Cameron Memorial Community Hospital

All Charges

Charge

Type

Setting

Price

INPATIENT APRDRG 4824: TRANSURETHRAL PROSTATECTOMY

Facility

$14,935.41

Service Code	APR-DRG 4824
Hospital Charge Code	APRDRG 4824
Min. Negotiated Rate	$3,361.29
Max. Negotiated Rate	$14,935.41
Rate for Payer: Buckeye Health Medicaid OOS	$3,361.29
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$14,935.41
Rate for Payer: Managed Health Services Medicaid	$14,935.41
Rate for Payer: MDWise Medicaid	$14,935.41
Rate for Payer: Molina Healthcare of OH Medicare	$3,361.29

INPATIENT APRDRG 4831: PENIS, TESTES & SCROTAL PROCEDURES

Facility

$13,565.20

Service Code	APR-DRG 4831
Hospital Charge Code	APRDRG 4831
Min. Negotiated Rate	$2,662.26
Max. Negotiated Rate	$13,565.20
Rate for Payer: Buckeye Health Medicaid OOS	$2,662.26
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$13,565.20
Rate for Payer: Managed Health Services Medicaid	$13,565.20
Rate for Payer: MDWise Medicaid	$13,565.20
Rate for Payer: Molina Healthcare of OH Medicare	$2,662.26

INPATIENT APRDRG 4832: PENIS, TESTES & SCROTAL PROCEDURES

Facility

$15,653.20

Service Code	APR-DRG 4832
Hospital Charge Code	APRDRG 4832
Min. Negotiated Rate	$3,457.03
Max. Negotiated Rate	$15,653.20
Rate for Payer: Buckeye Health Medicaid OOS	$3,457.03
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$15,653.20
Rate for Payer: Managed Health Services Medicaid	$15,653.20
Rate for Payer: MDWise Medicaid	$15,653.20
Rate for Payer: Molina Healthcare of OH Medicare	$3,457.03

INPATIENT APRDRG 4833: PENIS, TESTES & SCROTAL PROCEDURES

Facility

$20,781.32

Service Code	APR-DRG 4833
Hospital Charge Code	APRDRG 4833
Min. Negotiated Rate	$6,854.18
Max. Negotiated Rate	$20,781.32
Rate for Payer: Buckeye Health Medicaid OOS	$6,854.18
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$20,781.32
Rate for Payer: Managed Health Services Medicaid	$20,781.32
Rate for Payer: MDWise Medicaid	$20,781.32
Rate for Payer: Molina Healthcare of OH Medicare	$6,854.18

INPATIENT APRDRG 4834: PENIS, TESTES & SCROTAL PROCEDURES

Facility

$26,997.21

Service Code	APR-DRG 4834
Hospital Charge Code	APRDRG 4834
Min. Negotiated Rate	$6,854.18
Max. Negotiated Rate	$26,997.21
Rate for Payer: Buckeye Health Medicaid OOS	$6,854.18
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$26,997.21
Rate for Payer: Managed Health Services Medicaid	$26,997.21
Rate for Payer: MDWise Medicaid	$26,997.21
Rate for Payer: Molina Healthcare of OH Medicare	$6,854.18

INPATIENT APRDRG 4841: OTHER MALE REPRODUCTIVE SYSTEM & RELATED PROCEDURES

Facility

$11,226.84

Service Code	APR-DRG 4841
Hospital Charge Code	APRDRG 4841
Min. Negotiated Rate	$4,864.05
Max. Negotiated Rate	$11,226.84
Rate for Payer: Buckeye Health Medicaid OOS	$4,864.05
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$11,226.84
Rate for Payer: Managed Health Services Medicaid	$11,226.84
Rate for Payer: MDWise Medicaid	$11,226.84
Rate for Payer: Molina Healthcare of OH Medicare	$4,864.05

