Cameron Memorial Community Hospital

All Charges

Charge

Type

Setting

Price

INPATIENT APRDRG 2462: GASTROINTESTINAL VASCULAR INSUFFICIENCY

Facility

$10,584.29

Service Code	APR-DRG 2462
Hospital Charge Code	APRDRG 2462
Min. Negotiated Rate	$2,596.30
Max. Negotiated Rate	$10,584.29
Rate for Payer: Buckeye Health Medicaid OOS	$2,596.30
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$10,584.29
Rate for Payer: Managed Health Services Medicaid	$10,584.29
Rate for Payer: MDWise Medicaid	$10,584.29
Rate for Payer: Molina Healthcare of OH Medicare	$2,596.30

INPATIENT APRDRG 2463: GASTROINTESTINAL VASCULAR INSUFFICIENCY

Facility

$11,706.60

Service Code	APR-DRG 2463
Hospital Charge Code	APRDRG 2463
Min. Negotiated Rate	$3,842.89
Max. Negotiated Rate	$11,706.60
Rate for Payer: Buckeye Health Medicaid OOS	$3,842.89
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$11,706.60
Rate for Payer: Managed Health Services Medicaid	$11,706.60
Rate for Payer: MDWise Medicaid	$11,706.60
Rate for Payer: Molina Healthcare of OH Medicare	$3,842.89

INPATIENT APRDRG 2464: GASTROINTESTINAL VASCULAR INSUFFICIENCY

Facility

$23,351.54

Service Code	APR-DRG 2464
Hospital Charge Code	APRDRG 2464
Min. Negotiated Rate	$3,842.89
Max. Negotiated Rate	$23,351.54
Rate for Payer: Buckeye Health Medicaid OOS	$3,842.89
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$23,351.54
Rate for Payer: Managed Health Services Medicaid	$23,351.54
Rate for Payer: MDWise Medicaid	$23,351.54
Rate for Payer: Molina Healthcare of OH Medicare	$3,842.89

INPATIENT APRDRG 2471: INTESTINAL OBSTRUCTION

Facility

$8,015.30

Service Code	APR-DRG 2471
Hospital Charge Code	APRDRG 2471
Min. Negotiated Rate	$1,654.55
Max. Negotiated Rate	$8,015.30
Rate for Payer: Buckeye Health Medicaid OOS	$1,654.55
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$8,015.30
Rate for Payer: Managed Health Services Medicaid	$8,015.30
Rate for Payer: MDWise Medicaid	$8,015.30
Rate for Payer: Molina Healthcare of OH Medicare	$1,654.55

INPATIENT APRDRG 2472: INTESTINAL OBSTRUCTION

Facility

$10,813.68

Service Code	APR-DRG 2472
Hospital Charge Code	APRDRG 2472
Min. Negotiated Rate	$2,099.32
Max. Negotiated Rate	$10,813.68
Rate for Payer: Buckeye Health Medicaid OOS	$2,099.32
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$10,813.68
Rate for Payer: Managed Health Services Medicaid	$10,813.68
Rate for Payer: MDWise Medicaid	$10,813.68
Rate for Payer: Molina Healthcare of OH Medicare	$2,099.32

INPATIENT APRDRG 2473: INTESTINAL OBSTRUCTION

Facility

$15,263.48

Service Code	APR-DRG 2473
Hospital Charge Code	APRDRG 2473
Min. Negotiated Rate	$3,057.08
Max. Negotiated Rate	$15,263.48
Rate for Payer: Buckeye Health Medicaid OOS	$3,057.08
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$15,263.48
Rate for Payer: Managed Health Services Medicaid	$15,263.48
Rate for Payer: MDWise Medicaid	$15,263.48
Rate for Payer: Molina Healthcare of OH Medicare	$3,057.08

