Cameron Memorial Community Hospital

All Charges

Charge

Type

Setting

Price

MS-DRG 42.00: PSYCHOSES

Facility

$14,531.57

Service Code	MSDRG 885
Min. Negotiated Rate	$7,932.64
Max. Negotiated Rate	$14,531.57
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$12,319.90
Rate for Payer: Anthem Blue Cross of IN Traditional	$14,531.57
Rate for Payer: Plain Church Group Ministry All Commercial	$7,932.64
Rate for Payer: Three Rivers Preferred All Commercial	$10,360.56

MS-DRG 42.00: PULMONARY EDEMA AND RESPIRATORY FAILURE

Facility

$12,756.36

Service Code	MSDRG 189
Min. Negotiated Rate	$6,963.57
Max. Negotiated Rate	$12,756.36
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$10,814.88
Rate for Payer: Anthem Blue Cross of IN Traditional	$12,756.36
Rate for Payer: Plain Church Group Ministry All Commercial	$6,963.57
Rate for Payer: Three Rivers Preferred All Commercial	$9,094.89

MS-DRG 42.00: PULMONARY EMBOLISM WITH MCC OR ACUTE COR PULMONALE

Facility

$14,526.41

Service Code	MSDRG 175
Min. Negotiated Rate	$7,929.82
Max. Negotiated Rate	$14,526.41
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$12,315.53
Rate for Payer: Anthem Blue Cross of IN Traditional	$14,526.41
Rate for Payer: Plain Church Group Ministry All Commercial	$7,929.82
Rate for Payer: Three Rivers Preferred All Commercial	$10,356.89

MS-DRG 42.00: PULMONARY EMBOLISM WITHOUT MCC

Facility

$8,396.68

Service Code	MSDRG 176
Min. Negotiated Rate	$4,583.66
Max. Negotiated Rate	$8,396.68
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$7,118.73
Rate for Payer: Anthem Blue Cross of IN Traditional	$8,396.68
Rate for Payer: Plain Church Group Ministry All Commercial	$4,583.66
Rate for Payer: Three Rivers Preferred All Commercial	$5,986.57

MS-DRG 42.00: RADIOTHERAPY

Facility

$27,536.37

Service Code	MSDRG 849
Min. Negotiated Rate	$15,031.83
Max. Negotiated Rate	$27,536.37
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$23,345.41
Rate for Payer: Anthem Blue Cross of IN Traditional	$27,536.37
Rate for Payer: Plain Church Group Ministry All Commercial	$15,031.83
Rate for Payer: Three Rivers Preferred All Commercial	$19,632.58

MS-DRG 42.00: RECTAL RESECTION WITH CC

Facility

$21,909.72

Service Code	MSDRG 333
Min. Negotiated Rate	$11,960.30
Max. Negotiated Rate	$21,909.72
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$18,575.12
Rate for Payer: Anthem Blue Cross of IN Traditional	$21,909.72
Rate for Payer: Plain Church Group Ministry All Commercial	$11,960.30
Rate for Payer: Three Rivers Preferred All Commercial	$15,620.95

MS-DRG 42.00: RECTAL RESECTION WITH MCC

Facility

$35,758.83

Service Code	MSDRG 332
Min. Negotiated Rate	$19,520.39
Max. Negotiated Rate	$35,758.83
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$30,316.44
Rate for Payer: Anthem Blue Cross of IN Traditional	$35,758.83
Rate for Payer: Plain Church Group Ministry All Commercial	$19,520.39
Rate for Payer: Three Rivers Preferred All Commercial	$25,494.94

MS-DRG 42.00: RECTAL RESECTION WITHOUT CC/MCC

Facility

$17,098.51

Service Code	MSDRG 334
Min. Negotiated Rate	$9,333.90
Max. Negotiated Rate	$17,098.51
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$14,496.16
Rate for Payer: Anthem Blue Cross of IN Traditional	$17,098.51
Rate for Payer: Plain Church Group Ministry All Commercial	$9,333.90
Rate for Payer: Three Rivers Preferred All Commercial	$12,190.71

