Madison Medical Center

All Charges

Charge

Type

Setting

Price

AIRWAY NASAL 26FR

Facility

$89.00

Hospital Charge Code	281282
Hospital Revenue Code	272
Min. Negotiated Rate	$32.04
Max. Negotiated Rate	$63.55
Rate for Payer: Anthem Blue Cross Blue Shield Missouri Blue Access/Blue Preferred and Pathway/Pathway X	$52.69
Rate for Payer: Anthem Blue Cross Blue Shield Missouri Traditional	$63.55
Rate for Payer: Cash Price	$80.10
Rate for Payer: UnitedHealthcare Commercial	$59.36
Rate for Payer: UnitedHealthcare Medicare Advantage	$32.04

AIRWAY NASAL 26FR

Facility

$89.00

Hospital Charge Code	281282
Hospital Revenue Code	272
Rate for Payer: Cash Price	$80.10

AIRWAY NASAL 28FR TELEFLEX#123328

Facility

$89.00

Hospital Charge Code	281283
Hospital Revenue Code	272
Rate for Payer: Cash Price	$80.10

AIRWAY NASAL 28FR TELEFLEX#123328

Facility

$89.00

Hospital Charge Code	281283
Hospital Revenue Code	272
Min. Negotiated Rate	$32.04
Max. Negotiated Rate	$63.55
Rate for Payer: Anthem Blue Cross Blue Shield Missouri Blue Access/Blue Preferred and Pathway/Pathway X	$52.69
Rate for Payer: Anthem Blue Cross Blue Shield Missouri Traditional	$63.55
Rate for Payer: Cash Price	$80.10
Rate for Payer: UnitedHealthcare Commercial	$59.36
Rate for Payer: UnitedHealthcare Medicare Advantage	$32.04

AIRWAY NASAL 30FR

Facility

$89.00

Hospital Charge Code	281284
Hospital Revenue Code	272
Rate for Payer: Cash Price	$80.10

AIRWAY NASAL 30FR

Facility

$89.00

Hospital Charge Code	281284
Hospital Revenue Code	272
Min. Negotiated Rate	$32.04
Max. Negotiated Rate	$63.55
Rate for Payer: Anthem Blue Cross Blue Shield Missouri Blue Access/Blue Preferred and Pathway/Pathway X	$52.69
Rate for Payer: Anthem Blue Cross Blue Shield Missouri Traditional	$63.55
Rate for Payer: Cash Price	$80.10
Rate for Payer: UnitedHealthcare Commercial	$59.36
Rate for Payer: UnitedHealthcare Medicare Advantage	$32.04

AIRWAY NASAL 32FR

Facility

$89.00

Hospital Charge Code	281285
Hospital Revenue Code	272
Rate for Payer: Cash Price	$80.10

AIRWAY NASAL 32FR

Facility

$89.00

Hospital Charge Code	281285
Hospital Revenue Code	272
Min. Negotiated Rate	$32.04
Max. Negotiated Rate	$63.55
Rate for Payer: Anthem Blue Cross Blue Shield Missouri Blue Access/Blue Preferred and Pathway/Pathway X	$52.69
Rate for Payer: Anthem Blue Cross Blue Shield Missouri Traditional	$63.55
Rate for Payer: Cash Price	$80.10
Rate for Payer: UnitedHealthcare Commercial	$59.36
Rate for Payer: UnitedHealthcare Medicare Advantage	$32.04

AIRWAY NO 10--CATH GUIDE

Facility

$93.00

Hospital Charge Code	281278
Hospital Revenue Code	270
Min. Negotiated Rate	$33.48
Max. Negotiated Rate	$66.40
Rate for Payer: Anthem Blue Cross Blue Shield Missouri Blue Access/Blue Preferred and Pathway/Pathway X	$55.06
Rate for Payer: Anthem Blue Cross Blue Shield Missouri Traditional	$66.40
Rate for Payer: Cash Price	$83.70
Rate for Payer: UnitedHealthcare Commercial	$62.03
Rate for Payer: UnitedHealthcare Medicare Advantage	$33.48

AIRWAY NO 10--CATH GUIDE

Facility

$93.00

Hospital Charge Code	281278
Hospital Revenue Code	270
Rate for Payer: Cash Price	$83.70

AIRWAY NO 12--CATH GUIDE

Facility

$93.00

Hospital Charge Code	281279
Hospital Revenue Code	270
Rate for Payer: Cash Price	$83.70

AIRWAY NO 12--CATH GUIDE

Facility

$93.00

Hospital Charge Code	281279
Hospital Revenue Code	270
Min. Negotiated Rate	$33.48
Max. Negotiated Rate	$66.40
Rate for Payer: Anthem Blue Cross Blue Shield Missouri Blue Access/Blue Preferred and Pathway/Pathway X	$55.06
Rate for Payer: Anthem Blue Cross Blue Shield Missouri Traditional	$66.40
Rate for Payer: Cash Price	$83.70
Rate for Payer: UnitedHealthcare Commercial	$62.03
Rate for Payer: UnitedHealthcare Medicare Advantage	$33.48

AIRWAY NO 5.5--CATH GUIDE

Facility

$93.00

Hospital Charge Code	281273
Hospital Revenue Code	270
Min. Negotiated Rate	$33.48
Max. Negotiated Rate	$66.40
Rate for Payer: Anthem Blue Cross Blue Shield Missouri Blue Access/Blue Preferred and Pathway/Pathway X	$55.06
Rate for Payer: Anthem Blue Cross Blue Shield Missouri Traditional	$66.40
Rate for Payer: Cash Price	$83.70
Rate for Payer: UnitedHealthcare Commercial	$62.03
Rate for Payer: UnitedHealthcare Medicare Advantage	$33.48

