Ampersand Health
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Hospital scorecard · NPI 1134734528

ROBERT PACKER HOSPITAL Doing Business As: ROBERT PACKER HOSPITAL, TOWANDA CAMPUS

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

Procedures

CPT 73721

Knee MRI

fee schedule · 60% confidence · 5 payers

$860

Methodology trust0.30 / 0.30
Cross-validation (vs payer file)0.05 / 0.25
Volume of supporting rates0.20 / 0.20
Freshness of MRF snapshot0.00 / 0.15
Plausibility (vs Medicare)0.05 / 0.10

CPT 70551

Brain MRI

fee schedule · 60% confidence · 9 payers

$439

Methodology trust0.30 / 0.30
Cross-validation (vs payer file)0.05 / 0.25
Volume of supporting rates0.20 / 0.20
Freshness of MRF snapshot0.00 / 0.15
Plausibility (vs Medicare)0.05 / 0.10

CPT 72148

Lumbar MRI

fee schedule · 60% confidence · 9 payers

$333

Methodology trust0.30 / 0.30
Cross-validation (vs payer file)0.05 / 0.25
Volume of supporting rates0.20 / 0.20
Freshness of MRF snapshot0.00 / 0.15
Plausibility (vs Medicare)0.05 / 0.10

CPT 74177

Abdominal CT

fee schedule · 45% confidence · 9 payers

$392

Methodology trust0.15 / 0.30
Cross-validation (vs payer file)0.05 / 0.25
Volume of supporting rates0.20 / 0.20
Freshness of MRF snapshot0.00 / 0.15
Plausibility (vs Medicare)0.05 / 0.10

CPT 45378

Colonoscopy

algorithm · 45% confidence · 9 payers

$1,001

Methodology trust0.15 / 0.30
Cross-validation (vs payer file)0.05 / 0.25
Volume of supporting rates0.20 / 0.20
Freshness of MRF snapshot0.00 / 0.15
Plausibility (vs Medicare)0.05 / 0.10

CPT 43239

Upper endoscopy

algorithm · 45% confidence · 9 payers

$1,030

Methodology trust0.15 / 0.30
Cross-validation (vs payer file)0.05 / 0.25
Volume of supporting rates0.20 / 0.20
Freshness of MRF snapshot0.00 / 0.15
Plausibility (vs Medicare)0.05 / 0.10

CPT 77067

Screening mammogram

fee schedule · 60% confidence · 9 payers

$136

Methodology trust0.30 / 0.30
Cross-validation (vs payer file)0.05 / 0.25
Volume of supporting rates0.20 / 0.20
Freshness of MRF snapshot0.00 / 0.15
Plausibility (vs Medicare)0.05 / 0.10

CPT 80053

Metabolic panel

fee schedule · 60% confidence · 6 payers

$24

Methodology trust0.30 / 0.30
Cross-validation (vs payer file)0.05 / 0.25
Volume of supporting rates0.20 / 0.20
Freshness of MRF snapshot0.00 / 0.15
Plausibility (vs Medicare)0.05 / 0.10

CPT 85025

Complete blood count

fee schedule · 60% confidence · 9 payers

$8

Methodology trust0.30 / 0.30
Cross-validation (vs payer file)0.05 / 0.25
Volume of supporting rates0.20 / 0.20
Freshness of MRF snapshot0.00 / 0.15
Plausibility (vs Medicare)0.05 / 0.10

CPT 99213

Office visit

fee schedule · 60% confidence · 9 payers

$74

Methodology trust0.30 / 0.30
Cross-validation (vs payer file)0.05 / 0.25
Volume of supporting rates0.20 / 0.20
Freshness of MRF snapshot0.00 / 0.15
Plausibility (vs Medicare)0.05 / 0.10