Madison Medical Center

All Charges

Charge

Type

Setting

Price

OTHER MAJOR CARDIOVASCULAR PROCEDURES WITHOUT CC/MCC

Facility

$43,715.70

Service Code	MSDRG 272
Min. Negotiated Rate	$21,857.85
Max. Negotiated Rate	$43,715.70
Rate for Payer: Aetna Medicare Advantage	$21,857.85
Rate for Payer: Cigna Commercial HMO & PPO	$21,857.85
Rate for Payer: Home State Health Plan Medicare Advantage	$21,857.85
Rate for Payer: Humana Commercial	$43,715.70
Rate for Payer: Humana Medicare Advantage	$21,857.85

OTHER MAJOR HEAD AND NECK PROCEDURES

Facility

$22,607.26

Service Code	APR-DRG 0912
Min. Negotiated Rate	$22,607.26
Max. Negotiated Rate	$22,607.26
Rate for Payer: Aetna Better Health Medicaid/QHP	$22,607.26
Rate for Payer: Healthy Blue CHP/Medicaid Managed Care	$22,607.26
Rate for Payer: Home State Health Plan Medicaid Managed Care	$22,607.26
Rate for Payer: UnitedHealthcare Medicaid Managed Care	$22,607.26

OTHER MAJOR HEAD AND NECK PROCEDURES

Facility

$74,501.44

Service Code	APR-DRG 0914
Min. Negotiated Rate	$74,501.44
Max. Negotiated Rate	$74,501.44
Rate for Payer: Aetna Better Health Medicaid/QHP	$74,501.44
Rate for Payer: Healthy Blue CHP/Medicaid Managed Care	$74,501.44
Rate for Payer: Home State Health Plan Medicaid Managed Care	$74,501.44
Rate for Payer: UnitedHealthcare Medicaid Managed Care	$74,501.44

OTHER MAJOR HEAD AND NECK PROCEDURES

Facility

$21,263.01

Service Code	APR-DRG 0911
Min. Negotiated Rate	$21,263.01
Max. Negotiated Rate	$21,263.01
Rate for Payer: Aetna Better Health Medicaid/QHP	$21,263.01
Rate for Payer: Healthy Blue CHP/Medicaid Managed Care	$21,263.01
Rate for Payer: Home State Health Plan Medicaid Managed Care	$21,263.01
Rate for Payer: UnitedHealthcare Medicaid Managed Care	$21,263.01

OTHER MAJOR HEAD AND NECK PROCEDURES

Facility

$37,442.09

Service Code	APR-DRG 0913
Min. Negotiated Rate	$37,442.09
Max. Negotiated Rate	$37,442.09
Rate for Payer: Aetna Better Health Medicaid/QHP	$37,442.09
Rate for Payer: Healthy Blue CHP/Medicaid Managed Care	$37,442.09
Rate for Payer: Home State Health Plan Medicaid Managed Care	$37,442.09
Rate for Payer: UnitedHealthcare Medicaid Managed Care	$37,442.09

OTHER MALE REPRODUCTIVE SYSTEM AND RELATED PROCEDURES

Facility

$42,410.46

Service Code	APR-DRG 4844
Min. Negotiated Rate	$42,410.46
Max. Negotiated Rate	$42,410.46
Rate for Payer: Aetna Better Health Medicaid/QHP	$42,410.46
Rate for Payer: Healthy Blue CHP/Medicaid Managed Care	$42,410.46
Rate for Payer: Home State Health Plan Medicaid Managed Care	$42,410.46
Rate for Payer: UnitedHealthcare Medicaid Managed Care	$42,410.46

OTHER MALE REPRODUCTIVE SYSTEM AND RELATED PROCEDURES

Facility

$12,150.95

Service Code	APR-DRG 4842
Min. Negotiated Rate	$12,150.95
Max. Negotiated Rate	$12,150.95
Rate for Payer: Aetna Better Health Medicaid/QHP	$12,150.95
Rate for Payer: Healthy Blue CHP/Medicaid Managed Care	$12,150.95
Rate for Payer: Home State Health Plan Medicaid Managed Care	$12,150.95
Rate for Payer: UnitedHealthcare Medicaid Managed Care	$12,150.95

OTHER MALE REPRODUCTIVE SYSTEM AND RELATED PROCEDURES

Facility

$30,498.03

Service Code	APR-DRG 4843
Min. Negotiated Rate	$30,498.03
Max. Negotiated Rate	$30,498.03
Rate for Payer: Aetna Better Health Medicaid/QHP	$30,498.03
Rate for Payer: Healthy Blue CHP/Medicaid Managed Care	$30,498.03
Rate for Payer: Home State Health Plan Medicaid Managed Care	$30,498.03
Rate for Payer: UnitedHealthcare Medicaid Managed Care	$30,498.03

