Cameron Memorial Community Hospital

All Charges

Charge

Type

Price

INPATIENT MSDRG 293: HEART FAILURE AND SHOCK WITHOUT CC/MCC

Facility IP

$5,498.22

Service Code	MS-DRG 293
Hospital Charge Code	MSDRG 293
Min. Negotiated Rate	$3,153.13
Max. Negotiated Rate	$5,498.22
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$4,661.14
Rate for Payer: Anthem Blue Cross of IN Traditional	$5,498.22
Rate for Payer: Plain Church Group Ministry All Commercial	$3,153.13
Rate for Payer: Three Rivers Preferred All Commercial	$4,118.21

INPATIENT MSDRG 294: DEEP VEIN THROMBOPHLEBITIS WITH CC/MCC

Facility IP

$11,329.11

Service Code	MS-DRG 294
Hospital Charge Code	MSDRG 294
Min. Negotiated Rate	$6,497.04
Max. Negotiated Rate	$11,329.11
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$9,604.29
Rate for Payer: Anthem Blue Cross of IN Traditional	$11,329.11
Rate for Payer: Plain Church Group Ministry All Commercial	$6,497.04
Rate for Payer: Three Rivers Preferred All Commercial	$8,485.58

INPATIENT MSDRG 295: DEEP VEIN THROMBOPHLEBITIS WITHOUT CC/MCC

Facility IP

$8,691.37

Service Code	MS-DRG 295
Hospital Charge Code	MSDRG 295
Min. Negotiated Rate	$4,984.35
Max. Negotiated Rate	$8,691.37
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$7,368.14
Rate for Payer: Anthem Blue Cross of IN Traditional	$8,691.37
Rate for Payer: Plain Church Group Ministry All Commercial	$4,984.35
Rate for Payer: Three Rivers Preferred All Commercial	$6,509.90

INPATIENT MSDRG 296: CARDIAC ARREST, UNEXPLAINED WITH MCC

Facility IP

$16,076.64

Service Code	MS-DRG 296
Hospital Charge Code	MSDRG 296
Min. Negotiated Rate	$9,219.66
Max. Negotiated Rate	$16,076.64
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$13,629.02
Rate for Payer: Anthem Blue Cross of IN Traditional	$16,076.64
Rate for Payer: Plain Church Group Ministry All Commercial	$9,219.66
Rate for Payer: Three Rivers Preferred All Commercial	$12,041.51

INPATIENT MSDRG 297: CARDIAC ARREST, UNEXPLAINED WITH CC

Facility IP

$6,244.01

Service Code	MS-DRG 297
Hospital Charge Code	MSDRG 297
Min. Negotiated Rate	$3,580.83
Max. Negotiated Rate	$6,244.01
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$5,293.38
Rate for Payer: Anthem Blue Cross of IN Traditional	$6,244.01
Rate for Payer: Plain Church Group Ministry All Commercial	$3,580.83
Rate for Payer: Three Rivers Preferred All Commercial	$4,676.81

INPATIENT MSDRG 298: CARDIAC ARREST, UNEXPLAINED WITHOUT CC/MCC

Facility IP

$4,793.65

Service Code	MS-DRG 298
Hospital Charge Code	MSDRG 298
Min. Negotiated Rate	$2,749.07
Max. Negotiated Rate	$4,793.65
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$4,063.83
Rate for Payer: Anthem Blue Cross of IN Traditional	$4,793.65
Rate for Payer: Plain Church Group Ministry All Commercial	$2,749.07
Rate for Payer: Three Rivers Preferred All Commercial	$3,590.48

INPATIENT MSDRG 299: PERIPHERAL VASCULAR DISORDERS WITH MCC

Facility IP

$15,092.39

Service Code	MS-DRG 299
Hospital Charge Code	MSDRG 299
Min. Negotiated Rate	$8,655.22
Max. Negotiated Rate	$15,092.39
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$12,794.62
Rate for Payer: Anthem Blue Cross of IN Traditional	$15,092.39
Rate for Payer: Plain Church Group Ministry All Commercial	$8,655.22
Rate for Payer: Three Rivers Preferred All Commercial	$11,304.30

INPATIENT MSDRG 300: PERIPHERAL VASCULAR DISORDERS WITH CC

Facility IP

$10,118.18

Service Code	MS-DRG 300
Hospital Charge Code	MSDRG 300
Min. Negotiated Rate	$5,802.60
Max. Negotiated Rate	$10,118.18
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$8,577.72
Rate for Payer: Anthem Blue Cross of IN Traditional	$10,118.18
Rate for Payer: Plain Church Group Ministry All Commercial	$5,802.60
Rate for Payer: Three Rivers Preferred All Commercial	$7,578.59

