Cameron Memorial Community Hospital

All Charges

Charge

Type

Setting

Price

APR-DRG 36.00: MALIGNANCY, MALE REPRODUCTIVE SYSTEM

Facility

$3,717.59

Service Code	APR-DRG 5002
Min. Negotiated Rate	$3,100.90
Max. Negotiated Rate	$3,717.59
Rate for Payer: Anthem Blue Cross of IN Medicaid	$3,100.90
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$3,100.90
Rate for Payer: Managed Health Services Medicaid	$3,100.90
Rate for Payer: MDWise Medicaid	$3,100.90

APR-DRG 36.00: MALIGNANCY, MALE REPRODUCTIVE SYSTEM

Facility

$8,818.47

Service Code	APR-DRG 5004
Min. Negotiated Rate	$3,664.70
Max. Negotiated Rate	$8,818.47
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: MALIGNANCY OF HEPATOBILIARY SYSTEM & PANCREAS

Facility

$6,095.12

Service Code	APR-DRG 2813
Min. Negotiated Rate	$4,087.55
Max. Negotiated Rate	$6,095.12
Rate for Payer: Anthem Blue Cross of IN Medicaid	$4,087.55
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$4,087.55
Rate for Payer: Managed Health Services Medicaid	$4,087.55
Rate for Payer: MDWise Medicaid	$4,087.55

APR-DRG 36.00: MALIGNANCY OF HEPATOBILIARY SYSTEM & PANCREAS

Facility

$9,293.98

Service Code	APR-DRG 2814
Min. Negotiated Rate	$7,540.82
Max. Negotiated Rate	$9,293.98
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: MALIGNANCY OF HEPATOBILIARY SYSTEM & PANCREAS

Facility

$3,371.77

Service Code	APR-DRG 2811
Min. Negotiated Rate	$1,938.06
Max. Negotiated Rate	$3,371.77
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: MALIGNANCY OF HEPATOBILIARY SYSTEM & PANCREAS

Facility

$4,495.69

Service Code	APR-DRG 2812
Min. Negotiated Rate	$3,523.75
Max. Negotiated Rate	$4,495.69
Rate for Payer: Anthem Blue Cross of IN Medicaid	$3,523.75
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$3,523.75
Rate for Payer: Managed Health Services Medicaid	$3,523.75
Rate for Payer: MDWise Medicaid	$3,523.75

APR-DRG 36.00: MALIGNANT BREAST DISORDERS

Facility

$8,991.38

Service Code	APR-DRG 3824
Min. Negotiated Rate	$4,827.54
Max. Negotiated Rate	$8,991.38
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: MALIGNANT BREAST DISORDERS

Facility

$5,403.48

Service Code	APR-DRG 3823
Min. Negotiated Rate	$3,312.32
Max. Negotiated Rate	$5,403.48
Rate for Payer: Anthem Blue Cross of IN Medicaid	$3,312.32
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$3,312.32
Rate for Payer: Managed Health Services Medicaid	$3,312.32
Rate for Payer: MDWise Medicaid	$3,312.32

APR-DRG 36.00: MALIGNANT BREAST DISORDERS

Facility

$3,312.32

Service Code	APR-DRG 3821
Min. Negotiated Rate	$3,112.40
Max. Negotiated Rate	$3,312.32
Rate for Payer: Anthem Blue Cross of IN Medicaid	$3,312.32
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$3,312.32
Rate for Payer: Managed Health Services Medicaid	$3,312.32
Rate for Payer: MDWise Medicaid	$3,312.32

APR-DRG 36.00: MALIGNANT BREAST DISORDERS

Facility

$4,020.19

Service Code	APR-DRG 3822
Min. Negotiated Rate	$3,312.32
Max. Negotiated Rate	$4,020.19
Rate for Payer: Anthem Blue Cross of IN Medicaid	$3,312.32
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$3,312.32
Rate for Payer: Managed Health Services Medicaid	$3,312.32
Rate for Payer: MDWise Medicaid	$3,312.32

APR-DRG 36.00: MALNUTRITION, FAILURE TO THRIVE & OTHER NUTRITIONAL DISORDERS

Facility

$4,017.07

Service Code	APR-DRG 4211
Min. Negotiated Rate	$2,247.85
Max. Negotiated Rate	$4,017.07
Rate for Payer: Anthem Blue Cross of IN Medicaid	$4,017.07
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$4,017.07
Rate for Payer: Managed Health Services Medicaid	$4,017.07
Rate for Payer: MDWise Medicaid	$4,017.07

APR-DRG 36.00: MALNUTRITION, FAILURE TO THRIVE & OTHER NUTRITIONAL DISORDERS

Facility

$4,017.07

Service Code	APR-DRG 4212
Min. Negotiated Rate	$3,285.31
Max. Negotiated Rate	$4,017.07
Rate for Payer: Anthem Blue Cross of IN Medicaid	$4,017.07
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$4,017.07
Rate for Payer: Managed Health Services Medicaid	$4,017.07
Rate for Payer: MDWise Medicaid	$4,017.07

APR-DRG 36.00: MALNUTRITION, FAILURE TO THRIVE & OTHER NUTRITIONAL DISORDERS

Facility

$5,144.11

Service Code	APR-DRG 4213
Min. Negotiated Rate	$4,017.07
Max. Negotiated Rate	$5,144.11
Rate for Payer: Anthem Blue Cross of IN Medicaid	$4,017.07
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$4,017.07
Rate for Payer: Managed Health Services Medicaid	$4,017.07
Rate for Payer: MDWise Medicaid	$4,017.07

