Madison Medical Center

All Charges

Charge

Type

Setting

Price

PAP SMEAR

Facility

$60.00

Service Code	CPT 88150
Hospital Charge Code	9688150
Hospital Revenue Code	521
Rate for Payer: Cash Price	$54.00

PARA BLOC

Facility

$75.00

Hospital Charge Code	202027
Hospital Revenue Code	370
Rate for Payer: Cash Price	$67.50

PARA BLOC

Facility

$75.00

Hospital Charge Code	202027
Hospital Revenue Code	370
Min. Negotiated Rate	$27.00
Max. Negotiated Rate	$53.55
Rate for Payer: Anthem Blue Cross Blue Shield Missouri Blue Access/Blue Preferred and Pathway/Pathway X	$44.40
Rate for Payer: Anthem Blue Cross Blue Shield Missouri Traditional	$53.55
Rate for Payer: Cash Price	$67.50
Rate for Payer: UnitedHealthcare Commercial	$50.02
Rate for Payer: UnitedHealthcare Medicare Advantage	$27.00

PARACENTESIS, ABD

Professional

Both

$283.00

Service Code	CPT 49082
Hospital Charge Code	4149080
Hospital Revenue Code	975
Min. Negotiated Rate	$67.65
Max. Negotiated Rate	$180.94
Rate for Payer: Aetna Commercial/Medicare Advantage	$67.65
Rate for Payer: Anthem Blue Cross Blue Shield Missouri Medicaid Managed Care	$164.49
Rate for Payer: Cash Price	$254.70
Rate for Payer: Cash Price	$254.70
Rate for Payer: Cigna Commercial HMO & PPO	$67.65
Rate for Payer: Healthy Blue CHP/Medicaid Managed Care	$164.49
Rate for Payer: Home State Health Plan Medicaid Managed Care	$180.94
Rate for Payer: Home State Health Plan Medicare Advantage	$67.65
Rate for Payer: Optum Medicare Advantage	$99.05
Rate for Payer: UnitedHealthcare Medicaid Managed Care	$164.49

PARACENTESIS - INITIAL

Professional

Both

$924.00

Service Code	CPT 49082
Hospital Charge Code	549082
Hospital Revenue Code	982
Min. Negotiated Rate	$67.65
Max. Negotiated Rate	$323.40
Rate for Payer: Aetna Commercial/Medicare Advantage	$67.65
Rate for Payer: Anthem Blue Cross Blue Shield Missouri Medicaid Managed Care	$164.49
Rate for Payer: Cash Price	$831.60
Rate for Payer: Cash Price	$831.60
Rate for Payer: Cigna Commercial HMO & PPO	$67.65
Rate for Payer: Healthy Blue CHP/Medicaid Managed Care	$164.49
Rate for Payer: Home State Health Plan Medicaid Managed Care	$180.94
Rate for Payer: Home State Health Plan Medicare Advantage	$67.65
Rate for Payer: Optum Medicare Advantage	$323.40
Rate for Payer: UnitedHealthcare Medicaid Managed Care	$164.49

PARA-CERV CONT

Facility

$126.00

Hospital Charge Code	202025
Hospital Revenue Code	370
Min. Negotiated Rate	$45.36
Max. Negotiated Rate	$89.96
Rate for Payer: Anthem Blue Cross Blue Shield Missouri Blue Access/Blue Preferred and Pathway/Pathway X	$74.59
Rate for Payer: Anthem Blue Cross Blue Shield Missouri Traditional	$89.96
Rate for Payer: Cash Price	$113.40
Rate for Payer: UnitedHealthcare Commercial	$84.04
Rate for Payer: UnitedHealthcare Medicare Advantage	$45.36

PARA-CERV CONT

Facility

$126.00

Hospital Charge Code	202025
Hospital Revenue Code	370
Rate for Payer: Cash Price	$113.40

PARACERVICAL BLOCK

Facility

$149.00

Service Code	CPT 64435
Hospital Charge Code	4264435
Rate for Payer: Cash Price	$134.10

