Madison Medical Center

All Charges

Charge

Type

Setting

Price

OTHER FEMALE REPRODUCTIVE SYSTEM O.R. PROCEDURES WITHOUT CC/MCC

Facility

$26,744.58

Service Code	MSDRG 750
Min. Negotiated Rate	$13,372.29
Max. Negotiated Rate	$26,744.58
Rate for Payer: Aetna Medicare Advantage	$13,372.29
Rate for Payer: Cigna Commercial HMO & PPO	$13,372.29
Rate for Payer: Home State Health Plan Medicare Advantage	$13,372.29
Rate for Payer: Humana Commercial	$26,744.58
Rate for Payer: Humana Medicare Advantage	$13,372.29

OTHER GASTROENTERITIS, NAUSEA AND VOMITING

Facility

$4,578.03

Service Code	APR-DRG 2491
Min. Negotiated Rate	$4,578.03
Max. Negotiated Rate	$4,578.03
Rate for Payer: Aetna Better Health Medicaid/QHP	$4,578.03
Rate for Payer: Healthy Blue CHP/Medicaid Managed Care	$4,578.03
Rate for Payer: Home State Health Plan Medicaid Managed Care	$4,578.03
Rate for Payer: UnitedHealthcare Medicaid Managed Care	$4,578.03

OTHER GASTROENTERITIS, NAUSEA AND VOMITING

Facility

$26,120.22

Service Code	APR-DRG 2494
Min. Negotiated Rate	$26,120.22
Max. Negotiated Rate	$26,120.22
Rate for Payer: Aetna Better Health Medicaid/QHP	$26,120.22
Rate for Payer: Healthy Blue CHP/Medicaid Managed Care	$26,120.22
Rate for Payer: Home State Health Plan Medicaid Managed Care	$26,120.22
Rate for Payer: UnitedHealthcare Medicaid Managed Care	$26,120.22

OTHER GASTROENTERITIS, NAUSEA AND VOMITING

Facility

$6,073.77

Service Code	APR-DRG 2492
Min. Negotiated Rate	$6,073.77
Max. Negotiated Rate	$6,073.77
Rate for Payer: Aetna Better Health Medicaid/QHP	$6,073.77
Rate for Payer: Healthy Blue CHP/Medicaid Managed Care	$6,073.77
Rate for Payer: Home State Health Plan Medicaid Managed Care	$6,073.77
Rate for Payer: UnitedHealthcare Medicaid Managed Care	$6,073.77

OTHER GASTROENTERITIS, NAUSEA AND VOMITING

Facility

$14,570.98

Service Code	APR-DRG 2493
Min. Negotiated Rate	$14,570.98
Max. Negotiated Rate	$14,570.98
Rate for Payer: Aetna Better Health Medicaid/QHP	$14,570.98
Rate for Payer: Healthy Blue CHP/Medicaid Managed Care	$14,570.98
Rate for Payer: Home State Health Plan Medicaid Managed Care	$14,570.98
Rate for Payer: UnitedHealthcare Medicaid Managed Care	$14,570.98

OTHER GYN PROCEDURES FOR MALIGNANCY

Facility

$24,752.15

Service Code	APR-DRG 5203
Min. Negotiated Rate	$24,752.15
Max. Negotiated Rate	$24,752.15
Rate for Payer: Aetna Better Health Medicaid/QHP	$24,752.15
Rate for Payer: Healthy Blue CHP/Medicaid Managed Care	$24,752.15
Rate for Payer: Home State Health Plan Medicaid Managed Care	$24,752.15
Rate for Payer: UnitedHealthcare Medicaid Managed Care	$24,752.15

OTHER GYN PROCEDURES FOR MALIGNANCY

Facility

$19,959.44

Service Code	APR-DRG 5202
Min. Negotiated Rate	$19,959.44
Max. Negotiated Rate	$19,959.44
Rate for Payer: Aetna Better Health Medicaid/QHP	$19,959.44
Rate for Payer: Healthy Blue CHP/Medicaid Managed Care	$19,959.44
Rate for Payer: Home State Health Plan Medicaid Managed Care	$19,959.44
Rate for Payer: UnitedHealthcare Medicaid Managed Care	$19,959.44

OTHER GYN PROCEDURES FOR MALIGNANCY

Facility

$15,204.64

Service Code	APR-DRG 5201
Min. Negotiated Rate	$15,204.64
Max. Negotiated Rate	$15,204.64
Rate for Payer: Aetna Better Health Medicaid/QHP	$15,204.64
Rate for Payer: Healthy Blue CHP/Medicaid Managed Care	$15,204.64
Rate for Payer: Home State Health Plan Medicaid Managed Care	$15,204.64
Rate for Payer: UnitedHealthcare Medicaid Managed Care	$15,204.64

