Cameron Memorial Community Hospital

All Charges

Charge

Type

Price

INPATIENT MSDRG 602: CELLULITIS WITH MCC

Facility IP

$14,142.50

Service Code	MS-DRG 602
Hospital Charge Code	MSDRG 602
Min. Negotiated Rate	$8,110.47
Max. Negotiated Rate	$14,142.50
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$11,989.34
Rate for Payer: Anthem Blue Cross of IN Traditional	$14,142.50
Rate for Payer: Plain Church Group Ministry All Commercial	$8,110.47
Rate for Payer: Three Rivers Preferred All Commercial	$10,592.82

INPATIENT MSDRG 603: CELLULITIS WITHOUT MCC

Facility IP

$8,653.10

Service Code	MS-DRG 603
Hospital Charge Code	MSDRG 603
Min. Negotiated Rate	$4,962.40
Max. Negotiated Rate	$8,653.10
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$7,335.69
Rate for Payer: Anthem Blue Cross of IN Traditional	$8,653.10
Rate for Payer: Plain Church Group Ministry All Commercial	$4,962.40
Rate for Payer: Three Rivers Preferred All Commercial	$6,481.23

INPATIENT MSDRG 604: TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITH MCC

Facility IP

$14,809.78

Service Code	MS-DRG 604
Hospital Charge Code	MSDRG 604
Min. Negotiated Rate	$8,493.14
Max. Negotiated Rate	$14,809.78
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$12,555.03
Rate for Payer: Anthem Blue Cross of IN Traditional	$14,809.78
Rate for Payer: Plain Church Group Ministry All Commercial	$8,493.14
Rate for Payer: Three Rivers Preferred All Commercial	$11,092.62

INPATIENT MSDRG 605: TRAUMA TO THE SKIN, SUBCUTANEOUS TISSUE AND BREAST WITHOUT MCC

Facility IP

$8,933.76

Service Code	MS-DRG 605
Hospital Charge Code	MSDRG 605
Min. Negotiated Rate	$5,123.35
Max. Negotiated Rate	$8,933.76
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$7,573.62
Rate for Payer: Anthem Blue Cross of IN Traditional	$8,933.76
Rate for Payer: Plain Church Group Ministry All Commercial	$5,123.35
Rate for Payer: Three Rivers Preferred All Commercial	$6,691.44

INPATIENT MSDRG 606: MINOR SKIN DISORDERS WITH MCC

Facility IP

$15,061.97

Service Code	MS-DRG 606
Hospital Charge Code	MSDRG 606
Min. Negotiated Rate	$8,637.77
Max. Negotiated Rate	$15,061.97
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$12,768.83
Rate for Payer: Anthem Blue Cross of IN Traditional	$15,061.97
Rate for Payer: Plain Church Group Ministry All Commercial	$8,637.77
Rate for Payer: Three Rivers Preferred All Commercial	$11,281.52

INPATIENT MSDRG 607: MINOR SKIN DISORDERS WITHOUT MCC

Facility IP

$8,323.39

Service Code	MS-DRG 607
Hospital Charge Code	MSDRG 607
Min. Negotiated Rate	$4,773.31
Max. Negotiated Rate	$8,323.39
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$7,056.18
Rate for Payer: Anthem Blue Cross of IN Traditional	$8,323.39
Rate for Payer: Plain Church Group Ministry All Commercial	$4,773.31
Rate for Payer: Three Rivers Preferred All Commercial	$6,234.27

INPATIENT MSDRG 614: ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC

Facility IP

$23,059.57

Service Code	MS-DRG 614
Hospital Charge Code	MSDRG 614
Min. Negotiated Rate	$13,224.25
Max. Negotiated Rate	$23,059.57
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$19,548.82
Rate for Payer: Anthem Blue Cross of IN Traditional	$23,059.57
Rate for Payer: Plain Church Group Ministry All Commercial	$13,224.25
Rate for Payer: Three Rivers Preferred All Commercial	$17,271.77

INPATIENT MSDRG 615: ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC

Facility IP

$14,482.03

Service Code	MS-DRG 615
Hospital Charge Code	MSDRG 615
Min. Negotiated Rate	$8,305.18
Max. Negotiated Rate	$14,482.03
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$12,277.18
Rate for Payer: Anthem Blue Cross of IN Traditional	$14,482.03
Rate for Payer: Plain Church Group Ministry All Commercial	$8,305.18
Rate for Payer: Three Rivers Preferred All Commercial	$10,847.13

