Cameron Memorial Community Hospital

All Charges

Charge

Type

Setting

Price

INPATIENT APRDRG 3632: BREAST PROCEDURES EXCEPT MASTECTOMY

Facility

$27,552.20

Service Code	APR-DRG 3632
Hospital Charge Code	APRDRG 3632
Min. Negotiated Rate	$5,792.99
Max. Negotiated Rate	$27,552.20
Rate for Payer: Buckeye Health Medicaid OOS	$5,792.99
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$27,552.20
Rate for Payer: Managed Health Services Medicaid	$27,552.20
Rate for Payer: MDWise Medicaid	$27,552.20
Rate for Payer: Molina Healthcare of OH Medicare	$5,792.99

INPATIENT APRDRG 3633: BREAST PROCEDURES EXCEPT MASTECTOMY

Facility

$33,209.41

Service Code	APR-DRG 3633
Hospital Charge Code	APRDRG 3633
Min. Negotiated Rate	$9,645.17
Max. Negotiated Rate	$33,209.41
Rate for Payer: Buckeye Health Medicaid OOS	$9,645.17
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$33,209.41
Rate for Payer: Managed Health Services Medicaid	$33,209.41
Rate for Payer: MDWise Medicaid	$33,209.41
Rate for Payer: Molina Healthcare of OH Medicare	$9,645.17

INPATIENT APRDRG 3634: BREAST PROCEDURES EXCEPT MASTECTOMY

Facility

$37,990.96

Service Code	APR-DRG 3634
Hospital Charge Code	APRDRG 3634
Min. Negotiated Rate	$9,645.17
Max. Negotiated Rate	$37,990.96
Rate for Payer: Buckeye Health Medicaid OOS	$9,645.17
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$37,990.96
Rate for Payer: Managed Health Services Medicaid	$37,990.96
Rate for Payer: MDWise Medicaid	$37,990.96
Rate for Payer: Molina Healthcare of OH Medicare	$9,645.17

INPATIENT APRDRG 3641: OTHER SKIN, SUBCUTANEOUS TISSUE & RELATED PROCEDURES

Facility

$11,184.91

Service Code	APR-DRG 3641
Hospital Charge Code	APRDRG 3641
Min. Negotiated Rate	$2,439.07
Max. Negotiated Rate	$11,184.91
Rate for Payer: Buckeye Health Medicaid OOS	$2,439.07
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$11,184.91
Rate for Payer: Managed Health Services Medicaid	$11,184.91
Rate for Payer: MDWise Medicaid	$11,184.91
Rate for Payer: Molina Healthcare of OH Medicare	$2,439.07

INPATIENT APRDRG 3642: OTHER SKIN, SUBCUTANEOUS TISSUE & RELATED PROCEDURES

Facility

$16,599.15

Service Code	APR-DRG 3642
Hospital Charge Code	APRDRG 3642
Min. Negotiated Rate	$3,176.20
Max. Negotiated Rate	$16,599.15
Rate for Payer: Buckeye Health Medicaid OOS	$3,176.20
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$16,599.15
Rate for Payer: Managed Health Services Medicaid	$16,599.15
Rate for Payer: MDWise Medicaid	$16,599.15
Rate for Payer: Molina Healthcare of OH Medicare	$3,176.20

INPATIENT APRDRG 3643: OTHER SKIN, SUBCUTANEOUS TISSUE & RELATED PROCEDURES

Facility

$23,522.97

Service Code	APR-DRG 3643
Hospital Charge Code	APRDRG 3643
Min. Negotiated Rate	$5,005.27
Max. Negotiated Rate	$23,522.97
Rate for Payer: Buckeye Health Medicaid OOS	$5,005.27
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$23,522.97
Rate for Payer: Managed Health Services Medicaid	$23,522.97
Rate for Payer: MDWise Medicaid	$23,522.97
Rate for Payer: Molina Healthcare of OH Medicare	$5,005.27

