▸ Hospital · CA · CCN 050036
Bakersfield Memorial Hospital
420 34TH STREET, BAKERSFIELD, CA, 93303
385 bedsAcute Care Hospitals2
Compliance grade
A
100/100
Procedures tracked
187
of 209 target codes
Payers
17
with negotiated rates
Rates published
8,823
last crawl 2026-05-22
Procedures & rates
| Procedure | Type | Code | Payers | Gross | Cash | Neg min | Neg median | Neg max |
|---|---|---|---|---|---|---|---|---|
| behavioral | ||||||||
| Psychoses | MS-DRG | 885 | 7 | — | — | $10,560 | $10,560 | $14,361 |
| emergency | ||||||||
| ED visit level 1 | CPT | 99281 | 17 | $397 | $277.9 | $21.77 | $226.29 | $4,450 |
| ED visit level 2 | CPT | 99282 | 17 | $1,159 | $811.3 | $34.97 | $660.63 | $4,450 |
| ED visit level 3 | CPT | 99283 | 17 | $1,542 | $1,079.4 | $63.97 | $878.94 | $9,533 |
| ED visit level 4 | CPT | 99284 | 17 | $2,459 | $1,721.3 | $98.04 | $1,401.63 | $10,755 |
| ED visit level 5 | CPT | 99285 | 17 | $5,605 | $3,923.5 | $155.03 | $3,194.85 | $13,982 |
| Critical care, first hour | CPT | 99291 | 17 | $6,767 | $4,736.9 | $883.39 | $4,736.9 | $13,982 |
| imaging | ||||||||
| CT head without contrast | CPT | 70450 | 13 | $2,934 | $2,053.8 | $129.12 | $191.38 | $2,309.06 |
| CT head with contrast | CPT | 70460 | 13 | $4,018 | $2,812.6 | $209.04 | $289.34 | $3,162.17 |
| CT head with and without contrast | CPT | 70470 | 13 | $4,809 | $3,366.3 | $211.84 | $315.88 | $3,784.69 |
| CT neck with contrast | CPT | 70491 | 13 | $3,534 | $2,473.8 | $211.84 | $335.43 | $2,781.26 |
| MRI brain without contrast | CPT | 70551 | 13 | $4,501 | $3,150.7 | $272.89 | $382.79 | $3,614 |
| MRI brain with contrast | CPT | 70552 | 13 | $6,527 | $4,568.9 | $396.44 | $572.5 | $5,136.75 |
| MRI brain with and without contrast | CPT | 70553 | 13 | $7,517 | $5,261.9 | $436.72 | $621.7 | $5,915.88 |
| Chest X-ray single view | CPT | 71045 | 14 | $453 | $317.1 | $17.67 | $102.04 | $381.61 |
| Chest X-ray 2 views | CPT | 71046 | 14 | $589 | $412.3 | $27.48 | $102.04 | $463.55 |
| Chest X-ray 3 views | CPT | 71047 | 14 | $632 | $442.4 | $35.27 | $103.69 | $497.39 |
| CT chest without contrast | CPT | 71250 | 13 | $1,867 | $1,306.9 | $129.12 | $239.27 | $2,100 |
| CT chest with contrast | CPT | 71260 | 13 | $3,663 | $2,564.1 | $211.84 | $314.25 | $2,882.79 |
| CT chest with and without contrast | CPT | 71270 | 13 | $4,138 | $2,896.6 | $211.84 | $375.37 | $3,256.61 |
| MRI chest without contrast | CPT | 71550 | 13 | $3,674 | $2,571.8 | $272.89 | $530.1 | $3,614 |
| MRI chest with contrast | CPT | 71551 | 13 | $3,083 | $2,158.1 | $395.33 | $922.84 | $3,614 |
| MRI chest with and without contrast | CPT | 71552 | 13 | $3,779 | $2,645.3 | $436.72 | $645.24 | $3,614 |
| Lumbosacral spine X-ray | CPT | 72100 | 14 | $722 | $505.4 | $43.45 | $138.17 | $568.22 |
