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Hermann Area District Hospital
Hermann, MO · CMS ID: 261314
This hospital has pricing data for 36 procedures ranging from $8 to $3,081.
Procedures (36)
Chest X-Ray 1 View
71045Cash Price
(No Insurance)
$143
Gross Charge
$239
Insurance Negotiated Rates
Healthy Blue Mcaid - All Plans$14
Chest X-Ray 2 Views
71046Cash Price
(No Insurance)
$217
Gross Charge
$362
Insurance Negotiated Rates
Healthy Blue Mcaid - All Plans$22
Cash Price
(No Insurance)
$806
Gross Charge
$1,343
Insurance Negotiated Rates
Healthy Blue Mcaid - All Plans$426
Cash Price
(No Insurance)
$845
Gross Charge
$1,408
Insurance Negotiated Rates
Healthy Blue Mcaid - All Plans$426
Cash Price
(No Insurance)
$1,142
Gross Charge
$1,904
Insurance Negotiated Rates
Healthy Blue Mcaid - All Plans$426
Cash Price
(No Insurance)
$66
Gross Charge
$110
Insurance Negotiated Rates
Coventry - All Plans$9
Cash Price
(No Insurance)
$115
Gross Charge
$192
Insurance Negotiated Rates
UnitedHealthcare$16
Cash Price
(No Insurance)
$3,081
Gross Charge
$5,135
Insurance Negotiated Rates
Healthlink Hmo$515
Cash Price
(No Insurance)
$1,360
Gross Charge
$2,266
Insurance Negotiated Rates
Healthlink Hmo$515
CT Chest Low Dose
71271Cash Price
(No Insurance)
$318
Gross Charge
$531
Insurance Negotiated Rates
Healthy Blue Mcaid - All Plans$133
Cash Price
(No Insurance)
$1,272
Gross Charge
$2,120
Insurance Negotiated Rates
Healthy Blue Mcaid - All Plans$221
ER Visit Level 3
99283Cash Price
(No Insurance)
$125
Gross Charge
$208
Insurance Negotiated Rates
UnitedHealthcare$40
ER Visit Level 4
99284Cash Price
(No Insurance)
$237
Gross Charge
$395
Insurance Negotiated Rates
UnitedHealthcare$40
ER Visit Level 5
99285Cash Price
(No Insurance)
$328
Gross Charge
$547
Insurance Negotiated Rates
UnitedHealthcare$40
Hemoglobin A1C
83036Cash Price
(No Insurance)
$64
Gross Charge
$107
Insurance Negotiated Rates
Coventry - All Plans$10
Hip Replacement
27130Cash Price
(No Insurance)
$176
Gross Charge
$293
Insurance Negotiated Rates
UnitedHealthcare$114
Knee X-Ray
73560Cash Price
(No Insurance)
$221
Gross Charge
$368
Insurance Negotiated Rates
Healthy Blue Mcaid - All Plans$22
Cash Price
(No Insurance)
$2,450
Gross Charge
$4,084
Insurance Negotiated Rates
Care Partners Mcaid- All Plans$562
Lipid Panel
80061Cash Price
(No Insurance)
$97
Gross Charge
$162
Insurance Negotiated Rates
UnitedHealthcare$20
Mammogram Diagnostic
77066Cash Price
(No Insurance)
$388
Gross Charge
$646
Insurance Negotiated Rates
UnitedHealthcare$235
MRI Brain
70551Cash Price
(No Insurance)
$1,274
Gross Charge
$2,123
Insurance Negotiated Rates
Healthy Blue Mcaid - All Plans$249
Cash Price
(No Insurance)
$2,080
Gross Charge
$3,467
Insurance Negotiated Rates
Healthy Blue Mcaid - All Plans$386
MRI Cervical Spine
72141Cash Price
(No Insurance)
$1,240
Gross Charge
$2,066
Insurance Negotiated Rates
Healthy Blue Mcaid - All Plans$249
MRI Knee
73721Cash Price
(No Insurance)
$1,306
Gross Charge
$2,177
Insurance Negotiated Rates
Healthy Blue Mcaid - All Plans$249
MRI Lumbar Spine
72148Cash Price
(No Insurance)
$1,240
Gross Charge
$2,066
Insurance Negotiated Rates
Healthy Blue Mcaid - All Plans$249
MRI Shoulder
73221Cash Price
(No Insurance)
$1,306
Gross Charge
$2,177
Insurance Negotiated Rates
Healthy Blue Mcaid - All Plans$249
Office Visit Level 3
99213Cash Price
(No Insurance)
$85
Gross Charge
$141
Insurance Negotiated Rates
UnitedHealthcare$40
Office Visit Level 4
99214Cash Price
(No Insurance)
$174
Gross Charge
$290
Insurance Negotiated Rates
UnitedHealthcare$40
Shoulder X-Ray
73030Cash Price
(No Insurance)
$210
Gross Charge
$350
Insurance Negotiated Rates
Healthy Blue Mcaid - All Plans$22
TSH (Thyroid)
84443Cash Price
(No Insurance)
$119
Gross Charge
$198
Insurance Negotiated Rates
UnitedHealthcare$25
Ultrasound Abdomen
76700Cash Price
(No Insurance)
$599
Gross Charge
$998
Insurance Negotiated Rates
Healthy Blue Mcaid - All Plans$70
Ultrasound Pelvis
76856Cash Price
(No Insurance)
$1,133
Gross Charge
$1,889
Insurance Negotiated Rates
Coventry - All Plans$2
Cash Price
(No Insurance)
$596
Gross Charge
$993
Insurance Negotiated Rates
Healthy Blue Mcaid - All Plans$70
Cash Price
(No Insurance)
$590
Gross Charge
$983
Insurance Negotiated Rates
Healthy Blue Mcaid - All Plans$235
Cash Price
(No Insurance)
$8
Gross Charge
$13
Insurance Negotiated Rates
UnitedHealthcare$5
Urinalysis
81001Cash Price
(No Insurance)
$86
Gross Charge
$144
Insurance Negotiated Rates
Coventry - All Plans$5