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Witham Health Services
Lebanon, IN · CMS ID: 150104
This hospital has pricing data for 43 procedures ranging from $35 to $4,985.
Procedures (43)
C-Section Delivery
59510Cash Price
(No Insurance)
$2,615
Gross Charge
$3,735
Medicare Rate
$2,419
Insurance Negotiated Rates
Blue Cross Blue Shield$201
Cataract Surgery
66984Cash Price
(No Insurance)
$103
Gross Charge
$147
Medicare Rate
$445
Insurance Negotiated Rates
Blue Cross Blue Shield$91
Chest X-Ray 1 View
71045Cash Price
(No Insurance)
$412
Gross Charge
$589
Medicare Rate
$24
Insurance Negotiated Rates
Blue Cross Blue Shield$62
Chest X-Ray 2 Views
71046Cash Price
(No Insurance)
$60
Gross Charge
$85
Medicare Rate
$31
Insurance Negotiated Rates
Blue Cross Blue Shield$53
Cash Price
(No Insurance)
$349
Gross Charge
$498
Medicare Rate
$356
Insurance Negotiated Rates
Blue Cross Blue Shield$309
Cash Price
(No Insurance)
$978
Gross Charge
$1,397
Medicare Rate
$450
Insurance Negotiated Rates
Blue Cross Blue Shield$866
Cash Price
(No Insurance)
$1,040
Gross Charge
$1,486
Medicare Rate
$471
Insurance Negotiated Rates
Blue Cross Blue Shield$921
Cash Price
(No Insurance)
$35
Gross Charge
$50
Insurance Negotiated Rates
Blue Cross Blue Shield$8
Cash Price
(No Insurance)
$65
Gross Charge
$93
Insurance Negotiated Rates
Blue Cross Blue Shield$11
Cash Price
(No Insurance)
$4,578
Gross Charge
$6,540
Medicare Rate
$280
Insurance Negotiated Rates
Blue Cross Blue Shield$162
Cash Price
(No Insurance)
$3,359
Gross Charge
$4,799
Medicare Rate
$172
Insurance Negotiated Rates
Blue Cross Blue Shield$90
CT Chest Low Dose
71271Cash Price
(No Insurance)
$225
Gross Charge
$321
Medicare Rate
$128
Insurance Negotiated Rates
Blue Cross Blue Shield$81
Cash Price
(No Insurance)
$2,178
Gross Charge
$3,111
Medicare Rate
$156
Insurance Negotiated Rates
Blue Cross Blue Shield$123
ER Visit Level 3
99283Cash Price
(No Insurance)
$130
Gross Charge
$186
Medicare Rate
$69
Insurance Negotiated Rates
Encore-All Plans$48
ER Visit Level 4
99284Cash Price
(No Insurance)
$216
Gross Charge
$309
Medicare Rate
$117
Insurance Negotiated Rates
Encore-All Plans$48
ER Visit Level 5
99285Cash Price
(No Insurance)
$264
Gross Charge
$377
Medicare Rate
$170
Insurance Negotiated Rates
Encore-All Plans$48
Cash Price
(No Insurance)
$76
Gross Charge
$109
Medicare Rate
$48
Insurance Negotiated Rates
Blue Cross Blue Shield$68
Hemoglobin A1C
83036Cash Price
(No Insurance)
$41
Gross Charge
$58
Insurance Negotiated Rates
Blue Cross Blue Shield$10
Hip Replacement
27130Cash Price
(No Insurance)
$1,371
Gross Charge
$1,959
Medicare Rate
$1,129
Insurance Negotiated Rates
Blue Cross Blue Shield$195
Knee Arthroscopy
29881Cash Price
(No Insurance)
$580
Gross Charge
$828
Medicare Rate
$495
Insurance Negotiated Rates
Blue Cross Blue Shield$82
Knee Replacement
27447Cash Price
(No Insurance)
$1,369
Gross Charge
$1,956
Medicare Rate
$1,127
Insurance Negotiated Rates
Blue Cross Blue Shield$195
