Cameron Memorial Community Hospital

All Charges

Charge

Type

Price

INPATIENT APRDRG 0462: NONSPECIFIC CVA & PRECEREBRAL OCCLUSION W/O INFARCT

Facility IP

$10,627.45

Service Code	APR-DRG 0462
Hospital Charge Code	APRDRG 0462
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

INPATIENT APRDRG 0463: NONSPECIFIC CVA & PRECEREBRAL OCCLUSION W/O INFARCT

Facility IP

$10,627.45

Service Code	APR-DRG 0463
Hospital Charge Code	APRDRG 0463
Min. Negotiated Rate	$2,620.95
Max. Negotiated Rate	$10,627.45
Rate for Payer: Buckeye Health Medicaid OOS	$2,620.95
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	$2,620.95

INPATIENT APRDRG 0464: NONSPECIFIC CVA & PRECEREBRAL OCCLUSION W/O INFARCT

Facility IP

$10,627.45

Service Code	APR-DRG 0464
Hospital Charge Code	APRDRG 0464
Min. Negotiated Rate	$2,620.95
Max. Negotiated Rate	$10,627.45
Rate for Payer: Buckeye Health Medicaid OOS	$2,620.95
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	$2,620.95

INPATIENT APRDRG 0471: TRANSIENT ISCHEMIA

Facility IP

$8,702.25

Service Code	APR-DRG 0471
Hospital Charge Code	APRDRG 0471
Min. Negotiated Rate	$1,644.94
Max. Negotiated Rate	$8,702.25
Rate for Payer: Buckeye Health Medicaid OOS	$1,644.94
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$8,702.25
Rate for Payer: Managed Health Services Medicaid	$8,702.25
Rate for Payer: MDWise Medicaid	$8,702.25
Rate for Payer: Molina Healthcare of OH Medicare	$1,644.94

INPATIENT APRDRG 0472: TRANSIENT ISCHEMIA

Facility IP

$10,131.66

Service Code	APR-DRG 0472
Hospital Charge Code	APRDRG 0472
Min. Negotiated Rate	$1,739.08
Max. Negotiated Rate	$10,131.66
Rate for Payer: Buckeye Health Medicaid OOS	$1,739.08
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$10,131.66
Rate for Payer: Managed Health Services Medicaid	$10,131.66
Rate for Payer: MDWise Medicaid	$10,131.66
Rate for Payer: Molina Healthcare of OH Medicare	$1,739.08

INPATIENT APRDRG 0473: TRANSIENT ISCHEMIA

Facility IP

$10,131.66

Service Code	APR-DRG 0473
Hospital Charge Code	APRDRG 0473
Min. Negotiated Rate	$2,552.43
Max. Negotiated Rate	$10,131.66
Rate for Payer: Buckeye Health Medicaid OOS	$2,552.43
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$10,131.66
Rate for Payer: Managed Health Services Medicaid	$10,131.66
Rate for Payer: MDWise Medicaid	$10,131.66
Rate for Payer: Molina Healthcare of OH Medicare	$2,552.43

INPATIENT APRDRG 0474: TRANSIENT ISCHEMIA

Facility IP

$10,131.66

Service Code	APR-DRG 0474
Hospital Charge Code	APRDRG 0474
Min. Negotiated Rate	$2,552.43
Max. Negotiated Rate	$10,131.66
Rate for Payer: Buckeye Health Medicaid OOS	$2,552.43
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$10,131.66
Rate for Payer: Managed Health Services Medicaid	$10,131.66
Rate for Payer: MDWise Medicaid	$10,131.66
Rate for Payer: Molina Healthcare of OH Medicare	$2,552.43

INPATIENT APRDRG 0481: PERIPHERAL, CRANIAL & AUTONOMIC NERVE DISORDERS

Facility IP

$9,411.41

Service Code	APR-DRG 0481
Hospital Charge Code	APRDRG 0481
Min. Negotiated Rate	$1,919.04
Max. Negotiated Rate	$9,411.41
Rate for Payer: Buckeye Health Medicaid OOS	$1,919.04
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$9,411.41
Rate for Payer: Managed Health Services Medicaid	$9,411.41
Rate for Payer: MDWise Medicaid	$9,411.41
Rate for Payer: Molina Healthcare of OH Medicare	$1,919.04

INPATIENT APRDRG 0482: PERIPHERAL, CRANIAL & AUTONOMIC NERVE DISORDERS

Facility IP

$10,838.35

Service Code	APR-DRG 0482
Hospital Charge Code	APRDRG 0482
Min. Negotiated Rate	$2,130.70
Max. Negotiated Rate	$10,838.35
Rate for Payer: Buckeye Health Medicaid OOS	$2,130.70
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$10,838.35
Rate for Payer: Managed Health Services Medicaid	$10,838.35
Rate for Payer: MDWise Medicaid	$10,838.35
Rate for Payer: Molina Healthcare of OH Medicare	$2,130.70

