Cameron Memorial Community Hospital

All Charges

Charge

Type

Setting

Price

MS-DRG 42.00: CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC

Facility

$4,553.49

Service Code	MSDRG 298
Min. Negotiated Rate	$2,485.70
Max. Negotiated Rate	$4,553.49
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$3,860.46
Rate for Payer: Anthem Blue Cross of IN Traditional	$4,553.49
Rate for Payer: Plain Church Group Ministry All Commercial	$2,485.70
Rate for Payer: Three Rivers Preferred All Commercial	$3,246.49

MS-DRG 42.00: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC

Facility

$7,621.44

Service Code	MSDRG 309
Min. Negotiated Rate	$4,160.47
Max. Negotiated Rate	$7,621.44
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$6,461.48
Rate for Payer: Anthem Blue Cross of IN Traditional	$7,621.44
Rate for Payer: Plain Church Group Ministry All Commercial	$4,160.47
Rate for Payer: Three Rivers Preferred All Commercial	$5,433.85

MS-DRG 42.00: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC

Facility

$12,431.62

Service Code	MSDRG 308
Min. Negotiated Rate	$6,786.30
Max. Negotiated Rate	$12,431.62
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$10,539.57
Rate for Payer: Anthem Blue Cross of IN Traditional	$12,431.62
Rate for Payer: Plain Church Group Ministry All Commercial	$6,786.30
Rate for Payer: Three Rivers Preferred All Commercial	$8,863.36

MS-DRG 42.00: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC

Facility

$5,767.89

Service Code	MSDRG 310
Min. Negotiated Rate	$3,148.63
Max. Negotiated Rate	$5,767.89
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$4,890.03
Rate for Payer: Anthem Blue Cross of IN Traditional	$5,767.89
Rate for Payer: Plain Church Group Ministry All Commercial	$3,148.63
Rate for Payer: Three Rivers Preferred All Commercial	$4,112.32

MS-DRG 42.00: CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC

Facility

$15,436.70

Service Code	MSDRG 306
Min. Negotiated Rate	$8,426.74
Max. Negotiated Rate	$15,436.70
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$13,087.28
Rate for Payer: Anthem Blue Cross of IN Traditional	$15,436.70
Rate for Payer: Plain Church Group Ministry All Commercial	$8,426.74
Rate for Payer: Three Rivers Preferred All Commercial	$11,005.89

MS-DRG 42.00: CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC

Facility

$9,550.26

Service Code	MSDRG 307
Min. Negotiated Rate	$5,213.39
Max. Negotiated Rate	$9,550.26
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$8,096.74
Rate for Payer: Anthem Blue Cross of IN Traditional	$9,550.26
Rate for Payer: Plain Church Group Ministry All Commercial	$5,213.39
Rate for Payer: Three Rivers Preferred All Commercial	$6,809.04

MS-DRG 42.00: CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC

Facility

$72,853.70

Service Code	MSDRG 275
Min. Negotiated Rate	$39,770.11
Max. Negotiated Rate	$72,853.70
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$61,765.58
Rate for Payer: Anthem Blue Cross of IN Traditional	$72,853.70
Rate for Payer: Plain Church Group Ministry All Commercial	$39,770.11
Rate for Payer: Three Rivers Preferred All Commercial	$51,942.45

MS-DRG 42.00: CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR

Facility

$63,858.07

Service Code	MSDRG 276
Min. Negotiated Rate	$34,859.48
Max. Negotiated Rate	$63,858.07
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$54,139.06
Rate for Payer: Anthem Blue Cross of IN Traditional	$63,858.07
Rate for Payer: Plain Church Group Ministry All Commercial	$34,859.48
Rate for Payer: Three Rivers Preferred All Commercial	$45,528.84

MS-DRG 42.00: CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC

Facility

$47,956.44

Service Code	MSDRG 277
Min. Negotiated Rate	$26,178.94
Max. Negotiated Rate	$47,956.44
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$40,657.61
Rate for Payer: Anthem Blue Cross of IN Traditional	$47,956.44
Rate for Payer: Plain Church Group Ministry All Commercial	$26,178.94
Rate for Payer: Three Rivers Preferred All Commercial	$34,191.46

