Cameron Memorial Community Hospital

All Charges

Charge

Type

Setting

Price

INPATIENT APRDRG 2533: OTHER & UNSPECIFIED GASTROINTESTINAL HEMORRHAGE

Facility

$14,373.02

Service Code	APR-DRG 2533
Hospital Charge Code	APRDRG 2533
Min. Negotiated Rate	$3,346.88
Max. Negotiated Rate	$14,373.02
Rate for Payer: Buckeye Health Medicaid OOS	$3,346.88
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$14,373.02
Rate for Payer: Managed Health Services Medicaid	$14,373.02
Rate for Payer: MDWise Medicaid	$14,373.02
Rate for Payer: Molina Healthcare of OH Medicare	$3,346.88

INPATIENT APRDRG 2534: OTHER & UNSPECIFIED GASTROINTESTINAL HEMORRHAGE

Facility

$25,327.31

Service Code	APR-DRG 2534
Hospital Charge Code	APRDRG 2534
Min. Negotiated Rate	$6,765.80
Max. Negotiated Rate	$25,327.31
Rate for Payer: Buckeye Health Medicaid OOS	$6,765.80
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$25,327.31
Rate for Payer: Managed Health Services Medicaid	$25,327.31
Rate for Payer: MDWise Medicaid	$25,327.31
Rate for Payer: Molina Healthcare of OH Medicare	$6,765.80

INPATIENT APRDRG 2541: OTHER DIGESTIVE SYSTEM DIAGNOSES

Facility

$10,763.12

Service Code	APR-DRG 2541
Hospital Charge Code	APRDRG 2541
Min. Negotiated Rate	$2,035.28
Max. Negotiated Rate	$10,763.12
Rate for Payer: Buckeye Health Medicaid OOS	$2,035.28
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$10,763.12
Rate for Payer: Managed Health Services Medicaid	$10,763.12
Rate for Payer: MDWise Medicaid	$10,763.12
Rate for Payer: Molina Healthcare of OH Medicare	$2,035.28

INPATIENT APRDRG 2542: OTHER DIGESTIVE SYSTEM DIAGNOSES

Facility

$12,409.59

Service Code	APR-DRG 2542
Hospital Charge Code	APRDRG 2542
Min. Negotiated Rate	$2,546.66
Max. Negotiated Rate	$12,409.59
Rate for Payer: Buckeye Health Medicaid OOS	$2,546.66
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$12,409.59
Rate for Payer: Managed Health Services Medicaid	$12,409.59
Rate for Payer: MDWise Medicaid	$12,409.59
Rate for Payer: Molina Healthcare of OH Medicare	$2,546.66

INPATIENT APRDRG 2543: OTHER DIGESTIVE SYSTEM DIAGNOSES

Facility

$17,062.88

Service Code	APR-DRG 2543
Hospital Charge Code	APRDRG 2543
Min. Negotiated Rate	$3,797.42
Max. Negotiated Rate	$17,062.88
Rate for Payer: Buckeye Health Medicaid OOS	$3,797.42
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$17,062.88
Rate for Payer: Managed Health Services Medicaid	$17,062.88
Rate for Payer: MDWise Medicaid	$17,062.88
Rate for Payer: Molina Healthcare of OH Medicare	$3,797.42

INPATIENT APRDRG 2544: OTHER DIGESTIVE SYSTEM DIAGNOSES

Facility

$33,306.84

Service Code	APR-DRG 2544
Hospital Charge Code	APRDRG 2544
Min. Negotiated Rate	$10,202.02
Max. Negotiated Rate	$33,306.84
Rate for Payer: Buckeye Health Medicaid OOS	$10,202.02
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$33,306.84
Rate for Payer: Managed Health Services Medicaid	$33,306.84
Rate for Payer: MDWise Medicaid	$33,306.84
Rate for Payer: Molina Healthcare of OH Medicare	$10,202.02

