Cameron Memorial Community Hospital

All Charges

Charge

Type

Price

INPATIENT MSDRG 480: HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC

Facility IP

$29,105.36

Service Code	MS-DRG 480
Hospital Charge Code	MSDRG 480
Min. Negotiated Rate	$16,691.40
Max. Negotiated Rate	$29,105.36
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$24,674.15
Rate for Payer: Anthem Blue Cross of IN Traditional	$29,105.36
Rate for Payer: Plain Church Group Ministry All Commercial	$16,691.40
Rate for Payer: Three Rivers Preferred All Commercial	$21,800.10

INPATIENT MSDRG 481: HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH CC

Facility IP

$20,728.98

Service Code	MS-DRG 481
Hospital Charge Code	MSDRG 481
Min. Negotiated Rate	$11,887.70
Max. Negotiated Rate	$20,728.98
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$17,573.06
Rate for Payer: Anthem Blue Cross of IN Traditional	$20,728.98
Rate for Payer: Plain Church Group Ministry All Commercial	$11,887.70
Rate for Payer: Three Rivers Preferred All Commercial	$15,526.14

INPATIENT MSDRG 482: HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC

Facility IP

$16,153.18

Service Code	MS-DRG 482
Hospital Charge Code	MSDRG 482
Min. Negotiated Rate	$9,263.56
Max. Negotiated Rate	$16,153.18
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$13,693.91
Rate for Payer: Anthem Blue Cross of IN Traditional	$16,153.18
Rate for Payer: Plain Church Group Ministry All Commercial	$9,263.56
Rate for Payer: Three Rivers Preferred All Commercial	$12,098.84

INPATIENT MSDRG 483: MAJOR JOINT OR LIMB REATTACHMENT PROCEDURES OF UPPER EXTREMITIES

Facility IP

$23,135.13

Service Code	MS-DRG 483
Hospital Charge Code	MSDRG 483
Min. Negotiated Rate	$13,267.58
Max. Negotiated Rate	$23,135.13
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$19,612.87
Rate for Payer: Anthem Blue Cross of IN Traditional	$23,135.13
Rate for Payer: Plain Church Group Ministry All Commercial	$13,267.58
Rate for Payer: Three Rivers Preferred All Commercial	$17,328.36

INPATIENT MSDRG 485: KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH MCC

Facility IP

$31,902.06

Service Code	MS-DRG 485
Hospital Charge Code	MSDRG 485
Min. Negotiated Rate	$18,295.26
Max. Negotiated Rate	$31,902.06
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$27,045.07
Rate for Payer: Anthem Blue Cross of IN Traditional	$31,902.06
Rate for Payer: Plain Church Group Ministry All Commercial	$18,295.26
Rate for Payer: Three Rivers Preferred All Commercial	$23,894.85

INPATIENT MSDRG 486: KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITH CC

Facility IP

$20,469.92

Service Code	MS-DRG 486
Hospital Charge Code	MSDRG 486
Min. Negotiated Rate	$11,739.13
Max. Negotiated Rate	$20,469.92
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$17,353.43
Rate for Payer: Anthem Blue Cross of IN Traditional	$20,469.92
Rate for Payer: Plain Church Group Ministry All Commercial	$11,739.13
Rate for Payer: Three Rivers Preferred All Commercial	$15,332.10

INPATIENT MSDRG 487: KNEE PROCEDURES WITH PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC

Facility IP

$15,740.05

Service Code	MS-DRG 487
Hospital Charge Code	MSDRG 487
Min. Negotiated Rate	$9,026.64
Max. Negotiated Rate	$15,740.05
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$13,343.68
Rate for Payer: Anthem Blue Cross of IN Traditional	$15,740.05
Rate for Payer: Plain Church Group Ministry All Commercial	$9,026.64
Rate for Payer: Three Rivers Preferred All Commercial	$11,789.40

INPATIENT MSDRG 488: KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITH CC/MCC

Facility IP

$22,267.66

Service Code	MS-DRG 488
Hospital Charge Code	MSDRG 488
Min. Negotiated Rate	$12,770.10
Max. Negotiated Rate	$22,267.66
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$18,877.47
Rate for Payer: Anthem Blue Cross of IN Traditional	$22,267.66
Rate for Payer: Plain Church Group Ministry All Commercial	$12,770.10
Rate for Payer: Three Rivers Preferred All Commercial	$16,678.62

