Madison Medical Center

All Charges

Charge

Type

Setting

Price

MALFUNCTION, REACTION, COMPLICATION OF GENITOURINARY DEVICE OR PROCEDURE

Facility

$8,043.32

Service Code	APR-DRG 4662
Min. Negotiated Rate	$8,043.32
Max. Negotiated Rate	$8,043.32
Rate for Payer: Aetna Better Health Medicaid/QHP	$8,043.32
Rate for Payer: Healthy Blue CHP/Medicaid Managed Care	$8,043.32
Rate for Payer: Home State Health Plan Medicaid Managed Care	$8,043.32
Rate for Payer: UnitedHealthcare Medicaid Managed Care	$8,043.32

MALFUNCTION, REACTION, COMPLICATION OF ORTHOPEDIC DEVICE OR PROCEDURE

Facility

$5,892.88

Service Code	APR-DRG 3491
Min. Negotiated Rate	$5,892.88
Max. Negotiated Rate	$5,892.88
Rate for Payer: Aetna Better Health Medicaid/QHP	$5,892.88
Rate for Payer: Healthy Blue CHP/Medicaid Managed Care	$5,892.88
Rate for Payer: Home State Health Plan Medicaid Managed Care	$5,892.88
Rate for Payer: UnitedHealthcare Medicaid Managed Care	$5,892.88

MALFUNCTION, REACTION, COMPLICATION OF ORTHOPEDIC DEVICE OR PROCEDURE

Facility

$16,840.11

Service Code	APR-DRG 3493
Min. Negotiated Rate	$16,840.11
Max. Negotiated Rate	$16,840.11
Rate for Payer: Aetna Better Health Medicaid/QHP	$16,840.11
Rate for Payer: Healthy Blue CHP/Medicaid Managed Care	$16,840.11
Rate for Payer: Home State Health Plan Medicaid Managed Care	$16,840.11
Rate for Payer: UnitedHealthcare Medicaid Managed Care	$16,840.11

MALFUNCTION, REACTION, COMPLICATION OF ORTHOPEDIC DEVICE OR PROCEDURE

Facility

$21,672.57

Service Code	APR-DRG 3494
Min. Negotiated Rate	$21,672.57
Max. Negotiated Rate	$21,672.57
Rate for Payer: Aetna Better Health Medicaid/QHP	$21,672.57
Rate for Payer: Healthy Blue CHP/Medicaid Managed Care	$21,672.57
Rate for Payer: Home State Health Plan Medicaid Managed Care	$21,672.57
Rate for Payer: UnitedHealthcare Medicaid Managed Care	$21,672.57

MALFUNCTION, REACTION, COMPLICATION OF ORTHOPEDIC DEVICE OR PROCEDURE

Facility

$9,985.73

Service Code	APR-DRG 3492
Min. Negotiated Rate	$9,985.73
Max. Negotiated Rate	$9,985.73
Rate for Payer: Aetna Better Health Medicaid/QHP	$9,985.73
Rate for Payer: Healthy Blue CHP/Medicaid Managed Care	$9,985.73
Rate for Payer: Home State Health Plan Medicaid Managed Care	$9,985.73
Rate for Payer: UnitedHealthcare Medicaid Managed Care	$9,985.73

MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH CC

Facility

$20,667.92

Service Code	MSDRG 755
Min. Negotiated Rate	$10,333.96
Max. Negotiated Rate	$20,667.92
Rate for Payer: Aetna Medicare Advantage	$10,333.96
Rate for Payer: Cigna Commercial HMO & PPO	$10,333.96
Rate for Payer: Home State Health Plan Medicare Advantage	$10,333.96
Rate for Payer: Humana Commercial	$20,667.92
Rate for Payer: Humana Medicare Advantage	$10,333.96

MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITH MCC

Facility

$32,505.60

Service Code	MSDRG 754
Min. Negotiated Rate	$16,252.80
Max. Negotiated Rate	$32,505.60
Rate for Payer: Aetna Medicare Advantage	$16,252.80
Rate for Payer: Cigna Commercial HMO & PPO	$16,252.80
Rate for Payer: Home State Health Plan Medicare Advantage	$16,252.80
Rate for Payer: Humana Commercial	$32,505.60
Rate for Payer: Humana Medicare Advantage	$16,252.80

MALIGNANCY, FEMALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC

Facility

$18,675.74

Service Code	MSDRG 756
Min. Negotiated Rate	$9,337.87
Max. Negotiated Rate	$18,675.74
Rate for Payer: Aetna Medicare Advantage	$9,337.87
Rate for Payer: Cigna Commercial HMO & PPO	$9,337.87
Rate for Payer: Home State Health Plan Medicare Advantage	$9,337.87
Rate for Payer: Humana Commercial	$18,675.74
Rate for Payer: Humana Medicare Advantage	$9,337.87

