Cameron Memorial Community Hospital

All Charges

Charge

Type

Price

INPATIENT APRDRG 1384: BRONCHIOLITIS & RSV PNEUMONIA

Facility IP

$23,503.24

Service Code	APR-DRG 1384
Hospital Charge Code	APRDRG 1384
Min. Negotiated Rate	$12,271.56
Max. Negotiated Rate	$23,503.24
Rate for Payer: Buckeye Health Medicaid OOS	$12,271.56
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$23,503.24
Rate for Payer: Managed Health Services Medicaid	$23,503.24
Rate for Payer: MDWise Medicaid	$23,503.24
Rate for Payer: Molina Healthcare of OH Medicare	$12,271.56

INPATIENT APRDRG 1391: OTHER PNEUMONIA

Facility IP

$6,030.90

Service Code	APR-DRG 1391
Hospital Charge Code	APRDRG 1391
Min. Negotiated Rate	$1,565.85
Max. Negotiated Rate	$6,030.90
Rate for Payer: Buckeye Health Medicaid OOS	$1,565.85
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$6,030.90
Rate for Payer: Managed Health Services Medicaid	$6,030.90
Rate for Payer: MDWise Medicaid	$6,030.90
Rate for Payer: Molina Healthcare of OH Medicare	$1,565.85

INPATIENT APRDRG 1392: OTHER PNEUMONIA

Facility IP

$8,571.52

Service Code	APR-DRG 1392
Hospital Charge Code	APRDRG 1392
Min. Negotiated Rate	$2,051.61
Max. Negotiated Rate	$8,571.52
Rate for Payer: Buckeye Health Medicaid OOS	$2,051.61
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$8,571.52
Rate for Payer: Managed Health Services Medicaid	$8,571.52
Rate for Payer: MDWise Medicaid	$8,571.52
Rate for Payer: Molina Healthcare of OH Medicare	$2,051.61

INPATIENT APRDRG 1393: OTHER PNEUMONIA

Facility IP

$12,995.41

Service Code	APR-DRG 1393
Hospital Charge Code	APRDRG 1393
Min. Negotiated Rate	$3,012.89
Max. Negotiated Rate	$12,995.41
Rate for Payer: Buckeye Health Medicaid OOS	$3,012.89
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$12,995.41
Rate for Payer: Managed Health Services Medicaid	$12,995.41
Rate for Payer: MDWise Medicaid	$12,995.41
Rate for Payer: Molina Healthcare of OH Medicare	$3,012.89

INPATIENT APRDRG 1394: OTHER PNEUMONIA

Facility IP

$23,288.64

Service Code	APR-DRG 1394
Hospital Charge Code	APRDRG 1394
Min. Negotiated Rate	$5,756.17
Max. Negotiated Rate	$23,288.64
Rate for Payer: Buckeye Health Medicaid OOS	$5,756.17
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$23,288.64
Rate for Payer: Managed Health Services Medicaid	$23,288.64
Rate for Payer: MDWise Medicaid	$23,288.64
Rate for Payer: Molina Healthcare of OH Medicare	$5,756.17

INPATIENT APRDRG 1401: CHRONIC OBSTRUCTIVE PULMONARY DISEASE

Facility IP

$8,223.73

Service Code	APR-DRG 1401
Hospital Charge Code	APRDRG 1401
Min. Negotiated Rate	$1,638.21
Max. Negotiated Rate	$8,223.73
Rate for Payer: Buckeye Health Medicaid OOS	$1,638.21
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$8,223.73
Rate for Payer: Managed Health Services Medicaid	$8,223.73
Rate for Payer: MDWise Medicaid	$8,223.73
Rate for Payer: Molina Healthcare of OH Medicare	$1,638.21

