Cameron Memorial Community Hospital

All Charges

Charge

Type

Setting

Price

MS-DRG 42.00: MAJOR THUMB OR JOINT PROCEDURES

Facility

$15,454.22

Service Code	MSDRG 506
Min. Negotiated Rate	$8,436.31
Max. Negotiated Rate	$15,454.22
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$13,102.13
Rate for Payer: Anthem Blue Cross of IN Traditional	$15,454.22
Rate for Payer: Plain Church Group Ministry All Commercial	$8,436.31
Rate for Payer: Three Rivers Preferred All Commercial	$11,018.39

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

Facility

$11,444.02

Service Code	MSDRG 755
Min. Negotiated Rate	$6,247.18
Max. Negotiated Rate	$11,444.02
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$9,702.27
Rate for Payer: Anthem Blue Cross of IN Traditional	$11,444.02
Rate for Payer: Plain Church Group Ministry All Commercial	$6,247.18
Rate for Payer: Three Rivers Preferred All Commercial	$8,159.23

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

Facility

$18,652.07

Service Code	MSDRG 754
Min. Negotiated Rate	$10,181.98
Max. Negotiated Rate	$18,652.07
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$15,813.28
Rate for Payer: Anthem Blue Cross of IN Traditional	$18,652.07
Rate for Payer: Plain Church Group Ministry All Commercial	$10,181.98
Rate for Payer: Three Rivers Preferred All Commercial	$13,298.35

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

Facility

$9,845.09

Service Code	MSDRG 756
Min. Negotiated Rate	$5,374.34
Max. Negotiated Rate	$9,845.09
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$8,346.70
Rate for Payer: Anthem Blue Cross of IN Traditional	$9,845.09
Rate for Payer: Plain Church Group Ministry All Commercial	$5,374.34
Rate for Payer: Three Rivers Preferred All Commercial	$7,019.25

MS-DRG 42.00: MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC

Facility

$11,575.98

Service Code	MSDRG 723
Min. Negotiated Rate	$6,319.21
Max. Negotiated Rate	$11,575.98
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$9,814.15
Rate for Payer: Anthem Blue Cross of IN Traditional	$11,575.98
Rate for Payer: Plain Church Group Ministry All Commercial	$6,319.21
Rate for Payer: Three Rivers Preferred All Commercial	$8,253.32

MS-DRG 42.00: MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC

Facility

$17,823.23

Service Code	MSDRG 722
Min. Negotiated Rate	$9,729.52
Max. Negotiated Rate	$17,823.23
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$15,110.59
Rate for Payer: Anthem Blue Cross of IN Traditional	$17,823.23
Rate for Payer: Plain Church Group Ministry All Commercial	$9,729.52
Rate for Payer: Three Rivers Preferred All Commercial	$12,707.42

MS-DRG 42.00: MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC

Facility

$7,511.14

Service Code	MSDRG 724
Min. Negotiated Rate	$4,100.25
Max. Negotiated Rate	$7,511.14
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$6,367.96
Rate for Payer: Anthem Blue Cross of IN Traditional	$7,511.14
Rate for Payer: Plain Church Group Ministry All Commercial	$4,100.25
Rate for Payer: Three Rivers Preferred All Commercial	$5,355.21

MS-DRG 42.00: MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC

Facility

$11,625.46

Service Code	MSDRG 436
Min. Negotiated Rate	$6,346.22
Max. Negotiated Rate	$11,625.46
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$9,856.10
Rate for Payer: Anthem Blue Cross of IN Traditional	$11,625.46
Rate for Payer: Plain Church Group Ministry All Commercial	$6,346.22
Rate for Payer: Three Rivers Preferred All Commercial	$8,288.59

MS-DRG 42.00: MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC

Facility

$18,809.80

Service Code	MSDRG 435
Min. Negotiated Rate	$10,268.08
Max. Negotiated Rate	$18,809.80
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$15,947.00
Rate for Payer: Anthem Blue Cross of IN Traditional	$18,809.80
Rate for Payer: Plain Church Group Ministry All Commercial	$10,268.08
Rate for Payer: Three Rivers Preferred All Commercial	$13,410.81

