Cameron Memorial Community Hospital

All Charges

Charge

Type

Price

INPATIENT MSDRG 179: RESPIRATORY INFECTIONS AND INFLAMMATIONS WITHOUT CC/MCC

Facility IP

$7,707.13

Service Code	MS-DRG 179
Hospital Charge Code	MSDRG 179
Min. Negotiated Rate	$4,419.90
Max. Negotiated Rate	$7,707.13
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$6,533.74
Rate for Payer: Anthem Blue Cross of IN Traditional	$7,707.13
Rate for Payer: Plain Church Group Ministry All Commercial	$4,419.90
Rate for Payer: Three Rivers Preferred All Commercial	$5,772.69

INPATIENT MSDRG 180: RESPIRATORY NEOPLASMS WITH MCC

Facility IP

$16,622.24

Service Code	MS-DRG 180
Hospital Charge Code	MSDRG 180
Min. Negotiated Rate	$9,532.56
Max. Negotiated Rate	$16,622.24
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$14,091.55
Rate for Payer: Anthem Blue Cross of IN Traditional	$16,622.24
Rate for Payer: Plain Church Group Ministry All Commercial	$9,532.56
Rate for Payer: Three Rivers Preferred All Commercial	$12,450.17

INPATIENT MSDRG 181: RESPIRATORY NEOPLASMS WITH CC

Facility IP

$11,125.00

Service Code	MS-DRG 181
Hospital Charge Code	MSDRG 181
Min. Negotiated Rate	$6,379.99
Max. Negotiated Rate	$11,125.00
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$9,431.25
Rate for Payer: Anthem Blue Cross of IN Traditional	$11,125.00
Rate for Payer: Plain Church Group Ministry All Commercial	$6,379.99
Rate for Payer: Three Rivers Preferred All Commercial	$8,332.70

INPATIENT MSDRG 182: RESPIRATORY NEOPLASMS WITHOUT CC/MCC

Facility IP

$8,709.04

Service Code	MS-DRG 182
Hospital Charge Code	MSDRG 182
Min. Negotiated Rate	$4,994.48
Max. Negotiated Rate	$8,709.04
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$7,383.11
Rate for Payer: Anthem Blue Cross of IN Traditional	$8,709.04
Rate for Payer: Plain Church Group Ministry All Commercial	$4,994.48
Rate for Payer: Three Rivers Preferred All Commercial	$6,523.13

INPATIENT MSDRG 183: MAJOR CHEST TRAUMA WITH MCC

Facility IP

$14,741.09

Service Code	MS-DRG 183
Hospital Charge Code	MSDRG 183
Min. Negotiated Rate	$8,453.75
Max. Negotiated Rate	$14,741.09
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$12,496.80
Rate for Payer: Anthem Blue Cross of IN Traditional	$14,741.09
Rate for Payer: Plain Church Group Ministry All Commercial	$8,453.75
Rate for Payer: Three Rivers Preferred All Commercial	$11,041.17

INPATIENT MSDRG 184: MAJOR CHEST TRAUMA WITH CC

Facility IP

$10,256.55

Service Code	MS-DRG 184
Hospital Charge Code	MSDRG 184
Min. Negotiated Rate	$5,881.95
Max. Negotiated Rate	$10,256.55
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$8,695.02
Rate for Payer: Anthem Blue Cross of IN Traditional	$10,256.55
Rate for Payer: Plain Church Group Ministry All Commercial	$5,881.95
Rate for Payer: Three Rivers Preferred All Commercial	$7,682.22

INPATIENT MSDRG 185: MAJOR CHEST TRAUMA WITHOUT CC/MCC

Facility IP

$7,408.82

Service Code	MS-DRG 185
Hospital Charge Code	MSDRG 185
Min. Negotiated Rate	$4,248.82
Max. Negotiated Rate	$7,408.82
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$6,280.85
Rate for Payer: Anthem Blue Cross of IN Traditional	$7,408.82
Rate for Payer: Plain Church Group Ministry All Commercial	$4,248.82
Rate for Payer: Three Rivers Preferred All Commercial	$5,549.25

INPATIENT MSDRG 186: PLEURAL EFFUSION WITH MCC

Facility IP

$14,982.49

Service Code	MS-DRG 186
Hospital Charge Code	MSDRG 186
Min. Negotiated Rate	$8,592.19
Max. Negotiated Rate	$14,982.49
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$12,701.45
Rate for Payer: Anthem Blue Cross of IN Traditional	$14,982.49
Rate for Payer: Plain Church Group Ministry All Commercial	$8,592.19
Rate for Payer: Three Rivers Preferred All Commercial	$11,221.98

