▸ Payer

capital district physicians health plan (cdphp) 5149

Negotiated rates published by hospitals for capital district physicians health plan (cdphp) 5149 across 2 states. Data sourced from federally-mandated machine-readable files.

Hospitals

Procedures

States

Rate rows

480

Median neg. rate

$277.8

Top procedures for capital district physicians health plan (cdphp) 5149

By number of hospitals reporting rates for this payer.

Procedure	Type	Code	Hospitals	Avg rate
Colonoscopy diagnostic	CPT	45378	4	$640.36
Colonoscopy with biopsy	CPT	45380	4	$776.18
Colonoscopy with polyp removal	CPT	45385	4	$864.93
Knee arthroscopy with meniscectomy	CPT	29881	4	$1,332
Shoulder arthroscopy with decompression	CPT	29826	4	$417.31
Total hip replacement	CPT	27130	4	$3,130.67
Total knee replacement	CPT	27447	4	$3,127.6
Routine obstetric care including vaginal delivery	CPT	59400	4	$5,817.45
Vaginal delivery only	CPT	59409	4	$1,938.08
Fetal non-stress test	CPT	59025	4	$94.24
Upper GI endoscopy diagnostic	CPT	43235	4	$502.26
Upper GI endoscopy with biopsy	CPT	43239	4	$630.58
Sigmoidoscopy diagnostic	CPT	45330	4	$296.39
Sigmoidoscopy with biopsy	CPT	45331	4	$439.14
Total shoulder arthroplasty	CPT	23472	4	$3,525.15
Hip hemiarthroplasty	CPT	27125	4	$2,763.18
Knee revision arthroplasty single component	CPT	27486	4	$3,422.11
Knee revision arthroplasty all components	CPT	27487	4	$4,264.75
Shoulder arthroscopy with rotator cuff repair	CPT	29827	4	$2,615.48
ACL reconstruction	CPT	29888	4	$2,387.15
Open appendectomy	CPT	44950	4	$1,559.43
Laparoscopic appendectomy	CPT	44970	4	$1,465.88
Laparoscopic cholecystectomy	CPT	47562	4	$1,603.43
Lap cholecystectomy with cholangiography	CPT	47563	4	$1,747.39
Lap inguinal hernia repair	CPT	49650	4	$1,054.95
Total abdominal hysterectomy	CPT	58150	4	$2,487.84
Vaginal hysterectomy	CPT	58260	4	$2,065.06
Lap-assisted vaginal hysterectomy	CPT	58550	4	$2,167.73
Lap-assisted vaginal hysterectomy >250g	CPT	58552	4	$2,411.04
Lap salpingo-oophorectomy	CPT	58661	4	$1,602.62

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Top 20 cheapest hospitals for capital district physicians health plan (cdphp) 5149

Lowest average negotiated rate across all procedures at this payer.

Hospital	City	ST	Avg neg. rate
ST JAMES HOSPITAL	—	—	$754.35
NICHOLAS H NOYES MEMORIAL HOSPITAL	—	—	$754.35
Montfort Jones Memorial Hospital	Kosciusko	MS	$754.35
Fredrick Ferris Thompson Hospital	Canandaigua	NY	$754.35

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States covered

States with hospitals publishing rates for capital district physicians health plan (cdphp) 5149.

State	Hospitals	Avg rate
MS	1	$754.35
NY	1	$754.35

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