▸ Hospital · AZ · CCN 030012
Yavapai Regional Medical Center
1003 WILLOW CREEK ROAD, PRESCOTT, AZ, 86301
218 bedsAcute Care Hospitals2
Compliance grade
A
100/100
Procedures tracked
190
of 209 target codes
Payers
21
with negotiated rates
Rates published
21,573
last crawl 2026-05-22
Procedures & rates
| Procedure | Type | Code | Payers | Gross | Cash | Neg min | Neg median | Neg max |
|---|---|---|---|---|---|---|---|---|
| behavioral | ||||||||
| Psychoses | MS-DRG | 885 | 16 | — | — | $29 | $10,582 | $48,981 |
| Psychiatric eval with medical services | CPT | 90792 | 21 | $387 | $287.16 | $171.25 | $182.11 | $375.39 |
| emergency | ||||||||
| ED visit level 1 | CPT | 99281 | 21 | $522 | $387.33 | $9.85 | $49.35 | $506.34 |
| ED visit level 2 | CPT | 99282 | 21 | $1,005 | $745.71 | $36.41 | $92.4 | $974.85 |
| ED visit level 3 | CPT | 99283 | 21 | $1,528 | $1,133.78 | $62.07 | $158.55 | $1,482.16 |
| ED visit level 4 | CPT | 99284 | 21 | $2,492 | $1,849.07 | $105.34 | $265.65 | $2,417.24 |
| ED visit level 5 | CPT | 99285 | 21 | $4,020 | $2,982.84 | $152.79 | $386.4 | $3,899.4 |
| Critical care, first hour | CPT | 99291 | 21 | $6,923 | $5,136.87 | $185.32 | $467.25 | $6,715.31 |
| imaging | ||||||||
| CT head without contrast | CPT | 70450 | 21 | $3,276 | $2,430.8 | $75.65 | $114.08 | $3,177.72 |
| CT head with contrast | CPT | 70460 | 21 | $3,872 | $2,873.03 | $159.85 | $262.74 | $3,755.84 |
| CT head with and without contrast | CPT | 70470 | 21 | $4,264 | $3,163.89 | $113.05 | $152.25 | $4,136.08 |
| CT neck with contrast | CPT | 70491 | 21 | $4,188 | $3,107.5 | $123.25 | $189.74 | $4,062.36 |
| MRI brain without contrast | CPT | 70551 | 21 | $3,769 | $2,796.6 | $132.6 | $257.63 | $3,655.93 |
| MRI brain with contrast | CPT | 70552 | 21 | $4,636 | $3,439.92 | $140.25 | $201.76 | $4,496.92 |
| MRI brain with and without contrast | CPT | 70553 | 21 | $5,880 | $4,362.96 | $204 | $343.67 | $5,703.6 |
| Chest X-ray single view | CPT | 71045 | 21 | $474 | $351.71 | $16.15 | $93.85 | $459.78 |
| Chest X-ray 2 views | CPT | 71046 | 21 | $626 | $464.5 | $19.55 | $97.61 | $607.22 |
| Chest X-ray 3 views | CPT | 71047 | 21 | $820 | $608.44 | $24.65 | $97.61 | $795.4 |
| CT chest without contrast | CPT | 71250 | 21 | $3,593 | $2,666.01 | $103.7 | $349.2 | $3,485.21 |
| CT chest with contrast | CPT | 71260 | 21 | $3,736 | $2,772.12 | $111.35 | $189.74 | $3,623.92 |
| CT chest with and without contrast | CPT | 71270 | 21 | $4,105 | $3,045.91 | $123.25 | $189.74 | $3,981.85 |
| MRI chest without contrast | CPT | 71550 | 21 | $6,485 | $4,811.87 | $130.9 | $364.41 | $6,290.45 |
| MRI chest with contrast | CPT | 71551 | 21 | $7,396 | $5,487.84 | $136 | $842.06 | $7,174.12 |
| MRI chest with and without contrast | CPT | 71552 | 21 | $7,235 | $5,368.37 | $177.65 | $257 | $7,017.95 |
| Lumbosacral spine X-ray | CPT | 72100 | 21 | $887 | $658.16 | $20.4 | $86 | $860.39 |
