Cameron Memorial Community Hospital

All Charges

Charge

Type

Price

INPATIENT MSDRG 808: MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH MCC

Facility IP

$21,009.63

Service Code	MS-DRG 808
Hospital Charge Code	MSDRG 808
Min. Negotiated Rate	$12,048.65
Max. Negotiated Rate	$21,009.63
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$17,810.98
Rate for Payer: Anthem Blue Cross of IN Traditional	$21,009.63
Rate for Payer: Plain Church Group Ministry All Commercial	$12,048.65
Rate for Payer: Three Rivers Preferred All Commercial	$15,736.35

INPATIENT MSDRG 809: MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITH CC

Facility IP

$11,929.66

Service Code	MS-DRG 809
Hospital Charge Code	MSDRG 809
Min. Negotiated Rate	$6,841.45
Max. Negotiated Rate	$11,929.66
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$10,113.41
Rate for Payer: Anthem Blue Cross of IN Traditional	$11,929.66
Rate for Payer: Plain Church Group Ministry All Commercial	$6,841.45
Rate for Payer: Three Rivers Preferred All Commercial	$8,935.40

INPATIENT MSDRG 810: MAJOR HEMATOLOGICAL AND IMMUNOLOGICAL DIAGNOSES EXCEPT SICKLE CELL CRISIS AND COAGULATION DISORDERS WITHOUT CC/MCC

Facility IP

$9,212.44

Service Code	MS-DRG 810
Hospital Charge Code	MSDRG 810
Min. Negotiated Rate	$5,283.17
Max. Negotiated Rate	$9,212.44
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$7,809.88
Rate for Payer: Anthem Blue Cross of IN Traditional	$9,212.44
Rate for Payer: Plain Church Group Ministry All Commercial	$5,283.17
Rate for Payer: Three Rivers Preferred All Commercial	$6,900.18

INPATIENT MSDRG 811: RED BLOOD CELL DISORDERS WITH MCC

Facility IP

$13,643.01

Service Code	MS-DRG 811
Hospital Charge Code	MSDRG 811
Min. Negotiated Rate	$7,824.02
Max. Negotiated Rate	$13,643.01
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$11,565.91
Rate for Payer: Anthem Blue Cross of IN Traditional	$13,643.01
Rate for Payer: Plain Church Group Ministry All Commercial	$7,824.02
Rate for Payer: Three Rivers Preferred All Commercial	$10,218.71

INPATIENT MSDRG 812: RED BLOOD CELL DISORDERS WITHOUT MCC

Facility IP

$8,812.07

Service Code	MS-DRG 812
Hospital Charge Code	MSDRG 812
Min. Negotiated Rate	$5,053.57
Max. Negotiated Rate	$8,812.07
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$7,470.46
Rate for Payer: Anthem Blue Cross of IN Traditional	$8,812.07
Rate for Payer: Plain Church Group Ministry All Commercial	$5,053.57
Rate for Payer: Three Rivers Preferred All Commercial	$6,600.30

INPATIENT MSDRG 813: COAGULATION DISORDERS

Facility IP

$15,358.33

Service Code	MS-DRG 813
Hospital Charge Code	MSDRG 813
Min. Negotiated Rate	$8,807.73
Max. Negotiated Rate	$15,358.33
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$13,020.07
Rate for Payer: Anthem Blue Cross of IN Traditional	$15,358.33
Rate for Payer: Plain Church Group Ministry All Commercial	$8,807.73
Rate for Payer: Three Rivers Preferred All Commercial	$11,503.49

INPATIENT MSDRG 814: RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH MCC

Facility IP

$18,439.61

Service Code	MS-DRG 814
Hospital Charge Code	MSDRG 814
Min. Negotiated Rate	$10,574.79
Max. Negotiated Rate	$18,439.61
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$15,632.23
Rate for Payer: Anthem Blue Cross of IN Traditional	$18,439.61
Rate for Payer: Plain Church Group Ministry All Commercial	$10,574.79
Rate for Payer: Three Rivers Preferred All Commercial	$13,811.39

INPATIENT MSDRG 815: RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITH CC

Facility IP

$10,118.18

Service Code	MS-DRG 815
Hospital Charge Code	MSDRG 815
Min. Negotiated Rate	$5,802.60
Max. Negotiated Rate	$10,118.18
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$8,577.72
Rate for Payer: Anthem Blue Cross of IN Traditional	$10,118.18
Rate for Payer: Plain Church Group Ministry All Commercial	$5,802.60
Rate for Payer: Three Rivers Preferred All Commercial	$7,578.59

