Madison Medical Center

All Charges

Charge

Type

Setting

Price

ANESTHESIA GAS MACHINE

Facility

$418.00

Hospital Charge Code	2824462
Hospital Revenue Code	370
Rate for Payer: Cash Price	$376.20

ANESTHESIA (PER ADDITIONAL 15 MIN)

Facility

$165.00

Hospital Charge Code	2024461
Hospital Revenue Code	370
Rate for Payer: Cash Price	$148.50

ANESTHESIA (PER ADDITIONAL 15 MIN)

Facility

$165.00

Hospital Charge Code	2024461
Hospital Revenue Code	370
Min. Negotiated Rate	$59.40
Max. Negotiated Rate	$117.81
Rate for Payer: Anthem Blue Cross Blue Shield Missouri Blue Access/Blue Preferred and Pathway/Pathway X	$97.68
Rate for Payer: Anthem Blue Cross Blue Shield Missouri Traditional	$117.81
Rate for Payer: Cash Price	$148.50
Rate for Payer: UnitedHealthcare Commercial	$110.06
Rate for Payer: UnitedHealthcare Medicare Advantage	$59.40

ANETEPARTUM CARE

Facility

$608.00

Service Code	CPT 59425
Hospital Charge Code	5259425
Hospital Revenue Code	521
Min. Negotiated Rate	$173.53
Max. Negotiated Rate	$434.11
Rate for Payer: Anthem Blue Cross Blue Shield Missouri Blue Access/Blue Preferred and Pathway/Pathway X	$359.94
Rate for Payer: Anthem Blue Cross Blue Shield Missouri Traditional	$434.11
Rate for Payer: Cash Price	$547.20
Rate for Payer: Cash Price	$547.20
Rate for Payer: UnitedHealthcare Commercial	$405.54
Rate for Payer: UnitedHealthcare Medicare Advantage	$173.53

ANETEPARTUM CARE

Facility

$608.00

Service Code	CPT 59425
Hospital Charge Code	5259425
Hospital Revenue Code	521
Rate for Payer: Cash Price	$547.20

ANETHETIST C/B 1/2 HR

Facility

$142.00

Hospital Charge Code	201005
Hospital Revenue Code	370
Min. Negotiated Rate	$51.12
Max. Negotiated Rate	$101.39
Rate for Payer: Anthem Blue Cross Blue Shield Missouri Blue Access/Blue Preferred and Pathway/Pathway X	$84.06
Rate for Payer: Anthem Blue Cross Blue Shield Missouri Traditional	$101.39
Rate for Payer: Cash Price	$127.80
Rate for Payer: UnitedHealthcare Commercial	$94.71
Rate for Payer: UnitedHealthcare Medicare Advantage	$51.12

ANETHETIST C/B 1/2 HR

Facility

$142.00

Hospital Charge Code	201005
Hospital Revenue Code	370
Rate for Payer: Cash Price	$127.80

ANETHETIST/UNITS

Professional

Both

$20.00

Hospital Charge Code	201002
Hospital Revenue Code	964
Min. Negotiated Rate	$7.00
Max. Negotiated Rate	$7.00
Rate for Payer: Cash Price	$18.00
Rate for Payer: Optum Medicare Advantage	$7.00

ANGELMAN PRADER SYNDROME DNA

Facility

$581.00

Service Code	CPT 81331
Hospital Charge Code	2281331
Hospital Revenue Code	301
Min. Negotiated Rate	$21.00
Max. Negotiated Rate	$414.83
Rate for Payer: Aetna Better Health Medicaid/QHP	$45.96
Rate for Payer: Aetna Medicare Advantage	$51.07
Rate for Payer: Anthem Blue Cross Blue Shield Missouri Blue Access/Blue Preferred and Pathway/Pathway X	$343.95
Rate for Payer: Anthem Blue Cross Blue Shield Missouri Traditional	$414.83
Rate for Payer: Cash Price	$522.90
Rate for Payer: Cash Price	$522.90
Rate for Payer: Cash Price	$522.90
Rate for Payer: Cigna Commercial HMO & PPO	$51.07
Rate for Payer: Healthy Blue CHP/Medicaid Managed Care	$45.96
Rate for Payer: Home State Health Plan Medicaid Managed Care	$49.18
Rate for Payer: Home State Health Plan Medicare Advantage	$51.07
Rate for Payer: Humana Commercial	$102.14
Rate for Payer: Humana Medicare Advantage	$51.07
Rate for Payer: UnitedHealthcare Commercial	$21.00
Rate for Payer: UnitedHealthcare Medicaid Managed Care	$45.96
Rate for Payer: UnitedHealthcare Medicare Advantage	$209.16

ANGELMAN PRADER SYNDROME DNA

Facility

$581.00

Service Code	CPT 81331
Hospital Charge Code	2281331
Hospital Revenue Code	301
Rate for Payer: Cash Price	$522.90

