Cameron Memorial Community Hospital

All Charges

Charge

Type

Price

INPATIENT MSDRG 350: INGUINAL AND FEMORAL HERNIA PROCEDURES WITH MCC

Facility IP

$23,129.24

Service Code	MS-DRG 350
Hospital Charge Code	MSDRG 350
Min. Negotiated Rate	$13,264.21
Max. Negotiated Rate	$23,129.24
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$19,607.88
Rate for Payer: Anthem Blue Cross of IN Traditional	$23,129.24
Rate for Payer: Plain Church Group Ministry All Commercial	$13,264.21
Rate for Payer: Three Rivers Preferred All Commercial	$17,323.95

INPATIENT MSDRG 351: INGUINAL AND FEMORAL HERNIA PROCEDURES WITH CC

Facility IP

$14,427.07

Service Code	MS-DRG 351
Hospital Charge Code	MSDRG 351
Min. Negotiated Rate	$8,273.67
Max. Negotiated Rate	$14,427.07
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$12,230.59
Rate for Payer: Anthem Blue Cross of IN Traditional	$14,427.07
Rate for Payer: Plain Church Group Ministry All Commercial	$8,273.67
Rate for Payer: Three Rivers Preferred All Commercial	$10,805.97

INPATIENT MSDRG 352: INGUINAL AND FEMORAL HERNIA PROCEDURES WITHOUT CC/MCC

Facility IP

$10,814.91

Service Code	MS-DRG 352
Hospital Charge Code	MSDRG 352
Min. Negotiated Rate	$6,202.16
Max. Negotiated Rate	$10,814.91
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$9,168.37
Rate for Payer: Anthem Blue Cross of IN Traditional	$10,814.91
Rate for Payer: Plain Church Group Ministry All Commercial	$6,202.16
Rate for Payer: Three Rivers Preferred All Commercial	$8,100.44

INPATIENT MSDRG 353: HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH MCC

Facility IP

$28,141.72

Service Code	MS-DRG 353
Hospital Charge Code	MSDRG 353
Min. Negotiated Rate	$16,138.77
Max. Negotiated Rate	$28,141.72
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$23,857.23
Rate for Payer: Anthem Blue Cross of IN Traditional	$28,141.72
Rate for Payer: Plain Church Group Ministry All Commercial	$16,138.77
Rate for Payer: Three Rivers Preferred All Commercial	$21,078.33

INPATIENT MSDRG 354: HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITH CC

Facility IP

$17,192.38

Service Code	MS-DRG 354
Hospital Charge Code	MSDRG 354
Min. Negotiated Rate	$9,859.52
Max. Negotiated Rate	$17,192.38
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$14,574.89
Rate for Payer: Anthem Blue Cross of IN Traditional	$17,192.38
Rate for Payer: Plain Church Group Ministry All Commercial	$9,859.52
Rate for Payer: Three Rivers Preferred All Commercial	$12,877.20

INPATIENT MSDRG 355: HERNIA PROCEDURES EXCEPT INGUINAL AND FEMORAL WITHOUT CC/MCC

Facility IP

$13,466.38

Service Code	MS-DRG 355
Hospital Charge Code	MSDRG 355
Min. Negotiated Rate	$7,722.73
Max. Negotiated Rate	$13,466.38
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$11,416.16
Rate for Payer: Anthem Blue Cross of IN Traditional	$13,466.38
Rate for Payer: Plain Church Group Ministry All Commercial	$7,722.73
Rate for Payer: Three Rivers Preferred All Commercial	$10,086.41

INPATIENT MSDRG 356: OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH MCC

Facility IP

$41,435.39

Service Code	MS-DRG 356
Hospital Charge Code	MSDRG 356
Min. Negotiated Rate	$23,762.46
Max. Negotiated Rate	$41,435.39
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$35,126.98
Rate for Payer: Anthem Blue Cross of IN Traditional	$41,435.39
Rate for Payer: Plain Church Group Ministry All Commercial	$23,762.46
Rate for Payer: Three Rivers Preferred All Commercial	$31,035.38

INPATIENT MSDRG 357: OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITH CC

Facility IP

$22,041.96

Service Code	MS-DRG 357
Hospital Charge Code	MSDRG 357
Min. Negotiated Rate	$12,640.67
Max. Negotiated Rate	$22,041.96
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$18,686.14
Rate for Payer: Anthem Blue Cross of IN Traditional	$22,041.96
Rate for Payer: Plain Church Group Ministry All Commercial	$12,640.67
Rate for Payer: Three Rivers Preferred All Commercial	$16,509.57

INPATIENT MSDRG 358: OTHER DIGESTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC

