Cameron Memorial Community Hospital

All Charges

Charge

Type

Price

INPATIENT MSDRG 040: PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH MCC

Facility IP

$37,175.57

Service Code	MS-DRG 040
Hospital Charge Code	MSDRG 040
Min. Negotiated Rate	$21,319.52
Max. Negotiated Rate	$37,175.57
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$31,515.70
Rate for Payer: Anthem Blue Cross of IN Traditional	$37,175.57
Rate for Payer: Plain Church Group Ministry All Commercial	$21,319.52
Rate for Payer: Three Rivers Preferred All Commercial	$27,844.74

INPATIENT MSDRG 041: PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITH CC OR PERIPHERAL NEUROSTIMULATOR

Facility IP

$22,943.78

Service Code	MS-DRG 041
Hospital Charge Code	MSDRG 041
Min. Negotiated Rate	$13,157.84
Max. Negotiated Rate	$22,943.78
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$19,450.65
Rate for Payer: Anthem Blue Cross of IN Traditional	$22,943.78
Rate for Payer: Plain Church Group Ministry All Commercial	$13,157.84
Rate for Payer: Three Rivers Preferred All Commercial	$17,185.04

INPATIENT MSDRG 042: PERIPHERAL, CRANIAL NERVE AND OTHER NERVOUS SYSTEM PROCEDURES WITHOUT CC/MCC

Facility IP

$18,151.11

Service Code	MS-DRG 042
Hospital Charge Code	MSDRG 042
Min. Negotiated Rate	$10,409.33
Max. Negotiated Rate	$18,151.11
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$15,387.65
Rate for Payer: Anthem Blue Cross of IN Traditional	$18,151.11
Rate for Payer: Plain Church Group Ministry All Commercial	$10,409.33
Rate for Payer: Three Rivers Preferred All Commercial	$13,595.30

INPATIENT MSDRG 052: SPINAL DISORDERS AND INJURIES WITH CC/MCC

Facility IP

$17,470.08

Service Code	MS-DRG 052
Hospital Charge Code	MSDRG 052
Min. Negotiated Rate	$10,018.78
Max. Negotiated Rate	$17,470.08
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$14,810.32
Rate for Payer: Anthem Blue Cross of IN Traditional	$17,470.08
Rate for Payer: Plain Church Group Ministry All Commercial	$10,018.78
Rate for Payer: Three Rivers Preferred All Commercial	$13,085.21

INPATIENT MSDRG 053: SPINAL DISORDERS AND INJURIES WITHOUT CC/MCC

Facility IP

$10,036.74

Service Code	MS-DRG 053
Hospital Charge Code	MSDRG 053
Min. Negotiated Rate	$5,755.89
Max. Negotiated Rate	$10,036.74
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$8,508.67
Rate for Payer: Anthem Blue Cross of IN Traditional	$10,036.74
Rate for Payer: Plain Church Group Ministry All Commercial	$5,755.89
Rate for Payer: Three Rivers Preferred All Commercial	$7,517.58

INPATIENT MSDRG 054: NERVOUS SYSTEM NEOPLASMS WITH MCC

Facility IP

$13,610.63

Service Code	MS-DRG 054
Hospital Charge Code	MSDRG 054
Min. Negotiated Rate	$7,805.45
Max. Negotiated Rate	$13,610.63
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$11,538.45
Rate for Payer: Anthem Blue Cross of IN Traditional	$13,610.63
Rate for Payer: Plain Church Group Ministry All Commercial	$7,805.45
Rate for Payer: Three Rivers Preferred All Commercial	$10,194.45

INPATIENT MSDRG 055: NERVOUS SYSTEM NEOPLASMS WITHOUT MCC

Facility IP

$9,894.45

Service Code	MS-DRG 055
Hospital Charge Code	MSDRG 055
Min. Negotiated Rate	$5,674.29
Max. Negotiated Rate	$9,894.45
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$8,388.05
Rate for Payer: Anthem Blue Cross of IN Traditional	$9,894.45
Rate for Payer: Plain Church Group Ministry All Commercial	$5,674.29
Rate for Payer: Three Rivers Preferred All Commercial	$7,411.01

INPATIENT MSDRG 056: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC

Facility IP

$21,890.84

Service Code	MS-DRG 056
Hospital Charge Code	MSDRG 056
Min. Negotiated Rate	$12,554.01
Max. Negotiated Rate	$21,890.84
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$18,558.03
Rate for Payer: Anthem Blue Cross of IN Traditional	$21,890.84
Rate for Payer: Plain Church Group Ministry All Commercial	$12,554.01
Rate for Payer: Three Rivers Preferred All Commercial	$16,396.38

