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Carilion Franklin Memorial Hospital
Rocky Mount, VA · CMS ID: 490089
This hospital has pricing data for 38 procedures ranging from $36 to $17,231.
Procedures (38)
Cataract Surgery
66984Cash Price
(No Insurance)
$9,297
Gross Charge
$15,495
Insurance Negotiated Rates
Gateway - Tier 3$7,748
Chest X-Ray 1 View
71045Cash Price
(No Insurance)
$127
Gross Charge
$212
Insurance Negotiated Rates
Medicaid$21
Chest X-Ray 2 Views
71046Cash Price
(No Insurance)
$199
Gross Charge
$331
Insurance Negotiated Rates
Medicaid$28
Cash Price
(No Insurance)
$1,258
Gross Charge
$2,097
Insurance Negotiated Rates
Medicaid$290
Cash Price
(No Insurance)
$1,363
Gross Charge
$2,272
Insurance Negotiated Rates
Medicaid$375
Cash Price
(No Insurance)
$1,722
Gross Charge
$2,870
Insurance Negotiated Rates
Medicaid$388
Cash Price
(No Insurance)
$88
Gross Charge
$146
Insurance Negotiated Rates
Medicaid$8
Cash Price
(No Insurance)
$431
Gross Charge
$719
Insurance Negotiated Rates
Medicaid$11
Cash Price
(No Insurance)
$2,312
Gross Charge
$3,854
Insurance Negotiated Rates
Medicaid$276
Cash Price
(No Insurance)
$1,969
Gross Charge
$3,281
Insurance Negotiated Rates
Medicaid$163
CT Chest Low Dose
71271Cash Price
(No Insurance)
$263
Gross Charge
$438
Insurance Negotiated Rates
Humana$79
Cash Price
(No Insurance)
$986
Gross Charge
$1,643
Insurance Negotiated Rates
Medicaid$150
ER Visit Level 3
99283Cash Price
(No Insurance)
$792
Gross Charge
$1,320
Insurance Negotiated Rates
Medicaid$49
ER Visit Level 4
99284Cash Price
(No Insurance)
$1,129
Gross Charge
$1,881
Insurance Negotiated Rates
Medicaid$82
ER Visit Level 5
99285Cash Price
(No Insurance)
$1,989
Gross Charge
$3,315
Insurance Negotiated Rates
Medicaid$120
Cash Price
(No Insurance)
$561
Gross Charge
$935
Insurance Negotiated Rates
Medicaid$41
Knee Arthroscopy
29881Cash Price
(No Insurance)
$11,576
Gross Charge
$19,293
Insurance Negotiated Rates
Gateway - Tier 3$9,647
Cash Price
(No Insurance)
$17,231
Gross Charge
$28,718
Insurance Negotiated Rates
Gateway - Tier 3$14,359
Mammogram Screening
77067Cash Price
(No Insurance)
$329
Gross Charge
$548
Insurance Negotiated Rates
Medicaid$110
MRI Brain
70551Cash Price
(No Insurance)
$1,700
Gross Charge
$2,834
Insurance Negotiated Rates
Medicaid$179
Cash Price
(No Insurance)
$3,939
Gross Charge
$6,565
Insurance Negotiated Rates
Medicaid$295
MRI Cervical Spine
72141Cash Price
(No Insurance)
$2,477
Gross Charge
$4,128
Insurance Negotiated Rates
Medicaid$175
MRI Lumbar Spine
72148Cash Price
(No Insurance)
$1,712
Gross Charge
$2,853
Insurance Negotiated Rates
Medicaid$175
MRI Shoulder
73221Cash Price
(No Insurance)
$2,248
Gross Charge
$3,747
Insurance Negotiated Rates
Medicaid$186
Office Visit Level 3
99213Cash Price
(No Insurance)
$109
Gross Charge
$182
Insurance Negotiated Rates
Medicaid$62
Office Visit Level 4
99214Cash Price
(No Insurance)
$133
Gross Charge
$221
Insurance Negotiated Rates
Medicaid$88
Shoulder X-Ray
73030Cash Price
(No Insurance)
$179
Gross Charge
$298
Insurance Negotiated Rates
Medicaid$28
Ultrasound Abdomen
76700Cash Price
(No Insurance)
$504
Gross Charge
$840
Insurance Negotiated Rates
Medicaid$101
Ultrasound Pelvis
76856Cash Price
(No Insurance)
$716
Gross Charge
$1,193
Insurance Negotiated Rates
Medicaid$92
Cash Price
(No Insurance)
$664
Gross Charge
$1,106
Insurance Negotiated Rates
Medicaid$104
Cash Price
(No Insurance)
$1,010
Gross Charge
$1,684
Insurance Negotiated Rates
Medicaid$253
Cash Price
(No Insurance)
$1,138
Gross Charge
$1,896
Insurance Negotiated Rates
Medicaid$326