INPATIENT APRDRG 4842: OTHER MALE REPRODUCTIVE SYSTEM & RELATED PROCEDURES

Facility

$13,460.37

Service Code	APR-DRG 4842
Hospital Charge Code	APRDRG 4842
Min. Negotiated Rate	$4,864.05
Max. Negotiated Rate	$13,460.37
Rate for Payer: Buckeye Health Medicaid OOS	$4,864.05
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$13,460.37
Rate for Payer: Managed Health Services Medicaid	$13,460.37
Rate for Payer: MDWise Medicaid	$13,460.37
Rate for Payer: Molina Healthcare of OH Medicare	$4,864.05

INPATIENT APRDRG 4843: OTHER MALE REPRODUCTIVE SYSTEM & RELATED PROCEDURES

Facility

$20,234.96

Service Code	APR-DRG 4843
Hospital Charge Code	APRDRG 4843
Min. Negotiated Rate	$6,350.48
Max. Negotiated Rate	$20,234.96
Rate for Payer: Buckeye Health Medicaid OOS	$6,350.48
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$20,234.96
Rate for Payer: Managed Health Services Medicaid	$20,234.96
Rate for Payer: MDWise Medicaid	$20,234.96
Rate for Payer: Molina Healthcare of OH Medicare	$6,350.48

INPATIENT APRDRG 4844: OTHER MALE REPRODUCTIVE SYSTEM & RELATED PROCEDURES

Facility

$43,428.63

Service Code	APR-DRG 4844
Hospital Charge Code	APRDRG 4844
Min. Negotiated Rate	$6,350.48
Max. Negotiated Rate	$43,428.63
Rate for Payer: Buckeye Health Medicaid OOS	$6,350.48
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$43,428.63
Rate for Payer: Managed Health Services Medicaid	$43,428.63
Rate for Payer: MDWise Medicaid	$43,428.63
Rate for Payer: Molina Healthcare of OH Medicare	$6,350.48

INPATIENT APRDRG 5001: MALIGNANCY, MALE REPRODUCTIVE SYSTEM

Facility

$10,890.15

Service Code	APR-DRG 5001
Hospital Charge Code	APRDRG 5001
Min. Negotiated Rate	$3,271.31
Max. Negotiated Rate	$10,890.15
Rate for Payer: Buckeye Health Medicaid OOS	$3,271.31
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$10,890.15
Rate for Payer: Managed Health Services Medicaid	$10,890.15
Rate for Payer: MDWise Medicaid	$10,890.15
Rate for Payer: Molina Healthcare of OH Medicare	$3,271.31

INPATIENT APRDRG 5002: MALIGNANCY, MALE REPRODUCTIVE SYSTEM

Facility

$10,890.15

Service Code	APR-DRG 5002
Hospital Charge Code	APRDRG 5002
Min. Negotiated Rate	$3,271.31
Max. Negotiated Rate	$10,890.15
Rate for Payer: Buckeye Health Medicaid OOS	$3,271.31
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$10,890.15
Rate for Payer: Managed Health Services Medicaid	$10,890.15
Rate for Payer: MDWise Medicaid	$10,890.15
Rate for Payer: Molina Healthcare of OH Medicare	$3,271.31

INPATIENT APRDRG 5003: MALIGNANCY, MALE REPRODUCTIVE SYSTEM

Facility

$10,890.15

Service Code	APR-DRG 5003
Hospital Charge Code	APRDRG 5003
Min. Negotiated Rate	$3,271.31
Max. Negotiated Rate	$10,890.15
Rate for Payer: Buckeye Health Medicaid OOS	$3,271.31
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$10,890.15
Rate for Payer: Managed Health Services Medicaid	$10,890.15
Rate for Payer: MDWise Medicaid	$10,890.15
Rate for Payer: Molina Healthcare of OH Medicare	$3,271.31

INPATIENT APRDRG 5004: MALIGNANCY, MALE REPRODUCTIVE SYSTEM

Facility

$12,885.65

Service Code	APR-DRG 5004
Hospital Charge Code	APRDRG 5004
Min. Negotiated Rate	$3,271.31
Max. Negotiated Rate	$12,885.65
Rate for Payer: Buckeye Health Medicaid OOS	$3,271.31
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$12,885.65
Rate for Payer: Managed Health Services Medicaid	$12,885.65
Rate for Payer: MDWise Medicaid	$12,885.65
Rate for Payer: Molina Healthcare of OH Medicare	$3,271.31

