Peach State
What does Peach State actually pay hospitals? We analyzed 216 negotiated rates from 2 hospitals across 2 states.
Is Peach State Expensive or Cheap?
Based on our analysis of 216 negotiated rates, Peach State is significantly cheaper 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 Peach State has the most rate data
| Code | Description | Rates | Avg Rate | Min | Max |
|---|---|---|---|---|---|
| 36415 | HC VENIPUNCTURE | 3 | $20 | $9 | $39 |
| 85025 | HC LAB CBC W/AUTO DIFF | 3 | $84 | $11 | $182 |
| 80053 | HC LAB COMP METABOLIC PANEL | 3 | $182 | $15 | $402 |
| 99213 | HC CLINIC VISIT LEVEL 3 EST | 3 | $81 | $36 | $156 |
| 73562 | HC XR KNEE 3 VIEWS | 3 | $82 | $37 | $159 |
| 97112 | HC PT NEUROMUSC EDUC 15 MIN | 3 | $89 | $39 | $171 |
| 97530 | HC PT FUNCTIONAL ACTIV 15 MIN | 3 | $89 | $40 | $172 |
| 97140 | HC PT MANUAL THRPY 15 MIN | 3 | $94 | $42 | $181 |
| 97110 | HC PT THER EXERCISE 15 MIN | 3 | $103 | $46 | $199 |
| 12031 | HC REPAIR INT SCLP 2.5CM /< | 3 | $109 | $49 | $211 |
| 99214 | HC CLINIC VISIT LEVEL 4 EST | 3 | $125 | $56 | $241 |
| 71045 | HC XR CHEST 1 VIEW | 3 | $154 | $69 | $298 |
| 97162 | HC PT EVAL MOD COMPLEX | 3 | $164 | $73 | $317 |
| 99203 | HC CLINIC VISIT LEVEL 3 NEW | 3 | $177 | $79 | $342 |
| 97161 | HC PT EVAL LOW COMPLEX | 3 | $189 | $84 | $365 |
| 99281 | HC ED LEVEL 1 | 3 | $189 | $84 | $365 |
| 12001 | HC REPAIR SIMSCLP 2.5CM/< | 3 | $224 | $100 | $432 |
| 12002 | HC REPAIR SIM SCLP 2.6-7.5CM | 3 | $224 | $100 | $432 |
| 97163 | HC PT EVAL HIGH COMPLEX 60 MIN | 3 | $225 | $100 | $434 |
| 73060 | HC XR HUMERUS MIN 2 VIEWS | 3 | $227 | $101 | $439 |
| 71046 | HC XR CHEST 2 VIEWS | 3 | $231 | $103 | $447 |
| 99204 | HC CLINIC VISIT LEVEL 4 NEW | 3 | $258 | $115 | $497 |
| 73590 | HC XR LEG TIBIA & FIBULA 2 VWS | 3 | $258 | $115 | $499 |
| 72100 | HC XR SPINE LUMBAR 2- 3 VIEWS | 3 | $282 | $126 | $545 |
| 12004 | HC REPAIR SIM SCLP 7.6-12.5CM | 3 | $283 | $126 | $546 |
Hospitals with Peach State Rates
Hospitals where we have negotiated rate data for Peach State
| Hospital | State | Rates | Procedures | Avg Rate | Range |
|---|---|---|---|---|---|
| CHI Memorial Hospital - Chattanooga | TN | 144 | 72 | $932 | $13 - $5,446 |
| CHI Memorial Hospital - Georgia | GA | 72 | 72 | $324 | $9 - $1,257 |
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.