Cameron Memorial Community Hospital

All Charges

Charge

Type

Price

INPATIENT MSDRG 074: CRANIAL AND PERIPHERAL NERVE DISORDERS WITHOUT MCC

Facility IP

$10,044.59

Service Code	MS-DRG 074
Hospital Charge Code	MSDRG 074
Min. Negotiated Rate	$5,760.39
Max. Negotiated Rate	$10,044.59
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$8,515.33
Rate for Payer: Anthem Blue Cross of IN Traditional	$10,044.59
Rate for Payer: Plain Church Group Ministry All Commercial	$5,760.39
Rate for Payer: Three Rivers Preferred All Commercial	$7,523.46

INPATIENT MSDRG 075: VIRAL MENINGITIS WITH CC/MCC

Facility IP

$17,908.73

Service Code	MS-DRG 075
Hospital Charge Code	MSDRG 075
Min. Negotiated Rate	$10,270.33
Max. Negotiated Rate	$17,908.73
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$15,182.18
Rate for Payer: Anthem Blue Cross of IN Traditional	$17,908.73
Rate for Payer: Plain Church Group Ministry All Commercial	$10,270.33
Rate for Payer: Three Rivers Preferred All Commercial	$13,413.75

INPATIENT MSDRG 076: VIRAL MENINGITIS WITHOUT CC/MCC

Facility IP

$9,688.37

Service Code	MS-DRG 076
Hospital Charge Code	MSDRG 076
Min. Negotiated Rate	$5,556.11
Max. Negotiated Rate	$9,688.37
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$8,213.35
Rate for Payer: Anthem Blue Cross of IN Traditional	$9,688.37
Rate for Payer: Plain Church Group Ministry All Commercial	$5,556.11
Rate for Payer: Three Rivers Preferred All Commercial	$7,256.66

INPATIENT MSDRG 077: HYPERTENSIVE ENCEPHALOPATHY WITH MCC

Facility IP

$15,349.49

Service Code	MS-DRG 077
Hospital Charge Code	MSDRG 077
Min. Negotiated Rate	$8,802.66
Max. Negotiated Rate	$15,349.49
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$13,012.58
Rate for Payer: Anthem Blue Cross of IN Traditional	$15,349.49
Rate for Payer: Plain Church Group Ministry All Commercial	$8,802.66
Rate for Payer: Three Rivers Preferred All Commercial	$11,496.87

INPATIENT MSDRG 078: HYPERTENSIVE ENCEPHALOPATHY WITH CC

Facility IP

$9,742.35

Service Code	MS-DRG 078
Hospital Charge Code	MSDRG 078
Min. Negotiated Rate	$5,587.06
Max. Negotiated Rate	$9,742.35
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$8,259.10
Rate for Payer: Anthem Blue Cross of IN Traditional	$9,742.35
Rate for Payer: Plain Church Group Ministry All Commercial	$5,587.06
Rate for Payer: Three Rivers Preferred All Commercial	$7,297.08

INPATIENT MSDRG 079: HYPERTENSIVE ENCEPHALOPATHY WITHOUT CC/MCC

Facility IP

$7,201.76

Service Code	MS-DRG 079
Hospital Charge Code	MSDRG 079
Min. Negotiated Rate	$4,130.08
Max. Negotiated Rate	$7,201.76
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$6,105.31
Rate for Payer: Anthem Blue Cross of IN Traditional	$7,201.76
Rate for Payer: Plain Church Group Ministry All Commercial	$4,130.08
Rate for Payer: Three Rivers Preferred All Commercial	$5,394.17

INPATIENT MSDRG 080: NONTRAUMATIC STUPOR AND COMA WITH MCC

Facility IP

$20,016.56

Service Code	MS-DRG 080
Hospital Charge Code	MSDRG 080
Min. Negotiated Rate	$11,479.14
Max. Negotiated Rate	$20,016.56
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$16,969.10
Rate for Payer: Anthem Blue Cross of IN Traditional	$20,016.56
Rate for Payer: Plain Church Group Ministry All Commercial	$11,479.14
Rate for Payer: Three Rivers Preferred All Commercial	$14,992.53

INPATIENT MSDRG 081: NONTRAUMATIC STUPOR AND COMA WITHOUT MCC

Facility IP

$8,816.98

Service Code	MS-DRG 081
Hospital Charge Code	MSDRG 081
Min. Negotiated Rate	$5,056.38
Max. Negotiated Rate	$8,816.98
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$7,474.62
Rate for Payer: Anthem Blue Cross of IN Traditional	$8,816.98
Rate for Payer: Plain Church Group Ministry All Commercial	$5,056.38
Rate for Payer: Three Rivers Preferred All Commercial	$6,603.98

