Cameron Memorial Community Hospital

All Charges

Charge

Type

Price

INPATIENT APRDRG 0012: LIVER TRANSPLANT &/OR INTESTINAL TRANSPLANT

Facility IP

$80,860.90

Service Code	APR-DRG 0012
Hospital Charge Code	APRDRG 0012
Min. Negotiated Rate	$46,131.95
Max. Negotiated Rate	$80,860.90
Rate for Payer: Buckeye Health Medicaid OOS	$46,131.95
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$80,860.90
Rate for Payer: Managed Health Services Medicaid	$80,860.90
Rate for Payer: MDWise Medicaid	$80,860.90
Rate for Payer: Molina Healthcare of OH Medicare	$46,131.95

INPATIENT APRDRG 0013: LIVER TRANSPLANT &/OR INTESTINAL TRANSPLANT

Facility IP

$80,860.90

Service Code	APR-DRG 0013
Hospital Charge Code	APRDRG 0013
Min. Negotiated Rate	$46,131.95
Max. Negotiated Rate	$80,860.90
Rate for Payer: Buckeye Health Medicaid OOS	$46,131.95
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$80,860.90
Rate for Payer: Managed Health Services Medicaid	$80,860.90
Rate for Payer: MDWise Medicaid	$80,860.90
Rate for Payer: Molina Healthcare of OH Medicare	$46,131.95

INPATIENT APRDRG 0014: LIVER TRANSPLANT &/OR INTESTINAL TRANSPLANT

Facility IP

$251,928.74

Service Code	APR-DRG 0014
Hospital Charge Code	APRDRG 0014
Min. Negotiated Rate	$58,119.80
Max. Negotiated Rate	$251,928.74
Rate for Payer: Buckeye Health Medicaid OOS	$58,119.80
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$251,928.74
Rate for Payer: Managed Health Services Medicaid	$251,928.74
Rate for Payer: MDWise Medicaid	$251,928.74
Rate for Payer: Molina Healthcare of OH Medicare	$58,119.80

INPATIENT APRDRG 0021: HEART &/OR LUNG TRANSPLANT

Facility IP

$199,358.80

Service Code	APR-DRG 0021
Hospital Charge Code	APRDRG 0021
Min. Negotiated Rate	$70,842.86
Max. Negotiated Rate	$199,358.80
Rate for Payer: Buckeye Health Medicaid OOS	$70,842.86
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$199,358.80
Rate for Payer: Managed Health Services Medicaid	$199,358.80
Rate for Payer: MDWise Medicaid	$199,358.80
Rate for Payer: Molina Healthcare of OH Medicare	$70,842.86

INPATIENT APRDRG 0022: HEART &/OR LUNG TRANSPLANT

Facility IP

$199,358.80

Service Code	APR-DRG 0022
Hospital Charge Code	APRDRG 0022
Min. Negotiated Rate	$70,842.86
Max. Negotiated Rate	$199,358.80
Rate for Payer: Buckeye Health Medicaid OOS	$70,842.86
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$199,358.80
Rate for Payer: Managed Health Services Medicaid	$199,358.80
Rate for Payer: MDWise Medicaid	$199,358.80
Rate for Payer: Molina Healthcare of OH Medicare	$70,842.86

INPATIENT APRDRG 0023: HEART &/OR LUNG TRANSPLANT

Facility IP

$199,358.80

Service Code	APR-DRG 0023
Hospital Charge Code	APRDRG 0023
Min. Negotiated Rate	$70,842.86
Max. Negotiated Rate	$199,358.80
Rate for Payer: Buckeye Health Medicaid OOS	$70,842.86
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$199,358.80
Rate for Payer: Managed Health Services Medicaid	$199,358.80
Rate for Payer: MDWise Medicaid	$199,358.80
Rate for Payer: Molina Healthcare of OH Medicare	$70,842.86

