▸ Hospital · CA · CCN 050042
St Elizabeth Community Hospital
2550 SISTER MARY COLUMBIA DRIVE, RED BLUFF, CA, 96080
49 bedsAcute Care Hospitals1
Compliance grade
A
100/100
Procedures tracked
185
of 209 target codes
Payers
12
with negotiated rates
Rates published
8,214
last crawl 2026-05-22
Procedures & rates
| Procedure | Type | Code | Payers | Gross | Cash | Neg min | Neg median | Neg max |
|---|---|---|---|---|---|---|---|---|
| behavioral | ||||||||
| Psychoses | MS-DRG | 885 | 6 | — | — | $10,843 | $10,843 | $10,843 |
| emergency | ||||||||
| ED visit level 1 | CPT | 99281 | 12 | $600 | $420 | $30.26 | $371.28 | $600 |
| ED visit level 2 | CPT | 99282 | 12 | $1,200 | $840 | $48.61 | $742.56 | $1,200 |
| ED visit level 3 | CPT | 99283 | 12 | $2,441 | $1,708.7 | $88.92 | $1,510.5 | $2,441 |
| ED visit level 4 | CPT | 99284 | 12 | $20,141 | $14,099 | $136.28 | $3,745.07 | $20,141 |
| ED visit level 5 | CPT | 99285 | 12 | $26,708 | $18,696 | $215.49 | $3,570.48 | $26,708 |
| Critical care, first hour | CPT | 99291 | 12 | $26,486 | $18,540 | $697.69 | $8,085.98 | $26,486 |
| imaging | ||||||||
| CT head without contrast | CPT | 70450 | 12 | $3,982 | $2,787.4 | $132.44 | $889.44 | $3,982 |
| CT head with contrast | CPT | 70460 | 12 | $5,575 | $3,902.5 | $209.04 | $1,121.51 | $5,575 |
| CT head with and without contrast | CPT | 70470 | 12 | $6,570 | $4,599 | $217 | $1,314.74 | $6,570 |
| CT neck with contrast | CPT | 70491 | 12 | $1,782 | $1,247.4 | $217 | $1,100.25 | $1,782 |
| MRI brain without contrast | CPT | 70551 | 12 | $3,400 | $2,380 | $279.69 | $2,405.16 | $3,400 |
| MRI brain with contrast | CPT | 70552 | 12 | $5,066 | $3,546.2 | $415.34 | $3,583.69 | $5,066 |
| MRI brain with and without contrast | CPT | 70553 | 12 | $5,746 | $4,022.2 | $447.39 | $4,064.73 | $5,746 |
| Chest X-ray single view | CPT | 71045 | 12 | $779 | $545.3 | $17.67 | $173.27 | $779 |
| Chest X-ray 2 views | CPT | 71046 | 12 | $966 | $676.2 | $27.48 | $274.75 | $966 |
| Chest X-ray 3 views | CPT | 71047 | 12 | $748 | $523.6 | $35.27 | $489.77 | $748 |
| CT chest without contrast | CPT | 71250 | 12 | $2,716 | $1,901.2 | $132.44 | $1,002.08 | $2,716 |
| CT chest with contrast | CPT | 71260 | 12 | $5,432 | $3,802.4 | $217 | $1,160.35 | $5,432 |
| CT chest with and without contrast | CPT | 71270 | 12 | $6,084 | $4,258.8 | $217 | $1,424.46 | $6,084 |
| MRI chest without contrast | CPT | 71550 | 12 | $1,503 | $1,052.1 | $279.69 | $1,063.23 | $1,503 |
| MRI chest with contrast | CPT | 71551 | 12 | $1,046 | $732.2 | $417.18 | $869.19 | $1,046 |
| MRI chest with and without contrast | CPT | 71552 | 12 | $2,549 | $1,784.3 | $447.39 | $1,803.17 | $2,549 |