| CT cervical spine without contrast | CPT | 72125 | 13 | $3,635 | $2,544.5 | $129.12 | $242.01 | $2,860.75 |
| CT thoracic spine without contrast | CPT | 72128 | 13 | $3,093 | $2,165.1 | $129.12 | $239.33 | $2,434.2 |
| CT lumbar spine without contrast | CPT | 72131 | 13 | $3,635 | $2,544.5 | $129.12 | $238.62 | $2,860.75 |
| MRI cervical spine without contrast | CPT | 72141 | 13 | $3,399 | $2,379.3 | $272.89 | $378.45 | $3,614 |
| MRI thoracic spine without contrast | CPT | 72146 | 13 | $7,651 | $5,355.7 | $272.89 | $517.79 | $6,021.34 |
| MRI lumbar spine without contrast | CPT | 72148 | 13 | $3,823 | $2,676.1 | $272.89 | $378.76 | $3,614 |
| MRI lumbar spine with and without contrast | CPT | 72149 | 13 | $5,543 | $3,880.1 | $399.67 | $574.74 | $4,362.35 |
| MRI cervical spine with and without contrast | CPT | 72156 | 13 | $5,677 | $3,973.9 | $436.72 | $624.89 | $4,467.8 |
| MRI lumbar spine with contrast | CPT | 72158 | 13 | $6,385 | $4,469.5 | $436.72 | $624.25 | $5,025 |
| CT pelvis without contrast | CPT | 72192 | 13 | $3,298 | $2,308.6 | $129.12 | $216.84 | $2,595.53 |
| CT pelvis with contrast | CPT | 72193 | 13 | $6,498 | $4,548.6 | $211.84 | $347.5 | $5,113.93 |
| Shoulder X-ray | CPT | 73030 | 14 | $466 | $326.2 | $37.09 | $96.26 | $381.61 |
| Humerus X-ray | CPT | 73060 | 14 | $426 | $298.2 | $29.81 | $96.26 | $381.61 |
| Hand X-ray 3 views | CPT | 73130 | 14 | $387 | $270.9 | $36.06 | $96.26 | $381.61 |
| MRI upper extremity joint without contrast | CPT | 73221 | 13 | $4,293 | $3,005.1 | $272.89 | $390.9 | $3,614 |
| MRI upper extremity joint with and without contrast | CPT | 73223 | 13 | $7,171 | $5,019.7 | $408.36 | $921.2 | $5,643.58 |
| Knee X-ray 1-2 views | CPT | 73560 | 14 | $484 | $338.8 | $27.28 | $96.26 | $381.61 |
| Ankle X-ray 3 views | CPT | 73610 | 14 | $612 | $428.4 | $36.06 | $96.26 | $481.65 |
| MRI lower extremity joint without contrast | CPT | 73721 | 13 | $4,023 | $2,816.1 | $272.89 | $390.27 | $3,614 |
| MRI lower extremity joint with and without contrast | CPT | 73723 | 13 | $6,721 | $4,704.7 | $407.06 | $579.88 | $5,289.43 |
| CT abdomen without contrast | CPT | 74150 | 13 | $3,520 | $2,464 | $129.12 | $218.89 | $2,770.24 |
| CT abdomen with contrast | CPT | 74160 | 13 | $5,423 | $3,796.1 | $211.84 | $350.6 | $4,267.91 |
| CT abdomen with and without contrast | CPT | 74170 | 13 | $6,304 | $4,412.8 | $211.84 | $371.31 | $4,961.25 |
| CT abdomen and pelvis without contrast | CPT | 74176 | 13 | $4,911 | $3,437.7 | $178.43 | $333.04 | $3,864.96 |
| CT abdomen and pelvis with contrast | CPT | 74177 | 13 | $7,329 | $5,130.3 | $281.8 | $532.88 | $5,767.93 |
| CT abdomen and pelvis with and without contrast | CPT | 74178 | 13 | $8,575 | $6,002.5 | $319.24 | $532.88 | $6,748.53 |
