Cameron Memorial Community Hospital

All Charges

Charge

Type

Setting

Price

APR-DRG 36.00: OTHER DIGESTIVE SYSTEM & ABDOMINAL PROCEDURES

Facility

$17,377.58

Service Code	APR-DRG 2294
Min. Negotiated Rate	$13,249.30
Max. Negotiated Rate	$17,377.58
Rate for Payer: Anthem Blue Cross of IN Medicaid	$13,249.30
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$13,249.30
Rate for Payer: Managed Health Services Medicaid	$13,249.30
Rate for Payer: MDWise Medicaid	$13,249.30

APR-DRG 36.00: OTHER DIGESTIVE SYSTEM & ABDOMINAL PROCEDURES

Facility

$5,144.11

Service Code	APR-DRG 2291
Min. Negotiated Rate	$4,122.79
Max. Negotiated Rate	$5,144.11
Rate for Payer: Anthem Blue Cross of IN Medicaid	$4,122.79
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$4,122.79
Rate for Payer: Managed Health Services Medicaid	$4,122.79
Rate for Payer: MDWise Medicaid	$4,122.79

APR-DRG 36.00: OTHER DIGESTIVE SYSTEM & ABDOMINAL PROCEDURES

Facility

$7,305.50

Service Code	APR-DRG 2292
Min. Negotiated Rate	$4,580.88
Max. Negotiated Rate	$7,305.50
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 DIGESTIVE SYSTEM & ABDOMINAL PROCEDURES

Facility

$10,850.18

Service Code	APR-DRG 2293
Min. Negotiated Rate	$7,258.93
Max. Negotiated Rate	$10,850.18
Rate for Payer: Anthem Blue Cross of IN Medicaid	$7,258.93
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$7,258.93
Rate for Payer: Managed Health Services Medicaid	$7,258.93
Rate for Payer: MDWise Medicaid	$7,258.93

APR-DRG 36.00: OTHER DIGESTIVE SYSTEM DIAGNOSES

Facility

$3,558.99

Service Code	APR-DRG 2542
Min. Negotiated Rate	$3,415.00
Max. Negotiated Rate	$3,558.99
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: OTHER DIGESTIVE SYSTEM DIAGNOSES

Facility

$9,514.12

Service Code	APR-DRG 2544
Min. Negotiated Rate	$8,602.33
Max. Negotiated Rate	$9,514.12
Rate for Payer: Anthem Blue Cross of IN Medicaid	$9,514.12
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$9,514.12
Rate for Payer: Managed Health Services Medicaid	$9,514.12
Rate for Payer: MDWise Medicaid	$9,514.12

APR-DRG 36.00: OTHER DIGESTIVE SYSTEM DIAGNOSES

Facility

$5,100.88

Service Code	APR-DRG 2543
Min. Negotiated Rate	$4,862.77
Max. Negotiated Rate	$5,100.88
Rate for Payer: Anthem Blue Cross of IN Medicaid	$4,862.77
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$4,862.77
Rate for Payer: Managed Health Services Medicaid	$4,862.77
Rate for Payer: MDWise Medicaid	$4,862.77

APR-DRG 36.00: OTHER DIGESTIVE SYSTEM DIAGNOSES

Facility

$3,065.66

Service Code	APR-DRG 2541
Min. Negotiated Rate	$2,636.90
Max. Negotiated Rate	$3,065.66
Rate for Payer: Anthem Blue Cross of IN Medicaid	$3,065.66
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$3,065.66
Rate for Payer: Managed Health Services Medicaid	$3,065.66
Rate for Payer: MDWise Medicaid	$3,065.66

APR-DRG 36.00: OTHER DISORDERS OF NERVOUS SYSTEM

Facility

$11,698.85

Service Code	APR-DRG 0584
Min. Negotiated Rate	$9,596.57
Max. Negotiated Rate	$11,698.85
Rate for Payer: Anthem Blue Cross of IN Medicaid	$11,698.85
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$11,698.85
Rate for Payer: Managed Health Services Medicaid	$11,698.85
Rate for Payer: MDWise Medicaid	$11,698.85

APR-DRG 36.00: OTHER DISORDERS OF NERVOUS SYSTEM

Facility

$4,193.26

Service Code	APR-DRG 0581
Min. Negotiated Rate	$3,544.68
Max. Negotiated Rate	$4,193.26
Rate for Payer: Anthem Blue Cross of IN Medicaid	$4,193.26
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$4,193.26
Rate for Payer: Managed Health Services Medicaid	$4,193.26
Rate for Payer: MDWise Medicaid	$4,193.26

APR-DRG 36.00: OTHER DISORDERS OF NERVOUS SYSTEM

Facility

$7,540.82

Service Code	APR-DRG 0583
Min. Negotiated Rate	$7,132.59
Max. Negotiated Rate	$7,540.82
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: OTHER DISORDERS OF NERVOUS SYSTEM