| Lumbosacral spine X-ray | CPT | 72100 | 12 | $1,060 | $742 | $34.32 | $368.81 | $1,060 |
| CT cervical spine without contrast | CPT | 72125 | 12 | $6,161 | $4,312.7 | $132.44 | $1,076.84 | $6,161 |
| CT thoracic spine without contrast | CPT | 72128 | 12 | $5,282 | $3,697.4 | $132.44 | $1,128.31 | $5,282 |
| CT lumbar spine without contrast | CPT | 72131 | 12 | $5,282 | $3,697.4 | $132.44 | $1,128.31 | $5,282 |
| MRI cervical spine without contrast | CPT | 72141 | 12 | $2,484 | $1,738.8 | $279.69 | $1,757.19 | $2,484 |
| MRI thoracic spine without contrast | CPT | 72146 | 12 | $2,484 | $1,738.8 | $279.69 | $1,757.19 | $2,484 |
| MRI lumbar spine without contrast | CPT | 72148 | 12 | $3,400 | $2,380 | $279.69 | $2,405.16 | $3,400 |
| MRI lumbar spine with and without contrast | CPT | 72149 | 12 | $5,066 | $3,546.2 | $415.01 | $3,583.69 | $5,066 |
| MRI cervical spine with and without contrast | CPT | 72156 | 12 | $4,198 | $2,938.6 | $447.39 | $2,969.67 | $4,198 |
| MRI lumbar spine with contrast | CPT | 72158 | 12 | $5,746 | $4,022.2 | $447.39 | $4,064.73 | $5,746 |
| CT pelvis without contrast | CPT | 72192 | 12 | $3,379 | $2,365.3 | $132.44 | $984.6 | $3,379 |
| CT pelvis with contrast | CPT | 72193 | 12 | $6,757 | $4,729.9 | $217 | $1,115.68 | $6,757 |
| Shoulder X-ray | CPT | 73030 | 12 | $1,088 | $761.6 | $32.51 | $389.25 | $1,088 |
| Humerus X-ray | CPT | 73060 | 12 | $890 | $623 | $29.81 | $278.53 | $890 |
| Hand X-ray 3 views | CPT | 73130 | 12 | $1,088 | $761.6 | $32.51 | $331.55 | $1,088 |
| MRI upper extremity joint without contrast | CPT | 73221 | 12 | $2,100 | $1,470 | $279.69 | $1,485.54 | $2,100 |
| MRI upper extremity joint with and without contrast | CPT | 73223 | 12 | $3,549 | $2,484.3 | $426.31 | $2,510.57 | $3,549 |
| Knee X-ray 1-2 views | CPT | 73560 | 12 | $646 | $452.2 | $24.69 | $181.04 | $646 |
| Ankle X-ray 3 views | CPT | 73610 | 12 | $798 | $558.6 | $33.72 | $269.89 | $798 |
| MRI lower extremity joint without contrast | CPT | 73721 | 12 | $2,100 | $1,470 | $279.69 | $1,485.54 | $2,100 |
| MRI lower extremity joint with and without contrast | CPT | 73723 | 12 | $3,549 | $2,484.3 | $428.3 | $2,510.57 | $3,549 |
| CT abdomen without contrast | CPT | 74150 | 12 | $2,250 | $1,575 | $132.44 | $1,008.87 | $2,250 |
| CT abdomen with contrast | CPT | 74160 | 12 | $4,501 | $3,150.7 | $217 | $1,176.86 | $4,501 |
| CT abdomen with and without contrast | CPT | 74170 | 12 | $6,751 | $4,725.7 | $217 | $1,428.35 | $6,751 |
| CT abdomen and pelvis without contrast | CPT | 74176 | 12 | $7,530 | $5,271 | $179.04 | $1,933.27 | $7,530 |
| CT abdomen and pelvis with contrast | CPT | 74177 | 12 | $8,655 | $6,058.5 | $281.8 | $2,269.23 | $8,655 |