INPATIENT APRDRG 2601: MAJOR PANCREAS, LIVER & SHUNT PROCEDURES

Facility

$26,877.58

Service Code	APR-DRG 2601
Hospital Charge Code	APRDRG 2601
Min. Negotiated Rate	$5,194.51
Max. Negotiated Rate	$26,877.58
Rate for Payer: Buckeye Health Medicaid OOS	$5,194.51
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$26,877.58
Rate for Payer: Managed Health Services Medicaid	$26,877.58
Rate for Payer: MDWise Medicaid	$26,877.58
Rate for Payer: Molina Healthcare of OH Medicare	$5,194.51

INPATIENT APRDRG 2602: MAJOR PANCREAS, LIVER & SHUNT PROCEDURES

Facility

$28,565.98

Service Code	APR-DRG 2602
Hospital Charge Code	APRDRG 2602
Min. Negotiated Rate	$7,444.01
Max. Negotiated Rate	$28,565.98
Rate for Payer: Buckeye Health Medicaid OOS	$7,444.01
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$28,565.98
Rate for Payer: Managed Health Services Medicaid	$28,565.98
Rate for Payer: MDWise Medicaid	$28,565.98
Rate for Payer: Molina Healthcare of OH Medicare	$7,444.01

INPATIENT APRDRG 2603: MAJOR PANCREAS, LIVER & SHUNT PROCEDURES

Facility

$42,815.68

Service Code	APR-DRG 2603
Hospital Charge Code	APRDRG 2603
Min. Negotiated Rate	$10,296.80
Max. Negotiated Rate	$42,815.68
Rate for Payer: Buckeye Health Medicaid OOS	$10,296.80
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$42,815.68
Rate for Payer: Managed Health Services Medicaid	$42,815.68
Rate for Payer: MDWise Medicaid	$42,815.68
Rate for Payer: Molina Healthcare of OH Medicare	$10,296.80

INPATIENT APRDRG 2604: MAJOR PANCREAS, LIVER & SHUNT PROCEDURES

Facility

$80,593.27

Service Code	APR-DRG 2604
Hospital Charge Code	APRDRG 2604
Min. Negotiated Rate	$18,225.94
Max. Negotiated Rate	$80,593.27
Rate for Payer: Buckeye Health Medicaid OOS	$18,225.94
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$80,593.27
Rate for Payer: Managed Health Services Medicaid	$80,593.27
Rate for Payer: MDWise Medicaid	$80,593.27
Rate for Payer: Molina Healthcare of OH Medicare	$18,225.94

INPATIENT APRDRG 2611: MAJOR BILIARY TRACT PROCEDURES

Facility

$16,903.78

Service Code	APR-DRG 2611
Hospital Charge Code	APRDRG 2611
Min. Negotiated Rate	$6,098.48
Max. Negotiated Rate	$16,903.78
Rate for Payer: Buckeye Health Medicaid OOS	$6,098.48
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$16,903.78
Rate for Payer: Managed Health Services Medicaid	$16,903.78
Rate for Payer: MDWise Medicaid	$16,903.78
Rate for Payer: Molina Healthcare of OH Medicare	$6,098.48

INPATIENT APRDRG 2612: MAJOR BILIARY TRACT PROCEDURES

Facility

$24,856.18

Service Code	APR-DRG 2612
Hospital Charge Code	APRDRG 2612
Min. Negotiated Rate	$6,098.48
Max. Negotiated Rate	$24,856.18
Rate for Payer: Buckeye Health Medicaid OOS	$6,098.48
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$24,856.18
Rate for Payer: Managed Health Services Medicaid	$24,856.18
Rate for Payer: MDWise Medicaid	$24,856.18
Rate for Payer: Molina Healthcare of OH Medicare	$6,098.48

