Cameron Memorial Community Hospital

All Charges

Charge

Type

Setting

Price

APR-DRG 36.00: PERIPHERAL, CRANIAL & AUTONOMIC NERVE DISORDERS

Facility

$5,446.70

Service Code	APR-DRG 0483
Min. Negotiated Rate	$4,158.02
Max. Negotiated Rate	$5,446.70
Rate for Payer: Anthem Blue Cross of IN Medicaid	$4,158.02
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$4,158.02
Rate for Payer: Managed Health Services Medicaid	$4,158.02
Rate for Payer: MDWise Medicaid	$4,158.02

APR-DRG 36.00: PERIPHERAL & OTHER VASCULAR DISORDERS

Facility

$5,317.02

Service Code	APR-DRG 1973
Min. Negotiated Rate	$4,721.82
Max. Negotiated Rate	$5,317.02
Rate for Payer: Anthem Blue Cross of IN Medicaid	$4,721.82
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$4,721.82
Rate for Payer: Managed Health Services Medicaid	$4,721.82
Rate for Payer: MDWise Medicaid	$4,721.82

APR-DRG 36.00: PERIPHERAL & OTHER VASCULAR DISORDERS

Facility

$3,840.89

Service Code	APR-DRG 1972
Min. Negotiated Rate	$3,371.77
Max. Negotiated Rate	$3,840.89
Rate for Payer: Anthem Blue Cross of IN Medicaid	$3,840.89
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$3,840.89
Rate for Payer: Managed Health Services Medicaid	$3,840.89
Rate for Payer: MDWise Medicaid	$3,840.89

APR-DRG 36.00: PERIPHERAL & OTHER VASCULAR DISORDERS

Facility

$3,100.90

Service Code	APR-DRG 1971
Min. Negotiated Rate	$2,593.67
Max. Negotiated Rate	$3,100.90
Rate for Payer: Anthem Blue Cross of IN Medicaid	$3,100.90
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$3,100.90
Rate for Payer: Managed Health Services Medicaid	$3,100.90
Rate for Payer: MDWise Medicaid	$3,100.90

APR-DRG 36.00: PERIPHERAL & OTHER VASCULAR DISORDERS

Facility

$9,466.89

Service Code	APR-DRG 1974
Min. Negotiated Rate	$6,166.56
Max. Negotiated Rate	$9,466.89
Rate for Payer: Anthem Blue Cross of IN Medicaid	$6,166.56
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$6,166.56
Rate for Payer: Managed Health Services Medicaid	$6,166.56
Rate for Payer: MDWise Medicaid	$6,166.56

APR-DRG 36.00: PERITONEAL ADHESIOLYSIS

Facility

$6,307.51

Service Code	APR-DRG 2241
Min. Negotiated Rate	$5,706.07
Max. Negotiated Rate	$6,307.51
Rate for Payer: Anthem Blue Cross of IN Medicaid	$6,307.51
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$6,307.51
Rate for Payer: Managed Health Services Medicaid	$6,307.51
Rate for Payer: MDWise Medicaid	$6,307.51

APR-DRG 36.00: PERITONEAL ADHESIOLYSIS

Facility

$8,386.52

Service Code	APR-DRG 2242
Min. Negotiated Rate	$7,132.59
Max. Negotiated Rate	$8,386.52
Rate for Payer: Anthem Blue Cross of IN Medicaid	$8,386.52
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$8,386.52
Rate for Payer: Managed Health Services Medicaid	$8,386.52
Rate for Payer: MDWise Medicaid	$8,386.52

APR-DRG 36.00: PERITONEAL ADHESIOLYSIS

Facility

$16,426.56

Service Code	APR-DRG 2244
Min. Negotiated Rate	$14,165.48
Max. Negotiated Rate	$16,426.56
Rate for Payer: Anthem Blue Cross of IN Medicaid	$14,165.48
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$14,165.48
Rate for Payer: Managed Health Services Medicaid	$14,165.48
Rate for Payer: MDWise Medicaid	$14,165.48

APR-DRG 36.00: PERITONEAL ADHESIOLYSIS

Facility

$10,720.49

Service Code	APR-DRG 2243
Min. Negotiated Rate	$9,478.89
Max. Negotiated Rate	$10,720.49
Rate for Payer: Anthem Blue Cross of IN Medicaid	$9,478.89
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$9,478.89
Rate for Payer: Managed Health Services Medicaid	$9,478.89
Rate for Payer: MDWise Medicaid	$9,478.89

