Madison Medical Center

All Charges

Charge

Type

Setting

Price

CATH SUPRAPUBIC STAM

Facility

$273.00

Hospital Charge Code	283381
Hospital Revenue Code	271
Rate for Payer: Cash Price	$245.70

CATH, TAUT

Facility

$301.00

Hospital Charge Code	123062
Hospital Revenue Code	271
Rate for Payer: Cash Price	$270.90

CATH, TAUT

Facility

$301.00

Hospital Charge Code	123062
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

CATH,TEXAN,URIDOM

Facility

$22.00

Hospital Charge Code	283154
Hospital Revenue Code	271
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

CATH,TEXAN,URIDOM

Facility

$22.00

Hospital Charge Code	283154
Hospital Revenue Code	271
Rate for Payer: Cash Price	$19.80

CATH TIEMANN(COUDE) 12FR

Facility

$51.00

Hospital Charge Code	283151
Hospital Revenue Code	271
Min. Negotiated Rate	$18.36
Max. Negotiated Rate	$36.41
Rate for Payer: Anthem Blue Cross Blue Shield Missouri Blue Access/Blue Preferred and Pathway/Pathway X	$30.19
Rate for Payer: Anthem Blue Cross Blue Shield Missouri Traditional	$36.41
Rate for Payer: Cash Price	$45.90
Rate for Payer: UnitedHealthcare Commercial	$34.02
Rate for Payer: UnitedHealthcare Medicare Advantage	$18.36

CATH TIEMANN(COUDE) 12FR

Facility

$51.00

Hospital Charge Code	283151
Hospital Revenue Code	271
Rate for Payer: Cash Price	$45.90

CATH TIEMANN(COUDE) 14FR

Facility

$51.00

Hospital Charge Code	283152
Hospital Revenue Code	271
Min. Negotiated Rate	$18.36
Max. Negotiated Rate	$36.41
Rate for Payer: Anthem Blue Cross Blue Shield Missouri Blue Access/Blue Preferred and Pathway/Pathway X	$30.19
Rate for Payer: Anthem Blue Cross Blue Shield Missouri Traditional	$36.41
Rate for Payer: Cash Price	$45.90
Rate for Payer: UnitedHealthcare Commercial	$34.02
Rate for Payer: UnitedHealthcare Medicare Advantage	$18.36

CATH TIEMANN(COUDE) 14FR

Facility

$51.00

Hospital Charge Code	283152
Hospital Revenue Code	271
Rate for Payer: Cash Price	$45.90

CATH TIEMANN(COUDE) 16FR

Facility

$51.00

Hospital Charge Code	283153
Hospital Revenue Code	271
Min. Negotiated Rate	$18.36
Max. Negotiated Rate	$36.41
Rate for Payer: Anthem Blue Cross Blue Shield Missouri Blue Access/Blue Preferred and Pathway/Pathway X	$30.19
Rate for Payer: Anthem Blue Cross Blue Shield Missouri Traditional	$36.41
Rate for Payer: Cash Price	$45.90
Rate for Payer: UnitedHealthcare Commercial	$34.02
Rate for Payer: UnitedHealthcare Medicare Advantage	$18.36

CATH TIEMANN(COUDE) 16FR

Facility

$51.00

Hospital Charge Code	283153
Hospital Revenue Code	271
Rate for Payer: Cash Price	$45.90

CATH TIEMANN(COUDE) 18FR

Facility

$51.00

Hospital Charge Code	283158
Hospital Revenue Code	271
Rate for Payer: Cash Price	$45.90

CATH TIEMANN(COUDE) 18FR

Facility

$51.00

Hospital Charge Code	283158
Hospital Revenue Code	271
Min. Negotiated Rate	$18.36
Max. Negotiated Rate	$36.41
Rate for Payer: Anthem Blue Cross Blue Shield Missouri Blue Access/Blue Preferred and Pathway/Pathway X	$30.19
Rate for Payer: Anthem Blue Cross Blue Shield Missouri Traditional	$36.41
Rate for Payer: Cash Price	$45.90
Rate for Payer: UnitedHealthcare Commercial	$34.02
Rate for Payer: UnitedHealthcare Medicare Advantage	$18.36

