Cameron Memorial Community Hospital

All Charges

Charge

Type

Setting

Price

APR-DRG 36.00: MAJOR CHEST & RESPIRAZORY TRAUMA

Facility

$2,982.72

Service Code	APR-DRG 1351
Min. Negotiated Rate	$2,149.49
Max. Negotiated Rate	$2,982.72
Rate for Payer: Anthem Blue Cross of IN Medicaid	$2,149.49
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$2,149.49
Rate for Payer: Managed Health Services Medicaid	$2,149.49
Rate for Payer: MDWise Medicaid	$2,149.49

APR-DRG 36.00: MAJOR CRANIAL/FACIAL BONE PROCEDURES

Facility

$7,737.78

Service Code	APR-DRG 0891
Min. Negotiated Rate	$5,391.34
Max. Negotiated Rate	$7,737.78
Rate for Payer: Anthem Blue Cross of IN Medicaid	$5,391.34
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$5,391.34
Rate for Payer: Managed Health Services Medicaid	$5,391.34
Rate for Payer: MDWise Medicaid	$5,391.34

APR-DRG 36.00: MAJOR CRANIAL/FACIAL BONE PROCEDURES

Facility

$23,213.33

Service Code	APR-DRG 0894
Min. Negotiated Rate	$22,375.81
Max. Negotiated Rate	$23,213.33
Rate for Payer: Anthem Blue Cross of IN Medicaid	$22,375.81
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$22,375.81
Rate for Payer: Managed Health Services Medicaid	$22,375.81
Rate for Payer: MDWise Medicaid	$22,375.81

APR-DRG 36.00: MAJOR CRANIAL/FACIAL BONE PROCEDURES

Facility

$14,165.48

Service Code	APR-DRG 0892
Min. Negotiated Rate	$10,115.31
Max. Negotiated Rate	$14,165.48
Rate for Payer: Anthem Blue Cross of IN Medicaid	$14,165.48
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$14,165.48
Rate for Payer: Managed Health Services Medicaid	$14,165.48
Rate for Payer: MDWise Medicaid	$14,165.48

APR-DRG 36.00: MAJOR CRANIAL/FACIAL BONE PROCEDURES

Facility

$17,334.35

Service Code	APR-DRG 0893
Min. Negotiated Rate	$16,773.05
Max. Negotiated Rate	$17,334.35
Rate for Payer: Anthem Blue Cross of IN Medicaid	$16,773.05
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$16,773.05
Rate for Payer: Managed Health Services Medicaid	$16,773.05
Rate for Payer: MDWise Medicaid	$16,773.05

APR-DRG 36.00: MAJOR ESOPHAGEAL DISORDERS

Facility

$3,631.14

Service Code	APR-DRG 2422
Min. Negotiated Rate	$3,030.43
Max. Negotiated Rate	$3,631.14
Rate for Payer: Anthem Blue Cross of IN Medicaid	$3,030.43
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$3,030.43
Rate for Payer: Managed Health Services Medicaid	$3,030.43
Rate for Payer: MDWise Medicaid	$3,030.43

APR-DRG 36.00: MAJOR ESOPHAGEAL DISORDERS

Facility

$10,590.81

Service Code	APR-DRG 2424
Min. Negotiated Rate	$7,435.11
Max. Negotiated Rate	$10,590.81
Rate for Payer: Anthem Blue Cross of IN Medicaid	$7,435.11
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$7,435.11
Rate for Payer: Managed Health Services Medicaid	$7,435.11
Rate for Payer: MDWise Medicaid	$7,435.11

APR-DRG 36.00: MAJOR ESOPHAGEAL DISORDERS

Facility

$2,853.03

Service Code	APR-DRG 2421
Min. Negotiated Rate	$1,656.16
Max. Negotiated Rate	$2,853.03
Rate for Payer: Anthem Blue Cross of IN Medicaid	$1,656.16
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$1,656.16
Rate for Payer: Managed Health Services Medicaid	$1,656.16
Rate for Payer: MDWise Medicaid	$1,656.16

