WELLCARE MCR ADV - ALL PLANS: disclosed hospital rates

iDirect answer

Based on the published hospital price files, WELLCARE MCR ADV - ALL PLANS appears in disclosed negotiated rates across 1 hospital and 280 services. This is public hospital price transparency data, not a guaranteed estimate of your bill.

Actual patient responsibility may vary based on your insurance plan, deductible, coinsurance, network status, diagnosis, setting, bundled services, clinical circumstances, and hospital billing practices.

280 prices shown.

Service	Hospital	Code	List price	Cash price	Negotiated range	Allowed (median)
5% DEXTROSE/NORMAL SALINE (500 ML = 1 UNIT) Outpatient	Rush University Medical Center	1702103 CDM	$25.00	$12.50	$2.16 – $33.75	—
ADAPTER/EXTENSION, PACING LEAD OR NEUROSTIMULATOR LEAD (IMPLANTABLE) Outpatient	Rush University Medical Center	27801883 CDM	$2,554	$1,277	$766 – $3,448	—
ADHESION BARRIER Outpatient	Rush University Medical Center	27801765 CDM	$1,593	$796	$478 – $2,150	—
ALLODERM, PER SQUARE CENTIMETER Outpatient	Rush University Medical Center	27804116 CDM	$116	$58.04	$34.82 – $174	—
AMNIOTIC MEMBRANE FOR SURGICAL RECONSTRUCTION, PER PROCEDURE Outpatient	Rush University Medical Center	27802790 CDM	$3,881	$1,940	$1,164 – $5,239	—
ANCHOR/SCREW FOR OPPOSING BONE-TO-BONE OR SOFT TISSUE-TO-BONE (IMPLANTABLE) Outpatient	Rush University Medical Center	27801713 CDM	$1,155	$577	$346 – $7,112	—
ANTERIOR CHAMBER INTRAOCULAR LENS Outpatient	Rush University Medical Center	27602630 CDM	$406	$203	$122 – $268	—
ASTIGMATISM CORRECTING FUNCTION OF INTRAOCULAR LENS Outpatient	Rush University Medical Center	27602787 CDM	$1,038	$519	$311 – $1,401	—
AUDITORY OSSEOINTEGRATED DEVICE, INCLUDES ALL INTERNAL AND EXTERNAL COMPONENTS Outpatient	Rush University Medical Center	27808690 CDM	$5,937	$2,968	$1,781 – $7,810	—
BATTERY, LITHIUM-ION, FOR USE WITH ELECTRIC OR ELECTRIC/PNEUMATIC VENTRICULAR ASSIST DEVICE, REPLACEMENT ONLY Outpatient	Rush University Medical Center	27400506 CDM	$2,714	$1,357	$814 – $1,791	—
BCG LIVE INTRAVESICAL INSTILLATION, 1 MG Outpatient	Rush University Medical Center	1702010 CDM	$1,069	$535	$3.49 – $1,443	—
BRACHYTHERAPY NEEDLE Outpatient	Rush University Medical Center	2720171503 CDM	$68.00	$34.00	$20.40 – $91.80	—
BRACHYTHERAPY PLANAR SOURCE, PALLADIUM-103, PER SQUARE MILLIMETER Outpatient	Rush University Medical Center	2780264500 CDM	$17.00	$8.50	$4.83 – $340	—
BRACHYTHERAPY SOURCE, NON-STRANDED, CESIUM-131, PER SOURCE Outpatient	Rush University Medical Center	2780264300 CDM	$93.00	$46.50	$27.90 – $4,490	—
BRACHYTHERAPY SOURCE, NON-STRANDED, HIGH ACTIVITY, IODINE-125, GREATER THAN 1.01 MCI (NIST), PER SOURCE Outpatient	Rush University Medical Center	2780263400 CDM	$1,151	$576	$179 – $4,490	—
BRACHYTHERAPY SOURCE, NON-STRANDED, HIGH DOSE RATE IRIDIUM-192, PER SOURCE Outpatient	Rush University Medical Center	2780171700 CDM	$405	$203	$122 – $547	—
BRACHYTHERAPY SOURCE, NON-STRANDED, IODINE-125, PER SOURCE Outpatient	Rush University Medical Center	2780263900 CDM	$1,468	$734	$37.74 – $1,982	—
BRACHYTHERAPY SOURCE, NON-STRANDED, YTTRIUM-90, PER SOURCE Outpatient	Rush University Medical Center	27802616 CDM	$64,996	$32,498	$7,150 – $87,744	—
BRACHYTHERAPY SOURCE, STRANDED, CESIUM-131, PER SOURCE Outpatient	Rush University Medical Center	27802642 CDM	$94,118	$47,059	$123 – $127,059	—
BRACHYTHERAPY SOURCE, STRANDED, IODINE-125, PER SOURCE Outpatient	Rush University Medical Center	2780263801 CDM	$1,469	$735	$36.32 – $1,983	—
CARDIOVERTER-DEFIBRILLATOR, DUAL CHAMBER (IMPLANTABLE) Outpatient	Rush University Medical Center	27801721 CDM	$42,166	$21,083	$4,638 – $56,923	—
CARDIOVERTER-DEFIBRILLATOR, OTHER THAN SINGLE OR DUAL CHAMBER (IMPLANTABLE) Outpatient	Rush University Medical Center	27801882 CDM	$51,548	$25,774	$5,670 – $69,590	—
CARDIOVERTER-DEFIBRILLATOR, SINGLE CHAMBER (IMPLANTABLE) Outpatient	Rush University Medical Center	27801722 CDM	$37,554	$18,777	$4,131 – $50,698	—
CATHETER, ABLATION, NON-CARDIAC, ENDOVASCULAR (IMPLANTABLE) Outpatient	Rush University Medical Center	27801888 CDM	$15,431	$7,715	$1,070 – $20,831	—
CATHETER, BALLOON DILATATION, NON-VASCULAR Outpatient	Rush University Medical Center	27201726 CDM	$6,693	$3,347	$85.96 – $9,036	—