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 Cigna
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 | Cigna | $1,924 | $1,207 | -$717(59.4%) | $-71.7K | Above | ||
| 43239 | HB Egd Transoral Biopsy Single/Multiple | Cigna | $4,597 | $3,657 | -$940(25.7%) | $-94.0K | Above | ||
| 99284 | HB ED Visit Level 4 | Cigna | $3,607 | $2,185 | -$1,422(65.1%) | $-142.2K | Above | ||
| 71250 | HB CT Thorax, Diagnostic W/O Dye | Cigna | $3,730 | $653 | -$3,077(471.2%) | $-307.7K | Above | ||
| 70551 | HB MRI Brain Stem W/O Dye | Cigna | $5,553 | $1,096 | -$4,457(406.7%) | $-445.7K | Above | ||
| 70553 | HB MRI Brain Stem W/O & W/Dye | Cigna | $7,693 | $1,096 | -$6,597(601.9%) | $-659.7K | Above | ||
| 74177 | HB CT Abd & Pelv W/Contrast | Cigna | $8,642 | $653 | -$7,989(1223.4%) | $-798.9K | Above | ||
| 29881 | HB Arthroscop Knee Med and Lat | Cigna | $36,663 | $15,147 | -$21,516(142.1%) | $-2.2M | Above |