Madison Medical Center

All Charges

Charge

Type

Setting

Price

OTHER OPEN CRANIOTOMY

Facility

$40,736.16

Service Code	APR-DRG 0273
Min. Negotiated Rate	$40,736.16
Max. Negotiated Rate	$40,736.16
Rate for Payer: Aetna Better Health Medicaid/QHP	$40,736.16
Rate for Payer: Healthy Blue CHP/Medicaid Managed Care	$40,736.16
Rate for Payer: Home State Health Plan Medicaid Managed Care	$40,736.16
Rate for Payer: UnitedHealthcare Medicaid Managed Care	$40,736.16

OTHER OPEN CRANIOTOMY

Facility

$53,955.85

Service Code	APR-DRG 0274
Min. Negotiated Rate	$53,955.85
Max. Negotiated Rate	$53,955.85
Rate for Payer: Aetna Better Health Medicaid/QHP	$53,955.85
Rate for Payer: Healthy Blue CHP/Medicaid Managed Care	$53,955.85
Rate for Payer: Home State Health Plan Medicaid Managed Care	$53,955.85
Rate for Payer: UnitedHealthcare Medicaid Managed Care	$53,955.85

OTHER O.R. PROCEDURES FOR INJURIES WITH CC

Facility

$34,923.80

Service Code	MSDRG 908
Min. Negotiated Rate	$17,461.90
Max. Negotiated Rate	$34,923.80
Rate for Payer: Aetna Medicare Advantage	$17,461.90
Rate for Payer: Cigna Commercial HMO & PPO	$17,461.90
Rate for Payer: Home State Health Plan Medicare Advantage	$17,461.90
Rate for Payer: Humana Commercial	$34,923.80
Rate for Payer: Humana Medicare Advantage	$17,461.90

OTHER O.R. PROCEDURES FOR INJURIES WITH MCC

Facility

$64,086.72

Service Code	MSDRG 907
Min. Negotiated Rate	$32,043.36
Max. Negotiated Rate	$64,086.72
Rate for Payer: Aetna Medicare Advantage	$32,043.36
Rate for Payer: Cigna Commercial HMO & PPO	$32,043.36
Rate for Payer: Home State Health Plan Medicare Advantage	$32,043.36
Rate for Payer: Humana Commercial	$64,086.72
Rate for Payer: Humana Medicare Advantage	$32,043.36

OTHER O.R. PROCEDURES FOR INJURIES WITHOUT CC/MCC

Facility

$24,187.42

Service Code	MSDRG 909
Min. Negotiated Rate	$12,093.71
Max. Negotiated Rate	$24,187.42
Rate for Payer: Aetna Medicare Advantage	$12,093.71
Rate for Payer: Cigna Commercial HMO & PPO	$12,093.71
Rate for Payer: Home State Health Plan Medicare Advantage	$12,093.71
Rate for Payer: Humana Commercial	$24,187.42
Rate for Payer: Humana Medicare Advantage	$12,093.71

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

Facility

$96,322.86

Service Code	APR-DRG 6814
Min. Negotiated Rate	$96,322.86
Max. Negotiated Rate	$96,322.86
Rate for Payer: Aetna Better Health Medicaid/QHP	$96,322.86
Rate for Payer: Healthy Blue CHP/Medicaid Managed Care	$96,322.86
Rate for Payer: Home State Health Plan Medicaid Managed Care	$96,322.86
Rate for Payer: UnitedHealthcare Medicaid Managed Care	$96,322.86

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

Facility

$34,555.75

Service Code	APR-DRG 6813
Min. Negotiated Rate	$34,555.75
Max. Negotiated Rate	$34,555.75
Rate for Payer: Aetna Better Health Medicaid/QHP	$34,555.75
Rate for Payer: Healthy Blue CHP/Medicaid Managed Care	$34,555.75
Rate for Payer: Home State Health Plan Medicaid Managed Care	$34,555.75
Rate for Payer: UnitedHealthcare Medicaid Managed Care	$34,555.75

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

Facility

$21,106.77

Service Code	APR-DRG 6812
Min. Negotiated Rate	$21,106.77
Max. Negotiated Rate	$21,106.77
Rate for Payer: Aetna Better Health Medicaid/QHP	$21,106.77
Rate for Payer: Healthy Blue CHP/Medicaid Managed Care	$21,106.77
Rate for Payer: Home State Health Plan Medicaid Managed Care	$21,106.77
Rate for Payer: UnitedHealthcare Medicaid Managed Care	$21,106.77

