Cameron Memorial Community Hospital

All Charges

Charge

Type

Setting

Price

MS-DRG 42.00: PERITONEAL ADHESIOLYSIS WITH MCC

Facility

$37,353.63

Service Code	MSDRG 335
Min. Negotiated Rate	$20,390.97
Max. Negotiated Rate	$37,353.63
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$31,668.52
Rate for Payer: Anthem Blue Cross of IN Traditional	$37,353.63
Rate for Payer: Plain Church Group Ministry All Commercial	$20,390.97
Rate for Payer: Three Rivers Preferred All Commercial	$26,631.99

MS-DRG 42.00: PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC

Facility

$15,825.35

Service Code	MSDRG 337
Min. Negotiated Rate	$8,638.90
Max. Negotiated Rate	$15,825.35
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$13,416.77
Rate for Payer: Anthem Blue Cross of IN Traditional	$15,825.35
Rate for Payer: Plain Church Group Ministry All Commercial	$8,638.90
Rate for Payer: Three Rivers Preferred All Commercial	$11,282.99

MS-DRG 42.00: PERMANENT CARDIAC PACEMAKER IMPLANT WITH CC

Facility

$23,224.12

Service Code	MSDRG 243
Min. Negotiated Rate	$12,677.81
Max. Negotiated Rate	$23,224.12
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$19,689.47
Rate for Payer: Anthem Blue Cross of IN Traditional	$23,224.12
Rate for Payer: Plain Church Group Ministry All Commercial	$12,677.81
Rate for Payer: Three Rivers Preferred All Commercial	$16,558.08

MS-DRG 42.00: PERMANENT CARDIAC PACEMAKER IMPLANT WITH MCC

Facility

$34,968.13

Service Code	MSDRG 242
Min. Negotiated Rate	$19,088.75
Max. Negotiated Rate	$34,968.13
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$29,646.08
Rate for Payer: Anthem Blue Cross of IN Traditional	$34,968.13
Rate for Payer: Plain Church Group Ministry All Commercial	$19,088.75
Rate for Payer: Three Rivers Preferred All Commercial	$24,931.20

MS-DRG 42.00: PERMANENT CARDIAC PACEMAKER IMPLANT WITHOUT CC/MCC

Facility

$18,604.65

Service Code	MSDRG 244
Min. Negotiated Rate	$10,156.09
Max. Negotiated Rate	$18,604.65
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$15,773.08
Rate for Payer: Anthem Blue Cross of IN Traditional	$18,604.65
Rate for Payer: Plain Church Group Ministry All Commercial	$10,156.09
Rate for Payer: Three Rivers Preferred All Commercial	$13,264.55

MS-DRG 42.00: PLEURAL EFFUSION WITH CC

Facility

$10,350.24

Service Code	MSDRG 187
Min. Negotiated Rate	$5,650.09
Max. Negotiated Rate	$10,350.24
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$8,774.96
Rate for Payer: Anthem Blue Cross of IN Traditional	$10,350.24
Rate for Payer: Plain Church Group Ministry All Commercial	$5,650.09
Rate for Payer: Three Rivers Preferred All Commercial	$7,379.40

MS-DRG 42.00: PLEURAL EFFUSION WITH MCC

Facility

$16,288.22

Service Code	MSDRG 186
Min. Negotiated Rate	$8,891.58
Max. Negotiated Rate	$16,288.22
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$13,809.20
Rate for Payer: Anthem Blue Cross of IN Traditional	$16,288.22
Rate for Payer: Plain Church Group Ministry All Commercial	$8,891.58
Rate for Payer: Three Rivers Preferred All Commercial	$11,613.00

MS-DRG 42.00: PLEURAL EFFUSION WITHOUT CC/MCC

Facility

$7,568.87

Service Code	MSDRG 188
Min. Negotiated Rate	$4,131.77
Max. Negotiated Rate	$7,568.87
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$6,416.91
Rate for Payer: Anthem Blue Cross of IN Traditional	$7,568.87
Rate for Payer: Plain Church Group Ministry All Commercial	$4,131.77
Rate for Payer: Three Rivers Preferred All Commercial	$5,396.37

