▸ Hospital · AZ · CCN 030036
Chandler Regional Medical Center
475 SOUTH DOBSON ROAD, CHANDLER, AZ, 85224
429 bedsAcute Care Hospitals2
Compliance grade
A
100/100
Procedures tracked
187
of 209 target codes
Payers
14
with negotiated rates
Rates published
7,736
last crawl 2026-05-22
Procedures & rates
| Procedure | Type | Code | Payers | Gross | Cash | Neg min | Neg median | Neg max |
|---|---|---|---|---|---|---|---|---|
| behavioral | ||||||||
| Psychoses | MS-DRG | 885 | 9 | — | — | $7,584.47 | $17,076 | $26,715 |
| emergency | ||||||||
| ED visit level 1 | CPT | 99281 | 14 | $575 | $402.5 | $8.54 | $128.65 | $1,433 |
| ED visit level 2 | CPT | 99282 | 14 | $876 | $613.2 | $15.4 | $225.4 | $1,686 |
| ED visit level 3 | CPT | 99283 | 14 | $1,388 | $971.6 | $28.98 | $315 | $1,961 |
| ED visit level 4 | CPT | 99284 | 14 | $7,603 | $5,322.1 | $38.5 | $586.35 | $7,603 |
| ED visit level 5 | CPT | 99285 | 14 | $15,713 | $10,999 | $64.54 | $725.37 | $15,022 |
| Critical care, first hour | CPT | 99291 | 14 | $17,496 | $12,247 | $52.05 | $3,049.5 | $17,496 |
| imaging | ||||||||
| CT head without contrast | CPT | 70450 | 11 | $2,836 | $1,985.2 | $96.72 | $708.09 | $2,382.24 |
| CT head with contrast | CPT | 70460 | 11 | $3,800 | $2,660 | $167.16 | $841 | $3,192 |
| CT head with and without contrast | CPT | 70470 | 11 | $4,481 | $3,136.7 | $175.84 | $909.74 | $3,764.04 |
| CT neck with contrast | CPT | 70491 | 11 | $3,725 | $2,607.5 | $175.84 | $933.73 | $3,129 |
| MRI brain without contrast | CPT | 70551 | 11 | $3,583 | $2,508.1 | $193.83 | $1,245 | $3,009.72 |
| MRI brain with contrast | CPT | 70552 | 11 | $5,662 | $3,963.4 | $227.39 | $1,247 | $4,756.08 |
| MRI brain with and without contrast | CPT | 70553 | 11 | $6,056 | $4,239.2 | $362.53 | $1,247 | $5,087.04 |
| Chest X-ray single view | CPT | 71045 | 10 | $404 | $282.8 | $26.29 | $107.44 | $612 |
| Chest X-ray 2 views | CPT | 71046 | 10 | $404 | $282.8 | $33.43 | $143.92 | $612 |
| Chest X-ray 3 views | CPT | 71047 | 10 | $404 | $282.8 | $42.07 | $180.37 | $612 |
| CT chest without contrast | CPT | 71250 | 11 | $2,099 | $1,469.3 | $96.72 | $695.71 | $2,099 |
| CT chest with contrast | CPT | 71260 | 11 | $4,096 | $2,867.2 | $175.84 | $901.38 | $3,440.64 |
| CT chest with and without contrast | CPT | 71270 | 11 | $4,913 | $3,439.1 | $175.84 | $980.5 | $4,126.92 |
| MRI chest without contrast | CPT | 71550 | 11 | $2,241 | $1,568.7 | $193.83 | $1,245 | $2,241 |
| MRI chest with contrast | CPT | 71551 | 11 | $3,362 | $2,353.4 | $446.26 | $1,274 | $2,824.08 |
| MRI chest with and without contrast | CPT | 71552 | 11 | $3,735 | $2,614.5 | $362.53 | $1,337.73 | $3,137.4 |
| Lumbosacral spine X-ray | CPT | 72100 | 10 | $741 | $518.7 | $38.69 | $191.93 | $741 |
