Madison Medical Center

All Charges

Charge

Type

Setting

Price

SCREW - CANNULATED 3.0MM 16/4MM

Facility

$641.00

Hospital Charge Code	123393
Hospital Revenue Code	271
Rate for Payer: Cash Price	$576.90

SCREW - CANNULATED LAG 2.0MM X 16MM

Facility

$409.00

Hospital Charge Code	123312
Hospital Revenue Code	271
Rate for Payer: Cash Price	$368.10

SCREW - CANNULATED LAG 2.0MM X 16MM

Facility

$409.00

Hospital Charge Code	123312
Hospital Revenue Code	271
Min. Negotiated Rate	$147.24
Max. Negotiated Rate	$292.03
Rate for Payer: Anthem Blue Cross Blue Shield Missouri Blue Access/Blue Preferred and Pathway/Pathway X	$242.13
Rate for Payer: Anthem Blue Cross Blue Shield Missouri Traditional	$292.03
Rate for Payer: Cash Price	$368.10
Rate for Payer: UnitedHealthcare Commercial	$272.80
Rate for Payer: UnitedHealthcare Medicare Advantage	$147.24

SCREW - CANNULATED LAG 2.0MM X 18MM

Facility

$737.00

Hospital Charge Code	123315
Hospital Revenue Code	271
Min. Negotiated Rate	$265.32
Max. Negotiated Rate	$526.22
Rate for Payer: Anthem Blue Cross Blue Shield Missouri Blue Access/Blue Preferred and Pathway/Pathway X	$436.30
Rate for Payer: Anthem Blue Cross Blue Shield Missouri Traditional	$526.22
Rate for Payer: Cash Price	$663.30
Rate for Payer: UnitedHealthcare Commercial	$491.58
Rate for Payer: UnitedHealthcare Medicare Advantage	$265.32

SCREW - CANNULATED LAG 2.0MM X 18MM

Facility

$737.00

Hospital Charge Code	123315
Hospital Revenue Code	271
Rate for Payer: Cash Price	$663.30

SCREW - CANNULATED LAG 2.4MM X 16MM

Facility

$643.00

Hospital Charge Code	123313
Hospital Revenue Code	271
Min. Negotiated Rate	$231.48
Max. Negotiated Rate	$459.10
Rate for Payer: Anthem Blue Cross Blue Shield Missouri Blue Access/Blue Preferred and Pathway/Pathway X	$380.66
Rate for Payer: Anthem Blue Cross Blue Shield Missouri Traditional	$459.10
Rate for Payer: Cash Price	$578.70
Rate for Payer: UnitedHealthcare Commercial	$428.88
Rate for Payer: UnitedHealthcare Medicare Advantage	$231.48

SCREW - CANNULATED LAG 2.4MM X 16MM

Facility

$643.00

Hospital Charge Code	123313
Hospital Revenue Code	271
Rate for Payer: Cash Price	$578.70

SCREW - CANNULATED LAG 2.4MM X 18MM

Facility

$643.00

Hospital Charge Code	123311
Hospital Revenue Code	271
Min. Negotiated Rate	$231.48
Max. Negotiated Rate	$459.10
Rate for Payer: Anthem Blue Cross Blue Shield Missouri Blue Access/Blue Preferred and Pathway/Pathway X	$380.66
Rate for Payer: Anthem Blue Cross Blue Shield Missouri Traditional	$459.10
Rate for Payer: Cash Price	$578.70
Rate for Payer: UnitedHealthcare Commercial	$428.88
Rate for Payer: UnitedHealthcare Medicare Advantage	$231.48

SCREW - CANNULATED LAG 2.4MM X 18MM

Facility

$643.00

Hospital Charge Code	123311
Hospital Revenue Code	271
Rate for Payer: Cash Price	$578.70

SCREW-COMP.

Facility

$156.00

Hospital Charge Code	2819286
Hospital Revenue Code	271
Rate for Payer: Cash Price	$140.40

SCREW-COMP.

