Cameron Memorial Community Hospital

All Charges

Charge

Type

Setting

Price

MS-DRG 42.00: FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC

Facility

$9,214.18

Service Code	MSDRG 563
Min. Negotiated Rate	$5,029.93
Max. Negotiated Rate	$9,214.18
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$7,811.81
Rate for Payer: Anthem Blue Cross of IN Traditional	$9,214.18
Rate for Payer: Plain Church Group Ministry All Commercial	$5,029.93
Rate for Payer: Three Rivers Preferred All Commercial	$6,569.43

MS-DRG 42.00: FULL TERM NEONATE WITH MAJOR PROBLEMS

Facility

$42,993.68

Service Code	MSDRG 793
Min. Negotiated Rate	$23,469.82
Max. Negotiated Rate	$42,993.68
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$36,450.17
Rate for Payer: Anthem Blue Cross of IN Traditional	$42,993.68
Rate for Payer: Plain Church Group Ministry All Commercial	$23,469.82
Rate for Payer: Three Rivers Preferred All Commercial	$30,653.17

MS-DRG 42.00: FULL THICKNESS BURN WITHOUT SKIN GRAFT OR INHALATION INJURY

Facility

$22,121.05

Service Code	MSDRG 934
Min. Negotiated Rate	$12,075.66
Max. Negotiated Rate	$22,121.05
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$18,754.29
Rate for Payer: Anthem Blue Cross of IN Traditional	$22,121.05
Rate for Payer: Plain Church Group Ministry All Commercial	$12,075.66
Rate for Payer: Three Rivers Preferred All Commercial	$15,771.63

MS-DRG 42.00: FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITH CC/MCC

Facility

$68,852.78

Service Code	MSDRG 928
Min. Negotiated Rate	$37,586.04
Max. Negotiated Rate	$68,852.78
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$58,373.59
Rate for Payer: Anthem Blue Cross of IN Traditional	$68,852.78
Rate for Payer: Plain Church Group Ministry All Commercial	$37,586.04
Rate for Payer: Three Rivers Preferred All Commercial	$49,089.92

MS-DRG 42.00: FULL THICKNESS BURN WITH SKIN GRAFT OR INHALATION INJURY WITHOUT CC/MCC

Facility

$32,786.74

Service Code	MSDRG 929
Min. Negotiated Rate	$17,897.96
Max. Negotiated Rate	$32,786.74
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$27,796.70
Rate for Payer: Anthem Blue Cross of IN Traditional	$32,786.74
Rate for Payer: Plain Church Group Ministry All Commercial	$17,897.96
Rate for Payer: Three Rivers Preferred All Commercial	$23,375.94

MS-DRG 42.00: GASTROINTESTINAL HEMORRHAGE WITH CC

Facility

$10,163.64

Service Code	MSDRG 378
Min. Negotiated Rate	$5,548.23
Max. Negotiated Rate	$10,163.64
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$8,616.77
Rate for Payer: Anthem Blue Cross of IN Traditional	$10,163.64
Rate for Payer: Plain Church Group Ministry All Commercial	$5,548.23
Rate for Payer: Three Rivers Preferred All Commercial	$7,246.36

MS-DRG 42.00: GASTROINTESTINAL HEMORRHAGE WITH MCC

Facility

$18,743.82

Service Code	MSDRG 377
Min. Negotiated Rate	$10,232.07
Max. Negotiated Rate	$18,743.82
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$15,891.07
Rate for Payer: Anthem Blue Cross of IN Traditional	$18,743.82
Rate for Payer: Plain Church Group Ministry All Commercial	$10,232.07
Rate for Payer: Three Rivers Preferred All Commercial	$13,363.77

MS-DRG 42.00: GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC

Facility

$6,563.74

Service Code	MSDRG 379
Min. Negotiated Rate	$3,583.08
Max. Negotiated Rate	$6,563.74
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$5,564.76
Rate for Payer: Anthem Blue Cross of IN Traditional	$6,563.74
Rate for Payer: Plain Church Group Ministry All Commercial	$3,583.08
Rate for Payer: Three Rivers Preferred All Commercial	$4,679.74

