Cameron Memorial Community Hospital

All Charges

Charge

Type

Price

INPATIENT APRDRG 1941: HEART FAILURE

Facility IP

$8,387.76

Service Code	APR-DRG 1941
Hospital Charge Code	APRDRG 1941
Min. Negotiated Rate	$1,552.40
Max. Negotiated Rate	$8,387.76
Rate for Payer: Buckeye Health Medicaid OOS	$1,552.40
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$8,387.76
Rate for Payer: Managed Health Services Medicaid	$8,387.76
Rate for Payer: MDWise Medicaid	$8,387.76
Rate for Payer: Molina Healthcare of OH Medicare	$1,552.40

INPATIENT APRDRG 1942: HEART FAILURE

Facility IP

$10,290.76

Service Code	APR-DRG 1942
Hospital Charge Code	APRDRG 1942
Min. Negotiated Rate	$2,120.46
Max. Negotiated Rate	$10,290.76
Rate for Payer: Buckeye Health Medicaid OOS	$2,120.46
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$10,290.76
Rate for Payer: Managed Health Services Medicaid	$10,290.76
Rate for Payer: MDWise Medicaid	$10,290.76
Rate for Payer: Molina Healthcare of OH Medicare	$2,120.46

INPATIENT APRDRG 1943: HEART FAILURE

Facility IP

$14,412.49

Service Code	APR-DRG 1943
Hospital Charge Code	APRDRG 1943
Min. Negotiated Rate	$3,163.39
Max. Negotiated Rate	$14,412.49
Rate for Payer: Buckeye Health Medicaid OOS	$3,163.39
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$14,412.49
Rate for Payer: Managed Health Services Medicaid	$14,412.49
Rate for Payer: MDWise Medicaid	$14,412.49
Rate for Payer: Molina Healthcare of OH Medicare	$3,163.39

INPATIENT APRDRG 1944: HEART FAILURE

Facility IP

$22,988.95

Service Code	APR-DRG 1944
Hospital Charge Code	APRDRG 1944
Min. Negotiated Rate	$5,899.94
Max. Negotiated Rate	$22,988.95
Rate for Payer: Buckeye Health Medicaid OOS	$5,899.94
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$22,988.95
Rate for Payer: Managed Health Services Medicaid	$22,988.95
Rate for Payer: MDWise Medicaid	$22,988.95
Rate for Payer: Molina Healthcare of OH Medicare	$5,899.94

INPATIENT APRDRG 1961: CARDIAC ARREST & SHOCK

Facility IP

$6,583.42

Service Code	APR-DRG 1961
Hospital Charge Code	APRDRG 1961
Min. Negotiated Rate	$2,049.69
Max. Negotiated Rate	$6,583.42
Rate for Payer: Buckeye Health Medicaid OOS	$2,049.69
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$6,583.42
Rate for Payer: Managed Health Services Medicaid	$6,583.42
Rate for Payer: MDWise Medicaid	$6,583.42
Rate for Payer: Molina Healthcare of OH Medicare	$2,049.69

INPATIENT APRDRG 1962: CARDIAC ARREST & SHOCK

Facility IP

$6,583.42

Service Code	APR-DRG 1962
Hospital Charge Code	APRDRG 1962
Min. Negotiated Rate	$2,049.69
Max. Negotiated Rate	$6,583.42
Rate for Payer: Buckeye Health Medicaid OOS	$2,049.69
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$6,583.42
Rate for Payer: Managed Health Services Medicaid	$6,583.42
Rate for Payer: MDWise Medicaid	$6,583.42
Rate for Payer: Molina Healthcare of OH Medicare	$2,049.69

INPATIENT APRDRG 1963: CARDIAC ARREST & SHOCK

Facility IP

$10,483.16

Service Code	APR-DRG 1963
Hospital Charge Code	APRDRG 1963
Min. Negotiated Rate	$3,526.52
Max. Negotiated Rate	$10,483.16
Rate for Payer: Buckeye Health Medicaid OOS	$3,526.52
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$10,483.16
Rate for Payer: Managed Health Services Medicaid	$10,483.16
Rate for Payer: MDWise Medicaid	$10,483.16
Rate for Payer: Molina Healthcare of OH Medicare	$3,526.52

INPATIENT APRDRG 1964: CARDIAC ARREST & SHOCK

Facility IP

$26,807.28

Service Code	APR-DRG 1964
Hospital Charge Code	APRDRG 1964
Min. Negotiated Rate	$7,309.20
Max. Negotiated Rate	$26,807.28
Rate for Payer: Buckeye Health Medicaid OOS	$7,309.20
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$26,807.28
Rate for Payer: Managed Health Services Medicaid	$26,807.28
Rate for Payer: MDWise Medicaid	$26,807.28
Rate for Payer: Molina Healthcare of OH Medicare	$7,309.20

