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Sampson Regional Medical Center
Clinton, NC · CMS ID: 340024
This hospital has pricing data for 31 procedures ranging from $40 to $4,240.
Procedures (31)
Chest X-Ray 1 View
71045Cash Price
(No Insurance)
$213
Gross Charge
$304
Insurance Negotiated Rates
Wellcare Mcaid - All Plans$60
Chest X-Ray 2 Views
71046Cash Price
(No Insurance)
$244
Gross Charge
$349
Insurance Negotiated Rates
Healthy Blue Mcaid - All Plans$69
Cash Price
(No Insurance)
$96
Gross Charge
$137
Insurance Negotiated Rates
Blue Cross Blue Shield$8
Cash Price
(No Insurance)
$153
Gross Charge
$218
Insurance Negotiated Rates
Blue Cross Blue Shield$11
Cash Price
(No Insurance)
$4,240
Gross Charge
$6,057
Insurance Negotiated Rates
Blue Cross Blue Shield$333
Cash Price
(No Insurance)
$4,196
Gross Charge
$5,994
Insurance Negotiated Rates
Blue Cross Blue Shield$228
CT Chest Low Dose
71271Cash Price
(No Insurance)
$181
Gross Charge
$258
Insurance Negotiated Rates
Healthy Blue Mcaid - All Plans$51
Cash Price
(No Insurance)
$1,499
Gross Charge
$2,142
Insurance Negotiated Rates
Blue Cross Blue Shield$168
ER Visit Level 3
99283Cash Price
(No Insurance)
$372
Gross Charge
$531
Insurance Negotiated Rates
Wellcare Mcaid - All Plans$106
ER Visit Level 4
99284Cash Price
(No Insurance)
$591
Gross Charge
$844
Insurance Negotiated Rates
Healthy Blue Mcaid - All Plans$168
ER Visit Level 5
99285Cash Price
(No Insurance)
$804
Gross Charge
$1,148
Insurance Negotiated Rates
Healthy Blue Mcaid - All Plans$228
Cash Price
(No Insurance)
$421
Gross Charge
$601
Insurance Negotiated Rates
Healthy Blue Mcaid - All Plans$119
Hemoglobin A1C
83036Cash Price
(No Insurance)
$40
Gross Charge
$57
Insurance Negotiated Rates
Blue Cross Blue Shield$10
Knee X-Ray
73560Cash Price
(No Insurance)
$237
Gross Charge
$338
Insurance Negotiated Rates
Healthy Blue Mcaid - All Plans$67
Lipid Panel
80061Cash Price
(No Insurance)
$178
Gross Charge
$254
Insurance Negotiated Rates
Blue Cross Blue Shield$13
Mammogram Diagnostic
77066Cash Price
(No Insurance)
$296
Gross Charge
$423
Insurance Negotiated Rates
Healthy Blue Mcaid - All Plans$84
Mammogram Screening
77067Cash Price
(No Insurance)
$202
Gross Charge
$288
Insurance Negotiated Rates
Wellcare Mcaid - All Plans$57
MRI Brain
70551Cash Price
(No Insurance)
$2,615
Gross Charge
$3,735
Insurance Negotiated Rates
Blue Cross Blue Shield$228
Cash Price
(No Insurance)
$3,682
Gross Charge
$5,260
Insurance Negotiated Rates
Blue Cross Blue Shield$333
MRI Cervical Spine
72141Cash Price
(No Insurance)
$2,636
Gross Charge
$3,766
Insurance Negotiated Rates
Blue Cross Blue Shield$228
MRI Knee
73721Cash Price
(No Insurance)
$2,606
Gross Charge
$3,723
Insurance Negotiated Rates
Blue Cross Blue Shield$228
MRI Lumbar Spine
72148Cash Price
(No Insurance)
$2,663
Gross Charge
$3,804
Insurance Negotiated Rates
Blue Cross Blue Shield$228
MRI Shoulder
73221Cash Price
(No Insurance)
$2,645
Gross Charge
$3,779
Insurance Negotiated Rates
Blue Cross Blue Shield$228
Office Visit Level 3
99213Cash Price
(No Insurance)
$295
Gross Charge
$422
Insurance Negotiated Rates
Blue Cross Blue Shield$56
Office Visit Level 4
99214Cash Price
(No Insurance)
$390
Gross Charge
$557
Insurance Negotiated Rates
Blue Cross Blue Shield$82
Shoulder X-Ray
73030Cash Price
(No Insurance)
$321
Gross Charge
$458
Insurance Negotiated Rates
Blue Cross Blue Shield$83
TSH (Thyroid)
84443Cash Price
(No Insurance)
$171
Gross Charge
$244
Insurance Negotiated Rates
Blue Cross Blue Shield$17
Ultrasound Abdomen
76700Cash Price
(No Insurance)
$716
Gross Charge
$1,023
Insurance Negotiated Rates
Blue Cross Blue Shield$100
Ultrasound Pelvis
76856Cash Price
(No Insurance)
$669
Gross Charge
$955
Insurance Negotiated Rates
Blue Cross Blue Shield$100
Cash Price
(No Insurance)
$609
Gross Charge
$870
Insurance Negotiated Rates
Blue Cross Blue Shield$100
Urinalysis
81001Cash Price
(No Insurance)
$71
Gross Charge
$101
Insurance Negotiated Rates
Blue Cross Blue Shield$3