Madison Medical Center

All Charges

Charge

Type

Setting

Price

CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS

Facility

$12,515.21

Service Code	APR-DRG 2013
Min. Negotiated Rate	$12,515.21
Max. Negotiated Rate	$12,515.21
Rate for Payer: Aetna Better Health Medicaid/QHP	$12,515.21
Rate for Payer: Healthy Blue CHP/Medicaid Managed Care	$12,515.21
Rate for Payer: Home State Health Plan Medicaid Managed Care	$12,515.21
Rate for Payer: UnitedHealthcare Medicaid Managed Care	$12,515.21

CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS

Facility

$6,833.12

Service Code	APR-DRG 2012
Min. Negotiated Rate	$6,833.12
Max. Negotiated Rate	$6,833.12
Rate for Payer: Aetna Better Health Medicaid/QHP	$6,833.12
Rate for Payer: Healthy Blue CHP/Medicaid Managed Care	$6,833.12
Rate for Payer: Home State Health Plan Medicaid Managed Care	$6,833.12
Rate for Payer: UnitedHealthcare Medicaid Managed Care	$6,833.12

CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS

Facility

$4,977.61

Service Code	APR-DRG 2011
Min. Negotiated Rate	$4,977.61
Max. Negotiated Rate	$4,977.61
Rate for Payer: Aetna Better Health Medicaid/QHP	$4,977.61
Rate for Payer: Healthy Blue CHP/Medicaid Managed Care	$4,977.61
Rate for Payer: Home State Health Plan Medicaid Managed Care	$4,977.61
Rate for Payer: UnitedHealthcare Medicaid Managed Care	$4,977.61

CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS

Facility

$20,683.34

Service Code	APR-DRG 2014
Min. Negotiated Rate	$20,683.34
Max. Negotiated Rate	$20,683.34
Rate for Payer: Aetna Better Health Medicaid/QHP	$20,683.34
Rate for Payer: Healthy Blue CHP/Medicaid Managed Care	$20,683.34
Rate for Payer: Home State Health Plan Medicaid Managed Care	$20,683.34
Rate for Payer: UnitedHealthcare Medicaid Managed Care	$20,683.34

CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC

Facility

$15,158.10

Service Code	MSDRG 309
Min. Negotiated Rate	$7,579.05
Max. Negotiated Rate	$15,158.10
Rate for Payer: Aetna Medicare Advantage	$7,579.05
Rate for Payer: Cigna Commercial HMO & PPO	$7,579.05
Rate for Payer: Home State Health Plan Medicare Advantage	$7,579.05
Rate for Payer: Humana Commercial	$15,158.10
Rate for Payer: Humana Medicare Advantage	$7,579.05

CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC

Facility

$22,486.34

Service Code	MSDRG 308
Min. Negotiated Rate	$11,243.17
Max. Negotiated Rate	$22,486.34
Rate for Payer: Aetna Medicare Advantage	$11,243.17
Rate for Payer: Cigna Commercial HMO & PPO	$11,243.17
Rate for Payer: Home State Health Plan Medicare Advantage	$11,243.17
Rate for Payer: Humana Commercial	$22,486.34
Rate for Payer: Humana Medicare Advantage	$11,243.17

CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC

Facility

$12,522.26

Service Code	MSDRG 310
Min. Negotiated Rate	$6,261.13
Max. Negotiated Rate	$12,522.26
Rate for Payer: Aetna Medicare Advantage	$6,261.13
Rate for Payer: Cigna Commercial HMO & PPO	$6,261.13
Rate for Payer: Home State Health Plan Medicare Advantage	$6,261.13
Rate for Payer: Humana Commercial	$12,522.26
Rate for Payer: Humana Medicare Advantage	$6,261.13

CARDIAC/BP/O2 SAT MONITOR

Facility

$376.00

Service Code	CPT Y7506
Hospital Charge Code	4512005
Hospital Revenue Code	410
Min. Negotiated Rate	$135.36
Max. Negotiated Rate	$268.46
Rate for Payer: Anthem Blue Cross Blue Shield Missouri Blue Access/Blue Preferred and Pathway/Pathway X	$222.59
Rate for Payer: Anthem Blue Cross Blue Shield Missouri Traditional	$268.46
Rate for Payer: Cash Price	$338.40
Rate for Payer: UnitedHealthcare Commercial	$250.79
Rate for Payer: UnitedHealthcare Medicare Advantage	$135.36

CARDIAC/BP/O2 SAT MONITOR

Facility

$376.00

Hospital Charge Code	1213035
Hospital Revenue Code	410
Rate for Payer: Cash Price	$338.40

