▸ Hospital · AL · CCN 014006
MOUNTAIN VIEW HOSPITAL
3001 SCENIC HIGHWAY, GADSDEN, AL, 35901
Psychiatric4
Compliance grade
A
100/100
Procedures tracked
198
of 209 target codes
Payers
30
with negotiated rates
Rates published
20,220
last crawl 2026-05-24
Procedures & rates
| Procedure | Type | Code | Payers | Gross | Cash | Neg min | Neg median | Neg max |
|---|---|---|---|---|---|---|---|---|
| behavioral | ||||||||
| Psychoses | MS-DRG | 885 | 26 | — | — | $40 | $7,993 | $24,872 |
| Psychiatric diagnostic evaluation | CPT | 90791 | 1 | — | — | $230.21 | $304.51 | $374.45 |
| Psychiatric eval with medical services | CPT | 90792 | 1 | — | — | $230.21 | $304.51 | $374.45 |
| Psychotherapy 30 minutes | CPT | 90832 | 1 | — | — | $230.21 | $304.51 | $374.45 |
| Psychotherapy 45 minutes | CPT | 90834 | 1 | — | — | $230.21 | $304.51 | $374.45 |
| Psychotherapy 60 minutes | CPT | 90837 | 17 | $613.45 | $613.45 | $21.18 | $48 | $374.45 |
| Crisis psychotherapy 60 minutes | CPT | 90839 | 1 | — | — | $230.21 | $304.51 | $374.45 |
| emergency | ||||||||
| ED visit level 1 | CPT | 99281 | 21 | $595.83 | $595.83 | $21.18 | $158 | $3,615 |
| ED visit level 2 | CPT | 99282 | 21 | $1,290.98 | $1,290.98 | $21.18 | $290.56 | $3,615 |
| ED visit level 3 | CPT | 99283 | 21 | $2,769.2 | $2,769.2 | $21.18 | $607.67 | $3,615 |
| ED visit level 4 | CPT | 99284 | 21 | $3,813.29 | $3,813.29 | $21.18 | $946.39 | $5,761 |
| ED visit level 5 | CPT | 99285 | 21 | $7,541.48 | $7,541.48 | $21.18 | $1,024.97 | $10,206 |
| Critical care, first hour | CPT | 99291 | 21 | $12,949 | $12,949 | $21.18 | $78 | $10,206 |
| imaging | ||||||||
| CT head without contrast | CPT | 70450 | 17 | $3,855.93 | $3,855.93 | $21.18 | $72 | $2,626 |
| CT head with contrast | CPT | 70460 | 3 | — | — | $284.94 | $463.47 | $2,626 |
| CT head with and without contrast | CPT | 70470 | 17 | $4,745.03 | $4,745.03 | $21.18 | $72 | $2,626 |
| CT neck with contrast | CPT | 70491 | 17 | $4,338.83 | $4,338.83 | $21.18 | $72 | $2,626 |
| MRI brain without contrast | CPT | 70551 | 17 | $5,366.45 | $5,366.45 | $21.18 | $72 | $3,430 |
| MRI brain with contrast | CPT | 70552 | 17 | $5,881.43 | $5,881.43 | $21.18 | $72 | $3,430 |
| MRI brain with and without contrast | CPT | 70553 | 17 | $6,394.2 | $6,394.2 | $21.18 | $72 | $3,430 |
| Chest X-ray single view | CPT | 71045 | 22 | $390.32 | $390.32 | $21.18 | $49.5 | $310.07 |
| Chest X-ray 2 views | CPT | 71046 | 22 | $562.22 | $562.22 | $21.18 | $49.5 | $310.07 |
| Chest X-ray 3 views | CPT | 71047 | 22 | $622.91 | $622.91 | $21.18 | $49.5 | $310.07 |
| CT chest without contrast | CPT | 71250 | 17 | $3,828.55 | $3,828.55 | $21.18 | $72 | $2,626 |
| CT chest with contrast | CPT | 71260 | 17 | $4,333.76 | $4,333.76 | $21.18 | $72 | $2,626 |
| CT chest with and without contrast | CPT | 71270 | 3 | — | — | $284.94 | $463.47 | $2,626 |