| CT cervical spine without contrast | CPT | 72125 | 21 | $3,957 | $2,936.1 | $89.25 | $140.19 | $3,838.29 |
| CT thoracic spine without contrast | CPT | 72128 | 21 | $3,957 | $2,936.1 | $89.25 | $139.83 | $3,838.29 |
| CT lumbar spine without contrast | CPT | 72131 | 21 | $3,956 | $2,935.36 | $89.25 | $139.11 | $3,837.32 |
| MRI cervical spine without contrast | CPT | 72141 | 21 | $4,852 | $3,600.19 | $132.6 | $332.75 | $4,706.44 |
| MRI thoracic spine without contrast | CPT | 72146 | 21 | $4,641 | $3,443.63 | $132.6 | $332.75 | $4,501.77 |
| MRI lumbar spine without contrast | CPT | 72148 | 21 | $4,667 | $3,462.92 | $116.45 | $257.63 | $4,526.99 |
| MRI lumbar spine with and without contrast | CPT | 72149 | 21 | $5,227 | $3,878.44 | $164.9 | $380.64 | $5,070.19 |
| MRI cervical spine with and without contrast | CPT | 72156 | 21 | $5,267 | $3,908.12 | $218.45 | $380.64 | $5,108.99 |
| MRI lumbar spine with contrast | CPT | 72158 | 21 | $5,315 | $3,943.73 | $218.45 | $380.64 | $5,155.55 |
| CT pelvis without contrast | CPT | 72192 | 21 | $3,088 | $2,291.3 | $96.05 | $143.4 | $2,995.36 |
| CT pelvis with contrast | CPT | 72193 | 21 | $3,368 | $2,499.06 | $103.7 | $189.74 | $3,266.96 |
| Shoulder X-ray | CPT | 73030 | 21 | $1,610 | $1,194.62 | $17 | $72 | $1,561.7 |
| Humerus X-ray | CPT | 73060 | 21 | $1,265 | $938.63 | $15.3 | $68 | $1,227.05 |
| Hand X-ray 3 views | CPT | 73130 | 21 | $1,292 | $958.67 | $16.15 | $77 | $1,253.24 |
| MRI upper extremity joint without contrast | CPT | 73221 | 21 | $8,134 | $6,035.43 | $107.1 | $243.91 | $7,889.98 |
| MRI upper extremity joint with and without contrast | CPT | 73223 | 21 | $11,306 | $8,389.06 | $169.15 | $380.64 | $10,967 |
| Knee X-ray 1-2 views | CPT | 73560 | 21 | $1,090 | $808.78 | $15.3 | $71 | $1,057.3 |
| Ankle X-ray 3 views | CPT | 73610 | 21 | $1,355 | $1,005.41 | $16.15 | $77 | $1,314.35 |
| MRI lower extremity joint without contrast | CPT | 73721 | 21 | $7,949 | $5,898.16 | $107.1 | $1,109.42 | $7,710.53 |
| MRI lower extremity joint with and without contrast | CPT | 73723 | 21 | $16,692 | $12,385 | $169.15 | $416.27 | $16,191 |
| CT abdomen without contrast | CPT | 74150 | 21 | $3,664 | $2,718.69 | $106.25 | $514.8 | $3,554.08 |
| CT abdomen with contrast | CPT | 74160 | 21 | $4,140 | $3,071.88 | $113.9 | $251.05 | $4,015.8 |
| CT abdomen with and without contrast | CPT | 74170 | 21 | $4,759 | $3,531.18 | $124.95 | $189.74 | $4,616.23 |
| CT abdomen and pelvis without contrast | CPT | 74176 | 21 | $7,358 | $5,459.64 | $154.7 | $763.88 | $7,137.26 |
| CT abdomen and pelvis with contrast | CPT | 74177 | 21 | $6,871 | $5,098.29 | $162.35 | $395.87 | $6,664.87 |
| CT abdomen and pelvis with and without contrast | CPT | 74178 | 21 | $7,076 | $5,250.4 | $178.5 | $395.87 | $6,863.72 |
| MRI abdomen without contrast | CPT | 74181 | 21 | $3,436 | $2,549.52 | $114.75 | $211.35 | $3,332.92 |
