Madison Medical Center

All Charges

Charge

Type

Setting

Price

MAJOR O.R. PROCEDURES FOR LYMPHATIC, HEMATOPOIETIC OR OTHER NEOPLASMS

Facility

$26,154.64

Service Code	APR-DRG 6802
Min. Negotiated Rate	$26,154.64
Max. Negotiated Rate	$26,154.64
Rate for Payer: Aetna Better Health Medicaid/QHP	$26,154.64
Rate for Payer: Healthy Blue CHP/Medicaid Managed Care	$26,154.64
Rate for Payer: Home State Health Plan Medicaid Managed Care	$26,154.64
Rate for Payer: UnitedHealthcare Medicaid Managed Care	$26,154.64

MAJOR PANCREAS, LIVER AND SHUNT PROCEDURES

Facility

$22,429.76

Service Code	APR-DRG 2601
Min. Negotiated Rate	$22,429.76
Max. Negotiated Rate	$22,429.76
Rate for Payer: Aetna Better Health Medicaid/QHP	$22,429.76
Rate for Payer: Healthy Blue CHP/Medicaid Managed Care	$22,429.76
Rate for Payer: Home State Health Plan Medicaid Managed Care	$22,429.76
Rate for Payer: UnitedHealthcare Medicaid Managed Care	$22,429.76

MAJOR PANCREAS, LIVER AND SHUNT PROCEDURES

Facility

$24,264.93

Service Code	APR-DRG 2602
Min. Negotiated Rate	$24,264.93
Max. Negotiated Rate	$24,264.93
Rate for Payer: Aetna Better Health Medicaid/QHP	$24,264.93
Rate for Payer: Healthy Blue CHP/Medicaid Managed Care	$24,264.93
Rate for Payer: Home State Health Plan Medicaid Managed Care	$24,264.93
Rate for Payer: UnitedHealthcare Medicaid Managed Care	$24,264.93

MAJOR PANCREAS, LIVER AND SHUNT PROCEDURES

Facility

$42,845.91

Service Code	APR-DRG 2603
Min. Negotiated Rate	$42,845.91
Max. Negotiated Rate	$42,845.91
Rate for Payer: Aetna Better Health Medicaid/QHP	$42,845.91
Rate for Payer: Healthy Blue CHP/Medicaid Managed Care	$42,845.91
Rate for Payer: Home State Health Plan Medicaid Managed Care	$42,845.91
Rate for Payer: UnitedHealthcare Medicaid Managed Care	$42,845.91

MAJOR PANCREAS, LIVER AND SHUNT PROCEDURES

Facility

$76,535.38

Service Code	APR-DRG 2604
Min. Negotiated Rate	$76,535.38
Max. Negotiated Rate	$76,535.38
Rate for Payer: Aetna Better Health Medicaid/QHP	$76,535.38
Rate for Payer: Healthy Blue CHP/Medicaid Managed Care	$76,535.38
Rate for Payer: Home State Health Plan Medicaid Managed Care	$76,535.38
Rate for Payer: UnitedHealthcare Medicaid Managed Care	$76,535.38

MAJOR RESPIRATORY AND CHEST PROCEDURES

Facility

$61,709.79

Service Code	APR-DRG 1204
Min. Negotiated Rate	$61,709.79
Max. Negotiated Rate	$61,709.79
Rate for Payer: Aetna Better Health Medicaid/QHP	$61,709.79
Rate for Payer: Healthy Blue CHP/Medicaid Managed Care	$61,709.79
Rate for Payer: Home State Health Plan Medicaid Managed Care	$61,709.79
Rate for Payer: UnitedHealthcare Medicaid Managed Care	$61,709.79

MAJOR RESPIRATORY AND CHEST PROCEDURES

Facility

$25,483.44

Service Code	APR-DRG 1202
Min. Negotiated Rate	$25,483.44
Max. Negotiated Rate	$25,483.44
Rate for Payer: Aetna Better Health Medicaid/QHP	$25,483.44
Rate for Payer: Healthy Blue CHP/Medicaid Managed Care	$25,483.44
Rate for Payer: Home State Health Plan Medicaid Managed Care	$25,483.44
Rate for Payer: UnitedHealthcare Medicaid Managed Care	$25,483.44

MAJOR RESPIRATORY AND CHEST PROCEDURES

Facility

$40,169.43

Service Code	APR-DRG 1203
Min. Negotiated Rate	$40,169.43
Max. Negotiated Rate	$40,169.43
Rate for Payer: Aetna Better Health Medicaid/QHP	$40,169.43
Rate for Payer: Healthy Blue CHP/Medicaid Managed Care	$40,169.43
Rate for Payer: Home State Health Plan Medicaid Managed Care	$40,169.43
Rate for Payer: UnitedHealthcare Medicaid Managed Care	$40,169.43

