Cameron Memorial Community Hospital

All Charges

Charge

Type

Price

INPATIENT MSDRG 668: TRANSURETHRAL PROCEDURES WITH MCC

Facility IP

$27,701.12

Service Code	MS-DRG 668
Hospital Charge Code	MSDRG 668
Min. Negotiated Rate	$15,886.10
Max. Negotiated Rate	$27,701.12
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$23,483.71
Rate for Payer: Anthem Blue Cross of IN Traditional	$27,701.12
Rate for Payer: Plain Church Group Ministry All Commercial	$15,886.10
Rate for Payer: Three Rivers Preferred All Commercial	$20,748.32

INPATIENT MSDRG 669: TRANSURETHRAL PROCEDURES WITH CC

Facility IP

$15,447.62

Service Code	MS-DRG 669
Hospital Charge Code	MSDRG 669
Min. Negotiated Rate	$8,858.94
Max. Negotiated Rate	$15,447.62
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$13,095.77
Rate for Payer: Anthem Blue Cross of IN Traditional	$15,447.62
Rate for Payer: Plain Church Group Ministry All Commercial	$8,858.94
Rate for Payer: Three Rivers Preferred All Commercial	$11,570.37

INPATIENT MSDRG 670: TRANSURETHRAL PROCEDURES WITHOUT CC/MCC

Facility IP

$9,690.34

Service Code	MS-DRG 670
Hospital Charge Code	MSDRG 670
Min. Negotiated Rate	$5,557.24
Max. Negotiated Rate	$9,690.34
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$8,215.01
Rate for Payer: Anthem Blue Cross of IN Traditional	$9,690.34
Rate for Payer: Plain Church Group Ministry All Commercial	$5,557.24
Rate for Payer: Three Rivers Preferred All Commercial	$7,258.13

INPATIENT MSDRG 671: URETHRAL PROCEDURES WITH CC/MCC

Facility IP

$17,972.51

Service Code	MS-DRG 671
Hospital Charge Code	MSDRG 671
Min. Negotiated Rate	$10,306.91
Max. Negotiated Rate	$17,972.51
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$15,236.25
Rate for Payer: Anthem Blue Cross of IN Traditional	$17,972.51
Rate for Payer: Plain Church Group Ministry All Commercial	$10,306.91
Rate for Payer: Three Rivers Preferred All Commercial	$13,461.53

INPATIENT MSDRG 672: URETHRAL PROCEDURES WITHOUT CC/MCC

Facility IP

$10,222.20

Service Code	MS-DRG 672
Hospital Charge Code	MSDRG 672
Min. Negotiated Rate	$5,862.25
Max. Negotiated Rate	$10,222.20
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$8,665.90
Rate for Payer: Anthem Blue Cross of IN Traditional	$10,222.20
Rate for Payer: Plain Church Group Ministry All Commercial	$5,862.25
Rate for Payer: Three Rivers Preferred All Commercial	$7,656.50

INPATIENT MSDRG 673: OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH MCC

Facility IP

$34,286.62

Service Code	MS-DRG 673
Hospital Charge Code	MSDRG 673
Min. Negotiated Rate	$19,662.76
Max. Negotiated Rate	$34,286.62
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$29,066.59
Rate for Payer: Anthem Blue Cross of IN Traditional	$34,286.62
Rate for Payer: Plain Church Group Ministry All Commercial	$19,662.76
Rate for Payer: Three Rivers Preferred All Commercial	$25,680.90

INPATIENT MSDRG 674: OTHER KIDNEY AND URINARY TRACT PROCEDURES WITH CC

Facility IP

$23,261.72

Service Code	MS-DRG 674
Hospital Charge Code	MSDRG 674
Min. Negotiated Rate	$13,340.18
Max. Negotiated Rate	$23,261.72
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$19,720.19
Rate for Payer: Anthem Blue Cross of IN Traditional	$23,261.72
Rate for Payer: Plain Church Group Ministry All Commercial	$13,340.18
Rate for Payer: Three Rivers Preferred All Commercial	$17,423.18

INPATIENT MSDRG 675: OTHER KIDNEY AND URINARY TRACT PROCEDURES WITHOUT CC/MCC

Facility IP

$16,548.64

Service Code	MS-DRG 675
Hospital Charge Code	MSDRG 675
Min. Negotiated Rate	$9,490.35
Max. Negotiated Rate	$16,548.64
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$14,029.16
Rate for Payer: Anthem Blue Cross of IN Traditional	$16,548.64
Rate for Payer: Plain Church Group Ministry All Commercial	$9,490.35
Rate for Payer: Three Rivers Preferred All Commercial	$12,395.04