| CT abdomen and pelvis with and without contrast | CPT | 74178 | 12 | $9,781 | $6,846.7 | $319.24 | $2,689.67 | $9,781 |
| MRI abdomen without contrast | CPT | 74181 | 12 | $1,972 | $1,380.4 | $279.69 | $1,480.98 | $1,972 |
| MRI abdomen with and without contrast | CPT | 74183 | 12 | $2,944 | $2,060.8 | $447.39 | $1,812.41 | $2,944 |
| Abdominal ultrasound complete | CPT | 76700 | 12 | $1,679 | $1,175.3 | $119.34 | $695.24 | $1,679 |
| Abdominal ultrasound limited | CPT | 76705 | 12 | $1,376 | $963.2 | $87.13 | $687.96 | $1,376 |
| Retroperitoneal ultrasound complete | CPT | 76770 | 12 | $1,418 | $992.6 | $115.78 | $862.37 | $1,418 |
| Obstetric ultrasound first trimester | CPT | 76801 | 12 | $1,309 | $916.3 | $78.42 | $747.67 | $1,309 |
| Obstetric ultrasound after first trimester | CPT | 76805 | 12 | $1,502 | $1,051.4 | $132.44 | $747.67 | $1,502 |
| Obstetric ultrasound with fetal anatomy | CPT | 76811 | 12 | $823 | $576.1 | $162.43 | $589.85 | $823 |
| Transvaginal ultrasound | CPT | 76830 | 12 | $1,067 | $746.9 | $97.04 | $445.69 | $1,067 |
| Pelvic ultrasound complete | CPT | 76856 | 12 | $1,251 | $875.7 | $97.04 | $865.81 | $1,251 |
| Scrotal ultrasound | CPT | 76870 | 12 | $856 | $599.2 | $85.75 | $580.77 | $856 |
| Diagnostic mammography unilateral | CPT | 77065 | 12 | $270 | $189 | $97.2 | $175 | $270 |
| Diagnostic mammography bilateral | CPT | 77066 | 12 | $318 | $222.6 | $124.33 | $211.06 | $318 |
| Screening mammography bilateral | CPT | 77067 | 12 | $266 | $186.2 | $102.77 | $178.84 | $266 |
| EKG tracing only | CPT | 93005 | 12 | $497 | $347.9 | $32.69 | $327.1 | $497 |
| Transthoracic echocardiogram complete | CPT | 93306 | 12 | $2,180 | $1,526 | $333.27 | $1,397.82 | $2,180 |
| Transthoracic echocardiogram | CPT | 93307 | 12 | $1,086 | $760.2 | $279.69 | $806.96 | $1,086 |
| Stress echocardiogram | CPT | 93350 | 12 | $1,045 | $731.5 | $191.64 | $692.95 | $1,045 |
| inpatient | ||||||||
| Respiratory infections & inflammations w MCC | MS-DRG | 177 | 6 | — | — | $16,174 | $16,174 | $16,174 |
| COPD w MCC | MS-DRG | 190 | 6 | — | — | $9,850.92 | $9,850.92 | $9,850.92 |
| COPD w CC | MS-DRG | 191 | 6 | — | — | $7,740.32 | $7,740.32 | $7,740.32 |
| COPD w/o CC/MCC | MS-DRG | 192 | 6 | — | — | $6,090.76 | $6,090.76 | $6,090.76 |
| Simple pneumonia & pleurisy w CC | MS-DRG | 194 | 6 | — | — | $7,564.15 | $7,564.15 | $7,564.15 |
| Simple pneumonia & pleurisy w/o CC/MCC | MS-DRG | 195 | 6 | — | — | $5,828.69 | $5,828.69 | $5,828.69 |
| AMI discharged alive w MCC | MS-DRG | 280 | 6 | — | — | $14,254 | $14,254 | $14,254 |
| AMI discharged alive w CC | MS-DRG | 281 | 6 | — | — | $8,169.81 | $8,169.81 | $8,169.81 |
| AMI discharged alive w/o CC/MCC | MS-DRG | 282 | 6 | — | — | $6,358.97 | $6,358.97 | $6,358.97 |
