Madison Medical Center

All Charges

Charge

Type

Setting

Price

THORNANCENTESIS W/TUBE INSERT

Professional

Both

$591.00

Service Code	CPT 32556
Hospital Charge Code	1832003
Hospital Revenue Code	981
Min. Negotiated Rate	$109.08
Max. Negotiated Rate	$642.09
Rate for Payer: Aetna Commercial/Medicare Advantage	$109.08
Rate for Payer: Anthem Blue Cross Blue Shield Missouri Medicaid Managed Care	$583.72
Rate for Payer: Cash Price	$531.90
Rate for Payer: Cash Price	$531.90
Rate for Payer: Cigna Commercial HMO & PPO	$109.08
Rate for Payer: Healthy Blue CHP/Medicaid Managed Care	$583.72
Rate for Payer: Home State Health Plan Medicaid Managed Care	$642.09
Rate for Payer: Home State Health Plan Medicare Advantage	$109.08
Rate for Payer: Optum Medicare Advantage	$206.85
Rate for Payer: UnitedHealthcare Medicaid Managed Care	$583.72

THROMBIN-ANTITHROMBIN COMPLEX

Facility

$435.00

Service Code	CPT 83520
Hospital Charge Code	2283001
Hospital Revenue Code	301
Min. Negotiated Rate	$15.54
Max. Negotiated Rate	$310.59
Rate for Payer: Aetna Better Health Medicaid/QHP	$15.54
Rate for Payer: Aetna Medicare Advantage	$17.27
Rate for Payer: Anthem Blue Cross Blue Shield Missouri Blue Access/Blue Preferred and Pathway/Pathway X	$257.52
Rate for Payer: Anthem Blue Cross Blue Shield Missouri Traditional	$310.59
Rate for Payer: Cash Price	$391.50
Rate for Payer: Cash Price	$391.50
Rate for Payer: Cash Price	$391.50
Rate for Payer: Cigna Commercial HMO & PPO	$17.27
Rate for Payer: Healthy Blue CHP/Medicaid Managed Care	$15.54
Rate for Payer: Home State Health Plan Medicaid Managed Care	$16.63
Rate for Payer: Home State Health Plan Medicare Advantage	$17.27
Rate for Payer: Humana Commercial	$34.54
Rate for Payer: Humana Medicare Advantage	$17.27
Rate for Payer: UnitedHealthcare Commercial	$21.00
Rate for Payer: UnitedHealthcare Medicaid Managed Care	$15.54
Rate for Payer: UnitedHealthcare Medicare Advantage	$156.60

THROMBIN-ANTITHROMBIN COMPLEX

Facility

$435.00

Service Code	CPT 83520
Hospital Charge Code	2283001
Hospital Revenue Code	301
Rate for Payer: Cash Price	$391.50

.THROMBIN TIME

Facility

$92.00

Service Code	CPT 85670
Hospital Charge Code	22285670
Hospital Revenue Code	305
Min. Negotiated Rate	$5.19
Max. Negotiated Rate	$65.69
Rate for Payer: Aetna Better Health Medicaid/QHP	$5.19
Rate for Payer: Aetna Medicare Advantage	$5.77
Rate for Payer: Anthem Blue Cross Blue Shield Missouri Blue Access/Blue Preferred and Pathway/Pathway X	$54.46
Rate for Payer: Anthem Blue Cross Blue Shield Missouri Traditional	$65.69
Rate for Payer: Cash Price	$82.80
Rate for Payer: Cash Price	$82.80
Rate for Payer: Cash Price	$82.80
Rate for Payer: Cigna Commercial HMO & PPO	$5.77
Rate for Payer: Healthy Blue CHP/Medicaid Managed Care	$5.19
Rate for Payer: Home State Health Plan Medicaid Managed Care	$5.55
Rate for Payer: Home State Health Plan Medicare Advantage	$5.77
Rate for Payer: Humana Commercial	$11.54
Rate for Payer: Humana Medicare Advantage	$5.77
Rate for Payer: UnitedHealthcare Commercial	$21.00
Rate for Payer: UnitedHealthcare Medicaid Managed Care	$5.19
Rate for Payer: UnitedHealthcare Medicare Advantage	$33.12

