▸ Payer

Ambetter

Negotiated rates published by hospitals for Ambetter across 25 states. Data sourced from federally-mandated machine-readable files.

Hospitals

299

Procedures

208

States

Rate rows

48,043

Median neg. rate

$461

Top procedures for Ambetter

By number of hospitals reporting rates for this payer.

Procedure	Type	Code	Hospitals	Avg rate
MRI brain with and without contrast	CPT	70553	228	$959.39
Abdominal ultrasound limited	CPT	76705	227	$213.76
MRI lower extremity joint without contrast	CPT	73721	226	$671.82
CT abdomen and pelvis without contrast	CPT	74176	226	$858.16
MRI cervical spine without contrast	CPT	72141	226	$674.92
MRI thoracic spine without contrast	CPT	72146	226	$683.76
MRI cervical spine with and without contrast	CPT	72156	226	$933.64
MRI lumbar spine with contrast	CPT	72158	226	$962.69
MRI upper extremity joint without contrast	CPT	73221	226	$655.95
Chest X-ray 2 views	CPT	71046	226	$133.94
MRI lumbar spine without contrast	CPT	72148	226	$689.2
CT abdomen and pelvis with contrast	CPT	74177	226	$1,051.04
CT abdomen and pelvis with and without contrast	CPT	74178	226	$1,223.57
MRI brain without contrast	CPT	70551	226	$685.3
MRI lower extremity joint with and without contrast	CPT	73723	226	$1,019.84
CT head without contrast	CPT	70450	226	$399.42
CT head with and without contrast	CPT	70470	226	$603.68
CT neck with contrast	CPT	70491	226	$553.67
CT chest without contrast	CPT	71250	226	$432.71
CT chest with contrast	CPT	71260	226	$557.55
CT chest with and without contrast	CPT	71270	226	$644.4
CT cervical spine without contrast	CPT	72125	226	$494.11
CT thoracic spine without contrast	CPT	72128	226	$456.22
CT lumbar spine without contrast	CPT	72131	226	$449.06
CT pelvis without contrast	CPT	72192	226	$419.29
CT abdomen without contrast	CPT	74150	226	$440.48
CT abdomen with and without contrast	CPT	74170	226	$723.5
MRI upper extremity joint with and without contrast	CPT	73223	225	$951.11
CT head with contrast	CPT	70460	225	$563.73
MRI brain with contrast	CPT	70552	225	$879.98

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Top 20 cheapest hospitals for Ambetter

Lowest average negotiated rate across all procedures at this payer.

Hospital	City	ST	Avg neg. rate
Burleson St. Joseph Health Center	Caldwell	TX	$11.88
Madison St. Joseph Health Center	Madisonville	TX	$11.88
Grimes St. Joseph Health Center	Navasota	TX	$11.88
University Medical Ctr. At New Orlea	New Orleans	LA	$26.14
Lakeview Hospital	—	—	$31.99
Lakeside Hospital	—	—	$31.99
Wamego Hospital Association	Wamego	KS	$88.74
Wamego Health Center (Wamego Hospital Association)	—	—	$88.74
Bayhealth Medical Center Kent Campus	—	—	$90
Bayhealth Medical Center Sussex Campus	—	—	$90
Bayhealth Hospital Sussex Campus	Milford	DE	$90
Bayhealth Hospital Kent Campus	Dover	DE	$90
Pam Squared At Corpus Christi	Corpus Chrsti	TX	$209.14
Metro Nashville General Hospital	Nashville	TN	$218
Henry Ford Providence Southfield Hospital	—	—	$271.96
Henry Ford Providence Novi Hospital	—	—	$271.96
Cottonwood Springs	Olathe	KS	$300
UTHealth East Texas Pittsburg	—	—	$332.85
Ascension Via Christi Hospital Manhattan, Inc	—	—	$349.46
Via Christi Hospital Pittsburg Inc.	Pittsburg	KS	$349.46

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States covered

States with hospitals publishing rates for Ambetter.

State	Hospitals	Avg rate
TX	27	$11,545
IL	17	$5,407.6
NC	17	$4,033.24
OH	16	$6,194.06
TN	12	$2,525.49
AL	12	$2,485.75
KS	11	$1,148.66
MI	8	$3,099
IN	7	$935.6
GA	7	$10,343
AZ	7	$17,233
AR	7	$6,969.2
NJ	4	$9,933.74
MO	3	$1,554.59
LA	3	$5,507.31
DE	2	$90
OK	2	$2,483.94
PA	2	$5,666.58
IA	2	$2,467.26
WA	1	$1,092.8
FL	1	$2,838.39
KY	1	$4,003.54
MA	1	$4,872.59
MS	1	$7,896.77
NE	1	$2,906.25

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