| Heart failure & shock w MCC | MS-DRG | 291 | 6 | — | — | $11,753 | $11,753 | $11,753 |
| Heart failure & shock w CC | MS-DRG | 292 | 6 | — | — | $7,845.5 | $7,845.5 | $7,845.5 |
| Heart failure & shock w/o CC/MCC | MS-DRG | 293 | 6 | — | — | $5,720 | $5,720 | $5,720 |
| Cardiac arrhythmia w MCC | MS-DRG | 308 | 6 | — | — | $10,512 | $10,512 | $10,512 |
| Cardiac arrhythmia w CC | MS-DRG | 309 | 6 | — | — | $6,568.45 | $6,568.45 | $6,568.45 |
| Cardiac arrhythmia w/o CC/MCC | MS-DRG | 310 | 6 | — | — | $4,894.35 | $4,894.35 | $4,894.35 |
| GI hemorrhage w CC | MS-DRG | 378 | 6 | — | — | $8,705.34 | $8,705.34 | $8,705.34 |
| GI hemorrhage w/o CC/MCC | MS-DRG | 379 | 6 | — | — | $5,584.15 | $5,584.15 | $5,584.15 |
| Esophagitis/gastroenteritis w/o MCC | MS-DRG | 392 | 6 | — | — | $6,699.92 | $6,699.92 | $6,699.92 |
| Fractures of femur w/o MCC | MS-DRG | 533 | 6 | — | — | $12,381 | $12,381 | $12,381 |
| Kidney/UTI w MCC | MS-DRG | 689 | 6 | — | — | $9,740.48 | $9,740.48 | $9,740.48 |
| Kidney/UTI w/o MCC | MS-DRG | 690 | 6 | — | — | $6,943.59 | $6,943.59 | $6,943.59 |
| Septicemia or severe sepsis w MV 96+ hrs | MS-DRG | 871 | 6 | — | — | $16,375 | $16,375 | $16,375 |
| Septicemia or severe sepsis w/o MV 96+ hrs | MS-DRG | 872 | 6 | — | — | $8,954.27 | $8,954.27 | $8,954.27 |
| Initial hospital care, low complexity | CPT | 99221 | 10 | $197 | $137.9 | $68.39 | $188.14 | $197 |
| Initial hospital care, moderate complexity | CPT | 99222 | 10 | $267 | $186.9 | $160.74 | $259.26 | $267 |
| Initial hospital care, high complexity | CPT | 99223 | 10 | $396 | $277.2 | $238.4 | $384.52 | $396 |
| Hospital discharge, <30 min | CPT | 99238 | 9 | $194 | $135.8 | $116.79 | $186.63 | $194 |
| Hospital discharge, >30 min | CPT | 99239 | 9 | $284 | $198.8 | $170.97 | $273.21 | $284 |
| lab | ||||||||
| Basic metabolic panel (BMP) | CPT | 80048 | 12 | $525 | $367.5 | $5.1 | $8.54 | $525 |
| General health panel | CPT | 80050 | 9 | $125 | $87.5 | $75.25 | $108.75 | $125 |
| Electrolyte panel | CPT | 80051 | 12 | $328 | $229.6 | $7.01 | $18.45 | $328 |
| Comprehensive metabolic panel | CPT | 80053 | 12 | $716 | $501.2 | $6.36 | $21.98 | $716 |
| Lipid panel | CPT | 80061 | 12 | $411 | $287.7 | $8.48 | $29.5 | $411 |
| Renal function panel | CPT | 80069 | 12 | $503 | $352.1 | $5.23 | $19.9 | $503 |
| Hepatic function panel | CPT | 80076 | 12 | $409 | $286.3 | $8.17 | $28.16 | $409 |
| Urinalysis non-automated | CPT | 81002 | 12 | $50 | $35 | $3.08 | $33.16 | $50 |
| Urinalysis automated | CPT | 81003 | 12 | $123 | $86.1 | $2.25 | $11.28 | $123 |
| Glucose quantitative | CPT | 82947 | 12 | $191 | $133.7 | $3.93 | $20.43 | $191 |
| Hemoglobin A1c | CPT | 83036 | 12 | $242 | $169.4 | $3.01 | $9.71 | $242 |
