Cameron Memorial Community Hospital

All Charges

Charge

Type

Price

INPATIENT MSDRG 263: VEIN LIGATION AND STRIPPING

Facility IP

$27,339.02

Service Code	MS-DRG 263
Hospital Charge Code	MSDRG 263
Min. Negotiated Rate	$15,678.44
Max. Negotiated Rate	$27,339.02
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$23,176.73
Rate for Payer: Anthem Blue Cross of IN Traditional	$27,339.02
Rate for Payer: Plain Church Group Ministry All Commercial	$15,678.44
Rate for Payer: Three Rivers Preferred All Commercial	$20,477.10

INPATIENT MSDRG 264: OTHER CIRCULATORY SYSTEM O.R. PROCEDURES

Facility IP

$32,478.09

Service Code	MS-DRG 264
Hospital Charge Code	MSDRG 264
Min. Negotiated Rate	$18,625.60
Max. Negotiated Rate	$32,478.09
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$27,533.39
Rate for Payer: Anthem Blue Cross of IN Traditional	$32,478.09
Rate for Payer: Plain Church Group Ministry All Commercial	$18,625.60
Rate for Payer: Three Rivers Preferred All Commercial	$24,326.30

INPATIENT MSDRG 265: AICD LEAD PROCEDURES

Facility IP

$33,188.55

Service Code	MS-DRG 265
Hospital Charge Code	MSDRG 265
Min. Negotiated Rate	$19,033.04
Max. Negotiated Rate	$33,188.55
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$28,135.69
Rate for Payer: Anthem Blue Cross of IN Traditional	$33,188.55
Rate for Payer: Plain Church Group Ministry All Commercial	$19,033.04
Rate for Payer: Three Rivers Preferred All Commercial	$24,858.44

INPATIENT MSDRG 266: ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITH MCC

Facility IP

$64,772.67

Service Code	MS-DRG 266
Hospital Charge Code	MSDRG 266
Min. Negotiated Rate	$37,145.97
Max. Negotiated Rate	$64,772.67
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$54,911.22
Rate for Payer: Anthem Blue Cross of IN Traditional	$64,772.67
Rate for Payer: Plain Church Group Ministry All Commercial	$37,145.97
Rate for Payer: Three Rivers Preferred All Commercial	$48,515.15

INPATIENT MSDRG 267: ENDOVASCULAR CARDIAC VALVE REPLACEMENT AND SUPPLEMENT PROCEDURES WITHOUT MCC

Facility IP

$50,640.97

Service Code	MS-DRG 267
Hospital Charge Code	MSDRG 267
Min. Negotiated Rate	$29,041.69
Max. Negotiated Rate	$50,640.97
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$42,931.03
Rate for Payer: Anthem Blue Cross of IN Traditional	$50,640.97
Rate for Payer: Plain Church Group Ministry All Commercial	$29,041.69
Rate for Payer: Three Rivers Preferred All Commercial	$37,930.41

INPATIENT MSDRG 268: AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITH MCC

Facility IP

$67,913.81

Service Code	MS-DRG 268
Hospital Charge Code	MSDRG 268
Min. Negotiated Rate	$38,947.36
Max. Negotiated Rate	$67,913.81
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$57,574.14
Rate for Payer: Anthem Blue Cross of IN Traditional	$67,913.81
Rate for Payer: Plain Church Group Ministry All Commercial	$38,947.36
Rate for Payer: Three Rivers Preferred All Commercial	$50,867.88

INPATIENT MSDRG 269: AORTIC AND HEART ASSIST PROCEDURES EXCEPT PULSATION BALLOON WITHOUT MCC

Facility IP

$41,963.33

Service Code	MS-DRG 269
Hospital Charge Code	MSDRG 269
Min. Negotiated Rate	$24,065.22
Max. Negotiated Rate	$41,963.33
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$35,574.54
Rate for Payer: Anthem Blue Cross of IN Traditional	$41,963.33
Rate for Payer: Plain Church Group Ministry All Commercial	$24,065.22
Rate for Payer: Three Rivers Preferred All Commercial	$31,430.81

INPATIENT MSDRG 270: OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH MCC

Facility IP

$50,169.94

Service Code	MS-DRG 270
Hospital Charge Code	MSDRG 270
Min. Negotiated Rate	$28,771.57
Max. Negotiated Rate	$50,169.94
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$42,531.72
Rate for Payer: Anthem Blue Cross of IN Traditional	$50,169.94
Rate for Payer: Plain Church Group Ministry All Commercial	$28,771.57
Rate for Payer: Three Rivers Preferred All Commercial	$37,577.61

