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Mangum Regional Medical Center
Mangum, OK · CMS ID: 371330
This hospital has pricing data for 32 procedures ranging from $53 to $11,043.
Procedures (32)
Cash Price
(No Insurance)
$3,174
Gross Charge
$6,901
Medicare Rate
$1,129
Insurance Negotiated Rates
AETNA (COVENTRY) - ALL OTHER PLANS$2,300
Cash Price
(No Insurance)
$6,612
Gross Charge
$14,374
Medicare Rate
$495
Insurance Negotiated Rates
UHC COMMERCIAL - ALL OTHER PLANS$1,437
Cash Price
(No Insurance)
$346
Gross Charge
$720
Insurance Negotiated Rates
AETNA (COVENTRY) - ALL OTHER PLANS$183
Cash Price
(No Insurance)
$657
Gross Charge
$1,428
Medicare Rate
$390
Insurance Negotiated Rates
UnitedHealthcare$398
Cataract Surgery
66984Cash Price
(No Insurance)
$4,818
Gross Charge
$10,474
Medicare Rate
$445
Insurance Negotiated Rates
UnitedHealthcare$1,014
Chest X-Ray 1 View
71045Cash Price
(No Insurance)
$182
Gross Charge
$396
Medicare Rate
$24
Insurance Negotiated Rates
UnitedHealthcare$38
Chest X-Ray 2 Views
71046Cash Price
(No Insurance)
$168
Gross Charge
$365
Medicare Rate
$31
Insurance Negotiated Rates
Tricare East - All Plans$22
Cash Price
(No Insurance)
$1,960
Gross Charge
$4,260
Medicare Rate
$356
Insurance Negotiated Rates
UnitedHealthcare$409
Cash Price
(No Insurance)
$2,078
Gross Charge
$4,517
Medicare Rate
$471
Insurance Negotiated Rates
UnitedHealthcare$526
Cash Price
(No Insurance)
$78
Gross Charge
$169
Insurance Negotiated Rates
Cigna$7
Cash Price
(No Insurance)
$159
Gross Charge
$345
Insurance Negotiated Rates
Cigna$6
Cash Price
(No Insurance)
$1,558
Gross Charge
$3,388
Medicare Rate
$280
Insurance Negotiated Rates
UnitedHealthcare$153
Cash Price
(No Insurance)
$1,036
Gross Charge
$2,253
Medicare Rate
$172
Insurance Negotiated Rates
UnitedHealthcare$105
CT Chest Low Dose
71271Cash Price
(No Insurance)
$120
Gross Charge
$260
Medicare Rate
$128
Insurance Negotiated Rates
UnitedHealthcare$46
Cash Price
(No Insurance)
$1,353
Gross Charge
$2,942
Medicare Rate
$156
Insurance Negotiated Rates
UnitedHealthcare$77
ER Visit Level 3
99283Cash Price
(No Insurance)
$469
Gross Charge
$784
Medicare Rate
$69
Insurance Negotiated Rates
Tricare East - All Plans$47
ER Visit Level 4
99284Cash Price
(No Insurance)
$114
Gross Charge
$1,308
Medicare Rate
$117
Insurance Negotiated Rates
Tricare East - All Plans$80
ER Visit Level 5
99285Cash Price
(No Insurance)
$1,165
Gross Charge
$1,944
Medicare Rate
$170
Insurance Negotiated Rates
Tricare East - All Plans$116
Knee X-Ray
73560Cash Price
(No Insurance)
$168
Gross Charge
$365
Medicare Rate
$32
Insurance Negotiated Rates
UnitedHealthcare$38
Cash Price
(No Insurance)
$11,043
Gross Charge
$24,007
Medicare Rate
$615
Insurance Negotiated Rates
Aetna$2,000
MRI Knee
73721Cash Price
(No Insurance)
$1,459
Gross Charge
$3,172
Medicare Rate
$191
Insurance Negotiated Rates
UnitedHealthcare$105
Office Visit Level 3
99213Cash Price
(No Insurance)
$153
Gross Charge
$123
Medicare Rate
$91
Insurance Negotiated Rates
Tricare East - All Plans$39
Office Visit Level 4
99214Cash Price
(No Insurance)
$78
Gross Charge
$169
Medicare Rate
$130
Insurance Negotiated Rates
Tricare East - All Plans$57
Shoulder X-Ray
73030Cash Price
(No Insurance)
$190
Gross Charge
$412
Medicare Rate
$33
Insurance Negotiated Rates
UnitedHealthcare$38
Ultrasound Abdomen
76700Cash Price
(No Insurance)
$470
Gross Charge
$1,022
Medicare Rate
$107
Insurance Negotiated Rates
UnitedHealthcare$46
Ultrasound Pelvis
76856Cash Price
(No Insurance)
$424
Gross Charge
$921
Medicare Rate
$98
Insurance Negotiated Rates
UnitedHealthcare$46
Cash Price
(No Insurance)
$424
Gross Charge
$921
Medicare Rate
$109
Insurance Negotiated Rates
UnitedHealthcare$46
Cash Price
(No Insurance)
$2,052
Gross Charge
$4,461
Medicare Rate
$301
Insurance Negotiated Rates
UnitedHealthcare$398