HCCI analyzed 13.8 million visits to over 35,000 unique providers to find the percent of providers with at least one out-of-network claim.
Percent of specialty providers that billed out of network at least once for inpatient and outpatient visits:
1. Emergency
Inpatient: 44 percent
Outpatient: 49 percent
2. Pathology
Inpatient: 44 percent
Outpatient: 33 percent
3. Radiology
Inpatient: 28 percent
Outpatient: 33 percent
4. Anesthesiology
Inpatient: 26 percent
Outpatient: 32 percent
5. Behavioral Health
Inpatient: 30 percent
Outpatient: 15 percent
6. Cardiovascular
Inpatient: 18 percent
Outpatient: 17 percent
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