| MRI abdomen without contrast | CPT | 74181 | 13 | $3,440 | $2,408 | $272.89 | $416.67 | $3,614 |
| MRI abdomen with and without contrast | CPT | 74183 | 13 | $5,747 | $4,022.9 | $351.25 | $541.09 | $4,522.89 |
| Abdominal ultrasound complete | CPT | 76700 | 14 | $1,771 | $1,239.7 | $119.34 | $175.6 | $1,393.78 |
| Abdominal ultrasound limited | CPT | 76705 | 14 | $1,361 | $952.7 | $87.13 | $245.18 | $1,071.11 |
| Retroperitoneal ultrasound complete | CPT | 76770 | 14 | $1,176 | $823.2 | $115.78 | $175.6 | $925.52 |
| Obstetric ultrasound first trimester | CPT | 76801 | 14 | $1,171 | $819.7 | $78.42 | $175.6 | $921.58 |
| Obstetric ultrasound after first trimester | CPT | 76805 | 14 | $1,361 | $952.7 | $129.12 | $317.93 | $1,071.11 |
| Obstetric ultrasound with fetal anatomy | CPT | 76811 | 14 | $335 | $234.5 | $159.03 | $272.89 | $1,085.54 |
| Transvaginal ultrasound | CPT | 76830 | 14 | $1,115 | $780.5 | $97.04 | $175.6 | $877.51 |
| Pelvic ultrasound complete | CPT | 76856 | 14 | $1,422 | $995.4 | $97.04 | $175.6 | $1,119.12 |
| Scrotal ultrasound | CPT | 76870 | 14 | $1,361 | $952.7 | $85.75 | $175.6 | $1,071.11 |
| Diagnostic mammography unilateral | CPT | 77065 | 9 | $756 | $529.2 | $117.89 | $364 | $756 |
| Diagnostic mammography bilateral | CPT | 77066 | 9 | $854 | $597.8 | $149.36 | $454.4 | $854 |
| Screening mammography bilateral | CPT | 77067 | 9 | $854 | $597.8 | $120.94 | $555.95 | $854 |
| EKG tracing only | CPT | 93005 | 13 | $565 | $395.5 | $29.84 | $96.58 | $565 |
| Transthoracic echocardiogram complete | CPT | 93306 | 13 | $5,328 | $3,729.6 | $239.76 | $1,073.93 | $5,328 |
| Transthoracic echocardiogram | CPT | 93307 | 13 | $1,692 | $1,184.4 | $215.3 | $865.6 | $1,692 |
| Stress echocardiogram | CPT | 93350 | 13 | $4,173 | $2,921.1 | $137.87 | $618.92 | $4,173 |
| inpatient | ||||||||
| Respiratory infections & inflammations w MCC | MS-DRG | 177 | 7 | — | — | $15,572 | $15,572 | $21,177 |
| COPD w MCC | MS-DRG | 190 | 7 | — | — | $9,620.11 | $9,620.11 | $13,083 |
| COPD w CC | MS-DRG | 191 | 7 | — | — | $7,640.66 | $7,640.66 | $10,391 |
| COPD w/o CC/MCC | MS-DRG | 192 | 7 | — | — | $6,089.49 | $6,089.49 | $8,281.71 |
| Simple pneumonia & pleurisy w CC | MS-DRG | 194 | 7 | — | — | $7,472.97 | $7,472.97 | $10,163 |
| Simple pneumonia & pleurisy w/o CC/MCC | MS-DRG | 195 | 7 | — | — | $5,844.53 | $5,844.53 | $7,948.56 |
| AMI discharged alive w MCC | MS-DRG | 280 | 7 | — | — | $13,581 | $13,581 | $18,470 |
| AMI discharged alive w CC | MS-DRG | 281 | 7 | — | — | $8,021.26 | $8,021.26 | $10,909 |
| AMI discharged alive w/o CC/MCC | MS-DRG | 282 | 7 | — | — | $6,340.21 | $6,340.21 | $8,622.69 |
| Heart failure & shock w MCC | MS-DRG | 291 | 7 | — | — | $10,797 | $10,797 | $14,684 |
| Heart failure & shock w CC | MS-DRG | 292 | 7 | — | — | $7,469.68 | $7,469.68 | $10,159 |
