Cameron Memorial Community Hospital

All Charges

Charge

Type

Setting

Price

MS-DRG 42.00: NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC

Facility

$22,363.31

Service Code	MSDRG 098
Min. Negotiated Rate	$12,207.91
Max. Negotiated Rate	$22,363.31
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$18,959.68
Rate for Payer: Anthem Blue Cross of IN Traditional	$22,363.31
Rate for Payer: Plain Church Group Ministry All Commercial	$12,207.91
Rate for Payer: Three Rivers Preferred All Commercial	$15,944.35

MS-DRG 42.00: NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC

Facility

$36,953.64

Service Code	MSDRG 097
Min. Negotiated Rate	$20,172.62
Max. Negotiated Rate	$36,953.64
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$31,329.40
Rate for Payer: Anthem Blue Cross of IN Traditional	$36,953.64
Rate for Payer: Plain Church Group Ministry All Commercial	$20,172.62
Rate for Payer: Three Rivers Preferred All Commercial	$26,346.81

MS-DRG 42.00: NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITHOUT CC/MCC

Facility

$14,363.53

Service Code	MSDRG 099
Min. Negotiated Rate	$7,840.91
Max. Negotiated Rate	$14,363.53
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$12,177.44
Rate for Payer: Anthem Blue Cross of IN Traditional	$14,363.53
Rate for Payer: Plain Church Group Ministry All Commercial	$7,840.91
Rate for Payer: Three Rivers Preferred All Commercial	$10,240.75

MS-DRG 42.00: NON-EXTENSIVE BURNS

Facility

$22,642.69

Service Code	MSDRG 935
Min. Negotiated Rate	$12,360.42
Max. Negotiated Rate	$22,642.69
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$19,196.54
Rate for Payer: Anthem Blue Cross of IN Traditional	$22,642.69
Rate for Payer: Plain Church Group Ministry All Commercial	$12,360.42
Rate for Payer: Three Rivers Preferred All Commercial	$16,143.54

MS-DRG 42.00: NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC

Facility

$17,690.24

Service Code	MSDRG 988
Min. Negotiated Rate	$9,656.93
Max. Negotiated Rate	$17,690.24
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$14,997.84
Rate for Payer: Anthem Blue Cross of IN Traditional	$17,690.24
Rate for Payer: Plain Church Group Ministry All Commercial	$9,656.93
Rate for Payer: Three Rivers Preferred All Commercial	$12,612.60

MS-DRG 42.00: NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC

Facility

$36,109.33

Service Code	MSDRG 987
Min. Negotiated Rate	$19,711.72
Max. Negotiated Rate	$36,109.33
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$30,613.60
Rate for Payer: Anthem Blue Cross of IN Traditional	$36,109.33
Rate for Payer: Plain Church Group Ministry All Commercial	$19,711.72
Rate for Payer: Three Rivers Preferred All Commercial	$25,744.85

MS-DRG 42.00: NON-EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC

Facility

$11,912.05

Service Code	MSDRG 989
Min. Negotiated Rate	$6,502.67
Max. Negotiated Rate	$11,912.05
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$10,099.07
Rate for Payer: Anthem Blue Cross of IN Traditional	$11,912.05
Rate for Payer: Plain Church Group Ministry All Commercial	$6,502.67
Rate for Payer: Three Rivers Preferred All Commercial	$8,492.92

MS-DRG 42.00: NON-MALIGNANT BREAST DISORDERS WITH CC/MCC

Facility

$9,861.59

Service Code	MSDRG 600
Min. Negotiated Rate	$5,383.34
Max. Negotiated Rate	$9,861.59
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$8,360.68
Rate for Payer: Anthem Blue Cross of IN Traditional	$9,861.59
Rate for Payer: Plain Church Group Ministry All Commercial	$5,383.34
Rate for Payer: Three Rivers Preferred All Commercial	$7,031.01

