▸ Payer

highmark_wholecare_gateway_medicare

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

Hospitals

Procedures

177

States

Rate rows

819

Median neg. rate

$261.03

Top procedures for highmark_wholecare_gateway_medicare

By number of hospitals reporting rates for this payer.

Procedure	Type	Code	Hospitals	Avg rate
MRI brain without contrast	CPT	70551	6	$254.62
MRI brain with and without contrast	CPT	70553	6	$376.18
MRI lumbar spine without contrast	CPT	72148	6	$254.62
CT abdomen and pelvis without contrast	CPT	74176	6	$254.62
MRI cervical spine without contrast	CPT	72141	6	$254.62
MRI thoracic spine without contrast	CPT	72146	6	$254.62
MRI cervical spine with and without contrast	CPT	72156	6	$376.18
MRI lumbar spine with contrast	CPT	72158	6	$376.18
MRI upper extremity joint with and without contrast	CPT	73223	6	$376.18
CT head without contrast	CPT	70450	6	$112.01
CT chest without contrast	CPT	71250	6	$112.01
CT chest with contrast	CPT	71260	6	$187.52
CT cervical spine without contrast	CPT	72125	6	$112.01
CT thoracic spine without contrast	CPT	72128	6	$112.01
CT lumbar spine without contrast	CPT	72131	6	$112.01
CT pelvis without contrast	CPT	72192	6	$112.01
CT abdomen and pelvis with contrast	CPT	74177	6	$376.18
CT abdomen and pelvis with and without contrast	CPT	74178	6	$376.18
Abdominal ultrasound complete	CPT	76700	6	$112.01
Abdominal ultrasound limited	CPT	76705	6	$112.01
Chest X-ray single view	CPT	71045	6	$92.75
Chest X-ray 2 views	CPT	71046	6	$92.75
Lumbosacral spine X-ray	CPT	72100	6	$112.01
Shoulder X-ray	CPT	73030	6	$92.75
Humerus X-ray	CPT	73060	6	$92.75
Hand X-ray 3 views	CPT	73130	6	$92.75
Knee X-ray 1-2 views	CPT	73560	6	$92.75
Ankle X-ray 3 views	CPT	73610	6	$92.75
Kidney/UTI w/o MCC	MS-DRG	690	6	$5,712.28
COPD w MCC	MS-DRG	190	6	$7,816.54

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Top 20 cheapest hospitals for highmark_wholecare_gateway_medicare

Lowest average negotiated rate across all procedures at this payer.

Hospital	City	ST	Avg neg. rate
WellSpan Philhaven	—	—	$780.97
WellSpan Waynesboro Hospital	—	—	$2,015.74
WellSpan Surgery & Rehabilitation Hospital	—	—	$2,235.05
WellSpan Chambersburg Hospital	—	—	$3,038.55
WellSpan Gettysburg Hospital	—	—	$3,117.92
WellSpan York Hospital	—	—	$3,395.35
WellSpan Ephrata Community Hospital	—	—	$3,445.95

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