MS-DRG 42.00: CARDIAC PACEMAKER DEVICE REPLACEMENT WITH MCC

Facility

$28,921.90

Service Code	MSDRG 258
Min. Negotiated Rate	$15,788.18
Max. Negotiated Rate	$28,921.90
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$24,520.07
Rate for Payer: Anthem Blue Cross of IN Traditional	$28,921.90
Rate for Payer: Plain Church Group Ministry All Commercial	$15,788.18
Rate for Payer: Three Rivers Preferred All Commercial	$20,620.42

MS-DRG 42.00: CARDIAC PACEMAKER DEVICE REPLACEMENT WITHOUT MCC

Facility

$18,120.13

Service Code	MSDRG 259
Min. Negotiated Rate	$9,891.60
Max. Negotiated Rate	$18,120.13
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$15,362.30
Rate for Payer: Anthem Blue Cross of IN Traditional	$18,120.13
Rate for Payer: Plain Church Group Ministry All Commercial	$9,891.60
Rate for Payer: Three Rivers Preferred All Commercial	$12,919.09

MS-DRG 42.00: CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH CC

Facility

$19,562.36

Service Code	MSDRG 261
Min. Negotiated Rate	$10,678.90
Max. Negotiated Rate	$19,562.36
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$16,585.02
Rate for Payer: Anthem Blue Cross of IN Traditional	$19,562.36
Rate for Payer: Plain Church Group Ministry All Commercial	$10,678.90
Rate for Payer: Three Rivers Preferred All Commercial	$13,947.36

MS-DRG 42.00: CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITH MCC

Facility

$35,114.52

Service Code	MSDRG 260
Min. Negotiated Rate	$19,168.66
Max. Negotiated Rate	$35,114.52
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$29,770.19
Rate for Payer: Anthem Blue Cross of IN Traditional	$35,114.52
Rate for Payer: Plain Church Group Ministry All Commercial	$19,168.66
Rate for Payer: Three Rivers Preferred All Commercial	$25,035.57

MS-DRG 42.00: CARDIAC PACEMAKER REVISION EXCEPT DEVICE REPLACEMENT WITHOUT CC/MCC

Facility

$15,647.00

Service Code	MSDRG 262
Min. Negotiated Rate	$8,541.54
Max. Negotiated Rate	$15,647.00
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$13,265.57
Rate for Payer: Anthem Blue Cross of IN Traditional	$15,647.00
Rate for Payer: Plain Church Group Ministry All Commercial	$8,541.54
Rate for Payer: Three Rivers Preferred All Commercial	$11,155.83

MS-DRG 42.00: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC

Facility

$66,574.49

Service Code	MSDRG 217
Min. Negotiated Rate	$36,342.35
Max. Negotiated Rate	$66,574.49
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$56,442.05
Rate for Payer: Anthem Blue Cross of IN Traditional	$66,574.49
Rate for Payer: Plain Church Group Ministry All Commercial	$36,342.35
Rate for Payer: Three Rivers Preferred All Commercial	$47,465.57

MS-DRG 42.00: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC

Facility

$99,493.19

Service Code	MSDRG 216
Min. Negotiated Rate	$54,312.34
Max. Negotiated Rate	$99,493.19
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$84,350.61
Rate for Payer: Anthem Blue Cross of IN Traditional	$99,493.19
Rate for Payer: Plain Church Group Ministry All Commercial	$54,312.34
Rate for Payer: Three Rivers Preferred All Commercial	$70,935.59

MS-DRG 42.00: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC

Facility

$61,331.33

Service Code	MSDRG 218
Min. Negotiated Rate	$33,480.16
Max. Negotiated Rate	$61,331.33
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$51,996.88
Rate for Payer: Anthem Blue Cross of IN Traditional	$61,331.33
Rate for Payer: Plain Church Group Ministry All Commercial	$33,480.16
Rate for Payer: Three Rivers Preferred All Commercial	$43,727.36

