Cameron Memorial Community Hospital

All Charges

Charge

Type

Price

INPATIENT MSDRG 543: PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITH CC

Facility IP

$10,686.36

Service Code	MS-DRG 543
Hospital Charge Code	MSDRG 543
Min. Negotiated Rate	$6,128.43
Max. Negotiated Rate	$10,686.36
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$9,059.39
Rate for Payer: Anthem Blue Cross of IN Traditional	$10,686.36
Rate for Payer: Plain Church Group Ministry All Commercial	$6,128.43
Rate for Payer: Three Rivers Preferred All Commercial	$8,004.15

INPATIENT MSDRG 544: PATHOLOGICAL FRACTURES AND MUSCULOSKELETAL AND CONNECTIVE TISSUE MALIGNANCY WITHOUT CC/MCC

Facility IP

$7,635.50

Service Code	MS-DRG 544
Hospital Charge Code	MSDRG 544
Min. Negotiated Rate	$4,378.82
Max. Negotiated Rate	$7,635.50
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$6,473.01
Rate for Payer: Anthem Blue Cross of IN Traditional	$7,635.50
Rate for Payer: Plain Church Group Ministry All Commercial	$4,378.82
Rate for Payer: Three Rivers Preferred All Commercial	$5,719.04

INPATIENT MSDRG 545: CONNECTIVE TISSUE DISORDERS WITH MCC

Facility IP

$24,616.89

Service Code	MS-DRG 545
Hospital Charge Code	MSDRG 545
Min. Negotiated Rate	$14,117.35
Max. Negotiated Rate	$24,616.89
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$20,869.04
Rate for Payer: Anthem Blue Cross of IN Traditional	$24,616.89
Rate for Payer: Plain Church Group Ministry All Commercial	$14,117.35
Rate for Payer: Three Rivers Preferred All Commercial	$18,438.21

INPATIENT MSDRG 546: CONNECTIVE TISSUE DISORDERS WITH CC

Facility IP

$11,830.55

Service Code	MS-DRG 546
Hospital Charge Code	MSDRG 546
Min. Negotiated Rate	$6,784.61
Max. Negotiated Rate	$11,830.55
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$10,029.39
Rate for Payer: Anthem Blue Cross of IN Traditional	$11,830.55
Rate for Payer: Plain Church Group Ministry All Commercial	$6,784.61
Rate for Payer: Three Rivers Preferred All Commercial	$8,861.16

INPATIENT MSDRG 547: CONNECTIVE TISSUE DISORDERS WITHOUT CC/MCC

Facility IP

$8,976.93

Service Code	MS-DRG 547
Hospital Charge Code	MSDRG 547
Min. Negotiated Rate	$5,148.11
Max. Negotiated Rate	$8,976.93
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$7,610.22
Rate for Payer: Anthem Blue Cross of IN Traditional	$8,976.93
Rate for Payer: Plain Church Group Ministry All Commercial	$5,148.11
Rate for Payer: Three Rivers Preferred All Commercial	$6,723.78

INPATIENT MSDRG 548: SEPTIC ARTHRITIS WITH MCC

Facility IP

$19,036.24

Service Code	MS-DRG 548
Hospital Charge Code	MSDRG 548
Min. Negotiated Rate	$10,916.94
Max. Negotiated Rate	$19,036.24
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$16,138.03
Rate for Payer: Anthem Blue Cross of IN Traditional	$19,036.24
Rate for Payer: Plain Church Group Ministry All Commercial	$10,916.94
Rate for Payer: Three Rivers Preferred All Commercial	$14,258.27

INPATIENT MSDRG 549: SEPTIC ARTHRITIS WITH CC

Facility IP

$11,890.41

Service Code	MS-DRG 549
Hospital Charge Code	MSDRG 549
Min. Negotiated Rate	$6,818.94
Max. Negotiated Rate	$11,890.41
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$10,080.13
Rate for Payer: Anthem Blue Cross of IN Traditional	$11,890.41
Rate for Payer: Plain Church Group Ministry All Commercial	$6,818.94
Rate for Payer: Three Rivers Preferred All Commercial	$8,906.00

INPATIENT MSDRG 550: SEPTIC ARTHRITIS WITHOUT CC/MCC

Facility IP

$10,286.97

Service Code	MS-DRG 550
Hospital Charge Code	MSDRG 550
Min. Negotiated Rate	$5,899.39
Max. Negotiated Rate	$10,286.97
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$8,720.81
Rate for Payer: Anthem Blue Cross of IN Traditional	$10,286.97
Rate for Payer: Plain Church Group Ministry All Commercial	$5,899.39
Rate for Payer: Three Rivers Preferred All Commercial	$7,705.01

