▸ Hospital · · CCN 039803
St Joseph's Hospital And Medical Center
Compliance grade
A
100/100
Procedures tracked
190
of 209 target codes
Payers
17
with negotiated rates
Rates published
7,009
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 | — | — | $8,833.2 | $20,498 | $37,481 |
| emergency | ||||||||
| ED visit level 1 | CPT | 99281 | 15 | $575 | $402.5 | $20.44 | $350.75 | $1,433 |
| ED visit level 2 | CPT | 99282 | 15 | $876 | $613.2 | $39.26 | $543.12 | $1,686 |
| ED visit level 3 | CPT | 99283 | 15 | $1,388 | $971.6 | $58.73 | $832.8 | $2,207 |
| ED visit level 4 | CPT | 99284 | 17 | $3,098 | $2,168.6 | $107.73 | $1,668.1 | $3,046 |
| ED visit level 5 | CPT | 99285 | 17 | $3,750 | $2,625 | $156.41 | $2,156.25 | $4,131 |
| Critical care, first hour | CPT | 99291 | 17 | $8,349 | $5,844.3 | $52.05 | $4,518.76 | $8,349 |
| imaging | ||||||||
| CT head without contrast | CPT | 70450 | 14 | $2,836 | $1,985.2 | $96.72 | $1,033.5 | $2,234.77 |
| CT head with contrast | CPT | 70460 | 14 | $3,800 | $2,660 | $167.16 | $1,060.81 | $2,994.4 |
| CT head with and without contrast | CPT | 70470 | 14 | $4,481 | $3,136.7 | $175.84 | $1,167.88 | $3,531.03 |
| CT neck with contrast | CPT | 70491 | 14 | $3,725 | $2,607.5 | $175.84 | $1,155.38 | $2,935.3 |
| MRI brain without contrast | CPT | 70551 | 14 | $2,811 | $1,967.7 | $193.83 | $1,430 | $2,811 |
| MRI brain with contrast | CPT | 70552 | 14 | $4,418 | $3,092.6 | $227.39 | $1,446.5 | $3,481.39 |
| MRI brain with and without contrast | CPT | 70553 | 14 | $5,020 | $3,514 | $362.53 | $1,446.5 | $3,955.76 |
| Chest X-ray single view | CPT | 71045 | 13 | $376 | $263.2 | $26.29 | $205.49 | $890 |
| Chest X-ray 2 views | CPT | 71046 | 13 | $376 | $263.2 | $33.43 | $205.49 | $890 |
| Chest X-ray 3 views | CPT | 71047 | 13 | $376 | $263.2 | $42.07 | $205.49 | $890 |
| CT chest without contrast | CPT | 71250 | 14 | $2,099 | $1,469.3 | $96.72 | $1,015.77 | $1,669 |
| CT chest with contrast | CPT | 71260 | 14 | $3,479 | $2,435.3 | $175.84 | $1,173.36 | $2,741.46 |
| CT chest with and without contrast | CPT | 71270 | 14 | $3,896 | $2,727.2 | $175.84 | $1,217.98 | $3,070.05 |
| MRI chest without contrast | CPT | 71550 | 14 | $2,241 | $1,568.7 | $193.83 | $1,288.58 | $2,241 |
| MRI chest with contrast | CPT | 71551 | 14 | $3,362 | $2,353.4 | $446.26 | $1,542 | $2,834 |
| MRI chest with and without contrast | CPT | 71552 | 14 | $3,735 | $2,614.5 | $362.53 | $1,571.92 | $3,148.58 |
| Lumbosacral spine X-ray | CPT | 72100 | 13 | $741 | $518.7 | $38.69 | $392.19 | $890 |
| CT cervical spine without contrast | CPT | 72125 | 14 | $3,190 | $2,233 | $96.72 | $1,044.39 | $2,513.72 |
| CT thoracic spine without contrast | CPT | 72128 | 14 | $3,190 | $2,233 | $96.72 | $1,044.39 | $2,513.72 |
