|
Coffeyville Regional Medical Center, Inc
Coffeyville, KS · CMS ID: 170145
This hospital has pricing data for 30 procedures ranging from $41 to $2,386.
Procedures (30)
Chest X-Ray 1 View
71045Cash Price
(No Insurance)
$151
Gross Charge
$216
Medicare Rate
$24
Insurance Negotiated Rates
Blue Cross Blue Shield$122
Chest X-Ray 2 Views
71046Cash Price
(No Insurance)
$191
Gross Charge
$273
Medicare Rate
$31
Insurance Negotiated Rates
Health Choice Oklahoma$180
Cash Price
(No Insurance)
$70
Gross Charge
$100
Insurance Negotiated Rates
Coventry Healthcare National$8
Cash Price
(No Insurance)
$88
Gross Charge
$126
Insurance Negotiated Rates
Coventry Healthcare National$17
Cash Price
(No Insurance)
$1,402
Gross Charge
$2,002
Medicare Rate
$280
Insurance Negotiated Rates
Blue Cross Blue Shield$453
Cash Price
(No Insurance)
$1,061
Gross Charge
$1,515
Medicare Rate
$172
Insurance Negotiated Rates
Blue Cross Blue Shield$453
Cash Price
(No Insurance)
$1,434
Gross Charge
$2,048
Medicare Rate
$156
Insurance Negotiated Rates
Coventry Healthcare National$404
ER Visit Level 3
99283Cash Price
(No Insurance)
$541
Gross Charge
$773
Medicare Rate
$69
Insurance Negotiated Rates
Coventry Healthcare National$88
ER Visit Level 4
99284Cash Price
(No Insurance)
$910
Gross Charge
$1,300
Medicare Rate
$117
Insurance Negotiated Rates
Coventry Healthcare National$165
ER Visit Level 5
99285Cash Price
(No Insurance)
$1,343
Gross Charge
$1,918
Medicare Rate
$170
Insurance Negotiated Rates
Coventry Healthcare National$244
Cash Price
(No Insurance)
$288
Gross Charge
$412
Medicare Rate
$48
Insurance Negotiated Rates
Coventry Healthcare National$66
Hemoglobin A1C
83036Cash Price
(No Insurance)
$47
Gross Charge
$67
Insurance Negotiated Rates
Coventry Healthcare National$16
Knee X-Ray
73560Cash Price
(No Insurance)
$129
Gross Charge
$185
Medicare Rate
$32
Insurance Negotiated Rates
Coventry Healthcare National$37
Lipid Panel
80061Cash Price
(No Insurance)
$80
Gross Charge
$114
Insurance Negotiated Rates
Coventry Healthcare National$22
Mammogram Diagnostic
77066Cash Price
(No Insurance)
$259
Gross Charge
$370
Medicare Rate
$146
Insurance Negotiated Rates
Blue Cross Blue Shield$122
Mammogram Screening
77067Cash Price
(No Insurance)
$281
Gross Charge
$402
Medicare Rate
$118
Insurance Negotiated Rates
Blue Cross Blue Shield$122
MRI Brain
70551Cash Price
(No Insurance)
$1,739
Gross Charge
$2,484
Medicare Rate
$183
Insurance Negotiated Rates
Blue Cross Blue Shield$521
Cash Price
(No Insurance)
$2,386
Gross Charge
$3,409
Medicare Rate
$296
Insurance Negotiated Rates
Blue Cross Blue Shield$521
MRI Cervical Spine
72141Cash Price
(No Insurance)
$1,913
Gross Charge
$2,733
Medicare Rate
$179
Insurance Negotiated Rates
Blue Cross Blue Shield$521
MRI Knee
73721Cash Price
(No Insurance)
$1,694
Gross Charge
$2,420
Medicare Rate
$191
Insurance Negotiated Rates
Blue Cross Blue Shield$521
MRI Lumbar Spine
72148Cash Price
(No Insurance)
$1,897
Gross Charge
$2,711
Medicare Rate
$180
Insurance Negotiated Rates
Blue Cross Blue Shield$521
MRI Shoulder
73221Cash Price
(No Insurance)
$1,694
Gross Charge
$2,420
Medicare Rate
$191
Insurance Negotiated Rates
Blue Cross Blue Shield$521
Office Visit Level 3
99213Cash Price
(No Insurance)
$151
Gross Charge
$216
Medicare Rate
$91
Insurance Negotiated Rates
Blue Cross Blue Shield$67
Office Visit Level 4
99214Cash Price
(No Insurance)
$176
Gross Charge
$252
Medicare Rate
$130
Insurance Negotiated Rates
Blue Cross Blue Shield$80
Shoulder X-Ray
73030Cash Price
(No Insurance)
$159
Gross Charge
$227
Medicare Rate
$33
Insurance Negotiated Rates
Coventry Healthcare National$38
TSH (Thyroid)
84443Cash Price
(No Insurance)
$192
Gross Charge
$274
Insurance Negotiated Rates
Coventry Healthcare National$28
Ultrasound Abdomen
76700Cash Price
(No Insurance)
$609
Gross Charge
$870
Medicare Rate
$107
Insurance Negotiated Rates
Blue Cross Blue Shield$150
Ultrasound Pelvis
76856Cash Price
(No Insurance)
$497
Gross Charge
$711
Medicare Rate
$98
Insurance Negotiated Rates
Blue Cross Blue Shield$122
Cash Price
(No Insurance)
$396
Gross Charge
$566
Medicare Rate
$109
Insurance Negotiated Rates
Blue Cross Blue Shield$122
Urinalysis
81001Cash Price
(No Insurance)
$41
Gross Charge
$59
Insurance Negotiated Rates
Coventry Healthcare National$5