INPATIENT MSDRG 271: OTHER MAJOR CARDIOVASCULAR PROCEDURES WITH CC

Facility IP

$34,186.53

Service Code	MS-DRG 271
Hospital Charge Code	MSDRG 271
Min. Negotiated Rate	$19,605.36
Max. Negotiated Rate	$34,186.53
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$28,981.73
Rate for Payer: Anthem Blue Cross of IN Traditional	$34,186.53
Rate for Payer: Plain Church Group Ministry All Commercial	$19,605.36
Rate for Payer: Three Rivers Preferred All Commercial	$25,605.93

INPATIENT MSDRG 272: OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC

Facility IP

$25,478.47

Service Code	MS-DRG 272
Hospital Charge Code	MSDRG 272
Min. Negotiated Rate	$14,611.45
Max. Negotiated Rate	$25,478.47
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$21,599.45
Rate for Payer: Anthem Blue Cross of IN Traditional	$25,478.47
Rate for Payer: Plain Church Group Ministry All Commercial	$14,611.45
Rate for Payer: Three Rivers Preferred All Commercial	$19,083.54

INPATIENT MSDRG 273: PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITH MCC

Facility IP

$39,379.57

Service Code	MS-DRG 273
Hospital Charge Code	MSDRG 273
Min. Negotiated Rate	$22,583.48
Max. Negotiated Rate	$39,379.57
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$33,384.15
Rate for Payer: Anthem Blue Cross of IN Traditional	$39,379.57
Rate for Payer: Plain Church Group Ministry All Commercial	$22,583.48
Rate for Payer: Three Rivers Preferred All Commercial	$29,495.55

INPATIENT MSDRG 274: PERCUTANEOUS AND OTHER INTRACARDIAC PROCEDURES WITHOUT MCC

Facility IP

$32,966.77

Service Code	MS-DRG 274
Hospital Charge Code	MSDRG 274
Min. Negotiated Rate	$18,905.86
Max. Negotiated Rate	$32,966.77
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$27,947.68
Rate for Payer: Anthem Blue Cross of IN Traditional	$32,966.77
Rate for Payer: Plain Church Group Ministry All Commercial	$18,905.86
Rate for Payer: Three Rivers Preferred All Commercial	$24,692.33

INPATIENT MSDRG 280: ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC

Facility IP

$15,763.60

Service Code	MS-DRG 280
Hospital Charge Code	MSDRG 280
Min. Negotiated Rate	$9,040.14
Max. Negotiated Rate	$15,763.60
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$13,363.64
Rate for Payer: Anthem Blue Cross of IN Traditional	$15,763.60
Rate for Payer: Plain Church Group Ministry All Commercial	$9,040.14
Rate for Payer: Three Rivers Preferred All Commercial	$11,807.04

INPATIENT MSDRG 281: ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC

Facility IP

$9,014.22

Service Code	MS-DRG 281
Hospital Charge Code	MSDRG 281
Min. Negotiated Rate	$5,169.49
Max. Negotiated Rate	$9,014.22
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$7,641.83
Rate for Payer: Anthem Blue Cross of IN Traditional	$9,014.22
Rate for Payer: Plain Church Group Ministry All Commercial	$5,169.49
Rate for Payer: Three Rivers Preferred All Commercial	$6,751.71

INPATIENT MSDRG 282: ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC

Facility IP

$7,032.98

Service Code	MS-DRG 282
Hospital Charge Code	MSDRG 282
Min. Negotiated Rate	$4,033.29
Max. Negotiated Rate	$7,032.98
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$5,962.23
Rate for Payer: Anthem Blue Cross of IN Traditional	$7,032.98
Rate for Payer: Plain Church Group Ministry All Commercial	$4,033.29
Rate for Payer: Three Rivers Preferred All Commercial	$5,267.75

INPATIENT MSDRG 283: ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC

Facility IP

$18,827.22

Service Code	MS-DRG 283
Hospital Charge Code	MSDRG 283
Min. Negotiated Rate	$10,797.07
Max. Negotiated Rate	$18,827.22
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$15,960.83
Rate for Payer: Anthem Blue Cross of IN Traditional	$18,827.22
Rate for Payer: Plain Church Group Ministry All Commercial	$10,797.07
Rate for Payer: Three Rivers Preferred All Commercial	$14,101.71

INPATIENT MSDRG 284: ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC

Facility IP

$7,216.48

Service Code	MS-DRG 284
Hospital Charge Code	MSDRG 284
Min. Negotiated Rate	$4,138.52
Max. Negotiated Rate	$7,216.48
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$6,117.79
Rate for Payer: Anthem Blue Cross of IN Traditional	$7,216.48
Rate for Payer: Plain Church Group Ministry All Commercial	$4,138.52
Rate for Payer: Three Rivers Preferred All Commercial	$5,405.19