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

Facility

$6,180.25

Service Code	MSDRG 601
Min. Negotiated Rate	$3,373.73
Max. Negotiated Rate	$6,180.25
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$5,239.63
Rate for Payer: Anthem Blue Cross of IN Traditional	$6,180.25
Rate for Payer: Plain Church Group Ministry All Commercial	$3,373.73
Rate for Payer: Three Rivers Preferred All Commercial	$4,406.32

MS-DRG 42.00: NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC

Facility

$10,864.66

Service Code	MSDRG 071
Min. Negotiated Rate	$5,930.91
Max. Negotiated Rate	$10,864.66
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$9,211.09
Rate for Payer: Anthem Blue Cross of IN Traditional	$10,864.66
Rate for Payer: Plain Church Group Ministry All Commercial	$5,930.91
Rate for Payer: Three Rivers Preferred All Commercial	$7,746.16

MS-DRG 42.00: NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC

Facility

$17,925.29

Service Code	MSDRG 070
Min. Negotiated Rate	$9,785.24
Max. Negotiated Rate	$17,925.29
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$15,197.11
Rate for Payer: Anthem Blue Cross of IN Traditional	$17,925.29
Rate for Payer: Plain Church Group Ministry All Commercial	$9,785.24
Rate for Payer: Three Rivers Preferred All Commercial	$12,780.18

MS-DRG 42.00: NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT CC/MCC

Facility

$7,733.81

Service Code	MSDRG 072
Min. Negotiated Rate	$4,221.81
Max. Negotiated Rate	$7,733.81
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$6,556.75
Rate for Payer: Anthem Blue Cross of IN Traditional	$7,733.81
Rate for Payer: Plain Church Group Ministry All Commercial	$4,221.81
Rate for Payer: Three Rivers Preferred All Commercial	$5,513.97

MS-DRG 42.00: NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC

Facility

$14,998.56

Service Code	MSDRG 067
Min. Negotiated Rate	$8,187.57
Max. Negotiated Rate	$14,998.56
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$12,715.83
Rate for Payer: Anthem Blue Cross of IN Traditional	$14,998.56
Rate for Payer: Plain Church Group Ministry All Commercial	$8,187.57
Rate for Payer: Three Rivers Preferred All Commercial	$10,693.51

MS-DRG 42.00: NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC

Facility

$9,087.38

Service Code	MSDRG 068
Min. Negotiated Rate	$4,960.71
Max. Negotiated Rate	$9,087.38
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$7,704.31
Rate for Payer: Anthem Blue Cross of IN Traditional	$9,087.38
Rate for Payer: Plain Church Group Ministry All Commercial	$4,960.71
Rate for Payer: Three Rivers Preferred All Commercial	$6,479.02

MS-DRG 42.00: NONTRAUMATIC STUPOR AND COMA WITH MCC

Facility

$20,492.23

Service Code	MSDRG 080
Min. Negotiated Rate	$11,186.50
Max. Negotiated Rate	$20,492.23
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$17,373.37
Rate for Payer: Anthem Blue Cross of IN Traditional	$20,492.23
Rate for Payer: Plain Church Group Ministry All Commercial	$11,186.50
Rate for Payer: Three Rivers Preferred All Commercial	$14,610.33

MS-DRG 42.00: NONTRAUMATIC STUPOR AND COMA WITHOUT MCC

Facility

$9,327.58

Service Code	MSDRG 081
Min. Negotiated Rate	$5,091.83
Max. Negotiated Rate	$9,327.58
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$7,907.95
Rate for Payer: Anthem Blue Cross of IN Traditional	$9,327.58
Rate for Payer: Plain Church Group Ministry All Commercial	$5,091.83
Rate for Payer: Three Rivers Preferred All Commercial	$6,650.28

MS-DRG 42.00: NORMAL NEWBORN

Facility

$2,059.74

Service Code	MSDRG 795
Min. Negotiated Rate	$1,124.39
Max. Negotiated Rate	$2,059.74
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$1,746.25
Rate for Payer: Anthem Blue Cross of IN Traditional	$2,059.74
Rate for Payer: Plain Church Group Ministry All Commercial	$1,124.39
Rate for Payer: Three Rivers Preferred All Commercial	$1,468.53