| MRI chest without contrast | CPT | 71550 | 17 | $5,313.32 | $5,313.32 | $21.18 | $72 | $3,430 |
| MRI chest with contrast | CPT | 71551 | 3 | — | — | $541 | $1,548.17 | $3,430 |
| MRI chest with and without contrast | CPT | 71552 | 3 | — | — | $541 | $770.02 | $3,430 |
| Lumbosacral spine X-ray | CPT | 72100 | 22 | $531.89 | $531.89 | $21.18 | $49.5 | $381.44 |
| CT cervical spine without contrast | CPT | 72125 | 17 | $4,219.49 | $4,219.49 | $21.18 | $72 | $2,626 |
| CT thoracic spine without contrast | CPT | 72128 | 17 | $4,219.49 | $4,219.49 | $21.18 | $72 | $2,626 |
| CT lumbar spine without contrast | CPT | 72131 | 17 | $4,163.64 | $4,163.64 | $21.18 | $72 | $2,626 |
| MRI cervical spine without contrast | CPT | 72141 | 17 | $5,366.45 | $5,366.45 | $21.18 | $72 | $3,430 |
| MRI thoracic spine without contrast | CPT | 72146 | 17 | $5,366.45 | $5,366.45 | $21.18 | $72 | $3,430 |
| MRI lumbar spine without contrast | CPT | 72148 | 17 | $5,366.45 | $5,366.45 | $21.18 | $72 | $3,430 |
| MRI lumbar spine with and without contrast | CPT | 72149 | 3 | — | — | $541 | $770.02 | $3,430 |
| MRI cervical spine with and without contrast | CPT | 72156 | 17 | $6,394.2 | $6,394.2 | $21.18 | $72 | $3,430 |
| MRI lumbar spine with contrast | CPT | 72158 | 17 | $6,394.2 | $6,394.2 | $21.18 | $72 | $3,430 |
| CT pelvis without contrast | CPT | 72192 | 17 | $3,828.55 | $3,828.55 | $21.18 | $72 | $2,626 |
| CT pelvis with contrast | CPT | 72193 | 17 | $4,338.83 | $4,338.83 | $21.18 | $72 | $2,626 |
| Shoulder X-ray | CPT | 73030 | 22 | $1,094.15 | $1,094.15 | $21.18 | $49.5 | $310.07 |
| Humerus X-ray | CPT | 73060 | 22 | $1,079.94 | $1,079.94 | $21.18 | $49.5 | $310.07 |
| Hand X-ray 3 views | CPT | 73130 | 22 | $1,041.53 | $1,041.53 | $21.18 | $49.5 | $310.07 |
| MRI upper extremity joint without contrast | CPT | 73221 | 17 | $4,802.84 | $4,802.84 | $21.18 | $72 | $3,430 |
| MRI upper extremity joint with and without contrast | CPT | 73223 | 17 | $4,802.84 | $4,802.84 | $21.18 | $72 | $3,430 |
| Knee X-ray 1-2 views | CPT | 73560 | 22 | $940.45 | $940.45 | $21.18 | $49.5 | $310.07 |
| Ankle X-ray 3 views | CPT | 73610 | 22 | $1,041.53 | $1,041.53 | $21.18 | $49.5 | $310.07 |
| MRI lower extremity joint without contrast | CPT | 73721 | 17 | $11,604 | $11,604 | $21.18 | $72 | $3,430 |
| MRI lower extremity joint with and without contrast | CPT | 73723 | 17 | $6,199.71 | $6,199.71 | $21.18 | $72 | $3,430 |
| CT abdomen without contrast | CPT | 74150 | 17 | $3,914.87 | $3,914.87 | $21.18 | $72 | $2,626 |
| CT abdomen with contrast | CPT | 74160 | 17 | $4,338.83 | $4,338.83 | $21.18 | $72 | $2,626 |
| CT abdomen with and without contrast | CPT | 74170 | 17 | $4,651.12 | $4,651.12 | $21.18 | $72 | $2,626 |
| CT abdomen and pelvis without contrast | CPT | 74176 | 17 | $7,743.42 | $7,743.42 | $21.18 | $72 | $2,626 |
| CT abdomen and pelvis with contrast | CPT | 74177 | 17 | $8,680.19 | $8,680.19 | $21.18 | $72 | $2,626 |
