Cameron Memorial Community Hospital

All Charges

Charge

Type

Setting

Price

MS-DRG 42.00: CERVICAL SPINAL FUSION WITH CC

Facility

$29,867.23

Service Code	MSDRG 472
Min. Negotiated Rate	$16,304.22
Max. Negotiated Rate	$29,867.23
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$25,321.53
Rate for Payer: Anthem Blue Cross of IN Traditional	$29,867.23
Rate for Payer: Plain Church Group Ministry All Commercial	$16,304.22
Rate for Payer: Three Rivers Preferred All Commercial	$21,294.42

MS-DRG 42.00: CERVICAL SPINAL FUSION WITH MCC

Facility

$50,073.91

Service Code	MSDRG 471
Min. Negotiated Rate	$27,334.84
Max. Negotiated Rate	$50,073.91
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$42,452.80
Rate for Payer: Anthem Blue Cross of IN Traditional	$50,073.91
Rate for Payer: Plain Church Group Ministry All Commercial	$27,334.84
Rate for Payer: Three Rivers Preferred All Commercial	$35,701.15

MS-DRG 42.00: CERVICAL SPINAL FUSION WITHOUT CC/MCC

Facility

$24,405.53

Service Code	MSDRG 473
Min. Negotiated Rate	$13,322.73
Max. Negotiated Rate	$24,405.53
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$20,691.08
Rate for Payer: Anthem Blue Cross of IN Traditional	$24,405.53
Rate for Payer: Plain Church Group Ministry All Commercial	$13,322.73
Rate for Payer: Three Rivers Preferred All Commercial	$17,400.39

MS-DRG 42.00: CESAREAN SECTION WITHOUT STERILIZATION WITH CC

Facility

$10,946.10

Service Code	MSDRG 787
Min. Negotiated Rate	$5,975.36
Max. Negotiated Rate	$10,946.10
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$9,280.13
Rate for Payer: Anthem Blue Cross of IN Traditional	$10,946.10
Rate for Payer: Plain Church Group Ministry All Commercial	$5,975.36
Rate for Payer: Three Rivers Preferred All Commercial	$7,804.23

MS-DRG 42.00: CESAREAN SECTION WITHOUT STERILIZATION WITH MCC

Facility

$16,658.31

Service Code	MSDRG 786
Min. Negotiated Rate	$9,093.61
Max. Negotiated Rate	$16,658.31
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$14,122.97
Rate for Payer: Anthem Blue Cross of IN Traditional	$16,658.31
Rate for Payer: Plain Church Group Ministry All Commercial	$9,093.61
Rate for Payer: Three Rivers Preferred All Commercial	$11,876.86

MS-DRG 42.00: CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC

Facility

$9,326.55

Service Code	MSDRG 788
Min. Negotiated Rate	$5,091.27
Max. Negotiated Rate	$9,326.55
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$7,907.08
Rate for Payer: Anthem Blue Cross of IN Traditional	$9,326.55
Rate for Payer: Plain Church Group Ministry All Commercial	$5,091.27
Rate for Payer: Three Rivers Preferred All Commercial	$6,649.55

MS-DRG 42.00: CESAREAN SECTION WITH STERILIZATION WITH CC

Facility

$11,164.65

Service Code	MSDRG 784
Min. Negotiated Rate	$6,094.67
Max. Negotiated Rate	$11,164.65
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$9,465.42
Rate for Payer: Anthem Blue Cross of IN Traditional	$11,164.65
Rate for Payer: Plain Church Group Ministry All Commercial	$6,094.67
Rate for Payer: Three Rivers Preferred All Commercial	$7,960.05

MS-DRG 42.00: CESAREAN SECTION WITH STERILIZATION WITH MCC

Facility

$18,990.21

Service Code	MSDRG 783
Min. Negotiated Rate	$10,366.57
Max. Negotiated Rate	$18,990.21
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$16,099.95
Rate for Payer: Anthem Blue Cross of IN Traditional	$18,990.21
Rate for Payer: Plain Church Group Ministry All Commercial	$10,366.57
Rate for Payer: Three Rivers Preferred All Commercial	$13,539.43