| MRI abdomen with and without contrast | CPT | 74183 | 21 | $5,053 | $3,749.33 | $172.55 | $365.13 | $4,901.41 |
| Abdominal ultrasound complete | CPT | 76700 | 21 | $1,985 | $1,472.87 | $72.25 | $119.01 | $1,925.45 |
| Abdominal ultrasound limited | CPT | 76705 | 21 | $1,704 | $1,264.37 | $45.9 | $95.75 | $1,652.88 |
| Retroperitoneal ultrasound complete | CPT | 76770 | 21 | $1,225 | $908.95 | $65.45 | $113.34 | $1,188.25 |
| Obstetric ultrasound first trimester | CPT | 76801 | 21 | $1,911 | $1,417.97 | $88.4 | $113.34 | $1,853.67 |
| Obstetric ultrasound after first trimester | CPT | 76805 | 21 | $1,531 | $1,136.01 | $88.4 | $113.34 | $1,485.07 |
| Transvaginal ultrasound | CPT | 76830 | 21 | $1,239 | $919.34 | $62.05 | $125.17 | $1,201.83 |
| Pelvic ultrasound complete | CPT | 76856 | 21 | $1,769 | $1,312.6 | $61.2 | $113.34 | $1,715.93 |
| Scrotal ultrasound | CPT | 76870 | 21 | $1,401 | $1,039.55 | $56.95 | $113.34 | $1,358.97 |
| Diagnostic mammography unilateral | CPT | 77065 | 13 | $426 | $316.1 | $72.25 | $305.1 | $413.22 |
| Diagnostic mammography bilateral | CPT | 77066 | 13 | $539 | $399.94 | $89.25 | $410.88 | $522.83 |
| Screening mammography bilateral | CPT | 77067 | 13 | $343 | $254.51 | $68 | $241.73 | $332.71 |
| EKG complete | CPT | 93000 | 13 | $56 | $41.56 | $15.02 | $24.45 | $54.32 |
| EKG tracing only | CPT | 93005 | 21 | $608 | $451.14 | $6.44 | $64.9 | $589.76 |
| EKG interpretation only | CPT | 93010 | 13 | $18 | $13.36 | $8.58 | $15.49 | $17.46 |
| Transthoracic echocardiogram complete | CPT | 93306 | 21 | $3,431 | $2,545.81 | $121.55 | $160 | $3,328.07 |
| Transthoracic echocardiogram | CPT | 93307 | 21 | $91 | $67.53 | $77.35 | $91 | $150.21 |
| Stress echocardiogram | CPT | 93350 | 21 | $3,842 | $2,850.77 | $121.55 | $156 | $3,726.74 |
| inpatient | ||||||||
| Intracranial hemorrhage/CVA w MCC | MS-DRG | 064 | 16 | — | — | $55 | $14,933 | $75,554 |
| Intracranial hemorrhage/CVA w CC | MS-DRG | 065 | 16 | — | — | $42 | $7,634.03 | $41,416 |
| Intracranial hemorrhage/CVA w/o CC/MCC | MS-DRG | 066 | 16 | — | — | $35 | $5,167.18 | $28,895 |
| Respiratory infections & inflammations w MCC | MS-DRG | 177 | 16 | — | — | $58 | $12,135 | $76,215 |
| COPD w MCC | MS-DRG | 190 | 16 | — | — | $33 | $8,430.54 | $46,103 |
| COPD w CC | MS-DRG | 191 | 16 | — | — | $28 | $6,449.4 | $35,980 |
| COPD w/o CC/MCC | MS-DRG | 192 | 16 | — | — | $24 | $4,858.63 | $28,581 |
| Simple pneumonia & pleurisy w CC | MS-DRG | 194 | 16 | — | — | $25 | $6,155.87 | $35,811 |
| Simple pneumonia & pleurisy w/o CC/MCC | MS-DRG | 195 | 16 | — | — | $21 | $4,674.71 | $27,489 |
| AMI discharged alive w MCC | MS-DRG | 280 | 16 | — | — | $58 | $12,322 | $65,725 |
| AMI discharged alive w CC | MS-DRG | 281 | 16 | — | — | $44 | $6,920.1 | $39,039 |
| AMI discharged alive w/o CC/MCC | MS-DRG | 282 | 16 | — | — | $35 | $5,443.44 | $29,737 |
