Cameron Memorial Community Hospital

All Charges

Charge

Type

Price

INPATIENT APRDRG 8502: PROCEDURE W DIAG OF REHAB, AFTERCARE OR OTH CONTACT W HEALTH SERVICE

Facility IP

$28,126.92

Service Code	APR-DRG 8502
Hospital Charge Code	APRDRG 8502
Min. Negotiated Rate	$8,326.84
Max. Negotiated Rate	$28,126.92
Rate for Payer: Buckeye Health Medicaid OOS	$8,326.84
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$28,126.92
Rate for Payer: Managed Health Services Medicaid	$28,126.92
Rate for Payer: MDWise Medicaid	$28,126.92
Rate for Payer: Molina Healthcare of OH Medicare	$8,326.84

INPATIENT APRDRG 8503: PROCEDURE W DIAG OF REHAB, AFTERCARE OR OTH CONTACT W HEALTH SERVICE

Facility IP

$33,817.43

Service Code	APR-DRG 8503
Hospital Charge Code	APRDRG 8503
Min. Negotiated Rate	$10,861.66
Max. Negotiated Rate	$33,817.43
Rate for Payer: Buckeye Health Medicaid OOS	$10,861.66
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$33,817.43
Rate for Payer: Managed Health Services Medicaid	$33,817.43
Rate for Payer: MDWise Medicaid	$33,817.43
Rate for Payer: Molina Healthcare of OH Medicare	$10,861.66

INPATIENT APRDRG 8504: PROCEDURE W DIAG OF REHAB, AFTERCARE OR OTH CONTACT W HEALTH SERVICE

Facility IP

$41,788.33

Service Code	APR-DRG 8504
Hospital Charge Code	APRDRG 8504
Min. Negotiated Rate	$30,424.17
Max. Negotiated Rate	$41,788.33
Rate for Payer: Buckeye Health Medicaid OOS	$30,424.17
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$41,788.33
Rate for Payer: Managed Health Services Medicaid	$41,788.33
Rate for Payer: MDWise Medicaid	$41,788.33
Rate for Payer: Molina Healthcare of OH Medicare	$30,424.17

INPATIENT APRDRG 8601: REHABILITATION

Facility IP

$4,664.88

Service Code	APR-DRG 8601
Hospital Charge Code	APRDRG 8601
Min. Negotiated Rate	$1,734.20
Max. Negotiated Rate	$4,664.88
Rate for Payer: Buckeye Health Medicaid OOS	$4,664.88
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$1,734.20
Rate for Payer: Managed Health Services Medicaid	$1,734.20
Rate for Payer: MDWise Medicaid	$1,734.20
Rate for Payer: Molina Healthcare of OH Medicare	$4,664.88

INPATIENT APRDRG 8602: REHABILITATION

Facility IP

$6,132.10

Service Code	APR-DRG 8602
Hospital Charge Code	APRDRG 8602
Min. Negotiated Rate	$1,734.20
Max. Negotiated Rate	$6,132.10
Rate for Payer: Buckeye Health Medicaid OOS	$6,132.10
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$1,734.20
Rate for Payer: Managed Health Services Medicaid	$1,734.20
Rate for Payer: MDWise Medicaid	$1,734.20
Rate for Payer: Molina Healthcare of OH Medicare	$6,132.10

INPATIENT APRDRG 8603: REHABILITATION

Facility IP

$9,927.59

Service Code	APR-DRG 8603
Hospital Charge Code	APRDRG 8603
Min. Negotiated Rate	$1,734.20
Max. Negotiated Rate	$9,927.59
Rate for Payer: Buckeye Health Medicaid OOS	$9,927.59
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$1,734.20
Rate for Payer: Managed Health Services Medicaid	$1,734.20
Rate for Payer: MDWise Medicaid	$1,734.20
Rate for Payer: Molina Healthcare of OH Medicare	$9,927.59

