▸ Payer

prime net

Negotiated rates published by hospitals for prime net across 1 states. Data sourced from federally-mandated machine-readable files.

Hospitals

Procedures

States

Rate rows

600

Median neg. rate

$1,349.72

Top procedures for prime net

By number of hospitals reporting rates for this payer.

Procedure	Type	Code	Hospitals	Avg rate
MRI brain without contrast	CPT	70551	3	$3,376.76
MRI brain with and without contrast	CPT	70553	3	$4,922.46
MRI lumbar spine without contrast	CPT	72148	3	$6,643.64
Colonoscopy diagnostic	CPT	45378	3	$2,050
Colonoscopy with biopsy	CPT	45380	3	$3,384.14
Colonoscopy with polyp removal	CPT	45385	3	$3,384.14
Fetal non-stress test	CPT	59025	3	$1,040.58
MRI brain with contrast	CPT	70552	3	$3,534.2
MRI chest without contrast	CPT	71550	3	$4,713.36
MRI chest with and without contrast	CPT	71552	3	$6,949.5
MRI cervical spine without contrast	CPT	72141	3	$6,643.64
MRI thoracic spine without contrast	CPT	72146	3	$6,643.64
CT head without contrast	CPT	70450	3	$1,978.66
CT head with contrast	CPT	70460	3	$2,391.12
CT head with and without contrast	CPT	70470	3	$2,913.46
CT neck with contrast	CPT	70491	3	$2,506.74
CT chest without contrast	CPT	71250	3	$2,480.5
CT chest with contrast	CPT	71260	3	$2,899.52
CT chest with and without contrast	CPT	71270	3	$3,534.2
CT cervical spine without contrast	CPT	72125	3	$2,480.5
CT thoracic spine without contrast	CPT	72128	3	$2,480.5
CT lumbar spine without contrast	CPT	72131	3	$2,480.5
Chest X-ray single view	CPT	71045	3	$418.2
Chest X-ray 2 views	CPT	71046	3	$582.2
Chest X-ray 3 views	CPT	71047	3	$173.02
Lumbosacral spine X-ray	CPT	72100	3	$589.58
Upper GI endoscopy diagnostic	CPT	43235	3	$2,559.22
Upper GI endoscopy with biopsy	CPT	43239	3	$3,384.14
Sigmoidoscopy diagnostic	CPT	45330	3	$817.54
Sigmoidoscopy with biopsy	CPT	45331	3	$2,559.22

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Lowest average negotiated rate across all procedures at this payer.

Hospital	City	ST	Avg neg. rate
UPMC Horizon-Shenango	—	—	$2,039.78
Upmc Horizon Hospital	Greenville	PA	$2,039.78
UPMC Horizon-Greenville	—	—	$2,039.78

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States with hospitals publishing rates for prime net.

State	Hospitals	Avg rate
PA	1	$2,039.78

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