MALIGNANCY, MALE REPRODUCTIVE SYSTEM

Facility

$12,870.23

Service Code	APR-DRG 5003
Min. Negotiated Rate	$12,870.23
Max. Negotiated Rate	$12,870.23
Rate for Payer: Aetna Better Health Medicaid/QHP	$12,870.23
Rate for Payer: Healthy Blue CHP/Medicaid Managed Care	$12,870.23
Rate for Payer: Home State Health Plan Medicaid Managed Care	$12,870.23
Rate for Payer: UnitedHealthcare Medicaid Managed Care	$12,870.23

MALIGNANCY, MALE REPRODUCTIVE SYSTEM

Facility

$19,309.50

Service Code	APR-DRG 5004
Min. Negotiated Rate	$19,309.50
Max. Negotiated Rate	$19,309.50
Rate for Payer: Aetna Better Health Medicaid/QHP	$19,309.50
Rate for Payer: Healthy Blue CHP/Medicaid Managed Care	$19,309.50
Rate for Payer: Home State Health Plan Medicaid Managed Care	$19,309.50
Rate for Payer: UnitedHealthcare Medicaid Managed Care	$19,309.50

MALIGNANCY, MALE REPRODUCTIVE SYSTEM

Facility

$9,514.23

Service Code	APR-DRG 5002
Min. Negotiated Rate	$9,514.23
Max. Negotiated Rate	$9,514.23
Rate for Payer: Aetna Better Health Medicaid/QHP	$9,514.23
Rate for Payer: Healthy Blue CHP/Medicaid Managed Care	$9,514.23
Rate for Payer: Home State Health Plan Medicaid Managed Care	$9,514.23
Rate for Payer: UnitedHealthcare Medicaid Managed Care	$9,514.23

MALIGNANCY, MALE REPRODUCTIVE SYSTEM

Facility

$6,223.86

Service Code	APR-DRG 5001
Min. Negotiated Rate	$6,223.86
Max. Negotiated Rate	$6,223.86
Rate for Payer: Aetna Better Health Medicaid/QHP	$6,223.86
Rate for Payer: Healthy Blue CHP/Medicaid Managed Care	$6,223.86
Rate for Payer: Home State Health Plan Medicaid Managed Care	$6,223.86
Rate for Payer: UnitedHealthcare Medicaid Managed Care	$6,223.86

MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH CC

Facility

$21,527.04

Service Code	MSDRG 723
Min. Negotiated Rate	$10,763.52
Max. Negotiated Rate	$21,527.04
Rate for Payer: Aetna Medicare Advantage	$10,763.52
Rate for Payer: Cigna Commercial HMO & PPO	$10,763.52
Rate for Payer: Home State Health Plan Medicare Advantage	$10,763.52
Rate for Payer: Humana Commercial	$21,527.04
Rate for Payer: Humana Medicare Advantage	$10,763.52

MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITH MCC

Facility

$32,001.48

Service Code	MSDRG 722
Min. Negotiated Rate	$16,000.74
Max. Negotiated Rate	$32,001.48
Rate for Payer: Aetna Medicare Advantage	$16,000.74
Rate for Payer: Cigna Commercial HMO & PPO	$16,000.74
Rate for Payer: Home State Health Plan Medicare Advantage	$16,000.74
Rate for Payer: Humana Commercial	$32,001.48
Rate for Payer: Humana Medicare Advantage	$16,000.74

MALIGNANCY, MALE REPRODUCTIVE SYSTEM WITHOUT CC/MCC

Facility

$13,911.54

Service Code	MSDRG 724
Min. Negotiated Rate	$6,955.77
Max. Negotiated Rate	$13,911.54
Rate for Payer: Aetna Medicare Advantage	$6,955.77
Rate for Payer: Cigna Commercial HMO & PPO	$6,955.77
Rate for Payer: Home State Health Plan Medicare Advantage	$6,955.77
Rate for Payer: Humana Commercial	$13,911.54
Rate for Payer: Humana Medicare Advantage	$6,955.77

MALIGNANCY OF HEPATOBILIARY SYSTEM AND PANCREAS

Facility

$24,526.56

Service Code	APR-DRG 2814
Min. Negotiated Rate	$24,526.56
Max. Negotiated Rate	$24,526.56
Rate for Payer: Aetna Better Health Medicaid/QHP	$24,526.56
Rate for Payer: Healthy Blue CHP/Medicaid Managed Care	$24,526.56
Rate for Payer: Home State Health Plan Medicaid Managed Care	$24,526.56
Rate for Payer: UnitedHealthcare Medicaid Managed Care	$24,526.56

MALIGNANCY OF HEPATOBILIARY SYSTEM AND PANCREAS

Facility

$8,356.73

Service Code	APR-DRG 2811
Min. Negotiated Rate	$8,356.73
Max. Negotiated Rate	$8,356.73
Rate for Payer: Aetna Better Health Medicaid/QHP	$8,356.73
Rate for Payer: Healthy Blue CHP/Medicaid Managed Care	$8,356.73
Rate for Payer: Home State Health Plan Medicaid Managed Care	$8,356.73
Rate for Payer: UnitedHealthcare Medicaid Managed Care	$8,356.73