INPATIENT MSDRG 301: PERIPHERAL VASCULAR DISORDERS WITHOUT CC/MCC

Facility IP

$7,028.07

Service Code	MS-DRG 301
Hospital Charge Code	MSDRG 301
Min. Negotiated Rate	$4,030.47
Max. Negotiated Rate	$7,028.07
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$5,958.07
Rate for Payer: Anthem Blue Cross of IN Traditional	$7,028.07
Rate for Payer: Plain Church Group Ministry All Commercial	$4,030.47
Rate for Payer: Three Rivers Preferred All Commercial	$5,264.07

INPATIENT MSDRG 302: ATHEROSCLEROSIS WITH MCC

Facility IP

$11,832.52

Service Code	MS-DRG 302
Hospital Charge Code	MSDRG 302
Min. Negotiated Rate	$6,785.74
Max. Negotiated Rate	$11,832.52
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$10,031.05
Rate for Payer: Anthem Blue Cross of IN Traditional	$11,832.52
Rate for Payer: Plain Church Group Ministry All Commercial	$6,785.74
Rate for Payer: Three Rivers Preferred All Commercial	$8,862.63

INPATIENT MSDRG 303: ATHEROSCLEROSIS WITHOUT MCC

Facility IP

$6,634.57

Service Code	MS-DRG 303
Hospital Charge Code	MSDRG 303
Min. Negotiated Rate	$3,804.81
Max. Negotiated Rate	$6,634.57
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$5,624.48
Rate for Payer: Anthem Blue Cross of IN Traditional	$6,634.57
Rate for Payer: Plain Church Group Ministry All Commercial	$3,804.81
Rate for Payer: Three Rivers Preferred All Commercial	$4,969.34

INPATIENT MSDRG 304: HYPERTENSION WITH MCC

Facility IP

$10,780.56

Service Code	MS-DRG 304
Hospital Charge Code	MSDRG 304
Min. Negotiated Rate	$6,182.46
Max. Negotiated Rate	$10,780.56
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$9,139.25
Rate for Payer: Anthem Blue Cross of IN Traditional	$10,780.56
Rate for Payer: Plain Church Group Ministry All Commercial	$6,182.46
Rate for Payer: Three Rivers Preferred All Commercial	$8,074.71

INPATIENT MSDRG 305: HYPERTENSION WITHOUT MCC

Facility IP

$7,316.57

Service Code	MS-DRG 305
Hospital Charge Code	MSDRG 305
Min. Negotiated Rate	$4,195.92
Max. Negotiated Rate	$7,316.57
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$6,202.65
Rate for Payer: Anthem Blue Cross of IN Traditional	$7,316.57
Rate for Payer: Plain Church Group Ministry All Commercial	$4,195.92
Rate for Payer: Three Rivers Preferred All Commercial	$5,480.16

INPATIENT MSDRG 306: CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC

Facility IP

$14,482.03

Service Code	MS-DRG 306
Hospital Charge Code	MSDRG 306
Min. Negotiated Rate	$8,305.18
Max. Negotiated Rate	$14,482.03
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$12,277.18
Rate for Payer: Anthem Blue Cross of IN Traditional	$14,482.03
Rate for Payer: Plain Church Group Ministry All Commercial	$8,305.18
Rate for Payer: Three Rivers Preferred All Commercial	$10,847.13

INPATIENT MSDRG 307: CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC

Facility IP

$8,943.57

Service Code	MS-DRG 307
Hospital Charge Code	MSDRG 307
Min. Negotiated Rate	$5,128.98
Max. Negotiated Rate	$8,943.57
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$7,581.94
Rate for Payer: Anthem Blue Cross of IN Traditional	$8,943.57
Rate for Payer: Plain Church Group Ministry All Commercial	$5,128.98
Rate for Payer: Three Rivers Preferred All Commercial	$6,698.79

INPATIENT MSDRG 308: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC

Facility IP

$11,506.72

Service Code	MS-DRG 308
Hospital Charge Code	MSDRG 308
Min. Negotiated Rate	$6,598.90
Max. Negotiated Rate	$11,506.72
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$9,754.86
Rate for Payer: Anthem Blue Cross of IN Traditional	$11,506.72
Rate for Payer: Plain Church Group Ministry All Commercial	$6,598.90
Rate for Payer: Three Rivers Preferred All Commercial	$8,618.61

INPATIENT MSDRG 309: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC

Facility IP

$7,238.07

Service Code	MS-DRG 309
Hospital Charge Code	MSDRG 309
Min. Negotiated Rate	$4,150.90
Max. Negotiated Rate	$7,238.07
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$6,136.09
Rate for Payer: Anthem Blue Cross of IN Traditional	$7,238.07
Rate for Payer: Plain Church Group Ministry All Commercial	$4,150.90
Rate for Payer: Three Rivers Preferred All Commercial	$5,421.36