INPATIENT MSDRG 816: RETICULOENDOTHELIAL AND IMMUNITY DISORDERS WITHOUT CC/MCC

Facility IP

$7,153.68

Service Code	MS-DRG 816
Hospital Charge Code	MSDRG 816
Min. Negotiated Rate	$4,102.51
Max. Negotiated Rate	$7,153.68
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$6,064.55
Rate for Payer: Anthem Blue Cross of IN Traditional	$7,153.68
Rate for Payer: Plain Church Group Ministry All Commercial	$4,102.51
Rate for Payer: Three Rivers Preferred All Commercial	$5,358.15

INPATIENT MSDRG 817: OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH MCC

Facility IP

$30,712.73

Service Code	MS-DRG 817
Hospital Charge Code	MSDRG 817
Min. Negotiated Rate	$17,613.20
Max. Negotiated Rate	$30,712.73
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$26,036.81
Rate for Payer: Anthem Blue Cross of IN Traditional	$30,712.73
Rate for Payer: Plain Church Group Ministry All Commercial	$17,613.20
Rate for Payer: Three Rivers Preferred All Commercial	$23,004.03

INPATIENT MSDRG 818: OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITH CC

Facility IP

$15,603.65

Service Code	MS-DRG 818
Hospital Charge Code	MSDRG 818
Min. Negotiated Rate	$8,948.41
Max. Negotiated Rate	$15,603.65
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$13,228.04
Rate for Payer: Anthem Blue Cross of IN Traditional	$15,603.65
Rate for Payer: Plain Church Group Ministry All Commercial	$8,948.41
Rate for Payer: Three Rivers Preferred All Commercial	$11,687.24

INPATIENT MSDRG 819: OTHER ANTEPARTUM DIAGNOSES WITH O.R. PROCEDURES WITHOUT CC/MCC

Facility IP

$8,718.85

Service Code	MS-DRG 819
Hospital Charge Code	MSDRG 819
Min. Negotiated Rate	$5,000.10
Max. Negotiated Rate	$8,718.85
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$7,391.43
Rate for Payer: Anthem Blue Cross of IN Traditional	$8,718.85
Rate for Payer: Plain Church Group Ministry All Commercial	$5,000.10
Rate for Payer: Three Rivers Preferred All Commercial	$6,530.48

INPATIENT MSDRG 820: LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH MCC

Facility IP

$52,181.61

Service Code	MS-DRG 820
Hospital Charge Code	MSDRG 820
Min. Negotiated Rate	$29,925.22
Max. Negotiated Rate	$52,181.61
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$44,237.11
Rate for Payer: Anthem Blue Cross of IN Traditional	$52,181.61
Rate for Payer: Plain Church Group Ministry All Commercial	$29,925.22
Rate for Payer: Three Rivers Preferred All Commercial	$39,084.36

INPATIENT MSDRG 821: LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITH CC

Facility IP

$21,219.63

Service Code	MS-DRG 821
Hospital Charge Code	MSDRG 821
Min. Negotiated Rate	$12,169.08
Max. Negotiated Rate	$21,219.63
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$17,989.01
Rate for Payer: Anthem Blue Cross of IN Traditional	$21,219.63
Rate for Payer: Plain Church Group Ministry All Commercial	$12,169.08
Rate for Payer: Three Rivers Preferred All Commercial	$15,893.64

INPATIENT MSDRG 822: LYMPHOMA AND LEUKEMIA WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC

Facility IP

$11,824.67

Service Code	MS-DRG 822
Hospital Charge Code	MSDRG 822
Min. Negotiated Rate	$6,781.23
Max. Negotiated Rate	$11,824.67
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$10,024.40
Rate for Payer: Anthem Blue Cross of IN Traditional	$11,824.67
Rate for Payer: Plain Church Group Ministry All Commercial	$6,781.23
Rate for Payer: Three Rivers Preferred All Commercial	$8,856.75

INPATIENT MSDRG 823: LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH MCC

Facility IP

$42,454.96

Service Code	MS-DRG 823
Hospital Charge Code	MSDRG 823
Min. Negotiated Rate	$24,347.16
Max. Negotiated Rate	$42,454.96
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$35,991.32
Rate for Payer: Anthem Blue Cross of IN Traditional	$42,454.96
Rate for Payer: Plain Church Group Ministry All Commercial	$24,347.16
Rate for Payer: Three Rivers Preferred All Commercial	$31,799.04

INPATIENT MSDRG 824: LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITH CC

Facility IP

$22,474.71

Service Code	MS-DRG 824
Hospital Charge Code	MSDRG 824
Min. Negotiated Rate	$12,888.85
Max. Negotiated Rate	$22,474.71
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$19,053.01
Rate for Payer: Anthem Blue Cross of IN Traditional	$22,474.71
Rate for Payer: Plain Church Group Ministry All Commercial	$12,888.85
Rate for Payer: Three Rivers Preferred All Commercial	$16,833.71

