Cameron Memorial Community Hospital

All Charges

Charge

Type

Setting

Price

APR-DRG 36.00: ACUTE MYOCARDIAL INFARCTION

Facility

$10,331.44

Service Code	APR-DRG 1904
Min. Negotiated Rate	$7,893.20
Max. Negotiated Rate	$10,331.44
Rate for Payer: Anthem Blue Cross of IN Medicaid	$7,893.20
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$7,893.20
Rate for Payer: Managed Health Services Medicaid	$7,893.20
Rate for Payer: MDWise Medicaid	$7,893.20

APR-DRG 36.00: ACUTE MYOCARDIAL INFARCTION

Facility

$4,971.20

Service Code	APR-DRG 1903
Min. Negotiated Rate	$4,087.55
Max. Negotiated Rate	$4,971.20
Rate for Payer: Anthem Blue Cross of IN Medicaid	$4,087.55
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$4,087.55
Rate for Payer: Managed Health Services Medicaid	$4,087.55
Rate for Payer: MDWise Medicaid	$4,087.55

APR-DRG 36.00: ACUTE & SUBACUTE ENDOCARDITIS

Facility

$5,706.07

Service Code	APR-DRG 1932
Min. Negotiated Rate	$3,171.38
Max. Negotiated Rate	$5,706.07
Rate for Payer: Anthem Blue Cross of IN Medicaid	$3,171.38
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$3,171.38
Rate for Payer: Managed Health Services Medicaid	$3,171.38
Rate for Payer: MDWise Medicaid	$3,171.38

APR-DRG 36.00: ACUTE & SUBACUTE ENDOCARDITIS

Facility

$5,273.79

Service Code	APR-DRG 1931
Min. Negotiated Rate	$2,501.86
Max. Negotiated Rate	$5,273.79
Rate for Payer: Anthem Blue Cross of IN Medicaid	$2,501.86
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$2,501.86
Rate for Payer: Managed Health Services Medicaid	$2,501.86
Rate for Payer: MDWise Medicaid	$2,501.86

APR-DRG 36.00: ACUTE & SUBACUTE ENDOCARDITIS

Facility

$9,466.89

Service Code	APR-DRG 1934
Min. Negotiated Rate	$7,188.45
Max. Negotiated Rate	$9,466.89
Rate for Payer: Anthem Blue Cross of IN Medicaid	$7,188.45
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$7,188.45
Rate for Payer: Managed Health Services Medicaid	$7,188.45
Rate for Payer: MDWise Medicaid	$7,188.45

APR-DRG 36.00: ACUTE & SUBACUTE ENDOCARDITIS

Facility

$8,818.47

Service Code	APR-DRG 1933
Min. Negotiated Rate	$4,334.21
Max. Negotiated Rate	$8,818.47
Rate for Payer: Anthem Blue Cross of IN Medicaid	$4,334.21
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$4,334.21
Rate for Payer: Managed Health Services Medicaid	$4,334.21
Rate for Payer: MDWise Medicaid	$4,334.21

APR-DRG 36.00: ADRENAL PROCEDURES

Facility

$6,657.08

Service Code	APR-DRG 4011
Min. Negotiated Rate	$4,898.01
Max. Negotiated Rate	$6,657.08
Rate for Payer: Anthem Blue Cross of IN Medicaid	$4,898.01
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$4,898.01
Rate for Payer: Managed Health Services Medicaid	$4,898.01
Rate for Payer: MDWise Medicaid	$4,898.01

APR-DRG 36.00: ADRENAL PROCEDURES

Facility

$14,481.31

Service Code	APR-DRG 4013
Min. Negotiated Rate	$6,871.31
Max. Negotiated Rate	$14,481.31
Rate for Payer: Anthem Blue Cross of IN Medicaid	$6,871.31
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$6,871.31
Rate for Payer: Managed Health Services Medicaid	$6,871.31
Rate for Payer: MDWise Medicaid	$6,871.31

