▸ Payer

elderplan [1316]

Negotiated rates published by hospitals for elderplan [1316] across 0 states. Data sourced from federally-mandated machine-readable files.

Hospitals

Procedures

States

Rate rows

330

Median neg. rate

$123.74

Top procedures for elderplan [1316]

By number of hospitals reporting rates for this payer.

Procedure	Type	Code	Hospitals	Avg rate
MRI brain with and without contrast	CPT	70553	3	$300.72
Colonoscopy diagnostic	CPT	45378	3	$241.95
Colonoscopy with biopsy	CPT	45380	3	$290.82
Colonoscopy with polyp removal	CPT	45385	3	$325.47
Shoulder arthroscopy with decompression	CPT	29826	3	$158.9
Routine obstetric care including vaginal delivery	CPT	59400	3	$2,225.77
Routine obstetric care with C-section	CPT	59510	3	$2,464.45
Vaginal delivery only	CPT	59409	3	$733.03
Vaginal delivery with postpartum	CPT	59410	3	$992.35
C-section delivery only	CPT	59514	3	$828.53
C-section with postpartum	CPT	59515	3	$1,226.67
Fetal non-stress test	CPT	59025	3	$45.32
CT head without contrast	CPT	70450	3	$100.82
CT chest without contrast	CPT	71250	3	$125.68
CT chest with contrast	CPT	71260	3	$157.36
Chest X-ray single view	CPT	71045	3	$24.1
Chest X-ray 2 views	CPT	71046	3	$31.23
Upper GI endoscopy diagnostic	CPT	43235	3	$188.65
Upper GI endoscopy with biopsy	CPT	43239	3	$234.28
Sigmoidoscopy diagnostic	CPT	45330	3	$112.21
Sigmoidoscopy with biopsy	CPT	45331	3	$163.15
Open appendectomy	CPT	44950	3	$595.58
Laparoscopic appendectomy	CPT	44970	3	$560.82
Laparoscopic cholecystectomy	CPT	47562	3	$614.66
Lap inguinal hernia repair	CPT	49650	3	$405.14
Total abdominal hysterectomy	CPT	58150	3	$950.59
Vaginal hysterectomy	CPT	58260	3	$782.32
Lap-assisted vaginal hysterectomy	CPT	58550	3	$823.9
Lap-assisted vaginal hysterectomy >250g	CPT	58552	3	$915.95
Lap salpingo-oophorectomy	CPT	58661	3	$608.51

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Lowest average negotiated rate across all procedures at this payer.

Hospital	City	ST	Avg neg. rate
STRONG MEMORIAL HOSPITAL	—	—	$236.03
HIGHLAND HOSPITAL OF ROCHESTER	—	—	$236.03
Strong Memorial Hospital T C	—	—	$236.03

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