| Heart failure & shock w/o CC/MCC | MS-DRG | 293 | 7 | — | — | $5,220.61 | $5,220.61 | $7,100.03 |
| Cardiac arrhythmia w MCC | MS-DRG | 308 | 7 | — | — | $10,243 | $10,243 | $13,931 |
| Cardiac arrhythmia w CC | MS-DRG | 309 | 7 | — | — | $6,540.79 | $6,540.79 | $8,895.47 |
| Cardiac arrhythmia w/o CC/MCC | MS-DRG | 310 | 7 | — | — | $4,968.24 | $4,968.24 | $6,756.81 |
| GI hemorrhage w CC | MS-DRG | 378 | 7 | — | — | $8,538.32 | $8,538.32 | $11,612 |
| GI hemorrhage w/o CC/MCC | MS-DRG | 379 | 7 | — | — | $5,609.43 | $5,609.43 | $7,628.82 |
| Esophagitis/gastroenteritis w/o MCC | MS-DRG | 392 | 7 | — | — | $6,666.56 | $6,666.56 | $9,066.52 |
| Fractures of femur w/o MCC | MS-DRG | 533 | 7 | — | — | $12,013 | $12,013 | $16,338 |
| Kidney/UTI w MCC | MS-DRG | 689 | 7 | — | — | $9,530.51 | $9,530.51 | $12,961 |
| Kidney/UTI w/o MCC | MS-DRG | 690 | 7 | — | — | $6,898.37 | $6,898.37 | $9,381.78 |
| Septicemia or severe sepsis w MV 96+ hrs | MS-DRG | 871 | 7 | — | — | $15,761 | $15,761 | $21,436 |
| Septicemia or severe sepsis w/o MV 96+ hrs | MS-DRG | 872 | 7 | — | — | $8,807.94 | $8,807.94 | $11,979 |
| lab | ||||||||
| Basic metabolic panel (BMP) | CPT | 80048 | 13 | $726 | $508.2 | $8.46 | $39.28 | $673.01 |
| Electrolyte panel | CPT | 80051 | 13 | $671 | $469.7 | $7.01 | $32.57 | $622.02 |
| Comprehensive metabolic panel | CPT | 80053 | 13 | $897 | $627.9 | $10.56 | $49.06 | $831.52 |
| Lipid panel | CPT | 80061 | 13 | $741 | $518.7 | $6.78 | $15.41 | $686.91 |
| Renal function panel | CPT | 80069 | 13 | $897 | $627.9 | $8.68 | $40.33 | $831.52 |
| Hepatic function panel | CPT | 80076 | 13 | $741 | $518.7 | $8.17 | $37.92 | $686.91 |
| Urinalysis non-automated | CPT | 81002 | 13 | $83 | $58.1 | $3.08 | $27.32 | $76.95 |
| Urinalysis automated | CPT | 81003 | 13 | $125 | $87.5 | $2.25 | $10.44 | $115.88 |
| Glucose quantitative | CPT | 82947 | 13 | $468 | $327.6 | $3.93 | $18.21 | $433.84 |
| Hemoglobin A1c | CPT | 83036 | 13 | $196 | $137.2 | $3.2 | $10.06 | $181.7 |
| Thyroid stimulating hormone (TSH) | CPT | 84443 | 13 | $408 | $285.6 | $14.07 | $21.89 | $378.22 |
| Complete blood count with automated differential | CPT | 85025 | 13 | $420 | $294 | $7.77 | $36.1 | $389.34 |
| Complete blood count without differential | CPT | 85027 | 13 | $448 | $313.6 | $6.47 | $30.04 | $415.3 |
| Urine culture bacterial | CPT | 87086 | 13 | $333 | $233.1 | $8.07 | $37.49 | $308.7 |
| Urine culture identification | CPT | 87088 | 13 | $218 | $152.6 | $8.09 | $30.43 | $202.09 |
| Tissue exam by pathologist level IV | CPT | 88305 | 14 | $302 | $211.4 | $36.36 | $60 | $265.06 |
| maternity | ||||||||
| Fetal non-stress test | CPT | 59025 | 17 | $556 | $389.2 | $32.7 | $302.69 | $7,374 |
