Cameron Memorial Community Hospital

All Charges

Charge

Type

Price

INPATIENT APRDRG 6913: LYMPHOMA, MYELOMA & NON-ACUTE LEUKEMIA

Facility IP

$21,285.74

Service Code	APR-DRG 6913
Hospital Charge Code	APRDRG 6913
Min. Negotiated Rate	$7,694.42
Max. Negotiated Rate	$21,285.74
Rate for Payer: Buckeye Health Medicaid OOS	$7,694.42
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$21,285.74
Rate for Payer: Managed Health Services Medicaid	$21,285.74
Rate for Payer: MDWise Medicaid	$21,285.74
Rate for Payer: Molina Healthcare of OH Medicare	$7,694.42

INPATIENT APRDRG 6914: LYMPHOMA, MYELOMA & NON-ACUTE LEUKEMIA

Facility IP

$41,695.83

Service Code	APR-DRG 6914
Hospital Charge Code	APRDRG 6914
Min. Negotiated Rate	$14,754.50
Max. Negotiated Rate	$41,695.83
Rate for Payer: Buckeye Health Medicaid OOS	$14,754.50
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$41,695.83
Rate for Payer: Managed Health Services Medicaid	$41,695.83
Rate for Payer: MDWise Medicaid	$41,695.83
Rate for Payer: Molina Healthcare of OH Medicare	$14,754.50

INPATIENT APRDRG 6921: RADIOTHERAPY

Facility IP

$13,809.40

Service Code	APR-DRG 6921
Hospital Charge Code	APRDRG 6921
Min. Negotiated Rate	$3,506.02
Max. Negotiated Rate	$13,809.40
Rate for Payer: Buckeye Health Medicaid OOS	$3,506.02
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$13,809.40
Rate for Payer: Managed Health Services Medicaid	$13,809.40
Rate for Payer: MDWise Medicaid	$13,809.40
Rate for Payer: Molina Healthcare of OH Medicare	$3,506.02

INPATIENT APRDRG 6922: RADIOTHERAPY

Facility IP

$24,420.82

Service Code	APR-DRG 6922
Hospital Charge Code	APRDRG 6922
Min. Negotiated Rate	$4,001.39
Max. Negotiated Rate	$24,420.82
Rate for Payer: Buckeye Health Medicaid OOS	$4,001.39
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$24,420.82
Rate for Payer: Managed Health Services Medicaid	$24,420.82
Rate for Payer: MDWise Medicaid	$24,420.82
Rate for Payer: Molina Healthcare of OH Medicare	$4,001.39

INPATIENT APRDRG 6923: RADIOTHERAPY

Facility IP

$24,420.82

Service Code	APR-DRG 6923
Hospital Charge Code	APRDRG 6923
Min. Negotiated Rate	$4,001.39
Max. Negotiated Rate	$24,420.82
Rate for Payer: Buckeye Health Medicaid OOS	$4,001.39
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$24,420.82
Rate for Payer: Managed Health Services Medicaid	$24,420.82
Rate for Payer: MDWise Medicaid	$24,420.82
Rate for Payer: Molina Healthcare of OH Medicare	$4,001.39

INPATIENT APRDRG 6924: RADIOTHERAPY

Facility IP

$41,499.73

Service Code	APR-DRG 6924
Hospital Charge Code	APRDRG 6924
Min. Negotiated Rate	$4,001.39
Max. Negotiated Rate	$41,499.73
Rate for Payer: Buckeye Health Medicaid OOS	$4,001.39
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$41,499.73
Rate for Payer: Managed Health Services Medicaid	$41,499.73
Rate for Payer: MDWise Medicaid	$41,499.73
Rate for Payer: Molina Healthcare of OH Medicare	$4,001.39

