▸ Payer

highmark_medicare

Negotiated rates published by hospitals for highmark_medicare across 0 states. Data sourced from federally-mandated machine-readable files.

Hospitals

Procedures

177

States

Rate rows

818

Median neg. rate

$252.41

Top procedures for highmark_medicare

By number of hospitals reporting rates for this payer.

Procedure	Type	Code	Hospitals	Avg rate
MRI brain without contrast	CPT	70551	6	$245.65
MRI brain with and without contrast	CPT	70553	6	$362.94
MRI lumbar spine without contrast	CPT	72148	6	$245.65
CT abdomen and pelvis without contrast	CPT	74176	6	$245.65
MRI cervical spine without contrast	CPT	72141	6	$245.65
MRI thoracic spine without contrast	CPT	72146	6	$245.65
MRI cervical spine with and without contrast	CPT	72156	6	$362.94
MRI lumbar spine with contrast	CPT	72158	6	$362.94
MRI upper extremity joint with and without contrast	CPT	73223	6	$362.94
CT head without contrast	CPT	70450	6	$108.07
CT chest without contrast	CPT	71250	6	$108.07
CT chest with contrast	CPT	71260	6	$180.91
CT cervical spine without contrast	CPT	72125	6	$108.07
CT thoracic spine without contrast	CPT	72128	6	$108.07
CT lumbar spine without contrast	CPT	72131	6	$108.07
CT pelvis without contrast	CPT	72192	6	$108.07
CT abdomen and pelvis with contrast	CPT	74177	6	$362.94
CT abdomen and pelvis with and without contrast	CPT	74178	6	$362.94
Abdominal ultrasound complete	CPT	76700	6	$108.07
Abdominal ultrasound limited	CPT	76705	6	$108.07
Chest X-ray single view	CPT	71045	6	$89.48
Chest X-ray 2 views	CPT	71046	6	$89.48
Lumbosacral spine X-ray	CPT	72100	6	$108.07
Shoulder X-ray	CPT	73030	6	$89.48
Humerus X-ray	CPT	73060	6	$89.48
Hand X-ray 3 views	CPT	73130	6	$89.48
Knee X-ray 1-2 views	CPT	73560	6	$89.48
Ankle X-ray 3 views	CPT	73610	6	$89.48
Kidney/UTI w/o MCC	MS-DRG	690	6	$5,550.51
COPD w MCC	MS-DRG	190	6	$7,595.18

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Lowest average negotiated rate across all procedures at this payer.

Hospital	City	ST	Avg neg. rate
WellSpan Philhaven	—	—	$1,242
WellSpan Waynesboro Hospital	—	—	$1,982.87
WellSpan Surgery & Rehabilitation Hospital	—	—	$2,140.73
WellSpan Gettysburg Hospital	—	—	$2,986.34
WellSpan Chambersburg Hospital	—	—	$3,038.96
WellSpan York Hospital	—	—	$3,252.07
WellSpan Ephrata Community Hospital	—	—	$3,299.62

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