| Routine obstetric care including vaginal delivery | CPT | 59400 | 4 | — | — | $1,994.02 | $4,954.48 | $9,447 |
| Vaginal delivery only | CPT | 59409 | 10 | — | — | $780.72 | $3,290.91 | $13,641 |
| Vaginal delivery with postpartum | CPT | 59410 | 3 | — | — | $3,290.91 | $5,427 | $9,447 |
| Routine obstetric care with C-section | CPT | 59510 | 4 | — | — | $1,995.21 | $4,955.87 | $9,447 |
| C-section delivery only | CPT | 59514 | 4 | — | — | $781.35 | $3,122.87 | $9,447 |
| C-section with postpartum | CPT | 59515 | 3 | — | — | $3,761.05 | $7,239.26 | $10,020 |
| office | ||||||||
| Office visit, new patient, 15-29 min | CPT | 99202 | 7 | $394 | $275.8 | $49.2 | $194.75 | $394 |
| Office visit, new patient, 30-44 minutes | CPT | 99203 | 7 | $325 | $227.5 | $82.05 | $215.84 | $325 |
| Office visit, new patient, 45-59 min | CPT | 99204 | 7 | $583 | $408.1 | $98.83 | $253 | $583 |
| Office visit, new patient, 60-74 min | CPT | 99205 | 7 | $706 | $494.2 | $118.62 | $282 | $706 |
| Office visit, established patient, 5 min | CPT | 99211 | 7 | $230 | $161 | $17.21 | $127.68 | $216 |
| Office visit, established patient, 10-19 min | CPT | 99212 | 7 | $242 | $169.4 | $16.37 | $110.58 | $242 |
| Office visit, established patient, 20-29 minutes | CPT | 99213 | 7 | $300 | $210 | $34.43 | $151.9 | $300 |
| Office visit, established patient, 30-39 minutes | CPT | 99214 | 7 | $376 | $263.2 | $53.79 | $237.1 | $376 |
| Office visit, established patient, 40-54 min | CPT | 99215 | 7 | $414 | $289.8 | $82.05 | $225 | $414 |
| preventive | ||||||||
| Upper GI endoscopy diagnostic | CPT | 43235 | 11 | — | — | $405.42 | $1,037.66 | $9,954 |
| Upper GI endoscopy with biopsy | CPT | 43239 | 11 | — | — | $423.61 | $1,037.66 | $9,954 |
| Sigmoidoscopy diagnostic | CPT | 45330 | 11 | — | — | $99 | $1,001.02 | $8,849 |
| Sigmoidoscopy with biopsy | CPT | 45331 | 11 | — | — | $130.65 | $1,001.02 | $8,849 |
| Colonoscopy diagnostic | CPT | 45378 | 11 | — | — | $534.04 | $1,254.99 | $9,954 |
| Colonoscopy with biopsy | CPT | 45380 | 11 | — | — | $597.36 | $1,403.8 | $9,954 |
| Colonoscopy with polyp removal | CPT | 45385 | 11 | — | — | $723.96 | $1,672.53 | $9,954 |
| surgery | ||||||||
| Total shoulder arthroplasty | CPT | 23472 | 9 | — | — | $3,761.05 | $14,624 | $28,758 |
| PCI w drug-eluting stent w MCC | MS-DRG | 246 | 7 | — | — | $26,054 | $26,054 | $35,434 |
| PCI w drug-eluting stent w/o MCC | MS-DRG | 247 | 7 | — | — | $16,592 | $16,592 | $22,565 |
| Hip hemiarthroplasty | CPT | 27125 | 7 | — | — | $1,885.66 | $6,807 | $25,070 |
| Total hip replacement | CPT | 27130 | 10 | — | — | $2,693.8 | $11,757 | $28,758 |
| Total knee replacement | CPT | 27447 | 10 | — | — | $2,693.8 | $13,774 | $28,758 |
| Knee revision arthroplasty single component | CPT | 27486 | 5 | — | — | $3,761.05 | $12,093 | $28,758 |