INPATIENT APRDRG 8604: REHABILITATION

Facility IP

$19,812.28

Service Code	APR-DRG 8604
Hospital Charge Code	APRDRG 8604
Min. Negotiated Rate	$1,734.20
Max. Negotiated Rate	$19,812.28
Rate for Payer: Buckeye Health Medicaid OOS	$19,812.28
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$1,734.20
Rate for Payer: Managed Health Services Medicaid	$1,734.20
Rate for Payer: MDWise Medicaid	$1,734.20
Rate for Payer: Molina Healthcare of OH Medicare	$19,812.28

INPATIENT APRDRG 8611: SIGNS, SYMPTOMS & OTHER FACTORS INFLUENCING HEALTH STATUS

Facility IP

$9,334.94

Service Code	APR-DRG 8611
Hospital Charge Code	APRDRG 8611
Min. Negotiated Rate	$1,586.02
Max. Negotiated Rate	$9,334.94
Rate for Payer: Buckeye Health Medicaid OOS	$1,586.02
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$9,334.94
Rate for Payer: Managed Health Services Medicaid	$9,334.94
Rate for Payer: MDWise Medicaid	$9,334.94
Rate for Payer: Molina Healthcare of OH Medicare	$1,586.02

INPATIENT APRDRG 8612: SIGNS, SYMPTOMS & OTHER FACTORS INFLUENCING HEALTH STATUS

Facility IP

$11,557.37

Service Code	APR-DRG 8612
Hospital Charge Code	APRDRG 8612
Min. Negotiated Rate	$2,112.77
Max. Negotiated Rate	$11,557.37
Rate for Payer: Buckeye Health Medicaid OOS	$2,112.77
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$11,557.37
Rate for Payer: Managed Health Services Medicaid	$11,557.37
Rate for Payer: MDWise Medicaid	$11,557.37
Rate for Payer: Molina Healthcare of OH Medicare	$2,112.77

INPATIENT APRDRG 8613: SIGNS, SYMPTOMS & OTHER FACTORS INFLUENCING HEALTH STATUS

Facility IP

$17,887.96

Service Code	APR-DRG 8613
Hospital Charge Code	APRDRG 8613
Min. Negotiated Rate	$3,011.61
Max. Negotiated Rate	$17,887.96
Rate for Payer: Buckeye Health Medicaid OOS	$3,011.61
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$17,887.96
Rate for Payer: Managed Health Services Medicaid	$17,887.96
Rate for Payer: MDWise Medicaid	$17,887.96
Rate for Payer: Molina Healthcare of OH Medicare	$3,011.61

INPATIENT APRDRG 8614: SIGNS, SYMPTOMS & OTHER FACTORS INFLUENCING HEALTH STATUS

Facility IP

$17,887.96

Service Code	APR-DRG 8614
Hospital Charge Code	APRDRG 8614
Min. Negotiated Rate	$5,490.07
Max. Negotiated Rate	$17,887.96
Rate for Payer: Buckeye Health Medicaid OOS	$5,490.07
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$17,887.96
Rate for Payer: Managed Health Services Medicaid	$17,887.96
Rate for Payer: MDWise Medicaid	$17,887.96
Rate for Payer: Molina Healthcare of OH Medicare	$5,490.07

INPATIENT APRDRG 8621: OTHER AFTERCARE & CONVALESCENCE

Facility IP

$15,996.06

Service Code	APR-DRG 8621
Hospital Charge Code	APRDRG 8621
Min. Negotiated Rate	$4,043.66
Max. Negotiated Rate	$15,996.06
Rate for Payer: Buckeye Health Medicaid OOS	$4,043.66
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$15,996.06
Rate for Payer: Managed Health Services Medicaid	$15,996.06
Rate for Payer: MDWise Medicaid	$15,996.06
Rate for Payer: Molina Healthcare of OH Medicare	$4,043.66