INPATIENT APRDRG 2474: INTESTINAL OBSTRUCTION

Facility

$18,603.29

Service Code	APR-DRG 2474
Hospital Charge Code	APRDRG 2474
Min. Negotiated Rate	$7,092.74
Max. Negotiated Rate	$18,603.29
Rate for Payer: Buckeye Health Medicaid OOS	$7,092.74
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$18,603.29
Rate for Payer: Managed Health Services Medicaid	$18,603.29
Rate for Payer: MDWise Medicaid	$18,603.29
Rate for Payer: Molina Healthcare of OH Medicare	$7,092.74

INPATIENT APRDRG 2481: MAJOR GASTROINTESTINAL & PERITONEAL INFECTIONS

Facility

$7,686.00

Service Code	APR-DRG 2481
Hospital Charge Code	APRDRG 2481
Min. Negotiated Rate	$2,031.76
Max. Negotiated Rate	$7,686.00
Rate for Payer: Buckeye Health Medicaid OOS	$2,031.76
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$7,686.00
Rate for Payer: Managed Health Services Medicaid	$7,686.00
Rate for Payer: MDWise Medicaid	$7,686.00
Rate for Payer: Molina Healthcare of OH Medicare	$2,031.76

INPATIENT APRDRG 2482: MAJOR GASTROINTESTINAL & PERITONEAL INFECTIONS

Facility

$12,837.55

Service Code	APR-DRG 2482
Hospital Charge Code	APRDRG 2482
Min. Negotiated Rate	$2,511.12
Max. Negotiated Rate	$12,837.55
Rate for Payer: Buckeye Health Medicaid OOS	$2,511.12
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$12,837.55
Rate for Payer: Managed Health Services Medicaid	$12,837.55
Rate for Payer: MDWise Medicaid	$12,837.55
Rate for Payer: Molina Healthcare of OH Medicare	$2,511.12

INPATIENT APRDRG 2483: MAJOR GASTROINTESTINAL & PERITONEAL INFECTIONS

Facility

$14,493.89

Service Code	APR-DRG 2483
Hospital Charge Code	APRDRG 2483
Min. Negotiated Rate	$3,479.13
Max. Negotiated Rate	$14,493.89
Rate for Payer: Buckeye Health Medicaid OOS	$3,479.13
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$14,493.89
Rate for Payer: Managed Health Services Medicaid	$14,493.89
Rate for Payer: MDWise Medicaid	$14,493.89
Rate for Payer: Molina Healthcare of OH Medicare	$3,479.13

INPATIENT APRDRG 2484: MAJOR GASTROINTESTINAL & PERITONEAL INFECTIONS

Facility

$22,532.62

Service Code	APR-DRG 2484
Hospital Charge Code	APRDRG 2484
Min. Negotiated Rate	$7,794.97
Max. Negotiated Rate	$22,532.62
Rate for Payer: Buckeye Health Medicaid OOS	$7,794.97
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$22,532.62
Rate for Payer: Managed Health Services Medicaid	$22,532.62
Rate for Payer: MDWise Medicaid	$22,532.62
Rate for Payer: Molina Healthcare of OH Medicare	$7,794.97

INPATIENT APRDRG 2491: OTHER GASTROENTERITIS, NAUSEA & VOMITING

Facility

$6,428.02

Service Code	APR-DRG 2491
Hospital Charge Code	APRDRG 2491
Min. Negotiated Rate	$1,646.86
Max. Negotiated Rate	$6,428.02
Rate for Payer: Buckeye Health Medicaid OOS	$1,646.86
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$6,428.02
Rate for Payer: Managed Health Services Medicaid	$6,428.02
Rate for Payer: MDWise Medicaid	$6,428.02
Rate for Payer: Molina Healthcare of OH Medicare	$1,646.86