CARDIAC/BP/O2 SAT MONITOR

Facility

$376.00

Hospital Charge Code	1213035
Hospital Revenue Code	410
Min. Negotiated Rate	$135.36
Max. Negotiated Rate	$268.46
Rate for Payer: Anthem Blue Cross Blue Shield Missouri Blue Access/Blue Preferred and Pathway/Pathway X	$222.59
Rate for Payer: Anthem Blue Cross Blue Shield Missouri Traditional	$268.46
Rate for Payer: Cash Price	$338.40
Rate for Payer: UnitedHealthcare Commercial	$250.79
Rate for Payer: UnitedHealthcare Medicare Advantage	$135.36

CARDIAC/BP/O2 SAT MONITOR

Facility

$376.00

Service Code	CPT Y7506
Hospital Charge Code	4512005
Hospital Revenue Code	410
Rate for Payer: Cash Price	$338.40

CARDIAC CATHETERIZATION FOR CORONARY ARTERY DISEASE

Facility

$6,452.22

Service Code	APR-DRG 1911
Min. Negotiated Rate	$6,452.22
Max. Negotiated Rate	$6,452.22
Rate for Payer: Aetna Better Health Medicaid/QHP	$6,452.22
Rate for Payer: Healthy Blue CHP/Medicaid Managed Care	$6,452.22
Rate for Payer: Home State Health Plan Medicaid Managed Care	$6,452.22
Rate for Payer: UnitedHealthcare Medicaid Managed Care	$6,452.22

CARDIAC CATHETERIZATION FOR CORONARY ARTERY DISEASE

Facility

$15,730.69

Service Code	APR-DRG 1913
Min. Negotiated Rate	$15,730.69
Max. Negotiated Rate	$15,730.69
Rate for Payer: Aetna Better Health Medicaid/QHP	$15,730.69
Rate for Payer: Healthy Blue CHP/Medicaid Managed Care	$15,730.69
Rate for Payer: Home State Health Plan Medicaid Managed Care	$15,730.69
Rate for Payer: UnitedHealthcare Medicaid Managed Care	$15,730.69

CARDIAC CATHETERIZATION FOR CORONARY ARTERY DISEASE

Facility

$8,402.95

Service Code	APR-DRG 1912
Min. Negotiated Rate	$8,402.95
Max. Negotiated Rate	$8,402.95
Rate for Payer: Aetna Better Health Medicaid/QHP	$8,402.95
Rate for Payer: Healthy Blue CHP/Medicaid Managed Care	$8,402.95
Rate for Payer: Home State Health Plan Medicaid Managed Care	$8,402.95
Rate for Payer: UnitedHealthcare Medicaid Managed Care	$8,402.95

CARDIAC CATHETERIZATION FOR CORONARY ARTERY DISEASE

Facility

$25,912.42

Service Code	APR-DRG 1914
Min. Negotiated Rate	$25,912.42
Max. Negotiated Rate	$25,912.42
Rate for Payer: Aetna Better Health Medicaid/QHP	$25,912.42
Rate for Payer: Healthy Blue CHP/Medicaid Managed Care	$25,912.42
Rate for Payer: Home State Health Plan Medicaid Managed Care	$25,912.42
Rate for Payer: UnitedHealthcare Medicaid Managed Care	$25,912.42

CARDIAC CATHETERIZATION FOR OTHER NON-CORONARY CONDITIONS

Facility

$49,437.73

Service Code	APR-DRG 1924
Min. Negotiated Rate	$49,437.73
Max. Negotiated Rate	$49,437.73
Rate for Payer: Aetna Better Health Medicaid/QHP	$49,437.73
Rate for Payer: Healthy Blue CHP/Medicaid Managed Care	$49,437.73
Rate for Payer: Home State Health Plan Medicaid Managed Care	$49,437.73
Rate for Payer: UnitedHealthcare Medicaid Managed Care	$49,437.73

CARDIAC CATHETERIZATION FOR OTHER NON-CORONARY CONDITIONS

Facility

$10,023.63

Service Code	APR-DRG 1922
Min. Negotiated Rate	$10,023.63
Max. Negotiated Rate	$10,023.63
Rate for Payer: Aetna Better Health Medicaid/QHP	$10,023.63
Rate for Payer: Healthy Blue CHP/Medicaid Managed Care	$10,023.63
Rate for Payer: Home State Health Plan Medicaid Managed Care	$10,023.63
Rate for Payer: UnitedHealthcare Medicaid Managed Care	$10,023.63