APR-DRG 36.00: MAJOR ESOPHAGEAL DISORDERS

Facility

$5,446.70

Service Code	APR-DRG 2423
Min. Negotiated Rate	$3,664.70
Max. Negotiated Rate	$5,446.70
Rate for Payer: Anthem Blue Cross of IN Medicaid	$3,664.70
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$3,664.70
Rate for Payer: Managed Health Services Medicaid	$3,664.70
Rate for Payer: MDWise Medicaid	$3,664.70

APR-DRG 36.00: MAJOR GASTROINTESTINAL & PERITONEAL INFECTIONS

Facility

$5,014.42

Service Code	APR-DRG 2483
Min. Negotiated Rate	$4,158.02
Max. Negotiated Rate	$5,014.42
Rate for Payer: Anthem Blue Cross of IN Medicaid	$4,158.02
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$4,158.02
Rate for Payer: Managed Health Services Medicaid	$4,158.02
Rate for Payer: MDWise Medicaid	$4,158.02

APR-DRG 36.00: MAJOR GASTROINTESTINAL & PERITONEAL INFECTIONS

Facility

$2,420.76

Service Code	APR-DRG 2481
Min. Negotiated Rate	$2,184.72
Max. Negotiated Rate	$2,420.76
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: MAJOR GASTROINTESTINAL & PERITONEAL INFECTIONS

Facility

$8,775.24

Service Code	APR-DRG 2484
Min. Negotiated Rate	$6,448.46
Max. Negotiated Rate	$8,775.24
Rate for Payer: Anthem Blue Cross of IN Medicaid	$6,448.46
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$6,448.46
Rate for Payer: Managed Health Services Medicaid	$6,448.46
Rate for Payer: MDWise Medicaid	$6,448.46

APR-DRG 36.00: MAJOR GASTROINTESTINAL & PERITONEAL INFECTIONS

Facility

$3,664.70

Service Code	APR-DRG 2482
Min. Negotiated Rate	$3,328.54
Max. Negotiated Rate	$3,664.70
Rate for Payer: Anthem Blue Cross of IN Medicaid	$3,664.70
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$3,664.70
Rate for Payer: Managed Health Services Medicaid	$3,664.70
Rate for Payer: MDWise Medicaid	$3,664.70

APR-DRG 36.00: MAJOR HEMATOLOGIC/IMMUNOLOGIC DIAG EXC SICKLE CELL CRISIS & COAGUL

Facility

$3,847.27

Service Code	APR-DRG 6602
Min. Negotiated Rate	$3,770.41
Max. Negotiated Rate	$3,847.27
Rate for Payer: Anthem Blue Cross of IN Medicaid	$3,770.41
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$3,770.41
Rate for Payer: Managed Health Services Medicaid	$3,770.41
Rate for Payer: MDWise Medicaid	$3,770.41

APR-DRG 36.00: MAJOR HEMATOLOGIC/IMMUNOLOGIC DIAG EXC SICKLE CELL CRISIS & COAGUL

Facility

$6,131.32

Service Code	APR-DRG 6603
Min. Negotiated Rate	$6,051.89
Max. Negotiated Rate	$6,131.32
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: MAJOR HEMATOLOGIC/IMMUNOLOGIC DIAG EXC SICKLE CELL CRISIS & COAGUL

Facility

$11,498.59

Service Code	APR-DRG 6604
Min. Negotiated Rate	$11,240.76
Max. Negotiated Rate	$11,498.59
Rate for Payer: Anthem Blue Cross of IN Medicaid	$11,240.76
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$11,240.76
Rate for Payer: Managed Health Services Medicaid	$11,240.76
Rate for Payer: MDWise Medicaid	$11,240.76

APR-DRG 36.00: MAJOR HEMATOLOGIC/IMMUNOLOGIC DIAG EXC SICKLE CELL CRISIS & COAGUL

Facility

$3,025.95

Service Code	APR-DRG 6601
Min. Negotiated Rate	$2,360.91
Max. Negotiated Rate	$3,025.95
Rate for Payer: Anthem Blue Cross of IN Medicaid	$2,360.91
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$2,360.91
Rate for Payer: Managed Health Services Medicaid	$2,360.91
Rate for Payer: MDWise Medicaid	$2,360.91

