Madison Medical Center

All Charges

Charge

Type

Setting

Price

ST DISCHARGE MOTOR SPEECH FUNTIONAL

Facility

$4.00

Hospital Charge Code	479158
Hospital Revenue Code	441
Rate for Payer: Cash Price	$3.60

ST DISCHARGE OTHER SPEECH LANGUAGE

Facility

$4.00

Hospital Charge Code	479176
Hospital Revenue Code	441
Rate for Payer: Cash Price	$3.60

ST DISCHARGE OTHER SPEECH LANGUAGE

Facility

$4.00

Hospital Charge Code	479176
Hospital Revenue Code	441
Min. Negotiated Rate	$1.44
Max. Negotiated Rate	$136.00
Rate for Payer: Anthem Blue Cross Blue Shield Missouri Blue Access/Blue Preferred and Pathway/Pathway X	$100.00
Rate for Payer: Anthem Blue Cross Blue Shield Missouri Traditional	$136.00
Rate for Payer: Cash Price	$3.60
Rate for Payer: Cash Price	$3.60
Rate for Payer: UnitedHealthcare Commercial	$82.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$1.44

ST DISCHARGE SPOKEN LANGUAGE EXPRESSION

Facility

$4.00

Hospital Charge Code	479164
Hospital Revenue Code	441
Min. Negotiated Rate	$1.44
Max. Negotiated Rate	$136.00
Rate for Payer: Anthem Blue Cross Blue Shield Missouri Blue Access/Blue Preferred and Pathway/Pathway X	$100.00
Rate for Payer: Anthem Blue Cross Blue Shield Missouri Traditional	$136.00
Rate for Payer: Cash Price	$3.60
Rate for Payer: Cash Price	$3.60
Rate for Payer: UnitedHealthcare Commercial	$82.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$1.44

ST DISCHARGE SPOKEN LANGUAGE EXPRESSION

Facility

$4.00

Hospital Charge Code	479164
Hospital Revenue Code	441
Rate for Payer: Cash Price	$3.60

ST DISCHARGE SPOKEN LANGUAGE FUNCTIONAL

Facility

$4.00

Hospital Charge Code	479161
Hospital Revenue Code	441
Rate for Payer: Cash Price	$3.60

ST DISCHARGE SPOKEN LANGUAGE FUNCTIONAL

Facility

$4.00

Hospital Charge Code	479161
Hospital Revenue Code	441
Min. Negotiated Rate	$1.44
Max. Negotiated Rate	$136.00
Rate for Payer: Anthem Blue Cross Blue Shield Missouri Blue Access/Blue Preferred and Pathway/Pathway X	$100.00
Rate for Payer: Anthem Blue Cross Blue Shield Missouri Traditional	$136.00
Rate for Payer: Cash Price	$3.60
Rate for Payer: Cash Price	$3.60
Rate for Payer: UnitedHealthcare Commercial	$82.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$1.44

ST DISCHARGE SWALLOWING FUNCTION

Facility

$4.00

Hospital Charge Code	478998
Hospital Revenue Code	441
Rate for Payer: Cash Price	$3.60

ST DISCHARGE SWALLOWING FUNCTION

Facility

$4.00

Hospital Charge Code	478998
Hospital Revenue Code	441
Min. Negotiated Rate	$1.44
Max. Negotiated Rate	$136.00
Rate for Payer: Anthem Blue Cross Blue Shield Missouri Blue Access/Blue Preferred and Pathway/Pathway X	$100.00
Rate for Payer: Anthem Blue Cross Blue Shield Missouri Traditional	$136.00
Rate for Payer: Cash Price	$3.60
Rate for Payer: Cash Price	$3.60
Rate for Payer: UnitedHealthcare Commercial	$82.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$1.44

ST DISCHARGE VOICE FUNCTIONAL

Facility

$4.00

Hospital Charge Code	479173
Hospital Revenue Code	441
Min. Negotiated Rate	$1.44
Max. Negotiated Rate	$136.00
Rate for Payer: Anthem Blue Cross Blue Shield Missouri Blue Access/Blue Preferred and Pathway/Pathway X	$100.00
Rate for Payer: Anthem Blue Cross Blue Shield Missouri Traditional	$136.00
Rate for Payer: Cash Price	$3.60
Rate for Payer: Cash Price	$3.60
Rate for Payer: UnitedHealthcare Commercial	$82.00
Rate for Payer: UnitedHealthcare Medicare Advantage	$1.44

ST DISCHARGE VOICE FUNCTIONAL

Facility

$4.00

Hospital Charge Code	479173
Hospital Revenue Code	441
Rate for Payer: Cash Price	$3.60

STEINMANN PIN 2.5MM X 100MM

Facility

$289.00

Hospital Charge Code	123411
Hospital Revenue Code	271
Min. Negotiated Rate	$104.04
Max. Negotiated Rate	$206.35
Rate for Payer: Anthem Blue Cross Blue Shield Missouri Blue Access/Blue Preferred and Pathway/Pathway X	$171.09
Rate for Payer: Anthem Blue Cross Blue Shield Missouri Traditional	$206.35
Rate for Payer: Cash Price	$260.10
Rate for Payer: UnitedHealthcare Commercial	$192.76
Rate for Payer: UnitedHealthcare Medicare Advantage	$104.04

