Cameron Memorial Community Hospital

All Charges

Charge

Type

Setting

Price

APR-DRG 36.00: LYMPHATIC & OTHER MALIGNANCIES & NEOPLASMS OF UNCERTAIN BEHAVIOR

Facility

$10,288.22

Service Code	APR-DRG 6944
Min. Negotiated Rate	$7,012.26
Max. Negotiated Rate	$10,288.22
Rate for Payer: Anthem Blue Cross of IN Medicaid	$7,012.26
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$7,012.26
Rate for Payer: Managed Health Services Medicaid	$7,012.26
Rate for Payer: MDWise Medicaid	$7,012.26

APR-DRG 36.00: LYMPHATIC & OTHER MALIGNANCIES & NEOPLASMS OF UNCERTAIN BEHAVIOR

Facility

$3,155.63

Service Code	APR-DRG 6941
Min. Negotiated Rate	$3,136.14
Max. Negotiated Rate	$3,155.63
Rate for Payer: Anthem Blue Cross of IN Medicaid	$3,136.14
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$3,136.14
Rate for Payer: Managed Health Services Medicaid	$3,136.14
Rate for Payer: MDWise Medicaid	$3,136.14

APR-DRG 36.00: LYMPHOMA, MYELOMA & NONACUTE LEUKEMIA

Facility

$9,466.89

Service Code	APR-DRG 6913
Min. Negotiated Rate	$6,096.09
Max. Negotiated Rate	$9,466.89
Rate for Payer: Anthem Blue Cross of IN Medicaid	$6,096.09
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$6,096.09
Rate for Payer: Managed Health Services Medicaid	$6,096.09
Rate for Payer: MDWise Medicaid	$6,096.09

APR-DRG 36.00: LYMPHOMA, MYELOMA & NONACUTE LEUKEMIA

Facility

$6,354.49

Service Code	APR-DRG 6912
Min. Negotiated Rate	$6,096.09
Max. Negotiated Rate	$6,354.49
Rate for Payer: Anthem Blue Cross of IN Medicaid	$6,096.09
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$6,096.09
Rate for Payer: Managed Health Services Medicaid	$6,096.09
Rate for Payer: MDWise Medicaid	$6,096.09

APR-DRG 36.00: LYMPHOMA, MYELOMA & NONACUTE LEUKEMIA

Facility

$4,625.37

Service Code	APR-DRG 6911
Min. Negotiated Rate	$4,510.40
Max. Negotiated Rate	$4,625.37
Rate for Payer: Anthem Blue Cross of IN Medicaid	$4,510.40
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$4,510.40
Rate for Payer: Managed Health Services Medicaid	$4,510.40
Rate for Payer: MDWise Medicaid	$4,510.40

APR-DRG 36.00: LYMPHOMA, MYELOMA & NONACUTE LEUKEMIA

Facility

$16,080.74

Service Code	APR-DRG 6914
Min. Negotiated Rate	$11,910.27
Max. Negotiated Rate	$16,080.74
Rate for Payer: Anthem Blue Cross of IN Medicaid	$11,910.27
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$11,910.27
Rate for Payer: Managed Health Services Medicaid	$11,910.27
Rate for Payer: MDWise Medicaid	$11,910.27

APR-DRG 36.00: MAJOR ABDOMINAL VASCULAR PROCEDURES

Facility

$11,412.14

Service Code	APR-DRG 1691
Min. Negotiated Rate	$7,717.01
Max. Negotiated Rate	$11,412.14
Rate for Payer: Anthem Blue Cross of IN Medicaid	$7,717.01
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$7,717.01
Rate for Payer: Managed Health Services Medicaid	$7,717.01
Rate for Payer: MDWise Medicaid	$7,717.01

APR-DRG 36.00: MAJOR ABDOMINAL VASCULAR PROCEDURES

Facility

$24,596.62

Service Code	APR-DRG 1694
Min. Negotiated Rate	$22,552.00
Max. Negotiated Rate	$24,596.62
Rate for Payer: Anthem Blue Cross of IN Medicaid	$22,552.00
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$22,552.00
Rate for Payer: Managed Health Services Medicaid	$22,552.00
Rate for Payer: MDWise Medicaid	$22,552.00

APR-DRG 36.00: MAJOR ABDOMINAL VASCULAR PROCEDURES

Facility

$13,616.76

Service Code	APR-DRG 1692
Min. Negotiated Rate	$9,936.98
Max. Negotiated Rate	$13,616.76
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: MAJOR ABDOMINAL VASCULAR PROCEDURES

Facility

$17,204.66

Service Code	APR-DRG 1693
Min. Negotiated Rate	$13,531.20
Max. Negotiated Rate	$17,204.66
Rate for Payer: Anthem Blue Cross of IN Medicaid	$13,531.20
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$13,531.20
Rate for Payer: Managed Health Services Medicaid	$13,531.20
Rate for Payer: MDWise Medicaid	$13,531.20

APR-DRG 36.00: MAJOR BILIARY TRACT PROCEDURES

Facility

$12,147.01

Service Code	APR-DRG 2613
Min. Negotiated Rate	$8,774.14
Max. Negotiated Rate	$12,147.01
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: MAJOR BILIARY TRACT PROCEDURES

Facility

$23,083.65

Service Code	APR-DRG 2614
Min. Negotiated Rate	$13,460.73
Max. Negotiated Rate	$23,083.65
Rate for Payer: Anthem Blue Cross of IN Medicaid	$13,460.73
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$13,460.73
Rate for Payer: Managed Health Services Medicaid	$13,460.73
Rate for Payer: MDWise Medicaid	$13,460.73

