Madison Medical Center

All Charges

Charge

Type

Setting

Price

TUBE GAUZE PER IN.

Facility

$10.00

Hospital Charge Code	2820510
Hospital Revenue Code	271
Rate for Payer: Cash Price	$9.00

TUBE HOLDER, TRACHEOSTOMY

Facility

$24.00

Hospital Charge Code	283000
Hospital Revenue Code	271
Rate for Payer: Cash Price	$21.60

TUBE HOLDER, TRACHEOSTOMY

Facility

$24.00

Hospital Charge Code	283000
Hospital Revenue Code	271
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

TUBE INSUFFLATION

Facility

$79.00

Hospital Charge Code	123111
Hospital Revenue Code	271
Rate for Payer: Cash Price	$71.10

TUBE INSUFFLATION

Facility

$79.00

Hospital Charge Code	123111
Hospital Revenue Code	271
Min. Negotiated Rate	$28.44
Max. Negotiated Rate	$56.41
Rate for Payer: Anthem Blue Cross Blue Shield Missouri Blue Access/Blue Preferred and Pathway/Pathway X	$46.77
Rate for Payer: Anthem Blue Cross Blue Shield Missouri Traditional	$56.41
Rate for Payer: Cash Price	$71.10
Rate for Payer: UnitedHealthcare Commercial	$52.69
Rate for Payer: UnitedHealthcare Medicare Advantage	$28.44

TUBE,KANGAROO GASTROSTOMY 20FR 888472026

Facility

$268.00

Hospital Charge Code	2820726
Hospital Revenue Code	272
Rate for Payer: Cash Price	$241.20

TUBE,KANGAROO GASTROSTOMY 20FR 888472026

Facility

$268.00

Hospital Charge Code	2820726
Hospital Revenue Code	272
Min. Negotiated Rate	$96.48
Max. Negotiated Rate	$191.35
Rate for Payer: Anthem Blue Cross Blue Shield Missouri Blue Access/Blue Preferred and Pathway/Pathway X	$158.66
Rate for Payer: Anthem Blue Cross Blue Shield Missouri Traditional	$191.35
Rate for Payer: Cash Price	$241.20
Rate for Payer: UnitedHealthcare Commercial	$178.76
Rate for Payer: UnitedHealthcare Medicare Advantage	$96.48

TUBE, KANGAROO GASTROSTOMY 28FR 20285E

Facility

$268.00

Hospital Charge Code	2820725
Hospital Revenue Code	271
Rate for Payer: Cash Price	$241.20

TUBE, KANGAROO GASTROSTOMY 28FR 20285E

Facility

$268.00

Hospital Charge Code	2820725
Hospital Revenue Code	271
Min. Negotiated Rate	$96.48
Max. Negotiated Rate	$191.35
Rate for Payer: Anthem Blue Cross Blue Shield Missouri Blue Access/Blue Preferred and Pathway/Pathway X	$158.66
Rate for Payer: Anthem Blue Cross Blue Shield Missouri Traditional	$191.35
Rate for Payer: Cash Price	$241.20
Rate for Payer: UnitedHealthcare Commercial	$178.76
Rate for Payer: UnitedHealthcare Medicare Advantage	$96.48

TUBERCULIN (APLISOL) TB PPD TEST

Facility

$87.00

Service Code	HCPCS 86580
Hospital Charge Code	2656510
Hospital Revenue Code	250
Rate for Payer: Cash Price	$78.30

TUBERCULIN (APLISOL) TB PPD TEST

Facility

$87.00

Service Code	HCPCS 86580
Hospital Charge Code	2656510
Hospital Revenue Code	250
Min. Negotiated Rate	$26.07
Max. Negotiated Rate	$62.12
Rate for Payer: Humana Commercial	$59.10
Rate for Payer: Humana Medicare Advantage	$29.55
Rate for Payer: Aetna Better Health Medicaid/QHP	$26.07
Rate for Payer: Aetna Medicare Advantage	$29.55
Rate for Payer: Anthem Blue Cross Blue Shield Missouri Blue Access/Blue Preferred and Pathway/Pathway X	$51.50
Rate for Payer: Anthem Blue Cross Blue Shield Missouri Traditional	$62.12
Rate for Payer: Cash Price	$78.30
Rate for Payer: Cash Price	$78.30
Rate for Payer: Cash Price	$78.30
Rate for Payer: Cigna Commercial HMO & PPO	$29.55
Rate for Payer: Healthy Blue CHP/Medicaid Managed Care	$26.07
Rate for Payer: Home State Health Plan Medicaid Managed Care	$27.89
Rate for Payer: Home State Health Plan Medicare Advantage	$29.55
Rate for Payer: UnitedHealthcare Commercial	$58.03
Rate for Payer: UnitedHealthcare Medicaid Managed Care	$26.07
Rate for Payer: UnitedHealthcare Medicare Advantage	$31.32

TUBE, SHILEY TRACHEOSTOMY

Facility

$255.00

Hospital Charge Code	283001
Hospital Revenue Code	271
Rate for Payer: Cash Price	$229.50

TUBE, SHILEY TRACHEOSTOMY

Facility

$255.00

Hospital Charge Code	283001
Hospital Revenue Code	271
Min. Negotiated Rate	$91.80
Max. Negotiated Rate	$182.07
Rate for Payer: Anthem Blue Cross Blue Shield Missouri Blue Access/Blue Preferred and Pathway/Pathway X	$150.96
Rate for Payer: Anthem Blue Cross Blue Shield Missouri Traditional	$182.07
Rate for Payer: Cash Price	$229.50
Rate for Payer: UnitedHealthcare Commercial	$170.09
Rate for Payer: UnitedHealthcare Medicare Advantage	$91.80

