Cameron Memorial Community Hospital

All Charges

Charge

Type

Price

INPATIENT MSDRG 708: MAJOR MALE PELVIC PROCEDURES WITHOUT CC/MCC

Facility IP

$14,569.36

Service Code	MS-DRG 708
Hospital Charge Code	MSDRG 708
Min. Negotiated Rate	$8,355.27
Max. Negotiated Rate	$14,569.36
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$12,351.22
Rate for Payer: Anthem Blue Cross of IN Traditional	$14,569.36
Rate for Payer: Plain Church Group Ministry All Commercial	$8,355.27
Rate for Payer: Three Rivers Preferred All Commercial	$10,912.55

INPATIENT MSDRG 709: PENIS PROCEDURES WITH CC/MCC

Facility IP

$23,668.96

Service Code	MS-DRG 709
Hospital Charge Code	MSDRG 709
Min. Negotiated Rate	$13,573.72
Max. Negotiated Rate	$23,668.96
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$20,065.43
Rate for Payer: Anthem Blue Cross of IN Traditional	$23,668.96
Rate for Payer: Plain Church Group Ministry All Commercial	$13,573.72
Rate for Payer: Three Rivers Preferred All Commercial	$17,728.20

INPATIENT MSDRG 710: PENIS PROCEDURES WITHOUT CC/MCC

Facility IP

$14,144.46

Service Code	MS-DRG 710
Hospital Charge Code	MSDRG 710
Min. Negotiated Rate	$8,111.59
Max. Negotiated Rate	$14,144.46
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$11,991.01
Rate for Payer: Anthem Blue Cross of IN Traditional	$14,144.46
Rate for Payer: Plain Church Group Ministry All Commercial	$8,111.59
Rate for Payer: Three Rivers Preferred All Commercial	$10,594.29

INPATIENT MSDRG 711: TESTES PROCEDURES WITH CC/MCC

Facility IP

$20,051.88

Service Code	MS-DRG 711
Hospital Charge Code	MSDRG 711
Min. Negotiated Rate	$11,499.40
Max. Negotiated Rate	$20,051.88
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$16,999.04
Rate for Payer: Anthem Blue Cross of IN Traditional	$20,051.88
Rate for Payer: Plain Church Group Ministry All Commercial	$11,499.40
Rate for Payer: Three Rivers Preferred All Commercial	$15,018.99

INPATIENT MSDRG 712: TESTES PROCEDURES WITHOUT CC/MCC

Facility IP

$12,183.82

Service Code	MS-DRG 712
Hospital Charge Code	MSDRG 712
Min. Negotiated Rate	$6,987.20
Max. Negotiated Rate	$12,183.82
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$10,328.87
Rate for Payer: Anthem Blue Cross of IN Traditional	$12,183.82
Rate for Payer: Plain Church Group Ministry All Commercial	$6,987.20
Rate for Payer: Three Rivers Preferred All Commercial	$9,125.76

INPATIENT MSDRG 713: TRANSURETHRAL PROSTATECTOMY WITH CC/MCC

Facility IP

$14,541.88

Service Code	MS-DRG 713
Hospital Charge Code	MSDRG 713
Min. Negotiated Rate	$8,339.51
Max. Negotiated Rate	$14,541.88
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$12,327.93
Rate for Payer: Anthem Blue Cross of IN Traditional	$14,541.88
Rate for Payer: Plain Church Group Ministry All Commercial	$8,339.51
Rate for Payer: Three Rivers Preferred All Commercial	$10,891.97

INPATIENT MSDRG 714: TRANSURETHRAL PROSTATECTOMY WITHOUT CC/MCC

Facility IP

$9,402.82

Service Code	MS-DRG 714
Hospital Charge Code	MSDRG 714
Min. Negotiated Rate	$5,392.35
Max. Negotiated Rate	$9,402.82
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$7,971.27
Rate for Payer: Anthem Blue Cross of IN Traditional	$9,402.82
Rate for Payer: Plain Church Group Ministry All Commercial	$5,392.35
Rate for Payer: Three Rivers Preferred All Commercial	$7,042.77

INPATIENT MSDRG 715: OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC

Facility IP

$21,914.39

Service Code	MS-DRG 715
Hospital Charge Code	MSDRG 715
Min. Negotiated Rate	$12,567.51
Max. Negotiated Rate	$21,914.39
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$18,577.99
Rate for Payer: Anthem Blue Cross of IN Traditional	$21,914.39
Rate for Payer: Plain Church Group Ministry All Commercial	$12,567.51
Rate for Payer: Three Rivers Preferred All Commercial	$16,414.02

