Cameron Memorial Community Hospital

All Charges

Charge

Type

Setting

Price

MS-DRG 42.00: BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC

Facility

$20,328.32

Service Code	MSDRG 519
Min. Negotiated Rate	$11,097.03
Max. Negotiated Rate	$20,328.32
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$17,234.41
Rate for Payer: Anthem Blue Cross of IN Traditional	$20,328.32
Rate for Payer: Plain Church Group Ministry All Commercial	$11,097.03
Rate for Payer: Three Rivers Preferred All Commercial	$14,493.47

MS-DRG 42.00: BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR

Facility

$36,947.46

Service Code	MSDRG 518
Min. Negotiated Rate	$20,169.25
Max. Negotiated Rate	$36,947.46
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$31,324.16
Rate for Payer: Anthem Blue Cross of IN Traditional	$36,947.46
Rate for Payer: Plain Church Group Ministry All Commercial	$20,169.25
Rate for Payer: Three Rivers Preferred All Commercial	$26,342.40

MS-DRG 42.00: BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC

Facility

$14,774.86

Service Code	MSDRG 520
Min. Negotiated Rate	$8,065.45
Max. Negotiated Rate	$14,774.86
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$12,526.17
Rate for Payer: Anthem Blue Cross of IN Traditional	$14,774.86
Rate for Payer: Plain Church Group Ministry All Commercial	$8,065.45
Rate for Payer: Three Rivers Preferred All Commercial	$10,534.02

MS-DRG 42.00: BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC

Facility

$24,712.73

Service Code	MSDRG 095
Min. Negotiated Rate	$13,490.43
Max. Negotiated Rate	$24,712.73
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$20,951.53
Rate for Payer: Anthem Blue Cross of IN Traditional	$24,712.73
Rate for Payer: Plain Church Group Ministry All Commercial	$13,490.43
Rate for Payer: Three Rivers Preferred All Commercial	$17,619.42

MS-DRG 42.00: BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC

Facility

$37,614.45

Service Code	MSDRG 094
Min. Negotiated Rate	$20,533.35
Max. Negotiated Rate	$37,614.45
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$31,889.64
Rate for Payer: Anthem Blue Cross of IN Traditional	$37,614.45
Rate for Payer: Plain Church Group Ministry All Commercial	$20,533.35
Rate for Payer: Three Rivers Preferred All Commercial	$26,817.94

MS-DRG 42.00: BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC

Facility

$24,712.73

Service Code	MSDRG 096
Min. Negotiated Rate	$13,490.43
Max. Negotiated Rate	$24,712.73
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$20,951.53
Rate for Payer: Anthem Blue Cross of IN Traditional	$24,712.73
Rate for Payer: Plain Church Group Ministry All Commercial	$13,490.43
Rate for Payer: Three Rivers Preferred All Commercial	$17,619.42

MS-DRG 42.00: BEHAVIORAL AND DEVELOPMENTAL DISORDERS

Facility

$18,520.12

Service Code	MSDRG 886
Min. Negotiated Rate	$10,109.95
Max. Negotiated Rate	$18,520.12
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$15,701.41
Rate for Payer: Anthem Blue Cross of IN Traditional	$18,520.12
Rate for Payer: Plain Church Group Ministry All Commercial	$10,109.95
Rate for Payer: Three Rivers Preferred All Commercial	$13,204.27

MS-DRG 42.00: BENIGN PROSTATIC HYPERTROPHY WITH MCC

Facility

$13,016.14

Service Code	MSDRG 725
Min. Negotiated Rate	$7,105.38
Max. Negotiated Rate	$13,016.14
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$11,035.12
Rate for Payer: Anthem Blue Cross of IN Traditional	$13,016.14
Rate for Payer: Plain Church Group Ministry All Commercial	$7,105.38
Rate for Payer: Three Rivers Preferred All Commercial	$9,280.11

MS-DRG 42.00: BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC

Facility

$7,674.02

Service Code	MSDRG 726
Min. Negotiated Rate	$4,189.17
Max. Negotiated Rate	$7,674.02
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$6,506.06
Rate for Payer: Anthem Blue Cross of IN Traditional	$7,674.02
Rate for Payer: Plain Church Group Ministry All Commercial	$4,189.17
Rate for Payer: Three Rivers Preferred All Commercial	$5,471.34