MS-DRG 42.00: RED BLOOD CELL DISORDERS WITH MCC

Facility

$14,503.73

Service Code	MSDRG 811
Min. Negotiated Rate	$7,917.44
Max. Negotiated Rate	$14,503.73
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$12,296.31
Rate for Payer: Anthem Blue Cross of IN Traditional	$14,503.73
Rate for Payer: Plain Church Group Ministry All Commercial	$7,917.44
Rate for Payer: Three Rivers Preferred All Commercial	$10,340.72

MS-DRG 42.00: RED BLOOD CELL DISORDERS WITHOUT MCC

Facility

$9,514.18

Service Code	MSDRG 812
Min. Negotiated Rate	$5,193.69
Max. Negotiated Rate	$9,514.18
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$8,066.15
Rate for Payer: Anthem Blue Cross of IN Traditional	$9,514.18
Rate for Payer: Plain Church Group Ministry All Commercial	$5,193.69
Rate for Payer: Three Rivers Preferred All Commercial	$6,783.31

MS-DRG 42.00: REHABILITATION WITH CC/MCC

Facility

$15,736.69

Service Code	MSDRG 945
Min. Negotiated Rate	$8,590.50
Max. Negotiated Rate	$15,736.69
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$13,341.61
Rate for Payer: Anthem Blue Cross of IN Traditional	$15,736.69
Rate for Payer: Plain Church Group Ministry All Commercial	$8,590.50
Rate for Payer: Three Rivers Preferred All Commercial	$11,219.77

MS-DRG 42.00: REHABILITATION WITHOUT CC/MCC

Facility

$11,510.00

Service Code	MSDRG 946
Min. Negotiated Rate	$6,283.19
Max. Negotiated Rate	$11,510.00
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$9,758.21
Rate for Payer: Anthem Blue Cross of IN Traditional	$11,510.00
Rate for Payer: Plain Church Group Ministry All Commercial	$6,283.19
Rate for Payer: Three Rivers Preferred All Commercial	$8,206.27

MS-DRG 42.00: RENAL FAILURE WITH CC

Facility

$9,163.67

Service Code	MSDRG 683
Min. Negotiated Rate	$5,002.36
Max. Negotiated Rate	$9,163.67
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$7,768.99
Rate for Payer: Anthem Blue Cross of IN Traditional	$9,163.67
Rate for Payer: Plain Church Group Ministry All Commercial	$5,002.36
Rate for Payer: Three Rivers Preferred All Commercial	$6,533.41

MS-DRG 42.00: RENAL FAILURE WITH MCC

Facility

$15,483.09

Service Code	MSDRG 682
Min. Negotiated Rate	$8,452.06
Max. Negotiated Rate	$15,483.09
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$13,126.61
Rate for Payer: Anthem Blue Cross of IN Traditional	$15,483.09
Rate for Payer: Plain Church Group Ministry All Commercial	$8,452.06
Rate for Payer: Three Rivers Preferred All Commercial	$11,038.97

MS-DRG 42.00: RENAL FAILURE WITHOUT CC/MCC

Facility

$6,261.69

Service Code	MSDRG 684
Min. Negotiated Rate	$3,418.19
Max. Negotiated Rate	$6,261.69
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$5,308.68
Rate for Payer: Anthem Blue Cross of IN Traditional	$6,261.69
Rate for Payer: Plain Church Group Ministry All Commercial	$3,418.19
Rate for Payer: Three Rivers Preferred All Commercial	$4,464.39

MS-DRG 42.00: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH CC

Facility

$10,227.56

Service Code	MSDRG 178
Min. Negotiated Rate	$5,583.12
Max. Negotiated Rate	$10,227.56
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$8,670.95
Rate for Payer: Anthem Blue Cross of IN Traditional	$10,227.56
Rate for Payer: Plain Church Group Ministry All Commercial	$5,583.12
Rate for Payer: Three Rivers Preferred All Commercial	$7,291.94

MS-DRG 42.00: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITH MCC

Facility

$16,664.50

Service Code	MSDRG 177
Min. Negotiated Rate	$9,096.98
Max. Negotiated Rate	$16,664.50
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$14,128.21
Rate for Payer: Anthem Blue Cross of IN Traditional	$16,664.50
Rate for Payer: Plain Church Group Ministry All Commercial	$9,096.98
Rate for Payer: Three Rivers Preferred All Commercial	$11,881.27

