▸ Hospital · CA · CCN 050129
St Bernardine Medical Center
2101 N. WATERMAN AVE., SAN BERNARDINO, CA, 92404
318 bedsAcute Care Hospitals2
Compliance grade
A
100/100
Procedures tracked
188
of 209 target codes
Payers
19
with negotiated rates
Rates published
9,875
last crawl 2026-05-22
Procedures & rates
| Procedure | Type | Code | Payers | Gross | Cash | Neg min | Neg median | Neg max |
|---|---|---|---|---|---|---|---|---|
| behavioral | ||||||||
| Psychoses | MS-DRG | 885 | 8 | — | — | $9,529.91 | $11,212 | $21,863 |
| emergency | ||||||||
| ED visit level 1 | CPT | 99281 | 18 | $630 | $441 | $21.77 | $171.59 | $3,035 |
| ED visit level 2 | CPT | 99282 | 18 | $1,290 | $903 | $34.97 | $779.29 | $3,642 |
| ED visit level 3 | CPT | 99283 | 18 | $2,024 | $1,416.8 | $63.97 | $1,222.7 | $7,285 |
| ED visit level 4 | CPT | 99284 | 18 | $3,295 | $2,306.5 | $98.04 | $1,629.32 | $14,569 |
| ED visit level 5 | CPT | 99285 | 18 | $4,844 | $3,390.8 | $155.03 | $2,636 | $18,940 |
| Critical care, first hour | CPT | 99291 | 18 | $10,811 | $7,567.7 | $317.81 | $4,077.86 | $18,940 |
| imaging | ||||||||
| CT head without contrast | CPT | 70450 | 14 | $3,333 | $2,333.1 | $108.97 | $232.2 | $2,733.06 |
| CT head with contrast | CPT | 70460 | 14 | $4,566 | $3,196.2 | $178.55 | $339.38 | $3,744.12 |
| CT head with and without contrast | CPT | 70470 | 14 | $5,465 | $3,825.5 | $178.55 | $382.58 | $4,481.3 |
| CT neck with contrast | CPT | 70491 | 14 | $4,423 | $3,096.1 | $178.55 | $394.04 | $3,626.86 |
| MRI brain without contrast | CPT | 70551 | 15 | $4,859 | $3,401.3 | $230.13 | $505.13 | $4,859 |
| MRI brain with contrast | CPT | 70552 | 15 | $7,043 | $4,930.1 | $368.12 | $705.66 | $5,775.26 |
| MRI brain with and without contrast | CPT | 70553 | 15 | $8,112 | $5,678.4 | $368.12 | $735 | $6,651.84 |
| Chest X-ray single view | CPT | 71045 | 15 | $401 | $280.7 | $17.67 | $109.42 | $382.37 |
| Chest X-ray 2 views | CPT | 71046 | 15 | $522 | $365.4 | $27.48 | $109.42 | $487.18 |
| Chest X-ray 3 views | CPT | 71047 | 15 | $652 | $456.4 | $35.27 | $109.42 | $620.89 |
| CT chest without contrast | CPT | 71250 | 14 | $2,951 | $2,065.7 | $108.97 | $249.5 | $2,419.82 |
| CT chest with contrast | CPT | 71260 | 14 | $5,814 | $4,069.8 | $178.55 | $388.36 | $4,767.48 |
| CT chest with and without contrast | CPT | 71270 | 14 | $6,554 | $4,587.8 | $178.55 | $409.08 | $5,374.28 |
| MRI chest without contrast | CPT | 71550 | 15 | $3,445 | $2,411.5 | $170.8 | $683.2 | $3,445 |
| MRI chest with contrast | CPT | 71551 | 15 | $4,993 | $3,495.1 | $395.33 | $855.31 | $4,859 |
| MRI chest with and without contrast | CPT | 71552 | 15 | $5,754 | $4,027.8 | $368.12 | $750.54 | $4,859 |
| Lumbosacral spine X-ray | CPT | 72100 | 15 | $693 | $485.1 | $43.45 | $181.38 | $568.26 |
| CT cervical spine without contrast | CPT | 72125 | 14 | $2,583 | $1,808.1 | $108.97 | $249.5 | $2,136 |
| CT thoracic spine without contrast | CPT | 72128 | 14 | $2,900 | $2,030 | $108.97 | $249.5 | $2,378 |
| CT lumbar spine without contrast | CPT | 72131 | 14 | $2,900 | $2,030 | $108.97 | $249.5 | $2,378 |
