▸ Payer

priority health

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

Hospitals

Procedures

197

States

Rate rows

4,145

Median neg. rate

$242.54

Top procedures for priority health

By number of hospitals reporting rates for this payer.

Procedure	Type	Code	Hospitals	Avg rate
Septicemia or severe sepsis w MV 96+ hrs	MS-DRG	871	26	$20,364
Esophagitis/gastroenteritis w/o MCC	MS-DRG	392	25	$9,403.36
MRI lumbar spine without contrast	CPT	72148	24	$750.97
MRI lower extremity joint without contrast	CPT	73721	24	$717.97
Comprehensive metabolic panel	CPT	80053	24	$79.37
Lipid panel	CPT	80061	24	$55.78
Complete blood count with automated differential	CPT	85025	24	$75.17
MRI cervical spine without contrast	CPT	72141	24	$715.79
MRI thoracic spine without contrast	CPT	72146	24	$694.27
MRI cervical spine with and without contrast	CPT	72156	24	$1,107.42
MRI lumbar spine with contrast	CPT	72158	24	$1,012.41
MRI abdomen with and without contrast	CPT	74183	24	$1,075.88
CT head without contrast	CPT	70450	24	$526.88
CT neck with contrast	CPT	70491	24	$568.46
MRI brain without contrast	CPT	70551	24	$700.28
CT chest with contrast	CPT	71260	24	$644.96
CT chest with and without contrast	CPT	71270	24	$567.33
CT abdomen without contrast	CPT	74150	24	$464.81
CT abdomen with and without contrast	CPT	74170	24	$668.81
Chest X-ray single view	CPT	71045	24	$93.47
Chest X-ray 2 views	CPT	71046	24	$106.64
Lumbosacral spine X-ray	CPT	72100	24	$113.89
Basic metabolic panel (BMP)	CPT	80048	24	$56.5
Hemoglobin A1c	CPT	83036	24	$75.29
Thyroid stimulating hormone (TSH)	CPT	84443	24	$112.58
Complete blood count without differential	CPT	85027	24	$61.54
Psychoses	MS-DRG	885	24	$12,909
CT chest without contrast	CPT	71250	24	$504.9
MRI brain with and without contrast	CPT	70553	24	$1,066.21
Colonoscopy with biopsy	CPT	45380	23	$341.03

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Lowest average negotiated rate across all procedures at this payer.

Hospital	City	ST	Avg neg. rate
Healthsource Saginaw Inc.	Saginaw	MI	$281.28
McLaren Caro Region	—	—	$522.18
Mclaren Thumb Region	Bad Axe	MI	$535.82
McLaren Thumb Region	—	—	$535.82
Mclaren Port Huron	Port Huron	MI	$576.22
McLaren Port Huron	—	—	$576.22
Mclaren Central Michigan	Mt Pleasant	MI	$847.69
McLaren Central Region	—	—	$847.69
McLaren Lapeer Region	—	—	$1,156.32
Mclaren Lapeer Region	Lapeer	MI	$1,156.32
McLaren Greater Lansing	—	—	$1,285.32
Mclaren Greater Lansing	Lansing	MI	$1,285.32
McLaren Bay Region	—	—	$1,460.53
St. Lukes Hospital	Maumee	OH	$1,460.53
Bay Regional Medical Center	Bay City	MI	$1,460.53
Mclaren Flint	Flint	MI	$1,802.88
McLaren Flint	—	—	$1,802.88
Henry Ford Genesys Hospital	—	—	$1,902.49
Arkansas Surgical Hospital	North Little Rock	AR	$2,147.4
McLaren Oakland	—	—	$2,248.27

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States with hospitals publishing rates for priority health.

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