INPATIENT MSDRG 825: LYMPHOMA AND NON-ACUTE LEUKEMIA WITH OTHER PROCEDURES WITHOUT CC/MCC

Facility IP

$12,919.80

Service Code	MS-DRG 825
Hospital Charge Code	MSDRG 825
Min. Negotiated Rate	$7,409.27
Max. Negotiated Rate	$12,919.80
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$10,952.80
Rate for Payer: Anthem Blue Cross of IN Traditional	$12,919.80
Rate for Payer: Plain Church Group Ministry All Commercial	$7,409.27
Rate for Payer: Three Rivers Preferred All Commercial	$9,677.01

INPATIENT MSDRG 826: MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH MCC

Facility IP

$50,457.46

Service Code	MS-DRG 826
Hospital Charge Code	MSDRG 826
Min. Negotiated Rate	$28,936.45
Max. Negotiated Rate	$50,457.46
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$42,775.47
Rate for Payer: Anthem Blue Cross of IN Traditional	$50,457.46
Rate for Payer: Plain Church Group Ministry All Commercial	$28,936.45
Rate for Payer: Three Rivers Preferred All Commercial	$37,792.97

INPATIENT MSDRG 827: MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITH CC

Facility IP

$23,891.71

Service Code	MS-DRG 827
Hospital Charge Code	MSDRG 827
Min. Negotiated Rate	$13,701.47
Max. Negotiated Rate	$23,891.71
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$20,254.27
Rate for Payer: Anthem Blue Cross of IN Traditional	$23,891.71
Rate for Payer: Plain Church Group Ministry All Commercial	$13,701.47
Rate for Payer: Three Rivers Preferred All Commercial	$17,895.05

INPATIENT MSDRG 828: MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH MAJOR O.R. PROCEDURES WITHOUT CC/MCC

Facility IP

$17,065.79

Service Code	MS-DRG 828
Hospital Charge Code	MSDRG 828
Min. Negotiated Rate	$9,786.92
Max. Negotiated Rate	$17,065.79
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$14,467.57
Rate for Payer: Anthem Blue Cross of IN Traditional	$17,065.79
Rate for Payer: Plain Church Group Ministry All Commercial	$9,786.92
Rate for Payer: Three Rivers Preferred All Commercial	$12,782.39

INPATIENT MSDRG 829: MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITH CC/MCC

Facility IP

$31,055.20

Service Code	MS-DRG 829
Hospital Charge Code	MSDRG 829
Min. Negotiated Rate	$17,809.60
Max. Negotiated Rate	$31,055.20
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$26,327.14
Rate for Payer: Anthem Blue Cross of IN Traditional	$31,055.20
Rate for Payer: Plain Church Group Ministry All Commercial	$17,809.60
Rate for Payer: Three Rivers Preferred All Commercial	$23,260.55

INPATIENT MSDRG 830: MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC

Facility IP

$14,430.02

Service Code	MS-DRG 830
Hospital Charge Code	MSDRG 830
Min. Negotiated Rate	$8,275.36
Max. Negotiated Rate	$14,430.02
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$12,233.09
Rate for Payer: Anthem Blue Cross of IN Traditional	$14,430.02
Rate for Payer: Plain Church Group Ministry All Commercial	$8,275.36
Rate for Payer: Three Rivers Preferred All Commercial	$10,808.18

INPATIENT MSDRG 831: OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH MCC

Facility IP

$11,724.57

Service Code	MS-DRG 831
Hospital Charge Code	MSDRG 831
Min. Negotiated Rate	$6,723.83
Max. Negotiated Rate	$11,724.57
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$9,939.54
Rate for Payer: Anthem Blue Cross of IN Traditional	$11,724.57
Rate for Payer: Plain Church Group Ministry All Commercial	$6,723.83
Rate for Payer: Three Rivers Preferred All Commercial	$8,781.78

INPATIENT MSDRG 832: OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITH CC

Facility IP

$6,874.01

Service Code	MS-DRG 832
Hospital Charge Code	MSDRG 832
Min. Negotiated Rate	$3,942.12
Max. Negotiated Rate	$6,874.01
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$5,827.46
Rate for Payer: Anthem Blue Cross of IN Traditional	$6,874.01
Rate for Payer: Plain Church Group Ministry All Commercial	$3,942.12
Rate for Payer: Three Rivers Preferred All Commercial	$5,148.68

Price Transparency.

All Charges