Cameron Memorial Community Hospital

All Charges

Charge

Type

Setting

Price

INPATIENT APRDRG 2401: DIGESTIVE MALIGNANCY

Facility

$15,819.70

Service Code	APR-DRG 2401
Hospital Charge Code	APRDRG 2401
Min. Negotiated Rate	$2,339.16
Max. Negotiated Rate	$15,819.70
Rate for Payer: MDWise Medicaid	$15,819.70
Rate for Payer: Buckeye Health Medicaid OOS	$2,339.16
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$15,819.70
Rate for Payer: Managed Health Services Medicaid	$15,819.70
Rate for Payer: Molina Healthcare of OH Medicare	$2,339.16

INPATIENT APRDRG 2402: DIGESTIVE MALIGNANCY

Facility

$15,819.70

Service Code	APR-DRG 2402
Hospital Charge Code	APRDRG 2402
Min. Negotiated Rate	$2,985.68
Max. Negotiated Rate	$15,819.70
Rate for Payer: Buckeye Health Medicaid OOS	$2,985.68
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$15,819.70
Rate for Payer: Managed Health Services Medicaid	$15,819.70
Rate for Payer: MDWise Medicaid	$15,819.70
Rate for Payer: Molina Healthcare of OH Medicare	$2,985.68

INPATIENT APRDRG 2403: DIGESTIVE MALIGNANCY

Facility

$17,668.43

Service Code	APR-DRG 2403
Hospital Charge Code	APRDRG 2403
Min. Negotiated Rate	$3,642.11
Max. Negotiated Rate	$17,668.43
Rate for Payer: Buckeye Health Medicaid OOS	$3,642.11
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$17,668.43
Rate for Payer: Managed Health Services Medicaid	$17,668.43
Rate for Payer: MDWise Medicaid	$17,668.43
Rate for Payer: Molina Healthcare of OH Medicare	$3,642.11

INPATIENT APRDRG 2404: DIGESTIVE MALIGNANCY

Facility

$28,635.05

Service Code	APR-DRG 2404
Hospital Charge Code	APRDRG 2404
Min. Negotiated Rate	$7,152.94
Max. Negotiated Rate	$28,635.05
Rate for Payer: Buckeye Health Medicaid OOS	$7,152.94
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$28,635.05
Rate for Payer: Managed Health Services Medicaid	$28,635.05
Rate for Payer: MDWise Medicaid	$28,635.05
Rate for Payer: Molina Healthcare of OH Medicare	$7,152.94

INPATIENT APRDRG 2411: PEPTIC ULCER & GASTRITIS

Facility

$8,770.09

Service Code	APR-DRG 2411
Hospital Charge Code	APRDRG 2411
Min. Negotiated Rate	$1,957.15
Max. Negotiated Rate	$8,770.09
Rate for Payer: Buckeye Health Medicaid OOS	$1,957.15
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$8,770.09
Rate for Payer: Managed Health Services Medicaid	$8,770.09
Rate for Payer: MDWise Medicaid	$8,770.09
Rate for Payer: Molina Healthcare of OH Medicare	$1,957.15

INPATIENT APRDRG 2412: PEPTIC ULCER & GASTRITIS

Facility

$10,209.36

Service Code	APR-DRG 2412
Hospital Charge Code	APRDRG 2412
Min. Negotiated Rate	$2,312.91
Max. Negotiated Rate	$10,209.36
Rate for Payer: Buckeye Health Medicaid OOS	$2,312.91
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$10,209.36
Rate for Payer: Managed Health Services Medicaid	$10,209.36
Rate for Payer: MDWise Medicaid	$10,209.36
Rate for Payer: Molina Healthcare of OH Medicare	$2,312.91

INPATIENT APRDRG 2413: PEPTIC ULCER & GASTRITIS

Facility

$15,898.63

Service Code	APR-DRG 2413
Hospital Charge Code	APRDRG 2413
Min. Negotiated Rate	$3,184.53
Max. Negotiated Rate	$15,898.63
Rate for Payer: Buckeye Health Medicaid OOS	$3,184.53
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$15,898.63
Rate for Payer: Managed Health Services Medicaid	$15,898.63
Rate for Payer: MDWise Medicaid	$15,898.63
Rate for Payer: Molina Healthcare of OH Medicare	$3,184.53

INPATIENT APRDRG 2414: PEPTIC ULCER & GASTRITIS

Facility

$30,021.29

Service Code	APR-DRG 2414
Hospital Charge Code	APRDRG 2414
Min. Negotiated Rate	$8,260.24
Max. Negotiated Rate	$30,021.29
Rate for Payer: Buckeye Health Medicaid OOS	$8,260.24
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$30,021.29
Rate for Payer: Managed Health Services Medicaid	$30,021.29
Rate for Payer: MDWise Medicaid	$30,021.29
Rate for Payer: Molina Healthcare of OH Medicare	$8,260.24

