Cameron Memorial Community Hospital

All Charges

Charge

Type

Price

INPATIENT APRDRG 1814: LOWER EXTREMITY ARTERIAL PROCEDURES

Facility IP

$74,867.00

Service Code	APR-DRG 1814
Hospital Charge Code	APRDRG 1814
Min. Negotiated Rate	$16,666.82
Max. Negotiated Rate	$74,867.00
Rate for Payer: Buckeye Health Medicaid OOS	$16,666.82
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$74,867.00
Rate for Payer: Managed Health Services Medicaid	$74,867.00
Rate for Payer: MDWise Medicaid	$74,867.00
Rate for Payer: Molina Healthcare of OH Medicare	$16,666.82

INPATIENT APRDRG 1821: OTHER PERIPHERAL VASCULAR PROCEDURES

Facility IP

$29,979.36

Service Code	APR-DRG 1821
Hospital Charge Code	APRDRG 1821
Min. Negotiated Rate	$7,936.18
Max. Negotiated Rate	$29,979.36
Rate for Payer: Buckeye Health Medicaid OOS	$7,936.18
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$29,979.36
Rate for Payer: Managed Health Services Medicaid	$29,979.36
Rate for Payer: MDWise Medicaid	$29,979.36
Rate for Payer: Molina Healthcare of OH Medicare	$7,936.18

INPATIENT APRDRG 1822: OTHER PERIPHERAL VASCULAR PROCEDURES

Facility IP

$37,725.80

Service Code	APR-DRG 1822
Hospital Charge Code	APRDRG 1822
Min. Negotiated Rate	$7,936.18
Max. Negotiated Rate	$37,725.80
Rate for Payer: Buckeye Health Medicaid OOS	$7,936.18
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$37,725.80
Rate for Payer: Managed Health Services Medicaid	$37,725.80
Rate for Payer: MDWise Medicaid	$37,725.80
Rate for Payer: Molina Healthcare of OH Medicare	$7,936.18

INPATIENT APRDRG 1823: OTHER PERIPHERAL VASCULAR PROCEDURES

Facility IP

$37,725.80

Service Code	APR-DRG 1823
Hospital Charge Code	APRDRG 1823
Min. Negotiated Rate	$8,201.00
Max. Negotiated Rate	$37,725.80
Rate for Payer: Buckeye Health Medicaid OOS	$8,201.00
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$37,725.80
Rate for Payer: Managed Health Services Medicaid	$37,725.80
Rate for Payer: MDWise Medicaid	$37,725.80
Rate for Payer: Molina Healthcare of OH Medicare	$8,201.00

INPATIENT APRDRG 1824: OTHER PERIPHERAL VASCULAR PROCEDURES

Facility IP

$50,773.01

Service Code	APR-DRG 1824
Hospital Charge Code	APRDRG 1824
Min. Negotiated Rate	$18,006.91
Max. Negotiated Rate	$50,773.01
Rate for Payer: Buckeye Health Medicaid OOS	$18,006.91
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$50,773.01
Rate for Payer: Managed Health Services Medicaid	$50,773.01
Rate for Payer: MDWise Medicaid	$50,773.01
Rate for Payer: Molina Healthcare of OH Medicare	$18,006.91

INPATIENT APRDRG 1831: PERCUTANEOUS STRUCTURAL CARDIAC PROCEDURES

Facility IP

$6,526.28

Service Code	APR-DRG 1831
Hospital Charge Code	APRDRG 1831
Min. Negotiated Rate	$6,526.28
Max. Negotiated Rate	$6,526.28
Rate for Payer: Buckeye Health Medicaid OOS	$6,526.28
Rate for Payer: Molina Healthcare of OH Medicare	$6,526.28

INPATIENT APRDRG 1832: PERCUTANEOUS STRUCTURAL CARDIAC PROCEDURES

Facility IP

$6,876.28

Service Code	APR-DRG 1832
Hospital Charge Code	APRDRG 1832
Min. Negotiated Rate	$6,876.28
Max. Negotiated Rate	$6,876.28
Rate for Payer: Buckeye Health Medicaid OOS	$6,876.28
Rate for Payer: Molina Healthcare of OH Medicare	$6,876.28

INPATIENT APRDRG 1833: PERCUTANEOUS STRUCTURAL CARDIAC PROCEDURES

Facility IP

$8,720.07

Service Code	APR-DRG 1833
Hospital Charge Code	APRDRG 1833
Min. Negotiated Rate	$8,720.07
Max. Negotiated Rate	$8,720.07
Rate for Payer: Buckeye Health Medicaid OOS	$8,720.07
Rate for Payer: Molina Healthcare of OH Medicare	$8,720.07

INPATIENT APRDRG 1834: PERCUTANEOUS STRUCTURAL CARDIAC PROCEDURES

Facility IP

$15,697.53

Service Code	APR-DRG 1834
Hospital Charge Code	APRDRG 1834
Min. Negotiated Rate	$15,697.53
Max. Negotiated Rate	$15,697.53
Rate for Payer: Buckeye Health Medicaid OOS	$15,697.53
Rate for Payer: Molina Healthcare of OH Medicare	$15,697.53