INPATIENT APRDRG 8622: OTHER AFTERCARE & CONVALESCENCE

Facility IP

$20,611.12

Service Code	APR-DRG 8622
Hospital Charge Code	APRDRG 8622
Min. Negotiated Rate	$4,320.01
Max. Negotiated Rate	$20,611.12
Rate for Payer: Buckeye Health Medicaid OOS	$4,320.01
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$20,611.12
Rate for Payer: Managed Health Services Medicaid	$20,611.12
Rate for Payer: MDWise Medicaid	$20,611.12
Rate for Payer: Molina Healthcare of OH Medicare	$4,320.01

INPATIENT APRDRG 8623: OTHER AFTERCARE & CONVALESCENCE

Facility IP

$29,336.80

Service Code	APR-DRG 8623
Hospital Charge Code	APRDRG 8623
Min. Negotiated Rate	$5,549.63
Max. Negotiated Rate	$29,336.80
Rate for Payer: Buckeye Health Medicaid OOS	$5,549.63
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$29,336.80
Rate for Payer: Managed Health Services Medicaid	$29,336.80
Rate for Payer: MDWise Medicaid	$29,336.80
Rate for Payer: Molina Healthcare of OH Medicare	$5,549.63

INPATIENT APRDRG 8624: OTHER AFTERCARE & CONVALESCENCE

Facility IP

$40,522.95

Service Code	APR-DRG 8624
Hospital Charge Code	APRDRG 8624
Min. Negotiated Rate	$7,988.06
Max. Negotiated Rate	$40,522.95
Rate for Payer: Buckeye Health Medicaid OOS	$7,988.06
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$40,522.95
Rate for Payer: Managed Health Services Medicaid	$40,522.95
Rate for Payer: MDWise Medicaid	$40,522.95
Rate for Payer: Molina Healthcare of OH Medicare	$7,988.06

INPATIENT APRDRG 8631: NEONATAL AFTERCARE

Facility IP

$17,737.50

Service Code	APR-DRG 8631
Hospital Charge Code	APRDRG 8631
Min. Negotiated Rate	$4,503.17
Max. Negotiated Rate	$17,737.50
Rate for Payer: Buckeye Health Medicaid OOS	$4,503.17
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$17,737.50
Rate for Payer: Managed Health Services Medicaid	$17,737.50
Rate for Payer: MDWise Medicaid	$17,737.50
Rate for Payer: Molina Healthcare of OH Medicare	$4,503.17

INPATIENT APRDRG 8632: NEONATAL AFTERCARE

Facility IP

$44,674.28

Service Code	APR-DRG 8632
Hospital Charge Code	APRDRG 8632
Min. Negotiated Rate	$11,341.98
Max. Negotiated Rate	$44,674.28
Rate for Payer: Buckeye Health Medicaid OOS	$11,341.98
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$44,674.28
Rate for Payer: Managed Health Services Medicaid	$44,674.28
Rate for Payer: MDWise Medicaid	$44,674.28
Rate for Payer: Molina Healthcare of OH Medicare	$11,341.98

INPATIENT APRDRG 8633: NEONATAL AFTERCARE

Facility IP

$89,404.06

Service Code	APR-DRG 8633
Hospital Charge Code	APRDRG 8633
Min. Negotiated Rate	$22,698.05
Max. Negotiated Rate	$89,404.06
Rate for Payer: Buckeye Health Medicaid OOS	$22,698.05
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$89,404.06
Rate for Payer: Managed Health Services Medicaid	$89,404.06
Rate for Payer: MDWise Medicaid	$89,404.06
Rate for Payer: Molina Healthcare of OH Medicare	$22,698.05

INPATIENT APRDRG 8634: NEONATAL AFTERCARE

Facility IP

$118,654.53

Service Code	APR-DRG 8634
Hospital Charge Code	APRDRG 8634
Min. Negotiated Rate	$30,124.13
Max. Negotiated Rate	$118,654.53
Rate for Payer: Buckeye Health Medicaid OOS	$30,124.13
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$118,654.53
Rate for Payer: Managed Health Services Medicaid	$118,654.53
Rate for Payer: MDWise Medicaid	$118,654.53
Rate for Payer: Molina Healthcare of OH Medicare	$30,124.13