| CT cervical spine without contrast | CPT | 72125 | 11 | $4,269 | $2,988.3 | $96.72 | $841 | $3,585.96 |
| CT thoracic spine without contrast | CPT | 72128 | 11 | $3,658 | $2,560.6 | $96.72 | $841 | $3,072.72 |
| CT lumbar spine without contrast | CPT | 72131 | 11 | $4,118 | $2,882.6 | $96.72 | $841 | $3,459.12 |
| MRI cervical spine without contrast | CPT | 72141 | 11 | $5,975 | $4,182.5 | $193.83 | $1,246 | $5,019 |
| MRI thoracic spine without contrast | CPT | 72146 | 11 | $3,334 | $2,333.8 | $193.83 | $1,113.79 | $2,800.56 |
| MRI lumbar spine without contrast | CPT | 72148 | 11 | $4,293 | $3,005.1 | $193.83 | $1,246 | $3,606.12 |
| MRI lumbar spine with and without contrast | CPT | 72149 | 11 | $6,440 | $4,508 | $317.79 | $1,247 | $5,409.6 |
| MRI cervical spine with and without contrast | CPT | 72156 | 11 | $10,126 | $7,088.2 | $362.53 | $1,260.5 | $8,505.84 |
| MRI lumbar spine with contrast | CPT | 72158 | 11 | $8,944 | $6,260.8 | $362.53 | $1,249.58 | $7,512.96 |
| CT pelvis without contrast | CPT | 72192 | 11 | $3,451 | $2,415.7 | $96.72 | $445.88 | $2,898.84 |
| CT pelvis with contrast | CPT | 72193 | 11 | $5,842 | $4,089.4 | $175.84 | $980.5 | $4,907.28 |
| Shoulder X-ray | CPT | 73030 | 10 | $975 | $682.5 | $33.81 | $221.4 | $975 |
| Humerus X-ray | CPT | 73060 | 10 | $909 | $636.3 | $31.93 | $207.3 | $909 |
| Hand X-ray 3 views | CPT | 73130 | 10 | $1,277 | $893.9 | $35.69 | $221.43 | $1,134 |
| MRI upper extremity joint without contrast | CPT | 73221 | 11 | $3,353 | $2,347.1 | $193.83 | $1,246 | $2,816.52 |
| MRI upper extremity joint with and without contrast | CPT | 73223 | 11 | $4,771 | $3,339.7 | $362.53 | $1,260.5 | $4,007.64 |
| Knee X-ray 1-2 views | CPT | 73560 | 10 | $1,081 | $756.7 | $32.06 | $192.36 | $1,081 |
| Ankle X-ray 3 views | CPT | 73610 | 10 | $1,295 | $906.5 | $35.69 | $258.66 | $1,134 |
| MRI lower extremity joint without contrast | CPT | 73721 | 11 | $4,905 | $3,433.5 | $193.83 | $1,246 | $4,120.2 |
| MRI lower extremity joint with and without contrast | CPT | 73723 | 11 | $8,289 | $5,802.3 | $362.53 | $1,260.5 | $6,962.76 |
| CT abdomen without contrast | CPT | 74150 | 11 | $2,713 | $1,899.1 | $96.72 | $784.03 | $2,278.92 |
| CT abdomen with contrast | CPT | 74160 | 11 | $4,208 | $2,945.6 | $175.84 | $980.5 | $3,534.72 |
| CT abdomen with and without contrast | CPT | 74170 | 11 | $8,527 | $5,968.9 | $175.84 | $1,043.5 | $7,162.68 |
| CT abdomen and pelvis without contrast | CPT | 74176 | 11 | $3,876 | $2,713.2 | $165.61 | $858.21 | $3,255.84 |
| CT abdomen and pelvis with contrast | CPT | 74177 | 11 | $6,575 | $4,602.5 | $227.39 | $1,043.5 | $5,523 |
| CT abdomen and pelvis with and without contrast | CPT | 74178 | 11 | $7,495 | $5,246.5 | $227.39 | $1,051.65 | $6,295.8 |
