Cameron Memorial Community Hospital

All Charges

Charge

Type

Price

INPATIENT APRDRG 0401: SPINAL DISORDERS & INJURIES

Facility IP

$11,762.10

Service Code	APR-DRG 0401
Hospital Charge Code	APRDRG 0401
Min. Negotiated Rate	$3,255.62
Max. Negotiated Rate	$11,762.10
Rate for Payer: Buckeye Health Medicaid OOS	$3,255.62
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$11,762.10
Rate for Payer: Managed Health Services Medicaid	$11,762.10
Rate for Payer: MDWise Medicaid	$11,762.10
Rate for Payer: Molina Healthcare of OH Medicare	$3,255.62

INPATIENT APRDRG 0402: SPINAL DISORDERS & INJURIES

Facility IP

$15,073.55

Service Code	APR-DRG 0402
Hospital Charge Code	APRDRG 0402
Min. Negotiated Rate	$5,877.21
Max. Negotiated Rate	$15,073.55
Rate for Payer: Buckeye Health Medicaid OOS	$5,877.21
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$15,073.55
Rate for Payer: Managed Health Services Medicaid	$15,073.55
Rate for Payer: MDWise Medicaid	$15,073.55
Rate for Payer: Molina Healthcare of OH Medicare	$5,877.21

INPATIENT APRDRG 0403: SPINAL DISORDERS & INJURIES

Facility IP

$22,657.18

Service Code	APR-DRG 0403
Hospital Charge Code	APRDRG 0403
Min. Negotiated Rate	$8,213.17
Max. Negotiated Rate	$22,657.18
Rate for Payer: Buckeye Health Medicaid OOS	$8,213.17
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$22,657.18
Rate for Payer: Managed Health Services Medicaid	$22,657.18
Rate for Payer: MDWise Medicaid	$22,657.18
Rate for Payer: Molina Healthcare of OH Medicare	$8,213.17

INPATIENT APRDRG 0404: SPINAL DISORDERS & INJURIES

Facility IP

$48,680.08

Service Code	APR-DRG 0404
Hospital Charge Code	APRDRG 0404
Min. Negotiated Rate	$12,358.98
Max. Negotiated Rate	$48,680.08
Rate for Payer: Buckeye Health Medicaid OOS	$12,358.98
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$48,680.08
Rate for Payer: Managed Health Services Medicaid	$48,680.08
Rate for Payer: MDWise Medicaid	$48,680.08
Rate for Payer: Molina Healthcare of OH Medicare	$12,358.98

INPATIENT APRDRG 0411: NERVOUS SYSTEM MALIGNANCY

Facility IP

$8,834.22

Service Code	APR-DRG 0411
Hospital Charge Code	APRDRG 0411
Min. Negotiated Rate	$2,392.00
Max. Negotiated Rate	$8,834.22
Rate for Payer: Buckeye Health Medicaid OOS	$2,392.00
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$8,834.22
Rate for Payer: Managed Health Services Medicaid	$8,834.22
Rate for Payer: MDWise Medicaid	$8,834.22
Rate for Payer: Molina Healthcare of OH Medicare	$2,392.00

INPATIENT APRDRG 0412: NERVOUS SYSTEM MALIGNANCY

Facility IP

$18,445.42

Service Code	APR-DRG 0412
Hospital Charge Code	APRDRG 0412
Min. Negotiated Rate	$2,550.50
Max. Negotiated Rate	$18,445.42
Rate for Payer: Buckeye Health Medicaid OOS	$2,550.50
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$18,445.42
Rate for Payer: Managed Health Services Medicaid	$18,445.42
Rate for Payer: MDWise Medicaid	$18,445.42
Rate for Payer: Molina Healthcare of OH Medicare	$2,550.50