INPATIENT APRDRG 3644: OTHER SKIN, SUBCUTANEOUS TISSUE & RELATED PROCEDURES

Facility

$35,705.63

Service Code	APR-DRG 3644
Hospital Charge Code	APRDRG 3644
Min. Negotiated Rate	$8,479.91
Max. Negotiated Rate	$35,705.63
Rate for Payer: Buckeye Health Medicaid OOS	$8,479.91
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$35,705.63
Rate for Payer: Managed Health Services Medicaid	$35,705.63
Rate for Payer: MDWise Medicaid	$35,705.63
Rate for Payer: Molina Healthcare of OH Medicare	$8,479.91

INPATIENT APRDRG 3801: SKIN ULCERS

Facility

$5,252.68

Service Code	APR-DRG 3801
Hospital Charge Code	APRDRG 3801
Min. Negotiated Rate	$2,151.84
Max. Negotiated Rate	$5,252.68
Rate for Payer: Buckeye Health Medicaid OOS	$2,151.84
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$5,252.68
Rate for Payer: Managed Health Services Medicaid	$5,252.68
Rate for Payer: MDWise Medicaid	$5,252.68
Rate for Payer: Molina Healthcare of OH Medicare	$2,151.84

INPATIENT APRDRG 3802: SKIN ULCERS

Facility

$10,708.85

Service Code	APR-DRG 3802
Hospital Charge Code	APRDRG 3802
Min. Negotiated Rate	$2,177.78
Max. Negotiated Rate	$10,708.85
Rate for Payer: Buckeye Health Medicaid OOS	$2,177.78
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$10,708.85
Rate for Payer: Managed Health Services Medicaid	$10,708.85
Rate for Payer: MDWise Medicaid	$10,708.85
Rate for Payer: Molina Healthcare of OH Medicare	$2,177.78

INPATIENT APRDRG 3803: SKIN ULCERS

Facility

$17,325.57

Service Code	APR-DRG 3803
Hospital Charge Code	APRDRG 3803
Min. Negotiated Rate	$3,196.38
Max. Negotiated Rate	$17,325.57
Rate for Payer: Buckeye Health Medicaid OOS	$3,196.38
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$17,325.57
Rate for Payer: Managed Health Services Medicaid	$17,325.57
Rate for Payer: MDWise Medicaid	$17,325.57
Rate for Payer: Molina Healthcare of OH Medicare	$3,196.38

INPATIENT APRDRG 3804: SKIN ULCERS

Facility

$17,550.04

Service Code	APR-DRG 3804
Hospital Charge Code	APRDRG 3804
Min. Negotiated Rate	$6,762.92
Max. Negotiated Rate	$17,550.04
Rate for Payer: Buckeye Health Medicaid OOS	$6,762.92
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$17,550.04
Rate for Payer: Managed Health Services Medicaid	$17,550.04
Rate for Payer: MDWise Medicaid	$17,550.04
Rate for Payer: Molina Healthcare of OH Medicare	$6,762.92

INPATIENT APRDRG 3811: MAJOR SKIN DISORDERS

Facility

$4,449.79

Service Code	APR-DRG 3811
Hospital Charge Code	APRDRG 3811
Min. Negotiated Rate	$1,988.53
Max. Negotiated Rate	$4,449.79
Rate for Payer: Buckeye Health Medicaid OOS	$1,988.53
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$4,449.79
Rate for Payer: Managed Health Services Medicaid	$4,449.79
Rate for Payer: MDWise Medicaid	$4,449.79
Rate for Payer: Molina Healthcare of OH Medicare	$1,988.53

