Decatur County Memorial Hospital Prices

C-Section Delivery

59510

Cash Price

(No Insurance)

$984

Gross Charge

$1,312

Medicare Rate

$2,419

Insurance Negotiated Rates

UnitedHealthcare$30

Cataract Surgery

66984

Cash Price

(No Insurance)

$4,890

Gross Charge

$6,520

Medicare Rate

$445

Insurance Negotiated Rates

Blue Cross Blue Shield$1,891

Chest X-Ray 1 View

71045

Cash Price

(No Insurance)

$881

Gross Charge

$1,174

Medicare Rate

$24

Insurance Negotiated Rates

Aetna$8

Chest X-Ray 2 Views

71046

Cash Price

(No Insurance)

$95

Gross Charge

$126

Medicare Rate

$31

Insurance Negotiated Rates

Aetna$10

Colonoscopy Diagnostic

45378

Cash Price

(No Insurance)

$218

Gross Charge

$290

Medicare Rate

$356

Insurance Negotiated Rates

UnitedHealthcare$30

Colonoscopy with Biopsy

45380

Cash Price

(No Insurance)

$1,316

Gross Charge

$1,754

Medicare Rate

$450

Insurance Negotiated Rates

UnitedHealthcare$30

Colonoscopy with Polyp Removal

45385

Cash Price

(No Insurance)

$2,345

Gross Charge

$3,126

Medicare Rate

$471

Insurance Negotiated Rates

UnitedHealthcare$30

Complete Blood Count (CBC)

85025

Cash Price

(No Insurance)

$53

Gross Charge

$70

Insurance Negotiated Rates

Encircle-All Plans$5

Comprehensive Metabolic Panel

80053

Cash Price

(No Insurance)

$128

Gross Charge

$171

Insurance Negotiated Rates

Blue Cross Blue Shield$11

CT Abdomen/Pelvis with Contrast

74177

Cash Price

(No Insurance)

$2,336

Gross Charge

$3,115

Medicare Rate

$280

Insurance Negotiated Rates

UnitedHealthcare$30

CT Abdomen/Pelvis without Contrast

74176

Cash Price

(No Insurance)

$2,066

Gross Charge

$2,754

Medicare Rate

$172

Insurance Negotiated Rates

UnitedHealthcare$30

CT Chest Low Dose

71271

Cash Price

(No Insurance)

$143

Gross Charge

$190

Medicare Rate

$128

Insurance Negotiated Rates

UnitedHealthcare$30

CT Chest with Contrast

71260

Cash Price

(No Insurance)

$1,614

Gross Charge

$2,152

Medicare Rate

$156

Insurance Negotiated Rates

UnitedHealthcare$30

ER Visit Level 3

99283

Cash Price

(No Insurance)

$280

Gross Charge

$373

Medicare Rate

$69

Insurance Negotiated Rates

UnitedHealthcare$30

ER Visit Level 4

99284

Cash Price

(No Insurance)

$191

Gross Charge

$254

Medicare Rate

$117

Insurance Negotiated Rates

Blue Cross Blue Shield$10

ER Visit Level 5

99285

Cash Price

(No Insurance)

$1,370

Gross Charge

$1,826

Medicare Rate

$170

Insurance Negotiated Rates

Blue Cross Blue Shield$530

Fetal Non-Stress Test

59025

Cash Price

(No Insurance)

$112

Gross Charge

$149

Medicare Rate

$48

Insurance Negotiated Rates

Aetna$27

Hemoglobin A1C

83036

Cash Price

(No Insurance)

$1,616

Gross Charge

$2,154

Insurance Negotiated Rates

Encircle-All Plans$8

Knee X-Ray

73560

Cash Price

(No Insurance)

$35

Gross Charge

$47

Medicare Rate

$32

Insurance Negotiated Rates

Aetna$8

Laparoscopic Cholecystectomy

47562

Cash Price

(No Insurance)

