Madison Medical Center

All Charges

Charge

Type

Setting

Price

ZINC OXIDE (DESITIN) 40% OINTMENT

Facility

$48.00

Service Code	NDC 168006202
Hospital Charge Code	2604182
Hospital Revenue Code	250
Min. Negotiated Rate	$17.28
Max. Negotiated Rate	$34.27
Rate for Payer: Anthem Blue Cross Blue Shield Missouri Blue Access/Blue Preferred and Pathway/Pathway X	$28.42
Rate for Payer: Anthem Blue Cross Blue Shield Missouri Traditional	$34.27
Rate for Payer: Cash Price	$43.20
Rate for Payer: UnitedHealthcare Commercial	$32.02
Rate for Payer: UnitedHealthcare Medicare Advantage	$17.28

ZINC OXIDE (DESITIN) 40% OINTMENT

Facility

$48.00

Service Code	NDC 168006202
Hospital Charge Code	2604182
Hospital Revenue Code	250
Rate for Payer: Cash Price	$43.20

ZINC PROTOPORPHYRIN

Facility

$79.00

Service Code	CPT 84202
Hospital Charge Code	2284202
Hospital Revenue Code	305
Min. Negotiated Rate	$12.92
Max. Negotiated Rate	$56.41
Rate for Payer: Aetna Better Health Medicaid/QHP	$12.92
Rate for Payer: Aetna Medicare Advantage	$14.35
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: Cash Price	$71.10
Rate for Payer: Cash Price	$71.10
Rate for Payer: Cigna Commercial HMO & PPO	$14.35
Rate for Payer: Healthy Blue CHP/Medicaid Managed Care	$12.92
Rate for Payer: Home State Health Plan Medicaid Managed Care	$13.82
Rate for Payer: Home State Health Plan Medicare Advantage	$14.35
Rate for Payer: Humana Commercial	$28.70
Rate for Payer: Humana Medicare Advantage	$14.35
Rate for Payer: UnitedHealthcare Commercial	$21.00
Rate for Payer: UnitedHealthcare Medicaid Managed Care	$12.92
Rate for Payer: UnitedHealthcare Medicare Advantage	$28.44

ZINC PROTOPORPHYRIN

Facility

$79.00

Service Code	CPT 84202
Hospital Charge Code	2284202
Hospital Revenue Code	305
Rate for Payer: Cash Price	$71.10

ZINC PROTOPORPHYRIN

Facility

$74.00

Service Code	CPT 84202
Hospital Charge Code	2284999
Hospital Revenue Code	305
Min. Negotiated Rate	$12.92
Max. Negotiated Rate	$52.84
Rate for Payer: Aetna Better Health Medicaid/QHP	$12.92
Rate for Payer: Aetna Medicare Advantage	$14.35
Rate for Payer: Anthem Blue Cross Blue Shield Missouri Blue Access/Blue Preferred and Pathway/Pathway X	$43.81
Rate for Payer: Anthem Blue Cross Blue Shield Missouri Traditional	$52.84
Rate for Payer: Cash Price	$66.60
Rate for Payer: Cash Price	$66.60
Rate for Payer: Cash Price	$66.60
Rate for Payer: Cigna Commercial HMO & PPO	$14.35
Rate for Payer: Healthy Blue CHP/Medicaid Managed Care	$12.92
Rate for Payer: Home State Health Plan Medicaid Managed Care	$13.82
Rate for Payer: Home State Health Plan Medicare Advantage	$14.35
Rate for Payer: Humana Commercial	$28.70
Rate for Payer: Humana Medicare Advantage	$14.35
Rate for Payer: UnitedHealthcare Commercial	$21.00
Rate for Payer: UnitedHealthcare Medicaid Managed Care	$12.92
Rate for Payer: UnitedHealthcare Medicare Advantage	$26.64

ZINC PROTOPORPHYRIN

Facility

$74.00

Service Code	CPT 84202
Hospital Charge Code	2284999
Hospital Revenue Code	305
Rate for Payer: Cash Price	$66.60