INPATIENT APRDRG 0413: NERVOUS SYSTEM MALIGNANCY

Facility IP

$18,445.42

Service Code	APR-DRG 0413
Hospital Charge Code	APRDRG 0413
Min. Negotiated Rate	$2,945.01
Max. Negotiated Rate	$18,445.42
Rate for Payer: Buckeye Health Medicaid OOS	$2,945.01
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$18,445.42
Rate for Payer: Managed Health Services Medicaid	$18,445.42
Rate for Payer: MDWise Medicaid	$18,445.42
Rate for Payer: Molina Healthcare of OH Medicare	$2,945.01

INPATIENT APRDRG 0414: NERVOUS SYSTEM MALIGNANCY

Facility IP

$18,445.42

Service Code	APR-DRG 0414
Hospital Charge Code	APRDRG 0414
Min. Negotiated Rate	$8,081.24
Max. Negotiated Rate	$18,445.42
Rate for Payer: Buckeye Health Medicaid OOS	$8,081.24
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$18,445.42
Rate for Payer: Managed Health Services Medicaid	$18,445.42
Rate for Payer: MDWise Medicaid	$18,445.42
Rate for Payer: Molina Healthcare of OH Medicare	$8,081.24

INPATIENT APRDRG 0421: DEGENERATIVE NERVOUS SYSTEM DISORDERS EXC MULT SCLEROSIS

Facility IP

$7,131.01

Service Code	APR-DRG 0421
Hospital Charge Code	APRDRG 0421
Min. Negotiated Rate	$2,174.89
Max. Negotiated Rate	$7,131.01
Rate for Payer: Buckeye Health Medicaid OOS	$2,174.89
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$7,131.01
Rate for Payer: Managed Health Services Medicaid	$7,131.01
Rate for Payer: MDWise Medicaid	$7,131.01
Rate for Payer: Molina Healthcare of OH Medicare	$2,174.89

INPATIENT APRDRG 0422: DEGENERATIVE NERVOUS SYSTEM DISORDERS EXC MULT SCLEROSIS

Facility IP

$14,141.16

Service Code	APR-DRG 0422
Hospital Charge Code	APRDRG 0422
Min. Negotiated Rate	$3,052.60
Max. Negotiated Rate	$14,141.16
Rate for Payer: Buckeye Health Medicaid OOS	$3,052.60
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$14,141.16
Rate for Payer: Managed Health Services Medicaid	$14,141.16
Rate for Payer: MDWise Medicaid	$14,141.16
Rate for Payer: Molina Healthcare of OH Medicare	$3,052.60

INPATIENT APRDRG 0423: DEGENERATIVE NERVOUS SYSTEM DISORDERS EXC MULT SCLEROSIS

Facility IP

$22,488.22

Service Code	APR-DRG 0423
Hospital Charge Code	APRDRG 0423
Min. Negotiated Rate	$5,623.92
Max. Negotiated Rate	$22,488.22
Rate for Payer: Buckeye Health Medicaid OOS	$5,623.92
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$22,488.22
Rate for Payer: Managed Health Services Medicaid	$22,488.22
Rate for Payer: MDWise Medicaid	$22,488.22
Rate for Payer: Molina Healthcare of OH Medicare	$5,623.92

INPATIENT APRDRG 0424: DEGENERATIVE NERVOUS SYSTEM DISORDERS EXC MULT SCLEROSIS

Facility IP

$25,163.27

Service Code	APR-DRG 0424
Hospital Charge Code	APRDRG 0424
Min. Negotiated Rate	$5,623.92
Max. Negotiated Rate	$25,163.27
Rate for Payer: Buckeye Health Medicaid OOS	$5,623.92
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$25,163.27
Rate for Payer: Managed Health Services Medicaid	$25,163.27
Rate for Payer: MDWise Medicaid	$25,163.27
Rate for Payer: Molina Healthcare of OH Medicare	$5,623.92

