Cameron Memorial Community Hospital

All Charges

Charge

Type

Price

INPATIENT MSDRG 455: COMBINED ANTERIOR AND POSTERIOR SPINAL FUSION WITHOUT CC/MCC

Facility IP

$46,984.64

Service Code	MS-DRG 455
Hospital Charge Code	MSDRG 455
Min. Negotiated Rate	$26,944.85
Max. Negotiated Rate	$46,984.64
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$39,831.37
Rate for Payer: Anthem Blue Cross of IN Traditional	$46,984.64
Rate for Payer: Plain Church Group Ministry All Commercial	$26,944.85
Rate for Payer: Three Rivers Preferred All Commercial	$35,191.80

INPATIENT MSDRG 456: SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH MCC

Facility IP

$82,912.00

Service Code	MS-DRG 456
Hospital Charge Code	MSDRG 456
Min. Negotiated Rate	$47,548.55
Max. Negotiated Rate	$82,912.00
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$70,288.89
Rate for Payer: Anthem Blue Cross of IN Traditional	$82,912.00
Rate for Payer: Plain Church Group Ministry All Commercial	$47,548.55
Rate for Payer: Three Rivers Preferred All Commercial	$62,101.62

INPATIENT MSDRG 457: SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITH CC

Facility IP

$59,239.12

Service Code	MS-DRG 457
Hospital Charge Code	MSDRG 457
Min. Negotiated Rate	$33,972.57
Max. Negotiated Rate	$59,239.12
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$50,220.14
Rate for Payer: Anthem Blue Cross of IN Traditional	$59,239.12
Rate for Payer: Plain Church Group Ministry All Commercial	$33,972.57
Rate for Payer: Three Rivers Preferred All Commercial	$44,370.48

INPATIENT MSDRG 458: SPINAL FUSION EXCEPT CERVICAL WITH SPINAL CURVATURE, MALIGNANCY, INFECTION OR EXTENSIVE FUSIONS WITHOUT CC/MCC

Facility IP

$47,230.95

Service Code	MS-DRG 458
Hospital Charge Code	MSDRG 458
Min. Negotiated Rate	$27,086.11
Max. Negotiated Rate	$47,230.95
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$40,040.18
Rate for Payer: Anthem Blue Cross of IN Traditional	$47,230.95
Rate for Payer: Plain Church Group Ministry All Commercial	$27,086.11
Rate for Payer: Three Rivers Preferred All Commercial	$35,376.29

INPATIENT MSDRG 459: SPINAL FUSION EXCEPT CERVICAL WITH MCC

Facility IP

$65,089.63

Service Code	MS-DRG 459
Hospital Charge Code	MSDRG 459
Min. Negotiated Rate	$37,327.74
Max. Negotiated Rate	$65,089.63
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$55,179.93
Rate for Payer: Anthem Blue Cross of IN Traditional	$65,089.63
Rate for Payer: Plain Church Group Ministry All Commercial	$37,327.74
Rate for Payer: Three Rivers Preferred All Commercial	$48,752.55

INPATIENT MSDRG 460: SPINAL FUSION EXCEPT CERVICAL WITHOUT MCC

Facility IP

$36,955.76

Service Code	MS-DRG 460
Hospital Charge Code	MSDRG 460
Min. Negotiated Rate	$21,193.47
Max. Negotiated Rate	$36,955.76
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$31,329.35
Rate for Payer: Anthem Blue Cross of IN Traditional	$36,955.76
Rate for Payer: Plain Church Group Ministry All Commercial	$21,193.47
Rate for Payer: Three Rivers Preferred All Commercial	$27,680.10

INPATIENT MSDRG 461: BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC

Facility IP

$62,952.36

Service Code	MS-DRG 461
Hospital Charge Code	MSDRG 461
Min. Negotiated Rate	$36,102.05
Max. Negotiated Rate	$62,952.36
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$53,368.05
Rate for Payer: Anthem Blue Cross of IN Traditional	$62,952.36
Rate for Payer: Plain Church Group Ministry All Commercial	$36,102.05
Rate for Payer: Three Rivers Preferred All Commercial	$47,151.72

INPATIENT MSDRG 462: BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC

Facility IP

$29,297.69

Service Code	MS-DRG 462
Hospital Charge Code	MSDRG 462
Min. Negotiated Rate	$16,801.70
Max. Negotiated Rate	$29,297.69
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$24,837.21
Rate for Payer: Anthem Blue Cross of IN Traditional	$29,297.69
Rate for Payer: Plain Church Group Ministry All Commercial	$16,801.70
Rate for Payer: Three Rivers Preferred All Commercial	$21,944.16

