Cameron Memorial Community Hospital

All Charges

Charge

Type

Price

INPATIENT MSDRG 833: OTHER ANTEPARTUM DIAGNOSES WITHOUT O.R. PROCEDURES WITHOUT CC/MCC

Facility IP

$4,945.75

Service Code	MS-DRG 833
Hospital Charge Code	MSDRG 833
Min. Negotiated Rate	$2,836.30
Max. Negotiated Rate	$4,945.75
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$4,192.78
Rate for Payer: Anthem Blue Cross of IN Traditional	$4,945.75
Rate for Payer: Plain Church Group Ministry All Commercial	$2,836.30
Rate for Payer: Three Rivers Preferred All Commercial	$3,704.40

INPATIENT MSDRG 834: ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH MCC

Facility IP

$54,265.89

Service Code	MS-DRG 834
Hospital Charge Code	MSDRG 834
Min. Negotiated Rate	$31,120.52
Max. Negotiated Rate	$54,265.89
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$46,004.07
Rate for Payer: Anthem Blue Cross of IN Traditional	$54,265.89
Rate for Payer: Plain Church Group Ministry All Commercial	$31,120.52
Rate for Payer: Three Rivers Preferred All Commercial	$40,645.50

INPATIENT MSDRG 835: ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITH CC

Facility IP

$20,578.84

Service Code	MS-DRG 835
Hospital Charge Code	MSDRG 835
Min. Negotiated Rate	$11,801.60
Max. Negotiated Rate	$20,578.84
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$17,445.77
Rate for Payer: Anthem Blue Cross of IN Traditional	$20,578.84
Rate for Payer: Plain Church Group Ministry All Commercial	$11,801.60
Rate for Payer: Three Rivers Preferred All Commercial	$15,413.69

INPATIENT MSDRG 836: ACUTE LEUKEMIA WITHOUT MAJOR O.R. PROCEDURES WITHOUT CC/MCC

Facility IP

$15,394.63

Service Code	MS-DRG 836
Hospital Charge Code	MSDRG 836
Min. Negotiated Rate	$8,828.55
Max. Negotiated Rate	$15,394.63
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$13,050.85
Rate for Payer: Anthem Blue Cross of IN Traditional	$15,394.63
Rate for Payer: Plain Church Group Ministry All Commercial	$8,828.55
Rate for Payer: Three Rivers Preferred All Commercial	$11,530.68

INPATIENT MSDRG 837: CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS OR WITH HIGH DOSE CHEMOTHERAPY AGENT WITH MCC

Facility IP

$52,815.53

Service Code	MS-DRG 837
Hospital Charge Code	MSDRG 837
Min. Negotiated Rate	$30,288.76
Max. Negotiated Rate	$52,815.53
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$44,774.52
Rate for Payer: Anthem Blue Cross of IN Traditional	$52,815.53
Rate for Payer: Plain Church Group Ministry All Commercial	$30,288.76
Rate for Payer: Three Rivers Preferred All Commercial	$39,559.17

INPATIENT MSDRG 838: CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC OR HIGH DOSE CHEMOTHERAPY AGENT

Facility IP

$21,825.09

Service Code	MS-DRG 838
Hospital Charge Code	MSDRG 838
Min. Negotiated Rate	$12,516.30
Max. Negotiated Rate	$21,825.09
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$18,502.29
Rate for Payer: Anthem Blue Cross of IN Traditional	$21,825.09
Rate for Payer: Plain Church Group Ministry All Commercial	$12,516.30
Rate for Payer: Three Rivers Preferred All Commercial	$16,347.14

INPATIENT MSDRG 839: CHEMOTHERAPY WITH ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC

Facility IP

$13,489.93

Service Code	MS-DRG 839
Hospital Charge Code	MSDRG 839
Min. Negotiated Rate	$7,736.23
Max. Negotiated Rate	$13,489.93
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$11,436.13
Rate for Payer: Anthem Blue Cross of IN Traditional	$13,489.93
Rate for Payer: Plain Church Group Ministry All Commercial	$7,736.23
Rate for Payer: Three Rivers Preferred All Commercial	$10,104.05

INPATIENT MSDRG 840: LYMPHOMA AND NON-ACUTE LEUKEMIA WITH MCC

Facility IP

$30,488.99

Service Code	MS-DRG 840
Hospital Charge Code	MSDRG 840
Min. Negotiated Rate	$17,484.89
Max. Negotiated Rate	$30,488.99
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$25,847.13
Rate for Payer: Anthem Blue Cross of IN Traditional	$30,488.99
Rate for Payer: Plain Church Group Ministry All Commercial	$17,484.89
Rate for Payer: Three Rivers Preferred All Commercial	$22,836.45

