Cameron Memorial Community Hospital

All Charges

Charge

Type

Setting

Price

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

Facility

$30,236.30

Service Code	MSDRG 353
Min. Negotiated Rate	$16,505.69
Max. Negotiated Rate	$30,236.30
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$25,634.42
Rate for Payer: Anthem Blue Cross of IN Traditional	$30,236.30
Rate for Payer: Plain Church Group Ministry All Commercial	$16,505.69
Rate for Payer: Three Rivers Preferred All Commercial	$21,557.55

MS-DRG 42.00: HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC

Facility

$13,743.96

Service Code	MSDRG 355
Min. Negotiated Rate	$7,502.69
Max. Negotiated Rate	$13,743.96
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$11,652.17
Rate for Payer: Anthem Blue Cross of IN Traditional	$13,743.96
Rate for Payer: Plain Church Group Ministry All Commercial	$7,502.69
Rate for Payer: Three Rivers Preferred All Commercial	$9,799.02

MS-DRG 42.00: HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC

Facility

$21,390.14

Service Code	MSDRG 481
Min. Negotiated Rate	$11,676.67
Max. Negotiated Rate	$21,390.14
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$18,134.63
Rate for Payer: Anthem Blue Cross of IN Traditional	$21,390.14
Rate for Payer: Plain Church Group Ministry All Commercial	$11,676.67
Rate for Payer: Three Rivers Preferred All Commercial	$15,250.51

MS-DRG 42.00: HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC

Facility

$30,318.77

Service Code	MSDRG 480
Min. Negotiated Rate	$16,550.71
Max. Negotiated Rate	$30,318.77
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$25,704.34
Rate for Payer: Anthem Blue Cross of IN Traditional	$30,318.77
Rate for Payer: Plain Church Group Ministry All Commercial	$16,550.71
Rate for Payer: Three Rivers Preferred All Commercial	$21,616.35

MS-DRG 42.00: HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC

Facility

$16,354.20

Service Code	MSDRG 482
Min. Negotiated Rate	$8,927.59
Max. Negotiated Rate	$16,354.20
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$13,865.14
Rate for Payer: Anthem Blue Cross of IN Traditional	$16,354.20
Rate for Payer: Plain Church Group Ministry All Commercial	$8,927.59
Rate for Payer: Three Rivers Preferred All Commercial	$11,660.04

MS-DRG 42.00: HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC

Facility

$30,047.64

Service Code	MSDRG 521
Min. Negotiated Rate	$16,402.71
Max. Negotiated Rate	$30,047.64
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$25,474.48
Rate for Payer: Anthem Blue Cross of IN Traditional	$30,047.64
Rate for Payer: Plain Church Group Ministry All Commercial	$16,402.71
Rate for Payer: Three Rivers Preferred All Commercial	$21,423.04

MS-DRG 42.00: HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC

Facility

$21,732.40

Service Code	MSDRG 522
Min. Negotiated Rate	$11,863.50
Max. Negotiated Rate	$21,732.40
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$18,424.79
Rate for Payer: Anthem Blue Cross of IN Traditional	$21,732.40
Rate for Payer: Plain Church Group Ministry All Commercial	$11,863.50
Rate for Payer: Three Rivers Preferred All Commercial	$15,494.53

MS-DRG 42.00: HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC

Facility

$65,197.21

Service Code	MSDRG 969
Min. Negotiated Rate	$35,590.50
Max. Negotiated Rate	$65,197.21
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$55,274.38
Rate for Payer: Anthem Blue Cross of IN Traditional	$65,197.21
Rate for Payer: Plain Church Group Ministry All Commercial	$35,590.50
Rate for Payer: Three Rivers Preferred All Commercial	$46,483.61

MS-DRG 42.00: HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC

Facility

$27,352.87

Service Code	MSDRG 970
Min. Negotiated Rate	$14,931.66
Max. Negotiated Rate	$27,352.87
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$23,189.84
Rate for Payer: Anthem Blue Cross of IN Traditional	$27,352.87
Rate for Payer: Plain Church Group Ministry All Commercial	$14,931.66
Rate for Payer: Three Rivers Preferred All Commercial	$19,501.76