APR-DRG 36.00: PERMANENT CARDIAC PACEMAKER IMPLANT W AMI, HEART FAILURE OR SHOCK

Facility

$13,746.44

Service Code	APR-DRG 1703
Min. Negotiated Rate	$9,972.21
Max. Negotiated Rate	$13,746.44
Rate for Payer: Anthem Blue Cross of IN Medicaid	$9,972.21
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$9,972.21
Rate for Payer: Managed Health Services Medicaid	$9,972.21
Rate for Payer: MDWise Medicaid	$9,972.21

APR-DRG 36.00: PERMANENT CARDIAC PACEMAKER IMPLANT W AMI, HEART FAILURE OR SHOCK

Facility

$20,273.84

Service Code	APR-DRG 1704
Min. Negotiated Rate	$14,517.85
Max. Negotiated Rate	$20,273.84
Rate for Payer: Anthem Blue Cross of IN Medicaid	$14,517.85
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$14,517.85
Rate for Payer: Managed Health Services Medicaid	$14,517.85
Rate for Payer: MDWise Medicaid	$14,517.85

APR-DRG 36.00: PERMANENT CARDIAC PACEMAKER IMPLANT W AMI, HEART FAILURE OR SHOCK

Facility

$10,115.31

Service Code	APR-DRG 1702
Min. Negotiated Rate	$9,972.21
Max. Negotiated Rate	$10,115.31
Rate for Payer: Anthem Blue Cross of IN Medicaid	$9,972.21
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$9,972.21
Rate for Payer: Managed Health Services Medicaid	$9,972.21
Rate for Payer: MDWise Medicaid	$9,972.21

APR-DRG 36.00: PERMANENT CARDIAC PACEMAKER IMPLANT W AMI, HEART FAILURE OR SHOCK

Facility

$9,972.21

Service Code	APR-DRG 1701
Min. Negotiated Rate	$9,466.89
Max. Negotiated Rate	$9,972.21
Rate for Payer: Anthem Blue Cross of IN Medicaid	$9,972.21
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$9,972.21
Rate for Payer: Managed Health Services Medicaid	$9,972.21
Rate for Payer: MDWise Medicaid	$9,972.21

APR-DRG 36.00: PERM CARDIAC PACEMAKER IMPLANT W/O AMI, HEART FAILURE OR SHOCK

Facility

$7,153.21

Service Code	APR-DRG 1711
Min. Negotiated Rate	$6,570.63
Max. Negotiated Rate	$7,153.21
Rate for Payer: Anthem Blue Cross of IN Medicaid	$7,153.21
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$7,153.21
Rate for Payer: Managed Health Services Medicaid	$7,153.21
Rate for Payer: MDWise Medicaid	$7,153.21

APR-DRG 36.00: PERM CARDIAC PACEMAKER IMPLANT W/O AMI, HEART FAILURE OR SHOCK

Facility

$8,069.39

Service Code	APR-DRG 1712
Min. Negotiated Rate	$7,953.92
Max. Negotiated Rate	$8,069.39
Rate for Payer: Anthem Blue Cross of IN Medicaid	$8,069.39
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$8,069.39
Rate for Payer: Managed Health Services Medicaid	$8,069.39
Rate for Payer: MDWise Medicaid	$8,069.39

APR-DRG 36.00: PERM CARDIAC PACEMAKER IMPLANT W/O AMI, HEART FAILURE OR SHOCK

Facility

$16,513.02

Service Code	APR-DRG 1714
Min. Negotiated Rate	$11,170.29
Max. Negotiated Rate	$16,513.02
Rate for Payer: Anthem Blue Cross of IN Medicaid	$11,170.29
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$11,170.29
Rate for Payer: Managed Health Services Medicaid	$11,170.29
Rate for Payer: MDWise Medicaid	$11,170.29

APR-DRG 36.00: PERM CARDIAC PACEMAKER IMPLANT W/O AMI, HEART FAILURE OR SHOCK

Facility

$10,763.72

Service Code	APR-DRG 1713
Min. Negotiated Rate	$9,408.41
Max. Negotiated Rate	$10,763.72
Rate for Payer: Anthem Blue Cross of IN Medicaid	$9,408.41
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$9,408.41
Rate for Payer: Managed Health Services Medicaid	$9,408.41
Rate for Payer: MDWise Medicaid	$9,408.41

