Cameron Memorial Community Hospital

All Charges

Charge

Type

Price

INPATIENT MSDRG 508: MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC

Facility IP

$14,211.19

Service Code	MS-DRG 508
Hospital Charge Code	MSDRG 508
Min. Negotiated Rate	$8,149.86
Max. Negotiated Rate	$14,211.19
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$12,047.58
Rate for Payer: Anthem Blue Cross of IN Traditional	$14,211.19
Rate for Payer: Plain Church Group Ministry All Commercial	$8,149.86
Rate for Payer: Three Rivers Preferred All Commercial	$10,644.27

INPATIENT MSDRG 509: ARTHROSCOPY

Facility IP

$14,895.15

Service Code	MS-DRG 509
Hospital Charge Code	MSDRG 509
Min. Negotiated Rate	$8,542.10
Max. Negotiated Rate	$14,895.15
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$12,627.41
Rate for Payer: Anthem Blue Cross of IN Traditional	$14,895.15
Rate for Payer: Plain Church Group Ministry All Commercial	$8,542.10
Rate for Payer: Three Rivers Preferred All Commercial	$11,156.57

INPATIENT MSDRG 510: SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH MCC

Facility IP

$28,340.93

Service Code	MS-DRG 510
Hospital Charge Code	MSDRG 510
Min. Negotiated Rate	$16,253.01
Max. Negotiated Rate	$28,340.93
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$24,026.10
Rate for Payer: Anthem Blue Cross of IN Traditional	$28,340.93
Rate for Payer: Plain Church Group Ministry All Commercial	$16,253.01
Rate for Payer: Three Rivers Preferred All Commercial	$21,227.54

INPATIENT MSDRG 511: SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITH CC

Facility IP

$19,419.93

Service Code	MS-DRG 511
Hospital Charge Code	MSDRG 511
Min. Negotiated Rate	$11,136.98
Max. Negotiated Rate	$19,419.93
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$16,463.30
Rate for Payer: Anthem Blue Cross of IN Traditional	$19,419.93
Rate for Payer: Plain Church Group Ministry All Commercial	$11,136.98
Rate for Payer: Three Rivers Preferred All Commercial	$14,545.65

INPATIENT MSDRG 512: SHOULDER, ELBOW OR FOREARM PROCEDURES, EXCEPT MAJOR JOINT PROCEDURES WITHOUT CC/MCC

Facility IP

$15,764.58

Service Code	MS-DRG 512
Hospital Charge Code	MSDRG 512
Min. Negotiated Rate	$9,040.71
Max. Negotiated Rate	$15,764.58
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$13,364.47
Rate for Payer: Anthem Blue Cross of IN Traditional	$15,764.58
Rate for Payer: Plain Church Group Ministry All Commercial	$9,040.71
Rate for Payer: Three Rivers Preferred All Commercial	$11,807.78

INPATIENT MSDRG 513: HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITH CC/MCC

Facility IP

$15,641.92

Service Code	MS-DRG 513
Hospital Charge Code	MSDRG 513
Min. Negotiated Rate	$8,970.36
Max. Negotiated Rate	$15,641.92
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$13,260.49
Rate for Payer: Anthem Blue Cross of IN Traditional	$15,641.92
Rate for Payer: Plain Church Group Ministry All Commercial	$8,970.36
Rate for Payer: Three Rivers Preferred All Commercial	$11,715.90

INPATIENT MSDRG 514: HAND OR WRIST PROCEDURES, EXCEPT MAJOR THUMB OR JOINT PROCEDURES WITHOUT CC/MCC

Facility IP

$10,133.89

Service Code	MS-DRG 514
Hospital Charge Code	MSDRG 514
Min. Negotiated Rate	$5,811.60
Max. Negotiated Rate	$10,133.89
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$8,591.03
Rate for Payer: Anthem Blue Cross of IN Traditional	$10,133.89
Rate for Payer: Plain Church Group Ministry All Commercial	$5,811.60
Rate for Payer: Three Rivers Preferred All Commercial	$7,590.35

INPATIENT MSDRG 515: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH MCC

Facility IP

$30,594.97

Service Code	MS-DRG 515
Hospital Charge Code	MSDRG 515
Min. Negotiated Rate	$17,545.67
Max. Negotiated Rate	$30,594.97
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$25,936.98
Rate for Payer: Anthem Blue Cross of IN Traditional	$30,594.97
Rate for Payer: Plain Church Group Ministry All Commercial	$17,545.67
Rate for Payer: Three Rivers Preferred All Commercial	$22,915.83

