Cameron Memorial Community Hospital

All Charges

Charge

Type

Setting

Price

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

APR-DRG 36.00: ORBIT AND EYE PROCEDURES

Facility

$15,951.06

Service Code	APR-DRG 0734
Min. Negotiated Rate	$6,624.65
Max. Negotiated Rate	$15,951.06
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

APR-DRG 36.00: ORGANIC MENTAL HEALTH DISTURBANCES

Facility

$5,100.88

Service Code	APR-DRG 7573
Min. Negotiated Rate	$2,537.10
Max. Negotiated Rate	$5,100.88
Rate for Payer: Anthem Blue Cross of IN Medicaid	$2,537.10
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$2,537.10
Rate for Payer: Managed Health Services Medicaid	$2,537.10
Rate for Payer: MDWise Medicaid	$2,537.10

APR-DRG 36.00: ORGANIC MENTAL HEALTH DISTURBANCES

Facility

$2,377.53

Service Code	APR-DRG 7571
Min. Negotiated Rate	$1,550.45
Max. Negotiated Rate	$2,377.53
Rate for Payer: Anthem Blue Cross of IN Medicaid	$1,550.45
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$1,550.45
Rate for Payer: Managed Health Services Medicaid	$1,550.45
Rate for Payer: MDWise Medicaid	$1,550.45

APR-DRG 36.00: ORGANIC MENTAL HEALTH DISTURBANCES

Facility

$12,536.06

Service Code	APR-DRG 7574
Min. Negotiated Rate	$6,800.84
Max. Negotiated Rate	$12,536.06
Rate for Payer: Anthem Blue Cross of IN Medicaid	$6,800.84
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$6,800.84
Rate for Payer: Managed Health Services Medicaid	$6,800.84
Rate for Payer: MDWise Medicaid	$6,800.84

APR-DRG 36.00: ORGANIC MENTAL HEALTH DISTURBANCES

Facility

$3,544.68

Service Code	APR-DRG 7572
Min. Negotiated Rate	$2,008.54
Max. Negotiated Rate	$3,544.68
Rate for Payer: Anthem Blue Cross of IN Medicaid	$2,008.54
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$2,008.54
Rate for Payer: Managed Health Services Medicaid	$2,008.54
Rate for Payer: MDWise Medicaid	$2,008.54

APR-DRG 36.00: OSTEOMYELITIS, SEPTIC ARTHRITIS & OTHER MUSCULOSKELETAL INFECTIONS

Facility

$10,712.20

Service Code	APR-DRG 3444
Min. Negotiated Rate	$10,115.31
Max. Negotiated Rate	$10,712.20
Rate for Payer: Anthem Blue Cross of IN Medicaid	$10,712.20
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$10,712.20
Rate for Payer: Managed Health Services Medicaid	$10,712.20
Rate for Payer: MDWise Medicaid	$10,712.20

APR-DRG 36.00: OSTEOMYELITIS, SEPTIC ARTHRITIS & OTHER MUSCULOSKELETAL INFECTIONS

Facility

$4,279.55

Service Code	APR-DRG 3442
Min. Negotiated Rate	$4,158.02
Max. Negotiated Rate	$4,279.55
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: OSTEOMYELITIS, SEPTIC ARTHRITIS & OTHER MUSCULOSKELETAL INFECTIONS

Facility

$6,354.49

Service Code	APR-DRG 3443
Min. Negotiated Rate	$6,201.80
Max. Negotiated Rate	$6,354.49
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: OSTEOMYELITIS, SEPTIC ARTHRITIS & OTHER MUSCULOSKELETAL INFECTIONS

Facility

$3,453.28

Service Code	APR-DRG 3441
Min. Negotiated Rate	$3,198.86
Max. Negotiated Rate	$3,453.28
Rate for Payer: Anthem Blue Cross of IN Medicaid	$3,453.28
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$3,453.28
Rate for Payer: Managed Health Services Medicaid	$3,453.28
Rate for Payer: MDWise Medicaid	$3,453.28

APR-DRG 36.00: OTHER AFTERCARE & CONVALESCENCE

Facility

$4,580.88

Service Code	APR-DRG 8621
Min. Negotiated Rate	$1,685.88
Max. Negotiated Rate	$4,580.88
Rate for Payer: Anthem Blue Cross of IN Medicaid	$4,580.88
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$4,580.88
Rate for Payer: Managed Health Services Medicaid	$4,580.88
Rate for Payer: MDWise Medicaid	$4,580.88

APR-DRG 36.00: OTHER AFTERCARE & CONVALESCENCE

Facility

$5,884.66

Service Code	APR-DRG 8622
Min. Negotiated Rate	$3,847.27
Max. Negotiated Rate	$5,884.66
Rate for Payer: Anthem Blue Cross of IN Medicaid	$5,884.66
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$5,884.66
Rate for Payer: Managed Health Services Medicaid	$5,884.66
Rate for Payer: MDWise Medicaid	$5,884.66

