▸ Payer

ortho carolina

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

Hospitals

Procedures

154

States

Rate rows

3,066

Median neg. rate

$157.6

Top procedures for ortho carolina

By number of hospitals reporting rates for this payer.

Procedure	Type	Code	Hospitals	Avg rate
Colonoscopy diagnostic	CPT	45378	21	$467.49
Colonoscopy with biopsy	CPT	45380	21	$817.03
Colonoscopy with polyp removal	CPT	45385	21	$847.08
Knee arthroscopy with meniscectomy	CPT	29881	21	$2,248.14
Shoulder arthroscopy with decompression	CPT	29826	21	$195.58
Total hip replacement	CPT	27130	21	$8,404.3
Total knee replacement	CPT	27447	21	$8,403.42
Upper GI endoscopy diagnostic	CPT	43235	21	$628.71
Upper GI endoscopy with biopsy	CPT	43239	21	$637.48
Sigmoidoscopy diagnostic	CPT	45330	21	$575.86
Sigmoidoscopy with biopsy	CPT	45331	21	$584.77
CABG single arterial graft	CPT	33533	21	$2,087.21
CABG 2 arterial grafts	CPT	33534	21	$2,451.94
CABG 3 arterial grafts	CPT	33535	21	$2,725
CABG 4+ arterial grafts	CPT	33536	21	$2,935.16
Total shoulder arthroplasty	CPT	23472	21	$11,788
Hip hemiarthroplasty	CPT	27125	21	$1,302.47
Knee revision arthroplasty single component	CPT	27486	21	$1,612.8
Knee revision arthroplasty all components	CPT	27487	21	$2,007.24
Shoulder arthroscopy with rotator cuff repair	CPT	29827	21	$4,872.09
ACL reconstruction	CPT	29888	21	$4,818.02
Open appendectomy	CPT	44950	21	$4,084.07
Laparoscopic appendectomy	CPT	44970	21	$3,821
Laparoscopic cholecystectomy	CPT	47562	21	$3,854.03
Lap cholecystectomy with cholangiography	CPT	47563	21	$3,886.86
Lap inguinal hernia repair	CPT	49650	21	$3,725.27
Total abdominal hysterectomy	CPT	58150	21	$1,170.63
Vaginal hysterectomy	CPT	58260	21	$3,423.29
Lap-assisted vaginal hysterectomy	CPT	58550	21	$3,984.02
Major joint replacement w/o MCC	MS-DRG	470	21	$26,750

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Lowest average negotiated rate across all procedures at this payer.

Hospital	City	ST	Avg neg. rate
Atrium Health Providence Emergency Department, a facility of Atrium Health Pineville	—	—	$863.3
Atrium Health Cabarrus	Concord	NC	$863.3
Atrium Health Concord Emergency Department, a facility of Atrium Health Cabarrus	—	—	$863.3
Atrium Health Kannapolis Emergency Department, a facility of Atrium Health Cabarrus	—	—	$863.3
Atrium Health Carolinas Medical Center	—	—	$863.3
Atrium Health Harrisburg Emergency Department, a facility of Atrium Health Cabarrus	—	—	$863.3
Atrium Health Huntersville Emergency Department, a facility of Atrium Health University City	—	—	$863.3
Atrium Health University City	—	—	$863.3
Atrium Health Pineville	Charlotte	NC	$863.3
Atrium Health Southpark Emergency Department, a facility of Carolinas Medical Center	—	—	$863.3
Atrium Health Union	Monroe	NC	$863.3
Atrium Health Pineville	—	—	$863.3
Atrium Health Steele Creek Emergency Department, a facility of Atrium Health Pineville	—	—	$863.3
Atrium Health Union	—	—	$863.3
Atrium Health Waxhaw Emergency Department, a facility of Atrium Health Union	—	—	$863.3
Atrium Health Union West, a facility of Atrium Health Union	—	—	$863.3
Atrium Health Ballantyne Emergency Department, a facility of Atrium Health Pineville	—	—	$863.3
Atrium Health Cabarrus	—	—	$863.3
Carolinas Medical Center	Charlotte	NC	$863.3
Atrium Health Mercy	—	—	$863.3

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States with hospitals publishing rates for ortho carolina.

State	Hospitals	Avg rate
NC	4	$863.3

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