INPATIENT APRDRG 1901: ACUTE MYOCARDIAL INFARCTION

Facility IP

$10,295.69

Service Code	APR-DRG 1901
Hospital Charge Code	APRDRG 1901
Min. Negotiated Rate	$1,953.95
Max. Negotiated Rate	$10,295.69
Rate for Payer: Buckeye Health Medicaid OOS	$1,953.95
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$10,295.69
Rate for Payer: Managed Health Services Medicaid	$10,295.69
Rate for Payer: MDWise Medicaid	$10,295.69
Rate for Payer: Molina Healthcare of OH Medicare	$1,953.95

INPATIENT APRDRG 1902: ACUTE MYOCARDIAL INFARCTION

Facility IP

$11,437.74

Service Code	APR-DRG 1902
Hospital Charge Code	APRDRG 1902
Min. Negotiated Rate	$2,468.53
Max. Negotiated Rate	$11,437.74
Rate for Payer: Buckeye Health Medicaid OOS	$2,468.53
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$11,437.74
Rate for Payer: Managed Health Services Medicaid	$11,437.74
Rate for Payer: MDWise Medicaid	$11,437.74
Rate for Payer: Molina Healthcare of OH Medicare	$2,468.53

INPATIENT APRDRG 1903: ACUTE MYOCARDIAL INFARCTION

Facility IP

$14,345.89

Service Code	APR-DRG 1903
Hospital Charge Code	APRDRG 1903
Min. Negotiated Rate	$3,498.66
Max. Negotiated Rate	$14,345.89
Rate for Payer: Buckeye Health Medicaid OOS	$3,498.66
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$14,345.89
Rate for Payer: Managed Health Services Medicaid	$14,345.89
Rate for Payer: MDWise Medicaid	$14,345.89
Rate for Payer: Molina Healthcare of OH Medicare	$3,498.66

INPATIENT APRDRG 1904: ACUTE MYOCARDIAL INFARCTION

Facility IP

$27,664.43

Service Code	APR-DRG 1904
Hospital Charge Code	APRDRG 1904
Min. Negotiated Rate	$6,338.96
Max. Negotiated Rate	$27,664.43
Rate for Payer: Buckeye Health Medicaid OOS	$6,338.96
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$27,664.43
Rate for Payer: Managed Health Services Medicaid	$27,664.43
Rate for Payer: MDWise Medicaid	$27,664.43
Rate for Payer: Molina Healthcare of OH Medicare	$6,338.96

INPATIENT APRDRG 1911: CARDIAC CATHETERIZATION FOR CORONARY ARTERY DISEASE

Facility IP

$10,944.42

Service Code	APR-DRG 1911
Hospital Charge Code	APRDRG 1911
Min. Negotiated Rate	$2,522.01
Max. Negotiated Rate	$10,944.42
Rate for Payer: Buckeye Health Medicaid OOS	$2,522.01
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$10,944.42
Rate for Payer: Managed Health Services Medicaid	$10,944.42
Rate for Payer: MDWise Medicaid	$10,944.42
Rate for Payer: Molina Healthcare of OH Medicare	$2,522.01

INPATIENT APRDRG 1912: CARDIAC CATHETERIZATION FOR CORONARY ARTERY DISEASE

Facility IP

$12,992.95

Service Code	APR-DRG 1912
Hospital Charge Code	APRDRG 1912
Min. Negotiated Rate	$2,849.26
Max. Negotiated Rate	$12,992.95
Rate for Payer: Buckeye Health Medicaid OOS	$2,849.26
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$12,992.95
Rate for Payer: Managed Health Services Medicaid	$12,992.95
Rate for Payer: MDWise Medicaid	$12,992.95
Rate for Payer: Molina Healthcare of OH Medicare	$2,849.26

INPATIENT APRDRG 1913: CARDIAC CATHETERIZATION FOR CORONARY ARTERY DISEASE

Facility IP

$14,730.68

Service Code	APR-DRG 1913
Hospital Charge Code	APRDRG 1913
Min. Negotiated Rate	$4,125.96
Max. Negotiated Rate	$14,730.68
Rate for Payer: Buckeye Health Medicaid OOS	$4,125.96
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$14,730.68
Rate for Payer: Managed Health Services Medicaid	$14,730.68
Rate for Payer: MDWise Medicaid	$14,730.68
Rate for Payer: Molina Healthcare of OH Medicare	$4,125.96

INPATIENT APRDRG 1914: CARDIAC CATHETERIZATION FOR CORONARY ARTERY DISEASE

Facility IP

$26,867.71

Service Code	APR-DRG 1914
Hospital Charge Code	APRDRG 1914
Min. Negotiated Rate	$4,125.96
Max. Negotiated Rate	$26,867.71
Rate for Payer: Buckeye Health Medicaid OOS	$4,125.96
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$26,867.71
Rate for Payer: Managed Health Services Medicaid	$26,867.71
Rate for Payer: MDWise Medicaid	$26,867.71
Rate for Payer: Molina Healthcare of OH Medicare	$4,125.96

