Madison Medical Center

All Charges

Charge

Type

Setting

Price

MAJOR CHEST PROCEDURES WITH MCC

Facility

$74,281.48

Service Code	MSDRG 163
Min. Negotiated Rate	$37,140.74
Max. Negotiated Rate	$74,281.48
Rate for Payer: Aetna Medicare Advantage	$37,140.74
Rate for Payer: Cigna Commercial HMO & PPO	$37,140.74
Rate for Payer: Home State Health Plan Medicare Advantage	$37,140.74
Rate for Payer: Humana Commercial	$74,281.48
Rate for Payer: Humana Medicare Advantage	$37,140.74

MAJOR CHEST PROCEDURES WITHOUT CC/MCC

Facility

$33,647.76

Service Code	MSDRG 165
Min. Negotiated Rate	$16,823.88
Max. Negotiated Rate	$33,647.76
Rate for Payer: Aetna Medicare Advantage	$16,823.88
Rate for Payer: Cigna Commercial HMO & PPO	$16,823.88
Rate for Payer: Home State Health Plan Medicare Advantage	$16,823.88
Rate for Payer: Humana Commercial	$33,647.76
Rate for Payer: Humana Medicare Advantage	$16,823.88

MAJOR CHEST TRAUMA WITH CC

Facility

$20,296.98

Service Code	MSDRG 184
Min. Negotiated Rate	$10,148.49
Max. Negotiated Rate	$20,296.98
Rate for Payer: Aetna Medicare Advantage	$10,148.49
Rate for Payer: Cigna Commercial HMO & PPO	$10,148.49
Rate for Payer: Home State Health Plan Medicare Advantage	$10,148.49
Rate for Payer: Humana Commercial	$20,296.98
Rate for Payer: Humana Medicare Advantage	$10,148.49

MAJOR CHEST TRAUMA WITH MCC

Facility

$27,593.56

Service Code	MSDRG 183
Min. Negotiated Rate	$13,796.78
Max. Negotiated Rate	$27,593.56
Rate for Payer: Aetna Medicare Advantage	$13,796.78
Rate for Payer: Cigna Commercial HMO & PPO	$13,796.78
Rate for Payer: Home State Health Plan Medicare Advantage	$13,796.78
Rate for Payer: Humana Commercial	$27,593.56
Rate for Payer: Humana Medicare Advantage	$13,796.78

MAJOR CHEST TRAUMA WITHOUT CC/MCC

Facility

$15,952.74

Service Code	MSDRG 185
Min. Negotiated Rate	$7,976.37
Max. Negotiated Rate	$15,952.74
Rate for Payer: Aetna Medicare Advantage	$7,976.37
Rate for Payer: Cigna Commercial HMO & PPO	$7,976.37
Rate for Payer: Home State Health Plan Medicare Advantage	$7,976.37
Rate for Payer: Humana Commercial	$15,952.74
Rate for Payer: Humana Medicare Advantage	$7,976.37

MAJOR CRANIAL OR FACIAL BONE PROCEDURES

Facility

$49,581.95

Service Code	APR-DRG 0893
Min. Negotiated Rate	$49,581.95
Max. Negotiated Rate	$49,581.95
Rate for Payer: Aetna Better Health Medicaid/QHP	$49,581.95
Rate for Payer: Healthy Blue CHP/Medicaid Managed Care	$49,581.95
Rate for Payer: Home State Health Plan Medicaid Managed Care	$49,581.95
Rate for Payer: UnitedHealthcare Medicaid Managed Care	$49,581.95

MAJOR CRANIAL OR FACIAL BONE PROCEDURES

Facility

$21,727.12

Service Code	APR-DRG 0891
Min. Negotiated Rate	$21,727.12
Max. Negotiated Rate	$21,727.12
Rate for Payer: Aetna Better Health Medicaid/QHP	$21,727.12
Rate for Payer: Healthy Blue CHP/Medicaid Managed Care	$21,727.12
Rate for Payer: Home State Health Plan Medicaid Managed Care	$21,727.12
Rate for Payer: UnitedHealthcare Medicaid Managed Care	$21,727.12

MAJOR CRANIAL OR FACIAL BONE PROCEDURES

Facility

$29,859.19

Service Code	APR-DRG 0892
Min. Negotiated Rate	$29,859.19
Max. Negotiated Rate	$29,859.19
Rate for Payer: Aetna Better Health Medicaid/QHP	$29,859.19
Rate for Payer: Healthy Blue CHP/Medicaid Managed Care	$29,859.19
Rate for Payer: Home State Health Plan Medicaid Managed Care	$29,859.19
Rate for Payer: UnitedHealthcare Medicaid Managed Care	$29,859.19

