Cameron Memorial Community Hospital

All Charges

Charge

Type

Price

INPATIENT MSDRG 941: O.R. PROCEDURES WITH DIAGNOSES OF OTHER CONTACT WITH HEALTH SERVICES WITHOUT CC/MCC

Facility IP

$18,521.06

Service Code	MS-DRG 941
Hospital Charge Code	MSDRG 941
Min. Negotiated Rate	$10,621.49
Max. Negotiated Rate	$18,521.06
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$15,701.28
Rate for Payer: Anthem Blue Cross of IN Traditional	$18,521.06
Rate for Payer: Plain Church Group Ministry All Commercial	$10,621.49
Rate for Payer: Three Rivers Preferred All Commercial	$13,872.39

INPATIENT MSDRG 945: REHABILITATION WITH CC/MCC

Facility IP

$14,770.53

Service Code	MS-DRG 945
Hospital Charge Code	MSDRG 945
Min. Negotiated Rate	$8,470.63
Max. Negotiated Rate	$14,770.53
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$12,521.76
Rate for Payer: Anthem Blue Cross of IN Traditional	$14,770.53
Rate for Payer: Plain Church Group Ministry All Commercial	$8,470.63
Rate for Payer: Three Rivers Preferred All Commercial	$11,063.22

INPATIENT MSDRG 946: REHABILITATION WITHOUT CC/MCC

Facility IP

$11,016.07

Service Code	MS-DRG 946
Hospital Charge Code	MSDRG 946
Min. Negotiated Rate	$6,317.52
Max. Negotiated Rate	$11,016.07
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$9,338.91
Rate for Payer: Anthem Blue Cross of IN Traditional	$11,016.07
Rate for Payer: Plain Church Group Ministry All Commercial	$6,317.52
Rate for Payer: Three Rivers Preferred All Commercial	$8,251.11

INPATIENT MSDRG 947: SIGNS AND SYMPTOMS WITH MCC

Facility IP

$11,928.68

Service Code	MS-DRG 947
Hospital Charge Code	MSDRG 947
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

INPATIENT MSDRG 948: SIGNS AND SYMPTOMS WITHOUT MCC

Facility IP

$7,630.59

Service Code	MS-DRG 948
Hospital Charge Code	MSDRG 948
Min. Negotiated Rate	$4,376.01
Max. Negotiated Rate	$7,630.59
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$6,468.85
Rate for Payer: Anthem Blue Cross of IN Traditional	$7,630.59
Rate for Payer: Plain Church Group Ministry All Commercial	$4,376.01
Rate for Payer: Three Rivers Preferred All Commercial	$5,715.36

INPATIENT MSDRG 949: AFTERCARE WITH CC/MCC

Facility IP

$11,697.10

Service Code	MS-DRG 949
Hospital Charge Code	MSDRG 949
Min. Negotiated Rate	$6,708.08
Max. Negotiated Rate	$11,697.10
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$9,916.25
Rate for Payer: Anthem Blue Cross of IN Traditional	$11,697.10
Rate for Payer: Plain Church Group Ministry All Commercial	$6,708.08
Rate for Payer: Three Rivers Preferred All Commercial	$8,761.20

INPATIENT MSDRG 950: AFTERCARE WITHOUT CC/MCC

Facility IP

$6,962.32

Service Code	MS-DRG 950
Hospital Charge Code	MSDRG 950
Min. Negotiated Rate	$3,992.77
Max. Negotiated Rate	$6,962.32
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$5,902.33
Rate for Payer: Anthem Blue Cross of IN Traditional	$6,962.32
Rate for Payer: Plain Church Group Ministry All Commercial	$3,992.77
Rate for Payer: Three Rivers Preferred All Commercial	$5,214.83

INPATIENT MSDRG 951: OTHER FACTORS INFLUENCING HEALTH STATUS

Facility IP

$5,585.56

Service Code	MS-DRG 951
Hospital Charge Code	MSDRG 951
Min. Negotiated Rate	$3,203.22
Max. Negotiated Rate	$5,585.56
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$4,735.17
Rate for Payer: Anthem Blue Cross of IN Traditional	$5,585.56
Rate for Payer: Plain Church Group Ministry All Commercial	$3,203.22
Rate for Payer: Three Rivers Preferred All Commercial	$4,183.62

