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Grant Regional Health Center
Lancaster, WI · CMS ID: 521322
This hospital has pricing data for 40 procedures ranging from $12 to $6,663.
Procedures (40)
C-Section Delivery
59510Cash Price
(No Insurance)
$6,663
Gross Charge
$10,251
Medicare Rate
$2,419
Insurance Negotiated Rates
Dean Health Plan - All Plans$72
Chest X-Ray 1 View
71045Cash Price
(No Insurance)
$216
Gross Charge
$332
Medicare Rate
$24
Insurance Negotiated Rates
Quartz Health Solution - All Other Plans$50
Chest X-Ray 2 Views
71046Cash Price
(No Insurance)
$296
Gross Charge
$456
Medicare Rate
$31
Insurance Negotiated Rates
Quartz Health Solution - All Other Plans$76
Cash Price
(No Insurance)
$382
Gross Charge
$587
Medicare Rate
$356
Insurance Negotiated Rates
Dean Health Plan - All Plans$72
Cash Price
(No Insurance)
$415
Gross Charge
$639
Medicare Rate
$450
Insurance Negotiated Rates
Dean Health Plan - All Plans$72
Cash Price
(No Insurance)
$527
Gross Charge
$810
Medicare Rate
$471
Insurance Negotiated Rates
Dean Health Plan - All Plans$72
Cash Price
(No Insurance)
$23
Gross Charge
$35
Insurance Negotiated Rates
Dean Health Plan - All Plans$3
Cash Price
(No Insurance)
$51
Gross Charge
$79
Insurance Negotiated Rates
Dean Health Plan - All Plans$8
Cash Price
(No Insurance)
$3,465
Gross Charge
$5,330
Medicare Rate
$280
Insurance Negotiated Rates
Americhoice Mcaid - All Plans$587
Cash Price
(No Insurance)
$2,655
Gross Charge
$4,085
Medicare Rate
$172
Insurance Negotiated Rates
Quartz Health Solution - All Other Plans$409
CT Chest Low Dose
71271Cash Price
(No Insurance)
$304
Gross Charge
$468
Medicare Rate
$128
Insurance Negotiated Rates
Americhoice Mcaid - All Plans$191
Cash Price
(No Insurance)
$1,808
Gross Charge
$2,781
Medicare Rate
$156
Insurance Negotiated Rates
Americhoice Mcaid - All Plans$587
ER Visit Level 3
99283Cash Price
(No Insurance)
$12
Gross Charge
$18
Medicare Rate
$69
Insurance Negotiated Rates
Quartz Mcr Adv$8
ER Visit Level 4
99284Cash Price
(No Insurance)
$12
Gross Charge
$19
Medicare Rate
$117
Insurance Negotiated Rates
Quartz Mcr Adv$8
ER Visit Level 5
99285Cash Price
(No Insurance)
$12
Gross Charge
$19
Medicare Rate
$170
Insurance Negotiated Rates
Quartz Mcr Adv$8
Cash Price
(No Insurance)
$137
Gross Charge
$211
Medicare Rate
$48
Insurance Negotiated Rates
Quartz Mcr Adv$26
Hemoglobin A1C
83036Cash Price
(No Insurance)
$41
Gross Charge
$63
Insurance Negotiated Rates
Dean Health Plan - All Plans$6
Knee Arthroscopy
29881Cash Price
(No Insurance)
$2,633
Gross Charge
$4,050
Medicare Rate
$495
Insurance Negotiated Rates
Dean Health Plan - All Plans$72
Knee X-Ray
73560Cash Price
(No Insurance)
$237
Gross Charge
$365
Medicare Rate
$32
Insurance Negotiated Rates
Americhoice Mcaid - All Plans$101
Cash Price
(No Insurance)
$1,682
Gross Charge
$2,588
Medicare Rate
$615
Insurance Negotiated Rates
