▸ Hospital · CA · CCN 050116
Northridge Hospital Medical Center
18300 ROSCOE BLVD, NORTHRIDGE, CA, 91328
319 bedsAcute Care Hospitals1
Compliance grade
A
100/100
Procedures tracked
192
of 209 target codes
Payers
16
with negotiated rates
Rates published
8,249
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 | — | — | $11,833 | $11,833 | $14,200 |
| Psychiatric diagnostic evaluation | CPT | 90791 | 12 | $758 | $530.6 | $123.85 | $170.91 | $758 |
| Psychotherapy 30 minutes | CPT | 90832 | 12 | $776 | $543.2 | $67.05 | $170.5 | $853 |
| Psychotherapy 45 minutes | CPT | 90834 | 12 | $1,031 | $721.7 | $85.18 | $170.71 | $1,031 |
| Psychotherapy 60 minutes | CPT | 90837 | 12 | $1,543 | $1,080.1 | $124.32 | $170.91 | $1,543 |
| emergency | ||||||||
| ED visit level 1 | CPT | 99281 | 16 | $459 | $321.3 | $21.77 | $243.27 | $1,665 |
| ED visit level 2 | CPT | 99282 | 16 | $891 | $623.7 | $34.97 | $472.23 | $2,857 |
| ED visit level 3 | CPT | 99283 | 16 | $1,325 | $927.5 | $63.97 | $702.25 | $3,812 |
| ED visit level 4 | CPT | 99284 | 16 | $3,820 | $2,674 | $98.04 | $1,564.12 | $7,546 |
| ED visit level 5 | CPT | 99285 | 16 | $5,629 | $3,940.3 | $155.03 | $2,300.42 | $9,813 |
| Critical care, first hour | CPT | 99291 | 16 | $11,217 | $7,851.9 | $887 | $4,859.4 | $11,217 |
| imaging | ||||||||
| CT head without contrast | CPT | 70450 | 13 | $7,043 | $4,930.1 | $138.73 | $166.48 | $7,043 |
| CT head with contrast | CPT | 70460 | 13 | $9,649 | $6,754.3 | $209.04 | $263.04 | $9,649 |
| CT head with and without contrast | CPT | 70470 | 13 | $11,550 | $8,085 | $227.61 | $273.13 | $11,550 |
| CT neck with contrast | CPT | 70491 | 13 | $5,547 | $3,882.9 | $227.61 | $305.43 | $5,547 |
| MRI brain without contrast | CPT | 70551 | 13 | $6,001 | $4,200.7 | $283.78 | $343.37 | $6,001 |
| MRI brain with contrast | CPT | 70552 | 13 | $8,703 | $6,092.1 | $396.44 | $479.69 | $8,703 |
| MRI brain with and without contrast | CPT | 70553 | 13 | $10,002 | $7,001.4 | $467.23 | $563.09 | $10,002 |
| Chest X-ray single view | CPT | 71045 | 14 | $786 | $550.2 | $17.67 | $103.32 | $786 |
| Chest X-ray 2 views | CPT | 71046 | 14 | $1,022 | $715.4 | $27.48 | $103.32 | $1,022 |
| Chest X-ray 3 views | CPT | 71047 | 14 | $1,259 | $881.3 | $35.27 | $103.32 | $1,259 |
| CT chest without contrast | CPT | 71250 | 13 | $3,499 | $2,449.3 | $138.73 | $226.42 | $3,499 |
| CT chest with contrast | CPT | 71260 | 13 | $6,859 | $4,801.3 | $227.61 | $288 | $6,859 |
| CT chest with and without contrast | CPT | 71270 | 13 | $7,750 | $5,425 | $227.61 | $342.25 | $7,750 |
| MRI chest without contrast | CPT | 71550 | 13 | $3,771 | $2,639.7 | $293.2 | $542.4 | $3,771 |
| MRI chest with contrast | CPT | 71551 | 13 | $5,466 | $3,826.2 | $395.33 | $913.83 | $5,466 |