| CT abdomen and pelvis with and without contrast | CPT | 74178 | 17 | $9,342.85 | $9,342.85 | $21.18 | $72 | $2,626 |
| MRI abdomen without contrast | CPT | 74181 | 17 | $4,122.08 | $4,122.08 | $21.18 | $72 | $3,430 |
| MRI abdomen with and without contrast | CPT | 74183 | 17 | $7,669.5 | $7,669.5 | $21.18 | $72 | $3,430 |
| Abdominal ultrasound complete | CPT | 76700 | 22 | $1,548.21 | $1,548.21 | $21.18 | $49.5 | $381.44 |
| Abdominal ultrasound limited | CPT | 76705 | 22 | $1,017.08 | $1,017.08 | $21.18 | $49.5 | $381.44 |
| Retroperitoneal ultrasound complete | CPT | 76770 | 22 | $793.31 | $793.31 | $21.18 | $49.5 | $381.44 |
| Obstetric ultrasound first trimester | CPT | 76801 | 22 | $1,317.69 | $1,317.69 | $21.18 | $49.5 | $381.44 |
| Obstetric ultrasound after first trimester | CPT | 76805 | 22 | $1,075.83 | $1,075.83 | $21.18 | $49.5 | $381.44 |
| Obstetric ultrasound with fetal anatomy | CPT | 76811 | 2 | — | — | $368.96 | $544.11 | $833.45 |
| Transvaginal ultrasound | CPT | 76830 | 22 | $619.26 | $619.26 | $21.18 | $49.5 | $381.44 |
| Pelvic ultrasound complete | CPT | 76856 | 22 | $1,419.38 | $1,419.38 | $21.18 | $49.5 | $381.44 |
| Scrotal ultrasound | CPT | 76870 | 22 | $1,001.25 | $1,001.25 | $21.18 | $49.5 | $381.44 |
| Diagnostic mammography unilateral | CPT | 77065 | 28 | $619.73 | $619.73 | $21.18 | $59.42 | $126.96 |
| Diagnostic mammography bilateral | CPT | 77066 | 28 | $757.6 | $757.6 | $21.18 | $61.4 | $161.85 |
| Screening mammography bilateral | CPT | 77067 | 28 | $781.63 | $781.63 | $21.18 | $61.16 | $134.23 |
| EKG complete | CPT | 93000 | 1 | — | — | $11.67 | $11.67 | $11.67 |
| EKG tracing only | CPT | 93005 | 23 | $676.89 | $676.89 | $21.18 | $48 | $147.72 |
| Transthoracic echocardiogram complete | CPT | 93306 | 20 | $5,024.28 | $5,024.28 | $21.18 | $48 | $1,293.04 |
| Transthoracic echocardiogram | CPT | 93307 | 1 | — | — | $368.96 | $488.06 | $600.15 |
| Stress echocardiogram | CPT | 93350 | 1 | — | — | $794.95 | $1,051.54 | $1,293.04 |
| inpatient | ||||||||
| Intracranial hemorrhage/CVA w MCC | MS-DRG | 064 | 31 | — | — | $40 | $19,337 | $55,794 |
| Intracranial hemorrhage/CVA w CC | MS-DRG | 065 | 31 | — | — | $40 | $10,120 | $28,312 |
| Intracranial hemorrhage/CVA w/o CC/MCC | MS-DRG | 066 | 31 | — | — | $40 | $7,007.31 | $19,150 |
| Respiratory infections & inflammations w MCC | MS-DRG | 177 | 31 | — | — | $40 | $14,083 | $47,253 |
| COPD w MCC | MS-DRG | 190 | 31 | — | — | $40 | $10,866 | $30,696 |
| COPD w CC | MS-DRG | 191 | 31 | — | — | $40 | $8,688.88 | $23,649 |
| COPD w/o CC/MCC | MS-DRG | 192 | 31 | — | — | $40 | $6,696.77 | $17,877 |
| Simple pneumonia & pleurisy w CC | MS-DRG | 194 | 31 | — | — | $40 | $7,052.78 | $29,619 |
| Simple pneumonia & pleurisy w/o CC/MCC | MS-DRG | 195 | 31 | — | — | $40 | $5,398.46 | $29,619 |
| AMI discharged alive w MCC | MS-DRG | 280 | 31 | — | — | $40 | $15,968 | $44,192 |