MS-DRG 42.00: BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC

Facility

$63,263.24

Service Code	MSDRG 461
Min. Negotiated Rate	$34,534.77
Max. Negotiated Rate	$63,263.24
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$53,634.76
Rate for Payer: Anthem Blue Cross of IN Traditional	$63,263.24
Rate for Payer: Plain Church Group Ministry All Commercial	$34,534.77
Rate for Payer: Three Rivers Preferred All Commercial	$45,104.75

MS-DRG 42.00: BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC

Facility

$29,522.91

Service Code	MSDRG 462
Min. Negotiated Rate	$16,116.26
Max. Negotiated Rate	$29,522.91
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$25,029.61
Rate for Payer: Anthem Blue Cross of IN Traditional	$29,522.91
Rate for Payer: Plain Church Group Ministry All Commercial	$16,116.26
Rate for Payer: Three Rivers Preferred All Commercial	$21,048.93

MS-DRG 42.00: BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH CC

Facility

$21,612.82

Service Code	MSDRG 409
Min. Negotiated Rate	$11,798.22
Max. Negotiated Rate	$21,612.82
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$18,323.41
Rate for Payer: Anthem Blue Cross of IN Traditional	$21,612.82
Rate for Payer: Plain Church Group Ministry All Commercial	$11,798.22
Rate for Payer: Three Rivers Preferred All Commercial	$15,409.27

MS-DRG 42.00: BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITH MCC

Facility

$36,094.90

Service Code	MSDRG 408
Min. Negotiated Rate	$19,703.85
Max. Negotiated Rate	$36,094.90
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$30,601.36
Rate for Payer: Anthem Blue Cross of IN Traditional	$36,094.90
Rate for Payer: Plain Church Group Ministry All Commercial	$19,703.85
Rate for Payer: Three Rivers Preferred All Commercial	$25,734.56

MS-DRG 42.00: BILIARY TRACT PROCEDURES EXCEPT ONLY CHOLECYSTECTOMY WITH OR WITHOUT C.D.E. WITHOUT CC/MCC

Facility

$15,990.29

Service Code	MSDRG 410
Min. Negotiated Rate	$8,728.94
Max. Negotiated Rate	$15,990.29
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$13,556.61
Rate for Payer: Anthem Blue Cross of IN Traditional	$15,990.29
Rate for Payer: Plain Church Group Ministry All Commercial	$8,728.94
Rate for Payer: Three Rivers Preferred All Commercial	$11,400.58

MS-DRG 42.00: BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC

Facility

$24,108.63

Service Code	MSDRG 478
Min. Negotiated Rate	$13,160.66
Max. Negotiated Rate	$24,108.63
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$20,439.36
Rate for Payer: Anthem Blue Cross of IN Traditional	$24,108.63
Rate for Payer: Plain Church Group Ministry All Commercial	$13,160.66
Rate for Payer: Three Rivers Preferred All Commercial	$17,188.71

MS-DRG 42.00: BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC

Facility

$35,452.65

Service Code	MSDRG 477
Min. Negotiated Rate	$19,353.25
Max. Negotiated Rate	$35,452.65
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$30,056.86
Rate for Payer: Anthem Blue Cross of IN Traditional	$35,452.65
Rate for Payer: Plain Church Group Ministry All Commercial	$19,353.25
Rate for Payer: Three Rivers Preferred All Commercial	$25,276.65

MS-DRG 42.00: BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC

Facility

$18,306.72

Service Code	MSDRG 479
Min. Negotiated Rate	$9,993.46
Max. Negotiated Rate	$18,306.72
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$15,520.49
Rate for Payer: Anthem Blue Cross of IN Traditional	$18,306.72
Rate for Payer: Plain Church Group Ministry All Commercial	$9,993.46
Rate for Payer: Three Rivers Preferred All Commercial	$13,052.13