INPATIENT APRDRG 0024: HEART &/OR LUNG TRANSPLANT

Facility IP

$345,547.03

Service Code	APR-DRG 0024
Hospital Charge Code	APRDRG 0024
Min. Negotiated Rate	$70,842.86
Max. Negotiated Rate	$345,547.03
Rate for Payer: Buckeye Health Medicaid OOS	$70,842.86
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$345,547.03
Rate for Payer: Managed Health Services Medicaid	$345,547.03
Rate for Payer: MDWise Medicaid	$345,547.03
Rate for Payer: Molina Healthcare of OH Medicare	$70,842.86

INPATIENT APRDRG 0041: TRACHEOSTOMY W MV 96+ HOURS W EXTENSIVE PROCEDURE

Facility IP

$112,339.97

Service Code	APR-DRG 0041
Hospital Charge Code	APRDRG 0041
Min. Negotiated Rate	$29,783.42
Max. Negotiated Rate	$112,339.97
Rate for Payer: Buckeye Health Medicaid OOS	$29,783.42
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$112,339.97
Rate for Payer: Managed Health Services Medicaid	$112,339.97
Rate for Payer: MDWise Medicaid	$112,339.97
Rate for Payer: Molina Healthcare of OH Medicare	$29,783.42

INPATIENT APRDRG 0042: TRACHEOSTOMY W MV 96+ HOURS W EXTENSIVE PROCEDURE

Facility IP

$112,339.97

Service Code	APR-DRG 0042
Hospital Charge Code	APRDRG 0042
Min. Negotiated Rate	$29,783.42
Max. Negotiated Rate	$112,339.97
Rate for Payer: Buckeye Health Medicaid OOS	$29,783.42
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$112,339.97
Rate for Payer: Managed Health Services Medicaid	$112,339.97
Rate for Payer: MDWise Medicaid	$112,339.97
Rate for Payer: Molina Healthcare of OH Medicare	$29,783.42

INPATIENT APRDRG 0043: TRACHEOSTOMY W MV 96+ HOURS W EXTENSIVE PROCEDURE

Facility IP

$112,339.97

Service Code	APR-DRG 0043
Hospital Charge Code	APRDRG 0043
Min. Negotiated Rate	$29,783.42
Max. Negotiated Rate	$112,339.97
Rate for Payer: Buckeye Health Medicaid OOS	$29,783.42
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$112,339.97
Rate for Payer: Managed Health Services Medicaid	$112,339.97
Rate for Payer: MDWise Medicaid	$112,339.97
Rate for Payer: Molina Healthcare of OH Medicare	$29,783.42

INPATIENT APRDRG 0044: TRACHEOSTOMY W MV 96+ HOURS W EXTENSIVE PROCEDURE

Facility IP

$228,791.80

Service Code	APR-DRG 0044
Hospital Charge Code	APRDRG 0044
Min. Negotiated Rate	$39,354.62
Max. Negotiated Rate	$228,791.80
Rate for Payer: Buckeye Health Medicaid OOS	$39,354.62
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$228,791.80
Rate for Payer: Managed Health Services Medicaid	$228,791.80
Rate for Payer: MDWise Medicaid	$228,791.80
Rate for Payer: Molina Healthcare of OH Medicare	$39,354.62

INPATIENT APRDRG 0051: TRACHEOSTOMY W MV 96+ HOURS W/O EXTENSIVE PROCEDURE

Facility IP

$60,606.21

Service Code	APR-DRG 0051
Hospital Charge Code	APRDRG 0051
Min. Negotiated Rate	$17,523.07
Max. Negotiated Rate	$60,606.21
Rate for Payer: Buckeye Health Medicaid OOS	$17,523.07
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$60,606.21
Rate for Payer: Managed Health Services Medicaid	$60,606.21
Rate for Payer: MDWise Medicaid	$60,606.21
Rate for Payer: Molina Healthcare of OH Medicare	$17,523.07