INPATIENT MSDRG 955: CRANIOTOMY FOR MULTIPLE SIGNIFICANT TRAUMA

Facility IP

$66,100.37

Service Code	MS-DRG 955
Hospital Charge Code	MSDRG 955
Min. Negotiated Rate	$37,907.38
Max. Negotiated Rate	$66,100.37
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$56,036.78
Rate for Payer: Anthem Blue Cross of IN Traditional	$66,100.37
Rate for Payer: Plain Church Group Ministry All Commercial	$37,907.38
Rate for Payer: Three Rivers Preferred All Commercial	$49,509.60

INPATIENT MSDRG 956: LIMB REATTACHMENT, HIP AND FEMUR PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA

Facility IP

$37,330.61

Service Code	MS-DRG 956
Hospital Charge Code	MSDRG 956
Min. Negotiated Rate	$21,408.44
Max. Negotiated Rate	$37,330.61
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$31,647.14
Rate for Payer: Anthem Blue Cross of IN Traditional	$37,330.61
Rate for Payer: Plain Church Group Ministry All Commercial	$21,408.44
Rate for Payer: Three Rivers Preferred All Commercial	$27,960.87

INPATIENT MSDRG 957: OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC

Facility IP

$72,719.24

Service Code	MS-DRG 957
Hospital Charge Code	MSDRG 957
Min. Negotiated Rate	$41,703.18
Max. Negotiated Rate	$72,719.24
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$61,647.95
Rate for Payer: Anthem Blue Cross of IN Traditional	$72,719.24
Rate for Payer: Plain Church Group Ministry All Commercial	$41,703.18
Rate for Payer: Three Rivers Preferred All Commercial	$54,467.18

INPATIENT MSDRG 958: OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC

Facility IP

$40,925.12

Service Code	MS-DRG 958
Hospital Charge Code	MSDRG 958
Min. Negotiated Rate	$23,469.82
Max. Negotiated Rate	$40,925.12
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$34,694.39
Rate for Payer: Anthem Blue Cross of IN Traditional	$40,925.12
Rate for Payer: Plain Church Group Ministry All Commercial	$23,469.82
Rate for Payer: Three Rivers Preferred All Commercial	$30,653.18

INPATIENT MSDRG 959: OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC

Facility IP

$25,206.65

Service Code	MS-DRG 959
Hospital Charge Code	MSDRG 959
Min. Negotiated Rate	$14,455.56
Max. Negotiated Rate	$25,206.65
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$21,369.02
Rate for Payer: Anthem Blue Cross of IN Traditional	$25,206.65
Rate for Payer: Plain Church Group Ministry All Commercial	$14,455.56
Rate for Payer: Three Rivers Preferred All Commercial	$18,879.95

INPATIENT MSDRG 963: OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC

Facility IP

$27,213.41

Service Code	MS-DRG 963
Hospital Charge Code	MSDRG 963
Min. Negotiated Rate	$15,606.40
Max. Negotiated Rate	$27,213.41
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$23,070.25
Rate for Payer: Anthem Blue Cross of IN Traditional	$27,213.41
Rate for Payer: Plain Church Group Ministry All Commercial	$15,606.40
Rate for Payer: Three Rivers Preferred All Commercial	$20,383.02

INPATIENT MSDRG 964: OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC

Facility IP

$14,371.14

Service Code	MS-DRG 964
Hospital Charge Code	MSDRG 964
Min. Negotiated Rate	$8,241.59
Max. Negotiated Rate	$14,371.14
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$12,183.18
Rate for Payer: Anthem Blue Cross of IN Traditional	$14,371.14
Rate for Payer: Plain Church Group Ministry All Commercial	$8,241.59
Rate for Payer: Three Rivers Preferred All Commercial	$10,764.08

INPATIENT MSDRG 965: OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC

Facility IP

$8,928.85

Service Code	MS-DRG 965
Hospital Charge Code	MSDRG 965
Min. Negotiated Rate	$5,120.54
Max. Negotiated Rate	$8,928.85
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$7,569.46
Rate for Payer: Anthem Blue Cross of IN Traditional	$8,928.85
Rate for Payer: Plain Church Group Ministry All Commercial	$5,120.54
Rate for Payer: Three Rivers Preferred All Commercial	$6,687.77

INPATIENT MSDRG 969: HIV WITH EXTENSIVE O.R. PROCEDURES WITH MCC

Facility IP

$71,120.70

Service Code	MS-DRG 969
Hospital Charge Code	MSDRG 969
Min. Negotiated Rate	$40,786.45
Max. Negotiated Rate	$71,120.70
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$60,292.78
Rate for Payer: Anthem Blue Cross of IN Traditional	$71,120.70
Rate for Payer: Plain Church Group Ministry All Commercial	$40,786.45
Rate for Payer: Three Rivers Preferred All Commercial	$53,269.86