APR-DRG 36.00: OTHER AFTERCARE & CONVALESCENCE

Facility

$11,593.14

Service Code	APR-DRG 8624
Min. Negotiated Rate	$4,884.74
Max. Negotiated Rate	$11,593.14
Rate for Payer: Anthem Blue Cross of IN Medicaid	$11,593.14
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$11,593.14
Rate for Payer: Managed Health Services Medicaid	$11,593.14
Rate for Payer: MDWise Medicaid	$11,593.14

APR-DRG 36.00: OTHER AFTERCARE & CONVALESCENCE

Facility

$8,386.52

Service Code	APR-DRG 8623
Min. Negotiated Rate	$4,884.74
Max. Negotiated Rate	$8,386.52
Rate for Payer: Anthem Blue Cross of IN Medicaid	$8,386.52
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$8,386.52
Rate for Payer: Managed Health Services Medicaid	$8,386.52
Rate for Payer: MDWise Medicaid	$8,386.52

APR-DRG 36.00: OTHER ANEMIA & DISORDERS OF BLOOD & BLOODFORMING ORGANS

Facility

$3,371.77

Service Code	APR-DRG 6632
Min. Negotiated Rate	$3,100.90
Max. Negotiated Rate	$3,371.77
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: OTHER ANEMIA & DISORDERS OF BLOOD & BLOODFORMING ORGANS

Facility

$4,755.06

Service Code	APR-DRG 6633
Min. Negotiated Rate	$3,629.46
Max. Negotiated Rate	$4,755.06
Rate for Payer: Anthem Blue Cross of IN Medicaid	$3,629.46
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$3,629.46
Rate for Payer: Managed Health Services Medicaid	$3,629.46
Rate for Payer: MDWise Medicaid	$3,629.46

APR-DRG 36.00: OTHER ANEMIA & DISORDERS OF BLOOD & BLOODFORMING ORGANS

Facility

$2,431.39

Service Code	APR-DRG 6631
Min. Negotiated Rate	$2,420.76
Max. Negotiated Rate	$2,431.39
Rate for Payer: Anthem Blue Cross of IN Medicaid	$2,431.39
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$2,431.39
Rate for Payer: Managed Health Services Medicaid	$2,431.39
Rate for Payer: MDWise Medicaid	$2,431.39

APR-DRG 36.00: OTHER ANEMIA & DISORDERS OF BLOOD & BLOODFORMING ORGANS

Facility

$8,342.97

Service Code	APR-DRG 6634
Min. Negotiated Rate	$4,757.06
Max. Negotiated Rate	$8,342.97
Rate for Payer: Anthem Blue Cross of IN Medicaid	$4,757.06
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$4,757.06
Rate for Payer: Managed Health Services Medicaid	$4,757.06
Rate for Payer: MDWise Medicaid	$4,757.06

APR-DRG 36.00: OTHER ANTEPARTUM DIAGNOSES

Facility

$2,325.68

Service Code	APR-DRG 5662
Min. Negotiated Rate	$1,902.02
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: OTHER ANTEPARTUM DIAGNOSES

Facility

$3,501.45

Service Code	APR-DRG 5663
Min. Negotiated Rate	$2,642.81
Max. Negotiated Rate	$3,501.45
Rate for Payer: Anthem Blue Cross of IN Medicaid	$2,642.81
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$2,642.81
Rate for Payer: Managed Health Services Medicaid	$2,642.81
Rate for Payer: MDWise Medicaid	$2,642.81

APR-DRG 36.00: OTHER ANTEPARTUM DIAGNOSES

Facility

$7,305.50

Service Code	APR-DRG 5664
Min. Negotiated Rate	$4,686.59
Max. Negotiated Rate	$7,305.50
Rate for Payer: Anthem Blue Cross of IN Medicaid	$4,686.59
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$4,686.59
Rate for Payer: Managed Health Services Medicaid	$4,686.59
Rate for Payer: MDWise Medicaid	$4,686.59

APR-DRG 36.00: OTHER ANTEPARTUM DIAGNOSES

Facility

$1,761.88

Service Code	APR-DRG 5661
Min. Negotiated Rate	$1,296.83
Max. Negotiated Rate	$1,761.88
Rate for Payer: Anthem Blue Cross of IN Medicaid	$1,761.88
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$1,761.88
Rate for Payer: Managed Health Services Medicaid	$1,761.88
Rate for Payer: MDWise Medicaid	$1,761.88

APR-DRG 36.00: OTHER BACK & NECK DISORDERS, FRACTURES & INJURIES

Facility

$6,342.75

Service Code	APR-DRG 3473
Min. Negotiated Rate	$5,619.61
Max. Negotiated Rate	$6,342.75
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: OTHER BACK & NECK DISORDERS, FRACTURES & INJURIES

Facility

$9,293.98

Service Code	APR-DRG 3474
Min. Negotiated Rate	$6,342.75
Max. Negotiated Rate	$9,293.98
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: OTHER BACK & NECK DISORDERS, FRACTURES & INJURIES

Facility

$5,461.81

Service Code	APR-DRG 3471
Min. Negotiated Rate	$3,112.40
Max. Negotiated Rate	$5,461.81
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

Know your out-of-pocket cost for care.

All Charges