▸ Payer

benefit management [1175]

Negotiated rates published by hospitals for benefit management [1175] across 2 states. Data sourced from federally-mandated machine-readable files.

Hospitals

Procedures

States

Rate rows

1,163

Median neg. rate

$1,337

Top procedures for benefit management [1175]

By number of hospitals reporting rates for this payer.

Procedure	Type	Code	Hospitals	Avg rate
MRI brain without contrast	CPT	70551	13	$2,279.97
MRI brain with and without contrast	CPT	70553	13	$3,923.14
MRI lumbar spine without contrast	CPT	72148	13	$2,729.81
MRI brain with contrast	CPT	70552	13	$3,278.76
MRI chest without contrast	CPT	71550	13	$2,571.12
MRI cervical spine without contrast	CPT	72141	13	$2,717.05
MRI thoracic spine without contrast	CPT	72146	13	$2,852.38
MRI cervical spine with and without contrast	CPT	72156	13	$3,785.5
MRI lumbar spine with contrast	CPT	72158	13	$3,764.82
MRI upper extremity joint without contrast	CPT	73221	13	$3,272.6
MRI upper extremity joint with and without contrast	CPT	73223	13	$3,445.68
CT head without contrast	CPT	70450	13	$1,885.38
CT head with contrast	CPT	70460	13	$2,111.85
CT head with and without contrast	CPT	70470	13	$2,589.06
CT neck with contrast	CPT	70491	13	$1,883.48
CT chest without contrast	CPT	71250	13	$2,125.48
CT chest with contrast	CPT	71260	13	$2,361.59
CT chest with and without contrast	CPT	71270	13	$2,582.85
CT cervical spine without contrast	CPT	72125	13	$2,508.95
CT thoracic spine without contrast	CPT	72128	13	$1,914.78
CT lumbar spine without contrast	CPT	72131	13	$2,001.35
CT pelvis without contrast	CPT	72192	13	$1,911.35
CT pelvis with contrast	CPT	72193	13	$2,333.4
Chest X-ray single view	CPT	71045	13	$254.71
Chest X-ray 2 views	CPT	71046	13	$321.01
Lumbosacral spine X-ray	CPT	72100	13	$493.29
Shoulder X-ray	CPT	73030	13	$490.84
Humerus X-ray	CPT	73060	13	$492.36
Hand X-ray 3 views	CPT	73130	13	$434.02
Knee X-ray 1-2 views	CPT	73560	13	$499.12

Loading procedures...

Lowest average negotiated rate across all procedures at this payer.

Hospital	City	ST	Avg neg. rate
Amarillo Surgical and Endoscopy	—	—	$963.86
Lovelace Womens Hospital	Albuquerque	NM	$1,288.5
Lovelace Women's Hospital	—	—	$1,288.5
Lovelace Westside Hospital	—	—	$1,330
Lovelace Westside Hospital	Albuquerque	NM	$1,330
Lovelace Rehabilitation Hospital	Albuquerque	NM	$1,415.95
Lovelace UNM Rehabilitation Hospital	—	—	$1,415.95
Lovelace Medical Center- Downtown	Albuquerque	NM	$1,824.45
Heart Hospital Of New Mexico	Albuquerque	NM	$1,824.45
Lovelace Medical Center	—	—	$1,824.45
Lovelace Regional Hospital Roswell	—	—	$2,553.07
Lovelace Regional Hospital-Roswell	Roswell	NM	$2,553.07
Baptist Saint Anthonys Hospital	Amarillo	TX	$2,751.32
Harrington Cancer Center	—	—	$2,757.51

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States with hospitals publishing rates for benefit management [1175].

State	Hospitals	Avg rate
NM	6	$1,718.66
TX	1	$2,751.32

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