| AMI discharged alive w CC | MS-DRG | 281 | 31 | — | — | $40 | $9,189.43 | $25,432 |
| AMI discharged alive w/o CC/MCC | MS-DRG | 282 | 31 | — | — | $40 | $7,169.86 | $20,003 |
| Heart failure & shock w MCC | MS-DRG | 291 | 31 | — | — | $40 | $12,663 | $35,763 |
| Heart failure & shock w CC | MS-DRG | 292 | 31 | — | — | $40 | $8,578.84 | $23,858 |
| Heart failure & shock w/o CC/MCC | MS-DRG | 293 | 31 | — | — | $40 | $5,715.49 | $15,641 |
| Cardiac arrhythmia w MCC | MS-DRG | 308 | 31 | — | — | $40 | $11,795 | $33,487 |
| Cardiac arrhythmia w CC | MS-DRG | 309 | 31 | — | — | $40 | $7,394.93 | $20,744 |
| Cardiac arrhythmia w/o CC/MCC | MS-DRG | 310 | 31 | — | — | $40 | $5,518.02 | $15,404 |
| GI hemorrhage w CC | MS-DRG | 378 | 31 | — | — | $40 | $9,832.04 | $27,404 |
| GI hemorrhage w/o CC/MCC | MS-DRG | 379 | 31 | — | — | $40 | $6,316.19 | $17,638 |
| Esophagitis/gastroenteritis w/o MCC | MS-DRG | 392 | 31 | — | — | $40 | $7,353 | $21,883 |
| Fractures of femur w/o MCC | MS-DRG | 533 | 31 | — | — | $40 | $14,126 | $45,443 |
| Kidney/UTI w MCC | MS-DRG | 689 | 31 | — | — | $40 | $10,741 | $32,713 |
| Kidney/UTI w/o MCC | MS-DRG | 690 | 31 | — | — | $40 | $6,923.4 | $22,476 |
| Septicemia or severe sepsis w MV 96+ hrs | MS-DRG | 871 | 31 | — | — | $40 | $17,558 | $55,225 |
| Septicemia or severe sepsis w/o MV 96+ hrs | MS-DRG | 872 | 31 | — | — | $40 | $8,735.6 | $28,688 |
| lab | ||||||||
| Basic metabolic panel (BMP) | CPT | 80048 | 29 | $427.93 | $427.93 | $6.35 | $31.8 | $85 |
| General health panel | CPT | 80050 | 3 | — | — | $31.96 | $94.48 | $221.95 |
| Electrolyte panel | CPT | 80051 | 29 | $352.7 | $352.7 | $5.26 | $28.04 | $85 |
| Comprehensive metabolic panel | CPT | 80053 | 29 | $547.26 | $547.26 | $7.92 | $33.4 | $85.63 |
| Lipid panel | CPT | 80061 | 29 | $412.35 | $412.35 | $10.04 | $33.4 | $108.61 |
| Renal function panel | CPT | 80069 | 29 | $490.18 | $490.18 | $6.51 | $31.8 | $85 |
| Hepatic function panel | CPT | 80076 | 29 | $451.25 | $451.25 | $6.13 | $31.8 | $85 |
| Urinalysis non-automated | CPT | 81002 | 29 | $88.19 | $88.19 | $2.61 | $16.36 | $85 |
| Urinalysis automated | CPT | 81003 | 29 | $141.36 | $141.36 | $1.69 | $14.34 | $85 |
| Glucose quantitative | CPT | 82947 | 29 | $198.41 | $198.41 | $2.95 | $21.18 | $85 |
| Hemoglobin A1c | CPT | 83036 | 29 | $282.68 | $282.68 | $7.28 | $31.8 | $85 |
| Thyroid stimulating hormone (TSH) | CPT | 84443 | 29 | $487.59 | $487.59 | $12.6 | $33.6 | $136.19 |
| Complete blood count with automated differential | CPT | 85025 | 13 | — | — | $5.83 | $7.85 | $42.88 |
| Complete blood count without differential | CPT | 85027 | 29 | $237.33 | $237.33 | $4.85 | $25.88 | $85 |
| Urine culture bacterial | CPT | 87086 | 29 | $339.76 | $339.76 | $6.05 | $31.8 | $85 |
| Urine culture identification | CPT | 87088 | 13 | — | — | $6.07 | $8.17 | $65.66 |