| MRI abdomen without contrast | CPT | 74181 | 11 | $4,001 | $2,800.7 | $193.83 | $1,245 | $3,360.84 |
| MRI abdomen with and without contrast | CPT | 74183 | 11 | $6,802 | $4,761.4 | $362.53 | $1,247 | $5,713.68 |
| Abdominal ultrasound complete | CPT | 76700 | 10 | $2,014 | $1,409.8 | $96.72 | $428.05 | $1,691.76 |
| Abdominal ultrasound limited | CPT | 76705 | 11 | $1,651 | $1,155.7 | $93.53 | $355.2 | $1,386.84 |
| Retroperitoneal ultrasound complete | CPT | 76770 | 10 | $1,191 | $833.7 | $96.72 | $407.41 | $1,000.44 |
| Obstetric ultrasound first trimester | CPT | 76801 | 10 | $1,001 | $700.7 | $96.72 | $389.36 | $892 |
| Obstetric ultrasound after first trimester | CPT | 76805 | 10 | $1,151 | $805.7 | $96.72 | $428.05 | $966.84 |
| Obstetric ultrasound with fetal anatomy | CPT | 76811 | 10 | $461 | $322.7 | $64.54 | $285.32 | $892 |
| Transvaginal ultrasound | CPT | 76830 | 11 | $1,360 | $952 | $96.72 | $313.48 | $1,142.4 |
| Pelvic ultrasound complete | CPT | 76856 | 10 | $1,405 | $983.5 | $96.72 | $403.81 | $1,180.2 |
| Scrotal ultrasound | CPT | 76870 | 10 | $1,228 | $859.6 | $96.72 | $391.19 | $1,031.52 |
| Diagnostic mammography unilateral | CPT | 77065 | 10 | $510 | $357 | $71.4 | $169 | $510 |
| Diagnostic mammography bilateral | CPT | 77066 | 10 | $645 | $451.5 | $90.3 | $173.17 | $645 |
| Screening mammography bilateral | CPT | 77067 | 10 | $680 | $476 | $27.58 | $174 | $680 |
| EKG tracing only | CPT | 93005 | 12 | $688 | $481.6 | $14.56 | $59.59 | $577.92 |
| Transthoracic echocardiogram complete | CPT | 93306 | 10 | $3,941 | $2,758.7 | $385.83 | $892 | $3,738 |
| Transthoracic echocardiogram | CPT | 93307 | 11 | $1,350 | $945 | $189 | $507.6 | $1,134 |
| Stress echocardiogram | CPT | 93350 | 10 | $2,802 | $1,961.4 | $385.83 | $586.5 | $2,353.68 |
| inpatient | ||||||||
| Respiratory infections & inflammations w MCC | MS-DRG | 177 | 9 | — | — | $11,673 | $25,878 | $55,332 |
| COPD w MCC | MS-DRG | 190 | 9 | — | — | $7,550.23 | $15,513 | $30,949 |
| COPD w CC | MS-DRG | 191 | 9 | — | — | $5,795.04 | $12,385 | $26,133 |
| COPD w/o CC/MCC | MS-DRG | 192 | 9 | — | — | $4,591.52 | $9,745.28 | $22,632 |
| Simple pneumonia & pleurisy w CC | MS-DRG | 194 | 9 | — | — | $5,708.17 | $11,994 | $24,946 |
| Simple pneumonia & pleurisy w/o CC/MCC | MS-DRG | 195 | 9 | — | — | $4,355 | $9,325.96 | $20,469 |
| AMI discharged alive w MCC | MS-DRG | 280 | 9 | — | — | $10,508 | $22,806 | $53,536 |
| AMI discharged alive w CC | MS-DRG | 281 | 9 | — | — | $6,211.64 | $13,072 | $40,403 |
| AMI discharged alive w/o CC/MCC | MS-DRG | 282 | 9 | — | — | $4,749.41 | $10,174 | $32,681 |
| Heart failure & shock w MCC | MS-DRG | 291 | 9 | — | — | $8,531.18 | $18,508 | $33,570 |
| Heart failure & shock w CC | MS-DRG | 292 | 9 | — | — | $5,832.45 | $12,553 | $27,031 |
