Cameron Memorial Community Hospital

All Charges

Charge

Type

Setting

Price

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: MODERATELY EXTENSIVE OR PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT

Facility

$6,570.63

Service Code	APR-DRG 7932
Min. Negotiated Rate	$4,475.16
Max. Negotiated Rate	$6,570.63
Rate for Payer: Anthem Blue Cross of IN Medicaid	$4,475.16
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$4,475.16
Rate for Payer: Managed Health Services Medicaid	$4,475.16
Rate for Payer: MDWise Medicaid	$4,475.16

APR-DRG 36.00: MODERATELY EXTENSIVE OR PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT

Facility

$4,927.97

Service Code	APR-DRG 7931
Min. Negotiated Rate	$3,911.36
Max. Negotiated Rate	$4,927.97
Rate for Payer: Anthem Blue Cross of IN Medicaid	$3,911.36
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$3,911.36
Rate for Payer: Managed Health Services Medicaid	$3,911.36
Rate for Payer: MDWise Medicaid	$3,911.36

APR-DRG 36.00: MODERATELY EXTENSIVE OR PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT

Facility

$16,340.11

Service Code	APR-DRG 7934
Min. Negotiated Rate	$12,368.36
Max. Negotiated Rate	$16,340.11
Rate for Payer: Anthem Blue Cross of IN Medicaid	$12,368.36
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$12,368.36
Rate for Payer: Managed Health Services Medicaid	$12,368.36
Rate for Payer: MDWise Medicaid	$12,368.36

APR-DRG 36.00: MODERATELY EXTENSIVE OR PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT

Facility

$9,380.43

Service Code	APR-DRG 7933
Min. Negotiated Rate	$6,377.99
Max. Negotiated Rate	$9,380.43
Rate for Payer: Anthem Blue Cross of IN Medicaid	$6,377.99
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$6,377.99
Rate for Payer: Managed Health Services Medicaid	$6,377.99
Rate for Payer: MDWise Medicaid	$6,377.99

APR-DRG 36.00: MODERATELY EXTENSIVE PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS

Facility

$10,936.63

Service Code	APR-DRG 9513
Min. Negotiated Rate	$9,725.55
Max. Negotiated Rate	$10,936.63
Rate for Payer: Anthem Blue Cross of IN Medicaid	$9,725.55
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$9,725.55
Rate for Payer: Managed Health Services Medicaid	$9,725.55
Rate for Payer: MDWise Medicaid	$9,725.55

APR-DRG 36.00: MODERATELY EXTENSIVE PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS

Facility

$18,112.45

Service Code	APR-DRG 9514
Min. Negotiated Rate	$15,011.17
Max. Negotiated Rate	$18,112.45
Rate for Payer: Anthem Blue Cross of IN Medicaid	$15,011.17
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$15,011.17
Rate for Payer: Managed Health Services Medicaid	$15,011.17
Rate for Payer: MDWise Medicaid	$15,011.17

APR-DRG 36.00: MODERATELY EXTENSIVE PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS

Facility

$5,144.11

Service Code	APR-DRG 9511
Min. Negotiated Rate	$4,439.93
Max. Negotiated Rate	$5,144.11
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: MODERATELY EXTENSIVE PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS

Facility

$7,435.18

Service Code	APR-DRG 9512
Min. Negotiated Rate	$5,955.14
Max. Negotiated Rate	$7,435.18
Rate for Payer: Anthem Blue Cross of IN Medicaid	$5,955.14
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$5,955.14
Rate for Payer: Managed Health Services Medicaid	$5,955.14
Rate for Payer: MDWise Medicaid	$5,955.14

APR-DRG 36.00: MULTIPLE SCLEROSIS & OTHER DEMYELINATING DISEASES

Facility

$6,829.99

Service Code	APR-DRG 0432
Min. Negotiated Rate	$3,735.18
Max. Negotiated Rate	$6,829.99
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: MULTIPLE SCLEROSIS & OTHER DEMYELINATING DISEASES

Facility

$4,625.37

Service Code	APR-DRG 0431
Min. Negotiated Rate	$3,735.18
Max. Negotiated Rate	$4,625.37
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: MULTIPLE SCLEROSIS & OTHER DEMYELINATING DISEASES

Facility

$10,028.85

Service Code	APR-DRG 0433
Min. Negotiated Rate	$5,215.15
Max. Negotiated Rate	$10,028.85
Rate for Payer: Anthem Blue Cross of IN Medicaid	$5,215.15
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$5,215.15
Rate for Payer: Managed Health Services Medicaid	$5,215.15
Rate for Payer: MDWise Medicaid	$5,215.15

APR-DRG 36.00: MULTIPLE SCLEROSIS & OTHER DEMYELINATING DISEASES

Facility

$17,809.85

Service Code	APR-DRG 0434
Min. Negotiated Rate	$6,342.75
Max. Negotiated Rate	$17,809.85
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: MULTIPLE SIGNIFICANT TRAUMA W/O O.R. PROCEDURE

Facility

$13,487.07

Service Code	APR-DRG 9304
Min. Negotiated Rate	$8,703.66
Max. Negotiated Rate	$13,487.07
Rate for Payer: Anthem Blue Cross of IN Medicaid	$8,703.66
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$8,703.66
Rate for Payer: Managed Health Services Medicaid	$8,703.66
Rate for Payer: MDWise Medicaid	$8,703.66