| Knee revision arthroplasty all components | CPT | 27487 | 7 | — | — | $2,584.03 | $8,217.22 | $28,758 |
| Shoulder arthroscopy with decompression | CPT | 29826 | 7 | — | — | $605.06 | $3,761.05 | $11,015 |
| Shoulder arthroscopy with rotator cuff repair | CPT | 29827 | 11 | — | — | $623.03 | $7,453.71 | $25,070 |
| Knee arthroscopy with meniscectomy | CPT | 29881 | 11 | — | — | $790.35 | $3,572.23 | $16,589 |
| ACL reconstruction | CPT | 29888 | 11 | — | — | $1,220.29 | $7,428.38 | $25,070 |
| Major small/large bowel procedures w MCC | MS-DRG | 329 | 7 | — | — | $40,537 | $40,537 | $55,131 |
| Major small/large bowel procedures w CC | MS-DRG | 330 | 7 | — | — | $21,327 | $21,327 | $29,005 |
| Major small/large bowel procedures w/o CC/MCC | MS-DRG | 331 | 7 | — | — | $14,432 | $14,432 | $19,628 |
| CABG single arterial graft | CPT | 33533 | 5 | — | — | $3,386.12 | $9,054 | $20,648 |
| CABG 2 arterial grafts | CPT | 33534 | 5 | — | — | $3,807.69 | $10,515 | $20,648 |
| CABG 3 arterial grafts | CPT | 33535 | 5 | — | — | $4,228.6 | $10,770 | $20,648 |
| CABG 4+ arterial grafts | CPT | 33536 | 5 | — | — | $4,650.86 | $11,266 | $20,648 |
| Laparoscopic cholecystectomy w/o CDE w MCC | MS-DRG | 418 | 7 | — | — | $14,256 | $14,256 | $19,388 |
| Laparoscopic cholecystectomy w/o CDE w CC | MS-DRG | 419 | 7 | — | — | $11,184 | $11,184 | $15,210 |
| Laparoscopic cholecystectomy w/o CDE w/o CC/MCC | MS-DRG | 420 | 7 | — | — | $29,278 | $29,278 | $39,818 |
| Open appendectomy | CPT | 44950 | 10 | — | — | $724.63 | $3,786.08 | $16,589 |
| Laparoscopic appendectomy | CPT | 44970 | 11 | — | — | $494.31 | $6,000.82 | $25,070 |
| Spinal fusion (non-cervical) w MCC | MS-DRG | 459 | 7 | — | — | $55,723 | $55,723 | $75,783 |
| Spinal fusion (non-cervical) w/o MCC | MS-DRG | 460 | 7 | — | — | $32,683 | $32,683 | $44,449 |
| Major joint replacement w MCC | MS-DRG | 469 | 7 | — | — | $25,738 | $25,738 | $35,004 |
| Major joint replacement w/o MCC | MS-DRG | 470 | 7 | — | — | $15,992 | $15,992 | $21,750 |
| Laparoscopic cholecystectomy | CPT | 47562 | 11 | — | — | $843.15 | $6,382.57 | $25,070 |
| Lap cholecystectomy with cholangiography | CPT | 47563 | 11 | — | — | $970.44 | $6,382.57 | $25,070 |
| Hip & femur procedures except major joint w MCC | MS-DRG | 480 | 7 | — | — | $25,244 | $25,244 | $34,332 |
| Hip & femur procedures except major joint w CC | MS-DRG | 481 | 7 | — | — | $17,602 | $17,602 | $23,939 |
| Hip & femur procedures except major joint w/o CC/MCC | MS-DRG | 482 | 7 | — | — | $13,900 | $13,900 | $18,905 |
| Open umbilical hernia repair | CPT | 49560 | 11 | — | — | $839.12 | $4,013.24 | $16,589 |
| Umbilical hernia repair age 5+ | CPT | 49585 | 11 | — | — | $534.04 | $4,013.24 | $16,589 |
