Cameron Memorial Community Hospital

All Charges

Charge

Type

Price

INPATIENT APRDRG 7723: ALCOHOL & DRUG DEPENDENCE W REHAB OR REHAB/DETOX THERAPY

Facility IP

$4,011.97

Service Code	APR-DRG 7723
Hospital Charge Code	APRDRG 7723
Min. Negotiated Rate	$2,777.54
Max. Negotiated Rate	$4,011.97
Rate for Payer: Buckeye Health Medicaid OOS	$2,777.54
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	$2,777.54

INPATIENT APRDRG 7724: ALCOHOL & DRUG DEPENDENCE W REHAB OR REHAB/DETOX THERAPY

Facility IP

$5,800.68

Service Code	APR-DRG 7724
Hospital Charge Code	APRDRG 7724
Min. Negotiated Rate	$4,011.97
Max. Negotiated Rate	$5,800.68
Rate for Payer: Buckeye Health Medicaid OOS	$5,800.68
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	$5,800.68

INPATIENT APRDRG 7731: OPIOID ABUSE & DEPENDENCE

Facility IP

$5,337.78

Service Code	APR-DRG 7731
Hospital Charge Code	APRDRG 7731
Min. Negotiated Rate	$1,537.03
Max. Negotiated Rate	$5,337.78
Rate for Payer: Buckeye Health Medicaid OOS	$1,537.03
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$5,337.78
Rate for Payer: Managed Health Services Medicaid	$5,337.78
Rate for Payer: MDWise Medicaid	$5,337.78
Rate for Payer: Molina Healthcare of OH Medicare	$1,537.03

INPATIENT APRDRG 7732: OPIOID ABUSE & DEPENDENCE

Facility IP

$6,297.29

Service Code	APR-DRG 7732
Hospital Charge Code	APRDRG 7732
Min. Negotiated Rate	$1,630.85
Max. Negotiated Rate	$6,297.29
Rate for Payer: Buckeye Health Medicaid OOS	$1,630.85
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$6,297.29
Rate for Payer: Managed Health Services Medicaid	$6,297.29
Rate for Payer: MDWise Medicaid	$6,297.29
Rate for Payer: Molina Healthcare of OH Medicare	$1,630.85

INPATIENT APRDRG 7733: OPIOID ABUSE & DEPENDENCE

Facility IP

$8,313.76

Service Code	APR-DRG 7733
Hospital Charge Code	APRDRG 7733
Min. Negotiated Rate	$2,510.16
Max. Negotiated Rate	$8,313.76
Rate for Payer: Buckeye Health Medicaid OOS	$2,510.16
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$8,313.76
Rate for Payer: Managed Health Services Medicaid	$8,313.76
Rate for Payer: MDWise Medicaid	$8,313.76
Rate for Payer: Molina Healthcare of OH Medicare	$2,510.16

INPATIENT APRDRG 7734: OPIOID ABUSE & DEPENDENCE

Facility IP

$18,415.82

Service Code	APR-DRG 7734
Hospital Charge Code	APRDRG 7734
Min. Negotiated Rate	$6,906.06
Max. Negotiated Rate	$18,415.82
Rate for Payer: Buckeye Health Medicaid OOS	$6,906.06
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$18,415.82
Rate for Payer: Managed Health Services Medicaid	$18,415.82
Rate for Payer: MDWise Medicaid	$18,415.82
Rate for Payer: Molina Healthcare of OH Medicare	$6,906.06

INPATIENT APRDRG 7741: COCAINE ABUSE & DEPENDENCE

Facility IP

$3,440.94

Service Code	APR-DRG 7741
Hospital Charge Code	APRDRG 7741
Min. Negotiated Rate	$1,348.10
Max. Negotiated Rate	$3,440.94
Rate for Payer: Buckeye Health Medicaid OOS	$1,348.10
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$3,440.94
Rate for Payer: Managed Health Services Medicaid	$3,440.94
Rate for Payer: MDWise Medicaid	$3,440.94
Rate for Payer: Molina Healthcare of OH Medicare	$1,348.10

INPATIENT APRDRG 7742: COCAINE ABUSE & DEPENDENCE

Facility IP

$6,779.52

Service Code	APR-DRG 7742
Hospital Charge Code	APRDRG 7742
Min. Negotiated Rate	$1,671.52
Max. Negotiated Rate	$6,779.52
Rate for Payer: Buckeye Health Medicaid OOS	$1,671.52
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$6,779.52
Rate for Payer: Managed Health Services Medicaid	$6,779.52
Rate for Payer: MDWise Medicaid	$6,779.52
Rate for Payer: Molina Healthcare of OH Medicare	$1,671.52

INPATIENT APRDRG 7743: COCAINE ABUSE & DEPENDENCE

Facility IP

$13,399.94

Service Code	APR-DRG 7743
Hospital Charge Code	APRDRG 7743
Min. Negotiated Rate	$2,214.60
Max. Negotiated Rate	$13,399.94
Rate for Payer: Buckeye Health Medicaid OOS	$2,214.60
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$13,399.94
Rate for Payer: Managed Health Services Medicaid	$13,399.94
Rate for Payer: MDWise Medicaid	$13,399.94
Rate for Payer: Molina Healthcare of OH Medicare	$2,214.60