MS-DRG 42.00: GASTROINTESTINAL OBSTRUCTION WITH CC

Facility

$8,263.69

Service Code	MSDRG 389
Min. Negotiated Rate	$4,511.07
Max. Negotiated Rate	$8,263.69
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$7,005.98
Rate for Payer: Anthem Blue Cross of IN Traditional	$8,263.69
Rate for Payer: Plain Church Group Ministry All Commercial	$4,511.07
Rate for Payer: Three Rivers Preferred All Commercial	$5,891.76

MS-DRG 42.00: GASTROINTESTINAL OBSTRUCTION WITH MCC

Facility

$15,153.20

Service Code	MSDRG 388
Min. Negotiated Rate	$8,271.98
Max. Negotiated Rate	$15,153.20
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$12,846.93
Rate for Payer: Anthem Blue Cross of IN Traditional	$15,153.20
Rate for Payer: Plain Church Group Ministry All Commercial	$8,271.98
Rate for Payer: Three Rivers Preferred All Commercial	$10,803.76

MS-DRG 42.00: GASTROINTESTINAL OBSTRUCTION WITHOUT CC/MCC

Facility

$5,641.08

Service Code	MSDRG 390
Min. Negotiated Rate	$3,079.41
Max. Negotiated Rate	$5,641.08
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$4,782.53
Rate for Payer: Anthem Blue Cross of IN Traditional	$5,641.08
Rate for Payer: Plain Church Group Ministry All Commercial	$3,079.41
Rate for Payer: Three Rivers Preferred All Commercial	$4,021.92

MS-DRG 42.00: HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC

Facility

$15,521.23

Service Code	MSDRG 513
Min. Negotiated Rate	$8,472.88
Max. Negotiated Rate	$15,521.23
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$13,158.94
Rate for Payer: Anthem Blue Cross of IN Traditional	$15,521.23
Rate for Payer: Plain Church Group Ministry All Commercial	$8,472.88
Rate for Payer: Three Rivers Preferred All Commercial	$11,066.16

MS-DRG 42.00: HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC

Facility

$10,511.06

Service Code	MSDRG 514
Min. Negotiated Rate	$5,737.88
Max. Negotiated Rate	$10,511.06
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$8,911.30
Rate for Payer: Anthem Blue Cross of IN Traditional	$10,511.06
Rate for Payer: Plain Church Group Ministry All Commercial	$5,737.88
Rate for Payer: Three Rivers Preferred All Commercial	$7,494.06

MS-DRG 42.00: HAND PROCEDURES FOR INJURIES

Facility

$22,499.39

Service Code	MSDRG 906
Min. Negotiated Rate	$12,282.19
Max. Negotiated Rate	$22,499.39
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$19,075.05
Rate for Payer: Anthem Blue Cross of IN Traditional	$22,499.39
Rate for Payer: Plain Church Group Ministry All Commercial	$12,282.19
Rate for Payer: Three Rivers Preferred All Commercial	$16,041.38

MS-DRG 42.00: HEADACHES WITH MCC

Facility

$11,953.29

Service Code	MSDRG 102
Min. Negotiated Rate	$6,525.18
Max. Negotiated Rate	$11,953.29
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$10,134.03
Rate for Payer: Anthem Blue Cross of IN Traditional	$11,953.29
Rate for Payer: Plain Church Group Ministry All Commercial	$6,525.18
Rate for Payer: Three Rivers Preferred All Commercial	$8,522.33

MS-DRG 42.00: HEADACHES WITHOUT MCC

Facility

$8,764.71

Service Code	MSDRG 103
Min. Negotiated Rate	$4,784.57
Max. Negotiated Rate	$8,764.71
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$7,430.75
Rate for Payer: Anthem Blue Cross of IN Traditional	$8,764.71
Rate for Payer: Plain Church Group Ministry All Commercial	$4,784.57
Rate for Payer: Three Rivers Preferred All Commercial	$6,248.97

