Hospital scorecard · NPI 1043224355

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

fee schedule · 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 70551

Brain MRI

case rate · 65% confidence · 9 payers

$563

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

$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 74177

Abdominal CT

case rate · 65% confidence · 9 payers

$479

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

$951

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

$1,088

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

case rate · 65% confidence · 9 payers

$197

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

$35

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 · 9 payers

$28

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

$320

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