| Heart failure & shock w/o CC/MCC | MS-DRG | 293 | 9 | — | — | $4,220.57 | $9,152.06 | $23,379 |
| Cardiac arrhythmia w MCC | MS-DRG | 308 | 9 | — | — | $7,632.03 | $16,554 | $30,028 |
| Cardiac arrhythmia w CC | MS-DRG | 309 | 9 | — | — | $4,841.35 | $10,510 | $22,806 |
| Cardiac arrhythmia w/o CC/MCC | MS-DRG | 310 | 9 | — | — | $3,565.54 | $7,831 | $17,834 |
| GI hemorrhage w CC | MS-DRG | 378 | 9 | — | — | $6,279.49 | $13,709 | $27,343 |
| GI hemorrhage w/o CC/MCC | MS-DRG | 379 | 9 | — | — | $4,141.94 | $8,934.69 | $22,728 |
| Esophagitis/gastroenteritis w/o MCC | MS-DRG | 392 | 9 | — | — | $4,789.99 | $10,551 | $18,068 |
| Fractures of femur w/o MCC | MS-DRG | 533 | 9 | — | — | $9,490.16 | $19,498 | $31,000 |
| Kidney/UTI w MCC | MS-DRG | 689 | 9 | — | — | $7,048.66 | $15,339 | $26,573 |
| Kidney/UTI w/o MCC | MS-DRG | 690 | 9 | — | — | $5,035.39 | $10,935 | $20,080 |
| Septicemia or severe sepsis w MV 96+ hrs | MS-DRG | 871 | 9 | — | — | $11,771 | $25,787 | $47,372 |
| Septicemia or severe sepsis w/o MV 96+ hrs | MS-DRG | 872 | 9 | — | — | $6,676.44 | $14,327 | $37,346 |
| lab | ||||||||
| Basic metabolic panel (BMP) | CPT | 80048 | 10 | $469 | $328.3 | $4.83 | $31.66 | $393.96 |
| Electrolyte panel | CPT | 80051 | 10 | $479 | $335.3 | $4.01 | $32.3 | $402.36 |
| Comprehensive metabolic panel | CPT | 80053 | 10 | $1,067 | $746.9 | $6.04 | $39.54 | $896.28 |
| Lipid panel | CPT | 80061 | 10 | $539 | $377.3 | $7.65 | $44.33 | $452.76 |
| Renal function panel | CPT | 80069 | 10 | $545 | $381.5 | $4.96 | $32.49 | $457.8 |
| Hepatic function panel | CPT | 80076 | 10 | $387 | $270.9 | $4.67 | $30.57 | $325.08 |
| Urinalysis non-automated | CPT | 81002 | 10 | $74 | $51.8 | $1.46 | $10.36 | $62.16 |
| Urinalysis automated | CPT | 81003 | 10 | $164 | $114.8 | $1.29 | $10.67 | $137.76 |
| Glucose quantitative | CPT | 82947 | 10 | $151 | $105.7 | $2.24 | $14.72 | $126.84 |
| Hemoglobin A1c | CPT | 83036 | 10 | $274 | $191.8 | $5.55 | $33.98 | $230.16 |
| Thyroid stimulating hormone (TSH) | CPT | 84443 | 10 | $416 | $291.2 | $7.7 | $48.69 | $349.44 |
| Complete blood count with automated differential | CPT | 85025 | 10 | $238 | $166.6 | $4.44 | $28.49 | $199.92 |
| Complete blood count without differential | CPT | 85027 | 10 | $196 | $137.2 | $3.7 | $23.57 | $164.64 |
| Urine culture bacterial | CPT | 87086 | 10 | $788 | $551.6 | $1.8 | $8.35 | $661.92 |
| Urine culture identification | CPT | 87088 | 10 | $70 | $49 | $1.2 | $8.09 | $58.8 |
| Tissue exam by pathologist level IV | CPT | 88305 | 10 | $3,199 | $2,239.3 | $22.8 | $116.68 | $2,687.16 |
| maternity | ||||||||
| Fetal non-stress test | CPT | 59025 | 14 | $857 | $599.9 | $59.8 | $378.83 | $2,283 |
