Cameron Memorial Community Hospital

All Charges

Charge

Type

Price

INPATIENT MSDRG 639: DIABETES WITHOUT CC/MCC

Facility IP

$5,895.65

Service Code	MS-DRG 639
Hospital Charge Code	MSDRG 639
Min. Negotiated Rate	$3,381.05
Max. Negotiated Rate	$5,895.65
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$4,998.06
Rate for Payer: Anthem Blue Cross of IN Traditional	$5,895.65
Rate for Payer: Plain Church Group Ministry All Commercial	$3,381.05
Rate for Payer: Three Rivers Preferred All Commercial	$4,415.88

INPATIENT MSDRG 640: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITH MCC

Facility IP

$12,416.39

Service Code	MS-DRG 640
Hospital Charge Code	MSDRG 640
Min. Negotiated Rate	$7,120.58
Max. Negotiated Rate	$12,416.39
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$10,526.03
Rate for Payer: Anthem Blue Cross of IN Traditional	$12,416.39
Rate for Payer: Plain Church Group Ministry All Commercial	$7,120.58
Rate for Payer: Three Rivers Preferred All Commercial	$9,299.96

INPATIENT MSDRG 641: MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOUT MCC

Facility IP

$7,557.97

Service Code	MS-DRG 641
Hospital Charge Code	MSDRG 641
Min. Negotiated Rate	$4,334.36
Max. Negotiated Rate	$7,557.97
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$6,407.29
Rate for Payer: Anthem Blue Cross of IN Traditional	$7,557.97
Rate for Payer: Plain Church Group Ministry All Commercial	$4,334.36
Rate for Payer: Three Rivers Preferred All Commercial	$5,660.97

INPATIENT MSDRG 642: INBORN AND OTHER DISORDERS OF METABOLISM

Facility IP

$13,770.58

Service Code	MS-DRG 642
Hospital Charge Code	MSDRG 642
Min. Negotiated Rate	$7,897.18
Max. Negotiated Rate	$13,770.58
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$11,674.05
Rate for Payer: Anthem Blue Cross of IN Traditional	$13,770.58
Rate for Payer: Plain Church Group Ministry All Commercial	$7,897.18
Rate for Payer: Three Rivers Preferred All Commercial	$10,314.26

INPATIENT MSDRG 643: ENDOCRINE DISORDERS WITH MCC

Facility IP

$16,129.63

Service Code	MS-DRG 643
Hospital Charge Code	MSDRG 643
Min. Negotiated Rate	$9,250.05
Max. Negotiated Rate	$16,129.63
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$13,673.94
Rate for Payer: Anthem Blue Cross of IN Traditional	$16,129.63
Rate for Payer: Plain Church Group Ministry All Commercial	$9,250.05
Rate for Payer: Three Rivers Preferred All Commercial	$12,081.20

INPATIENT MSDRG 644: ENDOCRINE DISORDERS WITH CC

Facility IP

$10,000.43

Service Code	MS-DRG 644
Hospital Charge Code	MSDRG 644
Min. Negotiated Rate	$5,735.07
Max. Negotiated Rate	$10,000.43
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$8,477.89
Rate for Payer: Anthem Blue Cross of IN Traditional	$10,000.43
Rate for Payer: Plain Church Group Ministry All Commercial	$5,735.07
Rate for Payer: Three Rivers Preferred All Commercial	$7,490.39

INPATIENT MSDRG 645: ENDOCRINE DISORDERS WITHOUT CC/MCC

Facility IP

$7,287.13

Service Code	MS-DRG 645
Hospital Charge Code	MSDRG 645
Min. Negotiated Rate	$4,179.04
Max. Negotiated Rate	$7,287.13
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$6,177.69
Rate for Payer: Anthem Blue Cross of IN Traditional	$7,287.13
Rate for Payer: Plain Church Group Ministry All Commercial	$4,179.04
Rate for Payer: Three Rivers Preferred All Commercial	$5,458.11

INPATIENT MSDRG 650: KIDNEY TRANSPLANT WITH HEMODIALYSIS WITH MCC

Facility IP

$45,570.59

Service Code	MS-DRG 650
Hospital Charge Code	MSDRG 650
Min. Negotiated Rate	$26,133.92
Max. Negotiated Rate	$45,570.59
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$38,632.60
Rate for Payer: Anthem Blue Cross of IN Traditional	$45,570.59
Rate for Payer: Plain Church Group Ministry All Commercial	$26,133.92
Rate for Payer: Three Rivers Preferred All Commercial	$34,132.67

