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Adair County Memorial Hospital
Greenfield, IA · CMS ID: 161310
This hospital has pricing data for 38 procedures ranging from $19 to $15,296.
Procedures (38)
Chest X-Ray 1 View
71045Cash Price
(No Insurance)
$218
Gross Charge
$290
Medicare Rate
$24
Insurance Negotiated Rates
Wellmark Hmo$73
Chest X-Ray 2 Views
71046Cash Price
(No Insurance)
$248
Gross Charge
$330
Medicare Rate
$31
Insurance Negotiated Rates
Wellmark Hmo$73
Cash Price
(No Insurance)
$1,789
Gross Charge
$2,385
Medicare Rate
$356
Insurance Negotiated Rates
UnitedHealthcare$153
Cash Price
(No Insurance)
$4,230
Gross Charge
$5,640
Medicare Rate
$450
Insurance Negotiated Rates
UnitedHealthcare$165
Cash Price
(No Insurance)
$4,793
Gross Charge
$6,390
Medicare Rate
$471
Insurance Negotiated Rates
UnitedHealthcare$208
Cash Price
(No Insurance)
$109
Gross Charge
$145
Insurance Negotiated Rates
Wellmark Hmo$27
Cash Price
(No Insurance)
$184
Gross Charge
$245
Insurance Negotiated Rates
Wellmark Hmo$54
Cash Price
(No Insurance)
$3,544
Gross Charge
$4,725
Medicare Rate
$280
Insurance Negotiated Rates
Wellmark Hmo$910
Cash Price
(No Insurance)
$2,929
Gross Charge
$3,905
Medicare Rate
$172
Insurance Negotiated Rates
Wellmark Hmo$910
CT Chest Low Dose
71271Cash Price
(No Insurance)
$1,556
Gross Charge
$2,075
Medicare Rate
$128
Insurance Negotiated Rates
Wellmark Hmo$383
Cash Price
(No Insurance)
$4,155
Gross Charge
$5,540
Medicare Rate
$156
Insurance Negotiated Rates
Wellmark Hmo$910
ER Visit Level 3
99283Cash Price
(No Insurance)
$544
Gross Charge
$725
Medicare Rate
$69
Insurance Negotiated Rates
Coventry Advantra Mcr$64
ER Visit Level 4
99284Cash Price
(No Insurance)
$859
Gross Charge
$1,145
Medicare Rate
$117
Insurance Negotiated Rates
UnitedHealthcare$110
ER Visit Level 5
99285Cash Price
(No Insurance)
$1,256
Gross Charge
$1,675
Medicare Rate
$170
Insurance Negotiated Rates
UnitedHealthcare$159
Hemoglobin A1C
83036Cash Price
(No Insurance)
$101
Gross Charge
$135
Insurance Negotiated Rates
UnitedHealthcare$11
Hip Replacement
27130Cash Price
(No Insurance)
$19
Gross Charge
$25
Medicare Rate
$1,129
Insurance Negotiated Rates
UnitedHealthcare$2
Knee Arthroscopy
29881Cash Price
(No Insurance)
$971
Gross Charge
$1,295
Medicare Rate
$495
Insurance Negotiated Rates
UnitedHealthcare$467
Knee X-Ray
73560Cash Price
(No Insurance)
$221
Gross Charge
$295
Medicare Rate
$32
Insurance Negotiated Rates
Wellmark Hmo$73
Cash Price
(No Insurance)
$15,296
Gross Charge
$20,395
Medicare Rate
$615
Insurance Negotiated Rates
UnitedHealthcare$17
Lipid Panel
80061Cash Price
(No Insurance)
$154
Gross Charge
$205
Insurance Negotiated Rates
UnitedHealthcare$11
Mammogram Diagnostic
77066Cash Price
(No Insurance)
$413
Gross Charge
$550
Medicare Rate
$146
Insurance Negotiated Rates
Wellmark Hmo$202
Mammogram Screening
77067Cash Price
(No Insurance)
$345
Gross Charge
$460
Medicare Rate
$118
Insurance Negotiated Rates
Wellmark Hmo$202
MRI Brain
70551Cash Price
(No Insurance)
$2,576
Gross Charge
$3,435
Medicare Rate
$183
Insurance Negotiated Rates
Wellmark Hmo$806
Cash Price
(No Insurance)
$4,215
Gross Charge
$5,620
Medicare Rate
$296
Insurance Negotiated Rates
UnitedHealthcare$35
MRI Cervical Spine
72141Cash Price
(No Insurance)
$2,681
Gross Charge
$3,575
Medicare Rate
$179
Insurance Negotiated Rates
Wellmark Hmo$806
MRI Knee
73721Cash Price
(No Insurance)
$2,546
Gross Charge
$3,395
Medicare Rate
$191
Insurance Negotiated Rates
Wellmark Hmo$806
MRI Lumbar Spine
72148Cash Price
(No Insurance)
$2,756
Gross Charge
$3,675
Medicare Rate
$180
Insurance Negotiated Rates
Wellmark Hmo$806
MRI Shoulder
73221Cash Price
(No Insurance)
$2,501
Gross Charge
$3,335
Medicare Rate
$191
Insurance Negotiated Rates
Wellmark Hmo$806
Office Visit Level 3
99213Cash Price
(No Insurance)
$169
Gross Charge
$225
Medicare Rate
$91
Insurance Negotiated Rates
UnitedHealthcare$50
Office Visit Level 4
99214Cash Price
(No Insurance)
$94
Gross Charge
$125
Medicare Rate
$130
Insurance Negotiated Rates
UnitedHealthcare$70
Shoulder X-Ray
73030Cash Price
(No Insurance)
$240
Gross Charge
$320
Medicare Rate
$33
Insurance Negotiated Rates
UnitedHealthcare$8
TSH (Thyroid)
84443Cash Price
(No Insurance)
$154
Gross Charge
$205
Insurance Negotiated Rates
UnitedHealthcare$11
Ultrasound Abdomen
76700Cash Price
(No Insurance)
$848
Gross Charge
$1,130
Medicare Rate
$107
Insurance Negotiated Rates
Wellmark Hmo$383
Ultrasound Pelvis
76856Cash Price
(No Insurance)
$653
Gross Charge
$870
Medicare Rate
$98
Insurance Negotiated Rates
Wellmark Hmo$383
Cash Price
(No Insurance)
$574
Gross Charge
$765
Medicare Rate
$109
Insurance Negotiated Rates
Wellmark Hmo$248
Cash Price
(No Insurance)
$3,799
Gross Charge
$5,065
Medicare Rate
$301
Insurance Negotiated Rates
UnitedHealthcare$103
Cash Price
(No Insurance)
$3,814
Gross Charge
$5,085
Medicare Rate
$390
Insurance Negotiated Rates
UnitedHealthcare$115