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Quincy Valley Hospital

Quincy, WA · CMS ID: 501320

This hospital has pricing data for 28 procedures ranging from $43 to $786.

Procedures (28)

Chest X-Ray 1 View

71045
Cash Price
(No Insurance)
$58
Gross Charge
$58
Insurance Negotiated Rates
Coordinated Care-All Plans$8

Chest X-Ray 2 Views

71046
Cash Price
(No Insurance)
$76
Gross Charge
$76
Insurance Negotiated Rates
Coordinated Care-All Plans$10

Complete Blood Count (CBC)

85025
Cash Price
(No Insurance)
$100
Gross Charge
$100
Insurance Negotiated Rates
Medicaid$53

Comprehensive Metabolic Panel

80053
Cash Price
(No Insurance)
$228
Gross Charge
$228
Insurance Negotiated Rates
Medicaid$12

CT Abdomen/Pelvis with Contrast

74177
Cash Price
(No Insurance)
$468
Gross Charge
$468
Insurance Negotiated Rates
Coordinated Care-All Plans$85

CT Abdomen/Pelvis without Contrast

74176
Cash Price
(No Insurance)
$468
Gross Charge
$468
Insurance Negotiated Rates
Coordinated Care-All Plans$81

CT Chest with Contrast

71260
Cash Price
(No Insurance)
$421
Gross Charge
$421
Insurance Negotiated Rates
Coordinated Care-All Plans$54

ER Visit Level 3

99283
Cash Price
(No Insurance)
$276
Gross Charge
$276
Insurance Negotiated Rates
Coordinated Care-All Plans$69

ER Visit Level 4

99284
Cash Price
(No Insurance)
$413
Gross Charge
$413
Insurance Negotiated Rates
Coordinated Care-All Plans$117

ER Visit Level 5

99285
Cash Price
(No Insurance)
$786
Gross Charge
$786
Insurance Negotiated Rates
Coordinated Care-All Plans$170

Fetal Non-Stress Test

59025
Cash Price
(No Insurance)
$182
Gross Charge
$182
Insurance Negotiated Rates
Medicaid$96

Hemoglobin A1C

83036
Cash Price
(No Insurance)
$64
Gross Charge
$64
Insurance Negotiated Rates
Medicaid$34

Knee X-Ray

73560
Cash Price
(No Insurance)
$58
Gross Charge
$58
Insurance Negotiated Rates
Coordinated Care-All Plans$8

Lipid Panel

80061
Cash Price
(No Insurance)
$112
Gross Charge
$112
Insurance Negotiated Rates
Medicaid$8

MRI Brain

70551
Cash Price
(No Insurance)
$551
Gross Charge
$551
Insurance Negotiated Rates
Coordinated Care-All Plans$69

MRI Brain with Contrast

70553
Cash Price
(No Insurance)
$507
Gross Charge
$507
Insurance Negotiated Rates
Coordinated Care-All Plans$107

MRI Cervical Spine

72141
Cash Price
(No Insurance)
$364
Gross Charge
$364
Insurance Negotiated Rates
Medicare$69

MRI Knee

73721
Cash Price
(No Insurance)
$499
Gross Charge
$499
Insurance Negotiated Rates
Coordinated Care-All Plans$64

MRI Lumbar Spine

72148
Cash Price
(No Insurance)
$499
Gross Charge
$499
Insurance Negotiated Rates
Medicare$69

MRI Shoulder

73221
Cash Price
(No Insurance)
$493
Gross Charge
$493
Insurance Negotiated Rates
Coordinated Care-All Plans$64

Office Visit Level 3

99213
Cash Price
(No Insurance)
$147
Gross Charge
$147
Insurance Negotiated Rates
Medicaid$78

Office Visit Level 4

99214
Cash Price
(No Insurance)
$258
Gross Charge
$258
Insurance Negotiated Rates
Medicaid$137

Shoulder X-Ray

73030
Cash Price
(No Insurance)
$58
Gross Charge
$58
Insurance Negotiated Rates
Coordinated Care-All Plans$9

TSH (Thyroid)

84443
Cash Price
(No Insurance)
$467
Gross Charge
$467
Insurance Negotiated Rates
Medicaid$62

Ultrasound Abdomen

76700
Cash Price
(No Insurance)
$542
Gross Charge
$542
Insurance Negotiated Rates
Coordinated Care-All Plans$38

Ultrasound Pelvis

76856
Cash Price
(No Insurance)
$429
Gross Charge
$429
Insurance Negotiated Rates
Coordinated Care-All Plans$33

Ultrasound Transvaginal

76830
Cash Price
(No Insurance)
$495
Gross Charge
$495
Insurance Negotiated Rates
Coordinated Care-All Plans$33

Urinalysis

81001
Cash Price
(No Insurance)
$43
Gross Charge
$43
Insurance Negotiated Rates
Medicaid$23