| MRI cervical spine without contrast | CPT | 72141 | 15 | $5,112 | $3,578.4 | $230.13 | $494 | $4,859 |
| MRI thoracic spine without contrast | CPT | 72146 | 15 | $5,380 | $3,766 | $230.13 | $494 | $4,859 |
| MRI lumbar spine without contrast | CPT | 72148 | 15 | $4,736 | $3,315.2 | $230.13 | $494.79 | $4,736 |
| MRI lumbar spine with and without contrast | CPT | 72149 | 15 | $6,867 | $4,806.9 | $368.12 | $711.41 | $5,630.94 |
| MRI cervical spine with and without contrast | CPT | 72156 | 15 | $8,538 | $5,976.6 | $368.12 | $735 | $7,001.16 |
| MRI lumbar spine with contrast | CPT | 72158 | 15 | $7,908 | $5,535.6 | $368.12 | $735 | $6,484.56 |
| CT pelvis without contrast | CPT | 72192 | 14 | $3,308 | $2,315.6 | $108.97 | $249.5 | $2,712.56 |
| CT pelvis with contrast | CPT | 72193 | 14 | $6,516 | $4,561.2 | $178.55 | $409.08 | $5,343.12 |
| Shoulder X-ray | CPT | 73030 | 15 | $626 | $438.2 | $37.09 | $127.53 | $513.32 |
| Humerus X-ray | CPT | 73060 | 15 | $565 | $395.5 | $29.81 | $137.6 | $463.3 |
| Hand X-ray 3 views | CPT | 73130 | 15 | $1,092 | $764.4 | $36.06 | $148.54 | $895.44 |
| MRI upper extremity joint without contrast | CPT | 73221 | 15 | $4,953 | $3,467.1 | $230.13 | $590.88 | $4,859 |
| MRI upper extremity joint with and without contrast | CPT | 73223 | 15 | $8,274 | $5,791.8 | $368.12 | $822.5 | $6,784.68 |
| Knee X-ray 1-2 views | CPT | 73560 | 15 | $486 | $340.2 | $27.28 | $127.53 | $398.52 |
| Ankle X-ray 3 views | CPT | 73610 | 15 | $613 | $429.1 | $36.06 | $127.53 | $502.66 |
| MRI lower extremity joint without contrast | CPT | 73721 | 15 | $5,438 | $3,806.6 | $230.13 | $589.06 | $4,859 |
| MRI lower extremity joint with and without contrast | CPT | 73723 | 15 | $6,796 | $4,757.2 | $368.12 | $814.12 | $5,572.72 |
| CT abdomen without contrast | CPT | 74150 | 14 | $3,668 | $2,567.6 | $108.97 | $249.5 | $3,007.76 |
| CT abdomen with contrast | CPT | 74160 | 14 | $5,733 | $4,013.1 | $178.55 | $409.08 | $4,701.06 |
| CT abdomen with and without contrast | CPT | 74170 | 14 | $6,663 | $4,664.1 | $178.55 | $414.44 | $5,463.66 |
| CT abdomen and pelvis without contrast | CPT | 74176 | 14 | $5,166 | $3,616.2 | $178.43 | $337.24 | $4,236.12 |
| CT abdomen and pelvis with contrast | CPT | 74177 | 14 | $7,750 | $5,425 | $281.8 | $532.6 | $6,355 |
| CT abdomen and pelvis with and without contrast | CPT | 74178 | 14 | $9,040 | $6,328 | $319.24 | $570.28 | $7,412.8 |
| MRI abdomen without contrast | CPT | 74181 | 15 | $4,761 | $3,332.7 | $230.13 | $574.56 | $4,761 |
| MRI abdomen with and without contrast | CPT | 74183 | 15 | $7,950 | $5,565 | $351.25 | $781.64 | $6,519 |
| Abdominal ultrasound complete | CPT | 76700 | 15 | $1,599 | $1,119.3 | $108.97 | $181.38 | $1,311.18 |
| Abdominal ultrasound limited | CPT | 76705 | 15 | $1,231 | $861.7 | $87.13 | $212.43 | $1,009.42 |
| Retroperitoneal ultrasound complete | CPT | 76770 | 15 | $1,420 | $994 | $108.97 | $181.38 | $1,180.76 |
| Obstetric ultrasound first trimester | CPT | 76801 | 15 | $1,377 | $963.9 | $78.42 | $156.84 | $1,129.14 |
| Obstetric ultrasound after first trimester | CPT | 76805 | 15 | $1,595 | $1,116.5 | $108.97 | $202.94 | $1,307.9 |