INPATIENT APRDRG 7744: COCAINE ABUSE & DEPENDENCE

Facility IP

$20,213.99

Service Code	APR-DRG 7744
Hospital Charge Code	APRDRG 7744
Min. Negotiated Rate	$5,132.07
Max. Negotiated Rate	$20,213.99
Rate for Payer: Buckeye Health Medicaid OOS	$5,132.07
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$20,213.99
Rate for Payer: Managed Health Services Medicaid	$20,213.99
Rate for Payer: MDWise Medicaid	$20,213.99
Rate for Payer: Molina Healthcare of OH Medicare	$5,132.07

INPATIENT APRDRG 7751: ALCOHOL ABUSE & DEPENDENCE

Facility IP

$6,011.17

Service Code	APR-DRG 7751
Hospital Charge Code	APRDRG 7751
Min. Negotiated Rate	$1,579.30
Max. Negotiated Rate	$6,011.17
Rate for Payer: Buckeye Health Medicaid OOS	$1,579.30
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$6,011.17
Rate for Payer: Managed Health Services Medicaid	$6,011.17
Rate for Payer: MDWise Medicaid	$6,011.17
Rate for Payer: Molina Healthcare of OH Medicare	$1,579.30

INPATIENT APRDRG 7752: ALCOHOL ABUSE & DEPENDENCE

Facility IP

$7,767.40

Service Code	APR-DRG 7752
Hospital Charge Code	APRDRG 7752
Min. Negotiated Rate	$1,864.93
Max. Negotiated Rate	$7,767.40
Rate for Payer: Buckeye Health Medicaid OOS	$1,864.93
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$7,767.40
Rate for Payer: Managed Health Services Medicaid	$7,767.40
Rate for Payer: MDWise Medicaid	$7,767.40
Rate for Payer: Molina Healthcare of OH Medicare	$1,864.93

INPATIENT APRDRG 7753: ALCOHOL ABUSE & DEPENDENCE

Facility IP

$13,401.17

Service Code	APR-DRG 7753
Hospital Charge Code	APRDRG 7753
Min. Negotiated Rate	$2,969.98
Max. Negotiated Rate	$13,401.17
Rate for Payer: Buckeye Health Medicaid OOS	$2,969.98
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$13,401.17
Rate for Payer: Managed Health Services Medicaid	$13,401.17
Rate for Payer: MDWise Medicaid	$13,401.17
Rate for Payer: Molina Healthcare of OH Medicare	$2,969.98

INPATIENT APRDRG 7754: ALCOHOL ABUSE & DEPENDENCE

Facility IP

$28,583.25

Service Code	APR-DRG 7754
Hospital Charge Code	APRDRG 7754
Min. Negotiated Rate	$7,365.88
Max. Negotiated Rate	$28,583.25
Rate for Payer: Buckeye Health Medicaid OOS	$7,365.88
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$28,583.25
Rate for Payer: Managed Health Services Medicaid	$28,583.25
Rate for Payer: MDWise Medicaid	$28,583.25
Rate for Payer: Molina Healthcare of OH Medicare	$7,365.88

INPATIENT APRDRG 7761: OTHER DRUG ABUSE & DEPENDENCE

Facility IP

$6,197.40

Service Code	APR-DRG 7761
Hospital Charge Code	APRDRG 7761
Min. Negotiated Rate	$1,999.42
Max. Negotiated Rate	$6,197.40
Rate for Payer: Buckeye Health Medicaid OOS	$1,999.42
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$6,197.40
Rate for Payer: Managed Health Services Medicaid	$6,197.40
Rate for Payer: MDWise Medicaid	$6,197.40
Rate for Payer: Molina Healthcare of OH Medicare	$1,999.42

INPATIENT APRDRG 7762: OTHER DRUG ABUSE & DEPENDENCE

Facility IP

$6,197.40

Service Code	APR-DRG 7762
Hospital Charge Code	APRDRG 7762
Min. Negotiated Rate	$2,019.91
Max. Negotiated Rate	$6,197.40
Rate for Payer: Buckeye Health Medicaid OOS	$2,019.91
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$6,197.40
Rate for Payer: Managed Health Services Medicaid	$6,197.40
Rate for Payer: MDWise Medicaid	$6,197.40
Rate for Payer: Molina Healthcare of OH Medicare	$2,019.91

INPATIENT APRDRG 7763: OTHER DRUG ABUSE & DEPENDENCE

Facility IP

$7,540.47

Service Code	APR-DRG 7763
Hospital Charge Code	APRDRG 7763
Min. Negotiated Rate	$3,312.93
Max. Negotiated Rate	$7,540.47
Rate for Payer: Buckeye Health Medicaid OOS	$3,312.93
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$7,540.47
Rate for Payer: Managed Health Services Medicaid	$7,540.47
Rate for Payer: MDWise Medicaid	$7,540.47
Rate for Payer: Molina Healthcare of OH Medicare	$3,312.93