PARAGARD PRODUCT

Facility

$550.00

Service Code	CPT J7300
Hospital Charge Code	9207300
Hospital Revenue Code	521
Min. Negotiated Rate	$173.53
Max. Negotiated Rate	$392.70
Rate for Payer: Anthem Blue Cross Blue Shield Missouri Blue Access/Blue Preferred and Pathway/Pathway X	$325.60
Rate for Payer: Anthem Blue Cross Blue Shield Missouri Traditional	$392.70
Rate for Payer: Cash Price	$495.00
Rate for Payer: Cash Price	$495.00
Rate for Payer: UnitedHealthcare Commercial	$366.85
Rate for Payer: UnitedHealthcare Medicare Advantage	$173.53

PARAGARD PRODUCT

Facility

$550.00

Service Code	CPT J7300
Hospital Charge Code	9207300
Hospital Revenue Code	521
Rate for Payer: Cash Price	$495.00

.PARAINFLUENZA (LC CHARGE)

Facility

$50.00

Service Code	CPT 87260
Hospital Charge Code	2287279
Hospital Revenue Code	305
Min. Negotiated Rate	$12.99
Max. Negotiated Rate	$35.70
Rate for Payer: Aetna Better Health Medicaid/QHP	$12.99
Rate for Payer: Aetna Medicare Advantage	$14.43
Rate for Payer: Anthem Blue Cross Blue Shield Missouri Blue Access/Blue Preferred and Pathway/Pathway X	$29.60
Rate for Payer: Anthem Blue Cross Blue Shield Missouri Traditional	$35.70
Rate for Payer: Cash Price	$45.00
Rate for Payer: Cash Price	$45.00
Rate for Payer: Cash Price	$45.00
Rate for Payer: Cigna Commercial HMO & PPO	$14.43
Rate for Payer: Healthy Blue CHP/Medicaid Managed Care	$12.99
Rate for Payer: Home State Health Plan Medicaid Managed Care	$13.90
Rate for Payer: Home State Health Plan Medicare Advantage	$14.43
Rate for Payer: Humana Commercial	$28.86
Rate for Payer: Humana Medicare Advantage	$14.43
Rate for Payer: UnitedHealthcare Commercial	$21.00
Rate for Payer: UnitedHealthcare Medicaid Managed Care	$12.99
Rate for Payer: UnitedHealthcare Medicare Advantage	$18.00

.PARAINFLUENZA (LC CHARGE)

Facility

$50.00

Service Code	CPT 87260
Hospital Charge Code	2287279
Hospital Revenue Code	305
Rate for Payer: Cash Price	$45.00

PARAINFLUENZA VIRUS

Facility

$195.00

Service Code	CPT 87631
Hospital Charge Code	2287631
Hospital Revenue Code	302
Rate for Payer: Cash Price	$175.50

PARAINFLUENZA VIRUS

Facility

$195.00

Service Code	CPT 87631
Hospital Charge Code	2287631
Hospital Revenue Code	302
Min. Negotiated Rate	$21.00
Max. Negotiated Rate	$285.26
Rate for Payer: Aetna Better Health Medicaid/QHP	$128.37
Rate for Payer: Aetna Medicare Advantage	$142.63
Rate for Payer: Anthem Blue Cross Blue Shield Missouri Blue Access/Blue Preferred and Pathway/Pathway X	$115.44
Rate for Payer: Anthem Blue Cross Blue Shield Missouri Traditional	$139.23
Rate for Payer: Cash Price	$175.50
Rate for Payer: Cash Price	$175.50
Rate for Payer: Cash Price	$175.50
Rate for Payer: Cigna Commercial HMO & PPO	$142.63
Rate for Payer: Healthy Blue CHP/Medicaid Managed Care	$128.37
Rate for Payer: Home State Health Plan Medicaid Managed Care	$137.36
Rate for Payer: Home State Health Plan Medicare Advantage	$142.63
Rate for Payer: Humana Commercial	$285.26
Rate for Payer: Humana Medicare Advantage	$142.63
Rate for Payer: UnitedHealthcare Commercial	$21.00
Rate for Payer: UnitedHealthcare Medicaid Managed Care	$128.37
Rate for Payer: UnitedHealthcare Medicare Advantage	$70.20

