▸ Hospital · CA · CCN 050082
St Johns Regional Medical Center
1600 NORTH ROSE AVENUE, OXNARD, CA, 93030
276 bedsAcute Care Hospitals1
Compliance grade
A
100/100
Procedures tracked
186
of 209 target codes
Payers
16
with negotiated rates
Rates published
5,943
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 | — | — | $11,028 | $11,028 | $11,028 |
| emergency | ||||||||
| ED visit level 1 | CPT | 99281 | 16 | $714 | $499.8 | $26.34 | $442.68 | $3,390 |
| ED visit level 2 | CPT | 99282 | 16 | $1,070 | $749 | $42.31 | $663.4 | $3,390 |
| ED visit level 3 | CPT | 99283 | 16 | $1,466 | $1,026.2 | $77.4 | $908.92 | $6,654 |
| ED visit level 4 | CPT | 99284 | 16 | $2,140 | $1,498 | $118.63 | $1,326.8 | $9,881 |
| ED visit level 5 | CPT | 99285 | 16 | $3,963 | $2,774.1 | $187.59 | $2,457.06 | $12,845 |
| Critical care, first hour | CPT | 99291 | 15 | $5,784 | $4,048.8 | $295.99 | $3,586.08 | $12,845 |
| imaging | ||||||||
| CT head without contrast | CPT | 70450 | 13 | $3,351 | $2,345.7 | $138.73 | $258.88 | $2,607.42 |
| CT head with contrast | CPT | 70460 | 13 | $4,020 | $2,814 | $227.61 | $424.18 | $3,127.97 |
| CT head with and without contrast | CPT | 70470 | 13 | $4,692 | $3,284.4 | $227.61 | $424.8 | $3,650.85 |
| CT neck with contrast | CPT | 70491 | 13 | $4,585 | $3,209.5 | $227.61 | $437.58 | $3,567.59 |
| MRI brain without contrast | CPT | 70551 | 13 | $5,556 | $3,889.2 | $293.2 | $575.64 | $8,486 |
| MRI brain with contrast | CPT | 70552 | 13 | $5,556 | $3,889.2 | $469.24 | $920.8 | $8,486 |
| MRI brain with and without contrast | CPT | 70553 | 13 | $8,120 | $5,684 | $469.24 | $920.8 | $8,486 |
| Chest X-ray single view | CPT | 71045 | 14 | $475 | $332.5 | $21.38 | $103.2 | $369.6 |
| Chest X-ray 2 views | CPT | 71046 | 14 | $615 | $430.5 | $33.25 | $134.69 | $478.54 |
| Chest X-ray 3 views | CPT | 71047 | 14 | $757 | $529.9 | $42.68 | $142.68 | $593.07 |
| CT chest without contrast | CPT | 71250 | 13 | $4,153 | $2,907.1 | $138.73 | $288.8 | $3,231.45 |
| CT chest with contrast | CPT | 71260 | 13 | $4,013 | $2,809.1 | $227.61 | $424.18 | $3,122.52 |
| CT chest with and without contrast | CPT | 71270 | 13 | $5,120 | $3,584 | $227.61 | $453.84 | $3,983.88 |
| MRI chest without contrast | CPT | 71550 | 13 | $5,752 | $4,026.4 | $293.2 | $839.74 | $8,486 |
| MRI chest with contrast | CPT | 71551 | 13 | $4,058 | $2,840.6 | $478.35 | $921.25 | $8,486 |
| MRI chest with and without contrast | CPT | 71552 | 13 | $4,058 | $2,840.6 | $469.24 | $920.8 | $8,486 |
| Lumbosacral spine X-ray | CPT | 72100 | 14 | $971 | $679.7 | $52.57 | $148.13 | $755.54 |
| CT cervical spine without contrast | CPT | 72125 | 13 | $5,285 | $3,699.5 | $138.73 | $286.07 | $4,112.26 |
