Cameron Memorial Community Hospital

All Charges

Charge

Type

Price

INPATIENT MSDRG 014: ALLOGENEIC BONE MARROW TRANSPLANT

Facility IP

$109,836.91

Service Code	MS-DRG 014
Hospital Charge Code	MSDRG 014
Min. Negotiated Rate	$62,989.50
Max. Negotiated Rate	$109,836.91
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$93,114.57
Rate for Payer: Anthem Blue Cross of IN Traditional	$109,836.91
Rate for Payer: Plain Church Group Ministry All Commercial	$62,989.50
Rate for Payer: Three Rivers Preferred All Commercial	$82,268.55

INPATIENT MSDRG 016: AUTOLOGOUS BONE MARROW TRANSPLANT WITH CC/MCC

Facility IP

$59,706.22

Service Code	MS-DRG 016
Hospital Charge Code	MSDRG 016
Min. Negotiated Rate	$34,240.45
Max. Negotiated Rate	$59,706.22
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$50,616.12
Rate for Payer: Anthem Blue Cross of IN Traditional	$59,706.22
Rate for Payer: Plain Church Group Ministry All Commercial	$34,240.45
Rate for Payer: Three Rivers Preferred All Commercial	$44,720.34

INPATIENT MSDRG 017: AUTOLOGOUS BONE MARROW TRANSPLANT WITHOUT CC/MCC

Facility IP

$42,883.79

Service Code	MS-DRG 017
Hospital Charge Code	MSDRG 017
Min. Negotiated Rate	$24,593.09
Max. Negotiated Rate	$42,883.79
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$36,354.86
Rate for Payer: Anthem Blue Cross of IN Traditional	$42,883.79
Rate for Payer: Plain Church Group Ministry All Commercial	$24,593.09
Rate for Payer: Three Rivers Preferred All Commercial	$32,120.24

INPATIENT MSDRG 018: CHIMERIC ANTIGEN RECEPTOR (CAR) T-CELL AND OTHER IMMUNOTHERAPIES

Facility IP

$354,692.85

Service Code	MS-DRG 018
Hospital Charge Code	MSDRG 018
Min. Negotiated Rate	$203,410.00
Max. Negotiated Rate	$354,692.85
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$300,691.92
Rate for Payer: Anthem Blue Cross of IN Traditional	$354,692.85
Rate for Payer: Plain Church Group Ministry All Commercial	$203,410.00
Rate for Payer: Three Rivers Preferred All Commercial	$265,667.22

INPATIENT MSDRG 019: SIMULTANEOUS PANCREAS AND KIDNEY TRANSPLANT WITH HEMODIALYSIS

Facility IP

$70,011.83

Service Code	MS-DRG 019
Hospital Charge Code	MSDRG 019
Min. Negotiated Rate	$40,150.53
Max. Negotiated Rate	$70,011.83
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$59,352.74
Rate for Payer: Anthem Blue Cross of IN Traditional	$70,011.83
Rate for Payer: Plain Church Group Ministry All Commercial	$40,150.53
Rate for Payer: Three Rivers Preferred All Commercial	$52,439.31

INPATIENT MSDRG 020: INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH MCC

Facility IP

$91,293.28

Service Code	MS-DRG 020
Hospital Charge Code	MSDRG 020
Min. Negotiated Rate	$52,355.07
Max. Negotiated Rate	$91,293.28
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$77,394.15
Rate for Payer: Anthem Blue Cross of IN Traditional	$91,293.28
Rate for Payer: Plain Church Group Ministry All Commercial	$52,355.07
Rate for Payer: Three Rivers Preferred All Commercial	$68,379.26

INPATIENT MSDRG 021: INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITH CC

Facility IP

$66,622.42

Service Code	MS-DRG 021
Hospital Charge Code	MSDRG 021
Min. Negotiated Rate	$38,206.77
Max. Negotiated Rate	$66,622.42
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$56,479.35
Rate for Payer: Anthem Blue Cross of IN Traditional	$66,622.42
Rate for Payer: Plain Church Group Ministry All Commercial	$38,206.77
Rate for Payer: Three Rivers Preferred All Commercial	$49,900.62

INPATIENT MSDRG 022: INTRACRANIAL VASCULAR PROCEDURES WITH PRINCIPAL DIAGNOSIS HEMORRHAGE WITHOUT CC/MCC

Facility IP

$42,769.96

Service Code	MS-DRG 022
Hospital Charge Code	MSDRG 022
Min. Negotiated Rate	$24,527.81
Max. Negotiated Rate	$42,769.96
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$36,258.36
Rate for Payer: Anthem Blue Cross of IN Traditional	$42,769.96
Rate for Payer: Plain Church Group Ministry All Commercial	$24,527.81
Rate for Payer: Three Rivers Preferred All Commercial	$32,034.98

