▸ Payer

usa managed care

Negotiated rates published by hospitals for usa managed care across 7 states. Data sourced from federally-mandated machine-readable files.

Hospitals

Procedures

167

States

Rate rows

2,390

Median neg. rate

$90

Top procedures for usa managed care

By number of hospitals reporting rates for this payer.

Procedure	Type	Code	Hospitals	Avg rate
MRI brain without contrast	CPT	70551	5	$3,376.46
MRI brain with and without contrast	CPT	70553	5	$4,736.32
MRI lumbar spine without contrast	CPT	72148	5	$3,332.64
MRI brain with contrast	CPT	70552	5	$4,199.82
MRI chest without contrast	CPT	71550	5	$2,920.96
MRI cervical spine without contrast	CPT	72141	5	$3,739.36
MRI thoracic spine without contrast	CPT	72146	5	$3,793.92
MRI cervical spine with and without contrast	CPT	72156	5	$5,635.74
MRI lumbar spine with contrast	CPT	72158	5	$4,953.74
MRI upper extremity joint without contrast	CPT	73221	5	$3,894.78
MRI upper extremity joint with and without contrast	CPT	73223	5	$4,177.5
CT head without contrast	CPT	70450	5	$3,297.1
CT head with and without contrast	CPT	70470	5	$3,512.03
CT neck with contrast	CPT	70491	5	$2,799.44
CT chest without contrast	CPT	71250	5	$2,515.9
CT chest with contrast	CPT	71260	5	$2,997.02
CT cervical spine without contrast	CPT	72125	5	$3,849.31
CT thoracic spine without contrast	CPT	72128	5	$3,508.72
CT lumbar spine without contrast	CPT	72131	5	$3,498.8
CT pelvis without contrast	CPT	72192	5	$3,102
CT pelvis with contrast	CPT	72193	5	$3,518.64
Chest X-ray single view	CPT	71045	5	$575.71
Chest X-ray 2 views	CPT	71046	5	$579.02
Chest X-ray 3 views	CPT	71047	5	$762.54
Lumbosacral spine X-ray	CPT	72100	5	$616.22
Shoulder X-ray	CPT	73030	5	$523.63
Humerus X-ray	CPT	73060	5	$450.06
Hand X-ray 3 views	CPT	73130	5	$565.79
Knee X-ray 1-2 views	CPT	73560	5	$600.51
Ankle X-ray 3 views	CPT	73610	5	$618.7

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Lowest average negotiated rate across all procedures at this payer.

Hospital	City	ST	Avg neg. rate
Mountain View Hospital	Gadsden	AL	$85
Children's Medical Center of Dallas	—	—	$3,396.81
Children's Medical Center of Plano	—	—	$3,396.81
Childrens Medical Center Of Plano	Plano	TX	$3,396.81
Children's Medical Center Dallas	—	—	$3,396.81

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States with hospitals publishing rates for usa managed care.

State	Hospitals	Avg rate
AL	1	$85
TX	1	$3,396.81

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