| CT thoracic spine without contrast | CPT | 72128 | 13 | $4,258 | $2,980.6 | $138.73 | $285.67 | $3,313.15 |
| CT lumbar spine without contrast | CPT | 72131 | 13 | $4,258 | $2,980.6 | $138.73 | $285.31 | $3,313.15 |
| MRI cervical spine without contrast | CPT | 72141 | 13 | $7,248 | $5,073.6 | $293.2 | $575.64 | $8,486 |
| MRI thoracic spine without contrast | CPT | 72146 | 13 | $4,833 | $3,383.1 | $293.2 | $575.64 | $8,486 |
| MRI lumbar spine without contrast | CPT | 72148 | 13 | $8,333 | $5,833.1 | $293.2 | $575.64 | $8,486 |
| MRI lumbar spine with and without contrast | CPT | 72149 | 13 | $6,823 | $4,776.1 | $469.24 | $920.8 | $8,486 |
| MRI cervical spine with and without contrast | CPT | 72156 | 13 | $10,593 | $7,415.1 | $469.24 | $920.8 | $8,486 |
| MRI lumbar spine with contrast | CPT | 72158 | 13 | $12,178 | $8,524.6 | $469.24 | $920.8 | $9,475.71 |
| CT pelvis without contrast | CPT | 72192 | 13 | $5,131 | $3,591.7 | $138.73 | $289.11 | $3,992.44 |
| CT pelvis with contrast | CPT | 72193 | 13 | $5,535 | $3,874.5 | $227.61 | $462.32 | $4,306.79 |
| Shoulder X-ray | CPT | 73030 | 14 | $711 | $497.7 | $44.88 | $117.6 | $553.23 |
| Humerus X-ray | CPT | 73060 | 14 | $269 | $188.3 | $36.07 | $103.2 | $351.98 |
| Hand X-ray 3 views | CPT | 73130 | 14 | $690 | $483 | $43.63 | $112.97 | $536.89 |
| MRI upper extremity joint without contrast | CPT | 73221 | 13 | $5,551 | $3,885.7 | $293.2 | $575.64 | $8,486 |
| MRI upper extremity joint with and without contrast | CPT | 73223 | 13 | $4,684 | $3,278.8 | $469.24 | $920.8 | $8,486 |
| Knee X-ray 1-2 views | CPT | 73560 | 14 | $549 | $384.3 | $33.01 | $111.99 | $427.18 |
| Ankle X-ray 3 views | CPT | 73610 | 14 | $819 | $573.3 | $43.63 | $112.97 | $637.27 |
| MRI lower extremity joint without contrast | CPT | 73721 | 13 | $7,245 | $5,071.5 | $293.2 | $575.64 | $8,486 |
| MRI lower extremity joint with and without contrast | CPT | 73723 | 13 | $5,116 | $3,581.2 | $469.24 | $920.8 | $8,486 |
| CT abdomen without contrast | CPT | 74150 | 13 | $3,179 | $2,225.3 | $138.73 | $292.91 | $2,473.58 |
| CT abdomen with contrast | CPT | 74160 | 13 | $3,263 | $2,284.1 | $227.61 | $467.36 | $2,538.95 |
| CT abdomen with and without contrast | CPT | 74170 | 13 | $3,416 | $2,391.2 | $227.61 | $501.12 | $2,657.99 |
| CT abdomen and pelvis without contrast | CPT | 74176 | 13 | $6,598 | $4,618.6 | $215.9 | $375.98 | $5,133.91 |
| CT abdomen and pelvis with contrast | CPT | 74177 | 13 | $6,954 | $4,867.8 | $340.98 | $713.74 | $5,410.91 |
| CT abdomen and pelvis with and without contrast | CPT | 74178 | 13 | $7,105 | $4,973.5 | $386.28 | $769.14 | $5,528.41 |
| MRI abdomen without contrast | CPT | 74181 | 13 | $6,165 | $4,315.5 | $293.2 | $575.64 | $8,486 |