INPATIENT APRDRG 3812: MAJOR SKIN DISORDERS

Facility

$7,465.24

Service Code	APR-DRG 3812
Hospital Charge Code	APRDRG 3812
Min. Negotiated Rate	$2,548.90
Max. Negotiated Rate	$7,465.24
Rate for Payer: Buckeye Health Medicaid OOS	$2,548.90
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$7,465.24
Rate for Payer: Managed Health Services Medicaid	$7,465.24
Rate for Payer: MDWise Medicaid	$7,465.24
Rate for Payer: Molina Healthcare of OH Medicare	$2,548.90

INPATIENT APRDRG 3813: MAJOR SKIN DISORDERS

Facility

$11,990.26

Service Code	APR-DRG 3813
Hospital Charge Code	APRDRG 3813
Min. Negotiated Rate	$3,684.70
Max. Negotiated Rate	$11,990.26
Rate for Payer: Buckeye Health Medicaid OOS	$3,684.70
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$11,990.26
Rate for Payer: Managed Health Services Medicaid	$11,990.26
Rate for Payer: MDWise Medicaid	$11,990.26
Rate for Payer: Molina Healthcare of OH Medicare	$3,684.70

INPATIENT APRDRG 3814: MAJOR SKIN DISORDERS

Facility

$14,513.62

Service Code	APR-DRG 3814
Hospital Charge Code	APRDRG 3814
Min. Negotiated Rate	$3,684.70
Max. Negotiated Rate	$14,513.62
Rate for Payer: Buckeye Health Medicaid OOS	$3,684.70
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$14,513.62
Rate for Payer: Managed Health Services Medicaid	$14,513.62
Rate for Payer: MDWise Medicaid	$14,513.62
Rate for Payer: Molina Healthcare of OH Medicare	$3,684.70

INPATIENT APRDRG 3821: MALIGNANT BREAST DISORDERS

Facility

$11,607.94

Service Code	APR-DRG 3821
Hospital Charge Code	APRDRG 3821
Min. Negotiated Rate	$3,530.68
Max. Negotiated Rate	$11,607.94
Rate for Payer: Buckeye Health Medicaid OOS	$3,530.68
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$11,607.94
Rate for Payer: Managed Health Services Medicaid	$11,607.94
Rate for Payer: MDWise Medicaid	$11,607.94
Rate for Payer: Molina Healthcare of OH Medicare	$3,530.68

INPATIENT APRDRG 3822: MALIGNANT BREAST DISORDERS

Facility

$11,607.94

Service Code	APR-DRG 3822
Hospital Charge Code	APRDRG 3822
Min. Negotiated Rate	$3,530.68
Max. Negotiated Rate	$11,607.94
Rate for Payer: Buckeye Health Medicaid OOS	$3,530.68
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$11,607.94
Rate for Payer: Managed Health Services Medicaid	$11,607.94
Rate for Payer: MDWise Medicaid	$11,607.94
Rate for Payer: Molina Healthcare of OH Medicare	$3,530.68

INPATIENT APRDRG 3823: MALIGNANT BREAST DISORDERS

Facility

$11,607.94

Service Code	APR-DRG 3823
Hospital Charge Code	APRDRG 3823
Min. Negotiated Rate	$3,530.68
Max. Negotiated Rate	$11,607.94
Rate for Payer: Buckeye Health Medicaid OOS	$3,530.68
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$11,607.94
Rate for Payer: Managed Health Services Medicaid	$11,607.94
Rate for Payer: MDWise Medicaid	$11,607.94
Rate for Payer: Molina Healthcare of OH Medicare	$3,530.68

INPATIENT APRDRG 3824: MALIGNANT BREAST DISORDERS

Facility

$16,847.05

Service Code	APR-DRG 3824
Hospital Charge Code	APRDRG 3824
Min. Negotiated Rate	$3,530.68
Max. Negotiated Rate	$16,847.05
Rate for Payer: Buckeye Health Medicaid OOS	$3,530.68
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$16,847.05
Rate for Payer: Managed Health Services Medicaid	$16,847.05
Rate for Payer: MDWise Medicaid	$16,847.05
Rate for Payer: Molina Healthcare of OH Medicare	$3,530.68

