Cameron Memorial Community Hospital

All Charges

Charge

Type

Setting

Price

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

Facility

$4,106.64

Service Code	APR-DRG 0981
Min. Negotiated Rate	$3,241.85
Max. Negotiated Rate	$4,106.64
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

$10,461.13

Service Code	APR-DRG 0983
Min. Negotiated Rate	$7,399.88
Max. Negotiated Rate	$10,461.13
Rate for Payer: Anthem Blue Cross of IN Medicaid	$7,399.88
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$7,399.88
Rate for Payer: Managed Health Services Medicaid	$7,399.88
Rate for Payer: MDWise Medicaid	$7,399.88

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

APR-DRG 36.00: OTHER ENDOCRINE DISORDERS

Facility

$9,164.29

Service Code	APR-DRG 4244
Min. Negotiated Rate	$5,602.76
Max. Negotiated Rate	$9,164.29
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 ENDOCRINE DISORDERS

Facility

$5,662.84

Service Code	APR-DRG 4243
Min. Negotiated Rate	$5,356.10
Max. Negotiated Rate	$5,662.84
Rate for Payer: Anthem Blue Cross of IN Medicaid	$5,356.10
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$5,356.10
Rate for Payer: Managed Health Services Medicaid	$5,356.10
Rate for Payer: MDWise Medicaid	$5,356.10

APR-DRG 36.00: OTHER ENDOCRINE DISORDERS

Facility

$3,760.82

Service Code	APR-DRG 4242
Min. Negotiated Rate	$3,206.61
Max. Negotiated Rate	$3,760.82
Rate for Payer: Anthem Blue Cross of IN Medicaid	$3,206.61
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$3,206.61
Rate for Payer: Managed Health Services Medicaid	$3,206.61
Rate for Payer: MDWise Medicaid	$3,206.61

APR-DRG 36.00: OTHER ENDOCRINE DISORDERS

Facility

$2,783.76

Service Code	APR-DRG 4241
Min. Negotiated Rate	$2,593.67
Max. Negotiated Rate	$2,783.76
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: OTHER ESOPHAGEAL DISORDERS

Facility

$5,057.65

Service Code	APR-DRG 2433
Min. Negotiated Rate	$4,122.79
Max. Negotiated Rate	$5,057.65
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 ESOPHAGEAL DISORDERS

Facility

$3,587.91

Service Code	APR-DRG 2432
Min. Negotiated Rate	$2,889.47
Max. Negotiated Rate	$3,587.91
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: OTHER ESOPHAGEAL DISORDERS

Facility

$2,766.58

Service Code	APR-DRG 2431
Min. Negotiated Rate	$1,761.88
Max. Negotiated Rate	$2,766.58
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 ESOPHAGEAL DISORDERS

Facility

$9,337.20

Service Code	APR-DRG 2434
Min. Negotiated Rate	$6,307.51
Max. Negotiated Rate	$9,337.20
Rate for Payer: Anthem Blue Cross of IN Medicaid	$6,307.51
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$6,307.51
Rate for Payer: Managed Health Services Medicaid	$6,307.51
Rate for Payer: MDWise Medicaid	$6,307.51

APR-DRG 36.00: OTHER FEMALE REPRODUCTIVE SYSTEM & RELATED PROCEDURES

Facility

$6,613.85

Service Code	APR-DRG 5182
Min. Negotiated Rate	$4,721.82
Max. Negotiated Rate	$6,613.85
Rate for Payer: Anthem Blue Cross of IN Medicaid	$4,721.82
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$4,721.82
Rate for Payer: Managed Health Services Medicaid	$4,721.82
Rate for Payer: MDWise Medicaid	$4,721.82

APR-DRG 36.00: OTHER FEMALE REPRODUCTIVE SYSTEM & RELATED PROCEDURES

Facility

$3,976.96

Service Code	APR-DRG 5181
Min. Negotiated Rate	$3,629.46
Max. Negotiated Rate	$3,976.96
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 FEMALE REPRODUCTIVE SYSTEM & RELATED PROCEDURES

Facility

$17,334.35

Service Code	APR-DRG 5184
Min. Negotiated Rate	$8,527.48
Max. Negotiated Rate	$17,334.35
Rate for Payer: Anthem Blue Cross of IN Medicaid	$8,527.48
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$8,527.48
Rate for Payer: Managed Health Services Medicaid	$8,527.48
Rate for Payer: MDWise Medicaid	$8,527.48

APR-DRG 36.00: OTHER FEMALE REPRODUCTIVE SYSTEM & RELATED PROCEDURES

Facility

$10,461.13

Service Code	APR-DRG 5183
Min. Negotiated Rate	$7,470.35
Max. Negotiated Rate	$10,461.13
Rate for Payer: Anthem Blue Cross of IN Medicaid	$7,470.35
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$7,470.35
Rate for Payer: Managed Health Services Medicaid	$7,470.35
Rate for Payer: MDWise Medicaid	$7,470.35

