Cameron Memorial Community Hospital

All Charges

Charge

Type

Setting

Price

INPATIENT APRDRG 4271: THYROID DISORDERS

Facility

$5,420.41

Service Code	APR-DRG 4271
Hospital Charge Code	APRDRG 4271
Min. Negotiated Rate	$1,481.95
Max. Negotiated Rate	$5,420.41
Rate for Payer: Buckeye Health Medicaid OOS	$1,481.95
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$5,420.41
Rate for Payer: Managed Health Services Medicaid	$5,420.41
Rate for Payer: MDWise Medicaid	$5,420.41
Rate for Payer: Molina Healthcare of OH Medicare	$1,481.95

INPATIENT APRDRG 4272: THYROID DISORDERS

Facility

$10,053.96

Service Code	APR-DRG 4272
Hospital Charge Code	APRDRG 4272
Min. Negotiated Rate	$1,844.43
Max. Negotiated Rate	$10,053.96
Rate for Payer: Buckeye Health Medicaid OOS	$1,844.43
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$10,053.96
Rate for Payer: Managed Health Services Medicaid	$10,053.96
Rate for Payer: MDWise Medicaid	$10,053.96
Rate for Payer: Molina Healthcare of OH Medicare	$1,844.43

INPATIENT APRDRG 4273: THYROID DISORDERS

Facility

$12,398.49

Service Code	APR-DRG 4273
Hospital Charge Code	APRDRG 4273
Min. Negotiated Rate	$3,304.61
Max. Negotiated Rate	$12,398.49
Rate for Payer: Buckeye Health Medicaid OOS	$3,304.61
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$12,398.49
Rate for Payer: Managed Health Services Medicaid	$12,398.49
Rate for Payer: MDWise Medicaid	$12,398.49
Rate for Payer: Molina Healthcare of OH Medicare	$3,304.61

INPATIENT APRDRG 4274: THYROID DISORDERS

Facility

$13,016.38

Service Code	APR-DRG 4274
Hospital Charge Code	APRDRG 4274
Min. Negotiated Rate	$3,304.61
Max. Negotiated Rate	$13,016.38
Rate for Payer: Buckeye Health Medicaid OOS	$3,304.61
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$13,016.38
Rate for Payer: Managed Health Services Medicaid	$13,016.38
Rate for Payer: MDWise Medicaid	$13,016.38
Rate for Payer: Molina Healthcare of OH Medicare	$3,304.61

INPATIENT APRDRG 4401: KIDNEY TRANSPLANT

Facility

$63,694.42

Service Code	APR-DRG 4401
Hospital Charge Code	APRDRG 4401
Min. Negotiated Rate	$10,516.15
Max. Negotiated Rate	$63,694.42
Rate for Payer: Buckeye Health Medicaid OOS	$10,516.15
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$63,694.42
Rate for Payer: Managed Health Services Medicaid	$63,694.42
Rate for Payer: MDWise Medicaid	$63,694.42
Rate for Payer: Molina Healthcare of OH Medicare	$10,516.15

INPATIENT APRDRG 4402: KIDNEY TRANSPLANT

Facility

$65,233.60

Service Code	APR-DRG 4402
Hospital Charge Code	APRDRG 4402
Min. Negotiated Rate	$10,516.15
Max. Negotiated Rate	$65,233.60
Rate for Payer: Buckeye Health Medicaid OOS	$10,516.15
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$65,233.60
Rate for Payer: Managed Health Services Medicaid	$65,233.60
Rate for Payer: MDWise Medicaid	$65,233.60
Rate for Payer: Molina Healthcare of OH Medicare	$10,516.15