MS-DRG 42.00: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC

Facility

$54,603.68

Service Code	MSDRG 220
Min. Negotiated Rate	$29,807.60
Max. Negotiated Rate	$54,603.68
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$46,293.16
Rate for Payer: Anthem Blue Cross of IN Traditional	$54,603.68
Rate for Payer: Plain Church Group Ministry All Commercial	$29,807.60
Rate for Payer: Three Rivers Preferred All Commercial	$38,930.75

MS-DRG 42.00: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC

Facility

$79,765.89

Service Code	MSDRG 219
Min. Negotiated Rate	$43,543.40
Max. Negotiated Rate	$79,765.89
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$67,625.75
Rate for Payer: Anthem Blue Cross of IN Traditional	$79,765.89
Rate for Payer: Plain Church Group Ministry All Commercial	$43,543.40
Rate for Payer: Three Rivers Preferred All Commercial	$56,870.62

MS-DRG 42.00: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC

Facility

$47,345.11

Service Code	MSDRG 221
Min. Negotiated Rate	$25,845.22
Max. Negotiated Rate	$47,345.11
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$40,139.32
Rate for Payer: Anthem Blue Cross of IN Traditional	$47,345.11
Rate for Payer: Plain Church Group Ministry All Commercial	$25,845.22
Rate for Payer: Three Rivers Preferred All Commercial	$33,755.61

MS-DRG 42.00: CAROTID ARTERY STENT PROCEDURES WITH CC

Facility

$23,450.91

Service Code	MSDRG 035
Min. Negotiated Rate	$12,801.62
Max. Negotiated Rate	$23,450.91
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$19,881.75
Rate for Payer: Anthem Blue Cross of IN Traditional	$23,450.91
Rate for Payer: Plain Church Group Ministry All Commercial	$12,801.62
Rate for Payer: Three Rivers Preferred All Commercial	$16,719.78

MS-DRG 42.00: CAROTID ARTERY STENT PROCEDURES WITH MCC

Facility

$40,088.61

Service Code	MSDRG 034
Min. Negotiated Rate	$21,883.97
Max. Negotiated Rate	$40,088.61
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$33,987.24
Rate for Payer: Anthem Blue Cross of IN Traditional	$40,088.61
Rate for Payer: Plain Church Group Ministry All Commercial	$21,883.97
Rate for Payer: Three Rivers Preferred All Commercial	$28,581.94

MS-DRG 42.00: CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC

Facility

$18,897.43

Service Code	MSDRG 036
Min. Negotiated Rate	$10,315.92
Max. Negotiated Rate	$18,897.43
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$16,021.29
Rate for Payer: Anthem Blue Cross of IN Traditional	$18,897.43
Rate for Payer: Plain Church Group Ministry All Commercial	$10,315.92
Rate for Payer: Three Rivers Preferred All Commercial	$13,473.28

MS-DRG 42.00: CELLULITIS WITH MCC

Facility

$15,145.98

Service Code	MSDRG 602
Min. Negotiated Rate	$8,268.04
Max. Negotiated Rate	$15,145.98
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$12,840.81
Rate for Payer: Anthem Blue Cross of IN Traditional	$15,145.98
Rate for Payer: Plain Church Group Ministry All Commercial	$8,268.04
Rate for Payer: Three Rivers Preferred All Commercial	$10,798.62

MS-DRG 42.00: CELLULITIS WITHOUT MCC

Facility

$9,080.17

Service Code	MSDRG 603
Min. Negotiated Rate	$4,956.77
Max. Negotiated Rate	$9,080.17
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$7,698.19
Rate for Payer: Anthem Blue Cross of IN Traditional	$9,080.17
Rate for Payer: Plain Church Group Ministry All Commercial	$4,956.77
Rate for Payer: Three Rivers Preferred All Commercial	$6,473.88

Know your out-of-pocket cost for care.

All Charges