Cameron Memorial Community Hospital

All Charges

Charge

Type

Setting

Price

INPATIENT APRDRG 5932: NEONATE BIRTHWT 750-999G W/O MAJOR PROCEDURE

Facility

$99,497.49

Service Code	APR-DRG 5932
Hospital Charge Code	APRDRG 5932
Min. Negotiated Rate	$28,272.65
Max. Negotiated Rate	$99,497.49
Rate for Payer: Buckeye Health Medicaid OOS	$28,272.65
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$99,497.49
Rate for Payer: Managed Health Services Medicaid	$99,497.49
Rate for Payer: MDWise Medicaid	$99,497.49
Rate for Payer: Molina Healthcare of OH Medicare	$28,272.65

INPATIENT APRDRG 5933: NEONATE BIRTHWT 750-999G W/O MAJOR PROCEDURE

Facility

$157,910.87

Service Code	APR-DRG 5933
Hospital Charge Code	APRDRG 5933
Min. Negotiated Rate	$42,521.54
Max. Negotiated Rate	$157,910.87
Rate for Payer: Buckeye Health Medicaid OOS	$42,521.54
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$157,910.87
Rate for Payer: Managed Health Services Medicaid	$157,910.87
Rate for Payer: MDWise Medicaid	$157,910.87
Rate for Payer: Molina Healthcare of OH Medicare	$42,521.54

INPATIENT APRDRG 5934: NEONATE BIRTHWT 750-999G W/O MAJOR PROCEDURE

Facility

$199,067.74

Service Code	APR-DRG 5934
Hospital Charge Code	APRDRG 5934
Min. Negotiated Rate	$44,786.41
Max. Negotiated Rate	$199,067.74
Rate for Payer: Buckeye Health Medicaid OOS	$44,786.41
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$199,067.74
Rate for Payer: Managed Health Services Medicaid	$199,067.74
Rate for Payer: MDWise Medicaid	$199,067.74
Rate for Payer: Molina Healthcare of OH Medicare	$44,786.41

INPATIENT APRDRG 6021: NEONATE BWT 1000-1249G W RESP DIST SYND/OTH MAJ RESP OR MAJ ANOM

Facility

$93,303.79

Service Code	APR-DRG 6021
Hospital Charge Code	APRDRG 6021
Min. Negotiated Rate	$24,847.97
Max. Negotiated Rate	$93,303.79
Rate for Payer: Buckeye Health Medicaid OOS	$24,847.97
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$93,303.79
Rate for Payer: Managed Health Services Medicaid	$93,303.79
Rate for Payer: MDWise Medicaid	$93,303.79
Rate for Payer: Molina Healthcare of OH Medicare	$24,847.97

INPATIENT APRDRG 6022: NEONATE BWT 1000-1249G W RESP DIST SYND/OTH MAJ RESP OR MAJ ANOM

Facility

$93,303.79

Service Code	APR-DRG 6022
Hospital Charge Code	APRDRG 6022
Min. Negotiated Rate	$24,847.97
Max. Negotiated Rate	$93,303.79
Rate for Payer: Buckeye Health Medicaid OOS	$24,847.97
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$93,303.79
Rate for Payer: Managed Health Services Medicaid	$93,303.79
Rate for Payer: MDWise Medicaid	$93,303.79
Rate for Payer: Molina Healthcare of OH Medicare	$24,847.97

INPATIENT APRDRG 6023: NEONATE BWT 1000-1249G W RESP DIST SYND/OTH MAJ RESP OR MAJ ANOM

Facility

$131,516.75

Service Code	APR-DRG 6023
Hospital Charge Code	APRDRG 6023
Min. Negotiated Rate	$34,101.19
Max. Negotiated Rate	$131,516.75
Rate for Payer: Buckeye Health Medicaid OOS	$34,101.19
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$131,516.75
Rate for Payer: Managed Health Services Medicaid	$131,516.75
Rate for Payer: MDWise Medicaid	$131,516.75
Rate for Payer: Molina Healthcare of OH Medicare	$34,101.19