INPATIENT MSDRG 682: RENAL FAILURE WITH MCC

Facility IP

$14,588.01

Service Code	MS-DRG 682
Hospital Charge Code	MSDRG 682
Min. Negotiated Rate	$8,365.96
Max. Negotiated Rate	$14,588.01
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$12,367.03
Rate for Payer: Anthem Blue Cross of IN Traditional	$14,588.01
Rate for Payer: Plain Church Group Ministry All Commercial	$8,365.96
Rate for Payer: Three Rivers Preferred All Commercial	$10,926.51

INPATIENT MSDRG 683: RENAL FAILURE WITH CC

Facility IP

$8,781.65

Service Code	MS-DRG 683
Hospital Charge Code	MSDRG 683
Min. Negotiated Rate	$5,036.12
Max. Negotiated Rate	$8,781.65
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$7,444.67
Rate for Payer: Anthem Blue Cross of IN Traditional	$8,781.65
Rate for Payer: Plain Church Group Ministry All Commercial	$5,036.12
Rate for Payer: Three Rivers Preferred All Commercial	$6,577.52

INPATIENT MSDRG 684: RENAL FAILURE WITHOUT CC/MCC

Facility IP

$5,934.90

Service Code	MS-DRG 684
Hospital Charge Code	MSDRG 684
Min. Negotiated Rate	$3,403.56
Max. Negotiated Rate	$5,934.90
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$5,031.33
Rate for Payer: Anthem Blue Cross of IN Traditional	$5,934.90
Rate for Payer: Plain Church Group Ministry All Commercial	$3,403.56
Rate for Payer: Three Rivers Preferred All Commercial	$4,445.28

INPATIENT MSDRG 686: KIDNEY AND URINARY TRACT NEOPLASMS WITH MCC

Facility IP

$16,660.51

Service Code	MS-DRG 686
Hospital Charge Code	MSDRG 686
Min. Negotiated Rate	$9,554.51
Max. Negotiated Rate	$16,660.51
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$14,124.00
Rate for Payer: Anthem Blue Cross of IN Traditional	$16,660.51
Rate for Payer: Plain Church Group Ministry All Commercial	$9,554.51
Rate for Payer: Three Rivers Preferred All Commercial	$12,478.83

INPATIENT MSDRG 687: KIDNEY AND URINARY TRACT NEOPLASMS WITH CC

Facility IP

$10,203.56

Service Code	MS-DRG 687
Hospital Charge Code	MSDRG 687
Min. Negotiated Rate	$5,851.56
Max. Negotiated Rate	$10,203.56
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$8,650.10
Rate for Payer: Anthem Blue Cross of IN Traditional	$10,203.56
Rate for Payer: Plain Church Group Ministry All Commercial	$5,851.56
Rate for Payer: Three Rivers Preferred All Commercial	$7,642.53

INPATIENT MSDRG 688: KIDNEY AND URINARY TRACT NEOPLASMS WITHOUT CC/MCC

Facility IP

$8,501.98

Service Code	MS-DRG 688
Hospital Charge Code	MSDRG 688
Min. Negotiated Rate	$4,875.74
Max. Negotiated Rate	$8,501.98
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$7,207.58
Rate for Payer: Anthem Blue Cross of IN Traditional	$8,501.98
Rate for Payer: Plain Church Group Ministry All Commercial	$4,875.74
Rate for Payer: Three Rivers Preferred All Commercial	$6,368.04

INPATIENT MSDRG 689: KIDNEY AND URINARY TRACT INFECTIONS WITH MCC

Facility IP

$11,256.49

Service Code	MS-DRG 689
Hospital Charge Code	MSDRG 689
Min. Negotiated Rate	$6,455.40
Max. Negotiated Rate	$11,256.49
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$9,542.72
Rate for Payer: Anthem Blue Cross of IN Traditional	$11,256.49
Rate for Payer: Plain Church Group Ministry All Commercial	$6,455.40
Rate for Payer: Three Rivers Preferred All Commercial	$8,431.19

INPATIENT MSDRG 690: KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC

Facility IP

$7,807.22

Service Code	MS-DRG 690
Hospital Charge Code	MSDRG 690
Min. Negotiated Rate	$4,477.30
Max. Negotiated Rate	$7,807.22
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$6,618.60
Rate for Payer: Anthem Blue Cross of IN Traditional	$7,807.22
Rate for Payer: Plain Church Group Ministry All Commercial	$4,477.30
Rate for Payer: Three Rivers Preferred All Commercial	$5,847.66

INPATIENT MSDRG 693: URINARY STONES WITH MCC

Facility IP

$14,040.44

Service Code	MS-DRG 693
Hospital Charge Code	MSDRG 693
Min. Negotiated Rate	$8,051.94
Max. Negotiated Rate	$14,040.44
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$11,902.83
Rate for Payer: Anthem Blue Cross of IN Traditional	$14,040.44
Rate for Payer: Plain Church Group Ministry All Commercial	$8,051.94
Rate for Payer: Three Rivers Preferred All Commercial	$10,516.38

