Cameron Memorial Community Hospital

All Charges

Charge

Type

Setting

Price

INPATIENT APRDRG 4204: DIABETES

Facility

$23,231.91

Service Code	APR-DRG 4204
Hospital Charge Code	APRDRG 4204
Min. Negotiated Rate	$5,355.90
Max. Negotiated Rate	$23,231.91
Rate for Payer: Buckeye Health Medicaid OOS	$5,355.90
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$23,231.91
Rate for Payer: Managed Health Services Medicaid	$23,231.91
Rate for Payer: MDWise Medicaid	$23,231.91
Rate for Payer: Molina Healthcare of OH Medicare	$5,355.90

INPATIENT APRDRG 4211: MALNUTRITION, FAILURE TO THRIVE & OTHER NUTRITIONAL DISORDERS

Facility

$14,065.93

Service Code	APR-DRG 4211
Hospital Charge Code	APRDRG 4211
Min. Negotiated Rate	$2,246.30
Max. Negotiated Rate	$14,065.93
Rate for Payer: Buckeye Health Medicaid OOS	$2,246.30
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$14,065.93
Rate for Payer: Managed Health Services Medicaid	$14,065.93
Rate for Payer: MDWise Medicaid	$14,065.93
Rate for Payer: Molina Healthcare of OH Medicare	$2,246.30

INPATIENT APRDRG 4212: MALNUTRITION, FAILURE TO THRIVE & OTHER NUTRITIONAL DISORDERS

Facility

$14,065.93

Service Code	APR-DRG 4212
Hospital Charge Code	APRDRG 4212
Min. Negotiated Rate	$3,449.35
Max. Negotiated Rate	$14,065.93
Rate for Payer: Buckeye Health Medicaid OOS	$3,449.35
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$14,065.93
Rate for Payer: Managed Health Services Medicaid	$14,065.93
Rate for Payer: MDWise Medicaid	$14,065.93
Rate for Payer: Molina Healthcare of OH Medicare	$3,449.35

INPATIENT APRDRG 4213: MALNUTRITION, FAILURE TO THRIVE & OTHER NUTRITIONAL DISORDERS

Facility

$14,065.93

Service Code	APR-DRG 4213
Hospital Charge Code	APRDRG 4213
Min. Negotiated Rate	$5,511.52
Max. Negotiated Rate	$14,065.93
Rate for Payer: Buckeye Health Medicaid OOS	$5,511.52
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$14,065.93
Rate for Payer: Managed Health Services Medicaid	$14,065.93
Rate for Payer: MDWise Medicaid	$14,065.93
Rate for Payer: Molina Healthcare of OH Medicare	$5,511.52

INPATIENT APRDRG 4214: MALNUTRITION, FAILURE TO THRIVE & OTHER NUTRITIONAL DISORDERS

Facility

$18,349.22

Service Code	APR-DRG 4214
Hospital Charge Code	APRDRG 4214
Min. Negotiated Rate	$12,418.54
Max. Negotiated Rate	$18,349.22
Rate for Payer: Buckeye Health Medicaid OOS	$12,418.54
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$18,349.22
Rate for Payer: Managed Health Services Medicaid	$18,349.22
Rate for Payer: MDWise Medicaid	$18,349.22
Rate for Payer: Molina Healthcare of OH Medicare	$12,418.54

INPATIENT APRDRG 4221: HYPOVOLEMIA & RELATED ELECTROLYTE DISORDERS

Facility

$4,394.29

Service Code	APR-DRG 4221
Hospital Charge Code	APRDRG 4221
Min. Negotiated Rate	$1,489.64
Max. Negotiated Rate	$4,394.29
Rate for Payer: Buckeye Health Medicaid OOS	$1,489.64
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$4,394.29
Rate for Payer: Managed Health Services Medicaid	$4,394.29
Rate for Payer: MDWise Medicaid	$4,394.29
Rate for Payer: Molina Healthcare of OH Medicare	$1,489.64

