CT imaging
CT head or brain without contrast
CPT 70450
$325 - $1,995
from 2 insurers · median $1,160
Typical for a hospital with this service line
Madison, FL
27
In-network payers
239
Disclosed rate categories
25
Beds
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 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.




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
CPT 70450
$325 - $1,995
from 2 insurers · median $1,160
Typical for a hospital with this service line
CT imaging
CPT 74177
$223 - $1,009
from 3 insurers · median $939
Typical for a hospital with this service line
CT imaging
CPT 74176
$795 - $1,804
from 2 insurers · median $1,300
Typical for a hospital with this service line
CT imaging
CPT 71250
$406 - $1,741
from 2 insurers · median $1,073
Typical for a hospital with this service line
Mammography
CPT 77067
$91 - $207
from 3 insurers · median $189
Typical for a hospital with this service line
Medicine & Surgery
CPT 47562
$3,324 - $7,950
from 2 insurers · median $5,637
Typical for a hospital with this service line
Digestive procedures
CPT 43239
$419 - $1,493
from 3 insurers · median $706
Typical for a hospital with this service line
Ultrasound
CPT 76705
$95 - $555
from 2 insurers · median $325
Typical for a hospital with this service line
Digestive procedures
CPT 45380
$419 - $1,646
from 3 insurers · median $706
Typical for a hospital with this service line
MRI imaging
CPT 70553
$1,708
negotiated rate
Typical for a hospital with this service line
MRI imaging
CPT 70551
$89 - $732
from 3 insurers · median $730
Typical for a hospital with this service line
Digestive procedures
CPT 45385
$419 - $706
from 2 insurers · median $563
Typical for a hospital with this service line
Medicine & Surgery
CPT 66984
$923 - $1,568
from 3 insurers · median $1,404
Typical for a hospital with this service line
Digestive procedures
CPT 45378
$419 - $976
from 3 insurers · median $706
Typical for a hospital with this service line
X-ray and bone density
CPT 71046
$42 - $97
from 3 insurers · median $50
Typical for a hospital with this service line
MRI imaging
CPT 74183
$1,538
negotiated rate
Typical for a hospital with this service line
Cardiology and vascular testing
CPT 93971
$97 - $634
from 3 insurers · median $193
Typical for a hospital with this service line
Ultrasound
CPT 76536
$93 - $338
from 2 insurers · median $215
Typical for a hospital with this service line
MRI imaging
CPT 72148
$767
negotiated rate
Typical for a hospital with this service line
Mammography
CPT 77066
$90 - $249
from 3 insurers · median $229
Typical for a hospital with this service line
Mammography
CPT 77065
$89 - $202
from 3 insurers · median $176
Typical for a hospital with this service line
X-ray and bone density
CPT 73630
$35 - $163
from 3 insurers · median $97
Typical for a hospital with this service line
Laboratory and pathology
CPT 80053
$9 - $100
from 3 insurers · median $27
Typical for a hospital with this service line
Gynecology
CPT 58571
$3,324
negotiated rate
Typical for a hospital with this service line
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.
| Insurer | Services | Median % of Medicare | Above nearby | Below nearby |
|---|---|---|---|---|
| Insurer A* | 18 | 226% | 7 | 9 |
| Insurer B* | 23 | 202% | 0 | 14 |
| Insurer C* | 16 | 78% | 0 | 4 |
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.
224 Nw Crane Avenue, Madison, FL 32340
(850) 973-2271
About Madison Cty Memorial Hospital's rates and hospital price transparency.
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.
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.
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.
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.
Madison Cty Memorial Hospital has 25 beds. Facility type: Critical Access Hospital.
Madison Cty Memorial Hospital is located at 224 Nw Crane Avenue, Madison, FL 32340. Its main phone number is (850) 973-2271.
Madison Cty Memorial Hospital's CMS Certification Number (CCN), also called its Medicare provider number, is 101311.
The National Provider Identifier (NPI) on file for Madison Cty Memorial Hospital is 1104821461.
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.
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.
Under 45 CFR Part 180, every US hospital must publish a machine-readable file of its standard charges, including gross charges, discounted cash prices and payer-specific negotiated rates, in the CMS template format. PayerPrice can help hospitals publish and maintain these files.
A chargemaster (charge description master, or CDM) is a hospital's master list of billable items, with codes, descriptions and gross charges. A chargemaster review looks at those lines for accuracy and pricing. PayerPrice can help hospitals review their chargemaster; contact us to discuss your needs.
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{
"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
}
]
}]
}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