INPATIENT MSDRG 551: MEDICAL BACK PROBLEMS WITH MCC

Facility IP

$16,421.07

Service Code	MS-DRG 551
Hospital Charge Code	MSDRG 551
Min. Negotiated Rate	$9,417.19
Max. Negotiated Rate	$16,421.07
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$13,921.01
Rate for Payer: Anthem Blue Cross of IN Traditional	$16,421.07
Rate for Payer: Plain Church Group Ministry All Commercial	$9,417.19
Rate for Payer: Three Rivers Preferred All Commercial	$12,299.49

INPATIENT MSDRG 552: MEDICAL BACK PROBLEMS WITHOUT MCC

Facility IP

$9,425.39

Service Code	MS-DRG 552
Hospital Charge Code	MSDRG 552
Min. Negotiated Rate	$5,405.29
Max. Negotiated Rate	$9,425.39
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$7,990.40
Rate for Payer: Anthem Blue Cross of IN Traditional	$9,425.39
Rate for Payer: Plain Church Group Ministry All Commercial	$5,405.29
Rate for Payer: Three Rivers Preferred All Commercial	$7,059.68

INPATIENT MSDRG 553: BONE DISEASES AND ARTHROPATHIES WITH MCC

Facility IP

$13,011.06

Service Code	MS-DRG 553
Hospital Charge Code	MSDRG 553
Min. Negotiated Rate	$7,461.61
Max. Negotiated Rate	$13,011.06
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$11,030.16
Rate for Payer: Anthem Blue Cross of IN Traditional	$13,011.06
Rate for Payer: Plain Church Group Ministry All Commercial	$7,461.61
Rate for Payer: Three Rivers Preferred All Commercial	$9,745.37

INPATIENT MSDRG 554: BONE DISEASES AND ARTHROPATHIES WITHOUT MCC

Facility IP

$8,048.62

Service Code	MS-DRG 554
Hospital Charge Code	MSDRG 554
Min. Negotiated Rate	$4,615.74
Max. Negotiated Rate	$8,048.62
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$6,823.24
Rate for Payer: Anthem Blue Cross of IN Traditional	$8,048.62
Rate for Payer: Plain Church Group Ministry All Commercial	$4,615.74
Rate for Payer: Three Rivers Preferred All Commercial	$6,028.47

INPATIENT MSDRG 555: SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC

Facility IP

$13,063.07

Service Code	MS-DRG 555
Hospital Charge Code	MSDRG 555
Min. Negotiated Rate	$7,491.43
Max. Negotiated Rate	$13,063.07
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$11,074.25
Rate for Payer: Anthem Blue Cross of IN Traditional	$13,063.07
Rate for Payer: Plain Church Group Ministry All Commercial	$7,491.43
Rate for Payer: Three Rivers Preferred All Commercial	$9,784.32

INPATIENT MSDRG 556: SIGNS AND SYMPTOMS OF MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT MCC

Facility IP

$7,928.90

Service Code	MS-DRG 556
Hospital Charge Code	MSDRG 556
Min. Negotiated Rate	$4,547.08
Max. Negotiated Rate	$7,928.90
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$6,721.75
Rate for Payer: Anthem Blue Cross of IN Traditional	$7,928.90
Rate for Payer: Plain Church Group Ministry All Commercial	$4,547.08
Rate for Payer: Three Rivers Preferred All Commercial	$5,938.80

INPATIENT MSDRG 557: TENDONITIS, MYOSITIS AND BURSITIS WITH MCC

Facility IP

$14,051.23

Service Code	MS-DRG 557
Hospital Charge Code	MSDRG 557
Min. Negotiated Rate	$8,058.13
Max. Negotiated Rate	$14,051.23
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$11,911.98
Rate for Payer: Anthem Blue Cross of IN Traditional	$14,051.23
Rate for Payer: Plain Church Group Ministry All Commercial	$8,058.13
Rate for Payer: Three Rivers Preferred All Commercial	$10,524.47

INPATIENT MSDRG 558: TENDONITIS, MYOSITIS AND BURSITIS WITHOUT MCC

Facility IP

$8,527.50

Service Code	MS-DRG 558
Hospital Charge Code	MSDRG 558
Min. Negotiated Rate	$4,890.37
Max. Negotiated Rate	$8,527.50
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$7,229.21
Rate for Payer: Anthem Blue Cross of IN Traditional	$8,527.50
Rate for Payer: Plain Church Group Ministry All Commercial	$4,890.37
Rate for Payer: Three Rivers Preferred All Commercial	$6,387.15

