Cameron Memorial Community Hospital

All Charges

Charge

Type

Setting

Price

HC CMCH NEW SUPPLY

Facility

$121.68

Hospital Charge Code	41608414
Hospital Revenue Code	272
Min. Negotiated Rate	$121.68
Max. Negotiated Rate	$121.68
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$121.68
Rate for Payer: Managed Health Services Medicaid	$121.68
Rate for Payer: MDWise Medicaid	$121.68

HC CMCH NEW SUPPLY

Facility

$121.68

Hospital Charge Code	41608467
Hospital Revenue Code	272
Min. Negotiated Rate	$121.68
Max. Negotiated Rate	$121.68
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$121.68
Rate for Payer: Managed Health Services Medicaid	$121.68
Rate for Payer: MDWise Medicaid	$121.68

HC CMCH NEW SUPPLY

Facility

$121.68

Hospital Charge Code	41608459
Hospital Revenue Code	272
Min. Negotiated Rate	$121.68
Max. Negotiated Rate	$121.68
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$121.68
Rate for Payer: Managed Health Services Medicaid	$121.68
Rate for Payer: MDWise Medicaid	$121.68

HC CMCH NEW SUPPLY

Facility

$121.68

Hospital Charge Code	41608446
Hospital Revenue Code	272
Min. Negotiated Rate	$121.68
Max. Negotiated Rate	$121.68
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$121.68
Rate for Payer: Managed Health Services Medicaid	$121.68
Rate for Payer: MDWise Medicaid	$121.68

HC CMCH NEW SUPPLY

Facility

$2,250.00

Hospital Charge Code	41607805
Hospital Revenue Code	272
Min. Negotiated Rate	$121.68
Max. Negotiated Rate	$2,092.50
Rate for Payer: Aetna Commercial	$1,899.00
Rate for Payer: Aetna Medicare	$742.50
Rate for Payer: Anthem Blue Cross of IN Medicare	$742.50
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$1,292.18
Rate for Payer: Anthem Blue Cross of IN Traditional	$1,406.48
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$121.68
Rate for Payer: CareSource Indiana of IN Just 4 Me	$853.88
Rate for Payer: CareSource Indiana of IN Medicare	$816.75
Rate for Payer: Cash Price	$1,395.00
Rate for Payer: Cash Price	$1,395.00
Rate for Payer: Centivo All Commercial	$1,147.50
Rate for Payer: Cigna All Commercial	$1,941.75
Rate for Payer: CORVEL All Commercial	$2,092.50
Rate for Payer: Coventry All Commercial	$1,980.00
Rate for Payer: Encore All Commercial	$2,071.12
Rate for Payer: Frontpath All Commercial	$2,070.00
Rate for Payer: Humana ChoiceCare	$1,943.32
Rate for Payer: Humana Medicare	$1,147.50
Rate for Payer: Lucent All Commercial	$1,147.50
Rate for Payer: Lutheran Preferred All Commercial	$2,025.00
Rate for Payer: Managed Health Services Medicaid	$121.68
Rate for Payer: MDWise Medicaid	$121.68
Rate for Payer: PHCS All Commercial	$1,687.50
Rate for Payer: PHP All Commercial	$1,706.40
Rate for Payer: Plain Church Group Ministry All Commercial	$877.50
Rate for Payer: Sagamore Health Network All Products	$1,737.00
Rate for Payer: Signature Care EPO	$1,867.50
Rate for Payer: Signature Care PPO	$1,980.00
Rate for Payer: Three Rivers Preferred All Commercial	$1,912.50
Rate for Payer: United Healthcare Commercial	$1,773.00
Rate for Payer: United Healthcare Medicare	$742.50

HC CMCH NEW SUPPLY

Facility

$121.68

Hospital Charge Code	41608407
Hospital Revenue Code	272
Min. Negotiated Rate	$121.68
Max. Negotiated Rate	$121.68
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$121.68
Rate for Payer: Managed Health Services Medicaid	$121.68
Rate for Payer: MDWise Medicaid	$121.68