ANGINA PECTORIS

Facility

$14,631.28

Service Code	MSDRG 311
Min. Negotiated Rate	$7,315.64
Max. Negotiated Rate	$14,631.28
Rate for Payer: Aetna Medicare Advantage	$7,315.64
Rate for Payer: Cigna Commercial HMO & PPO	$7,315.64
Rate for Payer: Home State Health Plan Medicare Advantage	$7,315.64
Rate for Payer: Humana Commercial	$14,631.28
Rate for Payer: Humana Medicare Advantage	$7,315.64

ANGINA PECTORIS AND CORONARY ATHEROSCLEROSIS

Facility

$6,407.84

Service Code	APR-DRG 1982
Min. Negotiated Rate	$6,407.84
Max. Negotiated Rate	$6,407.84
Rate for Payer: Aetna Better Health Medicaid/QHP	$6,407.84
Rate for Payer: Healthy Blue CHP/Medicaid Managed Care	$6,407.84
Rate for Payer: Home State Health Plan Medicaid Managed Care	$6,407.84
Rate for Payer: UnitedHealthcare Medicaid Managed Care	$6,407.84

ANGINA PECTORIS AND CORONARY ATHEROSCLEROSIS

Facility

$15,074.28

Service Code	APR-DRG 1984
Min. Negotiated Rate	$15,074.28
Max. Negotiated Rate	$15,074.28
Rate for Payer: Aetna Better Health Medicaid/QHP	$15,074.28
Rate for Payer: Healthy Blue CHP/Medicaid Managed Care	$15,074.28
Rate for Payer: Home State Health Plan Medicaid Managed Care	$15,074.28
Rate for Payer: UnitedHealthcare Medicaid Managed Care	$15,074.28

ANGINA PECTORIS AND CORONARY ATHEROSCLEROSIS

Facility

$8,629.46

Service Code	APR-DRG 1983
Min. Negotiated Rate	$8,629.46
Max. Negotiated Rate	$8,629.46
Rate for Payer: Aetna Better Health Medicaid/QHP	$8,629.46
Rate for Payer: Healthy Blue CHP/Medicaid Managed Care	$8,629.46
Rate for Payer: Home State Health Plan Medicaid Managed Care	$8,629.46
Rate for Payer: UnitedHealthcare Medicaid Managed Care	$8,629.46

ANGINA PECTORIS AND CORONARY ATHEROSCLEROSIS

Facility

$5,560.98

Service Code	APR-DRG 1981
Min. Negotiated Rate	$5,560.98
Max. Negotiated Rate	$5,560.98
Rate for Payer: Aetna Better Health Medicaid/QHP	$5,560.98
Rate for Payer: Healthy Blue CHP/Medicaid Managed Care	$5,560.98
Rate for Payer: Home State Health Plan Medicaid Managed Care	$5,560.98
Rate for Payer: UnitedHealthcare Medicaid Managed Care	$5,560.98

ANGIOCATH 14 GA.

Facility

$48.00

Hospital Charge Code	281234
Hospital Revenue Code	271
Min. Negotiated Rate	$17.28
Max. Negotiated Rate	$34.27
Rate for Payer: Anthem Blue Cross Blue Shield Missouri Blue Access/Blue Preferred and Pathway/Pathway X	$28.42
Rate for Payer: Anthem Blue Cross Blue Shield Missouri Traditional	$34.27
Rate for Payer: Cash Price	$43.20
Rate for Payer: UnitedHealthcare Commercial	$32.02
Rate for Payer: UnitedHealthcare Medicare Advantage	$17.28

ANGIOCATH 14 GA.

Facility

$48.00

Hospital Charge Code	281234
Hospital Revenue Code	271
Rate for Payer: Cash Price	$43.20

ANGIOTENSION CONVERTING ENZYME

Facility

$89.00

Service Code	CPT 82164
Hospital Charge Code	221952
Hospital Revenue Code	301
Rate for Payer: Cash Price	$80.10

ANGIOTENSION CONVERTING ENZYME

Facility

$89.00

Service Code	CPT 82164
Hospital Charge Code	221952
Hospital Revenue Code	301
Min. Negotiated Rate	$13.14
Max. Negotiated Rate	$63.55
Rate for Payer: Aetna Better Health Medicaid/QHP	$13.14
Rate for Payer: Aetna Medicare Advantage	$14.60
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: Cash Price	$80.10
Rate for Payer: Cash Price	$80.10
Rate for Payer: Cigna Commercial HMO & PPO	$14.60
Rate for Payer: Healthy Blue CHP/Medicaid Managed Care	$13.14
Rate for Payer: Home State Health Plan Medicaid Managed Care	$14.06
Rate for Payer: Home State Health Plan Medicare Advantage	$14.60
Rate for Payer: Humana Commercial	$29.20
Rate for Payer: Humana Medicare Advantage	$14.60
Rate for Payer: UnitedHealthcare Commercial	$21.00
Rate for Payer: UnitedHealthcare Medicaid Managed Care	$13.14
Rate for Payer: UnitedHealthcare Medicare Advantage	$32.04