.THROMBIN TIME

Facility

$92.00

Service Code	CPT 85670
Hospital Charge Code	22285670
Hospital Revenue Code	305
Rate for Payer: Cash Price	$82.80

THROMBOLYSIS BY IV INFUSION

Facility

$2,273.00

Service Code	CPT 92977
Hospital Charge Code	1892977
Hospital Revenue Code	480
Rate for Payer: Cash Price	$2,045.70

THROMBOLYSIS BY IV INFUSION

Facility

$2,273.00

Service Code	CPT 92977
Hospital Charge Code	1892977
Hospital Revenue Code	480
Min. Negotiated Rate	$818.28
Max. Negotiated Rate	$1,622.92
Rate for Payer: Anthem Blue Cross Blue Shield Missouri Blue Access/Blue Preferred and Pathway/Pathway X	$1,345.62
Rate for Payer: Anthem Blue Cross Blue Shield Missouri Traditional	$1,622.92
Rate for Payer: Cash Price	$2,045.70
Rate for Payer: UnitedHealthcare Commercial	$1,516.09
Rate for Payer: UnitedHealthcare Medicare Advantage	$818.28

THYRIODECTOMY

Professional

Both

$3,311.00

Service Code	CPT 60240
Hospital Charge Code	4160240
Hospital Revenue Code	975
Min. Negotiated Rate	$693.39
Max. Negotiated Rate	$1,158.85
Rate for Payer: Aetna Commercial/Medicare Advantage	$794.09
Rate for Payer: Anthem Blue Cross Blue Shield Missouri Medicaid Managed Care	$693.39
Rate for Payer: Cash Price	$2,979.90
Rate for Payer: Cash Price	$2,979.90
Rate for Payer: Cigna Commercial HMO & PPO	$794.09
Rate for Payer: Healthy Blue CHP/Medicaid Managed Care	$693.39
Rate for Payer: Home State Health Plan Medicaid Managed Care	$762.73
Rate for Payer: Home State Health Plan Medicare Advantage	$794.09
Rate for Payer: Optum Medicare Advantage	$1,158.85
Rate for Payer: UnitedHealthcare Medicaid Managed Care	$693.39

THYROGLOBULIN AB

Facility

$83.00

Service Code	CPT 86800
Hospital Charge Code	2284432
Hospital Revenue Code	301
Rate for Payer: Cash Price	$74.70

THYROGLOBULIN AB

Facility

$83.00

Service Code	CPT 86800
Hospital Charge Code	2284432
Hospital Revenue Code	301
Min. Negotiated Rate	$14.32
Max. Negotiated Rate	$59.26
Rate for Payer: Aetna Better Health Medicaid/QHP	$14.32
Rate for Payer: Aetna Medicare Advantage	$15.91
Rate for Payer: Anthem Blue Cross Blue Shield Missouri Blue Access/Blue Preferred and Pathway/Pathway X	$49.14
Rate for Payer: Anthem Blue Cross Blue Shield Missouri Traditional	$59.26
Rate for Payer: Cash Price	$74.70
Rate for Payer: Cash Price	$74.70
Rate for Payer: Cash Price	$74.70
Rate for Payer: Cigna Commercial HMO & PPO	$15.91
Rate for Payer: Healthy Blue CHP/Medicaid Managed Care	$14.32
Rate for Payer: Home State Health Plan Medicaid Managed Care	$15.32
Rate for Payer: Home State Health Plan Medicare Advantage	$15.91
Rate for Payer: Humana Commercial	$31.82
Rate for Payer: Humana Medicare Advantage	$15.91
Rate for Payer: UnitedHealthcare Commercial	$21.00
Rate for Payer: UnitedHealthcare Medicaid Managed Care	$14.32
Rate for Payer: UnitedHealthcare Medicare Advantage	$29.88

