Cameron Memorial Community Hospital

All Charges

Charge

Type

Price

INPATIENT MSDRG 418: LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITH CC

Facility IP

$16,299.39

Service Code	MS-DRG 418
Hospital Charge Code	MSDRG 418
Min. Negotiated Rate	$9,347.41
Max. Negotiated Rate	$16,299.39
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$13,817.86
Rate for Payer: Anthem Blue Cross of IN Traditional	$16,299.39
Rate for Payer: Plain Church Group Ministry All Commercial	$9,347.41
Rate for Payer: Three Rivers Preferred All Commercial	$12,208.35

INPATIENT MSDRG 419: LAPAROSCOPIC CHOLECYSTECTOMY WITHOUT C.D.E. WITHOUT CC/MCC

Facility IP

$12,805.97

Service Code	MS-DRG 419
Hospital Charge Code	MSDRG 419
Min. Negotiated Rate	$7,343.99
Max. Negotiated Rate	$12,805.97
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$10,856.30
Rate for Payer: Anthem Blue Cross of IN Traditional	$12,805.97
Rate for Payer: Plain Church Group Ministry All Commercial	$7,343.99
Rate for Payer: Three Rivers Preferred All Commercial	$9,591.75

INPATIENT MSDRG 420: HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH MCC

Facility IP

$32,002.16

Service Code	MS-DRG 420
Hospital Charge Code	MSDRG 420
Min. Negotiated Rate	$18,352.66
Max. Negotiated Rate	$32,002.16
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$27,129.92
Rate for Payer: Anthem Blue Cross of IN Traditional	$32,002.16
Rate for Payer: Plain Church Group Ministry All Commercial	$18,352.66
Rate for Payer: Three Rivers Preferred All Commercial	$23,969.82

INPATIENT MSDRG 421: HEPATOBILIARY DIAGNOSTIC PROCEDURES WITH CC

Facility IP

$17,777.23

Service Code	MS-DRG 421
Hospital Charge Code	MSDRG 421
Min. Negotiated Rate	$10,194.92
Max. Negotiated Rate	$17,777.23
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$15,070.70
Rate for Payer: Anthem Blue Cross of IN Traditional	$17,777.23
Rate for Payer: Plain Church Group Ministry All Commercial	$10,194.92
Rate for Payer: Three Rivers Preferred All Commercial	$13,315.26

INPATIENT MSDRG 422: HEPATOBILIARY DIAGNOSTIC PROCEDURES WITHOUT CC/MCC

Facility IP

$13,596.89

Service Code	MS-DRG 422
Hospital Charge Code	MSDRG 422
Min. Negotiated Rate	$7,797.57
Max. Negotiated Rate	$13,596.89
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$11,526.81
Rate for Payer: Anthem Blue Cross of IN Traditional	$13,596.89
Rate for Payer: Plain Church Group Ministry All Commercial	$7,797.57
Rate for Payer: Three Rivers Preferred All Commercial	$10,184.16

INPATIENT MSDRG 423: OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC

Facility IP

$38,583.73

Service Code	MS-DRG 423
Hospital Charge Code	MSDRG 423
Min. Negotiated Rate	$22,127.08
Max. Negotiated Rate	$38,583.73
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$32,709.48
Rate for Payer: Anthem Blue Cross of IN Traditional	$38,583.73
Rate for Payer: Plain Church Group Ministry All Commercial	$22,127.08
Rate for Payer: Three Rivers Preferred All Commercial	$28,899.47

INPATIENT MSDRG 424: OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC

Facility IP

$23,243.07

Service Code	MS-DRG 424
Hospital Charge Code	MSDRG 424
Min. Negotiated Rate	$13,329.49
Max. Negotiated Rate	$23,243.07
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$19,704.38
Rate for Payer: Anthem Blue Cross of IN Traditional	$23,243.07
Rate for Payer: Plain Church Group Ministry All Commercial	$13,329.49
Rate for Payer: Three Rivers Preferred All Commercial	$17,409.21

INPATIENT MSDRG 425: OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC

Facility IP

$14,038.48

Service Code	MS-DRG 425
Hospital Charge Code	MSDRG 425
Min. Negotiated Rate	$8,050.82
Max. Negotiated Rate	$14,038.48
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$11,901.16
Rate for Payer: Anthem Blue Cross of IN Traditional	$14,038.48
Rate for Payer: Plain Church Group Ministry All Commercial	$8,050.82
Rate for Payer: Three Rivers Preferred All Commercial	$10,514.91

