Cameron Memorial Community Hospital

All Charges

Charge

Type

Price

INPATIENT MSDRG 204: RESPIRATORY SIGNS AND SYMPTOMS

Facility IP

$7,942.64

Service Code	MS-DRG 204
Hospital Charge Code	MSDRG 204
Min. Negotiated Rate	$4,554.96
Max. Negotiated Rate	$7,942.64
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$6,733.40
Rate for Payer: Anthem Blue Cross of IN Traditional	$7,942.64
Rate for Payer: Plain Church Group Ministry All Commercial	$4,554.96
Rate for Payer: Three Rivers Preferred All Commercial	$5,949.09

INPATIENT MSDRG 205: OTHER RESPIRATORY SYSTEM DIAGNOSES WITH MCC

Facility IP

$17,476.95

Service Code	MS-DRG 205
Hospital Charge Code	MSDRG 205
Min. Negotiated Rate	$10,022.72
Max. Negotiated Rate	$17,476.95
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$14,816.14
Rate for Payer: Anthem Blue Cross of IN Traditional	$17,476.95
Rate for Payer: Plain Church Group Ministry All Commercial	$10,022.72
Rate for Payer: Three Rivers Preferred All Commercial	$13,090.35

INPATIENT MSDRG 206: OTHER RESPIRATORY SYSTEM DIAGNOSES WITHOUT MCC

Facility IP

$8,766.93

Service Code	MS-DRG 206
Hospital Charge Code	MSDRG 206
Min. Negotiated Rate	$5,027.68
Max. Negotiated Rate	$8,766.93
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$7,432.19
Rate for Payer: Anthem Blue Cross of IN Traditional	$8,766.93
Rate for Payer: Plain Church Group Ministry All Commercial	$5,027.68
Rate for Payer: Three Rivers Preferred All Commercial	$6,566.49

INPATIENT MSDRG 207: RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT >96 HOURS

Facility IP

$64,431.18

Service Code	MS-DRG 207
Hospital Charge Code	MSDRG 207
Min. Negotiated Rate	$36,950.13
Max. Negotiated Rate	$64,431.18
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$54,621.72
Rate for Payer: Anthem Blue Cross of IN Traditional	$64,431.18
Rate for Payer: Plain Church Group Ministry All Commercial	$36,950.13
Rate for Payer: Three Rivers Preferred All Commercial	$48,259.37

INPATIENT MSDRG 208: RESPIRATORY SYSTEM DIAGNOSIS WITH VENTILATOR SUPPORT <=96 HOURS

Facility IP

$25,514.78

Service Code	MS-DRG 208
Hospital Charge Code	MSDRG 208
Min. Negotiated Rate	$14,632.27
Max. Negotiated Rate	$25,514.78
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$21,630.23
Rate for Payer: Anthem Blue Cross of IN Traditional	$25,514.78
Rate for Payer: Plain Church Group Ministry All Commercial	$14,632.27
Rate for Payer: Three Rivers Preferred All Commercial	$19,110.74

INPATIENT MSDRG 215: OTHER HEART ASSIST SYSTEM IMPLANT

Facility IP

$101,105.30

Service Code	MS-DRG 215
Hospital Charge Code	MSDRG 215
Min. Negotiated Rate	$57,982.08
Max. Negotiated Rate	$101,105.30
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$85,712.32
Rate for Payer: Anthem Blue Cross of IN Traditional	$101,105.30
Rate for Payer: Plain Church Group Ministry All Commercial	$57,982.08
Rate for Payer: Three Rivers Preferred All Commercial	$75,728.52

INPATIENT MSDRG 216: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH MCC

Facility IP

$95,597.26

Service Code	MS-DRG 216
Hospital Charge Code	MSDRG 216
Min. Negotiated Rate	$54,823.32
Max. Negotiated Rate	$95,597.26
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$81,042.87
Rate for Payer: Anthem Blue Cross of IN Traditional	$95,597.26
Rate for Payer: Plain Church Group Ministry All Commercial	$54,823.32
Rate for Payer: Three Rivers Preferred All Commercial	$71,602.97

INPATIENT MSDRG 217: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITH CC

Facility IP

$62,300.77

Service Code	MS-DRG 217
Hospital Charge Code	MSDRG 217
Min. Negotiated Rate	$35,728.38
Max. Negotiated Rate	$62,300.77
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$52,815.67
Rate for Payer: Anthem Blue Cross of IN Traditional	$62,300.77
Rate for Payer: Plain Church Group Ministry All Commercial	$35,728.38
Rate for Payer: Three Rivers Preferred All Commercial	$46,663.68

