Cameron Memorial Community Hospital

All Charges

Charge

Type

Setting

Price

INPATIENT APRDRG 3173: TENDON, MUSCLE & OTHER SOFT TISSUE PROCEDURES

Facility

$26,907.18

Service Code	APR-DRG 3173
Hospital Charge Code	APRDRG 3173
Min. Negotiated Rate	$6,724.49
Max. Negotiated Rate	$26,907.18
Rate for Payer: Buckeye Health Medicaid OOS	$6,724.49
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$26,907.18
Rate for Payer: Managed Health Services Medicaid	$26,907.18
Rate for Payer: MDWise Medicaid	$26,907.18
Rate for Payer: Molina Healthcare of OH Medicare	$6,724.49

INPATIENT APRDRG 3174: TENDON, MUSCLE & OTHER SOFT TISSUE PROCEDURES

Facility

$59,821.82

Service Code	APR-DRG 3174
Hospital Charge Code	APRDRG 3174
Min. Negotiated Rate	$12,653.26
Max. Negotiated Rate	$59,821.82
Rate for Payer: Buckeye Health Medicaid OOS	$12,653.26
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$59,821.82
Rate for Payer: Managed Health Services Medicaid	$59,821.82
Rate for Payer: MDWise Medicaid	$59,821.82
Rate for Payer: Molina Healthcare of OH Medicare	$12,653.26

INPATIENT APRDRG 3201: OTHER MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE PROCEDURES

Facility

$17,941.00

Service Code	APR-DRG 3201
Hospital Charge Code	APRDRG 3201
Min. Negotiated Rate	$3,932.23
Max. Negotiated Rate	$17,941.00
Rate for Payer: Buckeye Health Medicaid OOS	$3,932.23
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$17,941.00
Rate for Payer: Managed Health Services Medicaid	$17,941.00
Rate for Payer: MDWise Medicaid	$17,941.00
Rate for Payer: Molina Healthcare of OH Medicare	$3,932.23

INPATIENT APRDRG 3202: OTHER MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE PROCEDURES

Facility

$23,452.67

Service Code	APR-DRG 3202
Hospital Charge Code	APRDRG 3202
Min. Negotiated Rate	$5,595.10
Max. Negotiated Rate	$23,452.67
Rate for Payer: Buckeye Health Medicaid OOS	$5,595.10
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$23,452.67
Rate for Payer: Managed Health Services Medicaid	$23,452.67
Rate for Payer: MDWise Medicaid	$23,452.67
Rate for Payer: Molina Healthcare of OH Medicare	$5,595.10

INPATIENT APRDRG 3203: OTHER MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE PROCEDURES

Facility

$23,452.67

Service Code	APR-DRG 3203
Hospital Charge Code	APRDRG 3203
Min. Negotiated Rate	$7,793.37
Max. Negotiated Rate	$23,452.67
Rate for Payer: Buckeye Health Medicaid OOS	$7,793.37
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$23,452.67
Rate for Payer: Managed Health Services Medicaid	$23,452.67
Rate for Payer: MDWise Medicaid	$23,452.67
Rate for Payer: Molina Healthcare of OH Medicare	$7,793.37

INPATIENT APRDRG 3204: OTHER MUSCULOSKELETAL SYSTEM & CONNECTIVE TISSUE PROCEDURES

Facility

$37,063.51

Service Code	APR-DRG 3204
Hospital Charge Code	APRDRG 3204
Min. Negotiated Rate	$7,793.37
Max. Negotiated Rate	$37,063.51
Rate for Payer: Buckeye Health Medicaid OOS	$7,793.37
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$37,063.51
Rate for Payer: Managed Health Services Medicaid	$37,063.51
Rate for Payer: MDWise Medicaid	$37,063.51
Rate for Payer: Molina Healthcare of OH Medicare	$7,793.37

INPATIENT APRDRG 3211: CERVICAL SPINAL FUSION & OTHER BACK/NECK PROC EXC DISC EXCIS/DECOMP

Facility

$21,903.63

Service Code	APR-DRG 3211
Hospital Charge Code	APRDRG 3211
Min. Negotiated Rate	$6,181.09
Max. Negotiated Rate	$21,903.63
Rate for Payer: Buckeye Health Medicaid OOS	$6,181.09
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$21,903.63
Rate for Payer: Managed Health Services Medicaid	$21,903.63
Rate for Payer: MDWise Medicaid	$21,903.63
Rate for Payer: Molina Healthcare of OH Medicare	$6,181.09