INPATIENT APRDRG 1971: PERIPHERAL & OTHER VASCULAR DISORDERS

Facility IP

$10,809.98

Service Code	APR-DRG 1971
Hospital Charge Code	APRDRG 1971
Min. Negotiated Rate	$1,584.42
Max. Negotiated Rate	$10,809.98
Rate for Payer: Buckeye Health Medicaid OOS	$1,584.42
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$10,809.98
Rate for Payer: Managed Health Services Medicaid	$10,809.98
Rate for Payer: MDWise Medicaid	$10,809.98
Rate for Payer: Molina Healthcare of OH Medicare	$1,584.42

INPATIENT APRDRG 1972: PERIPHERAL & OTHER VASCULAR DISORDERS

Facility IP

$13,492.44

Service Code	APR-DRG 1972
Hospital Charge Code	APRDRG 1972
Min. Negotiated Rate	$2,145.11
Max. Negotiated Rate	$13,492.44
Rate for Payer: Buckeye Health Medicaid OOS	$2,145.11
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$13,492.44
Rate for Payer: Managed Health Services Medicaid	$13,492.44
Rate for Payer: MDWise Medicaid	$13,492.44
Rate for Payer: Molina Healthcare of OH Medicare	$2,145.11

INPATIENT APRDRG 1973: PERIPHERAL & OTHER VASCULAR DISORDERS

Facility IP

$16,494.32

Service Code	APR-DRG 1973
Hospital Charge Code	APRDRG 1973
Min. Negotiated Rate	$3,006.49
Max. Negotiated Rate	$16,494.32
Rate for Payer: Buckeye Health Medicaid OOS	$3,006.49
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$16,494.32
Rate for Payer: Managed Health Services Medicaid	$16,494.32
Rate for Payer: MDWise Medicaid	$16,494.32
Rate for Payer: Molina Healthcare of OH Medicare	$3,006.49

INPATIENT APRDRG 1974: PERIPHERAL & OTHER VASCULAR DISORDERS

Facility IP

$21,542.27

Service Code	APR-DRG 1974
Hospital Charge Code	APRDRG 1974
Min. Negotiated Rate	$7,058.80
Max. Negotiated Rate	$21,542.27
Rate for Payer: Buckeye Health Medicaid OOS	$7,058.80
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$21,542.27
Rate for Payer: Managed Health Services Medicaid	$21,542.27
Rate for Payer: MDWise Medicaid	$21,542.27
Rate for Payer: Molina Healthcare of OH Medicare	$7,058.80

INPATIENT APRDRG 1981: ANGINA PECTORIS & CORONARY ATHEROSCLEROSIS

Facility IP

$5,396.98

Service Code	APR-DRG 1981
Hospital Charge Code	APRDRG 1981
Min. Negotiated Rate	$1,432.64
Max. Negotiated Rate	$5,396.98
Rate for Payer: Buckeye Health Medicaid OOS	$1,432.64
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$5,396.98
Rate for Payer: Managed Health Services Medicaid	$5,396.98
Rate for Payer: MDWise Medicaid	$5,396.98
Rate for Payer: Molina Healthcare of OH Medicare	$1,432.64

INPATIENT APRDRG 1982: ANGINA PECTORIS & CORONARY ATHEROSCLEROSIS

Facility IP

$9,030.31

Service Code	APR-DRG 1982
Hospital Charge Code	APRDRG 1982
Min. Negotiated Rate	$1,602.35
Max. Negotiated Rate	$9,030.31
Rate for Payer: Buckeye Health Medicaid OOS	$1,602.35
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$9,030.31
Rate for Payer: Managed Health Services Medicaid	$9,030.31
Rate for Payer: MDWise Medicaid	$9,030.31
Rate for Payer: Molina Healthcare of OH Medicare	$1,602.35

INPATIENT APRDRG 1983: ANGINA PECTORIS & CORONARY ATHEROSCLEROSIS

Facility IP

$9,030.31

Service Code	APR-DRG 1983
Hospital Charge Code	APRDRG 1983
Min. Negotiated Rate	$2,448.36
Max. Negotiated Rate	$9,030.31
Rate for Payer: Buckeye Health Medicaid OOS	$2,448.36
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$9,030.31
Rate for Payer: Managed Health Services Medicaid	$9,030.31
Rate for Payer: MDWise Medicaid	$9,030.31
Rate for Payer: Molina Healthcare of OH Medicare	$2,448.36

INPATIENT APRDRG 1984: ANGINA PECTORIS & CORONARY ATHEROSCLEROSIS

Facility IP

$15,089.58

Service Code	APR-DRG 1984
Hospital Charge Code	APRDRG 1984
Min. Negotiated Rate	$2,448.36
Max. Negotiated Rate	$15,089.58
Rate for Payer: Buckeye Health Medicaid OOS	$2,448.36
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$15,089.58
Rate for Payer: Managed Health Services Medicaid	$15,089.58
Rate for Payer: MDWise Medicaid	$15,089.58
Rate for Payer: Molina Healthcare of OH Medicare	$2,448.36

INPATIENT APRDRG 1991: HYPERTENSION

Facility IP

$7,266.68

Service Code	APR-DRG 1991
Hospital Charge Code	APRDRG 1991
Min. Negotiated Rate	$1,420.15
Max. Negotiated Rate	$7,266.68
Rate for Payer: Buckeye Health Medicaid OOS	$1,420.15
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$7,266.68
Rate for Payer: Managed Health Services Medicaid	$7,266.68
Rate for Payer: MDWise Medicaid	$7,266.68
Rate for Payer: Molina Healthcare of OH Medicare	$1,420.15

