▸ Payer

healthscope benefits [258]

Negotiated rates published by hospitals for healthscope benefits [258] across 2 states. Data sourced from federally-mandated machine-readable files.

Hospitals

Procedures

148

States

Rate rows

3,684

Median neg. rate

$1,105

Top procedures for healthscope benefits [258]

By number of hospitals reporting rates for this payer.

Procedure	Type	Code	Hospitals	Avg rate
Colonoscopy diagnostic	CPT	45378	17	$1,985.11
Colonoscopy with biopsy	CPT	45380	17	$1,590.17
Colonoscopy with polyp removal	CPT	45385	17	$1,802.29
CT head without contrast	CPT	70450	17	$1,091.38
CT head with contrast	CPT	70460	17	$1,216.72
Upper GI endoscopy diagnostic	CPT	43235	17	$2,837.33
Upper GI endoscopy with biopsy	CPT	43239	17	$1,372.15
Sigmoidoscopy diagnostic	CPT	45330	17	$1,479.22
Sigmoidoscopy with biopsy	CPT	45331	17	$1,316.99
Heart failure & shock w MCC	MS-DRG	291	17	$12,098
Heart failure & shock w CC	MS-DRG	292	17	$9,304.47
Esophagitis/gastroenteritis w/o MCC	MS-DRG	392	17	$7,670.21
Kidney/UTI w/o MCC	MS-DRG	690	17	$7,924.06
Kidney/UTI w MCC	MS-DRG	689	17	$7,820.82
Cardiac arrhythmia w MCC	MS-DRG	308	17	$12,693
Cardiac arrhythmia w CC	MS-DRG	309	17	$8,224.93
Cardiac arrhythmia w/o CC/MCC	MS-DRG	310	17	$5,857.6
Intracranial hemorrhage/CVA w MCC	MS-DRG	064	17	$12,014
Intracranial hemorrhage/CVA w CC	MS-DRG	065	17	$9,071.51
Intracranial hemorrhage/CVA w/o CC/MCC	MS-DRG	066	17	$7,335.11
Simple pneumonia & pleurisy w CC	MS-DRG	194	17	$6,789.81
Simple pneumonia & pleurisy w/o CC/MCC	MS-DRG	195	17	$5,961.77
Respiratory infections & inflammations w MCC	MS-DRG	177	17	$10,913
COPD w CC	MS-DRG	191	17	$7,585.25
GI hemorrhage w CC	MS-DRG	378	17	$9,377.55
Major small/large bowel procedures w MCC	MS-DRG	329	17	$28,084
Major small/large bowel procedures w CC	MS-DRG	330	17	$24,152
Major small/large bowel procedures w/o CC/MCC	MS-DRG	331	17	$15,339
Laparoscopic cholecystectomy w/o CDE w MCC	MS-DRG	418	17	$15,413
Laparoscopic cholecystectomy w/o CDE w CC	MS-DRG	419	17	$12,647

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Lowest average negotiated rate across all procedures at this payer.

Hospital	City	ST	Avg neg. rate
Parkland Hlth Ctr - Bonne Terre	Bonne Terre	MO	$1,698.12
St. Louis Childrens Hospital	—	—	$2,995.2
St. Louis Childrens Hospital	St. Louis	MO	$2,995.2
Missouri Baptist Hospital Sullivan	Sullivan	MO	$3,228.9
Missouri Baptist Sullivan Hospital	Sullivan	MO	$3,228.9
Parkland Health Center - Farmington	Farmington	MO	$4,358.25
Parkland Health Center	—	—	$4,358.25
Memorial Hospital Shiloh	—	—	$5,355.48
Memorial Hospital	—	—	$5,355.48
Memorial Hospital East	Shiloh	IL	$5,355.48
St. Louis Children's at CoxHealth	—	—	$5,640.13
Barnes-jewish Hospital	—	—	$5,872.82
Alton Memorial Hospital	—	—	$5,872.82
Alton Memorial Hospital	Alton	IL	$5,872.82
Progress West Hospital	—	—	$6,206.71
Progress West Hospital	Ofallon	MO	$6,206.71
Barnes Jewish St. Peters Hospital	—	—	$6,436.28
Barnes Jewish St. Peters Hospital	St. Peters	MO	$6,436.28

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States with hospitals publishing rates for healthscope benefits [258].

State	Hospitals	Avg rate
MO	7	$3,732.47
IL	2	$5,625.61

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