INPATIENT APRDRG 0052: TRACHEOSTOMY W MV 96+ HOURS W/O EXTENSIVE PROCEDURE

Facility IP

$60,606.21

Service Code	APR-DRG 0052
Hospital Charge Code	APRDRG 0052
Min. Negotiated Rate	$17,523.07
Max. Negotiated Rate	$60,606.21
Rate for Payer: Buckeye Health Medicaid OOS	$17,523.07
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$60,606.21
Rate for Payer: Managed Health Services Medicaid	$60,606.21
Rate for Payer: MDWise Medicaid	$60,606.21
Rate for Payer: Molina Healthcare of OH Medicare	$17,523.07

INPATIENT APRDRG 0053: TRACHEOSTOMY W MV 96+ HOURS W/O EXTENSIVE PROCEDURE

Facility IP

$92,372.64

Service Code	APR-DRG 0053
Hospital Charge Code	APRDRG 0053
Min. Negotiated Rate	$17,523.07
Max. Negotiated Rate	$92,372.64
Rate for Payer: Buckeye Health Medicaid OOS	$17,523.07
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$92,372.64
Rate for Payer: Managed Health Services Medicaid	$92,372.64
Rate for Payer: MDWise Medicaid	$92,372.64
Rate for Payer: Molina Healthcare of OH Medicare	$17,523.07

INPATIENT APRDRG 0054: TRACHEOSTOMY W MV 96+ HOURS W/O EXTENSIVE PROCEDURE

Facility IP

$148,627.72

Service Code	APR-DRG 0054
Hospital Charge Code	APRDRG 0054
Min. Negotiated Rate	$27,218.83
Max. Negotiated Rate	$148,627.72
Rate for Payer: Buckeye Health Medicaid OOS	$27,218.83
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$148,627.72
Rate for Payer: Managed Health Services Medicaid	$148,627.72
Rate for Payer: MDWise Medicaid	$148,627.72
Rate for Payer: Molina Healthcare of OH Medicare	$27,218.83

INPATIENT APRDRG 0061: PANCREAS TRANSPLANT

Facility IP

$110,987.03

Service Code	APR-DRG 0061
Hospital Charge Code	APRDRG 0061
Min. Negotiated Rate	$41,092.10
Max. Negotiated Rate	$110,987.03
Rate for Payer: Buckeye Health Medicaid OOS	$41,092.10
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$110,987.03
Rate for Payer: Managed Health Services Medicaid	$110,987.03
Rate for Payer: MDWise Medicaid	$110,987.03
Rate for Payer: Molina Healthcare of OH Medicare	$41,092.10

INPATIENT APRDRG 0062: PANCREAS TRANSPLANT

Facility IP

$110,987.03

Service Code	APR-DRG 0062
Hospital Charge Code	APRDRG 0062
Min. Negotiated Rate	$41,092.10
Max. Negotiated Rate	$110,987.03
Rate for Payer: Buckeye Health Medicaid OOS	$41,092.10
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$110,987.03
Rate for Payer: Managed Health Services Medicaid	$110,987.03
Rate for Payer: MDWise Medicaid	$110,987.03
Rate for Payer: Molina Healthcare of OH Medicare	$41,092.10

INPATIENT APRDRG 0063: PANCREAS TRANSPLANT

Facility IP

$110,987.03

Service Code	APR-DRG 0063
Hospital Charge Code	APRDRG 0063
Min. Negotiated Rate	$41,092.10
Max. Negotiated Rate	$110,987.03
Rate for Payer: Buckeye Health Medicaid OOS	$41,092.10
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$110,987.03
Rate for Payer: Managed Health Services Medicaid	$110,987.03
Rate for Payer: MDWise Medicaid	$110,987.03
Rate for Payer: Molina Healthcare of OH Medicare	$41,092.10

INPATIENT APRDRG 0064: PANCREAS TRANSPLANT

Facility IP

$161,856.23

Service Code	APR-DRG 0064
Hospital Charge Code	APRDRG 0064
Min. Negotiated Rate	$41,092.10
Max. Negotiated Rate	$161,856.23
Rate for Payer: Buckeye Health Medicaid OOS	$41,092.10
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$161,856.23
Rate for Payer: Managed Health Services Medicaid	$161,856.23
Rate for Payer: MDWise Medicaid	$161,856.23
Rate for Payer: Molina Healthcare of OH Medicare	$41,092.10

