Cameron Memorial Community Hospital

All Charges

Charge

Type

Price

INPATIENT APRDRG 1662: CORONARY BYPASS W/O AMI OR COMPLEX PDX

Facility IP

$38,967.74

Service Code	APR-DRG 1662
Hospital Charge Code	APRDRG 1662
Min. Negotiated Rate	$10,854.61
Max. Negotiated Rate	$38,967.74
Rate for Payer: Buckeye Health Medicaid OOS	$10,854.61
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$38,967.74
Rate for Payer: Managed Health Services Medicaid	$38,967.74
Rate for Payer: MDWise Medicaid	$38,967.74
Rate for Payer: Molina Healthcare of OH Medicare	$10,854.61

INPATIENT APRDRG 1663: CORONARY BYPASS W/O AMI OR COMPLEX PDX

Facility IP

$51,436.53

Service Code	APR-DRG 1663
Hospital Charge Code	APRDRG 1663
Min. Negotiated Rate	$12,223.85
Max. Negotiated Rate	$51,436.53
Rate for Payer: Buckeye Health Medicaid OOS	$12,223.85
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$51,436.53
Rate for Payer: Managed Health Services Medicaid	$51,436.53
Rate for Payer: MDWise Medicaid	$51,436.53
Rate for Payer: Molina Healthcare of OH Medicare	$12,223.85

INPATIENT APRDRG 1664: CORONARY BYPASS W/O AMI OR COMPLEX PDX

Facility IP

$80,082.68

Service Code	APR-DRG 1664
Hospital Charge Code	APRDRG 1664
Min. Negotiated Rate	$18,223.38
Max. Negotiated Rate	$80,082.68
Rate for Payer: Buckeye Health Medicaid OOS	$18,223.38
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$80,082.68
Rate for Payer: Managed Health Services Medicaid	$80,082.68
Rate for Payer: MDWise Medicaid	$80,082.68
Rate for Payer: Molina Healthcare of OH Medicare	$18,223.38

INPATIENT APRDRG 1671: OTHER CARDIOTHORACIC & THORACIC VASCULAR PROCEDURES

Facility IP

$27,858.06

Service Code	APR-DRG 1671
Hospital Charge Code	APRDRG 1671
Min. Negotiated Rate	$8,232.06
Max. Negotiated Rate	$27,858.06
Rate for Payer: Buckeye Health Medicaid OOS	$8,232.06
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$27,858.06
Rate for Payer: Managed Health Services Medicaid	$27,858.06
Rate for Payer: MDWise Medicaid	$27,858.06
Rate for Payer: Molina Healthcare of OH Medicare	$8,232.06

INPATIENT APRDRG 1672: OTHER CARDIOTHORACIC & THORACIC VASCULAR PROCEDURES

Facility IP

$36,237.19

Service Code	APR-DRG 1672
Hospital Charge Code	APRDRG 1672
Min. Negotiated Rate	$8,730.31
Max. Negotiated Rate	$36,237.19
Rate for Payer: Buckeye Health Medicaid OOS	$8,730.31
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$36,237.19
Rate for Payer: Managed Health Services Medicaid	$36,237.19
Rate for Payer: MDWise Medicaid	$36,237.19
Rate for Payer: Molina Healthcare of OH Medicare	$8,730.31

INPATIENT APRDRG 1673: OTHER CARDIOTHORACIC & THORACIC VASCULAR PROCEDURES

Facility IP

$45,938.42

Service Code	APR-DRG 1673
Hospital Charge Code	APRDRG 1673
Min. Negotiated Rate	$10,734.53
Max. Negotiated Rate	$45,938.42
Rate for Payer: Buckeye Health Medicaid OOS	$10,734.53
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$45,938.42
Rate for Payer: Managed Health Services Medicaid	$45,938.42
Rate for Payer: MDWise Medicaid	$45,938.42
Rate for Payer: Molina Healthcare of OH Medicare	$10,734.53

