Cameron Memorial Community Hospital

All Charges

Charge

Type

Setting

Price

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

Facility

$8,017.31

Service Code	MSDRG 185
Min. Negotiated Rate	$4,376.57
Max. Negotiated Rate	$8,017.31
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$6,797.10
Rate for Payer: Anthem Blue Cross of IN Traditional	$8,017.31
Rate for Payer: Plain Church Group Ministry All Commercial	$4,376.57
Rate for Payer: Three Rivers Preferred All Commercial	$5,716.10

MS-DRG 42.00: MAJOR ESOPHAGEAL DISORDERS WITH CC

Facility

$10,490.44

Service Code	MSDRG 369
Min. Negotiated Rate	$5,726.63
Max. Negotiated Rate	$10,490.44
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$8,893.82
Rate for Payer: Anthem Blue Cross of IN Traditional	$10,490.44
Rate for Payer: Plain Church Group Ministry All Commercial	$5,726.63
Rate for Payer: Three Rivers Preferred All Commercial	$7,479.36

MS-DRG 42.00: MAJOR ESOPHAGEAL DISORDERS WITH MCC

Facility

$17,216.03

Service Code	MSDRG 368
Min. Negotiated Rate	$9,398.06
Max. Negotiated Rate	$17,216.03
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$14,595.80
Rate for Payer: Anthem Blue Cross of IN Traditional	$17,216.03
Rate for Payer: Plain Church Group Ministry All Commercial	$9,398.06
Rate for Payer: Three Rivers Preferred All Commercial	$12,274.50

MS-DRG 42.00: MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC

Facility

$7,195.68

Service Code	MSDRG 370
Min. Negotiated Rate	$3,928.05
Max. Negotiated Rate	$7,195.68
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$6,100.52
Rate for Payer: Anthem Blue Cross of IN Traditional	$7,195.68
Rate for Payer: Plain Church Group Ministry All Commercial	$3,928.05
Rate for Payer: Three Rivers Preferred All Commercial	$5,130.30

MS-DRG 42.00: MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC

Facility

$10,611.05

Service Code	MSDRG 372
Min. Negotiated Rate	$5,792.47
Max. Negotiated Rate	$10,611.05
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$8,996.08
Rate for Payer: Anthem Blue Cross of IN Traditional	$10,611.05
Rate for Payer: Plain Church Group Ministry All Commercial	$5,792.47
Rate for Payer: Three Rivers Preferred All Commercial	$7,565.35

MS-DRG 42.00: MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC

Facility

$18,020.13

Service Code	MSDRG 371
Min. Negotiated Rate	$9,837.01
Max. Negotiated Rate	$18,020.13
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$15,277.52
Rate for Payer: Anthem Blue Cross of IN Traditional	$18,020.13
Rate for Payer: Plain Church Group Ministry All Commercial	$9,837.01
Rate for Payer: Three Rivers Preferred All Commercial	$12,847.80

MS-DRG 42.00: MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC

Facility

$7,478.15

Service Code	MSDRG 373
Min. Negotiated Rate	$4,082.25
Max. Negotiated Rate	$7,478.15
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$6,340.00
Rate for Payer: Anthem Blue Cross of IN Traditional	$7,478.15
Rate for Payer: Plain Church Group Ministry All Commercial	$4,082.25
Rate for Payer: Three Rivers Preferred All Commercial	$5,331.69

MS-DRG 42.00: MAJOR HEAD AND NECK PROCEDURES WITH CC

Facility

$22,148.89

Service Code	MSDRG 141
Min. Negotiated Rate	$12,090.86
Max. Negotiated Rate	$22,148.89
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$18,777.89
Rate for Payer: Anthem Blue Cross of IN Traditional	$22,148.89
Rate for Payer: Plain Church Group Ministry All Commercial	$12,090.86
Rate for Payer: Three Rivers Preferred All Commercial	$15,791.48