INPATIENT APRDRG 1402: CHRONIC OBSTRUCTIVE PULMONARY DISEASE

Facility IP

$9,563.11

Service Code	APR-DRG 1402
Hospital Charge Code	APRDRG 1402
Min. Negotiated Rate	$2,009.02
Max. Negotiated Rate	$9,563.11
Rate for Payer: Buckeye Health Medicaid OOS	$2,009.02
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$9,563.11
Rate for Payer: Managed Health Services Medicaid	$9,563.11
Rate for Payer: MDWise Medicaid	$9,563.11
Rate for Payer: Molina Healthcare of OH Medicare	$2,009.02

INPATIENT APRDRG 1403: CHRONIC OBSTRUCTIVE PULMONARY DISEASE

Facility IP

$11,606.70

Service Code	APR-DRG 1403
Hospital Charge Code	APRDRG 1403
Min. Negotiated Rate	$2,596.62
Max. Negotiated Rate	$11,606.70
Rate for Payer: Buckeye Health Medicaid OOS	$2,596.62
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$11,606.70
Rate for Payer: Managed Health Services Medicaid	$11,606.70
Rate for Payer: MDWise Medicaid	$11,606.70
Rate for Payer: Molina Healthcare of OH Medicare	$2,596.62

INPATIENT APRDRG 1404: CHRONIC OBSTRUCTIVE PULMONARY DISEASE

Facility IP

$16,258.76

Service Code	APR-DRG 1404
Hospital Charge Code	APRDRG 1404
Min. Negotiated Rate	$4,151.57
Max. Negotiated Rate	$16,258.76
Rate for Payer: Buckeye Health Medicaid OOS	$4,151.57
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$16,258.76
Rate for Payer: Managed Health Services Medicaid	$16,258.76
Rate for Payer: MDWise Medicaid	$16,258.76
Rate for Payer: Molina Healthcare of OH Medicare	$4,151.57

INPATIENT APRDRG 1411: ASTHMA

Facility IP

$6,452.69

Service Code	APR-DRG 1411
Hospital Charge Code	APRDRG 1411
Min. Negotiated Rate	$1,729.48
Max. Negotiated Rate	$6,452.69
Rate for Payer: Buckeye Health Medicaid OOS	$1,729.48
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$6,452.69
Rate for Payer: Managed Health Services Medicaid	$6,452.69
Rate for Payer: MDWise Medicaid	$6,452.69
Rate for Payer: Molina Healthcare of OH Medicare	$1,729.48

INPATIENT APRDRG 1412: ASTHMA

Facility IP

$8,392.69

Service Code	APR-DRG 1412
Hospital Charge Code	APRDRG 1412
Min. Negotiated Rate	$2,049.69
Max. Negotiated Rate	$8,392.69
Rate for Payer: Buckeye Health Medicaid OOS	$2,049.69
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$8,392.69
Rate for Payer: Managed Health Services Medicaid	$8,392.69
Rate for Payer: MDWise Medicaid	$8,392.69
Rate for Payer: Molina Healthcare of OH Medicare	$2,049.69

INPATIENT APRDRG 1413: ASTHMA

Facility IP

$11,013.48

Service Code	APR-DRG 1413
Hospital Charge Code	APRDRG 1413
Min. Negotiated Rate	$2,608.46
Max. Negotiated Rate	$11,013.48
Rate for Payer: Buckeye Health Medicaid OOS	$2,608.46
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$11,013.48
Rate for Payer: Managed Health Services Medicaid	$11,013.48
Rate for Payer: MDWise Medicaid	$11,013.48
Rate for Payer: Molina Healthcare of OH Medicare	$2,608.46

INPATIENT APRDRG 1414: ASTHMA

Facility IP

$17,653.64

Service Code	APR-DRG 1414
Hospital Charge Code	APRDRG 1414
Min. Negotiated Rate	$4,244.44
Max. Negotiated Rate	$17,653.64
Rate for Payer: Buckeye Health Medicaid OOS	$4,244.44
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$17,653.64
Rate for Payer: Managed Health Services Medicaid	$17,653.64
Rate for Payer: MDWise Medicaid	$17,653.64
Rate for Payer: Molina Healthcare of OH Medicare	$4,244.44

