▸ Payer

the health plan hmo

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

Hospitals

Procedures

States

Rate rows

415

Median neg. rate

$681.24

Top procedures for the health plan hmo

By number of hospitals reporting rates for this payer.

Procedure	Type	Code	Hospitals	Avg rate
MRI brain without contrast	CPT	70551	6	$4,432.12
MRI brain with and without contrast	CPT	70553	6	$6,370.56
MRI lumbar spine without contrast	CPT	72148	6	$4,500.44
MRI lower extremity joint without contrast	CPT	73721	6	$5,708.78
MRI chest without contrast	CPT	71550	6	$4,432.12
MRI cervical spine without contrast	CPT	72141	6	$4,194.4
MRI thoracic spine without contrast	CPT	72146	6	$4,523.12
MRI cervical spine with and without contrast	CPT	72156	6	$6,730.08
MRI lumbar spine with contrast	CPT	72158	6	$5,533.92
MRI upper extremity joint without contrast	CPT	73221	6	$4,365.2
MRI upper extremity joint with and without contrast	CPT	73223	6	$4,375.56
CT head without contrast	CPT	70450	6	$2,129.96
CT head with contrast	CPT	70460	6	$2,332.12
CT head with and without contrast	CPT	70470	6	$3,311.84
CT neck with contrast	CPT	70491	6	$2,728.32
CT chest without contrast	CPT	71250	6	$2,618.84
CT chest with contrast	CPT	71260	6	$3,583.44
CT chest with and without contrast	CPT	71270	6	$4,284.84
CT cervical spine without contrast	CPT	72125	6	$2,910.6
CT thoracic spine without contrast	CPT	72128	6	$2,970.24
CT lumbar spine without contrast	CPT	72131	6	$2,542.68
CT pelvis without contrast	CPT	72192	6	$2,512.16
Chest X-ray single view	CPT	71045	6	$308.56
Chest X-ray 2 views	CPT	71046	6	$365.4
Lumbosacral spine X-ray	CPT	72100	6	$385.56
Shoulder X-ray	CPT	73030	6	$502.04
Humerus X-ray	CPT	73060	6	$502.04
Hand X-ray 3 views	CPT	73130	6	$503.44
Knee X-ray 1-2 views	CPT	73560	6	$473.76
Ankle X-ray 3 views	CPT	73610	6	$548.1

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Lowest average negotiated rate across all procedures at this payer.

Hospital	City	ST	Avg neg. rate
Summers County ARH Hospital	—	—	$1,920.6
Summers County Arh	Hinton	WV	$1,920.6
San Antonio Regional Hospital	Upland	CA	$2,572.02
East Adams Rural Hospital	Ritzville	WA	$2,572.02
Beckley ARH Hospital	—	—	$2,572.02
Beckley Arh	Beckley	WV	$2,572.02

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States with hospitals publishing rates for the health plan hmo.

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