| MRI abdomen with and without contrast | CPT | 74183 | 13 | $7,382 | $5,167.4 | $425.01 | $920.8 | $8,486 |
| Abdominal ultrasound complete | CPT | 76700 | 14 | $1,428 | $999.6 | $138.73 | $273.35 | $1,127.85 |
| Abdominal ultrasound limited | CPT | 76705 | 14 | $1,098 | $768.6 | $105.43 | $233.94 | $854.36 |
| Retroperitoneal ultrasound complete | CPT | 76770 | 14 | $1,947 | $1,362.9 | $138.73 | $273.35 | $1,514.97 |
| Obstetric ultrasound first trimester | CPT | 76801 | 14 | $1,067 | $746.9 | $94.89 | $239.28 | $830.24 |
| Obstetric ultrasound after first trimester | CPT | 76805 | 14 | $1,781 | $1,246.7 | $138.73 | $273.35 | $1,385.8 |
| Obstetric ultrasound with fetal anatomy | CPT | 76811 | 14 | $617 | $431.9 | $166.59 | $293.88 | $1,001.26 |
| Transvaginal ultrasound | CPT | 76830 | 14 | $1,750 | $1,225 | $117.42 | $260.54 | $1,361.68 |
| Pelvic ultrasound complete | CPT | 76856 | 14 | $1,947 | $1,362.9 | $117.42 | $259.57 | $1,514.97 |
| Scrotal ultrasound | CPT | 76870 | 14 | $1,750 | $1,225 | $103.76 | $263.45 | $1,361.68 |
| Diagnostic mammography unilateral | CPT | 77065 | 10 | $364 | $254.8 | $98.28 | $243.88 | $397.65 |
| Diagnostic mammography bilateral | CPT | 77066 | 10 | $466 | $326.2 | $125.82 | $312.22 | $508.6 |
| Screening mammography bilateral | CPT | 77067 | 10 | $427 | $298.9 | $115.29 | $269.86 | $427 |
| EKG tracing only | CPT | 93005 | 12 | $613 | $429.1 | $12.56 | $139.22 | $613 |
| Transthoracic echocardiogram complete | CPT | 93306 | 11 | $4,316 | $3,021.2 | $290.11 | $891.26 | $4,316 |
| Transthoracic echocardiogram | CPT | 93307 | 11 | $3,277 | $2,293.9 | $260.51 | $463.29 | $3,277 |
| Stress echocardiogram | CPT | 93350 | 11 | $3,380 | $2,366 | $166.82 | $616.45 | $3,380 |
| inpatient | ||||||||
| Respiratory infections & inflammations w MCC | MS-DRG | 177 | 6 | — | — | $16,325 | $16,325 | $16,325 |
| COPD w MCC | MS-DRG | 190 | 6 | — | — | $10,035 | $10,035 | $10,035 |
| COPD w CC | MS-DRG | 191 | 6 | — | — | $7,942.94 | $7,942.94 | $7,942.94 |
| COPD w/o CC/MCC | MS-DRG | 192 | 6 | — | — | $6,303.49 | $6,303.49 | $6,303.49 |
| Simple pneumonia & pleurisy w CC | MS-DRG | 194 | 6 | — | — | $7,765.7 | $7,765.7 | $7,765.7 |
| Simple pneumonia & pleurisy w/o CC/MCC | MS-DRG | 195 | 6 | — | — | $6,044.59 | $6,044.59 | $6,044.59 |
| AMI discharged alive w MCC | MS-DRG | 280 | 6 | — | — | $14,221 | $14,221 | $14,221 |
| AMI discharged alive w CC | MS-DRG | 281 | 6 | — | — | $8,345.2 | $8,345.2 | $8,345.2 |
| AMI discharged alive w/o CC/MCC | MS-DRG | 282 | 6 | — | — | $6,568.48 | $6,568.48 | $6,568.48 |
| Heart failure & shock w MCC | MS-DRG | 291 | 6 | — | — | $11,279 | $11,279 | $11,279 |
| Heart failure & shock w CC | MS-DRG | 292 | 6 | — | — | $7,762.23 | $7,762.23 | $7,762.23 |
