Cameron Memorial Community Hospital

All Charges

Charge

Type

Price

INPATIENT MSDRG 864: FEVER AND INFLAMMATORY CONDITIONS

Facility IP

$8,323.39

Service Code	MS-DRG 864
Hospital Charge Code	MSDRG 864
Min. Negotiated Rate	$4,773.31
Max. Negotiated Rate	$8,323.39
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$7,056.18
Rate for Payer: Anthem Blue Cross of IN Traditional	$8,323.39
Rate for Payer: Plain Church Group Ministry All Commercial	$4,773.31
Rate for Payer: Three Rivers Preferred All Commercial	$6,234.27

INPATIENT MSDRG 865: VIRAL ILLNESS WITH MCC

Facility IP

$16,415.19

Service Code	MS-DRG 865
Hospital Charge Code	MSDRG 865
Min. Negotiated Rate	$9,413.82
Max. Negotiated Rate	$16,415.19
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$13,916.02
Rate for Payer: Anthem Blue Cross of IN Traditional	$16,415.19
Rate for Payer: Plain Church Group Ministry All Commercial	$9,413.82
Rate for Payer: Three Rivers Preferred All Commercial	$12,295.08

INPATIENT MSDRG 866: VIRAL ILLNESS WITHOUT MCC

Facility IP

$8,828.76

Service Code	MS-DRG 866
Hospital Charge Code	MSDRG 866
Min. Negotiated Rate	$5,063.13
Max. Negotiated Rate	$8,828.76
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$7,484.60
Rate for Payer: Anthem Blue Cross of IN Traditional	$8,828.76
Rate for Payer: Plain Church Group Ministry All Commercial	$5,063.13
Rate for Payer: Three Rivers Preferred All Commercial	$6,612.80

INPATIENT MSDRG 867: OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC

Facility IP

$20,738.79

Service Code	MS-DRG 867
Hospital Charge Code	MSDRG 867
Min. Negotiated Rate	$11,893.33
Max. Negotiated Rate	$20,738.79
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$17,581.37
Rate for Payer: Anthem Blue Cross of IN Traditional	$20,738.79
Rate for Payer: Plain Church Group Ministry All Commercial	$11,893.33
Rate for Payer: Three Rivers Preferred All Commercial	$15,533.49

INPATIENT MSDRG 868: OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC

Facility IP

$10,359.58

Service Code	MS-DRG 868
Hospital Charge Code	MSDRG 868
Min. Negotiated Rate	$5,941.04
Max. Negotiated Rate	$10,359.58
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$8,782.37
Rate for Payer: Anthem Blue Cross of IN Traditional	$10,359.58
Rate for Payer: Plain Church Group Ministry All Commercial	$5,941.04
Rate for Payer: Three Rivers Preferred All Commercial	$7,759.40

INPATIENT MSDRG 869: OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC

Facility IP

$7,269.47

Service Code	MS-DRG 869
Hospital Charge Code	MSDRG 869
Min. Negotiated Rate	$4,168.91
Max. Negotiated Rate	$7,269.47
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$6,162.72
Rate for Payer: Anthem Blue Cross of IN Traditional	$7,269.47
Rate for Payer: Plain Church Group Ministry All Commercial	$4,168.91
Rate for Payer: Three Rivers Preferred All Commercial	$5,444.88

INPATIENT MSDRG 870: SEPTICEMIA OR SEVERE SEPSIS WITH MV >96 HOURS

Facility IP

$66,639.10

Service Code	MS-DRG 870
Hospital Charge Code	MSDRG 870
Min. Negotiated Rate	$38,216.33
Max. Negotiated Rate	$66,639.10
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$56,493.50
Rate for Payer: Anthem Blue Cross of IN Traditional	$66,639.10
Rate for Payer: Plain Church Group Ministry All Commercial	$38,216.33
Rate for Payer: Three Rivers Preferred All Commercial	$49,913.12

INPATIENT MSDRG 871: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITH MCC

Facility IP

$19,206.00

Service Code	MS-DRG 871
Hospital Charge Code	MSDRG 871
Min. Negotiated Rate	$11,014.30
Max. Negotiated Rate	$19,206.00
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$16,281.95
Rate for Payer: Anthem Blue Cross of IN Traditional	$19,206.00
Rate for Payer: Plain Church Group Ministry All Commercial	$11,014.30
Rate for Payer: Three Rivers Preferred All Commercial	$14,385.42

INPATIENT MSDRG 872: SEPTICEMIA OR SEVERE SEPSIS WITHOUT MV >96 HOURS WITHOUT MCC

Facility IP

$10,087.76

Service Code	MS-DRG 872
Hospital Charge Code	MSDRG 872
Min. Negotiated Rate	$5,785.15
Max. Negotiated Rate	$10,087.76
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$8,551.93
Rate for Payer: Anthem Blue Cross of IN Traditional	$10,087.76
Rate for Payer: Plain Church Group Ministry All Commercial	$5,785.15
Rate for Payer: Three Rivers Preferred All Commercial	$7,555.80