INPATIENT APRDRG 1674: OTHER CARDIOTHORACIC & THORACIC VASCULAR PROCEDURES

Facility IP

$73,269.86

Service Code	APR-DRG 1674
Hospital Charge Code	APRDRG 1674
Min. Negotiated Rate	$16,622.31
Max. Negotiated Rate	$73,269.86
Rate for Payer: Buckeye Health Medicaid OOS	$16,622.31
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$73,269.86
Rate for Payer: Managed Health Services Medicaid	$73,269.86
Rate for Payer: MDWise Medicaid	$73,269.86
Rate for Payer: Molina Healthcare of OH Medicare	$16,622.31

INPATIENT APRDRG 1691: MAJOR ABDOMINAL VASCULAR PROCEDURES

Facility IP

$26,960.21

Service Code	APR-DRG 1691
Hospital Charge Code	APRDRG 1691
Min. Negotiated Rate	$6,797.50
Max. Negotiated Rate	$26,960.21
Rate for Payer: Buckeye Health Medicaid OOS	$6,797.50
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$26,960.21
Rate for Payer: Managed Health Services Medicaid	$26,960.21
Rate for Payer: MDWise Medicaid	$26,960.21
Rate for Payer: Molina Healthcare of OH Medicare	$6,797.50

INPATIENT APRDRG 1692: MAJOR ABDOMINAL VASCULAR PROCEDURES

Facility IP

$34,772.01

Service Code	APR-DRG 1692
Hospital Charge Code	APRDRG 1692
Min. Negotiated Rate	$8,591.66
Max. Negotiated Rate	$34,772.01
Rate for Payer: Buckeye Health Medicaid OOS	$8,591.66
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$34,772.01
Rate for Payer: Managed Health Services Medicaid	$34,772.01
Rate for Payer: MDWise Medicaid	$34,772.01
Rate for Payer: Molina Healthcare of OH Medicare	$8,591.66

INPATIENT APRDRG 1693: MAJOR ABDOMINAL VASCULAR PROCEDURES

Facility IP

$47,333.30

Service Code	APR-DRG 1693
Hospital Charge Code	APRDRG 1693
Min. Negotiated Rate	$11,319.89
Max. Negotiated Rate	$47,333.30
Rate for Payer: Buckeye Health Medicaid OOS	$11,319.89
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$47,333.30
Rate for Payer: Managed Health Services Medicaid	$47,333.30
Rate for Payer: MDWise Medicaid	$47,333.30
Rate for Payer: Molina Healthcare of OH Medicare	$11,319.89

INPATIENT APRDRG 1694: MAJOR ABDOMINAL VASCULAR PROCEDURES

Facility IP

$78,956.67

Service Code	APR-DRG 1694
Hospital Charge Code	APRDRG 1694
Min. Negotiated Rate	$22,539.86
Max. Negotiated Rate	$78,956.67
Rate for Payer: Buckeye Health Medicaid OOS	$22,539.86
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$78,956.67
Rate for Payer: Managed Health Services Medicaid	$78,956.67
Rate for Payer: MDWise Medicaid	$78,956.67
Rate for Payer: Molina Healthcare of OH Medicare	$22,539.86

INPATIENT APRDRG 1701: PERMANENT CARDIAC PACEMAKER IMPLANT W AMI, HEART FAILURE OR SHOCK

Facility IP

$34,855.88

Service Code	APR-DRG 1701
Hospital Charge Code	APRDRG 1701
Min. Negotiated Rate	$11,692.29
Max. Negotiated Rate	$34,855.88
Rate for Payer: Buckeye Health Medicaid OOS	$11,692.29
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$34,855.88
Rate for Payer: Managed Health Services Medicaid	$34,855.88
Rate for Payer: MDWise Medicaid	$34,855.88
Rate for Payer: Molina Healthcare of OH Medicare	$11,692.29

INPATIENT APRDRG 1702: PERMANENT CARDIAC PACEMAKER IMPLANT W AMI, HEART FAILURE OR SHOCK

Facility IP

$34,855.88

Service Code	APR-DRG 1702
Hospital Charge Code	APRDRG 1702
Min. Negotiated Rate	$11,692.29
Max. Negotiated Rate	$34,855.88
Rate for Payer: Buckeye Health Medicaid OOS	$11,692.29
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$34,855.88
Rate for Payer: Managed Health Services Medicaid	$34,855.88
Rate for Payer: MDWise Medicaid	$34,855.88
Rate for Payer: Molina Healthcare of OH Medicare	$11,692.29

