Cameron Memorial Community Hospital

All Charges

Charge

Type

Setting

Price

MS-DRG 42.00: LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC

Facility

$36,293.87

Service Code	MSDRG 495
Min. Negotiated Rate	$19,812.46
Max. Negotiated Rate	$36,293.87
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$30,770.04
Rate for Payer: Anthem Blue Cross of IN Traditional	$36,293.87
Rate for Payer: Plain Church Group Ministry All Commercial	$19,812.46
Rate for Payer: Three Rivers Preferred All Commercial	$25,876.41

MS-DRG 42.00: LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC

Facility

$13,840.86

Service Code	MSDRG 497
Min. Negotiated Rate	$7,555.59
Max. Negotiated Rate	$13,840.86
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$11,734.32
Rate for Payer: Anthem Blue Cross of IN Traditional	$13,840.86
Rate for Payer: Plain Church Group Ministry All Commercial	$7,555.59
Rate for Payer: Three Rivers Preferred All Commercial	$9,868.11

MS-DRG 42.00: LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC

Facility

$26,029.19

Service Code	MSDRG 498
Min. Negotiated Rate	$14,209.08
Max. Negotiated Rate	$26,029.19
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$22,067.63
Rate for Payer: Anthem Blue Cross of IN Traditional	$26,029.19
Rate for Payer: Plain Church Group Ministry All Commercial	$14,209.08
Rate for Payer: Three Rivers Preferred All Commercial	$18,558.01

MS-DRG 42.00: LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC

Facility

$11,966.69

Service Code	MSDRG 499
Min. Negotiated Rate	$6,532.49
Max. Negotiated Rate	$11,966.69
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$10,145.39
Rate for Payer: Anthem Blue Cross of IN Traditional	$11,966.69
Rate for Payer: Plain Church Group Ministry All Commercial	$6,532.49
Rate for Payer: Three Rivers Preferred All Commercial	$8,531.88

MS-DRG 42.00: LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC

Facility

$24,751.91

Service Code	MSDRG 493
Min. Negotiated Rate	$13,511.82
Max. Negotiated Rate	$24,751.91
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$20,984.74
Rate for Payer: Anthem Blue Cross of IN Traditional	$24,751.91
Rate for Payer: Plain Church Group Ministry All Commercial	$13,511.82
Rate for Payer: Three Rivers Preferred All Commercial	$17,647.35

MS-DRG 42.00: LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC

Facility

$36,609.32

Service Code	MSDRG 492
Min. Negotiated Rate	$19,984.66
Max. Negotiated Rate	$36,609.32
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$31,037.49
Rate for Payer: Anthem Blue Cross of IN Traditional	$36,609.32
Rate for Payer: Plain Church Group Ministry All Commercial	$19,984.66
Rate for Payer: Three Rivers Preferred All Commercial	$26,101.32

MS-DRG 42.00: LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC

Facility

$19,436.59

Service Code	MSDRG 494
Min. Negotiated Rate	$10,610.24
Max. Negotiated Rate	$19,436.59
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$16,478.40
Rate for Payer: Anthem Blue Cross of IN Traditional	$19,436.59
Rate for Payer: Plain Church Group Ministry All Commercial	$10,610.24
Rate for Payer: Three Rivers Preferred All Commercial	$13,857.69

MS-DRG 42.00: LUNG TRANSPLANT

Facility

$134,726.26

Service Code	MSDRG 007
Min. Negotiated Rate	$73,545.72
Max. Negotiated Rate	$134,726.26
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$114,221.31
Rate for Payer: Anthem Blue Cross of IN Traditional	$134,726.26
Rate for Payer: Plain Church Group Ministry All Commercial	$73,545.72
Rate for Payer: Three Rivers Preferred All Commercial	$96,055.68

MS-DRG 42.00: LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC

Facility

$23,013.81

Service Code	MSDRG 821
Min. Negotiated Rate	$12,563.01
Max. Negotiated Rate	$23,013.81
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$19,511.18
Rate for Payer: Anthem Blue Cross of IN Traditional	$23,013.81
Rate for Payer: Plain Church Group Ministry All Commercial	$12,563.01
Rate for Payer: Three Rivers Preferred All Commercial	$16,408.14