INPATIENT APRDRG 2613: MAJOR BILIARY TRACT PROCEDURES

Facility

$30,751.41

Service Code	APR-DRG 2613
Hospital Charge Code	APRDRG 2613
Min. Negotiated Rate	$11,952.63
Max. Negotiated Rate	$30,751.41
Rate for Payer: Buckeye Health Medicaid OOS	$11,952.63
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$30,751.41
Rate for Payer: Managed Health Services Medicaid	$30,751.41
Rate for Payer: MDWise Medicaid	$30,751.41
Rate for Payer: Molina Healthcare of OH Medicare	$11,952.63

INPATIENT APRDRG 2614: MAJOR BILIARY TRACT PROCEDURES

Facility

$47,079.24

Service Code	APR-DRG 2614
Hospital Charge Code	APRDRG 2614
Min. Negotiated Rate	$11,952.63
Max. Negotiated Rate	$47,079.24
Rate for Payer: Buckeye Health Medicaid OOS	$11,952.63
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$47,079.24
Rate for Payer: Managed Health Services Medicaid	$47,079.24
Rate for Payer: MDWise Medicaid	$47,079.24
Rate for Payer: Molina Healthcare of OH Medicare	$11,952.63

INPATIENT APRDRG 2631: CHOLECYSTECTOMY

Facility

$14,380.42

Service Code	APR-DRG 2631
Hospital Charge Code	APRDRG 2631
Min. Negotiated Rate	$3,075.66
Max. Negotiated Rate	$14,380.42
Rate for Payer: Buckeye Health Medicaid OOS	$3,075.66
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$14,380.42
Rate for Payer: Managed Health Services Medicaid	$14,380.42
Rate for Payer: MDWise Medicaid	$14,380.42
Rate for Payer: Molina Healthcare of OH Medicare	$3,075.66

INPATIENT APRDRG 2632: CHOLECYSTECTOMY

Facility

$17,994.03

Service Code	APR-DRG 2632
Hospital Charge Code	APRDRG 2632
Min. Negotiated Rate	$3,828.16
Max. Negotiated Rate	$17,994.03
Rate for Payer: Buckeye Health Medicaid OOS	$3,828.16
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$17,994.03
Rate for Payer: Managed Health Services Medicaid	$17,994.03
Rate for Payer: MDWise Medicaid	$17,994.03
Rate for Payer: Molina Healthcare of OH Medicare	$3,828.16

INPATIENT APRDRG 2633: CHOLECYSTECTOMY

Facility

$20,102.99

Service Code	APR-DRG 2633
Hospital Charge Code	APRDRG 2633
Min. Negotiated Rate	$4,836.19
Max. Negotiated Rate	$20,102.99
Rate for Payer: Buckeye Health Medicaid OOS	$4,836.19
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$20,102.99
Rate for Payer: Managed Health Services Medicaid	$20,102.99
Rate for Payer: MDWise Medicaid	$20,102.99
Rate for Payer: Molina Healthcare of OH Medicare	$4,836.19

INPATIENT APRDRG 2634: CHOLECYSTECTOMY

Facility

$50,023.16

Service Code	APR-DRG 2634
Hospital Charge Code	APRDRG 2634
Min. Negotiated Rate	$13,245.65
Max. Negotiated Rate	$50,023.16
Rate for Payer: Buckeye Health Medicaid OOS	$13,245.65
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$50,023.16
Rate for Payer: Managed Health Services Medicaid	$50,023.16
Rate for Payer: MDWise Medicaid	$50,023.16
Rate for Payer: Molina Healthcare of OH Medicare	$13,245.65

INPATIENT APRDRG 2641: OTHER HEPATOBILIARY, PANCREAS & ABDOMINAL PROCEDURES

Facility

$16,231.63

Service Code	APR-DRG 2641
Hospital Charge Code	APRDRG 2641
Min. Negotiated Rate	$3,877.15
Max. Negotiated Rate	$16,231.63
Rate for Payer: Buckeye Health Medicaid OOS	$3,877.15
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$16,231.63
Rate for Payer: Managed Health Services Medicaid	$16,231.63
Rate for Payer: MDWise Medicaid	$16,231.63
Rate for Payer: Molina Healthcare of OH Medicare	$3,877.15

