Cameron Memorial Community Hospital

All Charges

Charge

Type

Setting

Price

INPATIENT APRDRG 2284: INGUINAL, FEMORAL & UMBILICAL HERNIA PROCEDURES

Facility

$36,226.09

Service Code	APR-DRG 2284
Hospital Charge Code	APRDRG 2284
Min. Negotiated Rate	$5,528.81
Max. Negotiated Rate	$36,226.09
Rate for Payer: Buckeye Health Medicaid OOS	$5,528.81
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$36,226.09
Rate for Payer: Managed Health Services Medicaid	$36,226.09
Rate for Payer: MDWise Medicaid	$36,226.09
Rate for Payer: Molina Healthcare of OH Medicare	$5,528.81

INPATIENT APRDRG 2291: OTHER DIGESTIVE SYSTEM & ABDOMINAL PROCEDURES

Facility

$14,471.69

Service Code	APR-DRG 2291
Hospital Charge Code	APRDRG 2291
Min. Negotiated Rate	$3,700.71
Max. Negotiated Rate	$14,471.69
Rate for Payer: Buckeye Health Medicaid OOS	$3,700.71
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$14,471.69
Rate for Payer: Managed Health Services Medicaid	$14,471.69
Rate for Payer: MDWise Medicaid	$14,471.69
Rate for Payer: Molina Healthcare of OH Medicare	$3,700.71

INPATIENT APRDRG 2292: OTHER DIGESTIVE SYSTEM & ABDOMINAL PROCEDURES

Facility

$16,015.80

Service Code	APR-DRG 2292
Hospital Charge Code	APRDRG 2292
Min. Negotiated Rate	$4,255.32
Max. Negotiated Rate	$16,015.80
Rate for Payer: Buckeye Health Medicaid OOS	$4,255.32
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$16,015.80
Rate for Payer: Managed Health Services Medicaid	$16,015.80
Rate for Payer: MDWise Medicaid	$16,015.80
Rate for Payer: Molina Healthcare of OH Medicare	$4,255.32

INPATIENT APRDRG 2293: OTHER DIGESTIVE SYSTEM & ABDOMINAL PROCEDURES

Facility

$25,350.74

Service Code	APR-DRG 2293
Hospital Charge Code	APRDRG 2293
Min. Negotiated Rate	$5,272.00
Max. Negotiated Rate	$25,350.74
Rate for Payer: Buckeye Health Medicaid OOS	$5,272.00
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$25,350.74
Rate for Payer: Managed Health Services Medicaid	$25,350.74
Rate for Payer: MDWise Medicaid	$25,350.74
Rate for Payer: Molina Healthcare of OH Medicare	$5,272.00

INPATIENT APRDRG 2294: OTHER DIGESTIVE SYSTEM & ABDOMINAL PROCEDURES

Facility

$46,347.88

Service Code	APR-DRG 2294
Hospital Charge Code	APRDRG 2294
Min. Negotiated Rate	$12,315.43
Max. Negotiated Rate	$46,347.88
Rate for Payer: Buckeye Health Medicaid OOS	$12,315.43
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$46,347.88
Rate for Payer: Managed Health Services Medicaid	$46,347.88
Rate for Payer: MDWise Medicaid	$46,347.88
Rate for Payer: Molina Healthcare of OH Medicare	$12,315.43

INPATIENT APRDRG 2301: MAJOR SMALL BOWEL PROCEDURES

Facility

$20,445.85

Service Code	APR-DRG 2301
Hospital Charge Code	APRDRG 2301
Min. Negotiated Rate	$4,641.18
Max. Negotiated Rate	$20,445.85
Rate for Payer: Buckeye Health Medicaid OOS	$4,641.18
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$20,445.85
Rate for Payer: Managed Health Services Medicaid	$20,445.85
Rate for Payer: MDWise Medicaid	$20,445.85
Rate for Payer: Molina Healthcare of OH Medicare	$4,641.18

