Cameron Memorial Community Hospital

All Charges

Charge

Type

Setting

Price

INPATIENT APRDRG 3254: NON-ELECTIVE OR COMPLEX KNEE JOINT REPLACEMENT

Facility

$12,573.84

Service Code	APR-DRG 3254
Hospital Charge Code	APRDRG 3254
Min. Negotiated Rate	$12,573.84
Max. Negotiated Rate	$12,573.84
Rate for Payer: Buckeye Health Medicaid OOS	$12,573.84
Rate for Payer: Molina Healthcare of OH Medicare	$12,573.84

INPATIENT APRDRG 3261: ELECTIVE KNEE JOINT REPLACEMENT

Facility

$5,687.32

Service Code	APR-DRG 3261
Hospital Charge Code	APRDRG 3261
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 3262: ELECTIVE KNEE JOINT REPLACEMENT

Facility

$6,083.43

Service Code	APR-DRG 3262
Hospital Charge Code	APRDRG 3262
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 3263: ELECTIVE KNEE JOINT REPLACEMENT

Facility

$7,435.69

Service Code	APR-DRG 3263
Hospital Charge Code	APRDRG 3263
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

INPATIENT APRDRG 3264: ELECTIVE KNEE JOINT REPLACEMENT

Facility

$12,573.84

Service Code	APR-DRG 3264
Hospital Charge Code	APRDRG 3264
Min. Negotiated Rate	$12,573.84
Max. Negotiated Rate	$12,573.84
Rate for Payer: Buckeye Health Medicaid OOS	$12,573.84
Rate for Payer: Molina Healthcare of OH Medicare	$12,573.84

INPATIENT APRDRG 3401: FRACTURE OF FEMUR

Facility

$19,113.88

Service Code	APR-DRG 3401
Hospital Charge Code	APRDRG 3401
Min. Negotiated Rate	$1,568.41
Max. Negotiated Rate	$19,113.88
Rate for Payer: Buckeye Health Medicaid OOS	$1,568.41
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$19,113.88
Rate for Payer: Managed Health Services Medicaid	$19,113.88
Rate for Payer: MDWise Medicaid	$19,113.88
Rate for Payer: Molina Healthcare of OH Medicare	$1,568.41

INPATIENT APRDRG 3402: FRACTURE OF FEMUR

Facility

$19,113.88

Service Code	APR-DRG 3402
Hospital Charge Code	APRDRG 3402
Min. Negotiated Rate	$2,072.75
Max. Negotiated Rate	$19,113.88
Rate for Payer: Buckeye Health Medicaid OOS	$2,072.75
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$19,113.88
Rate for Payer: Managed Health Services Medicaid	$19,113.88
Rate for Payer: MDWise Medicaid	$19,113.88
Rate for Payer: Molina Healthcare of OH Medicare	$2,072.75

INPATIENT APRDRG 3403: FRACTURE OF FEMUR

Facility

$19,113.88

Service Code	APR-DRG 3403
Hospital Charge Code	APRDRG 3403
Min. Negotiated Rate	$3,269.06
Max. Negotiated Rate	$19,113.88
Rate for Payer: Buckeye Health Medicaid OOS	$3,269.06
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$19,113.88
Rate for Payer: Managed Health Services Medicaid	$19,113.88
Rate for Payer: MDWise Medicaid	$19,113.88
Rate for Payer: Molina Healthcare of OH Medicare	$3,269.06

INPATIENT APRDRG 3404: FRACTURE OF FEMUR

Facility

$19,113.88

Service Code	APR-DRG 3404
Hospital Charge Code	APRDRG 3404
Min. Negotiated Rate	$3,269.06
Max. Negotiated Rate	$19,113.88
Rate for Payer: Buckeye Health Medicaid OOS	$3,269.06
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$19,113.88
Rate for Payer: Managed Health Services Medicaid	$19,113.88
Rate for Payer: MDWise Medicaid	$19,113.88
Rate for Payer: Molina Healthcare of OH Medicare	$3,269.06

INPATIENT APRDRG 3411: FRACTURE OF PELVIS OR DISLOCATION OF HIP

Facility

$5,208.28

Service Code	APR-DRG 3411
Hospital Charge Code	APRDRG 3411
Min. Negotiated Rate	$1,735.24
Max. Negotiated Rate	$5,208.28
Rate for Payer: Buckeye Health Medicaid OOS	$1,735.24
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$5,208.28
Rate for Payer: Managed Health Services Medicaid	$5,208.28
Rate for Payer: MDWise Medicaid	$5,208.28
Rate for Payer: Molina Healthcare of OH Medicare	$1,735.24