| Routine obstetric care including vaginal delivery | CPT | 59400 | 3 | — | — | $2,283 | $4,521.14 | $9,403.12 |
| Vaginal delivery only | CPT | 59409 | 8 | — | — | $1,605.59 | $2,583.39 | $9,403.12 |
| Vaginal delivery with postpartum | CPT | 59410 | 4 | — | — | $1,906 | $3,402.07 | $9,403.12 |
| Routine obstetric care with C-section | CPT | 59510 | 3 | — | — | $2,283 | $4,521.14 | $9,403.12 |
| C-section delivery only | CPT | 59514 | 2 | — | — | $2,018 | $2,888 | $4,720 |
| C-section with postpartum | CPT | 59515 | 3 | — | — | $2,018 | $2,283 | $4,011 |
| office | ||||||||
| Office visit, new patient, 15-29 min | CPT | 99202 | 9 | $3,152 | $2,206.4 | $20.61 | $954 | $2,744.1 |
| Office visit, new patient, 30-44 minutes | CPT | 99203 | 8 | $917 | $641.9 | $25.75 | $490.6 | $917 |
| Office visit, new patient, 45-59 min | CPT | 99204 | 9 | $1,103 | $772.1 | $28.17 | $523.66 | $1,755 |
| Office visit, new patient, 60-74 min | CPT | 99205 | 8 | $1,475 | $1,032.5 | $30.89 | $789.13 | $1,475 |
| Office visit, established patient, 5 min | CPT | 99211 | 12 | $3,114 | $2,179.8 | $7.61 | $152.28 | $2,744.1 |
| Office visit, established patient, 10-19 min | CPT | 99212 | 11 | $404 | $282.8 | $15.4 | $162.71 | $404 |
| Office visit, established patient, 20-29 minutes | CPT | 99213 | 11 | $610 | $427 | $19.39 | $290.58 | $610 |
| Office visit, established patient, 30-39 minutes | CPT | 99214 | 11 | $957 | $669.9 | $24.23 | $488 | $1,755 |
| Office visit, established patient, 40-54 min | CPT | 99215 | 11 | $1,329 | $930.3 | $27.87 | $461 | $1,329 |
| preventive | ||||||||
| Upper GI endoscopy diagnostic | CPT | 43235 | 10 | — | — | $129.6 | $1,709.46 | $3,146.57 |
| Upper GI endoscopy with biopsy | CPT | 43239 | 10 | — | — | $146.5 | $2,064.01 | $4,213.72 |
| Sigmoidoscopy diagnostic | CPT | 45330 | 10 | — | — | $58.98 | $1,637.46 | $3,146.57 |
| Sigmoidoscopy with biopsy | CPT | 45331 | 10 | — | — | $75.5 | $1,637.46 | $3,146.57 |
| Colonoscopy diagnostic | CPT | 45378 | 10 | — | — | $152.02 | $2,064.01 | $4,213.72 |
| Colonoscopy with biopsy | CPT | 45380 | 10 | — | — | $212.61 | $2,064.01 | $4,213.72 |
| Colonoscopy with polyp removal | CPT | 45385 | 10 | — | — | $198.67 | $2,064.01 | $4,213.72 |
| surgery | ||||||||
| Total shoulder arthroplasty | CPT | 23472 | 8 | — | — | $1,529.61 | $5,186 | $13,294 |
| PCI w drug-eluting stent w MCC | MS-DRG | 246 | 9 | — | — | $20,352 | $43,835 | $112,474 |
| PCI w drug-eluting stent w/o MCC | MS-DRG | 247 | 9 | — | — | $13,140 | $27,883 | $92,957 |
| Hip hemiarthroplasty | CPT | 27125 | 8 | — | — | $1,191.53 | $5,664.95 | $12,653 |
| Total hip replacement | CPT | 27130 | 8 | — | — | $1,428.19 | $4,923 | $25,307 |
| Total knee replacement | CPT | 27447 | 8 | — | — | $1,426.31 | $4,923 | $25,307 |