INPATIENT MSDRG 218: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITH CARDIAC CATHETERIZATION WITHOUT CC/MCC

Facility IP

$58,276.46

Service Code	MS-DRG 218
Hospital Charge Code	MSDRG 218
Min. Negotiated Rate	$33,420.51
Max. Negotiated Rate	$58,276.46
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$49,404.05
Rate for Payer: Anthem Blue Cross of IN Traditional	$58,276.46
Rate for Payer: Plain Church Group Ministry All Commercial	$33,420.51
Rate for Payer: Three Rivers Preferred All Commercial	$43,649.45

INPATIENT MSDRG 219: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH MCC

Facility IP

$79,763.01

Service Code	MS-DRG 219
Hospital Charge Code	MSDRG 219
Min. Negotiated Rate	$45,742.66
Max. Negotiated Rate	$79,763.01
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$67,619.33
Rate for Payer: Anthem Blue Cross of IN Traditional	$79,763.01
Rate for Payer: Plain Church Group Ministry All Commercial	$45,742.66
Rate for Payer: Three Rivers Preferred All Commercial	$59,743.01

INPATIENT MSDRG 220: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITH CC

Facility IP

$53,334.64

Service Code	MS-DRG 220
Hospital Charge Code	MSDRG 220
Min. Negotiated Rate	$30,586.46
Max. Negotiated Rate	$53,334.64
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$45,214.60
Rate for Payer: Anthem Blue Cross of IN Traditional	$53,334.64
Rate for Payer: Plain Church Group Ministry All Commercial	$30,586.46
Rate for Payer: Three Rivers Preferred All Commercial	$39,947.99

INPATIENT MSDRG 221: CARDIAC VALVE AND OTHER MAJOR CARDIOTHORACIC PROCEDURES WITHOUT CARDIAC CATHETERIZATION WITHOUT CC/MCC

Facility IP

$46,431.19

Service Code	MS-DRG 221
Hospital Charge Code	MSDRG 221
Min. Negotiated Rate	$26,627.46
Max. Negotiated Rate	$46,431.19
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$39,362.18
Rate for Payer: Anthem Blue Cross of IN Traditional	$46,431.19
Rate for Payer: Plain Church Group Ministry All Commercial	$26,627.46
Rate for Payer: Three Rivers Preferred All Commercial	$34,777.26

INPATIENT MSDRG 222: CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITH AMI, HF OR SHOCK WITH MCC

Facility IP

$75,134.22

Service Code	MS-DRG 222
Hospital Charge Code	MSDRG 222
Min. Negotiated Rate	$43,088.13
Max. Negotiated Rate	$75,134.22
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$63,695.26
Rate for Payer: Anthem Blue Cross of IN Traditional	$75,134.22
Rate for Payer: Plain Church Group Ministry All Commercial	$43,088.13
Rate for Payer: Three Rivers Preferred All Commercial	$56,276.01

INPATIENT MSDRG 223: CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITH AMI, HF OR SHOCK WITHOUT MCC

Facility IP

$51,211.10

Service Code	MS-DRG 223
Hospital Charge Code	MSDRG 223
Min. Negotiated Rate	$29,368.65
Max. Negotiated Rate	$51,211.10
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$43,414.37
Rate for Payer: Anthem Blue Cross of IN Traditional	$51,211.10
Rate for Payer: Plain Church Group Ministry All Commercial	$29,368.65
Rate for Payer: Three Rivers Preferred All Commercial	$38,357.45

INPATIENT MSDRG 224: CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITHOUT AMI, HF OR SHOCK WITH MCC

Facility IP

$69,566.32

Service Code	MS-DRG 224
Hospital Charge Code	MSDRG 224
Min. Negotiated Rate	$39,895.04
Max. Negotiated Rate	$69,566.32
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$58,975.05
Rate for Payer: Anthem Blue Cross of IN Traditional	$69,566.32
Rate for Payer: Plain Church Group Ministry All Commercial	$39,895.04
Rate for Payer: Three Rivers Preferred All Commercial	$52,105.62

INPATIENT MSDRG 225: CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION WITHOUT AMI, HF OR SHOCK WITHOUT MCC

Facility IP

$49,631.21

Service Code	MS-DRG 225
Hospital Charge Code	MSDRG 225
Min. Negotiated Rate	$28,462.61
Max. Negotiated Rate	$49,631.21
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$42,075.01
Rate for Payer: Anthem Blue Cross of IN Traditional	$49,631.21
Rate for Payer: Plain Church Group Ministry All Commercial	$28,462.61
Rate for Payer: Three Rivers Preferred All Commercial	$37,174.10

INPATIENT MSDRG 226: CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATHETERIZATION WITH MCC

Facility IP

$62,812.03

Service Code	MS-DRG 226
Hospital Charge Code	MSDRG 226
Min. Negotiated Rate	$36,021.58
Max. Negotiated Rate	$62,812.03
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$53,249.09
Rate for Payer: Anthem Blue Cross of IN Traditional	$62,812.03
Rate for Payer: Plain Church Group Ministry All Commercial	$36,021.58
Rate for Payer: Three Rivers Preferred All Commercial	$47,046.62