$306

Gross Charge

$408

Medicare Rate

$615

Insurance Negotiated Rates

UnitedHealthcare$30

Lipid Panel

80061

Cash Price

(No Insurance)

$1,272

Gross Charge

$1,696

Insurance Negotiated Rates

Blue Cross Blue Shield$0

Mammogram Diagnostic

77066

Cash Price

(No Insurance)

$470

Gross Charge

$626

Medicare Rate

$146

Insurance Negotiated Rates

UnitedHealthcare$30

Mammogram Screening

77067

Cash Price

(No Insurance)

$204

Gross Charge

$272

Medicare Rate

$118

Insurance Negotiated Rates

UnitedHealthcare$30

MRI Brain

70551

Cash Price

(No Insurance)

$1,919

Gross Charge

$2,559

Medicare Rate

$183

Insurance Negotiated Rates

UnitedHealthcare$30

MRI Brain with Contrast

70553

Cash Price

(No Insurance)

$569

Gross Charge

$758

Medicare Rate

$296

Insurance Negotiated Rates

UnitedHealthcare$30

MRI Cervical Spine

72141

Cash Price

(No Insurance)

$1,919

Gross Charge

$2,559

Medicare Rate

$179

Insurance Negotiated Rates

UnitedHealthcare$30

MRI Knee

73721

Cash Price

(No Insurance)

$1,919

Gross Charge

$2,559

Medicare Rate

$191

Insurance Negotiated Rates

UnitedHealthcare$30

MRI Lumbar Spine

72148

Cash Price

(No Insurance)

$1,919

Gross Charge

$2,559

Medicare Rate

$180

Insurance Negotiated Rates

UnitedHealthcare$30

MRI Shoulder

73221

Cash Price

(No Insurance)

$815

Gross Charge

$1,087

Medicare Rate

$191

Insurance Negotiated Rates

UnitedHealthcare$30

Office Visit Level 3

99213

Cash Price

(No Insurance)

$763

Gross Charge

$1,017

Medicare Rate

$91

Insurance Negotiated Rates

Blue Cross Blue Shield$6

Office Visit Level 4

99214

Cash Price

(No Insurance)

$763

Gross Charge

$1,017

Medicare Rate

$130

Insurance Negotiated Rates

Blue Cross Blue Shield$11

Shoulder X-Ray

73030

Cash Price

(No Insurance)

$39

Gross Charge

$52

Medicare Rate

$33

Insurance Negotiated Rates

Aetna$9

TSH (Thyroid)

84443

Cash Price

(No Insurance)

$123

Gross Charge

$164

Insurance Negotiated Rates

Blue Cross Blue Shield$17

Ultrasound Abdomen

76700

Cash Price

(No Insurance)

$805

Gross Charge

$1,073

Medicare Rate

$107

Insurance Negotiated Rates

UnitedHealthcare$30

Ultrasound Pelvis

76856

Cash Price

(No Insurance)

$636

Gross Charge

$848

Medicare Rate

$98

Insurance Negotiated Rates

UnitedHealthcare$30

Ultrasound Transvaginal

76830

Cash Price

(No Insurance)

$58

Gross Charge

$77

Medicare Rate

$109

Insurance Negotiated Rates

Aetna$26

Upper Endoscopy Diagnostic

43235

Cash Price

(No Insurance)

$1,492

Gross Charge

$1,989

Medicare Rate

$301

Insurance Negotiated Rates

UnitedHealthcare$30

Upper Endoscopy with Biopsy

43239

Cash Price

(No Insurance)

$412

Gross Charge

$549

Medicare Rate

$390

Insurance Negotiated Rates

UnitedHealthcare$30

Urinalysis

81001

Cash Price

(No Insurance)

$23

Gross Charge

$30

Insurance Negotiated Rates

Encircle-All Plans$1

Vaginal Delivery

59400

Cash Price

(No Insurance)

$256

Gross Charge

$341

Medicare Rate

$2,163

Insurance Negotiated Rates

UnitedHealthcare$30

Decatur County Memorial Hospital

Procedures (40)