Madison Medical Center

All Charges

Charge

Type

Setting

Price

CATH FOLEY 16FR 10CC

Facility

$37.00

Hospital Charge Code	283361
Hospital Revenue Code	271
Min. Negotiated Rate	$13.32
Max. Negotiated Rate	$26.42
Rate for Payer: Anthem Blue Cross Blue Shield Missouri Blue Access/Blue Preferred and Pathway/Pathway X	$21.90
Rate for Payer: Anthem Blue Cross Blue Shield Missouri Traditional	$26.42
Rate for Payer: Cash Price	$33.30
Rate for Payer: UnitedHealthcare Commercial	$24.68
Rate for Payer: UnitedHealthcare Medicare Advantage	$13.32

CATH, FOLEY 16FR--30CC LATEX

Facility

$32.00

Hospital Charge Code	283119
Hospital Revenue Code	271
Rate for Payer: Cash Price	$28.80

CATH, FOLEY 16FR--30CC LATEX

Facility

$32.00

Hospital Charge Code	283119
Hospital Revenue Code	271
Min. Negotiated Rate	$11.52
Max. Negotiated Rate	$22.85
Rate for Payer: Anthem Blue Cross Blue Shield Missouri Blue Access/Blue Preferred and Pathway/Pathway X	$18.94
Rate for Payer: Anthem Blue Cross Blue Shield Missouri Traditional	$22.85
Rate for Payer: Cash Price	$28.80
Rate for Payer: UnitedHealthcare Commercial	$21.34
Rate for Payer: UnitedHealthcare Medicare Advantage	$11.52

CATH, FOLEY 16FR--5CC

Facility

$21.00

Hospital Charge Code	283114
Hospital Revenue Code	271
Rate for Payer: Cash Price	$18.90

CATH, FOLEY 16FR--5CC

Facility

$21.00

Hospital Charge Code	283114
Hospital Revenue Code	271
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

CATH, FOLEY 18FR--30CC SILICONE

Facility

$32.00

Hospital Charge Code	283120
Hospital Revenue Code	271
Min. Negotiated Rate	$11.52
Max. Negotiated Rate	$22.85
Rate for Payer: Anthem Blue Cross Blue Shield Missouri Blue Access/Blue Preferred and Pathway/Pathway X	$18.94
Rate for Payer: Anthem Blue Cross Blue Shield Missouri Traditional	$22.85
Rate for Payer: Cash Price	$28.80
Rate for Payer: UnitedHealthcare Commercial	$21.34
Rate for Payer: UnitedHealthcare Medicare Advantage	$11.52

CATH, FOLEY 18FR--30CC SILICONE

Facility

$32.00

Hospital Charge Code	283120
Hospital Revenue Code	271
Rate for Payer: Cash Price	$28.80

CATH, FOLEY 18FR--5CC

Facility

$21.00

Hospital Charge Code	283115
Hospital Revenue Code	271
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

CATH, FOLEY 18FR--5CC

Facility

$21.00

Hospital Charge Code	283115
Hospital Revenue Code	271
Rate for Payer: Cash Price	$18.90

CATH, FOLEY 20FR--30CC SILICONE 2-WAY

Facility

$32.00

Hospital Charge Code	283121
Hospital Revenue Code	271
Rate for Payer: Cash Price	$28.80

CATH, FOLEY 20FR--30CC SILICONE 2-WAY

Facility

$32.00

Hospital Charge Code	283121
Hospital Revenue Code	271
Min. Negotiated Rate	$11.52
Max. Negotiated Rate	$22.85
Rate for Payer: Anthem Blue Cross Blue Shield Missouri Blue Access/Blue Preferred and Pathway/Pathway X	$18.94
Rate for Payer: Anthem Blue Cross Blue Shield Missouri Traditional	$22.85
Rate for Payer: Cash Price	$28.80
Rate for Payer: UnitedHealthcare Commercial	$21.34
Rate for Payer: UnitedHealthcare Medicare Advantage	$11.52

CATH, FOLEY 20FR--5CC BARD (LATEX)