| Heart failure & shock w MCC | MS-DRG | 291 | 16 | — | — | $36 | $9,795.34 | $54,236 |
| Heart failure & shock w CC | MS-DRG | 292 | 16 | — | — | $29 | $6,465.17 | $36,492 |
| Heart failure & shock w/o CC/MCC | MS-DRG | 293 | 16 | — | — | $25 | $4,119.18 | $26,409 |
| Cardiac arrhythmia w MCC | MS-DRG | 308 | 16 | — | — | $32 | $9,052.88 | $47,864 |
| Cardiac arrhythmia w CC | MS-DRG | 309 | 16 | — | — | $24 | $5,550.04 | $30,479 |
| Cardiac arrhythmia w/o CC/MCC | MS-DRG | 310 | 16 | — | — | $19 | $4,200.26 | $22,540 |
| GI hemorrhage w CC | MS-DRG | 378 | 16 | — | — | $29 | $7,401.31 | $39,820 |
| GI hemorrhage w/o CC/MCC | MS-DRG | 379 | 16 | — | — | $24 | $4,779.81 | $26,022 |
| Esophagitis/gastroenteritis w/o MCC | MS-DRG | 392 | 16 | — | — | $19 | $5,857.84 | $30,688 |
| Fractures of femur w/o MCC | MS-DRG | 533 | 16 | — | — | $37 | $11,448 | $58,814 |
| Kidney/UTI w MCC | MS-DRG | 689 | 16 | — | — | $29 | $8,785.63 | $45,080 |
| Kidney/UTI w/o MCC | MS-DRG | 690 | 16 | — | — | $21 | $6,025.25 | $31,869 |
| Septicemia or severe sepsis w MV 96+ hrs | MS-DRG | 871 | 16 | — | — | $48 | $14,730 | $75,212 |
| Septicemia or severe sepsis w/o MV 96+ hrs | MS-DRG | 872 | 16 | — | — | $39 | $7,739.88 | $41,884 |
| Initial hospital care, low complexity | CPT | 99221 | 13 | $192 | $142.47 | $72.22 | $119.52 | $186.24 |
| Initial hospital care, moderate complexity | CPT | 99222 | 13 | $271 | $201.09 | $114 | $175.03 | $262.87 |
| Initial hospital care, high complexity | CPT | 99223 | 13 | $383 | $284.19 | $151.3 | $242.21 | $371.51 |
| Hospital discharge, <30 min | CPT | 99238 | 13 | $169 | $125.4 | $70.73 | $108.96 | $163.93 |
| Hospital discharge, >30 min | CPT | 99239 | 13 | $239 | $177.34 | $99.97 | $154.06 | $231.83 |
| lab | ||||||||
| Basic metabolic panel (BMP) | CPT | 80048 | 21 | $200 | $148.4 | $8.46 | $8.97 | $194 |
| General health panel | CPT | 80050 | 13 | $915 | $678.93 | $39.17 | $79.54 | $887.55 |
| Electrolyte panel | CPT | 80051 | 21 | $109 | $80.88 | $7.01 | $15.72 | $105.73 |
| Comprehensive metabolic panel | CPT | 80053 | 21 | $560 | $415.52 | $10.56 | $24.48 | $543.2 |
| Lipid panel | CPT | 80061 | 21 | $229 | $169.92 | $13.39 | $30.98 | $222.13 |
| Renal function panel | CPT | 80069 | 21 | $189 | $140.24 | $8.68 | $9.21 | $183.33 |
| Hepatic function panel | CPT | 80076 | 21 | $148 | $109.82 | $8.17 | $8.67 | $143.56 |
| Urinalysis non-automated | CPT | 81002 | 21 | $7 | $5.2 | $3.48 | $3.57 | $6.79 |
| Urinalysis automated | CPT | 81003 | 21 | $96 | $71.24 | $2.25 | $5.1 | $93.12 |
| Glucose quantitative | CPT | 82947 | 21 | $57 | $42.3 | $3.93 | $8.1 | $55.29 |
| Hemoglobin A1c | CPT | 83036 | 21 | $231 | $171.41 | $9.71 | $21.52 | $224.07 |
| Thyroid stimulating hormone (TSH) | CPT | 84443 | 21 | $415 | $307.93 | $16.8 | $42 | $402.55 |