INPATIENT APRDRG 6024: NEONATE BWT 1000-1249G W RESP DIST SYND/OTH MAJ RESP OR MAJ ANOM

Facility

$142,325.50

Service Code	APR-DRG 6024
Hospital Charge Code	APRDRG 6024
Min. Negotiated Rate	$41,168.95
Max. Negotiated Rate	$142,325.50
Rate for Payer: Buckeye Health Medicaid OOS	$41,168.95
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$142,325.50
Rate for Payer: Managed Health Services Medicaid	$142,325.50
Rate for Payer: MDWise Medicaid	$142,325.50
Rate for Payer: Molina Healthcare of OH Medicare	$41,168.95

INPATIENT APRDRG 6031: NEONATE BIRTHWT 1000-1249G W OR W/O OTHER SIGNIFICANT CONDITION

Facility

$72,539.74

Service Code	APR-DRG 6031
Hospital Charge Code	APRDRG 6031
Min. Negotiated Rate	$18,416.47
Max. Negotiated Rate	$72,539.74
Rate for Payer: Buckeye Health Medicaid OOS	$18,416.47
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$72,539.74
Rate for Payer: Managed Health Services Medicaid	$72,539.74
Rate for Payer: MDWise Medicaid	$72,539.74
Rate for Payer: Molina Healthcare of OH Medicare	$18,416.47

INPATIENT APRDRG 6032: NEONATE BIRTHWT 1000-1249G W OR W/O OTHER SIGNIFICANT CONDITION

Facility

$81,894.42

Service Code	APR-DRG 6032
Hospital Charge Code	APRDRG 6032
Min. Negotiated Rate	$18,416.47
Max. Negotiated Rate	$81,894.42
Rate for Payer: Buckeye Health Medicaid OOS	$18,416.47
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$81,894.42
Rate for Payer: Managed Health Services Medicaid	$81,894.42
Rate for Payer: MDWise Medicaid	$81,894.42
Rate for Payer: Molina Healthcare of OH Medicare	$18,416.47

INPATIENT APRDRG 6033: NEONATE BIRTHWT 1000-1249G W OR W/O OTHER SIGNIFICANT CONDITION

Facility

$83,071.00

Service Code	APR-DRG 6033
Hospital Charge Code	APRDRG 6033
Min. Negotiated Rate	$21,089.93
Max. Negotiated Rate	$83,071.00
Rate for Payer: Buckeye Health Medicaid OOS	$21,089.93
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$83,071.00
Rate for Payer: Managed Health Services Medicaid	$83,071.00
Rate for Payer: MDWise Medicaid	$83,071.00
Rate for Payer: Molina Healthcare of OH Medicare	$21,089.93

INPATIENT APRDRG 6034: NEONATE BIRTHWT 1000-1249G W OR W/O OTHER SIGNIFICANT CONDITION

Facility

$83,071.00

Service Code	APR-DRG 6034
Hospital Charge Code	APRDRG 6034
Min. Negotiated Rate	$21,089.93
Max. Negotiated Rate	$83,071.00
Rate for Payer: Buckeye Health Medicaid OOS	$21,089.93
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$83,071.00
Rate for Payer: Managed Health Services Medicaid	$83,071.00
Rate for Payer: MDWise Medicaid	$83,071.00
Rate for Payer: Molina Healthcare of OH Medicare	$21,089.93

INPATIENT APRDRG 6071: NEONATE BWT 1250-1499G W RESP DIST SYND/OTH MAJ RESP OR MAJ ANOM

Facility

$48,217.59

Service Code	APR-DRG 6071
Hospital Charge Code	APRDRG 6071
Min. Negotiated Rate	$15,616.20
Max. Negotiated Rate	$48,217.59
Rate for Payer: Buckeye Health Medicaid OOS	$15,616.20
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$48,217.59
Rate for Payer: Managed Health Services Medicaid	$48,217.59
Rate for Payer: MDWise Medicaid	$48,217.59
Rate for Payer: Molina Healthcare of OH Medicare	$15,616.20