INPATIENT MSDRG 651: KIDNEY TRANSPLANT WITH HEMODIALYSIS WITHOUT MCC

Facility IP

$34,798.86

Service Code	MS-DRG 651
Hospital Charge Code	MSDRG 651
Min. Negotiated Rate	$19,956.52
Max. Negotiated Rate	$34,798.86
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$29,500.84
Rate for Payer: Anthem Blue Cross of IN Traditional	$34,798.86
Rate for Payer: Plain Church Group Ministry All Commercial	$19,956.52
Rate for Payer: Three Rivers Preferred All Commercial	$26,064.57

INPATIENT MSDRG 652: KIDNEY TRANSPLANT

Facility IP

$30,274.09

Service Code	MS-DRG 652
Hospital Charge Code	MSDRG 652
Min. Negotiated Rate	$17,361.65
Max. Negotiated Rate	$30,274.09
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$25,664.95
Rate for Payer: Anthem Blue Cross of IN Traditional	$30,274.09
Rate for Payer: Plain Church Group Ministry All Commercial	$17,361.65
Rate for Payer: Three Rivers Preferred All Commercial	$22,675.49

INPATIENT MSDRG 653: MAJOR BLADDER PROCEDURES WITH MCC

Facility IP

$54,527.90

Service Code	MS-DRG 653
Hospital Charge Code	MSDRG 653
Min. Negotiated Rate	$31,270.77
Max. Negotiated Rate	$54,527.90
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$46,226.19
Rate for Payer: Anthem Blue Cross of IN Traditional	$54,527.90
Rate for Payer: Plain Church Group Ministry All Commercial	$31,270.77
Rate for Payer: Three Rivers Preferred All Commercial	$40,841.75

INPATIENT MSDRG 654: MAJOR BLADDER PROCEDURES WITH CC

Facility IP

$27,893.45

Service Code	MS-DRG 654
Hospital Charge Code	MSDRG 654
Min. Negotiated Rate	$15,996.40
Max. Negotiated Rate	$27,893.45
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$23,646.76
Rate for Payer: Anthem Blue Cross of IN Traditional	$27,893.45
Rate for Payer: Plain Church Group Ministry All Commercial	$15,996.40
Rate for Payer: Three Rivers Preferred All Commercial	$20,892.38

INPATIENT MSDRG 655: MAJOR BLADDER PROCEDURES WITHOUT CC/MCC

Facility IP

$21,183.32

Service Code	MS-DRG 655
Hospital Charge Code	MSDRG 655
Min. Negotiated Rate	$12,148.26
Max. Negotiated Rate	$21,183.32
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$17,958.23
Rate for Payer: Anthem Blue Cross of IN Traditional	$21,183.32
Rate for Payer: Plain Church Group Ministry All Commercial	$12,148.26
Rate for Payer: Three Rivers Preferred All Commercial	$15,866.45

INPATIENT MSDRG 656: KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH MCC

Facility IP

$32,434.91

Service Code	MS-DRG 656
Hospital Charge Code	MSDRG 656
Min. Negotiated Rate	$18,600.84
Max. Negotiated Rate	$32,434.91
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$27,496.79
Rate for Payer: Anthem Blue Cross of IN Traditional	$32,434.91
Rate for Payer: Plain Church Group Ministry All Commercial	$18,600.84
Rate for Payer: Three Rivers Preferred All Commercial	$24,293.96

INPATIENT MSDRG 657: KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITH CC

Facility IP

$18,428.81

Service Code	MS-DRG 657
Hospital Charge Code	MSDRG 657
Min. Negotiated Rate	$10,568.60
Max. Negotiated Rate	$18,428.81
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$15,623.08
Rate for Payer: Anthem Blue Cross of IN Traditional	$18,428.81
Rate for Payer: Plain Church Group Ministry All Commercial	$10,568.60
Rate for Payer: Three Rivers Preferred All Commercial	$13,803.30

INPATIENT MSDRG 658: KIDNEY AND URETER PROCEDURES FOR NEOPLASM WITHOUT CC/MCC

Facility IP

$15,494.73

Service Code	MS-DRG 658
Hospital Charge Code	MSDRG 658
Min. Negotiated Rate	$8,885.95
Max. Negotiated Rate	$15,494.73
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$13,135.70
Rate for Payer: Anthem Blue Cross of IN Traditional	$15,494.73
Rate for Payer: Plain Church Group Ministry All Commercial	$8,885.95
Rate for Payer: Three Rivers Preferred All Commercial	$11,605.65

INPATIENT MSDRG 659: KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH MCC

Facility IP

$25,287.12

Service Code	MS-DRG 659
Hospital Charge Code	MSDRG 659
Min. Negotiated Rate	$14,501.71
Max. Negotiated Rate	$25,287.12
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$21,437.23
Rate for Payer: Anthem Blue Cross of IN Traditional	$25,287.12
Rate for Payer: Plain Church Group Ministry All Commercial	$14,501.71
Rate for Payer: Three Rivers Preferred All Commercial	$18,940.22