.THYROGLOBULIN AB *DO NOT USE

Facility

$152.00

Service Code	CPT 86800
Hospital Charge Code	2227015
Hospital Revenue Code	301
Min. Negotiated Rate	$14.32
Max. Negotiated Rate	$108.53
Rate for Payer: Aetna Better Health Medicaid/QHP	$14.32
Rate for Payer: Aetna Medicare Advantage	$15.91
Rate for Payer: Anthem Blue Cross Blue Shield Missouri Blue Access/Blue Preferred and Pathway/Pathway X	$89.98
Rate for Payer: Anthem Blue Cross Blue Shield Missouri Traditional	$108.53
Rate for Payer: Cash Price	$136.80
Rate for Payer: Cash Price	$136.80
Rate for Payer: Cash Price	$136.80
Rate for Payer: Cigna Commercial HMO & PPO	$15.91
Rate for Payer: Healthy Blue CHP/Medicaid Managed Care	$14.32
Rate for Payer: Home State Health Plan Medicaid Managed Care	$15.32
Rate for Payer: Home State Health Plan Medicare Advantage	$15.91
Rate for Payer: Humana Commercial	$31.82
Rate for Payer: Humana Medicare Advantage	$15.91
Rate for Payer: UnitedHealthcare Commercial	$21.00
Rate for Payer: UnitedHealthcare Medicaid Managed Care	$14.32
Rate for Payer: UnitedHealthcare Medicare Advantage	$54.72

.THYROGLOBULIN AB *DO NOT USE

Facility

$152.00

Service Code	CPT 86800
Hospital Charge Code	2227015
Hospital Revenue Code	301
Rate for Payer: Cash Price	$136.80

THYROGLOBULIN AB + THYROGLOBULIN

Facility

$27.00

Service Code	CPT 86800
Hospital Charge Code	2286800
Hospital Revenue Code	302
Min. Negotiated Rate	$9.72
Max. Negotiated Rate	$31.82
Rate for Payer: Aetna Better Health Medicaid/QHP	$14.32
Rate for Payer: Aetna Medicare Advantage	$15.91
Rate for Payer: Anthem Blue Cross Blue Shield Missouri Blue Access/Blue Preferred and Pathway/Pathway X	$15.98
Rate for Payer: Anthem Blue Cross Blue Shield Missouri Traditional	$19.28
Rate for Payer: Cash Price	$24.30
Rate for Payer: Cash Price	$24.30
Rate for Payer: Cash Price	$24.30
Rate for Payer: Cigna Commercial HMO & PPO	$15.91
Rate for Payer: Healthy Blue CHP/Medicaid Managed Care	$14.32
Rate for Payer: Home State Health Plan Medicaid Managed Care	$15.32
Rate for Payer: Home State Health Plan Medicare Advantage	$15.91
Rate for Payer: Humana Commercial	$31.82
Rate for Payer: Humana Medicare Advantage	$15.91
Rate for Payer: UnitedHealthcare Commercial	$21.00
Rate for Payer: UnitedHealthcare Medicaid Managed Care	$14.32
Rate for Payer: UnitedHealthcare Medicare Advantage	$9.72

THYROGLOBULIN AB + THYROGLOBULIN

Facility

$27.00

Service Code	CPT 86800
Hospital Charge Code	2286800
Hospital Revenue Code	302
Rate for Payer: Cash Price	$24.30

