▸ Payer

metroplus

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

Hospitals

Procedures

207

States

Rate rows

4,397

Median neg. rate

$1,084.2

Top procedures for metroplus

By number of hospitals reporting rates for this payer.

Procedure	Type	Code	Hospitals	Avg rate
MRI brain without contrast	CPT	70551	8	$2,139.14
MRI brain with and without contrast	CPT	70553	8	$2,524.81
Colonoscopy diagnostic	CPT	45378	8	$202.85
Colonoscopy with biopsy	CPT	45380	8	$1,238.7
Colonoscopy with polyp removal	CPT	45385	8	$277.19
Total hip replacement	CPT	27130	8	$1,467.49
Total knee replacement	CPT	27447	8	$1,465.45
MRI brain with contrast	CPT	70552	8	$2,410.73
CT head without contrast	CPT	70450	8	$819.11
CT head with contrast	CPT	70460	8	$962.58
CT head with and without contrast	CPT	70470	8	$1,029.26
CT neck with contrast	CPT	70491	8	$968.86
CT chest without contrast	CPT	71250	8	$824.85
CT chest with contrast	CPT	71260	8	$963.48
Chest X-ray single view	CPT	71045	8	$161.34
Chest X-ray 2 views	CPT	71046	8	$215.84
Chest X-ray 3 views	CPT	71047	8	$232.87
Upper GI endoscopy diagnostic	CPT	43235	8	$602.18
Upper GI endoscopy with biopsy	CPT	43239	8	$1,100.11
Sigmoidoscopy diagnostic	CPT	45330	8	$1,516.83
Sigmoidoscopy with biopsy	CPT	45331	8	$1,167.43
Hip hemiarthroplasty	CPT	27125	8	$1,297.02
Knee revision arthroplasty single component	CPT	27486	8	$1,605.86
Knee revision arthroplasty all components	CPT	27487	8	$1,997.87
Intravitreal injection	CPT	67028	8	$786.07
Laparoscopic appendectomy	CPT	44970	8	$695.57
Laparoscopic cholecystectomy	CPT	47562	8	$763.9
Lap inguinal hernia repair	CPT	49650	8	$503.03
Total abdominal hysterectomy	CPT	58150	8	$1,147.29
Lap salpingo-oophorectomy	CPT	58661	8	$734.31

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Lowest average negotiated rate across all procedures at this payer.

Hospital	City	ST	Avg neg. rate
Memorial Sloan Kettering Monmouth	—	—	$921.3
Memorial Sloan Kettering Nassau	—	—	$921.3
Memorial Sloan Kettering Bergen	—	—	$921.3
Memorial Sloan Kettering Basking Ridge	—	—	$921.3
Memorial Sloan Kettering Westchester	—	—	$921.3
Memorial Hospital For Cancer And All	New York	NY	$921.3
Memorial Sloan Kettering Skin Cancer Center Hauppauge	—	—	$921.3
Memorial Sloan Kettering Commack Nonna’s Garden Foundation Center	—	—	$921.3
Mount Sinai Behavioral Health Center	—	—	$18,615
Mount Sinai West	—	—	$19,898
Mount Sinai Morningside	—	—	$19,898
New York Presbyterian Hospital	New York	NY	$20,866
New York Eye And Ear Infirmary	New York	NY	$326,702

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States with hospitals publishing rates for metroplus.

State	Hospitals	Avg rate
NY	3	$54,784

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