Where to Negotiate
Gap Analysis
Every (CPT, payer) pair where your hospital has data, ranked by estimated annual revenue impact at the volume you choose.
8
Contract lines
filtered to Aetna
2
Below median
upside opportunities
6
Above median
defend in renewal
$6.7K
Total leverage
at default 100/yr volume
All payersAetnaBlue Cross Blue ShieldCignaFirst HealthGalaxy Health NetworkHealth's Finest NetworkHealthLinkHumanaImagine HealthMultiplanUnitedHealthcare
8 contract lines · sorted by
| CPT | Procedure | Payer | Your rate | Market median | Gap / proc | Volume | Annual impact | Tier | Action |
|---|---|---|---|---|---|---|---|---|---|
| 99283 | HB ED Visit Level 3 | Aetna | $675 | $712 | +$36.74(-5.2%) | $3.7K | Defend | ||
| 70551 | HB MRI Brain Stem W/O Dye | Aetna | $1,583 | $1,613 | +$30.39(-1.9%) | $3.0K | Defend | ||
| 71250 | HB CT Thorax, Diagnostic W/O Dye | Aetna | $1,063 | $941 | -$122(13.0%) | $-12.2K | Above | ||
| 99284 | HB ED Visit Level 4 | Aetna | $1,562 | $1,198 | -$364(30.4%) | $-36.4K | Above | ||
| 70553 | HB MRI Brain Stem W/O & W/Dye | Aetna | $2,193 | $1,613 | -$580(35.9%) | $-58.0K | Above | ||
| 43239 | HB Egd Transoral Biopsy Single/Multiple | Aetna | $3,986 | $2,505 | -$1,481(59.1%) | $-148.1K | Above | ||
| 74177 | HB CT Abd & Pelv W/Contrast | Aetna | $2,463 | $941 | -$1,522(161.7%) | $-152.2K | Above | ||
| 29881 | HB Arthroscop Knee Med and Lat | Aetna | $10,999 | $4,843 | -$6,156(127.1%) | $-615.6K | Above |