Cameron Memorial Community Hospital

All Charges

Charge

Type

Price

INPATIENT APRDRG 0083: AUTOLOGOUS BONE MARROW TRANSPLANT

Facility IP

$68,706.61

Service Code	APR-DRG 0083
Hospital Charge Code	APRDRG 0083
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 0084: AUTOLOGOUS BONE MARROW TRANSPLANT

Facility IP

$102,981.59

Service Code	APR-DRG 0084
Hospital Charge Code	APRDRG 0084
Min. Negotiated Rate	$23,547.58
Max. Negotiated Rate	$102,981.59
Rate for Payer: Buckeye Health Medicaid OOS	$23,547.58
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$102,981.59
Rate for Payer: Managed Health Services Medicaid	$102,981.59
Rate for Payer: MDWise Medicaid	$102,981.59
Rate for Payer: Molina Healthcare of OH Medicare	$23,547.58

INPATIENT APRDRG 0091: EXTRACORPOREAL MEMBRANE OXYGENATION (ECMO)

Facility IP

$131,304.62

Service Code	APR-DRG 0091
Hospital Charge Code	APRDRG 0091
Min. Negotiated Rate	$33,335.56
Max. Negotiated Rate	$131,304.62
Rate for Payer: Buckeye Health Medicaid OOS	$33,335.56
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$131,304.62
Rate for Payer: Managed Health Services Medicaid	$131,304.62
Rate for Payer: MDWise Medicaid	$131,304.62
Rate for Payer: Molina Healthcare of OH Medicare	$33,335.56

INPATIENT APRDRG 0092: EXTRACORPOREAL MEMBRANE OXYGENATION (ECMO)

Facility IP

$131,304.62

Service Code	APR-DRG 0092
Hospital Charge Code	APRDRG 0092
Min. Negotiated Rate	$33,335.56
Max. Negotiated Rate	$131,304.62
Rate for Payer: Buckeye Health Medicaid OOS	$33,335.56
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$131,304.62
Rate for Payer: Managed Health Services Medicaid	$131,304.62
Rate for Payer: MDWise Medicaid	$131,304.62
Rate for Payer: Molina Healthcare of OH Medicare	$33,335.56

INPATIENT APRDRG 0093: EXTRACORPOREAL MEMBRANE OXYGENATION (ECMO)

Facility IP

$131,304.62

Service Code	APR-DRG 0093
Hospital Charge Code	APRDRG 0093
Min. Negotiated Rate	$33,335.56
Max. Negotiated Rate	$131,304.62
Rate for Payer: Buckeye Health Medicaid OOS	$33,335.56
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$131,304.62
Rate for Payer: Managed Health Services Medicaid	$131,304.62
Rate for Payer: MDWise Medicaid	$131,304.62
Rate for Payer: Molina Healthcare of OH Medicare	$33,335.56

INPATIENT APRDRG 0094: EXTRACORPOREAL MEMBRANE OXYGENATION (ECMO)

Facility IP

$227,527.66

Service Code	APR-DRG 0094
Hospital Charge Code	APRDRG 0094
Min. Negotiated Rate	$33,335.56
Max. Negotiated Rate	$227,527.66
Rate for Payer: Buckeye Health Medicaid OOS	$33,335.56
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$227,527.66
Rate for Payer: Managed Health Services Medicaid	$227,527.66
Rate for Payer: MDWise Medicaid	$227,527.66
Rate for Payer: Molina Healthcare of OH Medicare	$33,335.56

Inpatient APRDRG 0101: HEAD TRAUMA WITH DEEP COMA

Facility IP

$95,397.96

Service Code	APR-DRG 0101
Hospital Charge Code	APRDRG 0101
Min. Negotiated Rate	$95,397.96
Max. Negotiated Rate	$95,397.96
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$95,397.96
Rate for Payer: Managed Health Services Medicaid	$95,397.96
Rate for Payer: MDWise Medicaid	$95,397.96

Inpatient APRDRG 0102: HEAD TRAUMA WITH DEEP COMA

Facility IP

$95,397.96

Service Code	APR-DRG 0102
Hospital Charge Code	APRDRG 0102
Min. Negotiated Rate	$95,397.96
Max. Negotiated Rate	$95,397.96
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$95,397.96
Rate for Payer: Managed Health Services Medicaid	$95,397.96
Rate for Payer: MDWise Medicaid	$95,397.96

