Hospital scorecard · NPI 1306847926

TROY COMMUNITY HOSPITAL INCORPORATED

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

Procedures

CPT 73721

Knee MRI

percentage · 45% confidence · 8 payers

$869

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 70551

Brain MRI

percentage · 45% confidence · 8 payers

$629

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 72148

Lumbar MRI

percentage · 45% confidence · 8 payers

$771

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 74177

Abdominal CT

percentage · 45% confidence · 8 payers

$556

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

percentage · 45% confidence · 8 payers

$1,788

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

percentage · 45% confidence · 8 payers

$3,106

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

percentage · 45% confidence · 8 payers

$156

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 80053

Metabolic panel

percentage · 45% confidence · 8 payers

$31

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 85025

Complete blood count

percentage · 45% confidence · 8 payers

$17

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 99213

Office visit

percentage · 45% confidence · 8 payers

$193

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