Cameron Memorial Community Hospital

All Charges

Charge

Type

Setting

Price

MS-DRG 42.00: O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC

Facility

$20,146.88

Service Code	MSDRG 941
Min. Negotiated Rate	$10,997.98
Max. Negotiated Rate	$20,146.88
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$17,080.58
Rate for Payer: Anthem Blue Cross of IN Traditional	$20,146.88
Rate for Payer: Plain Church Group Ministry All Commercial	$10,997.98
Rate for Payer: Three Rivers Preferred All Commercial	$14,364.10

MS-DRG 42.00: O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS

Facility

$40,510.25

Service Code	MSDRG 876
Min. Negotiated Rate	$22,114.14
Max. Negotiated Rate	$40,510.25
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$34,344.70
Rate for Payer: Anthem Blue Cross of IN Traditional	$40,510.25
Rate for Payer: Plain Church Group Ministry All Commercial	$22,114.14
Rate for Payer: Three Rivers Preferred All Commercial	$28,882.56

MS-DRG 42.00: OSTEOMYELITIS WITH CC

Facility

$13,340.88

Service Code	MSDRG 540
Min. Negotiated Rate	$7,282.65
Max. Negotiated Rate	$13,340.88
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$11,310.43
Rate for Payer: Anthem Blue Cross of IN Traditional	$13,340.88
Rate for Payer: Plain Church Group Ministry All Commercial	$7,282.65
Rate for Payer: Three Rivers Preferred All Commercial	$9,511.64

MS-DRG 42.00: OSTEOMYELITIS WITH MCC

Facility

$20,848.92

Service Code	MSDRG 539
Min. Negotiated Rate	$11,381.22
Max. Negotiated Rate	$20,848.92
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$17,675.78
Rate for Payer: Anthem Blue Cross of IN Traditional	$20,848.92
Rate for Payer: Plain Church Group Ministry All Commercial	$11,381.22
Rate for Payer: Three Rivers Preferred All Commercial	$14,864.64

MS-DRG 42.00: OSTEOMYELITIS WITHOUT CC/MCC

Facility

$9,019.34

Service Code	MSDRG 541
Min. Negotiated Rate	$4,923.57
Max. Negotiated Rate	$9,019.34
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$7,646.63
Rate for Payer: Anthem Blue Cross of IN Traditional	$9,019.34
Rate for Payer: Plain Church Group Ministry All Commercial	$4,923.57
Rate for Payer: Three Rivers Preferred All Commercial	$6,430.52

MS-DRG 42.00: OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC

Facility

$13,277.99

Service Code	MSDRG 818
Min. Negotiated Rate	$7,248.32
Max. Negotiated Rate	$13,277.99
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$11,257.12
Rate for Payer: Anthem Blue Cross of IN Traditional	$13,277.99
Rate for Payer: Plain Church Group Ministry All Commercial	$7,248.32
Rate for Payer: Three Rivers Preferred All Commercial	$9,466.80

MS-DRG 42.00: OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC

Facility

$26,134.35

Service Code	MSDRG 817
Min. Negotiated Rate	$14,266.48
Max. Negotiated Rate	$26,134.35
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$22,156.77
Rate for Payer: Anthem Blue Cross of IN Traditional	$26,134.35
Rate for Payer: Plain Church Group Ministry All Commercial	$14,266.48
Rate for Payer: Three Rivers Preferred All Commercial	$18,632.99

MS-DRG 42.00: OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC

Facility

$8,417.30

Service Code	MSDRG 819
Min. Negotiated Rate	$4,594.92
Max. Negotiated Rate	$8,417.30
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$7,136.21
Rate for Payer: Anthem Blue Cross of IN Traditional	$8,417.30
Rate for Payer: Plain Church Group Ministry All Commercial	$4,594.92
Rate for Payer: Three Rivers Preferred All Commercial	$6,001.27