MS-DRG 42.00: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC

Facility

$7,934.84

Service Code	MSDRG 179
Min. Negotiated Rate	$4,331.55
Max. Negotiated Rate	$7,934.84
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$6,727.18
Rate for Payer: Anthem Blue Cross of IN Traditional	$7,934.84
Rate for Payer: Plain Church Group Ministry All Commercial	$4,331.55
Rate for Payer: Three Rivers Preferred All Commercial	$5,657.30

MS-DRG 42.00: RESPIRATORY NEOPLASMS WITH CC

Facility

$11,446.08

Service Code	MSDRG 181
Min. Negotiated Rate	$6,248.30
Max. Negotiated Rate	$11,446.08
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$9,704.02
Rate for Payer: Anthem Blue Cross of IN Traditional	$11,446.08
Rate for Payer: Plain Church Group Ministry All Commercial	$6,248.30
Rate for Payer: Three Rivers Preferred All Commercial	$8,160.70

MS-DRG 42.00: RESPIRATORY NEOPLASMS WITH MCC

Facility

$18,018.07

Service Code	MSDRG 180
Min. Negotiated Rate	$9,835.88
Max. Negotiated Rate	$18,018.07
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$15,275.77
Rate for Payer: Anthem Blue Cross of IN Traditional	$18,018.07
Rate for Payer: Plain Church Group Ministry All Commercial	$9,835.88
Rate for Payer: Three Rivers Preferred All Commercial	$12,846.33

MS-DRG 42.00: RESPIRATORY NEOPLASMS WITHOUT CC/MCC

Facility

$8,633.79

Service Code	MSDRG 182
Min. Negotiated Rate	$4,713.10
Max. Negotiated Rate	$8,633.79
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$7,319.75
Rate for Payer: Anthem Blue Cross of IN Traditional	$8,633.79
Rate for Payer: Plain Church Group Ministry All Commercial	$4,713.10
Rate for Payer: Three Rivers Preferred All Commercial	$6,155.62

MS-DRG 42.00: RESPIRATORY SIGNS AND SYMPTOMS

Facility

$8,360.60

Service Code	MSDRG 204
Min. Negotiated Rate	$4,563.97
Max. Negotiated Rate	$8,360.60
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$7,088.14
Rate for Payer: Anthem Blue Cross of IN Traditional	$8,360.60
Rate for Payer: Plain Church Group Ministry All Commercial	$4,563.97
Rate for Payer: Three Rivers Preferred All Commercial	$5,960.85

MS-DRG 42.00: RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS

Facility

$27,667.29

Service Code	MSDRG 208
Min. Negotiated Rate	$15,103.30
Max. Negotiated Rate	$27,667.29
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$23,456.41
Rate for Payer: Anthem Blue Cross of IN Traditional	$27,667.29
Rate for Payer: Plain Church Group Ministry All Commercial	$15,103.30
Rate for Payer: Three Rivers Preferred All Commercial	$19,725.93

MS-DRG 42.00: RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS

Facility

$66,670.36

Service Code	MSDRG 207
Min. Negotiated Rate	$36,394.69
Max. Negotiated Rate	$66,670.36
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$56,523.33
Rate for Payer: Anthem Blue Cross of IN Traditional	$66,670.36
Rate for Payer: Plain Church Group Ministry All Commercial	$36,394.69
Rate for Payer: Three Rivers Preferred All Commercial	$47,533.92

MS-DRG 42.00: RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC

Facility

$10,474.97

Service Code	MSDRG 815
Min. Negotiated Rate	$5,718.18
Max. Negotiated Rate	$10,474.97
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$8,880.71
Rate for Payer: Anthem Blue Cross of IN Traditional	$10,474.97
Rate for Payer: Plain Church Group Ministry All Commercial	$5,718.18
Rate for Payer: Three Rivers Preferred All Commercial	$7,468.34

Know your out-of-pocket cost for care.

All Charges