▸ Payer

fidelis care

Negotiated rates published by hospitals for fidelis care across 5 states. Data sourced from federally-mandated machine-readable files.

Hospitals

Procedures

197

States

Rate rows

11,849

Median neg. rate

$169.9

Top procedures for fidelis care

By number of hospitals reporting rates for this payer.

Procedure	Type	Code	Hospitals	Avg rate
Complete blood count with automated differential	CPT	85025	37	$11.36
Comprehensive metabolic panel	CPT	80053	37	$21.26
Lipid panel	CPT	80061	37	$22.4
Basic metabolic panel (BMP)	CPT	80048	37	$15.77
Electrolyte panel	CPT	80051	37	$14.54
Renal function panel	CPT	80069	37	$18.12
Hepatic function panel	CPT	80076	37	$19.07
Urinalysis automated	CPT	81003	37	$4.21
Glucose quantitative	CPT	82947	37	$5.42
Hemoglobin A1c	CPT	83036	37	$16.77
Thyroid stimulating hormone (TSH)	CPT	84443	37	$26.39
Complete blood count without differential	CPT	85027	37	$9.6
Urine culture bacterial	CPT	87086	37	$12.98
Urine culture identification	CPT	87088	37	$12.7
Lumbosacral spine X-ray	CPT	72100	35	$77.54
Ankle X-ray 3 views	CPT	73610	35	$60.84
Pelvic ultrasound complete	CPT	76856	35	$138.06
MRI brain with and without contrast	CPT	70553	35	$611.52
MRI cervical spine without contrast	CPT	72141	35	$380.25
CT head with contrast	CPT	70460	35	$272.8
CT head with and without contrast	CPT	70470	35	$325.8
CT chest with contrast	CPT	71260	35	$337.84
CT chest with and without contrast	CPT	71270	35	$371.18
CT cervical spine without contrast	CPT	72125	35	$269.25
CT abdomen and pelvis with and without contrast	CPT	74178	35	$572.79
Abdominal ultrasound complete	CPT	76700	35	$145.82
Abdominal ultrasound limited	CPT	76705	35	$115.23
Retroperitoneal ultrasound complete	CPT	76770	35	$136.22
MRI brain without contrast	CPT	70551	35	$425.83
Chest X-ray single view	CPT	71045	35	$60.11

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Lowest average negotiated rate across all procedures at this payer.

Hospital	City	ST	Avg neg. rate
Saint Barnabas Behavioral Health Center	—	—	$41.14
Saint Barnabas Behavioral Health Cen	Toms River	NJ	$41.14
Alice Hyde Medical Center	Malone	NY	$291.76
Alice Hyde Medical Center	—	—	$291.76
Elizabethtown Community Hospital	—	—	$326.31
Elizabethtown Community Hospital	Elizabethtown	NY	$326.31
Porter Hospital	Middlebury	VT	$461.06
Porter Medical Center	—	—	$461.06
Nassau University Medical Center	East Meadow	NY	$618.32
Childrens Specialized Hopsital	Mountainside	NJ	$714.98
Childrens Specialized Hospital	—	—	$714.98
Champlain Valley Physicians Hospital	Plattsburgh	NY	$1,669.94
University Of Vermont Medical Center	Burlington	VT	$2,070.91
Robert Wood Johnson University Hospi	New Brunswick	NJ	$2,267.15
Robert Wood Johnson Hospital @ Hami	Hamilton	NJ	$2,267.15
Robert Wood Johnson University Hospital	—	—	$2,267.15
Robert Wood Johnson University Hospital Hamilton	—	—	$2,267.15
Robert Wood Johnson University Hospital Rahway	—	—	$2,274.99
Robert Wood Johnson Univ Hosp @ Som	Somerville	NJ	$2,344.91
Robert Wood Johnson University Hospital Somerset	—	—	$2,344.91

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States with hospitals publishing rates for fidelis care.

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