Cameron Memorial Community Hospital

All Charges

Charge

Type

Price

INPATIENT MSDRG 739: UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH MCC

Facility IP

$38,293.27

Service Code	MS-DRG 739
Hospital Charge Code	MSDRG 739
Min. Negotiated Rate	$21,960.51
Max. Negotiated Rate	$38,293.27
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$32,463.23
Rate for Payer: Anthem Blue Cross of IN Traditional	$38,293.27
Rate for Payer: Plain Church Group Ministry All Commercial	$21,960.51
Rate for Payer: Three Rivers Preferred All Commercial	$28,681.91

INPATIENT MSDRG 740: UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITH CC

Facility IP

$17,686.95

Service Code	MS-DRG 740
Hospital Charge Code	MSDRG 740
Min. Negotiated Rate	$10,143.15
Max. Negotiated Rate	$17,686.95
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$14,994.17
Rate for Payer: Anthem Blue Cross of IN Traditional	$17,686.95
Rate for Payer: Plain Church Group Ministry All Commercial	$10,143.15
Rate for Payer: Three Rivers Preferred All Commercial	$13,247.64

INPATIENT MSDRG 741: UTERINE AND ADNEXA PROCEDURES FOR NON-OVARIAN AND NON-ADNEXAL MALIGNANCY WITHOUT CC/MCC

Facility IP

$12,883.49

Service Code	MS-DRG 741
Hospital Charge Code	MSDRG 741
Min. Negotiated Rate	$7,388.45
Max. Negotiated Rate	$12,883.49
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$10,922.02
Rate for Payer: Anthem Blue Cross of IN Traditional	$12,883.49
Rate for Payer: Plain Church Group Ministry All Commercial	$7,388.45
Rate for Payer: Three Rivers Preferred All Commercial	$9,649.82

INPATIENT MSDRG 742: UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITH CC/MCC

Facility IP

$17,684.01

Service Code	MS-DRG 742
Hospital Charge Code	MSDRG 742
Min. Negotiated Rate	$10,141.46
Max. Negotiated Rate	$17,684.01
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$14,991.67
Rate for Payer: Anthem Blue Cross of IN Traditional	$17,684.01
Rate for Payer: Plain Church Group Ministry All Commercial	$10,141.46
Rate for Payer: Three Rivers Preferred All Commercial	$13,245.44

INPATIENT MSDRG 743: UTERINE AND ADNEXA PROCEDURES FOR NON-MALIGNANCY WITHOUT CC/MCC

Facility IP

$11,487.10

Service Code	MS-DRG 743
Hospital Charge Code	MSDRG 743
Min. Negotiated Rate	$6,587.65
Max. Negotiated Rate	$11,487.10
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$9,738.22
Rate for Payer: Anthem Blue Cross of IN Traditional	$11,487.10
Rate for Payer: Plain Church Group Ministry All Commercial	$6,587.65
Rate for Payer: Three Rivers Preferred All Commercial	$8,603.91

INPATIENT MSDRG 744: D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITH CC/MCC

Facility IP

$18,628.02

Service Code	MS-DRG 744
Hospital Charge Code	MSDRG 744
Min. Negotiated Rate	$10,682.84
Max. Negotiated Rate	$18,628.02
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$15,791.96
Rate for Payer: Anthem Blue Cross of IN Traditional	$18,628.02
Rate for Payer: Plain Church Group Ministry All Commercial	$10,682.84
Rate for Payer: Three Rivers Preferred All Commercial	$13,952.51

INPATIENT MSDRG 745: D&C, CONIZATION, LAPAROSCOPY AND TUBAL INTERRUPTION WITHOUT CC/MCC

Facility IP

$11,292.80

Service Code	MS-DRG 745
Hospital Charge Code	MSDRG 745
Min. Negotiated Rate	$6,476.22
Max. Negotiated Rate	$11,292.80
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$9,573.51
Rate for Payer: Anthem Blue Cross of IN Traditional	$11,292.80
Rate for Payer: Plain Church Group Ministry All Commercial	$6,476.22
Rate for Payer: Three Rivers Preferred All Commercial	$8,458.38

INPATIENT MSDRG 746: VAGINA, CERVIX AND VULVA PROCEDURES WITH CC/MCC

Facility IP

$15,341.64

Service Code	MS-DRG 746
Hospital Charge Code	MSDRG 746
Min. Negotiated Rate	$8,798.16
Max. Negotiated Rate	$15,341.64
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$13,005.92
Rate for Payer: Anthem Blue Cross of IN Traditional	$15,341.64
Rate for Payer: Plain Church Group Ministry All Commercial	$8,798.16
Rate for Payer: Three Rivers Preferred All Commercial	$11,490.99