MAJOR CRANIAL OR FACIAL BONE PROCEDURES

Facility

$63,420.15

Service Code	APR-DRG 0894
Min. Negotiated Rate	$63,420.15
Max. Negotiated Rate	$63,420.15
Rate for Payer: Aetna Better Health Medicaid/QHP	$63,420.15
Rate for Payer: Healthy Blue CHP/Medicaid Managed Care	$63,420.15
Rate for Payer: Home State Health Plan Medicaid Managed Care	$63,420.15
Rate for Payer: UnitedHealthcare Medicaid Managed Care	$63,420.15

MAJOR ESOPHAGEAL DISORDERS

Facility

$8,979.24

Service Code	APR-DRG 2422
Min. Negotiated Rate	$8,979.24
Max. Negotiated Rate	$8,979.24
Rate for Payer: Aetna Better Health Medicaid/QHP	$8,979.24
Rate for Payer: Healthy Blue CHP/Medicaid Managed Care	$8,979.24
Rate for Payer: Home State Health Plan Medicaid Managed Care	$8,979.24
Rate for Payer: UnitedHealthcare Medicaid Managed Care	$8,979.24

MAJOR ESOPHAGEAL DISORDERS

Facility

$14,884.66

Service Code	APR-DRG 2423
Min. Negotiated Rate	$14,884.66
Max. Negotiated Rate	$14,884.66
Rate for Payer: Aetna Better Health Medicaid/QHP	$14,884.66
Rate for Payer: Healthy Blue CHP/Medicaid Managed Care	$14,884.66
Rate for Payer: Home State Health Plan Medicaid Managed Care	$14,884.66
Rate for Payer: UnitedHealthcare Medicaid Managed Care	$14,884.66

MAJOR ESOPHAGEAL DISORDERS

Facility

$8,948.96

Service Code	APR-DRG 2421
Min. Negotiated Rate	$8,948.96
Max. Negotiated Rate	$8,948.96
Rate for Payer: Aetna Better Health Medicaid/QHP	$8,948.96
Rate for Payer: Healthy Blue CHP/Medicaid Managed Care	$8,948.96
Rate for Payer: Home State Health Plan Medicaid Managed Care	$8,948.96
Rate for Payer: UnitedHealthcare Medicaid Managed Care	$8,948.96

MAJOR ESOPHAGEAL DISORDERS

Facility

$35,443.42

Service Code	APR-DRG 2424
Min. Negotiated Rate	$35,443.42
Max. Negotiated Rate	$35,443.42
Rate for Payer: Aetna Better Health Medicaid/QHP	$35,443.42
Rate for Payer: Healthy Blue CHP/Medicaid Managed Care	$35,443.42
Rate for Payer: Home State Health Plan Medicaid Managed Care	$35,443.42
Rate for Payer: UnitedHealthcare Medicaid Managed Care	$35,443.42

MAJOR ESOPHAGEAL DISORDERS WITH CC

Facility

$19,297.00

Service Code	MSDRG 369
Min. Negotiated Rate	$9,648.50
Max. Negotiated Rate	$19,297.00
Rate for Payer: Aetna Medicare Advantage	$9,648.50
Rate for Payer: Cigna Commercial HMO & PPO	$9,648.50
Rate for Payer: Home State Health Plan Medicare Advantage	$9,648.50
Rate for Payer: Humana Commercial	$19,297.00
Rate for Payer: Humana Medicare Advantage	$9,648.50

MAJOR ESOPHAGEAL DISORDERS WITH MCC

Facility

$28,570.30

Service Code	MSDRG 368
Min. Negotiated Rate	$14,285.15
Max. Negotiated Rate	$28,570.30
Rate for Payer: Aetna Medicare Advantage	$14,285.15
Rate for Payer: Cigna Commercial HMO & PPO	$14,285.15
Rate for Payer: Home State Health Plan Medicare Advantage	$14,285.15
Rate for Payer: Humana Commercial	$28,570.30
Rate for Payer: Humana Medicare Advantage	$14,285.15

MAJOR ESOPHAGEAL DISORDERS WITHOUT CC/MCC

Facility

$14,614.12

Service Code	MSDRG 370
Min. Negotiated Rate	$7,307.06
Max. Negotiated Rate	$14,614.12
Rate for Payer: Aetna Medicare Advantage	$7,307.06
Rate for Payer: Cigna Commercial HMO & PPO	$7,307.06
Rate for Payer: Home State Health Plan Medicare Advantage	$7,307.06
Rate for Payer: Humana Commercial	$14,614.12
Rate for Payer: Humana Medicare Advantage	$7,307.06

MAJOR GASTROINTESTINAL AND PERITONEAL INFECTIONS

Facility

$27,649.87

Service Code	APR-DRG 2484
Min. Negotiated Rate	$27,649.87
Max. Negotiated Rate	$27,649.87
Rate for Payer: Aetna Better Health Medicaid/QHP	$27,649.87
Rate for Payer: Healthy Blue CHP/Medicaid Managed Care	$27,649.87
Rate for Payer: Home State Health Plan Medicaid Managed Care	$27,649.87
Rate for Payer: UnitedHealthcare Medicaid Managed Care	$27,649.87