| MRI chest with and without contrast | CPT | 71552 | 13 | $6,281 | $4,396.7 | $469.24 | $563.09 | $6,281 |
| Lumbosacral spine X-ray | CPT | 72100 | 14 | $1,043 | $730.1 | $43.45 | $139.06 | $1,043 |
| CT cervical spine without contrast | CPT | 72125 | 13 | $6,114 | $4,279.8 | $138.73 | $222.37 | $6,114 |
| CT thoracic spine without contrast | CPT | 72128 | 13 | $6,114 | $4,279.8 | $138.73 | $221.78 | $6,114 |
| CT lumbar spine without contrast | CPT | 72131 | 13 | $6,114 | $4,279.8 | $138.73 | $221.24 | $6,114 |
| MRI cervical spine without contrast | CPT | 72141 | 13 | $7,960 | $5,572 | $277.53 | $335.81 | $7,960 |
| MRI thoracic spine without contrast | CPT | 72146 | 13 | $7,960 | $5,572 | $277.53 | $335.81 | $7,960 |
| MRI lumbar spine without contrast | CPT | 72148 | 13 | $7,963 | $5,574.1 | $277.97 | $336.34 | $7,963 |
| MRI lumbar spine with and without contrast | CPT | 72149 | 13 | $11,544 | $8,080.8 | $399.67 | $483.6 | $11,544 |
| MRI cervical spine with and without contrast | CPT | 72156 | 13 | $13,293 | $9,305.1 | $469.24 | $563.09 | $13,293 |
| MRI lumbar spine with contrast | CPT | 72158 | 13 | $13,293 | $9,305.1 | $469.24 | $563.09 | $13,293 |
| CT pelvis without contrast | CPT | 72192 | 13 | $4,597 | $3,217.9 | $138.73 | $188.49 | $4,597 |
| CT pelvis with contrast | CPT | 72193 | 13 | $9,056 | $6,339.2 | $227.61 | $324.05 | $9,056 |
| Shoulder X-ray | CPT | 73030 | 14 | $1,561 | $1,092.7 | $37.09 | $103.32 | $1,561 |
| Humerus X-ray | CPT | 73060 | 14 | $988 | $691.6 | $29.81 | $103.32 | $988 |
| Hand X-ray 3 views | CPT | 73130 | 14 | $1,561 | $1,092.7 | $36.06 | $103.32 | $1,561 |
| MRI upper extremity joint without contrast | CPT | 73221 | 13 | $6,264 | $4,384.8 | $293.2 | $799 | $6,264 |
| MRI upper extremity joint with and without contrast | CPT | 73223 | 13 | $10,479 | $7,335.3 | $408.36 | $799 | $10,479 |
| Knee X-ray 1-2 views | CPT | 73560 | 14 | $1,198 | $838.6 | $27.28 | $103.32 | $1,198 |
| Ankle X-ray 3 views | CPT | 73610 | 14 | $1,443 | $1,010.1 | $36.06 | $103.32 | $1,443 |
| MRI lower extremity joint without contrast | CPT | 73721 | 13 | $7,967 | $5,576.9 | $293.2 | $799 | $7,967 |
| MRI lower extremity joint with and without contrast | CPT | 73723 | 13 | $13,332 | $9,332.4 | $407.06 | $799 | $13,332 |
| CT abdomen without contrast | CPT | 74150 | 13 | $4,825 | $3,377.5 | $138.73 | $400.56 | $4,825 |
| CT abdomen with contrast | CPT | 74160 | 13 | $7,440 | $5,208 | $227.61 | $330.89 | $7,440 |
| CT abdomen with and without contrast | CPT | 74170 | 13 | $8,646 | $6,052.2 | $227.61 | $376.66 | $8,646 |
| CT abdomen and pelvis without contrast | CPT | 74176 | 13 | $6,736 | $4,715.2 | $178.43 | $293.91 | $6,736 |
| CT abdomen and pelvis with contrast | CPT | 74177 | 13 | $10,053 | $7,037.1 | $281.8 | $470.37 | $10,053 |