INPATIENT MSDRG 694: URINARY STONES WITHOUT MCC

Facility IP

$7,821.94

Service Code	MS-DRG 694
Hospital Charge Code	MSDRG 694
Min. Negotiated Rate	$4,485.74
Max. Negotiated Rate	$7,821.94
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$6,631.07
Rate for Payer: Anthem Blue Cross of IN Traditional	$7,821.94
Rate for Payer: Plain Church Group Ministry All Commercial	$4,485.74
Rate for Payer: Three Rivers Preferred All Commercial	$5,858.69

INPATIENT MSDRG 695: KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITH MCC

Facility IP

$11,268.27

Service Code	MS-DRG 695
Hospital Charge Code	MSDRG 695
Min. Negotiated Rate	$6,462.15
Max. Negotiated Rate	$11,268.27
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$9,552.71
Rate for Payer: Anthem Blue Cross of IN Traditional	$11,268.27
Rate for Payer: Plain Church Group Ministry All Commercial	$6,462.15
Rate for Payer: Three Rivers Preferred All Commercial	$8,440.01

INPATIENT MSDRG 696: KIDNEY AND URINARY TRACT SIGNS AND SYMPTOMS WITHOUT MCC

Facility IP

$6,800.41

Service Code	MS-DRG 696
Hospital Charge Code	MSDRG 696
Min. Negotiated Rate	$3,899.91
Max. Negotiated Rate	$6,800.41
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$5,765.07
Rate for Payer: Anthem Blue Cross of IN Traditional	$6,800.41
Rate for Payer: Plain Church Group Ministry All Commercial	$3,899.91
Rate for Payer: Three Rivers Preferred All Commercial	$5,093.55

INPATIENT MSDRG 697: URETHRAL STRICTURE

Facility IP

$9,738.42

Service Code	MS-DRG 697
Hospital Charge Code	MSDRG 697
Min. Negotiated Rate	$5,584.81
Max. Negotiated Rate	$9,738.42
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$8,255.78
Rate for Payer: Anthem Blue Cross of IN Traditional	$9,738.42
Rate for Payer: Plain Church Group Ministry All Commercial	$5,584.81
Rate for Payer: Three Rivers Preferred All Commercial	$7,294.14

INPATIENT MSDRG 698: OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH MCC

Facility IP

$15,725.33

Service Code	MS-DRG 698
Hospital Charge Code	MSDRG 698
Min. Negotiated Rate	$9,018.20
Max. Negotiated Rate	$15,725.33
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$13,331.20
Rate for Payer: Anthem Blue Cross of IN Traditional	$15,725.33
Rate for Payer: Plain Church Group Ministry All Commercial	$9,018.20
Rate for Payer: Three Rivers Preferred All Commercial	$11,778.38

INPATIENT MSDRG 699: OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITH CC

Facility IP

$9,931.74

Service Code	MS-DRG 699
Hospital Charge Code	MSDRG 699
Min. Negotiated Rate	$5,695.67
Max. Negotiated Rate	$9,931.74
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$8,419.66
Rate for Payer: Anthem Blue Cross of IN Traditional	$9,931.74
Rate for Payer: Plain Church Group Ministry All Commercial	$5,695.67
Rate for Payer: Three Rivers Preferred All Commercial	$7,438.94

INPATIENT MSDRG 700: OTHER KIDNEY AND URINARY TRACT DIAGNOSES WITHOUT CC/MCC

Facility IP

$7,269.47

Service Code	MS-DRG 700
Hospital Charge Code	MSDRG 700
Min. Negotiated Rate	$4,168.91
Max. Negotiated Rate	$7,269.47
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$6,162.72
Rate for Payer: Anthem Blue Cross of IN Traditional	$7,269.47
Rate for Payer: Plain Church Group Ministry All Commercial	$4,168.91
Rate for Payer: Three Rivers Preferred All Commercial	$5,444.88

INPATIENT MSDRG 707: MAJOR MALE PELVIC PROCEDURES WITH CC/MCC

Facility IP

$19,579.88

Service Code	MS-DRG 707
Hospital Charge Code	MSDRG 707
Min. Negotiated Rate	$11,228.71
Max. Negotiated Rate	$19,579.88
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$16,598.90
Rate for Payer: Anthem Blue Cross of IN Traditional	$19,579.88
Rate for Payer: Plain Church Group Ministry All Commercial	$11,228.71
Rate for Payer: Three Rivers Preferred All Commercial	$14,665.46

Price Transparency.

All Charges