| Heart failure & shock w/o CC/MCC | MS-DRG | 293 | 6 | — | — | $5,385.16 | $5,385.16 | $5,385.16 |
| Cardiac arrhythmia w MCC | MS-DRG | 308 | 6 | — | — | $10,694 | $10,694 | $10,694 |
| Cardiac arrhythmia w CC | MS-DRG | 309 | 6 | — | — | $6,780.47 | $6,780.47 | $6,780.47 |
| Cardiac arrhythmia w/o CC/MCC | MS-DRG | 310 | 6 | — | — | $5,118.43 | $5,118.43 | $5,118.43 |
| GI hemorrhage w CC | MS-DRG | 378 | 6 | — | — | $8,891.68 | $8,891.68 | $8,891.68 |
| GI hemorrhage w/o CC/MCC | MS-DRG | 379 | 6 | — | — | $5,796.11 | $5,796.11 | $5,796.11 |
| Esophagitis/gastroenteritis w/o MCC | MS-DRG | 392 | 6 | — | — | $6,913.4 | $6,913.4 | $6,913.4 |
| Fractures of femur w/o MCC | MS-DRG | 533 | 6 | — | — | $12,564 | $12,564 | $12,564 |
| Kidney/UTI w MCC | MS-DRG | 689 | 6 | — | — | $9,940.34 | $9,940.34 | $9,940.34 |
| Kidney/UTI w/o MCC | MS-DRG | 690 | 6 | — | — | $7,158.4 | $7,158.4 | $7,158.4 |
| Septicemia or severe sepsis w MV 96+ hrs | MS-DRG | 871 | 6 | — | — | $16,526 | $16,526 | $16,526 |
| Septicemia or severe sepsis w/o MV 96+ hrs | MS-DRG | 872 | 6 | — | — | $9,176.65 | $9,176.65 | $9,176.65 |
| lab | ||||||||
| Basic metabolic panel (BMP) | CPT | 80048 | 14 | $171 | $119.7 | $8.46 | $22.34 | $168.82 |
| Electrolyte panel | CPT | 80051 | 14 | $506 | $354.2 | $7.01 | $18.51 | $393.72 |
| Comprehensive metabolic panel | CPT | 80053 | 14 | $456 | $319.2 | $10.56 | $27.89 | $354.82 |
| Lipid panel | CPT | 80061 | 14 | $260 | $182 | $13.39 | $35.36 | $260 |
| Renal function panel | CPT | 80069 | 14 | $648 | $453.6 | $8.68 | $22.57 | $504.21 |
| Hepatic function panel | CPT | 80076 | 14 | $416 | $291.2 | $8.17 | $21.58 | $323.69 |
| Urinalysis non-automated | CPT | 81002 | 14 | $96 | $67.2 | $3.48 | $8.42 | $74.7 |
| Urinalysis automated | CPT | 81003 | 14 | $86 | $60.2 | $2.25 | $5.85 | $66.92 |
| Glucose quantitative | CPT | 82947 | 14 | $193 | $135.1 | $3.93 | $10.38 | $150.18 |
| Hemoglobin A1c | CPT | 83036 | 14 | $179 | $125.3 | $9.71 | $25.64 | $179 |
| Thyroid stimulating hormone (TSH) | CPT | 84443 | 14 | $386 | $270.2 | $2.16 | $20.16 | $335.21 |
| Complete blood count with automated differential | CPT | 85025 | 14 | $205 | $143.5 | $7.77 | $20.52 | $159.52 |
| Complete blood count without differential | CPT | 85027 | 14 | $151 | $105.7 | $6.47 | $16.83 | $129.06 |
| Urine culture bacterial | CPT | 87086 | 14 | $390 | $273 | $8.07 | $21.31 | $303.46 |
| Tissue exam by pathologist level IV | CPT | 88305 | 14 | $390 | $273 | $59.71 | $100.57 | $303.46 |
| maternity | ||||||||
| Fetal non-stress test | CPT | 59025 | 14 | $682 | $477.4 | $39.57 | $433.75 | $13,463 |
| Routine obstetric care including vaginal delivery | CPT | 59400 | 4 | — | — | $2,412.76 | $5,379 | $13,463 |
