▸ Payer

priority health op rate

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

Hospitals

Procedures

150

States

Rate rows

2,532

Median neg. rate

$258.36

Top procedures for priority health op rate

By number of hospitals reporting rates for this payer.

Procedure	Type	Code	Hospitals	Avg rate
MRI brain without contrast	CPT	70551	10	$1,303.95
MRI brain with and without contrast	CPT	70553	10	$1,995.83
Colonoscopy diagnostic	CPT	45378	10	$963.13
Colonoscopy with biopsy	CPT	45380	10	$1,801.54
Colonoscopy with polyp removal	CPT	45385	10	$1,759.4
Fetal non-stress test	CPT	59025	10	$185.65
MRI brain with contrast	CPT	70552	10	$1,452.33
MRI chest without contrast	CPT	71550	10	$923.84
MRI chest with contrast	CPT	71551	10	$1,194.86
MRI chest with and without contrast	CPT	71552	10	$1,617.71
CT head without contrast	CPT	70450	10	$789.37
CT head with contrast	CPT	70460	10	$913.36
CT head with and without contrast	CPT	70470	10	$1,202.38
CT neck with contrast	CPT	70491	10	$928.35
CT chest without contrast	CPT	71250	10	$776.59
CT chest with contrast	CPT	71260	10	$937.08
CT chest with and without contrast	CPT	71270	10	$1,088.63
Chest X-ray single view	CPT	71045	10	$81.59
Chest X-ray 2 views	CPT	71046	10	$103.08
Chest X-ray 3 views	CPT	71047	10	$118.72
Lumbosacral spine X-ray	CPT	72100	10	$117.86
Upper GI endoscopy diagnostic	CPT	43235	10	$1,289.13
Upper GI endoscopy with biopsy	CPT	43239	10	$1,486.94
Sigmoidoscopy diagnostic	CPT	45330	10	$780.18
Sigmoidoscopy with biopsy	CPT	45331	10	$1,374.53
Laparoscopic appendectomy	CPT	44970	10	$10,100
Laparoscopic cholecystectomy	CPT	47562	10	$8,838.96
Lap inguinal hernia repair	CPT	49650	10	$7,974.31
Lap incisional hernia repair	CPT	49652	10	$8,510.4
Lap salpingo-oophorectomy	CPT	58661	10	$5,043.51

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Lowest average negotiated rate across all procedures at this payer.

Hospital	City	ST	Avg neg. rate
Mclaren Flint	Flint	MI	$880.57
Mclaren Lapeer Region	Lapeer	MI	$1,100.42
Karmanos Cancer Hospital	Detroit	MI	$1,191.19
Mclaren Bay Special Care	Bay City	MI	$1,206.35
Bay Regional Medical Center	Bay City	MI	$1,206.35
Mclaren Central Michigan	Mt Pleasant	MI	$1,536.78
Mclaren Port Huron	Port Huron	MI	$1,637.15
Mclaren Macomb	Mt. Clemens	MI	$1,878.91
Mclaren Oakland	Pontiac	MI	$2,011.94
Mclaren Northern Michigan	Petoskey	MI	$2,565.88

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States with hospitals publishing rates for priority health op rate.

State	Hospitals	Avg rate
MI	10	$1,415.16

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