INPATIENT MSDRG 876: O.R. PROCEDURES WITH PRINCIPAL DIAGNOSIS OF MENTAL ILLNESS

Facility IP

$31,365.29

Service Code	MS-DRG 876
Hospital Charge Code	MSDRG 876
Min. Negotiated Rate	$17,987.43
Max. Negotiated Rate	$31,365.29
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$26,590.02
Rate for Payer: Anthem Blue Cross of IN Traditional	$31,365.29
Rate for Payer: Plain Church Group Ministry All Commercial	$17,987.43
Rate for Payer: Three Rivers Preferred All Commercial	$23,492.81

INPATIENT MSDRG 880: ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION

Facility IP

$8,892.54

Service Code	MS-DRG 880
Hospital Charge Code	MSDRG 880
Min. Negotiated Rate	$5,099.71
Max. Negotiated Rate	$8,892.54
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$7,538.68
Rate for Payer: Anthem Blue Cross of IN Traditional	$8,892.54
Rate for Payer: Plain Church Group Ministry All Commercial	$5,099.71
Rate for Payer: Three Rivers Preferred All Commercial	$6,660.57

INPATIENT MSDRG 881: DEPRESSIVE NEUROSES

Facility IP

$8,395.02

Service Code	MS-DRG 881
Hospital Charge Code	MSDRG 881
Min. Negotiated Rate	$4,814.39
Max. Negotiated Rate	$8,395.02
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$7,116.90
Rate for Payer: Anthem Blue Cross of IN Traditional	$8,395.02
Rate for Payer: Plain Church Group Ministry All Commercial	$4,814.39
Rate for Payer: Three Rivers Preferred All Commercial	$6,287.93

INPATIENT MSDRG 882: NEUROSES EXCEPT DEPRESSIVE

Facility IP

$8,571.66

Service Code	MS-DRG 882
Hospital Charge Code	MSDRG 882
Min. Negotiated Rate	$4,915.69
Max. Negotiated Rate	$8,571.66
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$7,266.65
Rate for Payer: Anthem Blue Cross of IN Traditional	$8,571.66
Rate for Payer: Plain Church Group Ministry All Commercial	$4,915.69
Rate for Payer: Three Rivers Preferred All Commercial	$6,420.23

INPATIENT MSDRG 883: DISORDERS OF PERSONALITY AND IMPULSE CONTROL

Facility IP

$15,843.09

Service Code	MS-DRG 883
Hospital Charge Code	MSDRG 883
Min. Negotiated Rate	$9,085.73
Max. Negotiated Rate	$15,843.09
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$13,431.03
Rate for Payer: Anthem Blue Cross of IN Traditional	$15,843.09
Rate for Payer: Plain Church Group Ministry All Commercial	$9,085.73
Rate for Payer: Three Rivers Preferred All Commercial	$11,866.58

INPATIENT MSDRG 884: ORGANIC DISTURBANCES AND INTELLECTUAL DISABILITY

Facility IP

$15,406.41

Service Code	MS-DRG 884
Hospital Charge Code	MSDRG 884
Min. Negotiated Rate	$8,835.30
Max. Negotiated Rate	$15,406.41
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$13,060.83
Rate for Payer: Anthem Blue Cross of IN Traditional	$15,406.41
Rate for Payer: Plain Church Group Ministry All Commercial	$8,835.30
Rate for Payer: Three Rivers Preferred All Commercial	$11,539.50

INPATIENT MSDRG 885: PSYCHOSES

Facility IP

$12,712.74

Service Code	MS-DRG 885
Hospital Charge Code	MSDRG 885
Min. Negotiated Rate	$7,290.53
Max. Negotiated Rate	$12,712.74
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$10,777.26
Rate for Payer: Anthem Blue Cross of IN Traditional	$12,712.74
Rate for Payer: Plain Church Group Ministry All Commercial	$7,290.53
Rate for Payer: Three Rivers Preferred All Commercial	$9,521.93

INPATIENT MSDRG 886: BEHAVIORAL AND DEVELOPMENTAL DISORDERS

Facility IP

$13,394.75

Service Code	MS-DRG 886
Hospital Charge Code	MSDRG 886
Min. Negotiated Rate	$7,681.65
Max. Negotiated Rate	$13,394.75
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$11,355.44
Rate for Payer: Anthem Blue Cross of IN Traditional	$13,394.75
Rate for Payer: Plain Church Group Ministry All Commercial	$7,681.65
Rate for Payer: Three Rivers Preferred All Commercial	$10,032.75