HC CMCH NEW SUPPLY

Facility

$121.68

Hospital Charge Code	41608470
Hospital Revenue Code	272
Min. Negotiated Rate	$121.68
Max. Negotiated Rate	$121.68
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$121.68
Rate for Payer: Managed Health Services Medicaid	$121.68
Rate for Payer: MDWise Medicaid	$121.68

HC CMCH NEW SUPPLY

Facility

$6,624.00

Hospital Charge Code	41607397
Hospital Revenue Code	272
Min. Negotiated Rate	$4,968.00
Max. Negotiated Rate	$6,160.32
Rate for Payer: Aetna Commercial	$5,723.14
Rate for Payer: Cash Price	$4,106.88
Rate for Payer: Cigna All Commercial	$5,716.51
Rate for Payer: CORVEL All Commercial	$6,160.32
Rate for Payer: Coventry All Commercial	$5,829.12
Rate for Payer: Encore All Commercial	$6,097.39
Rate for Payer: Frontpath All Commercial	$6,094.08
Rate for Payer: Humana ChoiceCare	$5,721.15
Rate for Payer: Lutheran Preferred All Commercial	$5,961.60
Rate for Payer: PHCS All Commercial	$4,968.00
Rate for Payer: PHP All Commercial	$5,023.64
Rate for Payer: Sagamore Health Network All Products	$5,113.73
Rate for Payer: Signature Care EPO	$5,497.92
Rate for Payer: Signature Care PPO	$5,829.12
Rate for Payer: United Healthcare Commercial	$5,219.71

HC CMCH NEW SUPPLY

Facility

$121.68

Hospital Charge Code	41608505
Hospital Revenue Code	272
Min. Negotiated Rate	$121.68
Max. Negotiated Rate	$121.68
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$121.68
Rate for Payer: Managed Health Services Medicaid	$121.68
Rate for Payer: MDWise Medicaid	$121.68

HC CMCH NEW SUPPLY

Facility

$121.68

Hospital Charge Code	41608502
Hospital Revenue Code	272
Min. Negotiated Rate	$121.68
Max. Negotiated Rate	$121.68
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$121.68
Rate for Payer: Managed Health Services Medicaid	$121.68
Rate for Payer: MDWise Medicaid	$121.68

HC CMCH NEW SUPPLY

Facility

$121.68

Hospital Charge Code	41608400
Hospital Revenue Code	272
Min. Negotiated Rate	$121.68
Max. Negotiated Rate	$121.68
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$121.68
Rate for Payer: Managed Health Services Medicaid	$121.68
Rate for Payer: MDWise Medicaid	$121.68

HC CMCH NEW SUPPLY

Facility

$121.68

Hospital Charge Code	41608488
Hospital Revenue Code	272
Min. Negotiated Rate	$121.68
Max. Negotiated Rate	$121.68
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$121.68
Rate for Payer: Managed Health Services Medicaid	$121.68
Rate for Payer: MDWise Medicaid	$121.68

HC CMCH NEW SUPPLY

Facility

$121.68

Hospital Charge Code	41608465
Hospital Revenue Code	272
Min. Negotiated Rate	$121.68
Max. Negotiated Rate	$121.68
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$121.68
Rate for Payer: Managed Health Services Medicaid	$121.68
Rate for Payer: MDWise Medicaid	$121.68

HC CMCH NEW SUPPLY

Facility

$121.68

Hospital Charge Code	41608443
Hospital Revenue Code	272
Min. Negotiated Rate	$121.68
Max. Negotiated Rate	$121.68
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$121.68
Rate for Payer: Managed Health Services Medicaid	$121.68
Rate for Payer: MDWise Medicaid	$121.68

HC CMCH NEW SUPPLY

Facility

$121.68

Hospital Charge Code	41608432
Hospital Revenue Code	272
Min. Negotiated Rate	$121.68
Max. Negotiated Rate	$121.68
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$121.68
Rate for Payer: Managed Health Services Medicaid	$121.68
Rate for Payer: MDWise Medicaid	$121.68

