Cameron Memorial Community Hospital

All Charges

Charge

Type

Setting

Price

INPATIENT APRDRG 5423: VAGINAL DELIVERY W COMPLICATING PROCEDURES EXC STERILIZATION &/OR D&C

Facility

$9,672.87

Service Code	APR-DRG 5423
Hospital Charge Code	APRDRG 5423
Min. Negotiated Rate	$2,930.60
Max. Negotiated Rate	$9,672.87
Rate for Payer: Buckeye Health Medicaid OOS	$2,930.60
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$9,672.87
Rate for Payer: Managed Health Services Medicaid	$9,672.87
Rate for Payer: MDWise Medicaid	$9,672.87
Rate for Payer: Molina Healthcare of OH Medicare	$2,930.60

INPATIENT APRDRG 5424: VAGINAL DELIVERY W COMPLICATING PROCEDURES EXC STERILIZATION &/OR D&C

Facility

$11,912.57

Service Code	APR-DRG 5424
Hospital Charge Code	APRDRG 5424
Min. Negotiated Rate	$3,024.42
Max. Negotiated Rate	$11,912.57
Rate for Payer: Buckeye Health Medicaid OOS	$3,024.42
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$11,912.57
Rate for Payer: Managed Health Services Medicaid	$11,912.57
Rate for Payer: MDWise Medicaid	$11,912.57
Rate for Payer: Molina Healthcare of OH Medicare	$3,024.42

INPATIENT APRDRG 5431: ABORTION W D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY

Facility

$1,329.21

Service Code	APR-DRG 5431
Hospital Charge Code	APRDRG 5431
Min. Negotiated Rate	$1,329.21
Max. Negotiated Rate	$1,329.21
Rate for Payer: Buckeye Health Medicaid OOS	$1,329.21
Rate for Payer: Molina Healthcare of OH Medicare	$1,329.21

INPATIENT APRDRG 5432: ABORTION W D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY

Facility

$1,782.95

Service Code	APR-DRG 5432
Hospital Charge Code	APRDRG 5432
Min. Negotiated Rate	$1,782.95
Max. Negotiated Rate	$1,782.95
Rate for Payer: Buckeye Health Medicaid OOS	$1,782.95
Rate for Payer: Molina Healthcare of OH Medicare	$1,782.95

INPATIENT APRDRG 5433: ABORTION W D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY

Facility

$3,201.82

Service Code	APR-DRG 5433
Hospital Charge Code	APRDRG 5433
Min. Negotiated Rate	$3,201.82
Max. Negotiated Rate	$3,201.82
Rate for Payer: Buckeye Health Medicaid OOS	$3,201.82
Rate for Payer: Molina Healthcare of OH Medicare	$3,201.82

INPATIENT APRDRG 5434: ABORTION W D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY

Facility

$6,993.79

Service Code	APR-DRG 5434
Hospital Charge Code	APRDRG 5434
Min. Negotiated Rate	$6,993.79
Max. Negotiated Rate	$6,993.79
Rate for Payer: Buckeye Health Medicaid OOS	$6,993.79
Rate for Payer: Molina Healthcare of OH Medicare	$6,993.79

Inpatient APRDRG 5441: D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY FOR OBSTETRIC DIAGNOSES

Facility

$7,456.61

Service Code	APR-DRG 5441
Hospital Charge Code	APRDRG 5441
Min. Negotiated Rate	$7,456.61
Max. Negotiated Rate	$7,456.61
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$7,456.61
Rate for Payer: Managed Health Services Medicaid	$7,456.61
Rate for Payer: MDWise Medicaid	$7,456.61

Inpatient APRDRG 5442: D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY FOR OBSTETRIC DIAGNOSES

Facility

$9,047.58

Service Code	APR-DRG 5442
Hospital Charge Code	APRDRG 5442
Min. Negotiated Rate	$9,047.58
Max. Negotiated Rate	$9,047.58
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$9,047.58
Rate for Payer: Managed Health Services Medicaid	$9,047.58
Rate for Payer: MDWise Medicaid	$9,047.58