MS-DRG 42.00: MAJOR HEAD AND NECK PROCEDURES WITH MCC

Facility

$43,598.82

Service Code	MSDRG 140
Min. Negotiated Rate	$23,800.16
Max. Negotiated Rate	$43,598.82
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$36,963.21
Rate for Payer: Anthem Blue Cross of IN Traditional	$43,598.82
Rate for Payer: Plain Church Group Ministry All Commercial	$23,800.16
Rate for Payer: Three Rivers Preferred All Commercial	$31,084.62

MS-DRG 42.00: MAJOR HEAD AND NECK PROCEDURES WITHOUT CC/MCC

Facility

$16,209.87

Service Code	MSDRG 142
Min. Negotiated Rate	$8,848.81
Max. Negotiated Rate	$16,209.87
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$13,742.78
Rate for Payer: Anthem Blue Cross of IN Traditional	$16,209.87
Rate for Payer: Plain Church Group Ministry All Commercial	$8,848.81
Rate for Payer: Three Rivers Preferred All Commercial	$11,557.14

MS-DRG 42.00: MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC

Facility

$12,767.70

Service Code	MSDRG 809
Min. Negotiated Rate	$6,969.76
Max. Negotiated Rate	$12,767.70
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$10,824.49
Rate for Payer: Anthem Blue Cross of IN Traditional	$12,767.70
Rate for Payer: Plain Church Group Ministry All Commercial	$6,969.76
Rate for Payer: Three Rivers Preferred All Commercial	$9,102.98

MS-DRG 42.00: MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC

Facility

$23,610.70

Service Code	MSDRG 808
Min. Negotiated Rate	$12,888.85
Max. Negotiated Rate	$23,610.70
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$20,017.22
Rate for Payer: Anthem Blue Cross of IN Traditional	$23,610.70
Rate for Payer: Plain Church Group Ministry All Commercial	$12,888.85
Rate for Payer: Three Rivers Preferred All Commercial	$16,833.71

MS-DRG 42.00: MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC

Facility

$9,812.11

Service Code	MSDRG 810
Min. Negotiated Rate	$5,356.33
Max. Negotiated Rate	$9,812.11
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$8,318.73
Rate for Payer: Anthem Blue Cross of IN Traditional	$9,812.11
Rate for Payer: Plain Church Group Ministry All Commercial	$5,356.33
Rate for Payer: Three Rivers Preferred All Commercial	$6,995.73

MS-DRG 42.00: MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT

Facility

$33,697.03

Service Code	MSDRG 469
Min. Negotiated Rate	$18,394.87
Max. Negotiated Rate	$33,697.03
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$28,568.44
Rate for Payer: Anthem Blue Cross of IN Traditional	$33,697.03
Rate for Payer: Plain Church Group Ministry All Commercial	$18,394.87
Rate for Payer: Three Rivers Preferred All Commercial	$24,024.94

MS-DRG 42.00: MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC

Facility

$19,437.62

Service Code	MSDRG 470
Min. Negotiated Rate	$10,610.80
Max. Negotiated Rate	$19,437.62
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$16,479.27
Rate for Payer: Anthem Blue Cross of IN Traditional	$19,437.62
Rate for Payer: Plain Church Group Ministry All Commercial	$10,610.80
Rate for Payer: Three Rivers Preferred All Commercial	$13,858.42

MS-DRG 42.00: MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES

Facility

$26,269.39

Service Code	MSDRG 483
Min. Negotiated Rate	$14,340.20
Max. Negotiated Rate	$26,269.39
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$22,271.27
Rate for Payer: Anthem Blue Cross of IN Traditional	$26,269.39
Rate for Payer: Plain Church Group Ministry All Commercial	$14,340.20
Rate for Payer: Three Rivers Preferred All Commercial	$18,729.27

MS-DRG 42.00: MAJOR MALE PELVIC PROCEDURES WITH CC/MCC

Facility

$20,005.65

Service Code	MSDRG 707
Min. Negotiated Rate	$10,920.88
Max. Negotiated Rate	$20,005.65
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$16,960.84
Rate for Payer: Anthem Blue Cross of IN Traditional	$20,005.65
Rate for Payer: Plain Church Group Ministry All Commercial	$10,920.88
Rate for Payer: Three Rivers Preferred All Commercial	$14,263.41