| Lap inguinal hernia repair | CPT | 49650 | 11 | — | — | $379.7 | $6,021.29 | $25,070 |
| Lap incisional hernia repair | CPT | 49652 | 11 | — | — | $524.57 | $6,062 | $25,070 |
| Total abdominal hysterectomy | CPT | 58150 | 6 | — | — | $1,162.9 | $5,934.56 | $16,589 |
| Vaginal hysterectomy | CPT | 58260 | 11 | — | — | $1,162.9 | $5,247.38 | $16,589 |
| Lap-assisted vaginal hysterectomy | CPT | 58550 | 11 | — | — | $838.74 | $6,382.57 | $25,070 |
| Lap-assisted vaginal hysterectomy >250g | CPT | 58552 | 11 | — | — | $616.65 | $10,563 | $25,070 |
| Lap salpingo-oophorectomy | CPT | 58661 | 11 | — | — | $701.38 | $6,021.29 | $25,070 |
| OR procedure for obesity w MCC | MS-DRG | 619 | 7 | — | — | $25,540 | $25,540 | $34,734 |
| OR procedure for obesity w CC | MS-DRG | 620 | 7 | — | — | $14,861 | $14,861 | $20,211 |
| OR procedure for obesity w/o CC/MCC | MS-DRG | 621 | 7 | — | — | $13,500 | $13,500 | $18,360 |
| Complex cataract surgery | CPT | 66982 | 11 | — | — | $1,272.35 | $2,990.02 | $15,489 |
| Cataract surgery with lens implant | CPT | 66984 | 11 | — | — | $1,818.32 | $3,349.39 | $15,489 |
| Intravitreal injection | CPT | 67028 | 11 | — | — | $378.14 | $915.5 | $7,374 |
| Vitrectomy mechanical | CPT | 67042 | 11 | — | — | $1,186.9 | $4,660.24 | $20,648 |
| Uterine & adnexa procedures w CC/MCC | MS-DRG | 743 | 7 | — | — | $9,683.4 | $9,683.4 | $13,169 |
| Uterine & adnexa procedures w/o CC/MCC | MS-DRG | 744 | 7 | — | — | $15,130 | $15,130 | $20,577 |
| PCI single major coronary artery | CPT | 92920 | 14 | $14,904 | $10,433 | $435.12 | $6,353.17 | $25,070 |
| PCI with drug-eluting stent | CPT | 92928 | 14 | $21,441 | $15,009 | $483.05 | $11,912 | $25,070 |
| PCI bypass graft | CPT | 92937 | 14 | $21,441 | $15,009 | $482.46 | $11,912 | $25,070 |
| Left heart catheterization | CPT | 93452 | 14 | $14,411 | $10,088 | $967.53 | $4,677.01 | $20,648 |
| Coronary angiography with cath | CPT | 93455 | 14 | $12,414 | $8,689.8 | $1,166.18 | $4,677.01 | $20,648 |
| Coronary angiography with bypass cath | CPT | 93458 | 14 | $13,300 | $9,310 | $1,204.89 | $4,677.01 | $20,648 |
Payer mix (top 17)
| Payer | Codes covered | Median rate |
|---|---|---|
| Anthem BCBS | 187 | $848.47 |
| Kaiser Permanente | 184 | $436.72 |
| Aetna | 175 | $1,308.81 |
| Blue Cross Blue Shield | 171 | $2,161.71 |
| Bright Health | 161 | $658.64 |
| Humana | 161 | $621.36 |
| Medicare | 161 | $438.21 |
| Medicaid | 139 | $393.81 |
| UnitedHealthcare | 138 | $4,153.5 |
| commercial | hpn | all plans | 105 | $471.82 |
| First Health | 99 | $405.3 |
| commercial | healthsmart | all plans | 99 | $440.04 |
| Multiplan | 99 | $455.68 |
| Cigna | 70 | $514.03 |
| commercial | pinnacle | all plans | 13 | $3,402.3 |
| Health Net | 7 | $600.13 |
| commercial | western growers | all plans | 7 | $742.78 |