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 Humana
1
Below median
upside opportunities
5
Above median
defend in renewal
$15.4K
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 | Humana | $1,001 | $1,154 | +$154(-13.3%) | $15.4K | Watch | ||
| 99284 | HB ED Visit Level 4 | Humana | $2,314 | $2,314 | $0(0.0%) | $0 | Above | ||
| 29881 | HB Arthroscop Knee Med and Lat | Humana | $16,498 | $16,498 | $0(0.0%) | $0 | Above | ||
| 74177 | HB CT Abd & Pelv W/Contrast | Humana | $3,889 | $3,434 | -$455(13.3%) | $-45.5K | Above | ||
| 71250 | HB CT Thorax, Diagnostic W/O Dye | Humana | $1,679 | $981 | -$697(71.0%) | $-69.7K | Above | ||
| 70553 | HB MRI Brain Stem W/O & W/Dye | Humana | $3,462 | $2,640 | -$822(31.1%) | $-82.2K | Above | ||
| 70551 | HB MRI Brain Stem W/O Dye | Humana | $2,499 | $1,428 | -$1,071(75.0%) | $-107.1K | Above | ||
| 43239 | HB Egd Transoral Biopsy Single/Multiple | Humana | $5,906 | $2,980 | -$2,926(98.2%) | $-292.6K | Above |