MS-DRG 42.00: MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC

Facility

$15,283.09

Service Code	MSDRG 708
Min. Negotiated Rate	$8,342.89
Max. Negotiated Rate	$15,283.09
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$12,957.05
Rate for Payer: Anthem Blue Cross of IN Traditional	$15,283.09
Rate for Payer: Plain Church Group Ministry All Commercial	$8,342.89
Rate for Payer: Three Rivers Preferred All Commercial	$10,896.38

MS-DRG 42.00: MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC

Facility

$19,980.90

Service Code	MSDRG 507
Min. Negotiated Rate	$10,907.38
Max. Negotiated Rate	$19,980.90
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$16,939.87
Rate for Payer: Anthem Blue Cross of IN Traditional	$19,980.90
Rate for Payer: Plain Church Group Ministry All Commercial	$10,907.38
Rate for Payer: Three Rivers Preferred All Commercial	$14,245.77

MS-DRG 42.00: MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC

Facility

$13,304.80

Service Code	MSDRG 508
Min. Negotiated Rate	$7,262.95
Max. Negotiated Rate	$13,304.80
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$11,279.84
Rate for Payer: Anthem Blue Cross of IN Traditional	$13,304.80
Rate for Payer: Plain Church Group Ministry All Commercial	$7,262.95
Rate for Payer: Three Rivers Preferred All Commercial	$9,485.91

MS-DRG 42.00: MAJOR SKIN DISORDERS WITH MCC

Facility

$21,804.57

Service Code	MSDRG 595
Min. Negotiated Rate	$11,902.89
Max. Negotiated Rate	$21,804.57
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$18,485.97
Rate for Payer: Anthem Blue Cross of IN Traditional	$21,804.57
Rate for Payer: Plain Church Group Ministry All Commercial	$11,902.89
Rate for Payer: Three Rivers Preferred All Commercial	$15,545.99

MS-DRG 42.00: MAJOR SKIN DISORDERS WITHOUT MCC

Facility

$11,145.06

Service Code	MSDRG 596
Min. Negotiated Rate	$6,083.98
Max. Negotiated Rate	$11,145.06
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$9,448.81
Rate for Payer: Anthem Blue Cross of IN Traditional	$11,145.06
Rate for Payer: Plain Church Group Ministry All Commercial	$6,083.98
Rate for Payer: Three Rivers Preferred All Commercial	$7,946.09

MS-DRG 42.00: MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC

Facility

$24,367.38

Service Code	MSDRG 330
Min. Negotiated Rate	$13,301.91
Max. Negotiated Rate	$24,367.38
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$20,658.74
Rate for Payer: Anthem Blue Cross of IN Traditional	$24,367.38
Rate for Payer: Plain Church Group Ministry All Commercial	$13,301.91
Rate for Payer: Three Rivers Preferred All Commercial	$17,373.19

MS-DRG 42.00: MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC

Facility

$47,337.90

Service Code	MSDRG 329
Min. Negotiated Rate	$25,841.28
Max. Negotiated Rate	$47,337.90
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$40,133.21
Rate for Payer: Anthem Blue Cross of IN Traditional	$47,337.90
Rate for Payer: Plain Church Group Ministry All Commercial	$25,841.28
Rate for Payer: Three Rivers Preferred All Commercial	$33,750.46

MS-DRG 42.00: MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC

Facility

$17,020.16

Service Code	MSDRG 331
Min. Negotiated Rate	$9,291.13
Max. Negotiated Rate	$17,020.16
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$14,429.74
Rate for Payer: Anthem Blue Cross of IN Traditional	$17,020.16
Rate for Payer: Plain Church Group Ministry All Commercial	$9,291.13
Rate for Payer: Three Rivers Preferred All Commercial	$12,134.85

Know your out-of-pocket cost for care.

All Charges