▸ Payer

Anthem BCBS

Negotiated rates published by hospitals for Anthem BCBS across 24 states. Data sourced from federally-mandated machine-readable files.

Hospitals

254

Procedures

209

States

Rate rows

147,133

Median neg. rate

$447.13

Top procedures for Anthem BCBS

By number of hospitals reporting rates for this payer.

Procedure	Type	Code	Hospitals	Avg rate
Septicemia or severe sepsis w MV 96+ hrs	MS-DRG	871	199	$23,972
Heart failure & shock w MCC	MS-DRG	291	199	$16,828
Septicemia or severe sepsis w/o MV 96+ hrs	MS-DRG	872	198	$14,630
Respiratory infections & inflammations w MCC	MS-DRG	177	198	$20,719
Kidney/UTI w/o MCC	MS-DRG	690	198	$12,138
Comprehensive metabolic panel	CPT	80053	195	$79.41
Complete blood count with automated differential	CPT	85025	195	$44.96
Thyroid stimulating hormone (TSH)	CPT	84443	195	$72.73
Glucose quantitative	CPT	82947	194	$27.43
Basic metabolic panel (BMP)	CPT	80048	194	$62.19
Urinalysis automated	CPT	81003	194	$16.54
Hemoglobin A1c	CPT	83036	194	$52.15
Hepatic function panel	CPT	80076	194	$67.97
Lipid panel	CPT	80061	194	$70.33
Complete blood count without differential	CPT	85027	193	$37.33
Renal function panel	CPT	80069	192	$72.11
AMI discharged alive w MCC	MS-DRG	280	190	$20,726
Urinalysis non-automated	CPT	81002	189	$14.55
ED visit level 3	CPT	99283	189	$883.81
ED visit level 4	CPT	99284	189	$1,734.55
ED visit level 2	CPT	99282	188	$471.77
ED visit level 1	CPT	99281	188	$310.85
Electrolyte panel	CPT	80051	187	$49.9
ED visit level 5	CPT	99285	187	$2,359.46
Urine culture bacterial	CPT	87086	186	$48.72
Kidney/UTI w MCC	MS-DRG	689	186	$16,203
Simple pneumonia & pleurisy w CC	MS-DRG	194	186	$12,915
Tissue exam by pathologist level IV	CPT	88305	185	$154.7
Esophagitis/gastroenteritis w/o MCC	MS-DRG	392	183	$12,236
CT chest with contrast	CPT	71260	182	$821.42

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Lowest average negotiated rate across all procedures at this payer.

Hospital	City	ST	Avg neg. rate
Nassau University Medical Center	East Meadow	NY	$252.71
Voyages Behavioral Health of Conroe	—	—	$290.79
Voyages Of Sugar Land Bh	Sugar Land	TX	$290.79
Encino Hospital	Encino	CA	$301.87
Sherman Oaks Hospital-Hlth	Sherman Oaks	CA	$325.18
Centinela Hospital Medical Center	Inglewood	CA	$333.13
Montclair Hospital Medical Center	Montclair	CA	$384.73
Chino Valley Medical Center	Chino	CA	$435.72
Summers County Arh	Hinton	WV	$461.86
Summers County ARH Hospital	—	—	$461.86
Pointe Coupee General Hospital	New Roads	LA	$472.35
Medstar Georgetown University Hospital	—	—	$563.84
Mark Twain Medical Center	San Andreas	CA	$581.12
Mercy Rehabilitation Hospital-Spgf	Springfield	MO	$631.64
Pacifica Hospital Of The Valley	Sun Valley	CA	$708.92
Rumford Hospital	—	—	$753.68
Rumford Hospital	Rumford	ME	$753.68
Mt. Graham Regional Medical Center	Safford	AZ	$763.7
Bridgton Hospital	Bridgton	ME	$825.47
Bridgton Hospital	—	—	$825.47

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States with hospitals publishing rates for Anthem BCBS.

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