MS-DRG 42.00: OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC

Facility

$7,704.95

Service Code	MSDRG 832
Min. Negotiated Rate	$4,206.05
Max. Negotiated Rate	$7,704.95
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$6,532.28
Rate for Payer: Anthem Blue Cross of IN Traditional	$7,704.95
Rate for Payer: Plain Church Group Ministry All Commercial	$4,206.05
Rate for Payer: Three Rivers Preferred All Commercial	$5,493.39

MS-DRG 42.00: OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC

Facility

$11,865.66

Service Code	MSDRG 831
Min. Negotiated Rate	$6,477.34
Max. Negotiated Rate	$11,865.66
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$10,059.74
Rate for Payer: Anthem Blue Cross of IN Traditional	$11,865.66
Rate for Payer: Plain Church Group Ministry All Commercial	$6,477.34
Rate for Payer: Three Rivers Preferred All Commercial	$8,459.85

MS-DRG 42.00: OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC

Facility

$5,358.62

Service Code	MSDRG 833
Min. Negotiated Rate	$2,925.22
Max. Negotiated Rate	$5,358.62
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$4,543.05
Rate for Payer: Anthem Blue Cross of IN Traditional	$5,358.62
Rate for Payer: Plain Church Group Ministry All Commercial	$2,925.22
Rate for Payer: Three Rivers Preferred All Commercial	$3,820.53

MS-DRG 42.00: OTHER CARDIOTHORACIC PROCEDURES WITH MCC

Facility

$51,372.84

Service Code	MSDRG 228
Min. Negotiated Rate	$28,043.92
Max. Negotiated Rate	$51,372.84
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$43,554.04
Rate for Payer: Anthem Blue Cross of IN Traditional	$51,372.84
Rate for Payer: Plain Church Group Ministry All Commercial	$28,043.92
Rate for Payer: Three Rivers Preferred All Commercial	$36,627.25

MS-DRG 42.00: OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC

Facility

$32,022.85

Service Code	MSDRG 229
Min. Negotiated Rate	$17,480.95
Max. Negotiated Rate	$32,022.85
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$27,149.06
Rate for Payer: Anthem Blue Cross of IN Traditional	$32,022.85
Rate for Payer: Plain Church Group Ministry All Commercial	$17,480.95
Rate for Payer: Three Rivers Preferred All Commercial	$22,831.31

MS-DRG 42.00: OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC

Facility

$9,920.35

Service Code	MSDRG 315
Min. Negotiated Rate	$5,415.42
Max. Negotiated Rate	$9,920.35
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$8,410.50
Rate for Payer: Anthem Blue Cross of IN Traditional	$9,920.35
Rate for Payer: Plain Church Group Ministry All Commercial	$5,415.42
Rate for Payer: Three Rivers Preferred All Commercial	$7,072.90

MS-DRG 42.00: OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC

Facility

$22,200.43

Service Code	MSDRG 314
Min. Negotiated Rate	$12,118.99
Max. Negotiated Rate	$22,200.43
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$18,821.59
Rate for Payer: Anthem Blue Cross of IN Traditional	$22,200.43
Rate for Payer: Plain Church Group Ministry All Commercial	$12,118.99
Rate for Payer: Three Rivers Preferred All Commercial	$15,828.23

MS-DRG 42.00: OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC

Facility

$7,037.95

Service Code	MSDRG 316
Min. Negotiated Rate	$3,841.95
Max. Negotiated Rate	$7,037.95
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$5,966.80
Rate for Payer: Anthem Blue Cross of IN Traditional	$7,037.95
Rate for Payer: Plain Church Group Ministry All Commercial	$3,841.95
Rate for Payer: Three Rivers Preferred All Commercial	$5,017.85

MS-DRG 42.00: OTHER CIRCULATORY SYSTEM O.R. PROCEDURES

Facility

$36,030.99

Service Code	MSDRG 264
Min. Negotiated Rate	$19,668.95
Max. Negotiated Rate	$36,030.99
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$30,547.17
Rate for Payer: Anthem Blue Cross of IN Traditional	$36,030.99
Rate for Payer: Plain Church Group Ministry All Commercial	$19,668.95
Rate for Payer: Three Rivers Preferred All Commercial	$25,688.99