| Tissue exam by pathologist level IV | CPT | 88305 | 23 | $459.03 | $459.03 | $21.18 | $49 | $382.53 |
| maternity | ||||||||
| Fetal non-stress test | CPT | 59025 | 24 | $691.79 | $691.79 | $9.53 | $48 | $2,350 |
| Routine obstetric care including vaginal delivery | CPT | 59400 | 3 | — | — | $2,350 | $4,565 | $5,929 |
| Vaginal delivery only | CPT | 59409 | 7 | — | — | $960 | $4,516.18 | $7,266.52 |
| Vaginal delivery with postpartum | CPT | 59410 | 5 | — | — | $960 | $2,452.5 | $5,929 |
| Routine obstetric care with C-section | CPT | 59510 | 3 | — | — | $2,350 | $4,565 | $5,929 |
| C-section delivery only | CPT | 59514 | 4 | — | — | $38.4 | $42.6 | $5,929 |
| C-section with postpartum | CPT | 59515 | 5 | — | — | $2,350 | $4,861.5 | $7,117 |
| office | ||||||||
| Office visit, new patient, 15-29 min | CPT | 99202 | 18 | $580.59 | $580.59 | $21.18 | $40 | $85 |
| Office visit, new patient, 30-44 minutes | CPT | 99203 | 18 | $344.91 | $344.91 | $21.18 | $40 | $85 |
| Office visit, new patient, 45-59 min | CPT | 99204 | 18 | $453.78 | $453.78 | $21.18 | $40 | $85 |
| Office visit, new patient, 60-74 min | CPT | 99205 | 18 | $499.17 | $499.17 | $21.18 | $40 | $85 |
| Office visit, established patient, 5 min | CPT | 99211 | 22 | $285.04 | $285.04 | $21.18 | $42 | $85 |
| Office visit, established patient, 10-19 min | CPT | 99212 | 18 | $313.56 | $313.56 | $21.18 | $40 | $85 |
| Office visit, established patient, 20-29 minutes | CPT | 99213 | 18 | $580.47 | $580.47 | $21.18 | $40 | $85 |
| Office visit, established patient, 30-39 minutes | CPT | 99214 | 18 | $453.78 | $453.78 | $21.18 | $40 | $85 |
| Office visit, established patient, 40-54 min | CPT | 99215 | 18 | $499.17 | $499.17 | $21.18 | $40 | $85 |
| preventive | ||||||||
| Upper GI endoscopy diagnostic | CPT | 43235 | 10 | — | — | $850 | $2,350 | $5,957 |
| Upper GI endoscopy with biopsy | CPT | 43239 | 10 | — | — | $850 | $2,350 | $5,957 |
| Sigmoidoscopy diagnostic | CPT | 45330 | 7 | — | — | $857 | $2,102.39 | $5,423 |
| Sigmoidoscopy with biopsy | CPT | 45331 | 7 | — | — | $857 | $2,102.39 | $5,423 |
| Colonoscopy diagnostic | CPT | 45378 | 10 | — | — | $857 | $2,299 | $5,423 |
| Colonoscopy with biopsy | CPT | 45380 | 10 | — | — | $1,106.53 | $2,350 | $5,423 |
| Colonoscopy with polyp removal | CPT | 45385 | 10 | — | — | $1,106.53 | $2,350 | $5,423 |
| surgery | ||||||||
| Total shoulder arthroplasty | CPT | 23472 | 12 | — | — | $4,000 | $24,527 | $44,000 |
| PCI w drug-eluting stent w MCC | MS-DRG | 246 | 8 | — | — | $23,056 | $45,407 | $62,720 |
| PCI w drug-eluting stent w/o MCC | MS-DRG | 247 | 8 | — | — | $14,697 | $28,946 | $40,222 |
| Hip hemiarthroplasty | CPT | 27125 | 6 | — | — | $2,350 | $23,144 | $40,904 |
| Total hip replacement | CPT | 27130 | 12 | — | — | $2,350 | $24,527 | $44,000 |
| Total knee replacement | CPT | 27447 | 12 | — | — | $2,350 | $24,527 | $44,000 |
