Cameron Memorial Community Hospital

All Charges

Charge

Type

Setting

Price

APR-DRG 36.00: VENTRICULAR SHUNT PROCEDURES

Facility

$11,498.59

Service Code	APR-DRG 0223
Min. Negotiated Rate	$8,844.61
Max. Negotiated Rate	$11,498.59
Rate for Payer: Anthem Blue Cross of IN Medicaid	$8,844.61
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$8,844.61
Rate for Payer: Managed Health Services Medicaid	$8,844.61
Rate for Payer: MDWise Medicaid	$8,844.61

APR-DRG 36.00: VERTIGO & OTHER LABYRINTH DISORDERS

Facility

$2,896.26

Service Code	APR-DRG 1111
Min. Negotiated Rate	$1,726.64
Max. Negotiated Rate	$2,896.26
Rate for Payer: Anthem Blue Cross of IN Medicaid	$1,726.64
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$1,726.64
Rate for Payer: Managed Health Services Medicaid	$1,726.64
Rate for Payer: MDWise Medicaid	$1,726.64

APR-DRG 36.00: VERTIGO & OTHER LABYRINTH DISORDERS

Facility

$4,236.32

Service Code	APR-DRG 1113
Min. Negotiated Rate	$2,537.10
Max. Negotiated Rate	$4,236.32
Rate for Payer: Anthem Blue Cross of IN Medicaid	$2,537.10
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$2,537.10
Rate for Payer: Managed Health Services Medicaid	$2,537.10
Rate for Payer: MDWise Medicaid	$2,537.10

APR-DRG 36.00: VERTIGO & OTHER LABYRINTH DISORDERS

Facility

$7,348.73

Service Code	APR-DRG 1114
Min. Negotiated Rate	$2,537.10
Max. Negotiated Rate	$7,348.73
Rate for Payer: Anthem Blue Cross of IN Medicaid	$2,537.10
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$2,537.10
Rate for Payer: Managed Health Services Medicaid	$2,537.10
Rate for Payer: MDWise Medicaid	$2,537.10

APR-DRG 36.00: VERTIGO & OTHER LABYRINTH DISORDERS

Facility

$3,242.09

Service Code	APR-DRG 1112
Min. Negotiated Rate	$2,537.10
Max. Negotiated Rate	$3,242.09
Rate for Payer: Anthem Blue Cross of IN Medicaid	$2,537.10
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$2,537.10
Rate for Payer: Managed Health Services Medicaid	$2,537.10
Rate for Payer: MDWise Medicaid	$2,537.10

APR-DRG 36.00: VIRAL ILLNESS

Facility

$8,645.56

Service Code	APR-DRG 7234
Min. Negotiated Rate	$6,272.27
Max. Negotiated Rate	$8,645.56
Rate for Payer: Anthem Blue Cross of IN Medicaid	$6,272.27
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$6,272.27
Rate for Payer: Managed Health Services Medicaid	$6,272.27
Rate for Payer: MDWise Medicaid	$6,272.27

APR-DRG 36.00: VIRAL ILLNESS

Facility

$4,495.69

Service Code	APR-DRG 7233
Min. Negotiated Rate	$3,312.32
Max. Negotiated Rate	$4,495.69
Rate for Payer: Anthem Blue Cross of IN Medicaid	$3,312.32
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$3,312.32
Rate for Payer: Managed Health Services Medicaid	$3,312.32
Rate for Payer: MDWise Medicaid	$3,312.32

APR-DRG 36.00: VIRAL ILLNESS

Facility

$2,723.35

Service Code	APR-DRG 7232
Min. Negotiated Rate	$1,867.59
Max. Negotiated Rate	$2,723.35
Rate for Payer: Anthem Blue Cross of IN Medicaid	$1,867.59
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$1,867.59
Rate for Payer: Managed Health Services Medicaid	$1,867.59
Rate for Payer: MDWise Medicaid	$1,867.59

APR-DRG 36.00: VIRAL ILLNESS

Facility

$1,902.02

Service Code	APR-DRG 7231
Min. Negotiated Rate	$1,303.79
Max. Negotiated Rate	$1,902.02
Rate for Payer: Anthem Blue Cross of IN Medicaid	$1,303.79
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$1,303.79
Rate for Payer: Managed Health Services Medicaid	$1,303.79
Rate for Payer: MDWise Medicaid	$1,303.79

APR-DRG 36.00: VIRAL MENINGITIS

Facility

$3,804.05

Service Code	APR-DRG 0512
Min. Negotiated Rate	$2,219.96
Max. Negotiated Rate	$3,804.05
Rate for Payer: Anthem Blue Cross of IN Medicaid	$2,219.96
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$2,219.96
Rate for Payer: Managed Health Services Medicaid	$2,219.96
Rate for Payer: MDWise Medicaid	$2,219.96

APR-DRG 36.00: VIRAL MENINGITIS

Facility

$2,809.81

Service Code	APR-DRG 0511
Min. Negotiated Rate	$1,620.92
Max. Negotiated Rate	$2,809.81
Rate for Payer: Anthem Blue Cross of IN Medicaid	$1,620.92
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$1,620.92
Rate for Payer: Managed Health Services Medicaid	$1,620.92
Rate for Payer: MDWise Medicaid	$1,620.92