MS-DRG 42.00: OTHER DIGESTIVE SYSTEM DIAGNOSES WITH CC

Facility

$9,703.86

Service Code	MSDRG 394
Min. Negotiated Rate	$5,297.24
Max. Negotiated Rate	$9,703.86
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$8,226.96
Rate for Payer: Anthem Blue Cross of IN Traditional	$9,703.86
Rate for Payer: Plain Church Group Ministry All Commercial	$5,297.24
Rate for Payer: Three Rivers Preferred All Commercial	$6,918.56

MS-DRG 42.00: OTHER DIGESTIVE SYSTEM DIAGNOSES WITH MCC

Facility

$17,071.70

Service Code	MSDRG 393
Min. Negotiated Rate	$9,319.27
Max. Negotiated Rate	$17,071.70
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$14,473.44
Rate for Payer: Anthem Blue Cross of IN Traditional	$17,071.70
Rate for Payer: Plain Church Group Ministry All Commercial	$9,319.27
Rate for Payer: Three Rivers Preferred All Commercial	$12,171.60

MS-DRG 42.00: OTHER DIGESTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC

Facility

$6,560.65

Service Code	MSDRG 395
Min. Negotiated Rate	$3,581.39
Max. Negotiated Rate	$6,560.65
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$5,562.14
Rate for Payer: Anthem Blue Cross of IN Traditional	$6,560.65
Rate for Payer: Plain Church Group Ministry All Commercial	$3,581.39
Rate for Payer: Three Rivers Preferred All Commercial	$4,677.54

MS-DRG 42.00: OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC

Facility

$23,215.87

Service Code	MSDRG 357
Min. Negotiated Rate	$12,673.31
Max. Negotiated Rate	$23,215.87
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$19,682.48
Rate for Payer: Anthem Blue Cross of IN Traditional	$23,215.87
Rate for Payer: Plain Church Group Ministry All Commercial	$12,673.31
Rate for Payer: Three Rivers Preferred All Commercial	$16,552.20

MS-DRG 42.00: OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC

Facility

$43,975.10

Service Code	MSDRG 356
Min. Negotiated Rate	$24,005.57
Max. Negotiated Rate	$43,975.10
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$37,282.22
Rate for Payer: Anthem Blue Cross of IN Traditional	$43,975.10
Rate for Payer: Plain Church Group Ministry All Commercial	$24,005.57
Rate for Payer: Three Rivers Preferred All Commercial	$31,352.90

MS-DRG 42.00: OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC

Facility

$13,969.73

Service Code	MSDRG 358
Min. Negotiated Rate	$7,625.93
Max. Negotiated Rate	$13,969.73
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$11,843.57
Rate for Payer: Anthem Blue Cross of IN Traditional	$13,969.73
Rate for Payer: Plain Church Group Ministry All Commercial	$7,625.93
Rate for Payer: Three Rivers Preferred All Commercial	$9,959.99

MS-DRG 42.00: OTHER DISORDERS OF NERVOUS SYSTEM WITH CC

Facility

$10,914.14

Service Code	MSDRG 092
Min. Negotiated Rate	$5,957.92
Max. Negotiated Rate	$10,914.14
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$9,253.04
Rate for Payer: Anthem Blue Cross of IN Traditional	$10,914.14
Rate for Payer: Plain Church Group Ministry All Commercial	$5,957.92
Rate for Payer: Three Rivers Preferred All Commercial	$7,781.44

MS-DRG 42.00: OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC

Facility

$18,792.28

Service Code	MSDRG 091
Min. Negotiated Rate	$10,258.52
Max. Negotiated Rate	$18,792.28
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$15,932.15
Rate for Payer: Anthem Blue Cross of IN Traditional	$18,792.28
Rate for Payer: Plain Church Group Ministry All Commercial	$10,258.52
Rate for Payer: Three Rivers Preferred All Commercial	$13,398.32

Know your out-of-pocket cost for care.

All Charges