MS-DRG 42.00: CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC

Facility

$9,004.91

Service Code	MSDRG 785
Min. Negotiated Rate	$4,915.69
Max. Negotiated Rate	$9,004.91
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$7,634.39
Rate for Payer: Anthem Blue Cross of IN Traditional	$9,004.91
Rate for Payer: Plain Church Group Ministry All Commercial	$4,915.69
Rate for Payer: Three Rivers Preferred All Commercial	$6,420.23

MS-DRG 42.00: CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC

Facility

$51,619.22

Service Code	MSDRG 837
Min. Negotiated Rate	$28,178.42
Max. Negotiated Rate	$51,619.22
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$43,762.93
Rate for Payer: Anthem Blue Cross of IN Traditional	$51,619.22
Rate for Payer: Plain Church Group Ministry All Commercial	$28,178.42
Rate for Payer: Three Rivers Preferred All Commercial	$36,802.92

MS-DRG 42.00: CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT

Facility

$20,908.71

Service Code	MSDRG 838
Min. Negotiated Rate	$11,413.86
Max. Negotiated Rate	$20,908.71
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$17,726.47
Rate for Payer: Anthem Blue Cross of IN Traditional	$20,908.71
Rate for Payer: Plain Church Group Ministry All Commercial	$11,413.86
Rate for Payer: Three Rivers Preferred All Commercial	$14,907.27

MS-DRG 42.00: CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC

Facility

$14,127.45

Service Code	MSDRG 839
Min. Negotiated Rate	$7,712.04
Max. Negotiated Rate	$14,127.45
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$11,977.30
Rate for Payer: Anthem Blue Cross of IN Traditional	$14,127.45
Rate for Payer: Plain Church Group Ministry All Commercial	$7,712.04
Rate for Payer: Three Rivers Preferred All Commercial	$10,072.44

MS-DRG 42.00: CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC

Facility

$13,099.65

Service Code	MSDRG 847
Min. Negotiated Rate	$7,150.97
Max. Negotiated Rate	$13,099.65
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$11,105.92
Rate for Payer: Anthem Blue Cross of IN Traditional	$13,099.65
Rate for Payer: Plain Church Group Ministry All Commercial	$7,150.97
Rate for Payer: Three Rivers Preferred All Commercial	$9,339.65

MS-DRG 42.00: CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC

Facility

$26,327.12

Service Code	MSDRG 846
Min. Negotiated Rate	$14,371.71
Max. Negotiated Rate	$26,327.12
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$22,320.21
Rate for Payer: Anthem Blue Cross of IN Traditional	$26,327.12
Rate for Payer: Plain Church Group Ministry All Commercial	$14,371.71
Rate for Payer: Three Rivers Preferred All Commercial	$18,770.43

MS-DRG 42.00: CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC

Facility

$8,442.04

Service Code	MSDRG 848
Min. Negotiated Rate	$4,608.43
Max. Negotiated Rate	$8,442.04
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$7,157.19
Rate for Payer: Anthem Blue Cross of IN Traditional	$8,442.04
Rate for Payer: Plain Church Group Ministry All Commercial	$4,608.43
Rate for Payer: Three Rivers Preferred All Commercial	$6,018.91

MS-DRG 42.00: CHEST PAIN

Facility

$7,354.44

Service Code	MSDRG 313
Min. Negotiated Rate	$4,014.72
Max. Negotiated Rate	$7,354.44
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$6,235.12
Rate for Payer: Anthem Blue Cross of IN Traditional	$7,354.44
Rate for Payer: Plain Church Group Ministry All Commercial	$4,014.72
Rate for Payer: Three Rivers Preferred All Commercial	$5,243.49

MS-DRG 42.00: CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES

Facility

$388,781.26

Service Code	MSDRG 018
Min. Negotiated Rate	$212,231.80
Max. Negotiated Rate	$388,781.26
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$329,609.87
Rate for Payer: Anthem Blue Cross of IN Traditional	$388,781.26
Rate for Payer: Plain Church Group Ministry All Commercial	$212,231.80
Rate for Payer: Three Rivers Preferred All Commercial	$277,189.08

