▸ Payer

connecticare

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

Hospitals

Procedures

147

States

Rate rows

1,610

Median neg. rate

$2,058

Top procedures for connecticare

By number of hospitals reporting rates for this payer.

Procedure	Type	Code	Hospitals	Avg rate
MRI brain without contrast	CPT	70551	12	$2,506.47
MRI brain with and without contrast	CPT	70553	12	$4,595.5
Colonoscopy diagnostic	CPT	45378	12	$2,261.7
Colonoscopy with biopsy	CPT	45380	12	$2,925.3
Colonoscopy with polyp removal	CPT	45385	12	$2,925.3
MRI brain with contrast	CPT	70552	12	$2,870.23
CT head without contrast	CPT	70450	12	$1,597.4
CT head with contrast	CPT	70460	12	$2,058
CT head with and without contrast	CPT	70470	12	$2,432.5
CT neck with contrast	CPT	70491	12	$2,032.8
Upper GI endoscopy diagnostic	CPT	43235	12	$2,326.1
Upper GI endoscopy with biopsy	CPT	43239	12	$2,326.1
Sigmoidoscopy diagnostic	CPT	45330	12	$2,261.7
Sigmoidoscopy with biopsy	CPT	45331	12	$2,261.7
Heart failure & shock w MCC	MS-DRG	291	12	$22,624
Heart failure & shock w CC	MS-DRG	292	12	$20,770
Esophagitis/gastroenteritis w/o MCC	MS-DRG	392	12	$15,340
Kidney/UTI w/o MCC	MS-DRG	690	12	$17,042
Kidney/UTI w MCC	MS-DRG	689	12	$20,785
Cardiac arrhythmia w MCC	MS-DRG	308	12	$22,211
Cardiac arrhythmia w CC	MS-DRG	309	12	$16,336
Cardiac arrhythmia w/o CC/MCC	MS-DRG	310	12	$14,559
AMI discharged alive w MCC	MS-DRG	280	12	$26,978
AMI discharged alive w CC	MS-DRG	281	12	$20,439
Simple pneumonia & pleurisy w CC	MS-DRG	194	12	$16,978
Simple pneumonia & pleurisy w/o CC/MCC	MS-DRG	195	12	$12,319
Respiratory infections & inflammations w MCC	MS-DRG	177	12	$28,277
COPD w MCC	MS-DRG	190	12	$20,671
COPD w CC	MS-DRG	191	12	$17,503
COPD w/o CC/MCC	MS-DRG	192	12	$13,778

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Lowest average negotiated rate across all procedures at this payer.

Hospital	City	ST	Avg neg. rate
Carilion Tazewell Community Hospital	Tazewell	VA	$4,109.1
Carilion Tazewell Community Hospital	—	—	$4,109.1
Carilion Giles Community Hospital	—	—	$4,953.99
Carilion Giles Community Hospital	Pearisburg	VA	$4,953.99
Carilion Rockbridge Community Hospital	—	—	$6,758.47
Carilion Stonewall Jackson Hospital	Lexington	VA	$7,068.93
Carilion Franklin Memorial Hospital	Rocky Mount	VA	$7,068.93
Franklin Memorial Hospital	Farmington	ME	$7,068.93
Carilion New River Valley Med Center	Christiansburg	VA	$10,396
Carilion Medical Center	Roanoke	VA	$12,721
Carilion Roanoke Memorial Hospital	—	—	$12,721
Carilion Roanoke Community Hospital	—	—	$12,721

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States with hospitals publishing rates for connecticare.

State	Hospitals	Avg rate
VA	6	$8,025.41
ME	1	$7,068.93

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