81

Service Code	APR-DRG 1142
Min. Negotiated Rate	$2,184.72
Max. Negotiated Rate	$2,809.81
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: DENTAL DISEASES AND DISORDERS

Facility

$2,031.71

Service Code	APR-DRG 1141
Min. Negotiated Rate	$2,008.54
Max. Negotiated Rate	$2,031.71
Rate for Payer: Anthem Blue Cross of IN Medicaid	$2,008.54
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$2,008.54
Rate for Payer: Managed Health Services Medicaid	$2,008.54
Rate for Payer: MDWise Medicaid	$2,008.54

APR-DRG 36.00: DENTAL DISEASES AND DISORDERS

Facility

$11,628.28

Service Code	APR-DRG 1144
Min. Negotiated Rate	$3,981.84
Max. Negotiated Rate	$11,628.28
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: DENTAL DISEASES AND DISORDERS

Facility

$4,193.10

Service Code	APR-DRG 1143
Min. Negotiated Rate	$3,241.85
Max. Negotiated Rate	$4,193.10
Rate for Payer: Anthem Blue Cross of IN Medicaid	$3,241.85
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$3,241.85
Rate for Payer: Managed Health Services Medicaid	$3,241.85
Rate for Payer: MDWise Medicaid	$3,241.85

APR-DRG 36.00: DIABETES

Facility

$4,409.24

Service Code	APR-DRG 4203
Min. Negotiated Rate	$3,488.51
Max. Negotiated Rate	$4,409.24
Rate for Payer: Anthem Blue Cross of IN Medicaid	$3,488.51
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$3,488.51
Rate for Payer: Managed Health Services Medicaid	$3,488.51
Rate for Payer: MDWise Medicaid	$3,488.51

APR-DRG 36.00: DIABETES

Facility

$2,896.26

Service Code	APR-DRG 4202
Min. Negotiated Rate	$2,396.15
Max. Negotiated Rate	$2,896.26
Rate for Payer: Anthem Blue Cross of IN Medicaid	$2,396.15
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$2,396.15
Rate for Payer: Managed Health Services Medicaid	$2,396.15
Rate for Payer: MDWise Medicaid	$2,396.15

APR-DRG 36.00: DIABETES

Facility

$8,256.51

Service Code	APR-DRG 4204
Min. Negotiated Rate	$6,624.65
Max. Negotiated Rate	$8,256.51
Rate for Payer: Anthem Blue Cross of IN Medicaid	$6,624.65
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$6,624.65
Rate for Payer: Managed Health Services Medicaid	$6,624.65
Rate for Payer: MDWise Medicaid	$6,624.65

APR-DRG 36.00: DIABETES

Facility

$2,204.62

Service Code	APR-DRG 4201
Min. Negotiated Rate	$2,079.01
Max. Negotiated Rate	$2,204.62
Rate for Payer: Anthem Blue Cross of IN Medicaid	$2,079.01
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$2,079.01
Rate for Payer: Managed Health Services Medicaid	$2,079.01
Rate for Payer: MDWise Medicaid	$2,079.01

Know your out-of-pocket cost for care.

All Charges