INPATIENT MSDRG 227: CARDIAC DEFIBRILLATOR IMPLANT WITHOUT CARDIAC CATHETERIZATION WITHOUT MCC

Facility IP

$49,268.13

Service Code	MS-DRG 227
Hospital Charge Code	MSDRG 227
Min. Negotiated Rate	$28,254.39
Max. Negotiated Rate	$49,268.13
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$41,767.20
Rate for Payer: Anthem Blue Cross of IN Traditional	$49,268.13
Rate for Payer: Plain Church Group Ministry All Commercial	$28,254.39
Rate for Payer: Three Rivers Preferred All Commercial	$36,902.15

INPATIENT MSDRG 228: OTHER CARDIOTHORACIC PROCEDURES WITH MCC

Facility IP

$48,361.41

Service Code	MS-DRG 228
Hospital Charge Code	MSDRG 228
Min. Negotiated Rate	$27,734.40
Max. Negotiated Rate	$48,361.41
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$40,998.53
Rate for Payer: Anthem Blue Cross of IN Traditional	$48,361.41
Rate for Payer: Plain Church Group Ministry All Commercial	$27,734.40
Rate for Payer: Three Rivers Preferred All Commercial	$36,223.01

INPATIENT MSDRG 229: OTHER CARDIOTHORACIC PROCEDURES WITHOUT MCC

Facility IP

$32,391.73

Service Code	MS-DRG 229
Hospital Charge Code	MSDRG 229
Min. Negotiated Rate	$18,576.08
Max. Negotiated Rate	$32,391.73
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$27,460.19
Rate for Payer: Anthem Blue Cross of IN Traditional	$32,391.73
Rate for Payer: Plain Church Group Ministry All Commercial	$18,576.08
Rate for Payer: Three Rivers Preferred All Commercial	$24,261.62

INPATIENT MSDRG 231: CORONARY BYPASS WITH PTCA WITH MCC

Facility IP

$82,362.47

Service Code	MS-DRG 231
Hospital Charge Code	MSDRG 231
Min. Negotiated Rate	$47,233.40
Max. Negotiated Rate	$82,362.47
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$69,823.03
Rate for Payer: Anthem Blue Cross of IN Traditional	$82,362.47
Rate for Payer: Plain Church Group Ministry All Commercial	$47,233.40
Rate for Payer: Three Rivers Preferred All Commercial	$61,690.02

INPATIENT MSDRG 232: CORONARY BYPASS WITH PTCA WITHOUT MCC

Facility IP

$57,482.59

Service Code	MS-DRG 232
Hospital Charge Code	MSDRG 232
Min. Negotiated Rate	$32,965.24
Max. Negotiated Rate	$57,482.59
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$48,731.04
Rate for Payer: Anthem Blue Cross of IN Traditional	$57,482.59
Rate for Payer: Plain Church Group Ministry All Commercial	$32,965.24
Rate for Payer: Three Rivers Preferred All Commercial	$43,054.83

INPATIENT MSDRG 233: CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITH MCC

Facility IP

$76,000.70

Service Code	MS-DRG 233
Hospital Charge Code	MSDRG 233
Min. Negotiated Rate	$43,585.04
Max. Negotiated Rate	$76,000.70
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$64,429.82
Rate for Payer: Anthem Blue Cross of IN Traditional	$76,000.70
Rate for Payer: Plain Church Group Ministry All Commercial	$43,585.04
Rate for Payer: Three Rivers Preferred All Commercial	$56,925.02

INPATIENT MSDRG 234: CORONARY BYPASS WITH CARDIAC CATHETERIZATION OR OPEN ABLATION WITHOUT MCC

Facility IP

$50,893.16

Service Code	MS-DRG 234
Hospital Charge Code	MSDRG 234
Min. Negotiated Rate	$29,186.32
Max. Negotiated Rate	$50,893.16
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$43,144.83
Rate for Payer: Anthem Blue Cross of IN Traditional	$50,893.16
Rate for Payer: Plain Church Group Ministry All Commercial	$29,186.32
Rate for Payer: Three Rivers Preferred All Commercial	$38,119.31

INPATIENT MSDRG 235: CORONARY BYPASS WITHOUT CARDIAC CATHETERIZATION WITH MCC

Facility IP

$58,779.87

Service Code	MS-DRG 235
Hospital Charge Code	MSDRG 235
Min. Negotiated Rate	$33,709.20
Max. Negotiated Rate	$58,779.87
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$49,830.81
Rate for Payer: Anthem Blue Cross of IN Traditional	$58,779.87
Rate for Payer: Plain Church Group Ministry All Commercial	$33,709.20
Rate for Payer: Three Rivers Preferred All Commercial	$44,026.50

Price Transparency.

All Charges