Cameron Memorial Community Hospital

All Charges

Charge

Type

Setting

Price

APR-DRG 36.00: 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: Anthem Blue Cross of IN Medicaid	$3,241.85
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$3,241.85
Rate for Payer: Managed Health Services Medicaid	$3,241.85
Rate for Payer: MDWise Medicaid	$3,241.85

APR-DRG 36.00: 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: Anthem Blue Cross of IN Medicaid	$2,607.57
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$2,607.57
Rate for Payer: Managed Health Services Medicaid	$2,607.57
Rate for Payer: MDWise Medicaid	$2,607.57

APR-DRG 36.00: ABORTION W/O 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: 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: ABORTION W/O 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: 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: ABORTION W/O 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: Anthem Blue Cross of IN Medicaid	$1,092.36
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$1,092.36
Rate for Payer: Managed Health Services Medicaid	$1,092.36
Rate for Payer: MDWise Medicaid	$1,092.36

APR-DRG 36.00: ABORTION W/O 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: 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: ACUTE BRONCHITIS AND RELATED SYMPTOMS

Facility

$3,847.27

Service Code	APR-DRG 1453
Min. Negotiated Rate	$3,241.85
Max. Negotiated Rate	$3,847.27
Rate for Payer: Anthem Blue Cross of IN Medicaid	$3,241.85
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$3,241.85
Rate for Payer: Managed Health Services Medicaid	$3,241.85
Rate for Payer: MDWise Medicaid	$3,241.85

APR-DRG 36.00: ACUTE BRONCHITIS AND RELATED SYMPTOMS

Facility

$6,311.26

Service Code	APR-DRG 1454
Min. Negotiated Rate	$4,510.40
Max. Negotiated Rate	$6,311.26
Rate for Payer: Anthem Blue Cross of IN Medicaid	$4,510.40
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$4,510.40
Rate for Payer: Managed Health Services Medicaid	$4,510.40
Rate for Payer: MDWise Medicaid	$4,510.40

APR-DRG 36.00: ACUTE BRONCHITIS AND RELATED SYMPTOMS

Facility

$2,291.07

Service Code	APR-DRG 1451
Min. Negotiated Rate	$1,973.30
Max. Negotiated Rate	$2,291.07
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: ACUTE BRONCHITIS AND RELATED SYMPTOMS

Facility

$2,809.81

Service Code	APR-DRG 1452
Min. Negotiated Rate	$2,290.44
Max. Negotiated Rate	$2,809.81
Rate for Payer: Anthem Blue Cross of IN Medicaid	$2,290.44
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$2,290.44
Rate for Payer: Managed Health Services Medicaid	$2,290.44
Rate for Payer: MDWise Medicaid	$2,290.44

APR-DRG 36.00: ACUTE KIDNEY INJURY

Facility

$3,025.95

Service Code	APR-DRG 4692
Min. Negotiated Rate	$2,713.29
Max. Negotiated Rate	$3,025.95
Rate for Payer: Anthem Blue Cross of IN Medicaid	$2,713.29
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$2,713.29
Rate for Payer: Managed Health Services Medicaid	$2,713.29
Rate for Payer: MDWise Medicaid	$2,713.29

APR-DRG 36.00: ACUTE KIDNEY INJURY

Facility

$2,161.39

Service Code	APR-DRG 4691
Min. Negotiated Rate	$2,008.54
Max. Negotiated Rate	$2,161.39
Rate for Payer: Anthem Blue Cross of IN Medicaid	$2,008.54
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$2,008.54
Rate for Payer: Managed Health Services Medicaid	$2,008.54
Rate for Payer: MDWise Medicaid	$2,008.54

APR-DRG 36.00: ACUTE KIDNEY INJURY

Facility

$5,230.56

Service Code	APR-DRG 4693
Min. Negotiated Rate	$4,158.02
Max. Negotiated Rate	$5,230.56
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: ACUTE KIDNEY INJURY

Facility

$10,028.85

Service Code	APR-DRG 4694
Min. Negotiated Rate	$9,337.94
Max. Negotiated Rate	$10,028.85
Rate for Payer: Anthem Blue Cross of IN Medicaid	$9,337.94
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$9,337.94
Rate for Payer: Managed Health Services Medicaid	$9,337.94
Rate for Payer: MDWise Medicaid	$9,337.94

APR-DRG 36.00: ACUTE LEUKEMIA

Facility

$11,109.54

Service Code	APR-DRG 6902
Min. Negotiated Rate	$10,113.16
Max. Negotiated Rate	$11,109.54
Rate for Payer: Anthem Blue Cross of IN Medicaid	$10,113.16
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$10,113.16
Rate for Payer: Managed Health Services Medicaid	$10,113.16
Rate for Payer: MDWise Medicaid	$10,113.16

