▸ Payer

national provider network

Negotiated rates published by hospitals for national provider network across 7 states. Data sourced from federally-mandated machine-readable files.

Hospitals

Procedures

203

States

Rate rows

4,093

Median neg. rate

$316.8

Top procedures for national provider network

By number of hospitals reporting rates for this payer.

Procedure	Type	Code	Hospitals	Avg rate
MRI brain without contrast	CPT	70551	18	$2,878.82
MRI brain with and without contrast	CPT	70553	18	$4,350.52
MRI lumbar spine without contrast	CPT	72148	18	$3,001.9
MRI brain with contrast	CPT	70552	18	$3,516.36
MRI chest without contrast	CPT	71550	18	$2,718.69
MRI chest with and without contrast	CPT	71552	18	$4,024.49
MRI cervical spine without contrast	CPT	72141	18	$2,982.71
MRI thoracic spine without contrast	CPT	72146	18	$3,101.81
MRI lumbar spine with and without contrast	CPT	72149	18	$3,724.06
MRI cervical spine with and without contrast	CPT	72156	18	$4,656.76
MRI lumbar spine with contrast	CPT	72158	18	$4,700.69
CT head without contrast	CPT	70450	18	$1,694.94
CT head with contrast	CPT	70460	18	$2,303.53
CT head with and without contrast	CPT	70470	18	$2,730.97
CT neck with contrast	CPT	70491	18	$2,352.54
CT chest without contrast	CPT	71250	18	$1,758.78
CT chest with contrast	CPT	71260	18	$2,406.93
CT chest with and without contrast	CPT	71270	18	$2,740.46
CT cervical spine without contrast	CPT	72125	18	$2,084
CT thoracic spine without contrast	CPT	72128	18	$1,996.97
CT lumbar spine without contrast	CPT	72131	18	$1,809.73
CT pelvis without contrast	CPT	72192	18	$1,706.22
CT pelvis with contrast	CPT	72193	18	$2,410.35
Chest X-ray single view	CPT	71045	18	$292.73
Chest X-ray 2 views	CPT	71046	18	$337.49
Chest X-ray 3 views	CPT	71047	18	$378.72
Lumbosacral spine X-ray	CPT	72100	18	$424.13
Shoulder X-ray	CPT	73030	18	$354.38
Humerus X-ray	CPT	73060	18	$331.43
Sigmoidoscopy diagnostic	CPT	45330	18	$897.49

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Lowest average negotiated rate across all procedures at this payer.

Hospital	City	ST	Avg neg. rate
Claiborne Medical Center	—	—	$80
Fort Loudoun Medical Center	Lenoir City	TN	$425.41
Morristown-Hamblen Hospital	Morristown	TN	$425.41
LeConte Medical Center	—	—	$425.41
Cumberland Medical Center, Inc.	—	—	$425.41
Roane County Medical Center	Harriman	TN	$425.41
Methodist Medical Center of Oak Ridge	—	—	$425.41
Parkwest Medical Center	—	—	$445.61
UPMC Jameson	—	—	$1,854.28
Upmc Jameson	New Castle	PA	$1,854.28
Lexington Memorial Hospital Inc.	Lexington	NC	$1,909.16
Baptist Health Lexington	Lexington	KY	$1,909.16
Heartland Regional Medical Center	Marion	IL	$2,336.72
UPMC Childrens	—	—	$3,683.42
Upmc Mercy Hospital	Pittsburgh	PA	$3,876.34
UPMC Mercy	—	—	$3,876.34
Carilion Tazewell Community Hospital	—	—	$5,635.34
Carilion Tazewell Community Hospital	Tazewell	VA	$5,635.34

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