MS-DRG 42.00: CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH CC

Facility

$20,392.23

Service Code	MSDRG 415
Min. Negotiated Rate	$11,131.92
Max. Negotiated Rate	$20,392.23
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$17,288.59
Rate for Payer: Anthem Blue Cross of IN Traditional	$20,392.23
Rate for Payer: Plain Church Group Ministry All Commercial	$11,131.92
Rate for Payer: Three Rivers Preferred All Commercial	$14,539.03

MS-DRG 42.00: CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITH MCC

Facility

$36,120.67

Service Code	MSDRG 414
Min. Negotiated Rate	$19,717.91
Max. Negotiated Rate	$36,120.67
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$30,623.21
Rate for Payer: Anthem Blue Cross of IN Traditional	$36,120.67
Rate for Payer: Plain Church Group Ministry All Commercial	$19,717.91
Rate for Payer: Three Rivers Preferred All Commercial	$25,752.93

MS-DRG 42.00: CHOLECYSTECTOMY EXCEPT BY LAPAROSCOPE WITHOUT C.D.E. WITHOUT CC/MCC

Facility

$14,125.39

Service Code	MSDRG 416
Min. Negotiated Rate	$7,710.91
Max. Negotiated Rate	$14,125.39
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$11,975.55
Rate for Payer: Anthem Blue Cross of IN Traditional	$14,125.39
Rate for Payer: Plain Church Group Ministry All Commercial	$7,710.91
Rate for Payer: Three Rivers Preferred All Commercial	$10,070.97

MS-DRG 42.00: CHOLECYSTECTOMY WITH C.D.E. WITH CC

Facility

$21,974.66

Service Code	MSDRG 412
Min. Negotiated Rate	$11,995.75
Max. Negotiated Rate	$21,974.66
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$18,630.18
Rate for Payer: Anthem Blue Cross of IN Traditional	$21,974.66
Rate for Payer: Plain Church Group Ministry All Commercial	$11,995.75
Rate for Payer: Three Rivers Preferred All Commercial	$15,667.26

MS-DRG 42.00: CHOLECYSTECTOMY WITH C.D.E. WITH MCC

Facility

$28,209.55

Service Code	MSDRG 411
Min. Negotiated Rate	$15,399.31
Max. Negotiated Rate	$28,209.55
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$23,916.14
Rate for Payer: Anthem Blue Cross of IN Traditional	$28,209.55
Rate for Payer: Plain Church Group Ministry All Commercial	$15,399.31
Rate for Payer: Three Rivers Preferred All Commercial	$20,112.54

MS-DRG 42.00: CHOLECYSTECTOMY WITH C.D.E. WITHOUT CC/MCC

Facility

$17,138.71

Service Code	MSDRG 413
Min. Negotiated Rate	$9,355.85
Max. Negotiated Rate	$17,138.71
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$14,530.25
Rate for Payer: Anthem Blue Cross of IN Traditional	$17,138.71
Rate for Payer: Plain Church Group Ministry All Commercial	$9,355.85
Rate for Payer: Three Rivers Preferred All Commercial	$12,219.38

MS-DRG 42.00: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC

Facility

$8,856.46

Service Code	MSDRG 191
Min. Negotiated Rate	$4,834.65
Max. Negotiated Rate	$8,856.46
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$7,508.53
Rate for Payer: Anthem Blue Cross of IN Traditional	$8,856.46
Rate for Payer: Plain Church Group Ministry All Commercial	$4,834.65
Rate for Payer: Three Rivers Preferred All Commercial	$6,314.39

MS-DRG 42.00: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC

Facility

$11,577.01

Service Code	MSDRG 190
Min. Negotiated Rate	$6,319.77
Max. Negotiated Rate	$11,577.01
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$9,815.02
Rate for Payer: Anthem Blue Cross of IN Traditional	$11,577.01
Rate for Payer: Plain Church Group Ministry All Commercial	$6,319.77
Rate for Payer: Three Rivers Preferred All Commercial	$8,254.05

Know your out-of-pocket cost for care.

All Charges