MS-DRG 42.00: PNEUMOTHORAX WITH CC

Facility

$11,417.22

Service Code	MSDRG 200
Min. Negotiated Rate	$6,232.54
Max. Negotiated Rate	$11,417.22
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$9,679.55
Rate for Payer: Anthem Blue Cross of IN Traditional	$11,417.22
Rate for Payer: Plain Church Group Ministry All Commercial	$6,232.54
Rate for Payer: Three Rivers Preferred All Commercial	$8,140.12

MS-DRG 42.00: PNEUMOTHORAX WITH MCC

Facility

$18,198.48

Service Code	MSDRG 199
Min. Negotiated Rate	$9,934.37
Max. Negotiated Rate	$18,198.48
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$15,428.72
Rate for Payer: Anthem Blue Cross of IN Traditional	$18,198.48
Rate for Payer: Plain Church Group Ministry All Commercial	$9,934.37
Rate for Payer: Three Rivers Preferred All Commercial	$12,974.95

MS-DRG 42.00: PNEUMOTHORAX WITHOUT CC/MCC

Facility

$6,980.22

Service Code	MSDRG 201
Min. Negotiated Rate	$3,810.43
Max. Negotiated Rate	$6,980.22
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$5,917.85
Rate for Payer: Anthem Blue Cross of IN Traditional	$6,980.22
Rate for Payer: Plain Church Group Ministry All Commercial	$3,810.43
Rate for Payer: Three Rivers Preferred All Commercial	$4,976.69

MS-DRG 42.00: POISONING AND TOXIC EFFECTS OF DRUGS WITH MCC

Facility

$16,903.67

Service Code	MSDRG 917
Min. Negotiated Rate	$9,227.54
Max. Negotiated Rate	$16,903.67
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$14,330.98
Rate for Payer: Anthem Blue Cross of IN Traditional	$16,903.67
Rate for Payer: Plain Church Group Ministry All Commercial	$9,227.54
Rate for Payer: Three Rivers Preferred All Commercial	$12,051.80

MS-DRG 42.00: POISONING AND TOXIC EFFECTS OF DRUGS WITHOUT MCC

Facility

$9,119.34

Service Code	MSDRG 918
Min. Negotiated Rate	$4,978.16
Max. Negotiated Rate	$9,119.34
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$7,731.40
Rate for Payer: Anthem Blue Cross of IN Traditional	$9,119.34
Rate for Payer: Plain Church Group Ministry All Commercial	$4,978.16
Rate for Payer: Three Rivers Preferred All Commercial	$6,501.81

MS-DRG 42.00: POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC

Facility

$18,955.16

Service Code	MSDRG 862
Min. Negotiated Rate	$10,347.43
Max. Negotiated Rate	$18,955.16
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$16,070.24
Rate for Payer: Anthem Blue Cross of IN Traditional	$18,955.16
Rate for Payer: Plain Church Group Ministry All Commercial	$10,347.43
Rate for Payer: Three Rivers Preferred All Commercial	$13,514.44

MS-DRG 42.00: POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC

Facility

$10,307.97

Service Code	MSDRG 863
Min. Negotiated Rate	$5,627.02
Max. Negotiated Rate	$10,307.97
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$8,739.13
Rate for Payer: Anthem Blue Cross of IN Traditional	$10,307.97
Rate for Payer: Plain Church Group Ministry All Commercial	$5,627.02
Rate for Payer: Three Rivers Preferred All Commercial	$7,349.27

MS-DRG 42.00: POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC

Facility

$22,462.28

Service Code	MSDRG 857
Min. Negotiated Rate	$12,261.93
Max. Negotiated Rate	$22,462.28
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$19,043.59
Rate for Payer: Anthem Blue Cross of IN Traditional	$22,462.28
Rate for Payer: Plain Church Group Ministry All Commercial	$12,261.93
Rate for Payer: Three Rivers Preferred All Commercial	$16,014.92

MS-DRG 42.00: POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC

Facility

$46,510.08

Service Code	MSDRG 856
Min. Negotiated Rate	$25,389.39
Max. Negotiated Rate	$46,510.08
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$39,431.38
Rate for Payer: Anthem Blue Cross of IN Traditional	$46,510.08
Rate for Payer: Plain Church Group Ministry All Commercial	$25,389.39
Rate for Payer: Three Rivers Preferred All Commercial	$33,160.26

