Centene
What does Centene actually pay hospitals? We analyzed 205 negotiated rates from 2 hospitals across 2 states.
Is Centene Expensive or Cheap?
Based on our analysis of 205 negotiated rates, Centene is significantly more expensive than 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 Centene has the most rate data
| Code | Description | Rates | Avg Rate | Min | Max |
|---|---|---|---|---|---|
| 85025 | HC LAB CBC W/AUTO DIFF | 2 | $14 | $13 | $15 |
| 36415 | HC VENIPUNCTURE | 2 | $16 | $16 | $17 |
| 80053 | HC LAB COMP METABOLIC PANEL | 2 | $19 | $18 | $20 |
| 71045 | HC XR CHEST 1 VIEW | 2 | $141 | $135 | $148 |
| 71046 | HC XR CHEST 2 VIEWS | 2 | $141 | $135 | $148 |
| 73030 | HC RADEX SHOULDER COMPLETE MINIMUM 2 VIEWS | 2 | $141 | $135 | $148 |
| 73060 | HC XR HUMERUS MIN 2 VIEWS | 2 | $141 | $135 | $148 |
| 73562 | HC XR KNEE 3 VIEWS | 2 | $141 | $135 | $148 |
| 73590 | HC XR LEG TIBIA & FIBULA 2 VWS | 2 | $141 | $135 | $148 |
| 99281 | HC ED LEVEL 1 | 2 | $141 | $135 | $148 |
| 70450 | HC CT BRAIN | 2 | $171 | $163 | $179 |
| 71250 | HC CT CHEST WO CONTRAST | 2 | $171 | $163 | $179 |
| 72100 | HC XR SPINE LUMBAR 2- 3 VIEWS | 2 | $171 | $163 | $179 |
| 72110 | HC XR SPINE LUMBAR 4-5 VIEW | 2 | $171 | $163 | $179 |
| 72125 | HC CT SPINE CERVICAL WO CONTR | 2 | $171 | $163 | $179 |
| 72131 | HC CT SPINE LUMBAR WO CONTR | 2 | $171 | $163 | $179 |
| 99282 | HC ED LEVEL 2 | 2 | $254 | $242 | $267 |
| 70460 | HC CT BRAIN CONTRAST | 2 | $286 | $272 | $300 |
| 71260 | HC CT CHEST W CONTRAST | 2 | $286 | $272 | $300 |
| 72133 | HC CT SPINE LUMBAR WOW CONTR | 2 | $286 | $272 | $300 |
| 12001 | HC REPAIR SIMSCLP 2.5CM/< | 2 | $319 | $304 | $335 |
| 12002 | HC REPAIR SIM SCLP 2.6-7.5CM | 2 | $319 | $304 | $335 |
| 12004 | HC REPAIR SIM SCLP 7.6-12.5CM | 2 | $319 | $304 | $335 |
| 12011 | RPR F/E/E/N/L/M 2.5 CM/< | 2 | $319 | $304 | $335 |
| 25600 | TREAT FRACTURE RADIUS/ULNA | 2 | $385 | $367 | $404 |
Hospitals with Centene Rates
Hospitals where we have negotiated rate data for Centene
| Hospital | State | Rates | Procedures | Avg Rate | Range |
|---|---|---|---|---|---|
| CHI Memorial Hospital - Chattanooga | TN | 104 | 104 | $13,665 | $15 - $298,163 |
| CHI Memorial Hospital - Georgia | GA | 101 | 101 | $16,080 | $13 - $314,748 |
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.