APR-DRG 36.00: ADRENAL PROCEDURES

Facility

$22,435.23

Service Code	APR-DRG 4014
Min. Negotiated Rate	$6,871.31
Max. Negotiated Rate	$22,435.23
Rate for Payer: Anthem Blue Cross of IN Medicaid	$6,871.31
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$6,871.31
Rate for Payer: Managed Health Services Medicaid	$6,871.31
Rate for Payer: MDWise Medicaid	$6,871.31

APR-DRG 36.00: ADRENAL PROCEDURES

Facility

$9,293.98

Service Code	APR-DRG 4012
Min. Negotiated Rate	$6,871.31
Max. Negotiated Rate	$9,293.98
Rate for Payer: Anthem Blue Cross of IN Medicaid	$6,871.31
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$6,871.31
Rate for Payer: Managed Health Services Medicaid	$6,871.31
Rate for Payer: MDWise Medicaid	$6,871.31

APR-DRG 36.00: ALCOHOL ABUSE & DEPENDENCE

Facility

$9,683.03

Service Code	APR-DRG 7754
Min. Negotiated Rate	$8,175.10
Max. Negotiated Rate	$9,683.03
Rate for Payer: Anthem Blue Cross of IN Medicaid	$8,175.10
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$8,175.10
Rate for Payer: Managed Health Services Medicaid	$8,175.10
Rate for Payer: MDWise Medicaid	$8,175.10

APR-DRG 36.00: ALCOHOL ABUSE & DEPENDENCE

Facility

$2,463.98

Service Code	APR-DRG 7751
Min. Negotiated Rate	$1,726.64
Max. Negotiated Rate	$2,463.98
Rate for Payer: Anthem Blue Cross of IN Medicaid	$1,726.64
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$1,726.64
Rate for Payer: Managed Health Services Medicaid	$1,726.64
Rate for Payer: MDWise Medicaid	$1,726.64

APR-DRG 36.00: ALCOHOL ABUSE & DEPENDENCE

Facility

$4,927.97

Service Code	APR-DRG 7753
Min. Negotiated Rate	$3,840.89
Max. Negotiated Rate	$4,927.97
Rate for Payer: Anthem Blue Cross of IN Medicaid	$3,840.89
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$3,840.89
Rate for Payer: Managed Health Services Medicaid	$3,840.89
Rate for Payer: MDWise Medicaid	$3,840.89

APR-DRG 36.00: ALCOHOL ABUSE & DEPENDENCE

Facility

$2,982.72

Service Code	APR-DRG 7752
Min. Negotiated Rate	$2,219.96
Max. Negotiated Rate	$2,982.72
Rate for Payer: Anthem Blue Cross of IN Medicaid	$2,219.96
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$2,219.96
Rate for Payer: Managed Health Services Medicaid	$2,219.96
Rate for Payer: MDWise Medicaid	$2,219.96

APR-DRG 36.00: ALCOHOL & DRUG DEPENDENCE W REHAB OR REHAB/DETOX THERAPY

Facility

$1,162.84

Service Code	APR-DRG 7721
Min. Negotiated Rate	$1,162.84
Max. Negotiated Rate	$1,162.84
Rate for Payer: Anthem Blue Cross of IN Medicaid	$1,162.84
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$1,162.84
Rate for Payer: Managed Health Services Medicaid	$1,162.84
Rate for Payer: MDWise Medicaid	$1,162.84

APR-DRG 36.00: ALCOHOL & DRUG DEPENDENCE W REHAB OR REHAB/DETOX THERAPY

Facility

$1,162.84

Service Code	APR-DRG 7723
Min. Negotiated Rate	$1,162.84
Max. Negotiated Rate	$1,162.84
Rate for Payer: Anthem Blue Cross of IN Medicaid	$1,162.84
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$1,162.84
Rate for Payer: Managed Health Services Medicaid	$1,162.84
Rate for Payer: MDWise Medicaid	$1,162.84

APR-DRG 36.00: ALCOHOL & DRUG DEPENDENCE W REHAB OR REHAB/DETOX THERAPY

Facility

$1,162.84

Service Code	APR-DRG 7722
Min. Negotiated Rate	$1,162.84
Max. Negotiated Rate	$1,162.84
Rate for Payer: Anthem Blue Cross of IN Medicaid	$1,162.84
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$1,162.84
Rate for Payer: Managed Health Services Medicaid	$1,162.84
Rate for Payer: MDWise Medicaid	$1,162.84

