Cameron Memorial Community Hospital

All Charges

Charge

Type

Setting

Price

MS-DRG 42.00: SOFT TISSUE PROCEDURES WITHOUT CC/MCC

Facility

$14,403.73

Service Code	MSDRG 502
Min. Negotiated Rate	$7,862.85
Max. Negotiated Rate	$14,403.73
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$12,211.53
Rate for Payer: Anthem Blue Cross of IN Traditional	$14,403.73
Rate for Payer: Plain Church Group Ministry All Commercial	$7,862.85
Rate for Payer: Three Rivers Preferred All Commercial	$10,269.42

MS-DRG 42.00: SPINAL DISORDERS AND INJURIES WITH CC/MCC

Facility

$20,746.86

Service Code	MSDRG 052
Min. Negotiated Rate	$11,325.50
Max. Negotiated Rate	$20,746.86
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$17,589.25
Rate for Payer: Anthem Blue Cross of IN Traditional	$20,746.86
Rate for Payer: Plain Church Group Ministry All Commercial	$11,325.50
Rate for Payer: Three Rivers Preferred All Commercial	$14,791.88

MS-DRG 42.00: SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC

Facility

$9,498.71

Service Code	MSDRG 053
Min. Negotiated Rate	$5,185.25
Max. Negotiated Rate	$9,498.71
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$8,053.04
Rate for Payer: Anthem Blue Cross of IN Traditional	$9,498.71
Rate for Payer: Plain Church Group Ministry All Commercial	$5,185.25
Rate for Payer: Three Rivers Preferred All Commercial	$6,772.29

MS-DRG 42.00: SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC

Facility

$59,167.47

Service Code	MSDRG 457
Min. Negotiated Rate	$32,298.93
Max. Negotiated Rate	$59,167.47
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$50,162.36
Rate for Payer: Anthem Blue Cross of IN Traditional	$59,167.47
Rate for Payer: Plain Church Group Ministry All Commercial	$32,298.93
Rate for Payer: Three Rivers Preferred All Commercial	$42,184.59

MS-DRG 42.00: SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC

Facility

$87,308.98

Service Code	MSDRG 456
Min. Negotiated Rate	$47,661.10
Max. Negotiated Rate	$87,308.98
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$74,020.81
Rate for Payer: Anthem Blue Cross of IN Traditional	$87,308.98
Rate for Payer: Plain Church Group Ministry All Commercial	$47,661.10
Rate for Payer: Three Rivers Preferred All Commercial	$62,248.62

MS-DRG 42.00: SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC

Facility

$44,514.26

Service Code	MSDRG 458
Min. Negotiated Rate	$24,299.89
Max. Negotiated Rate	$44,514.26
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$37,739.32
Rate for Payer: Anthem Blue Cross of IN Traditional	$44,514.26
Rate for Payer: Plain Church Group Ministry All Commercial	$24,299.89
Rate for Payer: Three Rivers Preferred All Commercial	$31,737.30

MS-DRG 42.00: SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS

Facility

$34,604.22

Service Code	MSDRG 029
Min. Negotiated Rate	$18,890.10
Max. Negotiated Rate	$34,604.22
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$29,337.56
Rate for Payer: Anthem Blue Cross of IN Traditional	$34,604.22
Rate for Payer: Plain Church Group Ministry All Commercial	$18,890.10
Rate for Payer: Three Rivers Preferred All Commercial	$24,671.74

MS-DRG 42.00: SPINAL PROCEDURES WITH MCC

Facility

$62,673.57

Service Code	MSDRG 028
Min. Negotiated Rate	$34,212.87
Max. Negotiated Rate	$62,673.57
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$53,134.83
Rate for Payer: Anthem Blue Cross of IN Traditional	$62,673.57
Rate for Payer: Plain Church Group Ministry All Commercial	$34,212.87
Rate for Payer: Three Rivers Preferred All Commercial	$44,684.32