PARANEDPLASTIC AB,FLOUR(X9)

Facility

$102.00

Service Code	CPT 86255
Hospital Charge Code	2206250
Hospital Revenue Code	301
Min. Negotiated Rate	$10.85
Max. Negotiated Rate	$72.83
Rate for Payer: Aetna Better Health Medicaid/QHP	$10.85
Rate for Payer: Aetna Medicare Advantage	$12.05
Rate for Payer: Anthem Blue Cross Blue Shield Missouri Blue Access/Blue Preferred and Pathway/Pathway X	$60.38
Rate for Payer: Anthem Blue Cross Blue Shield Missouri Traditional	$72.83
Rate for Payer: Cash Price	$91.80
Rate for Payer: Cash Price	$91.80
Rate for Payer: Cash Price	$91.80
Rate for Payer: Cigna Commercial HMO & PPO	$12.05
Rate for Payer: Healthy Blue CHP/Medicaid Managed Care	$10.85
Rate for Payer: Home State Health Plan Medicaid Managed Care	$11.61
Rate for Payer: Home State Health Plan Medicare Advantage	$12.05
Rate for Payer: Humana Commercial	$24.10
Rate for Payer: Humana Medicare Advantage	$12.05
Rate for Payer: UnitedHealthcare Commercial	$21.00
Rate for Payer: UnitedHealthcare Medicaid Managed Care	$10.85
Rate for Payer: UnitedHealthcare Medicare Advantage	$36.72

PARANEDPLASTIC AB,FLOUR(X9)

Facility

$102.00

Service Code	CPT 86255
Hospital Charge Code	2206250
Hospital Revenue Code	301
Rate for Payer: Cash Price	$91.80

PARANEOPLASTIC ANTIBODY PANEL

Facility

$1,931.00

Hospital Charge Code	2206251
Hospital Revenue Code	301
Rate for Payer: Cash Price	$1,737.90

PARANEOPLASTIC ANTIBODY PANEL

Facility

$1,931.00

Hospital Charge Code	2206251
Hospital Revenue Code	301
Min. Negotiated Rate	$21.00
Max. Negotiated Rate	$1,378.73
Rate for Payer: Anthem Blue Cross Blue Shield Missouri Blue Access/Blue Preferred and Pathway/Pathway X	$1,143.15
Rate for Payer: Anthem Blue Cross Blue Shield Missouri Traditional	$1,378.73
Rate for Payer: Cash Price	$1,737.90
Rate for Payer: Cash Price	$1,737.90
Rate for Payer: UnitedHealthcare Commercial	$21.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$695.16

.PARANEOPLASTIC (CPT CHG ONLY)

Facility

$39.00

Service Code	CPT 86596
Hospital Charge Code	2203519
Hospital Revenue Code	301
Rate for Payer: Cash Price	$35.10

.PARANEOPLASTIC (CPT CHG ONLY)

Facility

$39.00

Service Code	CPT 86596
Hospital Charge Code	2203519
Hospital Revenue Code	301
Min. Negotiated Rate	$10.85
Max. Negotiated Rate	$27.85
Rate for Payer: Aetna Better Health Medicaid/QHP	$10.85
Rate for Payer: Aetna Medicare Advantage	$12.05
Rate for Payer: Anthem Blue Cross Blue Shield Missouri Blue Access/Blue Preferred and Pathway/Pathway X	$23.09
Rate for Payer: Anthem Blue Cross Blue Shield Missouri Traditional	$27.85
Rate for Payer: Cash Price	$35.10
Rate for Payer: Cash Price	$35.10
Rate for Payer: Cash Price	$35.10
Rate for Payer: Cigna Commercial HMO & PPO	$12.05
Rate for Payer: Healthy Blue CHP/Medicaid Managed Care	$10.85
Rate for Payer: Home State Health Plan Medicaid Managed Care	$11.61
Rate for Payer: Home State Health Plan Medicare Advantage	$12.05
Rate for Payer: Humana Commercial	$24.10
Rate for Payer: Humana Medicare Advantage	$12.05
Rate for Payer: UnitedHealthcare Commercial	$21.00
Rate for Payer: UnitedHealthcare Medicaid Managed Care	$10.85
Rate for Payer: UnitedHealthcare Medicare Advantage	$14.04

