Hospital scorecard · NPI 1063426377

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

$533

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

$533

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

$533

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

$482

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

$1,122

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

$1,109

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

$201

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

$51

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

$31

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

$321

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