AIRWAY NO 5.5--CATH GUIDE

Facility

$93.00

Hospital Charge Code	281273
Hospital Revenue Code	270
Rate for Payer: Cash Price	$83.70

AIRWAY NO 6--CATH GUIDE

Facility

$93.00

Hospital Charge Code	281274
Hospital Revenue Code	270
Rate for Payer: Cash Price	$83.70

AIRWAY NO 6--CATH GUIDE

Facility

$93.00

Hospital Charge Code	281274
Hospital Revenue Code	270
Min. Negotiated Rate	$33.48
Max. Negotiated Rate	$66.40
Rate for Payer: Anthem Blue Cross Blue Shield Missouri Blue Access/Blue Preferred and Pathway/Pathway X	$55.06
Rate for Payer: Anthem Blue Cross Blue Shield Missouri Traditional	$66.40
Rate for Payer: Cash Price	$83.70
Rate for Payer: UnitedHealthcare Commercial	$62.03
Rate for Payer: UnitedHealthcare Medicare Advantage	$33.48

AIRWAY NO 7--CATH GUIDE

Facility

$93.00

Hospital Charge Code	281275
Hospital Revenue Code	270
Rate for Payer: Cash Price	$83.70

AIRWAY NO 7--CATH GUIDE

Facility

$93.00

Hospital Charge Code	281275
Hospital Revenue Code	270
Min. Negotiated Rate	$33.48
Max. Negotiated Rate	$66.40
Rate for Payer: Anthem Blue Cross Blue Shield Missouri Blue Access/Blue Preferred and Pathway/Pathway X	$55.06
Rate for Payer: Anthem Blue Cross Blue Shield Missouri Traditional	$66.40
Rate for Payer: Cash Price	$83.70
Rate for Payer: UnitedHealthcare Commercial	$62.03
Rate for Payer: UnitedHealthcare Medicare Advantage	$33.48

AIRWAY NO 8--CATH GUIDE

Facility

$93.00

Hospital Charge Code	281276
Hospital Revenue Code	270
Min. Negotiated Rate	$33.48
Max. Negotiated Rate	$66.40
Rate for Payer: Anthem Blue Cross Blue Shield Missouri Blue Access/Blue Preferred and Pathway/Pathway X	$55.06
Rate for Payer: Anthem Blue Cross Blue Shield Missouri Traditional	$66.40
Rate for Payer: Cash Price	$83.70
Rate for Payer: UnitedHealthcare Commercial	$62.03
Rate for Payer: UnitedHealthcare Medicare Advantage	$33.48

AIRWAY NO 8--CATH GUIDE

Facility

$93.00

Hospital Charge Code	281276
Hospital Revenue Code	270
Rate for Payer: Cash Price	$83.70

AIRWAY NO 9--CATH GUIDE

Facility

$93.00

Hospital Charge Code	281277
Hospital Revenue Code	270
Min. Negotiated Rate	$33.48
Max. Negotiated Rate	$66.40
Rate for Payer: Anthem Blue Cross Blue Shield Missouri Blue Access/Blue Preferred and Pathway/Pathway X	$55.06
Rate for Payer: Anthem Blue Cross Blue Shield Missouri Traditional	$66.40
Rate for Payer: Cash Price	$83.70
Rate for Payer: UnitedHealthcare Commercial	$62.03
Rate for Payer: UnitedHealthcare Medicare Advantage	$33.48

AIRWAY NO 9--CATH GUIDE

Facility

$93.00

Hospital Charge Code	281277
Hospital Revenue Code	270
Rate for Payer: Cash Price	$83.70

AIRWAY, SUPRAGLOTTIC LARGE ADULT #5

Facility

$131.00

Hospital Charge Code	2810042
Hospital Revenue Code	271
Rate for Payer: Cash Price	$117.90

AIRWAY, SUPRAGLOTTIC LARGE ADULT #5

Facility

$131.00

Hospital Charge Code	2810042
Hospital Revenue Code	271
Min. Negotiated Rate	$47.16
Max. Negotiated Rate	$93.53
Rate for Payer: Anthem Blue Cross Blue Shield Missouri Blue Access/Blue Preferred and Pathway/Pathway X	$77.55
Rate for Payer: Anthem Blue Cross Blue Shield Missouri Traditional	$93.53
Rate for Payer: Cash Price	$117.90
Rate for Payer: UnitedHealthcare Commercial	$87.38
Rate for Payer: UnitedHealthcare Medicare Advantage	$47.16

AIRWAY, SUPRAGLOTTIC MEDIUM ADULT #4

Facility

$131.00

Hospital Charge Code	2810041
Hospital Revenue Code	271
Min. Negotiated Rate	$47.16
Max. Negotiated Rate	$93.53
Rate for Payer: Anthem Blue Cross Blue Shield Missouri Blue Access/Blue Preferred and Pathway/Pathway X	$77.55
Rate for Payer: Anthem Blue Cross Blue Shield Missouri Traditional	$93.53
Rate for Payer: Cash Price	$117.90
Rate for Payer: UnitedHealthcare Commercial	$87.38
Rate for Payer: UnitedHealthcare Medicare Advantage	$47.16

Know your out-of-pocket cost for care.

All Charges