APR-DRG 36.00: MAJOR BILIARY TRACT PROCEDURES

Facility

$7,046.13

Service Code	APR-DRG 2611
Min. Negotiated Rate	$4,827.54
Max. Negotiated Rate	$7,046.13
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: MAJOR BILIARY TRACT PROCEDURES

Facility

$9,899.17

Service Code	APR-DRG 2612
Min. Negotiated Rate	$7,117.98
Max. Negotiated Rate	$9,899.17
Rate for Payer: Anthem Blue Cross of IN Medicaid	$7,117.98
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$7,117.98
Rate for Payer: Managed Health Services Medicaid	$7,117.98
Rate for Payer: MDWise Medicaid	$7,117.98

APR-DRG 36.00: MAJOR BLADDER PROCEDURES

Facility

$11,498.59

Service Code	APR-DRG 4412
Min. Negotiated Rate	$6,977.02
Max. Negotiated Rate	$11,498.59
Rate for Payer: Anthem Blue Cross of IN Medicaid	$6,977.02
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$6,977.02
Rate for Payer: Managed Health Services Medicaid	$6,977.02
Rate for Payer: MDWise Medicaid	$6,977.02

APR-DRG 36.00: MAJOR BLADDER PROCEDURES

Facility

$14,870.36

Service Code	APR-DRG 4413
Min. Negotiated Rate	$10,958.86
Max. Negotiated Rate	$14,870.36
Rate for Payer: Anthem Blue Cross of IN Medicaid	$10,958.86
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$10,958.86
Rate for Payer: Managed Health Services Medicaid	$10,958.86
Rate for Payer: MDWise Medicaid	$10,958.86

APR-DRG 36.00: MAJOR BLADDER PROCEDURES

Facility

$9,250.75

Service Code	APR-DRG 4411
Min. Negotiated Rate	$6,272.27
Max. Negotiated Rate	$9,250.75
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: MAJOR BLADDER PROCEDURES

Facility

$22,199.62

Service Code	APR-DRG 4414
Min. Negotiated Rate	$21,657.13
Max. Negotiated Rate	$22,199.62
Rate for Payer: Anthem Blue Cross of IN Medicaid	$22,199.62
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$22,199.62
Rate for Payer: Managed Health Services Medicaid	$22,199.62
Rate for Payer: MDWise Medicaid	$22,199.62

APR-DRG 36.00: MAJOR CARDIOTHORACIC REPAIR OF HEART ANOMALY

Facility

$58,573.67

Service Code	APR-DRG 1604
Min. Negotiated Rate	$34,849.89
Max. Negotiated Rate	$58,573.67
Rate for Payer: Anthem Blue Cross of IN Medicaid	$34,849.89
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$34,849.89
Rate for Payer: Managed Health Services Medicaid	$34,849.89
Rate for Payer: MDWise Medicaid	$34,849.89

APR-DRG 36.00: MAJOR CARDIOTHORACIC REPAIR OF HEART ANOMALY

Facility

$27,147.06

Service Code	APR-DRG 1603
Min. Negotiated Rate	$15,363.55
Max. Negotiated Rate	$27,147.06
Rate for Payer: Anthem Blue Cross of IN Medicaid	$15,363.55
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$15,363.55
Rate for Payer: Managed Health Services Medicaid	$15,363.55
Rate for Payer: MDWise Medicaid	$15,363.55

APR-DRG 36.00: MAJOR CARDIOTHORACIC REPAIR OF HEART ANOMALY

Facility

$20,317.07

Service Code	APR-DRG 1602
Min. Negotiated Rate	$11,769.33
Max. Negotiated Rate	$20,317.07
Rate for Payer: Anthem Blue Cross of IN Medicaid	$11,769.33
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$11,769.33
Rate for Payer: Managed Health Services Medicaid	$11,769.33
Rate for Payer: MDWise Medicaid	$11,769.33

APR-DRG 36.00: MAJOR CARDIOTHORACIC REPAIR OF HEART ANOMALY

Facility

$14,394.86

Service Code	APR-DRG 1601
Min. Negotiated Rate	$9,972.21
Max. Negotiated Rate	$14,394.86
Rate for Payer: Anthem Blue Cross of IN Medicaid	$9,972.21
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$9,972.21
Rate for Payer: Managed Health Services Medicaid	$9,972.21
Rate for Payer: MDWise Medicaid	$9,972.21

APR-DRG 36.00: MAJOR CHEST & RESPIRATORY TRAUMA

Facility

$3,760.82

Service Code	APR-DRG 1352
Min. Negotiated Rate	$3,136.14
Max. Negotiated Rate	$3,760.82
Rate for Payer: Anthem Blue Cross of IN Medicaid	$3,136.14
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$3,136.14
Rate for Payer: Managed Health Services Medicaid	$3,136.14
Rate for Payer: MDWise Medicaid	$3,136.14

APR-DRG 36.00: MAJOR CHEST & RESPIRATORY TRAUMA

Facility

$5,489.93

Service Code	APR-DRG 1353
Min. Negotiated Rate	$3,805.65
Max. Negotiated Rate	$5,489.93
Rate for Payer: Anthem Blue Cross of IN Medicaid	$3,805.65
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$3,805.65
Rate for Payer: Managed Health Services Medicaid	$3,805.65
Rate for Payer: MDWise Medicaid	$3,805.65

APR-DRG 36.00: MAJOR CHEST & RESPIRATORY TRAUMA

Facility

$9,726.25

Service Code	APR-DRG 1354
Min. Negotiated Rate	$5,919.90
Max. Negotiated Rate	$9,726.25
Rate for Payer: Anthem Blue Cross of IN Medicaid	$5,919.90
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$5,919.90
Rate for Payer: Managed Health Services Medicaid	$5,919.90
Rate for Payer: MDWise Medicaid	$5,919.90

Know your out-of-pocket cost for care.

All Charges