Cameron Memorial Community Hospital

All Charges

Charge

Type

Price

INPATIENT APRDRG 4452: OTHER BLADDER PROCEDURES

Facility IP

$11,150.38

Service Code	APR-DRG 4452
Hospital Charge Code	APRDRG 4452
Min. Negotiated Rate	$3,444.86
Max. Negotiated Rate	$11,150.38
Rate for Payer: Buckeye Health Medicaid OOS	$3,444.86
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$11,150.38
Rate for Payer: Managed Health Services Medicaid	$11,150.38
Rate for Payer: MDWise Medicaid	$11,150.38
Rate for Payer: Molina Healthcare of OH Medicare	$3,444.86

INPATIENT APRDRG 4453: OTHER BLADDER PROCEDURES

Facility IP

$19,545.54

Service Code	APR-DRG 4453
Hospital Charge Code	APRDRG 4453
Min. Negotiated Rate	$6,637.08
Max. Negotiated Rate	$19,545.54
Rate for Payer: Buckeye Health Medicaid OOS	$6,637.08
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$19,545.54
Rate for Payer: Managed Health Services Medicaid	$19,545.54
Rate for Payer: MDWise Medicaid	$19,545.54
Rate for Payer: Molina Healthcare of OH Medicare	$6,637.08

INPATIENT APRDRG 4454: OTHER BLADDER PROCEDURES

Facility IP

$26,142.53

Service Code	APR-DRG 4454
Hospital Charge Code	APRDRG 4454
Min. Negotiated Rate	$6,637.08
Max. Negotiated Rate	$26,142.53
Rate for Payer: Buckeye Health Medicaid OOS	$6,637.08
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$26,142.53
Rate for Payer: Managed Health Services Medicaid	$26,142.53
Rate for Payer: MDWise Medicaid	$26,142.53
Rate for Payer: Molina Healthcare of OH Medicare	$6,637.08

INPATIENT APRDRG 4461: URETHRAL & TRANSURETHRAL PROCEDURES

Facility IP

$12,611.85

Service Code	APR-DRG 4461
Hospital Charge Code	APRDRG 4461
Min. Negotiated Rate	$2,257.19
Max. Negotiated Rate	$12,611.85
Rate for Payer: Buckeye Health Medicaid OOS	$2,257.19
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$12,611.85
Rate for Payer: Managed Health Services Medicaid	$12,611.85
Rate for Payer: MDWise Medicaid	$12,611.85
Rate for Payer: Molina Healthcare of OH Medicare	$2,257.19

INPATIENT APRDRG 4462: URETHRAL & TRANSURETHRAL PROCEDURES

Facility IP

$13,514.64

Service Code	APR-DRG 4462
Hospital Charge Code	APRDRG 4462
Min. Negotiated Rate	$2,878.72
Max. Negotiated Rate	$13,514.64
Rate for Payer: Buckeye Health Medicaid OOS	$2,878.72
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$13,514.64
Rate for Payer: Managed Health Services Medicaid	$13,514.64
Rate for Payer: MDWise Medicaid	$13,514.64
Rate for Payer: Molina Healthcare of OH Medicare	$2,878.72

INPATIENT APRDRG 4463: URETHRAL & TRANSURETHRAL PROCEDURES

Facility IP

$15,298.01

Service Code	APR-DRG 4463
Hospital Charge Code	APRDRG 4463
Min. Negotiated Rate	$4,549.28
Max. Negotiated Rate	$15,298.01
Rate for Payer: Buckeye Health Medicaid OOS	$4,549.28
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$15,298.01
Rate for Payer: Managed Health Services Medicaid	$15,298.01
Rate for Payer: MDWise Medicaid	$15,298.01
Rate for Payer: Molina Healthcare of OH Medicare	$4,549.28

