▸ Payer

primetime health plan

Negotiated rates published by hospitals for primetime health plan across 1 states. Data sourced from federally-mandated machine-readable files.

Hospitals

Procedures

179

States

Rate rows

4,592

Median neg. rate

$331.07

Top procedures for primetime health plan

By number of hospitals reporting rates for this payer.

Procedure	Type	Code	Hospitals	Avg rate
Colonoscopy with polyp removal	CPT	45385	30	$1,016.88
Colonoscopy diagnostic	CPT	45378	30	$806.91
Colonoscopy with biopsy	CPT	45380	30	$1,016.88
Upper GI endoscopy diagnostic	CPT	43235	30	$838.94
Upper GI endoscopy with biopsy	CPT	43239	30	$844.96
Sigmoidoscopy diagnostic	CPT	45330	30	$737.92
Sigmoidoscopy with biopsy	CPT	45331	30	$796.3
MRI thoracic spine without contrast	CPT	72146	29	$285.05
MRI lumbar spine with and without contrast	CPT	72149	29	$410.33
CT head without contrast	CPT	70450	29	$151.11
CT head with contrast	CPT	70460	29	$214.86
CT head with and without contrast	CPT	70470	29	$222.18
MRI brain without contrast	CPT	70551	29	$277.45
CT chest without contrast	CPT	71250	29	$152.03
CT chest with contrast	CPT	71260	29	$221.44
CT chest with and without contrast	CPT	71270	29	$249.37
CT cervical spine without contrast	CPT	72125	29	$157.72
CT thoracic spine without contrast	CPT	72128	29	$153.85
CT lumbar spine without contrast	CPT	72131	29	$163
Chest X-ray single view	CPT	71045	29	$85.21
Chest X-ray 2 views	CPT	71046	29	$87.78
Chest X-ray 3 views	CPT	71047	29	$85
Lumbosacral spine X-ray	CPT	72100	29	$103.03
CT neck with contrast	CPT	70491	29	$223.41
MRI brain with and without contrast	CPT	70553	29	$384.06
MRI lumbar spine without contrast	CPT	72148	29	$285.05
MRI brain with contrast	CPT	70552	29	$376.01
MRI chest without contrast	CPT	71550	29	$299.22
MRI chest with and without contrast	CPT	71552	29	$432.63
MRI cervical spine without contrast	CPT	72141	29	$282.09

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Lowest average negotiated rate across all procedures at this payer.

Hospital	City	ST	Avg neg. rate
Uh Geneva Medical Center	Geneva	OH	$302.79
University Hospitals Geneva Medical Center	—	—	$302.79
University Hospitals Conneaut Medical Center	—	—	$474.31
Uh Conneaut Medical Center	Conneaut	OH	$474.31
Uh Geauga Medical Center	Chardon	OH	$1,010.81
Uh Regional Hospitals	Richmond Heights	OH	$1,010.81
University Hospitals Regional Hospitals - Geauga Medical Center	—	—	$1,010.81
Goshen Surgery Center	—	—	$2,956.89
University Hospitals Beachwood Medical Center	—	—	$3,472.95
University Hospitals Portage Medical Center	—	—	$3,594.83
Uh Portage Medical Center	Ravenna	OH	$3,594.83
University Hospitals Tripoint Medical Center	—	—	$3,594.83
Lake Hospital System	Concord	OH	$3,594.83
University Hospitals Lake West Medical Center	—	—	$3,594.83
Uh Elyria Medical Center	Elyria	OH	$3,689.65
University Hospitals Elyria Medical Center	—	—	$3,689.65
University Hospitals Parma Medical Center	—	—	$3,698.08
Uh Parma Medical Center	Parma	OH	$3,698.08
University Hospitals Ahuja Medical Center	—	—	$3,744.08
Uh Ahuja Medical Center	Beachwood	OH	$3,744.08

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States with hospitals publishing rates for primetime health plan.

State	Hospitals	Avg rate
OH	15	$3,557.23

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