Cameron Memorial Community Hospital

All Charges

Charge

Type

Setting

Price

APR-DRG 36.00: OTHER MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE DIAGNOSES

Facility

$5,814.19

Service Code	APR-DRG 3511
Min. Negotiated Rate	$2,550.44
Max. Negotiated Rate	$5,814.19
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: OTHER MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE PROCEDURES

Facility

$7,262.27

Service Code	APR-DRG 3202
Min. Negotiated Rate	$6,695.12
Max. Negotiated Rate	$7,262.27
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: OTHER MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE PROCEDURES

Facility

$5,187.34

Service Code	APR-DRG 3201
Min. Negotiated Rate	$5,109.44
Max. Negotiated Rate	$5,187.34
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: OTHER MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE PROCEDURES

Facility

$10,461.13

Service Code	APR-DRG 3203
Min. Negotiated Rate	$6,695.12
Max. Negotiated Rate	$10,461.13
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: OTHER MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE PROCEDURES

Facility

$15,951.06

Service Code	APR-DRG 3204
Min. Negotiated Rate	$10,606.49
Max. Negotiated Rate	$15,951.06
Rate for Payer: Anthem Blue Cross of IN Medicaid	$10,606.49
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$10,606.49
Rate for Payer: Managed Health Services Medicaid	$10,606.49
Rate for Payer: MDWise Medicaid	$10,606.49

APR-DRG 36.00: OTHER NERVOUS SYSTEM & RELATED PROCEDURES

Facility

$12,060.56

Service Code	APR-DRG 0263
Min. Negotiated Rate	$7,435.11
Max. Negotiated Rate	$12,060.56
Rate for Payer: Anthem Blue Cross of IN Medicaid	$7,435.11
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$7,435.11
Rate for Payer: Managed Health Services Medicaid	$7,435.11
Rate for Payer: MDWise Medicaid	$7,435.11

APR-DRG 36.00: OTHER NERVOUS SYSTEM & RELATED PROCEDURES

Facility

$18,890.55

Service Code	APR-DRG 0264
Min. Negotiated Rate	$12,544.55
Max. Negotiated Rate	$18,890.55
Rate for Payer: Anthem Blue Cross of IN Medicaid	$12,544.55
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$12,544.55
Rate for Payer: Managed Health Services Medicaid	$12,544.55
Rate for Payer: MDWise Medicaid	$12,544.55

APR-DRG 36.00: OTHER NERVOUS SYSTEM & RELATED PROCEDURES

Facility

$6,095.12

Service Code	APR-DRG 0261
Min. Negotiated Rate	$4,686.59
Max. Negotiated Rate	$6,095.12
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 NERVOUS SYSTEM & RELATED PROCEDURES

Facility

$9,077.84

Service Code	APR-DRG 0262
Min. Negotiated Rate	$7,047.50
Max. Negotiated Rate	$9,077.84
Rate for Payer: Anthem Blue Cross of IN Medicaid	$7,047.50
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$7,047.50
Rate for Payer: Managed Health Services Medicaid	$7,047.50
Rate for Payer: MDWise Medicaid	$7,047.50

APR-DRG 36.00: OTHER NONHYPOVOLEMIC ELECTROLYTE DISORDERS

Facility

$2,766.58

Service Code	APR-DRG 4252
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 NONHYPOVOLEMIC ELECTROLYTE DISORDERS

Facility

$7,997.14

Service Code	APR-DRG 4254
Min. Negotiated Rate	$4,475.16
Max. Negotiated Rate	$7,997.14
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: OTHER NONHYPOVOLEMIC ELECTROLYTE DISORDERS

Facility

$4,063.41

Service Code	APR-DRG 4253
Min. Negotiated Rate	$2,854.24
Max. Negotiated Rate	$4,063.41
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: OTHER NONHYPOVOLEMIC ELECTROLYTE DISORDERS

Facility

$2,074.93

Service Code	APR-DRG 4251
Min. Negotiated Rate	$1,726.64
Max. Negotiated Rate	$2,074.93
Rate for Payer: Anthem Blue Cross of IN Medicaid	$1,726.64
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$1,726.64
Rate for Payer: Managed Health Services Medicaid	$1,726.64
Rate for Payer: MDWise Medicaid	$1,726.64

APR-DRG 36.00: OTHER O.R. PROCEDURES FOR LYMPHATIC/HEMATOPOIETIC/OTHER NEOPLASMS

Facility

$14,623.56

Service Code	APR-DRG 6813
Min. Negotiated Rate	$11,974.10
Max. Negotiated Rate	$14,623.56
Rate for Payer: Anthem Blue Cross of IN Medicaid	$14,623.56
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$14,623.56
Rate for Payer: Managed Health Services Medicaid	$14,623.56
Rate for Payer: MDWise Medicaid	$14,623.56

