Question 1

Why do prices at Madison Health vary across procedures?

Accepted Answer

Hospital prices reflect many factors including procedure complexity, whether imaging contrast is used, anesthesia requirements, facility fees, and the physician's time. Madison Health publishes these prices as required by federal law under 45 CFR Part 180, and they represent the hospital's cash pay rates. Your actual cost may vary depending on your insurance plan, specific diagnosis, and any additional services required.

Question 2

Does the cash pay price include the radiologist or physician reading fee?

Accepted Answer

This depends on whether Madison Health bundles professional fees into the facility charge or bills them separately. We recommend calling the hospital's billing department directly and asking whether the published cash pay price is all-inclusive or whether you should expect a separate bill from the reading physician or specialist.

Question 3

How do I get a personalized estimate from Madison Health?

Accepted Answer

Contact Madison Health's billing or patient financial services department directly. Have your insurance card (if applicable), the procedure name, and your physician's order ready. Ask for a good faith estimate, which hospitals are required to provide under the No Surprises Act. The prices shown here are a starting point to help you ask the right questions, not a final quote.

Question 4

What does the Transparency Score mean?

Accepted Answer

The Transparency Score reflects how complete Madison Health's published pricing data is relative to the federal requirements and to other hospitals in the same metro. A higher score means more procedures covered, more payer rates reported, and better data quality. We source every number from the hospital's own Machine-Readable File and never interpolate missing data.

	Category		Range
Cholesterol Management	cardiac	$6	$6 to $8	Low
Emergency Room Visit	emergency	$20	$20 to $6,164	Low
Blood Test	lab	$34	$34 to $42	Low
Chest X-Ray	imaging	$34	$34 to $42	Low
Urinalysis	lab	$40	$40 to $50	Low
Mammogram	preventive	$54	$54 to $507	Low
Flu Vaccination	preventive	$59	$59 to $74	Low
Prostate Cancer Screening	other	$77	$77 to $96	Low
Prenatal Care	obstetric	$80	$80 to $100	Low
Bone Density Scan	imaging	$308	$308 to $385	Low
EKG (Electrocardiogram)	cardiac	$364	$364 to $455	Low
Prostate Biopsy	other	$365	$365 to $456	Low
Asthma Management	other	$375	$375 to $469	Low
Cardiac Catheterization	cardiac	$390	$390 to $487	Low
Stress Test	cardiac	$390	$390 to $487	Low
Occupational Therapy	therapy	$402	$402 to $502	Low
Physical Therapy	therapy	$402	$402 to $502	Low
Breast Biopsy	other	$437	$437 to $546	Low
Carpal Tunnel Release	surgery	$687	$687 to $859	Low
Sleep Study (Polysomnography)	diagnostic	$714	$714 to $893	Low
Dialysis	other	$1,055	$1,055 to $1,319	Low
Echocardiogram	imaging	$2,072	$2,072 to $2,590	Low
Cystoscopy	diagnostic	$2,421	$2,421 to $3,026	Low
Epidural Steroid Injection	other	$2,488	$2,488 to $3,110	Low
MRI of the Brain	imaging	$2,513	$2,513 to $3,141	Low
CT Head	imaging	$2,883	$2,883 to $3,604	Low
CT Chest	imaging	$2,956	$2,956 to $3,695	Low
Endoscopy	preventive	$3,201	$3,201 to $4,001	Low
Colonoscopy	preventive	$3,704	$3,704 to $4,630	Low
COPD Management	other	$4,045	$4,045 to $7,402	Low
Vaginal Delivery	obstetric	$4,153	$4,153 to $5,191	Low
MRI Spine	imaging	$4,676	$4,676 to $5,845	Low
Gallbladder Removal (Laparoscopic)	surgery	$16,156	$16,156 to $16,156	Low
Spinal Fusion	surgery	$21,671	$21,671 to $21,671	Low
Total Hip Replacement	surgery	$24,251	$24,251 to $24,251	Low
Total Knee Replacement	surgery	$46,727	$46,727 to $46,727	Low

Madison Health

Fast Facts

Transparency Score

Procedure Pricing

Understanding Madison Health's Pricing