| CT abdomen and pelvis with and without contrast | CPT | 74178 | 13 | $11,661 | $8,162.7 | $319.24 | $470.37 | $11,661 |
| MRI abdomen without contrast | CPT | 74181 | 13 | $6,188 | $4,331.6 | $287.28 | $351.84 | $6,188 |
| MRI abdomen with and without contrast | CPT | 74183 | 13 | $10,333 | $7,233.1 | $351.25 | $470.37 | $10,333 |
| Abdominal ultrasound complete | CPT | 76700 | 14 | $2,470 | $1,729 | $119.34 | $144.4 | $2,470 |
| Abdominal ultrasound limited | CPT | 76705 | 14 | $1,897 | $1,327.9 | $87.13 | $139.06 | $1,897 |
| Retroperitoneal ultrasound complete | CPT | 76770 | 14 | $2,088 | $1,461.6 | $115.78 | $140.09 | $2,088 |
| Obstetric ultrasound first trimester | CPT | 76801 | 14 | $1,156 | $809.2 | $78.42 | $139.06 | $1,156 |
| Obstetric ultrasound after first trimester | CPT | 76805 | 14 | $1,411 | $987.7 | $135.29 | $163.7 | $1,411 |
| Obstetric ultrasound with fetal anatomy | CPT | 76811 | 14 | $1,411 | $987.7 | $159.03 | $293.91 | $1,411 |
| Transvaginal ultrasound | CPT | 76830 | 14 | $2,016 | $1,411.2 | $97.04 | $139.06 | $2,016 |
| Pelvic ultrasound complete | CPT | 76856 | 14 | $2,615 | $1,830.5 | $97.04 | $139.06 | $2,615 |
| Scrotal ultrasound | CPT | 76870 | 14 | $2,511 | $1,757.7 | $85.75 | $139.06 | $2,511 |
| Diagnostic mammography unilateral | CPT | 77065 | 9 | $519 | $363.3 | $117.89 | $283.55 | $519 |
| Diagnostic mammography bilateral | CPT | 77066 | 9 | $647 | $452.9 | $149.36 | $362.82 | $647 |
| Screening mammography bilateral | CPT | 77067 | 9 | $436 | $305.2 | $101.59 | $299.62 | $436 |
| EKG tracing only | CPT | 93005 | 12 | $719 | $503.3 | $28.23 | $71.1 | $719 |
| Transthoracic echocardiogram complete | CPT | 93306 | 12 | $7,007 | $4,904.9 | $239.76 | $617.19 | $7,007 |
| Transthoracic echocardiogram | CPT | 93307 | 12 | $2,124 | $1,486.8 | $215.3 | $293.91 | $2,124 |
| Stress echocardiogram | CPT | 93350 | 12 | $3,366 | $2,356.2 | $137.87 | $617.19 | $3,366 |
| inpatient | ||||||||
| Respiratory infections & inflammations w MCC | MS-DRG | 177 | 6 | — | — | $17,405 | $17,405 | $20,886 |
| COPD w MCC | MS-DRG | 190 | 6 | — | — | $10,789 | $10,789 | $12,946 |
| COPD w CC | MS-DRG | 191 | 6 | — | — | $8,588.22 | $8,588.22 | $10,306 |
| COPD w/o CC/MCC | MS-DRG | 192 | 6 | — | — | $6,863.82 | $6,863.82 | $8,236.58 |
| Simple pneumonia & pleurisy w CC | MS-DRG | 194 | 6 | — | — | $8,401.8 | $8,401.8 | $10,082 |
| Simple pneumonia & pleurisy w/o CC/MCC | MS-DRG | 195 | 6 | — | — | $6,591.49 | $6,591.49 | $7,909.79 |
| AMI discharged alive w MCC | MS-DRG | 280 | 6 | — | — | $15,192 | $15,192 | $18,230 |
| AMI discharged alive w CC | MS-DRG | 281 | 6 | — | — | $9,011.33 | $9,011.33 | $10,814 |
| AMI discharged alive w/o CC/MCC | MS-DRG | 282 | 6 | — | — | $7,142.54 | $7,142.54 | $8,571.05 |
| Heart failure & shock w MCC | MS-DRG | 291 | 6 | — | — | $12,097 | $12,097 | $14,517 |