INPATIENT MSDRG 841: LYMPHOMA AND NON-ACUTE LEUKEMIA WITH CC

Facility IP

$15,649.77

Service Code	MS-DRG 841
Hospital Charge Code	MSDRG 841
Min. Negotiated Rate	$8,974.86
Max. Negotiated Rate	$15,649.77
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$13,267.14
Rate for Payer: Anthem Blue Cross of IN Traditional	$15,649.77
Rate for Payer: Plain Church Group Ministry All Commercial	$8,974.86
Rate for Payer: Three Rivers Preferred All Commercial	$11,721.78

INPATIENT MSDRG 842: LYMPHOMA AND NON-ACUTE LEUKEMIA WITHOUT CC/MCC

Facility IP

$10,830.61

Service Code	MS-DRG 842
Hospital Charge Code	MSDRG 842
Min. Negotiated Rate	$6,211.16
Max. Negotiated Rate	$10,830.61
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$9,181.68
Rate for Payer: Anthem Blue Cross of IN Traditional	$10,830.61
Rate for Payer: Plain Church Group Ministry All Commercial	$6,211.16
Rate for Payer: Three Rivers Preferred All Commercial	$8,112.20

INPATIENT MSDRG 843: OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH MCC

Facility IP

$19,011.71

Service Code	MS-DRG 843
Hospital Charge Code	MSDRG 843
Min. Negotiated Rate	$10,902.87
Max. Negotiated Rate	$19,011.71
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$16,117.23
Rate for Payer: Anthem Blue Cross of IN Traditional	$19,011.71
Rate for Payer: Plain Church Group Ministry All Commercial	$10,902.87
Rate for Payer: Three Rivers Preferred All Commercial	$14,239.89

INPATIENT MSDRG 844: OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITH CC

Facility IP

$11,192.71

Service Code	MS-DRG 844
Hospital Charge Code	MSDRG 844
Min. Negotiated Rate	$6,418.82
Max. Negotiated Rate	$11,192.71
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$9,488.65
Rate for Payer: Anthem Blue Cross of IN Traditional	$11,192.71
Rate for Payer: Plain Church Group Ministry All Commercial	$6,418.82
Rate for Payer: Three Rivers Preferred All Commercial	$8,383.41

INPATIENT MSDRG 845: OTHER MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASTIC DIAGNOSES WITHOUT CC/MCC

Facility IP

$8,296.89

Service Code	MS-DRG 845
Hospital Charge Code	MSDRG 845
Min. Negotiated Rate	$4,758.12
Max. Negotiated Rate	$8,296.89
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$7,033.71
Rate for Payer: Anthem Blue Cross of IN Traditional	$8,296.89
Rate for Payer: Plain Church Group Ministry All Commercial	$4,758.12
Rate for Payer: Three Rivers Preferred All Commercial	$6,214.43

INPATIENT MSDRG 846: CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH MCC

Facility IP

$23,639.52

Service Code	MS-DRG 846
Hospital Charge Code	MSDRG 846
Min. Negotiated Rate	$13,556.84
Max. Negotiated Rate	$23,639.52
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$20,040.47
Rate for Payer: Anthem Blue Cross of IN Traditional	$23,639.52
Rate for Payer: Plain Church Group Ministry All Commercial	$13,556.84
Rate for Payer: Three Rivers Preferred All Commercial	$17,706.15

INPATIENT MSDRG 847: CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITH CC

Facility IP

$11,953.22

Service Code	MS-DRG 847
Hospital Charge Code	MSDRG 847
Min. Negotiated Rate	$6,854.96
Max. Negotiated Rate	$11,953.22
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$10,133.37
Rate for Payer: Anthem Blue Cross of IN Traditional	$11,953.22
Rate for Payer: Plain Church Group Ministry All Commercial	$6,854.96
Rate for Payer: Three Rivers Preferred All Commercial	$8,953.04

INPATIENT MSDRG 848: CHEMOTHERAPY WITHOUT ACUTE LEUKEMIA AS SECONDARY DIAGNOSIS WITHOUT CC/MCC

Facility IP

$9,117.26

Service Code	MS-DRG 848
Hospital Charge Code	MSDRG 848
Min. Negotiated Rate	$5,228.58
Max. Negotiated Rate	$9,117.26
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$7,729.18
Rate for Payer: Anthem Blue Cross of IN Traditional	$9,117.26
Rate for Payer: Plain Church Group Ministry All Commercial	$5,228.58
Rate for Payer: Three Rivers Preferred All Commercial	$6,828.89