INPATIENT APRDRG 1421: INTERSTITIAL & ALVEOLAR LUNG DISEASES

Facility IP

$7,773.57

Service Code	APR-DRG 1421
Hospital Charge Code	APRDRG 1421
Min. Negotiated Rate	$2,253.67
Max. Negotiated Rate	$7,773.57
Rate for Payer: Buckeye Health Medicaid OOS	$2,253.67
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$7,773.57
Rate for Payer: Managed Health Services Medicaid	$7,773.57
Rate for Payer: MDWise Medicaid	$7,773.57
Rate for Payer: Molina Healthcare of OH Medicare	$2,253.67

INPATIENT APRDRG 1422: INTERSTITIAL & ALVEOLAR LUNG DISEASES

Facility IP

$8,042.43

Service Code	APR-DRG 1422
Hospital Charge Code	APRDRG 1422
Min. Negotiated Rate	$2,702.29
Max. Negotiated Rate	$8,042.43
Rate for Payer: Buckeye Health Medicaid OOS	$2,702.29
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$8,042.43
Rate for Payer: Managed Health Services Medicaid	$8,042.43
Rate for Payer: MDWise Medicaid	$8,042.43
Rate for Payer: Molina Healthcare of OH Medicare	$2,702.29

INPATIENT APRDRG 1423: INTERSTITIAL & ALVEOLAR LUNG DISEASES

Facility IP

$10,789.02

Service Code	APR-DRG 1423
Hospital Charge Code	APRDRG 1423
Min. Negotiated Rate	$3,275.47
Max. Negotiated Rate	$10,789.02
Rate for Payer: Buckeye Health Medicaid OOS	$3,275.47
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$10,789.02
Rate for Payer: Managed Health Services Medicaid	$10,789.02
Rate for Payer: MDWise Medicaid	$10,789.02
Rate for Payer: Molina Healthcare of OH Medicare	$3,275.47

INPATIENT APRDRG 1424: INTERSTITIAL & ALVEOLAR LUNG DISEASES

Facility IP

$18,788.28

Service Code	APR-DRG 1424
Hospital Charge Code	APRDRG 1424
Min. Negotiated Rate	$6,183.33
Max. Negotiated Rate	$18,788.28
Rate for Payer: Buckeye Health Medicaid OOS	$6,183.33
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$18,788.28
Rate for Payer: Managed Health Services Medicaid	$18,788.28
Rate for Payer: MDWise Medicaid	$18,788.28
Rate for Payer: Molina Healthcare of OH Medicare	$6,183.33

INPATIENT APRDRG 1431: OTHER RESPIRATORY DIAGNOSES EXCEPT SIGNS, SYMPTOMS & MINOR DIAGNOSES

Facility IP

$10,204.43

Service Code	APR-DRG 1431
Hospital Charge Code	APRDRG 1431
Min. Negotiated Rate	$1,895.67
Max. Negotiated Rate	$10,204.43
Rate for Payer: Buckeye Health Medicaid OOS	$1,895.67
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$10,204.43
Rate for Payer: Managed Health Services Medicaid	$10,204.43
Rate for Payer: MDWise Medicaid	$10,204.43
Rate for Payer: Molina Healthcare of OH Medicare	$1,895.67

INPATIENT APRDRG 1432: OTHER RESPIRATORY DIAGNOSES EXCEPT SIGNS, SYMPTOMS & MINOR DIAGNOSES

Facility IP

$12,620.49

Service Code	APR-DRG 1432
Hospital Charge Code	APRDRG 1432
Min. Negotiated Rate	$2,555.63
Max. Negotiated Rate	$12,620.49
Rate for Payer: Buckeye Health Medicaid OOS	$2,555.63
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$12,620.49
Rate for Payer: Managed Health Services Medicaid	$12,620.49
Rate for Payer: MDWise Medicaid	$12,620.49
Rate for Payer: Molina Healthcare of OH Medicare	$2,555.63