INPATIENT MSDRG 616: AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC

Facility IP

$36,941.04

Service Code	MS-DRG 616
Hospital Charge Code	MSDRG 616
Min. Negotiated Rate	$21,185.02
Max. Negotiated Rate	$36,941.04
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$31,316.88
Rate for Payer: Anthem Blue Cross of IN Traditional	$36,941.04
Rate for Payer: Plain Church Group Ministry All Commercial	$21,185.02
Rate for Payer: Three Rivers Preferred All Commercial	$27,669.08

INPATIENT MSDRG 617: AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC

Facility IP

$19,076.47

Service Code	MS-DRG 617
Hospital Charge Code	MSDRG 617
Min. Negotiated Rate	$10,940.02
Max. Negotiated Rate	$19,076.47
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$16,172.14
Rate for Payer: Anthem Blue Cross of IN Traditional	$19,076.47
Rate for Payer: Plain Church Group Ministry All Commercial	$10,940.02
Rate for Payer: Three Rivers Preferred All Commercial	$14,288.40

INPATIENT MSDRG 618: AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC

Facility IP

$11,509.67

Service Code	MS-DRG 618
Hospital Charge Code	MSDRG 618
Min. Negotiated Rate	$6,600.59
Max. Negotiated Rate	$11,509.67
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$9,757.36
Rate for Payer: Anthem Blue Cross of IN Traditional	$11,509.67
Rate for Payer: Plain Church Group Ministry All Commercial	$6,600.59
Rate for Payer: Three Rivers Preferred All Commercial	$8,620.82

INPATIENT MSDRG 619: O.R. PROCEDURES FOR OBESITY WITH MCC

Facility IP

$28,376.25

Service Code	MS-DRG 619
Hospital Charge Code	MSDRG 619
Min. Negotiated Rate	$16,273.27
Max. Negotiated Rate	$28,376.25
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$24,056.05
Rate for Payer: Anthem Blue Cross of IN Traditional	$28,376.25
Rate for Payer: Plain Church Group Ministry All Commercial	$16,273.27
Rate for Payer: Three Rivers Preferred All Commercial	$21,254.00

INPATIENT MSDRG 620: O.R. PROCEDURES FOR OBESITY WITH CC

Facility IP

$16,540.79

Service Code	MS-DRG 620
Hospital Charge Code	MSDRG 620
Min. Negotiated Rate	$9,485.85
Max. Negotiated Rate	$16,540.79
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$14,022.51
Rate for Payer: Anthem Blue Cross of IN Traditional	$16,540.79
Rate for Payer: Plain Church Group Ministry All Commercial	$9,485.85
Rate for Payer: Three Rivers Preferred All Commercial	$12,389.16

INPATIENT MSDRG 621: O.R. PROCEDURES FOR OBESITY WITHOUT CC/MCC

Facility IP

$15,259.22

Service Code	MS-DRG 621
Hospital Charge Code	MSDRG 621
Min. Negotiated Rate	$8,750.89
Max. Negotiated Rate	$15,259.22
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$12,936.05
Rate for Payer: Anthem Blue Cross of IN Traditional	$15,259.22
Rate for Payer: Plain Church Group Ministry All Commercial	$8,750.89
Rate for Payer: Three Rivers Preferred All Commercial	$11,429.25

INPATIENT MSDRG 622: SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH MCC

Facility IP

$35,533.85

Service Code	MS-DRG 622
Hospital Charge Code	MSDRG 622
Min. Negotiated Rate	$20,378.03
Max. Negotiated Rate	$35,533.85
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$30,123.93
Rate for Payer: Anthem Blue Cross of IN Traditional	$35,533.85
Rate for Payer: Plain Church Group Ministry All Commercial	$20,378.03
Rate for Payer: Three Rivers Preferred All Commercial	$26,615.09

INPATIENT MSDRG 623: SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC

Facility IP

$18,493.58

Service Code	MS-DRG 623
Hospital Charge Code	MSDRG 623
Min. Negotiated Rate	$10,605.74
Max. Negotiated Rate	$18,493.58
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$15,677.99
Rate for Payer: Anthem Blue Cross of IN Traditional	$18,493.58
Rate for Payer: Plain Church Group Ministry All Commercial	$10,605.74
Rate for Payer: Three Rivers Preferred All Commercial	$13,851.81

INPATIENT MSDRG 624: SKIN GRAFTS AND WOUND DEBRIDEMENT FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITHOUT CC/MCC

Facility IP

$9,705.06

Service Code	MS-DRG 624
Hospital Charge Code	MSDRG 624
Min. Negotiated Rate	$5,565.68
Max. Negotiated Rate	$9,705.06
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$8,227.49
Rate for Payer: Anthem Blue Cross of IN Traditional	$9,705.06
Rate for Payer: Plain Church Group Ministry All Commercial	$5,565.68
Rate for Payer: Three Rivers Preferred All Commercial	$7,269.15