INPATIENT APRDRG 2421: MAJOR ESOPHAGEAL DISORDERS

Facility

$5,794.10

Service Code	APR-DRG 2421
Hospital Charge Code	APRDRG 2421
Min. Negotiated Rate	$1,709.62
Max. Negotiated Rate	$5,794.10
Rate for Payer: Buckeye Health Medicaid OOS	$1,709.62
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$5,794.10
Rate for Payer: Managed Health Services Medicaid	$5,794.10
Rate for Payer: MDWise Medicaid	$5,794.10
Rate for Payer: Molina Healthcare of OH Medicare	$1,709.62

INPATIENT APRDRG 2422: MAJOR ESOPHAGEAL DISORDERS

Facility

$10,613.89

Service Code	APR-DRG 2422
Hospital Charge Code	APRDRG 2422
Min. Negotiated Rate	$2,119.82
Max. Negotiated Rate	$10,613.89
Rate for Payer: Buckeye Health Medicaid OOS	$2,119.82
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$10,613.89
Rate for Payer: Managed Health Services Medicaid	$10,613.89
Rate for Payer: MDWise Medicaid	$10,613.89
Rate for Payer: Molina Healthcare of OH Medicare	$2,119.82

INPATIENT APRDRG 2423: MAJOR ESOPHAGEAL DISORDERS

Facility

$12,865.92

Service Code	APR-DRG 2423
Hospital Charge Code	APRDRG 2423
Min. Negotiated Rate	$3,365.77
Max. Negotiated Rate	$12,865.92
Rate for Payer: Buckeye Health Medicaid OOS	$3,365.77
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$12,865.92
Rate for Payer: Managed Health Services Medicaid	$12,865.92
Rate for Payer: MDWise Medicaid	$12,865.92
Rate for Payer: Molina Healthcare of OH Medicare	$3,365.77

INPATIENT APRDRG 2424: MAJOR ESOPHAGEAL DISORDERS

Facility

$26,030.29

Service Code	APR-DRG 2424
Hospital Charge Code	APRDRG 2424
Min. Negotiated Rate	$8,532.10
Max. Negotiated Rate	$26,030.29
Rate for Payer: Buckeye Health Medicaid OOS	$8,532.10
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$26,030.29
Rate for Payer: Managed Health Services Medicaid	$26,030.29
Rate for Payer: MDWise Medicaid	$26,030.29
Rate for Payer: Molina Healthcare of OH Medicare	$8,532.10

INPATIENT APRDRG 2431: OTHER ESOPHAGEAL DISORDERS

Facility

$6,125.86

Service Code	APR-DRG 2431
Hospital Charge Code	APRDRG 2431
Min. Negotiated Rate	$1,755.09
Max. Negotiated Rate	$6,125.86
Rate for Payer: Buckeye Health Medicaid OOS	$1,755.09
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$6,125.86
Rate for Payer: Managed Health Services Medicaid	$6,125.86
Rate for Payer: MDWise Medicaid	$6,125.86
Rate for Payer: Molina Healthcare of OH Medicare	$1,755.09

INPATIENT APRDRG 2432: OTHER ESOPHAGEAL DISORDERS

Facility

$10,134.13

Service Code	APR-DRG 2432
Hospital Charge Code	APRDRG 2432
Min. Negotiated Rate	$2,627.36
Max. Negotiated Rate	$10,134.13
Rate for Payer: Buckeye Health Medicaid OOS	$2,627.36
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$10,134.13
Rate for Payer: Managed Health Services Medicaid	$10,134.13
Rate for Payer: MDWise Medicaid	$10,134.13
Rate for Payer: Molina Healthcare of OH Medicare	$2,627.36

INPATIENT APRDRG 2433: OTHER ESOPHAGEAL DISORDERS

Facility

$14,443.32

Service Code	APR-DRG 2433
Hospital Charge Code	APRDRG 2433
Min. Negotiated Rate	$3,343.99
Max. Negotiated Rate	$14,443.32
Rate for Payer: Buckeye Health Medicaid OOS	$3,343.99
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$14,443.32
Rate for Payer: Managed Health Services Medicaid	$14,443.32
Rate for Payer: MDWise Medicaid	$14,443.32
Rate for Payer: Molina Healthcare of OH Medicare	$3,343.99

INPATIENT APRDRG 2434: OTHER ESOPHAGEAL DISORDERS

Facility

$22,055.33

Service Code	APR-DRG 2434
Hospital Charge Code	APRDRG 2434
Min. Negotiated Rate	$6,048.52
Max. Negotiated Rate	$22,055.33
Rate for Payer: Buckeye Health Medicaid OOS	$6,048.52
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$22,055.33
Rate for Payer: Managed Health Services Medicaid	$22,055.33
Rate for Payer: MDWise Medicaid	$22,055.33
Rate for Payer: Molina Healthcare of OH Medicare	$6,048.52

INPATIENT APRDRG 2441: DIVERTICULITIS & DIVERTICULOSIS

Facility

$9,850.47

Service Code	APR-DRG 2441
Hospital Charge Code	APRDRG 2441
Min. Negotiated Rate	$1,699.70
Max. Negotiated Rate	$9,850.47
Rate for Payer: Buckeye Health Medicaid OOS	$1,699.70
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$9,850.47
Rate for Payer: Managed Health Services Medicaid	$9,850.47
Rate for Payer: MDWise Medicaid	$9,850.47
Rate for Payer: Molina Healthcare of OH Medicare	$1,699.70