INPATIENT APRDRG 4222: HYPOVOLEMIA & RELATED ELECTROLYTE DISORDERS

Facility

$7,255.58

Service Code	APR-DRG 4222
Hospital Charge Code	APRDRG 4222
Min. Negotiated Rate	$1,887.02
Max. Negotiated Rate	$7,255.58
Rate for Payer: Buckeye Health Medicaid OOS	$1,887.02
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$7,255.58
Rate for Payer: Managed Health Services Medicaid	$7,255.58
Rate for Payer: MDWise Medicaid	$7,255.58
Rate for Payer: Molina Healthcare of OH Medicare	$1,887.02

INPATIENT APRDRG 4223: HYPOVOLEMIA & RELATED ELECTROLYTE DISORDERS

Facility

$11,906.40

Service Code	APR-DRG 4223
Hospital Charge Code	APRDRG 4223
Min. Negotiated Rate	$2,798.67
Max. Negotiated Rate	$11,906.40
Rate for Payer: Buckeye Health Medicaid OOS	$2,798.67
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$11,906.40
Rate for Payer: Managed Health Services Medicaid	$11,906.40
Rate for Payer: MDWise Medicaid	$11,906.40
Rate for Payer: Molina Healthcare of OH Medicare	$2,798.67

INPATIENT APRDRG 4224: HYPOVOLEMIA & RELATED ELECTROLYTE DISORDERS

Facility

$15,564.40

Service Code	APR-DRG 4224
Hospital Charge Code	APRDRG 4224
Min. Negotiated Rate	$4,510.85
Max. Negotiated Rate	$15,564.40
Rate for Payer: Buckeye Health Medicaid OOS	$4,510.85
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$15,564.40
Rate for Payer: Managed Health Services Medicaid	$15,564.40
Rate for Payer: MDWise Medicaid	$15,564.40
Rate for Payer: Molina Healthcare of OH Medicare	$4,510.85

INPATIENT APRDRG 4231: INBORN ERRORS OF METABOLISM

Facility

$14,406.32

Service Code	APR-DRG 4231
Hospital Charge Code	APRDRG 4231
Min. Negotiated Rate	$4,859.89
Max. Negotiated Rate	$14,406.32
Rate for Payer: Buckeye Health Medicaid OOS	$4,859.89
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$14,406.32
Rate for Payer: Managed Health Services Medicaid	$14,406.32
Rate for Payer: MDWise Medicaid	$14,406.32
Rate for Payer: Molina Healthcare of OH Medicare	$4,859.89

INPATIENT APRDRG 4232: INBORN ERRORS OF METABOLISM

Facility

$14,406.32

Service Code	APR-DRG 4232
Hospital Charge Code	APRDRG 4232
Min. Negotiated Rate	$4,859.89
Max. Negotiated Rate	$14,406.32
Rate for Payer: Buckeye Health Medicaid OOS	$4,859.89
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$14,406.32
Rate for Payer: Managed Health Services Medicaid	$14,406.32
Rate for Payer: MDWise Medicaid	$14,406.32
Rate for Payer: Molina Healthcare of OH Medicare	$4,859.89

INPATIENT APRDRG 4233: INBORN ERRORS OF METABOLISM

Facility

$14,406.32

Service Code	APR-DRG 4233
Hospital Charge Code	APRDRG 4233
Min. Negotiated Rate	$4,859.89
Max. Negotiated Rate	$14,406.32
Rate for Payer: Buckeye Health Medicaid OOS	$4,859.89
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$14,406.32
Rate for Payer: Managed Health Services Medicaid	$14,406.32
Rate for Payer: MDWise Medicaid	$14,406.32
Rate for Payer: Molina Healthcare of OH Medicare	$4,859.89

