Cameron Memorial Community Hospital

All Charges

Charge

Type

Price

INPATIENT APRDRG 7562: ACUTE ANXIETY & DELIRIUM STATES

Facility IP

$2,165.61

Service Code	APR-DRG 7562
Hospital Charge Code	APRDRG 7562
Min. Negotiated Rate	$1,307.20
Max. Negotiated Rate	$2,165.61
Rate for Payer: Buckeye Health Medicaid OOS	$2,165.61
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$1,307.20
Rate for Payer: Managed Health Services Medicaid	$1,307.20
Rate for Payer: MDWise Medicaid	$1,307.20
Rate for Payer: Molina Healthcare of OH Medicare	$2,165.61

INPATIENT APRDRG 7563: ACUTE ANXIETY & DELIRIUM STATES

Facility IP

$2,294.33

Service Code	APR-DRG 7563
Hospital Charge Code	APRDRG 7563
Min. Negotiated Rate	$1,307.20
Max. Negotiated Rate	$2,294.33
Rate for Payer: Buckeye Health Medicaid OOS	$2,294.33
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$1,307.20
Rate for Payer: Managed Health Services Medicaid	$1,307.20
Rate for Payer: MDWise Medicaid	$1,307.20
Rate for Payer: Molina Healthcare of OH Medicare	$2,294.33

INPATIENT APRDRG 7564: ACUTE ANXIETY & DELIRIUM STATES

Facility IP

$2,294.33

Service Code	APR-DRG 7564
Hospital Charge Code	APRDRG 7564
Min. Negotiated Rate	$1,307.20
Max. Negotiated Rate	$2,294.33
Rate for Payer: Buckeye Health Medicaid OOS	$2,294.33
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$1,307.20
Rate for Payer: Managed Health Services Medicaid	$1,307.20
Rate for Payer: MDWise Medicaid	$1,307.20
Rate for Payer: Molina Healthcare of OH Medicare	$2,294.33

INPATIENT APRDRG 7571: ORGANIC MENTAL HEALTH DISTURBANCES

Facility IP

$5,479.61

Service Code	APR-DRG 7571
Hospital Charge Code	APRDRG 7571
Min. Negotiated Rate	$2,123.66
Max. Negotiated Rate	$5,479.61
Rate for Payer: Buckeye Health Medicaid OOS	$2,123.66
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$5,479.61
Rate for Payer: Managed Health Services Medicaid	$5,479.61
Rate for Payer: MDWise Medicaid	$5,479.61
Rate for Payer: Molina Healthcare of OH Medicare	$2,123.66

INPATIENT APRDRG 7572: ORGANIC MENTAL HEALTH DISTURBANCES

Facility IP

$7,005.22

Service Code	APR-DRG 7572
Hospital Charge Code	APRDRG 7572
Min. Negotiated Rate	$2,962.30
Max. Negotiated Rate	$7,005.22
Rate for Payer: Buckeye Health Medicaid OOS	$2,962.30
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$7,005.22
Rate for Payer: Managed Health Services Medicaid	$7,005.22
Rate for Payer: MDWise Medicaid	$7,005.22
Rate for Payer: Molina Healthcare of OH Medicare	$2,962.30

INPATIENT APRDRG 7573: ORGANIC MENTAL HEALTH DISTURBANCES

Facility IP

$8,881.08

Service Code	APR-DRG 7573
Hospital Charge Code	APRDRG 7573
Min. Negotiated Rate	$6,169.56
Max. Negotiated Rate	$8,881.08
Rate for Payer: Buckeye Health Medicaid OOS	$6,169.56
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$8,881.08
Rate for Payer: Managed Health Services Medicaid	$8,881.08
Rate for Payer: MDWise Medicaid	$8,881.08
Rate for Payer: Molina Healthcare of OH Medicare	$6,169.56

