Hospital scorecard · NPI 1033124961

New York City Health and Hospitals Corporation

Contracted rates for 10 common outpatient procedures, with the confidence breakdown and methodology disclosure for each.

Procedures

CPT 73721

Knee MRI

case rate · 65% confidence · 9 payers

$558

Methodology trust0.30 / 0.30

Cross-validation (vs payer file)0.05 / 0.25

Volume of supporting rates0.20 / 0.20

Freshness of MRF snapshot0.05 / 0.15

Plausibility (vs Medicare)0.05 / 0.10

CPT 70551

Brain MRI

case rate · 65% confidence · 9 payers

$552

Methodology trust0.30 / 0.30

Cross-validation (vs payer file)0.05 / 0.25

Volume of supporting rates0.20 / 0.20

Freshness of MRF snapshot0.05 / 0.15

Plausibility (vs Medicare)0.05 / 0.10

CPT 72148

Lumbar MRI

case rate · 65% confidence · 9 payers

$547

Methodology trust0.30 / 0.30

Cross-validation (vs payer file)0.05 / 0.25

Volume of supporting rates0.20 / 0.20

Freshness of MRF snapshot0.05 / 0.15

Plausibility (vs Medicare)0.05 / 0.10

CPT 74177

Abdominal CT

case rate · 65% confidence · 9 payers

$498

Methodology trust0.30 / 0.30

Cross-validation (vs payer file)0.05 / 0.25

Volume of supporting rates0.20 / 0.20

Freshness of MRF snapshot0.05 / 0.15

Plausibility (vs Medicare)0.05 / 0.10

CPT 45378

Colonoscopy

case rate · 65% confidence · 9 payers

$1,079

Methodology trust0.30 / 0.30

Cross-validation (vs payer file)0.05 / 0.25

Volume of supporting rates0.20 / 0.20

Freshness of MRF snapshot0.05 / 0.15

Plausibility (vs Medicare)0.05 / 0.10

CPT 43239

Upper endoscopy

case rate · 65% confidence · 9 payers

$1,329

Methodology trust0.30 / 0.30

Cross-validation (vs payer file)0.05 / 0.25

Volume of supporting rates0.20 / 0.20

Freshness of MRF snapshot0.05 / 0.15

Plausibility (vs Medicare)0.05 / 0.10

CPT 77067

Screening mammogram

fee schedule · 65% confidence · 9 payers

$179

Methodology trust0.30 / 0.30

Cross-validation (vs payer file)0.05 / 0.25

Volume of supporting rates0.20 / 0.20

Freshness of MRF snapshot0.05 / 0.15

Plausibility (vs Medicare)0.05 / 0.10

CPT 80053

Metabolic panel

case rate · 65% confidence · 9 payers

$65

Methodology trust0.30 / 0.30

Cross-validation (vs payer file)0.05 / 0.25

Volume of supporting rates0.20 / 0.20

Freshness of MRF snapshot0.05 / 0.15

Plausibility (vs Medicare)0.05 / 0.10

CPT 85025

Complete blood count

case rate · 65% confidence · 8 payers

$45

Methodology trust0.30 / 0.30

Cross-validation (vs payer file)0.05 / 0.25

Volume of supporting rates0.20 / 0.20

Freshness of MRF snapshot0.05 / 0.15

Plausibility (vs Medicare)0.05 / 0.10

CPT 99213

Office visit

algorithm · 35% confidence · 9 payers

$348

Methodology trust0.00 / 0.30

Cross-validation (vs payer file)0.05 / 0.25

Volume of supporting rates0.20 / 0.20

Freshness of MRF snapshot0.05 / 0.15

Plausibility (vs Medicare)0.05 / 0.10