| Thyroid stimulating hormone (TSH) | CPT | 84443 | 12 | $443 | $310.1 | $4.82 | $25.34 | $443 |
| Complete blood count with automated differential | CPT | 85025 | 12 | $334 | $233.8 | $7.77 | $20.4 | $334 |
| Complete blood count without differential | CPT | 85027 | 12 | $233 | $163.1 | $6.47 | $17.48 | $233 |
| Urine culture bacterial | CPT | 87086 | 12 | $211 | $147.7 | $8.07 | $139.92 | $211 |
| Urine culture identification | CPT | 87088 | 12 | $18 | $12.6 | $8.09 | $11.94 | $18 |
| Tissue exam by pathologist level IV | CPT | 88305 | 12 | $681.2 | $476.84 | $15.05 | $83.22 | $681.2 |
| maternity | ||||||||
| Fetal non-stress test | CPT | 59025 | 12 | $653 | $457.1 | $45.45 | $468.01 | $653 |
| Routine obstetric care including vaginal delivery | CPT | 59400 | 2 | — | — | $2,170.39 | $5,073.23 | $7,976.07 |
| Vaginal delivery only | CPT | 59409 | 7 | — | — | $1,085.2 | $3,188.09 | $3,188.09 |
| Routine obstetric care with C-section | CPT | 59510 | 2 | — | — | $2,170.51 | $5,075.67 | $7,980.83 |
| C-section delivery only | CPT | 59514 | 2 | — | — | $1,086.08 | $2,105.74 | $3,125.39 |
| office | ||||||||
| Office visit, new patient, 15-29 min | CPT | 99202 | 10 | $2,196 | $1,537.2 | $60.2 | $311.12 | $2,196 |
| Office visit, new patient, 30-44 minutes | CPT | 99203 | 10 | $3,305 | $2,313.5 | $114.05 | $405.72 | $3,305 |
| Office visit, new patient, 45-59 min | CPT | 99204 | 10 | $3,955 | $2,768.5 | $137.37 | $588 | $3,955 |
| Office visit, new patient, 60-74 min | CPT | 99205 | 10 | $5,318 | $3,722.6 | $164.88 | $605 | $5,318 |
| Office visit, established patient, 5 min | CPT | 99211 | 10 | $444 | $310.8 | $23.92 | $165.53 | $444 |
| Office visit, established patient, 10-19 min | CPT | 99212 | 10 | $1,114 | $779.8 | $31.43 | $311 | $1,114 |
| Office visit, established patient, 20-29 minutes | CPT | 99213 | 10 | $2,196 | $1,537.2 | $47.86 | $304.78 | $2,196 |
| Office visit, established patient, 30-39 minutes | CPT | 99214 | 10 | $3,391 | $2,373.7 | $74.77 | $505.29 | $3,391 |
| Office visit, established patient, 40-54 min | CPT | 99215 | 10 | $4,789 | $3,352.3 | $114.05 | $468.44 | $4,789 |
| preventive | ||||||||
| Upper GI endoscopy diagnostic | CPT | 43235 | 7 | — | — | $446.86 | $983.94 | $1,285.91 |
| Upper GI endoscopy with biopsy | CPT | 43239 | 7 | — | — | $466.91 | $983.94 | $1,343.63 |
| Sigmoidoscopy diagnostic | CPT | 45330 | 7 | — | — | $109.12 | $964.55 | $964.55 |
| Sigmoidoscopy with biopsy | CPT | 45331 | 7 | — | — | $144.02 | $964.55 | $964.55 |
| Colonoscopy diagnostic | CPT | 45378 | 7 | — | — | $588.64 | $964.55 | $1,693.91 |
| Colonoscopy with biopsy | CPT | 45380 | 7 | — | — | $658.42 | $1,260.26 | $1,894.73 |
