Cameron Memorial Community Hospital

All Charges

Charge

Type

Setting

Price

APR-DRG 36.00: NONBACTERIAL INFECTIONS OF NERVOUS SYSTEM EXC VIRAL MENINGITIS

Facility

$3,501.45

Service Code	APR-DRG 0501
Min. Negotiated Rate	$2,783.76
Max. Negotiated Rate	$3,501.45
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: NONBACTERIAL INFECTIONS OF NERVOUS SYSTEM EXC VIRAL MENINGITIS

Facility

$16,469.79

Service Code	APR-DRG 0504
Min. Negotiated Rate	$12,438.84
Max. Negotiated Rate	$16,469.79
Rate for Payer: Anthem Blue Cross of IN Medicaid	$12,438.84
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$12,438.84
Rate for Payer: Managed Health Services Medicaid	$12,438.84
Rate for Payer: MDWise Medicaid	$12,438.84

APR-DRG 36.00: NONBACTERIAL INFECTIONS OF NERVOUS SYSTEM EXC VIRAL MENINGITIS

Facility

$9,596.57

Service Code	APR-DRG 0503
Min. Negotiated Rate	$6,131.32
Max. Negotiated Rate	$9,596.57
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: NONEXTENSIVE OR PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT

Facility

$15,907.83

Service Code	APR-DRG 7944
Min. Negotiated Rate	$6,201.80
Max. Negotiated Rate	$15,907.83
Rate for Payer: Anthem Blue Cross of IN Medicaid	$6,201.80
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$6,201.80
Rate for Payer: Managed Health Services Medicaid	$6,201.80
Rate for Payer: MDWise Medicaid	$6,201.80

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

Facility

$7,651.32

Service Code	APR-DRG 7943
Min. Negotiated Rate	$4,968.49
Max. Negotiated Rate	$7,651.32
Rate for Payer: Anthem Blue Cross of IN Medicaid	$4,968.49
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$4,968.49
Rate for Payer: Managed Health Services Medicaid	$4,968.49
Rate for Payer: MDWise Medicaid	$4,968.49

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

Facility

$3,933.73

Service Code	APR-DRG 7941
Min. Negotiated Rate	$2,854.24
Max. Negotiated Rate	$3,933.73
Rate for Payer: Anthem Blue Cross of IN Medicaid	$2,854.24
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$2,854.24
Rate for Payer: Managed Health Services Medicaid	$2,854.24
Rate for Payer: MDWise Medicaid	$2,854.24

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

Facility

$5,317.02

Service Code	APR-DRG 7942
Min. Negotiated Rate	$3,418.04
Max. Negotiated Rate	$5,317.02
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: NONEXTENSIVE PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS

Facility

$4,409.24

Service Code	APR-DRG 9521
Min. Negotiated Rate	$3,030.43
Max. Negotiated Rate	$4,409.24
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: NONEXTENSIVE PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS

Facility

$9,466.89

Service Code	APR-DRG 9523
Min. Negotiated Rate	$6,695.12
Max. Negotiated Rate	$9,466.89
Rate for Payer: Anthem Blue Cross of IN Medicaid	$6,695.12
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$6,695.12
Rate for Payer: Managed Health Services Medicaid	$6,695.12
Rate for Payer: MDWise Medicaid	$6,695.12

APR-DRG 36.00: NONEXTENSIVE PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS

Facility

$6,224.80

Service Code	APR-DRG 9522
Min. Negotiated Rate	$4,475.16
Max. Negotiated Rate	$6,224.80
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: NONEXTENSIVE PROCEDURE UNRELATED TO PRINCIPAL DIAGNOSIS

Facility

$16,469.79

Service Code	APR-DRG 9524
Min. Negotiated Rate	$10,888.39
Max. Negotiated Rate	$16,469.79
Rate for Payer: Anthem Blue Cross of IN Medicaid	$10,888.39
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$10,888.39
Rate for Payer: Managed Health Services Medicaid	$10,888.39
Rate for Payer: MDWise Medicaid	$10,888.39

APR-DRG 36.00: NONHYPOVOLEMIC SODIUM DISORDERS

Facility

$7,867.46

Service Code	APR-DRG 4264
Min. Negotiated Rate	$5,320.86
Max. Negotiated Rate	$7,867.46
Rate for Payer: Anthem Blue Cross of IN Medicaid	$5,320.86
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$5,320.86
Rate for Payer: Managed Health Services Medicaid	$5,320.86
Rate for Payer: MDWise Medicaid	$5,320.86