INPATIENT MSDRG 057: DEGENERATIVE NERVOUS SYSTEM DISORDERS WITHOUT MCC

Facility IP

$12,771.62

Service Code	MS-DRG 057
Hospital Charge Code	MSDRG 057
Min. Negotiated Rate	$7,324.30
Max. Negotiated Rate	$12,771.62
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$10,827.18
Rate for Payer: Anthem Blue Cross of IN Traditional	$12,771.62
Rate for Payer: Plain Church Group Ministry All Commercial	$7,324.30
Rate for Payer: Three Rivers Preferred All Commercial	$9,566.03

INPATIENT MSDRG 058: MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH MCC

Facility IP

$16,930.37

Service Code	MS-DRG 058
Hospital Charge Code	MSDRG 058
Min. Negotiated Rate	$9,709.26
Max. Negotiated Rate	$16,930.37
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$14,352.77
Rate for Payer: Anthem Blue Cross of IN Traditional	$16,930.37
Rate for Payer: Plain Church Group Ministry All Commercial	$9,709.26
Rate for Payer: Three Rivers Preferred All Commercial	$12,680.96

INPATIENT MSDRG 059: MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITH CC

Facility IP

$11,221.17

Service Code	MS-DRG 059
Hospital Charge Code	MSDRG 059
Min. Negotiated Rate	$6,435.14
Max. Negotiated Rate	$11,221.17
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$9,512.78
Rate for Payer: Anthem Blue Cross of IN Traditional	$11,221.17
Rate for Payer: Plain Church Group Ministry All Commercial	$6,435.14
Rate for Payer: Three Rivers Preferred All Commercial	$8,404.73

INPATIENT MSDRG 060: MULTIPLE SCLEROSIS AND CEREBELLAR ATAXIA WITHOUT CC/MCC

Facility IP

$8,893.52

Service Code	MS-DRG 060
Hospital Charge Code	MSDRG 060
Min. Negotiated Rate	$5,100.28
Max. Negotiated Rate	$8,893.52
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$7,539.51
Rate for Payer: Anthem Blue Cross of IN Traditional	$8,893.52
Rate for Payer: Plain Church Group Ministry All Commercial	$5,100.28
Rate for Payer: Three Rivers Preferred All Commercial	$6,661.31

INPATIENT MSDRG 061: ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH MCC

Facility IP

$28,777.60

Service Code	MS-DRG 061
Hospital Charge Code	MSDRG 061
Min. Negotiated Rate	$16,503.44
Max. Negotiated Rate	$28,777.60
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$24,396.30
Rate for Payer: Anthem Blue Cross of IN Traditional	$28,777.60
Rate for Payer: Plain Church Group Ministry All Commercial	$16,503.44
Rate for Payer: Three Rivers Preferred All Commercial	$21,554.61

INPATIENT MSDRG 062: ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITH CC

Facility IP

$18,813.48

Service Code	MS-DRG 062
Hospital Charge Code	MSDRG 062
Min. Negotiated Rate	$10,789.20
Max. Negotiated Rate	$18,813.48
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$15,949.19
Rate for Payer: Anthem Blue Cross of IN Traditional	$18,813.48
Rate for Payer: Plain Church Group Ministry All Commercial	$10,789.20
Rate for Payer: Three Rivers Preferred All Commercial	$14,091.42

INPATIENT MSDRG 063: ISCHEMIC STROKE, PRECEREBRAL OCCLUSION OR TRANSIENT ISCHEMIA WITH THROMBOLYTIC AGENT WITHOUT CC/MCC

Facility IP

$15,514.35

Service Code	MS-DRG 063
Hospital Charge Code	MSDRG 063
Min. Negotiated Rate	$8,897.20
Max. Negotiated Rate	$15,514.35
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$13,152.34
Rate for Payer: Anthem Blue Cross of IN Traditional	$15,514.35
Rate for Payer: Plain Church Group Ministry All Commercial	$8,897.20
Rate for Payer: Three Rivers Preferred All Commercial	$11,620.35

INPATIENT MSDRG 064: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC

Facility IP

$19,351.24

Service Code	MS-DRG 064
Hospital Charge Code	MSDRG 064
Min. Negotiated Rate	$11,097.59
Max. Negotiated Rate	$19,351.24
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$16,405.07
Rate for Payer: Anthem Blue Cross of IN Traditional	$19,351.24
Rate for Payer: Plain Church Group Ministry All Commercial	$11,097.59
Rate for Payer: Three Rivers Preferred All Commercial	$14,494.20

INPATIENT MSDRG 065: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS

Facility IP

$9,973.93

Service Code	MS-DRG 065
Hospital Charge Code	MSDRG 065
Min. Negotiated Rate	$5,719.87
Max. Negotiated Rate	$9,973.93
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$8,455.43
Rate for Payer: Anthem Blue Cross of IN Traditional	$9,973.93
Rate for Payer: Plain Church Group Ministry All Commercial	$5,719.87
Rate for Payer: Three Rivers Preferred All Commercial	$7,470.54

