▸ Payer

smart health

Negotiated rates published by hospitals for smart health across 2 states. Data sourced from federally-mandated machine-readable files.

Hospitals

Procedures

137

States

Rate rows

5,153

Median neg. rate

$343.9

Top procedures for smart health

By number of hospitals reporting rates for this payer.

Procedure	Type	Code	Hospitals	Avg rate
Thyroid stimulating hormone (TSH)	CPT	84443	19	$23.22
Complete blood count without differential	CPT	85027	19	$8.94
Urine culture bacterial	CPT	87086	19	$11.15
Urine culture identification	CPT	87088	19	$11.18
Tissue exam by pathologist level IV	CPT	88305	19	$71.65
Lipid panel	CPT	80061	19	$18.53
Complete blood count with automated differential	CPT	85025	19	$10.74
Comprehensive metabolic panel	CPT	80053	19	$14.77
Basic metabolic panel (BMP)	CPT	80048	19	$11.74
Electrolyte panel	CPT	80051	19	$9.65
Renal function panel	CPT	80069	19	$12.1
Hepatic function panel	CPT	80076	19	$11.32
Urinalysis non-automated	CPT	81002	19	$4.79
Urinalysis automated	CPT	81003	19	$3.11
Glucose quantitative	CPT	82947	19	$5.37
Hemoglobin A1c	CPT	83036	19	$13.42
Laparoscopic cholecystectomy w/o CDE w/o CC/MCC	MS-DRG	420	18	$29,471
Upper GI endoscopy diagnostic	CPT	43235	18	$1,273.85
Upper GI endoscopy with biopsy	CPT	43239	18	$1,273.85
Sigmoidoscopy diagnostic	CPT	45330	18	$1,238.73
Sigmoidoscopy with biopsy	CPT	45331	18	$1,238.73
Major joint replacement w MCC	MS-DRG	469	18	$26,694
Heart failure & shock w/o CC/MCC	MS-DRG	293	18	$7,387.85
Cardiac arrhythmia w MCC	MS-DRG	308	18	$11,933
Cardiac arrhythmia w CC	MS-DRG	309	18	$8,414.5
Cardiac arrhythmia w/o CC/MCC	MS-DRG	310	18	$6,971.32
AMI discharged alive w MCC	MS-DRG	280	18	$15,253
Simple pneumonia & pleurisy w/o CC/MCC	MS-DRG	195	18	$7,706
COPD w CC	MS-DRG	191	18	$9,420.8
Colonoscopy diagnostic	CPT	45378	18	$1,238.73

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Lowest average negotiated rate across all procedures at this payer.

Hospital	City	ST	Avg neg. rate
Henry Ford Genesys Hospital	—	—	$10.77
Henry Ford Providence Novi Hospital	—	—	$300.25
Henry Ford Providence Southfield Hospital	—	—	$300.25
Mosh	Franklin	WI	$2,589.32
Ascension St. Francis Hospital, Inc.	—	—	$2,725.93
Wheaton Franciscan Healthcare - All	Racine	WI	$2,758.04
Ascension All Saints Hospital - Spring Street Campus (Ascension All Saints Hospital, Inc.)	—	—	$2,758.04
All Saints - St. Luke S Hospital	Racine	WI	$2,758.04
Wfhc - Elmbrook Memorial	Brookfield	WI	$2,944.05
Ascension Se Wisconsin Hospital Inc	Milwaukee	WI	$2,944.05
Wheaton Franciscan - Franklin	Franklin	WI	$2,944.05
Ascension Wisconsin Emerus Menomonee	Menomonee Falls	WI	$2,944.05
Saint Thomas Midtown Hospital	Nashville	TN	$4,624.15
Saint Thomas Rutherford Hospital	Murfreesboro	TN	$6,688.65
Saint Thomas West Hospital	Nashville	TN	$6,688.65
St Thomas Dekalb Hospital	Smithville	TN	$6,797.09
Ascension St Thomas River Park	Mcminnville	TN	$6,799.02
Saint Thomas Highland Hospital	Sparta	TN	$6,921.18
Saint Thomas Stones River Hospital	Woodbury	TN	$6,945.77
Ascension Saint Thomas Hickman	—	—	$14,541

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States with hospitals publishing rates for smart health.

State	Hospitals	Avg rate
TN	8	$6,903.87
WI	7	$2,840.23

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