INPATIENT APRDRG 6941: LYMPHATIC & OTHER MALIGNANCIES & NEOPLASMS OF UNCERTAIN BEHAVIOR

Facility IP

$10,951.82

Service Code	APR-DRG 6941
Hospital Charge Code	APRDRG 6941
Min. Negotiated Rate	$1,996.53
Max. Negotiated Rate	$10,951.82
Rate for Payer: Buckeye Health Medicaid OOS	$1,996.53
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$10,951.82
Rate for Payer: Managed Health Services Medicaid	$10,951.82
Rate for Payer: MDWise Medicaid	$10,951.82
Rate for Payer: Molina Healthcare of OH Medicare	$1,996.53

INPATIENT APRDRG 6942: LYMPHATIC & OTHER MALIGNANCIES & NEOPLASMS OF UNCERTAIN BEHAVIOR

Facility IP

$14,423.59

Service Code	APR-DRG 6942
Hospital Charge Code	APRDRG 6942
Min. Negotiated Rate	$2,704.85
Max. Negotiated Rate	$14,423.59
Rate for Payer: Buckeye Health Medicaid OOS	$2,704.85
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$14,423.59
Rate for Payer: Managed Health Services Medicaid	$14,423.59
Rate for Payer: MDWise Medicaid	$14,423.59
Rate for Payer: Molina Healthcare of OH Medicare	$2,704.85

INPATIENT APRDRG 6943: LYMPHATIC & OTHER MALIGNANCIES & NEOPLASMS OF UNCERTAIN BEHAVIOR

Facility IP

$14,423.59

Service Code	APR-DRG 6943
Hospital Charge Code	APRDRG 6943
Min. Negotiated Rate	$4,174.95
Max. Negotiated Rate	$14,423.59
Rate for Payer: Buckeye Health Medicaid OOS	$4,174.95
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$14,423.59
Rate for Payer: Managed Health Services Medicaid	$14,423.59
Rate for Payer: MDWise Medicaid	$14,423.59
Rate for Payer: Molina Healthcare of OH Medicare	$4,174.95

INPATIENT APRDRG 6944: LYMPHATIC & OTHER MALIGNANCIES & NEOPLASMS OF UNCERTAIN BEHAVIOR

Facility IP

$24,534.29

Service Code	APR-DRG 6944
Hospital Charge Code	APRDRG 6944
Min. Negotiated Rate	$6,165.08
Max. Negotiated Rate	$24,534.29
Rate for Payer: Buckeye Health Medicaid OOS	$6,165.08
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$24,534.29
Rate for Payer: Managed Health Services Medicaid	$24,534.29
Rate for Payer: MDWise Medicaid	$24,534.29
Rate for Payer: Molina Healthcare of OH Medicare	$6,165.08

INPATIENT APRDRG 6951: CHEMOTHERAPY FOR ACUTE LEUKEMIA

Facility IP

$12,400.96

Service Code	APR-DRG 6951
Hospital Charge Code	APRDRG 6951
Min. Negotiated Rate	$4,267.17
Max. Negotiated Rate	$12,400.96
Rate for Payer: Buckeye Health Medicaid OOS	$4,267.17
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$12,400.96
Rate for Payer: Managed Health Services Medicaid	$12,400.96
Rate for Payer: MDWise Medicaid	$12,400.96
Rate for Payer: Molina Healthcare of OH Medicare	$4,267.17

INPATIENT APRDRG 6952: CHEMOTHERAPY FOR ACUTE LEUKEMIA

Facility IP

$12,400.96

Service Code	APR-DRG 6952
Hospital Charge Code	APRDRG 6952
Min. Negotiated Rate	$4,267.17
Max. Negotiated Rate	$12,400.96
Rate for Payer: Buckeye Health Medicaid OOS	$4,267.17
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$12,400.96
Rate for Payer: Managed Health Services Medicaid	$12,400.96
Rate for Payer: MDWise Medicaid	$12,400.96
Rate for Payer: Molina Healthcare of OH Medicare	$4,267.17

INPATIENT APRDRG 6953: CHEMOTHERAPY FOR ACUTE LEUKEMIA

Facility IP

$35,688.36

Service Code	APR-DRG 6953
Hospital Charge Code	APRDRG 6953
Min. Negotiated Rate	$9,348.97
Max. Negotiated Rate	$35,688.36
Rate for Payer: Buckeye Health Medicaid OOS	$9,348.97
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$35,688.36
Rate for Payer: Managed Health Services Medicaid	$35,688.36
Rate for Payer: MDWise Medicaid	$35,688.36
Rate for Payer: Molina Healthcare of OH Medicare	$9,348.97