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

Facility

$5,814.30

Service Code	APR-DRG 6811
Min. Negotiated Rate	$5,814.30
Max. Negotiated Rate	$5,814.30
Rate for Payer: Aetna Better Health Medicaid/QHP	$5,814.30
Rate for Payer: Healthy Blue CHP/Medicaid Managed Care	$5,814.30
Rate for Payer: Home State Health Plan Medicaid Managed Care	$5,814.30
Rate for Payer: UnitedHealthcare Medicaid Managed Care	$5,814.30

OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH CC

Facility

$70,028.64

Service Code	MSDRG 958
Min. Negotiated Rate	$35,014.32
Max. Negotiated Rate	$70,028.64
Rate for Payer: Aetna Medicare Advantage	$35,014.32
Rate for Payer: Cigna Commercial HMO & PPO	$35,014.32
Rate for Payer: Home State Health Plan Medicare Advantage	$35,014.32
Rate for Payer: Humana Commercial	$70,028.64
Rate for Payer: Humana Medicare Advantage	$35,014.32

OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITH MCC

Facility

$124,097.78

Service Code	MSDRG 957
Min. Negotiated Rate	$62,048.89
Max. Negotiated Rate	$124,097.78
Rate for Payer: Aetna Medicare Advantage	$62,048.89
Rate for Payer: Cigna Commercial HMO & PPO	$62,048.89
Rate for Payer: Home State Health Plan Medicare Advantage	$62,048.89
Rate for Payer: Humana Commercial	$124,097.78
Rate for Payer: Humana Medicare Advantage	$62,048.89

OTHER O.R. PROCEDURES FOR MULTIPLE SIGNIFICANT TRAUMA WITHOUT CC/MCC

Facility

$49,902.94

Service Code	MSDRG 959
Min. Negotiated Rate	$24,951.47
Max. Negotiated Rate	$49,902.94
Rate for Payer: Aetna Medicare Advantage	$24,951.47
Rate for Payer: Cigna Commercial HMO & PPO	$24,951.47
Rate for Payer: Home State Health Plan Medicare Advantage	$24,951.47
Rate for Payer: Humana Commercial	$49,902.94
Rate for Payer: Humana Medicare Advantage	$24,951.47

OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC

Facility

$32,776.58

Service Code	MSDRG 803
Min. Negotiated Rate	$16,388.29
Max. Negotiated Rate	$32,776.58
Rate for Payer: Aetna Medicare Advantage	$16,388.29
Rate for Payer: Cigna Commercial HMO & PPO	$16,388.29
Rate for Payer: Home State Health Plan Medicare Advantage	$16,388.29
Rate for Payer: Humana Commercial	$32,776.58
Rate for Payer: Humana Medicare Advantage	$16,388.29

OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH MCC

Facility

$66,383.32

Service Code	MSDRG 802
Min. Negotiated Rate	$33,191.66
Max. Negotiated Rate	$66,383.32
Rate for Payer: Aetna Medicare Advantage	$33,191.66
Rate for Payer: Cigna Commercial HMO & PPO	$33,191.66
Rate for Payer: Home State Health Plan Medicare Advantage	$33,191.66
Rate for Payer: Humana Commercial	$66,383.32
Rate for Payer: Humana Medicare Advantage	$33,191.66

OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITHOUT CC/MCC

Facility

$24,865.28

Service Code	MSDRG 804
Min. Negotiated Rate	$12,432.64
Max. Negotiated Rate	$24,865.28
Rate for Payer: Aetna Medicare Advantage	$12,432.64
Rate for Payer: Cigna Commercial HMO & PPO	$12,432.64
Rate for Payer: Home State Health Plan Medicare Advantage	$12,432.64
Rate for Payer: Humana Commercial	$24,865.28
Rate for Payer: Humana Medicare Advantage	$12,432.64

OTHER PERCUTANEOUS INTRACRANIAL PROCEDURES

Facility

$27,541.42

Service Code	APR-DRG 0292
Min. Negotiated Rate	$27,541.42
Max. Negotiated Rate	$27,541.42
Rate for Payer: Aetna Better Health Medicaid/QHP	$27,541.42
Rate for Payer: Healthy Blue CHP/Medicaid Managed Care	$27,541.42
Rate for Payer: Home State Health Plan Medicaid Managed Care	$27,541.42
Rate for Payer: UnitedHealthcare Medicaid Managed Care	$27,541.42

OTHER PERCUTANEOUS INTRACRANIAL PROCEDURES

Facility

$45,264.45

Service Code	APR-DRG 0293
Min. Negotiated Rate	$45,264.45
Max. Negotiated Rate	$45,264.45
Rate for Payer: Aetna Better Health Medicaid/QHP	$45,264.45
Rate for Payer: Healthy Blue CHP/Medicaid Managed Care	$45,264.45
Rate for Payer: Home State Health Plan Medicaid Managed Care	$45,264.45
Rate for Payer: UnitedHealthcare Medicaid Managed Care	$45,264.45

