Ampersand Health
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Hospital scorecard · NPI 1629087580

OUR LADY OF LOURDES MEMORIAL HOSPITAL INC. Doing Business As: LOURDES

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 · 8 payers

$467

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 · 8 payers

$390

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 · 8 payers

$437

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

algorithm · 45% confidence · 8 payers

$414

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 · 8 payers

$985

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 · 8 payers

$977

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 · 8 payers

$98

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 · 53% confidence · 3 payers

$148

Methodology trust0.30 / 0.30
Cross-validation (vs payer file)0.05 / 0.25
Volume of supporting rates0.13 / 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 · 8 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 · 45% confidence · 8 payers

$122

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