Facility IP

$13,612.59

Service Code	MS-DRG 358
Hospital Charge Code	MSDRG 358
Min. Negotiated Rate	$7,806.58
Max. Negotiated Rate	$13,612.59
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$11,540.12
Rate for Payer: Anthem Blue Cross of IN Traditional	$13,612.59
Rate for Payer: Plain Church Group Ministry All Commercial	$7,806.58
Rate for Payer: Three Rivers Preferred All Commercial	$10,195.92

INPATIENT MSDRG 368: MAJOR ESOPHAGEAL DISORDERS WITH MCC

Facility IP

$17,213.96

Service Code	MS-DRG 368
Hospital Charge Code	MSDRG 368
Min. Negotiated Rate	$9,871.90
Max. Negotiated Rate	$17,213.96
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$14,593.19
Rate for Payer: Anthem Blue Cross of IN Traditional	$17,213.96
Rate for Payer: Plain Church Group Ministry All Commercial	$9,871.90
Rate for Payer: Three Rivers Preferred All Commercial	$12,893.37

INPATIENT MSDRG 369: MAJOR ESOPHAGEAL DISORDERS WITH CC

Facility IP

$10,029.87

Service Code	MS-DRG 369
Hospital Charge Code	MSDRG 369
Min. Negotiated Rate	$5,751.95
Max. Negotiated Rate	$10,029.87
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$8,502.85
Rate for Payer: Anthem Blue Cross of IN Traditional	$10,029.87
Rate for Payer: Plain Church Group Ministry All Commercial	$5,751.95
Rate for Payer: Three Rivers Preferred All Commercial	$7,512.44

INPATIENT MSDRG 370: MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC

Facility IP

$7,346.99

Service Code	MS-DRG 370
Hospital Charge Code	MSDRG 370
Min. Negotiated Rate	$4,213.37
Max. Negotiated Rate	$7,346.99
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$6,228.44
Rate for Payer: Anthem Blue Cross of IN Traditional	$7,346.99
Rate for Payer: Plain Church Group Ministry All Commercial	$4,213.37
Rate for Payer: Three Rivers Preferred All Commercial	$5,502.95

INPATIENT MSDRG 371: MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC

Facility IP

$16,601.63

Service Code	MS-DRG 371
Hospital Charge Code	MSDRG 371
Min. Negotiated Rate	$9,520.74
Max. Negotiated Rate	$16,601.63
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$14,074.08
Rate for Payer: Anthem Blue Cross of IN Traditional	$16,601.63
Rate for Payer: Plain Church Group Ministry All Commercial	$9,520.74
Rate for Payer: Three Rivers Preferred All Commercial	$12,434.73

INPATIENT MSDRG 372: MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC

Facility IP

$9,989.63

Service Code	MS-DRG 372
Hospital Charge Code	MSDRG 372
Min. Negotiated Rate	$5,728.88
Max. Negotiated Rate	$9,989.63
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$8,468.74
Rate for Payer: Anthem Blue Cross of IN Traditional	$9,989.63
Rate for Payer: Plain Church Group Ministry All Commercial	$5,728.88
Rate for Payer: Three Rivers Preferred All Commercial	$7,482.30

INPATIENT MSDRG 373: MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC

Facility IP

$7,124.24

Service Code	MS-DRG 373
Hospital Charge Code	MSDRG 373
Min. Negotiated Rate	$4,085.62
Max. Negotiated Rate	$7,124.24
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$6,039.59
Rate for Payer: Anthem Blue Cross of IN Traditional	$7,124.24
Rate for Payer: Plain Church Group Ministry All Commercial	$4,085.62
Rate for Payer: Three Rivers Preferred All Commercial	$5,336.10

INPATIENT MSDRG 374: DIGESTIVE MALIGNANCY WITH MCC

Facility IP

$19,560.25

Service Code	MS-DRG 374
Hospital Charge Code	MSDRG 374
Min. Negotiated Rate	$11,217.46
Max. Negotiated Rate	$19,560.25
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$16,582.26
Rate for Payer: Anthem Blue Cross of IN Traditional	$19,560.25
Rate for Payer: Plain Church Group Ministry All Commercial	$11,217.46
Rate for Payer: Three Rivers Preferred All Commercial	$14,650.76

INPATIENT MSDRG 375: DIGESTIVE MALIGNANCY WITH CC

Facility IP

$11,820.74

Service Code	MS-DRG 375
Hospital Charge Code	MSDRG 375
Min. Negotiated Rate	$6,778.98
Max. Negotiated Rate	$11,820.74
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$10,021.07
Rate for Payer: Anthem Blue Cross of IN Traditional	$11,820.74
Rate for Payer: Plain Church Group Ministry All Commercial	$6,778.98
Rate for Payer: Three Rivers Preferred All Commercial	$8,853.81