INPATIENT MSDRG 489: KNEE PROCEDURES WITHOUT PRINCIPAL DIAGNOSIS OF INFECTION WITHOUT CC/MCC

Facility IP

$13,046.38

Service Code	MS-DRG 489
Hospital Charge Code	MSDRG 489
Min. Negotiated Rate	$7,481.87
Max. Negotiated Rate	$13,046.38
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$11,060.11
Rate for Payer: Anthem Blue Cross of IN Traditional	$13,046.38
Rate for Payer: Plain Church Group Ministry All Commercial	$7,481.87
Rate for Payer: Three Rivers Preferred All Commercial	$9,771.83

INPATIENT MSDRG 492: LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH MCC

Facility IP

$34,207.14

Service Code	MS-DRG 492
Hospital Charge Code	MSDRG 492
Min. Negotiated Rate	$19,617.18
Max. Negotiated Rate	$34,207.14
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$28,999.20
Rate for Payer: Anthem Blue Cross of IN Traditional	$34,207.14
Rate for Payer: Plain Church Group Ministry All Commercial	$19,617.18
Rate for Payer: Three Rivers Preferred All Commercial	$25,621.37

INPATIENT MSDRG 493: LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC

Facility IP

$23,313.73

Service Code	MS-DRG 493
Hospital Charge Code	MSDRG 493
Min. Negotiated Rate	$13,370.00
Max. Negotiated Rate	$23,313.73
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$19,764.28
Rate for Payer: Anthem Blue Cross of IN Traditional	$23,313.73
Rate for Payer: Plain Church Group Ministry All Commercial	$13,370.00
Rate for Payer: Three Rivers Preferred All Commercial	$17,462.13

INPATIENT MSDRG 494: LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITHOUT CC/MCC

Facility IP

$18,534.79

Service Code	MS-DRG 494
Hospital Charge Code	MSDRG 494
Min. Negotiated Rate	$10,629.37
Max. Negotiated Rate	$18,534.79
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$15,712.93
Rate for Payer: Anthem Blue Cross of IN Traditional	$18,534.79
Rate for Payer: Plain Church Group Ministry All Commercial	$10,629.37
Rate for Payer: Three Rivers Preferred All Commercial	$13,882.68

INPATIENT MSDRG 495: LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH MCC

Facility IP

$36,449.41

Service Code	MS-DRG 495
Hospital Charge Code	MSDRG 495
Min. Negotiated Rate	$20,903.08
Max. Negotiated Rate	$36,449.41
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$30,900.09
Rate for Payer: Anthem Blue Cross of IN Traditional	$36,449.41
Rate for Payer: Plain Church Group Ministry All Commercial	$20,903.08
Rate for Payer: Three Rivers Preferred All Commercial	$27,300.84

INPATIENT MSDRG 496: LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITH CC

Facility IP

$20,604.36

Service Code	MS-DRG 496
Hospital Charge Code	MSDRG 496
Min. Negotiated Rate	$11,816.23
Max. Negotiated Rate	$20,604.36
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$17,467.40
Rate for Payer: Anthem Blue Cross of IN Traditional	$20,604.36
Rate for Payer: Plain Church Group Ministry All Commercial	$11,816.23
Rate for Payer: Three Rivers Preferred All Commercial	$15,432.80

INPATIENT MSDRG 497: LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES EXCEPT HIP AND FEMUR WITHOUT CC/MCC

Facility IP

$14,932.44

Service Code	MS-DRG 497
Hospital Charge Code	MSDRG 497
Min. Negotiated Rate	$8,563.49
Max. Negotiated Rate	$14,932.44
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$12,659.02
Rate for Payer: Anthem Blue Cross of IN Traditional	$14,932.44
Rate for Payer: Plain Church Group Ministry All Commercial	$8,563.49
Rate for Payer: Three Rivers Preferred All Commercial	$11,184.50

INPATIENT MSDRG 498: LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITH CC/MCC

Facility IP

$25,151.70

Service Code	MS-DRG 498
Hospital Charge Code	MSDRG 498
Min. Negotiated Rate	$14,424.05
Max. Negotiated Rate	$25,151.70
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$21,322.43
Rate for Payer: Anthem Blue Cross of IN Traditional	$25,151.70
Rate for Payer: Plain Church Group Ministry All Commercial	$14,424.05
Rate for Payer: Three Rivers Preferred All Commercial	$18,838.79

INPATIENT MSDRG 499: LOCAL EXCISION AND REMOVAL OF INTERNAL FIXATION DEVICES OF HIP AND FEMUR WITHOUT CC/MCC

Facility IP

$12,940.40

Service Code	MS-DRG 499
Hospital Charge Code	MSDRG 499
Min. Negotiated Rate	$7,421.09
Max. Negotiated Rate	$12,940.40
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$10,970.27
Rate for Payer: Anthem Blue Cross of IN Traditional	$12,940.40
Rate for Payer: Plain Church Group Ministry All Commercial	$7,421.09
Rate for Payer: Three Rivers Preferred All Commercial	$9,692.45