| Complete blood count with automated differential | CPT | 85025 | 21 | $217 | $161.02 | $7.77 | $8.24 | $210.49 |
| Complete blood count without differential | CPT | 85027 | 21 | $177 | $131.34 | $6.47 | $6.86 | $171.69 |
| Urine culture bacterial | CPT | 87086 | 21 | $157 | $116.5 | $8.07 | $8.56 | $152.29 |
| Tissue exam by pathologist level IV | CPT | 88305 | 21 | $619 | $459.3 | $56.95 | $75.46 | $600.43 |
| maternity | ||||||||
| Fetal non-stress test | CPT | 59025 | 21 | $631 | $468.21 | $50.81 | $408.24 | $612.07 |
| Routine obstetric care including vaginal delivery | CPT | 59400 | 13 | — | — | $85 | $1,954.45 | $4,002.49 |
| Vaginal delivery only | CPT | 59409 | 21 | $1,507 | $1,118.2 | $425 | $942.5 | $1,597.42 |
| Vaginal delivery with postpartum | CPT | 59410 | 13 | — | — | $85 | $686.41 | $1,339.62 |
| Routine obstetric care with C-section | CPT | 59510 | 13 | — | — | $85 | $2,150.61 | $4,414.43 |
| C-section delivery only | CPT | 59514 | 13 | $1,705 | $1,265.11 | $425 | $1,066.69 | $1,653.85 |
| C-section with postpartum | CPT | 59515 | 13 | — | — | $85 | $839.32 | $1,660.72 |
| office | ||||||||
| Office visit, new patient, 15-29 min | CPT | 99202 | 13 | $597 | $442.98 | $33.3 | $138.7 | $579.09 |
| Office visit, new patient, 30-44 minutes | CPT | 99203 | 13 | $798 | $592.12 | $57.49 | $174.26 | $774.06 |
| Office visit, new patient, 45-59 min | CPT | 99204 | 13 | $1,030 | $764.26 | $93.66 | $322.05 | $999.1 |
| Office visit, new patient, 60-74 min | CPT | 99205 | 13 | $1,350 | $1,001.7 | $127.2 | $423.7 | $1,309.5 |
| Office visit, established patient, 5 min | CPT | 99211 | 13 | $451 | $334.65 | $6.23 | $277.2 | $437.47 |
| Office visit, established patient, 10-19 min | CPT | 99212 | 13 | $708 | $525.34 | $24.67 | $274.13 | $686.76 |
| Office visit, established patient, 20-29 minutes | CPT | 99213 | 13 | $1,061 | $787.27 | $46.23 | $172.9 | $1,029.17 |
| Office visit, established patient, 30-39 minutes | CPT | 99214 | 13 | $1,234 | $915.63 | $68.27 | $609.16 | $1,196.98 |
| Office visit, established patient, 40-54 min | CPT | 99215 | 13 | $1,030 | $764.26 | $101.32 | $346.75 | $999.1 |
| preventive | ||||||||
| Upper GI endoscopy diagnostic | CPT | 43235 | 21 | $2,650 | $1,966.3 | $127.31 | $264.6 | $2,570.5 |
| Upper GI endoscopy with biopsy | CPT | 43239 | 21 | $2,650 | $1,966.3 | $143.76 | $299.25 | $2,570.5 |
| Sigmoidoscopy diagnostic | CPT | 45330 | 21 | $2,574 | $1,909.91 | $59.01 | $122.85 | $2,496.78 |
| Sigmoidoscopy with biopsy | CPT | 45331 | 21 | $2,574 | $1,909.91 | $75.46 | $155.4 | $2,496.78 |
| Colonoscopy diagnostic | CPT | 45378 | 21 | $2,574 | $1,909.91 | $190.97 | $400.05 | $2,496.78 |
| Colonoscopy with biopsy | CPT | 45380 | 21 | $3,386 | $2,512.42 | $207.78 | $433.65 | $3,284.42 |
| Colonoscopy with polyp removal | CPT | 45385 | 21 | $3,386 | $2,512.42 | $262.85 | $550.2 | $3,284.42 |
| surgery | ||||||||
