Cameron Memorial Community Hospital

All Charges

Charge

Type

Setting

Price

APR-DRG 36.00: FEMALE REPRODUCTIVE SYSTEM INFECTIONS

Facility

$5,100.88

Service Code	APR-DRG 5313
Min. Negotiated Rate	$2,889.47
Max. Negotiated Rate	$5,100.88
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: FEMALE REPRODUCTIVE SYSTEM MALIGNANCY

Facility

$3,933.73

Service Code	APR-DRG 5302
Min. Negotiated Rate	$2,537.10
Max. Negotiated Rate	$3,933.73
Rate for Payer: Anthem Blue Cross of IN Medicaid	$2,537.10
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$2,537.10
Rate for Payer: Managed Health Services Medicaid	$2,537.10
Rate for Payer: MDWise Medicaid	$2,537.10

APR-DRG 36.00: FEMALE REPRODUCTIVE SYSTEM MALIGNANCY

Facility

$3,112.40

Service Code	APR-DRG 5301
Min. Negotiated Rate	$1,515.21
Max. Negotiated Rate	$3,112.40
Rate for Payer: Anthem Blue Cross of IN Medicaid	$1,515.21
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$1,515.21
Rate for Payer: Managed Health Services Medicaid	$1,515.21
Rate for Payer: MDWise Medicaid	$1,515.21

APR-DRG 36.00: FEMALE REPRODUCTIVE SYSTEM MALIGNANCY

Facility

$6,008.66

Service Code	APR-DRG 5303
Min. Negotiated Rate	$3,347.56
Max. Negotiated Rate	$6,008.66
Rate for Payer: Anthem Blue Cross of IN Medicaid	$3,347.56
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$3,347.56
Rate for Payer: Managed Health Services Medicaid	$3,347.56
Rate for Payer: MDWise Medicaid	$3,347.56

APR-DRG 36.00: FEMALE REPRODUCTIVE SYSTEM MALIGNANCY

Facility

$9,510.12

Service Code	APR-DRG 5304
Min. Negotiated Rate	$6,272.27
Max. Negotiated Rate	$9,510.12
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: FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES

Facility

$8,559.10

Service Code	APR-DRG 5143
Min. Negotiated Rate	$4,263.74
Max. Negotiated Rate	$8,559.10
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: FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES

Facility

$6,829.99

Service Code	APR-DRG 5142
Min. Negotiated Rate	$4,193.26
Max. Negotiated Rate	$6,829.99
Rate for Payer: Anthem Blue Cross of IN Medicaid	$4,193.26
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$4,193.26
Rate for Payer: Managed Health Services Medicaid	$4,193.26
Rate for Payer: MDWise Medicaid	$4,193.26

APR-DRG 36.00: FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES

Facility

$17,723.40

Service Code	APR-DRG 5144
Min. Negotiated Rate	$4,263.74
Max. Negotiated Rate	$17,723.40
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: FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES

Facility

$4,582.15

Service Code	APR-DRG 5141
Min. Negotiated Rate	$3,911.36
Max. Negotiated Rate	$4,582.15
Rate for Payer: Anthem Blue Cross of IN Medicaid	$3,911.36
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$3,911.36
Rate for Payer: Managed Health Services Medicaid	$3,911.36
Rate for Payer: MDWise Medicaid	$3,911.36

APR-DRG 36.00: FEVER

Facility

$5,922.21

Service Code	APR-DRG 7224
Min. Negotiated Rate	$3,735.18
Max. Negotiated Rate	$5,922.21
Rate for Payer: Anthem Blue Cross of IN Medicaid	$3,735.18
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$3,735.18
Rate for Payer: Managed Health Services Medicaid	$3,735.18
Rate for Payer: MDWise Medicaid	$3,735.18

APR-DRG 36.00: FEVER

Facility

$3,804.05

Service Code	APR-DRG 7223
Min. Negotiated Rate	$2,572.34
Max. Negotiated Rate	$3,804.05
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: FEVER

Facility

$2,031.71

Service Code	APR-DRG 7221
Min. Negotiated Rate	$1,585.69
Max. Negotiated Rate	$2,031.71
Rate for Payer: Anthem Blue Cross of IN Medicaid	$1,585.69
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$1,585.69
Rate for Payer: Managed Health Services Medicaid	$1,585.69
Rate for Payer: MDWise Medicaid	$1,585.69

APR-DRG 36.00: FEVER

Facility

$2,766.58

Service Code	APR-DRG 7222
Min. Negotiated Rate	$2,290.44
Max. Negotiated Rate	$2,766.58
Rate for Payer: Anthem Blue Cross of IN Medicaid	$2,290.44
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$2,290.44
Rate for Payer: Managed Health Services Medicaid	$2,290.44
Rate for Payer: MDWise Medicaid	$2,290.44

APR-DRG 36.00: FOOT & TOE PROCEDURES

Facility

$13,530.30

Service Code	APR-DRG 3144
Min. Negotiated Rate	$9,056.04
Max. Negotiated Rate	$13,530.30
Rate for Payer: Anthem Blue Cross of IN Medicaid	$9,056.04
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$9,056.04
Rate for Payer: Managed Health Services Medicaid	$9,056.04
Rate for Payer: MDWise Medicaid	$9,056.04