OTHER MALE REPRODUCTIVE SYSTEM AND RELATED PROCEDURES

Facility

$12,150.95

Service Code	APR-DRG 4841
Min. Negotiated Rate	$12,150.95
Max. Negotiated Rate	$12,150.95
Rate for Payer: Aetna Better Health Medicaid/QHP	$12,150.95
Rate for Payer: Healthy Blue CHP/Medicaid Managed Care	$12,150.95
Rate for Payer: Home State Health Plan Medicaid Managed Care	$12,150.95
Rate for Payer: UnitedHealthcare Medicaid Managed Care	$12,150.95

OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITH CC/MCC

Facility

$20,212.50

Service Code	MSDRG 729
Min. Negotiated Rate	$10,106.25
Max. Negotiated Rate	$20,212.50
Rate for Payer: Aetna Medicare Advantage	$10,106.25
Rate for Payer: Cigna Commercial HMO & PPO	$10,106.25
Rate for Payer: Home State Health Plan Medicare Advantage	$10,106.25
Rate for Payer: Humana Commercial	$20,212.50
Rate for Payer: Humana Medicare Advantage	$10,106.25

OTHER MALE REPRODUCTIVE SYSTEM DIAGNOSES WITHOUT CC/MCC

Facility

$14,165.48

Service Code	MSDRG 730
Min. Negotiated Rate	$7,082.74
Max. Negotiated Rate	$14,165.48
Rate for Payer: Aetna Medicare Advantage	$7,082.74
Rate for Payer: Cigna Commercial HMO & PPO	$7,082.74
Rate for Payer: Home State Health Plan Medicare Advantage	$7,082.74
Rate for Payer: Humana Commercial	$14,165.48
Rate for Payer: Humana Medicare Advantage	$7,082.74

OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITH CC/MCC

Facility

$33,274.40

Service Code	MSDRG 717
Min. Negotiated Rate	$16,637.20
Max. Negotiated Rate	$33,274.40
Rate for Payer: Aetna Medicare Advantage	$16,637.20
Rate for Payer: Cigna Commercial HMO & PPO	$16,637.20
Rate for Payer: Home State Health Plan Medicare Advantage	$16,637.20
Rate for Payer: Humana Commercial	$33,274.40
Rate for Payer: Humana Medicare Advantage	$16,637.20

OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES EXCEPT MALIGNANCY WITHOUT CC/MCC

Facility

$24,663.18

Service Code	MSDRG 718
Min. Negotiated Rate	$12,331.59
Max. Negotiated Rate	$24,663.18
Rate for Payer: Aetna Medicare Advantage	$12,331.59
Rate for Payer: Cigna Commercial HMO & PPO	$12,331.59
Rate for Payer: Home State Health Plan Medicare Advantage	$12,331.59
Rate for Payer: Humana Commercial	$24,663.18
Rate for Payer: Humana Medicare Advantage	$12,331.59

OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITH CC/MCC

Facility

$38,737.78

Service Code	MSDRG 715
Min. Negotiated Rate	$19,368.89
Max. Negotiated Rate	$38,737.78
Rate for Payer: Aetna Medicare Advantage	$19,368.89
Rate for Payer: Cigna Commercial HMO & PPO	$19,368.89
Rate for Payer: Home State Health Plan Medicare Advantage	$19,368.89
Rate for Payer: Humana Commercial	$38,737.78
Rate for Payer: Humana Medicare Advantage	$19,368.89

OTHER MALE REPRODUCTIVE SYSTEM O.R. PROCEDURES FOR MALIGNANCY WITHOUT CC/MCC

Facility

$26,669.30

Service Code	MSDRG 716
Min. Negotiated Rate	$13,334.65
Max. Negotiated Rate	$26,669.30
Rate for Payer: Aetna Medicare Advantage	$13,334.65
Rate for Payer: Cigna Commercial HMO & PPO	$13,334.65
Rate for Payer: Home State Health Plan Medicare Advantage	$13,334.65
Rate for Payer: Humana Commercial	$26,669.30
Rate for Payer: Humana Medicare Advantage	$13,334.65

OTHER MENTAL DISORDER DIAGNOSES

Facility

$20,403.42

Service Code	MSDRG 887
Min. Negotiated Rate	$10,201.71
Max. Negotiated Rate	$20,403.42
Rate for Payer: Aetna Medicare Advantage	$10,201.71
Rate for Payer: Cigna Commercial HMO & PPO	$10,201.71
Rate for Payer: Home State Health Plan Medicare Advantage	$10,201.71
Rate for Payer: Humana Commercial	$20,403.42
Rate for Payer: Humana Medicare Advantage	$10,201.71

OTHER MENTAL HEALTH CONDITIONS AND DISORDERS

Facility

$31,706.42

Service Code	APR-DRG 7604
Min. Negotiated Rate	$31,706.42
Max. Negotiated Rate	$31,706.42
Rate for Payer: Aetna Better Health Medicaid/QHP	$31,706.42
Rate for Payer: Healthy Blue CHP/Medicaid Managed Care	$31,706.42
Rate for Payer: Home State Health Plan Medicaid Managed Care	$31,706.42
Rate for Payer: UnitedHealthcare Medicaid Managed Care	$31,706.42

