Cameron Memorial Community Hospital

All Charges

Charge

Type

Setting

Price

MS-DRG 42.00: DIABETES WITH CC

Facility

$9,455.41

Service Code	MSDRG 638
Min. Negotiated Rate	$5,161.62
Max. Negotiated Rate	$9,455.41
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$8,016.33
Rate for Payer: Anthem Blue Cross of IN Traditional	$9,455.41
Rate for Payer: Plain Church Group Ministry All Commercial	$5,161.62
Rate for Payer: Three Rivers Preferred All Commercial	$6,741.42

MS-DRG 42.00: DIABETES WITH MCC

Facility

$15,013.00

Service Code	MSDRG 637
Min. Negotiated Rate	$8,195.44
Max. Negotiated Rate	$15,013.00
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$12,728.06
Rate for Payer: Anthem Blue Cross of IN Traditional	$15,013.00
Rate for Payer: Plain Church Group Ministry All Commercial	$8,195.44
Rate for Payer: Three Rivers Preferred All Commercial	$10,703.81

MS-DRG 42.00: DIABETES WITHOUT CC/MCC

Facility

$6,459.62

Service Code	MSDRG 639
Min. Negotiated Rate	$3,526.24
Max. Negotiated Rate	$6,459.62
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$5,476.48
Rate for Payer: Anthem Blue Cross of IN Traditional	$6,459.62
Rate for Payer: Plain Church Group Ministry All Commercial	$3,526.24
Rate for Payer: Three Rivers Preferred All Commercial	$4,605.51

MS-DRG 42.00: DIGESTIVE MALIGNANCY WITH CC

Facility

$12,666.67

Service Code	MSDRG 375
Min. Negotiated Rate	$6,914.61
Max. Negotiated Rate	$12,666.67
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$10,738.84
Rate for Payer: Anthem Blue Cross of IN Traditional	$12,666.67
Rate for Payer: Plain Church Group Ministry All Commercial	$6,914.61
Rate for Payer: Three Rivers Preferred All Commercial	$9,030.94

MS-DRG 42.00: DIGESTIVE MALIGNANCY WITH MCC

Facility

$21,766.42

Service Code	MSDRG 374
Min. Negotiated Rate	$11,882.07
Max. Negotiated Rate	$21,766.42
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$18,453.64
Rate for Payer: Anthem Blue Cross of IN Traditional	$21,766.42
Rate for Payer: Plain Church Group Ministry All Commercial	$11,882.07
Rate for Payer: Three Rivers Preferred All Commercial	$15,518.79

MS-DRG 42.00: DIGESTIVE MALIGNANCY WITHOUT CC/MCC

Facility

$9,102.85

Service Code	MSDRG 376
Min. Negotiated Rate	$4,969.15
Max. Negotiated Rate	$9,102.85
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$7,717.42
Rate for Payer: Anthem Blue Cross of IN Traditional	$9,102.85
Rate for Payer: Plain Church Group Ministry All Commercial	$4,969.15
Rate for Payer: Three Rivers Preferred All Commercial	$6,490.05

MS-DRG 42.00: DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC

Facility

$9,960.56

Service Code	MSDRG 442
Min. Negotiated Rate	$5,437.37
Max. Negotiated Rate	$9,960.56
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$8,444.59
Rate for Payer: Anthem Blue Cross of IN Traditional	$9,960.56
Rate for Payer: Plain Church Group Ministry All Commercial	$5,437.37
Rate for Payer: Three Rivers Preferred All Commercial	$7,101.57

MS-DRG 42.00: DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC

Facility

$19,488.13

Service Code	MSDRG 441
Min. Negotiated Rate	$10,638.38
Max. Negotiated Rate	$19,488.13
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$16,522.10
Rate for Payer: Anthem Blue Cross of IN Traditional	$19,488.13
Rate for Payer: Plain Church Group Ministry All Commercial	$10,638.38
Rate for Payer: Three Rivers Preferred All Commercial	$13,894.44

