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Pulaski Memorial Hospital
Winamac, IN · CMS ID: 151305
This hospital has pricing data for 41 procedures ranging from $34 to $5,028.
Procedures (41)
Cataract Surgery
66984Cash Price
(No Insurance)
$644
Gross Charge
$920
Medicare Rate
$445
Insurance Negotiated Rates
Blue Cross Blue Shield$492
Chest X-Ray 1 View
71045Cash Price
(No Insurance)
$194
Gross Charge
$277
Medicare Rate
$24
Insurance Negotiated Rates
Blue Cross Blue Shield$62
Chest X-Ray 2 Views
71046Cash Price
(No Insurance)
$261
Gross Charge
$373
Medicare Rate
$31
Insurance Negotiated Rates
Blue Cross Blue Shield$62
Cash Price
(No Insurance)
$1,346
Gross Charge
$1,923
Medicare Rate
$356
Insurance Negotiated Rates
Blue Cross Blue Shield$166
Cash Price
(No Insurance)
$1,441
Gross Charge
$2,058
Medicare Rate
$450
Insurance Negotiated Rates
Blue Cross Blue Shield$180
Cash Price
(No Insurance)
$1,729
Gross Charge
$2,470
Medicare Rate
$471
Insurance Negotiated Rates
Blue Cross Blue Shield$228
Cash Price
(No Insurance)
$91
Gross Charge
$129
Insurance Negotiated Rates
Blue Cross Blue Shield$8
Cash Price
(No Insurance)
$203
Gross Charge
$290
Insurance Negotiated Rates
Blue Cross Blue Shield$11
Cash Price
(No Insurance)
$3,774
Gross Charge
$5,391
Medicare Rate
$280
Insurance Negotiated Rates
Caresource Mcaid Hhw$162
Cash Price
(No Insurance)
$3,285
Gross Charge
$4,693
Medicare Rate
$172
Insurance Negotiated Rates
Caresource Mcaid Hhw$90
CT Chest Low Dose
71271Cash Price
(No Insurance)
$34
Gross Charge
$49
Medicare Rate
$128
Insurance Negotiated Rates
Blue Cross Blue Shield$15
Cash Price
(No Insurance)
$2,475
Gross Charge
$3,535
Medicare Rate
$156
Insurance Negotiated Rates
Caresource Mcaid Hhw$123
ER Visit Level 3
99283Cash Price
(No Insurance)
$82
Gross Charge
$117
Medicare Rate
$69
Insurance Negotiated Rates
Umr - All Plans$50
ER Visit Level 4
99284Cash Price
(No Insurance)
$155
Gross Charge
$221
Medicare Rate
$117
Insurance Negotiated Rates
Umr - All Plans$94
ER Visit Level 5
99285Cash Price
(No Insurance)
$85
Gross Charge
$122
Medicare Rate
$170
Insurance Negotiated Rates
Blue Cross Blue Shield$38
Cash Price
(No Insurance)
$408
Gross Charge
$583
Medicare Rate
$48
Insurance Negotiated Rates
Blue Cross Blue Shield$181
Hemoglobin A1C
83036Cash Price
(No Insurance)
$119
Gross Charge
$170
Insurance Negotiated Rates
Blue Cross Blue Shield$10
Hip Replacement
27130Cash Price
(No Insurance)
$116
Gross Charge
$165
Medicare Rate
$1,129
Insurance Negotiated Rates
Blue Cross Blue Shield$51
Knee Arthroscopy
29881Cash Price
(No Insurance)
$741
Gross Charge
$1,059
Medicare Rate
$495
Insurance Negotiated Rates
Umr - All Plans$469
Knee Replacement
27447Cash Price
(No Insurance)
$154
Gross Charge
$220
Medicare Rate
$1,127
Insurance Negotiated Rates
Blue Cross Blue Shield$68