| CT lumbar spine without contrast | CPT | 72131 | 14 | $3,520 | $2,464 | $96.72 | $1,044.39 | $2,773.76 |
| MRI cervical spine without contrast | CPT | 72141 | 14 | $2,943 | $2,060.1 | $193.83 | $1,430 | $2,834 |
| MRI thoracic spine without contrast | CPT | 72146 | 14 | $3,334 | $2,333.8 | $193.83 | $1,430 | $2,834 |
| MRI lumbar spine without contrast | CPT | 72148 | 14 | $2,933 | $2,053.1 | $193.83 | $1,430 | $2,834 |
| MRI lumbar spine with and without contrast | CPT | 72149 | 14 | $4,050 | $2,835 | $317.79 | $1,446.5 | $3,191.4 |
| MRI cervical spine with and without contrast | CPT | 72156 | 14 | $4,747 | $3,322.9 | $362.53 | $1,446.5 | $3,740.64 |
| MRI lumbar spine with contrast | CPT | 72158 | 14 | $4,655 | $3,258.5 | $362.53 | $1,446.5 | $3,668.14 |
| CT pelvis without contrast | CPT | 72192 | 14 | $3,205 | $2,243.5 | $96.72 | $1,035.03 | $2,525.54 |
| CT pelvis with contrast | CPT | 72193 | 14 | $3,718 | $2,602.6 | $175.84 | $1,203.5 | $2,929.79 |
| Shoulder X-ray | CPT | 73030 | 13 | $648 | $453.6 | $33.81 | $275.2 | $890 |
| Humerus X-ray | CPT | 73060 | 13 | $654 | $457.8 | $31.93 | $351.92 | $890 |
| Hand X-ray 3 views | CPT | 73130 | 13 | $666 | $466.2 | $35.69 | $275.2 | $890 |
| MRI upper extremity joint without contrast | CPT | 73221 | 14 | $3,113 | $2,179.1 | $193.83 | $1,430 | $2,834 |
| MRI upper extremity joint with and without contrast | CPT | 73223 | 14 | $3,673 | $2,571.1 | $362.53 | $1,542 | $2,894.33 |
| Knee X-ray 1-2 views | CPT | 73560 | 13 | $660 | $462 | $34.18 | $275.2 | $890 |
| Ankle X-ray 3 views | CPT | 73610 | 13 | $720 | $504 | $35.69 | $275.2 | $890 |
| MRI lower extremity joint without contrast | CPT | 73721 | 14 | $3,676 | $2,573.2 | $193.83 | $1,430 | $2,896.69 |
| MRI lower extremity joint with and without contrast | CPT | 73723 | 14 | $4,999 | $3,499.3 | $362.53 | $1,542 | $3,939.22 |
| CT abdomen without contrast | CPT | 74150 | 14 | $2,180 | $1,526 | $96.72 | $1,026.87 | $1,717.84 |
| CT abdomen with contrast | CPT | 74160 | 14 | $3,374 | $2,361.8 | $175.84 | $1,220 | $2,658.72 |
| CT abdomen with and without contrast | CPT | 74170 | 14 | $3,893 | $2,725.1 | $175.84 | $1,220 | $3,067.69 |
| CT abdomen and pelvis without contrast | CPT | 74176 | 14 | $3,278 | $2,294.6 | $165.61 | $1,044.62 | $2,583.07 |
| CT abdomen and pelvis with contrast | CPT | 74177 | 14 | $5,190 | $3,633 | $227.39 | $1,220 | $4,089.72 |
| CT abdomen and pelvis with and without contrast | CPT | 74178 | 14 | $6,020 | $4,214 | $227.39 | $1,281.5 | $4,743.76 |
| MRI abdomen without contrast | CPT | 74181 | 14 | $3,243 | $2,270.1 | $193.83 | $1,430 | $2,834 |
| MRI abdomen with and without contrast | CPT | 74183 | 14 | $5,230 | $3,661 | $362.53 | $1,446.5 | $4,121.24 |
| Abdominal ultrasound complete | CPT | 76700 | 13 | $1,586 | $1,110.2 | $96.72 | $495.77 | $1,777 |
