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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
Medicare Rate
$24
Insurance Negotiated Rates
Molina Med Adv$130
Chest X-Ray 2 Views
71046Cash Price
(No Insurance)
$235
Gross Charge
$357
Medicare Rate
$31
Insurance Negotiated Rates
Molina Med Adv$150
Cash Price
(No Insurance)
$499
Gross Charge
$756
Medicare Rate
$356
Insurance Negotiated Rates
Molina Med Adv$318
Cash Price
(No Insurance)
$569
Gross Charge
$862
Medicare Rate
$450
Insurance Negotiated Rates
Molina Med Adv$362
Cash Price
(No Insurance)
$745
Gross Charge
$1,130
Medicare Rate
$471
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
Medicare Rate
$280
Insurance Negotiated Rates
Molina Med Adv$1,606
Cash Price
(No Insurance)
$2,197
Gross Charge
$3,329
Medicare Rate
$172
Insurance Negotiated Rates
Molina Med Adv$1,398
CT Chest Low Dose
71271Cash Price
(No Insurance)
$390
Gross Charge
$591
Medicare Rate
$128
Insurance Negotiated Rates
Molina Med Adv$248
Cash Price
(No Insurance)
$1,442
Gross Charge
$2,185
Medicare Rate
$156
Insurance Negotiated Rates
Molina Med Adv$918
ER Visit Level 3
99283Cash Price
(No Insurance)
$437
Gross Charge
$662
Medicare Rate
$69
Insurance Negotiated Rates
Molina Med Adv$278
ER Visit Level 4
99284Cash Price
(No Insurance)
$740
Gross Charge
$1,121
Medicare Rate
$117
Insurance Negotiated Rates
Molina Med Adv$471
ER Visit Level 5
99285Cash Price
(No Insurance)
$954
Gross Charge
$1,446
Medicare Rate
$170
Insurance Negotiated Rates
Molina Med Adv$607
Cash Price
(No Insurance)
$215
Gross Charge
$326
Medicare Rate
$48
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
Medicare Rate
$32
Insurance Negotiated Rates
Molina Med Adv$76
Cash Price
(No Insurance)
$1,542
Gross Charge
$2,336
Medicare Rate
$615
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
Medicare Rate
$146
Insurance Negotiated Rates
Molina Med Adv$217
Mammogram Screening
77067Cash Price
(No Insurance)
$269
Gross Charge
$408
Medicare Rate
$118
Insurance Negotiated Rates
Molina Med Adv$142
MRI Brain
70551Cash Price
(No Insurance)
$4
Gross Charge
$5
Medicare Rate
$183
Insurance Negotiated Rates
Molina Med Adv$2
Cash Price
(No Insurance)
$2,411
Gross Charge
$3,653
Medicare Rate
$296
Insurance Negotiated Rates
Molina Med Adv$1,534
MRI Cervical Spine
72141Cash Price
(No Insurance)
$1,679
Gross Charge
$2,545
Medicare Rate
$179
Insurance Negotiated Rates
Molina Med Adv$1,069
MRI Knee
73721Cash Price
(No Insurance)
$1,633
Gross Charge
$2,475
Medicare Rate
$191
Insurance Negotiated Rates
Molina Med Adv$1,039
MRI Lumbar Spine
72148Cash Price
(No Insurance)
$1,871
Gross Charge
$2,834
Medicare Rate
$180
Insurance Negotiated Rates
Molina Med Adv$1,190
MRI Shoulder
73221Cash Price
(No Insurance)
$1,458
Gross Charge
$2,209
Medicare Rate
$191
Insurance Negotiated Rates
Molina Med Adv$928
Office Visit Level 3
99213Cash Price
(No Insurance)
$458
Gross Charge
$694
Medicare Rate
$91
Insurance Negotiated Rates
Molina Med Adv$71
Office Visit Level 4
99214Cash Price
(No Insurance)
$458
Gross Charge
$694
Medicare Rate
$130
Insurance Negotiated Rates
Molina Med Adv$92
Shoulder X-Ray
73030Cash Price
(No Insurance)
$129
Gross Charge
$195
Medicare Rate
$33
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
Medicare Rate
$107
Insurance Negotiated Rates
Molina Med Adv$316
Ultrasound Pelvis
76856Cash Price
(No Insurance)
$458
Gross Charge
$693
Medicare Rate
$98
Insurance Negotiated Rates
Molina Med Adv$291
Cash Price
(No Insurance)
$460
Gross Charge
$697
Medicare Rate
$109
Insurance Negotiated Rates
Molina Med Adv$293
Cash Price
(No Insurance)
$353
Gross Charge
$535
Medicare Rate
$301
Insurance Negotiated Rates
Molina Med Adv$225
Cash Price
(No Insurance)
$374
Gross Charge
$566
Medicare Rate
$390
Insurance Negotiated Rates
Molina Med Adv$238