| Total shoulder arthroplasty | CPT | 23472 | 21 | $3,169 | $2,351.4 | $1,515.22 | $3,121.47 | $3,359.14 |
| Hip hemiarthroplasty | CPT | 27125 | 13 | $2,363 | $1,753.35 | $1,190.15 | $1,629.11 | $2,292.11 |
| Total hip replacement | CPT | 27130 | 21 | $2,710 | $2,010.82 | $1,347.14 | $2,669.35 | $2,872.6 |
| Total knee replacement | CPT | 27447 | 21 | $2,674 | $1,984.11 | $1,345 | $2,633.89 | $2,834.44 |
| Knee revision arthroplasty single component | CPT | 27486 | 13 | $2,946 | $2,185.94 | $1,473.02 | $2,025.39 | $2,857.62 |
| Knee revision arthroplasty all components | CPT | 27487 | 13 | $3,696 | $2,742.44 | $1,834.58 | $2,533.96 | $3,585.12 |
| Shoulder arthroscopy with decompression | CPT | 29826 | 13 | $367 | $272.32 | $178.09 | $249.48 | $355.99 |
| Shoulder arthroscopy with rotator cuff repair | CPT | 29827 | 21 | $2,255 | $1,673.21 | $1,125.42 | $2,221.18 | $2,390.3 |
| Knee arthroscopy with meniscectomy | CPT | 29881 | 21 | $1,137 | $843.66 | $575.41 | $1,119.95 | $1,205.22 |
| ACL reconstruction | CPT | 29888 | 21 | $2,054 | $1,524.07 | $1,026.72 | $2,023.19 | $2,177.24 |
| Major small/large bowel procedures w MCC | MS-DRG | 329 | 16 | — | — | $85 | $34,472 | $197,760 |
| Major small/large bowel procedures w CC | MS-DRG | 330 | 16 | — | — | $85 | $17,745 | $101,830 |
| Major small/large bowel procedures w/o CC/MCC | MS-DRG | 331 | 16 | — | — | $54 | $12,394 | $68,075 |
| CABG single arterial graft | CPT | 33533 | 13 | $3,827 | $2,839.64 | $1,916.11 | $2,632.44 | $3,712.19 |
| CABG 2 arterial grafts | CPT | 33534 | 13 | $4,492 | $3,333.07 | $2,249.77 | $3,090.23 | $4,357.24 |
| CABG 3 arterial grafts | CPT | 33535 | 13 | $4,996 | $3,707.04 | $2,499.74 | $3,435.67 | $4,846.12 |
| CABG 4+ arterial grafts | CPT | 33536 | 13 | $5,376 | $3,989 | $2,693.57 | $3,698.93 | $5,214.72 |
| Laparoscopic cholecystectomy w/o CDE w MCC | MS-DRG | 418 | 16 | — | — | $42 | $12,450 | $67,257 |
| Laparoscopic cholecystectomy w/o CDE w CC | MS-DRG | 419 | 16 | — | — | $30 | $9,891.43 | $52,664 |
| Laparoscopic cholecystectomy w/o CDE w/o CC/MCC | MS-DRG | 420 | 16 | — | — | $85 | $26,497 | $138,422 |
| Open appendectomy | CPT | 44950 | 21 | $1,251 | $928.25 | $671.96 | $1,232.24 | $1,326.06 |
| Laparoscopic appendectomy | CPT | 44970 | 21 | $1,158 | $859.24 | $632.27 | $1,140.63 | $1,227.48 |
| Major joint replacement w MCC | MS-DRG | 469 | 16 | — | — | $85 | $24,539 | $126,538 |
| Major joint replacement w/o MCC | MS-DRG | 470 | 16 | — | — | $73 | $14,155 | $79,327 |
| Laparoscopic cholecystectomy | CPT | 47562 | 21 | $1,268 | $940.86 | $692.35 | $1,248.98 | $1,344.08 |
| Lap cholecystectomy with cholangiography | CPT | 47563 | 21 | $1,499 | $1,112.26 | $752.78 | $1,476.52 | $1,588.94 |
| Hip & femur procedures except major joint w MCC | MS-DRG | 480 | 16 | — | — | $83 | $22,079 | $121,646 |
| Hip & femur procedures except major joint w CC | MS-DRG | 481 | 16 | — | — | $64 | $15,577 | $84,138 |
