Integranet Amerigroup IPA
What does Integranet Amerigroup IPA actually pay hospitals? We analyzed 524 negotiated rates from 5 hospitals across 3 states.
Is Integranet Amerigroup IPA Expensive or Cheap?
Based on our analysis of 524 negotiated rates, Integranet Amerigroup IPA is about average compared to other insurance companies in our database. They pay roughly the same or less than Medicare for equivalent services.
Top Procedures with Negotiated Rates
Procedures where Integranet Amerigroup IPA has the most rate data
| Code | Description | Rates | Avg Rate | Min | Max |
|---|---|---|---|---|---|
| 293 | HEART FAILURE AND SHOCK WITHOUT CC/MCC | 8 | $5,413 | $3,289 | $7,098 |
| 812 | RED BLOOD CELL DISORDERS WITHOUT MCC | 8 | $7,708 | $4,508 | $9,670 |
| 689 | KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | 8 | $9,403 | $5,853 | $11,371 |
| 461 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC | 8 | $38,465 | $21,216 | $45,508 |
| 003 | ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE MOUTH AND NECK WITH MAJOR O.R. PROCEDURES | 8 | $147,174 | $108,748 | $164,572 |
| 36415 | Collection of venous blood by venipuncture | 7 | $10 | $9 | $11 |
| 641 | MISCELLANEOUS DISORDERS OF NUTRITION METABOLISM FLUIDS AND ELECTROLYTES WITHOUT MCC | 7 | $6,581 | $3,945 | $8,697 |
| 561 | AFTERCARE MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | 7 | $8,055 | $5,612 | $8,946 |
| 493 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP FOOT AND FEMUR WITH CC | 7 | $17,757 | $11,368 | $21,528 |
| 064 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | 7 | $16,108 | $13,654 | $17,509 |
| 471 | CERVICAL SPINAL FUSION WITH MCC | 7 | $32,005 | $17,956 | $39,076 |
| 85025 | Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) and automated differential WBC count | 6 | $9 | $8 | $11 |
| 97163 | Physical therapy evaluation: high complexity, requiring these components: A history of present problem with 3 or more personal factors and/or comorbidities that impact the plan of care; An examination | 6 | $124 | $98 | $158 |
| 99284 | HC ED LEVEL 4 | 6 | $410 | $315 | $547 |
| 192 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC | 6 | $5,699 | $3,736 | $7,775 |
| 066 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | 6 | $6,121 | $4,356 | $8,057 |
| 603 | CELLULITIS WITHOUT MCC | 6 | $7,156 | $4,692 | $9,381 |
| 292 | HEART FAILURE AND SHOCK WITH CC | 6 | $6,997 | $4,738 | $9,246 |
| 190 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | 6 | $8,666 | $5,949 | $11,045 |
| 291 | HEART FAILURE AND SHOCK WITH MCC | 6 | $10,012 | $7,345 | $12,295 |
| 560 | AFTERCARE MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | 6 | $10,448 | $7,816 | $12,044 |
| 811 | RED BLOOD CELL DISORDERS WITH MCC | 6 | $10,762 | $7,959 | $12,997 |
| 462 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC | 6 | $21,894 | $19,658 | $23,737 |
| 480 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | 6 | $22,421 | $20,188 | $23,800 |
| 002 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITHOUT MCC | 6 | $80,632 | $73,750 | $87,598 |
Hospitals with Integranet Amerigroup IPA Rates
Hospitals where we have negotiated rate data for Integranet Amerigroup IPA
| Hospital | State | Rates | Procedures | Avg Rate | Range |
|---|---|---|---|---|---|
| CHI Memorial Hospital - Georgia | GA | 211 | 125 | $8,322 | $8 - $196,947 |
| CHI Memorial Hospital - Chattanooga | TN | 159 | 110 | $9,719 | $8 - $193,354 |
| HCA HOUSTON HEALTHCARE CLEAR LAKE | TX | 96 | 57 | $7,954 | $9 - $164,572 |
| HCA HOUSTON HEALTHCARE MEDICAL CENTER | TX | 31 | 31 | $24,491 | $8 - $214,284 |
| HCA HOUSTON HEALTHCARE TOMBALL | TX | 27 | 27 | $26,643 | $8 - $206,989 |
About This Data
These rates are from hospital Machine-Readable Files (MRFs) required by the CMS Hospital Price Transparency Rule. They reflect specific hospital-payer contracts and may not represent your actual cost, which depends on your specific plan, deductible, copay, coinsurance, and network status. Data sources include CommonSpirit Health, HCA Healthcare, and Kaiser Permanente filings.