ZINC SERUM OR PLASMA

Facility

$124.00

Service Code	CPT 84630
Hospital Charge Code	2224147
Hospital Revenue Code	301
Min. Negotiated Rate	$10.25
Max. Negotiated Rate	$88.54
Rate for Payer: Aetna Better Health Medicaid/QHP	$10.25
Rate for Payer: Aetna Medicare Advantage	$11.39
Rate for Payer: Anthem Blue Cross Blue Shield Missouri Blue Access/Blue Preferred and Pathway/Pathway X	$73.41
Rate for Payer: Anthem Blue Cross Blue Shield Missouri Traditional	$88.54
Rate for Payer: Cash Price	$111.60
Rate for Payer: Cash Price	$111.60
Rate for Payer: Cash Price	$111.60
Rate for Payer: Cigna Commercial HMO & PPO	$11.39
Rate for Payer: Healthy Blue CHP/Medicaid Managed Care	$10.25
Rate for Payer: Home State Health Plan Medicaid Managed Care	$10.97
Rate for Payer: Home State Health Plan Medicare Advantage	$11.39
Rate for Payer: Humana Commercial	$22.78
Rate for Payer: Humana Medicare Advantage	$11.39
Rate for Payer: UnitedHealthcare Commercial	$21.00
Rate for Payer: UnitedHealthcare Medicaid Managed Care	$10.25
Rate for Payer: UnitedHealthcare Medicare Advantage	$44.64

ZINC SERUM OR PLASMA

Facility

$124.00

Service Code	CPT 84630
Hospital Charge Code	2224147
Hospital Revenue Code	301
Rate for Payer: Cash Price	$111.60

ZINC SULFATE (ZINC) 220MG CAP/TAB

Facility

$20.00

Service Code	NDC 1.0006E+10
Hospital Charge Code	2626612
Hospital Revenue Code	250
Min. Negotiated Rate	$7.20
Max. Negotiated Rate	$14.28
Rate for Payer: Anthem Blue Cross Blue Shield Missouri Blue Access/Blue Preferred and Pathway/Pathway X	$11.84
Rate for Payer: Anthem Blue Cross Blue Shield Missouri Traditional	$14.28
Rate for Payer: Cash Price	$18.00
Rate for Payer: UnitedHealthcare Commercial	$13.34
Rate for Payer: UnitedHealthcare Medicare Advantage	$7.20

ZINC SULFATE (ZINC) 220MG CAP/TAB

Facility

$20.00

Service Code	NDC 1.0006E+10
Hospital Charge Code	2626612
Hospital Revenue Code	250
Rate for Payer: Cash Price	$18.00

ZINC WHOLE BLOOD

Facility

$124.00

Service Code	CPT 84630
Hospital Charge Code	2224146
Hospital Revenue Code	301
Rate for Payer: Cash Price	$111.60

ZINC WHOLE BLOOD

Facility

$124.00

Service Code	CPT 84630
Hospital Charge Code	2224146
Hospital Revenue Code	301
Min. Negotiated Rate	$10.25
Max. Negotiated Rate	$88.54
Rate for Payer: Aetna Better Health Medicaid/QHP	$10.25
Rate for Payer: Aetna Medicare Advantage	$11.39
Rate for Payer: Anthem Blue Cross Blue Shield Missouri Blue Access/Blue Preferred and Pathway/Pathway X	$73.41
Rate for Payer: Anthem Blue Cross Blue Shield Missouri Traditional	$88.54
Rate for Payer: Cash Price	$111.60
Rate for Payer: Cash Price	$111.60
Rate for Payer: Cash Price	$111.60
Rate for Payer: Cigna Commercial HMO & PPO	$11.39
Rate for Payer: Healthy Blue CHP/Medicaid Managed Care	$10.25
Rate for Payer: Home State Health Plan Medicaid Managed Care	$10.97
Rate for Payer: Home State Health Plan Medicare Advantage	$11.39
Rate for Payer: Humana Commercial	$22.78
Rate for Payer: Humana Medicare Advantage	$11.39
Rate for Payer: UnitedHealthcare Commercial	$21.00
Rate for Payer: UnitedHealthcare Medicaid Managed Care	$10.25
Rate for Payer: UnitedHealthcare Medicare Advantage	$44.64

ZIPRASIDONE (GEODON) 20MG CAP EMP

Facility

$22.00

Service Code	NDC 5.5111E+10
Hospital Charge Code	2621223
Hospital Revenue Code	250
Rate for Payer: Cash Price	$19.80

ZIPRASIDONE (GEODON) 20MG CAP EMP

Facility

$22.00

Service Code	NDC 5.5111E+10
Hospital Charge Code	2621223
Hospital Revenue Code	250
Min. Negotiated Rate	$7.92
Max. Negotiated Rate	$15.71
Rate for Payer: Anthem Blue Cross Blue Shield Missouri Blue Access/Blue Preferred and Pathway/Pathway X	$13.02
Rate for Payer: Anthem Blue Cross Blue Shield Missouri Traditional	$15.71
Rate for Payer: Cash Price	$19.80
Rate for Payer: UnitedHealthcare Commercial	$14.67
Rate for Payer: UnitedHealthcare Medicare Advantage	$7.92