| Vaginal delivery only | CPT | 59409 | 11 | — | — | $944.67 | $3,780.14 | $17,494 |
| Vaginal delivery with postpartum | CPT | 59410 | 5 | — | — | $3,132 | $5,379 | $13,463 |
| Routine obstetric care with C-section | CPT | 59510 | 4 | — | — | $2,414.2 | $5,379 | $13,463 |
| C-section delivery only | CPT | 59514 | 4 | — | — | $945.43 | $5,379 | $13,463 |
| C-section with postpartum | CPT | 59515 | 5 | — | — | $3,132 | $7,711.13 | $13,463 |
| office | ||||||||
| Office visit, new patient, 15-29 min | CPT | 99202 | 7 | $228 | $159.6 | $50.22 | $124.62 | $228 |
| Office visit, new patient, 30-44 minutes | CPT | 99203 | 7 | $248 | $173.6 | $66.96 | $143.75 | $248 |
| Office visit, new patient, 45-59 min | CPT | 99204 | 7 | $2,439 | $1,707.3 | $83.7 | $241.22 | $2,439 |
| Office visit, new patient, 60-74 min | CPT | 99205 | 7 | $402 | $281.4 | $108.54 | $237.73 | $402 |
| Office visit, established patient, 5 min | CPT | 99211 | 7 | $526 | $368.2 | $12.38 | $109.65 | $409.29 |
| Office visit, established patient, 10-19 min | CPT | 99212 | 7 | $228 | $159.6 | $19.81 | $124.62 | $228 |
| Office visit, established patient, 20-29 minutes | CPT | 99213 | 7 | $248 | $173.6 | $41.66 | $111.37 | $248 |
| Office visit, established patient, 30-39 minutes | CPT | 99214 | 7 | $2,439 | $1,707.3 | $65.09 | $241.22 | $2,439 |
| Office visit, established patient, 40-54 min | CPT | 99215 | 7 | $402 | $281.4 | $99.28 | $199.29 | $402 |
| preventive | ||||||||
| Upper GI endoscopy diagnostic | CPT | 43235 | 11 | — | — | $490.56 | $2,641.05 | $16,750 |
| Upper GI endoscopy with biopsy | CPT | 43239 | 11 | — | — | $512.57 | $2,641.05 | $16,750 |
| Sigmoidoscopy diagnostic | CPT | 45330 | 11 | — | — | $119.79 | $2,153.1 | $14,888 |
| Sigmoidoscopy with biopsy | CPT | 45331 | 11 | — | — | $158.09 | $2,153.1 | $14,888 |
| Colonoscopy diagnostic | CPT | 45378 | 11 | — | — | $646.19 | $2,153.1 | $16,750 |
| Colonoscopy with biopsy | CPT | 45380 | 11 | — | — | $722.81 | $2,457.41 | $16,750 |
| Colonoscopy with polyp removal | CPT | 45385 | 11 | — | — | $875.99 | $2,457.41 | $16,750 |
| surgery | ||||||||
| Total shoulder arthroplasty | CPT | 23472 | 10 | — | — | $5,122.78 | $15,712 | $30,804 |
| PCI w drug-eluting stent w MCC | MS-DRG | 246 | 6 | — | — | $27,404 | $27,404 | $27,404 |
| PCI w drug-eluting stent w/o MCC | MS-DRG | 247 | 6 | — | — | $17,403 | $17,403 | $17,403 |
| Hip hemiarthroplasty | CPT | 27125 | 7 | — | — | $2,281.65 | $10,351 | $30,804 |
| Total hip replacement | CPT | 27130 | 11 | — | — | $3,259.5 | $15,333 | $30,804 |
| Total knee replacement | CPT | 27447 | 11 | — | — | $3,259.5 | $15,712 | $30,804 |
| Knee revision arthroplasty single component | CPT | 27486 | 7 | — | — | $5,122.78 | $10,364 | $30,804 |
