Cameron Memorial Community Hospital

All Charges

Charge

Type

Setting

Price

APR-DRG 36.00: ACUTE & SUBACUTE ENDOCARDITIS

Facility

$7,175.81

Service Code	APR-DRG 1933
Min. Negotiated Rate	$4,334.21
Max. Negotiated Rate	$7,175.81
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

$5,403.48

Service Code	APR-DRG 4011
Min. Negotiated Rate	$4,898.01
Max. Negotiated Rate	$5,403.48
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

$7,391.95

Service Code	APR-DRG 4012
Min. Negotiated Rate	$6,871.31
Max. Negotiated Rate	$7,391.95
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

$13,746.44

Service Code	APR-DRG 4013
Min. Negotiated Rate	$6,871.31
Max. Negotiated Rate	$13,746.44
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

$21,959.72

Service Code	APR-DRG 4014
Min. Negotiated Rate	$6,871.31
Max. Negotiated Rate	$21,959.72
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

$10,850.18

Service Code	APR-DRG 7754
Min. Negotiated Rate	$8,175.10
Max. Negotiated Rate	$10,850.18
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

$2,636.90

Service Code	APR-DRG 7752
Min. Negotiated Rate	$2,219.96
Max. Negotiated Rate	$2,636.90
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 ABUSE & DEPENDENCE

Facility

$4,798.29

Service Code	APR-DRG 7753
Min. Negotiated Rate	$3,840.89
Max. Negotiated Rate	$4,798.29
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

$1,729.11

Service Code	APR-DRG 7751
Min. Negotiated Rate	$1,726.64
Max. Negotiated Rate	$1,729.11
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 & 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 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 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: 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: ALCOHOLIC LIVER DISEASE

Facility

$5,706.07

Service Code	APR-DRG 2803
Min. Negotiated Rate	$4,968.49
Max. Negotiated Rate	$5,706.07
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

$11,196.00

Service Code	APR-DRG 2804
Min. Negotiated Rate	$10,042.69
Max. Negotiated Rate	$11,196.00
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: ALCOHOLIC LIVER DISEASE

Facility

$2,723.35

Service Code	APR-DRG 2801
Min. Negotiated Rate	$2,008.54
Max. Negotiated Rate	$2,723.35
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

$3,631.14

Service Code	APR-DRG 2802
Min. Negotiated Rate	$2,924.71
Max. Negotiated Rate	$3,631.14
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: ALLERGIC REACTIONS

Facility

$2,420.76

Service Code	APR-DRG 8112
Min. Negotiated Rate	$2,396.15
Max. Negotiated Rate	$2,420.76
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

APR-DRG 36.00: ALLERGIC REACTIONS

Facility

$4,711.83

Service Code	APR-DRG 8113
Min. Negotiated Rate	$4,122.79
Max. Negotiated Rate	$4,711.83
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

$9,164.29

Service Code	APR-DRG 8114
Min. Negotiated Rate	$5,285.62
Max. Negotiated Rate	$9,164.29
Rate for Payer: Anthem Blue Cross of IN Medicaid	$5,285.62
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$5,285.62
Rate for Payer: Managed Health Services Medicaid	$5,285.62
Rate for Payer: MDWise Medicaid	$5,285.62

APR-DRG 36.00: ALLERGIC REACTIONS

Facility

$1,685.88

Service Code	APR-DRG 8111
Min. Negotiated Rate	$1,515.21
Max. Negotiated Rate	$1,685.88
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: ALLOGENEIC BONE MARROW TRANSPLANT

Facility

$40,241.22

Service Code	APR-DRG 0071
Min. Negotiated Rate	$31,815.66
Max. Negotiated Rate	$40,241.22
Rate for Payer: Anthem Blue Cross of IN Medicaid	$40,241.22
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$40,241.22
Rate for Payer: Managed Health Services Medicaid	$40,241.22
Rate for Payer: MDWise Medicaid	$40,241.22

APR-DRG 36.00: ALLOGENEIC BONE MARROW TRANSPLANT

Facility

$80,490.16

Service Code	APR-DRG 0074
Min. Negotiated Rate	$66,634.11
Max. Negotiated Rate	$80,490.16
Rate for Payer: Anthem Blue Cross of IN Medicaid	$66,634.11
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$66,634.11
Rate for Payer: Managed Health Services Medicaid	$66,634.11
Rate for Payer: MDWise Medicaid	$66,634.11

APR-DRG 36.00: ALLOGENEIC BONE MARROW TRANSPLANT

Facility

$40,241.22

Service Code	APR-DRG 0072
Min. Negotiated Rate	$36,051.99
Max. Negotiated Rate	$40,241.22
Rate for Payer: Anthem Blue Cross of IN Medicaid	$40,241.22
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$40,241.22
Rate for Payer: Managed Health Services Medicaid	$40,241.22
Rate for Payer: MDWise Medicaid	$40,241.22

APR-DRG 36.00: ALLOGENEIC BONE MARROW TRANSPLANT

Facility

$51,181.72

Service Code	APR-DRG 0073
Min. Negotiated Rate	$40,241.22
Max. Negotiated Rate	$51,181.72
Rate for Payer: Anthem Blue Cross of IN Medicaid	$40,241.22
Rate for Payer: CareSource Indiana of IN Hoosier Healthwise/HIP	$40,241.22
Rate for Payer: Managed Health Services Medicaid	$40,241.22
Rate for Payer: MDWise Medicaid	$40,241.22

Know your out-of-pocket cost for care.

All Charges