| Heart failure & shock w CC | MS-DRG | 292 | 6 | — | — | $8,398.15 | $8,398.15 | $10,078 |
| Heart failure & shock w/o CC/MCC | MS-DRG | 293 | 6 | — | — | $5,897.89 | $5,897.89 | $7,077.47 |
| Cardiac arrhythmia w MCC | MS-DRG | 308 | 6 | — | — | $11,481 | $11,481 | $13,778 |
| Cardiac arrhythmia w CC | MS-DRG | 309 | 6 | — | — | $7,365.51 | $7,365.51 | $8,838.61 |
| Cardiac arrhythmia w/o CC/MCC | MS-DRG | 310 | 6 | — | — | $5,617.34 | $5,617.34 | $6,740.81 |
| GI hemorrhage w CC | MS-DRG | 378 | 6 | — | — | $9,586.13 | $9,586.13 | $11,503 |
| GI hemorrhage w/o CC/MCC | MS-DRG | 379 | 6 | — | — | $6,330.14 | $6,330.14 | $7,596.17 |
| Esophagitis/gastroenteritis w/o MCC | MS-DRG | 392 | 6 | — | — | $7,505.33 | $7,505.33 | $9,006.4 |
| Fractures of femur w/o MCC | MS-DRG | 533 | 6 | — | — | $13,449 | $13,449 | $16,139 |
| Kidney/UTI w MCC | MS-DRG | 689 | 6 | — | — | $10,689 | $10,689 | $12,827 |
| Kidney/UTI w/o MCC | MS-DRG | 690 | 6 | — | — | $7,763.03 | $7,763.03 | $9,315.64 |
| Septicemia or severe sepsis w MV 96+ hrs | MS-DRG | 871 | 6 | — | — | $17,616 | $17,616 | $21,139 |
| Septicemia or severe sepsis w/o MV 96+ hrs | MS-DRG | 872 | 6 | — | — | $9,885.87 | $9,885.87 | $11,863 |
| lab | ||||||||
| Basic metabolic panel (BMP) | CPT | 80048 | 13 | $1,000 | $700 | $4.95 | $14.16 | $1,000 |
| General health panel | CPT | 80050 | 7 | $2,261 | $1,582.7 | $75.91 | $363.28 | $2,261 |
| Electrolyte panel | CPT | 80051 | 13 | $573 | $401.1 | $4.1 | $11.74 | $573 |
| Comprehensive metabolic panel | CPT | 80053 | 13 | $1,304 | $912.8 | $6.18 | $17.66 | $1,304 |
| Lipid panel | CPT | 80061 | 13 | $1,169 | $818.3 | $1.55 | $14.08 | $1,169 |
| Renal function panel | CPT | 80069 | 13 | $765 | $535.5 | $5.08 | $14.52 | $765 |
| Hepatic function panel | CPT | 80076 | 13 | $791 | $553.7 | $4.78 | $13.67 | $791 |
| Urinalysis non-automated | CPT | 81002 | 13 | $78 | $54.6 | $3.08 | $4.21 | $78 |
| Urinalysis automated | CPT | 81003 | 13 | $264 | $184.8 | $1.32 | $7.2 | $264 |
| Glucose quantitative | CPT | 82947 | 13 | $361 | $252.7 | $2.3 | $12.47 | $361 |
| Hemoglobin A1c | CPT | 83036 | 13 | $370 | $259 | $3.93 | $9.71 | $370 |
| Thyroid stimulating hormone (TSH) | CPT | 84443 | 13 | $575 | $402.5 | $9.82 | $28.12 | $575 |
| Complete blood count with automated differential | CPT | 85025 | 14 | $501 | $350.7 | $4.55 | $13.71 | $501 |
| Complete blood count without differential | CPT | 85027 | 13 | $374 | $261.8 | $3.79 | $10.84 | $374 |
| Urine culture bacterial | CPT | 87086 | 13 | $682 | $477.4 | $4.72 | $13.52 | $682 |
| Urine culture identification | CPT | 87088 | 13 | $285 | $199.5 | $7.29 | $10.13 | $285 |
| Tissue exam by pathologist level IV | CPT | 88305 | 14 | $469 | $328.3 | $13.98 | $63.32 | $469 |
| maternity | ||||||||
