Cameron Memorial Community Hospital

All Charges

Charge

Type

Price

INPATIENT MSDRG 320: OTHER ENDOVASCULAR CARDIAC VALVE PROCEDURES WITHOUT MCC

Facility IP

$24,251.85

Service Code	MS-DRG 320
Hospital Charge Code	MSDRG 320
Min. Negotiated Rate	$13,908.00
Max. Negotiated Rate	$24,251.85
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$20,559.58
Rate for Payer: Anthem Blue Cross of IN Traditional	$24,251.85
Rate for Payer: Plain Church Group Ministry All Commercial	$13,908.00
Rate for Payer: Three Rivers Preferred All Commercial	$18,164.79

INPATIENT MSDRG 326: STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH MCC

Facility IP

$50,230.78

Service Code	MS-DRG 326
Hospital Charge Code	MSDRG 326
Min. Negotiated Rate	$28,806.46
Max. Negotiated Rate	$50,230.78
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$42,583.30
Rate for Payer: Anthem Blue Cross of IN Traditional	$50,230.78
Rate for Payer: Plain Church Group Ministry All Commercial	$28,806.46
Rate for Payer: Three Rivers Preferred All Commercial	$37,623.18

INPATIENT MSDRG 327: STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITH CC

Facility IP

$25,134.04

Service Code	MS-DRG 327
Hospital Charge Code	MSDRG 327
Min. Negotiated Rate	$14,413.92
Max. Negotiated Rate	$25,134.04
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$21,307.45
Rate for Payer: Anthem Blue Cross of IN Traditional	$25,134.04
Rate for Payer: Plain Church Group Ministry All Commercial	$14,413.92
Rate for Payer: Three Rivers Preferred All Commercial	$18,825.56

INPATIENT MSDRG 328: STOMACH, ESOPHAGEAL AND DUODENAL PROCEDURES WITHOUT CC/MCC

Facility IP

$16,267.01

Service Code	MS-DRG 328
Hospital Charge Code	MSDRG 328
Min. Negotiated Rate	$9,328.84
Max. Negotiated Rate	$16,267.01
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$13,790.41
Rate for Payer: Anthem Blue Cross of IN Traditional	$16,267.01
Rate for Payer: Plain Church Group Ministry All Commercial	$9,328.84
Rate for Payer: Three Rivers Preferred All Commercial	$12,184.10

INPATIENT MSDRG 329: MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC

Facility IP

$45,368.44

Service Code	MS-DRG 329
Hospital Charge Code	MSDRG 329
Min. Negotiated Rate	$26,017.99
Max. Negotiated Rate	$45,368.44
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$38,461.23
Rate for Payer: Anthem Blue Cross of IN Traditional	$45,368.44
Rate for Payer: Plain Church Group Ministry All Commercial	$26,017.99
Rate for Payer: Three Rivers Preferred All Commercial	$33,981.26

INPATIENT MSDRG 330: MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC

Facility IP

$24,094.84

Service Code	MS-DRG 330
Hospital Charge Code	MSDRG 330
Min. Negotiated Rate	$13,817.96
Max. Negotiated Rate	$24,094.84
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$20,426.47
Rate for Payer: Anthem Blue Cross of IN Traditional	$24,094.84
Rate for Payer: Plain Church Group Ministry All Commercial	$13,817.96
Rate for Payer: Three Rivers Preferred All Commercial	$18,047.19

INPATIENT MSDRG 331: MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC

Facility IP

$16,768.45

Service Code	MS-DRG 331
Hospital Charge Code	MSDRG 331
Min. Negotiated Rate	$9,616.41
Max. Negotiated Rate	$16,768.45
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$14,215.51
Rate for Payer: Anthem Blue Cross of IN Traditional	$16,768.45
Rate for Payer: Plain Church Group Ministry All Commercial	$9,616.41
Rate for Payer: Three Rivers Preferred All Commercial	$12,559.68

INPATIENT MSDRG 332: RECTAL RESECTION WITH MCC

Facility IP

$39,843.72

Service Code	MS-DRG 332
Hospital Charge Code	MSDRG 332
Min. Negotiated Rate	$22,849.66
Max. Negotiated Rate	$39,843.72
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$33,777.64
Rate for Payer: Anthem Blue Cross of IN Traditional	$39,843.72
Rate for Payer: Plain Church Group Ministry All Commercial	$22,849.66
Rate for Payer: Three Rivers Preferred All Commercial	$29,843.21