INPATIENT APRDRG 4464: URETHRAL & TRANSURETHRAL PROCEDURES

Facility IP

$31,532.10

Service Code	APR-DRG 4464
Hospital Charge Code	APRDRG 4464
Min. Negotiated Rate	$9,463.28
Max. Negotiated Rate	$31,532.10
Rate for Payer: Buckeye Health Medicaid OOS	$9,463.28
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$31,532.10
Rate for Payer: Managed Health Services Medicaid	$31,532.10
Rate for Payer: MDWise Medicaid	$31,532.10
Rate for Payer: Molina Healthcare of OH Medicare	$9,463.28

INPATIENT APRDRG 4471: OTHER KIDNEY, URINARY TRACT & RELATED PROCEDURES

Facility IP

$18,187.66

Service Code	APR-DRG 4471
Hospital Charge Code	APRDRG 4471
Min. Negotiated Rate	$4,722.20
Max. Negotiated Rate	$18,187.66
Rate for Payer: Buckeye Health Medicaid OOS	$4,722.20
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$18,187.66
Rate for Payer: Managed Health Services Medicaid	$18,187.66
Rate for Payer: MDWise Medicaid	$18,187.66
Rate for Payer: Molina Healthcare of OH Medicare	$4,722.20

INPATIENT APRDRG 4472: OTHER KIDNEY, URINARY TRACT & RELATED PROCEDURES

Facility IP

$20,110.39

Service Code	APR-DRG 4472
Hospital Charge Code	APRDRG 4472
Min. Negotiated Rate	$4,722.20
Max. Negotiated Rate	$20,110.39
Rate for Payer: Buckeye Health Medicaid OOS	$4,722.20
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$20,110.39
Rate for Payer: Managed Health Services Medicaid	$20,110.39
Rate for Payer: MDWise Medicaid	$20,110.39
Rate for Payer: Molina Healthcare of OH Medicare	$4,722.20

INPATIENT APRDRG 4473: OTHER KIDNEY, URINARY TRACT & RELATED PROCEDURES

Facility IP

$27,164.94

Service Code	APR-DRG 4473
Hospital Charge Code	APRDRG 4473
Min. Negotiated Rate	$7,802.33
Max. Negotiated Rate	$27,164.94
Rate for Payer: Buckeye Health Medicaid OOS	$7,802.33
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$27,164.94
Rate for Payer: Managed Health Services Medicaid	$27,164.94
Rate for Payer: MDWise Medicaid	$27,164.94
Rate for Payer: Molina Healthcare of OH Medicare	$7,802.33

INPATIENT APRDRG 4474: OTHER KIDNEY, URINARY TRACT & RELATED PROCEDURES

Facility IP

$30,732.91

Service Code	APR-DRG 4474
Hospital Charge Code	APRDRG 4474
Min. Negotiated Rate	$7,802.33
Max. Negotiated Rate	$30,732.91
Rate for Payer: Buckeye Health Medicaid OOS	$7,802.33
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$30,732.91
Rate for Payer: Managed Health Services Medicaid	$30,732.91
Rate for Payer: MDWise Medicaid	$30,732.91
Rate for Payer: Molina Healthcare of OH Medicare	$7,802.33

INPATIENT APRDRG 4611: KIDNEY & URINARY TRACT MALIGNANCY

Facility IP

$11,834.87

Service Code	APR-DRG 4611
Hospital Charge Code	APRDRG 4611
Min. Negotiated Rate	$2,362.22
Max. Negotiated Rate	$11,834.87
Rate for Payer: Buckeye Health Medicaid OOS	$2,362.22
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$11,834.87
Rate for Payer: Managed Health Services Medicaid	$11,834.87
Rate for Payer: MDWise Medicaid	$11,834.87
Rate for Payer: Molina Healthcare of OH Medicare	$2,362.22

