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 UnitedHealthcare
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 |
|---|---|---|---|---|---|---|---|---|---|
| 43239 | HB Egd Transoral Biopsy Single/Multiple | UnitedHealthcare | $4,597 | $4,481 | -$116(2.6%) | $-11.6K | Above | ||
| 99283 | HB ED Visit Level 3 | UnitedHealthcare | $2,213 | $1,501 | -$712(47.4%) | $-71.2K | Above | ||
| 99284 | HB ED Visit Level 4 | UnitedHealthcare | $3,607 | $2,484 | -$1,123(45.2%) | $-112.3K | Above | ||
| 71250 | HB CT Thorax, Diagnostic W/O Dye | UnitedHealthcare | $3,730 | $718 | -$3,012(419.5%) | $-301.2K | Above | ||
| 70551 | HB MRI Brain Stem W/O Dye | UnitedHealthcare | $5,553 | $1,276 | -$4,277(335.2%) | $-427.7K | Above | ||
| 70553 | HB MRI Brain Stem W/O & W/Dye | UnitedHealthcare | $7,693 | $1,276 | -$6,417(502.9%) | $-641.7K | Above | ||
| 74177 | HB CT Abd & Pelv W/Contrast | UnitedHealthcare | $8,642 | $911 | -$7,731(848.4%) | $-773.1K | Above | ||
| 29881 | HB Arthroscop Knee Med and Lat | UnitedHealthcare | $36,663 | $10,420 | -$26,243(251.9%) | $-2.6M | Above |