INPATIENT MSDRG 333: RECTAL RESECTION WITH CC

Facility IP

$21,913.41

Service Code	MS-DRG 333
Hospital Charge Code	MSDRG 333
Min. Negotiated Rate	$12,566.95
Max. Negotiated Rate	$21,913.41
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$18,577.16
Rate for Payer: Anthem Blue Cross of IN Traditional	$21,913.41
Rate for Payer: Plain Church Group Ministry All Commercial	$12,566.95
Rate for Payer: Three Rivers Preferred All Commercial	$16,413.29

INPATIENT MSDRG 334: RECTAL RESECTION WITHOUT CC/MCC

Facility IP

$16,824.39

Service Code	MS-DRG 334
Hospital Charge Code	MSDRG 334
Min. Negotiated Rate	$9,648.49
Max. Negotiated Rate	$16,824.39
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$14,262.93
Rate for Payer: Anthem Blue Cross of IN Traditional	$16,824.39
Rate for Payer: Plain Church Group Ministry All Commercial	$9,648.49
Rate for Payer: Three Rivers Preferred All Commercial	$12,601.58

INPATIENT MSDRG 335: PERITONEAL ADHESIOLYSIS WITH MCC

Facility IP

$36,149.13

Service Code	MS-DRG 335
Hospital Charge Code	MSDRG 335
Min. Negotiated Rate	$20,730.88
Max. Negotiated Rate	$36,149.13
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$30,645.53
Rate for Payer: Anthem Blue Cross of IN Traditional	$36,149.13
Rate for Payer: Plain Church Group Ministry All Commercial	$20,730.88
Rate for Payer: Three Rivers Preferred All Commercial	$27,075.93

INPATIENT MSDRG 336: PERITONEAL ADHESIOLYSIS WITH CC

Facility IP

$20,872.25

Service Code	MS-DRG 336
Hospital Charge Code	MSDRG 336
Min. Negotiated Rate	$11,969.86
Max. Negotiated Rate	$20,872.25
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$17,694.51
Rate for Payer: Anthem Blue Cross of IN Traditional	$20,872.25
Rate for Payer: Plain Church Group Ministry All Commercial	$11,969.86
Rate for Payer: Three Rivers Preferred All Commercial	$15,633.45

INPATIENT MSDRG 337: PERITONEAL ADHESIOLYSIS WITHOUT CC/MCC

Facility IP

$15,460.38

Service Code	MS-DRG 337
Hospital Charge Code	MSDRG 337
Min. Negotiated Rate	$8,866.25
Max. Negotiated Rate	$15,460.38
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$13,106.58
Rate for Payer: Anthem Blue Cross of IN Traditional	$15,460.38
Rate for Payer: Plain Church Group Ministry All Commercial	$8,866.25
Rate for Payer: Three Rivers Preferred All Commercial	$11,579.93

INPATIENT MSDRG 338: APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITH MCC

Facility IP

$26,068.23

Service Code	MS-DRG 338
Hospital Charge Code	MSDRG 338
Min. Negotiated Rate	$14,949.67
Max. Negotiated Rate	$26,068.23
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$22,099.42
Rate for Payer: Anthem Blue Cross of IN Traditional	$26,068.23
Rate for Payer: Plain Church Group Ministry All Commercial	$14,949.67
Rate for Payer: Three Rivers Preferred All Commercial	$19,525.28

INPATIENT MSDRG 339: APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITH CC

Facility IP

$15,979.49

Service Code	MS-DRG 339
Hospital Charge Code	MSDRG 339
Min. Negotiated Rate	$9,163.95
Max. Negotiated Rate	$15,979.49
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$13,546.66
Rate for Payer: Anthem Blue Cross of IN Traditional	$15,979.49
Rate for Payer: Plain Church Group Ministry All Commercial	$9,163.95
Rate for Payer: Three Rivers Preferred All Commercial	$11,968.74

INPATIENT MSDRG 340: APPENDECTOMY WITH COMPLICATED PRINCIPAL DIAGNOSIS WITHOUT CC/MCC

Facility IP

$11,774.62

Service Code	MS-DRG 340
Hospital Charge Code	MSDRG 340
Min. Negotiated Rate	$6,752.53
Max. Negotiated Rate	$11,774.62
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$9,981.97
Rate for Payer: Anthem Blue Cross of IN Traditional	$11,774.62
Rate for Payer: Plain Church Group Ministry All Commercial	$6,752.53
Rate for Payer: Three Rivers Preferred All Commercial	$8,819.27

INPATIENT MSDRG 341: APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITH MCC

Facility IP

$22,167.57

Service Code	MS-DRG 341
Hospital Charge Code	MSDRG 341
Min. Negotiated Rate	$12,712.70
Max. Negotiated Rate	$22,167.57
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$18,792.62
Rate for Payer: Anthem Blue Cross of IN Traditional	$22,167.57
Rate for Payer: Plain Church Group Ministry All Commercial	$12,712.70
Rate for Payer: Three Rivers Preferred All Commercial	$16,603.65

