▸ Payer

epic americas

Negotiated rates published by hospitals for epic americas across 1 states. Data sourced from federally-mandated machine-readable files.

Hospitals

Procedures

States

Rate rows

354

Median neg. rate

$880.27

Top procedures for epic americas

By number of hospitals reporting rates for this payer.

Procedure	Type	Code	Hospitals	Avg rate
Office visit, established patient, 5 min	CPT	99211	7	$248.67
ED visit level 3	CPT	99283	7	$1,866.88
ED visit level 5	CPT	99285	7	$2,128.82
Office visit, established patient, 30-39 minutes	CPT	99214	6	$319.07
Comprehensive metabolic panel	CPT	80053	6	$125.05
Office visit, new patient, 60-74 min	CPT	99205	6	$485.52
Colonoscopy diagnostic	CPT	45378	6	$1,827.07
Colonoscopy with biopsy	CPT	45380	6	$2,153.55
Office visit, established patient, 20-29 minutes	CPT	99213	6	$286.35
PCI with drug-eluting stent	CPT	92928	6	$19,007
Hepatic function panel	CPT	80076	6	$179.92
Glucose quantitative	CPT	82947	6	$49.47
Complete blood count without differential	CPT	85027	6	$109.36
Tissue exam by pathologist level IV	CPT	88305	6	$289.83
Intracranial hemorrhage/CVA w/o CC/MCC	MS-DRG	066	6	$17,814
COPD w MCC	MS-DRG	190	6	$60,311
GI hemorrhage w/o CC/MCC	MS-DRG	379	6	$22,382
MRI chest with and without contrast	CPT	71552	6	$4,796.35
MRI lumbar spine with and without contrast	CPT	72149	6	$1,771.69
CT chest without contrast	CPT	71250	6	$1,682.09
CT chest with contrast	CPT	71260	6	$1,643.2
Hand X-ray 3 views	CPT	73130	6	$515.28
Critical care, first hour	CPT	99291	5	$18,092
Electrolyte panel	CPT	80051	5	$88.09
Renal function panel	CPT	80069	5	$114.48
CT thoracic spine without contrast	CPT	72128	5	$506.52
Thyroid stimulating hormone (TSH)	CPT	84443	4	$113.85
Upper GI endoscopy diagnostic	CPT	43235	4	$1,707.84
MRI cervical spine without contrast	CPT	72141	4	$3,873.1
Septicemia or severe sepsis w/o MV 96+ hrs	MS-DRG	872	4	$42,093

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Lowest average negotiated rate across all procedures at this payer.

Hospital	City	ST	Avg neg. rate
Grossmont Hospital	La Mesa	CA	$2,068.18
Sharp Memorial Hospital-transplant	—	—	$7,859.97
Sharp Memorial Hospital	—	—	$7,859.97
Sharp Memorial Hospital	San Diego	CA	$7,859.97
Sharp Mary Birch Hospital for Women and Newborns	—	—	$7,859.97
Sharp Chula Vista Medical Center	Chula Vista	CA	$11,532
Sharp Chula Vista Medical Center	—	—	$11,532

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States with hospitals publishing rates for epic americas.

State	Hospitals	Avg rate
CA	3	$9,511.39

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