INPATIENT MSDRG 432: CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH MCC

Facility IP

$18,528.91

Service Code	MS-DRG 432
Hospital Charge Code	MSDRG 432
Min. Negotiated Rate	$10,626.00
Max. Negotiated Rate	$18,528.91
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$15,707.94
Rate for Payer: Anthem Blue Cross of IN Traditional	$18,528.91
Rate for Payer: Plain Church Group Ministry All Commercial	$10,626.00
Rate for Payer: Three Rivers Preferred All Commercial	$13,878.27

INPATIENT MSDRG 433: CIRRHOSIS AND ALCOHOLIC HEPATITIS WITH CC

Facility IP

$10,203.56

Service Code	MS-DRG 433
Hospital Charge Code	MSDRG 433
Min. Negotiated Rate	$5,851.56
Max. Negotiated Rate	$10,203.56
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$8,650.10
Rate for Payer: Anthem Blue Cross of IN Traditional	$10,203.56
Rate for Payer: Plain Church Group Ministry All Commercial	$5,851.56
Rate for Payer: Three Rivers Preferred All Commercial	$7,642.53

INPATIENT MSDRG 434: CIRRHOSIS AND ALCOHOLIC HEPATITIS WITHOUT CC/MCC

Facility IP

$6,159.62

Service Code	MS-DRG 434
Hospital Charge Code	MSDRG 434
Min. Negotiated Rate	$3,532.43
Max. Negotiated Rate	$6,159.62
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$5,221.84
Rate for Payer: Anthem Blue Cross of IN Traditional	$6,159.62
Rate for Payer: Plain Church Group Ministry All Commercial	$3,532.43
Rate for Payer: Three Rivers Preferred All Commercial	$4,613.60

INPATIENT MSDRG 435: MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC

Facility IP

$17,155.09

Service Code	MS-DRG 435
Hospital Charge Code	MSDRG 435
Min. Negotiated Rate	$9,838.14
Max. Negotiated Rate	$17,155.09
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$14,543.28
Rate for Payer: Anthem Blue Cross of IN Traditional	$17,155.09
Rate for Payer: Plain Church Group Ministry All Commercial	$9,838.14
Rate for Payer: Three Rivers Preferred All Commercial	$12,849.27

INPATIENT MSDRG 436: MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC

Facility IP

$10,798.23

Service Code	MS-DRG 436
Hospital Charge Code	MSDRG 436
Min. Negotiated Rate	$6,192.59
Max. Negotiated Rate	$10,798.23
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$9,154.23
Rate for Payer: Anthem Blue Cross of IN Traditional	$10,798.23
Rate for Payer: Plain Church Group Ministry All Commercial	$6,192.59
Rate for Payer: Three Rivers Preferred All Commercial	$8,087.94

INPATIENT MSDRG 437: MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC

Facility IP

$8,300.82

Service Code	MS-DRG 437
Hospital Charge Code	MSDRG 437
Min. Negotiated Rate	$4,760.37
Max. Negotiated Rate	$8,300.82
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$7,037.04
Rate for Payer: Anthem Blue Cross of IN Traditional	$8,300.82
Rate for Payer: Plain Church Group Ministry All Commercial	$4,760.37
Rate for Payer: Three Rivers Preferred All Commercial	$6,217.37

INPATIENT MSDRG 438: DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH MCC

Facility IP

$16,264.07

Service Code	MS-DRG 438
Hospital Charge Code	MSDRG 438
Min. Negotiated Rate	$9,327.15
Max. Negotiated Rate	$16,264.07
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$13,787.91
Rate for Payer: Anthem Blue Cross of IN Traditional	$16,264.07
Rate for Payer: Plain Church Group Ministry All Commercial	$9,327.15
Rate for Payer: Three Rivers Preferred All Commercial	$12,181.89

INPATIENT MSDRG 439: DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC

Facility IP

$8,535.35

Service Code	MS-DRG 439
Hospital Charge Code	MSDRG 439
Min. Negotiated Rate	$4,894.87
Max. Negotiated Rate	$8,535.35
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$7,235.87
Rate for Payer: Anthem Blue Cross of IN Traditional	$8,535.35
Rate for Payer: Plain Church Group Ministry All Commercial	$4,894.87
Rate for Payer: Three Rivers Preferred All Commercial	$6,393.03

INPATIENT MSDRG 440: DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC

Facility IP

$5,950.60

Service Code	MS-DRG 440
Hospital Charge Code	MSDRG 440
Min. Negotiated Rate	$3,412.56
Max. Negotiated Rate	$5,950.60
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$5,044.64
Rate for Payer: Anthem Blue Cross of IN Traditional	$5,950.60
Rate for Payer: Plain Church Group Ministry All Commercial	$3,412.56
Rate for Payer: Three Rivers Preferred All Commercial	$4,457.04