HC CMCH NEW SUPPLY

Facility

$121.68

Hospital Charge Code	41608455
Hospital Revenue Code	272
Min. Negotiated Rate	$121.68
Max. Negotiated Rate	$121.68
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$121.68
Rate for Payer: Managed Health Services Medicaid	$121.68
Rate for Payer: MDWise Medicaid	$121.68

HC CMCH NEW SUPPLY

Facility

$5,920.20

Hospital Charge Code	41607813
Hospital Revenue Code	272
Min. Negotiated Rate	$121.68
Max. Negotiated Rate	$5,505.79
Rate for Payer: Aetna Commercial	$4,996.65
Rate for Payer: Aetna Medicare	$1,953.67
Rate for Payer: Anthem Blue Cross of IN Medicare	$1,953.67
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$3,399.97
Rate for Payer: Anthem Blue Cross of IN Traditional	$3,700.72
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$121.68
Rate for Payer: CareSource Indiana of IN Just 4 Me	$2,246.72
Rate for Payer: CareSource Indiana of IN Medicare	$2,149.03
Rate for Payer: Cash Price	$3,670.52
Rate for Payer: Cash Price	$3,670.52
Rate for Payer: Centivo All Commercial	$3,019.30
Rate for Payer: Cigna All Commercial	$5,109.13
Rate for Payer: CORVEL All Commercial	$5,505.79
Rate for Payer: Coventry All Commercial	$5,209.78
Rate for Payer: Encore All Commercial	$5,449.54
Rate for Payer: Frontpath All Commercial	$5,446.58
Rate for Payer: Humana ChoiceCare	$5,113.28
Rate for Payer: Humana Medicare	$3,019.30
Rate for Payer: Lucent All Commercial	$3,019.30
Rate for Payer: Lutheran Preferred All Commercial	$5,328.18
Rate for Payer: Managed Health Services Medicaid	$121.68
Rate for Payer: MDWise Medicaid	$121.68
Rate for Payer: PHCS All Commercial	$4,440.15
Rate for Payer: PHP All Commercial	$4,489.88
Rate for Payer: Plain Church Group Ministry All Commercial	$2,308.88
Rate for Payer: Sagamore Health Network All Products	$4,570.39
Rate for Payer: Signature Care EPO	$4,913.77
Rate for Payer: Signature Care PPO	$5,209.78
Rate for Payer: Three Rivers Preferred All Commercial	$5,032.17
Rate for Payer: United Healthcare Commercial	$4,665.12
Rate for Payer: United Healthcare Medicare	$1,953.67

HC CMCH NEW SUPPLY

Facility

$1,375.00

Hospital Charge Code	41607815
Hospital Revenue Code	272
Min. Negotiated Rate	$1,031.25
Max. Negotiated Rate	$1,278.75
Rate for Payer: Aetna Commercial	$1,188.00
Rate for Payer: Cash Price	$852.50
Rate for Payer: Cigna All Commercial	$1,186.62
Rate for Payer: CORVEL All Commercial	$1,278.75
Rate for Payer: Coventry All Commercial	$1,210.00
Rate for Payer: Encore All Commercial	$1,265.69
Rate for Payer: Frontpath All Commercial	$1,265.00
Rate for Payer: Humana ChoiceCare	$1,187.59
Rate for Payer: Lutheran Preferred All Commercial	$1,237.50
Rate for Payer: PHCS All Commercial	$1,031.25
Rate for Payer: PHP All Commercial	$1,042.80
Rate for Payer: Sagamore Health Network All Products	$1,061.50
Rate for Payer: Signature Care EPO	$1,141.25
Rate for Payer: Signature Care PPO	$1,210.00
Rate for Payer: United Healthcare Commercial	$1,083.50

HC CMCH NEW SUPPLY

Facility

$121.68

Hospital Charge Code	41608442
Hospital Revenue Code	272
Min. Negotiated Rate	$121.68
Max. Negotiated Rate	$121.68
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$121.68
Rate for Payer: Managed Health Services Medicaid	$121.68
Rate for Payer: MDWise Medicaid	$121.68