INPATIENT APRDRG 4612: KIDNEY & URINARY TRACT MALIGNANCY

Facility IP

$11,834.87

Service Code	APR-DRG 4612
Hospital Charge Code	APRDRG 4612
Min. Negotiated Rate	$2,362.22
Max. Negotiated Rate	$11,834.87
Rate for Payer: Buckeye Health Medicaid OOS	$2,362.22
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$11,834.87
Rate for Payer: Managed Health Services Medicaid	$11,834.87
Rate for Payer: MDWise Medicaid	$11,834.87
Rate for Payer: Molina Healthcare of OH Medicare	$2,362.22

INPATIENT APRDRG 4613: KIDNEY & URINARY TRACT MALIGNANCY

Facility IP

$11,834.87

Service Code	APR-DRG 4613
Hospital Charge Code	APRDRG 4613
Min. Negotiated Rate	$4,221.38
Max. Negotiated Rate	$11,834.87
Rate for Payer: Buckeye Health Medicaid OOS	$4,221.38
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$11,834.87
Rate for Payer: Managed Health Services Medicaid	$11,834.87
Rate for Payer: MDWise Medicaid	$11,834.87
Rate for Payer: Molina Healthcare of OH Medicare	$4,221.38

INPATIENT APRDRG 4614: KIDNEY & URINARY TRACT MALIGNANCY

Facility IP

$18,203.69

Service Code	APR-DRG 4614
Hospital Charge Code	APRDRG 4614
Min. Negotiated Rate	$4,221.38
Max. Negotiated Rate	$18,203.69
Rate for Payer: Buckeye Health Medicaid OOS	$4,221.38
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$18,203.69
Rate for Payer: Managed Health Services Medicaid	$18,203.69
Rate for Payer: MDWise Medicaid	$18,203.69
Rate for Payer: Molina Healthcare of OH Medicare	$4,221.38

INPATIENT APRDRG 4621: NEPHRITIS & NEPHROSIS

Facility IP

$5,871.80

Service Code	APR-DRG 4621
Hospital Charge Code	APRDRG 4621
Min. Negotiated Rate	$2,172.33
Max. Negotiated Rate	$5,871.80
Rate for Payer: Buckeye Health Medicaid OOS	$2,172.33
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$5,871.80
Rate for Payer: Managed Health Services Medicaid	$5,871.80
Rate for Payer: MDWise Medicaid	$5,871.80
Rate for Payer: Molina Healthcare of OH Medicare	$2,172.33

INPATIENT APRDRG 4622: NEPHRITIS & NEPHROSIS

Facility IP

$7,885.80

Service Code	APR-DRG 4622
Hospital Charge Code	APRDRG 4622
Min. Negotiated Rate	$2,438.43
Max. Negotiated Rate	$7,885.80
Rate for Payer: Buckeye Health Medicaid OOS	$2,438.43
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$7,885.80
Rate for Payer: Managed Health Services Medicaid	$7,885.80
Rate for Payer: MDWise Medicaid	$7,885.80
Rate for Payer: Molina Healthcare of OH Medicare	$2,438.43

INPATIENT APRDRG 4623: NEPHRITIS & NEPHROSIS

Facility IP

$13,576.30

Service Code	APR-DRG 4623
Hospital Charge Code	APRDRG 4623
Min. Negotiated Rate	$4,318.73
Max. Negotiated Rate	$13,576.30
Rate for Payer: Buckeye Health Medicaid OOS	$4,318.73
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$13,576.30
Rate for Payer: Managed Health Services Medicaid	$13,576.30
Rate for Payer: MDWise Medicaid	$13,576.30
Rate for Payer: Molina Healthcare of OH Medicare	$4,318.73

INPATIENT APRDRG 4624: NEPHRITIS & NEPHROSIS

Facility IP

$17,011.08

Service Code	APR-DRG 4624
Hospital Charge Code	APRDRG 4624
Min. Negotiated Rate	$4,318.73
Max. Negotiated Rate	$17,011.08
Rate for Payer: Buckeye Health Medicaid OOS	$4,318.73
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$17,011.08
Rate for Payer: Managed Health Services Medicaid	$17,011.08
Rate for Payer: MDWise Medicaid	$17,011.08
Rate for Payer: Molina Healthcare of OH Medicare	$4,318.73