INPATIENT APRDRG 1703: PERMANENT CARDIAC PACEMAKER IMPLANT W AMI, HEART FAILURE OR SHOCK

Facility IP

$34,855.88

Service Code	APR-DRG 1703
Hospital Charge Code	APRDRG 1703
Min. Negotiated Rate	$11,692.29
Max. Negotiated Rate	$34,855.88
Rate for Payer: Buckeye Health Medicaid OOS	$11,692.29
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$34,855.88
Rate for Payer: Managed Health Services Medicaid	$34,855.88
Rate for Payer: MDWise Medicaid	$34,855.88
Rate for Payer: Molina Healthcare of OH Medicare	$11,692.29

INPATIENT APRDRG 1704: PERMANENT CARDIAC PACEMAKER IMPLANT W AMI, HEART FAILURE OR SHOCK

Facility IP

$50,872.91

Service Code	APR-DRG 1704
Hospital Charge Code	APRDRG 1704
Min. Negotiated Rate	$11,692.29
Max. Negotiated Rate	$50,872.91
Rate for Payer: Buckeye Health Medicaid OOS	$11,692.29
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$50,872.91
Rate for Payer: Managed Health Services Medicaid	$50,872.91
Rate for Payer: MDWise Medicaid	$50,872.91
Rate for Payer: Molina Healthcare of OH Medicare	$11,692.29

INPATIENT APRDRG 1711: PERM CARDIAC PACEMAKER IMPLANT W/O AMI, HEART FAILURE OR SHOCK

Facility IP

$25,007.88

Service Code	APR-DRG 1711
Hospital Charge Code	APRDRG 1711
Min. Negotiated Rate	$6,093.99
Max. Negotiated Rate	$25,007.88
Rate for Payer: Buckeye Health Medicaid OOS	$6,093.99
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$25,007.88
Rate for Payer: Managed Health Services Medicaid	$25,007.88
Rate for Payer: MDWise Medicaid	$25,007.88
Rate for Payer: Molina Healthcare of OH Medicare	$6,093.99

INPATIENT APRDRG 1712: PERM CARDIAC PACEMAKER IMPLANT W/O AMI, HEART FAILURE OR SHOCK

Facility IP

$28,232.99

Service Code	APR-DRG 1712
Hospital Charge Code	APRDRG 1712
Min. Negotiated Rate	$6,651.49
Max. Negotiated Rate	$28,232.99
Rate for Payer: Buckeye Health Medicaid OOS	$6,651.49
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$28,232.99
Rate for Payer: Managed Health Services Medicaid	$28,232.99
Rate for Payer: MDWise Medicaid	$28,232.99
Rate for Payer: Molina Healthcare of OH Medicare	$6,651.49

INPATIENT APRDRG 1713: PERM CARDIAC PACEMAKER IMPLANT W/O AMI, HEART FAILURE OR SHOCK

Facility IP

$32,933.14

Service Code	APR-DRG 1713
Hospital Charge Code	APRDRG 1713
Min. Negotiated Rate	$8,120.31
Max. Negotiated Rate	$32,933.14
Rate for Payer: Buckeye Health Medicaid OOS	$8,120.31
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$32,933.14
Rate for Payer: Managed Health Services Medicaid	$32,933.14
Rate for Payer: MDWise Medicaid	$32,933.14
Rate for Payer: Molina Healthcare of OH Medicare	$8,120.31

INPATIENT APRDRG 1714: PERM CARDIAC PACEMAKER IMPLANT W/O AMI, HEART FAILURE OR SHOCK

Facility IP

$39,070.11

Service Code	APR-DRG 1714
Hospital Charge Code	APRDRG 1714
Min. Negotiated Rate	$12,153.08
Max. Negotiated Rate	$39,070.11
Rate for Payer: Buckeye Health Medicaid OOS	$12,153.08
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$39,070.11
Rate for Payer: Managed Health Services Medicaid	$39,070.11
Rate for Payer: MDWise Medicaid	$39,070.11
Rate for Payer: Molina Healthcare of OH Medicare	$12,153.08