| Knee revision arthroplasty single component | CPT | 27486 | 8 | — | — | $1,481.53 | $5,186 | $12,653 |
| Knee revision arthroplasty all components | CPT | 27487 | 8 | — | — | $1,853.41 | $5,664.95 | $12,653 |
| Shoulder arthroscopy with decompression | CPT | 29826 | 7 | — | — | $184.06 | $2,469 | $8,303 |
| Shoulder arthroscopy with rotator cuff repair | CPT | 29827 | 10 | — | — | $1,125.8 | $5,704.5 | $7,756.74 |
| Knee arthroscopy with meniscectomy | CPT | 29881 | 10 | — | — | $567.59 | $3,258.5 | $8,303 |
| ACL reconstruction | CPT | 29888 | 10 | — | — | $1,031.51 | $5,496.69 | $11,137 |
| Major small/large bowel procedures w MCC | MS-DRG | 329 | 9 | — | — | $31,287 | $66,949 | $121,867 |
| Major small/large bowel procedures w CC | MS-DRG | 330 | 9 | — | — | $16,000 | $35,607 | $78,257 |
| Major small/large bowel procedures w/o CC/MCC | MS-DRG | 331 | 9 | — | — | $10,746 | $23,945 | $49,806 |
| CABG single arterial graft | CPT | 33533 | 7 | — | — | $1,972.49 | $3,946 | $12,653 |
| CABG 2 arterial grafts | CPT | 33534 | 7 | — | — | $2,283 | $3,946 | $12,653 |
| CABG 3 arterial grafts | CPT | 33535 | 7 | — | — | $2,283 | $4,217 | $12,653 |
| CABG 4+ arterial grafts | CPT | 33536 | 7 | — | — | $2,283 | $4,217 | $12,653 |
| Laparoscopic cholecystectomy w/o CDE w MCC | MS-DRG | 418 | 9 | — | — | $10,553 | $23,301 | $39,019 |
| Laparoscopic cholecystectomy w/o CDE w CC | MS-DRG | 419 | 9 | — | — | $8,269.93 | $18,133 | $28,287 |
| Laparoscopic cholecystectomy w/o CDE w/o CC/MCC | MS-DRG | 420 | 9 | — | — | $22,305 | $48,505 | $98,310 |
| Open appendectomy | CPT | 44950 | 8 | — | — | $681.04 | $3,135.09 | $12,653 |
| Laparoscopic appendectomy | CPT | 44970 | 8 | — | — | $635.58 | $4,983.62 | $9,403.12 |
| Spinal fusion (non-cervical) w MCC | MS-DRG | 459 | 9 | — | — | $40,486 | $88,043 | $143,798 |
| Spinal fusion (non-cervical) w/o MCC | MS-DRG | 460 | 9 | — | — | $25,469 | $54,283 | $98,383 |
| Major joint replacement w MCC | MS-DRG | 469 | 9 | — | — | $20,090 | $42,574 | $84,274 |
| Major joint replacement w/o MCC | MS-DRG | 470 | 9 | — | — | $12,580 | $26,644 | $68,240 |
| Laparoscopic cholecystectomy | CPT | 47562 | 10 | — | — | $697.19 | $4,983.62 | $12,653 |
| Lap cholecystectomy with cholangiography | CPT | 47563 | 10 | — | — | $759.17 | $4,983.62 | $12,653 |
| Hip & femur procedures except major joint w MCC | MS-DRG | 480 | 9 | — | — | $19,216 | $41,747 | $76,571 |
| Hip & femur procedures except major joint w CC | MS-DRG | 481 | 9 | — | — | $13,077 | $28,924 | $58,911 |
| Hip & femur procedures except major joint w/o CC/MCC | MS-DRG | 482 | 9 | — | — | $10,555 | $23,095 | $49,856 |
| Open umbilical hernia repair | CPT | 49560 | 10 | — | — | $781.33 | $3,135.09 | $5,957.75 |
| Umbilical hernia repair age 5+ | CPT | 49585 | 10 | — | — | $470.68 | $3,135.09 | $5,957.75 |