APR-DRG 36.00: NONHYPOVOLEMIC SODIUM DISORDERS

Facility

$2,325.68

Service Code	APR-DRG 4261
Min. Negotiated Rate	$2,161.39
Max. Negotiated Rate	$2,325.68
Rate for Payer: Anthem Blue Cross of IN Medicaid	$2,325.68
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$2,325.68
Rate for Payer: Managed Health Services Medicaid	$2,325.68
Rate for Payer: MDWise Medicaid	$2,325.68

APR-DRG 36.00: NONHYPOVOLEMIC SODIUM DISORDERS

Facility

$2,896.26

Service Code	APR-DRG 4262
Min. Negotiated Rate	$2,325.68
Max. Negotiated Rate	$2,896.26
Rate for Payer: Anthem Blue Cross of IN Medicaid	$2,325.68
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$2,325.68
Rate for Payer: Managed Health Services Medicaid	$2,325.68
Rate for Payer: MDWise Medicaid	$2,325.68

APR-DRG 36.00: NONHYPOVOLEMIC SODIUM DISORDERS

Facility

$4,452.46

Service Code	APR-DRG 4263
Min. Negotiated Rate	$3,840.89
Max. Negotiated Rate	$4,452.46
Rate for Payer: Anthem Blue Cross of IN Medicaid	$3,840.89
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$3,840.89
Rate for Payer: Managed Health Services Medicaid	$3,840.89
Rate for Payer: MDWise Medicaid	$3,840.89

APR-DRG 36.00: NONSPECIFIC CVA & PRECEREBRAL OCCLUSION W/O INFARCT

Facility

$4,322.78

Service Code	APR-DRG 0462
Min. Negotiated Rate	$3,030.43
Max. Negotiated Rate	$4,322.78
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: NONSPECIFIC CVA & PRECEREBRAL OCCLUSION W/O INFARCT

Facility

$3,501.45

Service Code	APR-DRG 0461
Min. Negotiated Rate	$3,030.43
Max. Negotiated Rate	$3,501.45
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: NONSPECIFIC CVA & PRECEREBRAL OCCLUSION W/O INFARCT

Facility

$5,619.61

Service Code	APR-DRG 0463
Min. Negotiated Rate	$3,030.43
Max. Negotiated Rate	$5,619.61
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: NONSPECIFIC CVA & PRECEREBRAL OCCLUSION W/O INFARCT

Facility

$10,115.31

Service Code	APR-DRG 0464
Min. Negotiated Rate	$3,030.43
Max. Negotiated Rate	$10,115.31
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: OPIOID ABUSE & DEPENDENCE

Facility

$8,386.19

Service Code	APR-DRG 7734
Min. Negotiated Rate	$5,250.39
Max. Negotiated Rate	$8,386.19
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: OPIOID ABUSE & DEPENDENCE

Facility

$3,933.73

Service Code	APR-DRG 7733
Min. Negotiated Rate	$2,360.91
Max. Negotiated Rate	$3,933.73
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: OPIOID ABUSE & DEPENDENCE

Facility

$1,515.21

Service Code	APR-DRG 7731
Min. Negotiated Rate	$1,383.29
Max. Negotiated Rate	$1,515.21
Rate for Payer: Anthem Blue Cross of IN Medicaid	$1,515.21
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$1,515.21
Rate for Payer: Managed Health Services Medicaid	$1,515.21
Rate for Payer: MDWise Medicaid	$1,515.21

APR-DRG 36.00: OPIOID ABUSE & DEPENDENCE

Facility

$2,031.71

Service Code	APR-DRG 7732
Min. Negotiated Rate	$1,797.11
Max. Negotiated Rate	$2,031.71
Rate for Payer: Anthem Blue Cross of IN Medicaid	$1,797.11
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$1,797.11
Rate for Payer: Managed Health Services Medicaid	$1,797.11
Rate for Payer: MDWise Medicaid	$1,797.11

APR-DRG 36.00: ORBIT AND EYE PROCEDURES

Facility

$4,452.46

Service Code	APR-DRG 0731
Min. Negotiated Rate	$3,558.99
Max. Negotiated Rate	$4,452.46
Rate for Payer: Anthem Blue Cross of IN Medicaid	$3,558.99
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$3,558.99
Rate for Payer: Managed Health Services Medicaid	$3,558.99
Rate for Payer: MDWise Medicaid	$3,558.99

APR-DRG 36.00: ORBIT AND EYE PROCEDURES

Facility

$8,991.38

Service Code	APR-DRG 0733
Min. Negotiated Rate	$6,624.65
Max. Negotiated Rate	$8,991.38
Rate for Payer: Anthem Blue Cross of IN Medicaid	$6,624.65
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$6,624.65
Rate for Payer: Managed Health Services Medicaid	$6,624.65
Rate for Payer: MDWise Medicaid	$6,624.65

Know your out-of-pocket cost for care.

All Charges