Knee X-Ray
73560Cash Price
(No Insurance)
$232
Gross Charge
$331
Medicare Rate
$32
Insurance Negotiated Rates
Blue Cross Blue Shield$3
Cash Price
(No Insurance)
$385
Gross Charge
$550
Medicare Rate
$615
Insurance Negotiated Rates
Blue Cross Blue Shield$341
Lipid Panel
80061Cash Price
(No Insurance)
$41
Gross Charge
$58
Insurance Negotiated Rates
Blue Cross Blue Shield$13
Mammogram Diagnostic
77066Cash Price
(No Insurance)
$648
Gross Charge
$925
Medicare Rate
$146
Insurance Negotiated Rates
Blue Cross Blue Shield$84
Mammogram Screening
77067Cash Price
(No Insurance)
$344
Gross Charge
$492
Medicare Rate
$118
Insurance Negotiated Rates
Blue Cross Blue Shield$69
MRI Brain
70551Cash Price
(No Insurance)
$2,419
Gross Charge
$3,455
Medicare Rate
$183
Insurance Negotiated Rates
Blue Cross Blue Shield$119
Cash Price
(No Insurance)
$473
Gross Charge
$675
Medicare Rate
$296
Insurance Negotiated Rates
Blue Cross Blue Shield$119
MRI Cervical Spine
72141Cash Price
(No Insurance)
$2,493
Gross Charge
$3,561
Medicare Rate
$179
Insurance Negotiated Rates
Blue Cross Blue Shield$117
MRI Knee
73721Cash Price
(No Insurance)
$2,493
Gross Charge
$3,561
Medicare Rate
$191
Insurance Negotiated Rates
Blue Cross Blue Shield$129
MRI Lumbar Spine
72148Cash Price
(No Insurance)
$2,377
Gross Charge
$3,396
Medicare Rate
$180
Insurance Negotiated Rates
Blue Cross Blue Shield$117
MRI Shoulder
73221Cash Price
(No Insurance)
$4,985
Gross Charge
$7,122
Medicare Rate
$191
Insurance Negotiated Rates
Blue Cross Blue Shield$48
Office Visit Level 3
99213Cash Price
(No Insurance)
$166
Gross Charge
$237
Medicare Rate
$91
Insurance Negotiated Rates
Blue Cross Blue Shield$30
Office Visit Level 4
99214Cash Price
(No Insurance)
$121
Gross Charge
$173
Medicare Rate
$130
Insurance Negotiated Rates
Aetna$70
Shoulder X-Ray
73030Cash Price
(No Insurance)
$286
Gross Charge
$408
Medicare Rate
$33
Insurance Negotiated Rates
Blue Cross Blue Shield$15
TSH (Thyroid)
84443Cash Price
(No Insurance)
$65
Gross Charge
$93
Insurance Negotiated Rates
Blue Cross Blue Shield$17
Ultrasound Abdomen
76700Cash Price
(No Insurance)
$1,061
Gross Charge
$1,516
Medicare Rate
$107
Insurance Negotiated Rates
Blue Cross Blue Shield$1
Ultrasound Pelvis
76856Cash Price
(No Insurance)
$368
Gross Charge
$526
Medicare Rate
$98
Insurance Negotiated Rates
Blue Cross Blue Shield$24
Cash Price
(No Insurance)
$401
Gross Charge
$573
Medicare Rate
$109
Insurance Negotiated Rates
Blue Cross Blue Shield$64
Cash Price
(No Insurance)
$579
Gross Charge
$827
Medicare Rate
$301
Insurance Negotiated Rates
Blue Cross Blue Shield$513
Cash Price
(No Insurance)
$669
Gross Charge
$955
Medicare Rate
$390
Insurance Negotiated Rates
Blue Cross Blue Shield$592
Urinalysis
81001Cash Price
(No Insurance)
$131
Gross Charge
$187
Insurance Negotiated Rates
Blue Cross Blue Shield$3
Vaginal Delivery
59400Cash Price
(No Insurance)
$2,242
Gross Charge
$3,203
Medicare Rate
$2,163
Insurance Negotiated Rates
Blue Cross Blue Shield$91