INPATIENT APRDRG 1741: PERCUTANEOUS CORONARY INTERVENTION W AMI

Facility IP

$21,775.37

Service Code	APR-DRG 1741
Hospital Charge Code	APRDRG 1741
Min. Negotiated Rate	$5,101.65
Max. Negotiated Rate	$21,775.37
Rate for Payer: Buckeye Health Medicaid OOS	$5,101.65
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$21,775.37
Rate for Payer: Managed Health Services Medicaid	$21,775.37
Rate for Payer: MDWise Medicaid	$21,775.37
Rate for Payer: Molina Healthcare of OH Medicare	$5,101.65

INPATIENT APRDRG 1742: PERCUTANEOUS CORONARY INTERVENTION W AMI

Facility IP

$23,256.57

Service Code	APR-DRG 1742
Hospital Charge Code	APRDRG 1742
Min. Negotiated Rate	$5,602.46
Max. Negotiated Rate	$23,256.57
Rate for Payer: Buckeye Health Medicaid OOS	$5,602.46
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$23,256.57
Rate for Payer: Managed Health Services Medicaid	$23,256.57
Rate for Payer: MDWise Medicaid	$23,256.57
Rate for Payer: Molina Healthcare of OH Medicare	$5,602.46

INPATIENT APRDRG 1743: PERCUTANEOUS CORONARY INTERVENTION W AMI

Facility IP

$29,329.40

Service Code	APR-DRG 1743
Hospital Charge Code	APRDRG 1743
Min. Negotiated Rate	$6,878.84
Max. Negotiated Rate	$29,329.40
Rate for Payer: Buckeye Health Medicaid OOS	$6,878.84
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$29,329.40
Rate for Payer: Managed Health Services Medicaid	$29,329.40
Rate for Payer: MDWise Medicaid	$29,329.40
Rate for Payer: Molina Healthcare of OH Medicare	$6,878.84

INPATIENT APRDRG 1744: PERCUTANEOUS CORONARY INTERVENTION W AMI

Facility IP

$52,545.28

Service Code	APR-DRG 1744
Hospital Charge Code	APRDRG 1744
Min. Negotiated Rate	$11,397.70
Max. Negotiated Rate	$52,545.28
Rate for Payer: Buckeye Health Medicaid OOS	$11,397.70
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$52,545.28
Rate for Payer: Managed Health Services Medicaid	$52,545.28
Rate for Payer: MDWise Medicaid	$52,545.28
Rate for Payer: Molina Healthcare of OH Medicare	$11,397.70

INPATIENT APRDRG 1751: PERCUTANEOUS CORONARY INTERVENTION W/O AMI

Facility IP

$23,548.87

Service Code	APR-DRG 1751
Hospital Charge Code	APRDRG 1751
Min. Negotiated Rate	$5,487.83
Max. Negotiated Rate	$23,548.87
Rate for Payer: Buckeye Health Medicaid OOS	$5,487.83
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$23,548.87
Rate for Payer: Managed Health Services Medicaid	$23,548.87
Rate for Payer: MDWise Medicaid	$23,548.87
Rate for Payer: Molina Healthcare of OH Medicare	$5,487.83

INPATIENT APRDRG 1752: PERCUTANEOUS CORONARY INTERVENTION W/O AMI

Facility IP

$27,345.00

Service Code	APR-DRG 1752
Hospital Charge Code	APRDRG 1752
Min. Negotiated Rate	$5,747.84
Max. Negotiated Rate	$27,345.00
Rate for Payer: Buckeye Health Medicaid OOS	$5,747.84
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$27,345.00
Rate for Payer: Managed Health Services Medicaid	$27,345.00
Rate for Payer: MDWise Medicaid	$27,345.00
Rate for Payer: Molina Healthcare of OH Medicare	$5,747.84

Price Transparency.

All Charges