INPATIENT MSDRG 716: OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC

Facility IP

$12,897.23

Service Code	MS-DRG 716
Hospital Charge Code	MSDRG 716
Min. Negotiated Rate	$7,396.33
Max. Negotiated Rate	$12,897.23
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$10,933.66
Rate for Payer: Anthem Blue Cross of IN Traditional	$12,897.23
Rate for Payer: Plain Church Group Ministry All Commercial	$7,396.33
Rate for Payer: Three Rivers Preferred All Commercial	$9,660.11

INPATIENT MSDRG 717: OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC

Facility IP

$17,371.95

Service Code	MS-DRG 717
Hospital Charge Code	MSDRG 717
Min. Negotiated Rate	$9,962.50
Max. Negotiated Rate	$17,371.95
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$14,727.13
Rate for Payer: Anthem Blue Cross of IN Traditional	$17,371.95
Rate for Payer: Plain Church Group Ministry All Commercial	$9,962.50
Rate for Payer: Three Rivers Preferred All Commercial	$13,011.71

INPATIENT MSDRG 718: OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC

Facility IP

$12,452.70

Service Code	MS-DRG 718
Hospital Charge Code	MSDRG 718
Min. Negotiated Rate	$7,141.40
Max. Negotiated Rate	$12,452.70
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$10,556.81
Rate for Payer: Anthem Blue Cross of IN Traditional	$12,452.70
Rate for Payer: Plain Church Group Ministry All Commercial	$7,141.40
Rate for Payer: Three Rivers Preferred All Commercial	$9,327.15

INPATIENT MSDRG 722: MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC

Facility IP

$16,659.53

Service Code	MS-DRG 722
Hospital Charge Code	MSDRG 722
Min. Negotiated Rate	$9,553.94
Max. Negotiated Rate	$16,659.53
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$14,123.17
Rate for Payer: Anthem Blue Cross of IN Traditional	$16,659.53
Rate for Payer: Plain Church Group Ministry All Commercial	$9,553.94
Rate for Payer: Three Rivers Preferred All Commercial	$12,478.10

INPATIENT MSDRG 723: MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC

Facility IP

$11,308.50

Service Code	MS-DRG 723
Hospital Charge Code	MSDRG 723
Min. Negotiated Rate	$6,485.22
Max. Negotiated Rate	$11,308.50
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$9,586.82
Rate for Payer: Anthem Blue Cross of IN Traditional	$11,308.50
Rate for Payer: Plain Church Group Ministry All Commercial	$6,485.22
Rate for Payer: Three Rivers Preferred All Commercial	$8,470.14

INPATIENT MSDRG 724: MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC

Facility IP

$7,507.93

Service Code	MS-DRG 724
Hospital Charge Code	MSDRG 724
Min. Negotiated Rate	$4,305.66
Max. Negotiated Rate	$7,507.93
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$6,364.87
Rate for Payer: Anthem Blue Cross of IN Traditional	$7,507.93
Rate for Payer: Plain Church Group Ministry All Commercial	$4,305.66
Rate for Payer: Three Rivers Preferred All Commercial	$5,623.49

INPATIENT MSDRG 725: BENIGN PROSTATIC HYPERTROPHY WITH MCC

Facility IP

$12,259.38

Service Code	MS-DRG 725
Hospital Charge Code	MSDRG 725
Min. Negotiated Rate	$7,030.54
Max. Negotiated Rate	$12,259.38
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$10,392.93
Rate for Payer: Anthem Blue Cross of IN Traditional	$12,259.38
Rate for Payer: Plain Church Group Ministry All Commercial	$7,030.54
Rate for Payer: Three Rivers Preferred All Commercial	$9,182.36

INPATIENT MSDRG 726: BENIGN PROSTATIC HYPERTROPHY WITHOUT MCC

Facility IP

$7,571.71

Service Code	MS-DRG 726
Hospital Charge Code	MSDRG 726
Min. Negotiated Rate	$4,342.24
Max. Negotiated Rate	$7,571.71
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$6,418.94
Rate for Payer: Anthem Blue Cross of IN Traditional	$7,571.71
Rate for Payer: Plain Church Group Ministry All Commercial	$4,342.24
Rate for Payer: Three Rivers Preferred All Commercial	$5,671.26

INPATIENT MSDRG 727: INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITH MCC

Facility IP

$14,099.32

Service Code	MS-DRG 727
Hospital Charge Code	MSDRG 727
Min. Negotiated Rate	$8,085.71
Max. Negotiated Rate	$14,099.32
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$11,952.74
Rate for Payer: Anthem Blue Cross of IN Traditional	$14,099.32
Rate for Payer: Plain Church Group Ministry All Commercial	$8,085.71
Rate for Payer: Three Rivers Preferred All Commercial	$10,560.48

