▸ Payer

preferred one

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

Hospitals

Procedures

States

Rate rows

227

Median neg. rate

$652.8

Top procedures for preferred one

By number of hospitals reporting rates for this payer.

Procedure	Type	Code	Hospitals	Avg rate
MRI lumbar spine without contrast	CPT	72148	2	$2,082.67
MRI lower extremity joint without contrast	CPT	73721	2	$2,588
Office visit, established patient, 20-29 minutes	CPT	99213	2	$138.5
Comprehensive metabolic panel	CPT	80053	2	$120.7
Lipid panel	CPT	80061	2	$95.16
Complete blood count with automated differential	CPT	85025	2	$68.02
ED visit level 2	CPT	99282	2	$545.17
ED visit level 3	CPT	99283	2	$756.67
CT abdomen and pelvis with and without contrast	CPT	74178	2	$3,150
Abdominal ultrasound limited	CPT	76705	2	$546.22
Pelvic ultrasound complete	CPT	76856	2	$612.28
Transthoracic echocardiogram complete	CPT	93306	2	$1,953.2
Chest X-ray 2 views	CPT	71046	2	$222.22
Lumbosacral spine X-ray	CPT	72100	2	$239.73
Screening mammography bilateral	CPT	77067	2	$346.33
Basic metabolic panel (BMP)	CPT	80048	2	$96.49
Renal function panel	CPT	80069	2	$91.81
Urinalysis automated	CPT	81003	2	$30.15
Glucose quantitative	CPT	82947	2	$31.53
Hemoglobin A1c	CPT	83036	2	$45.29
Thyroid stimulating hormone (TSH)	CPT	84443	2	$88.64
Complete blood count without differential	CPT	85027	2	$48.77
Tissue exam by pathologist level IV	CPT	88305	2	$355.38

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Lowest average negotiated rate across all procedures at this payer.

Hospital	City	ST	Avg neg. rate
Johnson Memorial Hospital	Dawson	MN	$421.25
Holy Family Memorial Inc	Manitowoc	WI	$1,633.73

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States with hospitals publishing rates for preferred one.

State	Hospitals	Avg rate
MN	1	$421.25
WI	1	$1,633.73

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