PayerPrice
Data Platform
Who We Serve
Use Cases
More
Check Local Rates
Critical Access HospitalGovernment - Hospital District Or Authority

Madison Cty Memorial Hospital

Madison, FL

224 Nw Crane Avenue, Madison, FL 32340(850) 973-2271

27

In-network payers

239

Disclosed rate categories

25

Beds

About this hospital

Madison Cty Memorial Hospital is a 25-bed government - hospital district or authority hospital in Madison, FL. Below you'll find publicly disclosed negotiated rates and facility details, including 27 in-network payers and 239 disclosed rate categories.

CCN (Medicare provider number)

101311

NPI

1104821461

Type

Critical Access Hospital

Ownership

Government - Hospital District Or Authority

Beds

25

Insurance Accepted

Insurance acceptance may vary by specific plan, network status, and services required. Contact your insurance provider or the hospital's billing department to confirm coverage details.

Medicare
Aetna
BCBS
United Healthcare (incl Optum, Rocky Mountain, Health Plan of Nevada, Sierra Health)
AmbetterAmeri HealthAspirus Health PlanAvera Health PlansBanner HealthCentene

Prices for common services

The 24 services Madison Cty Memorial Hospital most likely performs, ranked by likely volume and what it is paid. Each service names one insurer. * marks hidden insurer names; A, B and C rank the remaining rates from low to high and reset for each service.

Book a demo to see hidden insurer names, more payer rates, and hospital data.

CT imaging

CT head or brain without contrast

CPT 70450

$325 - $1,995

from 2 insurers · median $1,160

Aetna$1,995
Insurer A*$325
Medicare $107Nearby hospitals $79147% above nearby hospitals

Typical for a hospital with this service line

CT imaging

CT abdomen and pelvis with contrast

CPT 74177

$223 - $1,009

from 3 insurers · median $939

Aetna$1,009
Insurer A*$223
Insurer B*$939
Medicare $356Nearby hospitals $3,55574% below nearby hospitals

Typical for a hospital with this service line

CT imaging

CT of the abdomen and pelvis, without contrast

CPT 74176

$795 - $1,804

from 2 insurers · median $1,300

Aetna$1,804
Insurer A*$795
Medicare $244Nearby hospitals $1,97734% below nearby hospitals

Typical for a hospital with this service line

CT imaging

CT of the chest, without contrast

CPT 71250

$406 - $1,741

from 2 insurers · median $1,073

Aetna$1,741
Insurer A*$406
Medicare $107Nearby hospitals $76041% above nearby hospitals

Typical for a hospital with this service line

Mammography

Screening mammography, bilateral

CPT 77067

$91 - $207

from 3 insurers · median $189

UnitedHealthcare$91
Insurer A*$189
Insurer B*est.$207
Medicare $92Nearby hospitals $12552% above nearby hospitals

Typical for a hospital with this service line

Medicine & Surgery

Laparoscopic cholecystectomy

CPT 47562

$3,324 - $7,950

from 2 insurers · median $5,637

UnitedHealthcare$3,324
Insurer A*est.$7,950
Medicare $6,176

Typical for a hospital with this service line

Digestive procedures

Upper GI endoscopy with biopsy

CPT 43239

$419 - $1,493

from 3 insurers · median $706

Blue Cross$419
Insurer A*$706
Insurer B*$1,493
Medicare $927Nearby hospitals $2,17868% below nearby hospitals

Typical for a hospital with this service line

Ultrasound

Limited ultrasound of the abdomen

CPT 76705

$95 - $555

from 2 insurers · median $325

Aetna$555
Insurer A*$95
Medicare $107Nearby hospitals $311In line with nearby hospitals

Typical for a hospital with this service line

Digestive procedures

Colonoscopy with biopsy

CPT 45380

$419 - $1,646

from 3 insurers · median $706

Blue Cross$419
Insurer A*$706
Insurer B*$1,646
Medicare $1,223Nearby hospitals $2,39871% below nearby hospitals

Typical for a hospital with this service line

MRI imaging

MRI brain before and after contrast

CPT 70553

$1,708

negotiated rate

Blue Cross$1,708
Medicare $356Nearby hospitals $3,77855% below nearby hospitals

Typical for a hospital with this service line

MRI imaging

MRI of the brain, without contrast

CPT 70551

$89 - $732

from 3 insurers · median $730

Blue Cross$730
Insurer A*$89
Insurer B*$732
Medicare $244Nearby hospitals $2,10965% below nearby hospitals