INPATIENT APRDRG 7574: ORGANIC MENTAL HEALTH DISTURBANCES

Facility IP

$23,762.23

Service Code	APR-DRG 7574
Hospital Charge Code	APRDRG 7574
Min. Negotiated Rate	$6,169.56
Max. Negotiated Rate	$23,762.23
Rate for Payer: Buckeye Health Medicaid OOS	$6,169.56
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$23,762.23
Rate for Payer: Managed Health Services Medicaid	$23,762.23
Rate for Payer: MDWise Medicaid	$23,762.23
Rate for Payer: Molina Healthcare of OH Medicare	$6,169.56

INPATIENT APRDRG 7581: BEHAVIORAL DISORDERS

Facility IP

$3,944.40

Service Code	APR-DRG 7581
Hospital Charge Code	APRDRG 7581
Min. Negotiated Rate	$1,307.20
Max. Negotiated Rate	$3,944.40
Rate for Payer: Buckeye Health Medicaid OOS	$3,944.40
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$1,307.20
Rate for Payer: Managed Health Services Medicaid	$1,307.20
Rate for Payer: MDWise Medicaid	$1,307.20
Rate for Payer: Molina Healthcare of OH Medicare	$3,944.40

INPATIENT APRDRG 7582: BEHAVIORAL DISORDERS

Facility IP

$4,241.55

Service Code	APR-DRG 7582
Hospital Charge Code	APRDRG 7582
Min. Negotiated Rate	$1,307.20
Max. Negotiated Rate	$4,241.55
Rate for Payer: Buckeye Health Medicaid OOS	$4,241.55
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$1,307.20
Rate for Payer: Managed Health Services Medicaid	$1,307.20
Rate for Payer: MDWise Medicaid	$1,307.20
Rate for Payer: Molina Healthcare of OH Medicare	$4,241.55

INPATIENT APRDRG 7583: BEHAVIORAL DISORDERS

Facility IP

$5,101.97

Service Code	APR-DRG 7583
Hospital Charge Code	APRDRG 7583
Min. Negotiated Rate	$1,307.20
Max. Negotiated Rate	$5,101.97
Rate for Payer: Buckeye Health Medicaid OOS	$5,101.97
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$1,307.20
Rate for Payer: Managed Health Services Medicaid	$1,307.20
Rate for Payer: MDWise Medicaid	$1,307.20
Rate for Payer: Molina Healthcare of OH Medicare	$5,101.97

INPATIENT APRDRG 7584: BEHAVIORAL DISORDERS

Facility IP

$5,101.97

Service Code	APR-DRG 7584
Hospital Charge Code	APRDRG 7584
Min. Negotiated Rate	$1,307.20
Max. Negotiated Rate	$5,101.97
Rate for Payer: Buckeye Health Medicaid OOS	$5,101.97
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$1,307.20
Rate for Payer: Managed Health Services Medicaid	$1,307.20
Rate for Payer: MDWise Medicaid	$1,307.20
Rate for Payer: Molina Healthcare of OH Medicare	$5,101.97

INPATIENT APRDRG 7591: EATING DISORDERS

Facility IP

$3,924.86

Service Code	APR-DRG 7591
Hospital Charge Code	APRDRG 7591
Min. Negotiated Rate	$1,307.20
Max. Negotiated Rate	$3,924.86
Rate for Payer: Buckeye Health Medicaid OOS	$3,924.86
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$1,307.20
Rate for Payer: Managed Health Services Medicaid	$1,307.20
Rate for Payer: MDWise Medicaid	$1,307.20
Rate for Payer: Molina Healthcare of OH Medicare	$3,924.86

INPATIENT APRDRG 7592: EATING DISORDERS

Facility IP

$3,924.86

Service Code	APR-DRG 7592
Hospital Charge Code	APRDRG 7592
Min. Negotiated Rate	$1,307.20
Max. Negotiated Rate	$3,924.86
Rate for Payer: Buckeye Health Medicaid OOS	$3,924.86
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$1,307.20
Rate for Payer: Managed Health Services Medicaid	$1,307.20
Rate for Payer: MDWise Medicaid	$1,307.20
Rate for Payer: Molina Healthcare of OH Medicare	$3,924.86

