▸ Payer

health coalition partners

Negotiated rates published by hospitals for health coalition partners across 1 states. Data sourced from federally-mandated machine-readable files.

Hospitals

Procedures

116

States

Rate rows

1,851

Median neg. rate

$1,101.6

Top procedures for health coalition partners

By number of hospitals reporting rates for this payer.

Procedure	Type	Code	Hospitals	Avg rate
MRI brain without contrast	CPT	70551	13	$4,932.23
MRI brain with and without contrast	CPT	70553	13	$7,757.9
MRI lumbar spine without contrast	CPT	72148	13	$5,306.91
Colonoscopy diagnostic	CPT	45378	13	$1,897.16
Colonoscopy with biopsy	CPT	45380	13	$4,057.03
Colonoscopy with polyp removal	CPT	45385	13	$4,035.43
MRI brain with contrast	CPT	70552	13	$6,806.07
MRI chest without contrast	CPT	71550	13	$5,585.97
MRI chest with and without contrast	CPT	71552	13	$9,199.1
MRI cervical spine without contrast	CPT	72141	13	$5,287.37
MRI thoracic spine without contrast	CPT	72146	13	$5,308.37
MRI lumbar spine with and without contrast	CPT	72149	13	$6,539.31
MRI cervical spine with and without contrast	CPT	72156	13	$7,938.29
MRI lumbar spine with contrast	CPT	72158	13	$7,923.67
CT head without contrast	CPT	70450	13	$2,200.35
CT head with contrast	CPT	70460	13	$3,431.11
CT head with and without contrast	CPT	70470	13	$3,855.57
CT neck with contrast	CPT	70491	13	$3,444.14
CT chest without contrast	CPT	71250	13	$2,459.56
CT chest with contrast	CPT	71260	13	$3,539.69
CT chest with and without contrast	CPT	71270	13	$3,997.1
CT cervical spine without contrast	CPT	72125	13	$2,474.4
CT thoracic spine without contrast	CPT	72128	13	$2,499.03
CT lumbar spine without contrast	CPT	72131	13	$2,474.4
Chest X-ray single view	CPT	71045	13	$491.39
Chest X-ray 2 views	CPT	71046	13	$557.05
Chest X-ray 3 views	CPT	71047	13	$539.41
Lumbosacral spine X-ray	CPT	72100	13	$528.84
Upper GI endoscopy diagnostic	CPT	43235	13	$3,006.29
Upper GI endoscopy with biopsy	CPT	43239	13	$4,050.4

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Lowest average negotiated rate across all procedures at this payer.

Hospital	City	ST	Avg neg. rate
UPMC Kane	—	—	$1,029.12
Upmc Northwest Hospital	Seneca	PA	$1,408.42
UPMC Northwest	—	—	$1,408.42
Upmc Bedford Memorial Hospital	Everett	PA	$1,605.25
UPMC Bedford	—	—	$1,605.25
Upmc Horizon Hospital	Greenville	PA	$1,741.28
UPMC Horizon-Greenville	—	—	$1,741.28
UPMC Horizon-Shenango	—	—	$1,741.28
UPMC Montefiore	—	—	$5,218.47
UPMC Shadyside	—	—	$5,218.47
Upmc Presbyterian Shadyside	—	—	$5,218.47
UPMC Presbyterian	—	—	$5,218.47
Upmc Shadyside	Pittsburgh	PA	$5,218.47

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States with hospitals publishing rates for health coalition partners.

State	Hospitals	Avg rate
PA	4	$2,906.54

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