INPATIENT MSDRG 660: KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITH CC

Facility IP

$13,848.11

Service Code	MS-DRG 660
Hospital Charge Code	MSDRG 660
Min. Negotiated Rate	$7,941.64
Max. Negotiated Rate	$13,848.11
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$11,739.77
Rate for Payer: Anthem Blue Cross of IN Traditional	$13,848.11
Rate for Payer: Plain Church Group Ministry All Commercial	$7,941.64
Rate for Payer: Three Rivers Preferred All Commercial	$10,372.32

INPATIENT MSDRG 661: KIDNEY AND URETER PROCEDURES FOR NON-NEOPLASM WITHOUT CC/MCC

Facility IP

$10,577.43

Service Code	MS-DRG 661
Hospital Charge Code	MSDRG 661
Min. Negotiated Rate	$6,065.97
Max. Negotiated Rate	$10,577.43
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$8,967.05
Rate for Payer: Anthem Blue Cross of IN Traditional	$10,577.43
Rate for Payer: Plain Church Group Ministry All Commercial	$6,065.97
Rate for Payer: Three Rivers Preferred All Commercial	$7,922.57

INPATIENT MSDRG 662: MINOR BLADDER PROCEDURES WITH MCC

Facility IP

$29,818.76

Service Code	MS-DRG 662
Hospital Charge Code	MSDRG 662
Min. Negotiated Rate	$17,100.53
Max. Negotiated Rate	$29,818.76
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$25,278.95
Rate for Payer: Anthem Blue Cross of IN Traditional	$29,818.76
Rate for Payer: Plain Church Group Ministry All Commercial	$17,100.53
Rate for Payer: Three Rivers Preferred All Commercial	$22,334.45

INPATIENT MSDRG 663: MINOR BLADDER PROCEDURES WITH CC

Facility IP

$14,964.83

Service Code	MS-DRG 663
Hospital Charge Code	MSDRG 663
Min. Negotiated Rate	$8,582.06
Max. Negotiated Rate	$14,964.83
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$12,686.48
Rate for Payer: Anthem Blue Cross of IN Traditional	$14,964.83
Rate for Payer: Plain Church Group Ministry All Commercial	$8,582.06
Rate for Payer: Three Rivers Preferred All Commercial	$11,208.75

INPATIENT MSDRG 664: MINOR BLADDER PROCEDURES WITHOUT CC/MCC

Facility IP

$11,056.31

Service Code	MS-DRG 664
Hospital Charge Code	MSDRG 664
Min. Negotiated Rate	$6,340.59
Max. Negotiated Rate	$11,056.31
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$9,373.02
Rate for Payer: Anthem Blue Cross of IN Traditional	$11,056.31
Rate for Payer: Plain Church Group Ministry All Commercial	$6,340.59
Rate for Payer: Three Rivers Preferred All Commercial	$8,281.25

INPATIENT MSDRG 665: PROSTATECTOMY WITH MCC

Facility IP

$30,030.72

Service Code	MS-DRG 665
Hospital Charge Code	MSDRG 665
Min. Negotiated Rate	$17,222.08
Max. Negotiated Rate	$30,030.72
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$25,458.64
Rate for Payer: Anthem Blue Cross of IN Traditional	$30,030.72
Rate for Payer: Plain Church Group Ministry All Commercial	$17,222.08
Rate for Payer: Three Rivers Preferred All Commercial	$22,493.21

INPATIENT MSDRG 666: PROSTATECTOMY WITH CC

Facility IP

$16,897.00

Service Code	MS-DRG 666
Hospital Charge Code	MSDRG 666
Min. Negotiated Rate	$9,690.13
Max. Negotiated Rate	$16,897.00
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$14,324.49
Rate for Payer: Anthem Blue Cross of IN Traditional	$16,897.00
Rate for Payer: Plain Church Group Ministry All Commercial	$9,690.13
Rate for Payer: Three Rivers Preferred All Commercial	$12,655.97

INPATIENT MSDRG 667: PROSTATECTOMY WITHOUT CC/MCC

Facility IP

$9,655.01

Service Code	MS-DRG 667
Hospital Charge Code	MSDRG 667
Min. Negotiated Rate	$5,536.98
Max. Negotiated Rate	$9,655.01
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$8,185.06
Rate for Payer: Anthem Blue Cross of IN Traditional	$9,655.01
Rate for Payer: Plain Church Group Ministry All Commercial	$5,536.98
Rate for Payer: Three Rivers Preferred All Commercial	$7,231.67

Price Transparency.

All Charges