MS-DRG 42.00: ORBITAL PROCEDURES WITH CC/MCC

Facility

$23,263.29

Service Code	MSDRG 113
Min. Negotiated Rate	$12,699.20
Max. Negotiated Rate	$23,263.29
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$19,722.68
Rate for Payer: Anthem Blue Cross of IN Traditional	$23,263.29
Rate for Payer: Plain Church Group Ministry All Commercial	$12,699.20
Rate for Payer: Three Rivers Preferred All Commercial	$16,586.01

MS-DRG 42.00: ORBITAL PROCEDURES WITHOUT CC/MCC

Facility

$12,186.27

Service Code	MSDRG 114
Min. Negotiated Rate	$6,652.36
Max. Negotiated Rate	$12,186.27
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$10,331.55
Rate for Payer: Anthem Blue Cross of IN Traditional	$12,186.27
Rate for Payer: Plain Church Group Ministry All Commercial	$6,652.36
Rate for Payer: Three Rivers Preferred All Commercial	$8,688.43

MS-DRG 42.00: ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY

Facility

$17,218.09

Service Code	MSDRG 884
Min. Negotiated Rate	$9,399.18
Max. Negotiated Rate	$17,218.09
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$14,597.55
Rate for Payer: Anthem Blue Cross of IN Traditional	$17,218.09
Rate for Payer: Plain Church Group Ministry All Commercial	$9,399.18
Rate for Payer: Three Rivers Preferred All Commercial	$12,275.97

MS-DRG 42.00: O.R. PROCEDURES FOR OBESITY WITH CC

Facility

$16,463.47

Service Code	MSDRG 620
Min. Negotiated Rate	$8,987.25
Max. Negotiated Rate	$16,463.47
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$13,957.78
Rate for Payer: Anthem Blue Cross of IN Traditional	$16,463.47
Rate for Payer: Plain Church Group Ministry All Commercial	$8,987.25
Rate for Payer: Three Rivers Preferred All Commercial	$11,737.95

MS-DRG 42.00: O.R. PROCEDURES FOR OBESITY WITH MCC

Facility

$28,107.49

Service Code	MSDRG 619
Min. Negotiated Rate	$15,343.60
Max. Negotiated Rate	$28,107.49
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$23,829.61
Rate for Payer: Anthem Blue Cross of IN Traditional	$28,107.49
Rate for Payer: Plain Church Group Ministry All Commercial	$15,343.60
Rate for Payer: Three Rivers Preferred All Commercial	$20,039.78

MS-DRG 42.00: O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC

Facility

$15,069.70

Service Code	MSDRG 621
Min. Negotiated Rate	$8,226.40
Max. Negotiated Rate	$15,069.70
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$12,776.13
Rate for Payer: Anthem Blue Cross of IN Traditional	$15,069.70
Rate for Payer: Plain Church Group Ministry All Commercial	$8,226.40
Rate for Payer: Three Rivers Preferred All Commercial	$10,744.23

MS-DRG 42.00: O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH CC

Facility

$21,766.42

Service Code	MSDRG 940
Min. Negotiated Rate	$11,882.07
Max. Negotiated Rate	$21,766.42
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$18,453.64
Rate for Payer: Anthem Blue Cross of IN Traditional	$21,766.42
Rate for Payer: Plain Church Group Ministry All Commercial	$11,882.07
Rate for Payer: Three Rivers Preferred All Commercial	$15,518.79

MS-DRG 42.00: O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITH MCC

Facility

$32,720.77

Service Code	MSDRG 939
Min. Negotiated Rate	$17,861.94
Max. Negotiated Rate	$32,720.77
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$27,740.76
Rate for Payer: Anthem Blue Cross of IN Traditional	$32,720.77
Rate for Payer: Plain Church Group Ministry All Commercial	$17,861.94
Rate for Payer: Three Rivers Preferred All Commercial	$23,328.90

Know your out-of-pocket cost for care.

All Charges