BCBS - Anthem
What does BCBS - Anthem actually pay hospitals? We analyzed 1,000 negotiated rates from 11 hospitals across 5 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 |
|---|---|---|---|---|---|
| 85025 | HC LAB CBC W/AUTO DIFF | 43 | $17 | $7 | $40 |
| 97530 | HC PT FUNCTIONAL ACTIV 15 MIN | 38 | $85 | $25 | $163 |
| 97110 | Therapeutic procedure, 1 or more areas, each 15 minutes; therapeutic exercises to develop strength and endurance, range of motion and flexibility | 38 | $72 | $26 | $133 |
| 97112 | HC PT NEUROMUSC EDUC 15 MIN | 36 | $78 | $22 | $144 |
| 97140 | Manual therapy techniques (eg, mobilization/ manipulation, manual lymphatic drainage, manual traction), 1 or more regions, each 15 minutes | 32 | $61 | $25 | $116 |
| 71046 | HC XR CHEST 2 VIEWS | 31 | $123 | $21 | $239 |
| 80053 | HC LAB COMP METABOLIC PANEL | 29 | $22 | $7 | $54 |
| 71045 | HC XR CHEST 1 VIEW | 29 | $117 | $12 | $239 |
| 73590 | HC XR LEG TIBIA & FIBULA 2 VWS | 29 | $118 | $22 | $218 |
| 73562 | HC XR KNEE 3 VIEWS | 26 | $116 | $24 | $218 |
| 73060 | HC XR HUMERUS MIN 2 VIEWS | 25 | $112 | $24 | $218 |
| 73030 | HC RADEX SHOULDER COMPLETE MINIMUM 2 VIEWS | 24 | $113 | $24 | $218 |
| 20610 | HC ASPIR/INJ JOINT MAJOR | 23 | $98 | $23 | $224 |
| 72100 | HC XR SPINE LUMBAR 2- 3 VIEWS | 23 | $128 | $28 | $233 |
| 99281 | HC ED LEVEL 1 | 23 | $133 | $50 | $221 |
| 36415 | HC VENIPUNCTURE | 22 | $9 | $5 | $14 |
| 25600 | HC CL TX COLLES FX W/O MNP | 22 | $165 | $82 | $226 |
| 99213 | HC CLINIC VISIT LEVEL 3 EST | 21 | $130 | $56 | $203 |
| 99202 | HC CLINIC VISIT LEVEL 2 NEW | 20 | $131 | $60 | $203 |
| 70450 | HC CT BRAIN | 20 | $160 | $98 | $233 |
| 72110 | HC XR SPINE LUMBAR 4-5 VIEW | 19 | $119 | $39 | $233 |
| 97161 | HC PT EVAL LOW COMPLEX 20 MIN | 19 | $142 | $81 | $223 |
| 97162 | HC PT EVAL MOD COMPLEX | 19 | $131 | $81 | $223 |
| 20611 | HC DRAIN/INJ JOINT/BURSA W/US MAJOR | 18 | $103 | $39 | $217 |
| 12011 | RPR F/E/E/N/L/M 2.5 CM/< | 18 | $166 | $46 | $238 |
Hospitals with BCBS - Anthem Rates
Hospitals where we have negotiated rate data for BCBS - Anthem
| Hospital | State | Rates | Procedures | Avg Rate | Range |
|---|---|---|---|---|---|
| CHI St. Luke's Health Brazosport | TX | 211 | 52 | $134 | $7 - $238 |
| St. Luke's Sugar Land Hospital | TX | 185 | 49 | $121 | $7 - $239 |
| CHI Memorial Hospital - Georgia | GA | 169 | 61 | $148 | $8 - $239 |
| CHI Memorial Hospital - Chattanooga | TN | 161 | 74 | $127 | $6 - $238 |
| CHI Saint Joseph Health - Saint Joseph Mount Sterling | KY | 93 | 53 | $113 | $5 - $236 |
| HCA HOUSTON HEALTHCARE MEDICAL CENTER | TX | 58 | 18 | $106 | $8 - $224 |
| HCA HOUSTON HEALTHCARE TOMBALL | TX | 51 | 14 | $104 | $8 - $224 |
| HCA HOUSTON HEALTHCARE CLEAR LAKE | TX | 40 | 14 | $120 | $9 - $224 |
| CHI St. Luke's Health Springwood Village | TX | 12 | 12 | $157 | $45 - $204 |
| HCA HEALTHONE AURORA | CO | 10 | 10 | $43 | $8 - $101 |
| HCA HEALTHONE PRESBYTERIAN ST LUKES | CO | 10 | 10 | $43 | $8 - $101 |
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.