| Fetal non-stress test | CPT | 59025 | 14 | $1,078 | $754.6 | $32.7 | $535.77 | $6,765 |
| Routine obstetric care including vaginal delivery | CPT | 59400 | 5 | — | — | $1,873.71 | $2,858.46 | $7,516 |
| Vaginal delivery only | CPT | 59409 | 12 | — | — | $780.72 | $3,343.23 | $12,405 |
| Vaginal delivery with postpartum | CPT | 59410 | 5 | — | — | $2,425 | $3,657.09 | $7,516 |
| Routine obstetric care with C-section | CPT | 59510 | 5 | — | — | $1,873.83 | $3,266.82 | $7,516 |
| C-section delivery only | CPT | 59514 | 5 | — | — | $781.35 | $3,266.82 | $7,516 |
| C-section with postpartum | CPT | 59515 | 5 | — | — | $2,918.58 | $3,883.03 | $7,516 |
| office | ||||||||
| Office visit, new patient, 15-29 min | CPT | 99202 | 7 | $389 | $272.3 | $28.19 | $98.02 | $389 |
| Office visit, new patient, 30-44 minutes | CPT | 99203 | 7 | $499 | $349.3 | $36.03 | $117.27 | $499 |
| Office visit, new patient, 45-59 min | CPT | 99204 | 7 | $2,859 | $2,001.3 | $40.79 | $416.8 | $2,859 |
| Office visit, new patient, 60-74 min | CPT | 99205 | 7 | $1,265 | $885.5 | $44.3 | $328.9 | $1,265 |
| Office visit, established patient, 5 min | CPT | 99211 | 7 | $1,247 | $872.9 | $13.45 | $87.62 | $1,247 |
| Office visit, established patient, 10-19 min | CPT | 99212 | 7 | $389 | $272.3 | $16.37 | $91.42 | $389 |
| Office visit, established patient, 20-29 minutes | CPT | 99213 | 7 | $499 | $349.3 | $25.18 | $123.51 | $499 |
| Office visit, established patient, 30-39 minutes | CPT | 99214 | 7 | $2,859 | $2,001.3 | $33.85 | $393.6 | $2,859 |
| Office visit, established patient, 40-54 min | CPT | 99215 | 7 | $664 | $464.8 | $39.04 | $156.04 | $664 |
| preventive | ||||||||
| Upper GI endoscopy diagnostic | CPT | 43235 | 12 | — | — | $385.77 | $1,033.55 | $11,879 |
| Upper GI endoscopy with biopsy | CPT | 43239 | 12 | — | — | $403.1 | $1,033.55 | $11,879 |
| Sigmoidoscopy diagnostic | CPT | 45330 | 12 | — | — | $94.21 | $1,013.65 | $10,558 |
| Sigmoidoscopy with biopsy | CPT | 45331 | 12 | — | — | $124.33 | $1,013.65 | $10,558 |
| Colonoscopy diagnostic | CPT | 45378 | 12 | — | — | $508.17 | $1,013.65 | $11,879 |
| Colonoscopy with biopsy | CPT | 45380 | 12 | — | — | $568.41 | $1,324.55 | $11,879 |
| Colonoscopy with polyp removal | CPT | 45385 | 12 | — | — | $688.89 | $1,324.55 | $11,879 |
| surgery | ||||||||
| Total shoulder arthroplasty | CPT | 23472 | 11 | — | — | $1,490.14 | $12,997 | $18,855 |
| PCI w drug-eluting stent w MCC | MS-DRG | 246 | 6 | — | — | $29,058 | $29,058 | $34,870 |
| PCI w drug-eluting stent w/o MCC | MS-DRG | 247 | 6 | — | — | $18,539 | $18,539 | $22,247 |
| Hip hemiarthroplasty | CPT | 27125 | 8 | — | — | $1,794.33 | $5,379.5 | $15,839 |
| Total hip replacement | CPT | 27130 | 12 | — | — | $2,563.34 | $8,436 | $18,855 |
| Total knee replacement | CPT | 27447 | 12 | — | — | $2,563.34 | $11,206 | $18,855 |