Inpatient APRDRG 0103: HEAD TRAUMA WITH DEEP COMA

Facility IP

$95,397.96

Service Code	APR-DRG 0103
Hospital Charge Code	APRDRG 0103
Min. Negotiated Rate	$95,397.96
Max. Negotiated Rate	$95,397.96
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$95,397.96
Rate for Payer: Managed Health Services Medicaid	$95,397.96
Rate for Payer: MDWise Medicaid	$95,397.96

Inpatient APRDRG 0104: HEAD TRAUMA WITH DEEP COMA

Facility IP

$102,780.56

Service Code	APR-DRG 0104
Hospital Charge Code	APRDRG 0104
Min. Negotiated Rate	$102,780.56
Max. Negotiated Rate	$102,780.56
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$102,780.56
Rate for Payer: Managed Health Services Medicaid	$102,780.56
Rate for Payer: MDWise Medicaid	$102,780.56

INPATIENT APRDRG 0111: CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES

Facility IP

$23,547.58

Service Code	APR-DRG 0111
Hospital Charge Code	APRDRG 0111
Min. Negotiated Rate	$23,547.58
Max. Negotiated Rate	$23,547.58
Rate for Payer: Buckeye Health Medicaid OOS	$23,547.58
Rate for Payer: Molina Healthcare of OH Medicare	$23,547.58

INPATIENT APRDRG 0112: CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES

Facility IP

$23,547.58

Service Code	APR-DRG 0112
Hospital Charge Code	APRDRG 0112
Min. Negotiated Rate	$23,547.58
Max. Negotiated Rate	$23,547.58
Rate for Payer: Buckeye Health Medicaid OOS	$23,547.58
Rate for Payer: Molina Healthcare of OH Medicare	$23,547.58

INPATIENT APRDRG 0113: CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES

Facility IP

$23,547.58

Service Code	APR-DRG 0113
Hospital Charge Code	APRDRG 0113
Min. Negotiated Rate	$23,547.58
Max. Negotiated Rate	$23,547.58
Rate for Payer: Buckeye Health Medicaid OOS	$23,547.58
Rate for Payer: Molina Healthcare of OH Medicare	$23,547.58

INPATIENT APRDRG 0114: CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES

Facility IP

$23,547.58

Service Code	APR-DRG 0114
Hospital Charge Code	APRDRG 0114
Min. Negotiated Rate	$23,547.58
Max. Negotiated Rate	$23,547.58
Rate for Payer: Buckeye Health Medicaid OOS	$23,547.58
Rate for Payer: Molina Healthcare of OH Medicare	$23,547.58

INPATIENT APRDRG 0201: CRANIOTOMY FOR TRAUMA

Facility IP

$23,598.20

Service Code	APR-DRG 0201
Hospital Charge Code	APRDRG 0201
Min. Negotiated Rate	$6,453.59
Max. Negotiated Rate	$23,598.20
Rate for Payer: Buckeye Health Medicaid OOS	$6,453.59
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$23,598.20
Rate for Payer: Managed Health Services Medicaid	$23,598.20
Rate for Payer: MDWise Medicaid	$23,598.20
Rate for Payer: Molina Healthcare of OH Medicare	$6,453.59

INPATIENT APRDRG 0202: CRANIOTOMY FOR TRAUMA

Facility IP

$28,051.69

Service Code	APR-DRG 0202
Hospital Charge Code	APRDRG 0202
Min. Negotiated Rate	$7,845.56
Max. Negotiated Rate	$28,051.69
Rate for Payer: Buckeye Health Medicaid OOS	$7,845.56
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$28,051.69
Rate for Payer: Managed Health Services Medicaid	$28,051.69
Rate for Payer: MDWise Medicaid	$28,051.69
Rate for Payer: Molina Healthcare of OH Medicare	$7,845.56

INPATIENT APRDRG 0203: CRANIOTOMY FOR TRAUMA

Facility IP

$36,767.51

Service Code	APR-DRG 0203
Hospital Charge Code	APRDRG 0203
Min. Negotiated Rate	$12,373.71
Max. Negotiated Rate	$36,767.51
Rate for Payer: Buckeye Health Medicaid OOS	$12,373.71
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$36,767.51
Rate for Payer: Managed Health Services Medicaid	$36,767.51
Rate for Payer: MDWise Medicaid	$36,767.51
Rate for Payer: Molina Healthcare of OH Medicare	$12,373.71

INPATIENT APRDRG 0204: CRANIOTOMY FOR TRAUMA

Facility IP

$60,896.04

Service Code	APR-DRG 0204
Hospital Charge Code	APRDRG 0204
Min. Negotiated Rate	$24,234.44
Max. Negotiated Rate	$60,896.04
Rate for Payer: Buckeye Health Medicaid OOS	$24,234.44
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$60,896.04
Rate for Payer: Managed Health Services Medicaid	$60,896.04
Rate for Payer: MDWise Medicaid	$60,896.04
Rate for Payer: Molina Healthcare of OH Medicare	$24,234.44