INPATIENT APRDRG 6954: CHEMOTHERAPY FOR ACUTE LEUKEMIA

Facility IP

$77,931.78

Service Code	APR-DRG 6954
Hospital Charge Code	APRDRG 6954
Min. Negotiated Rate	$25,530.66
Max. Negotiated Rate	$77,931.78
Rate for Payer: Buckeye Health Medicaid OOS	$25,530.66
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$77,931.78
Rate for Payer: Managed Health Services Medicaid	$77,931.78
Rate for Payer: MDWise Medicaid	$77,931.78
Rate for Payer: Molina Healthcare of OH Medicare	$25,530.66

INPATIENT APRDRG 6961: OTHER CHEMOTHERAPY

Facility IP

$8,604.82

Service Code	APR-DRG 6961
Hospital Charge Code	APRDRG 6961
Min. Negotiated Rate	$3,953.04
Max. Negotiated Rate	$8,604.82
Rate for Payer: Buckeye Health Medicaid OOS	$3,953.04
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$8,604.82
Rate for Payer: Managed Health Services Medicaid	$8,604.82
Rate for Payer: MDWise Medicaid	$8,604.82
Rate for Payer: Molina Healthcare of OH Medicare	$3,953.04

INPATIENT APRDRG 6962: OTHER CHEMOTHERAPY

Facility IP

$11,952.03

Service Code	APR-DRG 6962
Hospital Charge Code	APRDRG 6962
Min. Negotiated Rate	$4,414.79
Max. Negotiated Rate	$11,952.03
Rate for Payer: Buckeye Health Medicaid OOS	$4,414.79
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$11,952.03
Rate for Payer: Managed Health Services Medicaid	$11,952.03
Rate for Payer: MDWise Medicaid	$11,952.03
Rate for Payer: Molina Healthcare of OH Medicare	$4,414.79

INPATIENT APRDRG 6963: OTHER CHEMOTHERAPY

Facility IP

$18,642.75

Service Code	APR-DRG 6963
Hospital Charge Code	APRDRG 6963
Min. Negotiated Rate	$5,894.82
Max. Negotiated Rate	$18,642.75
Rate for Payer: Buckeye Health Medicaid OOS	$5,894.82
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$18,642.75
Rate for Payer: Managed Health Services Medicaid	$18,642.75
Rate for Payer: MDWise Medicaid	$18,642.75
Rate for Payer: Molina Healthcare of OH Medicare	$5,894.82

INPATIENT APRDRG 6964: OTHER CHEMOTHERAPY

Facility IP

$33,800.16

Service Code	APR-DRG 6964
Hospital Charge Code	APRDRG 6964
Min. Negotiated Rate	$16,737.27
Max. Negotiated Rate	$33,800.16
Rate for Payer: Buckeye Health Medicaid OOS	$16,737.27
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$33,800.16
Rate for Payer: Managed Health Services Medicaid	$33,800.16
Rate for Payer: MDWise Medicaid	$33,800.16
Rate for Payer: Molina Healthcare of OH Medicare	$16,737.27

INPATIENT APRDRG 7101: INFECTIOUS & PARASITIC DISEASES INCLUDING HIV W O.R. PROCEDURE

Facility IP

$13,124.91

Service Code	APR-DRG 7101
Hospital Charge Code	APRDRG 7101
Min. Negotiated Rate	$3,125.61
Max. Negotiated Rate	$13,124.91
Rate for Payer: Buckeye Health Medicaid OOS	$3,125.61
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$13,124.91
Rate for Payer: Managed Health Services Medicaid	$13,124.91
Rate for Payer: MDWise Medicaid	$13,124.91
Rate for Payer: Molina Healthcare of OH Medicare	$3,125.61

