Negotiated rates published by hospitals for phcs ppo great west & mailhandlers across 0 states. Data sourced from federally-mandated machine-readable files.
Lowest average negotiated rate across all procedures at this payer.
| Hospital | City | ST | Avg neg. rate |
|---|---|---|---|
| Henry Ford Warren Hospital | — | — | $1,273.15 |
| Henry Ford River District Hospital | — | — | $1,273.15 |
| Henry Ford St John Hospital | — | — | $1,273.15 |
| Henry Ford Madison Heights Hospital | — | — | $1,273.15 |
By number of hospitals reporting rates for this payer.
| Procedure | Type | Code | Hospitals | Avg rate |
|---|---|---|---|---|
| Colonoscopy diagnostic | CPT | 45378 | 4 | $1,186 |
| Colonoscopy with biopsy | CPT | 45380 | 4 | $1,186 |
| Colonoscopy with polyp removal | CPT | 45385 | 4 | $1,186 |
| Knee arthroscopy with meniscectomy | CPT | 29881 | 4 | $2,043 |
| Shoulder arthroscopy with decompression | CPT | 29826 | 4 | $1,492 |
| Upper GI endoscopy diagnostic | CPT | 43235 | 4 | $698 |
| Upper GI endoscopy with biopsy | CPT | 43239 | 4 | $1,186 |
| Sigmoidoscopy diagnostic | CPT | 45330 | 4 | $698 |
| Sigmoidoscopy with biopsy | CPT | 45331 | 4 | $698 |
| ACL reconstruction | CPT | 29888 | 4 | $1,492 |
| Open umbilical hernia repair | CPT | 49560 | 4 | $2,043 |
| Umbilical hernia repair age 5+ | CPT | 49585 | 4 | $2,043 |
| Psychoses | MS-DRG | 885 | 4 | $600 |
