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 First Health
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 | First Health | $2,213 | $1,774 | -$439(24.7%) | $-43.9K | Above | ||
| 71250 | HB CT Thorax, Diagnostic W/O Dye | First Health | $3,730 | $3,086 | -$644(20.9%) | $-64.4K | Above | ||
| 99284 | HB ED Visit Level 4 | First Health | $4,696 | $3,883 | -$812(20.9%) | $-81.2K | Above | ||
| 70551 | HB MRI Brain Stem W/O Dye | First Health | $5,553 | $4,594 | -$959(20.9%) | $-95.9K | Above | ||
| 43239 | HB Egd Transoral Biopsy Single/Multiple | First Health | $9,681 | $8,507 | -$1,173(13.8%) | $-117.3K | Above | ||
| 70553 | HB MRI Brain Stem W/O & W/Dye | First Health | $7,693 | $6,364 | -$1,329(20.9%) | $-132.9K | Above | ||
| 74177 | HB CT Abd & Pelv W/Contrast | First Health | $8,642 | $7,149 | -$1,493(20.9%) | $-149.3K | Above | ||
| 29881 | HB Arthroscop Knee Med and Lat | First Health | $36,663 | $25,479 | -$11,184(43.9%) | $-1.1M | Above |