|
Grisell Memorial Hospital
Ransom, KS · CMS ID: 171300
This hospital has pricing data for 31 procedures ranging from $5 to $946.
Procedures (31)
Cataract Surgery
66984Cash Price
(No Insurance)
$5
Gross Charge
$5
Medicare Rate
$445
Insurance Negotiated Rates
UnitedHealthcare$4
Chest X-Ray 1 View
71045Cash Price
(No Insurance)
$205
Gross Charge
$215
Medicare Rate
$24
Insurance Negotiated Rates
Blue Cross Blue Shield$116
Chest X-Ray 2 Views
71046Cash Price
(No Insurance)
$250
Gross Charge
$263
Medicare Rate
$31
Insurance Negotiated Rates
Blue Cross Blue Shield$142
Cash Price
(No Insurance)
$35
Gross Charge
$37
Insurance Negotiated Rates
Optum Va Ccn-All Plans$3
Cash Price
(No Insurance)
$56
Gross Charge
$59
Insurance Negotiated Rates
Optum Va Ccn-All Plans$6
Cash Price
(No Insurance)
$743
Gross Charge
$782
Medicare Rate
$280
Insurance Negotiated Rates
Blue Cross Blue Shield$430
Cash Price
(No Insurance)
$743
Gross Charge
$782
Medicare Rate
$172
Insurance Negotiated Rates
Blue Cross Blue Shield$430
CT Chest Low Dose
71271Cash Price
(No Insurance)
$757
Gross Charge
$797
Medicare Rate
$128
Insurance Negotiated Rates
UnitedHealthcare$593
Cash Price
(No Insurance)
$946
Gross Charge
$995
Medicare Rate
$156
Insurance Negotiated Rates
Blue Cross Blue Shield$430
ER Visit Level 3
99283Cash Price
(No Insurance)
$262
Gross Charge
$276
Medicare Rate
$69
Insurance Negotiated Rates
Sunflower Mcaid-All Plans$40
ER Visit Level 4
99284Cash Price
(No Insurance)
$319
Gross Charge
$336
Medicare Rate
$117
Insurance Negotiated Rates
Sunflower Mcaid-All Plans$98
ER Visit Level 5
99285Cash Price
(No Insurance)
$456
Gross Charge
$480
Medicare Rate
$170
Insurance Negotiated Rates
Sunflower Mcaid-All Plans$98
Hemoglobin A1C
83036Cash Price
(No Insurance)
$84
Gross Charge
$89
Insurance Negotiated Rates
Optum Va Ccn-All Plans$9
Knee X-Ray
73560Cash Price
(No Insurance)
$213
Gross Charge
$225
Medicare Rate
$32
Insurance Negotiated Rates
Blue Cross Blue Shield$101
Lipid Panel
80061Cash Price
(No Insurance)
$87
Gross Charge
$91
Insurance Negotiated Rates
Optum Va Ccn-All Plans$12
Mammogram Diagnostic
77066Cash Price
(No Insurance)
$231
Gross Charge
$243
Medicare Rate
$146
Insurance Negotiated Rates
Blue Cross Blue Shield$116
Mammogram Screening
77067Cash Price
(No Insurance)
$204
Gross Charge
$215
Medicare Rate
$118
Insurance Negotiated Rates
Blue Cross Blue Shield$116
MRI Brain
70551Cash Price
(No Insurance)
$874
Gross Charge
$920
Medicare Rate
$183
Insurance Negotiated Rates
Blue Cross Blue Shield$495
Cash Price
(No Insurance)
$898
Gross Charge
$945
Medicare Rate
$296
Insurance Negotiated Rates
Blue Cross Blue Shield$495
MRI Cervical Spine
72141Cash Price
(No Insurance)
$874
Gross Charge
$920
Medicare Rate
$179
Insurance Negotiated Rates
Blue Cross Blue Shield$495
MRI Knee
73721Cash Price
(No Insurance)
$865
Gross Charge
$911
Medicare Rate
$191
Insurance Negotiated Rates
Blue Cross Blue Shield$495
MRI Lumbar Spine
72148Cash Price
(No Insurance)
$934
Gross Charge
$983
Medicare Rate
$180
Insurance Negotiated Rates
Blue Cross Blue Shield$495
MRI Shoulder
73221Cash Price
(No Insurance)
$877
Gross Charge
$924
Medicare Rate
$191
Insurance Negotiated Rates
Blue Cross Blue Shield$495
Office Visit Level 3
99213Cash Price
(No Insurance)
$109
Gross Charge
$115
Medicare Rate
$91
Insurance Negotiated Rates
Sunflower Mcaid-All Plans$46
Office Visit Level 4
99214Cash Price
(No Insurance)
$161
Gross Charge
$169
Medicare Rate
$130
Insurance Negotiated Rates
Sunflower Mcaid-All Plans$72
Shoulder X-Ray
73030Cash Price
(No Insurance)
$237
Gross Charge
$250
Medicare Rate
$33
Insurance Negotiated Rates
Blue Cross Blue Shield$132
TSH (Thyroid)
84443Cash Price
(No Insurance)
$94
Gross Charge
$99
Insurance Negotiated Rates
Optum Va Ccn-All Plans$17
Ultrasound Abdomen
76700Cash Price
(No Insurance)
$299
Gross Charge
$315
Medicare Rate
$107
Insurance Negotiated Rates
Blue Cross Blue Shield$143
Ultrasound Pelvis
76856Cash Price
(No Insurance)
$269
Gross Charge
$284
Medicare Rate
$98
Insurance Negotiated Rates
Blue Cross Blue Shield$116
Cash Price
(No Insurance)
$209
Gross Charge
$221
Medicare Rate
$109
Insurance Negotiated Rates
Blue Cross Blue Shield$116
Urinalysis
81001Cash Price
(No Insurance)
$69
Gross Charge
$72
Insurance Negotiated Rates
Optum Va Ccn-All Plans$2