▸ Payer

managed health network

Negotiated rates published by hospitals for managed health network across 2 states. Data sourced from federally-mandated machine-readable files.

Hospitals

Procedures

156

States

Rate rows

583

Median neg. rate

$530.61

Top procedures for managed health network

By number of hospitals reporting rates for this payer.

Procedure	Type	Code	Hospitals	Avg rate
Chest X-ray single view	CPT	71045	10	$278.56
Uterine & adnexa procedures w CC/MCC	MS-DRG	743	9	$43,886
Humerus X-ray	CPT	73060	9	$226.78
Heart failure & shock w/o CC/MCC	MS-DRG	293	9	$18,723
MRI brain with and without contrast	CPT	70553	8	$2,027.77
Colonoscopy diagnostic	CPT	45378	8	$2,082.85
Complete blood count with automated differential	CPT	85025	8	$103.4
CT neck with contrast	CPT	70491	8	$1,877.3
CT abdomen and pelvis with and without contrast	CPT	74178	8	$4,003.1
Pelvic ultrasound complete	CPT	76856	8	$514.43
Stress echocardiogram	CPT	93350	8	$1,776.74
Lumbosacral spine X-ray	CPT	72100	8	$369.27
Coronary angiography with bypass cath	CPT	93458	8	$11,423
Glucose quantitative	CPT	82947	8	$25.13
Hemoglobin A1c	CPT	83036	8	$43.99
Thyroid stimulating hormone (TSH)	CPT	84443	8	$1,898.34
Office visit, new patient, 15-29 min	CPT	99202	7	$133.09
Major small/large bowel procedures w MCC	MS-DRG	329	7	$166,089
Major small/large bowel procedures w CC	MS-DRG	330	7	$49,872
Office visit, established patient, 20-29 minutes	CPT	99213	7	$204.1
Uterine & adnexa procedures w/o CC/MCC	MS-DRG	744	7	$37,669
CT head with contrast	CPT	70460	7	$1,662.73
Heart failure & shock w MCC	MS-DRG	291	7	$44,599
CT cervical spine without contrast	CPT	72125	7	$1,729.59
Lipid panel	CPT	80061	7	$8.41
Psychoses	MS-DRG	885	7	$37,963
Transthoracic echocardiogram complete	CPT	93306	7	$2,269.37
COPD w CC	MS-DRG	191	7	$26,784
MRI upper extremity joint with and without contrast	CPT	73223	7	$3,061.85
Hip & femur procedures except major joint w CC	MS-DRG	481	7	$37,842

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Lowest average negotiated rate across all procedures at this payer.

Hospital	City	ST	Avg neg. rate
Sharp Mesa Vista Hospital	—	—	$344.08
Sharp Mesa Vista Hospital	San Diego	CA	$344.08
Sherman Oaks Hospital-Hlth	Sherman Oaks	CA	$5,308.77
Encino Hospital	Encino	CA	$5,526.32
Grossmont Hospital	La Mesa	CA	$6,478.27
Sharp Chula Vista Medical Center	—	—	$8,654.99
Sharp Chula Vista Medical Center	Chula Vista	CA	$8,654.99
Sharp Memorial Hospital	San Diego	CA	$13,683
Sharp Memorial Hospital-transplant	—	—	$13,683
Sharp Memorial Hospital	—	—	$13,683
Sharp Mary Birch Hospital for Women and Newborns	—	—	$13,683
Huntington Beach Hospital	Huntington Beach	CA	$14,412
University Of California, Irvine Medical Center	—	—	$18,824
Uci Medical Center	Orange	CA	$18,824

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States with hospitals publishing rates for managed health network.

State	Hospitals	Avg rate
CA	8	$7,843.82

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