INPATIENT APRDRG 3412: FRACTURE OF PELVIS OR DISLOCATION OF HIP

Facility

$6,003.77

Service Code	APR-DRG 3412
Hospital Charge Code	APRDRG 3412
Min. Negotiated Rate	$1,977.96
Max. Negotiated Rate	$6,003.77
Rate for Payer: Buckeye Health Medicaid OOS	$1,977.96
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$6,003.77
Rate for Payer: Managed Health Services Medicaid	$6,003.77
Rate for Payer: MDWise Medicaid	$6,003.77
Rate for Payer: Molina Healthcare of OH Medicare	$1,977.96

INPATIENT APRDRG 3413: FRACTURE OF PELVIS OR DISLOCATION OF HIP

Facility

$7,767.40

Service Code	APR-DRG 3413
Hospital Charge Code	APRDRG 3413
Min. Negotiated Rate	$2,498.31
Max. Negotiated Rate	$7,767.40
Rate for Payer: Buckeye Health Medicaid OOS	$2,498.31
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$7,767.40
Rate for Payer: Managed Health Services Medicaid	$7,767.40
Rate for Payer: MDWise Medicaid	$7,767.40
Rate for Payer: Molina Healthcare of OH Medicare	$2,498.31

INPATIENT APRDRG 3414: FRACTURE OF PELVIS OR DISLOCATION OF HIP

Facility

$9,840.60

Service Code	APR-DRG 3414
Hospital Charge Code	APRDRG 3414
Min. Negotiated Rate	$2,498.31
Max. Negotiated Rate	$9,840.60
Rate for Payer: Buckeye Health Medicaid OOS	$2,498.31
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$9,840.60
Rate for Payer: Managed Health Services Medicaid	$9,840.60
Rate for Payer: MDWise Medicaid	$9,840.60
Rate for Payer: Molina Healthcare of OH Medicare	$2,498.31

INPATIENT APRDRG 3421: FRACTURES & DISLOCATIONS EXCEPT FEMUR, PELVIS & BACK

Facility

$14,969.95

Service Code	APR-DRG 3421
Hospital Charge Code	APRDRG 3421
Min. Negotiated Rate	$1,770.78
Max. Negotiated Rate	$14,969.95
Rate for Payer: Buckeye Health Medicaid OOS	$1,770.78
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$14,969.95
Rate for Payer: Managed Health Services Medicaid	$14,969.95
Rate for Payer: MDWise Medicaid	$14,969.95
Rate for Payer: Molina Healthcare of OH Medicare	$1,770.78

INPATIENT APRDRG 3422: FRACTURES & DISLOCATIONS EXCEPT FEMUR, PELVIS & BACK

Facility

$14,969.95

Service Code	APR-DRG 3422
Hospital Charge Code	APRDRG 3422
Min. Negotiated Rate	$2,107.33
Max. Negotiated Rate	$14,969.95
Rate for Payer: Buckeye Health Medicaid OOS	$2,107.33
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$14,969.95
Rate for Payer: Managed Health Services Medicaid	$14,969.95
Rate for Payer: MDWise Medicaid	$14,969.95
Rate for Payer: Molina Healthcare of OH Medicare	$2,107.33

INPATIENT APRDRG 3423: FRACTURES & DISLOCATIONS EXCEPT FEMUR, PELVIS & BACK

Facility

$14,969.95

Service Code	APR-DRG 3423
Hospital Charge Code	APRDRG 3423
Min. Negotiated Rate	$3,274.19
Max. Negotiated Rate	$14,969.95
Rate for Payer: Buckeye Health Medicaid OOS	$3,274.19
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$14,969.95
Rate for Payer: Managed Health Services Medicaid	$14,969.95
Rate for Payer: MDWise Medicaid	$14,969.95
Rate for Payer: Molina Healthcare of OH Medicare	$3,274.19

INPATIENT APRDRG 3424: FRACTURES & DISLOCATIONS EXCEPT FEMUR, PELVIS & BACK

Facility

$18,388.69

Service Code	APR-DRG 3424
Hospital Charge Code	APRDRG 3424
Min. Negotiated Rate	$3,274.19
Max. Negotiated Rate	$18,388.69
Rate for Payer: Buckeye Health Medicaid OOS	$3,274.19
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$18,388.69
Rate for Payer: Managed Health Services Medicaid	$18,388.69
Rate for Payer: MDWise Medicaid	$18,388.69
Rate for Payer: Molina Healthcare of OH Medicare	$3,274.19

INPATIENT APRDRG 3431: MUSCULOSKELETAL MALIGNANCY & PATHOL FRACTURE D/T MUSCSKEL MALIG

Facility

$11,408.14

Service Code	APR-DRG 3431
Hospital Charge Code	APRDRG 3431
Min. Negotiated Rate	$2,644.33
Max. Negotiated Rate	$11,408.14
Rate for Payer: Buckeye Health Medicaid OOS	$2,644.33
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$11,408.14
Rate for Payer: Managed Health Services Medicaid	$11,408.14
Rate for Payer: MDWise Medicaid	$11,408.14
Rate for Payer: Molina Healthcare of OH Medicare	$2,644.33