INPATIENT APRDRG 0483: PERIPHERAL, CRANIAL & AUTONOMIC NERVE DISORDERS

Facility IP

$14,555.55

Service Code	APR-DRG 0483
Hospital Charge Code	APRDRG 0483
Min. Negotiated Rate	$2,970.63
Max. Negotiated Rate	$14,555.55
Rate for Payer: Buckeye Health Medicaid OOS	$2,970.63
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$14,555.55
Rate for Payer: Managed Health Services Medicaid	$14,555.55
Rate for Payer: MDWise Medicaid	$14,555.55
Rate for Payer: Molina Healthcare of OH Medicare	$2,970.63

INPATIENT APRDRG 0484: PERIPHERAL, CRANIAL & AUTONOMIC NERVE DISORDERS

Facility IP

$23,547.64

Service Code	APR-DRG 0484
Hospital Charge Code	APRDRG 0484
Min. Negotiated Rate	$6,372.90
Max. Negotiated Rate	$23,547.64
Rate for Payer: Buckeye Health Medicaid OOS	$6,372.90
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$23,547.64
Rate for Payer: Managed Health Services Medicaid	$23,547.64
Rate for Payer: MDWise Medicaid	$23,547.64
Rate for Payer: Molina Healthcare of OH Medicare	$6,372.90

INPATIENT APRDRG 0491: BACTERIAL & TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM

Facility IP

$19,329.71

Service Code	APR-DRG 0491
Hospital Charge Code	APRDRG 0491
Min. Negotiated Rate	$4,907.28
Max. Negotiated Rate	$19,329.71
Rate for Payer: Buckeye Health Medicaid OOS	$4,907.28
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$19,329.71
Rate for Payer: Managed Health Services Medicaid	$19,329.71
Rate for Payer: MDWise Medicaid	$19,329.71
Rate for Payer: Molina Healthcare of OH Medicare	$4,907.28

INPATIENT APRDRG 0492: BACTERIAL & TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM

Facility IP

$21,212.98

Service Code	APR-DRG 0492
Hospital Charge Code	APRDRG 0492
Min. Negotiated Rate	$4,907.28
Max. Negotiated Rate	$21,212.98
Rate for Payer: Buckeye Health Medicaid OOS	$4,907.28
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$21,212.98
Rate for Payer: Managed Health Services Medicaid	$21,212.98
Rate for Payer: MDWise Medicaid	$21,212.98
Rate for Payer: Molina Healthcare of OH Medicare	$4,907.28

INPATIENT APRDRG 0493: BACTERIAL & TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM

Facility IP

$23,841.16

Service Code	APR-DRG 0493
Hospital Charge Code	APRDRG 0493
Min. Negotiated Rate	$6,387.31
Max. Negotiated Rate	$23,841.16
Rate for Payer: Buckeye Health Medicaid OOS	$6,387.31
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$23,841.16
Rate for Payer: Managed Health Services Medicaid	$23,841.16
Rate for Payer: MDWise Medicaid	$23,841.16
Rate for Payer: Molina Healthcare of OH Medicare	$6,387.31

INPATIENT APRDRG 0494: BACTERIAL & TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM

Facility IP

$45,734.93

Service Code	APR-DRG 0494
Hospital Charge Code	APRDRG 0494
Min. Negotiated Rate	$11,010.88
Max. Negotiated Rate	$45,734.93
Rate for Payer: Buckeye Health Medicaid OOS	$11,010.88
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$45,734.93
Rate for Payer: Managed Health Services Medicaid	$45,734.93
Rate for Payer: MDWise Medicaid	$45,734.93
Rate for Payer: Molina Healthcare of OH Medicare	$11,010.88

INPATIENT APRDRG 0501: NON-BACTERIAL INFECTIONS OF NERVOUS SYSTEM EXC VIRAL MENINGITIS

Facility IP

$9,743.17

Service Code	APR-DRG 0501
Hospital Charge Code	APRDRG 0501
Min. Negotiated Rate	$1,903.03
Max. Negotiated Rate	$9,743.17
Rate for Payer: Buckeye Health Medicaid OOS	$1,903.03
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$9,743.17
Rate for Payer: Managed Health Services Medicaid	$9,743.17
Rate for Payer: MDWise Medicaid	$9,743.17
Rate for Payer: Molina Healthcare of OH Medicare	$1,903.03

INPATIENT APRDRG 0502: NON-BACTERIAL INFECTIONS OF NERVOUS SYSTEM EXC VIRAL MENINGITIS

Facility IP

$15,188.24

Service Code	APR-DRG 0502
Hospital Charge Code	APRDRG 0502
Min. Negotiated Rate	$3,425.33
Max. Negotiated Rate	$15,188.24
Rate for Payer: Buckeye Health Medicaid OOS	$3,425.33
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$15,188.24
Rate for Payer: Managed Health Services Medicaid	$15,188.24
Rate for Payer: MDWise Medicaid	$15,188.24
Rate for Payer: Molina Healthcare of OH Medicare	$3,425.33

