▸ Payer

prime health

Negotiated rates published by hospitals for prime health across 3 states. Data sourced from federally-mandated machine-readable files.

Hospitals

Procedures

180

States

Rate rows

465

Median neg. rate

$233

Top procedures for prime health

By number of hospitals reporting rates for this payer.

Procedure	Type	Code	Hospitals	Avg rate
MRI brain without contrast	CPT	70551	2	$871
MRI brain with and without contrast	CPT	70553	2	$1,443.67
Fetal non-stress test	CPT	59025	2	$308.25
MRI brain with contrast	CPT	70552	2	$990.33
MRI chest without contrast	CPT	71550	2	$871
MRI chest with contrast	CPT	71551	2	$1,122.67
MRI chest with and without contrast	CPT	71552	2	$1,065.33
MRI cervical spine without contrast	CPT	72141	2	$905.67
MRI thoracic spine without contrast	CPT	72146	2	$905.67
CT head without contrast	CPT	70450	2	$664
CT head with contrast	CPT	70460	2	$762.33
CT head with and without contrast	CPT	70470	2	$837.33
CT neck with contrast	CPT	70491	2	$762.33
CT chest without contrast	CPT	71250	2	$665
CT chest with contrast	CPT	71260	2	$768
CT chest with and without contrast	CPT	71270	2	$837.33
CT cervical spine without contrast	CPT	72125	2	$768.67
CT thoracic spine without contrast	CPT	72128	2	$664
CT lumbar spine without contrast	CPT	72131	2	$664
Chest X-ray single view	CPT	71045	2	$165
Chest X-ray 2 views	CPT	71046	2	$138
Chest X-ray 3 views	CPT	71047	2	$147.33
Lumbosacral spine X-ray	CPT	72100	2	$169.5
Major joint replacement w/o MCC	MS-DRG	470	2	$20,921
Heart failure & shock w MCC	MS-DRG	291	2	$15,749
Heart failure & shock w CC	MS-DRG	292	2	$14,405
AMI discharged alive w MCC	MS-DRG	280	2	$16,768
AMI discharged alive w CC	MS-DRG	281	2	$14,588
Respiratory infections & inflammations w MCC	MS-DRG	177	2	$16,693
COPD w CC	MS-DRG	191	2	$14,398

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Lowest average negotiated rate across all procedures at this payer.

Hospital	City	ST	Avg neg. rate
North Texas Medical Center	Gainsville	TX	$2,051.15
Colleton Medical Center	Walterboro	SC	$3,059.7
Good Shepherd Specialty Hospital	Bethlehem	PA	$35,300

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States with hospitals publishing rates for prime health.

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