Cameron Memorial Community Hospital

All Charges

Charge

Type

Setting

Price

APR-DRG 36.00: HEART FAILURE

Facility

$3,198.86

Service Code	APR-DRG 1942
Min. Negotiated Rate	$2,924.71
Max. Negotiated Rate	$3,198.86
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: HEART FAILURE

Facility

$10,072.08

Service Code	APR-DRG 1944
Min. Negotiated Rate	$6,554.18
Max. Negotiated Rate	$10,072.08
Rate for Payer: Anthem Blue Cross of IN Medicaid	$6,554.18
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$6,554.18
Rate for Payer: Managed Health Services Medicaid	$6,554.18
Rate for Payer: MDWise Medicaid	$6,554.18

APR-DRG 36.00: HEART FAILURE

Facility

$2,396.15

Service Code	APR-DRG 1941
Min. Negotiated Rate	$2,291.07
Max. Negotiated Rate	$2,396.15
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: HEART &/OR LUNG TRANSPLANT

Facility

$74,438.27

Service Code	APR-DRG 0023
Min. Negotiated Rate	$56,943.80
Max. Negotiated Rate	$74,438.27
Rate for Payer: Anthem Blue Cross of IN Medicaid	$56,943.80
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$56,943.80
Rate for Payer: Managed Health Services Medicaid	$56,943.80
Rate for Payer: MDWise Medicaid	$56,943.80

APR-DRG 36.00: HEART &/OR LUNG TRANSPLANT

Facility

$56,943.80

Service Code	APR-DRG 0021
Min. Negotiated Rate	$49,841.65
Max. Negotiated Rate	$56,943.80
Rate for Payer: Anthem Blue Cross of IN Medicaid	$56,943.80
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$56,943.80
Rate for Payer: Managed Health Services Medicaid	$56,943.80
Rate for Payer: MDWise Medicaid	$56,943.80

APR-DRG 36.00: HEART &/OR LUNG TRANSPLANT

Facility

$56,943.80

Service Code	APR-DRG 0022
Min. Negotiated Rate	$56,369.05
Max. Negotiated Rate	$56,943.80
Rate for Payer: Anthem Blue Cross of IN Medicaid	$56,943.80
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$56,943.80
Rate for Payer: Managed Health Services Medicaid	$56,943.80
Rate for Payer: MDWise Medicaid	$56,943.80

APR-DRG 36.00: HEART &/OR LUNG TRANSPLANT

Facility

$136,686.30

Service Code	APR-DRG 0024
Min. Negotiated Rate	$98,735.48
Max. Negotiated Rate	$136,686.30
Rate for Payer: Anthem Blue Cross of IN Medicaid	$98,735.48
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$98,735.48
Rate for Payer: Managed Health Services Medicaid	$98,735.48
Rate for Payer: MDWise Medicaid	$98,735.48

APR-DRG 36.00: HEMORRHAGE OR HEMATOMA DUE TO COMPLICATION

Facility

$2,334.30

Service Code	APR-DRG 8101
Min. Negotiated Rate	$2,184.72
Max. Negotiated Rate	$2,334.30
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: HEMORRHAGE OR HEMATOMA DUE TO COMPLICATION

Facility

$9,899.17

Service Code	APR-DRG 8104
Min. Negotiated Rate	$6,131.32
Max. Negotiated Rate	$9,899.17
Rate for Payer: Anthem Blue Cross of IN Medicaid	$6,131.32
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$6,131.32
Rate for Payer: Managed Health Services Medicaid	$6,131.32
Rate for Payer: MDWise Medicaid	$6,131.32

APR-DRG 36.00: HEMORRHAGE OR HEMATOMA DUE TO COMPLICATION

Facility

$3,242.09

Service Code	APR-DRG 8102
Min. Negotiated Rate	$2,713.29
Max. Negotiated Rate	$3,242.09
Rate for Payer: Anthem Blue Cross of IN Medicaid	$2,713.29
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$2,713.29
Rate for Payer: Managed Health Services Medicaid	$2,713.29
Rate for Payer: MDWise Medicaid	$2,713.29

APR-DRG 36.00: HEMORRHAGE OR HEMATOMA DUE TO COMPLICATION

Facility

$5,144.11

Service Code	APR-DRG 8103
Min. Negotiated Rate	$3,382.80
Max. Negotiated Rate	$5,144.11
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: HEPATIC COMA & OTHER MAJOR ACUTE LIVER DISORDERS

Facility

$2,247.85

Service Code	APR-DRG 2791
Min. Negotiated Rate	$1,444.74
Max. Negotiated Rate	$2,247.85
Rate for Payer: Anthem Blue Cross of IN Medicaid	$1,444.74
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$1,444.74
Rate for Payer: Managed Health Services Medicaid	$1,444.74
Rate for Payer: MDWise Medicaid	$1,444.74

APR-DRG 36.00: HEPATIC COMA & OTHER MAJOR ACUTE LIVER DISORDERS

Facility

$3,242.09

Service Code	APR-DRG 2792
Min. Negotiated Rate	$2,995.19
Max. Negotiated Rate	$3,242.09
Rate for Payer: Anthem Blue Cross of IN Medicaid	$2,995.19
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$2,995.19
Rate for Payer: Managed Health Services Medicaid	$2,995.19
Rate for Payer: MDWise Medicaid	$2,995.19

APR-DRG 36.00: HEPATIC COMA & OTHER MAJOR ACUTE LIVER DISORDERS

Facility

$5,576.39

Service Code	APR-DRG 2793
Min. Negotiated Rate	$4,052.31
Max. Negotiated Rate	$5,576.39
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: HEPATIC COMA & OTHER MAJOR ACUTE LIVER DISORDERS