| Abdominal ultrasound limited | CPT | 76705 | 13 | $1,249 | $874.3 | $93.53 | $419.43 | $1,777 |
| Retroperitoneal ultrasound complete | CPT | 76770 | 13 | $857 | $599.9 | $96.72 | $461.06 | $1,777 |
| Obstetric ultrasound first trimester | CPT | 76801 | 13 | $1,397 | $977.9 | $96.72 | $440.63 | $1,777 |
| Obstetric ultrasound after first trimester | CPT | 76805 | 13 | $1,034 | $723.8 | $96.72 | $550.84 | $1,777 |
| Obstetric ultrasound with fetal anatomy | CPT | 76811 | 13 | $982 | $687.4 | $183.31 | $533.23 | $1,777 |
| Transvaginal ultrasound | CPT | 76830 | 13 | $1,206 | $844.2 | $96.72 | $419.71 | $1,777 |
| Pelvic ultrasound complete | CPT | 76856 | 13 | $1,225 | $857.5 | $96.72 | $456.98 | $1,777 |
| Scrotal ultrasound | CPT | 76870 | 13 | $1,228 | $859.6 | $96.72 | $442.7 | $1,777 |
| Diagnostic mammography unilateral | CPT | 77065 | 13 | $702 | $491.4 | $86.91 | $229 | $553.18 |
| Diagnostic mammography bilateral | CPT | 77066 | 13 | $888 | $621.6 | $111.13 | $290.92 | $699.75 |
| Screening mammography bilateral | CPT | 77067 | 13 | $702 | $491.4 | $73.34 | $240.29 | $553.18 |
| EKG tracing only | CPT | 93005 | 13 | $565 | $395.5 | $26.51 | $293.47 | $508 |
| Transthoracic echocardiogram complete | CPT | 93306 | 13 | $3,026 | $2,118.2 | $385.83 | $1,055.43 | $2,384.49 |
| Stress echocardiogram | CPT | 93350 | 13 | $1,963 | $1,374.1 | $372.97 | $936.77 | $1,546.85 |
| inpatient | ||||||||
| Intracranial hemorrhage/CVA w MCC | MS-DRG | 064 | 9 | — | — | $13,804 | $33,035 | $64,623 |
| Intracranial hemorrhage/CVA w CC | MS-DRG | 065 | 9 | — | — | $7,617.63 | $19,234 | $49,715 |
| Intracranial hemorrhage/CVA w/o CC/MCC | MS-DRG | 066 | 9 | — | — | $5,367.42 | $13,429 | $43,042 |
| Respiratory infections & inflammations w MCC | MS-DRG | 177 | 9 | — | — | $13,594 | $34,835 | $77,629 |
| COPD w MCC | MS-DRG | 190 | 9 | — | — | $8,793.32 | $20,289 | $43,421 |
| COPD w CC | MS-DRG | 191 | 9 | — | — | $6,749.15 | $16,554 | $36,664 |
| COPD w/o CC/MCC | MS-DRG | 192 | 9 | — | — | $5,347.48 | $13,127 | $31,752 |
| Simple pneumonia & pleurisy w CC | MS-DRG | 194 | 9 | — | — | $6,647.98 | $15,978 | $34,999 |
| Simple pneumonia & pleurisy w/o CC/MCC | MS-DRG | 195 | 9 | — | — | $5,072.02 | $12,562 | $28,718 |
| AMI discharged alive w MCC | MS-DRG | 280 | 9 | — | — | $12,238 | $30,719 | $75,109 |
| AMI discharged alive w CC | MS-DRG | 281 | 9 | — | — | $7,234.35 | $17,607 | $56,684 |
| AMI discharged alive w/o CC/MCC | MS-DRG | 282 | 9 | — | — | $5,531.37 | $13,705 | $45,851 |
| Heart failure & shock w MCC | MS-DRG | 291 | 9 | — | — | $9,935.78 | $23,075 | $47,098 |
| Heart failure & shock w CC | MS-DRG | 292 | 9 | — | — | $6,792.72 | $16,908 | $37,924 |
| Heart failure & shock w/o CC/MCC | MS-DRG | 293 | 9 | — | — | $4,915.46 | $12,328 | $32,800 |
