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Woodlawn Hospital

Rochester, IN · CMS ID: 151313

This hospital has pricing data for 42 procedures ranging from $24 to $6,302.

Procedures (42)

C-Section Delivery

59510
Cash Price
(No Insurance)
$4,338
Gross Charge
$5,784
Insurance Negotiated Rates
Humana$2,108

Chest X-Ray 1 View

71045
Cash Price
(No Insurance)
$266
Gross Charge
$355
Insurance Negotiated Rates
Mdwise Excel Hhw & Hcc$62

Chest X-Ray 2 Views

71046
Cash Price
(No Insurance)
$341
Gross Charge
$455
Insurance Negotiated Rates
Blue Cross Blue Shield$62

Colonoscopy Diagnostic

45378
Cash Price
(No Insurance)
$1,088
Gross Charge
$1,450
Insurance Negotiated Rates
Humana$149

Colonoscopy with Biopsy

45380
Cash Price
(No Insurance)
$1,163
Gross Charge
$1,551
Insurance Negotiated Rates
Humana$162

Colonoscopy with Polyp Removal

45385
Cash Price
(No Insurance)
$1,397
Gross Charge
$1,862
Insurance Negotiated Rates
Humana$205

Complete Blood Count (CBC)

85025
Cash Price
(No Insurance)
$92
Gross Charge
$122
Insurance Negotiated Rates
Blue Cross Blue Shield$4

Comprehensive Metabolic Panel

80053
Cash Price
(No Insurance)
$320
Gross Charge
$426
Insurance Negotiated Rates
Blue Cross Blue Shield$6

CT Abdomen/Pelvis with Contrast

74177
Cash Price
(No Insurance)
$3,554
Gross Charge
$4,738
Insurance Negotiated Rates
Blue Cross Blue Shield$162

CT Abdomen/Pelvis without Contrast

74176
Cash Price
(No Insurance)
$2,807
Gross Charge
$3,742
Insurance Negotiated Rates
Blue Cross Blue Shield$90

CT Chest Low Dose

71271
Cash Price
(No Insurance)
$1,010
Gross Charge
$1,347
Insurance Negotiated Rates
Blue Cross Blue Shield$81

CT Chest with Contrast

71260
Cash Price
(No Insurance)
$2,021
Gross Charge
$2,695
Insurance Negotiated Rates
Blue Cross Blue Shield$123

ER Visit Level 3

99283
Cash Price
(No Insurance)
$173
Gross Charge
$230
Insurance Negotiated Rates
Mdwise Excel Hhw & Hcc$30

ER Visit Level 4

99284
Cash Price
(No Insurance)
$213
Gross Charge
$284
Insurance Negotiated Rates
Mdwise Excel Hhw & Hcc$30

ER Visit Level 5

99285
Cash Price
(No Insurance)
$1,049
Gross Charge
$1,398
Insurance Negotiated Rates
Mdwise Excel Hhw & Hcc$30

Fetal Non-Stress Test

59025
Cash Price
(No Insurance)
$109
Gross Charge
$145
Insurance Negotiated Rates
Humana$23

Hemoglobin A1C

83036
Cash Price
(No Insurance)
$56
Gross Charge
$74
Insurance Negotiated Rates
Blue Cross Blue Shield$7

Hip Replacement

27130
Cash Price
(No Insurance)
$5,882
Gross Charge
$7,842
Insurance Negotiated Rates
Mhs Mcaid Hcc$976

Knee Arthroscopy

29881
Cash Price
(No Insurance)
$2,584
Gross Charge
$3,445
Insurance Negotiated Rates
Mhs Mcaid Hcc$387

Knee Replacement

27447
Cash Price
(No Insurance)
$6,302
Gross Charge
$8,403
Insurance Negotiated Rates
Mdwise Excel Hhw & Hcc$975

Knee X-Ray

73560
Cash Price
(No Insurance)
$430
Gross Charge
$573
Insurance Negotiated Rates
Blue Cross Blue Shield$15

Laparoscopic Cholecystectomy

47562
Cash Price
(No Insurance)
$1,434
Gross Charge
$1,912
Insurance Negotiated Rates
Mhs Mcaid Hhw$468

Lipid Panel

80061
Cash Price
(No Insurance)
$101
Gross Charge
$134
Insurance Negotiated Rates
Blue Cross Blue Shield$6

Mammogram Diagnostic

77066
Cash Price
(No Insurance)
$459
Gross Charge
$612
Insurance Negotiated Rates
Blue Cross Blue Shield$72

Mammogram Screening

77067
Cash Price
(No Insurance)
$251
Gross Charge
$334
Insurance Negotiated Rates
Blue Cross Blue Shield$69

MRI Brain

70551
Cash Price
(No Insurance)
$2,641
Gross Charge
$3,521
Insurance Negotiated Rates
Mdwise Excel Hhw & Hcc$119

MRI Brain with Contrast

70553
Cash Price
(No Insurance)
$3,619
Gross Charge
$4,825
Insurance Negotiated Rates
Mdwise Excel Hhw & Hcc$194

MRI Cervical Spine

72141
Cash Price
(No Insurance)
$2,202
Gross Charge
$2,936
Insurance Negotiated Rates
Mdwise Excel Hhw & Hcc$117

MRI Knee

73721
Cash Price
(No Insurance)
$4,570
Gross Charge
$6,093
Insurance Negotiated Rates
Mdwise Excel Hhw & Hcc$129

MRI Lumbar Spine

72148
Cash Price
(No Insurance)
$2,058
Gross Charge
$2,744
Insurance Negotiated Rates
Blue Cross Blue Shield$117

MRI Shoulder

73221
Cash Price
(No Insurance)
$3,047
Gross Charge
$4,062
Insurance Negotiated Rates
Blue Cross Blue Shield$129

Office Visit Level 3

99213
Cash Price
(No Insurance)
$41
Gross Charge
$54
Insurance Negotiated Rates
UnitedHealthcare$19

Office Visit Level 4

99214
Cash Price
(No Insurance)
$84
Gross Charge
$112
Insurance Negotiated Rates
UnitedHealthcare$23

Shoulder X-Ray

73030
Cash Price
(No Insurance)
$513
Gross Charge
$684
Insurance Negotiated Rates
Blue Cross Blue Shield$15

TSH (Thyroid)

84443
Cash Price
(No Insurance)
$160
Gross Charge
$213
Insurance Negotiated Rates
Blue Cross Blue Shield$8

Ultrasound Abdomen

76700
Cash Price
(No Insurance)
$1,001
Gross Charge
$1,334
Insurance Negotiated Rates
Blue Cross Blue Shield$70

Ultrasound Pelvis

76856
Cash Price
(No Insurance)
$836
Gross Charge
$1,114
Insurance Negotiated Rates
Blue Cross Blue Shield$63

Ultrasound Transvaginal

76830
Cash Price
(No Insurance)
$644
Gross Charge
$859
Insurance Negotiated Rates
Mdwise Excel Hhw & Hcc$64

Upper Endoscopy Diagnostic

43235
Cash Price
(No Insurance)
$818
Gross Charge
$1,091
Insurance Negotiated Rates
Humana$99

Upper Endoscopy with Biopsy

43239
Cash Price
(No Insurance)
$885
Gross Charge
$1,180
Insurance Negotiated Rates
Humana$112

Urinalysis

81001
Cash Price
(No Insurance)
$24
Gross Charge
$32
Insurance Negotiated Rates
UnitedHealthcare$1

Vaginal Delivery

59400
Cash Price
(No Insurance)
$3,501
Gross Charge
$4,668
Insurance Negotiated Rates
UnitedHealthcare$1,804