Typical for a hospital with this service line

Digestive procedures

Colonoscopy with polyp removal

CPT 45385

$419 - $706

from 2 insurers · median $563

Blue Cross$419
Insurer A*$706
Medicare $1,223

Typical for a hospital with this service line

Medicine & Surgery

Cataract removal with lens insertion

CPT 66984

$923 - $1,568

from 3 insurers · median $1,404

UnitedHealthcare$1,568
Insurer A*$923
Insurer B*$1,404
Medicare $2,358

Typical for a hospital with this service line

Digestive procedures

Diagnostic colonoscopy

CPT 45378

$419 - $976

from 3 insurers · median $706

Blue Cross$419
Insurer A*$706
Insurer B*$976
Medicare $950Nearby hospitals $1,68058% below nearby hospitals

Typical for a hospital with this service line

X-ray and bone density

Chest X-ray, two views

CPT 71046

$42 - $97

from 3 insurers · median $50

Aetna$50
Insurer A*$42
Insurer B*$97
Medicare $89Nearby hospitals $26481% below nearby hospitals

Typical for a hospital with this service line

MRI imaging

MRI of the abdomen, before and after contrast

CPT 74183

$1,538

negotiated rate

Blue Cross$1,538
Medicare $356Nearby hospitals $3,65958% below nearby hospitals

Typical for a hospital with this service line

Cardiology and vascular testing

Ultrasound of veins in one limb or a limited bilateral study

CPT 93971

$97 - $634

from 3 insurers · median $193

Blue Cross$193
Insurer A*$97
Insurer B*$634
Medicare $107Nearby hospitals $50562% below nearby hospitals

Typical for a hospital with this service line

Ultrasound

Ultrasound of head or neck soft tissues

CPT 76536

$93 - $338

from 2 insurers · median $215

Aetna$338
Insurer A*$93
Medicare $107Nearby hospitals $37142% below nearby hospitals

Typical for a hospital with this service line

MRI imaging

MRI lumbar spine without contrast

CPT 72148

$767

negotiated rate

Blue Cross$767
Medicare $244Nearby hospitals $2,10364% below nearby hospitals

Typical for a hospital with this service line

Mammography

Diagnostic mammography, bilateral

CPT 77066

$90 - $249

from 3 insurers · median $229

UnitedHealthcare$90
Insurer A*est.$229
Insurer B*$249
Medicare $112Nearby hospitals $33732% below nearby hospitals

Typical for a hospital with this service line

Mammography

Diagnostic mammography, unilateral

CPT 77065

$89 - $202

from 3 insurers · median $176

UnitedHealthcare$89
Insurer A*est.$176
Insurer B*$202
Medicare $87Nearby hospitals $22421% below nearby hospitals

Typical for a hospital with this service line

X-ray and bone density

Foot X-ray, at least three views

CPT 73630

$35 - $163

from 3 insurers · median $97

Aetna$163
Insurer A*$35
Insurer B*$97
Medicare $89Nearby hospitals $24861% below nearby hospitals

Typical for a hospital with this service line

Laboratory and pathology

Comprehensive metabolic panel

CPT 80053

$9 - $100

from 3 insurers · median $27

UnitedHealthcare$9
Insurer A*$27
Insurer B*$100
Medicare $11Nearby hospitals $8468% below nearby hospitals

Typical for a hospital with this service line

Gynecology

Laparoscopic hysterectomy with tube or ovary removal, uterus up to 250 g

CPT 58571

$3,324

negotiated rate

UnitedHealthcare$3,324
Medicare $10,860

Typical for a hospital with this service line

How the insurers pay at Madison Cty Memorial Hospital

Median rate as a percent of Medicare across the outpatient services above, and how many services sit above or below the same insurer's median at nearby hospitals. * marks hidden insurer names. These table labels track the same insurers across services; the labels on each service card reset.

InsurerServicesMedian % of MedicareAbove nearbyBelow nearby
Insurer A*18
226%
79
Insurer B*23
202%
014
Insurer C*16
78%
04

How we chose these services: 0 appear in this hospital's own Medicare claims, 0 are common here based on CMS Medicare volume, and 24 are typical for the service lines it reports to CMS. Rates come from insurer and hospital price transparency files as of October 2026. Rates under a quarter of Medicare or over 20 times Medicare are left out as likely physician-fee rows or file errors. Book a demo to see all 300 CMS shoppable services for Madison Cty Memorial Hospital.

Location

224 Nw Crane Avenue, Madison, FL 32340

(850) 973-2271

Get directions

Frequently asked questions

About Madison Cty Memorial Hospital's rates and hospital price transparency.

How much does an MRI cost at Madison Cty Memorial Hospital?