INPATIENT APRDRG 7102: INFECTIOUS & PARASITIC DISEASES INCLUDING HIV W O.R. PROCEDURE

Facility IP

$22,208.26

Service Code	APR-DRG 7102
Hospital Charge Code	APRDRG 7102
Min. Negotiated Rate	$4,423.12
Max. Negotiated Rate	$22,208.26
Rate for Payer: Buckeye Health Medicaid OOS	$4,423.12
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$22,208.26
Rate for Payer: Managed Health Services Medicaid	$22,208.26
Rate for Payer: MDWise Medicaid	$22,208.26
Rate for Payer: Molina Healthcare of OH Medicare	$4,423.12

INPATIENT APRDRG 7103: INFECTIOUS & PARASITIC DISEASES INCLUDING HIV W O.R. PROCEDURE

Facility IP

$35,877.06

Service Code	APR-DRG 7103
Hospital Charge Code	APRDRG 7103
Min. Negotiated Rate	$7,351.79
Max. Negotiated Rate	$35,877.06
Rate for Payer: Buckeye Health Medicaid OOS	$7,351.79
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$35,877.06
Rate for Payer: Managed Health Services Medicaid	$35,877.06
Rate for Payer: MDWise Medicaid	$35,877.06
Rate for Payer: Molina Healthcare of OH Medicare	$7,351.79

INPATIENT APRDRG 7104: INFECTIOUS & PARASITIC DISEASES INCLUDING HIV W O.R. PROCEDURE

Facility IP

$68,179.98

Service Code	APR-DRG 7104
Hospital Charge Code	APRDRG 7104
Min. Negotiated Rate	$15,378.28
Max. Negotiated Rate	$68,179.98
Rate for Payer: Buckeye Health Medicaid OOS	$15,378.28
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$68,179.98
Rate for Payer: Managed Health Services Medicaid	$68,179.98
Rate for Payer: MDWise Medicaid	$68,179.98
Rate for Payer: Molina Healthcare of OH Medicare	$15,378.28

INPATIENT APRDRG 7111: POST-OP, POST-TRAUMA, OTHER DEVICE INFECTIONS W O.R. PROCEDURE

Facility IP

$17,025.88

Service Code	APR-DRG 7111
Hospital Charge Code	APRDRG 7111
Min. Negotiated Rate	$3,635.07
Max. Negotiated Rate	$17,025.88
Rate for Payer: Buckeye Health Medicaid OOS	$3,635.07
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$17,025.88
Rate for Payer: Managed Health Services Medicaid	$17,025.88
Rate for Payer: MDWise Medicaid	$17,025.88
Rate for Payer: Molina Healthcare of OH Medicare	$3,635.07

INPATIENT APRDRG 7112: POST-OP, POST-TRAUMA, OTHER DEVICE INFECTIONS W O.R. PROCEDURE

Facility IP

$20,300.32

Service Code	APR-DRG 7112
Hospital Charge Code	APRDRG 7112
Min. Negotiated Rate	$4,774.71
Max. Negotiated Rate	$20,300.32
Rate for Payer: Buckeye Health Medicaid OOS	$4,774.71
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$20,300.32
Rate for Payer: Managed Health Services Medicaid	$20,300.32
Rate for Payer: MDWise Medicaid	$20,300.32
Rate for Payer: Molina Healthcare of OH Medicare	$4,774.71

INPATIENT APRDRG 7113: POST-OP, POST-TRAUMA, OTHER DEVICE INFECTIONS W O.R. PROCEDURE

Facility IP

$37,015.41

Service Code	APR-DRG 7113
Hospital Charge Code	APRDRG 7113
Min. Negotiated Rate	$7,623.65
Max. Negotiated Rate	$37,015.41
Rate for Payer: Buckeye Health Medicaid OOS	$7,623.65
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$37,015.41
Rate for Payer: Managed Health Services Medicaid	$37,015.41
Rate for Payer: MDWise Medicaid	$37,015.41
Rate for Payer: Molina Healthcare of OH Medicare	$7,623.65

Price Transparency.

All Charges