INPATIENT APRDRG 1433: OTHER RESPIRATORY DIAGNOSES EXCEPT SIGNS, SYMPTOMS & MINOR DIAGNOSES

Facility IP

$15,375.71

Service Code	APR-DRG 1433
Hospital Charge Code	APRDRG 1433
Min. Negotiated Rate	$3,548.61
Max. Negotiated Rate	$15,375.71
Rate for Payer: Buckeye Health Medicaid OOS	$3,548.61
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$15,375.71
Rate for Payer: Managed Health Services Medicaid	$15,375.71
Rate for Payer: MDWise Medicaid	$15,375.71
Rate for Payer: Molina Healthcare of OH Medicare	$3,548.61

INPATIENT APRDRG 1434: OTHER RESPIRATORY DIAGNOSES EXCEPT SIGNS, SYMPTOMS & MINOR DIAGNOSES

Facility IP

$29,566.20

Service Code	APR-DRG 1434
Hospital Charge Code	APRDRG 1434
Min. Negotiated Rate	$5,851.91
Max. Negotiated Rate	$29,566.20
Rate for Payer: Buckeye Health Medicaid OOS	$5,851.91
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$29,566.20
Rate for Payer: Managed Health Services Medicaid	$29,566.20
Rate for Payer: MDWise Medicaid	$29,566.20
Rate for Payer: Molina Healthcare of OH Medicare	$5,851.91

INPATIENT APRDRG 1441: RESPIRATORY SIGNS, SYMPTOMS & MINOR DIAGNOSES

Facility IP

$9,241.21

Service Code	APR-DRG 1441
Hospital Charge Code	APRDRG 1441
Min. Negotiated Rate	$1,705.46
Max. Negotiated Rate	$9,241.21
Rate for Payer: Buckeye Health Medicaid OOS	$1,705.46
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$9,241.21
Rate for Payer: Managed Health Services Medicaid	$9,241.21
Rate for Payer: MDWise Medicaid	$9,241.21
Rate for Payer: Molina Healthcare of OH Medicare	$1,705.46

INPATIENT APRDRG 1442: RESPIRATORY SIGNS, SYMPTOMS & MINOR DIAGNOSES

Facility IP

$10,126.73

Service Code	APR-DRG 1442
Hospital Charge Code	APRDRG 1442
Min. Negotiated Rate	$2,269.68
Max. Negotiated Rate	$10,126.73
Rate for Payer: Buckeye Health Medicaid OOS	$2,269.68
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$10,126.73
Rate for Payer: Managed Health Services Medicaid	$10,126.73
Rate for Payer: MDWise Medicaid	$10,126.73
Rate for Payer: Molina Healthcare of OH Medicare	$2,269.68

INPATIENT APRDRG 1443: RESPIRATORY SIGNS, SYMPTOMS & MINOR DIAGNOSES

Facility IP

$10,126.73

Service Code	APR-DRG 1443
Hospital Charge Code	APRDRG 1443
Min. Negotiated Rate	$3,982.50
Max. Negotiated Rate	$10,126.73
Rate for Payer: Buckeye Health Medicaid OOS	$3,982.50
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$10,126.73
Rate for Payer: Managed Health Services Medicaid	$10,126.73
Rate for Payer: MDWise Medicaid	$10,126.73
Rate for Payer: Molina Healthcare of OH Medicare	$3,982.50

INPATIENT APRDRG 1444: RESPIRATORY SIGNS, SYMPTOMS & MINOR DIAGNOSES

Facility IP

$16,271.09

Service Code	APR-DRG 1444
Hospital Charge Code	APRDRG 1444
Min. Negotiated Rate	$3,982.50
Max. Negotiated Rate	$16,271.09
Rate for Payer: Buckeye Health Medicaid OOS	$3,982.50
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$16,271.09
Rate for Payer: Managed Health Services Medicaid	$16,271.09
Rate for Payer: MDWise Medicaid	$16,271.09
Rate for Payer: Molina Healthcare of OH Medicare	$3,982.50

Price Transparency.

All Charges