BCBS - Anthem
What does BCBS - Anthem actually pay hospitals? We analyzed 1,000 negotiated rates from 3 hospitals across 2 states.
Is BCBS - Anthem Expensive or Cheap?
Based on our analysis of 1,000 negotiated rates, BCBS - Anthem 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 BCBS - Anthem has the most rate data
| Code | Description | Rates | Avg Rate | Min | Max |
|---|---|---|---|---|---|
| 36415 | HC VENIPUNCTURE | 15 | $15 | $5 | $94 |
| 80053 | HC LAB COMP METABOLIC PANEL | 15 | $125 | $7 | $1,505 |
| 85025 | HC LAB CBC W/AUTO DIFF | 14 | $20 | $7 | $37 |
| 72146 | HC MR SPINE THORACIC | 14 | $1,890 | $227 | $9,986 |
| 70450 | Computed tomography, head or brain; without contrast material | 13 | $792 | $97 | $5,775 |
| 71250 | HC CT CHEST WO CONTRAST | 13 | $690 | $100 | $3,919 |
| 72131 | HC CT SPINE LUMBAR WO CONTR | 13 | $840 | $100 | $5,775 |
| 72132 | Computed tomography, lumbar spine; with contrast material | 13 | $839 | $138 | $5,466 |
| 73721 | Magnetic resonance (eg, proton) imaging, any joint of lower extremity; without contrast material | 13 | $1,137 | $155 | $7,481 |
| 73221 | Magnetic resonance (eg, proton) imaging, any joint of upper extremity; without contrast material(s) | 13 | $1,099 | $156 | $7,039 |
| 71260 | HC CT CHEST W CONTRAST | 13 | $1,367 | $167 | $10,931 |
| 72133 | HC CT SPINE LUMBAR WOW CONTR | 13 | $1,139 | $167 | $7,734 |
| 72141 | Magnetic resonance (eg, proton) imaging, spinal canal and contents, cervical; without contrast material | 13 | $1,126 | $168 | $7,481 |
| 73222 | Magnetic resonance (eg, proton) imaging, any joint of upper extremity; with contrast material(s) | 13 | $1,099 | $186 | $8,453 |
| 73722 | Magnetic resonance (eg, proton) imaging, any joint of lower extremity; with contrast material(s) | 13 | $1,324 | $186 | $8,538 |
| 72147 | Magnetic resonance (eg, proton) imaging, spinal canal and contents, thoracic; with contrast material(s) | 13 | $1,089 | $203 | $8,453 |
| 70551 | HC MRIG LIMITED BRAIN | 13 | $1,243 | $227 | $7,559 |
| 72148 | HC MRIG LIMITED LUMBAR | 13 | $1,196 | $227 | $7,481 |
| 74178 | Computed tomography, abdomen and pelvis; without contrast material in one or both body regions, followed by contrast material(s) and further sections in one or both body regions | 13 | $1,378 | $229 | $7,734 |
| 99284 | HC ED LEVEL 4 | 13 | $3,821 | $233 | $10,093 |
| 73223 | Magnetic resonance (eg, proton) imaging, any joint of upper extremity; without contrast material(s), followed by contrast material(s) and further sequences | 13 | $1,192 | $246 | $9,305 |
| 72142 | HC MR SPINE CERVICAL W CONTR | 13 | $1,478 | $336 | $8,538 |
| 74177 | HC CT ABD&PEL W CONTRAST | 13 | $1,812 | $336 | $13,406 |
| 99281 | HC ED LEVEL 1 | 12 | $496 | $83 | $819 |
| 72125 | HC CT SPINE CERVICAL WO CONTR | 12 | $484 | $100 | $873 |
Hospitals with BCBS - Anthem Rates
Hospitals where we have negotiated rate data for BCBS - Anthem
| Hospital | State | Rates | Procedures | Avg Rate | Range |
|---|---|---|---|---|---|
| HCA HEALTHONE AURORA | CO | 355 | 99 | $3,820 | $7 - $16,686 |
| CHI Saint Joseph Health - Saint Joseph Mount Sterling | KY | 339 | 104 | $3,116 | $5 - $16,264 |
| HCA HEALTHONE PRESBYTERIAN ST LUKES | CO | 306 | 103 | $2,994 | $7 - $15,531 |
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.