.THYROGLOBULIN IMA RFX

Facility

$15.00

Service Code	CPT 84432
Hospital Charge Code	221012
Hospital Revenue Code	301
Min. Negotiated Rate	$5.40
Max. Negotiated Rate	$32.12
Rate for Payer: Aetna Better Health Medicaid/QHP	$14.45
Rate for Payer: Aetna Medicare Advantage	$16.06
Rate for Payer: Anthem Blue Cross Blue Shield Missouri Blue Access/Blue Preferred and Pathway/Pathway X	$8.88
Rate for Payer: Anthem Blue Cross Blue Shield Missouri Traditional	$10.71
Rate for Payer: Cash Price	$13.50
Rate for Payer: Cash Price	$13.50
Rate for Payer: Cash Price	$13.50
Rate for Payer: Cigna Commercial HMO & PPO	$16.06
Rate for Payer: Healthy Blue CHP/Medicaid Managed Care	$14.45
Rate for Payer: Home State Health Plan Medicaid Managed Care	$15.46
Rate for Payer: Home State Health Plan Medicare Advantage	$16.06
Rate for Payer: Humana Commercial	$32.12
Rate for Payer: Humana Medicare Advantage	$16.06
Rate for Payer: UnitedHealthcare Commercial	$21.00
Rate for Payer: UnitedHealthcare Medicaid Managed Care	$14.45
Rate for Payer: UnitedHealthcare Medicare Advantage	$5.40

.THYROGLOBULIN IMA RFX

Facility

$15.00

Service Code	CPT 84432
Hospital Charge Code	221012
Hospital Revenue Code	301
Rate for Payer: Cash Price	$13.50

.THYROGLOBULIN LCMS RFX

Facility

$240.00

Service Code	CPT 84432
Hospital Charge Code	221013
Hospital Revenue Code	301
Rate for Payer: Cash Price	$216.00

.THYROGLOBULIN LCMS RFX

Facility

$240.00

Service Code	CPT 84432
Hospital Charge Code	221013
Hospital Revenue Code	301
Min. Negotiated Rate	$14.45
Max. Negotiated Rate	$171.36
Rate for Payer: Aetna Better Health Medicaid/QHP	$14.45
Rate for Payer: Aetna Medicare Advantage	$16.06
Rate for Payer: Anthem Blue Cross Blue Shield Missouri Blue Access/Blue Preferred and Pathway/Pathway X	$142.08
Rate for Payer: Anthem Blue Cross Blue Shield Missouri Traditional	$171.36
Rate for Payer: Cash Price	$216.00
Rate for Payer: Cash Price	$216.00
Rate for Payer: Cash Price	$216.00
Rate for Payer: Cigna Commercial HMO & PPO	$16.06
Rate for Payer: Healthy Blue CHP/Medicaid Managed Care	$14.45
Rate for Payer: Home State Health Plan Medicaid Managed Care	$15.46
Rate for Payer: Home State Health Plan Medicare Advantage	$16.06
Rate for Payer: Humana Commercial	$32.12
Rate for Payer: Humana Medicare Advantage	$16.06
Rate for Payer: UnitedHealthcare Commercial	$21.00
Rate for Payer: UnitedHealthcare Medicaid Managed Care	$14.45
Rate for Payer: UnitedHealthcare Medicare Advantage	$86.40

THYROGLOBULIN (TG-RIA LABCORP 500001)

Facility

$187.00

Service Code	CPT 84432
Hospital Charge Code	2284433
Hospital Revenue Code	301
Rate for Payer: Cash Price	$168.30

THYROGLOBULIN (TG-RIA LABCORP 500001)

Facility

$187.00

Service Code	CPT 84432
Hospital Charge Code	2284433
Hospital Revenue Code	301
Min. Negotiated Rate	$14.45
Max. Negotiated Rate	$133.52
Rate for Payer: Aetna Better Health Medicaid/QHP	$14.45
Rate for Payer: Aetna Medicare Advantage	$16.06
Rate for Payer: Anthem Blue Cross Blue Shield Missouri Blue Access/Blue Preferred and Pathway/Pathway X	$110.70
Rate for Payer: Anthem Blue Cross Blue Shield Missouri Traditional	$133.52
Rate for Payer: Cash Price	$168.30
Rate for Payer: Cash Price	$168.30
Rate for Payer: Cash Price	$168.30
Rate for Payer: Cigna Commercial HMO & PPO	$16.06
Rate for Payer: Healthy Blue CHP/Medicaid Managed Care	$14.45
Rate for Payer: Home State Health Plan Medicaid Managed Care	$15.46
Rate for Payer: Home State Health Plan Medicare Advantage	$16.06
Rate for Payer: Humana Commercial	$32.12
Rate for Payer: Humana Medicare Advantage	$16.06
Rate for Payer: UnitedHealthcare Commercial	$21.00
Rate for Payer: UnitedHealthcare Medicaid Managed Care	$14.45
Rate for Payer: UnitedHealthcare Medicare Advantage	$67.32