MAJOR GASTROINTESTINAL AND PERITONEAL INFECTIONS

Facility

$8,917.48

Service Code	APR-DRG 2482
Min. Negotiated Rate	$8,917.48
Max. Negotiated Rate	$8,917.48
Rate for Payer: Aetna Better Health Medicaid/QHP	$8,917.48
Rate for Payer: Healthy Blue CHP/Medicaid Managed Care	$8,917.48
Rate for Payer: Home State Health Plan Medicaid Managed Care	$8,917.48
Rate for Payer: UnitedHealthcare Medicaid Managed Care	$8,917.48

MAJOR GASTROINTESTINAL AND PERITONEAL INFECTIONS

Facility

$16,031.59

Service Code	APR-DRG 2483
Min. Negotiated Rate	$16,031.59
Max. Negotiated Rate	$16,031.59
Rate for Payer: Aetna Better Health Medicaid/QHP	$16,031.59
Rate for Payer: Healthy Blue CHP/Medicaid Managed Care	$16,031.59
Rate for Payer: Home State Health Plan Medicaid Managed Care	$16,031.59
Rate for Payer: UnitedHealthcare Medicaid Managed Care	$16,031.59

MAJOR GASTROINTESTINAL AND PERITONEAL INFECTIONS

Facility

$6,954.25

Service Code	APR-DRG 2481
Min. Negotiated Rate	$6,954.25
Max. Negotiated Rate	$6,954.25
Rate for Payer: Aetna Better Health Medicaid/QHP	$6,954.25
Rate for Payer: Healthy Blue CHP/Medicaid Managed Care	$6,954.25
Rate for Payer: Home State Health Plan Medicaid Managed Care	$6,954.25
Rate for Payer: UnitedHealthcare Medicaid Managed Care	$6,954.25

MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH CC

Facility

$19,622.52

Service Code	MSDRG 372
Min. Negotiated Rate	$9,811.26
Max. Negotiated Rate	$19,622.52
Rate for Payer: Aetna Medicare Advantage	$9,811.26
Rate for Payer: Cigna Commercial HMO & PPO	$9,811.26
Rate for Payer: Home State Health Plan Medicare Advantage	$9,811.26
Rate for Payer: Humana Commercial	$19,622.52
Rate for Payer: Humana Medicare Advantage	$9,811.26

MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITH MCC

Facility

$31,424.90

Service Code	MSDRG 371
Min. Negotiated Rate	$15,712.45
Max. Negotiated Rate	$31,424.90
Rate for Payer: Aetna Medicare Advantage	$15,712.45
Rate for Payer: Cigna Commercial HMO & PPO	$15,712.45
Rate for Payer: Home State Health Plan Medicare Advantage	$15,712.45
Rate for Payer: Humana Commercial	$31,424.90
Rate for Payer: Humana Medicare Advantage	$15,712.45

MAJOR GASTROINTESTINAL DISORDERS AND PERITONEAL INFECTIONS WITHOUT CC/MCC

Facility

$15,028.52

Service Code	MSDRG 373
Min. Negotiated Rate	$7,514.26
Max. Negotiated Rate	$15,028.52
Rate for Payer: Aetna Medicare Advantage	$7,514.26
Rate for Payer: Cigna Commercial HMO & PPO	$7,514.26
Rate for Payer: Home State Health Plan Medicare Advantage	$7,514.26
Rate for Payer: Humana Commercial	$15,028.52
Rate for Payer: Humana Medicare Advantage	$7,514.26

MAJOR HEAD AND NECK PROCEDURES WITH CC

Facility

$37,852.44

Service Code	MSDRG 141
Min. Negotiated Rate	$18,926.22
Max. Negotiated Rate	$37,852.44
Rate for Payer: Aetna Medicare Advantage	$18,926.22
Rate for Payer: Cigna Commercial HMO & PPO	$18,926.22
Rate for Payer: Home State Health Plan Medicare Advantage	$18,926.22
Rate for Payer: Humana Commercial	$37,852.44
Rate for Payer: Humana Medicare Advantage	$18,926.22

MAJOR HEAD AND NECK PROCEDURES WITH MCC

Facility

$70,844.62

Service Code	MSDRG 140
Min. Negotiated Rate	$35,422.31
Max. Negotiated Rate	$70,844.62
Rate for Payer: Aetna Medicare Advantage	$35,422.31
Rate for Payer: Cigna Commercial HMO & PPO	$35,422.31
Rate for Payer: Home State Health Plan Medicare Advantage	$35,422.31
Rate for Payer: Humana Commercial	$70,844.62
Rate for Payer: Humana Medicare Advantage	$35,422.31

Know your out-of-pocket cost for care.

All Charges