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Wiregrass Medical Center
Geneva, AL · CMS ID: 010062
This hospital has pricing data for 21 procedures ranging from $15 to $450.
Procedures (21)
Chest X-Ray 1 View
71045Cash Price
(No Insurance)
$112
Gross Charge
$149
Insurance Negotiated Rates
Humana$1
Chest X-Ray 2 Views
71046Cash Price
(No Insurance)
$234
Gross Charge
$311
Insurance Negotiated Rates
Humana$1
Cash Price
(No Insurance)
$45
Gross Charge
$60
Insurance Negotiated Rates
Humana$2
Cash Price
(No Insurance)
$15
Gross Charge
$20
Insurance Negotiated Rates
Humana$2
Cash Price
(No Insurance)
$375
Gross Charge
$500
Insurance Negotiated Rates
Humana$119
Cash Price
(No Insurance)
$375
Gross Charge
$500
Insurance Negotiated Rates
Humana$206
CT Chest Low Dose
71271Cash Price
(No Insurance)
$75
Gross Charge
$100
Insurance Negotiated Rates
Multiplan-All Plans$68
Cash Price
(No Insurance)
$450
Gross Charge
$600
Insurance Negotiated Rates
Humana$151
ER Visit Level 3
99283Cash Price
(No Insurance)
$225
Gross Charge
$300
Insurance Negotiated Rates
Humana$168
ER Visit Level 4
99284Cash Price
(No Insurance)
$300
Gross Charge
$400
Insurance Negotiated Rates
Humana$224
ER Visit Level 5
99285Cash Price
(No Insurance)
$450
Gross Charge
$600
Insurance Negotiated Rates
Humana$280
Mammogram Diagnostic
77066Cash Price
(No Insurance)
$150
Gross Charge
$200
Insurance Negotiated Rates
Humana$112
Mammogram Screening
77067Cash Price
(No Insurance)
$150
Gross Charge
$200
Insurance Negotiated Rates
Humana$112
Ultrasound Abdomen
76700Cash Price
(No Insurance)
$225
Gross Charge
$300
Insurance Negotiated Rates
Humana$90
Ultrasound Pelvis
76856Cash Price
(No Insurance)
$225
Gross Charge
$300
Insurance Negotiated Rates
Humana$90
Cash Price
(No Insurance)
$225
Gross Charge
$300
Insurance Negotiated Rates
Humana$90