Cameron Memorial Community Hospital

All Charges

Charge

Type

Price

INPATIENT MSDRG 783: CESAREAN SECTION WITH STERILIZATION WITH MCC

Facility IP

$18,936.15

Service Code	MS-DRG 783
Hospital Charge Code	MSDRG 783
Min. Negotiated Rate	$10,859.54
Max. Negotiated Rate	$18,936.15
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$16,053.17
Rate for Payer: Anthem Blue Cross of IN Traditional	$18,936.15
Rate for Payer: Plain Church Group Ministry All Commercial	$10,859.54
Rate for Payer: Three Rivers Preferred All Commercial	$14,183.30

INPATIENT MSDRG 784: CESAREAN SECTION WITH STERILIZATION WITH CC

Facility IP

$10,244.77

Service Code	MS-DRG 784
Hospital Charge Code	MSDRG 784
Min. Negotiated Rate	$5,875.19
Max. Negotiated Rate	$10,244.77
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$8,685.04
Rate for Payer: Anthem Blue Cross of IN Traditional	$10,244.77
Rate for Payer: Plain Church Group Ministry All Commercial	$5,875.19
Rate for Payer: Three Rivers Preferred All Commercial	$7,673.40

INPATIENT MSDRG 785: CESAREAN SECTION WITH STERILIZATION WITHOUT CC/MCC

Facility IP

$8,950.44

Service Code	MS-DRG 785
Hospital Charge Code	MSDRG 785
Min. Negotiated Rate	$5,132.92
Max. Negotiated Rate	$8,950.44
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$7,587.76
Rate for Payer: Anthem Blue Cross of IN Traditional	$8,950.44
Rate for Payer: Plain Church Group Ministry All Commercial	$5,132.92
Rate for Payer: Three Rivers Preferred All Commercial	$6,703.94

INPATIENT MSDRG 786: CESAREAN SECTION WITHOUT STERILIZATION WITH MCC

Facility IP

$15,848.00

Service Code	MS-DRG 786
Hospital Charge Code	MSDRG 786
Min. Negotiated Rate	$9,088.54
Max. Negotiated Rate	$15,848.00
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$13,435.19
Rate for Payer: Anthem Blue Cross of IN Traditional	$15,848.00
Rate for Payer: Plain Church Group Ministry All Commercial	$9,088.54
Rate for Payer: Three Rivers Preferred All Commercial	$11,870.25

INPATIENT MSDRG 787: CESAREAN SECTION WITHOUT STERILIZATION WITH CC

Facility IP

$10,453.79

Service Code	MS-DRG 787
Hospital Charge Code	MSDRG 787
Min. Negotiated Rate	$5,995.06
Max. Negotiated Rate	$10,453.79
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$8,862.23
Rate for Payer: Anthem Blue Cross of IN Traditional	$10,453.79
Rate for Payer: Plain Church Group Ministry All Commercial	$5,995.06
Rate for Payer: Three Rivers Preferred All Commercial	$7,829.96

INPATIENT MSDRG 788: CESAREAN SECTION WITHOUT STERILIZATION WITHOUT CC/MCC

Facility IP

$8,560.86

Service Code	MS-DRG 788
Hospital Charge Code	MSDRG 788
Min. Negotiated Rate	$4,909.50
Max. Negotiated Rate	$8,560.86
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$7,257.50
Rate for Payer: Anthem Blue Cross of IN Traditional	$8,560.86
Rate for Payer: Plain Church Group Ministry All Commercial	$4,909.50
Rate for Payer: Three Rivers Preferred All Commercial	$6,412.14

INPATIENT MSDRG 789: NEONATES, DIED OR TRANSFERRED TO ANOTHER ACUTE CARE FACILITY

Facility IP

$17,916.58

Service Code	MS-DRG 789
Hospital Charge Code	MSDRG 789
Min. Negotiated Rate	$10,274.84
Max. Negotiated Rate	$17,916.58
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$15,188.83
Rate for Payer: Anthem Blue Cross of IN Traditional	$17,916.58
Rate for Payer: Plain Church Group Ministry All Commercial	$10,274.84
Rate for Payer: Three Rivers Preferred All Commercial	$13,419.63

INPATIENT MSDRG 790: EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE

Facility IP

$59,085.05

Service Code	MS-DRG 790
Hospital Charge Code	MSDRG 790
Min. Negotiated Rate	$33,884.22
Max. Negotiated Rate	$59,085.05
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$50,089.53
Rate for Payer: Anthem Blue Cross of IN Traditional	$59,085.05
Rate for Payer: Plain Church Group Ministry All Commercial	$33,884.22
Rate for Payer: Three Rivers Preferred All Commercial	$44,255.09

