▸ Payer

paymentratepercent

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

Hospitals

Procedures

116

States

Rate rows

542

Median neg. rate

$80

Top procedures for paymentratepercent

By number of hospitals reporting rates for this payer.

Procedure	Type	Code	Hospitals	Avg rate
Colonoscopy diagnostic	CPT	45378	2	$85
Colonoscopy with biopsy	CPT	45380	2	$85
Colonoscopy with polyp removal	CPT	45385	2	$85
Comprehensive metabolic panel	CPT	80053	2	$77.2
Lipid panel	CPT	80061	2	$77.2
Complete blood count with automated differential	CPT	85025	2	$77.2
Upper GI endoscopy diagnostic	CPT	43235	2	$85
Upper GI endoscopy with biopsy	CPT	43239	2	$85
Sigmoidoscopy diagnostic	CPT	45330	2	$85
Sigmoidoscopy with biopsy	CPT	45331	2	$85
EKG complete	CPT	93000	2	$77.2
EKG tracing only	CPT	93005	2	$77.2
EKG interpretation only	CPT	93010	2	$85
Laparoscopic appendectomy	CPT	44970	2	$85
Laparoscopic cholecystectomy	CPT	47562	2	$85
Lap cholecystectomy with cholangiography	CPT	47563	2	$85
Open umbilical hernia repair	CPT	49560	2	$85
Umbilical hernia repair age 5+	CPT	49585	2	$85
Lap inguinal hernia repair	CPT	49650	2	$85
Lap incisional hernia repair	CPT	49652	2	$85
Basic metabolic panel (BMP)	CPT	80048	2	$77.2
General health panel	CPT	80050	2	$77.2
Electrolyte panel	CPT	80051	2	$77.2
Renal function panel	CPT	80069	2	$77.2
Hepatic function panel	CPT	80076	2	$77.2
Urinalysis automated	CPT	81003	2	$77.2
Glucose quantitative	CPT	82947	2	$77.2
Hemoglobin A1c	CPT	83036	2	$77.2
Thyroid stimulating hormone (TSH)	CPT	84443	2	$77.2
Urine culture bacterial	CPT	87086	2	$77.2

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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	$75.83
Marshall Browning Hospital	Duquoin	IL	$81.79

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States with hospitals publishing rates for paymentratepercent.

State	Hospitals	Avg rate
IL	2	$80.4

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