INPATIENT MSDRG 082: TRAUMATIC STUPOR AND COMA >1 HOUR WITH MCC

Facility IP

$22,229.39

Service Code	MS-DRG 082
Hospital Charge Code	MSDRG 082
Min. Negotiated Rate	$12,748.16
Max. Negotiated Rate	$22,229.39
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$18,845.03
Rate for Payer: Anthem Blue Cross of IN Traditional	$22,229.39
Rate for Payer: Plain Church Group Ministry All Commercial	$12,748.16
Rate for Payer: Three Rivers Preferred All Commercial	$16,649.96

INPATIENT MSDRG 083: TRAUMATIC STUPOR AND COMA >1 HOUR WITH CC

Facility IP

$13,229.89

Service Code	MS-DRG 083
Hospital Charge Code	MSDRG 083
Min. Negotiated Rate	$7,587.10
Max. Negotiated Rate	$13,229.89
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$11,215.68
Rate for Payer: Anthem Blue Cross of IN Traditional	$13,229.89
Rate for Payer: Plain Church Group Ministry All Commercial	$7,587.10
Rate for Payer: Three Rivers Preferred All Commercial	$9,909.27

INPATIENT MSDRG 084: TRAUMATIC STUPOR AND COMA >1 HOUR WITHOUT CC/MCC

Facility IP

$8,993.61

Service Code	MS-DRG 084
Hospital Charge Code	MSDRG 084
Min. Negotiated Rate	$5,157.68
Max. Negotiated Rate	$8,993.61
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$7,624.36
Rate for Payer: Anthem Blue Cross of IN Traditional	$8,993.61
Rate for Payer: Plain Church Group Ministry All Commercial	$5,157.68
Rate for Payer: Three Rivers Preferred All Commercial	$6,736.28

INPATIENT MSDRG 085: TRAUMATIC STUPOR AND COMA <1 HOUR WITH MCC

Facility IP

$22,920.22

Service Code	MS-DRG 085
Hospital Charge Code	MSDRG 085
Min. Negotiated Rate	$13,144.34
Max. Negotiated Rate	$22,920.22
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$19,430.69
Rate for Payer: Anthem Blue Cross of IN Traditional	$22,920.22
Rate for Payer: Plain Church Group Ministry All Commercial	$13,144.34
Rate for Payer: Three Rivers Preferred All Commercial	$17,167.40

INPATIENT MSDRG 086: TRAUMATIC STUPOR AND COMA <1 HOUR WITH CC

Facility IP

$12,753.96

Service Code	MS-DRG 086
Hospital Charge Code	MSDRG 086
Min. Negotiated Rate	$7,314.17
Max. Negotiated Rate	$12,753.96
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$10,812.20
Rate for Payer: Anthem Blue Cross of IN Traditional	$12,753.96
Rate for Payer: Plain Church Group Ministry All Commercial	$7,314.17
Rate for Payer: Three Rivers Preferred All Commercial	$9,552.80

INPATIENT MSDRG 087: TRAUMATIC STUPOR AND COMA <1 HOUR WITHOUT CC/MCC

Facility IP

$8,560.86

Service Code	MS-DRG 087
Hospital Charge Code	MSDRG 087
Min. Negotiated Rate	$4,909.50
Max. Negotiated Rate	$8,560.86
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$7,257.50
Rate for Payer: Anthem Blue Cross of IN Traditional	$8,560.86
Rate for Payer: Plain Church Group Ministry All Commercial	$4,909.50
Rate for Payer: Three Rivers Preferred All Commercial	$6,412.14

INPATIENT MSDRG 088: CONCUSSION WITH MCC

Facility IP

$15,468.23

Service Code	MS-DRG 088
Hospital Charge Code	MSDRG 088
Min. Negotiated Rate	$8,870.75
Max. Negotiated Rate	$15,468.23
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$13,113.24
Rate for Payer: Anthem Blue Cross of IN Traditional	$15,468.23
Rate for Payer: Plain Church Group Ministry All Commercial	$8,870.75
Rate for Payer: Three Rivers Preferred All Commercial	$11,585.81

INPATIENT MSDRG 089: CONCUSSION WITH CC

Facility IP

$11,458.64

Service Code	MS-DRG 089
Hospital Charge Code	MSDRG 089
Min. Negotiated Rate	$6,571.33
Max. Negotiated Rate	$11,458.64
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$9,714.10
Rate for Payer: Anthem Blue Cross of IN Traditional	$11,458.64
Rate for Payer: Plain Church Group Ministry All Commercial	$6,571.33
Rate for Payer: Three Rivers Preferred All Commercial	$8,582.60

INPATIENT MSDRG 090: CONCUSSION WITHOUT CC/MCC

Facility IP

$8,077.08

Service Code	MS-DRG 090
Hospital Charge Code	MSDRG 090
Min. Negotiated Rate	$4,632.06
Max. Negotiated Rate	$8,077.08
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$6,847.37
Rate for Payer: Anthem Blue Cross of IN Traditional	$8,077.08
Rate for Payer: Plain Church Group Ministry All Commercial	$4,632.06
Rate for Payer: Three Rivers Preferred All Commercial	$6,049.79