APR-DRG 36.00: POISONING OF MEDICINAL AGENTS

Facility

$4,279.55

Service Code	APR-DRG 8123
Min. Negotiated Rate	$2,924.71
Max. Negotiated Rate	$4,279.55
Rate for Payer: Anthem Blue Cross of IN Medicaid	$2,924.71
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$2,924.71
Rate for Payer: Managed Health Services Medicaid	$2,924.71
Rate for Payer: MDWise Medicaid	$2,924.71

APR-DRG 36.00: POISONING OF MEDICINAL AGENTS

Facility

$2,680.12

Service Code	APR-DRG 8122
Min. Negotiated Rate	$2,325.68
Max. Negotiated Rate	$2,680.12
Rate for Payer: Anthem Blue Cross of IN Medicaid	$2,325.68
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$2,325.68
Rate for Payer: Managed Health Services Medicaid	$2,325.68
Rate for Payer: MDWise Medicaid	$2,325.68

APR-DRG 36.00: POISONING OF MEDICINAL AGENTS

Facility

$8,386.19

Service Code	APR-DRG 8124
Min. Negotiated Rate	$4,968.49
Max. Negotiated Rate	$8,386.19
Rate for Payer: Anthem Blue Cross of IN Medicaid	$4,968.49
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$4,968.49
Rate for Payer: Managed Health Services Medicaid	$4,968.49
Rate for Payer: MDWise Medicaid	$4,968.49

APR-DRG 36.00: POISONING OF MEDICINAL AGENTS

Facility

$1,973.30

Service Code	APR-DRG 8121
Min. Negotiated Rate	$1,815.57
Max. Negotiated Rate	$1,973.30
Rate for Payer: Anthem Blue Cross of IN Medicaid	$1,973.30
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$1,973.30
Rate for Payer: Managed Health Services Medicaid	$1,973.30
Rate for Payer: MDWise Medicaid	$1,973.30

APR-DRG 36.00: POSTOPERATIVE, POSTTRAUMATIC, OTHER DEVICE INFECTIONS

Facility

$6,484.17

Service Code	APR-DRG 7213
Min. Negotiated Rate	$5,743.71
Max. Negotiated Rate	$6,484.17
Rate for Payer: Anthem Blue Cross of IN Medicaid	$5,743.71
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$5,743.71
Rate for Payer: Managed Health Services Medicaid	$5,743.71
Rate for Payer: MDWise Medicaid	$5,743.71

APR-DRG 36.00: POSTOPERATIVE, POSTTRAUMATIC, OTHER DEVICE INFECTIONS

Facility

$2,809.81

Service Code	APR-DRG 7211
Min. Negotiated Rate	$2,572.34
Max. Negotiated Rate	$2,809.81
Rate for Payer: Anthem Blue Cross of IN Medicaid	$2,572.34
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$2,572.34
Rate for Payer: Managed Health Services Medicaid	$2,572.34
Rate for Payer: MDWise Medicaid	$2,572.34

APR-DRG 36.00: POSTOPERATIVE, POSTTRAUMATIC, OTHER DEVICE INFECTIONS

Facility

$11,066.32

Service Code	APR-DRG 7214
Min. Negotiated Rate	$9,831.26
Max. Negotiated Rate	$11,066.32
Rate for Payer: Anthem Blue Cross of IN Medicaid	$9,831.26
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$9,831.26
Rate for Payer: Managed Health Services Medicaid	$9,831.26
Rate for Payer: MDWise Medicaid	$9,831.26

APR-DRG 36.00: POSTOPERATIVE, POSTTRAUMATIC, OTHER DEVICE INFECTIONS

Facility

$3,933.73

Service Code	APR-DRG 7212
Min. Negotiated Rate	$3,453.28
Max. Negotiated Rate	$3,933.73
Rate for Payer: Anthem Blue Cross of IN Medicaid	$3,453.28
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$3,453.28
Rate for Payer: Managed Health Services Medicaid	$3,453.28
Rate for Payer: MDWise Medicaid	$3,453.28

Know your out-of-pocket cost for care.

All Charges