| Cardiac arrhythmia w MCC | MS-DRG | 308 | 9 | — | — | $8,888.59 | $20,639 | $42,129 |
| Cardiac arrhythmia w CC | MS-DRG | 309 | 9 | — | — | $5,638.45 | $14,156 | $31,997 |
| Cardiac arrhythmia w/o CC/MCC | MS-DRG | 310 | 9 | — | — | $4,152.59 | $10,548 | $25,021 |
| GI hemorrhage w CC | MS-DRG | 378 | 9 | — | — | $7,313.37 | $17,927 | $38,361 |
| GI hemorrhage w/o CC/MCC | MS-DRG | 379 | 9 | — | — | $4,823.88 | $12,035 | $31,887 |
| Esophagitis/gastroenteritis w/o MCC | MS-DRG | 392 | 9 | — | — | $5,578.63 | $13,044 | $26,390 |
| Fractures of femur w/o MCC | MS-DRG | 533 | 9 | — | — | $11,303 | $23,406 | $45,307 |
| Kidney/UTI w MCC | MS-DRG | 689 | 9 | — | — | $8,209.17 | $18,703 | $37,281 |
| Kidney/UTI w/o MCC | MS-DRG | 690 | 9 | — | — | $5,864.43 | $13,716 | $28,172 |
| Septicemia or severe sepsis w MV 96+ hrs | MS-DRG | 871 | 9 | — | — | $13,710 | $32,352 | $66,462 |
| Septicemia or severe sepsis w/o MV 96+ hrs | MS-DRG | 872 | 9 | — | — | $7,775.67 | $19,298 | $52,396 |
| lab | ||||||||
| Basic metabolic panel (BMP) | CPT | 80048 | 13 | $250 | $175 | $4.83 | $41.43 | $197 |
| General health panel | CPT | 80050 | 12 | $380 | $266 | $19.37 | $204.27 | $299.44 |
| Electrolyte panel | CPT | 80051 | 13 | $143 | $100.1 | $4.01 | $30.72 | $112.69 |
| Comprehensive metabolic panel | CPT | 80053 | 13 | $275 | $192.5 | $6.04 | $49.45 | $216.7 |
| Lipid panel | CPT | 80061 | 13 | $394 | $275.8 | $7.65 | $55.25 | $310.48 |
| Renal function panel | CPT | 80069 | 13 | $312 | $218.4 | $4.96 | $42.49 | $245.86 |
| Hepatic function panel | CPT | 80076 | 13 | $230 | $161 | $4.67 | $39.88 | $181.24 |
| Urinalysis non-automated | CPT | 81002 | 13 | $25 | $17.5 | $1.46 | $11.3 | $19.7 |
| Urinalysis automated | CPT | 81003 | 13 | $93 | $65.1 | $1.29 | $10.99 | $73.29 |
| Glucose quantitative | CPT | 82947 | 13 | $158 | $110.6 | $2.24 | $11.91 | $124.51 |
| Hemoglobin A1c | CPT | 83036 | 13 | $221 | $154.7 | $3.8 | $15.76 | $174.15 |
| Thyroid stimulating hormone (TSH) | CPT | 84443 | 13 | $393 | $275.1 | $9.61 | $74.42 | $309.69 |
| Complete blood count with automated differential | CPT | 85025 | 13 | $238 | $166.6 | $4.44 | $38.04 | $187.55 |
| Complete blood count without differential | CPT | 85027 | 13 | $182 | $127.4 | $3.7 | $31.58 | $143.42 |
| Urine culture bacterial | CPT | 87086 | 13 | $283 | $198.1 | $4.62 | $39.53 | $223.01 |
| Urine culture identification | CPT | 87088 | 13 | $71 | $49.7 | $4.63 | $31.55 | $55.95 |
| Tissue exam by pathologist level IV | CPT | 88305 | 13 | $1,085 | $759.5 | $22.8 | $163 | $854.98 |
| maternity | ||||||||
| Fetal non-stress test | CPT | 59025 | 16 | $662 | $463.4 | $59.8 | $366.25 | $2,676 |
| Routine obstetric care including vaginal delivery | CPT | 59400 | 3 | — | — | $2,636 | $5,116.36 | $10,641 |