APR-DRG 36.00: MALNUTRITION, FAILURE TO THRIVE & OTHER NUTRITIONAL DISORDERS

Facility

$8,775.24

Service Code	APR-DRG 4214
Min. Negotiated Rate	$5,250.39
Max. Negotiated Rate	$8,775.24
Rate for Payer: Anthem Blue Cross of IN Medicaid	$5,250.39
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$5,250.39
Rate for Payer: Managed Health Services Medicaid	$5,250.39
Rate for Payer: MDWise Medicaid	$5,250.39

APR-DRG 36.00: MASTECTOMY PROCEDURES

Facility

$13,270.93

Service Code	APR-DRG 3624
Min. Negotiated Rate	$7,153.21
Max. Negotiated Rate	$13,270.93
Rate for Payer: Anthem Blue Cross of IN Medicaid	$7,153.21
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$7,153.21
Rate for Payer: Managed Health Services Medicaid	$7,153.21
Rate for Payer: MDWise Medicaid	$7,153.21

APR-DRG 36.00: MASTECTOMY PROCEDURES

Facility

$10,244.99

Service Code	APR-DRG 3622
Min. Negotiated Rate	$6,413.23
Max. Negotiated Rate	$10,244.99
Rate for Payer: Anthem Blue Cross of IN Medicaid	$6,413.23
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$6,413.23
Rate for Payer: Managed Health Services Medicaid	$6,413.23
Rate for Payer: MDWise Medicaid	$6,413.23

APR-DRG 36.00: MASTECTOMY PROCEDURES

Facility

$10,634.04

Service Code	APR-DRG 3623
Min. Negotiated Rate	$7,153.21
Max. Negotiated Rate	$10,634.04
Rate for Payer: Anthem Blue Cross of IN Medicaid	$7,153.21
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$7,153.21
Rate for Payer: Managed Health Services Medicaid	$7,153.21
Rate for Payer: MDWise Medicaid	$7,153.21

APR-DRG 36.00: MASTECTOMY PROCEDURES

Facility

$6,829.99

Service Code	APR-DRG 3621
Min. Negotiated Rate	$4,510.40
Max. Negotiated Rate	$6,829.99
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: MENSTRUAL & OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS

Facility

$6,786.76

Service Code	APR-DRG 5324
Min. Negotiated Rate	$3,312.32
Max. Negotiated Rate	$6,786.76
Rate for Payer: Anthem Blue Cross of IN Medicaid	$3,312.32
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$3,312.32
Rate for Payer: Managed Health Services Medicaid	$3,312.32
Rate for Payer: MDWise Medicaid	$3,312.32

APR-DRG 36.00: MENSTRUAL & OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS

Facility

$2,607.57

Service Code	APR-DRG 5321
Min. Negotiated Rate	$2,247.85
Max. Negotiated Rate	$2,607.57
Rate for Payer: Anthem Blue Cross of IN Medicaid	$2,607.57
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$2,607.57
Rate for Payer: Managed Health Services Medicaid	$2,607.57
Rate for Payer: MDWise Medicaid	$2,607.57

APR-DRG 36.00: MENSTRUAL & OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS

Facility

$2,982.72

Service Code	APR-DRG 5322
Min. Negotiated Rate	$2,607.57
Max. Negotiated Rate	$2,982.72
Rate for Payer: Anthem Blue Cross of IN Medicaid	$2,607.57
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$2,607.57
Rate for Payer: Managed Health Services Medicaid	$2,607.57
Rate for Payer: MDWise Medicaid	$2,607.57

APR-DRG 36.00: MENSTRUAL & OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS

Facility

$4,193.10

Service Code	APR-DRG 5323
Min. Negotiated Rate	$2,607.57
Max. Negotiated Rate	$4,193.10
Rate for Payer: Anthem Blue Cross of IN Medicaid	$2,607.57
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$2,607.57
Rate for Payer: Managed Health Services Medicaid	$2,607.57
Rate for Payer: MDWise Medicaid	$2,607.57

APR-DRG 36.00: MIGRAINE & OTHER HEADACHES

Facility

$3,674.36

Service Code	APR-DRG 0542
Min. Negotiated Rate	$2,889.47
Max. Negotiated Rate	$3,674.36
Rate for Payer: Anthem Blue Cross of IN Medicaid	$2,889.47
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$2,889.47
Rate for Payer: Managed Health Services Medicaid	$2,889.47
Rate for Payer: MDWise Medicaid	$2,889.47

APR-DRG 36.00: MIGRAINE & OTHER HEADACHES

Facility

$3,069.17

Service Code	APR-DRG 0541
Min. Negotiated Rate	$2,501.86
Max. Negotiated Rate	$3,069.17
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: MIGRAINE & OTHER HEADACHES

Facility

$4,668.60

Service Code	APR-DRG 0543
Min. Negotiated Rate	$3,347.56
Max. Negotiated Rate	$4,668.60
Rate for Payer: Anthem Blue Cross of IN Medicaid	$3,347.56
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$3,347.56
Rate for Payer: Managed Health Services Medicaid	$3,347.56
Rate for Payer: MDWise Medicaid	$3,347.56

Know your out-of-pocket cost for care.

All Charges