PARASITE ID, WORM

Facility

$44.00

Service Code	CPT 87169
Hospital Charge Code	3012008
Hospital Revenue Code	306
Min. Negotiated Rate	$3.88
Max. Negotiated Rate	$31.42
Rate for Payer: Aetna Better Health Medicaid/QHP	$3.88
Rate for Payer: Aetna Medicare Advantage	$4.31
Rate for Payer: Anthem Blue Cross Blue Shield Missouri Blue Access/Blue Preferred and Pathway/Pathway X	$26.05
Rate for Payer: Anthem Blue Cross Blue Shield Missouri Traditional	$31.42
Rate for Payer: Cash Price	$39.60
Rate for Payer: Cash Price	$39.60
Rate for Payer: Cash Price	$39.60
Rate for Payer: Cigna Commercial HMO & PPO	$4.31
Rate for Payer: Healthy Blue CHP/Medicaid Managed Care	$3.88
Rate for Payer: Home State Health Plan Medicaid Managed Care	$4.15
Rate for Payer: Home State Health Plan Medicare Advantage	$4.31
Rate for Payer: Humana Commercial	$8.62
Rate for Payer: Humana Medicare Advantage	$4.31
Rate for Payer: UnitedHealthcare Commercial	$21.00
Rate for Payer: UnitedHealthcare Medicaid Managed Care	$3.88
Rate for Payer: UnitedHealthcare Medicare Advantage	$15.84

PARASITE ID, WORM

Facility

$44.00

Service Code	CPT 87169
Hospital Charge Code	3012008
Hospital Revenue Code	306
Rate for Payer: Cash Price	$39.60

PARICALCITOL (ZEMPLAR) 1MCG CAP

Facility

$71.00

Hospital Charge Code	2626574
Hospital Revenue Code	250
Min. Negotiated Rate	$25.56
Max. Negotiated Rate	$50.69
Rate for Payer: Anthem Blue Cross Blue Shield Missouri Blue Access/Blue Preferred and Pathway/Pathway X	$42.03
Rate for Payer: Anthem Blue Cross Blue Shield Missouri Traditional	$50.69
Rate for Payer: Cash Price	$63.90
Rate for Payer: UnitedHealthcare Commercial	$47.36
Rate for Payer: UnitedHealthcare Medicare Advantage	$25.56

PARICALCITOL (ZEMPLAR) 1MCG CAP

Facility

$71.00

Hospital Charge Code	2626574
Hospital Revenue Code	250
Rate for Payer: Cash Price	$63.90

PARICALCITOL (ZEMPLAR) 2MCG/ML INJ

Facility

$58.00

Service Code	NDC 8290305200
Hospital Charge Code	2619449
Hospital Revenue Code	250
Min. Negotiated Rate	$20.88
Max. Negotiated Rate	$41.41
Rate for Payer: Anthem Blue Cross Blue Shield Missouri Blue Access/Blue Preferred and Pathway/Pathway X	$34.34
Rate for Payer: Anthem Blue Cross Blue Shield Missouri Traditional	$41.41
Rate for Payer: Cash Price	$52.20
Rate for Payer: UnitedHealthcare Commercial	$38.69
Rate for Payer: UnitedHealthcare Medicare Advantage	$20.88

Know your out-of-pocket cost for care.

All Charges