Madison Medical Center

All Charges

Charge

Type

Setting

Price

CATH. BARD18 (ALL PURPOSE)

Facility

$18.00

Hospital Charge Code	409418
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

CATH. BARD18 (ALL PURPOSE)

Facility

$18.00

Hospital Charge Code	409418
Hospital Revenue Code	271
Rate for Payer: Cash Price	$16.20

CATH. BARD18 (CARSON COUDE TIP)

Facility

$81.00

Hospital Charge Code	4016818
Hospital Revenue Code	271
Rate for Payer: Cash Price	$72.90

CATH. BARD18 (CARSON COUDE TIP)

Facility

$81.00

Hospital Charge Code	4016818
Hospital Revenue Code	271
Min. Negotiated Rate	$29.16
Max. Negotiated Rate	$57.83
Rate for Payer: Anthem Blue Cross Blue Shield Missouri Blue Access/Blue Preferred and Pathway/Pathway X	$47.95
Rate for Payer: Anthem Blue Cross Blue Shield Missouri Traditional	$57.83
Rate for Payer: Cash Price	$72.90
Rate for Payer: UnitedHealthcare Commercial	$54.03
Rate for Payer: UnitedHealthcare Medicare Advantage	$29.16

CATH. BARD20 (ALL PURPOSE)

Facility

$20.00

Hospital Charge Code	409420
Hospital Revenue Code	271
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

CATH. BARD20 (ALL PURPOSE)

Facility

$20.00

Hospital Charge Code	409420
Hospital Revenue Code	271
Rate for Payer: Cash Price	$18.00

CATH. BARD20 (CARSON COUDE TIP)

Facility

$81.00

Hospital Charge Code	4016820
Hospital Revenue Code	271
Min. Negotiated Rate	$29.16
Max. Negotiated Rate	$57.83
Rate for Payer: Anthem Blue Cross Blue Shield Missouri Blue Access/Blue Preferred and Pathway/Pathway X	$47.95
Rate for Payer: Anthem Blue Cross Blue Shield Missouri Traditional	$57.83
Rate for Payer: Cash Price	$72.90
Rate for Payer: UnitedHealthcare Commercial	$54.03
Rate for Payer: UnitedHealthcare Medicare Advantage	$29.16

CATH. BARD20 (CARSON COUDE TIP)

Facility

$81.00

Hospital Charge Code	4016820
Hospital Revenue Code	271
Rate for Payer: Cash Price	$72.90

CATH. BARD20 (TIEMAN)

Facility

$44.00

Hospital Charge Code	4000620
Hospital Revenue Code	271
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

CATH. BARD20 (TIEMAN)

Facility

$44.00

Hospital Charge Code	4000620
Hospital Revenue Code	271
Rate for Payer: Cash Price	$39.60

CATH. BARD22 (ALL PURPOSE)

Facility

$20.00

Hospital Charge Code	409422
Hospital Revenue Code	271
Rate for Payer: Cash Price	$18.00

CATH. BARD22 (ALL PURPOSE)

Facility

$20.00

Hospital Charge Code	409422
Hospital Revenue Code	271
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

CATH. BARD22 (CARSON COUDE TIP)

Facility

$81.00

Hospital Charge Code	4016822
Hospital Revenue Code	271
Rate for Payer: Cash Price	$72.90

CATH. BARD22 (CARSON COUDE TIP)

Facility

$81.00

Hospital Charge Code	4016822
Hospital Revenue Code	271
Min. Negotiated Rate	$29.16
Max. Negotiated Rate	$57.83
Rate for Payer: Anthem Blue Cross Blue Shield Missouri Blue Access/Blue Preferred and Pathway/Pathway X	$47.95
Rate for Payer: Anthem Blue Cross Blue Shield Missouri Traditional	$57.83
Rate for Payer: Cash Price	$72.90
Rate for Payer: UnitedHealthcare Commercial	$54.03
Rate for Payer: UnitedHealthcare Medicare Advantage	$29.16

CATH. BARD22 (TIEMAN)

Facility

$44.00

Hospital Charge Code	4000622
Hospital Revenue Code	271
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

CATH. BARD22 (TIEMAN)

Facility

$44.00

Hospital Charge Code	4000622
Hospital Revenue Code	271
Rate for Payer: Cash Price	$39.60

CATH. BARD24 (CARSON COUDE TIP)

Facility

$81.00

Hospital Charge Code	4016824
Hospital Revenue Code	271
Rate for Payer: Cash Price	$72.90

CATH. BARD24 (CARSON COUDE TIP)

Facility

$81.00

Hospital Charge Code	4016824
Hospital Revenue Code	271
Min. Negotiated Rate	$29.16
Max. Negotiated Rate	$57.83
Rate for Payer: Anthem Blue Cross Blue Shield Missouri Blue Access/Blue Preferred and Pathway/Pathway X	$47.95
Rate for Payer: Anthem Blue Cross Blue Shield Missouri Traditional	$57.83
Rate for Payer: Cash Price	$72.90
Rate for Payer: UnitedHealthcare Commercial	$54.03
Rate for Payer: UnitedHealthcare Medicare Advantage	$29.16

CATH BARDEX VALUE 5CC

Facility

$187.00

Hospital Charge Code	283024
Hospital Revenue Code	271
Rate for Payer: Cash Price	$168.30

CATH BARDEX VALUE 5CC

Facility

$187.00

Hospital Charge Code	283024
Hospital Revenue Code	271
Min. Negotiated Rate	$67.32
Max. Negotiated Rate	$133.52
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: UnitedHealthcare Commercial	$124.73
Rate for Payer: UnitedHealthcare Medicare Advantage	$67.32

CATH BARTHOLIN CYST

Facility

$141.00

Hospital Charge Code	283351
Hospital Revenue Code	271
Min. Negotiated Rate	$50.76
Max. Negotiated Rate	$100.67
Rate for Payer: Anthem Blue Cross Blue Shield Missouri Blue Access/Blue Preferred and Pathway/Pathway X	$83.47
Rate for Payer: Anthem Blue Cross Blue Shield Missouri Traditional	$100.67
Rate for Payer: Cash Price	$126.90
Rate for Payer: UnitedHealthcare Commercial	$94.05
Rate for Payer: UnitedHealthcare Medicare Advantage	$50.76

CATH BARTHOLIN CYST

Facility

$141.00

Hospital Charge Code	283351
Hospital Revenue Code	271
Rate for Payer: Cash Price	$126.90

CATH, CHEST TROCAR

Facility

$89.00

Hospital Charge Code	283155
Hospital Revenue Code	271
Rate for Payer: Cash Price	$80.10

CATH, CHEST TROCAR

Facility

$89.00

Hospital Charge Code	283155
Hospital Revenue Code	271
Min. Negotiated Rate	$32.04
Max. Negotiated Rate	$63.55
Rate for Payer: Anthem Blue Cross Blue Shield Missouri Blue Access/Blue Preferred and Pathway/Pathway X	$52.69
Rate for Payer: Anthem Blue Cross Blue Shield Missouri Traditional	$63.55
Rate for Payer: Cash Price	$80.10
Rate for Payer: UnitedHealthcare Commercial	$59.36
Rate for Payer: UnitedHealthcare Medicare Advantage	$32.04

CATH, CHOLANGIOGRAM

Facility

$308.00

Hospital Charge Code	283062
Hospital Revenue Code	271
Rate for Payer: Cash Price	$277.20

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All Charges