ZNT8 ANTIBODIES

Facility

$487.00

Service Code	CPT 86341
Hospital Charge Code	2283501
Hospital Revenue Code	301
Min. Negotiated Rate	$21.00
Max. Negotiated Rate	$347.72
Rate for Payer: Aetna Better Health Medicaid/QHP	$21.21
Rate for Payer: Aetna Medicare Advantage	$23.57
Rate for Payer: Anthem Blue Cross Blue Shield Missouri Blue Access/Blue Preferred and Pathway/Pathway X	$288.30
Rate for Payer: Anthem Blue Cross Blue Shield Missouri Traditional	$347.72
Rate for Payer: Cash Price	$438.30
Rate for Payer: Cash Price	$438.30
Rate for Payer: Cash Price	$438.30
Rate for Payer: Cigna Commercial HMO & PPO	$23.57
Rate for Payer: Healthy Blue CHP/Medicaid Managed Care	$21.21
Rate for Payer: Home State Health Plan Medicaid Managed Care	$22.69
Rate for Payer: Home State Health Plan Medicare Advantage	$23.57
Rate for Payer: Humana Commercial	$47.14
Rate for Payer: Humana Medicare Advantage	$23.57
Rate for Payer: UnitedHealthcare Commercial	$21.00
Rate for Payer: UnitedHealthcare Medicaid Managed Care	$21.21
Rate for Payer: UnitedHealthcare Medicare Advantage	$175.32

ZNT8 ANTIBODIES

Facility

$487.00

Service Code	CPT 86341
Hospital Charge Code	2283501
Hospital Revenue Code	301
Rate for Payer: Cash Price	$438.30

ZOLEDRONIC ACID 4MG/100ML IVPB

Facility

$5,571.00

Service Code	NDC 2.5021E+10
Hospital Charge Code	2697623
Hospital Revenue Code	335
Rate for Payer: Cash Price	$5,013.90

ZOLEDRONIC ACID 4MG/100ML IVPB

Facility

$5,571.00

Service Code	NDC 2.5021E+10
Hospital Charge Code	2697623
Hospital Revenue Code	335
Min. Negotiated Rate	$2,005.56
Max. Negotiated Rate	$3,977.69
Rate for Payer: Anthem Blue Cross Blue Shield Missouri Blue Access/Blue Preferred and Pathway/Pathway X	$3,298.03
Rate for Payer: Anthem Blue Cross Blue Shield Missouri Traditional	$3,977.69
Rate for Payer: Cash Price	$5,013.90
Rate for Payer: UnitedHealthcare Commercial	$3,715.86
Rate for Payer: UnitedHealthcare Medicare Advantage	$2,005.56

ZOLEDRONIC ACID (RECLAST) 5MG/100ML IVPB

Facility

$1,125.00

Service Code	HCPCS J3489
Hospital Charge Code	2625795
Hospital Revenue Code	260
Rate for Payer: Cash Price	$1,012.50

ZOLEDRONIC ACID (RECLAST) 5MG/100ML IVPB

Facility

$1,125.00

Service Code	HCPCS J3489
Hospital Charge Code	2625795
Hospital Revenue Code	260
Min. Negotiated Rate	$405.00
Max. Negotiated Rate	$803.25
Rate for Payer: Anthem Blue Cross Blue Shield Missouri Blue Access/Blue Preferred and Pathway/Pathway X	$666.00
Rate for Payer: Anthem Blue Cross Blue Shield Missouri Traditional	$803.25
Rate for Payer: Cash Price	$1,012.50
Rate for Payer: UnitedHealthcare Medicare Advantage	$405.00

ZOLPIDEM 5MG TAB EMP C4

Facility

$43.00

Service Code	NDC 24540131
Hospital Charge Code	2620273
Hospital Revenue Code	250
Rate for Payer: Cash Price	$38.70

ZOLPIDEM 5MG TAB EMP C4

Facility

$43.00

Service Code	NDC 24540131
Hospital Charge Code	2620273
Hospital Revenue Code	250
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

ZOLPIDEM (AMBIEN) 10MG TAB EMP C4

Facility

$44.00

Service Code	NDC 93007401
Hospital Charge Code	2626319
Hospital Revenue Code	250
Min. Negotiated Rate	$15.84
Max. Negotiated Rate	$31.42
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: UnitedHealthcare Commercial	$29.35
Rate for Payer: UnitedHealthcare Medicare Advantage	$15.84

ZOLPIDEM (AMBIEN) 10MG TAB EMP C4

Facility

$44.00

Service Code	NDC 93007401
Hospital Charge Code	2626319
Hospital Revenue Code	250
Rate for Payer: Cash Price	$39.60

ZOLPIDEM (AMBIEN) 5MG TAB UD C4

Facility

$43.00

Service Code	NDC 5.1079E+10
Hospital Charge Code	2656559
Hospital Revenue Code	250
Rate for Payer: Cash Price	$38.70

Know your out-of-pocket cost for care.

All Charges