APR-DRG 36.00: VIRAL MENINGITIS

Facility

$5,965.44

Service Code	APR-DRG 0513
Min. Negotiated Rate	$4,122.79
Max. Negotiated Rate	$5,965.44
Rate for Payer: Anthem Blue Cross of IN Medicaid	$4,122.79
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$4,122.79
Rate for Payer: Managed Health Services Medicaid	$4,122.79
Rate for Payer: MDWise Medicaid	$4,122.79

APR-DRG 36.00: VIRAL MENINGITIS

Facility

$9,510.12

Service Code	APR-DRG 0514
Min. Negotiated Rate	$4,757.06
Max. Negotiated Rate	$9,510.12
Rate for Payer: Anthem Blue Cross of IN Medicaid	$4,757.06
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$4,757.06
Rate for Payer: Managed Health Services Medicaid	$4,757.06
Rate for Payer: MDWise Medicaid	$4,757.06

APR-DRG 42.00: ABDOMINAL PAIN

Facility

$6,397.71

Service Code	APR-DRG 2514
Min. Negotiated Rate	$3,241.85
Max. Negotiated Rate	$6,397.71
Rate for Payer: Buckeye Health Medicaid OOS	$6,397.71
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$6,397.71

APR-DRG 42.00: ABDOMINAL PAIN

Facility

$2,463.98

Service Code	APR-DRG 2511
Min. Negotiated Rate	$2,290.44
Max. Negotiated Rate	$2,463.98
Rate for Payer: Buckeye Health Medicaid OOS	$2,463.98
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$2,463.98

APR-DRG 42.00: ABDOMINAL PAIN

Facility

$3,112.40

Service Code	APR-DRG 2512
Min. Negotiated Rate	$2,607.57
Max. Negotiated Rate	$3,112.40
Rate for Payer: Buckeye Health Medicaid OOS	$3,112.40
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$3,112.40

APR-DRG 42.00: ABDOMINAL PAIN

Facility

$4,063.41

Service Code	APR-DRG 2513
Min. Negotiated Rate	$3,241.85
Max. Negotiated Rate	$4,063.41
Rate for Payer: Buckeye Health Medicaid OOS	$4,063.41
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$4,063.41

APR-DRG 42.00: ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY

Facility

$3,112.40

Service Code	APR-DRG 5432
Min. Negotiated Rate	$3,112.40
Max. Negotiated Rate	$3,112.40
Rate for Payer: Buckeye Health Medicaid OOS	$3,112.40
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$3,112.40

APR-DRG 42.00: ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY

Facility

$2,463.98

Service Code	APR-DRG 5431
Min. Negotiated Rate	$2,463.98
Max. Negotiated Rate	$2,463.98
Rate for Payer: Buckeye Health Medicaid OOS	$2,463.98
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$2,463.98

APR-DRG 42.00: ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY

Facility

$5,057.65

Service Code	APR-DRG 5433
Min. Negotiated Rate	$5,057.65
Max. Negotiated Rate	$5,057.65
Rate for Payer: Buckeye Health Medicaid OOS	$5,057.65
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$5,057.65

APR-DRG 42.00: ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY

Facility

$9,769.48

Service Code	APR-DRG 5434
Min. Negotiated Rate	$9,769.48
Max. Negotiated Rate	$9,769.48
Rate for Payer: Buckeye Health Medicaid OOS	$9,769.48
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$9,769.48

APR-DRG 42.00: ABORTION WITHOUT D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY

Facility

$2,325.68

Service Code	APR-DRG 5642
Min. Negotiated Rate	$2,118.16
Max. Negotiated Rate	$2,325.68
Rate for Payer: Buckeye Health Medicaid OOS	$2,118.16
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$2,118.16

APR-DRG 42.00: ABORTION WITHOUT D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY

Facility

$3,544.68

Service Code	APR-DRG 5643
Min. Negotiated Rate	$2,325.68
Max. Negotiated Rate	$3,544.68
Rate for Payer: Buckeye Health Medicaid OOS	$3,544.68
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$3,544.68

APR-DRG 42.00: ABORTION WITHOUT D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY

Facility

$1,512.97

Service Code	APR-DRG 5641
Min. Negotiated Rate	$1,092.36
Max. Negotiated Rate	$1,512.97
Rate for Payer: Buckeye Health Medicaid OOS	$1,512.97
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$1,512.97

APR-DRG 42.00: ABORTION WITHOUT D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY

Facility

$7,694.55

Service Code	APR-DRG 5644
Min. Negotiated Rate	$2,325.68
Max. Negotiated Rate	$7,694.55
Rate for Payer: Buckeye Health Medicaid OOS	$7,694.55
Rate for Payer: Molina Healthcare of OH Medicaid OOS/Medicare	$7,694.55

Know your out-of-pocket cost for care.

All Charges