Facility

$10,634.04

Service Code	APR-DRG 2794
Min. Negotiated Rate	$8,774.14
Max. Negotiated Rate	$10,634.04
Rate for Payer: Anthem Blue Cross of IN Medicaid	$8,774.14
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$8,774.14
Rate for Payer: Managed Health Services Medicaid	$8,774.14
Rate for Payer: MDWise Medicaid	$8,774.14

APR-DRG 36.00: HERNIA PROCEDURES EXCEPT INGUINAL, FEMORAL & UMBILICAL

Facility

$5,273.79

Service Code	APR-DRG 2271
Min. Negotiated Rate	$4,898.01
Max. Negotiated Rate	$5,273.79
Rate for Payer: Anthem Blue Cross of IN Medicaid	$4,898.01
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$4,898.01
Rate for Payer: Managed Health Services Medicaid	$4,898.01
Rate for Payer: MDWise Medicaid	$4,898.01

APR-DRG 36.00: HERNIA PROCEDURES EXCEPT INGUINAL, FEMORAL & UMBILICAL

Facility

$6,518.94

Service Code	APR-DRG 2272
Min. Negotiated Rate	$6,440.94
Max. Negotiated Rate	$6,518.94
Rate for Payer: Anthem Blue Cross of IN Medicaid	$6,518.94
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$6,518.94
Rate for Payer: Managed Health Services Medicaid	$6,518.94
Rate for Payer: MDWise Medicaid	$6,518.94

APR-DRG 36.00: HERNIA PROCEDURES EXCEPT INGUINAL, FEMORAL & UMBILICAL

Facility

$9,553.34

Service Code	APR-DRG 2273
Min. Negotiated Rate	$7,893.20
Max. Negotiated Rate	$9,553.34
Rate for Payer: Anthem Blue Cross of IN Medicaid	$7,893.20
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$7,893.20
Rate for Payer: Managed Health Services Medicaid	$7,893.20
Rate for Payer: MDWise Medicaid	$7,893.20

APR-DRG 36.00: HERNIA PROCEDURES EXCEPT INGUINAL, FEMORAL & UMBILICAL

Facility

$16,772.39

Service Code	APR-DRG 2274
Min. Negotiated Rate	$13,390.25
Max. Negotiated Rate	$16,772.39
Rate for Payer: Anthem Blue Cross of IN Medicaid	$13,390.25
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$13,390.25
Rate for Payer: Managed Health Services Medicaid	$13,390.25
Rate for Payer: MDWise Medicaid	$13,390.25

APR-DRG 36.00: HIP & FEMUR FRACTURE REPAIR

Facility

$13,443.85

Service Code	APR-DRG 3084
Min. Negotiated Rate	$9,936.98
Max. Negotiated Rate	$13,443.85
Rate for Payer: Anthem Blue Cross of IN Medicaid	$9,936.98
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$9,936.98
Rate for Payer: Managed Health Services Medicaid	$9,936.98
Rate for Payer: MDWise Medicaid	$9,936.98

APR-DRG 36.00: HIP & FEMUR FRACTURE REPAIR

Facility

$9,337.20

Service Code	APR-DRG 3083
Min. Negotiated Rate	$8,597.95
Max. Negotiated Rate	$9,337.20
Rate for Payer: Anthem Blue Cross of IN Medicaid	$8,597.95
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$8,597.95
Rate for Payer: Managed Health Services Medicaid	$8,597.95
Rate for Payer: MDWise Medicaid	$8,597.95

APR-DRG 36.00: HIP & FEMUR FRACTURE REPAIR

Facility

$7,348.73

Service Code	APR-DRG 3082
Min. Negotiated Rate	$6,836.07
Max. Negotiated Rate	$7,348.73
Rate for Payer: Anthem Blue Cross of IN Medicaid	$6,836.07
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$6,836.07
Rate for Payer: Managed Health Services Medicaid	$6,836.07
Rate for Payer: MDWise Medicaid	$6,836.07

APR-DRG 36.00: HIP & FEMUR FRACTURE REPAIR

Facility

$5,706.07

Service Code	APR-DRG 3081
Min. Negotiated Rate	$4,580.88
Max. Negotiated Rate	$5,706.07
Rate for Payer: Anthem Blue Cross of IN Medicaid	$4,580.88
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$4,580.88
Rate for Payer: Managed Health Services Medicaid	$4,580.88
Rate for Payer: MDWise Medicaid	$4,580.88

APR-DRG 36.00: HIP JOINT REPLACEMENT

Facility

$9,196.99

Service Code	APR-DRG 3013
Min. Negotiated Rate	$9,196.99
Max. Negotiated Rate	$9,196.99
Rate for Payer: Anthem Blue Cross of IN Medicaid	$9,196.99
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$9,196.99
Rate for Payer: Managed Health Services Medicaid	$9,196.99
Rate for Payer: MDWise Medicaid	$9,196.99

APR-DRG 36.00: HIP JOINT REPLACEMENT

Facility

$8,421.76

Service Code	APR-DRG 3012
Min. Negotiated Rate	$8,421.76
Max. Negotiated Rate	$8,421.76
Rate for Payer: Anthem Blue Cross of IN Medicaid	$8,421.76
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$8,421.76
Rate for Payer: Managed Health Services Medicaid	$8,421.76
Rate for Payer: MDWise Medicaid	$8,421.76

Know your out-of-pocket cost for care.

All Charges