Cameron Memorial Community Hospital

All Charges

Charge

Type

Setting

Price

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

Facility

$27,777.60

Service Code	MSDRG 344
Min. Negotiated Rate	$15,163.51
Max. Negotiated Rate	$27,777.60
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$23,549.93
Rate for Payer: Anthem Blue Cross of IN Traditional	$27,777.60
Rate for Payer: Plain Church Group Ministry All Commercial	$15,163.51
Rate for Payer: Three Rivers Preferred All Commercial	$19,804.58

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

Facility

$12,837.80

Service Code	MSDRG 346
Min. Negotiated Rate	$7,008.03
Max. Negotiated Rate	$12,837.80
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$10,883.92
Rate for Payer: Anthem Blue Cross of IN Traditional	$12,837.80
Rate for Payer: Plain Church Group Ministry All Commercial	$7,008.03
Rate for Payer: Three Rivers Preferred All Commercial	$9,152.95

MS-DRG 42.00: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC

Facility

$13,690.35

Service Code	MSDRG 640
Min. Negotiated Rate	$7,473.43
Max. Negotiated Rate	$13,690.35
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$11,606.72
Rate for Payer: Anthem Blue Cross of IN Traditional	$13,690.35
Rate for Payer: Plain Church Group Ministry All Commercial	$7,473.43
Rate for Payer: Three Rivers Preferred All Commercial	$9,760.80

MS-DRG 42.00: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC

Facility

$8,055.45

Service Code	MSDRG 641
Min. Negotiated Rate	$4,397.39
Max. Negotiated Rate	$8,055.45
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$6,829.44
Rate for Payer: Anthem Blue Cross of IN Traditional	$8,055.45
Rate for Payer: Plain Church Group Ministry All Commercial	$4,397.39
Rate for Payer: Three Rivers Preferred All Commercial	$5,743.29

MS-DRG 42.00: MOUTH PROCEDURES WITH CC/MCC

Facility

$14,418.17

Service Code	MSDRG 137
Min. Negotiated Rate	$7,870.73
Max. Negotiated Rate	$14,418.17
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$12,223.76
Rate for Payer: Anthem Blue Cross of IN Traditional	$14,418.17
Rate for Payer: Plain Church Group Ministry All Commercial	$7,870.73
Rate for Payer: Three Rivers Preferred All Commercial	$10,279.71

MS-DRG 42.00: MOUTH PROCEDURES WITHOUT CC/MCC

Facility

$8,386.37

Service Code	MSDRG 138
Min. Negotiated Rate	$4,578.04
Max. Negotiated Rate	$8,386.37
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$7,109.99
Rate for Payer: Anthem Blue Cross of IN Traditional	$8,386.37
Rate for Payer: Plain Church Group Ministry All Commercial	$4,578.04
Rate for Payer: Three Rivers Preferred All Commercial	$5,979.23

MS-DRG 42.00: MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH CC

Facility

$73,221.73

Service Code	MSDRG 427
Min. Negotiated Rate	$39,971.01
Max. Negotiated Rate	$73,221.73
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$62,077.60
Rate for Payer: Anthem Blue Cross of IN Traditional	$73,221.73
Rate for Payer: Plain Church Group Ministry All Commercial	$39,971.01
Rate for Payer: Three Rivers Preferred All Commercial	$52,204.85

MS-DRG 42.00: MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE

Facility

$107,990.90

Service Code	MSDRG 426
Min. Negotiated Rate	$58,951.15
Max. Negotiated Rate	$107,990.90
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$91,555.00
Rate for Payer: Anthem Blue Cross of IN Traditional	$107,990.90
Rate for Payer: Plain Church Group Ministry All Commercial	$58,951.15
Rate for Payer: Three Rivers Preferred All Commercial	$76,994.19