MS-DRG 42.00: DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC

Facility

$7,244.13

Service Code	MSDRG 443
Min. Negotiated Rate	$3,954.50
Max. Negotiated Rate	$7,244.13
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$6,141.60
Rate for Payer: Anthem Blue Cross of IN Traditional	$7,244.13
Rate for Payer: Plain Church Group Ministry All Commercial	$3,954.50
Rate for Payer: Three Rivers Preferred All Commercial	$5,164.85

MS-DRG 42.00: DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC

Facility

$8,867.80

Service Code	MSDRG 439
Min. Negotiated Rate	$4,840.84
Max. Negotiated Rate	$8,867.80
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$7,518.15
Rate for Payer: Anthem Blue Cross of IN Traditional	$8,867.80
Rate for Payer: Plain Church Group Ministry All Commercial	$4,840.84
Rate for Payer: Three Rivers Preferred All Commercial	$6,322.47

MS-DRG 42.00: DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC

Facility

$17,151.08

Service Code	MSDRG 438
Min. Negotiated Rate	$9,362.60
Max. Negotiated Rate	$17,151.08
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$14,540.74
Rate for Payer: Anthem Blue Cross of IN Traditional	$17,151.08
Rate for Payer: Plain Church Group Ministry All Commercial	$9,362.60
Rate for Payer: Three Rivers Preferred All Commercial	$12,228.19

MS-DRG 42.00: DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC

Facility

$6,341.07

Service Code	MSDRG 440
Min. Negotiated Rate	$3,461.52
Max. Negotiated Rate	$6,341.07
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$5,375.97
Rate for Payer: Anthem Blue Cross of IN Traditional	$6,341.07
Rate for Payer: Plain Church Group Ministry All Commercial	$3,461.52
Rate for Payer: Three Rivers Preferred All Commercial	$4,520.98

MS-DRG 42.00: DISORDERS OF PERSONALITY AND IMPULSE CONTROL

Facility

$19,111.86

Service Code	MSDRG 883
Min. Negotiated Rate	$10,432.97
Max. Negotiated Rate	$19,111.86
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$16,203.09
Rate for Payer: Anthem Blue Cross of IN Traditional	$19,111.86
Rate for Payer: Plain Church Group Ministry All Commercial	$10,432.97
Rate for Payer: Three Rivers Preferred All Commercial	$13,626.17

MS-DRG 42.00: DISORDERS OF THE BILIARY TRACT WITH CC

Facility

$11,180.11

Service Code	MSDRG 445
Min. Negotiated Rate	$6,103.11
Max. Negotiated Rate	$11,180.11
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$9,478.53
Rate for Payer: Anthem Blue Cross of IN Traditional	$11,180.11
Rate for Payer: Plain Church Group Ministry All Commercial	$6,103.11
Rate for Payer: Three Rivers Preferred All Commercial	$7,971.07

MS-DRG 42.00: DISORDERS OF THE BILIARY TRACT WITH MCC

Facility

$17,364.48

Service Code	MSDRG 444
Min. Negotiated Rate	$9,479.10
Max. Negotiated Rate	$17,364.48
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$14,721.66
Rate for Payer: Anthem Blue Cross of IN Traditional	$17,364.48
Rate for Payer: Plain Church Group Ministry All Commercial	$9,479.10
Rate for Payer: Three Rivers Preferred All Commercial	$12,380.34

MS-DRG 42.00: DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC

Facility

$8,219.37

Service Code	MSDRG 446
Min. Negotiated Rate	$4,486.87
Max. Negotiated Rate	$8,219.37
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$6,968.40
Rate for Payer: Anthem Blue Cross of IN Traditional	$8,219.37
Rate for Payer: Plain Church Group Ministry All Commercial	$4,486.87
Rate for Payer: Three Rivers Preferred All Commercial	$5,860.15

MS-DRG 42.00: DYSEQUILIBRIUM

Facility

$7,705.98

Service Code	MSDRG 149
Min. Negotiated Rate	$4,206.62
Max. Negotiated Rate	$7,705.98
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$6,533.15
Rate for Payer: Anthem Blue Cross of IN Traditional	$7,705.98
Rate for Payer: Plain Church Group Ministry All Commercial	$4,206.62
Rate for Payer: Three Rivers Preferred All Commercial	$5,494.12