INPATIENT APRDRG 2492: OTHER GASTROENTERITIS, NAUSEA & VOMITING

Facility

$8,615.92

Service Code	APR-DRG 2492
Hospital Charge Code	APRDRG 2492
Min. Negotiated Rate	$1,932.49
Max. Negotiated Rate	$8,615.92
Rate for Payer: Buckeye Health Medicaid OOS	$1,932.49
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$8,615.92
Rate for Payer: Managed Health Services Medicaid	$8,615.92
Rate for Payer: MDWise Medicaid	$8,615.92
Rate for Payer: Molina Healthcare of OH Medicare	$1,932.49

INPATIENT APRDRG 2493: OTHER GASTROENTERITIS, NAUSEA & VOMITING

Facility

$11,621.50

Service Code	APR-DRG 2493
Hospital Charge Code	APRDRG 2493
Min. Negotiated Rate	$2,704.21
Max. Negotiated Rate	$11,621.50
Rate for Payer: Buckeye Health Medicaid OOS	$2,704.21
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$11,621.50
Rate for Payer: Managed Health Services Medicaid	$11,621.50
Rate for Payer: MDWise Medicaid	$11,621.50
Rate for Payer: Molina Healthcare of OH Medicare	$2,704.21

INPATIENT APRDRG 2494: OTHER GASTROENTERITIS, NAUSEA & VOMITING

Facility

$17,955.80

Service Code	APR-DRG 2494
Hospital Charge Code	APRDRG 2494
Min. Negotiated Rate	$7,520.55
Max. Negotiated Rate	$17,955.80
Rate for Payer: Buckeye Health Medicaid OOS	$7,520.55
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$17,955.80
Rate for Payer: Managed Health Services Medicaid	$17,955.80
Rate for Payer: MDWise Medicaid	$17,955.80
Rate for Payer: Molina Healthcare of OH Medicare	$7,520.55

INPATIENT APRDRG 2511: ABDOMINAL PAIN

Facility

$7,954.87

Service Code	APR-DRG 2511
Hospital Charge Code	APRDRG 2511
Min. Negotiated Rate	$1,671.20
Max. Negotiated Rate	$7,954.87
Rate for Payer: Buckeye Health Medicaid OOS	$1,671.20
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$7,954.87
Rate for Payer: Managed Health Services Medicaid	$7,954.87
Rate for Payer: MDWise Medicaid	$7,954.87
Rate for Payer: Molina Healthcare of OH Medicare	$1,671.20

INPATIENT APRDRG 2512: ABDOMINAL PAIN

Facility

$9,077.18

Service Code	APR-DRG 2512
Hospital Charge Code	APRDRG 2512
Min. Negotiated Rate	$2,096.76
Max. Negotiated Rate	$9,077.18
Rate for Payer: Buckeye Health Medicaid OOS	$2,096.76
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$9,077.18
Rate for Payer: Managed Health Services Medicaid	$9,077.18
Rate for Payer: MDWise Medicaid	$9,077.18
Rate for Payer: Molina Healthcare of OH Medicare	$2,096.76

INPATIENT APRDRG 2513: ABDOMINAL PAIN

Facility

$11,293.44

Service Code	APR-DRG 2513
Hospital Charge Code	APRDRG 2513
Min. Negotiated Rate	$2,546.66
Max. Negotiated Rate	$11,293.44
Rate for Payer: Buckeye Health Medicaid OOS	$2,546.66
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$11,293.44
Rate for Payer: Managed Health Services Medicaid	$11,293.44
Rate for Payer: MDWise Medicaid	$11,293.44
Rate for Payer: Molina Healthcare of OH Medicare	$2,546.66

INPATIENT APRDRG 2514: ABDOMINAL PAIN

Facility

$11,293.44

Service Code	APR-DRG 2514
Hospital Charge Code	APRDRG 2514
Min. Negotiated Rate	$2,546.66
Max. Negotiated Rate	$11,293.44
Rate for Payer: Buckeye Health Medicaid OOS	$2,546.66
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$11,293.44
Rate for Payer: Managed Health Services Medicaid	$11,293.44
Rate for Payer: MDWise Medicaid	$11,293.44
Rate for Payer: Molina Healthcare of OH Medicare	$2,546.66