| Knee revision arthroplasty single component | CPT | 27486 | 6 | — | — | $1,647.29 | $6,765 | $17,156 |
| Knee revision arthroplasty all components | CPT | 27487 | 8 | — | — | $2,458.88 | $5,189.58 | $17,156 |
| Shoulder arthroscopy with decompression | CPT | 29826 | 8 | — | — | $605.06 | $3,706.53 | $8,095 |
| Shoulder arthroscopy with rotator cuff repair | CPT | 29827 | 12 | — | — | $592.75 | $7,048 | $15,839 |
| Knee arthroscopy with meniscectomy | CPT | 29881 | 12 | — | — | $790.35 | $3,617.32 | $13,196 |
| ACL reconstruction | CPT | 29888 | 12 | — | — | $1,161.19 | $7,505 | $15,839 |
| Major small/large bowel procedures w MCC | MS-DRG | 329 | 6 | — | — | $45,159 | $45,159 | $54,191 |
| Major small/large bowel procedures w CC | MS-DRG | 330 | 6 | — | — | $23,804 | $23,804 | $28,564 |
| Major small/large bowel procedures w/o CC/MCC | MS-DRG | 331 | 6 | — | — | $16,138 | $16,138 | $19,366 |
| CABG single arterial graft | CPT | 33533 | 7 | — | — | $3,222.09 | $6,765 | $14,518 |
| CABG 2 arterial grafts | CPT | 33534 | 7 | — | — | $3,623.26 | $6,765 | $15,352 |
| CABG 3 arterial grafts | CPT | 33535 | 7 | — | — | $4,023.78 | $6,765 | $15,352 |
| CABG 4+ arterial grafts | CPT | 33536 | 7 | — | — | $4,425.59 | $6,765 | $15,352 |
| Laparoscopic cholecystectomy w/o CDE w MCC | MS-DRG | 418 | 6 | — | — | $15,942 | $15,942 | $19,130 |
| Laparoscopic cholecystectomy w/o CDE w CC | MS-DRG | 419 | 6 | — | — | $12,527 | $12,527 | $15,032 |
| Laparoscopic cholecystectomy w/o CDE w/o CC/MCC | MS-DRG | 420 | 6 | — | — | $32,642 | $32,642 | $39,171 |
| Open appendectomy | CPT | 44950 | 12 | — | — | $689.53 | $4,063.9 | $13,196 |
| Laparoscopic appendectomy | CPT | 44970 | 12 | — | — | $470.38 | $5,839.71 | $15,839 |
| Spinal fusion (non-cervical) w MCC | MS-DRG | 459 | 6 | — | — | $62,040 | $62,040 | $74,448 |
| Spinal fusion (non-cervical) w/o MCC | MS-DRG | 460 | 6 | — | — | $36,427 | $36,427 | $43,713 |
| Major joint replacement w MCC | MS-DRG | 469 | 6 | — | — | $28,707 | $28,707 | $34,449 |
| Major joint replacement w/o MCC | MS-DRG | 470 | 6 | — | — | $17,873 | $17,873 | $21,447 |
| Laparoscopic cholecystectomy | CPT | 47562 | 12 | — | — | $802.32 | $6,447.62 | $15,839 |
| Lap cholecystectomy with cholangiography | CPT | 47563 | 12 | — | — | $923.44 | $6,447.62 | $15,839 |
| Hip & femur procedures except major joint w MCC | MS-DRG | 480 | 6 | — | — | $28,158 | $28,158 | $33,790 |
| Hip & femur procedures except major joint w CC | MS-DRG | 481 | 6 | — | — | $19,662 | $19,662 | $23,595 |
| Hip & femur procedures except major joint w/o CC/MCC | MS-DRG | 482 | 6 | — | — | $15,547 | $15,547 | $18,657 |
| Open umbilical hernia repair | CPT | 49560 | 12 | — | — | $798.48 | $4,063.9 | $13,196 |
| Umbilical hernia repair age 5+ | CPT | 49585 | 12 | — | — | $508.17 | $4,063.9 | $13,196 |