Facility

$6,025.61

Service Code	APR-DRG 0582
Min. Negotiated Rate	$5,144.11
Max. Negotiated Rate	$6,025.61
Rate for Payer: Anthem Blue Cross of IN Medicaid	$6,025.61
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$6,025.61
Rate for Payer: Managed Health Services Medicaid	$6,025.61
Rate for Payer: MDWise Medicaid	$6,025.61

APR-DRG 36.00: OTHER DISORDERS OF THE LIVER

Facility

$10,072.08

Service Code	APR-DRG 2834
Min. Negotiated Rate	$6,342.75
Max. Negotiated Rate	$10,072.08
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 DISORDERS OF THE LIVER

Facility

$3,544.68

Service Code	APR-DRG 2832
Min. Negotiated Rate	$3,030.43
Max. Negotiated Rate	$3,544.68
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: OTHER DISORDERS OF THE LIVER

Facility

$2,550.44

Service Code	APR-DRG 2831
Min. Negotiated Rate	$2,184.72
Max. Negotiated Rate	$2,550.44
Rate for Payer: Anthem Blue Cross of IN Medicaid	$2,184.72
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$2,184.72
Rate for Payer: Managed Health Services Medicaid	$2,184.72
Rate for Payer: MDWise Medicaid	$2,184.72

APR-DRG 36.00: OTHER DISORDERS OF THE LIVER

Facility

$5,403.48

Service Code	APR-DRG 2833
Min. Negotiated Rate	$3,946.60
Max. Negotiated Rate	$5,403.48
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: OTHER DRUG ABUSE & DEPENDENCE

Facility

$2,161.39

Service Code	APR-DRG 7762
Min. Negotiated Rate	$1,761.88
Max. Negotiated Rate	$2,161.39
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 DRUG ABUSE & DEPENDENCE

Facility

$1,761.88

Service Code	APR-DRG 7761
Min. Negotiated Rate	$1,599.43
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 DRUG ABUSE & DEPENDENCE

Facility

$4,106.64

Service Code	APR-DRG 7763
Min. Negotiated Rate	$2,149.49
Max. Negotiated Rate	$4,106.64
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: OTHER DRUG ABUSE & DEPENDENCE

Facility

$7,824.23

Service Code	APR-DRG 7764
Min. Negotiated Rate	$3,735.18
Max. Negotiated Rate	$7,824.23
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: OTHER EAR, NOSE, MOUTH,THROAT & CRANIAL/FACIAL DIAGNOSES

Facility

$3,458.22

Service Code	APR-DRG 1152
Min. Negotiated Rate	$3,241.85
Max. Negotiated Rate	$3,458.22
Rate for Payer: Anthem Blue Cross of IN Medicaid	$3,241.85
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$3,241.85
Rate for Payer: Managed Health Services Medicaid	$3,241.85
Rate for Payer: MDWise Medicaid	$3,241.85

APR-DRG 36.00: OTHER EAR, NOSE, MOUTH,THROAT & CRANIAL/FACIAL DIAGNOSES

Facility

$5,602.76

Service Code	APR-DRG 1153
Min. Negotiated Rate	$5,144.11
Max. Negotiated Rate	$5,602.76
Rate for Payer: Anthem Blue Cross of IN Medicaid	$5,602.76
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$5,602.76
Rate for Payer: Managed Health Services Medicaid	$5,602.76
Rate for Payer: MDWise Medicaid	$5,602.76

APR-DRG 36.00: OTHER EAR, NOSE, MOUTH,THROAT & CRANIAL/FACIAL DIAGNOSES

Facility

$9,553.34

Service Code	APR-DRG 1154
Min. Negotiated Rate	$6,659.89
Max. Negotiated Rate	$9,553.34
Rate for Payer: Anthem Blue Cross of IN Medicaid	$6,659.89
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$6,659.89
Rate for Payer: Managed Health Services Medicaid	$6,659.89
Rate for Payer: MDWise Medicaid	$6,659.89

APR-DRG 36.00: OTHER EAR, NOSE, MOUTH,THROAT & CRANIAL/FACIAL DIAGNOSES

Facility

$3,241.85

Service Code	APR-DRG 1151
Min. Negotiated Rate	$2,334.30
Max. Negotiated Rate	$3,241.85
Rate for Payer: Anthem Blue Cross of IN Medicaid	$3,241.85
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$3,241.85
Rate for Payer: Managed Health Services Medicaid	$3,241.85
Rate for Payer: MDWise Medicaid	$3,241.85

APR-DRG 36.00: OTHER EAR, NOSE, MOUTH & THROAT PROCEDURES

Facility

$16,772.39

Service Code	APR-DRG 0984
Min. Negotiated Rate	$13,249.30
Max. Negotiated Rate	$16,772.39
Rate for Payer: Anthem Blue Cross of IN Medicaid	$13,249.30
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$13,249.30
Rate for Payer: Managed Health Services Medicaid	$13,249.30
Rate for Payer: MDWise Medicaid	$13,249.30

Know your out-of-pocket cost for care.

All Charges