INPATIENT MSDRG 516: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITH CC

Facility IP

$19,957.68

Service Code	MS-DRG 516
Hospital Charge Code	MSDRG 516
Min. Negotiated Rate	$11,445.37
Max. Negotiated Rate	$19,957.68
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$16,919.18
Rate for Payer: Anthem Blue Cross of IN Traditional	$19,957.68
Rate for Payer: Plain Church Group Ministry All Commercial	$11,445.37
Rate for Payer: Three Rivers Preferred All Commercial	$14,948.43

INPATIENT MSDRG 517: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE O.R. PROCEDURES WITHOUT CC/MCC

Facility IP

$14,816.65

Service Code	MS-DRG 517
Hospital Charge Code	MSDRG 517
Min. Negotiated Rate	$8,497.08
Max. Negotiated Rate	$14,816.65
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$12,560.86
Rate for Payer: Anthem Blue Cross of IN Traditional	$14,816.65
Rate for Payer: Plain Church Group Ministry All Commercial	$8,497.08
Rate for Payer: Three Rivers Preferred All Commercial	$11,097.77

INPATIENT MSDRG 518: BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH MCC OR DISC DEVICE OR NEUROSTIMULATOR

Facility IP

$36,579.92

Service Code	MS-DRG 518
Hospital Charge Code	MSDRG 518
Min. Negotiated Rate	$20,977.93
Max. Negotiated Rate	$36,579.92
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$31,010.74
Rate for Payer: Anthem Blue Cross of IN Traditional	$36,579.92
Rate for Payer: Plain Church Group Ministry All Commercial	$20,977.93
Rate for Payer: Three Rivers Preferred All Commercial	$27,398.60

INPATIENT MSDRG 519: BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITH CC

Facility IP

$19,619.13

Service Code	MS-DRG 519
Hospital Charge Code	MSDRG 519
Min. Negotiated Rate	$11,251.22
Max. Negotiated Rate	$19,619.13
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$16,632.18
Rate for Payer: Anthem Blue Cross of IN Traditional	$19,619.13
Rate for Payer: Plain Church Group Ministry All Commercial	$11,251.22
Rate for Payer: Three Rivers Preferred All Commercial	$14,694.86

INPATIENT MSDRG 520: BACK AND NECK PROCEDURES EXCEPT SPINAL FUSION WITHOUT CC/MCC

Facility IP

$14,521.28

Service Code	MS-DRG 520
Hospital Charge Code	MSDRG 520
Min. Negotiated Rate	$8,327.69
Max. Negotiated Rate	$14,521.28
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$12,310.46
Rate for Payer: Anthem Blue Cross of IN Traditional	$14,521.28
Rate for Payer: Plain Church Group Ministry All Commercial	$8,327.69
Rate for Payer: Three Rivers Preferred All Commercial	$10,876.53

INPATIENT MSDRG 521: HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITH MCC

Facility IP

$29,627.41

Service Code	MS-DRG 521
Hospital Charge Code	MSDRG 521
Min. Negotiated Rate	$16,990.79
Max. Negotiated Rate	$29,627.41
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$25,116.72
Rate for Payer: Anthem Blue Cross of IN Traditional	$29,627.41
Rate for Payer: Plain Church Group Ministry All Commercial	$16,990.79
Rate for Payer: Three Rivers Preferred All Commercial	$22,191.12

INPATIENT MSDRG 522: HIP REPLACEMENT WITH PRINCIPAL DIAGNOSIS OF HIP FRACTURE WITHOUT MCC

Facility IP

$21,322.67

Service Code	MS-DRG 522
Hospital Charge Code	MSDRG 522
Min. Negotiated Rate	$12,228.17
Max. Negotiated Rate	$21,322.67
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$18,076.36
Rate for Payer: Anthem Blue Cross of IN Traditional	$21,322.67
Rate for Payer: Plain Church Group Ministry All Commercial	$12,228.17
Rate for Payer: Three Rivers Preferred All Commercial	$15,970.82

INPATIENT MSDRG 533: FRACTURES OF FEMUR WITH MCC

Facility IP

$13,996.28

Service Code	MS-DRG 533
Hospital Charge Code	MSDRG 533
Min. Negotiated Rate	$8,026.62
Max. Negotiated Rate	$13,996.28
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$11,865.39
Rate for Payer: Anthem Blue Cross of IN Traditional	$13,996.28
Rate for Payer: Plain Church Group Ministry All Commercial	$8,026.62
Rate for Payer: Three Rivers Preferred All Commercial	$10,483.31

INPATIENT MSDRG 534: FRACTURES OF FEMUR WITHOUT MCC

Facility IP

$7,810.17

Service Code	MS-DRG 534
Hospital Charge Code	MSDRG 534
Min. Negotiated Rate	$4,478.99
Max. Negotiated Rate	$7,810.17
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$6,621.09
Rate for Payer: Anthem Blue Cross of IN Traditional	$7,810.17
Rate for Payer: Plain Church Group Ministry All Commercial	$4,478.99
Rate for Payer: Three Rivers Preferred All Commercial	$5,849.87