APR-DRG 36.00: OTHER O.R. PROCEDURES FOR LYMPHATIC/HEMATOPOIETIC/OTHER NEOPLASMS

Facility

$23,904.97

Service Code	APR-DRG 6814
Min. Negotiated Rate	$19,627.29
Max. Negotiated Rate	$23,904.97
Rate for Payer: Anthem Blue Cross of IN Medicaid	$19,627.29
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$19,627.29
Rate for Payer: Managed Health Services Medicaid	$19,627.29
Rate for Payer: MDWise Medicaid	$19,627.29

APR-DRG 36.00: OTHER O.R. PROCEDURES FOR LYMPHATIC/HEMATOPOIETIC/OTHER NEOPLASMS

Facility

$5,662.84

Service Code	APR-DRG 6811
Min. Negotiated Rate	$4,122.79
Max. Negotiated Rate	$5,662.84
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 O.R. PROCEDURES FOR LYMPHATIC/HEMATOPOIETIC/OTHER NEOPLASMS

Facility

$7,608.09

Service Code	APR-DRG 6812
Min. Negotiated Rate	$5,426.57
Max. Negotiated Rate	$7,608.09
Rate for Payer: Anthem Blue Cross of IN Medicaid	$5,426.57
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$5,426.57
Rate for Payer: Managed Health Services Medicaid	$5,426.57
Rate for Payer: MDWise Medicaid	$5,426.57

APR-DRG 36.00: OTHER O.R. PROC FOR OBSTETRIC DIAGNOSES EXCEPT DELIVERY DIAGNOSES

Facility

$2,537.10

Service Code	APR-DRG 5461
Min. Negotiated Rate	$2,537.10
Max. Negotiated Rate	$2,537.10
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: OTHER O.R. PROC FOR OBSTETRIC DIAGNOSES EXCEPT DELIVERY DIAGNOSES

Facility

$2,537.10

Service Code	APR-DRG 5462
Min. Negotiated Rate	$2,537.10
Max. Negotiated Rate	$2,537.10
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: OTHER O.R. PROC FOR OBSTETRIC DIAGNOSES EXCEPT DELIVERY DIAGNOSES

Facility

$7,294.16

Service Code	APR-DRG 5463
Min. Negotiated Rate	$7,294.16
Max. Negotiated Rate	$7,294.16
Rate for Payer: Anthem Blue Cross of IN Medicaid	$7,294.16
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$7,294.16
Rate for Payer: Managed Health Services Medicaid	$7,294.16
Rate for Payer: MDWise Medicaid	$7,294.16

APR-DRG 36.00: OTHER O.R. PROC FOR OBSTETRIC DIAGNOSES EXCEPT DELIVERY DIAGNOSES

Facility

$7,294.16

Service Code	APR-DRG 5464
Min. Negotiated Rate	$7,294.16
Max. Negotiated Rate	$7,294.16
Rate for Payer: Anthem Blue Cross of IN Medicaid	$7,294.16
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$7,294.16
Rate for Payer: Managed Health Services Medicaid	$7,294.16
Rate for Payer: MDWise Medicaid	$7,294.16

APR-DRG 36.00: OTHER PERIPHERAL VASCULAR PROCEDURES

Facility

$11,196.00

Service Code	APR-DRG 1823
Min. Negotiated Rate	$10,782.67
Max. Negotiated Rate	$11,196.00
Rate for Payer: Anthem Blue Cross of IN Medicaid	$10,782.67
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$10,782.67
Rate for Payer: Managed Health Services Medicaid	$10,782.67
Rate for Payer: MDWise Medicaid	$10,782.67

APR-DRG 36.00: OTHER PERIPHERAL VASCULAR PROCEDURES

Facility

$17,507.26

Service Code	APR-DRG 1824
Min. Negotiated Rate	$14,517.85
Max. Negotiated Rate	$17,507.26
Rate for Payer: Anthem Blue Cross of IN Medicaid	$14,517.85
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$14,517.85
Rate for Payer: Managed Health Services Medicaid	$14,517.85
Rate for Payer: MDWise Medicaid	$14,517.85

APR-DRG 36.00: OTHER PERIPHERAL VASCULAR PROCEDURES

Facility

$10,782.67

Service Code	APR-DRG 1822
Min. Negotiated Rate	$8,775.24
Max. Negotiated Rate	$10,782.67
Rate for Payer: Anthem Blue Cross of IN Medicaid	$10,782.67
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$10,782.67
Rate for Payer: Managed Health Services Medicaid	$10,782.67
Rate for Payer: MDWise Medicaid	$10,782.67

APR-DRG 36.00: OTHER PERIPHERAL VASCULAR PROCEDURES

Facility

$8,562.71

Service Code	APR-DRG 1821
Min. Negotiated Rate	$7,132.59
Max. Negotiated Rate	$8,562.71
Rate for Payer: Anthem Blue Cross of IN Medicaid	$8,562.71
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$8,562.71
Rate for Payer: Managed Health Services Medicaid	$8,562.71
Rate for Payer: MDWise Medicaid	$8,562.71

Know your out-of-pocket cost for care.

All Charges