MALIGNANCY OF HEPATOBILIARY SYSTEM AND PANCREAS

Facility

$8,356.73

Service Code	APR-DRG 2812
Min. Negotiated Rate	$8,356.73
Max. Negotiated Rate	$8,356.73
Rate for Payer: Aetna Better Health Medicaid/QHP	$8,356.73
Rate for Payer: Healthy Blue CHP/Medicaid Managed Care	$8,356.73
Rate for Payer: Home State Health Plan Medicaid Managed Care	$8,356.73
Rate for Payer: UnitedHealthcare Medicaid Managed Care	$8,356.73

MALIGNANCY OF HEPATOBILIARY SYSTEM AND PANCREAS

Facility

$15,433.00

Service Code	APR-DRG 2813
Min. Negotiated Rate	$15,433.00
Max. Negotiated Rate	$15,433.00
Rate for Payer: Aetna Better Health Medicaid/QHP	$15,433.00
Rate for Payer: Healthy Blue CHP/Medicaid Managed Care	$15,433.00
Rate for Payer: Home State Health Plan Medicaid Managed Care	$15,433.00
Rate for Payer: UnitedHealthcare Medicaid Managed Care	$15,433.00

MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH CC

Facility

$21,345.52

Service Code	MSDRG 436
Min. Negotiated Rate	$10,672.76
Max. Negotiated Rate	$21,345.52
Rate for Payer: Aetna Medicare Advantage	$10,672.76
Rate for Payer: Cigna Commercial HMO & PPO	$10,672.76
Rate for Payer: Home State Health Plan Medicare Advantage	$10,672.76
Rate for Payer: Humana Commercial	$21,345.52
Rate for Payer: Humana Medicare Advantage	$10,672.76

MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITH MCC

Facility

$32,426.82

Service Code	MSDRG 435
Min. Negotiated Rate	$16,213.41
Max. Negotiated Rate	$32,426.82
Rate for Payer: Aetna Medicare Advantage	$16,213.41
Rate for Payer: Cigna Commercial HMO & PPO	$16,213.41
Rate for Payer: Home State Health Plan Medicare Advantage	$16,213.41
Rate for Payer: Humana Commercial	$32,426.82
Rate for Payer: Humana Medicare Advantage	$16,213.41

MALIGNANCY OF HEPATOBILIARY SYSTEM OR PANCREAS WITHOUT CC/MCC

Facility

$16,998.12

Service Code	MSDRG 437
Min. Negotiated Rate	$8,499.06
Max. Negotiated Rate	$16,998.12
Rate for Payer: Aetna Medicare Advantage	$8,499.06
Rate for Payer: Cigna Commercial HMO & PPO	$8,499.06
Rate for Payer: Home State Health Plan Medicare Advantage	$8,499.06
Rate for Payer: Humana Commercial	$16,998.12
Rate for Payer: Humana Medicare Advantage	$8,499.06

MALIGNANT BREAST DISORDERS

Facility

$14,008.31

Service Code	APR-DRG 3823
Min. Negotiated Rate	$14,008.31
Max. Negotiated Rate	$14,008.31
Rate for Payer: Aetna Better Health Medicaid/QHP	$14,008.31
Rate for Payer: Healthy Blue CHP/Medicaid Managed Care	$14,008.31
Rate for Payer: Home State Health Plan Medicaid Managed Care	$14,008.31
Rate for Payer: UnitedHealthcare Medicaid Managed Care	$14,008.31

MALIGNANT BREAST DISORDERS

Facility

$20,416.15

Service Code	APR-DRG 3824
Min. Negotiated Rate	$20,416.15
Max. Negotiated Rate	$20,416.15
Rate for Payer: Aetna Better Health Medicaid/QHP	$20,416.15
Rate for Payer: Healthy Blue CHP/Medicaid Managed Care	$20,416.15
Rate for Payer: Home State Health Plan Medicaid Managed Care	$20,416.15
Rate for Payer: UnitedHealthcare Medicaid Managed Care	$20,416.15

MALIGNANT BREAST DISORDERS

Facility

$8,239.31

Service Code	APR-DRG 3822
Min. Negotiated Rate	$8,239.31
Max. Negotiated Rate	$8,239.31
Rate for Payer: Aetna Better Health Medicaid/QHP	$8,239.31
Rate for Payer: Healthy Blue CHP/Medicaid Managed Care	$8,239.31
Rate for Payer: Home State Health Plan Medicaid Managed Care	$8,239.31
Rate for Payer: UnitedHealthcare Medicaid Managed Care	$8,239.31

Know your out-of-pocket cost for care.

All Charges