|
Grant Regional Health Center
Lancaster, WI · CMS ID: 521322
This hospital has pricing data for 40 procedures ranging from $12 to $6,663.
Procedures (40)
C-Section Delivery
59510Cash Price
(No Insurance)
$6,663
Gross Charge
$10,251
Insurance Negotiated Rates
Dean Health Plan - All Plans$72
Chest X-Ray 1 View
71045Cash Price
(No Insurance)
$216
Gross Charge
$332
Insurance Negotiated Rates
Quartz Health Solution - All Other Plans$50
Chest X-Ray 2 Views
71046Cash Price
(No Insurance)
$296
Gross Charge
$456
Insurance Negotiated Rates
Quartz Health Solution - All Other Plans$76
Cash Price
(No Insurance)
$382
Gross Charge
$587
Insurance Negotiated Rates
Dean Health Plan - All Plans$72
Cash Price
(No Insurance)
$415
Gross Charge
$639
Insurance Negotiated Rates
Dean Health Plan - All Plans$72
Cash Price
(No Insurance)
$527
Gross Charge
$810
Insurance Negotiated Rates
Dean Health Plan - All Plans$72
Cash Price
(No Insurance)
$23
Gross Charge
$35
Insurance Negotiated Rates
Dean Health Plan - All Plans$3
Cash Price
(No Insurance)
$51
Gross Charge
$79
Insurance Negotiated Rates
Dean Health Plan - All Plans$8
Cash Price
(No Insurance)
$3,465
Gross Charge
$5,330
Insurance Negotiated Rates
Americhoice Mcaid - All Plans$587
Cash Price
(No Insurance)
$2,655
Gross Charge
$4,085
Insurance Negotiated Rates
Quartz Health Solution - All Other Plans$409
CT Chest Low Dose
71271Cash Price
(No Insurance)
$304
Gross Charge
$468
Insurance Negotiated Rates
Americhoice Mcaid - All Plans$191
Cash Price
(No Insurance)
$1,808
Gross Charge
$2,781
Insurance Negotiated Rates
Americhoice Mcaid - All Plans$587
ER Visit Level 3
99283Cash Price
(No Insurance)
$12
Gross Charge
$18
Insurance Negotiated Rates
Quartz Mcr Adv$8
ER Visit Level 4
99284Cash Price
(No Insurance)
$12
Gross Charge
$19
Insurance Negotiated Rates
Quartz Mcr Adv$8
ER Visit Level 5
99285Cash Price
(No Insurance)
$12
Gross Charge
$19
Insurance Negotiated Rates
Quartz Mcr Adv$8
Cash Price
(No Insurance)
$137
Gross Charge
$211
Insurance Negotiated Rates
Quartz Mcr Adv$26
Hemoglobin A1C
83036Cash Price
(No Insurance)
$41
Gross Charge
$63
Insurance Negotiated Rates
Dean Health Plan - All Plans$6
Knee Arthroscopy
29881Cash Price
(No Insurance)
$2,633
Gross Charge
$4,050
Insurance Negotiated Rates
Dean Health Plan - All Plans$72
Knee X-Ray
73560Cash Price
(No Insurance)
$237
Gross Charge
$365
Insurance Negotiated Rates
Americhoice Mcaid - All Plans$101
Cash Price
(No Insurance)
$1,682
Gross Charge
$2,588
Insurance Negotiated Rates
Dean Health Plan - All Plans$72
Lipid Panel
80061Cash Price
(No Insurance)
$25
Gross Charge
$38
Insurance Negotiated Rates
Dean Health Plan - All Plans$5
Mammogram Diagnostic
77066Cash Price
(No Insurance)
$30
Gross Charge
$46
Insurance Negotiated Rates
Medical Associates - All Plans$34
Mammogram Screening
77067Cash Price
(No Insurance)
$170
Gross Charge
$262
Insurance Negotiated Rates
Americhoice Mcaid - All Plans$83
MRI Brain
70551Cash Price
(No Insurance)
$2,599
Gross Charge
$3,999
Insurance Negotiated Rates
Americhoice Mcaid - All Plans$434
Cash Price
(No Insurance)
$2,840
Gross Charge
$4,369
Insurance Negotiated Rates
Americhoice Mcaid - All Plans$722
MRI Cervical Spine
72141Cash Price
(No Insurance)
$2,724
Gross Charge
$4,190
Insurance Negotiated Rates
Americhoice Mcaid - All Plans$434
MRI Knee
73721Cash Price
(No Insurance)
$2,445
Gross Charge
$3,761
Insurance Negotiated Rates
Americhoice Mcaid - All Plans$434
MRI Lumbar Spine
72148Cash Price
(No Insurance)
$2,513
Gross Charge
$3,866
Insurance Negotiated Rates
Americhoice Mcaid - All Plans$434
MRI Shoulder
73221Cash Price
(No Insurance)
$1,966
Gross Charge
$3,025
Insurance Negotiated Rates
Americhoice Mcaid - All Plans$434
Office Visit Level 3
99213Cash Price
(No Insurance)
$122
Gross Charge
$188
Insurance Negotiated Rates
UnitedHealthcare$83
Office Visit Level 4
99214Cash Price
(No Insurance)
$172
Gross Charge
$265
Insurance Negotiated Rates
Medical Associates - All Plans$95
Shoulder X-Ray
73030Cash Price
(No Insurance)
$322
Gross Charge
$496
Insurance Negotiated Rates
Americhoice Mcaid - All Plans$101
TSH (Thyroid)
84443Cash Price
(No Insurance)
$25
Gross Charge
$38
Insurance Negotiated Rates
Dean Health Plan - All Plans$6
Ultrasound Abdomen
76700Cash Price
(No Insurance)
$829
Gross Charge
$1,276
Insurance Negotiated Rates
Americhoice Mcaid - All Plans$299
Ultrasound Pelvis
76856Cash Price
(No Insurance)
$773
Gross Charge
$1,189
Insurance Negotiated Rates
Americhoice Mcaid - All Plans$299
Cash Price
(No Insurance)
$384
Gross Charge
$591
Insurance Negotiated Rates
Americhoice Mcaid - All Plans$198
Cash Price
(No Insurance)
$264
Gross Charge
$406
Insurance Negotiated Rates
Dean Health Plan - All Plans$72
Cash Price
(No Insurance)
$372
Gross Charge
$573
Insurance Negotiated Rates
Dean Health Plan - All Plans$72
Urinalysis
81001Cash Price
(No Insurance)
$250
Gross Charge
$384
Insurance Negotiated Rates
Dean Health Plan - All Plans$1
Vaginal Delivery
59400Cash Price
(No Insurance)
$3,904
Gross Charge
$6,006
Insurance Negotiated Rates
Dean Health Plan - All Plans$72