INPATIENT APRDRG 0071: ALLOGENEIC BONE MARROW TRANSPLANT

Facility IP

$140,783.86

Service Code	APR-DRG 0071
Hospital Charge Code	APRDRG 0071
Min. Negotiated Rate	$44,423.29
Max. Negotiated Rate	$140,783.86
Rate for Payer: Buckeye Health Medicaid OOS	$44,423.29
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$140,783.86
Rate for Payer: Managed Health Services Medicaid	$140,783.86
Rate for Payer: MDWise Medicaid	$140,783.86
Rate for Payer: Molina Healthcare of OH Medicare	$44,423.29

INPATIENT APRDRG 0072: ALLOGENEIC BONE MARROW TRANSPLANT

Facility IP

$140,783.86

Service Code	APR-DRG 0072
Hospital Charge Code	APRDRG 0072
Min. Negotiated Rate	$44,423.29
Max. Negotiated Rate	$140,783.86
Rate for Payer: Buckeye Health Medicaid OOS	$44,423.29
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$140,783.86
Rate for Payer: Managed Health Services Medicaid	$140,783.86
Rate for Payer: MDWise Medicaid	$140,783.86
Rate for Payer: Molina Healthcare of OH Medicare	$44,423.29

INPATIENT APRDRG 0073: ALLOGENEIC BONE MARROW TRANSPLANT

Facility IP

$140,783.86

Service Code	APR-DRG 0073
Hospital Charge Code	APRDRG 0073
Min. Negotiated Rate	$44,423.29
Max. Negotiated Rate	$140,783.86
Rate for Payer: Buckeye Health Medicaid OOS	$44,423.29
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$140,783.86
Rate for Payer: Managed Health Services Medicaid	$140,783.86
Rate for Payer: MDWise Medicaid	$140,783.86
Rate for Payer: Molina Healthcare of OH Medicare	$44,423.29

INPATIENT APRDRG 0074: ALLOGENEIC BONE MARROW TRANSPLANT

Facility IP

$233,255.16

Service Code	APR-DRG 0074
Hospital Charge Code	APRDRG 0074
Min. Negotiated Rate	$44,423.29
Max. Negotiated Rate	$233,255.16
Rate for Payer: Buckeye Health Medicaid OOS	$44,423.29
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$233,255.16
Rate for Payer: Managed Health Services Medicaid	$233,255.16
Rate for Payer: MDWise Medicaid	$233,255.16
Rate for Payer: Molina Healthcare of OH Medicare	$44,423.29

INPATIENT APRDRG 0081: AUTOLOGOUS BONE MARROW TRANSPLANT

Facility IP

$68,706.61

Service Code	APR-DRG 0081
Hospital Charge Code	APRDRG 0081
Min. Negotiated Rate	$23,547.58
Max. Negotiated Rate	$68,706.61
Rate for Payer: Buckeye Health Medicaid OOS	$23,547.58
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$68,706.61
Rate for Payer: Managed Health Services Medicaid	$68,706.61
Rate for Payer: MDWise Medicaid	$68,706.61
Rate for Payer: Molina Healthcare of OH Medicare	$23,547.58

INPATIENT APRDRG 0082: AUTOLOGOUS BONE MARROW TRANSPLANT

Facility IP

$68,706.61

Service Code	APR-DRG 0082
Hospital Charge Code	APRDRG 0082
Min. Negotiated Rate	$23,547.58
Max. Negotiated Rate	$68,706.61
Rate for Payer: Buckeye Health Medicaid OOS	$23,547.58
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$68,706.61
Rate for Payer: Managed Health Services Medicaid	$68,706.61
Rate for Payer: MDWise Medicaid	$68,706.61
Rate for Payer: Molina Healthcare of OH Medicare	$23,547.58

Price Transparency.

All Charges