INPATIENT MSDRG 463: WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH MCC

Facility IP

$51,435.82

Service Code	MS-DRG 463
Hospital Charge Code	MSDRG 463
Min. Negotiated Rate	$29,497.52
Max. Negotiated Rate	$51,435.82
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$43,604.87
Rate for Payer: Anthem Blue Cross of IN Traditional	$51,435.82
Rate for Payer: Plain Church Group Ministry All Commercial	$29,497.52
Rate for Payer: Three Rivers Preferred All Commercial	$38,525.76

INPATIENT MSDRG 464: WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITH CC

Facility IP

$29,313.39

Service Code	MS-DRG 464
Hospital Charge Code	MSDRG 464
Min. Negotiated Rate	$16,810.71
Max. Negotiated Rate	$29,313.39
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$24,850.52
Rate for Payer: Anthem Blue Cross of IN Traditional	$29,313.39
Rate for Payer: Plain Church Group Ministry All Commercial	$16,810.71
Rate for Payer: Three Rivers Preferred All Commercial	$21,955.92

INPATIENT MSDRG 465: WOUND DEBRIDEMENT AND SKIN GRAFT EXCEPT HAND FOR MUSCULOSKELETAL AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC

Facility IP

$19,554.37

Service Code	MS-DRG 465
Hospital Charge Code	MSDRG 465
Min. Negotiated Rate	$11,214.08
Max. Negotiated Rate	$19,554.37
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$16,577.27
Rate for Payer: Anthem Blue Cross of IN Traditional	$19,554.37
Rate for Payer: Plain Church Group Ministry All Commercial	$11,214.08
Rate for Payer: Three Rivers Preferred All Commercial	$14,646.35

INPATIENT MSDRG 466: REVISION OF HIP OR KNEE REPLACEMENT WITH MCC

Facility IP

$51,470.17

Service Code	MS-DRG 466
Hospital Charge Code	MSDRG 466
Min. Negotiated Rate	$29,517.22
Max. Negotiated Rate	$51,470.17
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$43,633.99
Rate for Payer: Anthem Blue Cross of IN Traditional	$51,470.17
Rate for Payer: Plain Church Group Ministry All Commercial	$29,517.22
Rate for Payer: Three Rivers Preferred All Commercial	$38,551.49

INPATIENT MSDRG 467: REVISION OF HIP OR KNEE REPLACEMENT WITH CC

Facility IP

$35,580.96

Service Code	MS-DRG 467
Hospital Charge Code	MSDRG 467
Min. Negotiated Rate	$20,405.04
Max. Negotiated Rate	$35,580.96
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$30,163.86
Rate for Payer: Anthem Blue Cross of IN Traditional	$35,580.96
Rate for Payer: Plain Church Group Ministry All Commercial	$20,405.04
Rate for Payer: Three Rivers Preferred All Commercial	$26,650.37

INPATIENT MSDRG 468: REVISION OF HIP OR KNEE REPLACEMENT WITHOUT CC/MCC

Facility IP

$27,371.40

Service Code	MS-DRG 468
Hospital Charge Code	MSDRG 468
Min. Negotiated Rate	$15,697.01
Max. Negotiated Rate	$27,371.40
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$23,204.19
Rate for Payer: Anthem Blue Cross of IN Traditional	$27,371.40
Rate for Payer: Plain Church Group Ministry All Commercial	$15,697.01
Rate for Payer: Three Rivers Preferred All Commercial	$20,501.36

INPATIENT MSDRG 469: MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITH MCC OR TOTAL ANKLE REPLACEMENT

Facility IP

$31,709.73

Service Code	MS-DRG 469
Hospital Charge Code	MSDRG 469
Min. Negotiated Rate	$18,184.96
Max. Negotiated Rate	$31,709.73
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$26,882.02
Rate for Payer: Anthem Blue Cross of IN Traditional	$31,709.73
Rate for Payer: Plain Church Group Ministry All Commercial	$18,184.96
Rate for Payer: Three Rivers Preferred All Commercial	$23,750.79

INPATIENT MSDRG 470: MAJOR HIP AND KNEE JOINT REPLACEMENT OR REATTACHMENT OF LOWER EXTREMITY WITHOUT MCC

Facility IP

$18,761.47

Service Code	MS-DRG 470
Hospital Charge Code	MSDRG 470
Min. Negotiated Rate	$10,759.37
Max. Negotiated Rate	$18,761.47
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$15,905.10
Rate for Payer: Anthem Blue Cross of IN Traditional	$18,761.47
Rate for Payer: Plain Church Group Ministry All Commercial	$10,759.37
Rate for Payer: Three Rivers Preferred All Commercial	$14,052.47