ANKLE STRAPPING

Professional

Both

$192.00

Service Code	CPT 29540
Hospital Charge Code	1829540
Hospital Revenue Code	981
Min. Negotiated Rate	$15.11
Max. Negotiated Rate	$67.20
Rate for Payer: Aetna Commercial/Medicare Advantage	$15.11
Rate for Payer: Anthem Blue Cross Blue Shield Missouri Medicaid Managed Care	$24.52
Rate for Payer: Cash Price	$172.80
Rate for Payer: Cash Price	$172.80
Rate for Payer: Cigna Commercial HMO & PPO	$15.11
Rate for Payer: Healthy Blue CHP/Medicaid Managed Care	$24.52
Rate for Payer: Home State Health Plan Medicaid Managed Care	$26.97
Rate for Payer: Home State Health Plan Medicare Advantage	$15.11
Rate for Payer: Optum Medicare Advantage	$67.20
Rate for Payer: UnitedHealthcare Medicaid Managed Care	$24.52

ANKLETS, SUMMIT MEDICA

Facility

$56.00

Service Code	CPT 99201
Hospital Charge Code	4070017
Hospital Revenue Code	271
Rate for Payer: Cash Price	$50.40

ANKLETS, SUMMIT MEDICA

Facility

$56.00

Service Code	CPT 99201
Hospital Charge Code	4070017
Hospital Revenue Code	271
Min. Negotiated Rate	$20.16
Max. Negotiated Rate	$39.98
Rate for Payer: Anthem Blue Cross Blue Shield Missouri Blue Access/Blue Preferred and Pathway/Pathway X	$33.15
Rate for Payer: Anthem Blue Cross Blue Shield Missouri Traditional	$39.98
Rate for Payer: Cash Price	$50.40
Rate for Payer: UnitedHealthcare Commercial	$37.35
Rate for Payer: UnitedHealthcare Medicare Advantage	$20.16

ANKLE XRAY LT

Facility

$486.00

Service Code	CPT 73610
Hospital Charge Code	321136
Hospital Revenue Code	320
Min. Negotiated Rate	$78.45
Max. Negotiated Rate	$347.00
Rate for Payer: Aetna Better Health Medicaid/QHP	$78.45
Rate for Payer: Aetna Medicare Advantage	$88.91
Rate for Payer: Anthem Blue Cross Blue Shield Missouri Blue Access/Blue Preferred and Pathway/Pathway X	$287.71
Rate for Payer: Anthem Blue Cross Blue Shield Missouri Traditional	$347.00
Rate for Payer: Cash Price	$437.40
Rate for Payer: Cash Price	$437.40
Rate for Payer: Cash Price	$437.40
Rate for Payer: Cigna Commercial HMO & PPO	$88.91
Rate for Payer: Healthy Blue CHP/Medicaid Managed Care	$78.45
Rate for Payer: Home State Health Plan Medicaid Managed Care	$83.94
Rate for Payer: Home State Health Plan Medicare Advantage	$88.91
Rate for Payer: Humana Commercial	$177.82
Rate for Payer: Humana Medicare Advantage	$88.91
Rate for Payer: UnitedHealthcare Commercial	$175.00
Rate for Payer: UnitedHealthcare Medicaid Managed Care	$78.45
Rate for Payer: UnitedHealthcare Medicare Advantage	$174.96

ANKLE XRAY LT

Facility

$486.00

Service Code	CPT 73610
Hospital Charge Code	321136
Hospital Revenue Code	320
Rate for Payer: Cash Price	$437.40

ANKLE XRAY RT

Facility

$486.00

Service Code	CPT 73610
Hospital Charge Code	321137
Hospital Revenue Code	320
Min. Negotiated Rate	$78.45
Max. Negotiated Rate	$347.00
Rate for Payer: Aetna Better Health Medicaid/QHP	$78.45
Rate for Payer: Aetna Medicare Advantage	$88.91
Rate for Payer: Anthem Blue Cross Blue Shield Missouri Blue Access/Blue Preferred and Pathway/Pathway X	$287.71
Rate for Payer: Anthem Blue Cross Blue Shield Missouri Traditional	$347.00
Rate for Payer: Cash Price	$437.40
Rate for Payer: Cash Price	$437.40
Rate for Payer: Cash Price	$437.40
Rate for Payer: Cigna Commercial HMO & PPO	$88.91
Rate for Payer: Healthy Blue CHP/Medicaid Managed Care	$78.45
Rate for Payer: Home State Health Plan Medicaid Managed Care	$83.94
Rate for Payer: Home State Health Plan Medicare Advantage	$88.91
Rate for Payer: Humana Commercial	$177.82
Rate for Payer: Humana Medicare Advantage	$88.91
Rate for Payer: UnitedHealthcare Commercial	$175.00
Rate for Payer: UnitedHealthcare Medicaid Managed Care	$78.45
Rate for Payer: UnitedHealthcare Medicare Advantage	$174.96

Know your out-of-pocket cost for care.

All Charges