INPATIENT APRDRG 0431: MULTIPLE SCLEROSIS & OTHER DEMYELINATING DISEASES

Facility IP

$13,023.78

Service Code	APR-DRG 0431
Hospital Charge Code	APRDRG 0431
Min. Negotiated Rate	$2,230.61
Max. Negotiated Rate	$13,023.78
Rate for Payer: Buckeye Health Medicaid OOS	$2,230.61
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$13,023.78
Rate for Payer: Managed Health Services Medicaid	$13,023.78
Rate for Payer: MDWise Medicaid	$13,023.78
Rate for Payer: Molina Healthcare of OH Medicare	$2,230.61

INPATIENT APRDRG 0432: MULTIPLE SCLEROSIS & OTHER DEMYELINATING DISEASES

Facility IP

$13,023.78

Service Code	APR-DRG 0432
Hospital Charge Code	APRDRG 0432
Min. Negotiated Rate	$3,198.30
Max. Negotiated Rate	$13,023.78
Rate for Payer: Buckeye Health Medicaid OOS	$3,198.30
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$13,023.78
Rate for Payer: Managed Health Services Medicaid	$13,023.78
Rate for Payer: MDWise Medicaid	$13,023.78
Rate for Payer: Molina Healthcare of OH Medicare	$3,198.30

INPATIENT APRDRG 0433: MULTIPLE SCLEROSIS & OTHER DEMYELINATING DISEASES

Facility IP

$18,249.33

Service Code	APR-DRG 0433
Hospital Charge Code	APRDRG 0433
Min. Negotiated Rate	$5,650.82
Max. Negotiated Rate	$18,249.33
Rate for Payer: Buckeye Health Medicaid OOS	$5,650.82
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$18,249.33
Rate for Payer: Managed Health Services Medicaid	$18,249.33
Rate for Payer: MDWise Medicaid	$18,249.33
Rate for Payer: Molina Healthcare of OH Medicare	$5,650.82

INPATIENT APRDRG 0434: MULTIPLE SCLEROSIS & OTHER DEMYELINATING DISEASES

Facility IP

$22,257.59

Service Code	APR-DRG 0434
Hospital Charge Code	APRDRG 0434
Min. Negotiated Rate	$5,650.82
Max. Negotiated Rate	$22,257.59
Rate for Payer: Buckeye Health Medicaid OOS	$5,650.82
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$22,257.59
Rate for Payer: Managed Health Services Medicaid	$22,257.59
Rate for Payer: MDWise Medicaid	$22,257.59
Rate for Payer: Molina Healthcare of OH Medicare	$5,650.82

INPATIENT APRDRG 0441: INTRACRANIAL HEMORRHAGE

Facility IP

$9,390.44

Service Code	APR-DRG 0441
Hospital Charge Code	APRDRG 0441
Min. Negotiated Rate	$2,189.62
Max. Negotiated Rate	$9,390.44
Rate for Payer: Buckeye Health Medicaid OOS	$2,189.62
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$9,390.44
Rate for Payer: Managed Health Services Medicaid	$9,390.44
Rate for Payer: MDWise Medicaid	$9,390.44
Rate for Payer: Molina Healthcare of OH Medicare	$2,189.62

INPATIENT APRDRG 0442: INTRACRANIAL HEMORRHAGE

Facility IP

$12,731.48

Service Code	APR-DRG 0442
Hospital Charge Code	APRDRG 0442
Min. Negotiated Rate	$3,745.22
Max. Negotiated Rate	$12,731.48
Rate for Payer: Buckeye Health Medicaid OOS	$3,745.22
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$12,731.48
Rate for Payer: Managed Health Services Medicaid	$12,731.48
Rate for Payer: MDWise Medicaid	$12,731.48
Rate for Payer: Molina Healthcare of OH Medicare	$3,745.22

INPATIENT APRDRG 0443: INTRACRANIAL HEMORRHAGE

Facility IP

$17,309.54

Service Code	APR-DRG 0443
Hospital Charge Code	APRDRG 0443
Min. Negotiated Rate	$5,438.51
Max. Negotiated Rate	$17,309.54
Rate for Payer: Buckeye Health Medicaid OOS	$5,438.51
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$17,309.54
Rate for Payer: Managed Health Services Medicaid	$17,309.54
Rate for Payer: MDWise Medicaid	$17,309.54
Rate for Payer: Molina Healthcare of OH Medicare	$5,438.51

