▸ Payer

integrated health plan

Negotiated rates published by hospitals for integrated health plan across 3 states. Data sourced from federally-mandated machine-readable files.

Hospitals

Procedures

141

States

Rate rows

1,102

Median neg. rate

$1,452.2

Top procedures for integrated health plan

By number of hospitals reporting rates for this payer.

Procedure	Type	Code	Hospitals	Avg rate
MRI brain with and without contrast	CPT	70553	7	$4,707.32
MRI lumbar spine without contrast	CPT	72148	7	$2,886.53
Colonoscopy diagnostic	CPT	45378	7	$4,316.21
Colonoscopy with biopsy	CPT	45380	7	$4,932.43
Colonoscopy with polyp removal	CPT	45385	7	$5,001.36
MRI thoracic spine without contrast	CPT	72146	7	$2,483.13
MRI lumbar spine with and without contrast	CPT	72149	7	$3,589.49
MRI cervical spine with and without contrast	CPT	72156	7	$4,668.79
MRI lumbar spine with contrast	CPT	72158	7	$3,962.53
CT head without contrast	CPT	70450	7	$1,853.39
CT head with contrast	CPT	70460	7	$2,303.56
CT head with and without contrast	CPT	70470	7	$2,682.07
CT neck with contrast	CPT	70491	7	$2,081.3
CT chest without contrast	CPT	71250	7	$1,800.87
CT chest with contrast	CPT	71260	7	$2,241.97
CT chest with and without contrast	CPT	71270	7	$3,035.61
CT cervical spine without contrast	CPT	72125	7	$1,900.68
CT thoracic spine without contrast	CPT	72128	7	$1,812.1
CT lumbar spine without contrast	CPT	72131	7	$2,031.91
CT pelvis without contrast	CPT	72192	7	$1,767.37
CT pelvis with contrast	CPT	72193	7	$2,613.78
Chest X-ray single view	CPT	71045	7	$320.17
Chest X-ray 2 views	CPT	71046	7	$322.89
Chest X-ray 3 views	CPT	71047	7	$394.47
Lumbosacral spine X-ray	CPT	72100	7	$525.41
Shoulder X-ray	CPT	73030	7	$688.46
Upper GI endoscopy diagnostic	CPT	43235	7	$3,888.67
Upper GI endoscopy with biopsy	CPT	43239	7	$4,242.2
Sigmoidoscopy diagnostic	CPT	45330	7	$3,334.55
Sigmoidoscopy with biopsy	CPT	45331	7	$3,774.06

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Lowest average negotiated rate across all procedures at this payer.

Hospital	City	ST	Avg neg. rate
Pam Specialty Hosp. Of Rocky Mount	Rocky Mount	NC	$2,408.85
Adena Pike Medical Center	—	—	$3,194.62
Adena Regional Medical Center	Chillicothe	OH	$3,228.61
Adena Greenfield Medical Center	—	—	$3,228.61
Carilion Tazewell Community Hospital	Tazewell	VA	$4,989.62
Carilion Tazewell Community Hospital	—	—	$4,989.62
Carilion Rockbridge Community Hospital	—	—	$8,206.72

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States with hospitals publishing rates for integrated health plan.

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