Cameron Memorial Community Hospital

All Charges

Charge

Type

Setting

Price

APR-DRG 36.00: MAJOR O.R. PROCEDURES FOR LYMPHATIC/HEMATOPOIETIC/OTHER NEOPLASMS

Facility

$28,573.58

Service Code	APR-DRG 6804
Min. Negotiated Rate	$18,640.64
Max. Negotiated Rate	$28,573.58
Rate for Payer: Anthem Blue Cross of IN Medicaid	$18,640.64
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$18,640.64
Rate for Payer: Managed Health Services Medicaid	$18,640.64
Rate for Payer: MDWise Medicaid	$18,640.64

APR-DRG 36.00: MAJOR O.R. PROCEDURES FOR LYMPHATIC/HEMATOPOIETIC/OTHER NEOPLASMS

Facility

$7,132.59

Service Code	APR-DRG 6801
Min. Negotiated Rate	$5,461.81
Max. Negotiated Rate	$7,132.59
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: MAJOR O.R. PROCEDURES FOR LYMPHATIC/HEMATOPOIETIC/OTHER NEOPLASMS

Facility

$15,562.01

Service Code	APR-DRG 6803
Min. Negotiated Rate	$12,932.16
Max. Negotiated Rate	$15,562.01
Rate for Payer: Anthem Blue Cross of IN Medicaid	$12,932.16
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$12,932.16
Rate for Payer: Managed Health Services Medicaid	$12,932.16
Rate for Payer: MDWise Medicaid	$12,932.16

APR-DRG 36.00: MAJOR O.R. PROCEDURES FOR LYMPHATIC/HEMATOPOIETIC/OTHER NEOPLASMS

Facility

$9,936.98

Service Code	APR-DRG 6802
Min. Negotiated Rate	$9,812.71
Max. Negotiated Rate	$9,936.98
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 PANCREAS, LIVER & SHUNT PROCEDURES

Facility

$11,066.32

Service Code	APR-DRG 2602
Min. Negotiated Rate	$8,175.10
Max. Negotiated Rate	$11,066.32
Rate for Payer: Anthem Blue Cross of IN Medicaid	$8,175.10
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$8,175.10
Rate for Payer: Managed Health Services Medicaid	$8,175.10
Rate for Payer: MDWise Medicaid	$8,175.10

APR-DRG 36.00: MAJOR PANCREAS, LIVER & SHUNT PROCEDURES

Facility

$14,697.45

Service Code	APR-DRG 2603
Min. Negotiated Rate	$12,227.41
Max. Negotiated Rate	$14,697.45
Rate for Payer: Anthem Blue Cross of IN Medicaid	$12,227.41
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$12,227.41
Rate for Payer: Managed Health Services Medicaid	$12,227.41
Rate for Payer: MDWise Medicaid	$12,227.41

APR-DRG 36.00: MAJOR PANCREAS, LIVER & SHUNT PROCEDURES

Facility

$24,812.76

Service Code	APR-DRG 2604
Min. Negotiated Rate	$23,010.09
Max. Negotiated Rate	$24,812.76
Rate for Payer: Anthem Blue Cross of IN Medicaid	$23,010.09
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$23,010.09
Rate for Payer: Managed Health Services Medicaid	$23,010.09
Rate for Payer: MDWise Medicaid	$23,010.09

APR-DRG 36.00: MAJOR PANCREAS, LIVER & SHUNT PROCEDURES

Facility

$8,126.83

Service Code	APR-DRG 2601
Min. Negotiated Rate	$7,681.77
Max. Negotiated Rate	$8,126.83
Rate for Payer: Anthem Blue Cross of IN Medicaid	$7,681.77
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$7,681.77
Rate for Payer: Managed Health Services Medicaid	$7,681.77
Rate for Payer: MDWise Medicaid	$7,681.77

APR-DRG 36.00: MAJOR RESPIRATORY & CHEST PROCEDURES

Facility

$8,083.60

Service Code	APR-DRG 1201
Min. Negotiated Rate	$7,611.30
Max. Negotiated Rate	$8,083.60
Rate for Payer: Anthem Blue Cross of IN Medicaid	$7,611.30
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$7,611.30
Rate for Payer: Managed Health Services Medicaid	$7,611.30
Rate for Payer: MDWise Medicaid	$7,611.30

APR-DRG 36.00: MAJOR RESPIRATORY & CHEST PROCEDURES

Facility

$10,028.85

Service Code	APR-DRG 1202
Min. Negotiated Rate	$9,091.27
Max. Negotiated Rate	$10,028.85
Rate for Payer: Anthem Blue Cross of IN Medicaid	$9,091.27
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$9,091.27
Rate for Payer: Managed Health Services Medicaid	$9,091.27
Rate for Payer: MDWise Medicaid	$9,091.27

APR-DRG 36.00: MAJOR RESPIRATORY & CHEST PROCEDURES

Facility

$15,086.50

Service Code	APR-DRG 1203
Min. Negotiated Rate	$12,650.26
Max. Negotiated Rate	$15,086.50
Rate for Payer: Anthem Blue Cross of IN Medicaid	$12,650.26
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$12,650.26
Rate for Payer: Managed Health Services Medicaid	$12,650.26
Rate for Payer: MDWise Medicaid	$12,650.26

APR-DRG 36.00: MAJOR RESPIRATORY & CHEST PROCEDURES

Facility

$23,948.20

Service Code	APR-DRG 1204
Min. Negotiated Rate	$23,785.31
Max. Negotiated Rate	$23,948.20
Rate for Payer: Anthem Blue Cross of IN Medicaid	$23,785.31
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$23,785.31
Rate for Payer: Managed Health Services Medicaid	$23,785.31
Rate for Payer: MDWise Medicaid	$23,785.31

