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Carilion Franklin Memorial Hospital
Rocky Mount, VA · CMS ID: 490089
This hospital has pricing data for 38 procedures ranging from $36 to $17,231.
Procedures (38)
Cataract Surgery
66984Cash Price
(No Insurance)
$9,297
Gross Charge
$15,495
Medicare Rate
$445
Insurance Negotiated Rates
Gateway - Tier 3$7,748
Chest X-Ray 1 View
71045Cash Price
(No Insurance)
$127
Gross Charge
$212
Medicare Rate
$24
Insurance Negotiated Rates
Medicaid$21
Chest X-Ray 2 Views
71046Cash Price
(No Insurance)
$199
Gross Charge
$331
Medicare Rate
$31
Insurance Negotiated Rates
Medicaid$28
Cash Price
(No Insurance)
$1,258
Gross Charge
$2,097
Medicare Rate
$356
Insurance Negotiated Rates
Medicaid$290
Cash Price
(No Insurance)
$1,363
Gross Charge
$2,272
Medicare Rate
$450
Insurance Negotiated Rates
Medicaid$375
Cash Price
(No Insurance)
$1,722
Gross Charge
$2,870
Medicare Rate
$471
Insurance Negotiated Rates
Medicaid$388
Cash Price
(No Insurance)
$88
Gross Charge
$146
Insurance Negotiated Rates
Medicaid$8
Cash Price
(No Insurance)
$431
Gross Charge
$719
Insurance Negotiated Rates
Medicaid$11
Cash Price
(No Insurance)
$2,312
Gross Charge
$3,854
Medicare Rate
$280
Insurance Negotiated Rates
Medicaid$276
Cash Price
(No Insurance)
$1,969
Gross Charge
$3,281
Medicare Rate
$172
Insurance Negotiated Rates
Medicaid$163
CT Chest Low Dose
71271Cash Price
(No Insurance)
$263
Gross Charge
$438
Medicare Rate
$128
Insurance Negotiated Rates
Humana$79
Cash Price
(No Insurance)
$986
Gross Charge
$1,643
Medicare Rate
$156
Insurance Negotiated Rates
Medicaid$150
ER Visit Level 3
99283Cash Price
(No Insurance)
$792
Gross Charge
$1,320
Medicare Rate
$69
Insurance Negotiated Rates
Medicaid$49
ER Visit Level 4
99284Cash Price
(No Insurance)
$1,129
Gross Charge
$1,881
Medicare Rate
$117
Insurance Negotiated Rates
Medicaid$82
ER Visit Level 5
99285Cash Price
(No Insurance)
$1,989
Gross Charge
$3,315
Medicare Rate
$170
Insurance Negotiated Rates
Medicaid$120
Cash Price
(No Insurance)
$561
Gross Charge
$935
Medicare Rate
$48
Insurance Negotiated Rates
Medicaid$41
Knee Arthroscopy
29881Cash Price
(No Insurance)
$11,576
Gross Charge
$19,293
Medicare Rate
$495
Insurance Negotiated Rates
Gateway - Tier 3$9,647
Knee X-Ray
73560Cash Price
(No Insurance)
$148
Gross Charge
$246
Medicare Rate
$32
Insurance Negotiated Rates
Medicaid$28
Cash Price
(No Insurance)
$17,231
Gross Charge
$28,718
Medicare Rate
$615
Insurance Negotiated Rates
Gateway - Tier 3$14,359
Mammogram Screening
77067Cash Price
(No Insurance)
$329
Gross Charge
$548
Medicare Rate
$118
Insurance Negotiated Rates
Medicaid$110
MRI Brain
70551Cash Price
(No Insurance)
$1,700
Gross Charge
$2,834
Medicare Rate
$183
Insurance Negotiated Rates
Medicaid$179
Cash Price
(No Insurance)
$3,939
Gross Charge
$6,565
Medicare Rate
$296
Insurance Negotiated Rates
Medicaid$295
MRI Cervical Spine
72141Cash Price
(No Insurance)
$2,477
Gross Charge
$4,128
Medicare Rate
$179
Insurance Negotiated Rates
Medicaid$175
MRI Knee
73721Cash Price
(No Insurance)
$2,313
Gross Charge
$3,855
Medicare Rate
$191
Insurance Negotiated Rates
Medicaid$185
MRI Lumbar Spine
72148Cash Price
(No Insurance)
$1,712
Gross Charge
$2,853
Medicare Rate
$180
Insurance Negotiated Rates
Medicaid$175
MRI Shoulder
73221Cash Price
(No Insurance)
$2,248
Gross Charge
$3,747
Medicare Rate
$191
Insurance Negotiated Rates
Medicaid$186
Office Visit Level 3
99213Cash Price
(No Insurance)
$109
Gross Charge
$182
Medicare Rate
$91
Insurance Negotiated Rates
Medicaid$62
Office Visit Level 4
99214Cash Price
(No Insurance)
$133
Gross Charge
$221
Medicare Rate
$130
Insurance Negotiated Rates
Medicaid$88
Shoulder X-Ray
73030Cash Price
(No Insurance)
$179
Gross Charge
$298
Medicare Rate
$33
Insurance Negotiated Rates
Medicaid$28
Ultrasound Abdomen
76700Cash Price
(No Insurance)
$504
Gross Charge
$840
Medicare Rate
$107
Insurance Negotiated Rates
Medicaid$101
Ultrasound Pelvis
76856Cash Price
(No Insurance)
$716
Gross Charge
$1,193
Medicare Rate
$98
Insurance Negotiated Rates
Medicaid$92
Cash Price
(No Insurance)
$664
Gross Charge
$1,106
Medicare Rate
$109
Insurance Negotiated Rates
Medicaid$104
Cash Price
(No Insurance)
$1,010
Gross Charge
$1,684
Medicare Rate
$301
Insurance Negotiated Rates
Medicaid$253
Cash Price
(No Insurance)
$1,138
Gross Charge
$1,896
Medicare Rate
$390
Insurance Negotiated Rates
Medicaid$326