INPATIENT MSDRG 023: CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITH MCC OR CHEMOTHERAPY IMPLANT OR EPILEPSY WITH NEUROSTIMULATOR

Facility IP

$56,242.23

Service Code	MS-DRG 023
Hospital Charge Code	MSDRG 023
Min. Negotiated Rate	$32,253.91
Max. Negotiated Rate	$56,242.23
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$47,679.52
Rate for Payer: Anthem Blue Cross of IN Traditional	$56,242.23
Rate for Payer: Plain Church Group Ministry All Commercial	$32,253.91
Rate for Payer: Three Rivers Preferred All Commercial	$42,125.79

INPATIENT MSDRG 024: CRANIOTOMY WITH MAJOR DEVICE IMPLANT OR ACUTE COMPLEX CNS PRINCIPAL DIAGNOSIS WITHOUT MCC

Facility IP

$38,749.57

Service Code	MS-DRG 024
Hospital Charge Code	MSDRG 024
Min. Negotiated Rate	$22,222.19
Max. Negotiated Rate	$38,749.57
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$32,850.07
Rate for Payer: Anthem Blue Cross of IN Traditional	$38,749.57
Rate for Payer: Plain Church Group Ministry All Commercial	$22,222.19
Rate for Payer: Three Rivers Preferred All Commercial	$29,023.68

INPATIENT MSDRG 025: CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC

Facility IP

$44,555.93

Service Code	MS-DRG 025
Hospital Charge Code	MSDRG 025
Min. Negotiated Rate	$25,552.03
Max. Negotiated Rate	$44,555.93
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$37,772.42
Rate for Payer: Anthem Blue Cross of IN Traditional	$44,555.93
Rate for Payer: Plain Church Group Ministry All Commercial	$25,552.03
Rate for Payer: Three Rivers Preferred All Commercial	$33,372.68

INPATIENT MSDRG 026: CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH CC

Facility IP

$29,669.61

Service Code	MS-DRG 026
Hospital Charge Code	MSDRG 026
Min. Negotiated Rate	$17,014.99
Max. Negotiated Rate	$29,669.61
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$25,152.50
Rate for Payer: Anthem Blue Cross of IN Traditional	$29,669.61
Rate for Payer: Plain Church Group Ministry All Commercial	$17,014.99
Rate for Payer: Three Rivers Preferred All Commercial	$22,222.73

INPATIENT MSDRG 027: CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITHOUT CC/MCC

Facility IP

$24,487.36

Service Code	MS-DRG 027
Hospital Charge Code	MSDRG 027
Min. Negotiated Rate	$14,043.06
Max. Negotiated Rate	$24,487.36
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$20,759.23
Rate for Payer: Anthem Blue Cross of IN Traditional	$24,487.36
Rate for Payer: Plain Church Group Ministry All Commercial	$14,043.06
Rate for Payer: Three Rivers Preferred All Commercial	$18,341.19

INPATIENT MSDRG 028: SPINAL PROCEDURES WITH MCC

Facility IP

$57,675.91

Service Code	MS-DRG 028
Hospital Charge Code	MSDRG 028
Min. Negotiated Rate	$33,076.10
Max. Negotiated Rate	$57,675.91
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$48,894.92
Rate for Payer: Anthem Blue Cross of IN Traditional	$57,675.91
Rate for Payer: Plain Church Group Ministry All Commercial	$33,076.10
Rate for Payer: Three Rivers Preferred All Commercial	$43,199.63

INPATIENT MSDRG 029: SPINAL PROCEDURES WITH CC OR SPINAL NEUROSTIMULATORS

Facility IP

$33,536.91

Service Code	MS-DRG 029
Hospital Charge Code	MSDRG 029
Min. Negotiated Rate	$19,232.82
Max. Negotiated Rate	$33,536.91
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$28,431.01
Rate for Payer: Anthem Blue Cross of IN Traditional	$33,536.91
Rate for Payer: Plain Church Group Ministry All Commercial	$19,232.82
Rate for Payer: Three Rivers Preferred All Commercial	$25,119.36

INPATIENT MSDRG 030: SPINAL PROCEDURES WITHOUT CC/MCC

Facility IP

$22,974.20

Service Code	MS-DRG 030
Hospital Charge Code	MSDRG 030
Min. Negotiated Rate	$13,175.29
Max. Negotiated Rate	$22,974.20
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$19,476.44
Rate for Payer: Anthem Blue Cross of IN Traditional	$22,974.20
Rate for Payer: Plain Church Group Ministry All Commercial	$13,175.29
Rate for Payer: Three Rivers Preferred All Commercial	$17,207.82