INPATIENT MSDRG 625: THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH MCC

Facility IP

$28,233.96

Service Code	MS-DRG 625
Hospital Charge Code	MSDRG 625
Min. Negotiated Rate	$16,191.67
Max. Negotiated Rate	$28,233.96
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$23,935.43
Rate for Payer: Anthem Blue Cross of IN Traditional	$28,233.96
Rate for Payer: Plain Church Group Ministry All Commercial	$16,191.67
Rate for Payer: Three Rivers Preferred All Commercial	$21,147.42

INPATIENT MSDRG 626: THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITH CC

Facility IP

$15,889.21

Service Code	MS-DRG 626
Hospital Charge Code	MSDRG 626
Min. Negotiated Rate	$9,112.18
Max. Negotiated Rate	$15,889.21
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$13,470.12
Rate for Payer: Anthem Blue Cross of IN Traditional	$15,889.21
Rate for Payer: Plain Church Group Ministry All Commercial	$9,112.18
Rate for Payer: Three Rivers Preferred All Commercial	$11,901.12

INPATIENT MSDRG 627: THYROID, PARATHYROID AND THYROGLOSSAL PROCEDURES WITHOUT CC/MCC

Facility IP

$12,520.41

Service Code	MS-DRG 627
Hospital Charge Code	MSDRG 627
Min. Negotiated Rate	$7,180.23
Max. Negotiated Rate	$12,520.41
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$10,614.21
Rate for Payer: Anthem Blue Cross of IN Traditional	$12,520.41
Rate for Payer: Plain Church Group Ministry All Commercial	$7,180.23
Rate for Payer: Three Rivers Preferred All Commercial	$9,377.87

INPATIENT MSDRG 628: OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH MCC

Facility IP

$35,766.42

Service Code	MS-DRG 628
Hospital Charge Code	MSDRG 628
Min. Negotiated Rate	$20,511.40
Max. Negotiated Rate	$35,766.42
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$30,321.09
Rate for Payer: Anthem Blue Cross of IN Traditional	$35,766.42
Rate for Payer: Plain Church Group Ministry All Commercial	$20,511.40
Rate for Payer: Three Rivers Preferred All Commercial	$26,789.28

INPATIENT MSDRG 629: OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITH CC

Facility IP

$22,018.41

Service Code	MS-DRG 629
Hospital Charge Code	MSDRG 629
Min. Negotiated Rate	$12,627.16
Max. Negotiated Rate	$22,018.41
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$18,666.17
Rate for Payer: Anthem Blue Cross of IN Traditional	$22,018.41
Rate for Payer: Plain Church Group Ministry All Commercial	$12,627.16
Rate for Payer: Three Rivers Preferred All Commercial	$16,491.93

INPATIENT MSDRG 630: OTHER ENDOCRINE, NUTRITIONAL AND METABOLIC O.R. PROCEDURES WITHOUT CC/MCC

Facility IP

$13,779.41

Service Code	MS-DRG 630
Hospital Charge Code	MSDRG 630
Min. Negotiated Rate	$7,902.25
Max. Negotiated Rate	$13,779.41
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$11,681.54
Rate for Payer: Anthem Blue Cross of IN Traditional	$13,779.41
Rate for Payer: Plain Church Group Ministry All Commercial	$7,902.25
Rate for Payer: Three Rivers Preferred All Commercial	$10,320.87

INPATIENT MSDRG 637: DIABETES WITH MCC

Facility IP

$13,696.00

Service Code	MS-DRG 637
Hospital Charge Code	MSDRG 637
Min. Negotiated Rate	$7,854.41
Max. Negotiated Rate	$13,696.00
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$11,610.83
Rate for Payer: Anthem Blue Cross of IN Traditional	$13,696.00
Rate for Payer: Plain Church Group Ministry All Commercial	$7,854.41
Rate for Payer: Three Rivers Preferred All Commercial	$10,258.40

INPATIENT MSDRG 638: DIABETES WITH CC

Facility IP

$8,596.19

Service Code	MS-DRG 638
Hospital Charge Code	MSDRG 638
Min. Negotiated Rate	$4,929.76
Max. Negotiated Rate	$8,596.19
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$7,287.44
Rate for Payer: Anthem Blue Cross of IN Traditional	$8,596.19
Rate for Payer: Plain Church Group Ministry All Commercial	$4,929.76
Rate for Payer: Three Rivers Preferred All Commercial	$6,438.60

Price Transparency.

All Charges