▸ Payer

hcap op rate

Negotiated rates published by hospitals for hcap op rate across 1 states. Data sourced from federally-mandated machine-readable files.

Hospitals

Procedures

142

States

Rate rows

823

Median neg. rate

$282

Top procedures for hcap op rate

By number of hospitals reporting rates for this payer.

Procedure	Type	Code	Hospitals	Avg rate
MRI brain without contrast	CPT	70551	3	$975.68
Colonoscopy diagnostic	CPT	45378	3	$779.75
Colonoscopy with biopsy	CPT	45380	3	$1,056.8
Colonoscopy with polyp removal	CPT	45385	3	$2,283.3
Knee arthroscopy with meniscectomy	CPT	29881	3	$3,776.64
Total hip replacement	CPT	27130	3	$24,937
Total knee replacement	CPT	27447	3	$21,277
Cataract surgery with lens implant	CPT	66984	3	$3,013.78
Fetal non-stress test	CPT	59025	3	$229.2
CT head without contrast	CPT	70450	3	$827.85
CT head with contrast	CPT	70460	3	$890.13
CT head with and without contrast	CPT	70470	3	$1,030.22
CT neck with contrast	CPT	70491	3	$985.72
Upper GI endoscopy diagnostic	CPT	43235	3	$1,942.76
Upper GI endoscopy with biopsy	CPT	43239	3	$2,243.35
Sigmoidoscopy diagnostic	CPT	45330	3	$568.4
Sigmoidoscopy with biopsy	CPT	45331	3	$1,497.55
Total shoulder arthroplasty	CPT	23472	3	$16,624
ACL reconstruction	CPT	29888	3	$13,693
Complex cataract surgery	CPT	66982	3	$3,486.52
Laparoscopic appendectomy	CPT	44970	3	$11,019
Laparoscopic cholecystectomy	CPT	47562	3	$7,804.7
Lap cholecystectomy with cholangiography	CPT	47563	3	$9,859.25
Umbilical hernia repair age 5+	CPT	49585	3	$6,956.58
Lap inguinal hernia repair	CPT	49650	3	$8,838.6
Lap incisional hernia repair	CPT	49652	3	$9,519.46
Vaginal hysterectomy	CPT	58260	3	$7,951.96
Lap-assisted vaginal hysterectomy	CPT	58550	3	$11,480
Lap-assisted vaginal hysterectomy >250g	CPT	58552	3	$12,854
Lap salpingo-oophorectomy	CPT	58661	3	$3,746.69

Loading procedures...

Lowest average negotiated rate across all procedures at this payer.

Hospital	City	ST	Avg neg. rate
Bay Regional Medical Center	Bay City	MI	$1,303.46
Mclaren Bay Special Care	Bay City	MI	$1,303.46
Mclaren Port Huron	Port Huron	MI	$2,041.34

Loading hospitals...

States with hospitals publishing rates for hcap op rate.

State	Hospitals	Avg rate
MI	3	$1,494.43

Loading state coverage...