| Vaginal delivery only | CPT | 59409 | 8 | — | — | $1,605.59 | $2,668.45 | $10,641 |
| Vaginal delivery with postpartum | CPT | 59410 | 4 | — | — | $2,413 | $3,896.18 | $10,641 |
| Routine obstetric care with C-section | CPT | 59510 | 3 | — | — | $2,636 | $5,116.36 | $10,641 |
| C-section delivery only | CPT | 59514 | 2 | — | — | $2,636 | $4,302.5 | $8,178 |
| C-section with postpartum | CPT | 59515 | 3 | — | — | $2,636 | $2,676 | $5,071 |
| office | ||||||||
| Office visit, new patient, 15-29 min | CPT | 99202 | 13 | $403 | $282.1 | $20.61 | $224 | $2,054 |
| Office visit, new patient, 30-44 minutes | CPT | 99203 | 12 | $536 | $375.2 | $25.75 | $326.96 | $536 |
| Office visit, new patient, 45-59 min | CPT | 99204 | 13 | $2,808 | $1,965.6 | $28.17 | $873.5 | $2,808 |
| Office visit, new patient, 60-74 min | CPT | 99205 | 12 | $823 | $576.1 | $30.89 | $502.03 | $823 |
| Office visit, established patient, 5 min | CPT | 99211 | 13 | $320 | $224 | $7.61 | $186.03 | $2,054 |
| Office visit, established patient, 10-19 min | CPT | 99212 | 12 | $350 | $245 | $16.06 | $213.5 | $350 |
| Office visit, established patient, 20-29 minutes | CPT | 99213 | 12 | $473 | $331.1 | $19.39 | $288.53 | $473 |
| Office visit, established patient, 30-39 minutes | CPT | 99214 | 13 | $2,808 | $1,965.6 | $24.23 | $847.5 | $2,808 |
| Office visit, established patient, 40-54 min | CPT | 99215 | 12 | $753 | $527.1 | $27.87 | $459.33 | $753 |
| preventive | ||||||||
| Upper GI endoscopy diagnostic | CPT | 43235 | 10 | — | — | $129.6 | $1,764.05 | $3,822 |
| Upper GI endoscopy with biopsy | CPT | 43239 | 10 | — | — | $146.5 | $2,093.5 | $4,768.59 |
| Sigmoidoscopy diagnostic | CPT | 45330 | 10 | — | — | $58.98 | $1,676.55 | $3,628 |
| Sigmoidoscopy with biopsy | CPT | 45331 | 10 | — | — | $75.5 | $1,676.55 | $3,628 |
| Colonoscopy diagnostic | CPT | 45378 | 10 | — | — | $152.02 | $2,093.5 | $4,768.59 |
| Colonoscopy with biopsy | CPT | 45380 | 10 | — | — | $212.61 | $2,093.5 | $4,768.59 |
| Colonoscopy with polyp removal | CPT | 45385 | 10 | — | — | $198.67 | $2,093.5 | $4,768.59 |
| surgery | ||||||||
| Total shoulder arthroplasty | CPT | 23472 | 8 | — | — | $1,529.61 | $10,469 | $18,560 |
| PCI w drug-eluting stent w MCC | MS-DRG | 246 | 9 | — | — | $23,919 | $59,044 | $164,384 |
| PCI w drug-eluting stent w/o MCC | MS-DRG | 247 | 9 | — | — | $15,339 | $37,557 | $135,860 |
| Hip hemiarthroplasty | CPT | 27125 | 8 | — | — | $1,191.53 | $8,178 | $12,492 |
| Total hip replacement | CPT | 27130 | 8 | — | — | $1,428.19 | $12,128 | $18,560 |
| Total knee replacement | CPT | 27447 | 8 | — | — | $1,426.31 | $12,128 | $18,560 |
| Knee revision arthroplasty single component | CPT | 27486 | 8 | — | — | $1,481.53 | $10,469 | $18,560 |