OTHER GYN PROCEDURES FOR MALIGNANCY

Facility

$59,466.91

Service Code	APR-DRG 5204
Min. Negotiated Rate	$59,466.91
Max. Negotiated Rate	$59,466.91
Rate for Payer: Aetna Better Health Medicaid/QHP	$59,466.91
Rate for Payer: Healthy Blue CHP/Medicaid Managed Care	$59,466.91
Rate for Payer: Home State Health Plan Medicaid Managed Care	$59,466.91
Rate for Payer: UnitedHealthcare Medicaid Managed Care	$59,466.91

OTHER HEART ASSIST SYSTEM IMPLANT

Facility

$161,198.48

Service Code	MSDRG 215
Min. Negotiated Rate	$80,599.24
Max. Negotiated Rate	$161,198.48
Rate for Payer: Aetna Medicare Advantage	$80,599.24
Rate for Payer: Cigna Commercial HMO & PPO	$80,599.24
Rate for Payer: Home State Health Plan Medicare Advantage	$80,599.24
Rate for Payer: Humana Commercial	$161,198.48
Rate for Payer: Humana Medicare Advantage	$80,599.24

OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH CC

Facility

$37,959.56

Service Code	MSDRG 424
Min. Negotiated Rate	$18,979.78
Max. Negotiated Rate	$37,959.56
Rate for Payer: Aetna Medicare Advantage	$18,979.78
Rate for Payer: Cigna Commercial HMO & PPO	$18,979.78
Rate for Payer: Home State Health Plan Medicare Advantage	$18,979.78
Rate for Payer: Humana Commercial	$37,959.56
Rate for Payer: Humana Medicare Advantage	$18,979.78

OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITH MCC

Facility

$69,062.16

Service Code	MSDRG 423
Min. Negotiated Rate	$34,531.08
Max. Negotiated Rate	$69,062.16
Rate for Payer: Aetna Medicare Advantage	$34,531.08
Rate for Payer: Cigna Commercial HMO & PPO	$34,531.08
Rate for Payer: Home State Health Plan Medicare Advantage	$34,531.08
Rate for Payer: Humana Commercial	$69,062.16
Rate for Payer: Humana Medicare Advantage	$34,531.08

OTHER HEPATOBILIARY OR PANCREAS O.R. PROCEDURES WITHOUT CC/MCC

Facility

$27,128.92

Service Code	MSDRG 425
Min. Negotiated Rate	$13,564.46
Max. Negotiated Rate	$27,128.92
Rate for Payer: Aetna Medicare Advantage	$13,564.46
Rate for Payer: Cigna Commercial HMO & PPO	$13,564.46
Rate for Payer: Home State Health Plan Medicare Advantage	$13,564.46
Rate for Payer: Humana Commercial	$27,128.92
Rate for Payer: Humana Medicare Advantage	$13,564.46

OTHER HEPATOBILIARY, PANCREAS AND ABDOMINAL PROCEDURES

Facility

$25,967.89

Service Code	APR-DRG 2643
Min. Negotiated Rate	$25,967.89
Max. Negotiated Rate	$25,967.89
Rate for Payer: Aetna Better Health Medicaid/QHP	$25,967.89
Rate for Payer: Healthy Blue CHP/Medicaid Managed Care	$25,967.89
Rate for Payer: Home State Health Plan Medicaid Managed Care	$25,967.89
Rate for Payer: UnitedHealthcare Medicaid Managed Care	$25,967.89

OTHER HEPATOBILIARY, PANCREAS AND ABDOMINAL PROCEDURES

Facility

$19,330.77

Service Code	APR-DRG 2642
Min. Negotiated Rate	$19,330.77
Max. Negotiated Rate	$19,330.77
Rate for Payer: Aetna Better Health Medicaid/QHP	$19,330.77
Rate for Payer: Healthy Blue CHP/Medicaid Managed Care	$19,330.77
Rate for Payer: Home State Health Plan Medicaid Managed Care	$19,330.77
Rate for Payer: UnitedHealthcare Medicaid Managed Care	$19,330.77

OTHER HEPATOBILIARY, PANCREAS AND ABDOMINAL PROCEDURES

Facility

$14,861.64

Service Code	APR-DRG 2641
Min. Negotiated Rate	$14,861.64
Max. Negotiated Rate	$14,861.64
Rate for Payer: Aetna Better Health Medicaid/QHP	$14,861.64
Rate for Payer: Healthy Blue CHP/Medicaid Managed Care	$14,861.64
Rate for Payer: Home State Health Plan Medicaid Managed Care	$14,861.64
Rate for Payer: UnitedHealthcare Medicaid Managed Care	$14,861.64

OTHER HEPATOBILIARY, PANCREAS AND ABDOMINAL PROCEDURES

Facility

$58,862.28

Service Code	APR-DRG 2644
Min. Negotiated Rate	$58,862.28
Max. Negotiated Rate	$58,862.28
Rate for Payer: Aetna Better Health Medicaid/QHP	$58,862.28
Rate for Payer: Healthy Blue CHP/Medicaid Managed Care	$58,862.28
Rate for Payer: Home State Health Plan Medicaid Managed Care	$58,862.28
Rate for Payer: UnitedHealthcare Medicaid Managed Care	$58,862.28