INPATIENT APRDRG 6072: NEONATE BWT 1250-1499G W RESP DIST SYND/OTH MAJ RESP OR MAJ ANOM

Facility

$92,588.47

Service Code	APR-DRG 6072
Hospital Charge Code	APRDRG 6072
Min. Negotiated Rate	$21,360.52
Max. Negotiated Rate	$92,588.47
Rate for Payer: Buckeye Health Medicaid OOS	$21,360.52
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$92,588.47
Rate for Payer: Managed Health Services Medicaid	$92,588.47
Rate for Payer: MDWise Medicaid	$92,588.47
Rate for Payer: Molina Healthcare of OH Medicare	$21,360.52

INPATIENT APRDRG 6073: NEONATE BWT 1250-1499G W RESP DIST SYND/OTH MAJ RESP OR MAJ ANOM

Facility

$100,390.40

Service Code	APR-DRG 6073
Hospital Charge Code	APRDRG 6073
Min. Negotiated Rate	$30,151.99
Max. Negotiated Rate	$100,390.40
Rate for Payer: Buckeye Health Medicaid OOS	$30,151.99
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$100,390.40
Rate for Payer: Managed Health Services Medicaid	$100,390.40
Rate for Payer: MDWise Medicaid	$100,390.40
Rate for Payer: Molina Healthcare of OH Medicare	$30,151.99

INPATIENT APRDRG 6074: NEONATE BWT 1250-1499G W RESP DIST SYND/OTH MAJ RESP OR MAJ ANOM

Facility

$138,533.06

Service Code	APR-DRG 6074
Hospital Charge Code	APRDRG 6074
Min. Negotiated Rate	$33,930.84
Max. Negotiated Rate	$138,533.06
Rate for Payer: Buckeye Health Medicaid OOS	$33,930.84
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$138,533.06
Rate for Payer: Managed Health Services Medicaid	$138,533.06
Rate for Payer: MDWise Medicaid	$138,533.06
Rate for Payer: Molina Healthcare of OH Medicare	$33,930.84

INPATIENT APRDRG 6081: NEONATE BWT 1250-1499G W OR W/O OTHER SIGNIFICANT CONDITION

Facility

$40,609.28

Service Code	APR-DRG 6081
Hospital Charge Code	APRDRG 6081
Min. Negotiated Rate	$8,715.58
Max. Negotiated Rate	$40,609.28
Rate for Payer: Buckeye Health Medicaid OOS	$8,715.58
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$40,609.28
Rate for Payer: Managed Health Services Medicaid	$40,609.28
Rate for Payer: MDWise Medicaid	$40,609.28
Rate for Payer: Molina Healthcare of OH Medicare	$8,715.58

INPATIENT APRDRG 6082: NEONATE BWT 1250-1499G W OR W/O OTHER SIGNIFICANT CONDITION

Facility

$61,388.13

Service Code	APR-DRG 6082
Hospital Charge Code	APRDRG 6082
Min. Negotiated Rate	$15,133.31
Max. Negotiated Rate	$61,388.13
Rate for Payer: Buckeye Health Medicaid OOS	$15,133.31
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$61,388.13
Rate for Payer: Managed Health Services Medicaid	$61,388.13
Rate for Payer: MDWise Medicaid	$61,388.13
Rate for Payer: Molina Healthcare of OH Medicare	$15,133.31

INPATIENT APRDRG 6083: NEONATE BWT 1250-1499G W OR W/O OTHER SIGNIFICANT CONDITION

Facility

$85,250.26

Service Code	APR-DRG 6083
Hospital Charge Code	APRDRG 6083
Min. Negotiated Rate	$21,643.26
Max. Negotiated Rate	$85,250.26
Rate for Payer: Buckeye Health Medicaid OOS	$21,643.26
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$85,250.26
Rate for Payer: Managed Health Services Medicaid	$85,250.26
Rate for Payer: MDWise Medicaid	$85,250.26
Rate for Payer: Molina Healthcare of OH Medicare	$21,643.26

INPATIENT APRDRG 6084: NEONATE BWT 1250-1499G W OR W/O OTHER SIGNIFICANT CONDITION

Facility

$85,250.26

Service Code	APR-DRG 6084
Hospital Charge Code	APRDRG 6084
Min. Negotiated Rate	$21,643.26
Max. Negotiated Rate	$85,250.26
Rate for Payer: Buckeye Health Medicaid OOS	$21,643.26
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$85,250.26
Rate for Payer: Managed Health Services Medicaid	$85,250.26
Rate for Payer: MDWise Medicaid	$85,250.26
Rate for Payer: Molina Healthcare of OH Medicare	$21,643.26