Knee X-Ray
73560Cash Price
(No Insurance)
$203
Gross Charge
$290
Medicare Rate
$32
Insurance Negotiated Rates
Blue Cross Blue Shield$15
Cash Price
(No Insurance)
$3,804
Gross Charge
$5,434
Medicare Rate
$615
Insurance Negotiated Rates
Umr - All Plans$533
Lipid Panel
80061Cash Price
(No Insurance)
$153
Gross Charge
$218
Insurance Negotiated Rates
Blue Cross Blue Shield$13
Mammogram Diagnostic
77066Cash Price
(No Insurance)
$429
Gross Charge
$612
Medicare Rate
$146
Insurance Negotiated Rates
Caresource Mcaid Hhw$84
Mammogram Screening
77067Cash Price
(No Insurance)
$181
Gross Charge
$258
Medicare Rate
$118
Insurance Negotiated Rates
Caresource Mcaid Hhw$69
MRI Brain
70551Cash Price
(No Insurance)
$3,851
Gross Charge
$5,502
Medicare Rate
$183
Insurance Negotiated Rates
Caresource Mcaid Hhw$119
Cash Price
(No Insurance)
$5,028
Gross Charge
$7,183
Medicare Rate
$296
Insurance Negotiated Rates
Caresource Mcaid Hhw$194
MRI Cervical Spine
72141Cash Price
(No Insurance)
$3,851
Gross Charge
$5,502
Medicare Rate
$179
Insurance Negotiated Rates
Caresource Mcaid Hhw$117
MRI Knee
73721Cash Price
(No Insurance)
$4,928
Gross Charge
$7,039
Medicare Rate
$191
Insurance Negotiated Rates
Caresource Mcaid Hhw$129
MRI Lumbar Spine
72148Cash Price
(No Insurance)
$3,851
Gross Charge
$5,502
Medicare Rate
$180
Insurance Negotiated Rates
Caresource Mcaid Hhw$117
MRI Shoulder
73221Cash Price
(No Insurance)
$4,396
Gross Charge
$6,280
Medicare Rate
$191
Insurance Negotiated Rates
Caresource Mcaid Hhw$129
Office Visit Level 3
99213Cash Price
(No Insurance)
$217
Gross Charge
$309
Medicare Rate
$91
Insurance Negotiated Rates
Humana$34
Office Visit Level 4
99214Cash Price
(No Insurance)
$319
Gross Charge
$456
Medicare Rate
$130
Insurance Negotiated Rates
Humana$57
Shoulder X-Ray
73030Cash Price
(No Insurance)
$538
Gross Charge
$769
Medicare Rate
$33
Insurance Negotiated Rates
Blue Cross Blue Shield$15
TSH (Thyroid)
84443Cash Price
(No Insurance)
$144
Gross Charge
$206
Insurance Negotiated Rates
Blue Cross Blue Shield$17
Ultrasound Abdomen
76700Cash Price
(No Insurance)
$1,296
Gross Charge
$1,851
Medicare Rate
$107
Insurance Negotiated Rates
Blue Cross Blue Shield$70
Ultrasound Pelvis
76856Cash Price
(No Insurance)
$873
Gross Charge
$1,248
Medicare Rate
$98
Insurance Negotiated Rates
Blue Cross Blue Shield$63
Cash Price
(No Insurance)
$883
Gross Charge
$1,262
Medicare Rate
$109
Insurance Negotiated Rates
Blue Cross Blue Shield$64
Cash Price
(No Insurance)
$292
Gross Charge
$417
Medicare Rate
$301
Insurance Negotiated Rates
Blue Cross Blue Shield$110
Cash Price
(No Insurance)
$372
Gross Charge
$531
Medicare Rate
$390
Insurance Negotiated Rates
Blue Cross Blue Shield$124
Urinalysis
81001Cash Price
(No Insurance)
$160
Gross Charge
$229
Insurance Negotiated Rates
Blue Cross Blue Shield$3