| Knee revision arthroplasty single component | CPT | 27486 | 11 | — | — | $2,350 | $24,614 | $44,000 |
| Knee revision arthroplasty all components | CPT | 27487 | 11 | — | — | $2,350 | $24,614 | $44,000 |
| Shoulder arthroscopy with decompression | CPT | 29826 | 5 | — | — | $1,348 | $4,484 | $6,946 |
| Shoulder arthroscopy with rotator cuff repair | CPT | 29827 | 7 | — | — | $2,720 | $6,820.13 | $17,000 |
| Knee arthroscopy with meniscectomy | CPT | 29881 | 7 | — | — | $2,320 | $5,330.96 | $7,650.02 |
| ACL reconstruction | CPT | 29888 | 7 | — | — | $1,348 | $6,736.63 | $17,000 |
| Major small/large bowel procedures w MCC | MS-DRG | 329 | 31 | — | — | $40 | $43,361 | $125,815 |
| Major small/large bowel procedures w CC | MS-DRG | 330 | 31 | — | — | $40 | $22,968 | $66,075 |
| Major small/large bowel procedures w/o CC/MCC | MS-DRG | 331 | 31 | — | — | $40 | $14,541 | $46,574 |
| CABG single arterial graft | CPT | 33533 | 4 | — | — | $38.4 | $42.6 | $5,929 |
| CABG 2 arterial grafts | CPT | 33534 | 4 | — | — | $38.4 | $42.6 | $5,929 |
| CABG 3 arterial grafts | CPT | 33535 | 4 | — | — | $38.4 | $42.6 | $5,929 |
| CABG 4+ arterial grafts | CPT | 33536 | 4 | — | — | $38.4 | $42.6 | $5,929 |
| Laparoscopic cholecystectomy w/o CDE w MCC | MS-DRG | 418 | 31 | — | — | $40 | $14,570 | $45,535 |
| Laparoscopic cholecystectomy w/o CDE w CC | MS-DRG | 419 | 31 | — | — | $40 | $13,021 | $36,579 |
| Laparoscopic cholecystectomy w/o CDE w/o CC/MCC | MS-DRG | 420 | 31 | — | — | $40 | $33,678 | $89,158 |
| Open appendectomy | CPT | 44950 | 7 | — | — | $2,320 | $6,081.4 | $9,102.76 |
| Laparoscopic appendectomy | CPT | 44970 | 8 | — | — | $1,348 | $6,765 | $17,277 |
| Spinal fusion (non-cervical) w MCC | MS-DRG | 459 | 13 | — | — | $42,387 | $90,869 | $184,743 |
| Spinal fusion (non-cervical) w/o MCC | MS-DRG | 460 | 13 | — | — | $23,378 | $51,512 | $101,891 |
| Major joint replacement w MCC | MS-DRG | 469 | 31 | — | — | $40 | $31,396 | $92,752 |
| Major joint replacement w/o MCC | MS-DRG | 470 | 31 | — | — | $40 | $17,207 | $52,415 |
| Laparoscopic cholecystectomy | CPT | 47562 | 7 | — | — | $2,720 | $7,391.5 | $13,395 |
| Lap cholecystectomy with cholangiography | CPT | 47563 | 7 | — | — | $2,720 | $7,391.5 | $13,395 |
| Hip & femur procedures except major joint w MCC | MS-DRG | 480 | 31 | — | — | $40 | $24,257 | $82,142 |
| Hip & femur procedures except major joint w CC | MS-DRG | 481 | 31 | — | — | $40 | $20,914 | $57,796 |
| Hip & femur procedures except major joint w/o CC/MCC | MS-DRG | 482 | 31 | — | — | $40 | $16,359 | $44,245 |
| Open umbilical hernia repair | CPT | 49560 | 1 | — | — | $2,320 | $2,320 | $2,320 |
| Umbilical hernia repair age 5+ | CPT | 49585 | 1 | — | — | $2,320 | $2,320 | $2,320 |
| Lap inguinal hernia repair | CPT | 49650 | 7 | — | — | $2,320 | $6,216.5 | $13,395 |
| Lap incisional hernia repair | CPT | 49652 | 1 | — | — | $2,320 | $2,320 | $2,320 |