APR-DRG 36.00: ALCOHOL & DRUG DEPENDENCE W REHAB OR REHAB/DETOX THERAPY

Facility

$1,162.84

Service Code	APR-DRG 7724
Min. Negotiated Rate	$1,162.84
Max. Negotiated Rate	$1,162.84
Rate for Payer: Anthem Blue Cross of IN Medicaid	$1,162.84
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$1,162.84
Rate for Payer: Managed Health Services Medicaid	$1,162.84
Rate for Payer: MDWise Medicaid	$1,162.84

APR-DRG 36.00: ALCOHOLIC LIVER DISEASE

Facility

$3,415.00

Service Code	APR-DRG 2802
Min. Negotiated Rate	$2,924.71
Max. Negotiated Rate	$3,415.00
Rate for Payer: Anthem Blue Cross of IN Medicaid	$2,924.71
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$2,924.71
Rate for Payer: Managed Health Services Medicaid	$2,924.71
Rate for Payer: MDWise Medicaid	$2,924.71

APR-DRG 36.00: ALCOHOLIC LIVER DISEASE

Facility

$2,636.90

Service Code	APR-DRG 2801
Min. Negotiated Rate	$2,008.54
Max. Negotiated Rate	$2,636.90
Rate for Payer: Anthem Blue Cross of IN Medicaid	$2,008.54
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$2,008.54
Rate for Payer: Managed Health Services Medicaid	$2,008.54
Rate for Payer: MDWise Medicaid	$2,008.54

APR-DRG 36.00: ALCOHOLIC LIVER DISEASE

Facility

$4,968.49

Service Code	APR-DRG 2803
Min. Negotiated Rate	$4,711.83
Max. Negotiated Rate	$4,968.49
Rate for Payer: Anthem Blue Cross of IN Medicaid	$4,968.49
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$4,968.49
Rate for Payer: Managed Health Services Medicaid	$4,968.49
Rate for Payer: MDWise Medicaid	$4,968.49

APR-DRG 36.00: ALCOHOLIC LIVER DISEASE

Facility

$10,850.18

Service Code	APR-DRG 2804
Min. Negotiated Rate	$10,042.69
Max. Negotiated Rate	$10,850.18
Rate for Payer: Anthem Blue Cross of IN Medicaid	$10,042.69
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$10,042.69
Rate for Payer: Managed Health Services Medicaid	$10,042.69
Rate for Payer: MDWise Medicaid	$10,042.69

APR-DRG 36.00: ALLERGIC REACTIONS

Facility

$1,515.21

Service Code	APR-DRG 8111
Min. Negotiated Rate	$1,253.61
Max. Negotiated Rate	$1,515.21
Rate for Payer: Anthem Blue Cross of IN Medicaid	$1,515.21
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$1,515.21
Rate for Payer: Managed Health Services Medicaid	$1,515.21
Rate for Payer: MDWise Medicaid	$1,515.21

APR-DRG 36.00: ALLERGIC REACTIONS

Facility

$4,122.79

Service Code	APR-DRG 8113
Min. Negotiated Rate	$3,976.96
Max. Negotiated Rate	$4,122.79
Rate for Payer: Anthem Blue Cross of IN Medicaid	$4,122.79
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$4,122.79
Rate for Payer: Managed Health Services Medicaid	$4,122.79
Rate for Payer: MDWise Medicaid	$4,122.79

APR-DRG 36.00: ALLERGIC REACTIONS

Facility

$2,396.15

Service Code	APR-DRG 8112
Min. Negotiated Rate	$1,815.57
Max. Negotiated Rate	$2,396.15
Rate for Payer: Anthem Blue Cross of IN Medicaid	$2,396.15
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$2,396.15
Rate for Payer: Managed Health Services Medicaid	$2,396.15
Rate for Payer: MDWise Medicaid	$2,396.15

Know your out-of-pocket cost for care.

All Charges