Cameron Memorial Community Hospital

All Charges

Charge

Type

Setting

Price

MS-DRG 42.00: INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC

Facility

$15,148.04

Service Code	MSDRG 727
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: INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC

Facility

$8,423.48

Service Code	MSDRG 728
Min. Negotiated Rate	$4,598.30
Max. Negotiated Rate	$8,423.48
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$7,141.45
Rate for Payer: Anthem Blue Cross of IN Traditional	$8,423.48
Rate for Payer: Plain Church Group Ministry All Commercial	$4,598.30
Rate for Payer: Three Rivers Preferred All Commercial	$6,005.69

MS-DRG 42.00: INFLAMMATORY BOWEL DISEASE WITH CC

Facility

$10,231.68

Service Code	MSDRG 386
Min. Negotiated Rate	$5,585.37
Max. Negotiated Rate	$10,231.68
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$8,674.45
Rate for Payer: Anthem Blue Cross of IN Traditional	$10,231.68
Rate for Payer: Plain Church Group Ministry All Commercial	$5,585.37
Rate for Payer: Three Rivers Preferred All Commercial	$7,294.88

MS-DRG 42.00: INFLAMMATORY BOWEL DISEASE WITH MCC

Facility

$16,750.06

Service Code	MSDRG 385
Min. Negotiated Rate	$9,143.69
Max. Negotiated Rate	$16,750.06
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$14,200.75
Rate for Payer: Anthem Blue Cross of IN Traditional	$16,750.06
Rate for Payer: Plain Church Group Ministry All Commercial	$9,143.69
Rate for Payer: Three Rivers Preferred All Commercial	$11,942.28

MS-DRG 42.00: INFLAMMATORY BOWEL DISEASE WITHOUT CC/MCC

Facility

$6,910.12

Service Code	MSDRG 387
Min. Negotiated Rate	$3,772.17
Max. Negotiated Rate	$6,910.12
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$5,858.42
Rate for Payer: Anthem Blue Cross of IN Traditional	$6,910.12
Rate for Payer: Plain Church Group Ministry All Commercial	$3,772.17
Rate for Payer: Three Rivers Preferred All Commercial	$4,926.70

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

Facility

$15,509.89

Service Code	MSDRG 351
Min. Negotiated Rate	$8,466.69
Max. Negotiated Rate	$15,509.89
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$13,149.33
Rate for Payer: Anthem Blue Cross of IN Traditional	$15,509.89
Rate for Payer: Plain Church Group Ministry All Commercial	$8,466.69
Rate for Payer: Three Rivers Preferred All Commercial	$11,058.08

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

Facility

$24,934.38

Service Code	MSDRG 350
Min. Negotiated Rate	$13,611.43
Max. Negotiated Rate	$24,934.38
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$21,139.44
Rate for Payer: Anthem Blue Cross of IN Traditional	$24,934.38
Rate for Payer: Plain Church Group Ministry All Commercial	$13,611.43
Rate for Payer: Three Rivers Preferred All Commercial	$17,777.44

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

Facility

$11,366.70

Service Code	MSDRG 352
Min. Negotiated Rate	$6,204.97
Max. Negotiated Rate	$11,366.70
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$9,636.72
Rate for Payer: Anthem Blue Cross of IN Traditional	$11,366.70
Rate for Payer: Plain Church Group Ministry All Commercial	$6,204.97
Rate for Payer: Three Rivers Preferred All Commercial	$8,104.11

MS-DRG 42.00: INTERSTITIAL LUNG DISEASE WITH CC

Facility

$10,205.91

Service Code	MSDRG 197
Min. Negotiated Rate	$5,571.30
Max. Negotiated Rate	$10,205.91
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$8,652.60
Rate for Payer: Anthem Blue Cross of IN Traditional	$10,205.91
Rate for Payer: Plain Church Group Ministry All Commercial	$5,571.30
Rate for Payer: Three Rivers Preferred All Commercial	$7,276.50

MS-DRG 42.00: INTERSTITIAL LUNG DISEASE WITH MCC

Facility

$19,423.19

Service Code	MSDRG 196
Min. Negotiated Rate	$10,602.92
Max. Negotiated Rate	$19,423.19
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$16,467.03
Rate for Payer: Anthem Blue Cross of IN Traditional	$19,423.19
Rate for Payer: Plain Church Group Ministry All Commercial	$10,602.92
Rate for Payer: Three Rivers Preferred All Commercial	$13,848.14

MS-DRG 42.00: INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC

Facility

$7,220.42

Service Code	MSDRG 198
Min. Negotiated Rate	$3,941.56
Max. Negotiated Rate	$7,220.42
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$6,121.50
Rate for Payer: Anthem Blue Cross of IN Traditional	$7,220.42
Rate for Payer: Plain Church Group Ministry All Commercial	$3,941.56
Rate for Payer: Three Rivers Preferred All Commercial	$5,147.94

MS-DRG 42.00: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS

Facility

$10,483.22

Service Code	MSDRG 065
Min. Negotiated Rate	$5,722.69
Max. Negotiated Rate	$10,483.22
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$8,887.71
Rate for Payer: Anthem Blue Cross of IN Traditional	$10,483.22
Rate for Payer: Plain Church Group Ministry All Commercial	$5,722.69
Rate for Payer: Three Rivers Preferred All Commercial	$7,474.22

MS-DRG 42.00: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC

Facility

$20,506.66

Service Code	MSDRG 064
Min. Negotiated Rate	$11,194.38
Max. Negotiated Rate	$20,506.66
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$17,385.61
Rate for Payer: Anthem Blue Cross of IN Traditional	$20,506.66
Rate for Payer: Plain Church Group Ministry All Commercial	$11,194.38
Rate for Payer: Three Rivers Preferred All Commercial	$14,620.62