MS-DRG 42.00: EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH CC

Facility

$12,832.64

Service Code	MSDRG 147
Min. Negotiated Rate	$7,005.21
Max. Negotiated Rate	$12,832.64
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$10,879.55
Rate for Payer: Anthem Blue Cross of IN Traditional	$12,832.64
Rate for Payer: Plain Church Group Ministry All Commercial	$7,005.21
Rate for Payer: Three Rivers Preferred All Commercial	$9,149.28

MS-DRG 42.00: EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITH MCC

Facility

$23,649.88

Service Code	MSDRG 146
Min. Negotiated Rate	$12,910.23
Max. Negotiated Rate	$23,649.88
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$20,050.43
Rate for Payer: Anthem Blue Cross of IN Traditional	$23,649.88
Rate for Payer: Plain Church Group Ministry All Commercial	$12,910.23
Rate for Payer: Three Rivers Preferred All Commercial	$16,861.63

MS-DRG 42.00: EAR, NOSE, MOUTH AND THROAT MALIGNANCY WITHOUT CC/MCC

Facility

$8,254.42

Service Code	MSDRG 148
Min. Negotiated Rate	$4,506.00
Max. Negotiated Rate	$8,254.42
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$6,998.12
Rate for Payer: Anthem Blue Cross of IN Traditional	$8,254.42
Rate for Payer: Plain Church Group Ministry All Commercial	$4,506.00
Rate for Payer: Three Rivers Preferred All Commercial	$5,885.15

MS-DRG 42.00: ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH AND NECK WITH MAJOR O.R. PROCEDURES

Facility

$220,938.36

Service Code	MSDRG 003
Min. Negotiated Rate	$120,608.04
Max. Negotiated Rate	$220,938.36
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$187,312.18
Rate for Payer: Anthem Blue Cross of IN Traditional	$220,938.36
Rate for Payer: Plain Church Group Ministry All Commercial	$120,608.04
Rate for Payer: Three Rivers Preferred All Commercial	$157,522.26

MS-DRG 42.00: ENDOCRINE DISORDERS WITH CC

Facility

$10,653.32

Service Code	MSDRG 644
Min. Negotiated Rate	$5,815.54
Max. Negotiated Rate	$10,653.32
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$9,031.92
Rate for Payer: Anthem Blue Cross of IN Traditional	$10,653.32
Rate for Payer: Plain Church Group Ministry All Commercial	$5,815.54
Rate for Payer: Three Rivers Preferred All Commercial	$7,595.49

MS-DRG 42.00: ENDOCRINE DISORDERS WITH MCC

Facility

$17,085.11

Service Code	MSDRG 643
Min. Negotiated Rate	$9,326.59
Max. Negotiated Rate	$17,085.11
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$14,484.80
Rate for Payer: Anthem Blue Cross of IN Traditional	$17,085.11
Rate for Payer: Plain Church Group Ministry All Commercial	$9,326.59
Rate for Payer: Three Rivers Preferred All Commercial	$12,181.16

MS-DRG 42.00: ENDOCRINE DISORDERS WITHOUT CC/MCC

Facility

$8,027.62

Service Code	MSDRG 645
Min. Negotiated Rate	$4,382.20
Max. Negotiated Rate	$8,027.62
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$6,805.84
Rate for Payer: Anthem Blue Cross of IN Traditional	$8,027.62
Rate for Payer: Plain Church Group Ministry All Commercial	$4,382.20
Rate for Payer: Three Rivers Preferred All Commercial	$5,723.44

MS-DRG 42.00: ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC

Facility

$61,759.16

Service Code	MSDRG 266
Min. Negotiated Rate	$33,713.71
Max. Negotiated Rate	$61,759.16
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$52,359.59
Rate for Payer: Anthem Blue Cross of IN Traditional	$61,759.16
Rate for Payer: Plain Church Group Ministry All Commercial	$33,713.71
Rate for Payer: Three Rivers Preferred All Commercial	$44,032.38

Know your out-of-pocket cost for care.

All Charges