▸ Payer

amerihealth caritas

Negotiated rates published by hospitals for amerihealth caritas across 5 states. Data sourced from federally-mandated machine-readable files.

Hospitals

113

Procedures

209

States

Rate rows

24,975

Median neg. rate

$209.35

Top procedures for amerihealth caritas

By number of hospitals reporting rates for this payer.

Procedure	Type	Code	Hospitals	Avg rate
Colonoscopy diagnostic	CPT	45378	107	$450.26
Colonoscopy with biopsy	CPT	45380	107	$566.29
Colonoscopy with polyp removal	CPT	45385	107	$608.52
Upper GI endoscopy diagnostic	CPT	43235	107	$417.39
Upper GI endoscopy with biopsy	CPT	43239	107	$439.42
Sigmoidoscopy with biopsy	CPT	45331	107	$361.25
Sigmoidoscopy diagnostic	CPT	45330	106	$344.25
Knee arthroscopy with meniscectomy	CPT	29881	97	$1,369.31
ED visit level 3	CPT	99283	91	$232.48
ED visit level 4	CPT	99284	91	$299.51
ED visit level 5	CPT	99285	91	$415.18
Lipid panel	CPT	80061	91	$52.92
ED visit level 2	CPT	99282	91	$109.15
Hemoglobin A1c	CPT	83036	91	$44.27
Thyroid stimulating hormone (TSH)	CPT	84443	91	$52.32
Comprehensive metabolic panel	CPT	80053	91	$53.87
Complete blood count with automated differential	CPT	85025	91	$41.83
Complete blood count without differential	CPT	85027	91	$37.01
Urine culture bacterial	CPT	87086	91	$42.59
Tissue exam by pathologist level IV	CPT	88305	91	$85.22
Basic metabolic panel (BMP)	CPT	80048	91	$47.29
Electrolyte panel	CPT	80051	91	$39.22
Renal function panel	CPT	80069	91	$43.57
Hepatic function panel	CPT	80076	91	$48.53
Urinalysis automated	CPT	81003	91	$31.72
Glucose quantitative	CPT	82947	91	$32.22
CT cervical spine without contrast	CPT	72125	90	$247.3
Lumbosacral spine X-ray	CPT	72100	90	$78.93
CT chest with and without contrast	CPT	71270	90	$349.21
MRI chest without contrast	CPT	71550	90	$447.53

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Lowest average negotiated rate across all procedures at this payer.

Hospital	City	ST	Avg neg. rate
Southern Regional Medical Center	Riverdale	GA	$12.71
UPMC Wellsboro	—	—	$147.72
Wellsboro	Wellsboro	PA	$147.72
Temple University Hospital - Transplant Center	—	—	$165.9
Temple University Hospital - Main Campus	—	—	$165.9
Temple University Hospital	Philadelphia	PA	$165.9
Upmc St Margaret	Pittsburgh	PA	$223.65
UPMC St. Margaret	—	—	$223.65
UPMC West Shore	—	—	$271.37
Community General Osteopathic Hosp.	Harrisburg	PA	$271.37
Upmc Lititz	Lititz	PA	$271.37
Upmc Pinnacle Hospitals	Harrisburg	PA	$271.37
UPMC Hanover	—	—	$271.37
UPMC Community Osteopathic	—	—	$271.37
Upmc Hanover	Hanover	PA	$271.37
UPMC Harrisburg	—	—	$271.37
UPMC Lititz	—	—	$271.37
UPMC Washington	—	—	$282.47
The Washington Hospital	Washington	PA	$282.47
Whs - Greene	Waynesburg	PA	$282.47

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States with hospitals publishing rates for amerihealth caritas.

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