INPATIENT MSDRG 342: APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITH CC

Facility IP

$14,260.25

Service Code	MS-DRG 342
Hospital Charge Code	MSDRG 342
Min. Negotiated Rate	$8,178.00
Max. Negotiated Rate	$14,260.25
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$12,089.17
Rate for Payer: Anthem Blue Cross of IN Traditional	$14,260.25
Rate for Payer: Plain Church Group Ministry All Commercial	$8,178.00
Rate for Payer: Three Rivers Preferred All Commercial	$10,681.02

INPATIENT MSDRG 343: APPENDECTOMY WITHOUT COMPLICATED PRINCIPAL DIAGNOSIS WITHOUT CC/MCC

Facility IP

$10,722.67

Service Code	MS-DRG 343
Hospital Charge Code	MSDRG 343
Min. Negotiated Rate	$6,149.26
Max. Negotiated Rate	$10,722.67
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$9,090.17
Rate for Payer: Anthem Blue Cross of IN Traditional	$10,722.67
Rate for Payer: Plain Church Group Ministry All Commercial	$6,149.26
Rate for Payer: Three Rivers Preferred All Commercial	$8,031.35

INPATIENT MSDRG 344: MINOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC

Facility IP

$25,832.72

Service Code	MS-DRG 344
Hospital Charge Code	MSDRG 344
Min. Negotiated Rate	$14,814.60
Max. Negotiated Rate	$25,832.72
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$21,899.77
Rate for Payer: Anthem Blue Cross of IN Traditional	$25,832.72
Rate for Payer: Plain Church Group Ministry All Commercial	$14,814.60
Rate for Payer: Three Rivers Preferred All Commercial	$19,348.88

INPATIENT MSDRG 345: MINOR SMALL AND LARGE BOWEL PROCEDURES WITH CC

Facility IP

$15,224.87

Service Code	MS-DRG 345
Hospital Charge Code	MSDRG 345
Min. Negotiated Rate	$8,731.19
Max. Negotiated Rate	$15,224.87
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$12,906.93
Rate for Payer: Anthem Blue Cross of IN Traditional	$15,224.87
Rate for Payer: Plain Church Group Ministry All Commercial	$8,731.19
Rate for Payer: Three Rivers Preferred All Commercial	$11,403.53

INPATIENT MSDRG 346: MINOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC

Facility IP

$12,273.12

Service Code	MS-DRG 346
Hospital Charge Code	MSDRG 346
Min. Negotiated Rate	$7,038.41
Max. Negotiated Rate	$12,273.12
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$10,404.57
Rate for Payer: Anthem Blue Cross of IN Traditional	$12,273.12
Rate for Payer: Plain Church Group Ministry All Commercial	$7,038.41
Rate for Payer: Three Rivers Preferred All Commercial	$9,192.65

INPATIENT MSDRG 347: ANAL AND STOMAL PROCEDURES WITH MCC

Facility IP

$24,907.36

Service Code	MS-DRG 347
Hospital Charge Code	MSDRG 347
Min. Negotiated Rate	$14,283.92
Max. Negotiated Rate	$24,907.36
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$21,115.29
Rate for Payer: Anthem Blue Cross of IN Traditional	$24,907.36
Rate for Payer: Plain Church Group Ministry All Commercial	$14,283.92
Rate for Payer: Three Rivers Preferred All Commercial	$18,655.77

INPATIENT MSDRG 348: ANAL AND STOMAL PROCEDURES WITH CC

Facility IP

$13,551.75

Service Code	MS-DRG 348
Hospital Charge Code	MSDRG 348
Min. Negotiated Rate	$7,771.69
Max. Negotiated Rate	$13,551.75
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$11,488.54
Rate for Payer: Anthem Blue Cross of IN Traditional	$13,551.75
Rate for Payer: Plain Church Group Ministry All Commercial	$7,771.69
Rate for Payer: Three Rivers Preferred All Commercial	$10,150.35

INPATIENT MSDRG 349: ANAL AND STOMAL PROCEDURES WITHOUT CC/MCC

Facility IP

$9,785.52

Service Code	MS-DRG 349
Hospital Charge Code	MSDRG 349
Min. Negotiated Rate	$5,611.82
Max. Negotiated Rate	$9,785.52
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$8,295.71
Rate for Payer: Anthem Blue Cross of IN Traditional	$9,785.52
Rate for Payer: Plain Church Group Ministry All Commercial	$5,611.82
Rate for Payer: Three Rivers Preferred All Commercial	$7,329.42

Price Transparency.

All Charges