▸ Payer

CHAMPVA

Negotiated rates published by hospitals for CHAMPVA across 6 states. Data sourced from federally-mandated machine-readable files.

Hospitals

Procedures

198

States

Rate rows

2,104

Median neg. rate

$226.42

Top procedures for CHAMPVA

By number of hospitals reporting rates for this payer.

Procedure	Type	Code	Hospitals	Avg rate
Urine culture bacterial	CPT	87086	13	$8.98
Office visit, established patient, 20-29 minutes	CPT	99213	13	$107.72
Office visit, established patient, 30-39 minutes	CPT	99214	13	$121.57
Office visit, new patient, 30-44 minutes	CPT	99203	13	$115.65
Comprehensive metabolic panel	CPT	80053	13	$11.75
Lipid panel	CPT	80061	13	$14.89
Complete blood count with automated differential	CPT	85025	13	$8.64
Office visit, new patient, 15-29 min	CPT	99202	13	$100.45
Office visit, new patient, 45-59 min	CPT	99204	13	$138.97
Office visit, new patient, 60-74 min	CPT	99205	13	$152.4
Office visit, established patient, 5 min	CPT	99211	13	$83.56
Office visit, established patient, 10-19 min	CPT	99212	13	$94.77
Office visit, established patient, 40-54 min	CPT	99215	13	$139.89
ED visit level 3	CPT	99283	13	$285.41
ED visit level 4	CPT	99284	13	$439.49
ED visit level 5	CPT	99285	13	$630.27
Critical care, first hour	CPT	99291	13	$852.53
Glucose quantitative	CPT	82947	13	$4.38
Hemoglobin A1c	CPT	83036	13	$10.45
Thyroid stimulating hormone (TSH)	CPT	84443	13	$18.69
Diagnostic mammography unilateral	CPT	77065	13	$88.5
Diagnostic mammography bilateral	CPT	77066	13	$111.46
Screening mammography bilateral	CPT	77067	13	$92.06
Basic metabolic panel (BMP)	CPT	80048	13	$9.41
Electrolyte panel	CPT	80051	13	$7.8
Renal function panel	CPT	80069	13	$9.66
Hepatic function panel	CPT	80076	13	$9.09
CT cervical spine without contrast	CPT	72125	12	$121.74
MRI brain without contrast	CPT	70551	12	$269.69
Lap inguinal hernia repair	CPT	49650	12	$8,069.6

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Lowest average negotiated rate across all procedures at this payer.

Hospital	City	ST	Avg neg. rate
Mclaren Port Huron	Port Huron	MI	$365.25
Methodist Hospital For Surgery	Addison	TX	$1,107.77
Healthalliance-Clinton	Leominster	MA	$1,244.02
HealthAlliance-Clinton, Clinton Campus	—	—	$1,244.02
HealthAlliance-Clinton, Leominster Campus	—	—	$1,244.02
Webster County Memorial Hospital	Webster Springs	WV	$1,510.23
Harrington Memorial Hospital	Southbridge	MA	$1,510.23
UMass Memorial Health-Harrington Hospital	—	—	$1,510.23
UMass Memorial Medical Center University Campus	—	—	$2,098.22
Marlborough Hospital	Marlborough	MA	$2,098.22
Umass Memorial Medical Center	Worcester	MA	$2,098.22
UMass Memorial Medical Center-Marlborough Campus	—	—	$2,098.22
Goshen Surgery Center	—	—	$4,702.15
Avoyelles Hospital	Marksville	LA	$5,152.11
Ouachita County Medical Center	Camden	AR	$5,504.72

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States with hospitals publishing rates for CHAMPVA.

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