▸ Payer

point comfort underwriters

Negotiated rates published by hospitals for point comfort underwriters across 2 states. Data sourced from federally-mandated machine-readable files.

Hospitals

Procedures

138

States

Rate rows

1,628

Median neg. rate

$153.44

Top procedures for point comfort underwriters

By number of hospitals reporting rates for this payer.

Procedure	Type	Code	Hospitals	Avg rate
Psychiatric eval with medical services	CPT	90792	8	$147.85
Psychiatric diagnostic evaluation	CPT	90791	8	$149.35
Upper GI endoscopy with biopsy	CPT	43239	7	$803.12
Sigmoidoscopy diagnostic	CPT	45330	7	$780.97
Sigmoidoscopy with biopsy	CPT	45331	7	$780.97
Major joint replacement w MCC	MS-DRG	469	7	$18,827
Heart failure & shock w MCC	MS-DRG	291	7	$7,968.38
Heart failure & shock w CC	MS-DRG	292	7	$5,269.63
Heart failure & shock w/o CC/MCC	MS-DRG	293	7	$3,513.09
Esophagitis/gastroenteritis w/o MCC	MS-DRG	392	7	$4,838.87
Cardiac arrhythmia w MCC	MS-DRG	308	7	$7,473.07
Cardiac arrhythmia w CC	MS-DRG	309	7	$4,566.39
Cardiac arrhythmia w/o CC/MCC	MS-DRG	310	7	$3,513.71
AMI discharged alive w MCC	MS-DRG	280	7	$9,956.44
AMI discharged alive w CC	MS-DRG	281	7	$5,704.73
AMI discharged alive w/o CC/MCC	MS-DRG	282	7	$4,488.19
Simple pneumonia & pleurisy w CC	MS-DRG	194	7	$5,002.12
Simple pneumonia & pleurisy w/o CC/MCC	MS-DRG	195	7	$3,901.02
COPD w CC	MS-DRG	191	7	$5,232.39
COPD w/o CC/MCC	MS-DRG	192	7	$3,984.81
GI hemorrhage w CC	MS-DRG	378	7	$6,087.08
GI hemorrhage w/o CC/MCC	MS-DRG	379	7	$3,912.81
Major small/large bowel procedures w MCC	MS-DRG	329	7	$28,530
Major small/large bowel procedures w CC	MS-DRG	330	7	$14,879
Major small/large bowel procedures w/o CC/MCC	MS-DRG	331	7	$10,446
Laparoscopic cholecystectomy w/o CDE w MCC	MS-DRG	418	7	$10,500
Laparoscopic cholecystectomy w/o CDE w CC	MS-DRG	419	7	$8,477.34
Colonoscopy diagnostic	CPT	45378	7	$780.97
Laparoscopic cholecystectomy w/o CDE w/o CC/MCC	MS-DRG	420	7	$21,147
Upper GI endoscopy diagnostic	CPT	43235	7	$803.12

Loading procedures...

Lowest average negotiated rate across all procedures at this payer.

Hospital	City	ST	Avg neg. rate
Rice Medical Center	Eagle Lake	TX	$170.54
Saint Thomas Midtown Hospital	Nashville	TN	$1,581.47
Saint Thomas Rutherford Hospital	Murfreesboro	TN	$1,688.91
Saint Thomas West Hospital	Nashville	TN	$1,688.91
St Thomas Dekalb Hospital	Smithville	TN	$1,794.68
Ascension St Thomas River Park	Mcminnville	TN	$1,796.56
Saint Thomas Highland Hospital	Sparta	TN	$1,915.72
Saint Thomas Stones River Hospital	Woodbury	TN	$1,939.7

Loading hospitals...

States with hospitals publishing rates for point comfort underwriters.

State	Hospitals	Avg rate
TN	7	$1,772.28
TX	1	$170.54

Loading state coverage...