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Henry County Memorial Hospital
New Castle, IN · CMS ID: 150030
This hospital has pricing data for 43 procedures ranging from $28 to $7,561.
Procedures (43)
Cash Price
(No Insurance)
$28
Gross Charge
$40
Medicare Rate
$9
Insurance Negotiated Rates
AETNA - ALL PLANS$8
C-Section Delivery
59510Cash Price
(No Insurance)
$4,573
Gross Charge
$6,533
Medicare Rate
$2,419
Insurance Negotiated Rates
UnitedHealthcare$1,915
Chest X-Ray 1 View
71045Cash Price
(No Insurance)
$48
Gross Charge
$68
Medicare Rate
$24
Insurance Negotiated Rates
UnitedHealthcare$7
Chest X-Ray 2 Views
71046Cash Price
(No Insurance)
$362
Gross Charge
$517
Medicare Rate
$31
Insurance Negotiated Rates
UnitedHealthcare$8
Cash Price
(No Insurance)
$364
Gross Charge
$520
Medicare Rate
$356
Insurance Negotiated Rates
UnitedHealthcare$125
Cash Price
(No Insurance)
$1,396
Gross Charge
$1,995
Medicare Rate
$450
Insurance Negotiated Rates
UnitedHealthcare$145
Cash Price
(No Insurance)
$1,443
Gross Charge
$2,062
Medicare Rate
$471
Insurance Negotiated Rates
UnitedHealthcare$183
Cash Price
(No Insurance)
$91
Gross Charge
$130
Insurance Negotiated Rates
Blue Cross Blue Shield$5
Cash Price
(No Insurance)
$533
Gross Charge
$761
Insurance Negotiated Rates
Blue Cross Blue Shield$7
Cash Price
(No Insurance)
$6,394
Gross Charge
$9,135
Medicare Rate
$280
Insurance Negotiated Rates
UnitedHealthcare$70
Cash Price
(No Insurance)
$5,683
Gross Charge
$8,119
Medicare Rate
$172
Insurance Negotiated Rates
UnitedHealthcare$67
CT Chest Low Dose
71271Cash Price
(No Insurance)
$234
Gross Charge
$335
Medicare Rate
$128
Insurance Negotiated Rates
UnitedHealthcare$41
Cash Price
(No Insurance)
$3,562
Gross Charge
$5,088
Medicare Rate
$156
Insurance Negotiated Rates
UnitedHealthcare$45
ER Visit Level 3
99283Cash Price
(No Insurance)
$174
Gross Charge
$248
Medicare Rate
$69
Insurance Negotiated Rates
Aetna$52
ER Visit Level 4
99284Cash Price
(No Insurance)
$2,009
Gross Charge
$2,870
Medicare Rate
$117
Insurance Negotiated Rates
Aetna$87
ER Visit Level 5
99285Cash Price
(No Insurance)
$2,849
Gross Charge
$4,070
Medicare Rate
$170
Insurance Negotiated Rates
Aetna$127
Cash Price
(No Insurance)
$292
Gross Charge
$417
Medicare Rate
$48
Insurance Negotiated Rates
UnitedHealthcare$23
Hemoglobin A1C
83036Cash Price
(No Insurance)
$89
Gross Charge
$126
Insurance Negotiated Rates
Blue Cross Blue Shield$6
Hip Replacement
27130Cash Price
(No Insurance)
$6,872
Gross Charge
$9,818
Medicare Rate
$1,129
Insurance Negotiated Rates
UnitedHealthcare$926
Knee Arthroscopy
29881Cash Price
(No Insurance)
$3,609
Gross Charge
$5,156
Medicare Rate
$495
Insurance Negotiated Rates
UnitedHealthcare$39
Knee Replacement
27447Cash Price
(No Insurance)
$7,561
Gross Charge
$10,801
Medicare Rate
$1,127
Insurance Negotiated Rates
UnitedHealthcare$924
Knee X-Ray