THYROID CASCADE PROF (LABCORP 330015)

Facility

$165.00

Service Code	CPT 84443
Hospital Charge Code	2220104
Hospital Revenue Code	301
Rate for Payer: Cash Price	$148.50

THYROID CASCADE PROF (LABCORP 330015)

Facility

$165.00

Service Code	CPT 84443
Hospital Charge Code	2220104
Hospital Revenue Code	301
Min. Negotiated Rate	$15.12
Max. Negotiated Rate	$117.81
Rate for Payer: Aetna Better Health Medicaid/QHP	$15.12
Rate for Payer: Aetna Medicare Advantage	$16.80
Rate for Payer: Anthem Blue Cross Blue Shield Missouri Blue Access/Blue Preferred and Pathway/Pathway X	$97.68
Rate for Payer: Anthem Blue Cross Blue Shield Missouri Traditional	$117.81
Rate for Payer: Cash Price	$148.50
Rate for Payer: Cash Price	$148.50
Rate for Payer: Cash Price	$148.50
Rate for Payer: Cigna Commercial HMO & PPO	$16.80
Rate for Payer: Healthy Blue CHP/Medicaid Managed Care	$15.12
Rate for Payer: Home State Health Plan Medicaid Managed Care	$16.18
Rate for Payer: Home State Health Plan Medicare Advantage	$16.80
Rate for Payer: Humana Commercial	$33.60
Rate for Payer: Humana Medicare Advantage	$16.80
Rate for Payer: UnitedHealthcare Commercial	$21.00
Rate for Payer: UnitedHealthcare Medicaid Managed Care	$15.12
Rate for Payer: UnitedHealthcare Medicare Advantage	$59.40

THYROID DISORDERS

Facility

$30,382.15

Service Code	APR-DRG 4274
Min. Negotiated Rate	$30,382.15
Max. Negotiated Rate	$30,382.15
Rate for Payer: Aetna Better Health Medicaid/QHP	$30,382.15
Rate for Payer: Healthy Blue CHP/Medicaid Managed Care	$30,382.15
Rate for Payer: Home State Health Plan Medicaid Managed Care	$30,382.15
Rate for Payer: UnitedHealthcare Medicaid Managed Care	$30,382.15

THYROID DISORDERS

Facility

$8,510.54

Service Code	APR-DRG 4272
Min. Negotiated Rate	$8,510.54
Max. Negotiated Rate	$8,510.54
Rate for Payer: Aetna Better Health Medicaid/QHP	$8,510.54
Rate for Payer: Healthy Blue CHP/Medicaid Managed Care	$8,510.54
Rate for Payer: Home State Health Plan Medicaid Managed Care	$8,510.54
Rate for Payer: UnitedHealthcare Medicaid Managed Care	$8,510.54

THYROID DISORDERS

Facility

$7,482.30

Service Code	APR-DRG 4271
Min. Negotiated Rate	$7,482.30
Max. Negotiated Rate	$7,482.30
Rate for Payer: Aetna Better Health Medicaid/QHP	$7,482.30
Rate for Payer: Healthy Blue CHP/Medicaid Managed Care	$7,482.30
Rate for Payer: Home State Health Plan Medicaid Managed Care	$7,482.30
Rate for Payer: UnitedHealthcare Medicaid Managed Care	$7,482.30

Know your out-of-pocket cost for care.

All Charges