Ampersand Health
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Hospital scorecard · NPI 1285719161

Sidney Health Center

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

Procedures

CPT 73721

Knee MRI

fee schedule · 75% confidence · 4 payers

$357

Methodology trust0.30 / 0.30
Cross-validation (vs payer file)0.05 / 0.25
Volume of supporting rates0.20 / 0.20
Freshness of MRF snapshot0.15 / 0.15
Plausibility (vs Medicare)0.05 / 0.10

CPT 70551

Brain MRI

fee schedule · 75% confidence · 4 payers

$344

Methodology trust0.30 / 0.30
Cross-validation (vs payer file)0.05 / 0.25
Volume of supporting rates0.20 / 0.20
Freshness of MRF snapshot0.15 / 0.15
Plausibility (vs Medicare)0.05 / 0.10

CPT 72148

Lumbar MRI

fee schedule · 75% confidence · 4 payers

$335

Methodology trust0.30 / 0.30
Cross-validation (vs payer file)0.05 / 0.25
Volume of supporting rates0.20 / 0.20
Freshness of MRF snapshot0.15 / 0.15
Plausibility (vs Medicare)0.05 / 0.10

CPT 74177

Abdominal CT

fee schedule · 75% confidence · 4 payers

$528

Methodology trust0.30 / 0.30
Cross-validation (vs payer file)0.05 / 0.25
Volume of supporting rates0.20 / 0.20
Freshness of MRF snapshot0.15 / 0.15
Plausibility (vs Medicare)0.05 / 0.10

CPT 45378

Colonoscopy

percentage · 60% confidence · 4 payers

$1,250

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

CPT 43239

Upper endoscopy

percentage · 60% confidence · 4 payers

$1,085

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

CPT 77067

Screening mammogram

percentage · 60% confidence · 4 payers

$206

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

CPT 80053

Metabolic panel

percentage · 60% confidence · 4 payers

$143

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

CPT 85025

Complete blood count

percentage · 60% confidence · 4 payers

$94

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

CPT 99213

Office visit

percentage · 60% confidence · 4 payers

$105

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