INPATIENT APRDRG 7764: OTHER DRUG ABUSE & DEPENDENCE

Facility IP

$13,049.68

Service Code	APR-DRG 7764
Hospital Charge Code	APRDRG 7764
Min. Negotiated Rate	$3,312.93
Max. Negotiated Rate	$13,049.68
Rate for Payer: Buckeye Health Medicaid OOS	$3,312.93
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$13,049.68
Rate for Payer: Managed Health Services Medicaid	$13,049.68
Rate for Payer: MDWise Medicaid	$13,049.68
Rate for Payer: Molina Healthcare of OH Medicare	$3,312.93

INPATIENT APRDRG 7921: EXTENSIVE OR PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT

Facility IP

$17,218.28

Service Code	APR-DRG 7921
Hospital Charge Code	APRDRG 7921
Min. Negotiated Rate	$4,835.23
Max. Negotiated Rate	$17,218.28
Rate for Payer: Buckeye Health Medicaid OOS	$4,835.23
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$17,218.28
Rate for Payer: Managed Health Services Medicaid	$17,218.28
Rate for Payer: MDWise Medicaid	$17,218.28
Rate for Payer: Molina Healthcare of OH Medicare	$4,835.23

INPATIENT APRDRG 7922: EXTENSIVE OR PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT

Facility IP

$22,314.32

Service Code	APR-DRG 7922
Hospital Charge Code	APRDRG 7922
Min. Negotiated Rate	$6,471.20
Max. Negotiated Rate	$22,314.32
Rate for Payer: Buckeye Health Medicaid OOS	$6,471.20
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$22,314.32
Rate for Payer: Managed Health Services Medicaid	$22,314.32
Rate for Payer: MDWise Medicaid	$22,314.32
Rate for Payer: Molina Healthcare of OH Medicare	$6,471.20

INPATIENT APRDRG 7923: EXTENSIVE OR PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT

Facility IP

$29,711.73

Service Code	APR-DRG 7923
Hospital Charge Code	APRDRG 7923
Min. Negotiated Rate	$9,401.48
Max. Negotiated Rate	$29,711.73
Rate for Payer: Buckeye Health Medicaid OOS	$9,401.48
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$29,711.73
Rate for Payer: Managed Health Services Medicaid	$29,711.73
Rate for Payer: MDWise Medicaid	$29,711.73
Rate for Payer: Molina Healthcare of OH Medicare	$9,401.48

INPATIENT APRDRG 7924: EXTENSIVE OR PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT

Facility IP

$60,815.87

Service Code	APR-DRG 7924
Hospital Charge Code	APRDRG 7924
Min. Negotiated Rate	$20,835.36
Max. Negotiated Rate	$60,815.87
Rate for Payer: Buckeye Health Medicaid OOS	$20,835.36
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$60,815.87
Rate for Payer: Managed Health Services Medicaid	$60,815.87
Rate for Payer: MDWise Medicaid	$60,815.87
Rate for Payer: Molina Healthcare of OH Medicare	$20,835.36

INPATIENT APRDRG 7931: MODERATELY EXTENSIVE OR PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT

Facility IP

$13,691.00

Service Code	APR-DRG 7931
Hospital Charge Code	APRDRG 7931
Min. Negotiated Rate	$2,972.55
Max. Negotiated Rate	$13,691.00
Rate for Payer: Buckeye Health Medicaid OOS	$2,972.55
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$13,691.00
Rate for Payer: Managed Health Services Medicaid	$13,691.00
Rate for Payer: MDWise Medicaid	$13,691.00
Rate for Payer: Molina Healthcare of OH Medicare	$2,972.55

INPATIENT APRDRG 7932: MODERATELY EXTENSIVE OR PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT

Facility IP

$15,698.83

Service Code	APR-DRG 7932
Hospital Charge Code	APRDRG 7932
Min. Negotiated Rate	$4,661.68
Max. Negotiated Rate	$15,698.83
Rate for Payer: Buckeye Health Medicaid OOS	$4,661.68
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$15,698.83
Rate for Payer: Managed Health Services Medicaid	$15,698.83
Rate for Payer: MDWise Medicaid	$15,698.83
Rate for Payer: Molina Healthcare of OH Medicare	$4,661.68

INPATIENT APRDRG 7933: MODERATELY EXTENSIVE OR PROCEDURES FOR OTHER COMPLICATIONS OF TREATMENT

Facility IP

$22,382.16

Service Code	APR-DRG 7933
Hospital Charge Code	APRDRG 7933
Min. Negotiated Rate	$5,860.56
Max. Negotiated Rate	$22,382.16
Rate for Payer: Buckeye Health Medicaid OOS	$5,860.56
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$22,382.16
Rate for Payer: Managed Health Services Medicaid	$22,382.16
Rate for Payer: MDWise Medicaid	$22,382.16
Rate for Payer: Molina Healthcare of OH Medicare	$5,860.56

Price Transparency.

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