INPATIENT APRDRG 1992: HYPERTENSION

Facility IP

$9,164.75

Service Code	APR-DRG 1992
Hospital Charge Code	APRDRG 1992
Min. Negotiated Rate	$1,844.11
Max. Negotiated Rate	$9,164.75
Rate for Payer: Buckeye Health Medicaid OOS	$1,844.11
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$9,164.75
Rate for Payer: Managed Health Services Medicaid	$9,164.75
Rate for Payer: MDWise Medicaid	$9,164.75
Rate for Payer: Molina Healthcare of OH Medicare	$1,844.11

INPATIENT APRDRG 1993: HYPERTENSION

Facility IP

$13,677.44

Service Code	APR-DRG 1993
Hospital Charge Code	APRDRG 1993
Min. Negotiated Rate	$2,546.34
Max. Negotiated Rate	$13,677.44
Rate for Payer: Buckeye Health Medicaid OOS	$2,546.34
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$13,677.44
Rate for Payer: Managed Health Services Medicaid	$13,677.44
Rate for Payer: MDWise Medicaid	$13,677.44
Rate for Payer: Molina Healthcare of OH Medicare	$2,546.34

INPATIENT APRDRG 1994: HYPERTENSION

Facility IP

$16,177.36

Service Code	APR-DRG 1994
Hospital Charge Code	APRDRG 1994
Min. Negotiated Rate	$4,978.69
Max. Negotiated Rate	$16,177.36
Rate for Payer: Buckeye Health Medicaid OOS	$4,978.69
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$16,177.36
Rate for Payer: Managed Health Services Medicaid	$16,177.36
Rate for Payer: MDWise Medicaid	$16,177.36
Rate for Payer: Molina Healthcare of OH Medicare	$4,978.69

INPATIENT APRDRG 2001: CARDIAC STRUCTURAL & VALVULAR DISORDERS

Facility IP

$20,041.33

Service Code	APR-DRG 2001
Hospital Charge Code	APRDRG 2001
Min. Negotiated Rate	$3,490.33
Max. Negotiated Rate	$20,041.33
Rate for Payer: Buckeye Health Medicaid OOS	$3,490.33
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$20,041.33
Rate for Payer: Managed Health Services Medicaid	$20,041.33
Rate for Payer: MDWise Medicaid	$20,041.33
Rate for Payer: Molina Healthcare of OH Medicare	$3,490.33

INPATIENT APRDRG 2002: CARDIAC STRUCTURAL & VALVULAR DISORDERS

Facility IP

$20,041.33

Service Code	APR-DRG 2002
Hospital Charge Code	APRDRG 2002
Min. Negotiated Rate	$3,490.33
Max. Negotiated Rate	$20,041.33
Rate for Payer: Buckeye Health Medicaid OOS	$3,490.33
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$20,041.33
Rate for Payer: Managed Health Services Medicaid	$20,041.33
Rate for Payer: MDWise Medicaid	$20,041.33
Rate for Payer: Molina Healthcare of OH Medicare	$3,490.33

INPATIENT APRDRG 2003: CARDIAC STRUCTURAL & VALVULAR DISORDERS

Facility IP

$20,041.33

Service Code	APR-DRG 2003
Hospital Charge Code	APRDRG 2003
Min. Negotiated Rate	$7,927.86
Max. Negotiated Rate	$20,041.33
Rate for Payer: Buckeye Health Medicaid OOS	$7,927.86
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$20,041.33
Rate for Payer: Managed Health Services Medicaid	$20,041.33
Rate for Payer: MDWise Medicaid	$20,041.33
Rate for Payer: Molina Healthcare of OH Medicare	$7,927.86

INPATIENT APRDRG 2004: CARDIAC STRUCTURAL & VALVULAR DISORDERS

Facility IP

$22,706.69

Service Code	APR-DRG 2004
Hospital Charge Code	APRDRG 2004
Min. Negotiated Rate	$20,041.33
Max. Negotiated Rate	$22,706.69
Rate for Payer: Buckeye Health Medicaid OOS	$22,706.69
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$20,041.33
Rate for Payer: Managed Health Services Medicaid	$20,041.33
Rate for Payer: MDWise Medicaid	$20,041.33
Rate for Payer: Molina Healthcare of OH Medicare	$22,706.69

INPATIENT APRDRG 2011: CARDIAC ARRHYTHMIA & CONDUCTION DISORDERS

Facility IP

$7,583.64

Service Code	APR-DRG 2011
Hospital Charge Code	APRDRG 2011
Min. Negotiated Rate	$1,489.32
Max. Negotiated Rate	$7,583.64
Rate for Payer: Buckeye Health Medicaid OOS	$1,489.32
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$7,583.64
Rate for Payer: Managed Health Services Medicaid	$7,583.64
Rate for Payer: MDWise Medicaid	$7,583.64
Rate for Payer: Molina Healthcare of OH Medicare	$1,489.32

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