INPATIENT MSDRG 535: FRACTURES OF HIP AND PELVIS WITH MCC

Facility IP

$12,653.86

Service Code	MS-DRG 535
Hospital Charge Code	MSDRG 535
Min. Negotiated Rate	$7,256.76
Max. Negotiated Rate	$12,653.86
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$10,727.35
Rate for Payer: Anthem Blue Cross of IN Traditional	$12,653.86
Rate for Payer: Plain Church Group Ministry All Commercial	$7,256.76
Rate for Payer: Three Rivers Preferred All Commercial	$9,477.83

INPATIENT MSDRG 536: FRACTURES OF HIP AND PELVIS WITHOUT MCC

Facility IP

$7,625.68

Service Code	MS-DRG 536
Hospital Charge Code	MSDRG 536
Min. Negotiated Rate	$4,373.19
Max. Negotiated Rate	$7,625.68
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$6,464.69
Rate for Payer: Anthem Blue Cross of IN Traditional	$7,625.68
Rate for Payer: Plain Church Group Ministry All Commercial	$4,373.19
Rate for Payer: Three Rivers Preferred All Commercial	$5,711.69

INPATIENT MSDRG 537: SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITH CC/MCC

Facility IP

$9,748.23

Service Code	MS-DRG 537
Hospital Charge Code	MSDRG 537
Min. Negotiated Rate	$5,590.44
Max. Negotiated Rate	$9,748.23
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$8,264.09
Rate for Payer: Anthem Blue Cross of IN Traditional	$9,748.23
Rate for Payer: Plain Church Group Ministry All Commercial	$5,590.44
Rate for Payer: Three Rivers Preferred All Commercial	$7,301.49

INPATIENT MSDRG 538: SPRAINS, STRAINS, AND DISLOCATIONS OF HIP, PELVIS AND THIGH WITHOUT CC/MCC

Facility IP

$6,831.81

Service Code	MS-DRG 538
Hospital Charge Code	MSDRG 538
Min. Negotiated Rate	$3,917.92
Max. Negotiated Rate	$6,831.81
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$5,791.69
Rate for Payer: Anthem Blue Cross of IN Traditional	$6,831.81
Rate for Payer: Plain Church Group Ministry All Commercial	$3,917.92
Rate for Payer: Three Rivers Preferred All Commercial	$5,117.07

INPATIENT MSDRG 539: OSTEOMYELITIS WITH MCC

Facility IP

$19,585.77

Service Code	MS-DRG 539
Hospital Charge Code	MSDRG 539
Min. Negotiated Rate	$11,232.09
Max. Negotiated Rate	$19,585.77
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$16,603.89
Rate for Payer: Anthem Blue Cross of IN Traditional	$19,585.77
Rate for Payer: Plain Church Group Ministry All Commercial	$11,232.09
Rate for Payer: Three Rivers Preferred All Commercial	$14,669.87

INPATIENT MSDRG 540: OSTEOMYELITIS WITH CC

Facility IP

$13,214.19

Service Code	MS-DRG 540
Hospital Charge Code	MSDRG 540
Min. Negotiated Rate	$7,578.10
Max. Negotiated Rate	$13,214.19
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$11,202.37
Rate for Payer: Anthem Blue Cross of IN Traditional	$13,214.19
Rate for Payer: Plain Church Group Ministry All Commercial	$7,578.10
Rate for Payer: Three Rivers Preferred All Commercial	$9,897.51

INPATIENT MSDRG 541: OSTEOMYELITIS WITHOUT CC/MCC

Facility IP

$8,027.03

Service Code	MS-DRG 541
Hospital Charge Code	MSDRG 541
Min. Negotiated Rate	$4,603.36
Max. Negotiated Rate	$8,027.03
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$6,804.94
Rate for Payer: Anthem Blue Cross of IN Traditional	$8,027.03
Rate for Payer: Plain Church Group Ministry All Commercial	$4,603.36
Rate for Payer: Three Rivers Preferred All Commercial	$6,012.30

INPATIENT MSDRG 542: PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH MCC

Facility IP

$17,938.16

Service Code	MS-DRG 542
Hospital Charge Code	MSDRG 542
Min. Negotiated Rate	$10,287.22
Max. Negotiated Rate	$17,938.16
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$15,207.13
Rate for Payer: Anthem Blue Cross of IN Traditional	$17,938.16
Rate for Payer: Plain Church Group Ministry All Commercial	$10,287.22
Rate for Payer: Three Rivers Preferred All Commercial	$13,435.80

Price Transparency.

All Charges