73560Cash Price
(No Insurance)
$310
Gross Charge
$443
Medicare Rate
$32
Insurance Negotiated Rates
UnitedHealthcare$7
Cash Price
(No Insurance)
$3,107
Gross Charge
$4,438
Medicare Rate
$615
Insurance Negotiated Rates
UnitedHealthcare$497
Lipid Panel
80061Cash Price
(No Insurance)
$175
Gross Charge
$251
Insurance Negotiated Rates
Blue Cross Blue Shield$6
Mammogram Diagnostic
77066Cash Price
(No Insurance)
$555
Gross Charge
$793
Medicare Rate
$146
Insurance Negotiated Rates
UnitedHealthcare$39
Mammogram Screening
77067Cash Price
(No Insurance)
$481
Gross Charge
$688
Medicare Rate
$118
Insurance Negotiated Rates
UnitedHealthcare$29
MRI Brain
70551Cash Price
(No Insurance)
$2,688
Gross Charge
$3,840
Medicare Rate
$183
Insurance Negotiated Rates
UnitedHealthcare$57
Cash Price
(No Insurance)
$5,701
Gross Charge
$8,144
Medicare Rate
$296
Insurance Negotiated Rates
UnitedHealthcare$88
MRI Cervical Spine
72141Cash Price
(No Insurance)
$2,728
Gross Charge
$3,897
Medicare Rate
$179
Insurance Negotiated Rates
UnitedHealthcare$57
MRI Knee
73721Cash Price
(No Insurance)
$2,827
Gross Charge
$4,039
Medicare Rate
$191
Insurance Negotiated Rates
UnitedHealthcare$53
MRI Lumbar Spine
72148Cash Price
(No Insurance)
$2,938
Gross Charge
$4,198
Medicare Rate
$180
Insurance Negotiated Rates
UnitedHealthcare$57
MRI Shoulder
73221Cash Price
(No Insurance)
$5,096
Gross Charge
$7,280
Medicare Rate
$191
Insurance Negotiated Rates
UnitedHealthcare$53
Office Visit Level 3
99213Cash Price
(No Insurance)
$107
Gross Charge
$153
Medicare Rate
$91
Insurance Negotiated Rates
Aetna$48
Office Visit Level 4
99214Cash Price
(No Insurance)
$165
Gross Charge
$236
Medicare Rate
$130
Insurance Negotiated Rates
Aetna$70
Shoulder X-Ray
73030Cash Price
(No Insurance)
$335
Gross Charge
$479
Medicare Rate
$33
Insurance Negotiated Rates
UnitedHealthcare$8
TSH (Thyroid)
84443Cash Price
(No Insurance)
$137
Gross Charge
$196
Insurance Negotiated Rates
Blue Cross Blue Shield$11
Ultrasound Abdomen
76700Cash Price
(No Insurance)
$825
Gross Charge
$1,179
Medicare Rate
$107
Insurance Negotiated Rates
UnitedHealthcare$31
Ultrasound Pelvis
76856Cash Price
(No Insurance)
$190
Gross Charge
$271
Medicare Rate
$98
Insurance Negotiated Rates
UnitedHealthcare$27
Cash Price
(No Insurance)
$347
Gross Charge
$496
Medicare Rate
$109
Insurance Negotiated Rates
UnitedHealthcare$27
Cash Price
(No Insurance)
$718
Gross Charge
$1,026
Medicare Rate
$301
Insurance Negotiated Rates
UnitedHealthcare$90
Cash Price
(No Insurance)
$1,970
Gross Charge
$2,814
Medicare Rate
$390
Insurance Negotiated Rates
UnitedHealthcare$101
Urinalysis
81001Cash Price
(No Insurance)
$65
Gross Charge
$93
Insurance Negotiated Rates
Blue Cross Blue Shield$2
Vaginal Delivery
59400Cash Price
(No Insurance)
$3,759
Gross Charge
$5,370
Medicare Rate
$2,163
Insurance Negotiated Rates
UnitedHealthcare$1,729