INPATIENT MSDRG 471: CERVICAL SPINAL FUSION WITH MCC

Facility IP

$49,428.08

Service Code	MS-DRG 471
Hospital Charge Code	MSDRG 471
Min. Negotiated Rate	$28,346.12
Max. Negotiated Rate	$49,428.08
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$41,902.80
Rate for Payer: Anthem Blue Cross of IN Traditional	$49,428.08
Rate for Payer: Plain Church Group Ministry All Commercial	$28,346.12
Rate for Payer: Three Rivers Preferred All Commercial	$37,021.95

INPATIENT MSDRG 472: CERVICAL SPINAL FUSION WITH CC

Facility IP

$30,135.72

Service Code	MS-DRG 472
Hospital Charge Code	MSDRG 472
Min. Negotiated Rate	$17,282.30
Max. Negotiated Rate	$30,135.72
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$25,547.65
Rate for Payer: Anthem Blue Cross of IN Traditional	$30,135.72
Rate for Payer: Plain Church Group Ministry All Commercial	$17,282.30
Rate for Payer: Three Rivers Preferred All Commercial	$22,571.85

INPATIENT MSDRG 473: CERVICAL SPINAL FUSION WITHOUT CC/MCC

Facility IP

$24,876.94

Service Code	MS-DRG 473
Hospital Charge Code	MSDRG 473
Min. Negotiated Rate	$14,266.48
Max. Negotiated Rate	$24,876.94
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$21,089.50
Rate for Payer: Anthem Blue Cross of IN Traditional	$24,876.94
Rate for Payer: Plain Church Group Ministry All Commercial	$14,266.48
Rate for Payer: Three Rivers Preferred All Commercial	$18,632.99

INPATIENT MSDRG 474: AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH MCC

Facility IP

$40,202.88

Service Code	MS-DRG 474
Hospital Charge Code	MSDRG 474
Min. Negotiated Rate	$23,055.63
Max. Negotiated Rate	$40,202.88
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$34,082.11
Rate for Payer: Anthem Blue Cross of IN Traditional	$40,202.88
Rate for Payer: Plain Church Group Ministry All Commercial	$23,055.63
Rate for Payer: Three Rivers Preferred All Commercial	$30,112.22

INPATIENT MSDRG 475: AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITH CC

Facility IP

$21,796.64

Service Code	MS-DRG 475
Hospital Charge Code	MSDRG 475
Min. Negotiated Rate	$12,499.98
Max. Negotiated Rate	$21,796.64
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$18,478.16
Rate for Payer: Anthem Blue Cross of IN Traditional	$21,796.64
Rate for Payer: Plain Church Group Ministry All Commercial	$12,499.98
Rate for Payer: Three Rivers Preferred All Commercial	$16,325.82

INPATIENT MSDRG 476: AMPUTATION FOR MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC

Facility IP

$12,045.46

Service Code	MS-DRG 476
Hospital Charge Code	MSDRG 476
Min. Negotiated Rate	$6,907.85
Max. Negotiated Rate	$12,045.46
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$10,211.57
Rate for Payer: Anthem Blue Cross of IN Traditional	$12,045.46
Rate for Payer: Plain Church Group Ministry All Commercial	$6,907.85
Rate for Payer: Three Rivers Preferred All Commercial	$9,022.13

INPATIENT MSDRG 477: BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC

Facility IP

$33,391.68

Service Code	MS-DRG 477
Hospital Charge Code	MSDRG 477
Min. Negotiated Rate	$19,149.53
Max. Negotiated Rate	$33,391.68
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$28,307.89
Rate for Payer: Anthem Blue Cross of IN Traditional	$33,391.68
Rate for Payer: Plain Church Group Ministry All Commercial	$19,149.53
Rate for Payer: Three Rivers Preferred All Commercial	$25,010.58

INPATIENT MSDRG 478: BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC

Facility IP

$23,049.76

Service Code	MS-DRG 478
Hospital Charge Code	MSDRG 478
Min. Negotiated Rate	$13,218.62
Max. Negotiated Rate	$23,049.76
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$19,540.50
Rate for Payer: Anthem Blue Cross of IN Traditional	$23,049.76
Rate for Payer: Plain Church Group Ministry All Commercial	$13,218.62
Rate for Payer: Three Rivers Preferred All Commercial	$17,264.42

INPATIENT MSDRG 479: BIOPSIES OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC

Facility IP

$17,353.31

Service Code	MS-DRG 479
Hospital Charge Code	MSDRG 479
Min. Negotiated Rate	$9,951.81
Max. Negotiated Rate	$17,353.31
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$14,711.32
Rate for Payer: Anthem Blue Cross of IN Traditional	$17,353.31
Rate for Payer: Plain Church Group Ministry All Commercial	$9,951.81
Rate for Payer: Three Rivers Preferred All Commercial	$12,997.74

Price Transparency.

All Charges