INPATIENT MSDRG 500: SOFT TISSUE PROCEDURES WITH MCC

Facility IP

$31,445.76

Service Code	MS-DRG 500
Hospital Charge Code	MSDRG 500
Min. Negotiated Rate	$18,033.58
Max. Negotiated Rate	$31,445.76
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$26,658.24
Rate for Payer: Anthem Blue Cross of IN Traditional	$31,445.76
Rate for Payer: Plain Church Group Ministry All Commercial	$18,033.58
Rate for Payer: Three Rivers Preferred All Commercial	$23,553.08

INPATIENT MSDRG 501: SOFT TISSUE PROCEDURES WITH CC

Facility IP

$17,249.29

Service Code	MS-DRG 501
Hospital Charge Code	MSDRG 501
Min. Negotiated Rate	$9,892.16
Max. Negotiated Rate	$17,249.29
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$14,623.14
Rate for Payer: Anthem Blue Cross of IN Traditional	$17,249.29
Rate for Payer: Plain Church Group Ministry All Commercial	$9,892.16
Rate for Payer: Three Rivers Preferred All Commercial	$12,919.83

INPATIENT MSDRG 502: SOFT TISSUE PROCEDURES WITHOUT CC/MCC

Facility IP

$13,487.97

Service Code	MS-DRG 502
Hospital Charge Code	MSDRG 502
Min. Negotiated Rate	$7,735.11
Max. Negotiated Rate	$13,487.97
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$11,434.47
Rate for Payer: Anthem Blue Cross of IN Traditional	$13,487.97
Rate for Payer: Plain Church Group Ministry All Commercial	$7,735.11
Rate for Payer: Three Rivers Preferred All Commercial	$10,102.58

INPATIENT MSDRG 503: FOOT PROCEDURES WITH MCC

Facility IP

$24,859.27

Service Code	MS-DRG 503
Hospital Charge Code	MSDRG 503
Min. Negotiated Rate	$14,256.35
Max. Negotiated Rate	$24,859.27
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$21,074.52
Rate for Payer: Anthem Blue Cross of IN Traditional	$24,859.27
Rate for Payer: Plain Church Group Ministry All Commercial	$14,256.35
Rate for Payer: Three Rivers Preferred All Commercial	$18,619.76

INPATIENT MSDRG 504: FOOT PROCEDURES WITH CC

Facility IP

$17,416.11

Service Code	MS-DRG 504
Hospital Charge Code	MSDRG 504
Min. Negotiated Rate	$9,987.83
Max. Negotiated Rate	$17,416.11
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$14,764.56
Rate for Payer: Anthem Blue Cross of IN Traditional	$17,416.11
Rate for Payer: Plain Church Group Ministry All Commercial	$9,987.83
Rate for Payer: Three Rivers Preferred All Commercial	$13,044.78

INPATIENT MSDRG 505: FOOT PROCEDURES WITHOUT CC/MCC

Facility IP

$17,337.61

Service Code	MS-DRG 505
Hospital Charge Code	MSDRG 505
Min. Negotiated Rate	$9,942.81
Max. Negotiated Rate	$17,337.61
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$14,698.01
Rate for Payer: Anthem Blue Cross of IN Traditional	$17,337.61
Rate for Payer: Plain Church Group Ministry All Commercial	$9,942.81
Rate for Payer: Three Rivers Preferred All Commercial	$12,985.98

INPATIENT MSDRG 506: MAJOR THUMB OR JOINT PROCEDURES

Facility IP

$13,834.37

Service Code	MS-DRG 506
Hospital Charge Code	MSDRG 506
Min. Negotiated Rate	$7,933.76
Max. Negotiated Rate	$13,834.37
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$11,728.13
Rate for Payer: Anthem Blue Cross of IN Traditional	$13,834.37
Rate for Payer: Plain Church Group Ministry All Commercial	$7,933.76
Rate for Payer: Three Rivers Preferred All Commercial	$10,362.03

INPATIENT MSDRG 507: MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC

Facility IP

$18,201.15

Service Code	MS-DRG 507
Hospital Charge Code	MSDRG 507
Min. Negotiated Rate	$10,438.04
Max. Negotiated Rate	$18,201.15
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$15,430.08
Rate for Payer: Anthem Blue Cross of IN Traditional	$18,201.15
Rate for Payer: Plain Church Group Ministry All Commercial	$10,438.04
Rate for Payer: Three Rivers Preferred All Commercial	$13,632.78

Price Transparency.

All Charges