Facility

$15.00

Hospital Charge Code	283124
Hospital Revenue Code	271
Min. Negotiated Rate	$5.40
Max. Negotiated Rate	$10.71
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: UnitedHealthcare Commercial	$10.01
Rate for Payer: UnitedHealthcare Medicare Advantage	$5.40

CATH, FOLEY 20FR--5CC BARD (LATEX)

Facility

$15.00

Hospital Charge Code	283124
Hospital Revenue Code	271
Rate for Payer: Cash Price	$13.50

CATH, FOLEY 22FR--5CC

Facility

$21.00

Hospital Charge Code	283117
Hospital Revenue Code	271
Rate for Payer: Cash Price	$18.90

CATH, FOLEY 22FR--5CC

Facility

$21.00

Hospital Charge Code	283117
Hospital Revenue Code	271
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

CATH, FOLEY 24FR--5CC BARD (LATEX)

Facility

$32.00

Hospital Charge Code	283126
Hospital Revenue Code	271
Rate for Payer: Cash Price	$28.80

CATH, FOLEY 24FR--5CC BARD (LATEX)

Facility

$32.00

Hospital Charge Code	283126
Hospital Revenue Code	271
Min. Negotiated Rate	$11.52
Max. Negotiated Rate	$22.85
Rate for Payer: Anthem Blue Cross Blue Shield Missouri Blue Access/Blue Preferred and Pathway/Pathway X	$18.94
Rate for Payer: Anthem Blue Cross Blue Shield Missouri Traditional	$22.85
Rate for Payer: Cash Price	$28.80
Rate for Payer: UnitedHealthcare Commercial	$21.34
Rate for Payer: UnitedHealthcare Medicare Advantage	$11.52

CATH, FOLEY 8FR--3CC

Facility

$37.00

Hospital Charge Code	283109
Hospital Revenue Code	271
Min. Negotiated Rate	$13.32
Max. Negotiated Rate	$26.42
Rate for Payer: Anthem Blue Cross Blue Shield Missouri Blue Access/Blue Preferred and Pathway/Pathway X	$21.90
Rate for Payer: Anthem Blue Cross Blue Shield Missouri Traditional	$26.42
Rate for Payer: Cash Price	$33.30
Rate for Payer: UnitedHealthcare Commercial	$24.68
Rate for Payer: UnitedHealthcare Medicare Advantage	$13.32

CATH, FOLEY 8FR--3CC

Facility

$37.00

Hospital Charge Code	283109
Hospital Revenue Code	271
Rate for Payer: Cash Price	$33.30

CATH, FOLEY--PEDIATRIC 6FR--3CC

Facility

$24.00

Hospital Charge Code	283113
Hospital Revenue Code	271
Rate for Payer: Cash Price	$21.60

CATH, FOLEY--PEDIATRIC 6FR--3CC

Facility

$24.00

Hospital Charge Code	283113
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

CATH IRR VALUE 30CC

Facility

$174.00

Hospital Charge Code	283116
Hospital Revenue Code	271
Rate for Payer: Cash Price	$156.60

CATH IRR VALUE 30CC

Facility

$174.00

Hospital Charge Code	283116
Hospital Revenue Code	271
Min. Negotiated Rate	$62.64
Max. Negotiated Rate	$124.24
Rate for Payer: Anthem Blue Cross Blue Shield Missouri Blue Access/Blue Preferred and Pathway/Pathway X	$103.01
Rate for Payer: Anthem Blue Cross Blue Shield Missouri Traditional	$124.24
Rate for Payer: Cash Price	$156.60
Rate for Payer: UnitedHealthcare Commercial	$116.06
Rate for Payer: UnitedHealthcare Medicare Advantage	$62.64

CATH KIT SUPRA PUBIC

Facility

$152.00

Hospital Charge Code	283380
Hospital Revenue Code	271
Rate for Payer: Cash Price	$136.80

CATH KIT SUPRA PUBIC

Facility

$152.00

Hospital Charge Code	283380
Hospital Revenue Code	271
Min. Negotiated Rate	$54.72
Max. Negotiated Rate	$108.53
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: UnitedHealthcare Commercial	$101.38
Rate for Payer: UnitedHealthcare Medicare Advantage	$54.72

Know your out-of-pocket cost for care.

All Charges