APR-DRG 36.00: OTHER GASTROENTERITIS, NAUSEA & VOMITING

Facility

$7,651.32

Service Code	APR-DRG 2494
Min. Negotiated Rate	$5,144.68
Max. Negotiated Rate	$7,651.32
Rate for Payer: Anthem Blue Cross of IN Medicaid	$5,144.68
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$5,144.68
Rate for Payer: Managed Health Services Medicaid	$5,144.68
Rate for Payer: MDWise Medicaid	$5,144.68

APR-DRG 36.00: OTHER GASTROENTERITIS, NAUSEA & VOMITING

Facility

$4,149.87

Service Code	APR-DRG 2493
Min. Negotiated Rate	$3,312.32
Max. Negotiated Rate	$4,149.87
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: OTHER GASTROENTERITIS, NAUSEA & VOMITING

Facility

$2,247.85

Service Code	APR-DRG 2491
Min. Negotiated Rate	$1,832.35
Max. Negotiated Rate	$2,247.85
Rate for Payer: Anthem Blue Cross of IN Medicaid	$1,832.35
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$1,832.35
Rate for Payer: Managed Health Services Medicaid	$1,832.35
Rate for Payer: MDWise Medicaid	$1,832.35

APR-DRG 36.00: OTHER GASTROENTERITIS, NAUSEA & VOMITING

Facility

$2,809.81

Service Code	APR-DRG 2492
Min. Negotiated Rate	$2,466.62
Max. Negotiated Rate	$2,809.81
Rate for Payer: Anthem Blue Cross of IN Medicaid	$2,466.62
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$2,466.62
Rate for Payer: Managed Health Services Medicaid	$2,466.62
Rate for Payer: MDWise Medicaid	$2,466.62

APR-DRG 36.00: OTHER HEPATOBILIARY, PANCREAS & ABDOMINAL PROCEDURES

Facility

$10,936.63

Service Code	APR-DRG 2643
Min. Negotiated Rate	$7,717.01
Max. Negotiated Rate	$10,936.63
Rate for Payer: Anthem Blue Cross of IN Medicaid	$7,717.01
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$7,717.01
Rate for Payer: Managed Health Services Medicaid	$7,717.01
Rate for Payer: MDWise Medicaid	$7,717.01

APR-DRG 36.00: OTHER HEPATOBILIARY, PANCREAS & ABDOMINAL PROCEDURES

Facility

$5,792.53

Service Code	APR-DRG 2641
Min. Negotiated Rate	$4,651.35
Max. Negotiated Rate	$5,792.53
Rate for Payer: Anthem Blue Cross of IN Medicaid	$4,651.35
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$4,651.35
Rate for Payer: Managed Health Services Medicaid	$4,651.35
Rate for Payer: MDWise Medicaid	$4,651.35

APR-DRG 36.00: OTHER HEPATOBILIARY, PANCREAS & ABDOMINAL PROCEDURES

Facility

$7,305.50

Service Code	APR-DRG 2642
Min. Negotiated Rate	$4,757.06
Max. Negotiated Rate	$7,305.50
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 HEPATOBILIARY, PANCREAS & ABDOMINAL PROCEDURES

Facility

$19,668.65

Service Code	APR-DRG 2644
Min. Negotiated Rate	$18,464.45
Max. Negotiated Rate	$19,668.65
Rate for Payer: Anthem Blue Cross of IN Medicaid	$18,464.45
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$18,464.45
Rate for Payer: Managed Health Services Medicaid	$18,464.45
Rate for Payer: MDWise Medicaid	$18,464.45

APR-DRG 36.00: OTHER INFECTIOUS & PARASITIC DISEASES

Facility

$6,554.18

Service Code	APR-DRG 7243
Min. Negotiated Rate	$5,360.25
Max. Negotiated Rate	$6,554.18
Rate for Payer: Anthem Blue Cross of IN Medicaid	$6,554.18
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$6,554.18
Rate for Payer: Managed Health Services Medicaid	$6,554.18
Rate for Payer: MDWise Medicaid	$6,554.18

APR-DRG 36.00: OTHER INFECTIOUS & PARASITIC DISEASES

Facility

$10,547.58

Service Code	APR-DRG 7244
Min. Negotiated Rate	$8,280.81
Max. Negotiated Rate	$10,547.58
Rate for Payer: Anthem Blue Cross of IN Medicaid	$8,280.81
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$8,280.81
Rate for Payer: Managed Health Services Medicaid	$8,280.81
Rate for Payer: MDWise Medicaid	$8,280.81

Know your out-of-pocket cost for care.

All Charges