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 Blue Cross Blue Shield
0
Below median
upside opportunities
8
Above median
defend in renewal
$0
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 | Blue Cross Blue Shield | $1,126 | $792 | -$333(42.1%) | $-33.3K | Above | ||
| 71250 | HB CT Thorax, Diagnostic W/O Dye | Blue Cross Blue Shield | $1,865 | $1,046 | -$819(78.4%) | $-81.9K | Above | ||
| 70551 | HB MRI Brain Stem W/O Dye | Blue Cross Blue Shield | $2,777 | $1,750 | -$1,027(58.7%) | $-102.7K | Above | ||
| 99284 | HB ED Visit Level 4 | Blue Cross Blue Shield | $2,603 | $1,408 | -$1,195(84.9%) | $-119.5K | Above | ||
| 70553 | HB MRI Brain Stem W/O & W/Dye | Blue Cross Blue Shield | $3,847 | $2,480 | -$1,366(55.1%) | $-136.6K | Above | ||
| 74177 | HB CT Abd & Pelv W/Contrast | Blue Cross Blue Shield | $4,321 | $1,535 | -$2,786(181.6%) | $-278.6K | Above | ||
| 43239 | HB Egd Transoral Biopsy Single/Multiple | Blue Cross Blue Shield | $5,621 | $2,165 | -$3,456(159.6%) | $-345.6K | Above | ||
| 29881 | HB Arthroscop Knee Med and Lat | Blue Cross Blue Shield | $18,331 | $3,854 | -$14,477(375.6%) | $-1.4M | Above |