INPATIENT APRDRG 3212: CERVICAL SPINAL FUSION & OTHER BACK/NECK PROC EXC DISC EXCIS/DECOMP

Facility

$27,911.10

Service Code	APR-DRG 3212
Hospital Charge Code	APRDRG 3212
Min. Negotiated Rate	$7,362.36
Max. Negotiated Rate	$27,911.10
Rate for Payer: Buckeye Health Medicaid OOS	$7,362.36
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$27,911.10
Rate for Payer: Managed Health Services Medicaid	$27,911.10
Rate for Payer: MDWise Medicaid	$27,911.10
Rate for Payer: Molina Healthcare of OH Medicare	$7,362.36

INPATIENT APRDRG 3213: CERVICAL SPINAL FUSION & OTHER BACK/NECK PROC EXC DISC EXCIS/DECOMP

Facility

$42,900.78

Service Code	APR-DRG 3213
Hospital Charge Code	APRDRG 3213
Min. Negotiated Rate	$10,454.35
Max. Negotiated Rate	$42,900.78
Rate for Payer: Buckeye Health Medicaid OOS	$10,454.35
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$42,900.78
Rate for Payer: Managed Health Services Medicaid	$42,900.78
Rate for Payer: MDWise Medicaid	$42,900.78
Rate for Payer: Molina Healthcare of OH Medicare	$10,454.35

INPATIENT APRDRG 3214: CERVICAL SPINAL FUSION & OTHER BACK/NECK PROC EXC DISC EXCIS/DECOMP

Facility

$55,109.34

Service Code	APR-DRG 3214
Hospital Charge Code	APRDRG 3214
Min. Negotiated Rate	$15,362.27
Max. Negotiated Rate	$55,109.34
Rate for Payer: Buckeye Health Medicaid OOS	$15,362.27
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$55,109.34
Rate for Payer: Managed Health Services Medicaid	$55,109.34
Rate for Payer: MDWise Medicaid	$55,109.34
Rate for Payer: Molina Healthcare of OH Medicare	$15,362.27

INPATIENT APRDRG 3221: SHOULDER & ELBOW JOINT REPLACEMENT

Facility

$30,581.22

Service Code	APR-DRG 3221
Hospital Charge Code	APRDRG 3221
Min. Negotiated Rate	$5,685.08
Max. Negotiated Rate	$30,581.22
Rate for Payer: Buckeye Health Medicaid OOS	$5,685.08
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$30,581.22
Rate for Payer: Managed Health Services Medicaid	$30,581.22
Rate for Payer: MDWise Medicaid	$30,581.22
Rate for Payer: Molina Healthcare of OH Medicare	$5,685.08

INPATIENT APRDRG 3222: SHOULDER & ELBOW JOINT REPLACEMENT

Facility

$30,581.22

Service Code	APR-DRG 3222
Hospital Charge Code	APRDRG 3222
Min. Negotiated Rate	$5,964.63
Max. Negotiated Rate	$30,581.22
Rate for Payer: Buckeye Health Medicaid OOS	$5,964.63
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$30,581.22
Rate for Payer: Managed Health Services Medicaid	$30,581.22
Rate for Payer: MDWise Medicaid	$30,581.22
Rate for Payer: Molina Healthcare of OH Medicare	$5,964.63

INPATIENT APRDRG 3223: SHOULDER & ELBOW JOINT REPLACEMENT

Facility

$30,581.22

Service Code	APR-DRG 3223
Hospital Charge Code	APRDRG 3223
Min. Negotiated Rate	$8,237.18
Max. Negotiated Rate	$30,581.22
Rate for Payer: Buckeye Health Medicaid OOS	$8,237.18
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$30,581.22
Rate for Payer: Managed Health Services Medicaid	$30,581.22
Rate for Payer: MDWise Medicaid	$30,581.22
Rate for Payer: Molina Healthcare of OH Medicare	$8,237.18

INPATIENT APRDRG 3224: SHOULDER & ELBOW JOINT REPLACEMENT

Facility

$34,519.18

Service Code	APR-DRG 3224
Hospital Charge Code	APRDRG 3224
Min. Negotiated Rate	$8,237.18
Max. Negotiated Rate	$34,519.18
Rate for Payer: Buckeye Health Medicaid OOS	$8,237.18
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$34,519.18
Rate for Payer: Managed Health Services Medicaid	$34,519.18
Rate for Payer: MDWise Medicaid	$34,519.18
Rate for Payer: Molina Healthcare of OH Medicare	$8,237.18

INPATIENT APRDRG 3231: NON-ELECTIVE OR COMPLEX HIP JOINT REPLACEMENT

Facility

$5,887.13

Service Code	APR-DRG 3231
Hospital Charge Code	APRDRG 3231
Min. Negotiated Rate	$5,887.13
Max. Negotiated Rate	$5,887.13
Rate for Payer: Buckeye Health Medicaid OOS	$5,887.13
Rate for Payer: Molina Healthcare of OH Medicare	$5,887.13

