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Garfield County Memorial Hospital
Pomeroy, WA · CMS ID: 501301
This hospital has pricing data for 22 procedures ranging from $22 to $264.
Procedures (22)
Cash Price
(No Insurance)
$103
Gross Charge
$121
Insurance Negotiated Rates
CIGNA - ALL PLANS$97
Chest X-Ray 1 View
71045Cash Price
(No Insurance)
$22
Gross Charge
$26
Medicare Rate
$24
Insurance Negotiated Rates
Three Rivers Provider Network - All Plans$22
Chest X-Ray 2 Views
71046Cash Price
(No Insurance)
$22
Gross Charge
$26
Medicare Rate
$31
Insurance Negotiated Rates
Three Rivers Provider Network - All Plans$22
Cash Price
(No Insurance)
$68
Gross Charge
$80
Insurance Negotiated Rates
Cigna$64
Cash Price
(No Insurance)
$106
Gross Charge
$125
Insurance Negotiated Rates
Cigna$100
Cash Price
(No Insurance)
$118
Gross Charge
$139
Insurance Negotiated Rates
CIGNA - ALL PLANS$111
ER Visit Level 3
99283Cash Price
(No Insurance)
$106
Gross Charge
$125
Medicare Rate
$69
Insurance Negotiated Rates
Three Rivers Provider Network - All Plans$106
ER Visit Level 4
99284Cash Price
(No Insurance)
$194
Gross Charge
$228
Medicare Rate
$117
Insurance Negotiated Rates
Three Rivers Provider Network - All Plans$194
ER Visit Level 5
99285Cash Price
(No Insurance)
$264
Gross Charge
$311
Medicare Rate
$170
Insurance Negotiated Rates
Three Rivers Provider Network - All Plans$264
Hip Replacement
27130Cash Price
(No Insurance)
$118
Gross Charge
$139
Medicare Rate
$1,129
Insurance Negotiated Rates
Cigna$111
Knee X-Ray
73560Cash Price
(No Insurance)
$22
Gross Charge
$26
Medicare Rate
$32
Insurance Negotiated Rates
Three Rivers Provider Network - All Plans$22
Cash Price
(No Insurance)
$60
Gross Charge
$70
Insurance Negotiated Rates
CIGNA - ALL PLANS$56
MRI Knee
73721Cash Price
(No Insurance)
$131
Gross Charge
$154
Medicare Rate
$191
Insurance Negotiated Rates
Three Rivers Provider Network - All Plans$131
Office Visit Level 3
99213Cash Price
(No Insurance)
$153
Gross Charge
$180
Medicare Rate
$91
Insurance Negotiated Rates
Cigna$144
Office Visit Level 4
99214Cash Price
(No Insurance)
$216
Gross Charge
$254
Medicare Rate
$130
Insurance Negotiated Rates
Cigna$203
Cash Price
(No Insurance)
$206
Gross Charge
$242
Insurance Negotiated Rates
AETNA HMO PPO - ALL PLANS$218
Shoulder X-Ray
73030Cash Price
(No Insurance)
$22
Gross Charge
$26
Medicare Rate
$33
Insurance Negotiated Rates
Three Rivers Provider Network - All Plans$22
Ultrasound Abdomen
76700Cash Price
(No Insurance)
$150
Gross Charge
$176
Medicare Rate
$107
Insurance Negotiated Rates
Three Rivers Provider Network - All Plans$150
Ultrasound Pelvis
76856Cash Price
(No Insurance)
$150
Gross Charge
$176
Medicare Rate
$98
Insurance Negotiated Rates
Three Rivers Provider Network - All Plans$150
Cash Price
(No Insurance)
$150
Gross Charge
$176
Medicare Rate
$109
Insurance Negotiated Rates
Three Rivers Provider Network - All Plans$150