▸ Payer

alliance

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

Hospitals

Procedures

204

States

Rate rows

9,360

Median neg. rate

$338.54

Top procedures for alliance

By number of hospitals reporting rates for this payer.

Procedure	Type	Code	Hospitals	Avg rate
Comprehensive metabolic panel	CPT	80053	60	$45.11
Lipid panel	CPT	80061	60	$40.65
Complete blood count with automated differential	CPT	85025	60	$27.38
Basic metabolic panel (BMP)	CPT	80048	60	$33.91
Electrolyte panel	CPT	80051	60	$19.54
Renal function panel	CPT	80069	60	$24.94
Hepatic function panel	CPT	80076	60	$36.92
Urinalysis non-automated	CPT	81002	60	$7.99
Urinalysis automated	CPT	81003	60	$9.87
Glucose quantitative	CPT	82947	60	$9.48
Hemoglobin A1c	CPT	83036	60	$29.42
Thyroid stimulating hormone (TSH)	CPT	84443	60	$37.63
Complete blood count without differential	CPT	85027	60	$16.13
Urine culture bacterial	CPT	87086	60	$25.29
Urine culture identification	CPT	87088	60	$12.94
ED visit level 1	CPT	99281	51	$58.66
ED visit level 2	CPT	99282	51	$121.99
ED visit level 3	CPT	99283	51	$341.57
ED visit level 4	CPT	99284	51	$444.07
ED visit level 5	CPT	99285	51	$519.39
Critical care, first hour	CPT	99291	51	$861.71
Laparoscopic cholecystectomy w/o CDE w CC	MS-DRG	419	47	$15,819
Laparoscopic cholecystectomy w/o CDE w/o CC/MCC	MS-DRG	420	47	$30,453
Cardiac arrhythmia w MCC	MS-DRG	308	47	$19,320
Esophagitis/gastroenteritis w/o MCC	MS-DRG	392	47	$9,609.67
Cardiac arrhythmia w CC	MS-DRG	309	47	$10,649
Cardiac arrhythmia w/o CC/MCC	MS-DRG	310	47	$7,760.61
Sigmoidoscopy diagnostic	CPT	45330	47	$293.84
COPD w/o CC/MCC	MS-DRG	192	47	$8,862.85
Laparoscopic cholecystectomy w/o CDE w MCC	MS-DRG	418	47	$18,243

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Lowest average negotiated rate across all procedures at this payer.

Hospital	City	ST	Avg neg. rate
Wheaton Franciscan Healthcare - All	Racine	WI	$18.82
Mosh	Franklin	WI	$18.82
All Saints - St. Luke S Hospital	Racine	WI	$18.82
Ascension Wisconsin Emerus Menomonee	Menomonee Falls	WI	$18.82
Wheaton Franciscan - Franklin	Franklin	WI	$18.82
Wfhc - Elmbrook Memorial	Brookfield	WI	$18.82
Ascension St. Francis Hospital, Inc.	—	—	$18.82
Ascension All Saints Hospital - Spring Street Campus (Ascension All Saints Hospital, Inc.)	—	—	$18.82
Ascension Se Wisconsin Hospital Inc	Milwaukee	WI	$18.82
Ascension Ne Wisconsin-St. Elizabeth	Appleton	WI	$567.78
Ascension NE Wisconsin - St. Elizabeth Campus (Ascension NE Wisconsin, Inc.)	—	—	$567.78
Mercy Medical Center	Oshkosh	WI	$567.78
Ascension NE Wisconsin - Mercy Campus (Ascension NE Wisconsin, Inc.)	—	—	$567.78
Atrium Health Behavioral Health Charlotte	—	—	$843.79
Atrium Health Behavioral Health Davidson	—	—	$843.79
Atrium Health Kings Mountain	Kings Mountain	NC	$1,871.64
Atrium Health Cleveland	—	—	$1,871.64
Atrium Health Cleveland	Shelby	NC	$1,871.64
Atrium Health Cabarrus	—	—	$1,890.31
Atrium Health Concord Emergency Department, a facility of Atrium Health Cabarrus	—	—	$1,890.31

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States with hospitals publishing rates for alliance.

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