INPATIENT APRDRG 3232: NON-ELECTIVE OR COMPLEX HIP JOINT REPLACEMENT

Facility

$6,259.86

Service Code	APR-DRG 3232
Hospital Charge Code	APRDRG 3232
Min. Negotiated Rate	$6,259.86
Max. Negotiated Rate	$6,259.86
Rate for Payer: Buckeye Health Medicaid OOS	$6,259.86
Rate for Payer: Molina Healthcare of OH Medicare	$6,259.86

INPATIENT APRDRG 3233: NON-ELECTIVE OR COMPLEX HIP JOINT REPLACEMENT

Facility

$7,468.67

Service Code	APR-DRG 3233
Hospital Charge Code	APRDRG 3233
Min. Negotiated Rate	$7,468.67
Max. Negotiated Rate	$7,468.67
Rate for Payer: Buckeye Health Medicaid OOS	$7,468.67
Rate for Payer: Molina Healthcare of OH Medicare	$7,468.67

INPATIENT APRDRG 3234: NON-ELECTIVE OR COMPLEX HIP JOINT REPLACEMENT

Facility

$14,317.41

Service Code	APR-DRG 3234
Hospital Charge Code	APRDRG 3234
Min. Negotiated Rate	$14,317.41
Max. Negotiated Rate	$14,317.41
Rate for Payer: Buckeye Health Medicaid OOS	$14,317.41
Rate for Payer: Molina Healthcare of OH Medicare	$14,317.41

INPATIENT APRDRG 3241: ELECTIVE HIP JOINT REPLACEMENT

Facility

$5,887.13

Service Code	APR-DRG 3241
Hospital Charge Code	APRDRG 3241
Min. Negotiated Rate	$5,887.13
Max. Negotiated Rate	$5,887.13
Rate for Payer: Buckeye Health Medicaid OOS	$5,887.13
Rate for Payer: Molina Healthcare of OH Medicare	$5,887.13

INPATIENT APRDRG 3242: ELECTIVE HIP JOINT REPLACEMENT

Facility

$6,259.86

Service Code	APR-DRG 3242
Hospital Charge Code	APRDRG 3242
Min. Negotiated Rate	$6,259.86
Max. Negotiated Rate	$6,259.86
Rate for Payer: Buckeye Health Medicaid OOS	$6,259.86
Rate for Payer: Molina Healthcare of OH Medicare	$6,259.86

INPATIENT APRDRG 3243: ELECTIVE HIP JOINT REPLACEMENT

Facility

$7,468.67

Service Code	APR-DRG 3243
Hospital Charge Code	APRDRG 3243
Min. Negotiated Rate	$7,468.67
Max. Negotiated Rate	$7,468.67
Rate for Payer: Buckeye Health Medicaid OOS	$7,468.67
Rate for Payer: Molina Healthcare of OH Medicare	$7,468.67

INPATIENT APRDRG 3244: ELECTIVE HIP JOINT REPLACEMENT

Facility

$14,317.41

Service Code	APR-DRG 3244
Hospital Charge Code	APRDRG 3244
Min. Negotiated Rate	$14,317.41
Max. Negotiated Rate	$14,317.41
Rate for Payer: Buckeye Health Medicaid OOS	$14,317.41
Rate for Payer: Molina Healthcare of OH Medicare	$14,317.41

INPATIENT APRDRG 3251: NON-ELECTIVE OR COMPLEX KNEE JOINT REPLACEMENT

Facility

$5,687.32

Service Code	APR-DRG 3251
Hospital Charge Code	APRDRG 3251
Min. Negotiated Rate	$5,687.32
Max. Negotiated Rate	$5,687.32
Rate for Payer: Buckeye Health Medicaid OOS	$5,687.32
Rate for Payer: Molina Healthcare of OH Medicare	$5,687.32

INPATIENT APRDRG 3252: NON-ELECTIVE OR COMPLEX KNEE JOINT REPLACEMENT

Facility

$6,083.43

Service Code	APR-DRG 3252
Hospital Charge Code	APRDRG 3252
Min. Negotiated Rate	$6,083.43
Max. Negotiated Rate	$6,083.43
Rate for Payer: Buckeye Health Medicaid OOS	$6,083.43
Rate for Payer: Molina Healthcare of OH Medicare	$6,083.43

INPATIENT APRDRG 3253: NON-ELECTIVE OR COMPLEX KNEE JOINT REPLACEMENT

Facility

$7,435.69

Service Code	APR-DRG 3253
Hospital Charge Code	APRDRG 3253
Min. Negotiated Rate	$7,435.69
Max. Negotiated Rate	$7,435.69
Rate for Payer: Buckeye Health Medicaid OOS	$7,435.69
Rate for Payer: Molina Healthcare of OH Medicare	$7,435.69

Know your out-of-pocket cost for care.

All Charges