INPATIENT MSDRG 310: CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC

Facility IP

$5,408.93

Service Code	MS-DRG 310
Hospital Charge Code	MSDRG 310
Min. Negotiated Rate	$3,101.92
Max. Negotiated Rate	$5,408.93
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$4,585.43
Rate for Payer: Anthem Blue Cross of IN Traditional	$5,408.93
Rate for Payer: Plain Church Group Ministry All Commercial	$3,101.92
Rate for Payer: Three Rivers Preferred All Commercial	$4,051.32

INPATIENT MSDRG 311: ANGINA PECTORIS

Facility IP

$6,556.07

Service Code	MS-DRG 311
Hospital Charge Code	MSDRG 311
Min. Negotiated Rate	$3,759.79
Max. Negotiated Rate	$6,556.07
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$5,557.92
Rate for Payer: Anthem Blue Cross of IN Traditional	$6,556.07
Rate for Payer: Plain Church Group Ministry All Commercial	$3,759.79
Rate for Payer: Three Rivers Preferred All Commercial	$4,910.54

INPATIENT MSDRG 312: SYNCOPE AND COLLAPSE

Facility IP

$8,367.55

Service Code	MS-DRG 312
Hospital Charge Code	MSDRG 312
Min. Negotiated Rate	$4,798.64
Max. Negotiated Rate	$8,367.55
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$7,093.61
Rate for Payer: Anthem Blue Cross of IN Traditional	$8,367.55
Rate for Payer: Plain Church Group Ministry All Commercial	$4,798.64
Rate for Payer: Three Rivers Preferred All Commercial	$6,267.35

INPATIENT MSDRG 313: CHEST PAIN

Facility IP

$7,098.72

Service Code	MS-DRG 313
Hospital Charge Code	MSDRG 313
Min. Negotiated Rate	$4,070.99
Max. Negotiated Rate	$7,098.72
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$6,017.96
Rate for Payer: Anthem Blue Cross of IN Traditional	$7,098.72
Rate for Payer: Plain Church Group Ministry All Commercial	$4,070.99
Rate for Payer: Three Rivers Preferred All Commercial	$5,316.99

INPATIENT MSDRG 314: OTHER CIRCULATORY SYSTEM DIAGNOSES WITH MCC

Facility IP

$20,436.55

Service Code	MS-DRG 314
Hospital Charge Code	MSDRG 314
Min. Negotiated Rate	$11,720.00
Max. Negotiated Rate	$20,436.55
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$17,325.15
Rate for Payer: Anthem Blue Cross of IN Traditional	$20,436.55
Rate for Payer: Plain Church Group Ministry All Commercial	$11,720.00
Rate for Payer: Three Rivers Preferred All Commercial	$15,307.11

INPATIENT MSDRG 315: OTHER CIRCULATORY SYSTEM DIAGNOSES WITH CC

Facility IP

$9,503.89

Service Code	MS-DRG 315
Hospital Charge Code	MSDRG 315
Min. Negotiated Rate	$5,450.31
Max. Negotiated Rate	$9,503.89
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$8,056.95
Rate for Payer: Anthem Blue Cross of IN Traditional	$9,503.89
Rate for Payer: Plain Church Group Ministry All Commercial	$5,450.31
Rate for Payer: Three Rivers Preferred All Commercial	$7,118.48

INPATIENT MSDRG 316: OTHER CIRCULATORY SYSTEM DIAGNOSES WITHOUT CC/MCC

Facility IP

$6,692.47

Service Code	MS-DRG 316
Hospital Charge Code	MSDRG 316
Min. Negotiated Rate	$3,838.01
Max. Negotiated Rate	$6,692.47
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$5,673.56
Rate for Payer: Anthem Blue Cross of IN Traditional	$6,692.47
Rate for Payer: Plain Church Group Ministry All Commercial	$3,838.01
Rate for Payer: Three Rivers Preferred All Commercial	$5,012.70

INPATIENT MSDRG 319: OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITH MCC

Facility IP

$42,260.67

Service Code	MS-DRG 319
Hospital Charge Code	MSDRG 319
Min. Negotiated Rate	$24,235.74
Max. Negotiated Rate	$42,260.67
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$35,826.61
Rate for Payer: Anthem Blue Cross of IN Traditional	$42,260.67
Rate for Payer: Plain Church Group Ministry All Commercial	$24,235.74
Rate for Payer: Three Rivers Preferred All Commercial	$31,653.51

Price Transparency.

All Charges