Table 3. Average PPO and Indemnity Payments per RVU for Detailed Categories of Physician Services: 1993.

Type of Service Categories	Payer 1		Payer 2		Payer 1 Discount (Percent)	Payer 2 Discount (Percent)
	PPO	Indemnity	PPO	Indemnity
All Physician Services	$46.48	$58.66	$44.29	$50.05	20.8	11.5
Evaluation and Management (E/M)	33.75	43.34	37.24	40.49	22.1	8.0
Office Visits	31.02	42.22	37.49	41.03	26.5	8.6
Hospital Visits	38.40	47.29	39.56	44.80	18.8	11.7
Emergency Room Visits	55.75	61.08	45.31	50.51	8.7	10.3
Nursing Home Visits	30.58	37.44	32.92	33.62	18.3	2.1
Specialist E/M	30.04	35.72	35.55	37.68	15.9	5.7
Consultations	37.57	46.65	39.29	44.15	19.5	11.0
Procedures	57.96	73.23	55.81	65.09	20.9	14.3
Major Procedures-General	59.76	77.21	59.80	72.15	22.6	17.1
Major Procedures-Cardiac	66.98	81.14	61.45	68.78	17.5	10.7
Major Procedures-Orthopedic	65.95	82.71	59.39	69.56	20.3	14.6
Eye Procedures	62.54	74.18	59.12	66.40	15.7	11.0
Ambulatory Procedures	59.94	79.95	54.99	64.31	25.0	14.5
Minor Procedures	46.80	57.15	45.31	51.40	18.1	11.8
Endoscopy	73.18	92.08	67.18	79.57	20.5	15.6
Imaging Services	55.35	66.96	57.53	66.86	17.3	14.0
Standard Imaging	57.22	68.79	58.76	67.97	16.8	13.6
Advanced Imaging	54.12	62.54	53.03	63.90	13.5	17.0
Echography	50.25	64.56	55.28	63.21	22.2	12.5
Imaging/Procedure	65.65	79.39	69.50	79.26	17.3	12.3
Tests	48.19	59.81	46.25	55.08	19.4	16.0
Laboratory Tests	47.60	59.51	44.67	54.17	20.0	17.5
Other Tests	49.71	60.58	49.38	56.87	17.9	13.2

NOTE: PPO is preferred provider organization. RVU is relative value unit.

SOURCE: Urban Institute analysis of 1993 claims from two large private payers.