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Major Hospital
Shelbyville, IN · CMS ID: 150097
This hospital has pricing data for 31 procedures ranging from $12 to $1,146.
Procedures (31)
Chest X-Ray 1 View
71045Cash Price
(No Insurance)
$127
Gross Charge
$397
Medicare Rate
$24
Insurance Negotiated Rates
Blue Cross Blue Shield$62
Chest X-Ray 2 Views
71046Cash Price
(No Insurance)
$12
Gross Charge
$37
Medicare Rate
$31
Insurance Negotiated Rates
Blue Cross Blue Shield$18
Cash Price
(No Insurance)
$36
Gross Charge
$113
Insurance Negotiated Rates
Blue Cross Blue Shield$8
Cash Price
(No Insurance)
$74
Gross Charge
$230
Insurance Negotiated Rates
Blue Cross Blue Shield$11
Cash Price
(No Insurance)
$1,118
Gross Charge
$3,494
Medicare Rate
$280
Insurance Negotiated Rates
Blue Cross Blue Shield$162
Cash Price
(No Insurance)
$887
Gross Charge
$2,773
Medicare Rate
$172
Insurance Negotiated Rates
Blue Cross Blue Shield$90
CT Chest Low Dose
71271Cash Price
(No Insurance)
$89
Gross Charge
$278
Medicare Rate
$128
Insurance Negotiated Rates
Blue Cross Blue Shield$81
Cash Price
(No Insurance)
$668
Gross Charge
$2,087
Medicare Rate
$156
Insurance Negotiated Rates
Blue Cross Blue Shield$123
ER Visit Level 3
99283Cash Price
(No Insurance)
$556
Gross Charge
$1,736
Medicare Rate
$69
Insurance Negotiated Rates
Caresource Mrktplce -All Plans$549
ER Visit Level 4
99284Cash Price
(No Insurance)
$1,056
Gross Charge
$3,300
Medicare Rate
$117
Insurance Negotiated Rates
Caresource Mrktplce -All Plans$839
ER Visit Level 5
99285Cash Price
(No Insurance)
$1,146
Gross Charge
$3,582
Medicare Rate
$170
Insurance Negotiated Rates
Blue Cross Blue Shield$98
Cash Price
(No Insurance)
$286
Gross Charge
$894
Medicare Rate
$48
Insurance Negotiated Rates
Caresource Mrktplce -All Plans$406
Hemoglobin A1C
83036Cash Price
(No Insurance)
$78
Gross Charge
$243
Insurance Negotiated Rates
Blue Cross Blue Shield$10
Knee X-Ray
73560Cash Price
(No Insurance)
$240
Gross Charge
$750
Medicare Rate
$32
Insurance Negotiated Rates
Blue Cross Blue Shield$15
Lipid Panel
80061Cash Price
(No Insurance)
$49
Gross Charge
$153
Insurance Negotiated Rates
Blue Cross Blue Shield$13
Mammogram Diagnostic
77066Cash Price
(No Insurance)
$215
Gross Charge
$671
Medicare Rate
$146
Insurance Negotiated Rates
Blue Cross Blue Shield$84
Mammogram Screening
77067Cash Price
(No Insurance)
$125
Gross Charge
$390
Medicare Rate
$118
Insurance Negotiated Rates
Blue Cross Blue Shield$69
MRI Brain
70551Cash Price
(No Insurance)
$869
Gross Charge
$2,715
Medicare Rate
$183
Insurance Negotiated Rates
Blue Cross Blue Shield$119
Cash Price
(No Insurance)
$1,047
Gross Charge
$3,271
Medicare Rate
$296
Insurance Negotiated Rates
Blue Cross Blue Shield$194
MRI Cervical Spine
72141Cash Price
(No Insurance)
$885
Gross Charge
$2,765
Medicare Rate
$179
Insurance Negotiated Rates
Blue Cross Blue Shield$117
MRI Knee
73721Cash Price
(No Insurance)
$923
Gross Charge
$2,885
Medicare Rate
$191
Insurance Negotiated Rates
Blue Cross Blue Shield$129
MRI Lumbar Spine
72148Cash Price
(No Insurance)
$908
Gross Charge
$2,838
Medicare Rate
$180
Insurance Negotiated Rates
Blue Cross Blue Shield$117
MRI Shoulder
73221Cash Price
(No Insurance)
$923
Gross Charge
$2,884
Medicare Rate
$191
Insurance Negotiated Rates
Blue Cross Blue Shield$129
Office Visit Level 3
99213Cash Price
(No Insurance)
$87
Gross Charge
$272
Medicare Rate
$91
Insurance Negotiated Rates
Blue Cross Blue Shield$134
Office Visit Level 4
99214Cash Price
(No Insurance)
$102
Gross Charge
$319
Medicare Rate
$130
Insurance Negotiated Rates
Blue Cross Blue Shield$157
Shoulder X-Ray
73030Cash Price
(No Insurance)
$265
Gross Charge
$827
Medicare Rate
$33
Insurance Negotiated Rates
Blue Cross Blue Shield$15
TSH (Thyroid)
84443Cash Price
(No Insurance)
$65
Gross Charge
$202
Insurance Negotiated Rates
Blue Cross Blue Shield$17
Ultrasound Abdomen
76700Cash Price
(No Insurance)
$403
Gross Charge
$1,260
Medicare Rate
$107
Insurance Negotiated Rates
Blue Cross Blue Shield$70
Ultrasound Pelvis
76856Cash Price
(No Insurance)
$313
Gross Charge
$977
Medicare Rate
$98
Insurance Negotiated Rates
Blue Cross Blue Shield$63
Cash Price
(No Insurance)
$263
Gross Charge
$821
Medicare Rate
$109
Insurance Negotiated Rates
Blue Cross Blue Shield$64
Urinalysis
81001Cash Price
(No Insurance)
$25
Gross Charge
$79
Insurance Negotiated Rates
UnitedHealthcare$3