INPATIENT APRDRG 4234: INBORN ERRORS OF METABOLISM

Facility

$19,142.24

Service Code	APR-DRG 4234
Hospital Charge Code	APRDRG 4234
Min. Negotiated Rate	$4,859.89
Max. Negotiated Rate	$19,142.24
Rate for Payer: Buckeye Health Medicaid OOS	$4,859.89
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$19,142.24
Rate for Payer: Managed Health Services Medicaid	$19,142.24
Rate for Payer: MDWise Medicaid	$19,142.24
Rate for Payer: Molina Healthcare of OH Medicare	$4,859.89

INPATIENT APRDRG 4241: OTHER ENDOCRINE DISORDERS

Facility

$9,782.63

Service Code	APR-DRG 4241
Hospital Charge Code	APRDRG 4241
Min. Negotiated Rate	$1,773.67
Max. Negotiated Rate	$9,782.63
Rate for Payer: Buckeye Health Medicaid OOS	$1,773.67
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$9,782.63
Rate for Payer: Managed Health Services Medicaid	$9,782.63
Rate for Payer: MDWise Medicaid	$9,782.63
Rate for Payer: Molina Healthcare of OH Medicare	$1,773.67

INPATIENT APRDRG 4242: OTHER ENDOCRINE DISORDERS

Facility

$11,250.28

Service Code	APR-DRG 4242
Hospital Charge Code	APRDRG 4242
Min. Negotiated Rate	$2,039.76
Max. Negotiated Rate	$11,250.28
Rate for Payer: Buckeye Health Medicaid OOS	$2,039.76
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$11,250.28
Rate for Payer: Managed Health Services Medicaid	$11,250.28
Rate for Payer: MDWise Medicaid	$11,250.28
Rate for Payer: Molina Healthcare of OH Medicare	$2,039.76

INPATIENT APRDRG 4243: OTHER ENDOCRINE DISORDERS

Facility

$18,704.42

Service Code	APR-DRG 4243
Hospital Charge Code	APRDRG 4243
Min. Negotiated Rate	$4,487.16
Max. Negotiated Rate	$18,704.42
Rate for Payer: Buckeye Health Medicaid OOS	$4,487.16
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$18,704.42
Rate for Payer: Managed Health Services Medicaid	$18,704.42
Rate for Payer: MDWise Medicaid	$18,704.42
Rate for Payer: Molina Healthcare of OH Medicare	$4,487.16

INPATIENT APRDRG 4244: OTHER ENDOCRINE DISORDERS

Facility

$19,588.70

Service Code	APR-DRG 4244
Hospital Charge Code	APRDRG 4244
Min. Negotiated Rate	$4,487.16
Max. Negotiated Rate	$19,588.70
Rate for Payer: Buckeye Health Medicaid OOS	$4,487.16
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$19,588.70
Rate for Payer: Managed Health Services Medicaid	$19,588.70
Rate for Payer: MDWise Medicaid	$19,588.70
Rate for Payer: Molina Healthcare of OH Medicare	$4,487.16

INPATIENT APRDRG 4251: OTHER NON-HYPOVOLEMIC ELECTROLYTE DISORDERS

Facility

$6,054.33

Service Code	APR-DRG 4251
Hospital Charge Code	APRDRG 4251
Min. Negotiated Rate	$1,610.04
Max. Negotiated Rate	$6,054.33
Rate for Payer: Buckeye Health Medicaid OOS	$1,610.04
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$6,054.33
Rate for Payer: Managed Health Services Medicaid	$6,054.33
Rate for Payer: MDWise Medicaid	$6,054.33
Rate for Payer: Molina Healthcare of OH Medicare	$1,610.04

INPATIENT APRDRG 4252: OTHER NON-HYPOVOLEMIC ELECTROLYTE DISORDERS

Facility

$6,153.00

Service Code	APR-DRG 4252
Hospital Charge Code	APRDRG 4252
Min. Negotiated Rate	$1,822.34
Max. Negotiated Rate	$6,153.00
Rate for Payer: Buckeye Health Medicaid OOS	$1,822.34
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$6,153.00
Rate for Payer: Managed Health Services Medicaid	$6,153.00
Rate for Payer: MDWise Medicaid	$6,153.00
Rate for Payer: Molina Healthcare of OH Medicare	$1,822.34