MS-DRG 42.00: POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC

Facility

$13,282.12

Service Code	MSDRG 858
Min. Negotiated Rate	$7,250.57
Max. Negotiated Rate	$13,282.12
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$11,260.62
Rate for Payer: Anthem Blue Cross of IN Traditional	$13,282.12
Rate for Payer: Plain Church Group Ministry All Commercial	$7,250.57
Rate for Payer: Three Rivers Preferred All Commercial	$9,469.74

MS-DRG 42.00: POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES

Facility

$14,324.36

Service Code	MSDRG 769
Min. Negotiated Rate	$7,819.52
Max. Negotiated Rate	$14,324.36
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$12,144.23
Rate for Payer: Anthem Blue Cross of IN Traditional	$14,324.36
Rate for Payer: Plain Church Group Ministry All Commercial	$7,819.52
Rate for Payer: Three Rivers Preferred All Commercial	$10,212.83

MS-DRG 42.00: POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES

Facility

$7,355.47

Service Code	MSDRG 776
Min. Negotiated Rate	$4,015.28
Max. Negotiated Rate	$7,355.47
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$6,235.99
Rate for Payer: Anthem Blue Cross of IN Traditional	$7,355.47
Rate for Payer: Plain Church Group Ministry All Commercial	$4,015.28
Rate for Payer: Three Rivers Preferred All Commercial	$5,244.23

MS-DRG 42.00: PREMATURITY WITH MAJOR PROBLEMS

Facility

$41,853.51

Service Code	MSDRG 791
Min. Negotiated Rate	$22,847.41
Max. Negotiated Rate	$41,853.51
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$35,483.53
Rate for Payer: Anthem Blue Cross of IN Traditional	$41,853.51
Rate for Payer: Plain Church Group Ministry All Commercial	$22,847.41
Rate for Payer: Three Rivers Preferred All Commercial	$29,840.26

MS-DRG 42.00: PREMATURITY WITHOUT MAJOR PROBLEMS

Facility

$25,253.96

Service Code	MSDRG 792
Min. Negotiated Rate	$13,785.88
Max. Negotiated Rate	$25,253.96
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$21,410.38
Rate for Payer: Anthem Blue Cross of IN Traditional	$25,253.96
Rate for Payer: Plain Church Group Ministry All Commercial	$13,785.88
Rate for Payer: Three Rivers Preferred All Commercial	$18,005.29

MS-DRG 42.00: PROSTATECTOMY WITH CC

Facility

$16,982.02

Service Code	MSDRG 666
Min. Negotiated Rate	$9,270.31
Max. Negotiated Rate	$16,982.02
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$14,397.40
Rate for Payer: Anthem Blue Cross of IN Traditional	$16,982.02
Rate for Payer: Plain Church Group Ministry All Commercial	$9,270.31
Rate for Payer: Three Rivers Preferred All Commercial	$12,107.66

MS-DRG 42.00: PROSTATECTOMY WITH MCC

Facility

$35,396.98

Service Code	MSDRG 665
Min. Negotiated Rate	$19,322.86
Max. Negotiated Rate	$35,396.98
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$30,009.66
Rate for Payer: Anthem Blue Cross of IN Traditional	$35,396.98
Rate for Payer: Plain Church Group Ministry All Commercial	$19,322.86
Rate for Payer: Three Rivers Preferred All Commercial	$25,236.96

MS-DRG 42.00: PROSTATECTOMY WITHOUT CC/MCC

Facility

$10,595.59

Service Code	MSDRG 667
Min. Negotiated Rate	$5,784.03
Max. Negotiated Rate	$10,595.59
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$8,982.97
Rate for Payer: Anthem Blue Cross of IN Traditional	$10,595.59
Rate for Payer: Plain Church Group Ministry All Commercial	$5,784.03
Rate for Payer: Three Rivers Preferred All Commercial	$7,554.33

Know your out-of-pocket cost for care.

All Charges