INPATIENT APRDRG 2302: MAJOR SMALL BOWEL PROCEDURES

Facility

$26,447.15

Service Code	APR-DRG 2302
Hospital Charge Code	APRDRG 2302
Min. Negotiated Rate	$6,109.68
Max. Negotiated Rate	$26,447.15
Rate for Payer: Buckeye Health Medicaid OOS	$6,109.68
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$26,447.15
Rate for Payer: Managed Health Services Medicaid	$26,447.15
Rate for Payer: MDWise Medicaid	$26,447.15
Rate for Payer: Molina Healthcare of OH Medicare	$6,109.68

INPATIENT APRDRG 2303: MAJOR SMALL BOWEL PROCEDURES

Facility

$45,963.09

Service Code	APR-DRG 2303
Hospital Charge Code	APRDRG 2303
Min. Negotiated Rate	$9,412.37
Max. Negotiated Rate	$45,963.09
Rate for Payer: Buckeye Health Medicaid OOS	$9,412.37
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$45,963.09
Rate for Payer: Managed Health Services Medicaid	$45,963.09
Rate for Payer: MDWise Medicaid	$45,963.09
Rate for Payer: Molina Healthcare of OH Medicare	$9,412.37

INPATIENT APRDRG 2304: MAJOR SMALL BOWEL PROCEDURES

Facility

$74,314.48

Service Code	APR-DRG 2304
Hospital Charge Code	APRDRG 2304
Min. Negotiated Rate	$18,532.07
Max. Negotiated Rate	$74,314.48
Rate for Payer: Buckeye Health Medicaid OOS	$18,532.07
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$74,314.48
Rate for Payer: Managed Health Services Medicaid	$74,314.48
Rate for Payer: MDWise Medicaid	$74,314.48
Rate for Payer: Molina Healthcare of OH Medicare	$18,532.07

INPATIENT APRDRG 2311: MAJOR LARGE BOWEL PROCEDURES

Facility

$21,263.54

Service Code	APR-DRG 2311
Hospital Charge Code	APRDRG 2311
Min. Negotiated Rate	$5,236.46
Max. Negotiated Rate	$21,263.54
Rate for Payer: Buckeye Health Medicaid OOS	$5,236.46
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$21,263.54
Rate for Payer: Managed Health Services Medicaid	$21,263.54
Rate for Payer: MDWise Medicaid	$21,263.54
Rate for Payer: Molina Healthcare of OH Medicare	$5,236.46

INPATIENT APRDRG 2312: MAJOR LARGE BOWEL PROCEDURES

Facility

$24,201.29

Service Code	APR-DRG 2312
Hospital Charge Code	APRDRG 2312
Min. Negotiated Rate	$6,396.27
Max. Negotiated Rate	$24,201.29
Rate for Payer: Buckeye Health Medicaid OOS	$6,396.27
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$24,201.29
Rate for Payer: Managed Health Services Medicaid	$24,201.29
Rate for Payer: MDWise Medicaid	$24,201.29
Rate for Payer: Molina Healthcare of OH Medicare	$6,396.27

INPATIENT APRDRG 2313: MAJOR LARGE BOWEL PROCEDURES

Facility

$33,976.53

Service Code	APR-DRG 2313
Hospital Charge Code	APRDRG 2313
Min. Negotiated Rate	$8,646.10
Max. Negotiated Rate	$33,976.53
Rate for Payer: Buckeye Health Medicaid OOS	$8,646.10
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$33,976.53
Rate for Payer: Managed Health Services Medicaid	$33,976.53
Rate for Payer: MDWise Medicaid	$33,976.53
Rate for Payer: Molina Healthcare of OH Medicare	$8,646.10

INPATIENT APRDRG 2314: MAJOR LARGE BOWEL PROCEDURES

Facility

$51,504.36

Service Code	APR-DRG 2314
Hospital Charge Code	APRDRG 2314
Min. Negotiated Rate	$14,379.21
Max. Negotiated Rate	$51,504.36
Rate for Payer: Buckeye Health Medicaid OOS	$14,379.21
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$51,504.36
Rate for Payer: Managed Health Services Medicaid	$51,504.36
Rate for Payer: MDWise Medicaid	$51,504.36
Rate for Payer: Molina Healthcare of OH Medicare	$14,379.21