| Lap inguinal hernia repair | CPT | 49650 | 12 | — | — | $379.7 | $6,369 | $15,839 |
| Lap incisional hernia repair | CPT | 49652 | 12 | — | — | $524.57 | $6,447.62 | $15,839 |
| Total abdominal hysterectomy | CPT | 58150 | 8 | — | — | $1,162.9 | $4,960 | $13,196 |
| Vaginal hysterectomy | CPT | 58260 | 12 | — | — | $1,162.9 | $5,618.91 | $13,196 |
| Lap-assisted vaginal hysterectomy | CPT | 58550 | 12 | — | — | $838.74 | $6,447.62 | $15,839 |
| Lap-assisted vaginal hysterectomy >250g | CPT | 58552 | 12 | — | — | $616.65 | $9,496.46 | $15,839 |
| Lap salpingo-oophorectomy | CPT | 58661 | 12 | — | — | $701.38 | $6,369 | $15,839 |
| OR procedure for obesity w MCC | MS-DRG | 619 | 6 | — | — | $28,486 | $28,486 | $34,183 |
| OR procedure for obesity w CC | MS-DRG | 620 | 6 | — | — | $16,615 | $16,615 | $19,938 |
| OR procedure for obesity w/o CC/MCC | MS-DRG | 621 | 6 | — | — | $15,102 | $15,102 | $18,122 |
| Complex cataract surgery | CPT | 66982 | 12 | — | — | $1,210.72 | $2,652.52 | $12,405 |
| Cataract surgery with lens implant | CPT | 66984 | 12 | — | — | $1,730.24 | $2,652.52 | $12,405 |
| Intravitreal injection | CPT | 67028 | 12 | — | — | $406.29 | $727.79 | $16,832 |
| Vitrectomy mechanical | CPT | 67042 | 12 | — | — | $1,129.41 | $4,990.21 | $14,518 |
| Uterine & adnexa procedures w CC/MCC | MS-DRG | 743 | 6 | — | — | $10,859 | $10,859 | $13,031 |
| Uterine & adnexa procedures w/o CC/MCC | MS-DRG | 744 | 6 | — | — | $16,914 | $16,914 | $20,297 |
| PCI single major coronary artery | CPT | 92920 | 14 | $17,781 | $12,447 | $435.12 | $6,330.8 | $17,781 |
| PCI with drug-eluting stent | CPT | 92928 | 14 | $25,892 | $18,124 | $483.05 | $12,799 | $25,892 |
| PCI bypass graft | CPT | 92937 | 14 | $25,892 | $18,124 | $482.46 | $12,799 | $25,892 |
| Left heart catheterization | CPT | 93452 | 13 | $11,357 | $7,949.9 | $915.43 | $4,068.98 | $14,518 |
| Coronary angiography with cath | CPT | 93455 | 13 | $28,914 | $20,240 | $1,103.38 | $4,765.52 | $28,914 |
| Coronary angiography with bypass cath | CPT | 93458 | 13 | $29,925 | $20,948 | $1,140.01 | $4,765.52 | $29,925 |
Payer mix (top 16)
| Payer | Codes covered | Median rate |
|---|---|---|
| Anthem BCBS | 192 | $1,001 |
| Aetna | 180 | $991.04 |
| Blue Cross Blue Shield | 176 | $1,351.05 |
| Humana | 165 | $615.71 |
| Medicare | 165 | $615.71 |
| commercial | la care | all plans | 165 | $738.85 |
| Kaiser Permanente | 144 | $283.32 |
| Medicaid | 143 | $238.43 |
| UnitedHealthcare | 127 | $1,439.3 |
| First Health | 124 | $1,006.34 |
| commercial | mhn | all plans | 121 | $293.91 |
| commercial | us behavior health | all plans | 104 | $1,162.5 |
| Multiplan | 104 | $930 |
| Cigna | 89 | $2,162.29 |
| commercial | healthcare partners | all plans | 22 | $862.58 |
| Health Net | 7 | $1,564.12 |