MS-DRG 42.00: MULTIPLE LEVEL COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION EXCEPT CERVICAL WITHOUT CC/MCC

Facility

$56,741.77

Service Code	MSDRG 428
Min. Negotiated Rate	$30,974.76
Max. Negotiated Rate	$56,741.77
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$48,105.83
Rate for Payer: Anthem Blue Cross of IN Traditional	$56,741.77
Rate for Payer: Plain Church Group Ministry All Commercial	$30,974.76
Rate for Payer: Three Rivers Preferred All Commercial	$40,455.14

MS-DRG 42.00: MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITH MCC OR CUSTOM-MADE ANATOMICALLY DESIGNED INTERBODY FUSION DEVICE

Facility

$69,118.75

Service Code	MSDRG 447
Min. Negotiated Rate	$37,731.24
Max. Negotiated Rate	$69,118.75
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$58,599.08
Rate for Payer: Anthem Blue Cross of IN Traditional	$69,118.75
Rate for Payer: Plain Church Group Ministry All Commercial	$37,731.24
Rate for Payer: Three Rivers Preferred All Commercial	$49,279.54

MS-DRG 42.00: MULTIPLE LEVEL SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC

Facility

$42,096.80

Service Code	MSDRG 448
Min. Negotiated Rate	$22,980.22
Max. Negotiated Rate	$42,096.80
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$35,689.79
Rate for Payer: Anthem Blue Cross of IN Traditional	$42,096.80
Rate for Payer: Plain Church Group Ministry All Commercial	$22,980.22
Rate for Payer: Three Rivers Preferred All Commercial	$30,013.72

MS-DRG 42.00: MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC

Facility

$12,614.09

Service Code	MSDRG 059
Min. Negotiated Rate	$6,885.91
Max. Negotiated Rate	$12,614.09
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$10,694.26
Rate for Payer: Anthem Blue Cross of IN Traditional	$12,614.09
Rate for Payer: Plain Church Group Ministry All Commercial	$6,885.91
Rate for Payer: Three Rivers Preferred All Commercial	$8,993.46

MS-DRG 42.00: MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC

Facility

$19,029.38

Service Code	MSDRG 058
Min. Negotiated Rate	$10,387.95
Max. Negotiated Rate	$19,029.38
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$16,133.17
Rate for Payer: Anthem Blue Cross of IN Traditional	$19,029.38
Rate for Payer: Plain Church Group Ministry All Commercial	$10,387.95
Rate for Payer: Three Rivers Preferred All Commercial	$13,567.36

MS-DRG 42.00: MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC

Facility

$9,199.75

Service Code	MSDRG 060
Min. Negotiated Rate	$5,022.05
Max. Negotiated Rate	$9,199.75
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$7,799.58
Rate for Payer: Anthem Blue Cross of IN Traditional	$9,199.75
Rate for Payer: Plain Church Group Ministry All Commercial	$5,022.05
Rate for Payer: Three Rivers Preferred All Commercial	$6,559.14

MS-DRG 42.00: MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC

Facility

$24,328.21

Service Code	MSDRG 827
Min. Negotiated Rate	$13,280.53
Max. Negotiated Rate	$24,328.21
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$20,625.53
Rate for Payer: Anthem Blue Cross of IN Traditional	$24,328.21
Rate for Payer: Plain Church Group Ministry All Commercial	$13,280.53
Rate for Payer: Three Rivers Preferred All Commercial	$17,345.26

MS-DRG 42.00: MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC

Facility

$49,230.63

Service Code	MSDRG 826
Min. Negotiated Rate	$26,874.51
Max. Negotiated Rate	$49,230.63
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$41,737.87
Rate for Payer: Anthem Blue Cross of IN Traditional	$49,230.63
Rate for Payer: Plain Church Group Ministry All Commercial	$26,874.51
Rate for Payer: Three Rivers Preferred All Commercial	$35,099.93

