Cameron Memorial Community Hospital

All Charges

Charge

Type

Setting

Price

INPATIENT APRDRG 2794: HEPATIC COMA & OTHER MAJOR ACUTE LIVER DISORDERS

Facility

$30,718.11

Service Code	APR-DRG 2794
Hospital Charge Code	APRDRG 2794
Min. Negotiated Rate	$7,397.26
Max. Negotiated Rate	$30,718.11
Rate for Payer: Buckeye Health Medicaid OOS	$7,397.26
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$30,718.11
Rate for Payer: Managed Health Services Medicaid	$30,718.11
Rate for Payer: MDWise Medicaid	$30,718.11
Rate for Payer: Molina Healthcare of OH Medicare	$7,397.26

INPATIENT APRDRG 2801: ALCOHOLIC LIVER DISEASE

Facility

$7,055.78

Service Code	APR-DRG 2801
Hospital Charge Code	APRDRG 2801
Min. Negotiated Rate	$1,932.81
Max. Negotiated Rate	$7,055.78
Rate for Payer: Buckeye Health Medicaid OOS	$1,932.81
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$7,055.78
Rate for Payer: Managed Health Services Medicaid	$7,055.78
Rate for Payer: MDWise Medicaid	$7,055.78
Rate for Payer: Molina Healthcare of OH Medicare	$1,932.81

INPATIENT APRDRG 2802: ALCOHOLIC LIVER DISEASE

Facility

$10,176.06

Service Code	APR-DRG 2802
Hospital Charge Code	APRDRG 2802
Min. Negotiated Rate	$2,216.52
Max. Negotiated Rate	$10,176.06
Rate for Payer: Buckeye Health Medicaid OOS	$2,216.52
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$10,176.06
Rate for Payer: Managed Health Services Medicaid	$10,176.06
Rate for Payer: MDWise Medicaid	$10,176.06
Rate for Payer: Molina Healthcare of OH Medicare	$2,216.52

INPATIENT APRDRG 2803: ALCOHOLIC LIVER DISEASE

Facility

$17,442.74

Service Code	APR-DRG 2803
Hospital Charge Code	APRDRG 2803
Min. Negotiated Rate	$3,259.46
Max. Negotiated Rate	$17,442.74
Rate for Payer: Buckeye Health Medicaid OOS	$3,259.46
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$17,442.74
Rate for Payer: Managed Health Services Medicaid	$17,442.74
Rate for Payer: MDWise Medicaid	$17,442.74
Rate for Payer: Molina Healthcare of OH Medicare	$3,259.46

INPATIENT APRDRG 2804: ALCOHOLIC LIVER DISEASE

Facility

$35,164.21

Service Code	APR-DRG 2804
Hospital Charge Code	APRDRG 2804
Min. Negotiated Rate	$7,712.67
Max. Negotiated Rate	$35,164.21
Rate for Payer: Buckeye Health Medicaid OOS	$7,712.67
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$35,164.21
Rate for Payer: Managed Health Services Medicaid	$35,164.21
Rate for Payer: MDWise Medicaid	$35,164.21
Rate for Payer: Molina Healthcare of OH Medicare	$7,712.67

INPATIENT APRDRG 2811: MALIGNANCY OF HEPATOBILIARY SYSTEM & PANCREAS

Facility

$6,796.79

Service Code	APR-DRG 2811
Hospital Charge Code	APRDRG 2811
Min. Negotiated Rate	$2,430.10
Max. Negotiated Rate	$6,796.79
Rate for Payer: Buckeye Health Medicaid OOS	$2,430.10
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$6,796.79
Rate for Payer: Managed Health Services Medicaid	$6,796.79
Rate for Payer: MDWise Medicaid	$6,796.79
Rate for Payer: Molina Healthcare of OH Medicare	$2,430.10

INPATIENT APRDRG 2812: MALIGNANCY OF HEPATOBILIARY SYSTEM & PANCREAS

Facility

$12,322.03

Service Code	APR-DRG 2812
Hospital Charge Code	APRDRG 2812
Min. Negotiated Rate	$2,680.19
Max. Negotiated Rate	$12,322.03
Rate for Payer: Buckeye Health Medicaid OOS	$2,680.19
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$12,322.03
Rate for Payer: Managed Health Services Medicaid	$12,322.03
Rate for Payer: MDWise Medicaid	$12,322.03
Rate for Payer: Molina Healthcare of OH Medicare	$2,680.19

INPATIENT APRDRG 2813: MALIGNANCY OF HEPATOBILIARY SYSTEM & PANCREAS

Facility

$14,344.66

Service Code	APR-DRG 2813
Hospital Charge Code	APRDRG 2813
Min. Negotiated Rate	$3,525.24
Max. Negotiated Rate	$14,344.66
Rate for Payer: Buckeye Health Medicaid OOS	$3,525.24
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$14,344.66
Rate for Payer: Managed Health Services Medicaid	$14,344.66
Rate for Payer: MDWise Medicaid	$14,344.66
Rate for Payer: Molina Healthcare of OH Medicare	$3,525.24