INPATIENT MSDRG 187: PLEURAL EFFUSION WITH CC

Facility IP

$10,263.42

Service Code	MS-DRG 187
Hospital Charge Code	MSDRG 187
Min. Negotiated Rate	$5,885.89
Max. Negotiated Rate	$10,263.42
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$8,700.84
Rate for Payer: Anthem Blue Cross of IN Traditional	$10,263.42
Rate for Payer: Plain Church Group Ministry All Commercial	$5,885.89
Rate for Payer: Three Rivers Preferred All Commercial	$7,687.37

INPATIENT MSDRG 188: PLEURAL EFFUSION WITHOUT CC/MCC

Facility IP

$7,104.61

Service Code	MS-DRG 188
Hospital Charge Code	MSDRG 188
Min. Negotiated Rate	$4,074.37
Max. Negotiated Rate	$7,104.61
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$6,022.96
Rate for Payer: Anthem Blue Cross of IN Traditional	$7,104.61
Rate for Payer: Plain Church Group Ministry All Commercial	$4,074.37
Rate for Payer: Three Rivers Preferred All Commercial	$5,321.40

INPATIENT MSDRG 189: PULMONARY EDEMA AND RESPIRATORY FAILURE

Facility IP

$11,844.29

Service Code	MS-DRG 189
Hospital Charge Code	MSDRG 189
Min. Negotiated Rate	$6,792.49
Max. Negotiated Rate	$11,844.29
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$10,041.03
Rate for Payer: Anthem Blue Cross of IN Traditional	$11,844.29
Rate for Payer: Plain Church Group Ministry All Commercial	$6,792.49
Rate for Payer: Three Rivers Preferred All Commercial	$8,871.45

INPATIENT MSDRG 190: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC

Facility IP

$10,652.01

Service Code	MS-DRG 190
Hospital Charge Code	MSDRG 190
Min. Negotiated Rate	$6,108.74
Max. Negotiated Rate	$10,652.01
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$9,030.27
Rate for Payer: Anthem Blue Cross of IN Traditional	$10,652.01
Rate for Payer: Plain Church Group Ministry All Commercial	$6,108.74
Rate for Payer: Three Rivers Preferred All Commercial	$7,978.43

INPATIENT MSDRG 191: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC

Facility IP

$8,480.39

Service Code	MS-DRG 191
Hospital Charge Code	MSDRG 191
Min. Negotiated Rate	$4,863.35
Max. Negotiated Rate	$8,480.39
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$7,189.28
Rate for Payer: Anthem Blue Cross of IN Traditional	$8,480.39
Rate for Payer: Plain Church Group Ministry All Commercial	$4,863.35
Rate for Payer: Three Rivers Preferred All Commercial	$6,351.87

INPATIENT MSDRG 192: CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC

Facility IP

$6,399.06

Service Code	MS-DRG 192
Hospital Charge Code	MSDRG 192
Min. Negotiated Rate	$3,669.74
Max. Negotiated Rate	$6,399.06
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$5,424.82
Rate for Payer: Anthem Blue Cross of IN Traditional	$6,399.06
Rate for Payer: Plain Church Group Ministry All Commercial	$3,669.74
Rate for Payer: Three Rivers Preferred All Commercial	$4,792.94

INPATIENT MSDRG 193: SIMPLE PNEUMONIA AND PLEURISY WITH MCC

Facility IP

$12,744.14

Service Code	MS-DRG 193
Hospital Charge Code	MSDRG 193
Min. Negotiated Rate	$7,308.54
Max. Negotiated Rate	$12,744.14
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$10,803.89
Rate for Payer: Anthem Blue Cross of IN Traditional	$12,744.14
Rate for Payer: Plain Church Group Ministry All Commercial	$7,308.54
Rate for Payer: Three Rivers Preferred All Commercial	$9,545.45

INPATIENT MSDRG 194: SIMPLE PNEUMONIA AND PLEURISY WITH CC

Facility IP

$8,244.88

Service Code	MS-DRG 194
Hospital Charge Code	MSDRG 194
Min. Negotiated Rate	$4,728.29
Max. Negotiated Rate	$8,244.88
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$6,989.62
Rate for Payer: Anthem Blue Cross of IN Traditional	$8,244.88
Rate for Payer: Plain Church Group Ministry All Commercial	$4,728.29
Rate for Payer: Three Rivers Preferred All Commercial	$6,175.47

INPATIENT MSDRG 195: SIMPLE PNEUMONIA AND PLEURISY WITHOUT CC/MCC

Facility IP

$6,297.98

Service Code	MS-DRG 195
Hospital Charge Code	MSDRG 195
Min. Negotiated Rate	$3,611.78
Max. Negotiated Rate	$6,297.98
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$5,339.13
Rate for Payer: Anthem Blue Cross of IN Traditional	$6,297.98
Rate for Payer: Plain Church Group Ministry All Commercial	$3,611.78
Rate for Payer: Three Rivers Preferred All Commercial	$4,717.23