APR-DRG 36.00: FOOT & TOE PROCEDURES

Facility

$5,619.61

Service Code	APR-DRG 3142
Min. Negotiated Rate	$5,250.39
Max. Negotiated Rate	$5,619.61
Rate for Payer: Anthem Blue Cross of IN Medicaid	$5,250.39
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$5,250.39
Rate for Payer: Managed Health Services Medicaid	$5,250.39
Rate for Payer: MDWise Medicaid	$5,250.39

APR-DRG 36.00: FOOT & TOE PROCEDURES

Facility

$4,236.32

Service Code	APR-DRG 3141
Min. Negotiated Rate	$3,911.36
Max. Negotiated Rate	$4,236.32
Rate for Payer: Anthem Blue Cross of IN Medicaid	$3,911.36
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$3,911.36
Rate for Payer: Managed Health Services Medicaid	$3,911.36
Rate for Payer: MDWise Medicaid	$3,911.36

APR-DRG 36.00: FOOT & TOE PROCEDURES

Facility

$8,429.42

Service Code	APR-DRG 3143
Min. Negotiated Rate	$6,413.23
Max. Negotiated Rate	$8,429.42
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: FRACTURE OF FEMUR

Facility

$6,613.85

Service Code	APR-DRG 3404
Min. Negotiated Rate	$5,461.81
Max. Negotiated Rate	$6,613.85
Rate for Payer: Anthem Blue Cross of IN Medicaid	$5,461.81
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$5,461.81
Rate for Payer: Managed Health Services Medicaid	$5,461.81
Rate for Payer: MDWise Medicaid	$5,461.81

APR-DRG 36.00: FRACTURE OF FEMUR

Facility

$5,461.81

Service Code	APR-DRG 3402
Min. Negotiated Rate	$2,853.03
Max. Negotiated Rate	$5,461.81
Rate for Payer: Anthem Blue Cross of IN Medicaid	$5,461.81
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$5,461.81
Rate for Payer: Managed Health Services Medicaid	$5,461.81
Rate for Payer: MDWise Medicaid	$5,461.81

APR-DRG 36.00: FRACTURE OF FEMUR

Facility

$5,461.81

Service Code	APR-DRG 3401
Min. Negotiated Rate	$2,247.85
Max. Negotiated Rate	$5,461.81
Rate for Payer: Anthem Blue Cross of IN Medicaid	$5,461.81
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$5,461.81
Rate for Payer: Managed Health Services Medicaid	$5,461.81
Rate for Payer: MDWise Medicaid	$5,461.81

APR-DRG 36.00: FRACTURE OF FEMUR

Facility

$5,461.81

Service Code	APR-DRG 3403
Min. Negotiated Rate	$4,279.55
Max. Negotiated Rate	$5,461.81
Rate for Payer: Anthem Blue Cross of IN Medicaid	$5,461.81
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$5,461.81
Rate for Payer: Managed Health Services Medicaid	$5,461.81
Rate for Payer: MDWise Medicaid	$5,461.81

APR-DRG 36.00: FRACTURE OF PELVIS OR DISLOCATION OF HIP

Facility

$8,299.74

Service Code	APR-DRG 3414
Min. Negotiated Rate	$2,819.00
Max. Negotiated Rate	$8,299.74
Rate for Payer: Anthem Blue Cross of IN Medicaid	$2,819.00
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$2,819.00
Rate for Payer: Managed Health Services Medicaid	$2,819.00
Rate for Payer: MDWise Medicaid	$2,819.00

APR-DRG 36.00: FRACTURE OF PELVIS OR DISLOCATION OF HIP

Facility

$4,538.92

Service Code	APR-DRG 3413
Min. Negotiated Rate	$2,219.96
Max. Negotiated Rate	$4,538.92
Rate for Payer: Anthem Blue Cross of IN Medicaid	$2,219.96
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$2,219.96
Rate for Payer: Managed Health Services Medicaid	$2,219.96
Rate for Payer: MDWise Medicaid	$2,219.96

APR-DRG 36.00: FRACTURE OF PELVIS OR DISLOCATION OF HIP

Facility

$2,420.76

Service Code	APR-DRG 3411
Min. Negotiated Rate	$1,479.97
Max. Negotiated Rate	$2,420.76
Rate for Payer: Anthem Blue Cross of IN Medicaid	$1,479.97
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$1,479.97
Rate for Payer: Managed Health Services Medicaid	$1,479.97
Rate for Payer: MDWise Medicaid	$1,479.97

APR-DRG 36.00: FRACTURE OF PELVIS OR DISLOCATION OF HIP

Facility

$3,069.17

Service Code	APR-DRG 3412
Min. Negotiated Rate	$1,726.64
Max. Negotiated Rate	$3,069.17
Rate for Payer: Anthem Blue Cross of IN Medicaid	$1,726.64
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$1,726.64
Rate for Payer: Managed Health Services Medicaid	$1,726.64
Rate for Payer: MDWise Medicaid	$1,726.64

Know your out-of-pocket cost for care.

All Charges