INPATIENT APRDRG 6091: NEONATE BWT 1500-2499G W MAJOR PROCEDURE

Facility

$111,027.72

Service Code	APR-DRG 6091
Hospital Charge Code	APRDRG 6091
Min. Negotiated Rate	$29,880.13
Max. Negotiated Rate	$111,027.72
Rate for Payer: Buckeye Health Medicaid OOS	$29,880.13
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$111,027.72
Rate for Payer: Managed Health Services Medicaid	$111,027.72
Rate for Payer: MDWise Medicaid	$111,027.72
Rate for Payer: Molina Healthcare of OH Medicare	$29,880.13

INPATIENT APRDRG 6092: NEONATE BWT 1500-2499G W MAJOR PROCEDURE

Facility

$111,027.72

Service Code	APR-DRG 6092
Hospital Charge Code	APRDRG 6092
Min. Negotiated Rate	$29,880.13
Max. Negotiated Rate	$111,027.72
Rate for Payer: Buckeye Health Medicaid OOS	$29,880.13
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$111,027.72
Rate for Payer: Managed Health Services Medicaid	$111,027.72
Rate for Payer: MDWise Medicaid	$111,027.72
Rate for Payer: Molina Healthcare of OH Medicare	$29,880.13

INPATIENT APRDRG 6093: NEONATE BWT 1500-2499G W MAJOR PROCEDURE

Facility

$111,027.72

Service Code	APR-DRG 6093
Hospital Charge Code	APRDRG 6093
Min. Negotiated Rate	$29,880.13
Max. Negotiated Rate	$111,027.72
Rate for Payer: Buckeye Health Medicaid OOS	$29,880.13
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$111,027.72
Rate for Payer: Managed Health Services Medicaid	$111,027.72
Rate for Payer: MDWise Medicaid	$111,027.72
Rate for Payer: Molina Healthcare of OH Medicare	$29,880.13

INPATIENT APRDRG 6094: NEONATE BWT 1500-2499G W MAJOR PROCEDURE

Facility

$211,045.67

Service Code	APR-DRG 6094
Hospital Charge Code	APRDRG 6094
Min. Negotiated Rate	$53,580.13
Max. Negotiated Rate	$211,045.67
Rate for Payer: Buckeye Health Medicaid OOS	$53,580.13
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$211,045.67
Rate for Payer: Managed Health Services Medicaid	$211,045.67
Rate for Payer: MDWise Medicaid	$211,045.67
Rate for Payer: Molina Healthcare of OH Medicare	$53,580.13

INPATIENT APRDRG 6111: NEONATE BIRTHWT 1500-1999G W MAJOR ANOMALY

Facility

$22,601.68

Service Code	APR-DRG 6111
Hospital Charge Code	APRDRG 6111
Min. Negotiated Rate	$8,169.94
Max. Negotiated Rate	$22,601.68
Rate for Payer: Buckeye Health Medicaid OOS	$8,169.94
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$22,601.68
Rate for Payer: Managed Health Services Medicaid	$22,601.68
Rate for Payer: MDWise Medicaid	$22,601.68
Rate for Payer: Molina Healthcare of OH Medicare	$8,169.94

INPATIENT APRDRG 6112: NEONATE BIRTHWT 1500-1999G W MAJOR ANOMALY

Facility

$70,258.11

Service Code	APR-DRG 6112
Hospital Charge Code	APRDRG 6112
Min. Negotiated Rate	$12,167.49
Max. Negotiated Rate	$70,258.11
Rate for Payer: Buckeye Health Medicaid OOS	$12,167.49
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$70,258.11
Rate for Payer: Managed Health Services Medicaid	$70,258.11
Rate for Payer: MDWise Medicaid	$70,258.11
Rate for Payer: Molina Healthcare of OH Medicare	$12,167.49

Know your out-of-pocket cost for care.

All Charges