INPATIENT MSDRG 441: DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH MCC

Facility IP

$18,593.67

Service Code	MS-DRG 441
Hospital Charge Code	MSDRG 441
Min. Negotiated Rate	$10,663.14
Max. Negotiated Rate	$18,593.67
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$15,762.84
Rate for Payer: Anthem Blue Cross of IN Traditional	$18,593.67
Rate for Payer: Plain Church Group Ministry All Commercial	$10,663.14
Rate for Payer: Three Rivers Preferred All Commercial	$13,926.78

INPATIENT MSDRG 442: DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITH CC

Facility IP

$9,283.10

Service Code	MS-DRG 442
Hospital Charge Code	MSDRG 442
Min. Negotiated Rate	$5,323.69
Max. Negotiated Rate	$9,283.10
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$7,869.77
Rate for Payer: Anthem Blue Cross of IN Traditional	$9,283.10
Rate for Payer: Plain Church Group Ministry All Commercial	$5,323.69
Rate for Payer: Three Rivers Preferred All Commercial	$6,953.10

INPATIENT MSDRG 443: DISORDERS OF LIVER EXCEPT MALIGNANCY, CIRRHOSIS OR ALCOHOLIC HEPATITIS WITHOUT CC/MCC

Facility IP

$6,397.09

Service Code	MS-DRG 443
Hospital Charge Code	MSDRG 443
Min. Negotiated Rate	$3,668.62
Max. Negotiated Rate	$6,397.09
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$5,423.16
Rate for Payer: Anthem Blue Cross of IN Traditional	$6,397.09
Rate for Payer: Plain Church Group Ministry All Commercial	$3,668.62
Rate for Payer: Three Rivers Preferred All Commercial	$4,791.47

INPATIENT MSDRG 444: DISORDERS OF THE BILIARY TRACT WITH MCC

Facility IP

$16,335.70

Service Code	MS-DRG 444
Hospital Charge Code	MSDRG 444
Min. Negotiated Rate	$9,368.23
Max. Negotiated Rate	$16,335.70
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$13,848.64
Rate for Payer: Anthem Blue Cross of IN Traditional	$16,335.70
Rate for Payer: Plain Church Group Ministry All Commercial	$9,368.23
Rate for Payer: Three Rivers Preferred All Commercial	$12,235.55

INPATIENT MSDRG 445: DISORDERS OF THE BILIARY TRACT WITH CC

Facility IP

$10,790.37

Service Code	MS-DRG 445
Hospital Charge Code	MSDRG 445
Min. Negotiated Rate	$6,188.09
Max. Negotiated Rate	$10,790.37
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$9,147.57
Rate for Payer: Anthem Blue Cross of IN Traditional	$10,790.37
Rate for Payer: Plain Church Group Ministry All Commercial	$6,188.09
Rate for Payer: Three Rivers Preferred All Commercial	$8,082.06

INPATIENT MSDRG 446: DISORDERS OF THE BILIARY TRACT WITHOUT CC/MCC

Facility IP

$7,965.21

Service Code	MS-DRG 446
Hospital Charge Code	MSDRG 446
Min. Negotiated Rate	$4,567.91
Max. Negotiated Rate	$7,965.21
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$6,752.53
Rate for Payer: Anthem Blue Cross of IN Traditional	$7,965.21
Rate for Payer: Plain Church Group Ministry All Commercial	$4,567.91
Rate for Payer: Three Rivers Preferred All Commercial	$5,966.00

INPATIENT MSDRG 453: COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH MCC

Facility IP

$89,836.05

Service Code	MS-DRG 453
Hospital Charge Code	MSDRG 453
Min. Negotiated Rate	$51,519.37
Max. Negotiated Rate	$89,836.05
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$76,158.78
Rate for Payer: Anthem Blue Cross of IN Traditional	$89,836.05
Rate for Payer: Plain Church Group Ministry All Commercial	$51,519.37
Rate for Payer: Three Rivers Preferred All Commercial	$67,287.78

INPATIENT MSDRG 454: COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITH CC

Facility IP

$59,770.00

Service Code	MS-DRG 454
Hospital Charge Code	MSDRG 454
Min. Negotiated Rate	$34,277.03
Max. Negotiated Rate	$59,770.00
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$50,670.20
Rate for Payer: Anthem Blue Cross of IN Traditional	$59,770.00
Rate for Payer: Plain Church Group Ministry All Commercial	$34,277.03
Rate for Payer: Three Rivers Preferred All Commercial	$44,768.12

Price Transparency.

All Charges