▸ Payer

personalized care

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

Hospitals

Procedures

States

Rate rows

729

Median neg. rate

$167.02

Top procedures for personalized care

By number of hospitals reporting rates for this payer.

Procedure	Type	Code	Hospitals	Avg rate
MRI brain without contrast	CPT	70551	11	$148.3
Colonoscopy diagnostic	CPT	45378	11	$464.17
Colonoscopy with biopsy	CPT	45380	11	$599.32
Colonoscopy with polyp removal	CPT	45385	11	$599.32
Knee arthroscopy with meniscectomy	CPT	29881	11	$1,487.08
Total hip replacement	CPT	27130	11	$9,045.08
Total knee replacement	CPT	27447	11	$8,859.71
Cataract surgery with lens implant	CPT	66984	11	$1,158.89
Fetal non-stress test	CPT	59025	11	$26.4
CT head without contrast	CPT	70450	11	$66.53
CT head with contrast	CPT	70460	11	$111.2
CT head with and without contrast	CPT	70470	11	$111.2
CT neck with contrast	CPT	70491	11	$111.2
Upper GI endoscopy diagnostic	CPT	43235	11	$460.37
Upper GI endoscopy with biopsy	CPT	43239	11	$460.37
Sigmoidoscopy diagnostic	CPT	45330	11	$150.92
Sigmoidoscopy with biopsy	CPT	45331	11	$464.17
Total shoulder arthroplasty	CPT	23472	11	$13,700
Shoulder arthroscopy with rotator cuff repair	CPT	29827	11	$3,321.81
ACL reconstruction	CPT	29888	11	$4,403.04
Complex cataract surgery	CPT	66982	11	$1,158.89
Intravitreal injection	CPT	67028	11	$59.32
Vitrectomy mechanical	CPT	67042	11	$2,002.17
Laparoscopic cholecystectomy	CPT	47562	11	$2,648.76
Lap cholecystectomy with cholangiography	CPT	47563	11	$2,648.76
Lap inguinal hernia repair	CPT	49650	11	$2,648.76
Vaginal hysterectomy	CPT	58260	11	$2,090.81
Lap-assisted vaginal hysterectomy	CPT	58550	11	$2,648.76
Lap-assisted vaginal hysterectomy >250g	CPT	58552	11	$4,445.47
Lap salpingo-oophorectomy	CPT	58661	11	$2,648.76

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Lowest average negotiated rate across all procedures at this payer.

Hospital	City	ST	Avg neg. rate
Ascension St. Vincent Jennings	North Vernon	IN	$953
Ascension St. Vincent Williamsport	Williamsport	IN	$953
Ascension St. Vincent Jennings (St. Vincent Jennings Hospital, Inc.)	—	—	$953
Ascension St. Vincent Williamsport (St. Vincent Williamsport Hospital, Inc.)	—	—	$953
Ascension St. Vincent Clay (St. Vincent Clay Hospital, Inc.)	—	—	$1,132.4
St. Mary Medical Center Inc.	Hobart	IN	$1,132.4
Ascension St. Vincent Warrick	Booneville	IN	$1,132.4
Ascension Seton Bastrop	Bastrop	TX	$1,173.33
St Vincent Seton Specialty Hosp-Laf	Lafayette	IN	$1,173.33
Ascension Seton Shoal Creek	Austin	TX	$1,173.33
Ascension St Vincent Seton Specialty	Indianapolis	IN	$1,173.33

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States with hospitals publishing rates for personalized care.

State	Hospitals	Avg rate
IN	6	$1,077.17
TX	2	$1,173.33

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