MS-DRG 42.00: LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC

Facility

$60,022.09

Service Code	MSDRG 820
Min. Negotiated Rate	$32,765.46
Max. Negotiated Rate	$60,022.09
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$50,886.90
Rate for Payer: Anthem Blue Cross of IN Traditional	$60,022.09
Rate for Payer: Plain Church Group Ministry All Commercial	$32,765.46
Rate for Payer: Three Rivers Preferred All Commercial	$42,793.90

MS-DRG 42.00: LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC

Facility

$11,790.40

Service Code	MSDRG 822
Min. Negotiated Rate	$6,436.26
Max. Negotiated Rate	$11,790.40
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$9,995.94
Rate for Payer: Anthem Blue Cross of IN Traditional	$11,790.40
Rate for Payer: Plain Church Group Ministry All Commercial	$6,436.26
Rate for Payer: Three Rivers Preferred All Commercial	$8,406.19

MS-DRG 42.00: LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC

Facility

$16,164.51

Service Code	MSDRG 841
Min. Negotiated Rate	$8,824.05
Max. Negotiated Rate	$16,164.51
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$13,704.32
Rate for Payer: Anthem Blue Cross of IN Traditional	$16,164.51
Rate for Payer: Plain Church Group Ministry All Commercial	$8,824.05
Rate for Payer: Three Rivers Preferred All Commercial	$11,524.80

MS-DRG 42.00: LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC

Facility

$32,875.40

Service Code	MSDRG 840
Min. Negotiated Rate	$17,946.35
Max. Negotiated Rate	$32,875.40
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$27,871.86
Rate for Payer: Anthem Blue Cross of IN Traditional	$32,875.40
Rate for Payer: Plain Church Group Ministry All Commercial	$17,946.35
Rate for Payer: Three Rivers Preferred All Commercial	$23,439.15

MS-DRG 42.00: LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC

Facility

$22,673.61

Service Code	MSDRG 824
Min. Negotiated Rate	$12,377.30
Max. Negotiated Rate	$22,673.61
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$19,222.76
Rate for Payer: Anthem Blue Cross of IN Traditional	$22,673.61
Rate for Payer: Plain Church Group Ministry All Commercial	$12,377.30
Rate for Payer: Three Rivers Preferred All Commercial	$16,165.59

MS-DRG 42.00: LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC

Facility

$48,240.97

Service Code	MSDRG 823
Min. Negotiated Rate	$26,334.26
Max. Negotiated Rate	$48,240.97
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$40,898.83
Rate for Payer: Anthem Blue Cross of IN Traditional	$48,240.97
Rate for Payer: Plain Church Group Ministry All Commercial	$26,334.26
Rate for Payer: Three Rivers Preferred All Commercial	$34,394.32

MS-DRG 42.00: LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC

Facility

$12,688.32

Service Code	MSDRG 825
Min. Negotiated Rate	$6,926.43
Max. Negotiated Rate	$12,688.32
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$10,757.19
Rate for Payer: Anthem Blue Cross of IN Traditional	$12,688.32
Rate for Payer: Plain Church Group Ministry All Commercial	$6,926.43
Rate for Payer: Three Rivers Preferred All Commercial	$9,046.38

MS-DRG 42.00: LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC

Facility

$10,844.04

Service Code	MSDRG 842
Min. Negotiated Rate	$5,919.65
Max. Negotiated Rate	$10,844.04
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$9,193.61
Rate for Payer: Anthem Blue Cross of IN Traditional	$10,844.04
Rate for Payer: Plain Church Group Ministry All Commercial	$5,919.65
Rate for Payer: Three Rivers Preferred All Commercial	$7,731.47

