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health payors organization

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

Hospitals

Procedures

113

States

Rate rows

1,922

Median neg. rate

$1,805.4

Top procedures for health payors organization

By number of hospitals reporting rates for this payer.

Procedure	Type	Code	Hospitals	Avg rate
Office visit, established patient, 40-54 min	CPT	99215	10	$430.13
Office visit, established patient, 20-29 minutes	CPT	99213	10	$278.11
Office visit, established patient, 30-39 minutes	CPT	99214	10	$349.16
Office visit, new patient, 30-44 minutes	CPT	99203	10	$370.01
Office visit, new patient, 15-29 min	CPT	99202	10	$279.6
Office visit, new patient, 45-59 min	CPT	99204	10	$474.71
Office visit, new patient, 60-74 min	CPT	99205	10	$582.39
Office visit, established patient, 5 min	CPT	99211	10	$158.46
EKG tracing only	CPT	93005	10	$587.57
Office visit, established patient, 10-19 min	CPT	99212	10	$199.08
CT chest without contrast	CPT	71250	8	$3,941.17
CT chest with contrast	CPT	71260	8	$5,827.26
CT chest with and without contrast	CPT	71270	8	$6,542.52
CT cervical spine without contrast	CPT	72125	8	$3,902.6
CT thoracic spine without contrast	CPT	72128	8	$3,902.6
Chest X-ray 2 views	CPT	71046	8	$830.51
Chest X-ray 3 views	CPT	71047	8	$832.1
Lumbosacral spine X-ray	CPT	72100	8	$862.17
Sigmoidoscopy diagnostic	CPT	45330	8	$993.26
Colonoscopy diagnostic	CPT	45378	8	$2,156.25
Intravitreal injection	CPT	67028	8	$3,245.11
Colonoscopy with biopsy	CPT	45380	8	$6,001.09
Colonoscopy with polyp removal	CPT	45385	8	$5,986.21
MRI chest without contrast	CPT	71550	8	$7,596.54
MRI chest with contrast	CPT	71551	8	$9,626.98
MRI chest with and without contrast	CPT	71552	8	$11,797
CT head without contrast	CPT	70450	8	$3,845.86
CT head with contrast	CPT	70460	8	$5,731.96
CT head with and without contrast	CPT	70470	8	$6,418.63
CT neck with contrast	CPT	70491	8	$5,922.99

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Lowest average negotiated rate across all procedures at this payer.

Hospital	City	ST	Avg neg. rate
Upmc - Presbyterian Shadyside	Pittsburgh	PA	$440.96
UPMC Western Psychiatric	—	—	$440.96
UPMC Childrens	—	—	$3,478.78
Upmc Mercy Hospital	Pittsburgh	PA	$4,254.52
UPMC Mercy	—	—	$4,254.52
Upmc Presbyterian Shadyside	—	—	$5,544.63
UPMC Presbyterian	—	—	$5,544.63
UPMC Shadyside	—	—	$5,544.63
UPMC Montefiore	—	—	$5,544.63
Upmc Shadyside	Pittsburgh	PA	$5,544.63

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States with hospitals publishing rates for health payors organization.

State	Hospitals	Avg rate
PA	3	$4,155.94

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