APR-DRG 36.00: ACUTE LEUKEMIA

Facility

$6,181.58

Service Code	APR-DRG 6901
Min. Negotiated Rate	$3,347.56
Max. Negotiated Rate	$6,181.58
Rate for Payer: Anthem Blue Cross of IN Medicaid	$3,347.56
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$3,347.56
Rate for Payer: Managed Health Services Medicaid	$3,347.56
Rate for Payer: MDWise Medicaid	$3,347.56

APR-DRG 36.00: ACUTE LEUKEMIA

Facility

$20,895.84

Service Code	APR-DRG 6903
Min. Negotiated Rate	$17,247.89
Max. Negotiated Rate	$20,895.84
Rate for Payer: Anthem Blue Cross of IN Medicaid	$20,895.84
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$20,895.84
Rate for Payer: Managed Health Services Medicaid	$20,895.84
Rate for Payer: MDWise Medicaid	$20,895.84

APR-DRG 36.00: ACUTE LEUKEMIA

Facility

$25,547.63

Service Code	APR-DRG 6904
Min. Negotiated Rate	$21,635.83
Max. Negotiated Rate	$25,547.63
Rate for Payer: Anthem Blue Cross of IN Medicaid	$21,635.83
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$21,635.83
Rate for Payer: Managed Health Services Medicaid	$21,635.83
Rate for Payer: MDWise Medicaid	$21,635.83

APR-DRG 36.00: ACUTE MYOCARDIAL INFARCTION

Facility

$3,587.91

Service Code	APR-DRG 1901
Min. Negotiated Rate	$2,924.71
Max. Negotiated Rate	$3,587.91
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: ACUTE MYOCARDIAL INFARCTION

Facility

$5,533.16

Service Code	APR-DRG 1903
Min. Negotiated Rate	$4,087.55
Max. Negotiated Rate	$5,533.16
Rate for Payer: Anthem Blue Cross of IN Medicaid	$4,087.55
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$4,087.55
Rate for Payer: Managed Health Services Medicaid	$4,087.55
Rate for Payer: MDWise Medicaid	$4,087.55

APR-DRG 36.00: ACUTE MYOCARDIAL INFARCTION

Facility

$4,149.87

Service Code	APR-DRG 1902
Min. Negotiated Rate	$3,277.09
Max. Negotiated Rate	$4,149.87
Rate for Payer: Anthem Blue Cross of IN Medicaid	$3,277.09
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$3,277.09
Rate for Payer: Managed Health Services Medicaid	$3,277.09
Rate for Payer: MDWise Medicaid	$3,277.09

APR-DRG 36.00: ACUTE MYOCARDIAL INFARCTION

Facility

$9,250.75

Service Code	APR-DRG 1904
Min. Negotiated Rate	$7,893.20
Max. Negotiated Rate	$9,250.75
Rate for Payer: Anthem Blue Cross of IN Medicaid	$7,893.20
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$7,893.20
Rate for Payer: Managed Health Services Medicaid	$7,893.20
Rate for Payer: MDWise Medicaid	$7,893.20

APR-DRG 36.00: ACUTE & SUBACUTE ENDOCARDITIS

Facility

$10,547.58

Service Code	APR-DRG 1934
Min. Negotiated Rate	$7,188.45
Max. Negotiated Rate	$10,547.58
Rate for Payer: Anthem Blue Cross of IN Medicaid	$7,188.45
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$7,188.45
Rate for Payer: Managed Health Services Medicaid	$7,188.45
Rate for Payer: MDWise Medicaid	$7,188.45

APR-DRG 36.00: ACUTE & SUBACUTE ENDOCARDITIS

Facility

$7,175.81

Service Code	APR-DRG 1933
Min. Negotiated Rate	$4,334.21
Max. Negotiated Rate	$7,175.81
Rate for Payer: Anthem Blue Cross of IN Medicaid	$4,334.21
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$4,334.21
Rate for Payer: Managed Health Services Medicaid	$4,334.21
Rate for Payer: MDWise Medicaid	$4,334.21

APR-DRG 36.00: ACUTE & SUBACUTE ENDOCARDITIS

Facility

$4,798.29

Service Code	APR-DRG 1931
Min. Negotiated Rate	$2,501.86
Max. Negotiated Rate	$4,798.29
Rate for Payer: Anthem Blue Cross of IN Medicaid	$2,501.86
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$2,501.86
Rate for Payer: Managed Health Services Medicaid	$2,501.86
Rate for Payer: MDWise Medicaid	$2,501.86

Know your out-of-pocket cost for care.

All Charges