INPATIENT APRDRG 3432: MUSCULOSKELETAL MALIGNANCY & PATHOL FRACTURE D/T MUSCSKEL MALIG

Facility

$11,408.14

Service Code	APR-DRG 3432
Hospital Charge Code	APRDRG 3432
Min. Negotiated Rate	$3,193.49
Max. Negotiated Rate	$11,408.14
Rate for Payer: Buckeye Health Medicaid OOS	$3,193.49
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$11,408.14
Rate for Payer: Managed Health Services Medicaid	$11,408.14
Rate for Payer: MDWise Medicaid	$11,408.14
Rate for Payer: Molina Healthcare of OH Medicare	$3,193.49

INPATIENT APRDRG 3433: MUSCULOSKELETAL MALIGNANCY & PATHOL FRACTURE D/T MUSCSKEL MALIG

Facility

$20,369.39

Service Code	APR-DRG 3433
Hospital Charge Code	APRDRG 3433
Min. Negotiated Rate	$4,317.45
Max. Negotiated Rate	$20,369.39
Rate for Payer: Buckeye Health Medicaid OOS	$4,317.45
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$20,369.39
Rate for Payer: Managed Health Services Medicaid	$20,369.39
Rate for Payer: MDWise Medicaid	$20,369.39
Rate for Payer: Molina Healthcare of OH Medicare	$4,317.45

INPATIENT APRDRG 3434: MUSCULOSKELETAL MALIGNANCY & PATHOL FRACTURE D/T MUSCSKEL MALIG

Facility

$32,330.05

Service Code	APR-DRG 3434
Hospital Charge Code	APRDRG 3434
Min. Negotiated Rate	$8,468.38
Max. Negotiated Rate	$32,330.05
Rate for Payer: Buckeye Health Medicaid OOS	$8,468.38
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$32,330.05
Rate for Payer: Managed Health Services Medicaid	$32,330.05
Rate for Payer: MDWise Medicaid	$32,330.05
Rate for Payer: Molina Healthcare of OH Medicare	$8,468.38

INPATIENT APRDRG 3441: OSTEOMYELITIS, SEPTIC ARTHRITIS & OTHER MUSCULOSKELETAL INFECTIONS

Facility

$12,043.30

Service Code	APR-DRG 3441
Hospital Charge Code	APRDRG 3441
Min. Negotiated Rate	$2,571.32
Max. Negotiated Rate	$12,043.30
Rate for Payer: Buckeye Health Medicaid OOS	$2,571.32
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$12,043.30
Rate for Payer: Managed Health Services Medicaid	$12,043.30
Rate for Payer: MDWise Medicaid	$12,043.30
Rate for Payer: Molina Healthcare of OH Medicare	$2,571.32

INPATIENT APRDRG 3442: OSTEOMYELITIS, SEPTIC ARTHRITIS & OTHER MUSCULOSKELETAL INFECTIONS

Facility

$14,561.72

Service Code	APR-DRG 3442
Hospital Charge Code	APRDRG 3442
Min. Negotiated Rate	$3,145.14
Max. Negotiated Rate	$14,561.72
Rate for Payer: Buckeye Health Medicaid OOS	$3,145.14
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$14,561.72
Rate for Payer: Managed Health Services Medicaid	$14,561.72
Rate for Payer: MDWise Medicaid	$14,561.72
Rate for Payer: Molina Healthcare of OH Medicare	$3,145.14

INPATIENT APRDRG 3443: OSTEOMYELITIS, SEPTIC ARTHRITIS & OTHER MUSCULOSKELETAL INFECTIONS

Facility

$21,697.67

Service Code	APR-DRG 3443
Hospital Charge Code	APRDRG 3443
Min. Negotiated Rate	$4,008.12
Max. Negotiated Rate	$21,697.67
Rate for Payer: Buckeye Health Medicaid OOS	$4,008.12
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$21,697.67
Rate for Payer: Managed Health Services Medicaid	$21,697.67
Rate for Payer: MDWise Medicaid	$21,697.67
Rate for Payer: Molina Healthcare of OH Medicare	$4,008.12

INPATIENT APRDRG 3444: OSTEOMYELITIS, SEPTIC ARTHRITIS & OTHER MUSCULOSKELETAL INFECTIONS

Facility

$37,465.57

Service Code	APR-DRG 3444
Hospital Charge Code	APRDRG 3444
Min. Negotiated Rate	$7,505.50
Max. Negotiated Rate	$37,465.57
Rate for Payer: Buckeye Health Medicaid OOS	$7,505.50
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$37,465.57
Rate for Payer: Managed Health Services Medicaid	$37,465.57
Rate for Payer: MDWise Medicaid	$37,465.57
Rate for Payer: Molina Healthcare of OH Medicare	$7,505.50

Know your out-of-pocket cost for care.

All Charges