| Hip & femur procedures except major joint w/o CC/MCC | MS-DRG | 482 | 16 | — | — | $54 | $11,909 | $66,306 |
| Lap inguinal hernia repair | CPT | 49650 | 21 | $835 | $619.57 | $456.32 | $822.48 | $885.1 |
| Total abdominal hysterectomy | CPT | 58150 | 13 | — | — | $85 | $583.86 | $1,124.25 |
| Vaginal hysterectomy | CPT | 58260 | 21 | — | — | $85 | $3,095.18 | $5,577.06 |
| Lap-assisted vaginal hysterectomy | CPT | 58550 | 21 | — | — | $85 | $3,597.53 | $6,591.49 |
| Lap-assisted vaginal hysterectomy >250g | CPT | 58552 | 21 | — | — | $85 | $6,090.47 | $11,762 |
| Lap salpingo-oophorectomy | CPT | 58661 | 21 | — | — | $85 | $3,469.86 | $6,591.49 |
| OR procedure for obesity w MCC | MS-DRG | 619 | 16 | — | — | $85 | $20,468 | $124,064 |
| OR procedure for obesity w CC | MS-DRG | 620 | 16 | — | — | $63 | $11,989 | $72,322 |
| OR procedure for obesity w/o CC/MCC | MS-DRG | 621 | 16 | — | — | $55 | $10,974 | $63,352 |
| Complex cataract surgery | CPT | 66982 | 21 | — | — | $85 | $1,623.22 | $2,576.71 |
| Cataract surgery with lens implant | CPT | 66984 | 21 | — | — | $85 | $1,513.01 | $2,576.71 |
| Intravitreal injection | CPT | 67028 | 21 | — | — | $85 | $226.71 | $374.74 |
| Vitrectomy mechanical | CPT | 67042 | 21 | — | — | $85 | $2,767.52 | $4,544.9 |
| Uterine & adnexa procedures w CC/MCC | MS-DRG | 743 | 16 | — | — | $30 | $8,998.83 | $46,285 |
| Uterine & adnexa procedures w/o CC/MCC | MS-DRG | 744 | 16 | — | — | $35 | $14,669 | $70,142 |
| PCI single major coronary artery | CPT | 92920 | 21 | $16,971 | $12,592 | $537.86 | $1,127.7 | $16,462 |
| PCI with drug-eluting stent | CPT | 92928 | 21 | $23,701 | $17,586 | $598.29 | $1,257.9 | $22,990 |
| PCI bypass graft | CPT | 92937 | 21 | $23,701 | $17,586 | $598.29 | $1,255.8 | $22,990 |
| Left heart catheterization | CPT | 93452 | 21 | $480 | $356.16 | $408 | $480 | $971.04 |
| Coronary angiography with cath | CPT | 93455 | 21 | $21,613 | $16,037 | $481.1 | $1,090.83 | $20,965 |
| Coronary angiography with bypass cath | CPT | 93458 | 21 | $23,459 | $17,407 | $509.15 | $1,126.5 | $22,755 |
Payer mix (top 21)
| Payer | Codes covered | Median rate |
|---|---|---|
| Cigna | 190 | $391 |
| Aetna | 190 | $405.9 |
| First Health | 190 | $380.64 |
| Health Net | 190 | $355.99 |
| banner health | 190 | $189.74 |
| Blue Cross Blue Shield | 190 | $260.59 |
| UnitedHealthcare | 190 | $331.47 |
| Humana | 190 | $189.74 |
| WellCare | 156 | $203.35 |
| arizona medical network | 156 | $199 |
| bridgeway health solutions | 156 | $199 |
| devoted health | 156 | $210.94 |
| health choice pathway | 156 | $199 |
| health management network | 156 | $199 |
| imperial insurance | 156 | $208.95 |
| rural arizona network | 156 | $199 |
| arizona complete health | 147 | $178.09 |
| mercy care | 147 | $187 |
| acchs | 147 | $178.09 |
| health choice | 147 | $187 |
| care 1st | 147 | $178.09 |