INPATIENT APRDRG 4403: KIDNEY TRANSPLANT

Facility

$75,265.36

Service Code	APR-DRG 4403
Hospital Charge Code	APRDRG 4403
Min. Negotiated Rate	$11,306.12
Max. Negotiated Rate	$75,265.36
Rate for Payer: Buckeye Health Medicaid OOS	$11,306.12
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$75,265.36
Rate for Payer: Managed Health Services Medicaid	$75,265.36
Rate for Payer: MDWise Medicaid	$75,265.36
Rate for Payer: Molina Healthcare of OH Medicare	$11,306.12

INPATIENT APRDRG 4404: KIDNEY TRANSPLANT

Facility

$127,826.67

Service Code	APR-DRG 4404
Hospital Charge Code	APRDRG 4404
Min. Negotiated Rate	$11,306.12
Max. Negotiated Rate	$127,826.67
Rate for Payer: Buckeye Health Medicaid OOS	$11,306.12
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$127,826.67
Rate for Payer: Managed Health Services Medicaid	$127,826.67
Rate for Payer: MDWise Medicaid	$127,826.67
Rate for Payer: Molina Healthcare of OH Medicare	$11,306.12

INPATIENT APRDRG 4411: MAJOR BLADDER PROCEDURES

Facility

$21,918.43

Service Code	APR-DRG 4411
Hospital Charge Code	APRDRG 4411
Min. Negotiated Rate	$8,622.08
Max. Negotiated Rate	$21,918.43
Rate for Payer: Buckeye Health Medicaid OOS	$8,622.08
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$21,918.43
Rate for Payer: Managed Health Services Medicaid	$21,918.43
Rate for Payer: MDWise Medicaid	$21,918.43
Rate for Payer: Molina Healthcare of OH Medicare	$8,622.08

INPATIENT APRDRG 4412: MAJOR BLADDER PROCEDURES

Facility

$24,398.62

Service Code	APR-DRG 4412
Hospital Charge Code	APRDRG 4412
Min. Negotiated Rate	$8,622.08
Max. Negotiated Rate	$24,398.62
Rate for Payer: Buckeye Health Medicaid OOS	$8,622.08
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$24,398.62
Rate for Payer: Managed Health Services Medicaid	$24,398.62
Rate for Payer: MDWise Medicaid	$24,398.62
Rate for Payer: Molina Healthcare of OH Medicare	$8,622.08

INPATIENT APRDRG 4413: MAJOR BLADDER PROCEDURES

Facility

$38,342.45

Service Code	APR-DRG 4413
Hospital Charge Code	APRDRG 4413
Min. Negotiated Rate	$12,698.09
Max. Negotiated Rate	$38,342.45
Rate for Payer: Buckeye Health Medicaid OOS	$12,698.09
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$38,342.45
Rate for Payer: Managed Health Services Medicaid	$38,342.45
Rate for Payer: MDWise Medicaid	$38,342.45
Rate for Payer: Molina Healthcare of OH Medicare	$12,698.09

INPATIENT APRDRG 4414: MAJOR BLADDER PROCEDURES

Facility

$77,734.45

Service Code	APR-DRG 4414
Hospital Charge Code	APRDRG 4414
Min. Negotiated Rate	$12,698.09
Max. Negotiated Rate	$77,734.45
Rate for Payer: Buckeye Health Medicaid OOS	$12,698.09
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$77,734.45
Rate for Payer: Managed Health Services Medicaid	$77,734.45
Rate for Payer: MDWise Medicaid	$77,734.45
Rate for Payer: Molina Healthcare of OH Medicare	$12,698.09

INPATIENT APRDRG 4421: KIDNEY & URINARY TRACT PROCEDURES FOR MALIGNANCY

Facility

$19,054.68

Service Code	APR-DRG 4421
Hospital Charge Code	APRDRG 4421
Min. Negotiated Rate	$4,703.62
Max. Negotiated Rate	$19,054.68
Rate for Payer: Buckeye Health Medicaid OOS	$4,703.62
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$19,054.68
Rate for Payer: Managed Health Services Medicaid	$19,054.68
Rate for Payer: MDWise Medicaid	$19,054.68
Rate for Payer: Molina Healthcare of OH Medicare	$4,703.62