APR-DRG 36.00: MAJOR LARGE BOWEL PROCEDURES

Facility

$8,256.51

Service Code	APR-DRG 2312
Min. Negotiated Rate	$6,906.55
Max. Negotiated Rate	$8,256.51
Rate for Payer: Anthem Blue Cross of IN Medicaid	$6,906.55
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$6,906.55
Rate for Payer: Managed Health Services Medicaid	$6,906.55
Rate for Payer: MDWise Medicaid	$6,906.55

APR-DRG 36.00: MAJOR LARGE BOWEL PROCEDURES

Facility

$11,844.42

Service Code	APR-DRG 2313
Min. Negotiated Rate	$9,690.31
Max. Negotiated Rate	$11,844.42
Rate for Payer: Anthem Blue Cross of IN Medicaid	$9,690.31
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$9,690.31
Rate for Payer: Managed Health Services Medicaid	$9,690.31
Rate for Payer: MDWise Medicaid	$9,690.31

APR-DRG 36.00: MAJOR LARGE BOWEL PROCEDURES

Facility

$17,593.71

Service Code	APR-DRG 2314
Min. Negotiated Rate	$14,729.27
Max. Negotiated Rate	$17,593.71
Rate for Payer: Anthem Blue Cross of IN Medicaid	$14,729.27
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$14,729.27
Rate for Payer: Managed Health Services Medicaid	$14,729.27
Rate for Payer: MDWise Medicaid	$14,729.27

APR-DRG 36.00: MAJOR LARGE BOWEL PROCEDURES

Facility

$6,440.94

Service Code	APR-DRG 2311
Min. Negotiated Rate	$6,060.85
Max. Negotiated Rate	$6,440.94
Rate for Payer: Anthem Blue Cross of IN Medicaid	$6,060.85
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$6,060.85
Rate for Payer: Managed Health Services Medicaid	$6,060.85
Rate for Payer: MDWise Medicaid	$6,060.85

APR-DRG 36.00: MAJOR MALE PELVIC PROCEDURES

Facility

$7,399.88

Service Code	APR-DRG 4803
Min. Negotiated Rate	$7,399.88
Max. Negotiated Rate	$7,399.88
Rate for Payer: Anthem Blue Cross of IN Medicaid	$7,399.88
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$7,399.88
Rate for Payer: Managed Health Services Medicaid	$7,399.88
Rate for Payer: MDWise Medicaid	$7,399.88

APR-DRG 36.00: MAJOR MALE PELVIC PROCEDURES

Facility

$4,369.45

Service Code	APR-DRG 4801
Min. Negotiated Rate	$4,369.45
Max. Negotiated Rate	$4,369.45
Rate for Payer: Anthem Blue Cross of IN Medicaid	$4,369.45
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$4,369.45
Rate for Payer: Managed Health Services Medicaid	$4,369.45
Rate for Payer: MDWise Medicaid	$4,369.45

APR-DRG 36.00: MAJOR MALE PELVIC PROCEDURES

Facility

$5,602.76

Service Code	APR-DRG 4802
Min. Negotiated Rate	$5,602.76
Max. Negotiated Rate	$5,602.76
Rate for Payer: Anthem Blue Cross of IN Medicaid	$5,602.76
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$5,602.76
Rate for Payer: Managed Health Services Medicaid	$5,602.76
Rate for Payer: MDWise Medicaid	$5,602.76

APR-DRG 36.00: MAJOR MALE PELVIC PROCEDURES

Facility

$7,399.88

Service Code	APR-DRG 4804
Min. Negotiated Rate	$7,399.88
Max. Negotiated Rate	$7,399.88
Rate for Payer: Anthem Blue Cross of IN Medicaid	$7,399.88
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$7,399.88
Rate for Payer: Managed Health Services Medicaid	$7,399.88
Rate for Payer: MDWise Medicaid	$7,399.88

Know your out-of-pocket cost for care.

All Charges