MAJOR RESPIRATORY AND CHEST PROCEDURES

Facility

$22,071.04

Service Code	APR-DRG 1201
Min. Negotiated Rate	$22,071.04
Max. Negotiated Rate	$22,071.04
Rate for Payer: Aetna Better Health Medicaid/QHP	$22,071.04
Rate for Payer: Healthy Blue CHP/Medicaid Managed Care	$22,071.04
Rate for Payer: Home State Health Plan Medicaid Managed Care	$22,071.04
Rate for Payer: UnitedHealthcare Medicaid Managed Care	$22,071.04

MAJOR RESPIRATORY INFECTIONS AND INFLAMMATIONS

Facility

$9,959.04

Service Code	APR-DRG 1372
Min. Negotiated Rate	$9,959.04
Max. Negotiated Rate	$9,959.04
Rate for Payer: Aetna Better Health Medicaid/QHP	$9,959.04
Rate for Payer: Healthy Blue CHP/Medicaid Managed Care	$9,959.04
Rate for Payer: Home State Health Plan Medicaid Managed Care	$9,959.04
Rate for Payer: UnitedHealthcare Medicaid Managed Care	$9,959.04

MAJOR RESPIRATORY INFECTIONS AND INFLAMMATIONS

Facility

$13,822.51

Service Code	APR-DRG 1373
Min. Negotiated Rate	$13,822.51
Max. Negotiated Rate	$13,822.51
Rate for Payer: Aetna Better Health Medicaid/QHP	$13,822.51
Rate for Payer: Healthy Blue CHP/Medicaid Managed Care	$13,822.51
Rate for Payer: Home State Health Plan Medicaid Managed Care	$13,822.51
Rate for Payer: UnitedHealthcare Medicaid Managed Care	$13,822.51

MAJOR RESPIRATORY INFECTIONS AND INFLAMMATIONS

Facility

$30,761.23

Service Code	APR-DRG 1374
Min. Negotiated Rate	$30,761.23
Max. Negotiated Rate	$30,761.23
Rate for Payer: Aetna Better Health Medicaid/QHP	$30,761.23
Rate for Payer: Healthy Blue CHP/Medicaid Managed Care	$30,761.23
Rate for Payer: Home State Health Plan Medicaid Managed Care	$30,761.23
Rate for Payer: UnitedHealthcare Medicaid Managed Care	$30,761.23

MAJOR RESPIRATORY INFECTIONS AND INFLAMMATIONS

Facility

$7,045.08

Service Code	APR-DRG 1371
Min. Negotiated Rate	$7,045.08
Max. Negotiated Rate	$7,045.08
Rate for Payer: Aetna Better Health Medicaid/QHP	$7,045.08
Rate for Payer: Healthy Blue CHP/Medicaid Managed Care	$7,045.08
Rate for Payer: Home State Health Plan Medicaid Managed Care	$7,045.08
Rate for Payer: UnitedHealthcare Medicaid Managed Care	$7,045.08

MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITH CC/MCC

Facility

$31,949.48

Service Code	MSDRG 507
Min. Negotiated Rate	$15,974.74
Max. Negotiated Rate	$31,949.48
Rate for Payer: Aetna Medicare Advantage	$15,974.74
Rate for Payer: Cigna Commercial HMO & PPO	$15,974.74
Rate for Payer: Home State Health Plan Medicare Advantage	$15,974.74
Rate for Payer: Humana Commercial	$31,949.48
Rate for Payer: Humana Medicare Advantage	$15,974.74

MAJOR SHOULDER OR ELBOW JOINT PROCEDURES WITHOUT CC/MCC

Facility

$27,350.12

Service Code	MSDRG 508
Min. Negotiated Rate	$13,675.06
Max. Negotiated Rate	$27,350.12
Rate for Payer: Aetna Medicare Advantage	$13,675.06
Rate for Payer: Cigna Commercial HMO & PPO	$13,675.06
Rate for Payer: Home State Health Plan Medicare Advantage	$13,675.06
Rate for Payer: Humana Commercial	$27,350.12
Rate for Payer: Humana Medicare Advantage	$13,675.06

MAJOR SKIN DISORDERS

Facility

$4,331.37

Service Code	APR-DRG 3811
Min. Negotiated Rate	$4,331.37
Max. Negotiated Rate	$4,331.37
Rate for Payer: Aetna Better Health Medicaid/QHP	$4,331.37
Rate for Payer: Healthy Blue CHP/Medicaid Managed Care	$4,331.37
Rate for Payer: Home State Health Plan Medicaid Managed Care	$4,331.37
Rate for Payer: UnitedHealthcare Medicaid Managed Care	$4,331.37

