▸ Payer

community care

Negotiated rates published by hospitals for community care across 2 states. Data sourced from federally-mandated machine-readable files.

Hospitals

Procedures

148

States

Rate rows

1,033

Median neg. rate

$458.96

Top procedures for community care

By number of hospitals reporting rates for this payer.

Procedure	Type	Code	Hospitals	Avg rate
Office visit, established patient, 20-29 minutes	CPT	99213	3	$158.2
Office visit, established patient, 30-39 minutes	CPT	99214	3	$156.68
MRI brain with contrast	CPT	70552	2	$1,528.59
MRI chest without contrast	CPT	71550	2	$657.96
CT head without contrast	CPT	70450	2	$463.63
CT head with contrast	CPT	70460	2	$1,291.21
CT head with and without contrast	CPT	70470	2	$634.21
CT neck with contrast	CPT	70491	2	$520.36
CT chest without contrast	CPT	71250	2	$570.22
CT chest with contrast	CPT	71260	2	$677.44
CT chest with and without contrast	CPT	71270	2	$842.28
Chest X-ray single view	CPT	71045	2	$2,350.35
Chest X-ray 2 views	CPT	71046	2	$128.93
Chest X-ray 3 views	CPT	71047	2	$162.45
Upper GI endoscopy diagnostic	CPT	43235	2	$1,261.35
Upper GI endoscopy with biopsy	CPT	43239	2	$1,062.26
Heart failure & shock w MCC	MS-DRG	291	2	$12,814
Heart failure & shock w CC	MS-DRG	292	2	$8,524.55
Esophagitis/gastroenteritis w/o MCC	MS-DRG	392	2	$7,400.07
Kidney/UTI w MCC	MS-DRG	689	2	$10,952
Cardiac arrhythmia w MCC	MS-DRG	308	2	$11,839
Cardiac arrhythmia w CC	MS-DRG	309	2	$7,318.26
Cardiac arrhythmia w/o CC/MCC	MS-DRG	310	2	$5,508.09
AMI discharged alive w MCC	MS-DRG	280	2	$15,805
AMI discharged alive w CC	MS-DRG	281	2	$9,070.41
AMI discharged alive w/o CC/MCC	MS-DRG	282	2	$7,112.37
Simple pneumonia & pleurisy w CC	MS-DRG	194	2	$7,895.94
MRI brain without contrast	CPT	70551	2	$1,208.75
GI hemorrhage w CC	MS-DRG	378	2	$9,388.15
MRI brain with and without contrast	CPT	70553	2	$1,153.39

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Lowest average negotiated rate across all procedures at this payer.

Hospital	City	ST	Avg neg. rate
Parkside Hospital Inc.	Tulsa	OK	$117.42
Oklahoma Heart Hospital	Oklahoma City	OK	$2,510.22
Oklahoma Heart Hospital South	Oklahoma City	OK	$2,576.82

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States with hospitals publishing rates for community care.

State	Hospitals	Avg rate
OK	3	$2,459.12

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