INPATIENT MSDRG 031: VENTRICULAR SHUNT PROCEDURES WITH MCC

Facility IP

$40,439.37

Service Code	MS-DRG 031
Hospital Charge Code	MSDRG 031
Min. Negotiated Rate	$23,191.26
Max. Negotiated Rate	$40,439.37
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$34,282.60
Rate for Payer: Anthem Blue Cross of IN Traditional	$40,439.37
Rate for Payer: Plain Church Group Ministry All Commercial	$23,191.26
Rate for Payer: Three Rivers Preferred All Commercial	$30,289.35

INPATIENT MSDRG 032: VENTRICULAR SHUNT PROCEDURES WITH CC

Facility IP

$20,160.81

Service Code	MS-DRG 032
Hospital Charge Code	MSDRG 032
Min. Negotiated Rate	$11,561.86
Max. Negotiated Rate	$20,160.81
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$17,091.39
Rate for Payer: Anthem Blue Cross of IN Traditional	$20,160.81
Rate for Payer: Plain Church Group Ministry All Commercial	$11,561.86
Rate for Payer: Three Rivers Preferred All Commercial	$15,100.58

INPATIENT MSDRG 033: VENTRICULAR SHUNT PROCEDURES WITHOUT CC/MCC

Facility IP

$16,667.38

Service Code	MS-DRG 033
Hospital Charge Code	MSDRG 033
Min. Negotiated Rate	$9,558.44
Max. Negotiated Rate	$16,667.38
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$14,129.82
Rate for Payer: Anthem Blue Cross of IN Traditional	$16,667.38
Rate for Payer: Plain Church Group Ministry All Commercial	$9,558.44
Rate for Payer: Three Rivers Preferred All Commercial	$12,483.98

INPATIENT MSDRG 034: CAROTID ARTERY STENT PROCEDURES WITH MCC

Facility IP

$39,246.11

Service Code	MS-DRG 034
Hospital Charge Code	MSDRG 034
Min. Negotiated Rate	$22,506.94
Max. Negotiated Rate	$39,246.11
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$33,271.01
Rate for Payer: Anthem Blue Cross of IN Traditional	$39,246.11
Rate for Payer: Plain Church Group Ministry All Commercial	$22,506.94
Rate for Payer: Three Rivers Preferred All Commercial	$29,395.59

INPATIENT MSDRG 035: CAROTID ARTERY STENT PROCEDURES WITH CC

Facility IP

$22,410.93

Service Code	MS-DRG 035
Hospital Charge Code	MSDRG 035
Min. Negotiated Rate	$12,852.27
Max. Negotiated Rate	$22,410.93
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$18,998.93
Rate for Payer: Anthem Blue Cross of IN Traditional	$22,410.93
Rate for Payer: Plain Church Group Ministry All Commercial	$12,852.27
Rate for Payer: Three Rivers Preferred All Commercial	$16,785.93

INPATIENT MSDRG 036: CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC

Facility IP

$18,455.31

Service Code	MS-DRG 036
Hospital Charge Code	MSDRG 036
Min. Negotiated Rate	$10,583.79
Max. Negotiated Rate	$18,455.31
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$15,645.54
Rate for Payer: Anthem Blue Cross of IN Traditional	$18,455.31
Rate for Payer: Plain Church Group Ministry All Commercial	$10,583.79
Rate for Payer: Three Rivers Preferred All Commercial	$13,823.15

INPATIENT MSDRG 037: EXTRACRANIAL PROCEDURES WITH MCC

Facility IP

$33,099.25

Service Code	MS-DRG 037
Hospital Charge Code	MSDRG 037
Min. Negotiated Rate	$18,981.83
Max. Negotiated Rate	$33,099.25
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$28,059.99
Rate for Payer: Anthem Blue Cross of IN Traditional	$33,099.25
Rate for Payer: Plain Church Group Ministry All Commercial	$18,981.83
Rate for Payer: Three Rivers Preferred All Commercial	$24,791.55

INPATIENT MSDRG 038: EXTRACRANIAL PROCEDURES WITH CC

Facility IP

$16,049.16

Service Code	MS-DRG 038
Hospital Charge Code	MSDRG 038
Min. Negotiated Rate	$9,203.91
Max. Negotiated Rate	$16,049.16
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$13,605.72
Rate for Payer: Anthem Blue Cross of IN Traditional	$16,049.16
Rate for Payer: Plain Church Group Ministry All Commercial	$9,203.91
Rate for Payer: Three Rivers Preferred All Commercial	$12,020.93

INPATIENT MSDRG 039: EXTRACRANIAL PROCEDURES WITHOUT CC/MCC

Facility IP

$11,311.45

Service Code	MS-DRG 039
Hospital Charge Code	MSDRG 039
Min. Negotiated Rate	$6,486.91
Max. Negotiated Rate	$11,311.45
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$9,589.31
Rate for Payer: Anthem Blue Cross of IN Traditional	$11,311.45
Rate for Payer: Plain Church Group Ministry All Commercial	$6,486.91
Rate for Payer: Three Rivers Preferred All Commercial	$8,472.35

Price Transparency.

All Charges