OTHER MENTAL HEALTH CONDITIONS AND DISORDERS

Facility

$8,041.10

Service Code	APR-DRG 7601
Min. Negotiated Rate	$8,041.10
Max. Negotiated Rate	$8,041.10
Rate for Payer: Aetna Better Health Medicaid/QHP	$8,041.10
Rate for Payer: Healthy Blue CHP/Medicaid Managed Care	$8,041.10
Rate for Payer: Home State Health Plan Medicaid Managed Care	$8,041.10
Rate for Payer: UnitedHealthcare Medicaid Managed Care	$8,041.10

OTHER MENTAL HEALTH CONDITIONS AND DISORDERS

Facility

$15,752.03

Service Code	APR-DRG 7603
Min. Negotiated Rate	$15,752.03
Max. Negotiated Rate	$15,752.03
Rate for Payer: Aetna Better Health Medicaid/QHP	$15,752.03
Rate for Payer: Healthy Blue CHP/Medicaid Managed Care	$15,752.03
Rate for Payer: Home State Health Plan Medicaid Managed Care	$15,752.03
Rate for Payer: UnitedHealthcare Medicaid Managed Care	$15,752.03

OTHER MENTAL HEALTH CONDITIONS AND DISORDERS

Facility

$8,041.10

Service Code	APR-DRG 7602
Min. Negotiated Rate	$8,041.10
Max. Negotiated Rate	$8,041.10
Rate for Payer: Aetna Better Health Medicaid/QHP	$8,041.10
Rate for Payer: Healthy Blue CHP/Medicaid Managed Care	$8,041.10
Rate for Payer: Home State Health Plan Medicaid Managed Care	$8,041.10
Rate for Payer: UnitedHealthcare Medicaid Managed Care	$8,041.10

OTHER MULTIPLE SIGNIFICANT TRAUMA WITH CC

Facility

$27,636.08

Service Code	MSDRG 964
Min. Negotiated Rate	$13,818.04
Max. Negotiated Rate	$27,636.08
Rate for Payer: Aetna Medicare Advantage	$13,818.04
Rate for Payer: Cigna Commercial HMO & PPO	$13,818.04
Rate for Payer: Home State Health Plan Medicare Advantage	$13,818.04
Rate for Payer: Humana Commercial	$27,636.08
Rate for Payer: Humana Medicare Advantage	$13,818.04

OTHER MULTIPLE SIGNIFICANT TRAUMA WITH MCC

Facility

$46,575.98

Service Code	MSDRG 963
Min. Negotiated Rate	$23,287.99
Max. Negotiated Rate	$46,575.98
Rate for Payer: Aetna Medicare Advantage	$23,287.99
Rate for Payer: Cigna Commercial HMO & PPO	$23,287.99
Rate for Payer: Home State Health Plan Medicare Advantage	$23,287.99
Rate for Payer: Humana Commercial	$46,575.98
Rate for Payer: Humana Medicare Advantage	$23,287.99

OTHER MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC

Facility

$18,362.74

Service Code	MSDRG 965
Min. Negotiated Rate	$9,181.37
Max. Negotiated Rate	$18,362.74
Rate for Payer: Aetna Medicare Advantage	$9,181.37
Rate for Payer: Cigna Commercial HMO & PPO	$9,181.37
Rate for Payer: Home State Health Plan Medicare Advantage	$9,181.37
Rate for Payer: Humana Commercial	$18,362.74
Rate for Payer: Humana Medicare Advantage	$9,181.37

OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES

Facility

$9,001.04

Service Code	APR-DRG 3512
Min. Negotiated Rate	$9,001.04
Max. Negotiated Rate	$9,001.04
Rate for Payer: Aetna Better Health Medicaid/QHP	$9,001.04
Rate for Payer: Healthy Blue CHP/Medicaid Managed Care	$9,001.04
Rate for Payer: Home State Health Plan Medicaid Managed Care	$9,001.04
Rate for Payer: UnitedHealthcare Medicaid Managed Care	$9,001.04

OTHER MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE DIAGNOSES

Facility

$29,409.62

Service Code	APR-DRG 3514
Min. Negotiated Rate	$29,409.62
Max. Negotiated Rate	$29,409.62
Rate for Payer: Aetna Better Health Medicaid/QHP	$29,409.62
Rate for Payer: Healthy Blue CHP/Medicaid Managed Care	$29,409.62
Rate for Payer: Home State Health Plan Medicaid Managed Care	$29,409.62
Rate for Payer: UnitedHealthcare Medicaid Managed Care	$29,409.62

Know your out-of-pocket cost for care.

All Charges