▸ Payer

indian health council

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

Hospitals

Procedures

States

Rate rows

466

Median neg. rate

$1,093.44

Top procedures for indian health council

By number of hospitals reporting rates for this payer.

Procedure	Type	Code	Hospitals	Avg rate
CT abdomen and pelvis without contrast	CPT	74176	9	$1,589.55
Colonoscopy diagnostic	CPT	45378	9	$1,169.25
Colonoscopy with biopsy	CPT	45380	9	$1,733.01
MRI lumbar spine without contrast	CPT	72148	9	$1,367.25
MRI brain without contrast	CPT	70551	8	$1,224.23
MRI lower extremity joint without contrast	CPT	73721	8	$677.93
MRI brain with and without contrast	CPT	70553	7	$1,498.29
Thyroid stimulating hormone (TSH)	CPT	84443	7	$124.29
Transthoracic echocardiogram complete	CPT	93306	7	$4,118.48
Office visit, new patient, 60-74 min	CPT	99205	7	$432.39
MRI abdomen without contrast	CPT	74181	6	$2,732.28
Stress echocardiogram	CPT	93350	6	$2,527.7
Hand X-ray 3 views	CPT	73130	6	$494.94
Knee X-ray 1-2 views	CPT	73560	6	$353.5
Screening mammography bilateral	CPT	77067	6	$251.33
Upper GI endoscopy diagnostic	CPT	43235	6	$2,019.17
PCI bypass graft	CPT	92937	6	$6,254.48
Glucose quantitative	CPT	82947	6	$38.88
Major joint replacement w/o MCC	MS-DRG	470	6	$98,223
Colonoscopy with polyp removal	CPT	45385	6	$1,224.26
Office visit, established patient, 20-29 minutes	CPT	99213	6	$261.87
Lipid panel	CPT	80061	6	$105.03
Office visit, new patient, 15-29 min	CPT	99202	6	$5,822.56
Office visit, established patient, 5 min	CPT	99211	6	$195.88
Office visit, established patient, 10-19 min	CPT	99212	6	$179.02
ED visit level 5	CPT	99285	6	$5,146.89
Critical care, first hour	CPT	99291	6	$12,969
MRI lower extremity joint with and without contrast	CPT	73723	6	$1,438.3
Scrotal ultrasound	CPT	76870	5	$413.48
CT abdomen without contrast	CPT	74150	5	$1,628.8

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Lowest average negotiated rate across all procedures at this payer.

Hospital	City	ST	Avg neg. rate
Sharp Mesa Vista Hospital	—	—	$197.82
Sharp Mesa Vista Hospital	San Diego	CA	$568.22
Sharp Coronado Hospital	Coronado	CA	$614.52
Sharp Memorial Hospital-transplant	—	—	$8,202.18
Sharp Memorial Hospital	San Diego	CA	$8,202.18
Sharp Memorial Hospital	—	—	$9,165.69
Sharp Mary Birch Hospital for Women and Newborns	—	—	$9,165.69
Sharp Chula Vista Medical Center	Chula Vista	CA	$9,617.24
Grossmont Hospital	La Mesa	CA	$10,197
Sharp Chula Vista Medical Center	—	—	$10,578

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States with hospitals publishing rates for indian health council.

State	Hospitals	Avg rate
CA	5	$8,367.67

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