INPATIENT APRDRG 2814: MALIGNANCY OF HEPATOBILIARY SYSTEM & PANCREAS

Facility

$26,337.39

Service Code	APR-DRG 2814
Hospital Charge Code	APRDRG 2814
Min. Negotiated Rate	$4,851.24
Max. Negotiated Rate	$26,337.39
Rate for Payer: Buckeye Health Medicaid OOS	$4,851.24
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$26,337.39
Rate for Payer: Managed Health Services Medicaid	$26,337.39
Rate for Payer: MDWise Medicaid	$26,337.39
Rate for Payer: Molina Healthcare of OH Medicare	$4,851.24

INPATIENT APRDRG 2821: DISORDERS OF PANCREAS EXCEPT MALIGNANCY

Facility

$8,215.09

Service Code	APR-DRG 2821
Hospital Charge Code	APRDRG 2821
Min. Negotiated Rate	$1,730.44
Max. Negotiated Rate	$8,215.09
Rate for Payer: Buckeye Health Medicaid OOS	$1,730.44
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$8,215.09
Rate for Payer: Managed Health Services Medicaid	$8,215.09
Rate for Payer: MDWise Medicaid	$8,215.09
Rate for Payer: Molina Healthcare of OH Medicare	$1,730.44

INPATIENT APRDRG 2822: DISORDERS OF PANCREAS EXCEPT MALIGNANCY

Facility

$10,062.60

Service Code	APR-DRG 2822
Hospital Charge Code	APRDRG 2822
Min. Negotiated Rate	$2,018.63
Max. Negotiated Rate	$10,062.60
Rate for Payer: Buckeye Health Medicaid OOS	$2,018.63
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$10,062.60
Rate for Payer: Managed Health Services Medicaid	$10,062.60
Rate for Payer: MDWise Medicaid	$10,062.60
Rate for Payer: Molina Healthcare of OH Medicare	$2,018.63

INPATIENT APRDRG 2823: DISORDERS OF PANCREAS EXCEPT MALIGNANCY

Facility

$16,559.69

Service Code	APR-DRG 2823
Hospital Charge Code	APRDRG 2823
Min. Negotiated Rate	$3,080.78
Max. Negotiated Rate	$16,559.69
Rate for Payer: Buckeye Health Medicaid OOS	$3,080.78
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$16,559.69
Rate for Payer: Managed Health Services Medicaid	$16,559.69
Rate for Payer: MDWise Medicaid	$16,559.69
Rate for Payer: Molina Healthcare of OH Medicare	$3,080.78

INPATIENT APRDRG 2824: DISORDERS OF PANCREAS EXCEPT MALIGNANCY

Facility

$41,825.33

Service Code	APR-DRG 2824
Hospital Charge Code	APRDRG 2824
Min. Negotiated Rate	$6,988.35
Max. Negotiated Rate	$41,825.33
Rate for Payer: Buckeye Health Medicaid OOS	$6,988.35
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$41,825.33
Rate for Payer: Managed Health Services Medicaid	$41,825.33
Rate for Payer: MDWise Medicaid	$41,825.33
Rate for Payer: Molina Healthcare of OH Medicare	$6,988.35

INPATIENT APRDRG 2831: OTHER DISORDERS OF THE LIVER

Facility

$7,631.74

Service Code	APR-DRG 2831
Hospital Charge Code	APRDRG 2831
Min. Negotiated Rate	$1,730.76
Max. Negotiated Rate	$7,631.74
Rate for Payer: Buckeye Health Medicaid OOS	$1,730.76
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$7,631.74
Rate for Payer: Managed Health Services Medicaid	$7,631.74
Rate for Payer: MDWise Medicaid	$7,631.74
Rate for Payer: Molina Healthcare of OH Medicare	$1,730.76

INPATIENT APRDRG 2832: OTHER DISORDERS OF THE LIVER

Facility

$10,594.15

Service Code	APR-DRG 2832
Hospital Charge Code	APRDRG 2832
Min. Negotiated Rate	$2,099.96
Max. Negotiated Rate	$10,594.15
Rate for Payer: Buckeye Health Medicaid OOS	$2,099.96
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$10,594.15
Rate for Payer: Managed Health Services Medicaid	$10,594.15
Rate for Payer: MDWise Medicaid	$10,594.15
Rate for Payer: Molina Healthcare of OH Medicare	$2,099.96

INPATIENT APRDRG 2833: OTHER DISORDERS OF THE LIVER

Facility

$13,857.50

Service Code	APR-DRG 2833
Hospital Charge Code	APRDRG 2833
Min. Negotiated Rate	$3,117.60
Max. Negotiated Rate	$13,857.50
Rate for Payer: Buckeye Health Medicaid OOS	$3,117.60
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$13,857.50
Rate for Payer: Managed Health Services Medicaid	$13,857.50
Rate for Payer: MDWise Medicaid	$13,857.50
Rate for Payer: Molina Healthcare of OH Medicare	$3,117.60