MS-DRG 42.00: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC

Facility

$7,095.68

Service Code	MSDRG 066
Min. Negotiated Rate	$3,873.46
Max. Negotiated Rate	$7,095.68
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$6,015.74
Rate for Payer: Anthem Blue Cross of IN Traditional	$7,095.68
Rate for Payer: Plain Church Group Ministry All Commercial	$3,873.46
Rate for Payer: Three Rivers Preferred All Commercial	$5,059.01

MS-DRG 42.00: INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC

Facility

$56,980.94

Service Code	MSDRG 021
Min. Negotiated Rate	$31,105.32
Max. Negotiated Rate	$56,980.94
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$48,308.60
Rate for Payer: Anthem Blue Cross of IN Traditional	$56,980.94
Rate for Payer: Plain Church Group Ministry All Commercial	$31,105.32
Rate for Payer: Three Rivers Preferred All Commercial	$40,625.65

MS-DRG 42.00: INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC

Facility

$83,101.88

Service Code	MSDRG 020
Min. Negotiated Rate	$45,364.49
Max. Negotiated Rate	$83,101.88
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$70,454.01
Rate for Payer: Anthem Blue Cross of IN Traditional	$83,101.88
Rate for Payer: Plain Church Group Ministry All Commercial	$45,364.49
Rate for Payer: Three Rivers Preferred All Commercial	$59,249.08

MS-DRG 42.00: INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC

Facility

$36,394.89

Service Code	MSDRG 022
Min. Negotiated Rate	$19,867.61
Max. Negotiated Rate	$36,394.89
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$30,855.70
Rate for Payer: Anthem Blue Cross of IN Traditional	$36,394.89
Rate for Payer: Plain Church Group Ministry All Commercial	$19,867.61
Rate for Payer: Three Rivers Preferred All Commercial	$25,948.44

MS-DRG 42.00: INTRAOCULAR PROCEDURES WITH CC/MCC

Facility

$17,201.60

Service Code	MSDRG 116
Min. Negotiated Rate	$9,390.18
Max. Negotiated Rate	$17,201.60
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$14,583.56
Rate for Payer: Anthem Blue Cross of IN Traditional	$17,201.60
Rate for Payer: Plain Church Group Ministry All Commercial	$9,390.18
Rate for Payer: Three Rivers Preferred All Commercial	$12,264.21

MS-DRG 42.00: INTRAOCULAR PROCEDURES WITHOUT CC/MCC

Facility

$11,119.29

Service Code	MSDRG 117
Min. Negotiated Rate	$6,069.91
Max. Negotiated Rate	$11,119.29
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$9,426.96
Rate for Payer: Anthem Blue Cross of IN Traditional	$11,119.29
Rate for Payer: Plain Church Group Ministry All Commercial	$6,069.91
Rate for Payer: Three Rivers Preferred All Commercial	$7,927.71

MS-DRG 42.00: ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC

Facility

$18,359.30

Service Code	MSDRG 062
Min. Negotiated Rate	$10,022.16
Max. Negotiated Rate	$18,359.30
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$15,565.07
Rate for Payer: Anthem Blue Cross of IN Traditional	$18,359.30
Rate for Payer: Plain Church Group Ministry All Commercial	$10,022.16
Rate for Payer: Three Rivers Preferred All Commercial	$13,089.61

MS-DRG 42.00: ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC

Facility

$27,869.35

Service Code	MSDRG 061
Min. Negotiated Rate	$15,213.60
Max. Negotiated Rate	$27,869.35
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$23,627.72
Rate for Payer: Anthem Blue Cross of IN Traditional	$27,869.35
Rate for Payer: Plain Church Group Ministry All Commercial	$15,213.60
Rate for Payer: Three Rivers Preferred All Commercial	$19,869.99

MS-DRG 42.00: ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC

Facility

$14,482.08

Service Code	MSDRG 063
Min. Negotiated Rate	$7,905.62
Max. Negotiated Rate	$14,482.08
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$12,277.95
Rate for Payer: Anthem Blue Cross of IN Traditional	$14,482.08
Rate for Payer: Plain Church Group Ministry All Commercial	$7,905.62
Rate for Payer: Three Rivers Preferred All Commercial	$10,325.28

MS-DRG 42.00: KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC

Facility

$18,845.88

Service Code	MSDRG 657
Min. Negotiated Rate	$10,287.78
Max. Negotiated Rate	$18,845.88
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$15,977.59
Rate for Payer: Anthem Blue Cross of IN Traditional	$18,845.88
Rate for Payer: Plain Church Group Ministry All Commercial	$10,287.78
Rate for Payer: Three Rivers Preferred All Commercial	$13,436.53

MS-DRG 42.00: KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC

Facility

$33,586.72

Service Code	MSDRG 656
Min. Negotiated Rate	$18,334.66
Max. Negotiated Rate	$33,586.72
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$28,474.92
Rate for Payer: Anthem Blue Cross of IN Traditional	$33,586.72
Rate for Payer: Plain Church Group Ministry All Commercial	$18,334.66
Rate for Payer: Three Rivers Preferred All Commercial	$23,946.30

MS-DRG 42.00: KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC

Facility

$15,504.74

Service Code	MSDRG 658
Min. Negotiated Rate	$8,463.88
Max. Negotiated Rate	$15,504.74
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$13,144.96
Rate for Payer: Anthem Blue Cross of IN Traditional	$15,504.74
Rate for Payer: Plain Church Group Ministry All Commercial	$8,463.88
Rate for Payer: Three Rivers Preferred All Commercial	$11,054.40

Know your out-of-pocket cost for care.

All Charges