▸ Payer

private healthcare system

Negotiated rates published by hospitals for private healthcare system across 1 states. Data sourced from federally-mandated machine-readable files.

Hospitals

Procedures

111

States

Rate rows

6,138

Median neg. rate

$1,394.92

Top procedures for private healthcare system

By number of hospitals reporting rates for this payer.

Procedure	Type	Code	Hospitals	Avg rate
Tissue exam by pathologist level IV	CPT	88305	29	$329.17
Office visit, established patient, 20-29 minutes	CPT	99213	29	$170.02
Office visit, established patient, 30-39 minutes	CPT	99214	29	$226.18
Lipid panel	CPT	80061	29	$108.13
Complete blood count with automated differential	CPT	85025	29	$108.83
Office visit, established patient, 5 min	CPT	99211	29	$112.89
Office visit, established patient, 10-19 min	CPT	99212	29	$139.5
Office visit, established patient, 40-54 min	CPT	99215	29	$276.97
ED visit level 1	CPT	99281	29	$307.52
ED visit level 2	CPT	99282	29	$513.86
ED visit level 3	CPT	99283	29	$874.83
ED visit level 4	CPT	99284	29	$1,318.97
ED visit level 5	CPT	99285	29	$3,542.76
Critical care, first hour	CPT	99291	29	$3,013.44
Abdominal ultrasound limited	CPT	76705	29	$820.11
Transvaginal ultrasound	CPT	76830	29	$969.04
Pelvic ultrasound complete	CPT	76856	29	$948.11
Urine culture bacterial	CPT	87086	29	$130.9
MRI brain with and without contrast	CPT	70553	29	$2,666.74
Chest X-ray 2 views	CPT	71046	29	$386.26
EKG tracing only	CPT	93005	29	$312.48
Renal function panel	CPT	80069	29	$210.94
Hepatic function panel	CPT	80076	29	$157.05
Urinalysis automated	CPT	81003	29	$65.75
Glucose quantitative	CPT	82947	29	$47.41
Hemoglobin A1c	CPT	83036	29	$124.72
Thyroid stimulating hormone (TSH)	CPT	84443	29	$168.17
Complete blood count without differential	CPT	85027	29	$99.05
Transthoracic echocardiogram	CPT	93307	28	$1,470.85
Stress echocardiogram	CPT	93350	28	$2,175

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Lowest average negotiated rate across all procedures at this payer.

Hospital	City	ST	Avg neg. rate
University Hospitals Geneva Medical Center	—	—	$1,301.99
Uh Geneva Medical Center	Geneva	OH	$1,301.99
Uh Conneaut Medical Center	Conneaut	OH	$1,315.83
University Hospitals Conneaut Medical Center	—	—	$1,315.83
University Hospitals Beachwood Medical Center	—	—	$1,323.48
Uh Samaritan Medical Center	Ashland	OH	$1,851.11
University Hospitals Samaritan Medical Center	—	—	$1,851.11
University Hospitals Ahuja Medical Center	—	—	$1,993.64
Uh Ahuja Medical Center	Beachwood	OH	$1,993.64
University Hospitals Rehab Hospital	Beachwood	OH	$2,234.17
University Hospitals Avon Rehab Hosp	Avon	OH	$2,234.17
Uh Cleveland Medical Center	Cleveland	OH	$2,234.17
University Hospitals Cleveland Medical Center	—	—	$2,234.17
University Hospitals Lake West Medical Center	—	—	$2,255.93
University Hospitals Tripoint Medical Center	—	—	$2,255.93
Lake Hospital System	Concord	OH	$2,255.93
University Hospitals Parma Medical Center	—	—	$2,268.82
Uh Parma Medical Center	Parma	OH	$2,268.82
University Hospitals Portage Medical Center	—	—	$2,281.19
Uh Portage Medical Center	Ravenna	OH	$2,281.19

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States with hospitals publishing rates for private healthcare system.

State	Hospitals	Avg rate
OH	15	$2,121.63

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