INPATIENT APRDRG 2834: OTHER DISORDERS OF THE LIVER

Facility

$22,173.73

Service Code	APR-DRG 2834
Hospital Charge Code	APRDRG 2834
Min. Negotiated Rate	$6,431.82
Max. Negotiated Rate	$22,173.73
Rate for Payer: Buckeye Health Medicaid OOS	$6,431.82
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$22,173.73
Rate for Payer: Managed Health Services Medicaid	$22,173.73
Rate for Payer: MDWise Medicaid	$22,173.73
Rate for Payer: Molina Healthcare of OH Medicare	$6,431.82

INPATIENT APRDRG 2841: DISORDERS OF GALLBLADDER & BILIARY TRACT

Facility

$11,315.64

Service Code	APR-DRG 2841
Hospital Charge Code	APRDRG 2841
Min. Negotiated Rate	$2,133.59
Max. Negotiated Rate	$11,315.64
Rate for Payer: Buckeye Health Medicaid OOS	$2,133.59
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$11,315.64
Rate for Payer: Managed Health Services Medicaid	$11,315.64
Rate for Payer: MDWise Medicaid	$11,315.64
Rate for Payer: Molina Healthcare of OH Medicare	$2,133.59

INPATIENT APRDRG 2842: DISORDERS OF GALLBLADDER & BILIARY TRACT

Facility

$13,407.34

Service Code	APR-DRG 2842
Hospital Charge Code	APRDRG 2842
Min. Negotiated Rate	$2,509.20
Max. Negotiated Rate	$13,407.34
Rate for Payer: Buckeye Health Medicaid OOS	$2,509.20
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$13,407.34
Rate for Payer: Managed Health Services Medicaid	$13,407.34
Rate for Payer: MDWise Medicaid	$13,407.34
Rate for Payer: Molina Healthcare of OH Medicare	$2,509.20

INPATIENT APRDRG 2843: DISORDERS OF GALLBLADDER & BILIARY TRACT

Facility

$14,829.35

Service Code	APR-DRG 2843
Hospital Charge Code	APRDRG 2843
Min. Negotiated Rate	$3,643.07
Max. Negotiated Rate	$14,829.35
Rate for Payer: Buckeye Health Medicaid OOS	$3,643.07
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$14,829.35
Rate for Payer: Managed Health Services Medicaid	$14,829.35
Rate for Payer: MDWise Medicaid	$14,829.35
Rate for Payer: Molina Healthcare of OH Medicare	$3,643.07

INPATIENT APRDRG 2844: DISORDERS OF GALLBLADDER & BILIARY TRACT

Facility

$21,211.74

Service Code	APR-DRG 2844
Hospital Charge Code	APRDRG 2844
Min. Negotiated Rate	$7,827.95
Max. Negotiated Rate	$21,211.74
Rate for Payer: Buckeye Health Medicaid OOS	$7,827.95
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$21,211.74
Rate for Payer: Managed Health Services Medicaid	$21,211.74
Rate for Payer: MDWise Medicaid	$21,211.74
Rate for Payer: Molina Healthcare of OH Medicare	$7,827.95

Inpatient APRDRG 3011: HIP JOINT REPLACEMENT

Facility

$27,073.68

Service Code	APR-DRG 3011
Hospital Charge Code	APRDRG 3011
Min. Negotiated Rate	$27,073.68
Max. Negotiated Rate	$27,073.68
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$27,073.68
Rate for Payer: Managed Health Services Medicaid	$27,073.68
Rate for Payer: MDWise Medicaid	$27,073.68

Inpatient APRDRG 3012: HIP JOINT REPLACEMENT

Facility

$29,450.27

Service Code	APR-DRG 3012
Hospital Charge Code	APRDRG 3012
Min. Negotiated Rate	$29,450.27
Max. Negotiated Rate	$29,450.27
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$29,450.27
Rate for Payer: Managed Health Services Medicaid	$29,450.27
Rate for Payer: MDWise Medicaid	$29,450.27

Inpatient APRDRG 3013: HIP JOINT REPLACEMENT

Facility

$32,167.26

Service Code	APR-DRG 3013
Hospital Charge Code	APRDRG 3013
Min. Negotiated Rate	$32,167.26
Max. Negotiated Rate	$32,167.26
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$32,167.26
Rate for Payer: Managed Health Services Medicaid	$32,167.26
Rate for Payer: MDWise Medicaid	$32,167.26

Inpatient APRDRG 3014: HIP JOINT REPLACEMENT

Facility

$34,807.78

Service Code	APR-DRG 3014
Hospital Charge Code	APRDRG 3014
Min. Negotiated Rate	$34,807.78
Max. Negotiated Rate	$34,807.78
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$34,807.78
Rate for Payer: Managed Health Services Medicaid	$34,807.78
Rate for Payer: MDWise Medicaid	$34,807.78

Know your out-of-pocket cost for care.

All Charges