▸ Payer

commercial | health services coalition | all plans

Negotiated rates published by hospitals for commercial | health services coalition | all plans across 1 states. Data sourced from federally-mandated machine-readable files.

Hospitals

Procedures

131

States

Rate rows

396

Median neg. rate

$1,090.35

Top procedures for commercial | health services coalition | all plans

By number of hospitals reporting rates for this payer.

Procedure	Type	Code	Hospitals	Avg rate
Colonoscopy diagnostic	CPT	45378	3	$1,435
Colonoscopy with biopsy	CPT	45380	3	$1,435
Colonoscopy with polyp removal	CPT	45385	3	$1,435
Knee arthroscopy with meniscectomy	CPT	29881	3	$2,023
Shoulder arthroscopy with decompression	CPT	29826	3	$1,638
Total hip replacement	CPT	27130	3	$2,023
Total knee replacement	CPT	27447	3	$2,667
Upper GI endoscopy diagnostic	CPT	43235	3	$1,072
Upper GI endoscopy with biopsy	CPT	43239	3	$1,435
Sigmoidoscopy diagnostic	CPT	45330	3	$584
Sigmoidoscopy with biopsy	CPT	45331	3	$1,072
CABG single arterial graft	CPT	33533	3	$2,023
CABG 2 arterial grafts	CPT	33534	3	$2,023
CABG 3 arterial grafts	CPT	33535	3	$2,023
CABG 4+ arterial grafts	CPT	33536	3	$2,023
Total shoulder arthroplasty	CPT	23472	3	$3,200
Hip hemiarthroplasty	CPT	27125	3	$2,023
Knee revision arthroplasty single component	CPT	27486	3	$2,667
Knee revision arthroplasty all components	CPT	27487	3	$2,667
Shoulder arthroscopy with rotator cuff repair	CPT	29827	3	$2,305
ACL reconstruction	CPT	29888	3	$1,638
Open appendectomy	CPT	44950	3	$1,638
Laparoscopic appendectomy	CPT	44970	3	$2,305
Laparoscopic cholecystectomy	CPT	47562	3	$8,126
Lap cholecystectomy with cholangiography	CPT	47563	3	$8,126
Open umbilical hernia repair	CPT	49560	3	$2,023
Umbilical hernia repair age 5+	CPT	49585	3	$2,023
Lap inguinal hernia repair	CPT	49650	3	$2,023
PCI w drug-eluting stent w/o MCC	MS-DRG	247	3	$11,054
PCI w drug-eluting stent w MCC	MS-DRG	246	3	$11,054

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Top 20 cheapest hospitals for commercial | health services coalition | all plans

Lowest average negotiated rate across all procedures at this payer.

Hospital	City	ST	Avg neg. rate
St. Rose Dominican - Delima	Henderson	NV	$1,991.23
St. Rose Dominican - San Martin	Las Vegas	NV	$2,011.1
St Rose Dominican Hospital Siena Campus	—	—	$2,142.82

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States covered

States with hospitals publishing rates for commercial | health services coalition | all plans.

State	Hospitals	Avg rate
NV	2	$2,001.9

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