INPATIENT APRDRG 2521: MALFUNCTION, REACTION & COMPLICATION OF GI DEVICE OR PROCEDURE

Facility

$9,407.71

Service Code	APR-DRG 2521
Hospital Charge Code	APRDRG 2521
Min. Negotiated Rate	$2,236.05
Max. Negotiated Rate	$9,407.71
Rate for Payer: Buckeye Health Medicaid OOS	$2,236.05
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$9,407.71
Rate for Payer: Managed Health Services Medicaid	$9,407.71
Rate for Payer: MDWise Medicaid	$9,407.71
Rate for Payer: Molina Healthcare of OH Medicare	$2,236.05

INPATIENT APRDRG 2522: MALFUNCTION, REACTION & COMPLICATION OF GI DEVICE OR PROCEDURE

Facility

$11,764.57

Service Code	APR-DRG 2522
Hospital Charge Code	APRDRG 2522
Min. Negotiated Rate	$2,632.16
Max. Negotiated Rate	$11,764.57
Rate for Payer: Buckeye Health Medicaid OOS	$2,632.16
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$11,764.57
Rate for Payer: Managed Health Services Medicaid	$11,764.57
Rate for Payer: MDWise Medicaid	$11,764.57
Rate for Payer: Molina Healthcare of OH Medicare	$2,632.16

INPATIENT APRDRG 2523: MALFUNCTION, REACTION & COMPLICATION OF GI DEVICE OR PROCEDURE

Facility

$16,665.75

Service Code	APR-DRG 2523
Hospital Charge Code	APRDRG 2523
Min. Negotiated Rate	$4,315.84
Max. Negotiated Rate	$16,665.75
Rate for Payer: Buckeye Health Medicaid OOS	$4,315.84
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$16,665.75
Rate for Payer: Managed Health Services Medicaid	$16,665.75
Rate for Payer: MDWise Medicaid	$16,665.75
Rate for Payer: Molina Healthcare of OH Medicare	$4,315.84

INPATIENT APRDRG 2524: MALFUNCTION, REACTION & COMPLICATION OF GI DEVICE OR PROCEDURE

Facility

$22,935.91

Service Code	APR-DRG 2524
Hospital Charge Code	APRDRG 2524
Min. Negotiated Rate	$6,720.01
Max. Negotiated Rate	$22,935.91
Rate for Payer: Buckeye Health Medicaid OOS	$6,720.01
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$22,935.91
Rate for Payer: Managed Health Services Medicaid	$22,935.91
Rate for Payer: MDWise Medicaid	$22,935.91
Rate for Payer: Molina Healthcare of OH Medicare	$6,720.01

INPATIENT APRDRG 2531: OTHER & UNSPECIFIED GASTROINTESTINAL HEMORRHAGE

Facility

$8,802.15

Service Code	APR-DRG 2531
Hospital Charge Code	APRDRG 2531
Min. Negotiated Rate	$1,769.82
Max. Negotiated Rate	$8,802.15
Rate for Payer: Buckeye Health Medicaid OOS	$1,769.82
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$8,802.15
Rate for Payer: Managed Health Services Medicaid	$8,802.15
Rate for Payer: MDWise Medicaid	$8,802.15
Rate for Payer: Molina Healthcare of OH Medicare	$1,769.82

INPATIENT APRDRG 2532: OTHER & UNSPECIFIED GASTROINTESTINAL HEMORRHAGE

Facility

$9,993.53

Service Code	APR-DRG 2532
Hospital Charge Code	APRDRG 2532
Min. Negotiated Rate	$2,260.39
Max. Negotiated Rate	$9,993.53
Rate for Payer: Buckeye Health Medicaid OOS	$2,260.39
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$9,993.53
Rate for Payer: Managed Health Services Medicaid	$9,993.53
Rate for Payer: MDWise Medicaid	$9,993.53
Rate for Payer: Molina Healthcare of OH Medicare	$2,260.39

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