MS-DRG 42.00: MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC

Facility

$16,524.30

Service Code	MSDRG 828
Min. Negotiated Rate	$9,020.45
Max. Negotiated Rate	$16,524.30
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$14,009.35
Rate for Payer: Anthem Blue Cross of IN Traditional	$16,524.30
Rate for Payer: Plain Church Group Ministry All Commercial	$9,020.45
Rate for Payer: Three Rivers Preferred All Commercial	$11,781.32

MS-DRG 42.00: MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC

Facility

$31,790.89

Service Code	MSDRG 829
Min. Negotiated Rate	$17,354.33
Max. Negotiated Rate	$31,790.89
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$26,952.41
Rate for Payer: Anthem Blue Cross of IN Traditional	$31,790.89
Rate for Payer: Plain Church Group Ministry All Commercial	$17,354.33
Rate for Payer: Three Rivers Preferred All Commercial	$22,665.93

MS-DRG 42.00: MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC

Facility

$15,076.91

Service Code	MSDRG 830
Min. Negotiated Rate	$8,230.34
Max. Negotiated Rate	$15,076.91
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$12,782.25
Rate for Payer: Anthem Blue Cross of IN Traditional	$15,076.91
Rate for Payer: Plain Church Group Ministry All Commercial	$8,230.34
Rate for Payer: Three Rivers Preferred All Commercial	$10,749.38

MS-DRG 42.00: NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY

Facility

$18,583.00

Service Code	MSDRG 789
Min. Negotiated Rate	$10,144.28
Max. Negotiated Rate	$18,583.00
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$15,754.72
Rate for Payer: Anthem Blue Cross of IN Traditional	$18,583.00
Rate for Payer: Plain Church Group Ministry All Commercial	$10,144.28
Rate for Payer: Three Rivers Preferred All Commercial	$13,249.11

MS-DRG 42.00: NEONATE WITH OTHER SIGNIFICANT PROBLEMS

Facility

$15,218.15

Service Code	MSDRG 794
Min. Negotiated Rate	$8,307.43
Max. Negotiated Rate	$15,218.15
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$12,901.99
Rate for Payer: Anthem Blue Cross of IN Traditional	$15,218.15
Rate for Payer: Plain Church Group Ministry All Commercial	$8,307.43
Rate for Payer: Three Rivers Preferred All Commercial	$10,850.07

MS-DRG 42.00: NERVOUS SYSTEM NEOPLASMS WITH MCC

Facility

$15,454.22

Service Code	MSDRG 054
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: NERVOUS SYSTEM NEOPLASMS WITHOUT MCC

Facility

$11,247.12

Service Code	MSDRG 055
Min. Negotiated Rate	$6,139.69
Max. Negotiated Rate	$11,247.12
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$9,535.34
Rate for Payer: Anthem Blue Cross of IN Traditional	$11,247.12
Rate for Payer: Plain Church Group Ministry All Commercial	$6,139.69
Rate for Payer: Three Rivers Preferred All Commercial	$8,018.85

MS-DRG 42.00: NEUROLOGICAL EYE DISORDERS

Facility

$8,280.19

Service Code	MSDRG 123
Min. Negotiated Rate	$4,520.07
Max. Negotiated Rate	$8,280.19
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$7,019.97
Rate for Payer: Anthem Blue Cross of IN Traditional	$8,280.19
Rate for Payer: Plain Church Group Ministry All Commercial	$4,520.07
Rate for Payer: Three Rivers Preferred All Commercial	$5,903.52

MS-DRG 42.00: NEUROSES EXCEPT DEPRESSIVE

Facility

$9,917.26

Service Code	MSDRG 882
Min. Negotiated Rate	$5,413.73
Max. Negotiated Rate	$9,917.26
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$8,407.88
Rate for Payer: Anthem Blue Cross of IN Traditional	$9,917.26
Rate for Payer: Plain Church Group Ministry All Commercial	$5,413.73
Rate for Payer: Three Rivers Preferred All Commercial	$7,070.70

Know your out-of-pocket cost for care.

All Charges