Cameron Memorial Community Hospital

All Charges

Charge

Type

Setting

Price

APR-DRG 36.00: HYPOVOLEMIA & RELATED ELECTROLYTE DISORDERS

Facility

$2,550.44

Service Code	APR-DRG 4222
Min. Negotiated Rate	$2,079.01
Max. Negotiated Rate	$2,550.44
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

APR-DRG 36.00: INBORN ERRORS OF METABOLISM

Facility

$4,193.10

Service Code	APR-DRG 4232
Min. Negotiated Rate	$4,122.79
Max. Negotiated Rate	$4,193.10
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: INBORN ERRORS OF METABOLISM

Facility

$4,122.79

Service Code	APR-DRG 4231
Min. Negotiated Rate	$2,982.72
Max. Negotiated Rate	$4,122.79
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: INBORN ERRORS OF METABOLISM

Facility

$6,397.71

Service Code	APR-DRG 4233
Min. Negotiated Rate	$4,122.79
Max. Negotiated Rate	$6,397.71
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: INBORN ERRORS OF METABOLISM

Facility

$16,426.56

Service Code	APR-DRG 4234
Min. Negotiated Rate	$5,461.81
Max. Negotiated Rate	$16,426.56
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: INFECTIONS OF UPPER RESPIRATORY TRACT

Facility

$7,219.04

Service Code	APR-DRG 1134
Min. Negotiated Rate	$4,193.26
Max. Negotiated Rate	$7,219.04
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: INFECTIONS OF UPPER RESPIRATORY TRACT

Facility

$1,685.88

Service Code	APR-DRG 1131
Min. Negotiated Rate	$1,585.69
Max. Negotiated Rate	$1,685.88
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: INFECTIONS OF UPPER RESPIRATORY TRACT

Facility

$2,420.76

Service Code	APR-DRG 1132
Min. Negotiated Rate	$1,938.06
Max. Negotiated Rate	$2,420.76
Rate for Payer: Anthem Blue Cross of IN Medicaid	$1,938.06
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$1,938.06
Rate for Payer: Managed Health Services Medicaid	$1,938.06
Rate for Payer: MDWise Medicaid	$1,938.06

APR-DRG 36.00: INFECTIONS OF UPPER RESPIRATORY TRACT

Facility

$3,760.82

Service Code	APR-DRG 1133
Min. Negotiated Rate	$3,594.22
Max. Negotiated Rate	$3,760.82
Rate for Payer: Anthem Blue Cross of IN Medicaid	$3,594.22
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$3,594.22
Rate for Payer: Managed Health Services Medicaid	$3,594.22
Rate for Payer: MDWise Medicaid	$3,594.22

APR-DRG 36.00: INFECTIOUS & PARASITIC DISEASES INCLUDING HIV W O.R. PROCEDURE

Facility

$8,602.33

Service Code	APR-DRG 7102
Min. Negotiated Rate	$6,342.75
Max. Negotiated Rate	$8,602.33
Rate for Payer: Anthem Blue Cross of IN Medicaid	$6,342.75
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$6,342.75
Rate for Payer: Managed Health Services Medicaid	$6,342.75
Rate for Payer: MDWise Medicaid	$6,342.75

APR-DRG 36.00: INFECTIOUS & PARASITIC DISEASES INCLUDING HIV W O.R. PROCEDURE

Facility

$12,752.20

Service Code	APR-DRG 7103
Min. Negotiated Rate	$10,254.11
Max. Negotiated Rate	$12,752.20
Rate for Payer: Anthem Blue Cross of IN Medicaid	$10,254.11
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$10,254.11
Rate for Payer: Managed Health Services Medicaid	$10,254.11
Rate for Payer: MDWise Medicaid	$10,254.11

APR-DRG 36.00: INFECTIOUS & PARASITIC DISEASES INCLUDING HIV W O.R. PROCEDURE

Facility

$19,625.42

Service Code	APR-DRG 7104
Min. Negotiated Rate	$19,486.34
Max. Negotiated Rate	$19,625.42
Rate for Payer: Anthem Blue Cross of IN Medicaid	$19,486.34
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$19,486.34
Rate for Payer: Managed Health Services Medicaid	$19,486.34
Rate for Payer: MDWise Medicaid	$19,486.34

APR-DRG 36.00: INFECTIOUS & PARASITIC DISEASES INCLUDING HIV W O.R. PROCEDURE

Facility

$5,835.75

Service Code	APR-DRG 7101
Min. Negotiated Rate	$3,735.18
Max. Negotiated Rate	$5,835.75
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: INFLAMMATORY BOWEL DISEASE