Inpatient APRDRG 5443: D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY FOR OBSTETRIC DIAGNOSES

Facility

$12,817.82

Service Code	APR-DRG 5443
Hospital Charge Code	APRDRG 5443
Min. Negotiated Rate	$12,817.82
Max. Negotiated Rate	$12,817.82
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$12,817.82
Rate for Payer: Managed Health Services Medicaid	$12,817.82
Rate for Payer: MDWise Medicaid	$12,817.82

Inpatient APRDRG 5444: D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY FOR OBSTETRIC DIAGNOSES

Facility

$27,547.27

Service Code	APR-DRG 5444
Hospital Charge Code	APRDRG 5444
Min. Negotiated Rate	$27,547.27
Max. Negotiated Rate	$27,547.27
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$27,547.27
Rate for Payer: Managed Health Services Medicaid	$27,547.27
Rate for Payer: MDWise Medicaid	$27,547.27

Inpatient APRDRG 5451: ECTOPIC PREGNANCY PROCEDURE

Facility

$10,501.66

Service Code	APR-DRG 5451
Hospital Charge Code	APRDRG 5451
Min. Negotiated Rate	$10,501.66
Max. Negotiated Rate	$10,501.66
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$10,501.66
Rate for Payer: Managed Health Services Medicaid	$10,501.66
Rate for Payer: MDWise Medicaid	$10,501.66

Inpatient APRDRG 5452: ECTOPIC PREGNANCY PROCEDURE

Facility

$10,548.52

Service Code	APR-DRG 5452
Hospital Charge Code	APRDRG 5452
Min. Negotiated Rate	$10,548.52
Max. Negotiated Rate	$10,548.52
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$10,548.52
Rate for Payer: Managed Health Services Medicaid	$10,548.52
Rate for Payer: MDWise Medicaid	$10,548.52

Inpatient APRDRG 5453: ECTOPIC PREGNANCY PROCEDURE

Facility

$14,941.58

Service Code	APR-DRG 5453
Hospital Charge Code	APRDRG 5453
Min. Negotiated Rate	$14,941.58
Max. Negotiated Rate	$14,941.58
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$14,941.58
Rate for Payer: Managed Health Services Medicaid	$14,941.58
Rate for Payer: MDWise Medicaid	$14,941.58

Inpatient APRDRG 5454: ECTOPIC PREGNANCY PROCEDURE

Facility

$14,941.58

Service Code	APR-DRG 5454
Hospital Charge Code	APRDRG 5454
Min. Negotiated Rate	$14,941.58
Max. Negotiated Rate	$14,941.58
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$14,941.58
Rate for Payer: Managed Health Services Medicaid	$14,941.58
Rate for Payer: MDWise Medicaid	$14,941.58

Inpatient APRDRG 5461: OTHER O.R. PROC FOR OBSTETRIC DIAGNOSES EXCEPT DELIVERY DIAGNOSES

Facility

$8,867.52

Service Code	APR-DRG 5461
Hospital Charge Code	APRDRG 5461
Min. Negotiated Rate	$8,867.52
Max. Negotiated Rate	$8,867.52
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$8,867.52
Rate for Payer: Managed Health Services Medicaid	$8,867.52
Rate for Payer: MDWise Medicaid	$8,867.52

Inpatient APRDRG 5462: OTHER O.R. PROC FOR OBSTETRIC DIAGNOSES EXCEPT DELIVERY DIAGNOSES

Facility

$8,867.52

Service Code	APR-DRG 5462
Hospital Charge Code	APRDRG 5462
Min. Negotiated Rate	$8,867.52
Max. Negotiated Rate	$8,867.52
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$8,867.52
Rate for Payer: Managed Health Services Medicaid	$8,867.52
Rate for Payer: MDWise Medicaid	$8,867.52

Inpatient APRDRG 5463: OTHER O.R. PROC FOR OBSTETRIC DIAGNOSES EXCEPT DELIVERY DIAGNOSES

Facility

$25,477.77

Service Code	APR-DRG 5463
Hospital Charge Code	APRDRG 5463
Min. Negotiated Rate	$25,477.77
Max. Negotiated Rate	$25,477.77
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$25,477.77
Rate for Payer: Managed Health Services Medicaid	$25,477.77
Rate for Payer: MDWise Medicaid	$25,477.77