INPATIENT APRDRG 0211: CRANIOTOMY EXCEPT FOR TRAUMA

Facility IP

$24,577.45

Service Code	APR-DRG 0211
Hospital Charge Code	APRDRG 0211
Min. Negotiated Rate	$6,769.00
Max. Negotiated Rate	$24,577.45
Rate for Payer: Buckeye Health Medicaid OOS	$6,769.00
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$24,577.45
Rate for Payer: Managed Health Services Medicaid	$24,577.45
Rate for Payer: MDWise Medicaid	$24,577.45
Rate for Payer: Molina Healthcare of OH Medicare	$6,769.00

INPATIENT APRDRG 0212: CRANIOTOMY EXCEPT FOR TRAUMA

Facility IP

$28,109.66

Service Code	APR-DRG 0212
Hospital Charge Code	APRDRG 0212
Min. Negotiated Rate	$8,588.14
Max. Negotiated Rate	$28,109.66
Rate for Payer: Buckeye Health Medicaid OOS	$8,588.14
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$28,109.66
Rate for Payer: Managed Health Services Medicaid	$28,109.66
Rate for Payer: MDWise Medicaid	$28,109.66
Rate for Payer: Molina Healthcare of OH Medicare	$8,588.14

INPATIENT APRDRG 0213: CRANIOTOMY EXCEPT FOR TRAUMA

Facility IP

$55,642.13

Service Code	APR-DRG 0213
Hospital Charge Code	APRDRG 0213
Min. Negotiated Rate	$13,394.23
Max. Negotiated Rate	$55,642.13
Rate for Payer: Buckeye Health Medicaid OOS	$13,394.23
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$55,642.13
Rate for Payer: Managed Health Services Medicaid	$55,642.13
Rate for Payer: MDWise Medicaid	$55,642.13
Rate for Payer: Molina Healthcare of OH Medicare	$13,394.23

INPATIENT APRDRG 0214: CRANIOTOMY EXCEPT FOR TRAUMA

Facility IP

$74,122.08

Service Code	APR-DRG 0214
Hospital Charge Code	APRDRG 0214
Min. Negotiated Rate	$21,560.33
Max. Negotiated Rate	$74,122.08
Rate for Payer: Buckeye Health Medicaid OOS	$21,560.33
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$74,122.08
Rate for Payer: Managed Health Services Medicaid	$74,122.08
Rate for Payer: MDWise Medicaid	$74,122.08
Rate for Payer: Molina Healthcare of OH Medicare	$21,560.33

INPATIENT APRDRG 0221: VENTRICULAR SHUNT PROCEDURES

Facility IP

$19,420.97

Service Code	APR-DRG 0221
Hospital Charge Code	APRDRG 0221
Min. Negotiated Rate	$4,519.50
Max. Negotiated Rate	$19,420.97
Rate for Payer: Buckeye Health Medicaid OOS	$4,519.50
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$19,420.97
Rate for Payer: Managed Health Services Medicaid	$19,420.97
Rate for Payer: MDWise Medicaid	$19,420.97
Rate for Payer: Molina Healthcare of OH Medicare	$4,519.50

INPATIENT APRDRG 0222: VENTRICULAR SHUNT PROCEDURES

Facility IP

$19,686.13

Service Code	APR-DRG 0222
Hospital Charge Code	APRDRG 0222
Min. Negotiated Rate	$5,431.79
Max. Negotiated Rate	$19,686.13
Rate for Payer: Buckeye Health Medicaid OOS	$5,431.79
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$19,686.13
Rate for Payer: Managed Health Services Medicaid	$19,686.13
Rate for Payer: MDWise Medicaid	$19,686.13
Rate for Payer: Molina Healthcare of OH Medicare	$5,431.79

INPATIENT APRDRG 0223: VENTRICULAR SHUNT PROCEDURES

Facility IP

$30,963.54

Service Code	APR-DRG 0223
Hospital Charge Code	APRDRG 0223
Min. Negotiated Rate	$10,028.78
Max. Negotiated Rate	$30,963.54
Rate for Payer: Buckeye Health Medicaid OOS	$10,028.78
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$30,963.54
Rate for Payer: Managed Health Services Medicaid	$30,963.54
Rate for Payer: MDWise Medicaid	$30,963.54
Rate for Payer: Molina Healthcare of OH Medicare	$10,028.78

Price Transparency.

All Charges