|
Lake View Memorial Hospital
Two Harbors, MN · CMS ID: 241308
This hospital has pricing data for 36 procedures ranging from $70 to $8,377.
Procedures (36)
Cataract Surgery
66984Cash Price
(No Insurance)
$5,019
Gross Charge
$6,810
Medicare Rate
$445
Insurance Negotiated Rates
Aetna$6,810
Chest X-Ray 1 View
71045Cash Price
(No Insurance)
$198
Gross Charge
$268
Medicare Rate
$24
Insurance Negotiated Rates
Aetna$268
Chest X-Ray 2 Views
71046Cash Price
(No Insurance)
$225
Gross Charge
$305
Medicare Rate
$31
Insurance Negotiated Rates
Aetna$305
Cash Price
(No Insurance)
$3,074
Gross Charge
$4,172
Medicare Rate
$356
Insurance Negotiated Rates
Aetna$4,172
Cash Price
(No Insurance)
$3,724
Gross Charge
$5,053
Medicare Rate
$450
Insurance Negotiated Rates
Aetna$5,053
Cash Price
(No Insurance)
$3,738
Gross Charge
$5,072
Medicare Rate
$471
Insurance Negotiated Rates
Aetna$5,072
Cash Price
(No Insurance)
$95
Gross Charge
$129
Insurance Negotiated Rates
Aetna$129
Cash Price
(No Insurance)
$220
Gross Charge
$299
Insurance Negotiated Rates
Aetna$299
Cash Price
(No Insurance)
$2,340
Gross Charge
$3,175
Medicare Rate
$280
Insurance Negotiated Rates
Aetna$3,175
Cash Price
(No Insurance)
$1,971
Gross Charge
$2,675
Medicare Rate
$172
Insurance Negotiated Rates
Aetna$2,675
CT Chest Low Dose
71271Cash Price
(No Insurance)
$663
Gross Charge
$899
Medicare Rate
$128
Insurance Negotiated Rates
Aetna$899
Cash Price
(No Insurance)
$1,400
Gross Charge
$1,900
Medicare Rate
$156
Insurance Negotiated Rates
Aetna$1,900
ER Visit Level 3
99283Cash Price
(No Insurance)
$339
Gross Charge
$460
Medicare Rate
$69
Insurance Negotiated Rates
Aetna$460
ER Visit Level 4
99284Cash Price
(No Insurance)
$564
Gross Charge
$765
Medicare Rate
$117
Insurance Negotiated Rates
Aetna$765
ER Visit Level 5
99285Cash Price
(No Insurance)
$685
Gross Charge
$930
Medicare Rate
$170
Insurance Negotiated Rates
Aetna$930
Knee X-Ray
73560Cash Price
(No Insurance)
$240
Gross Charge
$325
Medicare Rate
$32
Insurance Negotiated Rates
Aetna$325
Cash Price
(No Insurance)
$8,377
Gross Charge
$11,367
Medicare Rate
$615
Insurance Negotiated Rates
Aetna$11,367
Mammogram Screening
77067Cash Price
(No Insurance)
$296
Gross Charge
$402
Medicare Rate
$118
Insurance Negotiated Rates
Aetna$402
MRI Brain
70551Cash Price
(No Insurance)
$1,860
Gross Charge
$2,524
Medicare Rate
$183
Insurance Negotiated Rates
Aetna$2,524
Cash Price
(No Insurance)
$2,506
Gross Charge
$3,400
Medicare Rate
$296
Insurance Negotiated Rates
Aetna$3,400
MRI Cervical Spine
72141Cash Price
(No Insurance)
$1,848
Gross Charge
$2,508
Medicare Rate
$179
Insurance Negotiated Rates
Aetna$2,508
MRI Knee
73721Cash Price
(No Insurance)
$1,769
Gross Charge
$2,400
Medicare Rate
$191
Insurance Negotiated Rates
Aetna$2,400
MRI Lumbar Spine
72148Cash Price
(No Insurance)
$1,859
Gross Charge
$2,523
Medicare Rate
$180
Insurance Negotiated Rates
Aetna$2,523
MRI Shoulder
73221Cash Price
(No Insurance)
$1,859
Gross Charge
$2,522
Medicare Rate
$191
Insurance Negotiated Rates
Aetna$2,522
Office Visit Level 3
99213Cash Price
(No Insurance)
$167
Gross Charge
$227
Medicare Rate
$91
Insurance Negotiated Rates
Aetna$227
Office Visit Level 4
99214Cash Price
(No Insurance)
$220
Gross Charge
$299
Medicare Rate
$130
Insurance Negotiated Rates
Aetna$299
Shoulder X-Ray
73030Cash Price
(No Insurance)
$228
Gross Charge
$309
Medicare Rate
$33
Insurance Negotiated Rates
Aetna$309
Ultrasound Abdomen
76700Cash Price
(No Insurance)
$534
Gross Charge
$725
Medicare Rate
$107
Insurance Negotiated Rates
Aetna$725
Ultrasound Pelvis
76856Cash Price
(No Insurance)
$424
Gross Charge
$575
Medicare Rate
$98
Insurance Negotiated Rates
Aetna$575
Cash Price
(No Insurance)
$420
Gross Charge
$570
Medicare Rate
$109
Insurance Negotiated Rates
Aetna$570
Cash Price
(No Insurance)
$2,525
Gross Charge
$3,426
Medicare Rate
$301
Insurance Negotiated Rates
Aetna$3,426
Cash Price
(No Insurance)
$3,269
Gross Charge
$4,436
Medicare Rate
$390
Insurance Negotiated Rates
Aetna$4,436