▸ Payer

interplan

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

Hospitals

Procedures

States

Rate rows

462

Median neg. rate

$899.36

Top procedures for interplan

By number of hospitals reporting rates for this payer.

Procedure	Type	Code	Hospitals	Avg rate
Colonoscopy diagnostic	CPT	45378	9	$2,181.07
MRI brain with and without contrast	CPT	70553	9	$4,295.47
Office visit, established patient, 30-39 minutes	CPT	99214	8	$327.34
MRI lower extremity joint without contrast	CPT	73721	8	$3,122.6
CT abdomen and pelvis without contrast	CPT	74176	7	$3,270.56
Colonoscopy with polyp removal	CPT	45385	7	$3,374.67
Office visit, established patient, 20-29 minutes	CPT	99213	7	$273.48
Ankle X-ray 3 views	CPT	73610	7	$435.82
Comprehensive metabolic panel	CPT	80053	7	$320.81
MRI lumbar spine without contrast	CPT	72148	7	$3,238.65
Office visit, established patient, 5 min	CPT	99211	7	$183.84
PCI bypass graft	CPT	92937	6	$11,302
Left heart catheterization	CPT	93452	6	$13,109
Coronary angiography with cath	CPT	93455	6	$12,533
Coronary angiography with bypass cath	CPT	93458	6	$10,165
Heart failure & shock w CC	MS-DRG	292	6	$6,428.27
Cardiac arrhythmia w MCC	MS-DRG	308	6	$48,392
Hip & femur procedures except major joint w CC	MS-DRG	481	6	$69,259
MRI brain without contrast	CPT	70551	6	$3,199.38
Major small/large bowel procedures w CC	MS-DRG	330	6	$159,477
Colonoscopy with biopsy	CPT	45380	6	$2,723.78
Lipid panel	CPT	80061	6	$76.79
Complete blood count with automated differential	CPT	85025	6	$159.24
CT abdomen and pelvis with contrast	CPT	74177	6	$4,960.21
Transvaginal ultrasound	CPT	76830	6	$589
Chest X-ray single view	CPT	71045	6	$327.34
Humerus X-ray	CPT	73060	6	$407.36
Upper GI endoscopy diagnostic	CPT	43235	6	$570.05
Upper GI endoscopy with biopsy	CPT	43239	6	$1,206.43
PCI with drug-eluting stent	CPT	92928	6	$21,947

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Lowest average negotiated rate across all procedures at this payer.

Hospital	City	ST	Avg neg. rate
Sharp Mesa Vista Hospital	—	—	$317.14
Sharp Mesa Vista Hospital	San Diego	CA	$1,611.95
Sharp Coronado Hospital	Coronado	CA	$2,000.19
Grossmont Hospital	La Mesa	CA	$3,544.89
Sharp Memorial Hospital-transplant	—	—	$6,764.8
Sharp Memorial Hospital	San Diego	CA	$6,764.8
Sharp Memorial Hospital	—	—	$9,823.95
Sharp Mary Birch Hospital for Women and Newborns	—	—	$9,823.95
Sharp Chula Vista Medical Center	Chula Vista	CA	$10,773
Sharp Chula Vista Medical Center	—	—	$13,644

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States with hospitals publishing rates for interplan.

State	Hospitals	Avg rate
CA	5	$6,693.1

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