INPATIENT APRDRG 0444: INTRACRANIAL HEMORRHAGE

Facility IP

$21,560.77

Service Code	APR-DRG 0444
Hospital Charge Code	APRDRG 0444
Min. Negotiated Rate	$8,762.98
Max. Negotiated Rate	$21,560.77
Rate for Payer: Buckeye Health Medicaid OOS	$8,762.98
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$21,560.77
Rate for Payer: Managed Health Services Medicaid	$21,560.77
Rate for Payer: MDWise Medicaid	$21,560.77
Rate for Payer: Molina Healthcare of OH Medicare	$8,762.98

INPATIENT APRDRG 0451: CVA & PRECEREBRAL OCCLUSION W INFARCT

Facility IP

$9,757.97

Service Code	APR-DRG 0451
Hospital Charge Code	APRDRG 0451
Min. Negotiated Rate	$1,921.60
Max. Negotiated Rate	$9,757.97
Rate for Payer: Buckeye Health Medicaid OOS	$1,921.60
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$9,757.97
Rate for Payer: Managed Health Services Medicaid	$9,757.97
Rate for Payer: MDWise Medicaid	$9,757.97
Rate for Payer: Molina Healthcare of OH Medicare	$1,921.60

INPATIENT APRDRG 0452: CVA & PRECEREBRAL OCCLUSION W INFARCT

Facility IP

$11,900.23

Service Code	APR-DRG 0452
Hospital Charge Code	APRDRG 0452
Min. Negotiated Rate	$2,791.63
Max. Negotiated Rate	$11,900.23
Rate for Payer: Buckeye Health Medicaid OOS	$2,791.63
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$11,900.23
Rate for Payer: Managed Health Services Medicaid	$11,900.23
Rate for Payer: MDWise Medicaid	$11,900.23
Rate for Payer: Molina Healthcare of OH Medicare	$2,791.63

INPATIENT APRDRG 0453: CVA & PRECEREBRAL OCCLUSION W INFARCT

Facility IP

$17,321.87

Service Code	APR-DRG 0453
Hospital Charge Code	APRDRG 0453
Min. Negotiated Rate	$4,158.94
Max. Negotiated Rate	$17,321.87
Rate for Payer: Buckeye Health Medicaid OOS	$4,158.94
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$17,321.87
Rate for Payer: Managed Health Services Medicaid	$17,321.87
Rate for Payer: MDWise Medicaid	$17,321.87
Rate for Payer: Molina Healthcare of OH Medicare	$4,158.94

INPATIENT APRDRG 0454: CVA & PRECEREBRAL OCCLUSION W INFARCT

Facility IP

$39,505.47

Service Code	APR-DRG 0454
Hospital Charge Code	APRDRG 0454
Min. Negotiated Rate	$8,989.69
Max. Negotiated Rate	$39,505.47
Rate for Payer: Buckeye Health Medicaid OOS	$8,989.69
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$39,505.47
Rate for Payer: Managed Health Services Medicaid	$39,505.47
Rate for Payer: MDWise Medicaid	$39,505.47
Rate for Payer: Molina Healthcare of OH Medicare	$8,989.69

INPATIENT APRDRG 0461: NONSPECIFIC CVA & PRECEREBRAL OCCLUSION W/O INFARCT

Facility IP

$10,627.45

Service Code	APR-DRG 0461
Hospital Charge Code	APRDRG 0461
Min. Negotiated Rate	$2,230.93
Max. Negotiated Rate	$10,627.45
Rate for Payer: Buckeye Health Medicaid OOS	$2,230.93
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$10,627.45
Rate for Payer: Managed Health Services Medicaid	$10,627.45
Rate for Payer: MDWise Medicaid	$10,627.45
Rate for Payer: Molina Healthcare of OH Medicare	$2,230.93

Price Transparency.

All Charges