▸ Payer

allied benefits [498]

Negotiated rates published by hospitals for allied benefits [498] across 2 states. Data sourced from federally-mandated machine-readable files.

Hospitals

Procedures

148

States

Rate rows

6,836

Median neg. rate

$404.01

Top procedures for allied benefits [498]

By number of hospitals reporting rates for this payer.

Procedure	Type	Code	Hospitals	Avg rate
Colonoscopy diagnostic	CPT	45378	17	$1,394.49
Colonoscopy with biopsy	CPT	45380	17	$862.89
Colonoscopy with polyp removal	CPT	45385	17	$1,501.61
CT head without contrast	CPT	70450	17	$849.82
CT head with contrast	CPT	70460	17	$1,070.74
Upper GI endoscopy diagnostic	CPT	43235	17	$2,478.34
Upper GI endoscopy with biopsy	CPT	43239	17	$1,056.41
Sigmoidoscopy diagnostic	CPT	45330	17	$850.25
Sigmoidoscopy with biopsy	CPT	45331	17	$698.77
Heart failure & shock w MCC	MS-DRG	291	17	$5,333.36
Heart failure & shock w CC	MS-DRG	292	17	$5,333.36
Esophagitis/gastroenteritis w/o MCC	MS-DRG	392	17	$3,434.58
Kidney/UTI w/o MCC	MS-DRG	690	17	$3,612.94
Kidney/UTI w MCC	MS-DRG	689	17	$3,612.94
Cardiac arrhythmia w MCC	MS-DRG	308	17	$4,666.83
Cardiac arrhythmia w CC	MS-DRG	309	17	$4,562.36
Cardiac arrhythmia w/o CC/MCC	MS-DRG	310	17	$4,666.83
Intracranial hemorrhage/CVA w MCC	MS-DRG	064	17	$10,700
Intracranial hemorrhage/CVA w CC	MS-DRG	065	17	$10,700
Intracranial hemorrhage/CVA w/o CC/MCC	MS-DRG	066	17	$10,700
Simple pneumonia & pleurisy w CC	MS-DRG	194	17	$3,834.43
Simple pneumonia & pleurisy w/o CC/MCC	MS-DRG	195	17	$3,584.17
Respiratory infections & inflammations w MCC	MS-DRG	177	17	$4,504.48
COPD w CC	MS-DRG	191	17	$4,887.23
GI hemorrhage w CC	MS-DRG	378	17	$283.44
Major small/large bowel procedures w MCC	MS-DRG	329	17	$7,325.63
Major small/large bowel procedures w CC	MS-DRG	330	17	$6,993.99
Major small/large bowel procedures w/o CC/MCC	MS-DRG	331	17	$6,963.15
Laparoscopic cholecystectomy w/o CDE w MCC	MS-DRG	418	17	$5,120.9
Laparoscopic cholecystectomy w/o CDE w CC	MS-DRG	419	17	$5,120.9

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Lowest average negotiated rate across all procedures at this payer.

Hospital	City	ST	Avg neg. rate
Missouri Baptist Hospital Sullivan	Sullivan	MO	$852.22
Missouri Baptist Sullivan Hospital	Sullivan	MO	$852.22
Parkland Health Center - Farmington	Farmington	MO	$901.33
Parkland Health Center	—	—	$901.33
Parkland Hlth Ctr - Bonne Terre	Bonne Terre	MO	$1,169.06
Progress West Hospital	—	—	$2,789.12
Progress West Hospital	Ofallon	MO	$2,789.12
Barnes Jewish St. Peters Hospital	St. Peters	MO	$2,805.93
Barnes Jewish St. Peters Hospital	—	—	$2,805.93
Memorial Hospital Shiloh	—	—	$2,829.17
Memorial Hospital	—	—	$2,829.17
Memorial Hospital East	Shiloh	IL	$2,829.17
Alton Memorial Hospital	—	—	$3,050.95
Alton Memorial Hospital	Alton	IL	$3,050.95
Barnes-jewish Hospital	—	—	$3,050.95
St. Louis Childrens Hospital	—	—	$3,315.36
St. Louis Childrens Hospital	St. Louis	MO	$3,315.36
St. Louis Children's at CoxHealth	—	—	$7,563.28

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States with hospitals publishing rates for allied benefits [498].

State	Hospitals	Avg rate
MO	7	$1,842.84
IL	2	$2,945.1

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