Physician Health Partners
What does Physician Health Partners actually pay hospitals? We analyzed 114 negotiated rates from 2 hospitals across 1 states.
Is Physician Health Partners Expensive or Cheap?
Based on our analysis of 114 negotiated rates, Physician Health Partners 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 Physician Health Partners has the most rate data
| Code | Description | Rates | Avg Rate | Min | Max |
|---|---|---|---|---|---|
| 99202 | OP VISIT LEVEL 2 NP | 2 | $449 | $36 | $861 |
| 99203 | OP VISIT LEVEL 3 NP | 2 | $268 | $62 | $475 |
| 99214 | OP VISIT LEVEL 4 EST | 2 | $292 | $73 | $512 |
| 562 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WIT | 2 | $1,680 | $1,680 | $1,680 |
| 641 | MISCELLANEOUS DISORDERS OF NUTRITION, METABOLISM, FLUIDS AND ELECTROLYTES WITHOU | 2 | $1,680 | $1,680 | $1,680 |
| 065 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH CC OR TPA IN 24 HOURS | 2 | $1,680 | $1,680 | $1,680 |
| 003 | ECMO OR TRACHEOSTOMY WITH MV >96 HOURS OR PRINCIPAL DIAGNOSIS EXCEPT FACE, MOUTH | 2 | $1,680 | $1,680 | $1,680 |
| 192 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC | 2 | $1,680 | $1,680 | $1,680 |
| 493 | LOWER EXTREMITY AND HUMERUS PROCEDURES EXCEPT HIP, FOOT AND FEMUR WITH CC | 2 | $1,680 | $1,680 | $1,680 |
| 462 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITHOUT MCC | 2 | $1,680 | $1,680 | $1,680 |
| 472 | CERVICAL SPINAL FUSION WITH CC | 2 | $1,680 | $1,680 | $1,680 |
| 066 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITHOUT CC/MCC | 2 | $1,680 | $1,680 | $1,680 |
| 811 | RED BLOOD CELL DISORDERS WITH MCC | 2 | $1,680 | $1,680 | $1,680 |
| 690 | KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | 2 | $1,680 | $1,680 | $1,680 |
| 190 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH MCC | 2 | $1,680 | $1,680 | $1,680 |
| 471 | CERVICAL SPINAL FUSION WITH MCC | 2 | $1,680 | $1,680 | $1,680 |
| 291 | HEART FAILURE AND SHOCK WITH MCC | 2 | $1,680 | $1,680 | $1,680 |
| 689 | KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | 2 | $1,680 | $1,680 | $1,680 |
| 602 | CELLULITIS WITH MCC | 2 | $1,680 | $1,680 | $1,680 |
| 812 | RED BLOOD CELL DISORDERS WITHOUT MCC | 2 | $1,680 | $1,680 | $1,680 |
| 001 | HEART TRANSPLANT OR IMPLANT OF HEART ASSIST SYSTEM WITH MCC | 2 | $1,680 | $1,680 | $1,680 |
| 461 | BILATERAL OR MULTIPLE MAJOR JOINT PROCEDURES OF LOWER EXTREMITY WITH MCC | 2 | $1,680 | $1,680 | $1,680 |
| 292 | HEART FAILURE AND SHOCK WITH CC | 2 | $1,680 | $1,680 | $1,680 |
| 482 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITHOUT CC/MCC | 2 | $1,680 | $1,680 | $1,680 |
| 480 | HIP AND FEMUR PROCEDURES EXCEPT MAJOR JOINT WITH MCC | 2 | $1,828 | $1,680 | $1,975 |
Hospitals with Physician Health Partners Rates
Hospitals where we have negotiated rate data for Physician Health Partners
| Hospital | State | Rates | Procedures | Avg Rate | Range |
|---|---|---|---|---|---|
| HCA HEALTHONE AURORA | CO | 72 | 72 | $3,302 | $36 - $22,229 |
| HCA HEALTHONE PRESBYTERIAN ST LUKES | CO | 42 | 42 | $1,907 | $183 - $9,547 |
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.