OTHER INFECTIOUS AND PARASITIC DISEASES

Facility

$16,942.36

Service Code	APR-DRG 7243
Min. Negotiated Rate	$16,942.36
Max. Negotiated Rate	$16,942.36
Rate for Payer: Aetna Better Health Medicaid/QHP	$16,942.36
Rate for Payer: Healthy Blue CHP/Medicaid Managed Care	$16,942.36
Rate for Payer: Home State Health Plan Medicaid Managed Care	$16,942.36
Rate for Payer: UnitedHealthcare Medicaid Managed Care	$16,942.36

OTHER INFECTIOUS AND PARASITIC DISEASES

Facility

$38,982.32

Service Code	APR-DRG 7244
Min. Negotiated Rate	$38,982.32
Max. Negotiated Rate	$38,982.32
Rate for Payer: Aetna Better Health Medicaid/QHP	$38,982.32
Rate for Payer: Healthy Blue CHP/Medicaid Managed Care	$38,982.32
Rate for Payer: Home State Health Plan Medicaid Managed Care	$38,982.32
Rate for Payer: UnitedHealthcare Medicaid Managed Care	$38,982.32

OTHER INFECTIOUS AND PARASITIC DISEASES

Facility

$10,334.49

Service Code	APR-DRG 7242
Min. Negotiated Rate	$10,334.49
Max. Negotiated Rate	$10,334.49
Rate for Payer: Aetna Better Health Medicaid/QHP	$10,334.49
Rate for Payer: Healthy Blue CHP/Medicaid Managed Care	$10,334.49
Rate for Payer: Home State Health Plan Medicaid Managed Care	$10,334.49
Rate for Payer: UnitedHealthcare Medicaid Managed Care	$10,334.49

OTHER INFECTIOUS AND PARASITIC DISEASES

Facility

$7,064.46

Service Code	APR-DRG 7241
Min. Negotiated Rate	$7,064.46
Max. Negotiated Rate	$7,064.46
Rate for Payer: Aetna Better Health Medicaid/QHP	$7,064.46
Rate for Payer: Healthy Blue CHP/Medicaid Managed Care	$7,064.46
Rate for Payer: Home State Health Plan Medicaid Managed Care	$7,064.46
Rate for Payer: UnitedHealthcare Medicaid Managed Care	$7,064.46

OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH CC

Facility

$19,780.58

Service Code	MSDRG 868
Min. Negotiated Rate	$9,890.29
Max. Negotiated Rate	$19,780.58
Rate for Payer: Aetna Medicare Advantage	$9,890.29
Rate for Payer: Cigna Commercial HMO & PPO	$9,890.29
Rate for Payer: Home State Health Plan Medicare Advantage	$9,890.29
Rate for Payer: Humana Commercial	$19,780.58
Rate for Payer: Humana Medicare Advantage	$9,890.29

OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITH MCC

Facility

$36,467.66

Service Code	MSDRG 867
Min. Negotiated Rate	$18,233.83
Max. Negotiated Rate	$36,467.66
Rate for Payer: Aetna Medicare Advantage	$18,233.83
Rate for Payer: Cigna Commercial HMO & PPO	$18,233.83
Rate for Payer: Home State Health Plan Medicare Advantage	$18,233.83
Rate for Payer: Humana Commercial	$36,467.66
Rate for Payer: Humana Medicare Advantage	$18,233.83

OTHER INFECTIOUS AND PARASITIC DISEASES DIAGNOSES WITHOUT CC/MCC

Facility

$15,064.34

Service Code	MSDRG 869
Min. Negotiated Rate	$7,532.17
Max. Negotiated Rate	$15,064.34
Rate for Payer: Aetna Medicare Advantage	$7,532.17
Rate for Payer: Cigna Commercial HMO & PPO	$7,532.17
Rate for Payer: Home State Health Plan Medicare Advantage	$7,532.17
Rate for Payer: Humana Commercial	$15,064.34
Rate for Payer: Humana Medicare Advantage	$7,532.17

OTHER INJURY, POISONING AND TOXIC EFFECT DIAGNOSES

Facility

$36,250.03

Service Code	APR-DRG 8154
Min. Negotiated Rate	$36,250.03
Max. Negotiated Rate	$36,250.03
Rate for Payer: Aetna Better Health Medicaid/QHP	$36,250.03
Rate for Payer: Healthy Blue CHP/Medicaid Managed Care	$36,250.03
Rate for Payer: Home State Health Plan Medicaid Managed Care	$36,250.03
Rate for Payer: UnitedHealthcare Medicaid Managed Care	$36,250.03

Know your out-of-pocket cost for care.

All Charges