Inpatient APRDRG 5464: OTHER O.R. PROC FOR OBSTETRIC DIAGNOSES EXCEPT DELIVERY DIAGNOSES

Facility

$25,477.77

Service Code	APR-DRG 5464
Hospital Charge Code	APRDRG 5464
Min. Negotiated Rate	$25,477.77
Max. Negotiated Rate	$25,477.77
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$25,477.77
Rate for Payer: Managed Health Services Medicaid	$25,477.77
Rate for Payer: MDWise Medicaid	$25,477.77

INPATIENT APRDRG 5471: ANTEPARTUM W O.R. PROCEDURE

Facility

$2,062.18

Service Code	APR-DRG 5471
Hospital Charge Code	APRDRG 5471
Min. Negotiated Rate	$2,062.18
Max. Negotiated Rate	$2,062.18
Rate for Payer: Buckeye Health Medicaid OOS	$2,062.18
Rate for Payer: Molina Healthcare of OH Medicare	$2,062.18

INPATIENT APRDRG 5472: ANTEPARTUM W O.R. PROCEDURE

Facility

$2,892.49

Service Code	APR-DRG 5472
Hospital Charge Code	APRDRG 5472
Min. Negotiated Rate	$2,892.49
Max. Negotiated Rate	$2,892.49
Rate for Payer: Buckeye Health Medicaid OOS	$2,892.49
Rate for Payer: Molina Healthcare of OH Medicare	$2,892.49

INPATIENT APRDRG 5473: ANTEPARTUM W O.R. PROCEDURE

Facility

$6,468.32

Service Code	APR-DRG 5473
Hospital Charge Code	APRDRG 5473
Min. Negotiated Rate	$6,468.32
Max. Negotiated Rate	$6,468.32
Rate for Payer: Buckeye Health Medicaid OOS	$6,468.32
Rate for Payer: Molina Healthcare of OH Medicare	$6,468.32

INPATIENT APRDRG 5474: ANTEPARTUM W O.R. PROCEDURE

Facility

$6,468.32

Service Code	APR-DRG 5474
Hospital Charge Code	APRDRG 5474
Min. Negotiated Rate	$6,468.32
Max. Negotiated Rate	$6,468.32
Rate for Payer: Buckeye Health Medicaid OOS	$6,468.32
Rate for Payer: Molina Healthcare of OH Medicare	$6,468.32

INPATIENT APRDRG 5481: POSTPARTUM & POST ABORTION DIAGNOSIS W O.R. PROCEDURE

Facility

$2,062.18

Service Code	APR-DRG 5481
Hospital Charge Code	APRDRG 5481
Min. Negotiated Rate	$2,062.18
Max. Negotiated Rate	$2,062.18
Rate for Payer: Buckeye Health Medicaid OOS	$2,062.18
Rate for Payer: Molina Healthcare of OH Medicare	$2,062.18

INPATIENT APRDRG 5482: POSTPARTUM & POST ABORTION DIAGNOSIS W O.R. PROCEDURE

Facility

$2,892.49

Service Code	APR-DRG 5482
Hospital Charge Code	APRDRG 5482
Min. Negotiated Rate	$2,892.49
Max. Negotiated Rate	$2,892.49
Rate for Payer: Buckeye Health Medicaid OOS	$2,892.49
Rate for Payer: Molina Healthcare of OH Medicare	$2,892.49

INPATIENT APRDRG 5483: POSTPARTUM & POST ABORTION DIAGNOSIS W O.R. PROCEDURE

Facility

$6,468.32

Service Code	APR-DRG 5483
Hospital Charge Code	APRDRG 5483
Min. Negotiated Rate	$6,468.32
Max. Negotiated Rate	$6,468.32
Rate for Payer: Buckeye Health Medicaid OOS	$6,468.32
Rate for Payer: Molina Healthcare of OH Medicare	$6,468.32

Know your out-of-pocket cost for care.

All Charges