INPATIENT APRDRG 2321: GASTRIC FUNDOPLICATION

Facility

$13,517.11

Service Code	APR-DRG 2321
Hospital Charge Code	APRDRG 2321
Min. Negotiated Rate	$3,769.24
Max. Negotiated Rate	$13,517.11
Rate for Payer: Buckeye Health Medicaid OOS	$3,769.24
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$13,517.11
Rate for Payer: Managed Health Services Medicaid	$13,517.11
Rate for Payer: MDWise Medicaid	$13,517.11
Rate for Payer: Molina Healthcare of OH Medicare	$3,769.24

INPATIENT APRDRG 2322: GASTRIC FUNDOPLICATION

Facility

$16,703.98

Service Code	APR-DRG 2322
Hospital Charge Code	APRDRG 2322
Min. Negotiated Rate	$4,680.25
Max. Negotiated Rate	$16,703.98
Rate for Payer: Buckeye Health Medicaid OOS	$4,680.25
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$16,703.98
Rate for Payer: Managed Health Services Medicaid	$16,703.98
Rate for Payer: MDWise Medicaid	$16,703.98
Rate for Payer: Molina Healthcare of OH Medicare	$4,680.25

INPATIENT APRDRG 2323: GASTRIC FUNDOPLICATION

Facility

$17,968.13

Service Code	APR-DRG 2323
Hospital Charge Code	APRDRG 2323
Min. Negotiated Rate	$9,322.07
Max. Negotiated Rate	$17,968.13
Rate for Payer: Buckeye Health Medicaid OOS	$9,322.07
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$17,968.13
Rate for Payer: Managed Health Services Medicaid	$17,968.13
Rate for Payer: MDWise Medicaid	$17,968.13
Rate for Payer: Molina Healthcare of OH Medicare	$9,322.07

INPATIENT APRDRG 2324: GASTRIC FUNDOPLICATION

Facility

$36,718.18

Service Code	APR-DRG 2324
Hospital Charge Code	APRDRG 2324
Min. Negotiated Rate	$9,322.07
Max. Negotiated Rate	$36,718.18
Rate for Payer: Buckeye Health Medicaid OOS	$9,322.07
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$36,718.18
Rate for Payer: Managed Health Services Medicaid	$36,718.18
Rate for Payer: MDWise Medicaid	$36,718.18
Rate for Payer: Molina Healthcare of OH Medicare	$9,322.07

INPATIENT APRDRG 2331: APPENDECTOMY WITH COMPLEX PRINCIPAL DIAGNOSIS

Facility

$14,743.02

Service Code	APR-DRG 2331
Hospital Charge Code	APRDRG 2331
Min. Negotiated Rate	$4,181.35
Max. Negotiated Rate	$14,743.02
Rate for Payer: Buckeye Health Medicaid OOS	$4,181.35
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$14,743.02
Rate for Payer: Managed Health Services Medicaid	$14,743.02
Rate for Payer: MDWise Medicaid	$14,743.02
Rate for Payer: Molina Healthcare of OH Medicare	$4,181.35

INPATIENT APRDRG 2332: APPENDECTOMY WITH COMPLEX PRINCIPAL DIAGNOSIS

Facility

$20,413.79

Service Code	APR-DRG 2332
Hospital Charge Code	APRDRG 2332
Min. Negotiated Rate	$4,938.98
Max. Negotiated Rate	$20,413.79
Rate for Payer: Buckeye Health Medicaid OOS	$4,938.98
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$20,413.79
Rate for Payer: Managed Health Services Medicaid	$20,413.79
Rate for Payer: MDWise Medicaid	$20,413.79
Rate for Payer: Molina Healthcare of OH Medicare	$4,938.98