TUBOCURARINE INJ

Facility

$70.00

Hospital Charge Code	2017172
Hospital Revenue Code	370
Min. Negotiated Rate	$25.20
Max. Negotiated Rate	$49.98
Rate for Payer: Anthem Blue Cross Blue Shield Missouri Blue Access/Blue Preferred and Pathway/Pathway X	$41.44
Rate for Payer: Anthem Blue Cross Blue Shield Missouri Traditional	$49.98
Rate for Payer: Cash Price	$63.00
Rate for Payer: UnitedHealthcare Commercial	$46.69
Rate for Payer: UnitedHealthcare Medicare Advantage	$25.20

TUBOCURARINE INJ

Facility

$70.00

Hospital Charge Code	2017172
Hospital Revenue Code	370
Rate for Payer: Cash Price	$63.00

TUNGSTEN

Facility

$367.00

Service Code	CPT 83018
Hospital Charge Code	2283015
Hospital Revenue Code	301
Min. Negotiated Rate	$19.76
Max. Negotiated Rate	$262.04
Rate for Payer: Aetna Better Health Medicaid/QHP	$19.76
Rate for Payer: Aetna Medicare Advantage	$21.96
Rate for Payer: Anthem Blue Cross Blue Shield Missouri Blue Access/Blue Preferred and Pathway/Pathway X	$217.26
Rate for Payer: Anthem Blue Cross Blue Shield Missouri Traditional	$262.04
Rate for Payer: Cash Price	$330.30
Rate for Payer: Cash Price	$330.30
Rate for Payer: Cash Price	$330.30
Rate for Payer: Cigna Commercial HMO & PPO	$21.96
Rate for Payer: Healthy Blue CHP/Medicaid Managed Care	$19.76
Rate for Payer: Home State Health Plan Medicaid Managed Care	$21.14
Rate for Payer: Home State Health Plan Medicare Advantage	$21.96
Rate for Payer: Humana Commercial	$43.92
Rate for Payer: Humana Medicare Advantage	$21.96
Rate for Payer: UnitedHealthcare Commercial	$21.00
Rate for Payer: UnitedHealthcare Medicaid Managed Care	$19.76
Rate for Payer: UnitedHealthcare Medicare Advantage	$132.12

TUNGSTEN

Facility

$367.00

Service Code	CPT 83018
Hospital Charge Code	2283015
Hospital Revenue Code	301
Rate for Payer: Cash Price	$330.30

TUOHY EPI NEEDLE

Facility

$21.00

Hospital Charge Code	2822474
Hospital Revenue Code	270
Rate for Payer: Cash Price	$18.90

TUOHY EPI NEEDLE

Facility

$21.00

Hospital Charge Code	2822474
Hospital Revenue Code	270
Min. Negotiated Rate	$7.56
Max. Negotiated Rate	$14.99
Rate for Payer: Anthem Blue Cross Blue Shield Missouri Blue Access/Blue Preferred and Pathway/Pathway X	$12.43
Rate for Payer: Anthem Blue Cross Blue Shield Missouri Traditional	$14.99
Rate for Payer: Cash Price	$18.90
Rate for Payer: UnitedHealthcare Commercial	$14.01
Rate for Payer: UnitedHealthcare Medicare Advantage	$7.56

TUOHY SPINAL NEEDLES

Facility

$60.00

Hospital Charge Code	126879
Hospital Revenue Code	270
Rate for Payer: Cash Price	$54.00

TUOHY SPINAL NEEDLES

Facility

$60.00

Hospital Charge Code	126879
Hospital Revenue Code	270
Min. Negotiated Rate	$21.60
Max. Negotiated Rate	$42.84
Rate for Payer: Anthem Blue Cross Blue Shield Missouri Blue Access/Blue Preferred and Pathway/Pathway X	$35.52
Rate for Payer: Anthem Blue Cross Blue Shield Missouri Traditional	$42.84
Rate for Payer: Cash Price	$54.00
Rate for Payer: UnitedHealthcare Commercial	$40.02
Rate for Payer: UnitedHealthcare Medicare Advantage	$21.60

TUR APRON

Facility

$86.00

Hospital Charge Code	2820890
Hospital Revenue Code	271
Min. Negotiated Rate	$30.96
Max. Negotiated Rate	$61.40
Rate for Payer: Anthem Blue Cross Blue Shield Missouri Blue Access/Blue Preferred and Pathway/Pathway X	$50.91
Rate for Payer: Anthem Blue Cross Blue Shield Missouri Traditional	$61.40
Rate for Payer: Cash Price	$77.40
Rate for Payer: UnitedHealthcare Commercial	$57.36
Rate for Payer: UnitedHealthcare Medicare Advantage	$30.96

TUR APRON

Facility

$86.00

Hospital Charge Code	2820890
Hospital Revenue Code	271
Rate for Payer: Cash Price	$77.40

TUR BLADDER EVAC

Facility

$301.00

Hospital Charge Code	125207
Hospital Revenue Code	271
Min. Negotiated Rate	$108.36
Max. Negotiated Rate	$214.91
Rate for Payer: Anthem Blue Cross Blue Shield Missouri Blue Access/Blue Preferred and Pathway/Pathway X	$178.19
Rate for Payer: Anthem Blue Cross Blue Shield Missouri Traditional	$214.91
Rate for Payer: Cash Price	$270.90
Rate for Payer: UnitedHealthcare Commercial	$200.77
Rate for Payer: UnitedHealthcare Medicare Advantage	$108.36

TUR BLADDER EVAC

Facility

$301.00

Hospital Charge Code	125207
Hospital Revenue Code	271
Rate for Payer: Cash Price	$270.90

Know your out-of-pocket cost for care.

All Charges