CARDIAC CATHETERIZATION FOR OTHER NON-CORONARY CONDITIONS

Facility

$18,742.77

Service Code	APR-DRG 1923
Min. Negotiated Rate	$18,742.77
Max. Negotiated Rate	$18,742.77
Rate for Payer: Aetna Better Health Medicaid/QHP	$18,742.77
Rate for Payer: Healthy Blue CHP/Medicaid Managed Care	$18,742.77
Rate for Payer: Home State Health Plan Medicaid Managed Care	$18,742.77
Rate for Payer: UnitedHealthcare Medicaid Managed Care	$18,742.77

CARDIAC CATHETERIZATION FOR OTHER NON-CORONARY CONDITIONS

Facility

$7,731.75

Service Code	APR-DRG 1921
Min. Negotiated Rate	$7,731.75
Max. Negotiated Rate	$7,731.75
Rate for Payer: Aetna Better Health Medicaid/QHP	$7,731.75
Rate for Payer: Healthy Blue CHP/Medicaid Managed Care	$7,731.75
Rate for Payer: Home State Health Plan Medicaid Managed Care	$7,731.75
Rate for Payer: UnitedHealthcare Medicaid Managed Care	$7,731.75

CARDIAC CONGENITAL AND VALVULAR DISORDERS WITH MCC

Facility

$28,316.66

Service Code	MSDRG 306
Min. Negotiated Rate	$14,158.33
Max. Negotiated Rate	$28,316.66
Rate for Payer: Aetna Medicare Advantage	$14,158.33
Rate for Payer: Cigna Commercial HMO & PPO	$14,158.33
Rate for Payer: Home State Health Plan Medicare Advantage	$14,158.33
Rate for Payer: Humana Commercial	$28,316.66
Rate for Payer: Humana Medicare Advantage	$14,158.33

CARDIAC CONGENITAL AND VALVULAR DISORDERS WITHOUT MCC

Facility

$17,935.52

Service Code	MSDRG 307
Min. Negotiated Rate	$8,967.76
Max. Negotiated Rate	$17,935.52
Rate for Payer: Aetna Medicare Advantage	$8,967.76
Rate for Payer: Cigna Commercial HMO & PPO	$8,967.76
Rate for Payer: Home State Health Plan Medicare Advantage	$8,967.76
Rate for Payer: Humana Commercial	$17,935.52
Rate for Payer: Humana Medicare Advantage	$8,967.76

CARDIAC DEFIBRILLATOR IMPLANT WITH CARDIAC CATHETERIZATION AND MCC

Facility

$116,327.12

Service Code	MSDRG 275
Min. Negotiated Rate	$58,163.56
Max. Negotiated Rate	$116,327.12
Rate for Payer: Aetna Medicare Advantage	$58,163.56
Rate for Payer: Cigna Commercial HMO & PPO	$58,163.56
Rate for Payer: Home State Health Plan Medicare Advantage	$58,163.56
Rate for Payer: Humana Commercial	$116,327.12
Rate for Payer: Humana Medicare Advantage	$58,163.56

CARDIAC DEFIBRILLATOR IMPLANT WITH MCC OR CAROTID SINUS NEUROSTIMULATOR

Facility

$98,487.16

Service Code	MSDRG 276
Min. Negotiated Rate	$49,243.58
Max. Negotiated Rate	$98,487.16
Rate for Payer: Aetna Medicare Advantage	$49,243.58
Rate for Payer: Cigna Commercial HMO & PPO	$49,243.58
Rate for Payer: Home State Health Plan Medicare Advantage	$49,243.58
Rate for Payer: Humana Commercial	$98,487.16
Rate for Payer: Humana Medicare Advantage	$49,243.58

CARDIAC DEFIBRILLATOR IMPLANT WITHOUT MCC

Facility

$76,451.54

Service Code	MSDRG 277
Min. Negotiated Rate	$38,225.77
Max. Negotiated Rate	$76,451.54
Rate for Payer: Aetna Medicare Advantage	$38,225.77
Rate for Payer: Cigna Commercial HMO & PPO	$38,225.77
Rate for Payer: Home State Health Plan Medicare Advantage	$38,225.77
Rate for Payer: Humana Commercial	$76,451.54
Rate for Payer: Humana Medicare Advantage	$38,225.77

CARDIAC PACEMAKER AND DEFIBRILLATOR REVISION EXCEPT DEVICE REPLACEMENT

Facility

$40,860.04

Service Code	APR-DRG 1774
Min. Negotiated Rate	$40,860.04
Max. Negotiated Rate	$40,860.04
Rate for Payer: Aetna Better Health Medicaid/QHP	$40,860.04
Rate for Payer: Healthy Blue CHP/Medicaid Managed Care	$40,860.04
Rate for Payer: Home State Health Plan Medicaid Managed Care	$40,860.04
Rate for Payer: UnitedHealthcare Medicaid Managed Care	$40,860.04

Know your out-of-pocket cost for care.

All Charges