INPATIENT APRDRG 5011: MALE REPRODUCTIVE SYSTEM DIAGNOSES EXCEPT MALIGNANCY

Facility

$7,864.83

Service Code	APR-DRG 5011
Hospital Charge Code	APRDRG 5011
Min. Negotiated Rate	$1,799.28
Max. Negotiated Rate	$7,864.83
Rate for Payer: Buckeye Health Medicaid OOS	$1,799.28
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$7,864.83
Rate for Payer: Managed Health Services Medicaid	$7,864.83
Rate for Payer: MDWise Medicaid	$7,864.83
Rate for Payer: Molina Healthcare of OH Medicare	$1,799.28

INPATIENT APRDRG 5012: MALE REPRODUCTIVE SYSTEM DIAGNOSES EXCEPT MALIGNANCY

Facility

$9,358.38

Service Code	APR-DRG 5012
Hospital Charge Code	APRDRG 5012
Min. Negotiated Rate	$2,159.84
Max. Negotiated Rate	$9,358.38
Rate for Payer: Buckeye Health Medicaid OOS	$2,159.84
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$9,358.38
Rate for Payer: Managed Health Services Medicaid	$9,358.38
Rate for Payer: MDWise Medicaid	$9,358.38
Rate for Payer: Molina Healthcare of OH Medicare	$2,159.84

INPATIENT APRDRG 5013: MALE REPRODUCTIVE SYSTEM DIAGNOSES EXCEPT MALIGNANCY

Facility

$9,358.38

Service Code	APR-DRG 5013
Hospital Charge Code	APRDRG 5013
Min. Negotiated Rate	$3,694.31
Max. Negotiated Rate	$9,358.38
Rate for Payer: Buckeye Health Medicaid OOS	$3,694.31
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$9,358.38
Rate for Payer: Managed Health Services Medicaid	$9,358.38
Rate for Payer: MDWise Medicaid	$9,358.38
Rate for Payer: Molina Healthcare of OH Medicare	$3,694.31

INPATIENT APRDRG 5014: MALE REPRODUCTIVE SYSTEM DIAGNOSES EXCEPT MALIGNANCY

Facility

$20,507.52

Service Code	APR-DRG 5014
Hospital Charge Code	APRDRG 5014
Min. Negotiated Rate	$3,694.31
Max. Negotiated Rate	$20,507.52
Rate for Payer: Buckeye Health Medicaid OOS	$3,694.31
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$20,507.52
Rate for Payer: Managed Health Services Medicaid	$20,507.52
Rate for Payer: MDWise Medicaid	$20,507.52
Rate for Payer: Molina Healthcare of OH Medicare	$3,694.31

INPATIENT APRDRG 5101: PELVIC EVISCERATION, RADICAL HYSTERECTOMY & OTHER RADICAL GYN PROCS

Facility

$16,359.89

Service Code	APR-DRG 5101
Hospital Charge Code	APRDRG 5101
Min. Negotiated Rate	$4,546.72
Max. Negotiated Rate	$16,359.89
Rate for Payer: Buckeye Health Medicaid OOS	$4,546.72
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$16,359.89
Rate for Payer: Managed Health Services Medicaid	$16,359.89
Rate for Payer: MDWise Medicaid	$16,359.89
Rate for Payer: Molina Healthcare of OH Medicare	$4,546.72

INPATIENT APRDRG 5102: PELVIC EVISCERATION, RADICAL HYSTERECTOMY & OTHER RADICAL GYN PROCS

Facility

$18,428.16

Service Code	APR-DRG 5102
Hospital Charge Code	APRDRG 5102
Min. Negotiated Rate	$4,546.72
Max. Negotiated Rate	$18,428.16
Rate for Payer: Buckeye Health Medicaid OOS	$4,546.72
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$18,428.16
Rate for Payer: Managed Health Services Medicaid	$18,428.16
Rate for Payer: MDWise Medicaid	$18,428.16
Rate for Payer: Molina Healthcare of OH Medicare	$4,546.72