For MRI brain before and after contrast (CPT 70553), published negotiated rates at Madison Cty Memorial Hospital range from $1,708 to $1,708 across 1 insurers. Blue Cross Blue Shield's rate is $1,708. The median at nearby comparable hospitals is $3,778. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a CT scan cost at Madison Cty Memorial Hospital?

For CT head or brain without contrast (CPT 70450), published negotiated rates at Madison Cty Memorial Hospital range from $325 to $1,995 across 2 insurers. Aetna's rate is $1,995. The median at nearby comparable hospitals is $791. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a colonoscopy cost at Madison Cty Memorial Hospital?

For Colonoscopy with biopsy (CPT 45380), published negotiated rates at Madison Cty Memorial Hospital range from $419 to $1,646 across 3 insurers. Blue Cross Blue Shield's rate is $419. The median at nearby comparable hospitals is $2,398. What a patient pays depends on their plan's deductible, coinsurance and network status.

How much does a mammogram cost at Madison Cty Memorial Hospital?

For Screening mammography, bilateral (CPT 77067), published negotiated rates at Madison Cty Memorial Hospital range from $91 to $207 across 3 insurers. UnitedHealthcare's rate is $91. The median at nearby comparable hospitals is $125. What a patient pays depends on their plan's deductible, coinsurance and network status.

How many beds does Madison Cty Memorial Hospital have?

Madison Cty Memorial Hospital has 25 beds. Facility type: Critical Access Hospital.

Where is Madison Cty Memorial Hospital and what is its phone number?

Madison Cty Memorial Hospital is located at 224 Nw Crane Avenue, Madison, FL 32340. Its main phone number is (850) 973-2271.

What is Madison Cty Memorial Hospital's CCN (Medicare provider number)?

Madison Cty Memorial Hospital's CMS Certification Number (CCN), also called its Medicare provider number, is 101311.

What is Madison Cty Memorial Hospital's NPI number?

The National Provider Identifier (NPI) on file for Madison Cty Memorial Hospital is 1104821461.

Which insurance plans are in network at Madison Cty Memorial Hospital?

Madison Cty Memorial Hospital lists 27 in-network payers, including Aetna, Ambetter, Ameri Health, Aspirus Health Plan, and is Medicare-certified. Insurance acceptance may vary by plan, so confirm coverage with your insurer or the hospital's billing department.

What price transparency data is available for Madison Cty Memorial Hospital?

239 disclosed rate categories. Each shows the payer, category, code type and group with its code range, and contract type, along with how the rate compares with the state average.

For hospital finance and compliance teams

Running price transparency at a hospital like this one?

The data on this page comes from the files hospitals and payers publish. We help hospitals publish theirs correctly, and take a fresh look at their chargemaster.

Compliance MRF

Publish a CMS-compliant machine-readable file

We turn your chargemaster and payer contracts into the CMS template file, then keep it current as rates change.

CMS v3 example: standard_charge_information[0]
{
  "description": "MRI of brain (no contrast)",
  "code_information": [
    { "code": "611", "type": "RC" },
    { "code": "70551", "type": "CPT" }
  ],
  "standard_charges": [{
    "setting": "outpatient",
    "minimum": 250,
    "maximum": 400,
    "gross_charge": 1200,
    "discounted_cash": 1080,
    "payers_information": [
      {
        "payer_name": "Platform Health Insurance",
        "plan_name": "PPO",
        "methodology": "fee schedule",
        "standard_charge_dollar": 400
      },
      {
        "payer_name": "Region Health Insurance",
        "plan_name": "HMO",
        "methodology": "fee schedule",
        "standard_charge_dollar": 250
      }
    ]
  }]
}
  • CMS template layout, in JSON or CSV
  • Gross, discounted cash, payer-specific and de-identified min / max charges
  • cms-hpt.txt file and homepage footer link
  • Refreshed when your contracts change
Talk to us about your MRF
Chargemaster analysis

Get your chargemaster right for billing and payer contracts

Your chargemaster sets the gross charge on every claim, and many payer contracts base payment on it through percent-of-charge, lesser-of and stop-loss terms. We audit it line by line and show how your charges and negotiated rates compare with peer hospitals before your next negotiation.

What a review covers

CodingPricingPayer contractsCompliance
  • CPT, HCPCS, revenue code and modifier errors flagged line by line
  • Missing, duplicate and outdated charge lines identified
  • Charges set below payer allowables caught before lesser-of clauses cut payment
  • Revenue impact of charge changes modeled across percent-of-charge and stop-loss terms
  • Your negotiated rates benchmarked against peer hospitals for the same payers
Talk to us about your chargemaster