Facility

$156.00

Hospital Charge Code	2819286
Hospital Revenue Code	271
Min. Negotiated Rate	$56.16
Max. Negotiated Rate	$111.38
Rate for Payer: Cash Price	$140.40
Rate for Payer: UnitedHealthcare Commercial	$104.05
Rate for Payer: Anthem Blue Cross Blue Shield Missouri Blue Access/Blue Preferred and Pathway/Pathway X	$92.35
Rate for Payer: Anthem Blue Cross Blue Shield Missouri Traditional	$111.38
Rate for Payer: UnitedHealthcare Medicare Advantage	$56.16

SCREW-CORTE

Facility

$106.00

Hospital Charge Code	2819287
Hospital Revenue Code	271
Min. Negotiated Rate	$38.16
Max. Negotiated Rate	$75.68
Rate for Payer: Anthem Blue Cross Blue Shield Missouri Blue Access/Blue Preferred and Pathway/Pathway X	$62.75
Rate for Payer: Anthem Blue Cross Blue Shield Missouri Traditional	$75.68
Rate for Payer: Cash Price	$95.40
Rate for Payer: UnitedHealthcare Commercial	$70.70
Rate for Payer: UnitedHealthcare Medicare Advantage	$38.16

SCREW-CORTE

Facility

$106.00

Hospital Charge Code	2819287
Hospital Revenue Code	271
Rate for Payer: Cash Price	$95.40

SCREW CORTEX 2.4 X 12,14,22,24

Facility

$308.00

Hospital Charge Code	123317
Hospital Revenue Code	271
Rate for Payer: Cash Price	$277.20

SCREW CORTEX 2.4 X 12,14,22,24

Facility

$308.00

Hospital Charge Code	123317
Hospital Revenue Code	271
Min. Negotiated Rate	$110.88
Max. Negotiated Rate	$219.91
Rate for Payer: Anthem Blue Cross Blue Shield Missouri Blue Access/Blue Preferred and Pathway/Pathway X	$182.34
Rate for Payer: Anthem Blue Cross Blue Shield Missouri Traditional	$219.91
Rate for Payer: Cash Price	$277.20
Rate for Payer: UnitedHealthcare Commercial	$205.44
Rate for Payer: UnitedHealthcare Medicare Advantage	$110.88

SCREW-LAG

Facility

$652.00

Hospital Charge Code	2819288
Hospital Revenue Code	271
Min. Negotiated Rate	$234.72
Max. Negotiated Rate	$465.53
Rate for Payer: Anthem Blue Cross Blue Shield Missouri Blue Access/Blue Preferred and Pathway/Pathway X	$385.98
Rate for Payer: Anthem Blue Cross Blue Shield Missouri Traditional	$465.53
Rate for Payer: Cash Price	$586.80
Rate for Payer: UnitedHealthcare Commercial	$434.88
Rate for Payer: UnitedHealthcare Medicare Advantage	$234.72

SCREW-LAG

Facility

$652.00

Hospital Charge Code	2819288
Hospital Revenue Code	271
Rate for Payer: Cash Price	$586.80

SCROTAL SUPPORT

Facility

$43.00

Hospital Charge Code	1269114
Hospital Revenue Code	271
Rate for Payer: Cash Price	$38.70

SCROTAL SUPPORT

Facility

$43.00

Hospital Charge Code	1269114
Hospital Revenue Code	271
Min. Negotiated Rate	$15.48
Max. Negotiated Rate	$30.70
Rate for Payer: Anthem Blue Cross Blue Shield Missouri Blue Access/Blue Preferred and Pathway/Pathway X	$25.46
Rate for Payer: Anthem Blue Cross Blue Shield Missouri Traditional	$30.70
Rate for Payer: Cash Price	$38.70
Rate for Payer: UnitedHealthcare Commercial	$28.68
Rate for Payer: UnitedHealthcare Medicare Advantage	$15.48

SC SWING BED - SEMI PVT S

Facility

$800.00

Hospital Charge Code	30000006
Hospital Revenue Code	160
Min. Negotiated Rate	$742.00
Max. Negotiated Rate	$1,593.00
Rate for Payer: Anthem Blue Cross Blue Shield Missouri Blue Access/Blue Preferred and Pathway/Pathway X	$742.00
Rate for Payer: Anthem Blue Cross Blue Shield Missouri Traditional	$742.00
Rate for Payer: Cash Price	$720.00
Rate for Payer: UnitedHealthcare Commercial	$1,519.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$1,593.00

..SED RATE (ALCOR)

Facility

$101.00

Service Code	CPT 85652
Hospital Charge Code	2219159
Hospital Revenue Code	305
Rate for Payer: Cash Price	$90.90

..SED RATE (ALCOR)