MS-DRG 42.00: SPINAL PROCEDURES WITHOUT CC/MCC

Facility

$22,941.65

Service Code	MSDRG 030
Min. Negotiated Rate	$12,523.62
Max. Negotiated Rate	$22,941.65
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$19,450.00
Rate for Payer: Anthem Blue Cross of IN Traditional	$22,941.65
Rate for Payer: Plain Church Group Ministry All Commercial	$12,523.62
Rate for Payer: Three Rivers Preferred All Commercial	$16,356.69

MS-DRG 42.00: SPLENIC PROCEDURES WITH CC

Facility

$30,038.36

Service Code	MSDRG 800
Min. Negotiated Rate	$16,397.64
Max. Negotiated Rate	$30,038.36
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$25,466.61
Rate for Payer: Anthem Blue Cross of IN Traditional	$30,038.36
Rate for Payer: Plain Church Group Ministry All Commercial	$16,397.64
Rate for Payer: Three Rivers Preferred All Commercial	$21,416.43

MS-DRG 42.00: SPLENIC PROCEDURES WITH MCC

Facility

$49,017.23

Service Code	MSDRG 799
Min. Negotiated Rate	$26,758.02
Max. Negotiated Rate	$49,017.23
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$41,556.95
Rate for Payer: Anthem Blue Cross of IN Traditional	$49,017.23
Rate for Payer: Plain Church Group Ministry All Commercial	$26,758.02
Rate for Payer: Three Rivers Preferred All Commercial	$34,947.78

MS-DRG 42.00: SPLENIC PROCEDURES WITHOUT CC/MCC

Facility

$16,924.29

Service Code	MSDRG 801
Min. Negotiated Rate	$9,238.80
Max. Negotiated Rate	$16,924.29
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$14,348.46
Rate for Payer: Anthem Blue Cross of IN Traditional	$16,924.29
Rate for Payer: Plain Church Group Ministry All Commercial	$9,238.80
Rate for Payer: Three Rivers Preferred All Commercial	$12,066.50

MS-DRG 42.00: SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC

Facility

$9,473.97

Service Code	MSDRG 537
Min. Negotiated Rate	$5,171.75
Max. Negotiated Rate	$9,473.97
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$8,032.06
Rate for Payer: Anthem Blue Cross of IN Traditional	$9,473.97
Rate for Payer: Plain Church Group Ministry All Commercial	$5,171.75
Rate for Payer: Three Rivers Preferred All Commercial	$6,754.65

MS-DRG 42.00: SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC

Facility

$6,922.49

Service Code	MSDRG 538
Min. Negotiated Rate	$3,778.92
Max. Negotiated Rate	$6,922.49
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$5,868.91
Rate for Payer: Anthem Blue Cross of IN Traditional	$6,922.49
Rate for Payer: Plain Church Group Ministry All Commercial	$3,778.92
Rate for Payer: Three Rivers Preferred All Commercial	$4,935.52

MS-DRG 42.00: STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC

Facility

$25,031.28

Service Code	MSDRG 327
Min. Negotiated Rate	$13,664.33
Max. Negotiated Rate	$25,031.28
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$21,221.59
Rate for Payer: Anthem Blue Cross of IN Traditional	$25,031.28
Rate for Payer: Plain Church Group Ministry All Commercial	$13,664.33
Rate for Payer: Three Rivers Preferred All Commercial	$17,846.53

MS-DRG 42.00: STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC

Facility

$52,359.41

Service Code	MSDRG 326
Min. Negotiated Rate	$28,582.48
Max. Negotiated Rate	$52,359.41
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$44,390.46
Rate for Payer: Anthem Blue Cross of IN Traditional	$52,359.41
Rate for Payer: Plain Church Group Ministry All Commercial	$28,582.48
Rate for Payer: Three Rivers Preferred All Commercial	$37,330.65

MS-DRG 42.00: STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC

Facility

$16,427.39

Service Code	MSDRG 328
Min. Negotiated Rate	$8,967.55
Max. Negotiated Rate	$16,427.39
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$13,927.19
Rate for Payer: Anthem Blue Cross of IN Traditional	$16,427.39
Rate for Payer: Plain Church Group Ministry All Commercial	$8,967.55
Rate for Payer: Three Rivers Preferred All Commercial	$11,712.23

