▸ Payer

paymentrate

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

Hospitals

Procedures

116

States

Rate rows

613

Median neg. rate

$372.3

Top procedures for paymentrate

By number of hospitals reporting rates for this payer.

Procedure	Type	Code	Hospitals	Avg rate
Colonoscopy diagnostic	CPT	45378	2	$1,391
Colonoscopy with biopsy	CPT	45380	2	$1,556.2
Colonoscopy with polyp removal	CPT	45385	2	$1,818
Comprehensive metabolic panel	CPT	80053	2	$194.73
Lipid panel	CPT	80061	2	$156.05
Complete blood count with automated differential	CPT	85025	2	$104.25
Upper GI endoscopy diagnostic	CPT	43235	2	$1,049.3
Upper GI endoscopy with biopsy	CPT	43239	2	$1,211.4
Sigmoidoscopy diagnostic	CPT	45330	2	$459.7
Sigmoidoscopy with biopsy	CPT	45331	2	$614.8
EKG complete	CPT	93000	2	$211.74
EKG tracing only	CPT	93005	2	$171.36
EKG interpretation only	CPT	93010	2	$64.98
Laparoscopic appendectomy	CPT	44970	2	$2,915.2
Laparoscopic cholecystectomy	CPT	47562	2	$3,085
Lap cholecystectomy with cholangiography	CPT	47563	2	$3,675.2
Open umbilical hernia repair	CPT	49560	2	$2,888.2
Umbilical hernia repair age 5+	CPT	49585	2	$1,993.6
Lap inguinal hernia repair	CPT	49650	2	$1,732
Lap incisional hernia repair	CPT	49652	2	$3,077
Basic metabolic panel (BMP)	CPT	80048	2	$152.87
General health panel	CPT	80050	2	$281.77
Electrolyte panel	CPT	80051	2	$137.65
Renal function panel	CPT	80069	2	$187.58
Hepatic function panel	CPT	80076	2	$154.58
Urinalysis automated	CPT	81003	2	$47.78
Glucose quantitative	CPT	82947	2	$53.47
Hemoglobin A1c	CPT	83036	2	$95.53
Thyroid stimulating hormone (TSH)	CPT	84443	2	$165.55
Urine culture bacterial	CPT	87086	2	$89.68

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Lowest average negotiated rate across all procedures at this payer.

Hospital	City	ST	Avg neg. rate
Hammond-Henry Hospital	Geneseo	IL	$399.49
Marshall Browning Hospital	Duquoin	IL	$1,225.91

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States with hospitals publishing rates for paymentrate.

State	Hospitals	Avg rate
IL	2	$1,010.21

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