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East Adams Rural Hospital

Ritzville, WA · CMS ID: 501311

This hospital has pricing data for 28 procedures ranging from $7 to $2,796.

Procedures (28)

Chest X-Ray 1 View

71045
Cash Price
(No Insurance)
$176
Gross Charge
$234
Insurance Negotiated Rates
Aetna$183

Chest X-Ray 2 Views

71046
Cash Price
(No Insurance)
$233
Gross Charge
$311
Insurance Negotiated Rates
Aetna$243

Complete Blood Count (CBC)

85025
Cash Price
(No Insurance)
$72
Gross Charge
$96
Insurance Negotiated Rates
Aetna$75

Comprehensive Metabolic Panel

80053
Cash Price
(No Insurance)
$121
Gross Charge
$161
Insurance Negotiated Rates
Aetna$126

CT Abdomen/Pelvis with Contrast

74177
Cash Price
(No Insurance)
$2,051
Gross Charge
$2,734
Insurance Negotiated Rates
Aetna$2,133

CT Abdomen/Pelvis without Contrast

74176
Cash Price
(No Insurance)
$1,539
Gross Charge
$2,052
Insurance Negotiated Rates
Aetna$1,601

CT Chest Low Dose

71271
Cash Price
(No Insurance)
$803
Gross Charge
$1,071
Insurance Negotiated Rates
Aetna$835

CT Chest with Contrast

71260
Cash Price
(No Insurance)
$1,708
Gross Charge
$2,277
Insurance Negotiated Rates
Aetna$1,776

ER Visit Level 3

99283
Cash Price
(No Insurance)
$143
Gross Charge
$191
Insurance Negotiated Rates
Coordinated Care Mcaid$40

ER Visit Level 4

99284
Cash Price
(No Insurance)
$206
Gross Charge
$275
Insurance Negotiated Rates
Coordinated Care Mcaid$67

ER Visit Level 5

99285
Cash Price
(No Insurance)
$323
Gross Charge
$430
Insurance Negotiated Rates
Coordinated Care Mcaid$97

Hemoglobin A1C

83036
Cash Price
(No Insurance)
$68
Gross Charge
$91
Insurance Negotiated Rates
Aetna$71

Knee X-Ray

73560
Cash Price
(No Insurance)
$213
Gross Charge
$284
Insurance Negotiated Rates
Aetna$222

Lipid Panel

80061
Cash Price
(No Insurance)
$109
Gross Charge
$145
Insurance Negotiated Rates
Aetna$113

MRI Brain

70551
Cash Price
(No Insurance)
$1,751
Gross Charge
$2,335
Insurance Negotiated Rates
Aetna$1,821

MRI Brain with Contrast

70553
Cash Price
(No Insurance)
$2,796
Gross Charge
$3,728
Insurance Negotiated Rates
Aetna$2,908

MRI Cervical Spine

72141
Cash Price
(No Insurance)
$1,736
Gross Charge
$2,315
Insurance Negotiated Rates
Aetna$1,806

MRI Knee

73721
Cash Price
(No Insurance)
$1,700
Gross Charge
$2,266
Insurance Negotiated Rates
Aetna$1,767

MRI Lumbar Spine

72148
Cash Price
(No Insurance)
$1,831
Gross Charge
$2,441
Insurance Negotiated Rates
Aetna$1,904

MRI Shoulder

73221
Cash Price
(No Insurance)
$1,688
Gross Charge
$2,251
Insurance Negotiated Rates
Aetna$1,756

Office Visit Level 3

99213
Cash Price
(No Insurance)
$138
Gross Charge
$184
Insurance Negotiated Rates
Aetna$144

Office Visit Level 4

99214
Cash Price
(No Insurance)
$194
Gross Charge
$259
Insurance Negotiated Rates
Aetna$202

Shoulder X-Ray

73030
Cash Price
(No Insurance)
$371
Gross Charge
$494
Insurance Negotiated Rates
Aetna$257

TSH (Thyroid)

84443
Cash Price
(No Insurance)
$94
Gross Charge
$125
Insurance Negotiated Rates
Aetna$98

Ultrasound Abdomen

76700
Cash Price
(No Insurance)
$687
Gross Charge
$916
Insurance Negotiated Rates
Aetna$714

Ultrasound Pelvis

76856
Cash Price
(No Insurance)
$695
Gross Charge
$926
Insurance Negotiated Rates
Aetna$722

Ultrasound Transvaginal

76830
Cash Price
(No Insurance)
$514
Gross Charge
$685
Insurance Negotiated Rates
Aetna$534

Urinalysis

81001
Cash Price
(No Insurance)
$7
Gross Charge
$10
Insurance Negotiated Rates
Aetna$7