INPATIENT MSDRG 066: INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC

Facility IP

$6,854.38

Service Code	MS-DRG 066
Hospital Charge Code	MSDRG 066
Min. Negotiated Rate	$3,930.86
Max. Negotiated Rate	$6,854.38
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$5,810.82
Rate for Payer: Anthem Blue Cross of IN Traditional	$6,854.38
Rate for Payer: Plain Church Group Ministry All Commercial	$3,930.86
Rate for Payer: Three Rivers Preferred All Commercial	$5,133.98

INPATIENT MSDRG 067: NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITH MCC

Facility IP

$13,876.56

Service Code	MS-DRG 067
Hospital Charge Code	MSDRG 067
Min. Negotiated Rate	$7,957.96
Max. Negotiated Rate	$13,876.56
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$11,763.90
Rate for Payer: Anthem Blue Cross of IN Traditional	$13,876.56
Rate for Payer: Plain Church Group Ministry All Commercial	$7,957.96
Rate for Payer: Three Rivers Preferred All Commercial	$10,393.64

INPATIENT MSDRG 068: NONSPECIFIC CVA AND PRECEREBRAL OCCLUSION WITHOUT INFARCTION WITHOUT MCC

Facility IP

$8,868.01

Service Code	MS-DRG 068
Hospital Charge Code	MSDRG 068
Min. Negotiated Rate	$5,085.64
Max. Negotiated Rate	$8,868.01
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$7,517.88
Rate for Payer: Anthem Blue Cross of IN Traditional	$8,868.01
Rate for Payer: Plain Church Group Ministry All Commercial	$5,085.64
Rate for Payer: Three Rivers Preferred All Commercial	$6,642.20

INPATIENT MSDRG 069: TRANSIENT ISCHEMIA WITHOUT THROMBOLYTIC

Facility IP

$7,829.79

Service Code	MS-DRG 069
Hospital Charge Code	MSDRG 069
Min. Negotiated Rate	$4,490.25
Max. Negotiated Rate	$7,829.79
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$6,637.73
Rate for Payer: Anthem Blue Cross of IN Traditional	$7,829.79
Rate for Payer: Plain Church Group Ministry All Commercial	$4,490.25
Rate for Payer: Three Rivers Preferred All Commercial	$5,864.57

INPATIENT MSDRG 070: NONSPECIFIC CEREBROVASCULAR DISORDERS WITH MCC

Facility IP

$16,919.57

Service Code	MS-DRG 070
Hospital Charge Code	MSDRG 070
Min. Negotiated Rate	$9,703.07
Max. Negotiated Rate	$16,919.57
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$14,343.62
Rate for Payer: Anthem Blue Cross of IN Traditional	$16,919.57
Rate for Payer: Plain Church Group Ministry All Commercial	$9,703.07
Rate for Payer: Three Rivers Preferred All Commercial	$12,672.87

INPATIENT MSDRG 071: NONSPECIFIC CEREBROVASCULAR DISORDERS WITH CC

Facility IP

$10,490.10

Service Code	MS-DRG 071
Hospital Charge Code	MSDRG 071
Min. Negotiated Rate	$6,015.88
Max. Negotiated Rate	$10,490.10
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$8,893.01
Rate for Payer: Anthem Blue Cross of IN Traditional	$10,490.10
Rate for Payer: Plain Church Group Ministry All Commercial	$6,015.88
Rate for Payer: Three Rivers Preferred All Commercial	$7,857.15

INPATIENT MSDRG 072: NONSPECIFIC CEREBROVASCULAR DISORDERS WITHOUT CC/MCC

Facility IP

$7,575.64

Service Code	MS-DRG 072
Hospital Charge Code	MSDRG 072
Min. Negotiated Rate	$4,344.49
Max. Negotiated Rate	$7,575.64
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$6,422.27
Rate for Payer: Anthem Blue Cross of IN Traditional	$7,575.64
Rate for Payer: Plain Church Group Ministry All Commercial	$4,344.49
Rate for Payer: Three Rivers Preferred All Commercial	$5,674.20

INPATIENT MSDRG 073: CRANIAL AND PERIPHERAL NERVE DISORDERS WITH MCC

Facility IP

$14,712.63

Service Code	MS-DRG 073
Hospital Charge Code	MSDRG 073
Min. Negotiated Rate	$8,437.43
Max. Negotiated Rate	$14,712.63
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$12,472.68
Rate for Payer: Anthem Blue Cross of IN Traditional	$14,712.63
Rate for Payer: Plain Church Group Ministry All Commercial	$8,437.43
Rate for Payer: Three Rivers Preferred All Commercial	$11,019.86

Price Transparency.

All Charges