MS-DRG 42.00: MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC

Facility

$8,094.63

Service Code	MSDRG 437
Min. Negotiated Rate	$4,418.78
Max. Negotiated Rate	$8,094.63
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$6,862.65
Rate for Payer: Anthem Blue Cross of IN Traditional	$8,094.63
Rate for Payer: Plain Church Group Ministry All Commercial	$4,418.78
Rate for Payer: Three Rivers Preferred All Commercial	$5,771.22

MS-DRG 42.00: MALIGNANT BREAST DISORDERS WITH CC

Facility

$11,122.38

Service Code	MSDRG 598
Min. Negotiated Rate	$6,071.60
Max. Negotiated Rate	$11,122.38
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$9,429.59
Rate for Payer: Anthem Blue Cross of IN Traditional	$11,122.38
Rate for Payer: Plain Church Group Ministry All Commercial	$6,071.60
Rate for Payer: Three Rivers Preferred All Commercial	$7,929.91

MS-DRG 42.00: MALIGNANT BREAST DISORDERS WITH MCC

Facility

$18,109.82

Service Code	MSDRG 597
Min. Negotiated Rate	$9,885.97
Max. Negotiated Rate	$18,109.82
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$15,353.56
Rate for Payer: Anthem Blue Cross of IN Traditional	$18,109.82
Rate for Payer: Plain Church Group Ministry All Commercial	$9,885.97
Rate for Payer: Three Rivers Preferred All Commercial	$12,911.75

MS-DRG 42.00: MALIGNANT BREAST DISORDERS WITHOUT CC/MCC

Facility

$8,813.16

Service Code	MSDRG 599
Min. Negotiated Rate	$4,811.02
Max. Negotiated Rate	$8,813.16
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$7,471.83
Rate for Payer: Anthem Blue Cross of IN Traditional	$8,813.16
Rate for Payer: Plain Church Group Ministry All Commercial	$4,811.02
Rate for Payer: Three Rivers Preferred All Commercial	$6,283.52

MS-DRG 42.00: MASTECTOMY FOR MALIGNANCY WITH CC/MCC

Facility

$18,053.12

Service Code	MSDRG 582
Min. Negotiated Rate	$9,855.02
Max. Negotiated Rate	$18,053.12
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$15,305.49
Rate for Payer: Anthem Blue Cross of IN Traditional	$18,053.12
Rate for Payer: Plain Church Group Ministry All Commercial	$9,855.02
Rate for Payer: Three Rivers Preferred All Commercial	$12,871.32

MS-DRG 42.00: MASTECTOMY FOR MALIGNANCY WITHOUT CC/MCC

Facility

$16,934.59

Service Code	MSDRG 583
Min. Negotiated Rate	$9,244.43
Max. Negotiated Rate	$16,934.59
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$14,357.20
Rate for Payer: Anthem Blue Cross of IN Traditional	$16,934.59
Rate for Payer: Plain Church Group Ministry All Commercial	$9,244.43
Rate for Payer: Three Rivers Preferred All Commercial	$12,073.84

MS-DRG 42.00: MEDICAL BACK PROBLEMS WITH MCC

Facility

$17,591.28

Service Code	MSDRG 551
Min. Negotiated Rate	$9,602.90
Max. Negotiated Rate	$17,591.28
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$14,913.94
Rate for Payer: Anthem Blue Cross of IN Traditional	$17,591.28
Rate for Payer: Plain Church Group Ministry All Commercial	$9,602.90
Rate for Payer: Three Rivers Preferred All Commercial	$12,542.04

MS-DRG 42.00: MEDICAL BACK PROBLEMS WITHOUT MCC

Facility

$9,935.81

Service Code	MSDRG 552
Min. Negotiated Rate	$5,423.86
Max. Negotiated Rate	$9,935.81
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$8,423.61
Rate for Payer: Anthem Blue Cross of IN Traditional	$9,935.81
Rate for Payer: Plain Church Group Ministry All Commercial	$5,423.86
Rate for Payer: Three Rivers Preferred All Commercial	$7,083.93