STEINMANN PIN 2.5MM X 100MM

Facility

$289.00

Hospital Charge Code	123411
Hospital Revenue Code	271
Rate for Payer: Cash Price	$260.10

STERI DRAPE

Facility

$155.00

Hospital Charge Code	1269095
Hospital Revenue Code	271
Min. Negotiated Rate	$55.80
Max. Negotiated Rate	$110.67
Rate for Payer: Anthem Blue Cross Blue Shield Missouri Blue Access/Blue Preferred and Pathway/Pathway X	$91.76
Rate for Payer: Anthem Blue Cross Blue Shield Missouri Traditional	$110.67
Rate for Payer: Cash Price	$139.50
Rate for Payer: UnitedHealthcare Commercial	$103.39
Rate for Payer: UnitedHealthcare Medicare Advantage	$55.80

STERI DRAPE

Facility

$155.00

Hospital Charge Code	1269095
Hospital Revenue Code	271
Rate for Payer: Cash Price	$139.50

STERI DRAPE 18X20

Facility

$55.00

Hospital Charge Code	2819295
Hospital Revenue Code	271
Min. Negotiated Rate	$19.80
Max. Negotiated Rate	$39.27
Rate for Payer: Anthem Blue Cross Blue Shield Missouri Blue Access/Blue Preferred and Pathway/Pathway X	$32.56
Rate for Payer: Anthem Blue Cross Blue Shield Missouri Traditional	$39.27
Rate for Payer: Cash Price	$49.50
Rate for Payer: UnitedHealthcare Commercial	$36.69
Rate for Payer: UnitedHealthcare Medicare Advantage	$19.80

STERI DRAPE 18X20

Facility

$55.00

Hospital Charge Code	2819295
Hospital Revenue Code	271
Rate for Payer: Cash Price	$49.50

STERI DRAPE 24X30

Facility

$135.00

Hospital Charge Code	2819297
Hospital Revenue Code	271
Min. Negotiated Rate	$48.60
Max. Negotiated Rate	$96.39
Rate for Payer: Anthem Blue Cross Blue Shield Missouri Blue Access/Blue Preferred and Pathway/Pathway X	$79.92
Rate for Payer: Anthem Blue Cross Blue Shield Missouri Traditional	$96.39
Rate for Payer: Cash Price	$121.50
Rate for Payer: UnitedHealthcare Commercial	$90.05
Rate for Payer: UnitedHealthcare Medicare Advantage	$48.60

STERI DRAPE 24X30

Facility

$135.00

Hospital Charge Code	2819297
Hospital Revenue Code	271
Rate for Payer: Cash Price	$121.50

STERILE COBAN

Facility

$18.00

Hospital Charge Code	283770
Hospital Revenue Code	271
Min. Negotiated Rate	$6.48
Max. Negotiated Rate	$12.85
Rate for Payer: Anthem Blue Cross Blue Shield Missouri Blue Access/Blue Preferred and Pathway/Pathway X	$10.66
Rate for Payer: Anthem Blue Cross Blue Shield Missouri Traditional	$12.85
Rate for Payer: Cash Price	$16.20
Rate for Payer: UnitedHealthcare Commercial	$12.01
Rate for Payer: UnitedHealthcare Medicare Advantage	$6.48

STERILE COBAN

Facility

$18.00

Hospital Charge Code	283770
Hospital Revenue Code	271
Rate for Payer: Cash Price	$16.20

STERILE COTTON TIP APPLICATOR

Facility

$24.00

Hospital Charge Code	2819455
Hospital Revenue Code	272
Min. Negotiated Rate	$8.64
Max. Negotiated Rate	$17.14
Rate for Payer: Anthem Blue Cross Blue Shield Missouri Blue Access/Blue Preferred and Pathway/Pathway X	$14.21
Rate for Payer: Anthem Blue Cross Blue Shield Missouri Traditional	$17.14
Rate for Payer: Cash Price	$21.60
Rate for Payer: UnitedHealthcare Commercial	$16.01
Rate for Payer: UnitedHealthcare Medicare Advantage	$8.64

STERILE COTTON TIP APPLICATOR

Facility

$24.00

Hospital Charge Code	2819455
Hospital Revenue Code	272
Rate for Payer: Cash Price	$21.60

STERILE GLOVE 6.5

Facility

$10.00

Hospital Charge Code	2819028
Hospital Revenue Code	272
Rate for Payer: Cash Price	$9.00

STERILE GLOVE 6.5

Facility

$10.00

Hospital Charge Code	2819028
Hospital Revenue Code	272
Min. Negotiated Rate	$3.60
Max. Negotiated Rate	$7.14
Rate for Payer: Anthem Blue Cross Blue Shield Missouri Blue Access/Blue Preferred and Pathway/Pathway X	$5.92
Rate for Payer: Anthem Blue Cross Blue Shield Missouri Traditional	$7.14
Rate for Payer: Cash Price	$9.00
Rate for Payer: UnitedHealthcare Commercial	$6.67
Rate for Payer: UnitedHealthcare Medicare Advantage	$3.60

Know your out-of-pocket cost for care.

All Charges