INPATIENT MSDRG 091: OTHER DISORDERS OF NERVOUS SYSTEM WITH MCC

Facility IP

$16,950.98

Service Code	MS-DRG 091
Hospital Charge Code	MSDRG 091
Min. Negotiated Rate	$9,721.08
Max. Negotiated Rate	$16,950.98
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$14,370.24
Rate for Payer: Anthem Blue Cross of IN Traditional	$16,950.98
Rate for Payer: Plain Church Group Ministry All Commercial	$9,721.08
Rate for Payer: Three Rivers Preferred All Commercial	$12,696.39

INPATIENT MSDRG 092: OTHER DISORDERS OF NERVOUS SYSTEM WITH CC

Facility IP

$9,757.07

Service Code	MS-DRG 092
Hospital Charge Code	MSDRG 092
Min. Negotiated Rate	$5,595.50
Max. Negotiated Rate	$9,757.07
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$8,271.58
Rate for Payer: Anthem Blue Cross of IN Traditional	$9,757.07
Rate for Payer: Plain Church Group Ministry All Commercial	$5,595.50
Rate for Payer: Three Rivers Preferred All Commercial	$7,308.11

INPATIENT MSDRG 093: OTHER DISORDERS OF NERVOUS SYSTEM WITHOUT CC/MCC

Facility IP

$7,504.98

Service Code	MS-DRG 093
Hospital Charge Code	MSDRG 093
Min. Negotiated Rate	$4,303.97
Max. Negotiated Rate	$7,504.98
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$6,362.37
Rate for Payer: Anthem Blue Cross of IN Traditional	$7,504.98
Rate for Payer: Plain Church Group Ministry All Commercial	$4,303.97
Rate for Payer: Three Rivers Preferred All Commercial	$5,621.28

INPATIENT MSDRG 094: BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH MCC

Facility IP

$35,066.76

Service Code	MS-DRG 094
Hospital Charge Code	MSDRG 094
Min. Negotiated Rate	$20,110.16
Max. Negotiated Rate	$35,066.76
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$29,727.95
Rate for Payer: Anthem Blue Cross of IN Traditional	$35,066.76
Rate for Payer: Plain Church Group Ministry All Commercial	$20,110.16
Rate for Payer: Three Rivers Preferred All Commercial	$26,265.23

INPATIENT MSDRG 095: BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITH CC

Facility IP

$25,089.88

Service Code	MS-DRG 095
Hospital Charge Code	MSDRG 095
Min. Negotiated Rate	$14,388.60
Max. Negotiated Rate	$25,089.88
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$21,270.02
Rate for Payer: Anthem Blue Cross of IN Traditional	$25,089.88
Rate for Payer: Plain Church Group Ministry All Commercial	$14,388.60
Rate for Payer: Three Rivers Preferred All Commercial	$18,792.48

INPATIENT MSDRG 096: BACTERIAL AND TUBERCULOUS INFECTIONS OF NERVOUS SYSTEM WITHOUT CC/MCC

Facility IP

$22,415.84

Service Code	MS-DRG 096
Hospital Charge Code	MSDRG 096
Min. Negotiated Rate	$12,855.08
Max. Negotiated Rate	$22,415.84
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$19,003.09
Rate for Payer: Anthem Blue Cross of IN Traditional	$22,415.84
Rate for Payer: Plain Church Group Ministry All Commercial	$12,855.08
Rate for Payer: Three Rivers Preferred All Commercial	$16,789.61

INPATIENT MSDRG 097: NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH MCC

Facility IP

$38,154.91

Service Code	MS-DRG 097
Hospital Charge Code	MSDRG 097
Min. Negotiated Rate	$21,881.16
Max. Negotiated Rate	$38,154.91
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$32,345.94
Rate for Payer: Anthem Blue Cross of IN Traditional	$38,154.91
Rate for Payer: Plain Church Group Ministry All Commercial	$21,881.16
Rate for Payer: Three Rivers Preferred All Commercial	$28,578.27

INPATIENT MSDRG 098: NON-BACTERIAL INFECTION OF NERVOUS SYSTEM EXCEPT VIRAL MENINGITIS WITH CC

Facility IP

$20,452.25

Service Code	MS-DRG 098
Hospital Charge Code	MSDRG 098
Min. Negotiated Rate	$11,729.00
Max. Negotiated Rate	$20,452.25
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$17,338.46
Rate for Payer: Anthem Blue Cross of IN Traditional	$20,452.25
Rate for Payer: Plain Church Group Ministry All Commercial	$11,729.00
Rate for Payer: Three Rivers Preferred All Commercial	$15,318.87

Price Transparency.

All Charges