MS-DRG 42.00: BONE DISEASES AND ARTHROPATHIES WITH MCC

Facility

$13,463.55

Service Code	MSDRG 553
Min. Negotiated Rate	$7,349.62
Max. Negotiated Rate	$13,463.55
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$11,414.44
Rate for Payer: Anthem Blue Cross of IN Traditional	$13,463.55
Rate for Payer: Plain Church Group Ministry All Commercial	$7,349.62
Rate for Payer: Three Rivers Preferred All Commercial	$9,599.10

MS-DRG 42.00: BONE DISEASES AND ARTHROPATHIES WITHOUT MCC

Facility

$8,603.89

Service Code	MSDRG 554
Min. Negotiated Rate	$4,696.78
Max. Negotiated Rate	$8,603.89
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$7,294.40
Rate for Payer: Anthem Blue Cross of IN Traditional	$8,603.89
Rate for Payer: Plain Church Group Ministry All Commercial	$4,696.78
Rate for Payer: Three Rivers Preferred All Commercial	$6,134.31

MS-DRG 42.00: BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITH CC/MCC

Facility

$21,106.65

Service Code	MSDRG 584
Min. Negotiated Rate	$11,521.91
Max. Negotiated Rate	$21,106.65
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$17,894.28
Rate for Payer: Anthem Blue Cross of IN Traditional	$21,106.65
Rate for Payer: Plain Church Group Ministry All Commercial	$11,521.91
Rate for Payer: Three Rivers Preferred All Commercial	$15,048.39

MS-DRG 42.00: BREAST BIOPSY, LOCAL EXCISION AND OTHER BREAST PROCEDURES WITHOUT CC/MCC

Facility

$20,464.40

Service Code	MSDRG 585
Min. Negotiated Rate	$11,171.31
Max. Negotiated Rate	$20,464.40
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$17,349.77
Rate for Payer: Anthem Blue Cross of IN Traditional	$20,464.40
Rate for Payer: Plain Church Group Ministry All Commercial	$11,171.31
Rate for Payer: Three Rivers Preferred All Commercial	$14,590.49

MS-DRG 42.00: BRONCHITIS AND ASTHMA WITH CC/MCC

Facility

$9,965.71

Service Code	MSDRG 202
Min. Negotiated Rate	$5,440.18
Max. Negotiated Rate	$9,965.71
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$8,448.96
Rate for Payer: Anthem Blue Cross of IN Traditional	$9,965.71
Rate for Payer: Plain Church Group Ministry All Commercial	$5,440.18
Rate for Payer: Three Rivers Preferred All Commercial	$7,105.24

MS-DRG 42.00: BRONCHITIS AND ASTHMA WITHOUT CC/MCC

Facility

$7,181.25

Service Code	MSDRG 203
Min. Negotiated Rate	$3,920.17
Max. Negotiated Rate	$7,181.25
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$6,088.28
Rate for Payer: Anthem Blue Cross of IN Traditional	$7,181.25
Rate for Payer: Plain Church Group Ministry All Commercial	$3,920.17
Rate for Payer: Three Rivers Preferred All Commercial	$5,120.01

MS-DRG 42.00: CARDIAC ARREST, UNEXPLAINED WITH CC

Facility

$7,261.66

Service Code	MSDRG 297
Min. Negotiated Rate	$3,964.07
Max. Negotiated Rate	$7,261.66
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$6,156.46
Rate for Payer: Anthem Blue Cross of IN Traditional	$7,261.66
Rate for Payer: Plain Church Group Ministry All Commercial	$3,964.07
Rate for Payer: Three Rivers Preferred All Commercial	$5,177.34

MS-DRG 42.00: CARDIAC ARREST, UNEXPLAINED WITH MCC

Facility

$16,890.27

Service Code	MSDRG 296
Min. Negotiated Rate	$9,220.23
Max. Negotiated Rate	$16,890.27
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$14,319.62
Rate for Payer: Anthem Blue Cross of IN Traditional	$16,890.27
Rate for Payer: Plain Church Group Ministry All Commercial	$9,220.23
Rate for Payer: Three Rivers Preferred All Commercial	$12,042.24

Know your out-of-pocket cost for care.

All Charges