▸ Payer

surgery plus

Negotiated rates published by hospitals for surgery plus across 1 states. Data sourced from federally-mandated machine-readable files.

Hospitals

Procedures

196

States

Rate rows

578

Median neg. rate

$426.6

Top procedures for surgery plus

By number of hospitals reporting rates for this payer.

Procedure	Type	Code	Hospitals	Avg rate
Colonoscopy diagnostic	CPT	45378	3	$1,662.68
Colonoscopy with biopsy	CPT	45380	3	$2,139.48
Colonoscopy with polyp removal	CPT	45385	3	$2,139.48
Knee arthroscopy with meniscectomy	CPT	29881	3	$5,850.02
Shoulder arthroscopy with decompression	CPT	29826	3	$242.55
Total hip replacement	CPT	27130	3	$22,954
Total knee replacement	CPT	27447	3	$22,954
Upper GI endoscopy diagnostic	CPT	43235	3	$1,621.6
Upper GI endoscopy with biopsy	CPT	43239	3	$1,621.6
Sigmoidoscopy diagnostic	CPT	45330	3	$1,662.68
Sigmoidoscopy with biopsy	CPT	45331	3	$1,662.68
CABG single arterial graft	CPT	33533	3	$2,859.37
CABG 2 arterial grafts	CPT	33534	3	$3,352.49
CABG 3 arterial grafts	CPT	33535	3	$3,718.5
CABG 4+ arterial grafts	CPT	33536	3	$4,002.34
Total shoulder arthroplasty	CPT	23472	3	$31,349
Hip hemiarthroplasty	CPT	27125	3	$22,954
Knee revision arthroplasty single component	CPT	27486	3	$22,954
Knee revision arthroplasty all components	CPT	27487	3	$31,349
Shoulder arthroscopy with rotator cuff repair	CPT	29827	3	$12,973
ACL reconstruction	CPT	29888	3	$12,973
Open appendectomy	CPT	44950	3	$11,575
Laparoscopic appendectomy	CPT	44970	3	$10,809
Laparoscopic cholecystectomy	CPT	47562	3	$10,809
Lap cholecystectomy with cholangiography	CPT	47563	3	$10,809
Lap inguinal hernia repair	CPT	49650	3	$10,809
Total abdominal hysterectomy	CPT	58150	3	$1,531.22
Vaginal hysterectomy	CPT	58260	3	$8,943.9
Lap-assisted vaginal hysterectomy	CPT	58550	3	$10,809
Lap-assisted vaginal hysterectomy >250g	CPT	58552	3	$19,005

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Lowest average negotiated rate across all procedures at this payer.

Hospital	City	ST	Avg neg. rate
CaroMont Regional Medical Center - Mount Holly, Emergency Department	—	—	$2,799.55
Gaston Memorial Hospital	Gastonia	NC	$6,835.51
CaroMont Regional Medical Center - Belmont	—	—	$6,835.51

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States with hospitals publishing rates for surgery plus.

State	Hospitals	Avg rate
NC	1	$6,835.51

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