INPATIENT APRDRG 4422: KIDNEY & URINARY TRACT PROCEDURES FOR MALIGNANCY

Facility

$21,862.93

Service Code	APR-DRG 4422
Hospital Charge Code	APRDRG 4422
Min. Negotiated Rate	$5,576.21
Max. Negotiated Rate	$21,862.93
Rate for Payer: Buckeye Health Medicaid OOS	$5,576.21
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$21,862.93
Rate for Payer: Managed Health Services Medicaid	$21,862.93
Rate for Payer: MDWise Medicaid	$21,862.93
Rate for Payer: Molina Healthcare of OH Medicare	$5,576.21

INPATIENT APRDRG 4423: KIDNEY & URINARY TRACT PROCEDURES FOR MALIGNANCY

Facility

$28,138.02

Service Code	APR-DRG 4423
Hospital Charge Code	APRDRG 4423
Min. Negotiated Rate	$9,004.10
Max. Negotiated Rate	$28,138.02
Rate for Payer: Buckeye Health Medicaid OOS	$9,004.10
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$28,138.02
Rate for Payer: Managed Health Services Medicaid	$28,138.02
Rate for Payer: MDWise Medicaid	$28,138.02
Rate for Payer: Molina Healthcare of OH Medicare	$9,004.10

INPATIENT APRDRG 4424: KIDNEY & URINARY TRACT PROCEDURES FOR MALIGNANCY

Facility

$48,194.15

Service Code	APR-DRG 4424
Hospital Charge Code	APRDRG 4424
Min. Negotiated Rate	$9,004.10
Max. Negotiated Rate	$48,194.15
Rate for Payer: Buckeye Health Medicaid OOS	$9,004.10
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$48,194.15
Rate for Payer: Managed Health Services Medicaid	$48,194.15
Rate for Payer: MDWise Medicaid	$48,194.15
Rate for Payer: Molina Healthcare of OH Medicare	$9,004.10

INPATIENT APRDRG 4431: KIDNEY & URINARY TRACT PROCEDURES FOR NONMALIGNANCY

Facility

$12,585.95

Service Code	APR-DRG 4431
Hospital Charge Code	APRDRG 4431
Min. Negotiated Rate	$3,999.79
Max. Negotiated Rate	$12,585.95
Rate for Payer: Buckeye Health Medicaid OOS	$3,999.79
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$12,585.95
Rate for Payer: Managed Health Services Medicaid	$12,585.95
Rate for Payer: MDWise Medicaid	$12,585.95
Rate for Payer: Molina Healthcare of OH Medicare	$3,999.79

INPATIENT APRDRG 4432: KIDNEY & URINARY TRACT PROCEDURES FOR NONMALIGNANCY

Facility

$18,339.36

Service Code	APR-DRG 4432
Hospital Charge Code	APRDRG 4432
Min. Negotiated Rate	$4,537.11
Max. Negotiated Rate	$18,339.36
Rate for Payer: Buckeye Health Medicaid OOS	$4,537.11
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$18,339.36
Rate for Payer: Managed Health Services Medicaid	$18,339.36
Rate for Payer: MDWise Medicaid	$18,339.36
Rate for Payer: Molina Healthcare of OH Medicare	$4,537.11

INPATIENT APRDRG 4433: KIDNEY & URINARY TRACT PROCEDURES FOR NONMALIGNANCY

Facility

$23,921.33

Service Code	APR-DRG 4433
Hospital Charge Code	APRDRG 4433
Min. Negotiated Rate	$7,249.00
Max. Negotiated Rate	$23,921.33
Rate for Payer: Buckeye Health Medicaid OOS	$7,249.00
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$23,921.33
Rate for Payer: Managed Health Services Medicaid	$23,921.33
Rate for Payer: MDWise Medicaid	$23,921.33
Rate for Payer: Molina Healthcare of OH Medicare	$7,249.00