INPATIENT APRDRG 7593: EATING DISORDERS

Facility IP

$3,924.86

Service Code	APR-DRG 7593
Hospital Charge Code	APRDRG 7593
Min. Negotiated Rate	$1,307.20
Max. Negotiated Rate	$3,924.86
Rate for Payer: Buckeye Health Medicaid OOS	$3,924.86
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$1,307.20
Rate for Payer: Managed Health Services Medicaid	$1,307.20
Rate for Payer: MDWise Medicaid	$1,307.20
Rate for Payer: Molina Healthcare of OH Medicare	$3,924.86

INPATIENT APRDRG 7594: EATING DISORDERS

Facility IP

$3,924.86

Service Code	APR-DRG 7594
Hospital Charge Code	APRDRG 7594
Min. Negotiated Rate	$1,307.20
Max. Negotiated Rate	$3,924.86
Rate for Payer: Buckeye Health Medicaid OOS	$3,924.86
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$1,307.20
Rate for Payer: Managed Health Services Medicaid	$1,307.20
Rate for Payer: MDWise Medicaid	$1,307.20
Rate for Payer: Molina Healthcare of OH Medicare	$3,924.86

INPATIENT APRDRG 7601: OTHER MENTAL HEALTH DISORDERS

Facility IP

$2,347.81

Service Code	APR-DRG 7601
Hospital Charge Code	APRDRG 7601
Min. Negotiated Rate	$1,307.20
Max. Negotiated Rate	$2,347.81
Rate for Payer: Buckeye Health Medicaid OOS	$2,347.81
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$1,307.20
Rate for Payer: Managed Health Services Medicaid	$1,307.20
Rate for Payer: MDWise Medicaid	$1,307.20
Rate for Payer: Molina Healthcare of OH Medicare	$2,347.81

INPATIENT APRDRG 7602: OTHER MENTAL HEALTH DISORDERS

Facility IP

$3,249.85

Service Code	APR-DRG 7602
Hospital Charge Code	APRDRG 7602
Min. Negotiated Rate	$1,307.20
Max. Negotiated Rate	$3,249.85
Rate for Payer: Buckeye Health Medicaid OOS	$3,249.85
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$1,307.20
Rate for Payer: Managed Health Services Medicaid	$1,307.20
Rate for Payer: MDWise Medicaid	$1,307.20
Rate for Payer: Molina Healthcare of OH Medicare	$3,249.85

INPATIENT APRDRG 7603: OTHER MENTAL HEALTH DISORDERS

Facility IP

$4,985.09

Service Code	APR-DRG 7603
Hospital Charge Code	APRDRG 7603
Min. Negotiated Rate	$1,307.20
Max. Negotiated Rate	$4,985.09
Rate for Payer: Buckeye Health Medicaid OOS	$4,985.09
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$1,307.20
Rate for Payer: Managed Health Services Medicaid	$1,307.20
Rate for Payer: MDWise Medicaid	$1,307.20
Rate for Payer: Molina Healthcare of OH Medicare	$4,985.09

INPATIENT APRDRG 7604: OTHER MENTAL HEALTH DISORDERS

Facility IP

$4,985.09

Service Code	APR-DRG 7604
Hospital Charge Code	APRDRG 7604
Min. Negotiated Rate	$1,307.20
Max. Negotiated Rate	$4,985.09
Rate for Payer: Buckeye Health Medicaid OOS	$4,985.09
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$1,307.20
Rate for Payer: Managed Health Services Medicaid	$1,307.20
Rate for Payer: MDWise Medicaid	$1,307.20
Rate for Payer: Molina Healthcare of OH Medicare	$4,985.09