Facility

$2,593.67

Service Code	APR-DRG 2451
Min. Negotiated Rate	$2,431.39
Max. Negotiated Rate	$2,593.67
Rate for Payer: Anthem Blue Cross of IN Medicaid	$2,431.39
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$2,431.39
Rate for Payer: Managed Health Services Medicaid	$2,431.39
Rate for Payer: MDWise Medicaid	$2,431.39

APR-DRG 36.00: INFLAMMATORY BOWEL DISEASE

Facility

$3,501.45

Service Code	APR-DRG 2452
Min. Negotiated Rate	$3,206.61
Max. Negotiated Rate	$3,501.45
Rate for Payer: Anthem Blue Cross of IN Medicaid	$3,206.61
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$3,206.61
Rate for Payer: Managed Health Services Medicaid	$3,206.61
Rate for Payer: MDWise Medicaid	$3,206.61

APR-DRG 36.00: INFLAMMATORY BOWEL DISEASE

Facility

$5,403.48

Service Code	APR-DRG 2453
Min. Negotiated Rate	$4,439.93
Max. Negotiated Rate	$5,403.48
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: INFLAMMATORY BOWEL DISEASE

Facility

$9,250.75

Service Code	APR-DRG 2454
Min. Negotiated Rate	$6,131.32
Max. Negotiated Rate	$9,250.75
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: INGUINAL, FEMORAL & UMBILICAL HERNIA PROCEDURES

Facility

$7,781.00

Service Code	APR-DRG 2283
Min. Negotiated Rate	$4,968.49
Max. Negotiated Rate	$7,781.00
Rate for Payer: Anthem Blue Cross of IN Medicaid	$4,968.49
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$4,968.49
Rate for Payer: Managed Health Services Medicaid	$4,968.49
Rate for Payer: MDWise Medicaid	$4,968.49

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

Facility

$13,876.12

Service Code	APR-DRG 2284
Min. Negotiated Rate	$10,359.83
Max. Negotiated Rate	$13,876.12
Rate for Payer: Anthem Blue Cross of IN Medicaid	$10,359.83
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$10,359.83
Rate for Payer: Managed Health Services Medicaid	$10,359.83
Rate for Payer: MDWise Medicaid	$10,359.83

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

Facility

$4,452.46

Service Code	APR-DRG 2281
Min. Negotiated Rate	$3,382.80
Max. Negotiated Rate	$4,452.46
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: INGUINAL, FEMORAL & UMBILICAL HERNIA PROCEDURES

Facility

$5,576.39

Service Code	APR-DRG 2282
Min. Negotiated Rate	$4,827.54
Max. Negotiated Rate	$5,576.39
Rate for Payer: Anthem Blue Cross of IN Medicaid	$4,827.54
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$4,827.54
Rate for Payer: Managed Health Services Medicaid	$4,827.54
Rate for Payer: MDWise Medicaid	$4,827.54

APR-DRG 36.00: INTERSTITIAL & ALVEOLAR LUNG DISEASES

Facility

$9,077.84

Service Code	APR-DRG 1424
Min. Negotiated Rate	$5,356.10
Max. Negotiated Rate	$9,077.84
Rate for Payer: Anthem Blue Cross of IN Medicaid	$5,356.10
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$5,356.10
Rate for Payer: Managed Health Services Medicaid	$5,356.10
Rate for Payer: MDWise Medicaid	$5,356.10

APR-DRG 36.00: INTERSTITIAL & ALVEOLAR LUNG DISEASES

Facility

$3,847.27

Service Code	APR-DRG 1422
Min. Negotiated Rate	$2,290.44
Max. Negotiated Rate	$3,847.27
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: INTERSTITIAL & ALVEOLAR LUNG DISEASES

Facility

$5,835.75

Service Code	APR-DRG 1423
Min. Negotiated Rate	$3,065.66
Max. Negotiated Rate	$5,835.75
Rate for Payer: Anthem Blue Cross of IN Medicaid	$3,065.66
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$3,065.66
Rate for Payer: Managed Health Services Medicaid	$3,065.66
Rate for Payer: MDWise Medicaid	$3,065.66

APR-DRG 36.00: INTERSTITIAL & ALVEOLAR LUNG DISEASES

Facility

$2,982.72

Service Code	APR-DRG 1421
Min. Negotiated Rate	$2,219.96
Max. Negotiated Rate	$2,982.72
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

Know your out-of-pocket cost for care.

All Charges