INPATIENT MSDRG 747: VAGINA, CERVIX AND VULVA PROCEDURES WITHOUT CC/MCC

Facility IP

$9,603.00

Service Code	MS-DRG 747
Hospital Charge Code	MSDRG 747
Min. Negotiated Rate	$5,507.15
Max. Negotiated Rate	$9,603.00
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$8,140.97
Rate for Payer: Anthem Blue Cross of IN Traditional	$9,603.00
Rate for Payer: Plain Church Group Ministry All Commercial	$5,507.15
Rate for Payer: Three Rivers Preferred All Commercial	$7,192.71

INPATIENT MSDRG 748: FEMALE REPRODUCTIVE SYSTEM RECONSTRUCTIVE PROCEDURES

Facility IP

$13,906.98

Service Code	MS-DRG 748
Hospital Charge Code	MSDRG 748
Min. Negotiated Rate	$7,975.41
Max. Negotiated Rate	$13,906.98
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$11,789.69
Rate for Payer: Anthem Blue Cross of IN Traditional	$13,906.98
Rate for Payer: Plain Church Group Ministry All Commercial	$7,975.41
Rate for Payer: Three Rivers Preferred All Commercial	$10,416.42

INPATIENT MSDRG 749: OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITH CC/MCC

Facility IP

$24,789.60

Service Code	MS-DRG 749
Hospital Charge Code	MSDRG 749
Min. Negotiated Rate	$14,216.39
Max. Negotiated Rate	$24,789.60
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$21,015.46
Rate for Payer: Anthem Blue Cross of IN Traditional	$24,789.60
Rate for Payer: Plain Church Group Ministry All Commercial	$14,216.39
Rate for Payer: Three Rivers Preferred All Commercial	$18,567.57

INPATIENT MSDRG 750: OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC

Facility IP

$14,003.15

Service Code	MS-DRG 750
Hospital Charge Code	MSDRG 750
Min. Negotiated Rate	$8,030.56
Max. Negotiated Rate	$14,003.15
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$11,871.21
Rate for Payer: Anthem Blue Cross of IN Traditional	$14,003.15
Rate for Payer: Plain Church Group Ministry All Commercial	$8,030.56
Rate for Payer: Three Rivers Preferred All Commercial	$10,488.45

INPATIENT MSDRG 754: MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC

Facility IP

$17,044.20

Service Code	MS-DRG 754
Hospital Charge Code	MSDRG 754
Min. Negotiated Rate	$9,774.54
Max. Negotiated Rate	$17,044.20
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$14,449.27
Rate for Payer: Anthem Blue Cross of IN Traditional	$17,044.20
Rate for Payer: Plain Church Group Ministry All Commercial	$9,774.54
Rate for Payer: Three Rivers Preferred All Commercial	$12,766.22

INPATIENT MSDRG 755: MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC

Facility IP

$10,608.83

Service Code	MS-DRG 755
Hospital Charge Code	MSDRG 755
Min. Negotiated Rate	$6,083.98
Max. Negotiated Rate	$10,608.83
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$8,993.67
Rate for Payer: Anthem Blue Cross of IN Traditional	$10,608.83
Rate for Payer: Plain Church Group Ministry All Commercial	$6,083.98
Rate for Payer: Three Rivers Preferred All Commercial	$7,946.09

INPATIENT MSDRG 756: MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC

Facility IP

$9,781.60

Service Code	MS-DRG 756
Hospital Charge Code	MSDRG 756
Min. Negotiated Rate	$5,609.57
Max. Negotiated Rate	$9,781.60
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$8,292.38
Rate for Payer: Anthem Blue Cross of IN Traditional	$9,781.60
Rate for Payer: Plain Church Group Ministry All Commercial	$5,609.57
Rate for Payer: Three Rivers Preferred All Commercial	$7,326.48

INPATIENT MSDRG 757: INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH MCC

Facility IP

$13,465.40

Service Code	MS-DRG 757
Hospital Charge Code	MSDRG 757
Min. Negotiated Rate	$7,722.17
Max. Negotiated Rate	$13,465.40
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$11,415.33
Rate for Payer: Anthem Blue Cross of IN Traditional	$13,465.40
Rate for Payer: Plain Church Group Ministry All Commercial	$7,722.17
Rate for Payer: Three Rivers Preferred All Commercial	$10,085.67

INPATIENT MSDRG 758: INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITH CC

Facility IP

$9,376.32

Service Code	MS-DRG 758
Hospital Charge Code	MSDRG 758
Min. Negotiated Rate	$5,377.15
Max. Negotiated Rate	$9,376.32
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$7,948.80
Rate for Payer: Anthem Blue Cross of IN Traditional	$9,376.32
Rate for Payer: Plain Church Group Ministry All Commercial	$5,377.15
Rate for Payer: Three Rivers Preferred All Commercial	$7,022.93