INPATIENT APRDRG 7701: DRUG & ALCOHOL ABUSE OR DEPENDENCE, LEFT AGAINST MEDICAL ADVICE

Facility IP

$2,821.82

Service Code	APR-DRG 7701
Hospital Charge Code	APRDRG 7701
Min. Negotiated Rate	$992.66
Max. Negotiated Rate	$2,821.82
Rate for Payer: Buckeye Health Medicaid OOS	$992.66
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$2,821.82
Rate for Payer: Managed Health Services Medicaid	$2,821.82
Rate for Payer: MDWise Medicaid	$2,821.82
Rate for Payer: Molina Healthcare of OH Medicare	$992.66

INPATIENT APRDRG 7702: DRUG & ALCOHOL ABUSE OR DEPENDENCE, LEFT AGAINST MEDICAL ADVICE

Facility IP

$3,806.00

Service Code	APR-DRG 7702
Hospital Charge Code	APRDRG 7702
Min. Negotiated Rate	$1,166.54
Max. Negotiated Rate	$3,806.00
Rate for Payer: Buckeye Health Medicaid OOS	$1,166.54
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$3,806.00
Rate for Payer: Managed Health Services Medicaid	$3,806.00
Rate for Payer: MDWise Medicaid	$3,806.00
Rate for Payer: Molina Healthcare of OH Medicare	$1,166.54

INPATIENT APRDRG 7703: DRUG & ALCOHOL ABUSE OR DEPENDENCE, LEFT AGAINST MEDICAL ADVICE

Facility IP

$5,863.17

Service Code	APR-DRG 7703
Hospital Charge Code	APRDRG 7703
Min. Negotiated Rate	$2,208.52
Max. Negotiated Rate	$5,863.17
Rate for Payer: Buckeye Health Medicaid OOS	$2,208.52
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$5,863.17
Rate for Payer: Managed Health Services Medicaid	$5,863.17
Rate for Payer: MDWise Medicaid	$5,863.17
Rate for Payer: Molina Healthcare of OH Medicare	$2,208.52

INPATIENT APRDRG 7704: DRUG & ALCOHOL ABUSE OR DEPENDENCE, LEFT AGAINST MEDICAL ADVICE

Facility IP

$8,698.55

Service Code	APR-DRG 7704
Hospital Charge Code	APRDRG 7704
Min. Negotiated Rate	$2,208.52
Max. Negotiated Rate	$8,698.55
Rate for Payer: Buckeye Health Medicaid OOS	$2,208.52
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$8,698.55
Rate for Payer: Managed Health Services Medicaid	$8,698.55
Rate for Payer: MDWise Medicaid	$8,698.55
Rate for Payer: Molina Healthcare of OH Medicare	$2,208.52

INPATIENT APRDRG 7721: ALCOHOL & DRUG DEPENDENCE W REHAB OR REHAB/DETOX THERAPY

Facility IP

$4,011.97

Service Code	APR-DRG 7721
Hospital Charge Code	APRDRG 7721
Min. Negotiated Rate	$2,433.31
Max. Negotiated Rate	$4,011.97
Rate for Payer: Buckeye Health Medicaid OOS	$2,433.31
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$4,011.97
Rate for Payer: Managed Health Services Medicaid	$4,011.97
Rate for Payer: MDWise Medicaid	$4,011.97
Rate for Payer: Molina Healthcare of OH Medicare	$2,433.31

INPATIENT APRDRG 7722: ALCOHOL & DRUG DEPENDENCE W REHAB OR REHAB/DETOX THERAPY

Facility IP

$4,011.97

Service Code	APR-DRG 7722
Hospital Charge Code	APRDRG 7722
Min. Negotiated Rate	$2,715.41
Max. Negotiated Rate	$4,011.97
Rate for Payer: Buckeye Health Medicaid OOS	$2,715.41
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$4,011.97
Rate for Payer: Managed Health Services Medicaid	$4,011.97
Rate for Payer: MDWise Medicaid	$4,011.97
Rate for Payer: Molina Healthcare of OH Medicare	$2,715.41

Price Transparency.

All Charges