▸ Payer

Medicare Advantage

Negotiated rates published by hospitals for Medicare Advantage across 19 states. Data sourced from federally-mandated machine-readable files.

Hospitals

104

Procedures

200

States

Rate rows

34,621

Median neg. rate

$197.12

Top procedures for Medicare Advantage

By number of hospitals reporting rates for this payer.

Procedure	Type	Code	Hospitals	Avg rate
MRI brain without contrast	CPT	70551	90	$226.6
MRI brain with and without contrast	CPT	70553	90	$371.23
MRI lumbar spine without contrast	CPT	72148	90	$260.17
MRI lower extremity joint without contrast	CPT	73721	90	$243.18
CT abdomen and pelvis without contrast	CPT	74176	90	$316.53
MRI upper extremity joint with and without contrast	CPT	73223	90	$400.72
MRI lower extremity joint with and without contrast	CPT	73723	90	$371.64
CT head without contrast	CPT	70450	90	$109.71
CT neck with contrast	CPT	70491	90	$255.58
CT chest without contrast	CPT	71250	90	$180.55
CT chest with contrast	CPT	71260	90	$261.16
CT cervical spine without contrast	CPT	72125	90	$251.45
CT lumbar spine without contrast	CPT	72131	90	$219.5
CT pelvis without contrast	CPT	72192	90	$152.34
CT abdomen and pelvis with contrast	CPT	74177	90	$455.05
CT abdomen and pelvis with and without contrast	CPT	74178	90	$528.85
MRI cervical spine without contrast	CPT	72141	90	$322.34
MRI thoracic spine without contrast	CPT	72146	90	$301.91
MRI upper extremity joint without contrast	CPT	73221	90	$253.44
CT thoracic spine without contrast	CPT	72128	89	$173.12
CT head with and without contrast	CPT	70470	89	$253.96
CT abdomen with and without contrast	CPT	74170	89	$370.92
MRI cervical spine with and without contrast	CPT	72156	89	$486.78
MRI lumbar spine with contrast	CPT	72158	89	$493.94
Abdominal ultrasound limited	CPT	76705	89	$114.52
CT abdomen without contrast	CPT	74150	89	$234.04
MRI chest without contrast	CPT	71550	89	$304.02
MRI abdomen without contrast	CPT	74181	89	$299.11
MRI abdomen with and without contrast	CPT	74183	89	$449.89
CT abdomen with contrast	CPT	74160	88	$244.59

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Top 20 cheapest hospitals for Medicare Advantage

Lowest average negotiated rate across all procedures at this payer.

Hospital	City	ST	Avg neg. rate
University Medical Ctr. At New Orlea	New Orleans	LA	$18.33
Lakeview Hospital	—	—	$27.67
Lakeside Hospital	—	—	$27.67
Rice Medical Center	Eagle Lake	TX	$161.57
Bethesda Rehabilitation Hospital	Baton Rouge	LA	$206.08
Via Christi Rehab Center Inc	Wichita	KS	$206.08
Via Christi Hospital Pittsburg Inc.	Pittsburg	KS	$206.93
Ascension Via Christi Hospital Manhattan, Inc	—	—	$206.93
Mercy Regional Health Center	Manhattan	KS	$206.93
Doctors Center Hospital Oh-Dorado	Dorado	PR	$207.9
Great Plains Of Ottawa County Inc	Minneapolis	KS	$227.35
Ascension St. Vincent Dunn	Bedford	IN	$227.35
St. Vincents East	Birmingham	AL	$227.35
Doctors' Center Hospital - San Fernando de la Carolina	—	—	$347.56
Doctors Center Hospital Carolina	Manati	PR	$347.56
Doctor Center Hospital Manati Inc.	Manati	PR	$349.83
Doctors' Center Hospital - Bayamón	—	—	$349.83
Doctors Center Hospital Bayamon	Bayamon	PR	$349.83
Sparta Community Hospital	Sparta	IL	$386.89
Limestone Medical Center	Groesbeck	TX	$442.31

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States covered

States with hospitals publishing rates for Medicare Advantage.

State	Hospitals	Avg rate
MI	9	$1,987.79
TN	8	$2,100.62
IN	7	$1,004.59
KS	5	$519.8
PR	5	$354.19
TX	4	$975.57
AR	3	$3,467.97
OK	2	$1,827.47
AL	2	$1,096.69
LA	2	$102.65
CA	2	$7,874.14
IL	2	$1,432.62
NY	2	$2,271.32
PA	2	$6,750.68
WA	1	$3,211.83
GA	1	$1,816.14
MS	1	$3,455.48
ND	1	$1,046
NJ	1	$10,748

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