INPATIENT APRDRG 4631: KIDNEY & URINARY TRACT INFECTIONS

Facility IP

$6,484.76

Service Code	APR-DRG 4631
Hospital Charge Code	APRDRG 4631
Min. Negotiated Rate	$1,656.47
Max. Negotiated Rate	$6,484.76
Rate for Payer: Buckeye Health Medicaid OOS	$1,656.47
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$6,484.76
Rate for Payer: Managed Health Services Medicaid	$6,484.76
Rate for Payer: MDWise Medicaid	$6,484.76
Rate for Payer: Molina Healthcare of OH Medicare	$1,656.47

INPATIENT APRDRG 4632: KIDNEY & URINARY TRACT INFECTIONS

Facility IP

$7,875.93

Service Code	APR-DRG 4632
Hospital Charge Code	APRDRG 4632
Min. Negotiated Rate	$1,890.54
Max. Negotiated Rate	$7,875.93
Rate for Payer: Buckeye Health Medicaid OOS	$1,890.54
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$7,875.93
Rate for Payer: Managed Health Services Medicaid	$7,875.93
Rate for Payer: MDWise Medicaid	$7,875.93
Rate for Payer: Molina Healthcare of OH Medicare	$1,890.54

INPATIENT APRDRG 4633: KIDNEY & URINARY TRACT INFECTIONS

Facility IP

$11,882.97

Service Code	APR-DRG 4633
Hospital Charge Code	APRDRG 4633
Min. Negotiated Rate	$2,715.73
Max. Negotiated Rate	$11,882.97
Rate for Payer: Buckeye Health Medicaid OOS	$2,715.73
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$11,882.97
Rate for Payer: Managed Health Services Medicaid	$11,882.97
Rate for Payer: MDWise Medicaid	$11,882.97
Rate for Payer: Molina Healthcare of OH Medicare	$2,715.73

INPATIENT APRDRG 4634: KIDNEY & URINARY TRACT INFECTIONS

Facility IP

$13,818.03

Service Code	APR-DRG 4634
Hospital Charge Code	APRDRG 4634
Min. Negotiated Rate	$5,580.05
Max. Negotiated Rate	$13,818.03
Rate for Payer: Buckeye Health Medicaid OOS	$5,580.05
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$13,818.03
Rate for Payer: Managed Health Services Medicaid	$13,818.03
Rate for Payer: MDWise Medicaid	$13,818.03
Rate for Payer: Molina Healthcare of OH Medicare	$5,580.05

INPATIENT APRDRG 4651: URINARY STONES & ACQUIRED UPPER URINARY TRACT OBSTRUCTION

Facility IP

$8,388.99

Service Code	APR-DRG 4651
Hospital Charge Code	APRDRG 4651
Min. Negotiated Rate	$1,861.08
Max. Negotiated Rate	$8,388.99
Rate for Payer: Buckeye Health Medicaid OOS	$1,861.08
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$8,388.99
Rate for Payer: Managed Health Services Medicaid	$8,388.99
Rate for Payer: MDWise Medicaid	$8,388.99
Rate for Payer: Molina Healthcare of OH Medicare	$1,861.08

INPATIENT APRDRG 4652: URINARY STONES & ACQUIRED UPPER URINARY TRACT OBSTRUCTION

Facility IP

$9,334.94

Service Code	APR-DRG 4652
Hospital Charge Code	APRDRG 4652
Min. Negotiated Rate	$2,027.92
Max. Negotiated Rate	$9,334.94
Rate for Payer: Buckeye Health Medicaid OOS	$2,027.92
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$9,334.94
Rate for Payer: Managed Health Services Medicaid	$9,334.94
Rate for Payer: MDWise Medicaid	$9,334.94
Rate for Payer: Molina Healthcare of OH Medicare	$2,027.92

Price Transparency.

All Charges