▸ Payer

prime health services [503999912]

Negotiated rates published by hospitals for prime health services [503999912] across 2 states. Data sourced from federally-mandated machine-readable files.

Hospitals

Procedures

States

Rate rows

127

Median neg. rate

$2,081.57

Top procedures for prime health services [503999912]

By number of hospitals reporting rates for this payer.

Procedure	Type	Code	Hospitals	Avg rate
Colonoscopy diagnostic	CPT	45378	4	$1,419.96
Colonoscopy with biopsy	CPT	45380	4	$1,872.78
Colonoscopy with polyp removal	CPT	45385	4	$1,872.78
Knee arthroscopy with meniscectomy	CPT	29881	4	$5,290.46
Shoulder arthroscopy with decompression	CPT	29826	4	$401.49
Total hip replacement	CPT	27130	4	$3,088.84
Total knee replacement	CPT	27447	4	$20,246
Cataract surgery with lens implant	CPT	66984	4	$3,842.18
Vaginal delivery only	CPT	59409	4	$4,545.54
Fetal non-stress test	CPT	59025	4	$321.4
Upper GI endoscopy diagnostic	CPT	43235	4	$1,486.98
Upper GI endoscopy with biopsy	CPT	43239	4	$1,486.98
Total shoulder arthroplasty	CPT	23472	4	$3,313.64
Complex cataract surgery	CPT	66982	4	$3,842.18
Lap cholecystectomy with cholangiography	CPT	47563	4	$8,977.36
Vaginal hysterectomy	CPT	58260	4	$8,223.62
Lap-assisted vaginal hysterectomy >250g	CPT	58552	4	$15,191
Lap salpingo-oophorectomy	CPT	58661	4	$8,977.36
Knee revision arthroplasty all components	CPT	27487	3	$4,005.39
Lap inguinal hernia repair	CPT	49650	3	$8,977.36
Intravitreal injection	CPT	67028	3	$595.14
C-section delivery only	CPT	59514	3	$2,081.57
Vitrectomy mechanical	CPT	67042	3	$7,221.5
MRI abdomen without contrast	CPT	74181	3	$1,894.73
Diagnostic mammography bilateral	CPT	77066	3	$780.67
Open appendectomy	CPT	44950	3	$5,822.32
Laparoscopic appendectomy	CPT	44970	3	$8,977.36
Sigmoidoscopy diagnostic	CPT	45330	3	$1,419.96
Sigmoidoscopy with biopsy	CPT	45331	3	$1,419.96
Total abdominal hysterectomy	CPT	58150	3	$2,283.5

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Top 20 cheapest hospitals for prime health services [503999912]

Lowest average negotiated rate across all procedures at this payer.

Hospital	City	ST	Avg neg. rate
Ukhs Great Bend Campus	Great Bend	KS	$3,938.36
North Kansas City Hospital	North Kansas City	MO	$4,250.82
University Of Kansas Hospital	Kansas City	KS	$4,250.82
University Of Kansas Hospital Transplant Center	—	—	$4,250.82

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States covered

States with hospitals publishing rates for prime health services [503999912].

State	Hospitals	Avg rate
KS	2	$4,118.42
MO	1	$4,250.82

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