MS-DRG 42.00: MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC

Facility

$10,160.55

Service Code	MSDRG 760
Min. Negotiated Rate	$5,546.54
Max. Negotiated Rate	$10,160.55
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$8,614.14
Rate for Payer: Anthem Blue Cross of IN Traditional	$10,160.55
Rate for Payer: Plain Church Group Ministry All Commercial	$5,546.54
Rate for Payer: Three Rivers Preferred All Commercial	$7,244.16

MS-DRG 42.00: MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC

Facility

$6,534.88

Service Code	MSDRG 761
Min. Negotiated Rate	$3,567.32
Max. Negotiated Rate	$6,534.88
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$5,540.29
Rate for Payer: Anthem Blue Cross of IN Traditional	$6,534.88
Rate for Payer: Plain Church Group Ministry All Commercial	$3,567.32
Rate for Payer: Three Rivers Preferred All Commercial	$4,659.16

MS-DRG 42.00: MINOR BLADDER PROCEDURES WITH CC

Facility

$15,745.97

Service Code	MSDRG 663
Min. Negotiated Rate	$8,595.57
Max. Negotiated Rate	$15,745.97
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$13,349.48
Rate for Payer: Anthem Blue Cross of IN Traditional	$15,745.97
Rate for Payer: Plain Church Group Ministry All Commercial	$8,595.57
Rate for Payer: Three Rivers Preferred All Commercial	$11,226.39

MS-DRG 42.00: MINOR BLADDER PROCEDURES WITH MCC

Facility

$32,159.96

Service Code	MSDRG 662
Min. Negotiated Rate	$17,555.80
Max. Negotiated Rate	$32,159.96
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$27,265.30
Rate for Payer: Anthem Blue Cross of IN Traditional	$32,159.96
Rate for Payer: Plain Church Group Ministry All Commercial	$17,555.80
Rate for Payer: Three Rivers Preferred All Commercial	$22,929.06

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

Facility

$11,131.66

Service Code	MSDRG 664
Min. Negotiated Rate	$6,076.66
Max. Negotiated Rate	$11,131.66
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$9,437.45
Rate for Payer: Anthem Blue Cross of IN Traditional	$11,131.66
Rate for Payer: Plain Church Group Ministry All Commercial	$6,076.66
Rate for Payer: Three Rivers Preferred All Commercial	$7,936.53

MS-DRG 42.00: MINOR SKIN DISORDERS WITH MCC

Facility

$16,600.58

Service Code	MSDRG 606
Min. Negotiated Rate	$9,062.09
Max. Negotiated Rate	$16,600.58
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$14,074.02
Rate for Payer: Anthem Blue Cross of IN Traditional	$16,600.58
Rate for Payer: Plain Church Group Ministry All Commercial	$9,062.09
Rate for Payer: Three Rivers Preferred All Commercial	$11,835.70

MS-DRG 42.00: MINOR SKIN DISORDERS WITHOUT MCC

Facility

$8,909.04

Service Code	MSDRG 607
Min. Negotiated Rate	$4,863.35
Max. Negotiated Rate	$8,909.04
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$7,553.11
Rate for Payer: Anthem Blue Cross of IN Traditional	$8,909.04
Rate for Payer: Plain Church Group Ministry All Commercial	$4,863.35
Rate for Payer: Three Rivers Preferred All Commercial	$6,351.87

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

Facility

$15,347.01

Service Code	MSDRG 345
Min. Negotiated Rate	$8,377.78
Max. Negotiated Rate	$15,347.01
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$13,011.24
Rate for Payer: Anthem Blue Cross of IN Traditional	$15,347.01
Rate for Payer: Plain Church Group Ministry All Commercial	$8,377.78
Rate for Payer: Three Rivers Preferred All Commercial	$10,941.94

Know your out-of-pocket cost for care.

All Charges