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Henry County Memorial Hospital

New Castle, IN · CMS ID: 150030

This hospital has pricing data for 42 procedures ranging from $45 to $7,201.

Procedures (42)

C-Section Delivery

59510
Cash Price
(No Insurance)
$4,356
Gross Charge
$6,222
Insurance Negotiated Rates
UnitedHealthcare$1,915

Chest X-Ray 1 View

71045
Cash Price
(No Insurance)
$254
Gross Charge
$362
Insurance Negotiated Rates
UnitedHealthcare$7

Chest X-Ray 2 Views

71046
Cash Price
(No Insurance)
$344
Gross Charge
$492
Insurance Negotiated Rates
UnitedHealthcare$8

Colonoscopy Diagnostic

45378
Cash Price
(No Insurance)
$331
Gross Charge
$472
Insurance Negotiated Rates
UnitedHealthcare$125

Colonoscopy with Biopsy

45380
Cash Price
(No Insurance)
$1,330
Gross Charge
$1,900
Insurance Negotiated Rates
UnitedHealthcare$145

Colonoscopy with Polyp Removal

45385
Cash Price
(No Insurance)
$1,374
Gross Charge
$1,963
Insurance Negotiated Rates
UnitedHealthcare$183

Complete Blood Count (CBC)

85025
Cash Price
(No Insurance)
$92
Gross Charge
$131
Insurance Negotiated Rates
Blue Cross Blue Shield$5

Comprehensive Metabolic Panel

80053
Cash Price
(No Insurance)
$131
Gross Charge
$188
Insurance Negotiated Rates
Blue Cross Blue Shield$7

CT Abdomen/Pelvis with Contrast

74177
Cash Price
(No Insurance)
$481
Gross Charge
$687
Insurance Negotiated Rates
UnitedHealthcare$70

CT Abdomen/Pelvis without Contrast

74176
Cash Price
(No Insurance)
$459
Gross Charge
$655
Insurance Negotiated Rates
UnitedHealthcare$67

CT Chest Low Dose

71271
Cash Price
(No Insurance)
$234
Gross Charge
$335
Insurance Negotiated Rates
UnitedHealthcare$41

CT Chest with Contrast

71260
Cash Price
(No Insurance)
$318
Gross Charge
$454
Insurance Negotiated Rates
UnitedHealthcare$45

ER Visit Level 3

99283
Cash Price
(No Insurance)
$1,063
Gross Charge
$1,519
Insurance Negotiated Rates
Aetna$52

ER Visit Level 4

99284
Cash Price
(No Insurance)
$2,009
Gross Charge
$2,870
Insurance Negotiated Rates
Aetna$87

ER Visit Level 5

99285
Cash Price
(No Insurance)
$2,849
Gross Charge
$4,070
Insurance Negotiated Rates
Aetna$127

Fetal Non-Stress Test

59025
Cash Price
(No Insurance)
$368
Gross Charge
$526
Insurance Negotiated Rates
UnitedHealthcare$23

Hemoglobin A1C

83036
Cash Price
(No Insurance)
$89
Gross Charge
$127
Insurance Negotiated Rates
Blue Cross Blue Shield$6

Hip Replacement

27130
Cash Price
(No Insurance)
$6,545
Gross Charge
$9,350
Insurance Negotiated Rates
UnitedHealthcare$926

Knee Arthroscopy

29881
Cash Price
(No Insurance)
$254
Gross Charge
$362
Insurance Negotiated Rates
UnitedHealthcare$39

Knee Replacement

27447
Cash Price
(No Insurance)
$7,201
Gross Charge
$10,287
Insurance Negotiated Rates
UnitedHealthcare$924

Knee X-Ray

73560
Cash Price
(No Insurance)
$45
Gross Charge
$65
Insurance Negotiated Rates
UnitedHealthcare$7

Laparoscopic Cholecystectomy

47562
Cash Price
(No Insurance)
$2,959
Gross Charge
$4,227
Insurance Negotiated Rates
UnitedHealthcare$497

Lipid Panel

80061
Cash Price
(No Insurance)
$177
Gross Charge
$252
Insurance Negotiated Rates
Blue Cross Blue Shield$6

Mammogram Diagnostic

77066
Cash Price
(No Insurance)
$555
Gross Charge
$793
Insurance Negotiated Rates
UnitedHealthcare$39

Mammogram Screening

77067
Cash Price
(No Insurance)
$481
Gross Charge
$688
Insurance Negotiated Rates
UnitedHealthcare$29

MRI Brain

70551
Cash Price
(No Insurance)
$2,688
Gross Charge
$3,840
Insurance Negotiated Rates
UnitedHealthcare$57

MRI Brain with Contrast

70553
Cash Price
(No Insurance)
$5,701
Gross Charge
$8,144
Insurance Negotiated Rates
UnitedHealthcare$88

MRI Cervical Spine

72141
Cash Price
(No Insurance)
$2,728
Gross Charge
$3,897
Insurance Negotiated Rates
UnitedHealthcare$57

MRI Knee

73721
Cash Price
(No Insurance)
$2,827
Gross Charge
$4,039
Insurance Negotiated Rates
UnitedHealthcare$53

MRI Lumbar Spine

72148
Cash Price
(No Insurance)
$2,938
Gross Charge
$4,198
Insurance Negotiated Rates
UnitedHealthcare$57

MRI Shoulder

73221
Cash Price
(No Insurance)
$5,096
Gross Charge
$7,280
Insurance Negotiated Rates
UnitedHealthcare$53

Office Visit Level 3

99213
Cash Price
(No Insurance)
$102
Gross Charge
$597
Insurance Negotiated Rates
Aetna$48

Office Visit Level 4

99214
Cash Price
(No Insurance)
$357
Gross Charge
$511
Insurance Negotiated Rates
Aetna$70

Shoulder X-Ray

73030
Cash Price
(No Insurance)
$319
Gross Charge
$456
Insurance Negotiated Rates
UnitedHealthcare$8

TSH (Thyroid)

84443
Cash Price
(No Insurance)
$138
Gross Charge
$197
Insurance Negotiated Rates
Blue Cross Blue Shield$11

Ultrasound Abdomen

76700
Cash Price
(No Insurance)
$835
Gross Charge
$1,192
Insurance Negotiated Rates
UnitedHealthcare$31

Ultrasound Pelvis

76856
Cash Price
(No Insurance)
$129
Gross Charge
$184
Insurance Negotiated Rates
UnitedHealthcare$27

Ultrasound Transvaginal

76830
Cash Price
(No Insurance)
$750
Gross Charge
$1,072
Insurance Negotiated Rates
UnitedHealthcare$27

Upper Endoscopy Diagnostic

43235
Cash Price
(No Insurance)
$684
Gross Charge
$977
Insurance Negotiated Rates
UnitedHealthcare$90

Upper Endoscopy with Biopsy

43239
Cash Price
(No Insurance)
$1,876
Gross Charge
$2,680
Insurance Negotiated Rates
UnitedHealthcare$101

Urinalysis

81001
Cash Price
(No Insurance)
$65
Gross Charge
$93
Insurance Negotiated Rates
Blue Cross Blue Shield$2

Vaginal Delivery

59400
Cash Price
(No Insurance)
$3,409
Gross Charge
$4,870
Insurance Negotiated Rates
UnitedHealthcare$1,729