INPATIENT MSDRG 728: INFLAMMATION OF THE MALE REPRODUCTIVE SYSTEM WITHOUT MCC

Facility IP

$8,063.34

Service Code	MS-DRG 728
Hospital Charge Code	MSDRG 728
Min. Negotiated Rate	$4,624.18
Max. Negotiated Rate	$8,063.34
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$6,835.72
Rate for Payer: Anthem Blue Cross of IN Traditional	$8,063.34
Rate for Payer: Plain Church Group Ministry All Commercial	$4,624.18
Rate for Payer: Three Rivers Preferred All Commercial	$6,039.50

INPATIENT MSDRG 729: OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC

Facility IP

$10,576.45

Service Code	MS-DRG 729
Hospital Charge Code	MSDRG 729
Min. Negotiated Rate	$6,065.41
Max. Negotiated Rate	$10,576.45
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$8,966.22
Rate for Payer: Anthem Blue Cross of IN Traditional	$10,576.45
Rate for Payer: Plain Church Group Ministry All Commercial	$6,065.41
Rate for Payer: Three Rivers Preferred All Commercial	$7,921.83

INPATIENT MSDRG 730: OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC

Facility IP

$6,435.37

Service Code	MS-DRG 730
Hospital Charge Code	MSDRG 730
Min. Negotiated Rate	$3,690.57
Max. Negotiated Rate	$6,435.37
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$5,455.60
Rate for Payer: Anthem Blue Cross of IN Traditional	$6,435.37
Rate for Payer: Plain Church Group Ministry All Commercial	$3,690.57
Rate for Payer: Three Rivers Preferred All Commercial	$4,820.13

INPATIENT MSDRG 734: PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITH CC/MCC

Facility IP

$21,443.37

Service Code	MS-DRG 734
Hospital Charge Code	MSDRG 734
Min. Negotiated Rate	$12,297.39
Max. Negotiated Rate	$21,443.37
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$18,178.68
Rate for Payer: Anthem Blue Cross of IN Traditional	$21,443.37
Rate for Payer: Plain Church Group Ministry All Commercial	$12,297.39
Rate for Payer: Three Rivers Preferred All Commercial	$16,061.22

INPATIENT MSDRG 735: PELVIC EVISCERATION, RADICAL HYSTERECTOMY AND RADICAL VULVECTOMY WITHOUT CC/MCC

Facility IP

$12,484.10

Service Code	MS-DRG 735
Hospital Charge Code	MSDRG 735
Min. Negotiated Rate	$7,159.41
Max. Negotiated Rate	$12,484.10
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$10,583.43
Rate for Payer: Anthem Blue Cross of IN Traditional	$12,484.10
Rate for Payer: Plain Church Group Ministry All Commercial	$7,159.41
Rate for Payer: Three Rivers Preferred All Commercial	$9,350.67

INPATIENT MSDRG 736: UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH MCC

Facility IP

$41,854.41

Service Code	MS-DRG 736
Hospital Charge Code	MSDRG 736
Min. Negotiated Rate	$24,002.75
Max. Negotiated Rate	$41,854.41
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$35,482.20
Rate for Payer: Anthem Blue Cross of IN Traditional	$41,854.41
Rate for Payer: Plain Church Group Ministry All Commercial	$24,002.75
Rate for Payer: Three Rivers Preferred All Commercial	$31,349.22

INPATIENT MSDRG 737: UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITH CC

Facility IP

$19,856.61

Service Code	MS-DRG 737
Hospital Charge Code	MSDRG 737
Min. Negotiated Rate	$11,387.41
Max. Negotiated Rate	$19,856.61
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$16,833.50
Rate for Payer: Anthem Blue Cross of IN Traditional	$19,856.61
Rate for Payer: Plain Church Group Ministry All Commercial	$11,387.41
Rate for Payer: Three Rivers Preferred All Commercial	$14,872.73

INPATIENT MSDRG 738: UTERINE AND ADNEXA PROCEDURES FOR OVARIAN OR ADNEXAL MALIGNANCY WITHOUT CC/MCC

Facility IP

$13,775.49

Service Code	MS-DRG 738
Hospital Charge Code	MSDRG 738
Min. Negotiated Rate	$7,900.00
Max. Negotiated Rate	$13,775.49
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$11,678.21
Rate for Payer: Anthem Blue Cross of IN Traditional	$13,775.49
Rate for Payer: Plain Church Group Ministry All Commercial	$7,900.00
Rate for Payer: Three Rivers Preferred All Commercial	$10,317.93

Price Transparency.

All Charges