INPATIENT MSDRG 376: DIGESTIVE MALIGNANCY WITHOUT CC/MCC

Facility IP

$8,613.85

Service Code	MS-DRG 376
Hospital Charge Code	MSDRG 376
Min. Negotiated Rate	$4,939.89
Max. Negotiated Rate	$8,613.85
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$7,302.42
Rate for Payer: Anthem Blue Cross of IN Traditional	$8,613.85
Rate for Payer: Plain Church Group Ministry All Commercial	$4,939.89
Rate for Payer: Three Rivers Preferred All Commercial	$6,451.83

INPATIENT MSDRG 377: GASTROINTESTINAL HEMORRHAGE WITH MCC

Facility IP

$17,447.51

Service Code	MS-DRG 377
Hospital Charge Code	MSDRG 377
Min. Negotiated Rate	$10,005.84
Max. Negotiated Rate	$17,447.51
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$14,791.18
Rate for Payer: Anthem Blue Cross of IN Traditional	$17,447.51
Rate for Payer: Plain Church Group Ministry All Commercial	$10,005.84
Rate for Payer: Three Rivers Preferred All Commercial	$13,068.30

INPATIENT MSDRG 378: GASTROINTESTINAL HEMORRHAGE WITH CC

Facility IP

$9,665.81

Service Code	MS-DRG 378
Hospital Charge Code	MSDRG 378
Min. Negotiated Rate	$5,543.17
Max. Negotiated Rate	$9,665.81
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$8,194.22
Rate for Payer: Anthem Blue Cross of IN Traditional	$9,665.81
Rate for Payer: Plain Church Group Ministry All Commercial	$5,543.17
Rate for Payer: Three Rivers Preferred All Commercial	$7,239.75

INPATIENT MSDRG 379: GASTROINTESTINAL HEMORRHAGE WITHOUT CC/MCC

Facility IP

$6,219.48

Service Code	MS-DRG 379
Hospital Charge Code	MSDRG 379
Min. Negotiated Rate	$3,566.76
Max. Negotiated Rate	$6,219.48
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$5,272.58
Rate for Payer: Anthem Blue Cross of IN Traditional	$6,219.48
Rate for Payer: Plain Church Group Ministry All Commercial	$3,566.76
Rate for Payer: Three Rivers Preferred All Commercial	$4,658.43

INPATIENT MSDRG 380: COMPLICATED PEPTIC ULCER WITH MCC

Facility IP

$18,684.93

Service Code	MS-DRG 380
Hospital Charge Code	MSDRG 380
Min. Negotiated Rate	$10,715.48
Max. Negotiated Rate	$18,684.93
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$15,840.21
Rate for Payer: Anthem Blue Cross of IN Traditional	$18,684.93
Rate for Payer: Plain Church Group Ministry All Commercial	$10,715.48
Rate for Payer: Three Rivers Preferred All Commercial	$13,995.14

INPATIENT MSDRG 381: COMPLICATED PEPTIC ULCER WITH CC

Facility IP

$10,357.62

Service Code	MS-DRG 381
Hospital Charge Code	MSDRG 381
Min. Negotiated Rate	$5,939.91
Max. Negotiated Rate	$10,357.62
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$8,780.70
Rate for Payer: Anthem Blue Cross of IN Traditional	$10,357.62
Rate for Payer: Plain Church Group Ministry All Commercial	$5,939.91
Rate for Payer: Three Rivers Preferred All Commercial	$7,757.93

INPATIENT MSDRG 382: COMPLICATED PEPTIC ULCER WITHOUT CC/MCC

Facility IP

$7,554.05

Service Code	MS-DRG 382
Hospital Charge Code	MSDRG 382
Min. Negotiated Rate	$4,332.11
Max. Negotiated Rate	$7,554.05
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$6,403.97
Rate for Payer: Anthem Blue Cross of IN Traditional	$7,554.05
Rate for Payer: Plain Church Group Ministry All Commercial	$4,332.11
Rate for Payer: Three Rivers Preferred All Commercial	$5,658.03

INPATIENT MSDRG 383: UNCOMPLICATED PEPTIC ULCER WITH MCC

Facility IP

$13,345.68

Service Code	MS-DRG 383
Hospital Charge Code	MSDRG 383
Min. Negotiated Rate	$7,653.51
Max. Negotiated Rate	$13,345.68
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$11,313.84
Rate for Payer: Anthem Blue Cross of IN Traditional	$13,345.68
Rate for Payer: Plain Church Group Ministry All Commercial	$7,653.51
Rate for Payer: Three Rivers Preferred All Commercial	$9,996.00

Price Transparency.

All Charges