| Colonoscopy with polyp removal | CPT | 45385 | 7 | — | — | $797.97 | $1,260.26 | $2,296.3 |
| surgery | ||||||||
| Total shoulder arthroplasty | CPT | 23472 | 6 | — | — | $1,726.07 | $14,967 | $14,967 |
| PCI w drug-eluting stent w MCC | MS-DRG | 246 | 6 | — | — | $27,397 | $27,397 | $27,397 |
| PCI w drug-eluting stent w/o MCC | MS-DRG | 247 | 6 | — | — | $17,426 | $17,426 | $17,426 |
| Hip hemiarthroplasty | CPT | 27125 | 7 | — | — | $2,078.44 | $14,967 | $14,967 |
| Total hip replacement | CPT | 27130 | 7 | — | — | $2,969.19 | $14,967 | $14,967 |
| Total knee replacement | CPT | 27447 | 7 | — | — | $2,969.19 | $14,967 | $14,967 |
| Knee revision arthroplasty single component | CPT | 27486 | 6 | — | — | $1,908.11 | $14,967 | $14,967 |
| Knee revision arthroplasty all components | CPT | 27487 | 7 | — | — | $2,848.21 | $14,967 | $14,967 |
| Shoulder arthroscopy with decompression | CPT | 29826 | 2 | — | — | $841.03 | $1,630.63 | $2,420.23 |
| Shoulder arthroscopy with rotator cuff repair | CPT | 29827 | 7 | — | — | $686.6 | $7,614.04 | $7,614.04 |
| Knee arthroscopy with meniscectomy | CPT | 29881 | 7 | — | — | $1,098.59 | $3,439.9 | $3,439.9 |
| ACL reconstruction | CPT | 29888 | 7 | — | — | $1,345.05 | $7,614.04 | $7,614.04 |
| Major small/large bowel procedures w MCC | MS-DRG | 329 | 6 | — | — | $42,513 | $42,513 | $42,513 |
| Major small/large bowel procedures w CC | MS-DRG | 330 | 6 | — | — | $22,254 | $22,254 | $22,254 |
| Major small/large bowel procedures w/o CC/MCC | MS-DRG | 331 | 6 | — | — | $14,989 | $14,989 | $14,989 |
| CABG single arterial graft | CPT | 33533 | 2 | — | — | $3,732.26 | $6,501.35 | $10,740 |
| CABG 2 arterial grafts | CPT | 33534 | 2 | — | — | $4,196.94 | $7,310.76 | $12,078 |
| CABG 3 arterial grafts | CPT | 33535 | 2 | — | — | $4,660.88 | $8,118.91 | $13,413 |
| CABG 4+ arterial grafts | CPT | 33536 | 2 | — | — | $5,126.31 | $8,929.65 | $14,752 |
| Laparoscopic cholecystectomy w/o CDE w MCC | MS-DRG | 418 | 6 | — | — | $14,796 | $14,796 | $14,796 |
| Laparoscopic cholecystectomy w/o CDE w CC | MS-DRG | 419 | 6 | — | — | $11,528 | $11,528 | $11,528 |
| Laparoscopic cholecystectomy w/o CDE w/o CC/MCC | MS-DRG | 420 | 6 | — | — | $30,801 | $30,801 | $30,801 |
| Open appendectomy | CPT | 44950 | 7 | — | — | $798.71 | $3,868.93 | $3,868.93 |
| Laparoscopic appendectomy | CPT | 44970 | 7 | — | — | $544.85 | $6,150.16 | $6,150.16 |
| Spinal fusion (non-cervical) w MCC | MS-DRG | 459 | 6 | — | — | $59,004 | $59,004 | $59,004 |
| Spinal fusion (non-cervical) w/o MCC | MS-DRG | 460 | 6 | — | — | $34,470 | $34,470 | $34,470 |
| Major joint replacement w MCC | MS-DRG | 469 | 6 | — | — | $27,035 | $27,035 | $27,035 |