INPATIENT APRDRG 5103: PELVIC EVISCERATION, RADICAL HYSTERECTOMY & OTHER RADICAL GYN PROCS

Facility

$18,428.16

Service Code	APR-DRG 5103
Hospital Charge Code	APRDRG 5103
Min. Negotiated Rate	$4,546.72
Max. Negotiated Rate	$18,428.16
Rate for Payer: Buckeye Health Medicaid OOS	$4,546.72
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$18,428.16
Rate for Payer: Managed Health Services Medicaid	$18,428.16
Rate for Payer: MDWise Medicaid	$18,428.16
Rate for Payer: Molina Healthcare of OH Medicare	$4,546.72

INPATIENT APRDRG 5104: PELVIC EVISCERATION, RADICAL HYSTERECTOMY & OTHER RADICAL GYN PROCS

Facility

$18,428.16

Service Code	APR-DRG 5104
Hospital Charge Code	APRDRG 5104
Min. Negotiated Rate	$4,546.72
Max. Negotiated Rate	$18,428.16
Rate for Payer: Buckeye Health Medicaid OOS	$4,546.72
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$18,428.16
Rate for Payer: Managed Health Services Medicaid	$18,428.16
Rate for Payer: MDWise Medicaid	$18,428.16
Rate for Payer: Molina Healthcare of OH Medicare	$4,546.72

INPATIENT APRDRG 5111: UTERINE & ADNEXA PROCEDURES FOR OVARIAN & ADNEXAL MALIGNANCY

Facility

$16,359.89

Service Code	APR-DRG 5111
Hospital Charge Code	APRDRG 5111
Min. Negotiated Rate	$3,649.16
Max. Negotiated Rate	$16,359.89
Rate for Payer: Buckeye Health Medicaid OOS	$3,649.16
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$16,359.89
Rate for Payer: Managed Health Services Medicaid	$16,359.89
Rate for Payer: MDWise Medicaid	$16,359.89
Rate for Payer: Molina Healthcare of OH Medicare	$3,649.16

INPATIENT APRDRG 5112: UTERINE & ADNEXA PROCEDURES FOR OVARIAN & ADNEXAL MALIGNANCY

Facility

$20,397.76

Service Code	APR-DRG 5112
Hospital Charge Code	APRDRG 5112
Min. Negotiated Rate	$5,356.22
Max. Negotiated Rate	$20,397.76
Rate for Payer: Buckeye Health Medicaid OOS	$5,356.22
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$20,397.76
Rate for Payer: Managed Health Services Medicaid	$20,397.76
Rate for Payer: MDWise Medicaid	$20,397.76
Rate for Payer: Molina Healthcare of OH Medicare	$5,356.22

INPATIENT APRDRG 5113: UTERINE & ADNEXA PROCEDURES FOR OVARIAN & ADNEXAL MALIGNANCY

Facility

$27,282.11

Service Code	APR-DRG 5113
Hospital Charge Code	APRDRG 5113
Min. Negotiated Rate	$7,252.21
Max. Negotiated Rate	$27,282.11
Rate for Payer: Buckeye Health Medicaid OOS	$7,252.21
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$27,282.11
Rate for Payer: Managed Health Services Medicaid	$27,282.11
Rate for Payer: MDWise Medicaid	$27,282.11
Rate for Payer: Molina Healthcare of OH Medicare	$7,252.21

INPATIENT APRDRG 5114: UTERINE & ADNEXA PROCEDURES FOR OVARIAN & ADNEXAL MALIGNANCY

Facility

$50,732.31

Service Code	APR-DRG 5114
Hospital Charge Code	APRDRG 5114
Min. Negotiated Rate	$7,252.21
Max. Negotiated Rate	$50,732.31
Rate for Payer: Buckeye Health Medicaid OOS	$7,252.21
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$50,732.31
Rate for Payer: Managed Health Services Medicaid	$50,732.31
Rate for Payer: MDWise Medicaid	$50,732.31
Rate for Payer: Molina Healthcare of OH Medicare	$7,252.21

Know your out-of-pocket cost for care.

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