INPATIENT MSDRG 887: OTHER MENTAL DISORDER DIAGNOSES

Facility IP

$12,722.55

Service Code	MS-DRG 887
Hospital Charge Code	MSDRG 887
Min. Negotiated Rate	$7,296.16
Max. Negotiated Rate	$12,722.55
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$10,785.58
Rate for Payer: Anthem Blue Cross of IN Traditional	$12,722.55
Rate for Payer: Plain Church Group Ministry All Commercial	$7,296.16
Rate for Payer: Three Rivers Preferred All Commercial	$9,529.28

INPATIENT MSDRG 894: ALCOHOL, DRUG ABUSE OR DEPENDENCE, LEFT AMA

Facility IP

$5,611.07

Service Code	MS-DRG 894
Hospital Charge Code	MSDRG 894
Min. Negotiated Rate	$3,217.85
Max. Negotiated Rate	$5,611.07
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$4,756.80
Rate for Payer: Anthem Blue Cross of IN Traditional	$5,611.07
Rate for Payer: Plain Church Group Ministry All Commercial	$3,217.85
Rate for Payer: Three Rivers Preferred All Commercial	$4,202.73

INPATIENT MSDRG 895: ALCOHOL, DRUG ABUSE OR DEPENDENCE WITH REHABILITATION THERAPY

Facility IP

$15,295.52

Service Code	MS-DRG 895
Hospital Charge Code	MSDRG 895
Min. Negotiated Rate	$8,771.71
Max. Negotiated Rate	$15,295.52
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$12,966.83
Rate for Payer: Anthem Blue Cross of IN Traditional	$15,295.52
Rate for Payer: Plain Church Group Ministry All Commercial	$8,771.71
Rate for Payer: Three Rivers Preferred All Commercial	$11,456.45

INPATIENT MSDRG 896: ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITH MCC

Facility IP

$17,227.70

Service Code	MS-DRG 896
Hospital Charge Code	MSDRG 896
Min. Negotiated Rate	$9,879.78
Max. Negotiated Rate	$17,227.70
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$14,604.84
Rate for Payer: Anthem Blue Cross of IN Traditional	$17,227.70
Rate for Payer: Plain Church Group Ministry All Commercial	$9,879.78
Rate for Payer: Three Rivers Preferred All Commercial	$12,903.66

INPATIENT MSDRG 897: ALCOHOL, DRUG ABUSE OR DEPENDENCE WITHOUT REHABILITATION THERAPY WITHOUT MCC

Facility IP

$8,353.81

Service Code	MS-DRG 897
Hospital Charge Code	MSDRG 897
Min. Negotiated Rate	$4,790.76
Max. Negotiated Rate	$8,353.81
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$7,081.96
Rate for Payer: Anthem Blue Cross of IN Traditional	$8,353.81
Rate for Payer: Plain Church Group Ministry All Commercial	$4,790.76
Rate for Payer: Three Rivers Preferred All Commercial	$6,257.06

INPATIENT MSDRG 901: WOUND DEBRIDEMENTS FOR INJURIES WITH MCC

Facility IP

$43,163.46

Service Code	MS-DRG 901
Hospital Charge Code	MSDRG 901
Min. Negotiated Rate	$24,753.47
Max. Negotiated Rate	$43,163.46
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$36,591.95
Rate for Payer: Anthem Blue Cross of IN Traditional	$43,163.46
Rate for Payer: Plain Church Group Ministry All Commercial	$24,753.47
Rate for Payer: Three Rivers Preferred All Commercial	$32,329.71

INPATIENT MSDRG 902: WOUND DEBRIDEMENTS FOR INJURIES WITH CC

Facility IP

$19,447.40

Service Code	MS-DRG 902
Hospital Charge Code	MSDRG 902
Min. Negotiated Rate	$11,152.74
Max. Negotiated Rate	$19,447.40
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$16,486.59
Rate for Payer: Anthem Blue Cross of IN Traditional	$19,447.40
Rate for Payer: Plain Church Group Ministry All Commercial	$11,152.74
Rate for Payer: Three Rivers Preferred All Commercial	$14,566.23

INPATIENT MSDRG 903: WOUND DEBRIDEMENTS FOR INJURIES WITHOUT CC/MCC

Facility IP

$11,928.68

Service Code	MS-DRG 903
Hospital Charge Code	MSDRG 903
Min. Negotiated Rate	$6,840.89
Max. Negotiated Rate	$11,928.68
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$10,112.58
Rate for Payer: Anthem Blue Cross of IN Traditional	$11,928.68
Rate for Payer: Plain Church Group Ministry All Commercial	$6,840.89
Rate for Payer: Three Rivers Preferred All Commercial	$8,934.66

Price Transparency.

All Charges