Hospital scorecard · NPI 1952476988

Montefiore Medical 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 · 15 payers

$87

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 · 15 payers

$95

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 · 15 payers

$95

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 · 15 payers

$112

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

fee schedule · 75% confidence · 15 payers

$1,044

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 43239

Upper endoscopy

fee schedule · 75% confidence · 15 payers

$842

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 77067

Screening mammogram

fee schedule · 75% confidence · 14 payers

$62

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 80053

Metabolic panel

fee schedule · 75% confidence · 15 payers

$11

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 85025

Complete blood count

fee schedule · 75% confidence · 15 payers

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 99213

Office visit

fee schedule · 75% confidence · 14 payers

$143

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