INPATIENT APRDRG 2442: DIVERTICULITIS & DIVERTICULOSIS

Facility

$10,384.49

Service Code	APR-DRG 2442
Hospital Charge Code	APRDRG 2442
Min. Negotiated Rate	$2,089.08
Max. Negotiated Rate	$10,384.49
Rate for Payer: Buckeye Health Medicaid OOS	$2,089.08
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$10,384.49
Rate for Payer: Managed Health Services Medicaid	$10,384.49
Rate for Payer: MDWise Medicaid	$10,384.49
Rate for Payer: Molina Healthcare of OH Medicare	$2,089.08

INPATIENT APRDRG 2443: DIVERTICULITIS & DIVERTICULOSIS

Facility

$10,462.19

Service Code	APR-DRG 2443
Hospital Charge Code	APRDRG 2443
Min. Negotiated Rate	$2,993.68
Max. Negotiated Rate	$10,462.19
Rate for Payer: Buckeye Health Medicaid OOS	$2,993.68
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$10,462.19
Rate for Payer: Managed Health Services Medicaid	$10,462.19
Rate for Payer: MDWise Medicaid	$10,462.19
Rate for Payer: Molina Healthcare of OH Medicare	$2,993.68

INPATIENT APRDRG 2444: DIVERTICULITIS & DIVERTICULOSIS

Facility

$53,353.10

Service Code	APR-DRG 2444
Hospital Charge Code	APRDRG 2444
Min. Negotiated Rate	$6,528.52
Max. Negotiated Rate	$53,353.10
Rate for Payer: Buckeye Health Medicaid OOS	$6,528.52
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$53,353.10
Rate for Payer: Managed Health Services Medicaid	$53,353.10
Rate for Payer: MDWise Medicaid	$53,353.10
Rate for Payer: Molina Healthcare of OH Medicare	$6,528.52

INPATIENT APRDRG 2451: INFLAMMATORY BOWEL DISEASE

Facility

$8,508.62

Service Code	APR-DRG 2451
Hospital Charge Code	APRDRG 2451
Min. Negotiated Rate	$2,165.61
Max. Negotiated Rate	$8,508.62
Rate for Payer: Buckeye Health Medicaid OOS	$2,165.61
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$8,508.62
Rate for Payer: Managed Health Services Medicaid	$8,508.62
Rate for Payer: MDWise Medicaid	$8,508.62
Rate for Payer: Molina Healthcare of OH Medicare	$2,165.61

INPATIENT APRDRG 2452: INFLAMMATORY BOWEL DISEASE

Facility

$11,229.31

Service Code	APR-DRG 2452
Hospital Charge Code	APRDRG 2452
Min. Negotiated Rate	$2,598.86
Max. Negotiated Rate	$11,229.31
Rate for Payer: Buckeye Health Medicaid OOS	$2,598.86
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$11,229.31
Rate for Payer: Managed Health Services Medicaid	$11,229.31
Rate for Payer: MDWise Medicaid	$11,229.31
Rate for Payer: Molina Healthcare of OH Medicare	$2,598.86

INPATIENT APRDRG 2453: INFLAMMATORY BOWEL DISEASE

Facility

$15,505.20

Service Code	APR-DRG 2453
Hospital Charge Code	APRDRG 2453
Min. Negotiated Rate	$3,420.85
Max. Negotiated Rate	$15,505.20
Rate for Payer: Buckeye Health Medicaid OOS	$3,420.85
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$15,505.20
Rate for Payer: Managed Health Services Medicaid	$15,505.20
Rate for Payer: MDWise Medicaid	$15,505.20
Rate for Payer: Molina Healthcare of OH Medicare	$3,420.85

INPATIENT APRDRG 2454: INFLAMMATORY BOWEL DISEASE

Facility

$21,422.64

Service Code	APR-DRG 2454
Hospital Charge Code	APRDRG 2454
Min. Negotiated Rate	$6,809.67
Max. Negotiated Rate	$21,422.64
Rate for Payer: Buckeye Health Medicaid OOS	$6,809.67
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$21,422.64
Rate for Payer: Managed Health Services Medicaid	$21,422.64
Rate for Payer: MDWise Medicaid	$21,422.64
Rate for Payer: Molina Healthcare of OH Medicare	$6,809.67

INPATIENT APRDRG 2461: GASTROINTESTINAL VASCULAR INSUFFICIENCY

Facility

$8,386.53

Service Code	APR-DRG 2461
Hospital Charge Code	APRDRG 2461
Min. Negotiated Rate	$2,138.07
Max. Negotiated Rate	$8,386.53
Rate for Payer: Buckeye Health Medicaid OOS	$2,138.07
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$8,386.53
Rate for Payer: Managed Health Services Medicaid	$8,386.53
Rate for Payer: MDWise Medicaid	$8,386.53
Rate for Payer: Molina Healthcare of OH Medicare	$2,138.07

Know your out-of-pocket cost for care.

All Charges