| Lap inguinal hernia repair | CPT | 49650 | 10 | — | — | $454.15 | $4,725.31 | $6,719.42 |
| Lap incisional hernia repair | CPT | 49652 | 10 | — | — | $788.09 | $4,983.62 | $9,668.95 |
| Total abdominal hysterectomy | CPT | 58150 | 7 | — | — | $1,069.45 | $3,556 | $12,653 |
| Vaginal hysterectomy | CPT | 58260 | 8 | — | — | $885.01 | $4,342.6 | $12,653 |
| Lap-assisted vaginal hysterectomy | CPT | 58550 | 10 | — | — | $935.72 | $5,350 | $12,653 |
| Lap-assisted vaginal hysterectomy >250g | CPT | 58552 | 10 | — | — | $1,042.78 | $6,083.9 | $12,653 |
| Lap salpingo-oophorectomy | CPT | 58661 | 10 | — | — | $689.68 | $4,983.62 | $6,774.88 |
| OR procedure for obesity w MCC | MS-DRG | 619 | 9 | — | — | $18,520 | $42,252 | $82,578 |
| OR procedure for obesity w CC | MS-DRG | 620 | 9 | — | — | $11,475 | $24,698 | $57,673 |
| OR procedure for obesity w/o CC/MCC | MS-DRG | 621 | 9 | — | — | $10,008 | $22,388 | $50,447 |
| Complex cataract surgery | CPT | 66982 | 10 | — | — | $777.2 | $3,132.7 | $9,195.78 |
| Cataract surgery with lens implant | CPT | 66984 | 10 | — | — | $566.09 | $3,132.7 | $9,195.78 |
| Intravitreal injection | CPT | 67028 | 10 | — | — | $2.72 | $1,482.96 | $3,146.57 |
| Vitrectomy mechanical | CPT | 67042 | 10 | — | — | $1,193.04 | $4,870.94 | $9,699.97 |
| Uterine & adnexa procedures w CC/MCC | MS-DRG | 743 | 9 | — | — | $7,074.02 | $15,629 | $26,248 |
| Uterine & adnexa procedures w/o CC/MCC | MS-DRG | 744 | 9 | — | — | $10,718 | $20,806 | $38,322 |
| PCI single major coronary artery | CPT | 92920 | 11 | $15,501 | $10,851 | $2,170.14 | $7,099.56 | $18,987 |
| PCI with drug-eluting stent | CPT | 92928 | 11 | $22,299 | $15,609 | $2,356.07 | $9,890.49 | $71,192 |
| PCI bypass graft | CPT | 92937 | 11 | $22,299 | $15,609 | $2,354.75 | $9,890.49 | $71,192 |
| Left heart catheterization | CPT | 93452 | 11 | $11,247 | $7,872.9 | $1,574.58 | $5,704.5 | $11,247 |
| Coronary angiography with cath | CPT | 93455 | 11 | $14,561 | $10,193 | $2,018 | $5,704.5 | $14,561 |
| Coronary angiography with bypass cath | CPT | 93458 | 11 | $22,881 | $16,017 | $2,199.05 | $5,704.5 | $19,220 |
Payer mix (top 14)
| Payer | Codes covered | Median rate |
|---|---|---|
| Humana | 187 | $2,562 |
| Cigna | 187 | $2,228 |
| Blue Cross Blue Shield | 183 | $1,725.46 |
| UnitedHealthcare | 182 | $1,324.5 |
| Aetna | 175 | $1,468 |
| Medicare | 167 | $514.19 |
| commercial | connected care | intel | 141 | $4,217 |
| Medicaid | 138 | $178.24 |
| First Health | 99 | $501.66 |
| commercial | nhsi | all plans | 99 | $575.98 |
| Multiplan | 99 | $780.36 |
| commercial | az foundation | pos | 79 | $10,403 |
| Bright Health | 57 | $8,905.42 |
| commercial | az foundation | ppo | 35 | $683.29 |