MS-DRG 42.00: HIV WITH MAJOR RELATED CONDITION WITH CC

Facility

$14,653.21

Service Code	MSDRG 975
Min. Negotiated Rate	$7,999.04
Max. Negotiated Rate	$14,653.21
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$12,423.04
Rate for Payer: Anthem Blue Cross of IN Traditional	$14,653.21
Rate for Payer: Plain Church Group Ministry All Commercial	$7,999.04
Rate for Payer: Three Rivers Preferred All Commercial	$10,447.29

MS-DRG 42.00: HIV WITH MAJOR RELATED CONDITION WITH MCC

Facility

$30,784.74

Service Code	MSDRG 974
Min. Negotiated Rate	$16,805.08
Max. Negotiated Rate	$30,784.74
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$26,099.39
Rate for Payer: Anthem Blue Cross of IN Traditional	$30,784.74
Rate for Payer: Plain Church Group Ministry All Commercial	$16,805.08
Rate for Payer: Three Rivers Preferred All Commercial	$21,948.57

MS-DRG 42.00: HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC

Facility

$10,339.93

Service Code	MSDRG 976
Min. Negotiated Rate	$5,644.46
Max. Negotiated Rate	$10,339.93
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$8,766.22
Rate for Payer: Anthem Blue Cross of IN Traditional	$10,339.93
Rate for Payer: Plain Church Group Ministry All Commercial	$5,644.46
Rate for Payer: Three Rivers Preferred All Commercial	$7,372.05

MS-DRG 42.00: HIV WITH OR WITHOUT OTHER RELATED CONDITION

Facility

$14,864.55

Service Code	MSDRG 977
Min. Negotiated Rate	$8,114.41
Max. Negotiated Rate	$14,864.55
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$12,602.21
Rate for Payer: Anthem Blue Cross of IN Traditional	$14,864.55
Rate for Payer: Plain Church Group Ministry All Commercial	$8,114.41
Rate for Payer: Three Rivers Preferred All Commercial	$10,597.97

MS-DRG 42.00: HYPERTENSION WITH MCC

Facility

$12,111.01

Service Code	MSDRG 304
Min. Negotiated Rate	$6,611.28
Max. Negotiated Rate	$12,111.01
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$10,267.75
Rate for Payer: Anthem Blue Cross of IN Traditional	$12,111.01
Rate for Payer: Plain Church Group Ministry All Commercial	$6,611.28
Rate for Payer: Three Rivers Preferred All Commercial	$8,634.78

MS-DRG 42.00: HYPERTENSION WITHOUT MCC

Facility

$7,738.97

Service Code	MSDRG 305
Min. Negotiated Rate	$4,224.62
Max. Negotiated Rate	$7,738.97
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$6,561.12
Rate for Payer: Anthem Blue Cross of IN Traditional	$7,738.97
Rate for Payer: Plain Church Group Ministry All Commercial	$4,224.62
Rate for Payer: Three Rivers Preferred All Commercial	$5,517.65

MS-DRG 42.00: HYPERTENSIVE ENCEPHALOPATHY WITH CC

Facility

$10,287.35

Service Code	MSDRG 078
Min. Negotiated Rate	$5,615.76
Max. Negotiated Rate	$10,287.35
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$8,721.65
Rate for Payer: Anthem Blue Cross of IN Traditional	$10,287.35
Rate for Payer: Plain Church Group Ministry All Commercial	$5,615.76
Rate for Payer: Three Rivers Preferred All Commercial	$7,334.56

MS-DRG 42.00: HYPERTENSIVE ENCEPHALOPATHY WITH MCC

Facility

$15,940.81

Service Code	MSDRG 077
Min. Negotiated Rate	$8,701.93
Max. Negotiated Rate	$15,940.81
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$13,514.66
Rate for Payer: Anthem Blue Cross of IN Traditional	$15,940.81
Rate for Payer: Plain Church Group Ministry All Commercial	$8,701.93
Rate for Payer: Three Rivers Preferred All Commercial	$11,365.31