INPATIENT MSDRG 559: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC

Facility IP

$17,516.21

Service Code	MS-DRG 559
Hospital Charge Code	MSDRG 559
Min. Negotiated Rate	$10,045.23
Max. Negotiated Rate	$17,516.21
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$14,849.42
Rate for Payer: Anthem Blue Cross of IN Traditional	$17,516.21
Rate for Payer: Plain Church Group Ministry All Commercial	$10,045.23
Rate for Payer: Three Rivers Preferred All Commercial	$13,119.75

INPATIENT MSDRG 560: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC

Facility IP

$10,751.12

Service Code	MS-DRG 560
Hospital Charge Code	MSDRG 560
Min. Negotiated Rate	$6,165.58
Max. Negotiated Rate	$10,751.12
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$9,114.30
Rate for Payer: Anthem Blue Cross of IN Traditional	$10,751.12
Rate for Payer: Plain Church Group Ministry All Commercial	$6,165.58
Rate for Payer: Three Rivers Preferred All Commercial	$8,052.66

INPATIENT MSDRG 561: AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC

Facility IP

$7,754.23

Service Code	MS-DRG 561
Hospital Charge Code	MSDRG 561
Min. Negotiated Rate	$4,446.91
Max. Negotiated Rate	$7,754.23
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$6,573.67
Rate for Payer: Anthem Blue Cross of IN Traditional	$7,754.23
Rate for Payer: Plain Church Group Ministry All Commercial	$4,446.91
Rate for Payer: Three Rivers Preferred All Commercial	$5,807.97

INPATIENT MSDRG 562: FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITH MCC

Facility IP

$14,354.46

Service Code	MS-DRG 562
Hospital Charge Code	MSDRG 562
Min. Negotiated Rate	$8,232.02
Max. Negotiated Rate	$14,354.46
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$12,169.03
Rate for Payer: Anthem Blue Cross of IN Traditional	$14,354.46
Rate for Payer: Plain Church Group Ministry All Commercial	$8,232.02
Rate for Payer: Three Rivers Preferred All Commercial	$10,751.58

INPATIENT MSDRG 563: FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC

Facility IP

$8,450.96

Service Code	MS-DRG 563
Hospital Charge Code	MSDRG 563
Min. Negotiated Rate	$4,846.47
Max. Negotiated Rate	$8,450.96
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$7,164.32
Rate for Payer: Anthem Blue Cross of IN Traditional	$8,450.96
Rate for Payer: Plain Church Group Ministry All Commercial	$4,846.47
Rate for Payer: Three Rivers Preferred All Commercial	$6,329.82

INPATIENT MSDRG 564: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH MCC

Facility IP

$15,242.53

Service Code	MS-DRG 564
Hospital Charge Code	MSDRG 564
Min. Negotiated Rate	$8,741.32
Max. Negotiated Rate	$15,242.53
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$12,921.90
Rate for Payer: Anthem Blue Cross of IN Traditional	$15,242.53
Rate for Payer: Plain Church Group Ministry All Commercial	$8,741.32
Rate for Payer: Three Rivers Preferred All Commercial	$11,416.76

INPATIENT MSDRG 565: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITH CC

Facility IP

$9,689.36

Service Code	MS-DRG 565
Hospital Charge Code	MSDRG 565
Min. Negotiated Rate	$5,556.67
Max. Negotiated Rate	$9,689.36
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$8,214.18
Rate for Payer: Anthem Blue Cross of IN Traditional	$9,689.36
Rate for Payer: Plain Church Group Ministry All Commercial	$5,556.67
Rate for Payer: Three Rivers Preferred All Commercial	$7,257.39

INPATIENT MSDRG 566: OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES WITHOUT CC/MCC

Facility IP

$7,288.12

Service Code	MS-DRG 566
Hospital Charge Code	MSDRG 566
Min. Negotiated Rate	$4,179.60
Max. Negotiated Rate	$7,288.12
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$6,178.52
Rate for Payer: Anthem Blue Cross of IN Traditional	$7,288.12
Rate for Payer: Plain Church Group Ministry All Commercial	$4,179.60
Rate for Payer: Three Rivers Preferred All Commercial	$5,458.85

INPATIENT MSDRG 570: SKIN DEBRIDEMENT WITH MCC

Facility IP

$28,625.50

Service Code	MS-DRG 570
Hospital Charge Code	MSDRG 570
Min. Negotiated Rate	$16,416.21
Max. Negotiated Rate	$28,625.50
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$24,267.35
Rate for Payer: Anthem Blue Cross of IN Traditional	$28,625.50
Rate for Payer: Plain Church Group Ministry All Commercial	$16,416.21
Rate for Payer: Three Rivers Preferred All Commercial	$21,440.69

Price Transparency.

All Charges