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St Anthony Regional Hospital & Nursing Home

Carroll, IA · CMS ID: 160005

This hospital has pricing data for 42 procedures ranging from $10 to $4,936.

Procedures (42)

C-Section Delivery

59510
Cash Price
(No Insurance)
$4,725
Gross Charge
$4,725
Insurance Negotiated Rates
Midlands Choice - All Plans$77

Chest X-Ray 1 View

71045
Cash Price
(No Insurance)
$259
Gross Charge
$259
Insurance Negotiated Rates
Va Ccn - All Plans$27

Chest X-Ray 2 Views

71046
Cash Price
(No Insurance)
$336
Gross Charge
$336
Insurance Negotiated Rates
Medica Mcr - All Plans$35

Colonoscopy Diagnostic

45378
Cash Price
(No Insurance)
$1,065
Gross Charge
$1,065
Insurance Negotiated Rates
Midlands Choice - All Plans$77

Colonoscopy with Biopsy

45380
Cash Price
(No Insurance)
$1,380
Gross Charge
$1,380
Insurance Negotiated Rates
Midlands Choice - All Plans$77

Colonoscopy with Polyp Removal

45385
Cash Price
(No Insurance)
$1,427
Gross Charge
$1,427
Insurance Negotiated Rates
Midlands Choice - All Plans$77

Complete Blood Count (CBC)

85025
Cash Price
(No Insurance)
$20
Gross Charge
$20
Insurance Negotiated Rates
Va Ccn - All Plans$1

Comprehensive Metabolic Panel

80053
Cash Price
(No Insurance)
$16
Gross Charge
$16
Insurance Negotiated Rates
UnitedHealthcare$3

CT Abdomen/Pelvis with Contrast

74177
Cash Price
(No Insurance)
$4,936
Gross Charge
$4,936
Insurance Negotiated Rates
Wellmark Hmo$1,042

CT Abdomen/Pelvis without Contrast

74176
Cash Price
(No Insurance)
$4,936
Gross Charge
$4,936
Insurance Negotiated Rates
Wellmark Hmo$1,042

CT Chest Low Dose

71271
Cash Price
(No Insurance)
$585
Gross Charge
$585
Insurance Negotiated Rates
Aetna$211

CT Chest with Contrast

71260
Cash Price
(No Insurance)
$2,617
Gross Charge
$2,617
Insurance Negotiated Rates
Wellmark Hmo$118

ER Visit Level 3

99283
Cash Price
(No Insurance)
$142
Gross Charge
$142
Insurance Negotiated Rates
Aetna$65

ER Visit Level 4

99284
Cash Price
(No Insurance)
$455
Gross Charge
$455
Insurance Negotiated Rates
Aetna$110

ER Visit Level 5

99285
Cash Price
(No Insurance)
$348
Gross Charge
$348
Insurance Negotiated Rates
Aetna$160

Fetal Non-Stress Test

59025
Cash Price
(No Insurance)
$113
Gross Charge
$113
Insurance Negotiated Rates
Humana$25

Hemoglobin A1C

83036
Cash Price
(No Insurance)
$15
Gross Charge
$15
Insurance Negotiated Rates
UnitedHealthcare$1

Hip Replacement

27130
Cash Price
(No Insurance)
$3,653
Gross Charge
$3,653
Insurance Negotiated Rates
Wellmark Hmo$7

Knee Arthroscopy

29881
Cash Price
(No Insurance)
$1,493
Gross Charge
$1,493
Insurance Negotiated Rates
Midlands Choice - All Plans$77

Knee Replacement

27447
Cash Price
(No Insurance)
$3,516
Gross Charge
$3,516
Insurance Negotiated Rates
Midlands Choice - All Plans$77

Knee X-Ray

73560
Cash Price
(No Insurance)
$100
Gross Charge
$100
Insurance Negotiated Rates
Wellpoint Mcr Adv$36

Laparoscopic Cholecystectomy

47562
Cash Price
(No Insurance)
$1,841
Gross Charge
$1,841
Insurance Negotiated Rates
Midlands Choice - All Plans$77

Lipid Panel

80061
Cash Price
(No Insurance)
$37
Gross Charge
$37
Insurance Negotiated Rates
UnitedHealthcare$3

Mammogram Diagnostic

77066
Cash Price
(No Insurance)
$548
Gross Charge
$548
Insurance Negotiated Rates
Aetna$197

Mammogram Screening

77067
Cash Price
(No Insurance)
$475
Gross Charge
$475
Insurance Negotiated Rates
Aetna$171

MRI Brain

70551
Cash Price
(No Insurance)
$3,691
Gross Charge
$3,691
Insurance Negotiated Rates
Wellmark Hmo$691

MRI Brain with Contrast

70553
Cash Price
(No Insurance)
$2,640
Gross Charge
$2,640
Insurance Negotiated Rates
Wellmark Hmo$691

MRI Cervical Spine

72141
Cash Price
(No Insurance)
$2,406
Gross Charge
$2,406
Insurance Negotiated Rates
Aetna$866

MRI Knee

73721
Cash Price
(No Insurance)
$2,354
Gross Charge
$2,354
Insurance Negotiated Rates
Aetna$847

MRI Lumbar Spine

72148
Cash Price
(No Insurance)
$2,295
Gross Charge
$2,295
Insurance Negotiated Rates
Aetna$826

MRI Shoulder

73221
Cash Price
(No Insurance)
$2,233
Gross Charge
$2,233
Insurance Negotiated Rates
Aetna$804

Office Visit Level 3

99213
Cash Price
(No Insurance)
$90
Gross Charge
$90
Insurance Negotiated Rates
UnitedHealthcare$26

Office Visit Level 4

99214
Cash Price
(No Insurance)
$122
Gross Charge
$122
Insurance Negotiated Rates
UnitedHealthcare$39

Shoulder X-Ray

73030
Cash Price
(No Insurance)
$99
Gross Charge
$99
Insurance Negotiated Rates
Aetna$36

TSH (Thyroid)

84443
Cash Price
(No Insurance)
$25
Gross Charge
$25
Insurance Negotiated Rates
Va Ccn - All Plans$4

Ultrasound Abdomen

76700
Cash Price
(No Insurance)
$345
Gross Charge
$345
Insurance Negotiated Rates
Aetna$124

Ultrasound Pelvis

76856
Cash Price
(No Insurance)
$312
Gross Charge
$312
Insurance Negotiated Rates
Aetna$112

Ultrasound Transvaginal

76830
Cash Price
(No Insurance)
$711
Gross Charge
$711
Insurance Negotiated Rates
Aetna$128

Upper Endoscopy Diagnostic

43235
Cash Price
(No Insurance)
$873
Gross Charge
$873
Insurance Negotiated Rates
Midlands Choice - All Plans$77

Upper Endoscopy with Biopsy

43239
Cash Price
(No Insurance)
$1,127
Gross Charge
$1,127
Insurance Negotiated Rates
Midlands Choice - All Plans$77

Urinalysis

81001
Cash Price
(No Insurance)
$10
Gross Charge
$10
Insurance Negotiated Rates
UnitedHealthcare$0

Vaginal Delivery

59400
Cash Price
(No Insurance)
$4,278
Gross Charge
$4,278
Insurance Negotiated Rates
Midlands Choice - All Plans$77