| Knee revision arthroplasty all components | CPT | 27487 | 8 | — | — | $1,853.41 | $10,469 | $18,560 |
| Shoulder arthroscopy with decompression | CPT | 29826 | 7 | — | — | $184.06 | $3,680 | $12,767 |
| Shoulder arthroscopy with rotator cuff repair | CPT | 29827 | 10 | — | — | $1,125.8 | $6,169.85 | $12,038 |
| Knee arthroscopy with meniscectomy | CPT | 29881 | 10 | — | — | $567.59 | $3,865.75 | $14,037 |
| ACL reconstruction | CPT | 29888 | 10 | — | — | $1,031.51 | $6,169.85 | $12,767 |
| Major small/large bowel procedures w MCC | MS-DRG | 329 | 9 | — | — | $36,871 | $85,330 | $178,113 |
| Major small/large bowel procedures w CC | MS-DRG | 330 | 9 | — | — | $18,635 | $47,962 | $114,375 |
| Major small/large bowel procedures w/o CC/MCC | MS-DRG | 331 | 9 | — | — | $12,515 | $32,304 | $72,792 |
| CABG single arterial graft | CPT | 33533 | 6 | — | — | $1,570 | $4,926.5 | $14,320 |
| CABG 2 arterial grafts | CPT | 33534 | 6 | — | — | $1,570 | $4,926.5 | $14,320 |
| CABG 3 arterial grafts | CPT | 33535 | 6 | — | — | $1,570 | $5,374 | $14,320 |
| CABG 4+ arterial grafts | CPT | 33536 | 6 | — | — | $1,570 | $5,374 | $14,320 |
| Laparoscopic cholecystectomy w/o CDE w MCC | MS-DRG | 418 | 9 | — | — | $12,290 | $28,505 | $57,027 |
| Laparoscopic cholecystectomy w/o CDE w CC | MS-DRG | 419 | 9 | — | — | $9,631.52 | $21,792 | $41,342 |
| Laparoscopic cholecystectomy w/o CDE w/o CC/MCC | MS-DRG | 420 | 9 | — | — | $25,977 | $65,341 | $143,683 |
| Open appendectomy | CPT | 44950 | 8 | — | — | $681.04 | $3,351.39 | $14,320 |
| Laparoscopic appendectomy | CPT | 44970 | 8 | — | — | $635.58 | $5,049.99 | $12,038 |
| Spinal fusion (non-cervical) w MCC | MS-DRG | 459 | 9 | — | — | $47,152 | $119,005 | $198,852 |
| Spinal fusion (non-cervical) w/o MCC | MS-DRG | 460 | 9 | — | — | $29,817 | $72,478 | $138,029 |
| Major joint replacement w MCC | MS-DRG | 469 | 9 | — | — | $23,441 | $57,678 | $123,169 |
| Major joint replacement w/o MCC | MS-DRG | 470 | 9 | — | — | $14,695 | $36,527 | $99,735 |
| Laparoscopic cholecystectomy | CPT | 47562 | 10 | — | — | $697.19 | $5,785.52 | $14,320 |
| Lap cholecystectomy with cholangiography | CPT | 47563 | 10 | — | — | $759.17 | $6,171 | $14,320 |
| Hip & femur procedures except major joint w MCC | MS-DRG | 480 | 9 | — | — | $22,380 | $54,427 | $111,911 |
| Hip & femur procedures except major joint w CC | MS-DRG | 481 | 9 | — | — | $15,230 | $39,768 | $86,100 |
| Hip & femur procedures except major joint w/o CC/MCC | MS-DRG | 482 | 9 | — | — | $12,292 | $31,661 | $72,866 |
| Open umbilical hernia repair | CPT | 49560 | 10 | — | — | $781.33 | $3,473.64 | $6,725 |
| Umbilical hernia repair age 5+ | CPT | 49585 | 10 | — | — | $470.68 | $3,776.82 | $6,742.28 |
| Lap inguinal hernia repair | CPT | 49650 | 10 | — | — | $454.15 | $4,983.62 | $12,038 |
