Hospital scorecard · NPI 1932182599

HealthAlliance Hospital

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

Procedures

CPT 73721

Knee MRI

case rate · 60% confidence · 4 payers

$556

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

case rate · 60% confidence · 4 payers

$508

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

case rate · 60% confidence · 4 payers

$489

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

case rate · 60% confidence · 4 payers

$879

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 45378

Colonoscopy

case rate · 58% confidence · 3 payers

$3,653

Methodology trust0.30 / 0.30

Cross-validation (vs payer file)0.05 / 0.25

Volume of supporting rates0.18 / 0.20

Freshness of MRF snapshot0.00 / 0.15

Plausibility (vs Medicare)0.05 / 0.10

CPT 43239

Upper endoscopy

case rate · 58% confidence · 3 payers

$3,653

Methodology trust0.30 / 0.30

Cross-validation (vs payer file)0.05 / 0.25

Volume of supporting rates0.18 / 0.20

Freshness of MRF snapshot0.00 / 0.15

Plausibility (vs Medicare)0.05 / 0.10

CPT 77067

Screening mammogram

case rate · 60% confidence · 4 payers

$160

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

case rate · 56% confidence · 2 payers

$23

Methodology trust0.30 / 0.30

Cross-validation (vs payer file)0.05 / 0.25

Volume of supporting rates0.16 / 0.20

Freshness of MRF snapshot0.00 / 0.15

Plausibility (vs Medicare)0.05 / 0.10

CPT 85025

Complete blood count

case rate · 56% confidence · 2 payers

$17

Methodology trust0.30 / 0.30

Cross-validation (vs payer file)0.05 / 0.25

Volume of supporting rates0.16 / 0.20

Freshness of MRF snapshot0.00 / 0.15

Plausibility (vs Medicare)0.05 / 0.10

CPT 99213

Office visit

case rate · 60% confidence · 0 payers

$297

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