INPATIENT APRDRG 8901: HIV W MULTIPLE MAJOR HIV RELATED CONDITIONS

Facility IP

$15,479.31

Service Code	APR-DRG 8901
Hospital Charge Code	APRDRG 8901
Min. Negotiated Rate	$4,143.25
Max. Negotiated Rate	$15,479.31
Rate for Payer: Buckeye Health Medicaid OOS	$4,143.25
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$15,479.31
Rate for Payer: Managed Health Services Medicaid	$15,479.31
Rate for Payer: MDWise Medicaid	$15,479.31
Rate for Payer: Molina Healthcare of OH Medicare	$4,143.25

INPATIENT APRDRG 8902: HIV W MULTIPLE MAJOR HIV RELATED CONDITIONS

Facility IP

$15,479.31

Service Code	APR-DRG 8902
Hospital Charge Code	APRDRG 8902
Min. Negotiated Rate	$4,143.25
Max. Negotiated Rate	$15,479.31
Rate for Payer: Buckeye Health Medicaid OOS	$4,143.25
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$15,479.31
Rate for Payer: Managed Health Services Medicaid	$15,479.31
Rate for Payer: MDWise Medicaid	$15,479.31
Rate for Payer: Molina Healthcare of OH Medicare	$4,143.25

INPATIENT APRDRG 8903: HIV W MULTIPLE MAJOR HIV RELATED CONDITIONS

Facility IP

$15,479.31

Service Code	APR-DRG 8903
Hospital Charge Code	APRDRG 8903
Min. Negotiated Rate	$4,143.25
Max. Negotiated Rate	$15,479.31
Rate for Payer: Buckeye Health Medicaid OOS	$4,143.25
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$15,479.31
Rate for Payer: Managed Health Services Medicaid	$15,479.31
Rate for Payer: MDWise Medicaid	$15,479.31
Rate for Payer: Molina Healthcare of OH Medicare	$4,143.25

INPATIENT APRDRG 8904: HIV W MULTIPLE MAJOR HIV RELATED CONDITIONS

Facility IP

$40,074.02

Service Code	APR-DRG 8904
Hospital Charge Code	APRDRG 8904
Min. Negotiated Rate	$8,573.41
Max. Negotiated Rate	$40,074.02
Rate for Payer: Buckeye Health Medicaid OOS	$8,573.41
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$40,074.02
Rate for Payer: Managed Health Services Medicaid	$40,074.02
Rate for Payer: MDWise Medicaid	$40,074.02
Rate for Payer: Molina Healthcare of OH Medicare	$8,573.41

INPATIENT APRDRG 8921: HIV W MAJOR HIV RELATED CONDITION

Facility IP

$8,733.09

Service Code	APR-DRG 8921
Hospital Charge Code	APRDRG 8921
Min. Negotiated Rate	$2,678.91
Max. Negotiated Rate	$8,733.09
Rate for Payer: Buckeye Health Medicaid OOS	$2,678.91
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$8,733.09
Rate for Payer: Managed Health Services Medicaid	$8,733.09
Rate for Payer: MDWise Medicaid	$8,733.09
Rate for Payer: Molina Healthcare of OH Medicare	$2,678.91

INPATIENT APRDRG 8922: HIV W MAJOR HIV RELATED CONDITION

Facility IP

$8,733.09

Service Code	APR-DRG 8922
Hospital Charge Code	APRDRG 8922
Min. Negotiated Rate	$2,678.91
Max. Negotiated Rate	$8,733.09
Rate for Payer: Buckeye Health Medicaid OOS	$2,678.91
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise	$8,733.09
Rate for Payer: Managed Health Services Medicaid	$8,733.09
Rate for Payer: MDWise Medicaid	$8,733.09
Rate for Payer: Molina Healthcare of OH Medicare	$2,678.91

Price Transparency.

All Charges