INPATIENT APRDRG 4253: OTHER NON-HYPOVOLEMIC ELECTROLYTE DISORDERS

Facility

$9,996.00

Service Code	APR-DRG 4253
Hospital Charge Code	APRDRG 4253
Min. Negotiated Rate	$2,678.27
Max. Negotiated Rate	$9,996.00
Rate for Payer: Buckeye Health Medicaid OOS	$2,678.27
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$9,996.00
Rate for Payer: Managed Health Services Medicaid	$9,996.00
Rate for Payer: MDWise Medicaid	$9,996.00
Rate for Payer: Molina Healthcare of OH Medicare	$2,678.27

INPATIENT APRDRG 4254: OTHER NON-HYPOVOLEMIC ELECTROLYTE DISORDERS

Facility

$15,669.24

Service Code	APR-DRG 4254
Hospital Charge Code	APRDRG 4254
Min. Negotiated Rate	$5,210.84
Max. Negotiated Rate	$15,669.24
Rate for Payer: Buckeye Health Medicaid OOS	$5,210.84
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$15,669.24
Rate for Payer: Managed Health Services Medicaid	$15,669.24
Rate for Payer: MDWise Medicaid	$15,669.24
Rate for Payer: Molina Healthcare of OH Medicare	$5,210.84

INPATIENT APRDRG 4261: NON-HYPOVOLEMIC SODIUM DISORDERS

Facility

$8,185.50

Service Code	APR-DRG 4261
Hospital Charge Code	APRDRG 4261
Min. Negotiated Rate	$1,723.07
Max. Negotiated Rate	$8,185.50
Rate for Payer: Buckeye Health Medicaid OOS	$1,723.07
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$8,185.50
Rate for Payer: Managed Health Services Medicaid	$8,185.50
Rate for Payer: MDWise Medicaid	$8,185.50
Rate for Payer: Molina Healthcare of OH Medicare	$1,723.07

INPATIENT APRDRG 4262: NON-HYPOVOLEMIC SODIUM DISORDERS

Facility

$8,185.50

Service Code	APR-DRG 4262
Hospital Charge Code	APRDRG 4262
Min. Negotiated Rate	$1,886.70
Max. Negotiated Rate	$8,185.50
Rate for Payer: Buckeye Health Medicaid OOS	$1,886.70
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$8,185.50
Rate for Payer: Managed Health Services Medicaid	$8,185.50
Rate for Payer: MDWise Medicaid	$8,185.50
Rate for Payer: Molina Healthcare of OH Medicare	$1,886.70

INPATIENT APRDRG 4263: NON-HYPOVOLEMIC SODIUM DISORDERS

Facility

$13,393.77

Service Code	APR-DRG 4263
Hospital Charge Code	APRDRG 4263
Min. Negotiated Rate	$2,970.31
Max. Negotiated Rate	$13,393.77
Rate for Payer: Buckeye Health Medicaid OOS	$2,970.31
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$13,393.77
Rate for Payer: Managed Health Services Medicaid	$13,393.77
Rate for Payer: MDWise Medicaid	$13,393.77
Rate for Payer: Molina Healthcare of OH Medicare	$2,970.31

INPATIENT APRDRG 4264: NON-HYPOVOLEMIC SODIUM DISORDERS

Facility

$18,616.85

Service Code	APR-DRG 4264
Hospital Charge Code	APRDRG 4264
Min. Negotiated Rate	$6,923.99
Max. Negotiated Rate	$18,616.85
Rate for Payer: Buckeye Health Medicaid OOS	$6,923.99
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$18,616.85
Rate for Payer: Managed Health Services Medicaid	$18,616.85
Rate for Payer: MDWise Medicaid	$18,616.85
Rate for Payer: Molina Healthcare of OH Medicare	$6,923.99

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