OTHER PERCUTANEOUS INTRACRANIAL PROCEDURES

Facility

$19,621.99

Service Code	APR-DRG 0291
Min. Negotiated Rate	$19,621.99
Max. Negotiated Rate	$19,621.99
Rate for Payer: Aetna Better Health Medicaid/QHP	$19,621.99
Rate for Payer: Healthy Blue CHP/Medicaid Managed Care	$19,621.99
Rate for Payer: Home State Health Plan Medicaid Managed Care	$19,621.99
Rate for Payer: UnitedHealthcare Medicaid Managed Care	$19,621.99

OTHER PERCUTANEOUS INTRACRANIAL PROCEDURES

Facility

$49,563.46

Service Code	APR-DRG 0294
Min. Negotiated Rate	$49,563.46
Max. Negotiated Rate	$49,563.46
Rate for Payer: Aetna Better Health Medicaid/QHP	$49,563.46
Rate for Payer: Healthy Blue CHP/Medicaid Managed Care	$49,563.46
Rate for Payer: Home State Health Plan Medicaid Managed Care	$49,563.46
Rate for Payer: UnitedHealthcare Medicaid Managed Care	$49,563.46

OTHER PERIPHERAL VASCULAR AND RELATED PROCEDURES

Facility

$53,580.50

Service Code	APR-DRG 1824
Min. Negotiated Rate	$53,580.50
Max. Negotiated Rate	$53,580.50
Rate for Payer: Aetna Better Health Medicaid/QHP	$53,580.50
Rate for Payer: Healthy Blue CHP/Medicaid Managed Care	$53,580.50
Rate for Payer: Home State Health Plan Medicaid Managed Care	$53,580.50
Rate for Payer: UnitedHealthcare Medicaid Managed Care	$53,580.50

OTHER PERIPHERAL VASCULAR AND RELATED PROCEDURES

Facility

$24,006.06

Service Code	APR-DRG 1823
Min. Negotiated Rate	$24,006.06
Max. Negotiated Rate	$24,006.06
Rate for Payer: Aetna Better Health Medicaid/QHP	$24,006.06
Rate for Payer: Healthy Blue CHP/Medicaid Managed Care	$24,006.06
Rate for Payer: Home State Health Plan Medicaid Managed Care	$24,006.06
Rate for Payer: UnitedHealthcare Medicaid Managed Care	$24,006.06

OTHER PERIPHERAL VASCULAR AND RELATED PROCEDURES

Facility

$12,370.99

Service Code	APR-DRG 1821
Min. Negotiated Rate	$12,370.99
Max. Negotiated Rate	$12,370.99
Rate for Payer: Aetna Better Health Medicaid/QHP	$12,370.99
Rate for Payer: Healthy Blue CHP/Medicaid Managed Care	$12,370.99
Rate for Payer: Home State Health Plan Medicaid Managed Care	$12,370.99
Rate for Payer: UnitedHealthcare Medicaid Managed Care	$12,370.99

OTHER PERIPHERAL VASCULAR AND RELATED PROCEDURES

Facility

$16,591.42

Service Code	APR-DRG 1822
Min. Negotiated Rate	$16,591.42
Max. Negotiated Rate	$16,591.42
Rate for Payer: Aetna Better Health Medicaid/QHP	$16,591.42
Rate for Payer: Healthy Blue CHP/Medicaid Managed Care	$16,591.42
Rate for Payer: Home State Health Plan Medicaid Managed Care	$16,591.42
Rate for Payer: UnitedHealthcare Medicaid Managed Care	$16,591.42

OTHER PNEUMONIA

Facility

$8,681.31

Service Code	APR-DRG 1392
Min. Negotiated Rate	$8,681.31
Max. Negotiated Rate	$8,681.31
Rate for Payer: Aetna Better Health Medicaid/QHP	$8,681.31
Rate for Payer: Healthy Blue CHP/Medicaid Managed Care	$8,681.31
Rate for Payer: Home State Health Plan Medicaid Managed Care	$8,681.31
Rate for Payer: UnitedHealthcare Medicaid Managed Care	$8,681.31

OTHER PNEUMONIA

Facility

$25,808.96

Service Code	APR-DRG 1394
Min. Negotiated Rate	$25,808.96
Max. Negotiated Rate	$25,808.96
Rate for Payer: Aetna Better Health Medicaid/QHP	$25,808.96
Rate for Payer: Healthy Blue CHP/Medicaid Managed Care	$25,808.96
Rate for Payer: Home State Health Plan Medicaid Managed Care	$25,808.96
Rate for Payer: UnitedHealthcare Medicaid Managed Care	$25,808.96

Know your out-of-pocket cost for care.

All Charges