INPATIENT APRDRG 1921: CARDIAC CATHETERIZATION FOR OTHER NON-CORONARY CONDITIONS

Facility IP

$10,163.73

Service Code	APR-DRG 1921
Hospital Charge Code	APRDRG 1921
Min. Negotiated Rate	$2,570.68
Max. Negotiated Rate	$10,163.73
Rate for Payer: Buckeye Health Medicaid OOS	$2,570.68
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$10,163.73
Rate for Payer: Managed Health Services Medicaid	$10,163.73
Rate for Payer: MDWise Medicaid	$10,163.73
Rate for Payer: Molina Healthcare of OH Medicare	$2,570.68

INPATIENT APRDRG 1922: CARDIAC CATHETERIZATION FOR OTHER NON-CORONARY CONDITIONS

Facility IP

$13,266.74

Service Code	APR-DRG 1922
Hospital Charge Code	APRDRG 1922
Min. Negotiated Rate	$3,171.40
Max. Negotiated Rate	$13,266.74
Rate for Payer: Buckeye Health Medicaid OOS	$3,171.40
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$13,266.74
Rate for Payer: Managed Health Services Medicaid	$13,266.74
Rate for Payer: MDWise Medicaid	$13,266.74
Rate for Payer: Molina Healthcare of OH Medicare	$3,171.40

INPATIENT APRDRG 1923: CARDIAC CATHETERIZATION FOR OTHER NON-CORONARY CONDITIONS

Facility IP

$19,906.90

Service Code	APR-DRG 1923
Hospital Charge Code	APRDRG 1923
Min. Negotiated Rate	$5,032.80
Max. Negotiated Rate	$19,906.90
Rate for Payer: Buckeye Health Medicaid OOS	$5,032.80
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$19,906.90
Rate for Payer: Managed Health Services Medicaid	$19,906.90
Rate for Payer: MDWise Medicaid	$19,906.90
Rate for Payer: Molina Healthcare of OH Medicare	$5,032.80

INPATIENT APRDRG 1924: CARDIAC CATHETERIZATION FOR OTHER NON-CORONARY CONDITIONS

Facility IP

$35,904.19

Service Code	APR-DRG 1924
Hospital Charge Code	APRDRG 1924
Min. Negotiated Rate	$9,062.06
Max. Negotiated Rate	$35,904.19
Rate for Payer: Buckeye Health Medicaid OOS	$9,062.06
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$35,904.19
Rate for Payer: Managed Health Services Medicaid	$35,904.19
Rate for Payer: MDWise Medicaid	$35,904.19
Rate for Payer: Molina Healthcare of OH Medicare	$9,062.06

INPATIENT APRDRG 1931: ACUTE & SUBACUTE ENDOCARDITIS

Facility IP

$8,779.95

Service Code	APR-DRG 1931
Hospital Charge Code	APRDRG 1931
Min. Negotiated Rate	$2,229.01
Max. Negotiated Rate	$8,779.95
Rate for Payer: Buckeye Health Medicaid OOS	$2,229.01
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$8,779.95
Rate for Payer: Managed Health Services Medicaid	$8,779.95
Rate for Payer: MDWise Medicaid	$8,779.95
Rate for Payer: Molina Healthcare of OH Medicare	$2,229.01

INPATIENT APRDRG 1932: ACUTE & SUBACUTE ENDOCARDITIS

Facility IP

$11,160.24

Service Code	APR-DRG 1932
Hospital Charge Code	APRDRG 1932
Min. Negotiated Rate	$2,992.40
Max. Negotiated Rate	$11,160.24
Rate for Payer: Buckeye Health Medicaid OOS	$2,992.40
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$11,160.24
Rate for Payer: Managed Health Services Medicaid	$11,160.24
Rate for Payer: MDWise Medicaid	$11,160.24
Rate for Payer: Molina Healthcare of OH Medicare	$2,992.40

INPATIENT APRDRG 1933: ACUTE & SUBACUTE ENDOCARDITIS

Facility IP

$15,214.14

Service Code	APR-DRG 1933
Hospital Charge Code	APRDRG 1933
Min. Negotiated Rate	$4,008.44
Max. Negotiated Rate	$15,214.14
Rate for Payer: Buckeye Health Medicaid OOS	$4,008.44
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$15,214.14
Rate for Payer: Managed Health Services Medicaid	$15,214.14
Rate for Payer: MDWise Medicaid	$15,214.14
Rate for Payer: Molina Healthcare of OH Medicare	$4,008.44

INPATIENT APRDRG 1934: ACUTE & SUBACUTE ENDOCARDITIS

Facility IP

$25,170.67

Service Code	APR-DRG 1934
Hospital Charge Code	APRDRG 1934
Min. Negotiated Rate	$6,721.29
Max. Negotiated Rate	$25,170.67
Rate for Payer: Buckeye Health Medicaid OOS	$6,721.29
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$25,170.67
Rate for Payer: Managed Health Services Medicaid	$25,170.67
Rate for Payer: MDWise Medicaid	$25,170.67
Rate for Payer: Molina Healthcare of OH Medicare	$6,721.29

Price Transparency.

All Charges