| Knee revision arthroplasty all components | CPT | 27487 | 7 | — | — | $3,126.68 | $10,351 | $30,804 |
| Shoulder arthroscopy with decompression | CPT | 29826 | 7 | — | — | $732.12 | $6,445 | $15,097 |
| Shoulder arthroscopy with rotator cuff repair | CPT | 29827 | 11 | — | — | $753.87 | $7,991.07 | $22,334 |
| Knee arthroscopy with meniscectomy | CPT | 29881 | 11 | — | — | $956.32 | $5,955.76 | $18,612 |
| ACL reconstruction | CPT | 29888 | 11 | — | — | $1,476.55 | $7,981.47 | $22,334 |
| Major small/large bowel procedures w MCC | MS-DRG | 329 | 6 | — | — | $42,712 | $42,712 | $42,712 |
| Major small/large bowel procedures w CC | MS-DRG | 330 | 6 | — | — | $22,409 | $22,409 | $22,409 |
| Major small/large bowel procedures w/o CC/MCC | MS-DRG | 331 | 6 | — | — | $15,121 | $15,121 | $15,121 |
| CABG single arterial graft | CPT | 33533 | 6 | — | — | $4,097.21 | $12,551 | $20,474 |
| CABG 2 arterial grafts | CPT | 33534 | 6 | — | — | $4,607.3 | $12,551 | $26,695 |
| CABG 3 arterial grafts | CPT | 33535 | 6 | — | — | $5,116.61 | $12,551 | $26,695 |
| CABG 4+ arterial grafts | CPT | 33536 | 6 | — | — | $5,627.54 | $12,551 | $26,695 |
| Laparoscopic cholecystectomy w/o CDE w MCC | MS-DRG | 418 | 6 | — | — | $14,934 | $14,934 | $14,934 |
| Laparoscopic cholecystectomy w/o CDE w CC | MS-DRG | 419 | 6 | — | — | $11,688 | $11,688 | $11,688 |
| Laparoscopic cholecystectomy w/o CDE w/o CC/MCC | MS-DRG | 420 | 6 | — | — | $30,812 | $30,812 | $30,812 |
| Open appendectomy | CPT | 44950 | 11 | — | — | $876.8 | $4,552.9 | $18,612 |
| Laparoscopic appendectomy | CPT | 44970 | 11 | — | — | $598.12 | $6,447.62 | $22,334 |
| Spinal fusion (non-cervical) w MCC | MS-DRG | 459 | 6 | — | — | $58,761 | $58,761 | $58,761 |
| Spinal fusion (non-cervical) w/o MCC | MS-DRG | 460 | 6 | — | — | $34,410 | $34,410 | $34,410 |
| Major joint replacement w MCC | MS-DRG | 469 | 6 | — | — | $27,071 | $27,071 | $27,071 |
| Major joint replacement w/o MCC | MS-DRG | 470 | 6 | — | — | $16,770 | $16,770 | $16,770 |
| Laparoscopic cholecystectomy | CPT | 47562 | 11 | — | — | $1,020.21 | $9,044 | $26,695 |
| Lap cholecystectomy with cholangiography | CPT | 47563 | 11 | — | — | $1,174.23 | $9,044 | $26,695 |
| Hip & femur procedures except major joint w MCC | MS-DRG | 480 | 6 | — | — | $26,549 | $26,549 | $26,549 |
| Hip & femur procedures except major joint w CC | MS-DRG | 481 | 6 | — | — | $18,471 | $18,471 | $18,471 |
| Hip & femur procedures except major joint w/o CC/MCC | MS-DRG | 482 | 6 | — | — | $14,559 | $14,559 | $14,559 |
| Open umbilical hernia repair | CPT | 49560 | 11 | — | — | $1,015.34 | $5,955.76 | $18,612 |
| Umbilical hernia repair age 5+ | CPT | 49585 | 11 | — | — | $646.19 | $5,955.76 | $18,612 |
| Lap inguinal hernia repair | CPT | 49650 | 11 | — | — | $459.44 | $6,455.38 | $22,334 |