MS-DRG 42.00: MAJOR BLADDER PROCEDURES WITH CC

Facility

$29,093.03

Service Code	MSDRG 654
Min. Negotiated Rate	$15,881.59
Max. Negotiated Rate	$29,093.03
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$24,665.15
Rate for Payer: Anthem Blue Cross of IN Traditional	$29,093.03
Rate for Payer: Plain Church Group Ministry All Commercial	$15,881.59
Rate for Payer: Three Rivers Preferred All Commercial	$20,742.44

MS-DRG 42.00: MAJOR BLADDER PROCEDURES WITH MCC

Facility

$57,468.55

Service Code	MSDRG 653
Min. Negotiated Rate	$31,371.51
Max. Negotiated Rate	$57,468.55
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$48,722.00
Rate for Payer: Anthem Blue Cross of IN Traditional	$57,468.55
Rate for Payer: Plain Church Group Ministry All Commercial	$31,371.51
Rate for Payer: Three Rivers Preferred All Commercial	$40,973.31

MS-DRG 42.00: MAJOR BLADDER PROCEDURES WITHOUT CC/MCC

Facility

$21,414.89

Service Code	MSDRG 655
Min. Negotiated Rate	$11,690.17
Max. Negotiated Rate	$21,414.89
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$18,155.60
Rate for Payer: Anthem Blue Cross of IN Traditional	$21,414.89
Rate for Payer: Plain Church Group Ministry All Commercial	$11,690.17
Rate for Payer: Three Rivers Preferred All Commercial	$15,268.16

MS-DRG 42.00: MAJOR CHEST PROCEDURES WITH CC

Facility

$25,947.75

Service Code	MSDRG 164
Min. Negotiated Rate	$14,164.62
Max. Negotiated Rate	$25,947.75
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$21,998.58
Rate for Payer: Anthem Blue Cross of IN Traditional	$25,947.75
Rate for Payer: Plain Church Group Ministry All Commercial	$14,164.62
Rate for Payer: Three Rivers Preferred All Commercial	$18,499.95

MS-DRG 42.00: MAJOR CHEST PROCEDURES WITH MCC

Facility

$47,516.24

Service Code	MSDRG 163
Min. Negotiated Rate	$25,938.64
Max. Negotiated Rate	$47,516.24
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$40,284.41
Rate for Payer: Anthem Blue Cross of IN Traditional	$47,516.24
Rate for Payer: Plain Church Group Ministry All Commercial	$25,938.64
Rate for Payer: Three Rivers Preferred All Commercial	$33,877.62

MS-DRG 42.00: MAJOR CHEST PROCEDURES WITHOUT CC/MCC

Facility

$19,215.98

Service Code	MSDRG 165
Min. Negotiated Rate	$10,489.81
Max. Negotiated Rate	$19,215.98
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$16,291.36
Rate for Payer: Anthem Blue Cross of IN Traditional	$19,215.98
Rate for Payer: Plain Church Group Ministry All Commercial	$10,489.81
Rate for Payer: Three Rivers Preferred All Commercial	$13,700.40

MS-DRG 42.00: MAJOR CHEST TRAUMA WITH CC

Facility

$11,011.04

Service Code	MSDRG 184
Min. Negotiated Rate	$6,010.82
Max. Negotiated Rate	$11,011.04
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$9,335.19
Rate for Payer: Anthem Blue Cross of IN Traditional	$11,011.04
Rate for Payer: Plain Church Group Ministry All Commercial	$6,010.82
Rate for Payer: Three Rivers Preferred All Commercial	$7,850.53

MS-DRG 42.00: MAJOR CHEST TRAUMA WITH MCC

Facility

$16,363.48

Service Code	MSDRG 183
Min. Negotiated Rate	$8,932.66
Max. Negotiated Rate	$16,363.48
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$13,873.00
Rate for Payer: Anthem Blue Cross of IN Traditional	$16,363.48
Rate for Payer: Plain Church Group Ministry All Commercial	$8,932.66
Rate for Payer: Three Rivers Preferred All Commercial	$11,666.66

Know your out-of-pocket cost for care.

All Charges