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Pulaski Memorial Hospital
Winamac, IN · CMS ID: 151305
This hospital has pricing data for 41 procedures ranging from $71 to $5,279.
Procedures (41)
Cataract Surgery
66984Cash Price
(No Insurance)
$644
Gross Charge
$920
Medicare Rate
$445
Insurance Negotiated Rates
Blue Cross Blue Shield$438
Chest X-Ray 1 View
71045Cash Price
(No Insurance)
$203
Gross Charge
$291
Medicare Rate
$24
Insurance Negotiated Rates
UnitedHealthcare$8
Chest X-Ray 2 Views
71046Cash Price
(No Insurance)
$274
Gross Charge
$392
Medicare Rate
$31
Insurance Negotiated Rates
UnitedHealthcare$9
Cash Price
(No Insurance)
$1,414
Gross Charge
$2,019
Medicare Rate
$356
Insurance Negotiated Rates
Blue Cross Blue Shield$154
Cash Price
(No Insurance)
$1,513
Gross Charge
$2,161
Medicare Rate
$450
Insurance Negotiated Rates
Humana$167
Cash Price
(No Insurance)
$1,815
Gross Charge
$2,593
Medicare Rate
$471
Insurance Negotiated Rates
Blue Cross Blue Shield$211
Cash Price
(No Insurance)
$95
Gross Charge
$136
Insurance Negotiated Rates
Blue Cross Blue Shield$8
Cash Price
(No Insurance)
$213
Gross Charge
$305
Insurance Negotiated Rates
Blue Cross Blue Shield$11
Cash Price
(No Insurance)
$3,962
Gross Charge
$5,661
Medicare Rate
$280
Insurance Negotiated Rates
Umr - All Plans$77
Cash Price
(No Insurance)
$3,449
Gross Charge
$4,928
Medicare Rate
$172
Insurance Negotiated Rates
Umr - All Plans$73
CT Chest Low Dose
71271Cash Price
(No Insurance)
$104
Gross Charge
$149
Medicare Rate
$128
Insurance Negotiated Rates
Blue Cross Blue Shield$15
Cash Price
(No Insurance)
$2,599
Gross Charge
$3,712
Medicare Rate
$156
Insurance Negotiated Rates
Blue Cross Blue Shield$52
ER Visit Level 3
99283Cash Price
(No Insurance)
$677
Gross Charge
$967
Medicare Rate
$69
Insurance Negotiated Rates
Umr - All Plans$50
ER Visit Level 4
99284Cash Price
(No Insurance)
$846
Gross Charge
$1,209
Medicare Rate
$117
Insurance Negotiated Rates
Umr - All Plans$94
ER Visit Level 5
99285Cash Price
(No Insurance)
$89
Gross Charge
$128
Medicare Rate
$170
Insurance Negotiated Rates
Blue Cross Blue Shield$38
Cash Price
(No Insurance)
$429
Gross Charge
$612
Medicare Rate
$48
Insurance Negotiated Rates
Blue Cross Blue Shield$181
Hemoglobin A1C
83036Cash Price
(No Insurance)
$125
Gross Charge
$178
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)
$213
Gross Charge
$305
Medicare Rate
$32
Insurance Negotiated Rates
Umr - All Plans$7
Cash Price
(No Insurance)
$3,994
Gross Charge
$5,706
Medicare Rate
$615
Insurance Negotiated Rates
Umr - All Plans$533
Lipid Panel
80061Cash Price
(No Insurance)
$160
Gross Charge
$229
Insurance Negotiated Rates
Blue Cross Blue Shield$13
Mammogram Diagnostic
77066Cash Price
(No Insurance)
$450
Gross Charge
$643
Medicare Rate
$146
Insurance Negotiated Rates
UnitedHealthcare$41
Mammogram Screening
77067Cash Price
(No Insurance)
$190
Gross Charge
$271
Medicare Rate
$118
Insurance Negotiated Rates
UnitedHealthcare$31
MRI Brain
70551Cash Price
(No Insurance)
$4,044
Gross Charge
$5,777
Medicare Rate
$183
Insurance Negotiated Rates
Caresource Mcaid Hhw$119
Cash Price
(No Insurance)
$5,279
Gross Charge
$7,542
Medicare Rate
$296
Insurance Negotiated Rates
Umr - All Plans$99
MRI Cervical Spine
72141Cash Price
(No Insurance)
$4,044
Gross Charge
$5,777
Medicare Rate
$179
Insurance Negotiated Rates
Mdwise Mcaid Hcc$65
MRI Knee
73721Cash Price
(No Insurance)
$5,174
Gross Charge
$7,391
Medicare Rate
$191
Insurance Negotiated Rates
Umr - All Plans$56
MRI Lumbar Spine
72148Cash Price
(No Insurance)
$4,044
Gross Charge
$5,777
Medicare Rate
$180
Insurance Negotiated Rates
Umr - All Plans$62
MRI Shoulder
73221Cash Price
(No Insurance)
$4,044
Gross Charge
$5,777
Medicare Rate
$191
Insurance Negotiated Rates
Umr - All Plans$56
Office Visit Level 3
99213Cash Price
(No Insurance)
$227
Gross Charge
$325
Medicare Rate
$91
Insurance Negotiated Rates
Humana$34
Office Visit Level 4
99214Cash Price
(No Insurance)
$335
Gross Charge
$479
Medicare Rate
$130
Insurance Negotiated Rates
Humana$57
Shoulder X-Ray
73030Cash Price
(No Insurance)
$565
Gross Charge
$808
Medicare Rate
$33
Insurance Negotiated Rates
UnitedHealthcare$8
TSH (Thyroid)
84443Cash Price
(No Insurance)
$151
Gross Charge
$216
Insurance Negotiated Rates
Blue Cross Blue Shield$17
Ultrasound Abdomen
76700Cash Price
(No Insurance)
$1,360
Gross Charge
$1,944
Medicare Rate
$107
Insurance Negotiated Rates
UnitedHealthcare$34
Ultrasound Pelvis
76856Cash Price
(No Insurance)
$917
Gross Charge
$1,310
Medicare Rate
$98
Insurance Negotiated Rates
UnitedHealthcare$29
Cash Price
(No Insurance)
$927
Gross Charge
$1,325
Medicare Rate
$109
Insurance Negotiated Rates
UnitedHealthcare$28
Cash Price
(No Insurance)
$292
Gross Charge
$417
Medicare Rate
$301
Insurance Negotiated Rates
Caresource Mcaid Hip$104
Cash Price
(No Insurance)
$372
Gross Charge
$531
Medicare Rate
$390
Insurance Negotiated Rates
Caresource Mcaid Hip$116
Urinalysis
81001Cash Price
(No Insurance)
$71
Gross Charge
$102
Insurance Negotiated Rates
Blue Cross Blue Shield$3