INPATIENT APRDRG 0503: NON-BACTERIAL INFECTIONS OF NERVOUS SYSTEM EXC VIRAL MENINGITIS

Facility IP

$21,473.20

Service Code	APR-DRG 0503
Hospital Charge Code	APRDRG 0503
Min. Negotiated Rate	$9,497.55
Max. Negotiated Rate	$21,473.20
Rate for Payer: Buckeye Health Medicaid OOS	$9,497.55
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$21,473.20
Rate for Payer: Managed Health Services Medicaid	$21,473.20
Rate for Payer: MDWise Medicaid	$21,473.20
Rate for Payer: Molina Healthcare of OH Medicare	$9,497.55

INPATIENT APRDRG 0504: NON-BACTERIAL INFECTIONS OF NERVOUS SYSTEM EXC VIRAL MENINGITIS

Facility IP

$43,486.60

Service Code	APR-DRG 0504
Hospital Charge Code	APRDRG 0504
Min. Negotiated Rate	$9,497.55
Max. Negotiated Rate	$43,486.60
Rate for Payer: Buckeye Health Medicaid OOS	$9,497.55
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$43,486.60
Rate for Payer: Managed Health Services Medicaid	$43,486.60
Rate for Payer: MDWise Medicaid	$43,486.60
Rate for Payer: Molina Healthcare of OH Medicare	$9,497.55

INPATIENT APRDRG 0511: VIRAL MENINGITIS

Facility IP

$5,717.64

Service Code	APR-DRG 0511
Hospital Charge Code	APRDRG 0511
Min. Negotiated Rate	$1,644.30
Max. Negotiated Rate	$5,717.64
Rate for Payer: Buckeye Health Medicaid OOS	$1,644.30
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$5,717.64
Rate for Payer: Managed Health Services Medicaid	$5,717.64
Rate for Payer: MDWise Medicaid	$5,717.64
Rate for Payer: Molina Healthcare of OH Medicare	$1,644.30

INPATIENT APRDRG 0512: VIRAL MENINGITIS

Facility IP

$7,798.23

Service Code	APR-DRG 0512
Hospital Charge Code	APRDRG 0512
Min. Negotiated Rate	$2,171.69
Max. Negotiated Rate	$7,798.23
Rate for Payer: Buckeye Health Medicaid OOS	$2,171.69
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$7,798.23
Rate for Payer: Managed Health Services Medicaid	$7,798.23
Rate for Payer: MDWise Medicaid	$7,798.23
Rate for Payer: Molina Healthcare of OH Medicare	$2,171.69

INPATIENT APRDRG 0513: VIRAL MENINGITIS

Facility IP

$14,435.92

Service Code	APR-DRG 0513
Hospital Charge Code	APRDRG 0513
Min. Negotiated Rate	$4,236.75
Max. Negotiated Rate	$14,435.92
Rate for Payer: Buckeye Health Medicaid OOS	$4,236.75
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$14,435.92
Rate for Payer: Managed Health Services Medicaid	$14,435.92
Rate for Payer: MDWise Medicaid	$14,435.92
Rate for Payer: Molina Healthcare of OH Medicare	$4,236.75

INPATIENT APRDRG 0514: VIRAL MENINGITIS

Facility IP

$16,687.95

Service Code	APR-DRG 0514
Hospital Charge Code	APRDRG 0514
Min. Negotiated Rate	$4,236.75
Max. Negotiated Rate	$16,687.95
Rate for Payer: Buckeye Health Medicaid OOS	$4,236.75
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$16,687.95
Rate for Payer: Managed Health Services Medicaid	$16,687.95
Rate for Payer: MDWise Medicaid	$16,687.95
Rate for Payer: Molina Healthcare of OH Medicare	$4,236.75

INPATIENT APRDRG 0521: ALTERATION IN CONSCIOUSNESS

Facility IP

$6,154.23

Service Code	APR-DRG 0521
Hospital Charge Code	APRDRG 0521
Min. Negotiated Rate	$1,789.36
Max. Negotiated Rate	$6,154.23
Rate for Payer: Buckeye Health Medicaid OOS	$1,789.36
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$6,154.23
Rate for Payer: Managed Health Services Medicaid	$6,154.23
Rate for Payer: MDWise Medicaid	$6,154.23
Rate for Payer: Molina Healthcare of OH Medicare	$1,789.36

INPATIENT APRDRG 0522: ALTERATION IN CONSCIOUSNESS

Facility IP

$10,668.15

Service Code	APR-DRG 0522
Hospital Charge Code	APRDRG 0522
Min. Negotiated Rate	$1,981.80
Max. Negotiated Rate	$10,668.15
Rate for Payer: Buckeye Health Medicaid OOS	$1,981.80
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$10,668.15
Rate for Payer: Managed Health Services Medicaid	$10,668.15
Rate for Payer: MDWise Medicaid	$10,668.15
Rate for Payer: Molina Healthcare of OH Medicare	$1,981.80

Price Transparency.

All Charges