Facility

$101.00

Service Code	CPT 85652
Hospital Charge Code	2219159
Hospital Revenue Code	305
Min. Negotiated Rate	$2.43
Max. Negotiated Rate	$72.11
Rate for Payer: Aetna Better Health Medicaid/QHP	$2.43
Rate for Payer: Aetna Medicare Advantage	$2.70
Rate for Payer: Anthem Blue Cross Blue Shield Missouri Blue Access/Blue Preferred and Pathway/Pathway X	$59.79
Rate for Payer: Anthem Blue Cross Blue Shield Missouri Traditional	$72.11
Rate for Payer: Cash Price	$90.90
Rate for Payer: Cash Price	$90.90
Rate for Payer: Cash Price	$90.90
Rate for Payer: Cigna Commercial HMO & PPO	$2.70
Rate for Payer: Healthy Blue CHP/Medicaid Managed Care	$2.43
Rate for Payer: Home State Health Plan Medicaid Managed Care	$2.60
Rate for Payer: Home State Health Plan Medicare Advantage	$2.70
Rate for Payer: Humana Commercial	$5.40
Rate for Payer: Humana Medicare Advantage	$2.70
Rate for Payer: UnitedHealthcare Commercial	$21.00
Rate for Payer: UnitedHealthcare Medicaid Managed Care	$2.43
Rate for Payer: UnitedHealthcare Medicare Advantage	$36.36

SED RATE (ESR)

Facility

$101.00

Service Code	CPT 85652
Hospital Charge Code	2219151
Hospital Revenue Code	305
Rate for Payer: Cash Price	$90.90

SED RATE (ESR)

Facility

$101.00

Service Code	CPT 85652
Hospital Charge Code	2219151
Hospital Revenue Code	305
Min. Negotiated Rate	$2.43
Max. Negotiated Rate	$72.11
Rate for Payer: Aetna Better Health Medicaid/QHP	$2.43
Rate for Payer: Aetna Medicare Advantage	$2.70
Rate for Payer: Anthem Blue Cross Blue Shield Missouri Blue Access/Blue Preferred and Pathway/Pathway X	$59.79
Rate for Payer: Anthem Blue Cross Blue Shield Missouri Traditional	$72.11
Rate for Payer: Cash Price	$90.90
Rate for Payer: Cash Price	$90.90
Rate for Payer: Cash Price	$90.90
Rate for Payer: Cigna Commercial HMO & PPO	$2.70
Rate for Payer: Healthy Blue CHP/Medicaid Managed Care	$2.43
Rate for Payer: Home State Health Plan Medicaid Managed Care	$2.60
Rate for Payer: Home State Health Plan Medicare Advantage	$2.70
Rate for Payer: Humana Commercial	$5.40
Rate for Payer: Humana Medicare Advantage	$2.70
Rate for Payer: UnitedHealthcare Commercial	$21.00
Rate for Payer: UnitedHealthcare Medicaid Managed Care	$2.43
Rate for Payer: UnitedHealthcare Medicare Advantage	$36.36

SED RATE (LABCORP)

Facility

$101.00

Service Code	CPT 85652
Hospital Charge Code	22191515
Hospital Revenue Code	305
Min. Negotiated Rate	$2.43
Max. Negotiated Rate	$72.11
Rate for Payer: Aetna Better Health Medicaid/QHP	$2.43
Rate for Payer: Aetna Medicare Advantage	$2.70
Rate for Payer: Anthem Blue Cross Blue Shield Missouri Blue Access/Blue Preferred and Pathway/Pathway X	$59.79
Rate for Payer: Anthem Blue Cross Blue Shield Missouri Traditional	$72.11
Rate for Payer: Cash Price	$90.90
Rate for Payer: Cash Price	$90.90
Rate for Payer: Cash Price	$90.90
Rate for Payer: Cigna Commercial HMO & PPO	$2.70
Rate for Payer: Healthy Blue CHP/Medicaid Managed Care	$2.43
Rate for Payer: Home State Health Plan Medicaid Managed Care	$2.60
Rate for Payer: Home State Health Plan Medicare Advantage	$2.70
Rate for Payer: Humana Commercial	$5.40
Rate for Payer: Humana Medicare Advantage	$2.70
Rate for Payer: UnitedHealthcare Commercial	$21.00
Rate for Payer: UnitedHealthcare Medicaid Managed Care	$2.43
Rate for Payer: UnitedHealthcare Medicare Advantage	$36.36

Know your out-of-pocket cost for care.

All Charges