| Lap incisional hernia repair | CPT | 49652 | 11 | — | — | $634.73 | $7,115.07 | $22,334 |
| Total abdominal hysterectomy | CPT | 58150 | 7 | — | — | $1,407.11 | $10,678 | $19,171 |
| Vaginal hysterectomy | CPT | 58260 | 11 | — | — | $1,407.11 | $5,625.67 | $19,171 |
| Lap-assisted vaginal hysterectomy | CPT | 58550 | 11 | — | — | $1,014.88 | $9,010 | $22,334 |
| Lap-assisted vaginal hysterectomy >250g | CPT | 58552 | 11 | — | — | $746.15 | $11,363 | $22,334 |
| Lap salpingo-oophorectomy | CPT | 58661 | 11 | — | — | $848.67 | $6,832.3 | $22,334 |
| OR procedure for obesity w MCC | MS-DRG | 619 | 6 | — | — | $26,860 | $26,860 | $26,860 |
| OR procedure for obesity w CC | MS-DRG | 620 | 6 | — | — | $15,575 | $15,575 | $15,575 |
| OR procedure for obesity w/o CC/MCC | MS-DRG | 621 | 6 | — | — | $14,136 | $14,136 | $14,136 |
| Complex cataract surgery | CPT | 66982 | 11 | — | — | $1,539.54 | $6,202.86 | $18,011 |
| Cataract surgery with lens implant | CPT | 66984 | 11 | — | — | $2,200.17 | $6,202.86 | $18,011 |
| Intravitreal injection | CPT | 67028 | 11 | — | — | $390.39 | $1,697.29 | $9,306 |
| Vitrectomy mechanical | CPT | 67042 | 11 | — | — | $1,436.15 | $5,349.89 | $20,474 |
| Uterine & adnexa procedures w CC/MCC | MS-DRG | 743 | 6 | — | — | $10,102 | $10,102 | $10,102 |
| Uterine & adnexa procedures w/o CC/MCC | MS-DRG | 744 | 6 | — | — | $15,859 | $15,859 | $15,859 |
| PCI single major coronary artery | CPT | 92920 | 14 | $15,695 | $10,987 | $526.5 | $8,632.25 | $26,695 |
| PCI with drug-eluting stent | CPT | 92928 | 14 | $23,845 | $16,692 | $584.49 | $12,799 | $26,695 |
| PCI bypass graft | CPT | 92937 | 14 | $23,845 | $16,692 | $583.78 | $12,799 | $26,695 |
| Left heart catheterization | CPT | 93452 | 14 | $10,277 | $7,193.9 | $1,170.71 | $6,371.74 | $20,474 |
| Coronary angiography with cath | CPT | 93455 | 14 | $16,616 | $11,631 | $1,411.08 | $7,251.5 | $26,695 |
| Coronary angiography with bypass cath | CPT | 93458 | 14 | $16,795 | $11,757 | $1,457.92 | $7,251.5 | $26,695 |
Payer mix (top 16)
| Payer | Codes covered | Median rate |
|---|---|---|
| Anthem BCBS | 186 | $1,166 |
| Aetna | 174 | $921.25 |
| Kaiser Permanente | 172 | $662.47 |
| Blue Cross Blue Shield | 170 | $3,110.96 |
| Humana | 160 | $911.64 |
| Medicare | 160 | $911.64 |
| Medicaid | 140 | $446.62 |
| UnitedHealthcare | 137 | $828.27 |
| Health Net | 126 | $921.25 |
| commercial | valley care ipa | all plans | 115 | $293.85 |
| First Health | 98 | $650.57 |
| Multiplan | 98 | $755.54 |
| Cigna | 87 | $5,229 |
| commercial | ventura hp | all plans | 81 | $749 |
| commercial | sea view | all plans | 19 | $105.67 |
| commercial | western growers | all plans | 12 | $4,416.78 |