INPATIENT MSDRG 285: ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC

Facility IP

$5,316.68

Service Code	MS-DRG 285
Hospital Charge Code	MSDRG 285
Min. Negotiated Rate	$3,049.02
Max. Negotiated Rate	$5,316.68
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$4,507.23
Rate for Payer: Anthem Blue Cross of IN Traditional	$5,316.68
Rate for Payer: Plain Church Group Ministry All Commercial	$3,049.02
Rate for Payer: Three Rivers Preferred All Commercial	$3,982.23

INPATIENT MSDRG 286: CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITH MCC

Facility IP

$20,813.37

Service Code	MS-DRG 286
Hospital Charge Code	MSDRG 286
Min. Negotiated Rate	$11,936.10
Max. Negotiated Rate	$20,813.37
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$17,644.60
Rate for Payer: Anthem Blue Cross of IN Traditional	$20,813.37
Rate for Payer: Plain Church Group Ministry All Commercial	$11,936.10
Rate for Payer: Three Rivers Preferred All Commercial	$15,589.35

INPATIENT MSDRG 287: CIRCULATORY DISORDERS EXCEPT AMI, WITH CARDIAC CATHETERIZATION WITHOUT MCC

Facility IP

$10,796.26

Service Code	MS-DRG 287
Hospital Charge Code	MSDRG 287
Min. Negotiated Rate	$6,191.46
Max. Negotiated Rate	$10,796.26
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$9,152.56
Rate for Payer: Anthem Blue Cross of IN Traditional	$10,796.26
Rate for Payer: Plain Church Group Ministry All Commercial	$6,191.46
Rate for Payer: Three Rivers Preferred All Commercial	$8,086.47

INPATIENT MSDRG 288: ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC

Facility IP

$26,460.75

Service Code	MS-DRG 288
Hospital Charge Code	MSDRG 288
Min. Negotiated Rate	$15,174.77
Max. Negotiated Rate	$26,460.75
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$22,432.18
Rate for Payer: Anthem Blue Cross of IN Traditional	$26,460.75
Rate for Payer: Plain Church Group Ministry All Commercial	$15,174.77
Rate for Payer: Three Rivers Preferred All Commercial	$19,819.28

INPATIENT MSDRG 289: ACUTE AND SUBACUTE ENDOCARDITIS WITH CC

Facility IP

$15,770.47

Service Code	MS-DRG 289
Hospital Charge Code	MSDRG 289
Min. Negotiated Rate	$9,044.08
Max. Negotiated Rate	$15,770.47
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$13,369.46
Rate for Payer: Anthem Blue Cross of IN Traditional	$15,770.47
Rate for Payer: Plain Church Group Ministry All Commercial	$9,044.08
Rate for Payer: Three Rivers Preferred All Commercial	$11,812.19

INPATIENT MSDRG 290: ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC

Facility IP

$11,831.53

Service Code	MS-DRG 290
Hospital Charge Code	MSDRG 290
Min. Negotiated Rate	$6,785.17
Max. Negotiated Rate	$11,831.53
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$10,030.22
Rate for Payer: Anthem Blue Cross of IN Traditional	$11,831.53
Rate for Payer: Plain Church Group Ministry All Commercial	$6,785.17
Rate for Payer: Three Rivers Preferred All Commercial	$8,861.90

INPATIENT MSDRG 291: HEART FAILURE AND SHOCK WITH MCC

Facility IP

$12,558.68

Service Code	MS-DRG 291
Hospital Charge Code	MSDRG 291
Min. Negotiated Rate	$7,202.18
Max. Negotiated Rate	$12,558.68
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$10,646.66
Rate for Payer: Anthem Blue Cross of IN Traditional	$12,558.68
Rate for Payer: Plain Church Group Ministry All Commercial	$7,202.18
Rate for Payer: Three Rivers Preferred All Commercial	$9,406.53

INPATIENT MSDRG 292: HEART FAILURE AND SHOCK WITH CC

Facility IP

$8,466.66

Service Code	MS-DRG 292
Hospital Charge Code	MSDRG 292
Min. Negotiated Rate	$4,855.48
Max. Negotiated Rate	$8,466.66
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$7,177.63
Rate for Payer: Anthem Blue Cross of IN Traditional	$8,466.66
Rate for Payer: Plain Church Group Ministry All Commercial	$4,855.48
Rate for Payer: Three Rivers Preferred All Commercial	$6,341.58

Price Transparency.

All Charges