INPATIENT APRDRG 2642: OTHER HEPATOBILIARY, PANCREAS & ABDOMINAL PROCEDURES

Facility

$16,685.48

Service Code	APR-DRG 2642
Hospital Charge Code	APRDRG 2642
Min. Negotiated Rate	$5,214.04
Max. Negotiated Rate	$16,685.48
Rate for Payer: Buckeye Health Medicaid OOS	$5,214.04
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$16,685.48
Rate for Payer: Managed Health Services Medicaid	$16,685.48
Rate for Payer: MDWise Medicaid	$16,685.48
Rate for Payer: Molina Healthcare of OH Medicare	$5,214.04

INPATIENT APRDRG 2643: OTHER HEPATOBILIARY, PANCREAS & ABDOMINAL PROCEDURES

Facility

$27,061.34

Service Code	APR-DRG 2643
Hospital Charge Code	APRDRG 2643
Min. Negotiated Rate	$7,454.90
Max. Negotiated Rate	$27,061.34
Rate for Payer: Buckeye Health Medicaid OOS	$7,454.90
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$27,061.34
Rate for Payer: Managed Health Services Medicaid	$27,061.34
Rate for Payer: MDWise Medicaid	$27,061.34
Rate for Payer: Molina Healthcare of OH Medicare	$7,454.90

INPATIENT APRDRG 2644: OTHER HEPATOBILIARY, PANCREAS & ABDOMINAL PROCEDURES

Facility

$64,665.04

Service Code	APR-DRG 2644
Hospital Charge Code	APRDRG 2644
Min. Negotiated Rate	$14,878.42
Max. Negotiated Rate	$64,665.04
Rate for Payer: Buckeye Health Medicaid OOS	$14,878.42
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$64,665.04
Rate for Payer: Managed Health Services Medicaid	$64,665.04
Rate for Payer: MDWise Medicaid	$64,665.04
Rate for Payer: Molina Healthcare of OH Medicare	$14,878.42

INPATIENT APRDRG 2791: HEPATIC COMA & OTHER MAJOR ACUTE LIVER DISORDERS

Facility

$5,063.98

Service Code	APR-DRG 2791
Hospital Charge Code	APRDRG 2791
Min. Negotiated Rate	$1,516.53
Max. Negotiated Rate	$5,063.98
Rate for Payer: Buckeye Health Medicaid OOS	$1,516.53
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$5,063.98
Rate for Payer: Managed Health Services Medicaid	$5,063.98
Rate for Payer: MDWise Medicaid	$5,063.98
Rate for Payer: Molina Healthcare of OH Medicare	$1,516.53

INPATIENT APRDRG 2792: HEPATIC COMA & OTHER MAJOR ACUTE LIVER DISORDERS

Facility

$10,452.32

Service Code	APR-DRG 2792
Hospital Charge Code	APRDRG 2792
Min. Negotiated Rate	$2,203.07
Max. Negotiated Rate	$10,452.32
Rate for Payer: Buckeye Health Medicaid OOS	$2,203.07
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$10,452.32
Rate for Payer: Managed Health Services Medicaid	$10,452.32
Rate for Payer: MDWise Medicaid	$10,452.32
Rate for Payer: Molina Healthcare of OH Medicare	$2,203.07

INPATIENT APRDRG 2793: HEPATIC COMA & OTHER MAJOR ACUTE LIVER DISORDERS

Facility

$14,175.69

Service Code	APR-DRG 2793
Hospital Charge Code	APRDRG 2793
Min. Negotiated Rate	$3,263.94
Max. Negotiated Rate	$14,175.69
Rate for Payer: Buckeye Health Medicaid OOS	$3,263.94
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$14,175.69
Rate for Payer: Managed Health Services Medicaid	$14,175.69
Rate for Payer: MDWise Medicaid	$14,175.69
Rate for Payer: Molina Healthcare of OH Medicare	$3,263.94

Know your out-of-pocket cost for care.

All Charges