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Grande Ronde Hospital
La Grande, OR · CMS ID: 381321
This hospital has pricing data for 37 procedures ranging from $4 to $2,523.
Procedures (37)
Chest X-Ray 1 View
71045Cash Price
(No Insurance)
$205
Gross Charge
$310
Insurance Negotiated Rates
Molina Med Adv$130
Chest X-Ray 2 Views
71046Cash Price
(No Insurance)
$235
Gross Charge
$357
Insurance Negotiated Rates
Molina Med Adv$150
Cash Price
(No Insurance)
$499
Gross Charge
$756
Insurance Negotiated Rates
Molina Med Adv$318
Cash Price
(No Insurance)
$569
Gross Charge
$862
Insurance Negotiated Rates
Molina Med Adv$362
Cash Price
(No Insurance)
$745
Gross Charge
$1,130
Insurance Negotiated Rates
Molina Med Adv$474
Cash Price
(No Insurance)
$39
Gross Charge
$60
Insurance Negotiated Rates
Molina Med Adv$25
Cash Price
(No Insurance)
$94
Gross Charge
$143
Insurance Negotiated Rates
Molina Med Adv$37
Cash Price
(No Insurance)
$2,523
Gross Charge
$3,823
Insurance Negotiated Rates
Molina Med Adv$1,606
Cash Price
(No Insurance)
$2,197
Gross Charge
$3,329
Insurance Negotiated Rates
Molina Med Adv$1,398
CT Chest Low Dose
71271Cash Price
(No Insurance)
$390
Gross Charge
$591
Insurance Negotiated Rates
Molina Med Adv$248
Cash Price
(No Insurance)
$1,442
Gross Charge
$2,185
Insurance Negotiated Rates
Molina Med Adv$918
ER Visit Level 3
99283Cash Price
(No Insurance)
$437
Gross Charge
$662
Insurance Negotiated Rates
Molina Med Adv$278
ER Visit Level 4
99284Cash Price
(No Insurance)
$740
Gross Charge
$1,121
Insurance Negotiated Rates
Molina Med Adv$471
ER Visit Level 5
99285Cash Price
(No Insurance)
$954
Gross Charge
$1,446
Insurance Negotiated Rates
Molina Med Adv$607
Cash Price
(No Insurance)
$215
Gross Charge
$326
Insurance Negotiated Rates
Molina Med Adv$137
Hemoglobin A1C
83036Cash Price
(No Insurance)
$54
Gross Charge
$82
Insurance Negotiated Rates
Molina Med Adv$16
Knee X-Ray
73560Cash Price
(No Insurance)
$119
Gross Charge
$181
Insurance Negotiated Rates
Molina Med Adv$76
Cash Price
(No Insurance)
$1,542
Gross Charge
$2,336
Insurance Negotiated Rates
Molina Med Adv$981
Lipid Panel
80061Cash Price
(No Insurance)
$94
Gross Charge
$142
Insurance Negotiated Rates
Molina Med Adv$36
Mammogram Diagnostic
77066Cash Price
(No Insurance)
$340
Gross Charge
$516
Insurance Negotiated Rates
Molina Med Adv$217
Mammogram Screening
77067Cash Price
(No Insurance)
$269
Gross Charge
$408
Insurance Negotiated Rates
Molina Med Adv$142
Cash Price
(No Insurance)
$2,411
Gross Charge
$3,653
Insurance Negotiated Rates
Molina Med Adv$1,534
MRI Cervical Spine
72141Cash Price
(No Insurance)
$1,679
Gross Charge
$2,545
Insurance Negotiated Rates
Molina Med Adv$1,069
MRI Knee
73721Cash Price
(No Insurance)
$1,633
Gross Charge
$2,475
Insurance Negotiated Rates
Molina Med Adv$1,039
MRI Lumbar Spine
72148Cash Price
(No Insurance)
$1,871
Gross Charge
$2,834
Insurance Negotiated Rates
Molina Med Adv$1,190
MRI Shoulder
73221Cash Price
(No Insurance)
$1,458
Gross Charge
$2,209
Insurance Negotiated Rates
Molina Med Adv$928
Office Visit Level 3
99213Cash Price
(No Insurance)
$458
Gross Charge
$694
Insurance Negotiated Rates
Molina Med Adv$71
Office Visit Level 4
99214Cash Price
(No Insurance)
$458
Gross Charge
$694
Insurance Negotiated Rates
Molina Med Adv$92
Shoulder X-Ray
73030Cash Price
(No Insurance)
$129
Gross Charge
$195
Insurance Negotiated Rates
Molina Med Adv$82
TSH (Thyroid)
84443Cash Price
(No Insurance)
$80
Gross Charge
$121
Insurance Negotiated Rates
Molina Med Adv$48
Ultrasound Abdomen
76700Cash Price
(No Insurance)
$497
Gross Charge
$753
Insurance Negotiated Rates
Molina Med Adv$316
Ultrasound Pelvis
76856Cash Price
(No Insurance)
$458
Gross Charge
$693
Insurance Negotiated Rates
Molina Med Adv$291
Cash Price
(No Insurance)
$460
Gross Charge
$697
Insurance Negotiated Rates
Molina Med Adv$293
Cash Price
(No Insurance)
$353
Gross Charge
$535
Insurance Negotiated Rates
Molina Med Adv$225
Cash Price
(No Insurance)
$374
Gross Charge
$566
Insurance Negotiated Rates
Molina Med Adv$238