Benchmarking Top Anthem Elevance Payment Rates for Brain/Head CT Scans Across U.S. Health Systems

In recognition of World Brain Day, HPS and Deductible Data spotlight not only the advancements in neurological health but also the financial strategies that underpin successful healthcare operations. Our analysis dives into the payment rates for Brain/Head CT scans (CPT 70450) by Anthem Elevance, … Read More

Birthing Bling: The High Cost of Newborn Delivery—Chanel Included!

Welcome to this week’s peek into the peculiar world of hospital finance, where the price tag on newborn deliveries can sometimes include more than just the usual diapers and congratulations—it might just come with a side of Chanel! In a … Read More

 Remembering John Morrow: A Pioneer and Friend

Dear Friends and Colleagues, It is with a heavy heart that I share the passing of an HPS Advisory Board member and a cherished friend, John Morrow. John succumbed to his battle with liver cancer last night, a fight he faced … Read More

Walmart closing all 51 health clinics over challenging reimbursement and escalating operating costs

Dear Colleagues, Earier this week, Walmart announced it will close all 51 of its health clinics and shut its virtual health care operations.  Here is the statement on its website: The healthcare industry is grappling with a complex landscape. Providers are … Read More

Randi Brantner Joins HPS as VP of Operations

Dear Colleagues, We are delighted to announce that Randi Brantner has joined the HPS team as Vice President of Operations.  Prior to HPS, Randi was the VP of Analytics at CorroHealth, HFRI, and PARA. Randi shared her enthusiasm about joining our team, … Read More

Access Your Emergency Financial Assistance: Support for Change Healthcare Cyber Attack Victims

Hospital Pricing SpecialistsHOSPITAL C-LEVEL EXECUTIVE BRIEF March 6, 2023  Dear Colleagues, I am reaching out to you today in light of the recent cyberattack that has impacted many hospitals, as reported by the New York Times. We understand the significant challenges this … Read More

American Heart Month Exclusive: Unveiling UnitedHealthcare’s MS-DRG 280 Rates

Hospital Pricing SpecialistsHOSPITAL C-LEVEL EXECUTIVE BRIEF February 13, 2023 In the realm of hospital reimbursement and price transparency, the landscape underwent a significant shift last year, marking the beginning of a new era where payers are now required to publish … Read More

National hospital price list of CPT 45380 – Colon examination and biopsy with endoscope

May 25, 2023 Dear Colleague, As a valued customer and supporter of HPS, we are excited to share groundbreaking insights with you. Recently, HPS completed an extensive annual pricing survey, analyzing over 5,000 U.S. hospitals by combing through hospital machine-readable … Read More

CMS’s Secret Formula for Auditing Price Transparency Files

Hospital Pricing SpecialistsHOSPITAL C-LEVEL EXECUTIVE BRIEF As you may be aware, CMS has started aggressively enforcing the law and has issued fines to hospitals that have failed to comply. Just last month, Frisbie Memorial Hospital and Kell West Regional Hospital … Read More

CMS Unveils Aggressive Price Transparency Enforcement Tactics

Hospital Pricing SpecialistsHOSPITAL C-LEVEL EXECUTIVE BRIEF Yesterday, the Centers for Medicare and Medicaid Services (CMS) unleashed a menacing announcement that should send shivers down the spine of any hospital not complying with price transparency regulations. CMS is cracking down on … Read More