INPATIENT MSDRG 759: INFECTIONS, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC

Facility IP

$6,087.99

Service Code	MS-DRG 759
Hospital Charge Code	MSDRG 759
Min. Negotiated Rate	$3,491.35
Max. Negotiated Rate	$6,087.99
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$5,161.11
Rate for Payer: Anthem Blue Cross of IN Traditional	$6,087.99
Rate for Payer: Plain Church Group Ministry All Commercial	$3,491.35
Rate for Payer: Three Rivers Preferred All Commercial	$4,559.94

INPATIENT MSDRG 760: MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITH CC/MCC

Facility IP

$9,485.25

Service Code	MS-DRG 760
Hospital Charge Code	MSDRG 760
Min. Negotiated Rate	$5,439.62
Max. Negotiated Rate	$9,485.25
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$8,041.15
Rate for Payer: Anthem Blue Cross of IN Traditional	$9,485.25
Rate for Payer: Plain Church Group Ministry All Commercial	$5,439.62
Rate for Payer: Three Rivers Preferred All Commercial	$7,104.51

INPATIENT MSDRG 761: MENSTRUAL AND OTHER FEMALE REPRODUCTIVE SYSTEM DISORDERS WITHOUT CC/MCC

Facility IP

$5,551.21

Service Code	MS-DRG 761
Hospital Charge Code	MSDRG 761
Min. Negotiated Rate	$3,183.52
Max. Negotiated Rate	$5,551.21
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$4,706.06
Rate for Payer: Anthem Blue Cross of IN Traditional	$5,551.21
Rate for Payer: Plain Church Group Ministry All Commercial	$3,183.52
Rate for Payer: Three Rivers Preferred All Commercial	$4,157.90

INPATIENT MSDRG 768: VAGINAL DELIVERY WITH O.R. PROCEDURES EXCEPT STERILIZATION AND/OR D&C

Facility IP

$11,253.55

Service Code	MS-DRG 768
Hospital Charge Code	MSDRG 768
Min. Negotiated Rate	$6,453.71
Max. Negotiated Rate	$11,253.55
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$9,540.23
Rate for Payer: Anthem Blue Cross of IN Traditional	$11,253.55
Rate for Payer: Plain Church Group Ministry All Commercial	$6,453.71
Rate for Payer: Three Rivers Preferred All Commercial	$8,428.98

INPATIENT MSDRG 769: POSTPARTUM AND POST ABORTION DIAGNOSES WITH O.R. PROCEDURES

Facility IP

$16,302.34

Service Code	MS-DRG 769
Hospital Charge Code	MSDRG 769
Min. Negotiated Rate	$9,349.10
Max. Negotiated Rate	$16,302.34
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$13,820.35
Rate for Payer: Anthem Blue Cross of IN Traditional	$16,302.34
Rate for Payer: Plain Church Group Ministry All Commercial	$9,349.10
Rate for Payer: Three Rivers Preferred All Commercial	$12,210.56

INPATIENT MSDRG 770: ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY

Facility IP

$8,496.10

Service Code	MS-DRG 770
Hospital Charge Code	MSDRG 770
Min. Negotiated Rate	$4,872.36
Max. Negotiated Rate	$8,496.10
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$7,202.59
Rate for Payer: Anthem Blue Cross of IN Traditional	$8,496.10
Rate for Payer: Plain Church Group Ministry All Commercial	$4,872.36
Rate for Payer: Three Rivers Preferred All Commercial	$6,363.63

INPATIENT MSDRG 776: POSTPARTUM AND POST ABORTION DIAGNOSES WITHOUT O.R. PROCEDURES

Facility IP

$6,840.64

Service Code	MS-DRG 776
Hospital Charge Code	MSDRG 776
Min. Negotiated Rate	$3,922.99
Max. Negotiated Rate	$6,840.64
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$5,799.17
Rate for Payer: Anthem Blue Cross of IN Traditional	$6,840.64
Rate for Payer: Plain Church Group Ministry All Commercial	$3,922.99
Rate for Payer: Three Rivers Preferred All Commercial	$5,123.69

INPATIENT MSDRG 779: ABORTION WITHOUT D&C

Facility IP

$9,995.52

Service Code	MS-DRG 779
Hospital Charge Code	MSDRG 779
Min. Negotiated Rate	$5,732.25
Max. Negotiated Rate	$9,995.52
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$8,473.73
Rate for Payer: Anthem Blue Cross of IN Traditional	$9,995.52
Rate for Payer: Plain Church Group Ministry All Commercial	$5,732.25
Rate for Payer: Three Rivers Preferred All Commercial	$7,486.71

Price Transparency.

All Charges