MS-DRG 42.00: HEART FAILURE AND SHOCK WITH CC

Facility

$8,878.11

Service Code	MSDRG 292
Min. Negotiated Rate	$4,846.47
Max. Negotiated Rate	$8,878.11
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$7,526.89
Rate for Payer: Anthem Blue Cross of IN Traditional	$8,878.11
Rate for Payer: Plain Church Group Ministry All Commercial	$4,846.47
Rate for Payer: Three Rivers Preferred All Commercial	$6,329.82

MS-DRG 42.00: HEART FAILURE AND SHOCK WITH MCC

Facility

$13,451.18

Service Code	MSDRG 291
Min. Negotiated Rate	$7,342.87
Max. Negotiated Rate	$13,451.18
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$11,403.95
Rate for Payer: Anthem Blue Cross of IN Traditional	$13,451.18
Rate for Payer: Plain Church Group Ministry All Commercial	$7,342.87
Rate for Payer: Three Rivers Preferred All Commercial	$9,590.28

MS-DRG 42.00: HEART FAILURE AND SHOCK WITHOUT CC/MCC

Facility

$5,656.55

Service Code	MSDRG 293
Min. Negotiated Rate	$3,087.85
Max. Negotiated Rate	$5,656.55
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$4,795.64
Rate for Payer: Anthem Blue Cross of IN Traditional	$5,656.55
Rate for Payer: Plain Church Group Ministry All Commercial	$3,087.85
Rate for Payer: Three Rivers Preferred All Commercial	$4,032.95

MS-DRG 42.00: HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC

Facility

$290,387.00

Service Code	MSDRG 001
Min. Negotiated Rate	$158,519.36
Max. Negotiated Rate	$290,387.00
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$246,190.94
Rate for Payer: Anthem Blue Cross of IN Traditional	$290,387.00
Rate for Payer: Plain Church Group Ministry All Commercial	$158,519.36
Rate for Payer: Three Rivers Preferred All Commercial	$207,037.01

MS-DRG 42.00: HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC

Facility

$113,602.09

Service Code	MSDRG 002
Min. Negotiated Rate	$62,014.24
Max. Negotiated Rate	$113,602.09
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$96,312.18
Rate for Payer: Anthem Blue Cross of IN Traditional	$113,602.09
Rate for Payer: Plain Church Group Ministry All Commercial	$62,014.24
Rate for Payer: Three Rivers Preferred All Commercial	$80,994.79

MS-DRG 42.00: HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC

Facility

$16,882.02

Service Code	MSDRG 421
Min. Negotiated Rate	$9,215.73
Max. Negotiated Rate	$16,882.02
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$14,312.62
Rate for Payer: Anthem Blue Cross of IN Traditional	$16,882.02
Rate for Payer: Plain Church Group Ministry All Commercial	$9,215.73
Rate for Payer: Three Rivers Preferred All Commercial	$12,036.36

MS-DRG 42.00: HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC

Facility

$36,385.62

Service Code	MSDRG 420
Min. Negotiated Rate	$19,862.54
Max. Negotiated Rate	$36,385.62
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$30,847.83
Rate for Payer: Anthem Blue Cross of IN Traditional	$36,385.62
Rate for Payer: Plain Church Group Ministry All Commercial	$19,862.54
Rate for Payer: Three Rivers Preferred All Commercial	$25,941.83

MS-DRG 42.00: HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC

Facility

$15,148.04

Service Code	MSDRG 422
Min. Negotiated Rate	$8,269.17
Max. Negotiated Rate	$15,148.04
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$12,842.56
Rate for Payer: Anthem Blue Cross of IN Traditional	$15,148.04
Rate for Payer: Plain Church Group Ministry All Commercial	$8,269.17
Rate for Payer: Three Rivers Preferred All Commercial	$10,800.09

MS-DRG 42.00: HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC

Facility

$17,536.64

Service Code	MSDRG 354
Min. Negotiated Rate	$9,573.08
Max. Negotiated Rate	$17,536.64
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$14,867.61
Rate for Payer: Anthem Blue Cross of IN Traditional	$17,536.64
Rate for Payer: Plain Church Group Ministry All Commercial	$9,573.08
Rate for Payer: Three Rivers Preferred All Commercial	$12,503.08

Know your out-of-pocket cost for care.

All Charges