▸ Payer

community care [1290]

Negotiated rates published by hospitals for community care [1290] across 1 states. Data sourced from federally-mandated machine-readable files.

Hospitals

Procedures

States

Rate rows

342

Median neg. rate

$665.25

Top procedures for community care [1290]

By number of hospitals reporting rates for this payer.

Procedure	Type	Code	Hospitals	Avg rate
Comprehensive metabolic panel	CPT	80053	7	$396.82
Lipid panel	CPT	80061	7	$371.17
Complete blood count with automated differential	CPT	85025	7	$302.39
Office visit, established patient, 5 min	CPT	99211	7	$479.4
ED visit level 1	CPT	99281	7	$738.73
ED visit level 4	CPT	99284	7	$2,103.54
ED visit level 5	CPT	99285	7	$2,809.73
Obstetric ultrasound first trimester	CPT	76801	7	$970.62
Obstetric ultrasound after first trimester	CPT	76805	7	$1,342.59
Obstetric ultrasound with fetal anatomy	CPT	76811	7	$907.48
Transvaginal ultrasound	CPT	76830	7	$1,058.47
Transthoracic echocardiogram complete	CPT	93306	7	$2,819.43
Chest X-ray single view	CPT	71045	7	$444.64
Chest X-ray 2 views	CPT	71046	7	$608.37
Lumbosacral spine X-ray	CPT	72100	7	$802.83
Shoulder X-ray	CPT	73030	7	$884.48
Humerus X-ray	CPT	73060	7	$836.92
Hand X-ray 3 views	CPT	73130	7	$1,011.28
Knee X-ray 1-2 views	CPT	73560	7	$906.64
Ankle X-ray 3 views	CPT	73610	7	$1,010.94
Diagnostic mammography unilateral	CPT	77065	7	$618.63
Screening mammography bilateral	CPT	77067	7	$502.86
EKG tracing only	CPT	93005	7	$411.72
Basic metabolic panel (BMP)	CPT	80048	7	$329.68
General health panel	CPT	80050	7	$1,183.98
Electrolyte panel	CPT	80051	7	$175.35
Complete blood count without differential	CPT	85027	7	$171.13
Urine culture bacterial	CPT	87086	7	$309.98
Urine culture identification	CPT	87088	7	$111.69
Tissue exam by pathologist level IV	CPT	88305	7	$397.48

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Lowest average negotiated rate across all procedures at this payer.

Hospital	City	ST	Avg neg. rate
Hillcrest Hospital Cushing	Cushing	OK	$674.63
Hillcrest Hospital Cushing	—	—	$674.63
Hillcrest Hospital Henryetta	Henryetta	OK	$700.39
Hillcrest Hospital Henryetta	—	—	$700.39
Bailey Medical Center	Owasso	OK	$1,372.13
Hillcrest Hospital South	Tulsa	OK	$2,036.24
Hillcrest Hospital South	—	—	$2,036.24

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States with hospitals publishing rates for community care [1290].

State	Hospitals	Avg rate
OK	4	$1,237.86

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