Dean Health Plan - All Plans$72
Lipid Panel
80061Cash Price
(No Insurance)
$25
Gross Charge
$38
Insurance Negotiated Rates
Dean Health Plan - All Plans$5
Mammogram Diagnostic
77066Cash Price
(No Insurance)
$30
Gross Charge
$46
Medicare Rate
$146
Insurance Negotiated Rates
Medical Associates - All Plans$34
Mammogram Screening
77067Cash Price
(No Insurance)
$170
Gross Charge
$262
Medicare Rate
$118
Insurance Negotiated Rates
Americhoice Mcaid - All Plans$83
MRI Brain
70551Cash Price
(No Insurance)
$2,599
Gross Charge
$3,999
Medicare Rate
$183
Insurance Negotiated Rates
Americhoice Mcaid - All Plans$434
Cash Price
(No Insurance)
$2,840
Gross Charge
$4,369
Medicare Rate
$296
Insurance Negotiated Rates
Americhoice Mcaid - All Plans$722
MRI Cervical Spine
72141Cash Price
(No Insurance)
$2,724
Gross Charge
$4,190
Medicare Rate
$179
Insurance Negotiated Rates
Americhoice Mcaid - All Plans$434
MRI Knee
73721Cash Price
(No Insurance)
$2,445
Gross Charge
$3,761
Medicare Rate
$191
Insurance Negotiated Rates
Americhoice Mcaid - All Plans$434
MRI Lumbar Spine
72148Cash Price
(No Insurance)
$2,513
Gross Charge
$3,866
Medicare Rate
$180
Insurance Negotiated Rates
Americhoice Mcaid - All Plans$434
MRI Shoulder
73221Cash Price
(No Insurance)
$1,966
Gross Charge
$3,025
Medicare Rate
$191
Insurance Negotiated Rates
Americhoice Mcaid - All Plans$434
Office Visit Level 3
99213Cash Price
(No Insurance)
$122
Gross Charge
$188
Medicare Rate
$91
Insurance Negotiated Rates
UnitedHealthcare$83
Office Visit Level 4
99214Cash Price
(No Insurance)
$172
Gross Charge
$265
Medicare Rate
$130
Insurance Negotiated Rates
Medical Associates - All Plans$95
Shoulder X-Ray
73030Cash Price
(No Insurance)
$322
Gross Charge
$496
Medicare Rate
$33
Insurance Negotiated Rates
Americhoice Mcaid - All Plans$101
TSH (Thyroid)
84443Cash Price
(No Insurance)
$25
Gross Charge
$38
Insurance Negotiated Rates
Dean Health Plan - All Plans$6
Ultrasound Abdomen
76700Cash Price
(No Insurance)
$829
Gross Charge
$1,276
Medicare Rate
$107
Insurance Negotiated Rates
Americhoice Mcaid - All Plans$299
Ultrasound Pelvis
76856Cash Price
(No Insurance)
$773
Gross Charge
$1,189
Medicare Rate
$98
Insurance Negotiated Rates
Americhoice Mcaid - All Plans$299
Cash Price
(No Insurance)
$384
Gross Charge
$591
Medicare Rate
$109
Insurance Negotiated Rates
Americhoice Mcaid - All Plans$198
Cash Price
(No Insurance)
$264
Gross Charge
$406
Medicare Rate
$301
Insurance Negotiated Rates
Dean Health Plan - All Plans$72
Cash Price
(No Insurance)
$372
Gross Charge
$573
Medicare Rate
$390
Insurance Negotiated Rates
Dean Health Plan - All Plans$72
Urinalysis
81001Cash Price
(No Insurance)
$250
Gross Charge
$384
Insurance Negotiated Rates
Dean Health Plan - All Plans$1
Vaginal Delivery
59400Cash Price
(No Insurance)
$3,904
Gross Charge
$6,006
Medicare Rate
$2,163
Insurance Negotiated Rates
Dean Health Plan - All Plans$72