| Lap incisional hernia repair | CPT | 49652 | 10 | — | — | $788.09 | $5,266.58 | $16,002 |
| Total abdominal hysterectomy | CPT | 58150 | 7 | — | — | $1,069.45 | $4,819 | $14,320 |
| Vaginal hysterectomy | CPT | 58260 | 8 | — | — | $885.01 | $4,407.74 | $16,002 |
| Lap-assisted vaginal hysterectomy | CPT | 58550 | 10 | — | — | $935.72 | $7,095.43 | $17,359 |
| Lap-assisted vaginal hysterectomy >250g | CPT | 58552 | 10 | — | — | $1,042.78 | $8,475.22 | $14,320 |
| Lap salpingo-oophorectomy | CPT | 58661 | 10 | — | — | $689.68 | $5,133.13 | $12,038 |
| OR procedure for obesity w MCC | MS-DRG | 619 | 9 | — | — | $21,569 | $55,843 | $120,691 |
| OR procedure for obesity w CC | MS-DRG | 620 | 9 | — | — | $13,364 | $37,024 | $84,291 |
| OR procedure for obesity w/o CC/MCC | MS-DRG | 621 | 9 | — | — | $11,656 | $32,646 | $73,730 |
| Complex cataract surgery | CPT | 66982 | 10 | — | — | $777.2 | $3,132.7 | $12,772 |
| Cataract surgery with lens implant | CPT | 66984 | 10 | — | — | $566.09 | $3,132.7 | $12,772 |
| Intravitreal injection | CPT | 67028 | 10 | — | — | $2.72 | $788 | $3,628 |
| Vitrectomy mechanical | CPT | 67042 | 10 | — | — | $1,193.04 | $5,379.86 | $16,002 |
| Uterine & adnexa procedures w CC/MCC | MS-DRG | 743 | 9 | — | — | $8,238.71 | $20,372 | $43,460 |
| Uterine & adnexa procedures w/o CC/MCC | MS-DRG | 744 | 9 | — | — | $12,483 | $29,725 | $53,741 |
| PCI single major coronary artery | CPT | 92920 | 14 | $23,256 | $16,279 | $3,961.52 | $11,123 | $29,172 |
| PCI with drug-eluting stent | CPT | 92928 | 14 | $37,128 | $25,990 | $2,666.25 | $10,730 | $109,403 |
| PCI bypass graft | CPT | 92937 | 14 | $33,456 | $23,419 | $2,664.75 | $10,730 | $109,403 |
| Left heart catheterization | CPT | 93452 | 14 | $14,998 | $10,499 | $2,199.05 | $8,143.92 | $14,998 |
| Coronary angiography with cath | CPT | 93455 | 14 | $15,744 | $11,021 | $2,199.05 | $8,292.6 | $15,744 |
| Coronary angiography with bypass cath | CPT | 93458 | 14 | $22,657 | $15,860 | $2,199.05 | $9,048 | $17,854 |
Payer mix (top 17)
| Payer | Codes covered | Median rate |
|---|---|---|
| Cigna | 190 | $1,985 |
| Humana | 190 | $2,017.2 |
| UnitedHealthcare | 185 | $1,781.5 |
| Aetna | 183 | $1,533.17 |
| Blue Cross Blue Shield | 183 | $2,047.6 |
| Medicare | 169 | $362.53 |
| commercial | connected care | intel | 144 | $4,819 |
| Medicaid | 138 | $178.24 |
| commercial | optum | optumhealth | 99 | $673.75 |
| Multiplan | 99 | $965.3 |
| Health Net | 99 | $857.5 |
| First Health | 99 | $857.5 |
| commercial | lifetrac | all plans | 99 | $796.25 |
| commercial | nhsi | all plans | 99 | $759.5 |
| commercial | az foundation | pos | 74 | $22,669 |
| Bright Health | 53 | $17,608 |
| commercial | az foundation | ppo | 27 | $3,865.75 |