INPATIENT APRDRG 2333: APPENDECTOMY WITH COMPLEX PRINCIPAL DIAGNOSIS

Facility

$20,413.79

Service Code	APR-DRG 2333
Hospital Charge Code	APRDRG 2333
Min. Negotiated Rate	$8,309.55
Max. Negotiated Rate	$20,413.79
Rate for Payer: Buckeye Health Medicaid OOS	$8,309.55
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$20,413.79
Rate for Payer: Managed Health Services Medicaid	$20,413.79
Rate for Payer: MDWise Medicaid	$20,413.79
Rate for Payer: Molina Healthcare of OH Medicare	$8,309.55

INPATIENT APRDRG 2334: APPENDECTOMY WITH COMPLEX PRINCIPAL DIAGNOSIS

Facility

$37,056.11

Service Code	APR-DRG 2334
Hospital Charge Code	APRDRG 2334
Min. Negotiated Rate	$8,309.55
Max. Negotiated Rate	$37,056.11
Rate for Payer: Buckeye Health Medicaid OOS	$8,309.55
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$37,056.11
Rate for Payer: Managed Health Services Medicaid	$37,056.11
Rate for Payer: MDWise Medicaid	$37,056.11
Rate for Payer: Molina Healthcare of OH Medicare	$8,309.55

INPATIENT APRDRG 2341: APPENDECTOMY WITHOUT COMPLEX PRINCIPAL DIAGNOSIS

Facility

$10,631.15

Service Code	APR-DRG 2341
Hospital Charge Code	APRDRG 2341
Min. Negotiated Rate	$2,617.11
Max. Negotiated Rate	$10,631.15
Rate for Payer: Buckeye Health Medicaid OOS	$2,617.11
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$10,631.15
Rate for Payer: Managed Health Services Medicaid	$10,631.15
Rate for Payer: MDWise Medicaid	$10,631.15
Rate for Payer: Molina Healthcare of OH Medicare	$2,617.11

INPATIENT APRDRG 2342: APPENDECTOMY WITHOUT COMPLEX PRINCIPAL DIAGNOSIS

Facility

$12,474.96

Service Code	APR-DRG 2342
Hospital Charge Code	APRDRG 2342
Min. Negotiated Rate	$3,109.28
Max. Negotiated Rate	$12,474.96
Rate for Payer: Buckeye Health Medicaid OOS	$3,109.28
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$12,474.96
Rate for Payer: Managed Health Services Medicaid	$12,474.96
Rate for Payer: MDWise Medicaid	$12,474.96
Rate for Payer: Molina Healthcare of OH Medicare	$3,109.28

INPATIENT APRDRG 2343: APPENDECTOMY WITHOUT COMPLEX PRINCIPAL DIAGNOSIS

Facility

$18,816.65

Service Code	APR-DRG 2343
Hospital Charge Code	APRDRG 2343
Min. Negotiated Rate	$4,736.93
Max. Negotiated Rate	$18,816.65
Rate for Payer: Buckeye Health Medicaid OOS	$4,736.93
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$18,816.65
Rate for Payer: Managed Health Services Medicaid	$18,816.65
Rate for Payer: MDWise Medicaid	$18,816.65
Rate for Payer: Molina Healthcare of OH Medicare	$4,736.93

INPATIENT APRDRG 2344: APPENDECTOMY WITHOUT COMPLEX PRINCIPAL DIAGNOSIS

Facility

$18,816.65

Service Code	APR-DRG 2344
Hospital Charge Code	APRDRG 2344
Min. Negotiated Rate	$4,736.93
Max. Negotiated Rate	$18,816.65
Rate for Payer: Buckeye Health Medicaid OOS	$4,736.93
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$18,816.65
Rate for Payer: Managed Health Services Medicaid	$18,816.65
Rate for Payer: MDWise Medicaid	$18,816.65
Rate for Payer: Molina Healthcare of OH Medicare	$4,736.93

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