Negotiated rates published by hospitals for choice care network across 3 states. Data sourced from federally-mandated machine-readable files.
By number of hospitals reporting rates for this payer.
| Procedure | Type | Code | Hospitals | Avg rate |
|---|---|---|---|---|
| MRI brain without contrast | CPT | 70551 | 8 | $3,756.37 |
| MRI brain with and without contrast | CPT | 70553 | 8 | $5,810.42 |
| MRI lumbar spine without contrast | CPT | 72148 | 8 | $3,987 |
| MRI lower extremity joint without contrast | CPT | 73721 | 8 | $3,990.65 |
| CT abdomen and pelvis without contrast | CPT | 74176 | 8 | $3,458.47 |
| Office visit, established patient, 20-29 minutes | CPT | 99213 | 8 | $304.37 |
| Comprehensive metabolic panel | CPT | 80053 | 8 | $345.74 |
| Lipid panel | CPT | 80061 | 8 | $92.67 |
| Complete blood count with automated differential | CPT | 85025 | 8 | $209.05 |
| Office visit, established patient, 30-39 minutes | CPT | 99214 | 7 | $373.02 |
| Colonoscopy diagnostic | CPT | 45378 | 6 | $2,551.2 |
| Colonoscopy with biopsy | CPT | 45380 | 6 | $2,768.8 |
| Colonoscopy with polyp removal | CPT | 45385 | 6 | $3,520 |
| Office visit, new patient, 30-44 minutes | CPT | 99203 | 6 | $541.43 |
Lowest average negotiated rate across all procedures at this payer.
| Hospital | City | ST | Avg neg. rate |
|---|---|---|---|
| Sharp Mesa Vista Hospital | San Diego | CA | $1,684.09 |
| Sharp Memorial Hospital-transplant | — | — | $1,684.09 |
| Sharp Memorial Hospital | San Diego | CA | $1,684.09 |
| Grossmont Hospital | La Mesa | CA | $1,781.88 |
| Sharp Chula Vista Medical Center | Chula Vista | CA | $2,006.74 |
| Sharp Coronado Hospital | Coronado | CA | $2,133.54 |
| The Childrens Hospital Of Philadelp | Philadelphia | PA | $3,112.16 |
| Children's Hospital Of Philadelphia Transplant | — | — | $3,922.01 |