INPATIENT MSDRG 849: RADIOTHERAPY

Facility IP

$22,951.63

Service Code	MS-DRG 849
Hospital Charge Code	MSDRG 849
Min. Negotiated Rate	$13,162.35
Max. Negotiated Rate	$22,951.63
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$19,457.31
Rate for Payer: Anthem Blue Cross of IN Traditional	$22,951.63
Rate for Payer: Plain Church Group Ministry All Commercial	$13,162.35
Rate for Payer: Three Rivers Preferred All Commercial	$17,190.92

INPATIENT MSDRG 853: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC

Facility IP

$48,093.51

Service Code	MS-DRG 853
Hospital Charge Code	MSDRG 853
Min. Negotiated Rate	$27,580.77
Max. Negotiated Rate	$48,093.51
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$40,771.42
Rate for Payer: Anthem Blue Cross of IN Traditional	$48,093.51
Rate for Payer: Plain Church Group Ministry All Commercial	$27,580.77
Rate for Payer: Three Rivers Preferred All Commercial	$36,022.35

INPATIENT MSDRG 854: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC

Facility IP

$20,171.60

Service Code	MS-DRG 854
Hospital Charge Code	MSDRG 854
Min. Negotiated Rate	$11,568.05
Max. Negotiated Rate	$20,171.60
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$17,100.54
Rate for Payer: Anthem Blue Cross of IN Traditional	$20,171.60
Rate for Payer: Plain Church Group Ministry All Commercial	$11,568.05
Rate for Payer: Three Rivers Preferred All Commercial	$15,108.66

INPATIENT MSDRG 855: INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITHOUT CC/MCC

Facility IP

$14,991.32

Service Code	MS-DRG 855
Hospital Charge Code	MSDRG 855
Min. Negotiated Rate	$8,597.25
Max. Negotiated Rate	$14,991.32
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$12,708.94
Rate for Payer: Anthem Blue Cross of IN Traditional	$14,991.32
Rate for Payer: Plain Church Group Ministry All Commercial	$8,597.25
Rate for Payer: Three Rivers Preferred All Commercial	$11,228.60

INPATIENT MSDRG 856: POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH MCC

Facility IP

$43,301.83

Service Code	MS-DRG 856
Hospital Charge Code	MSDRG 856
Min. Negotiated Rate	$24,832.82
Max. Negotiated Rate	$43,301.83
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$36,709.25
Rate for Payer: Anthem Blue Cross of IN Traditional	$43,301.83
Rate for Payer: Plain Church Group Ministry All Commercial	$24,832.82
Rate for Payer: Three Rivers Preferred All Commercial	$32,433.35

INPATIENT MSDRG 857: POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITH CC

Facility IP

$20,695.62

Service Code	MS-DRG 857
Hospital Charge Code	MSDRG 857
Min. Negotiated Rate	$11,868.57
Max. Negotiated Rate	$20,695.62
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$17,544.77
Rate for Payer: Anthem Blue Cross of IN Traditional	$20,695.62
Rate for Payer: Plain Church Group Ministry All Commercial	$11,868.57
Rate for Payer: Three Rivers Preferred All Commercial	$15,501.15

INPATIENT MSDRG 858: POSTOPERATIVE OR POST-TRAUMATIC INFECTIONS WITH O.R. PROCEDURES WITHOUT CC/MCC

Facility IP

$13,881.47

Service Code	MS-DRG 858
Hospital Charge Code	MSDRG 858
Min. Negotiated Rate	$7,960.77
Max. Negotiated Rate	$13,881.47
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$11,768.06
Rate for Payer: Anthem Blue Cross of IN Traditional	$13,881.47
Rate for Payer: Plain Church Group Ministry All Commercial	$7,960.77
Rate for Payer: Three Rivers Preferred All Commercial	$10,397.31

INPATIENT MSDRG 862: POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITH MCC

Facility IP

$17,948.96

Service Code	MS-DRG 862
Hospital Charge Code	MSDRG 862
Min. Negotiated Rate	$10,293.41
Max. Negotiated Rate	$17,948.96
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$15,216.28
Rate for Payer: Anthem Blue Cross of IN Traditional	$17,948.96
Rate for Payer: Plain Church Group Ministry All Commercial	$10,293.41
Rate for Payer: Three Rivers Preferred All Commercial	$13,443.89

INPATIENT MSDRG 863: POSTOPERATIVE AND POST-TRAUMATIC INFECTIONS WITHOUT MCC

Facility IP

$9,870.90

Service Code	MS-DRG 863
Hospital Charge Code	MSDRG 863
Min. Negotiated Rate	$5,660.78
Max. Negotiated Rate	$9,870.90
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$8,368.08
Rate for Payer: Anthem Blue Cross of IN Traditional	$9,870.90
Rate for Payer: Plain Church Group Ministry All Commercial	$5,660.78
Rate for Payer: Three Rivers Preferred All Commercial	$7,393.37

Price Transparency.

All Charges