INPATIENT MSDRG 196: INTERSTITIAL LUNG DISEASE WITH MCC

Facility IP

$17,052.05

Service Code	MS-DRG 196
Hospital Charge Code	MSDRG 196
Min. Negotiated Rate	$9,779.05
Max. Negotiated Rate	$17,052.05
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$14,455.93
Rate for Payer: Anthem Blue Cross of IN Traditional	$17,052.05
Rate for Payer: Plain Church Group Ministry All Commercial	$9,779.05
Rate for Payer: Three Rivers Preferred All Commercial	$12,772.10

INPATIENT MSDRG 197: INTERSTITIAL LUNG DISEASE WITH CC

Facility IP

$9,652.07

Service Code	MS-DRG 197
Hospital Charge Code	MSDRG 197
Min. Negotiated Rate	$5,535.29
Max. Negotiated Rate	$9,652.07
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$8,182.57
Rate for Payer: Anthem Blue Cross of IN Traditional	$9,652.07
Rate for Payer: Plain Church Group Ministry All Commercial	$5,535.29
Rate for Payer: Three Rivers Preferred All Commercial	$7,229.46

INPATIENT MSDRG 198: INTERSTITIAL LUNG DISEASE WITHOUT CC/MCC

Facility IP

$6,976.06

Service Code	MS-DRG 198
Hospital Charge Code	MSDRG 198
Min. Negotiated Rate	$4,000.65
Max. Negotiated Rate	$6,976.06
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$5,913.98
Rate for Payer: Anthem Blue Cross of IN Traditional	$6,976.06
Rate for Payer: Plain Church Group Ministry All Commercial	$4,000.65
Rate for Payer: Three Rivers Preferred All Commercial	$5,225.12

INPATIENT MSDRG 199: PNEUMOTHORAX WITH MCC

Facility IP

$17,257.14

Service Code	MS-DRG 199
Hospital Charge Code	MSDRG 199
Min. Negotiated Rate	$9,896.66
Max. Negotiated Rate	$17,257.14
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$14,629.79
Rate for Payer: Anthem Blue Cross of IN Traditional	$17,257.14
Rate for Payer: Plain Church Group Ministry All Commercial	$9,896.66
Rate for Payer: Three Rivers Preferred All Commercial	$12,925.71

INPATIENT MSDRG 200: PNEUMOTHORAX WITH CC

Facility IP

$10,519.54

Service Code	MS-DRG 200
Hospital Charge Code	MSDRG 200
Min. Negotiated Rate	$6,032.77
Max. Negotiated Rate	$10,519.54
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$8,917.97
Rate for Payer: Anthem Blue Cross of IN Traditional	$10,519.54
Rate for Payer: Plain Church Group Ministry All Commercial	$6,032.77
Rate for Payer: Three Rivers Preferred All Commercial	$7,879.20

INPATIENT MSDRG 201: PNEUMOTHORAX WITHOUT CC/MCC

Facility IP

$7,142.88

Service Code	MS-DRG 201
Hospital Charge Code	MSDRG 201
Min. Negotiated Rate	$4,096.32
Max. Negotiated Rate	$7,142.88
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$6,055.40
Rate for Payer: Anthem Blue Cross of IN Traditional	$7,142.88
Rate for Payer: Plain Church Group Ministry All Commercial	$4,096.32
Rate for Payer: Three Rivers Preferred All Commercial	$5,350.07

INPATIENT MSDRG 202: BRONCHITIS AND ASTHMA WITH CC/MCC

Facility IP

$9,084.88

Service Code	MS-DRG 202
Hospital Charge Code	MSDRG 202
Min. Negotiated Rate	$5,210.01
Max. Negotiated Rate	$9,084.88
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$7,701.73
Rate for Payer: Anthem Blue Cross of IN Traditional	$9,084.88
Rate for Payer: Plain Church Group Ministry All Commercial	$5,210.01
Rate for Payer: Three Rivers Preferred All Commercial	$6,804.63

INPATIENT MSDRG 203: BRONCHITIS AND ASTHMA WITHOUT CC/MCC

Facility IP

$6,546.25

Service Code	MS-DRG 203
Hospital Charge Code	MSDRG 203
Min. Negotiated Rate	$3,754.16
Max. Negotiated Rate	$6,546.25
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$5,549.60
Rate for Payer: Anthem Blue Cross of IN Traditional	$6,546.25
Rate for Payer: Plain Church Group Ministry All Commercial	$3,754.16
Rate for Payer: Three Rivers Preferred All Commercial	$4,903.19

Price Transparency.

All Charges