INPATIENT MSDRG 791: PREMATURITY WITH MAJOR PROBLEMS

Facility IP

$40,352.04

Service Code	MS-DRG 791
Hospital Charge Code	MSDRG 791
Min. Negotiated Rate	$23,141.17
Max. Negotiated Rate	$40,352.04
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$34,208.56
Rate for Payer: Anthem Blue Cross of IN Traditional	$40,352.04
Rate for Payer: Plain Church Group Ministry All Commercial	$23,141.17
Rate for Payer: Three Rivers Preferred All Commercial	$30,223.94

INPATIENT MSDRG 792: PREMATURITY WITHOUT MAJOR PROBLEMS

Facility IP

$24,348.02

Service Code	MS-DRG 792
Hospital Charge Code	MSDRG 792
Min. Negotiated Rate	$13,963.15
Max. Negotiated Rate	$24,348.02
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$20,641.10
Rate for Payer: Anthem Blue Cross of IN Traditional	$24,348.02
Rate for Payer: Plain Church Group Ministry All Commercial	$13,963.15
Rate for Payer: Three Rivers Preferred All Commercial	$18,236.82

INPATIENT MSDRG 793: FULL TERM NEONATE WITH MAJOR PROBLEMS

Facility IP

$41,450.11

Service Code	MS-DRG 793
Hospital Charge Code	MSDRG 793
Min. Negotiated Rate	$23,770.90
Max. Negotiated Rate	$41,450.11
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$35,139.46
Rate for Payer: Anthem Blue Cross of IN Traditional	$41,450.11
Rate for Payer: Plain Church Group Ministry All Commercial	$23,770.90
Rate for Payer: Three Rivers Preferred All Commercial	$31,046.40

INPATIENT MSDRG 794: NEONATE WITH OTHER SIGNIFICANT PROBLEMS

Facility IP

$14,671.42

Service Code	MS-DRG 794
Hospital Charge Code	MSDRG 794
Min. Negotiated Rate	$8,413.79
Max. Negotiated Rate	$14,671.42
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$12,437.74
Rate for Payer: Anthem Blue Cross of IN Traditional	$14,671.42
Rate for Payer: Plain Church Group Ministry All Commercial	$8,413.79
Rate for Payer: Three Rivers Preferred All Commercial	$10,988.99

INPATIENT MSDRG 795: NORMAL NEWBORN

Facility IP

$1,986.15

Service Code	MS-DRG 795
Hospital Charge Code	MSDRG 795
Min. Negotiated Rate	$1,139.02
Max. Negotiated Rate	$1,986.15
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$1,683.77
Rate for Payer: Anthem Blue Cross of IN Traditional	$1,986.15
Rate for Payer: Plain Church Group Ministry All Commercial	$1,139.02
Rate for Payer: Three Rivers Preferred All Commercial	$1,487.64

INPATIENT MSDRG 796: VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH MCC

Facility IP

$12,884.47

Service Code	MS-DRG 796
Hospital Charge Code	MSDRG 796
Min. Negotiated Rate	$7,389.01
Max. Negotiated Rate	$12,884.47
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$10,922.85
Rate for Payer: Anthem Blue Cross of IN Traditional	$12,884.47
Rate for Payer: Plain Church Group Ministry All Commercial	$7,389.01
Rate for Payer: Three Rivers Preferred All Commercial	$9,650.55

INPATIENT MSDRG 797: VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITH CC

Facility IP

$9,105.48

Service Code	MS-DRG 797
Hospital Charge Code	MSDRG 797
Min. Negotiated Rate	$5,221.83
Max. Negotiated Rate	$9,105.48
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$7,719.20
Rate for Payer: Anthem Blue Cross of IN Traditional	$9,105.48
Rate for Payer: Plain Church Group Ministry All Commercial	$5,221.83
Rate for Payer: Three Rivers Preferred All Commercial	$6,820.07

INPATIENT MSDRG 798: VAGINAL DELIVERY WITH STERILIZATION AND/OR D&C WITHOUT CC/MCC

Facility IP

$9,105.48

Service Code	MS-DRG 798
Hospital Charge Code	MSDRG 798
Min. Negotiated Rate	$5,221.83
Max. Negotiated Rate	$9,105.48
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$7,719.20
Rate for Payer: Anthem Blue Cross of IN Traditional	$9,105.48
Rate for Payer: Plain Church Group Ministry All Commercial	$5,221.83
Rate for Payer: Three Rivers Preferred All Commercial	$6,820.07

