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 Multiplan
1
Below median
upside opportunities
7
Above median
defend in renewal
$45.7K
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 |
|---|---|---|---|---|---|---|---|---|---|
| 43239 | HB Egd Transoral Biopsy Single/Multiple | Multiplan | $7,500 | $7,957 | +$457(-5.7%) | $45.7K | Defend | ||
| 99283 | HB ED Visit Level 3 | Multiplan | $1,963 | $1,180 | -$782(66.3%) | $-78.2K | Above | ||
| 71250 | HB CT Thorax, Diagnostic W/O Dye | Multiplan | $3,730 | $2,359 | -$1,371(58.1%) | $-137.1K | Above | ||
| 99284 | HB ED Visit Level 4 | Multiplan | $4,117 | $2,043 | -$2,075(101.6%) | $-207.5K | Above | ||
| 70551 | HB MRI Brain Stem W/O Dye | Multiplan | $5,553 | $2,971 | -$2,582(86.9%) | $-258.2K | Above | ||
| 70553 | HB MRI Brain Stem W/O & W/Dye | Multiplan | $7,693 | $4,627 | -$3,067(66.3%) | $-306.6K | Above | ||
| 74177 | HB CT Abd & Pelv W/Contrast | Multiplan | $8,642 | $5,067 | -$3,576(70.6%) | $-357.6K | Above | ||
| 29881 | HB Arthroscop Knee Med and Lat | Multiplan | $36,663 | $28,152 | -$8,511(30.2%) | $-851.1K | Above |