MS-DRG 42.00: SYNCOPE AND COLLAPSE

Facility

$8,982.23

Service Code	MSDRG 312
Min. Negotiated Rate	$4,903.31
Max. Negotiated Rate	$8,982.23
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$7,615.16
Rate for Payer: Anthem Blue Cross of IN Traditional	$8,982.23
Rate for Payer: Plain Church Group Ministry All Commercial	$4,903.31
Rate for Payer: Three Rivers Preferred All Commercial	$6,404.06

MS-DRG 42.00: TENDONITIS, MYOSITIS AND BURSITIS WITH MCC

Facility

$15,975.86

Service Code	MSDRG 557
Min. Negotiated Rate	$8,721.06
Max. Negotiated Rate	$15,975.86
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$13,544.38
Rate for Payer: Anthem Blue Cross of IN Traditional	$15,975.86
Rate for Payer: Plain Church Group Ministry All Commercial	$8,721.06
Rate for Payer: Three Rivers Preferred All Commercial	$11,390.30

MS-DRG 42.00: TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC

Facility

$8,904.91

Service Code	MSDRG 558
Min. Negotiated Rate	$4,861.10
Max. Negotiated Rate	$8,904.91
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$7,549.61
Rate for Payer: Anthem Blue Cross of IN Traditional	$8,904.91
Rate for Payer: Plain Church Group Ministry All Commercial	$4,861.10
Rate for Payer: Three Rivers Preferred All Commercial	$6,348.93

MS-DRG 42.00: TESTES PROCEDURES WITH CC/MCC

Facility

$19,696.38

Service Code	MSDRG 711
Min. Negotiated Rate	$10,752.05
Max. Negotiated Rate	$19,696.38
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$16,698.64
Rate for Payer: Anthem Blue Cross of IN Traditional	$19,696.38
Rate for Payer: Plain Church Group Ministry All Commercial	$10,752.05
Rate for Payer: Three Rivers Preferred All Commercial	$14,042.91

MS-DRG 42.00: TESTES PROCEDURES WITHOUT CC/MCC

Facility

$11,026.51

Service Code	MSDRG 712
Min. Negotiated Rate	$6,019.26
Max. Negotiated Rate	$11,026.51
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$9,348.30
Rate for Payer: Anthem Blue Cross of IN Traditional	$11,026.51
Rate for Payer: Plain Church Group Ministry All Commercial	$6,019.26
Rate for Payer: Three Rivers Preferred All Commercial	$7,861.56

MS-DRG 42.00: THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC

Facility

$15,559.37

Service Code	MSDRG 626
Min. Negotiated Rate	$8,493.71
Max. Negotiated Rate	$15,559.37
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$13,191.28
Rate for Payer: Anthem Blue Cross of IN Traditional	$15,559.37
Rate for Payer: Plain Church Group Ministry All Commercial	$8,493.71
Rate for Payer: Three Rivers Preferred All Commercial	$11,093.35

MS-DRG 42.00: THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC

Facility

$29,556.93

Service Code	MSDRG 625
Min. Negotiated Rate	$16,134.83
Max. Negotiated Rate	$29,556.93
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$25,058.45
Rate for Payer: Anthem Blue Cross of IN Traditional	$29,556.93
Rate for Payer: Plain Church Group Ministry All Commercial	$16,134.83
Rate for Payer: Three Rivers Preferred All Commercial	$21,073.19

MS-DRG 42.00: THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC

Facility

$13,060.47

Service Code	MSDRG 627
Min. Negotiated Rate	$7,129.58
Max. Negotiated Rate	$13,060.47
Rate for Payer: Anthem Blue Cross of IN PPO/Pathway	$11,072.71
Rate for Payer: Anthem Blue Cross of IN Traditional	$13,060.47
Rate for Payer: Plain Church Group Ministry All Commercial	$7,129.58
Rate for Payer: Three Rivers Preferred All Commercial	$9,311.72

Know your out-of-pocket cost for care.

All Charges