▸ Payer

fortified provider network

Negotiated rates published by hospitals for fortified provider network across 6 states. Data sourced from federally-mandated machine-readable files.

Hospitals

Procedures

112

States

Rate rows

6,510

Median neg. rate

$1,459.8

Top procedures for fortified provider network

By number of hospitals reporting rates for this payer.

Procedure	Type	Code	Hospitals	Avg rate
Critical care, first hour	CPT	99291	34	$3,204.63
Tissue exam by pathologist level IV	CPT	88305	34	$365.66
Urine culture bacterial	CPT	87086	34	$150.03
Complete blood count without differential	CPT	85027	34	$105.57
EKG tracing only	CPT	93005	34	$317.98
Renal function panel	CPT	80069	34	$237.28
Hepatic function panel	CPT	80076	34	$193.03
Urinalysis automated	CPT	81003	34	$67.29
Glucose quantitative	CPT	82947	34	$55.14
Hemoglobin A1c	CPT	83036	34	$139.53
Abdominal ultrasound limited	CPT	76705	34	$912.04
Pelvic ultrasound complete	CPT	76856	34	$1,040.58
Lipid panel	CPT	80061	34	$133.02
Complete blood count with automated differential	CPT	85025	34	$117.14
Chest X-ray 2 views	CPT	71046	34	$414.03
Thyroid stimulating hormone (TSH)	CPT	84443	34	$197.22
MRI brain with and without contrast	CPT	70553	33	$3,130.58
Colonoscopy diagnostic	CPT	45378	33	$2,787.75
Colonoscopy with biopsy	CPT	45380	33	$2,807.78
Colonoscopy with polyp removal	CPT	45385	33	$2,763.49
Transthoracic echocardiogram complete	CPT	93306	33	$2,308.98
Transthoracic echocardiogram	CPT	93307	33	$1,524.6
Upper GI endoscopy diagnostic	CPT	43235	33	$2,823.3
Upper GI endoscopy with biopsy	CPT	43239	33	$2,849.81
Sigmoidoscopy diagnostic	CPT	45330	33	$1,756.68
Sigmoidoscopy with biopsy	CPT	45331	33	$2,117.21
Lumbosacral spine X-ray	CPT	72100	32	$502.52
CT thoracic spine without contrast	CPT	72128	32	$1,850.76
CT cervical spine without contrast	CPT	72125	32	$1,867.54
CT neck with contrast	CPT	70491	32	$2,169.59

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Lowest average negotiated rate across all procedures at this payer.

Hospital	City	ST	Avg neg. rate
University Hospitals Geneva Medical Center	—	—	$1,362.54
Uh Geneva Medical Center	Geneva	OH	$1,362.54
Uh Conneaut Medical Center	Conneaut	OH	$1,377.03
University Hospitals Conneaut Medical Center	—	—	$1,377.03
University Hospitals Beachwood Medical Center	—	—	$1,385.03
Pam Specialty Hospital Of Sarasota	Sarasota	FL	$1,495.77
Uh Samaritan Medical Center	Ashland	OH	$1,937.2
University Hospitals Samaritan Medical Center	—	—	$1,937.2
Pam Specialty Hospital Of Las Vegas	Las Vegas	NV	$2,085.78
University Hospitals Ahuja Medical Center	—	—	$2,086.37
Uh Ahuja Medical Center	Beachwood	OH	$2,086.37
Pam Specialty Hosp. Of Rocky Mount	Rocky Mount	NC	$2,155.29
University Hospitals Rehab Hospital	Beachwood	OH	$2,338.08
University Hospitals Cleveland Medical Center	—	—	$2,338.08
Uh Cleveland Medical Center	Cleveland	OH	$2,338.08
University Hospitals Avon Rehab Hosp	Avon	OH	$2,338.08
University Hospitals Lake West Medical Center	—	—	$2,360.86
University Hospitals Tripoint Medical Center	—	—	$2,360.86
Lake Hospital System	Concord	OH	$2,360.86
University Hospitals Parma Medical Center	—	—	$2,374.34

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States with hospitals publishing rates for fortified provider network.

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