APR-DRG 36.00: MULTIPLE SIGNIFICANT TRAUMA W/O O.R. PROCEDURE

Facility

$7,608.09

Service Code	APR-DRG 9303
Min. Negotiated Rate	$5,109.44
Max. Negotiated Rate	$7,608.09
Rate for Payer: Anthem Blue Cross of IN Medicaid	$5,109.44
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$5,109.44
Rate for Payer: Managed Health Services Medicaid	$5,109.44
Rate for Payer: MDWise Medicaid	$5,109.44

APR-DRG 36.00: MULTIPLE SIGNIFICANT TRAUMA W/O O.R. PROCEDURE

Facility

$3,890.50

Service Code	APR-DRG 9301
Min. Negotiated Rate	$2,783.76
Max. Negotiated Rate	$3,890.50
Rate for Payer: Anthem Blue Cross of IN Medicaid	$2,783.76
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$2,783.76
Rate for Payer: Managed Health Services Medicaid	$2,783.76
Rate for Payer: MDWise Medicaid	$2,783.76

APR-DRG 36.00: MULTIPLE SIGNIFICANT TRAUMA W/O O.R. PROCEDURE

Facility

$4,927.97

Service Code	APR-DRG 9302
Min. Negotiated Rate	$3,946.60
Max. Negotiated Rate	$4,927.97
Rate for Payer: Anthem Blue Cross of IN Medicaid	$3,946.60
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$3,946.60
Rate for Payer: Managed Health Services Medicaid	$3,946.60
Rate for Payer: MDWise Medicaid	$3,946.60

APR-DRG 36.00: MUSCULOSKELETAL MALIGNANCY & PATHOL FRACTURE D/T MUSCSKEL MALIG

Facility

$3,976.96

Service Code	APR-DRG 3431
Min. Negotiated Rate	$3,277.09
Max. Negotiated Rate	$3,976.96
Rate for Payer: Anthem Blue Cross of IN Medicaid	$3,277.09
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$3,277.09
Rate for Payer: Managed Health Services Medicaid	$3,277.09
Rate for Payer: MDWise Medicaid	$3,277.09

APR-DRG 36.00: MUSCULOSKELETAL MALIGNANCY & PATHOL FRACTURE D/T MUSCSKEL MALIG

Facility

$7,132.59

Service Code	APR-DRG 3433
Min. Negotiated Rate	$5,814.19
Max. Negotiated Rate	$7,132.59
Rate for Payer: Anthem Blue Cross of IN Medicaid	$5,814.19
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$5,814.19
Rate for Payer: Managed Health Services Medicaid	$5,814.19
Rate for Payer: MDWise Medicaid	$5,814.19

APR-DRG 36.00: MUSCULOSKELETAL MALIGNANCY & PATHOL FRACTURE D/T MUSCSKEL MALIG

Facility

$4,711.83

Service Code	APR-DRG 3432
Min. Negotiated Rate	$3,277.09
Max. Negotiated Rate	$4,711.83
Rate for Payer: Anthem Blue Cross of IN Medicaid	$3,277.09
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$3,277.09
Rate for Payer: Managed Health Services Medicaid	$3,277.09
Rate for Payer: MDWise Medicaid	$3,277.09

APR-DRG 36.00: MUSCULOSKELETAL MALIGNANCY & PATHOL FRACTURE D/T MUSCSKEL MALIG

Facility

$11,109.54

Service Code	APR-DRG 3434
Min. Negotiated Rate	$9,232.23
Max. Negotiated Rate	$11,109.54
Rate for Payer: Anthem Blue Cross of IN Medicaid	$9,232.23
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$9,232.23
Rate for Payer: Managed Health Services Medicaid	$9,232.23
Rate for Payer: MDWise Medicaid	$9,232.23

APR-DRG 36.00: MUSCULOSKELETAL & OTHER PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA

Facility

$25,979.91

Service Code	APR-DRG 9124
Min. Negotiated Rate	$23,714.84
Max. Negotiated Rate	$25,979.91
Rate for Payer: Anthem Blue Cross of IN Medicaid	$23,714.84
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$23,714.84
Rate for Payer: Managed Health Services Medicaid	$23,714.84
Rate for Payer: MDWise Medicaid	$23,714.84

APR-DRG 36.00: MUSCULOSKELETAL & OTHER PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA

Facility

$8,732.02

Service Code	APR-DRG 9121
Min. Negotiated Rate	$7,752.25
Max. Negotiated Rate	$8,732.02
Rate for Payer: Anthem Blue Cross of IN Medicaid	$7,752.25
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$7,752.25
Rate for Payer: Managed Health Services Medicaid	$7,752.25
Rate for Payer: MDWise Medicaid	$7,752.25

APR-DRG 36.00: MUSCULOSKELETAL & OTHER PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA

Facility

$11,757.96

Service Code	APR-DRG 9122
Min. Negotiated Rate	$8,879.85
Max. Negotiated Rate	$11,757.96
Rate for Payer: Anthem Blue Cross of IN Medicaid	$8,879.85
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$8,879.85
Rate for Payer: Managed Health Services Medicaid	$8,879.85
Rate for Payer: MDWise Medicaid	$8,879.85

APR-DRG 36.00: MUSCULOSKELETAL & OTHER PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA

Facility

$16,469.79

Service Code	APR-DRG 9123
Min. Negotiated Rate	$14,975.94
Max. Negotiated Rate	$16,469.79
Rate for Payer: Anthem Blue Cross of IN Medicaid	$14,975.94
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$14,975.94
Rate for Payer: Managed Health Services Medicaid	$14,975.94
Rate for Payer: MDWise Medicaid	$14,975.94

Know your out-of-pocket cost for care.

All Charges