HC CMCH NEW SUPPLY

Facility

$121.68

Hospital Charge Code	41608411
Hospital Revenue Code	272
Min. Negotiated Rate	$121.68
Max. Negotiated Rate	$121.68
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$121.68
Rate for Payer: Managed Health Services Medicaid	$121.68
Rate for Payer: MDWise Medicaid	$121.68

HC CMCH NEW SUPPLY

Facility

$121.68

Hospital Charge Code	41608511
Hospital Revenue Code	272
Min. Negotiated Rate	$121.68
Max. Negotiated Rate	$121.68
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$121.68
Rate for Payer: Managed Health Services Medicaid	$121.68
Rate for Payer: MDWise Medicaid	$121.68

HC CMCH NEW SUPPLY

Facility

$121.68

Hospital Charge Code	41608458
Hospital Revenue Code	272
Min. Negotiated Rate	$121.68
Max. Negotiated Rate	$121.68
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$121.68
Rate for Payer: Managed Health Services Medicaid	$121.68
Rate for Payer: MDWise Medicaid	$121.68

HC CMCH NEW SUPPLY

Facility

$121.68

Hospital Charge Code	41608450
Hospital Revenue Code	272
Min. Negotiated Rate	$121.68
Max. Negotiated Rate	$121.68
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$121.68
Rate for Payer: Managed Health Services Medicaid	$121.68
Rate for Payer: MDWise Medicaid	$121.68

HC CMCH NEW SUPPLY

Facility

$1,196.00

Hospital Charge Code	41606585
Hospital Revenue Code	272
Min. Negotiated Rate	$121.68
Max. Negotiated Rate	$1,112.28
Rate for Payer: Aetna Commercial	$1,009.42
Rate for Payer: Aetna Medicare	$394.68
Rate for Payer: Anthem Blue Cross of IN Medicare	$394.68
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$686.86
Rate for Payer: Anthem Blue Cross of IN Traditional	$747.62
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$121.68
Rate for Payer: CareSource Indiana of IN Just 4 Me	$453.88
Rate for Payer: CareSource Indiana of IN Medicare	$434.15
Rate for Payer: Cash Price	$741.52
Rate for Payer: Cash Price	$741.52
Rate for Payer: Centivo All Commercial	$609.96
Rate for Payer: Cigna All Commercial	$1,032.15
Rate for Payer: CORVEL All Commercial	$1,112.28
Rate for Payer: Coventry All Commercial	$1,052.48
Rate for Payer: Encore All Commercial	$1,100.92
Rate for Payer: Frontpath All Commercial	$1,100.32
Rate for Payer: Humana ChoiceCare	$1,032.99
Rate for Payer: Humana Medicare	$609.96
Rate for Payer: Lucent All Commercial	$609.96
Rate for Payer: Lutheran Preferred All Commercial	$1,076.40
Rate for Payer: Managed Health Services Medicaid	$121.68
Rate for Payer: MDWise Medicaid	$121.68
Rate for Payer: PHCS All Commercial	$897.00
Rate for Payer: PHP All Commercial	$907.05
Rate for Payer: Plain Church Group Ministry All Commercial	$466.44
Rate for Payer: Sagamore Health Network All Products	$923.31
Rate for Payer: Signature Care EPO	$992.68
Rate for Payer: Signature Care PPO	$1,052.48
Rate for Payer: Three Rivers Preferred All Commercial	$1,016.60
Rate for Payer: United Healthcare Commercial	$942.45
Rate for Payer: United Healthcare Medicare	$394.68

HC CMCH NEW SUPPLY

Facility

$121.68

Hospital Charge Code	41608391
Hospital Revenue Code	272
Min. Negotiated Rate	$121.68
Max. Negotiated Rate	$121.68
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$121.68
Rate for Payer: Managed Health Services Medicaid	$121.68
Rate for Payer: MDWise Medicaid	$121.68

Know your out-of-pocket cost for care.

All Charges