INPATIENT APRDRG 3831: CELLULITIS & OTHER SKIN INFECTIONS

Facility

$7,665.04

Service Code	APR-DRG 3831
Hospital Charge Code	APRDRG 3831
Min. Negotiated Rate	$1,817.21
Max. Negotiated Rate	$7,665.04
Rate for Payer: Buckeye Health Medicaid OOS	$1,817.21
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$7,665.04
Rate for Payer: Managed Health Services Medicaid	$7,665.04
Rate for Payer: MDWise Medicaid	$7,665.04
Rate for Payer: Molina Healthcare of OH Medicare	$1,817.21

INPATIENT APRDRG 3832: CELLULITIS & OTHER SKIN INFECTIONS

Facility

$10,089.73

Service Code	APR-DRG 3832
Hospital Charge Code	APRDRG 3832
Min. Negotiated Rate	$2,049.69
Max. Negotiated Rate	$10,089.73
Rate for Payer: Buckeye Health Medicaid OOS	$2,049.69
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$10,089.73
Rate for Payer: Managed Health Services Medicaid	$10,089.73
Rate for Payer: MDWise Medicaid	$10,089.73
Rate for Payer: Molina Healthcare of OH Medicare	$2,049.69

INPATIENT APRDRG 3833: CELLULITIS & OTHER SKIN INFECTIONS

Facility

$14,037.56

Service Code	APR-DRG 3833
Hospital Charge Code	APRDRG 3833
Min. Negotiated Rate	$2,998.16
Max. Negotiated Rate	$14,037.56
Rate for Payer: Buckeye Health Medicaid OOS	$2,998.16
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$14,037.56
Rate for Payer: Managed Health Services Medicaid	$14,037.56
Rate for Payer: MDWise Medicaid	$14,037.56
Rate for Payer: Molina Healthcare of OH Medicare	$2,998.16

INPATIENT APRDRG 3834: CELLULITIS & OTHER SKIN INFECTIONS

Facility

$16,854.45

Service Code	APR-DRG 3834
Hospital Charge Code	APRDRG 3834
Min. Negotiated Rate	$5,520.17
Max. Negotiated Rate	$16,854.45
Rate for Payer: Buckeye Health Medicaid OOS	$5,520.17
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$16,854.45
Rate for Payer: Managed Health Services Medicaid	$16,854.45
Rate for Payer: MDWise Medicaid	$16,854.45
Rate for Payer: Molina Healthcare of OH Medicare	$5,520.17

INPATIENT APRDRG 3841: CONTUSION, OPEN WOUND & OTHER TRAUMA TO SKIN & SUBCUTANEOUS TISSUE

Facility

$8,671.42

Service Code	APR-DRG 3841
Hospital Charge Code	APRDRG 3841
Min. Negotiated Rate	$1,598.19
Max. Negotiated Rate	$8,671.42
Rate for Payer: Buckeye Health Medicaid OOS	$1,598.19
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$8,671.42
Rate for Payer: Managed Health Services Medicaid	$8,671.42
Rate for Payer: MDWise Medicaid	$8,671.42
Rate for Payer: Molina Healthcare of OH Medicare	$1,598.19

INPATIENT APRDRG 3842: CONTUSION, OPEN WOUND & OTHER TRAUMA TO SKIN & SUBCUTANEOUS TISSUE

Facility

$10,267.33

Service Code	APR-DRG 3842
Hospital Charge Code	APRDRG 3842
Min. Negotiated Rate	$1,827.78
Max. Negotiated Rate	$10,267.33
Rate for Payer: Buckeye Health Medicaid OOS	$1,827.78
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$10,267.33
Rate for Payer: Managed Health Services Medicaid	$10,267.33
Rate for Payer: MDWise Medicaid	$10,267.33
Rate for Payer: Molina Healthcare of OH Medicare	$1,827.78

Know your out-of-pocket cost for care.

All Charges