INPATIENT MSDRG 799: SPLENECTOMY WITH MCC

Facility IP

$51,103.16

Service Code	MS-DRG 799
Hospital Charge Code	MSDRG 799
Min. Negotiated Rate	$29,306.75
Max. Negotiated Rate	$51,103.16
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$43,322.86
Rate for Payer: Anthem Blue Cross of IN Traditional	$51,103.16
Rate for Payer: Plain Church Group Ministry All Commercial	$29,306.75
Rate for Payer: Three Rivers Preferred All Commercial	$38,276.60

INPATIENT MSDRG 800: SPLENECTOMY WITH CC

Facility IP

$26,087.86

Service Code	MS-DRG 800
Hospital Charge Code	MSDRG 800
Min. Negotiated Rate	$14,960.92
Max. Negotiated Rate	$26,087.86
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$22,116.06
Rate for Payer: Anthem Blue Cross of IN Traditional	$26,087.86
Rate for Payer: Plain Church Group Ministry All Commercial	$14,960.92
Rate for Payer: Three Rivers Preferred All Commercial	$19,539.98

INPATIENT MSDRG 801: SPLENECTOMY WITHOUT CC/MCC

Facility IP

$17,624.15

Service Code	MS-DRG 801
Hospital Charge Code	MSDRG 801
Min. Negotiated Rate	$10,107.13
Max. Negotiated Rate	$17,624.15
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$14,940.92
Rate for Payer: Anthem Blue Cross of IN Traditional	$17,624.15
Rate for Payer: Plain Church Group Ministry All Commercial	$10,107.13
Rate for Payer: Three Rivers Preferred All Commercial	$13,200.60

INPATIENT MSDRG 802: OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC

Facility IP

$37,407.16

Service Code	MS-DRG 802
Hospital Charge Code	MSDRG 802
Min. Negotiated Rate	$21,452.33
Max. Negotiated Rate	$37,407.16
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$31,712.03
Rate for Payer: Anthem Blue Cross of IN Traditional	$37,407.16
Rate for Payer: Plain Church Group Ministry All Commercial	$21,452.33
Rate for Payer: Three Rivers Preferred All Commercial	$28,018.20

INPATIENT MSDRG 803: OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC

Facility IP

$20,149.03

Service Code	MS-DRG 803
Hospital Charge Code	MSDRG 803
Min. Negotiated Rate	$11,555.11
Max. Negotiated Rate	$20,149.03
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$17,081.40
Rate for Payer: Anthem Blue Cross of IN Traditional	$20,149.03
Rate for Payer: Plain Church Group Ministry All Commercial	$11,555.11
Rate for Payer: Three Rivers Preferred All Commercial	$15,091.76

INPATIENT MSDRG 804: OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC

Facility IP

$12,382.04

Service Code	MS-DRG 804
Hospital Charge Code	MSDRG 804
Min. Negotiated Rate	$7,100.88
Max. Negotiated Rate	$12,382.04
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$10,496.91
Rate for Payer: Anthem Blue Cross of IN Traditional	$12,382.04
Rate for Payer: Plain Church Group Ministry All Commercial	$7,100.88
Rate for Payer: Three Rivers Preferred All Commercial	$9,274.23

INPATIENT MSDRG 805: VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH MCC

Facility IP

$9,867.95

Service Code	MS-DRG 805
Hospital Charge Code	MSDRG 805
Min. Negotiated Rate	$5,659.09
Max. Negotiated Rate	$9,867.95
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$8,365.59
Rate for Payer: Anthem Blue Cross of IN Traditional	$9,867.95
Rate for Payer: Plain Church Group Ministry All Commercial	$5,659.09
Rate for Payer: Three Rivers Preferred All Commercial	$7,391.16

INPATIENT MSDRG 806: VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITH CC

Facility IP

$6,847.51

Service Code	MS-DRG 806
Hospital Charge Code	MSDRG 806
Min. Negotiated Rate	$3,926.93
Max. Negotiated Rate	$6,847.51
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$5,805.00
Rate for Payer: Anthem Blue Cross of IN Traditional	$6,847.51
Rate for Payer: Plain Church Group Ministry All Commercial	$3,926.93
Rate for Payer: Three Rivers Preferred All Commercial	$5,128.83

INPATIENT MSDRG 807: VAGINAL DELIVERY WITHOUT STERILIZATION OR D&C WITHOUT CC/MCC

Facility IP

$6,195.93

Service Code	MS-DRG 807
Hospital Charge Code	MSDRG 807
Min. Negotiated Rate	$3,553.25
Max. Negotiated Rate	$6,195.93
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$5,252.62
Rate for Payer: Anthem Blue Cross of IN Traditional	$6,195.93
Rate for Payer: Plain Church Group Ministry All Commercial	$3,553.25
Rate for Payer: Three Rivers Preferred All Commercial	$4,640.79

Price Transparency.

All Charges