INPATIENT APRDRG 4434: KIDNEY & URINARY TRACT PROCEDURES FOR NONMALIGNANCY

Facility

$39,707.73

Service Code	APR-DRG 4434
Hospital Charge Code	APRDRG 4434
Min. Negotiated Rate	$11,314.76
Max. Negotiated Rate	$39,707.73
Rate for Payer: Buckeye Health Medicaid OOS	$11,314.76
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$39,707.73
Rate for Payer: Managed Health Services Medicaid	$39,707.73
Rate for Payer: MDWise Medicaid	$39,707.73
Rate for Payer: Molina Healthcare of OH Medicare	$11,314.76

INPATIENT APRDRG 4441: RENAL DIALYSIS ACCESS DEVICE AND VESSEL REPAIR

Facility

$18,657.55

Service Code	APR-DRG 4441
Hospital Charge Code	APRDRG 4441
Min. Negotiated Rate	$4,736.93
Max. Negotiated Rate	$18,657.55
Rate for Payer: Buckeye Health Medicaid OOS	$4,736.93
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$18,657.55
Rate for Payer: Managed Health Services Medicaid	$18,657.55
Rate for Payer: MDWise Medicaid	$18,657.55
Rate for Payer: Molina Healthcare of OH Medicare	$4,736.93

INPATIENT APRDRG 4442: RENAL DIALYSIS ACCESS DEVICE AND VESSEL REPAIR

Facility

$20,395.29

Service Code	APR-DRG 4442
Hospital Charge Code	APRDRG 4442
Min. Negotiated Rate	$4,736.93
Max. Negotiated Rate	$20,395.29
Rate for Payer: Buckeye Health Medicaid OOS	$4,736.93
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$20,395.29
Rate for Payer: Managed Health Services Medicaid	$20,395.29
Rate for Payer: MDWise Medicaid	$20,395.29
Rate for Payer: Molina Healthcare of OH Medicare	$4,736.93

INPATIENT APRDRG 4443: RENAL DIALYSIS ACCESS DEVICE AND VESSEL REPAIR

Facility

$31,027.68

Service Code	APR-DRG 4443
Hospital Charge Code	APRDRG 4443
Min. Negotiated Rate	$6,843.29
Max. Negotiated Rate	$31,027.68
Rate for Payer: Buckeye Health Medicaid OOS	$6,843.29
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$31,027.68
Rate for Payer: Managed Health Services Medicaid	$31,027.68
Rate for Payer: MDWise Medicaid	$31,027.68
Rate for Payer: Molina Healthcare of OH Medicare	$6,843.29

INPATIENT APRDRG 4444: RENAL DIALYSIS ACCESS DEVICE AND VESSEL REPAIR

Facility

$39,612.76

Service Code	APR-DRG 4444
Hospital Charge Code	APRDRG 4444
Min. Negotiated Rate	$11,505.93
Max. Negotiated Rate	$39,612.76
Rate for Payer: Buckeye Health Medicaid OOS	$11,505.93
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$39,612.76
Rate for Payer: Managed Health Services Medicaid	$39,612.76
Rate for Payer: MDWise Medicaid	$39,612.76
Rate for Payer: Molina Healthcare of OH Medicare	$11,505.93

INPATIENT APRDRG 4451: OTHER BLADDER PROCEDURES

Facility

$10,871.65

Service Code	APR-DRG 4451
Hospital Charge Code	APRDRG 4451
Min. Negotiated Rate	$2,993.04
Max. Negotiated Rate	$10,871.65
Rate for Payer: Buckeye Health Medicaid OOS	$2,993.04
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$10,871.65
Rate for Payer: Managed Health Services Medicaid	$10,871.65
Rate for Payer: MDWise Medicaid	$10,871.65
Rate for Payer: Molina Healthcare of OH Medicare	$2,993.04

Know your out-of-pocket cost for care.

All Charges