APR-DRG 36.00: MAJOR RESPIRATORY INFECTIONS & INFLAMMATIONS

Facility

$8,559.10

Service Code	APR-DRG 1374
Min. Negotiated Rate	$8,527.48
Max. Negotiated Rate	$8,559.10
Rate for Payer: Anthem Blue Cross of IN Medicaid	$8,527.48
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$8,527.48
Rate for Payer: Managed Health Services Medicaid	$8,527.48
Rate for Payer: MDWise Medicaid	$8,527.48

APR-DRG 36.00: MAJOR RESPIRATORY INFECTIONS & INFLAMMATIONS

Facility

$4,827.54

Service Code	APR-DRG 1373
Min. Negotiated Rate	$4,538.92
Max. Negotiated Rate	$4,827.54
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 RESPIRATORY INFECTIONS & INFLAMMATIONS

Facility

$2,507.21

Service Code	APR-DRG 1371
Min. Negotiated Rate	$2,501.86
Max. Negotiated Rate	$2,507.21
Rate for Payer: Anthem Blue Cross of IN Medicaid	$2,501.86
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$2,501.86
Rate for Payer: Managed Health Services Medicaid	$2,501.86
Rate for Payer: MDWise Medicaid	$2,501.86

APR-DRG 36.00: MAJOR RESPIRATORY INFECTIONS & INFLAMMATIONS

Facility

$3,699.94

Service Code	APR-DRG 1372
Min. Negotiated Rate	$3,069.17
Max. Negotiated Rate	$3,699.94
Rate for Payer: Anthem Blue Cross of IN Medicaid	$3,699.94
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$3,699.94
Rate for Payer: Managed Health Services Medicaid	$3,699.94
Rate for Payer: MDWise Medicaid	$3,699.94

APR-DRG 36.00: MAJOR SKIN DISORDERS

Facility

$3,674.36

Service Code	APR-DRG 3812
Min. Negotiated Rate	$2,149.49
Max. Negotiated Rate	$3,674.36
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 SKIN DISORDERS

Facility

$2,074.93

Service Code	APR-DRG 3811
Min. Negotiated Rate	$1,268.55
Max. Negotiated Rate	$2,074.93
Rate for Payer: Anthem Blue Cross of IN Medicaid	$1,268.55
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$1,268.55
Rate for Payer: Managed Health Services Medicaid	$1,268.55
Rate for Payer: MDWise Medicaid	$1,268.55

APR-DRG 36.00: MAJOR SKIN DISORDERS

Facility

$6,095.12

Service Code	APR-DRG 3813
Min. Negotiated Rate	$3,418.04
Max. Negotiated Rate	$6,095.12
Rate for Payer: Anthem Blue Cross of IN Medicaid	$3,418.04
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$3,418.04
Rate for Payer: Managed Health Services Medicaid	$3,418.04
Rate for Payer: MDWise Medicaid	$3,418.04

APR-DRG 36.00: MAJOR SKIN DISORDERS

Facility

$12,622.52

Service Code	APR-DRG 3814
Min. Negotiated Rate	$4,158.02
Max. Negotiated Rate	$12,622.52
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 SMALL BOWEL PROCEDURES

Facility

$5,849.43

Service Code	APR-DRG 2301
Min. Negotiated Rate	$5,273.79
Max. Negotiated Rate	$5,849.43
Rate for Payer: Anthem Blue Cross of IN Medicaid	$5,849.43
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$5,849.43
Rate for Payer: Managed Health Services Medicaid	$5,849.43
Rate for Payer: MDWise Medicaid	$5,849.43

APR-DRG 36.00: MAJOR SMALL BOWEL PROCEDURES

Facility

$8,559.10

Service Code	APR-DRG 2302
Min. Negotiated Rate	$7,540.82
Max. Negotiated Rate	$8,559.10
Rate for Payer: Anthem Blue Cross of IN Medicaid	$7,540.82
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$7,540.82
Rate for Payer: Managed Health Services Medicaid	$7,540.82
Rate for Payer: MDWise Medicaid	$7,540.82

APR-DRG 36.00: MAJOR SMALL BOWEL PROCEDURES

Facility

$13,143.59

Service Code	APR-DRG 2303
Min. Negotiated Rate	$12,579.29
Max. Negotiated Rate	$13,143.59
Rate for Payer: Anthem Blue Cross of IN Medicaid	$13,143.59
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$13,143.59
Rate for Payer: Managed Health Services Medicaid	$13,143.59
Rate for Payer: MDWise Medicaid	$13,143.59

APR-DRG 36.00: MAJOR SMALL BOWEL PROCEDURES

Facility

$21,248.21

Service Code	APR-DRG 2304
Min. Negotiated Rate	$19,928.02
Max. Negotiated Rate	$21,248.21
Rate for Payer: Anthem Blue Cross of IN Medicaid	$21,248.21
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$21,248.21
Rate for Payer: Managed Health Services Medicaid	$21,248.21
Rate for Payer: MDWise Medicaid	$21,248.21

APR-DRG 36.00: MAJOR STOMACH, ESOPHAGEAL & DUODENAL PROCEDURES

Facility

$14,049.03

Service Code	APR-DRG 2203
Min. Negotiated Rate	$13,883.58
Max. Negotiated Rate	$14,049.03
Rate for Payer: Anthem Blue Cross of IN Medicaid	$13,883.58
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$13,883.58
Rate for Payer: Managed Health Services Medicaid	$13,883.58
Rate for Payer: MDWise Medicaid	$13,883.58

Know your out-of-pocket cost for care.

All Charges