| Major joint replacement w/o MCC | MS-DRG | 470 | 6 | — | — | $16,653 | $16,653 | $16,653 |
| Laparoscopic cholecystectomy | CPT | 47562 | 7 | — | — | $929.35 | $6,150.16 | $6,150.16 |
| Lap cholecystectomy with cholangiography | CPT | 47563 | 7 | — | — | $1,069.65 | $6,150.16 | $6,150.16 |
| Hip & femur procedures except major joint w MCC | MS-DRG | 480 | 6 | — | — | $26,510 | $26,510 | $26,510 |
| Hip & femur procedures except major joint w CC | MS-DRG | 481 | 6 | — | — | $18,367 | $18,367 | $18,367 |
| Hip & femur procedures except major joint w/o CC/MCC | MS-DRG | 482 | 6 | — | — | $14,434 | $14,434 | $14,434 |
| Open umbilical hernia repair | CPT | 49560 | 7 | — | — | $924.91 | $3,868.93 | $3,868.93 |
| Umbilical hernia repair age 5+ | CPT | 49585 | 7 | — | — | $588.64 | $3,868.93 | $3,868.93 |
| Lap inguinal hernia repair | CPT | 49650 | 7 | — | — | $527.78 | $6,150.16 | $6,150.16 |
| Lap incisional hernia repair | CPT | 49652 | 7 | — | — | $729.15 | $6,150.16 | $6,150.16 |
| Total abdominal hysterectomy | CPT | 58150 | 2 | — | — | $1,616.43 | $3,134.01 | $4,651.59 |
| Vaginal hysterectomy | CPT | 58260 | 7 | — | — | $1,616.43 | $5,359.09 | $5,359.09 |
| Lap-assisted vaginal hysterectomy | CPT | 58550 | 7 | — | — | $1,671.99 | $6,150.16 | $6,150.16 |
| Lap-assisted vaginal hysterectomy >250g | CPT | 58552 | 7 | — | — | $857.14 | $10,826 | $10,826 |
| Lap salpingo-oophorectomy | CPT | 58661 | 7 | — | — | $974.92 | $6,150.16 | $6,150.16 |
| OR procedure for obesity w MCC | MS-DRG | 619 | 6 | — | — | $26,830 | $26,830 | $26,830 |
| OR procedure for obesity w CC | MS-DRG | 620 | 6 | — | — | $15,436 | $15,436 | $15,436 |
| OR procedure for obesity w/o CC/MCC | MS-DRG | 621 | 6 | — | — | $13,992 | $13,992 | $13,992 |
| Complex cataract surgery | CPT | 66982 | 7 | — | — | $1,402.41 | $2,526.89 | $4,035.72 |
| Cataract surgery with lens implant | CPT | 66984 | 7 | — | — | $2,004.2 | $2,526.89 | $5,767.49 |
| Intravitreal injection | CPT | 67028 | 7 | — | — | $377.67 | $377.67 | $2,089.12 |
| Vitrectomy mechanical | CPT | 67042 | 7 | — | — | $1,308.23 | $4,761.39 | $4,761.39 |
| Uterine & adnexa procedures w CC/MCC | MS-DRG | 743 | 6 | — | — | $9,924.55 | $9,924.55 | $9,924.55 |
| Uterine & adnexa procedures w/o CC/MCC | MS-DRG | 744 | 6 | — | — | $15,724 | $15,724 | $15,724 |
Payer mix (top 12)
| Payer | Codes covered | Median rate |
|---|---|---|
| Anthem BCBS | 183 | $452.19 |
| Aetna | 176 | $447.39 |
| Blue Cross Blue Shield | 176 | $440.84 |
| Kaiser Permanente | 176 | $600 |
| Humana | 161 | $447.39 |
| Medicare | 161 | $447.39 |
| Medicaid | 138 | $297.64 |
| First Health | 99 | $588 |
| Cigna | 99 | $475.2 |
| UnitedHealthcare | 99 | $576.86 |
| Multiplan | 99 | $588 |
| Health Net | 99 | $577.2 |