| Total abdominal hysterectomy | CPT | 58150 | 6 | — | — | $38.4 | $2,350 | $9,884 |
| Vaginal hysterectomy | CPT | 58260 | 7 | — | — | $2,720 | $6,272.5 | $11,912 |
| Lap-assisted vaginal hysterectomy | CPT | 58550 | 7 | — | — | $4,000 | $8,108.6 | $13,395 |
| Lap-assisted vaginal hysterectomy >250g | CPT | 58552 | 7 | — | — | $4,000 | $9,639.63 | $23,354 |
| Lap salpingo-oophorectomy | CPT | 58661 | 7 | — | — | $2,720 | $6,272.5 | $13,395 |
| OR procedure for obesity w MCC | MS-DRG | 619 | 31 | — | — | $40 | $29,157 | $72,493 |
| OR procedure for obesity w CC | MS-DRG | 620 | 31 | — | — | $40 | $13,087 | $45,186 |
| OR procedure for obesity w/o CC/MCC | MS-DRG | 621 | 31 | — | — | $40 | $12,067 | $42,264 |
| Complex cataract surgery | CPT | 66982 | 7 | — | — | $2,185.14 | $4,513.23 | $7,117 |
| Cataract surgery with lens implant | CPT | 66984 | 7 | — | — | $2,185.14 | $4,513.23 | $7,117 |
| Intravitreal injection | CPT | 67028 | 7 | — | — | $317.56 | $1,269.5 | $5,423 |
| Vitrectomy mechanical | CPT | 67042 | 7 | — | — | $2,720 | $5,963.01 | $10,269 |
| Uterine & adnexa procedures w CC/MCC | MS-DRG | 743 | 31 | — | — | $40 | $10,022 | $32,368 |
| Uterine & adnexa procedures w/o CC/MCC | MS-DRG | 744 | 31 | — | — | $40 | $18,357 | $52,434 |
| PCI single major coronary artery | CPT | 92920 | 5 | — | — | $3,685 | $12,152 | $38,029 |
| PCI with drug-eluting stent | CPT | 92928 | 5 | — | — | $3,685 | $22,535 | $38,029 |
| PCI bypass graft | CPT | 92937 | 5 | — | — | $3,685 | $22,535 | $38,029 |
| Left heart catheterization | CPT | 93452 | 8 | — | — | $3,685 | $9,736 | $28,302 |
| Coronary angiography with cath | CPT | 93455 | 8 | — | — | $3,685 | $9,736 | $28,302 |
| Coronary angiography with bypass cath | CPT | 93458 | 8 | — | — | $3,685 | $9,736 | $28,302 |
Payer mix (top 30)
| Payer | Codes covered | Median rate |
|---|---|---|
| Blue Cross Blue Shield | 181 | $946.87 |
| Cigna | 179 | $310.07 |
| Aetna | 178 | $2,705 |
| universal healthcare | 162 | $2,350 |
| sterling life insurance | 162 | $1,075 |
| dmba (deseret mutual benefit admin) | 131 | $37.71 |
| university of utah | 129 | $39.9 |
| angle insurance | 127 | $48 |
| Multiplan | 127 | $67 |
| usa managed care | 127 | $85 |
| union pacific railroad | 127 | $65 |
| injury care of utah | 127 | $78 |
| select health er | 126 | $57.8 |
| elap | 126 | $21.18 |
| evernorth bh | 126 | $70 |
| magellan bh | 125 | $80 |
| magellan behavioral health | 125 | $50 |
| Bright Health | 122 | $3,000 |
| pehp | 113 | $2,767.5 |
| Humana | 106 | $7,910.45 |
| motivhealth | 104 | $11,820 |
| imagine health wise | 104 | $12,245 |
| Molina | 103 | $7,389.76 |
| university of ut | 89 | $5,839.91 |
| health choice | 63 | $8,822 |
| vista hospice | 61 | $600 |
| triwest healthcare alliance | 61 | $7,076.8 |
| First Health | 61 | $6,935.26 |
| veteran's administration | 61 | $7,076.8 |
| hosp uncompensated care | 45 | $12,519 |