MAJOR SKIN DISORDERS

Facility

$25,697.01

Service Code	APR-DRG 3814
Min. Negotiated Rate	$25,697.01
Max. Negotiated Rate	$25,697.01
Rate for Payer: Aetna Better Health Medicaid/QHP	$25,697.01
Rate for Payer: Healthy Blue CHP/Medicaid Managed Care	$25,697.01
Rate for Payer: Home State Health Plan Medicaid Managed Care	$25,697.01
Rate for Payer: UnitedHealthcare Medicaid Managed Care	$25,697.01

MAJOR SKIN DISORDERS

Facility

$9,010.36

Service Code	APR-DRG 3812
Min. Negotiated Rate	$9,010.36
Max. Negotiated Rate	$9,010.36
Rate for Payer: Aetna Better Health Medicaid/QHP	$9,010.36
Rate for Payer: Healthy Blue CHP/Medicaid Managed Care	$9,010.36
Rate for Payer: Home State Health Plan Medicaid Managed Care	$9,010.36
Rate for Payer: UnitedHealthcare Medicaid Managed Care	$9,010.36

MAJOR SKIN DISORDERS

Facility

$15,499.56

Service Code	APR-DRG 3813
Min. Negotiated Rate	$15,499.56
Max. Negotiated Rate	$15,499.56
Rate for Payer: Aetna Better Health Medicaid/QHP	$15,499.56
Rate for Payer: Healthy Blue CHP/Medicaid Managed Care	$15,499.56
Rate for Payer: Home State Health Plan Medicaid Managed Care	$15,499.56
Rate for Payer: UnitedHealthcare Medicaid Managed Care	$15,499.56

MAJOR SKIN DISORDERS WITH MCC

Facility

$36,900.90

Service Code	MSDRG 595
Min. Negotiated Rate	$18,450.45
Max. Negotiated Rate	$36,900.90
Rate for Payer: Aetna Medicare Advantage	$18,450.45
Rate for Payer: Cigna Commercial HMO & PPO	$18,450.45
Rate for Payer: Home State Health Plan Medicare Advantage	$18,450.45
Rate for Payer: Humana Commercial	$36,900.90
Rate for Payer: Humana Medicare Advantage	$18,450.45

MAJOR SKIN DISORDERS WITHOUT MCC

Facility

$20,584.96

Service Code	MSDRG 596
Min. Negotiated Rate	$10,292.48
Max. Negotiated Rate	$20,584.96
Rate for Payer: Aetna Medicare Advantage	$10,292.48
Rate for Payer: Cigna Commercial HMO & PPO	$10,292.48
Rate for Payer: Home State Health Plan Medicare Advantage	$10,292.48
Rate for Payer: Humana Commercial	$20,584.96
Rate for Payer: Humana Medicare Advantage	$10,292.48

MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH CC

Facility

$41,256.82

Service Code	MSDRG 330
Min. Negotiated Rate	$20,628.41
Max. Negotiated Rate	$41,256.82
Rate for Payer: Aetna Medicare Advantage	$20,628.41
Rate for Payer: Cigna Commercial HMO & PPO	$20,628.41
Rate for Payer: Home State Health Plan Medicare Advantage	$20,628.41
Rate for Payer: Humana Commercial	$41,256.82
Rate for Payer: Humana Medicare Advantage	$20,628.41

MAJOR SMALL AND LARGE BOWEL PROCEDURES WITH MCC

Facility

$76,102.30

Service Code	MSDRG 329
Min. Negotiated Rate	$38,051.15
Max. Negotiated Rate	$76,102.30
Rate for Payer: Aetna Medicare Advantage	$38,051.15
Rate for Payer: Cigna Commercial HMO & PPO	$38,051.15
Rate for Payer: Home State Health Plan Medicare Advantage	$38,051.15
Rate for Payer: Humana Commercial	$76,102.30
Rate for Payer: Humana Medicare Advantage	$38,051.15

MAJOR SMALL AND LARGE BOWEL PROCEDURES WITHOUT CC/MCC

Facility

$30,003.88

Service Code	MSDRG 331
Min. Negotiated Rate	$15,001.94
Max. Negotiated Rate	$30,003.88
Rate for Payer: Aetna Medicare Advantage	$15,001.94
Rate for Payer: Cigna Commercial HMO & PPO	$15,001.94
Rate for Payer: Home State Health Plan Medicare Advantage	$15,001.94
Rate for Payer: Humana Commercial	$30,003.88
Rate for Payer: Humana Medicare Advantage	$15,001.94

MAJOR SMALL BOWEL PROCEDURES

Facility

$28,250.53

Service Code	APR-DRG 2303
Min. Negotiated Rate	$28,250.53
Max. Negotiated Rate	$28,250.53
Rate for Payer: Aetna Better Health Medicaid/QHP	$28,250.53
Rate for Payer: Healthy Blue CHP/Medicaid Managed Care	$28,250.53
Rate for Payer: Home State Health Plan Medicaid Managed Care	$28,250.53
Rate for Payer: UnitedHealthcare Medicaid Managed Care	$28,250.53

Know your out-of-pocket cost for care.

All Charges