MS-DRG 42.00: HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC

Facility

$6,873.01

Service Code	MSDRG 079
Min. Negotiated Rate	$3,751.91
Max. Negotiated Rate	$6,873.01
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$5,826.96
Rate for Payer: Anthem Blue Cross of IN Traditional	$6,873.01
Rate for Payer: Plain Church Group Ministry All Commercial	$3,751.91
Rate for Payer: Three Rivers Preferred All Commercial	$4,900.24

MS-DRG 42.00: INBORN AND OTHER DISORDERS OF METABOLISM

Facility

$12,794.50

Service Code	MSDRG 642
Min. Negotiated Rate	$6,984.39
Max. Negotiated Rate	$12,794.50
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$10,847.21
Rate for Payer: Anthem Blue Cross of IN Traditional	$12,794.50
Rate for Payer: Plain Church Group Ministry All Commercial	$6,984.39
Rate for Payer: Three Rivers Preferred All Commercial	$9,122.08

MS-DRG 42.00: INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC

Facility

$10,507.96

Service Code	MSDRG 758
Min. Negotiated Rate	$5,736.19
Max. Negotiated Rate	$10,507.96
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$8,908.68
Rate for Payer: Anthem Blue Cross of IN Traditional	$10,507.96
Rate for Payer: Plain Church Group Ministry All Commercial	$5,736.19
Rate for Payer: Three Rivers Preferred All Commercial	$7,491.85

MS-DRG 42.00: INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC

Facility

$14,590.33

Service Code	MSDRG 757
Min. Negotiated Rate	$7,964.71
Max. Negotiated Rate	$14,590.33
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$12,369.72
Rate for Payer: Anthem Blue Cross of IN Traditional	$14,590.33
Rate for Payer: Plain Church Group Ministry All Commercial	$7,964.71
Rate for Payer: Three Rivers Preferred All Commercial	$10,402.45

MS-DRG 42.00: INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC

Facility

$6,597.76

Service Code	MSDRG 759
Min. Negotiated Rate	$3,601.65
Max. Negotiated Rate	$6,597.76
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$5,593.60
Rate for Payer: Anthem Blue Cross of IN Traditional	$6,597.76
Rate for Payer: Plain Church Group Ministry All Commercial	$3,601.65
Rate for Payer: Three Rivers Preferred All Commercial	$4,704.00

MS-DRG 42.00: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC

Facility

$20,598.41

Service Code	MSDRG 854
Min. Negotiated Rate	$11,244.47
Max. Negotiated Rate	$20,598.41
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$17,463.39
Rate for Payer: Anthem Blue Cross of IN Traditional	$20,598.41
Rate for Payer: Plain Church Group Ministry All Commercial	$11,244.47
Rate for Payer: Three Rivers Preferred All Commercial	$14,686.03

MS-DRG 42.00: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC

Facility

$51,558.40

Service Code	MSDRG 853
Min. Negotiated Rate	$28,145.22
Max. Negotiated Rate	$51,558.40
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$43,711.36
Rate for Payer: Anthem Blue Cross of IN Traditional	$51,558.40
Rate for Payer: Plain Church Group Ministry All Commercial	$28,145.22
Rate for Payer: Three Rivers Preferred All Commercial	$36,759.56

MS-DRG 42.00: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC

Facility

$16,758.31

Service Code	MSDRG 855
Min. Negotiated Rate	$9,148.19
Max. Negotiated Rate	$16,758.31
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$14,207.74
Rate for Payer: Anthem Blue Cross of IN Traditional	$16,758.31
Rate for Payer: Plain Church Group Ministry All Commercial	$9,148.19
Rate for Payer: Three Rivers Preferred All Commercial	$11,948.16

Know your out-of-pocket cost for care.

All Charges