CATH TIEMANN(COUDE) 20FR

Facility

$51.00

Hospital Charge Code	283159
Hospital Revenue Code	271
Min. Negotiated Rate	$18.36
Max. Negotiated Rate	$36.41
Rate for Payer: Anthem Blue Cross Blue Shield Missouri Blue Access/Blue Preferred and Pathway/Pathway X	$30.19
Rate for Payer: Anthem Blue Cross Blue Shield Missouri Traditional	$36.41
Rate for Payer: Cash Price	$45.90
Rate for Payer: UnitedHealthcare Commercial	$34.02
Rate for Payer: UnitedHealthcare Medicare Advantage	$18.36

CATH TIEMANN(COUDE) 20FR

Facility

$51.00

Hospital Charge Code	283159
Hospital Revenue Code	271
Rate for Payer: Cash Price	$45.90

CATH TRAY C CCATH (STRAIGHT)

Facility

$102.00

Hospital Charge Code	283394
Hospital Revenue Code	271
Min. Negotiated Rate	$36.72
Max. Negotiated Rate	$72.83
Rate for Payer: Anthem Blue Cross Blue Shield Missouri Blue Access/Blue Preferred and Pathway/Pathway X	$60.38
Rate for Payer: Anthem Blue Cross Blue Shield Missouri Traditional	$72.83
Rate for Payer: Cash Price	$91.80
Rate for Payer: UnitedHealthcare Commercial	$68.03
Rate for Payer: UnitedHealthcare Medicare Advantage	$36.72

CATH TRAY C CCATH (STRAIGHT)

Facility

$102.00

Hospital Charge Code	283394
Hospital Revenue Code	271
Rate for Payer: Cash Price	$91.80

CATH TRAY FOLEY 16FR

Facility

$138.00

Hospital Charge Code	283352
Hospital Revenue Code	272
Min. Negotiated Rate	$49.68
Max. Negotiated Rate	$98.53
Rate for Payer: Anthem Blue Cross Blue Shield Missouri Blue Access/Blue Preferred and Pathway/Pathway X	$81.70
Rate for Payer: Anthem Blue Cross Blue Shield Missouri Traditional	$98.53
Rate for Payer: Cash Price	$124.20
Rate for Payer: UnitedHealthcare Commercial	$92.05
Rate for Payer: UnitedHealthcare Medicare Advantage	$49.68

CATH TRAY FOLEY 16FR

Facility

$138.00

Hospital Charge Code	283352
Hospital Revenue Code	272
Rate for Payer: Cash Price	$124.20

CATH TRAY FOLEY 18FR

Facility

$138.00

Hospital Charge Code	2819008
Hospital Revenue Code	272
Min. Negotiated Rate	$49.68
Max. Negotiated Rate	$98.53
Rate for Payer: Anthem Blue Cross Blue Shield Missouri Blue Access/Blue Preferred and Pathway/Pathway X	$81.70
Rate for Payer: Anthem Blue Cross Blue Shield Missouri Traditional	$98.53
Rate for Payer: Cash Price	$124.20
Rate for Payer: UnitedHealthcare Commercial	$92.05
Rate for Payer: UnitedHealthcare Medicare Advantage	$49.68

CATH TRAY FOLEY 18FR

Facility

$138.00

Hospital Charge Code	2819008
Hospital Revenue Code	272
Rate for Payer: Cash Price	$124.20

CATH TRAY S FOLEY

Facility

$39.00

Hospital Charge Code	283354
Hospital Revenue Code	271
Rate for Payer: Cash Price	$35.10

CATH TRAY S FOLEY

Facility

$39.00

Hospital Charge Code	283354
Hospital Revenue Code	271
Min. Negotiated Rate	$14.04
Max. Negotiated Rate	$27.85
Rate for Payer: Anthem Blue Cross Blue Shield Missouri Blue Access/Blue Preferred and Pathway/Pathway X	$23.09
Rate for Payer: Anthem Blue Cross Blue Shield Missouri Traditional	$27.85
Rate for Payer: Cash Price	$35.10
Rate for Payer: UnitedHealthcare Commercial	$26.01
Rate for Payer: UnitedHealthcare Medicare Advantage	$14.04

CATH. TUBE HOLDER

Facility

$22.00

Hospital Charge Code	283072
Hospital Revenue Code	271
Rate for Payer: Cash Price	$19.80

CATH. TUBE HOLDER

Facility

$22.00

Hospital Charge Code	283072
Hospital Revenue Code	271
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

Know your out-of-pocket cost for care.

All Charges