INPATIENT MSDRG 970: HIV WITH EXTENSIVE O.R. PROCEDURES WITHOUT MCC

Facility IP

$30,306.47

Service Code	MS-DRG 970
Hospital Charge Code	MSDRG 970
Min. Negotiated Rate	$17,380.22
Max. Negotiated Rate	$30,306.47
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$25,692.40
Rate for Payer: Anthem Blue Cross of IN Traditional	$30,306.47
Rate for Payer: Plain Church Group Ministry All Commercial	$17,380.22
Rate for Payer: Three Rivers Preferred All Commercial	$22,699.74

INPATIENT MSDRG 974: HIV WITH MAJOR RELATED CONDITION WITH MCC

Facility IP

$28,192.75

Service Code	MS-DRG 974
Hospital Charge Code	MSDRG 974
Min. Negotiated Rate	$16,168.04
Max. Negotiated Rate	$28,192.75
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$23,900.49
Rate for Payer: Anthem Blue Cross of IN Traditional	$28,192.75
Rate for Payer: Plain Church Group Ministry All Commercial	$16,168.04
Rate for Payer: Three Rivers Preferred All Commercial	$21,116.55

INPATIENT MSDRG 975: HIV WITH MAJOR RELATED CONDITION WITH CC

Facility IP

$13,499.74

Service Code	MS-DRG 975
Hospital Charge Code	MSDRG 975
Min. Negotiated Rate	$7,741.86
Max. Negotiated Rate	$13,499.74
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$11,444.45
Rate for Payer: Anthem Blue Cross of IN Traditional	$13,499.74
Rate for Payer: Plain Church Group Ministry All Commercial	$7,741.86
Rate for Payer: Three Rivers Preferred All Commercial	$10,111.40

INPATIENT MSDRG 976: HIV WITH MAJOR RELATED CONDITION WITHOUT CC/MCC

Facility IP

$9,055.44

Service Code	MS-DRG 976
Hospital Charge Code	MSDRG 976
Min. Negotiated Rate	$5,193.13
Max. Negotiated Rate	$9,055.44
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$7,676.77
Rate for Payer: Anthem Blue Cross of IN Traditional	$9,055.44
Rate for Payer: Plain Church Group Ministry All Commercial	$5,193.13
Rate for Payer: Three Rivers Preferred All Commercial	$6,782.58

INPATIENT MSDRG 977: HIV WITH OR WITHOUT OTHER RELATED CONDITION

Facility IP

$12,755.92

Service Code	MS-DRG 977
Hospital Charge Code	MSDRG 977
Min. Negotiated Rate	$7,315.29
Max. Negotiated Rate	$12,755.92
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$10,813.87
Rate for Payer: Anthem Blue Cross of IN Traditional	$12,755.92
Rate for Payer: Plain Church Group Ministry All Commercial	$7,315.29
Rate for Payer: Three Rivers Preferred All Commercial	$9,554.27

INPATIENT MSDRG 981: EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC

Facility IP

$44,947.47

Service Code	MS-DRG 981
Hospital Charge Code	MSDRG 981
Min. Negotiated Rate	$25,776.57
Max. Negotiated Rate	$44,947.47
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$38,104.35
Rate for Payer: Anthem Blue Cross of IN Traditional	$44,947.47
Rate for Payer: Plain Church Group Ministry All Commercial	$25,776.57
Rate for Payer: Three Rivers Preferred All Commercial	$33,665.94

INPATIENT MSDRG 982: EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC

Facility IP

$24,612.97

Service Code	MS-DRG 982
Hospital Charge Code	MSDRG 982
Min. Negotiated Rate	$14,115.10
Max. Negotiated Rate	$24,612.97
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$20,865.72
Rate for Payer: Anthem Blue Cross of IN Traditional	$24,612.97
Rate for Payer: Plain Church Group Ministry All Commercial	$14,115.10
Rate for Payer: Three Rivers Preferred All Commercial	$18,435.27

INPATIENT MSDRG 983: EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITHOUT CC/MCC

Facility IP

$16,389.67

Service Code	MS-DRG 983
Hospital Charge Code	MSDRG 983
Min. Negotiated Rate	$9,399.18
Max. Negotiated Rate	$16,389.67
Rate for Payer: Anthem Blue Cross of IN PPO/Exchange	$13,894.39
Rate for Payer: Anthem Blue Cross of IN Traditional	$16,389.67
Rate for Payer: Plain Church Group Ministry All Commercial	$9,399.18
Rate for Payer: Three Rivers Preferred All Commercial	$12,275.97

Price Transparency.

All Charges