| Obstetric ultrasound with fetal anatomy | CPT | 76811 | 15 | $587 | $410.9 | $159.03 | $275.09 | $587 |
| Transvaginal ultrasound | CPT | 76830 | 15 | $1,243 | $870.1 | $97.04 | $172.73 | $1,019.26 |
| Pelvic ultrasound complete | CPT | 76856 | 15 | $1,278 | $894.6 | $97.04 | $172.73 | $1,047.96 |
| Scrotal ultrasound | CPT | 76870 | 15 | $1,091 | $763.7 | $85.75 | $169.21 | $894.62 |
| Diagnostic mammography unilateral | CPT | 77065 | 9 | $313 | $219.1 | $91.45 | $243.2 | $313 |
| Diagnostic mammography bilateral | CPT | 77066 | 9 | $397 | $277.9 | $115.94 | $308 | $397 |
| Screening mammography bilateral | CPT | 77067 | 9 | $253 | $177.1 | $42.16 | $144 | $253 |
| EKG tracing only | CPT | 93005 | 12 | $813 | $569.1 | $29.84 | $86.52 | $813 |
| Transthoracic echocardiogram complete | CPT | 93306 | 12 | $4,370 | $3,059 | $239.76 | $577.66 | $4,370 |
| Transthoracic echocardiogram | CPT | 93307 | 12 | $1,648 | $1,153.6 | $215.3 | $370.43 | $1,648 |
| Stress echocardiogram | CPT | 93350 | 12 | $3,754 | $2,627.8 | $137.87 | $577.66 | $3,754 |
| inpatient | ||||||||
| Respiratory infections & inflammations w MCC | MS-DRG | 177 | 8 | — | — | $13,932 | $16,390 | $31,961 |
| COPD w MCC | MS-DRG | 190 | 8 | — | — | $8,704.71 | $10,241 | $19,970 |
| COPD w CC | MS-DRG | 191 | 8 | — | — | $6,966.24 | $8,195.58 | $15,981 |
| COPD w/o CC/MCC | MS-DRG | 192 | 8 | — | — | $5,603.91 | $6,592.84 | $12,856 |
| Simple pneumonia & pleurisy w CC | MS-DRG | 194 | 8 | — | — | $6,818.96 | $8,022.31 | $15,644 |
| Simple pneumonia & pleurisy w/o CC/MCC | MS-DRG | 195 | 8 | — | — | $5,388.77 | $6,339.73 | $12,362 |
| AMI discharged alive w MCC | MS-DRG | 280 | 8 | — | — | $12,183 | $14,333 | $27,949 |
| AMI discharged alive w CC | MS-DRG | 281 | 8 | — | — | $7,300.51 | $8,588.83 | $16,748 |
| AMI discharged alive w/o CC/MCC | MS-DRG | 282 | 8 | — | — | $5,824.11 | $6,851.89 | $13,361 |
| Heart failure & shock w MCC | MS-DRG | 291 | 8 | — | — | $9,738.56 | $11,457 | $22,341 |
| Heart failure & shock w CC | MS-DRG | 292 | 8 | — | — | $6,816.07 | $8,018.91 | $15,637 |
| Heart failure & shock w/o CC/MCC | MS-DRG | 293 | 8 | — | — | $4,840.8 | $5,695.06 | $11,105 |
| Cardiac arrhythmia w MCC | MS-DRG | 308 | 8 | — | — | $9,251.96 | $10,885 | $21,225 |
| Cardiac arrhythmia w CC | MS-DRG | 309 | 8 | — | — | $6,000.26 | $7,059.13 | $13,765 |
| Cardiac arrhythmia w/o CC/MCC | MS-DRG | 310 | 8 | — | — | $4,619.16 | $5,434.31 | $10,597 |
| GI hemorrhage w CC | MS-DRG | 378 | 8 | — | — | $7,754.62 | $9,123.08 | $17,790 |
| GI hemorrhage w/o CC/MCC | MS-DRG | 379 | 8 | — | — | $5,182.29 | $6,096.81 | $11,889 |
| Esophagitis/gastroenteritis w/o MCC | MS-DRG | 392 | 8 | — | — | $6,110.73 | $7,189.09 | $14,019 |
| Fractures of femur w/o MCC | MS-DRG | 533 | 8 | — | — | $10,806 | $12,713 | $24,791 |
| Kidney/UTI w MCC | MS-DRG | 689 | 8 | — | — | $8,626.02 | $10,148 | $19,789 |
| Kidney/UTI w/o MCC | MS-DRG | 690 | 8 | — | — | $6,314.32 | $7,428.61 | $14,486 |
| Septicemia or severe sepsis w MV 96+ hrs | MS-DRG | 871 | 8 | — | — | $14,098 | $16,586 | $32,344 |
| Septicemia or severe sepsis w/o MV 96+ hrs | MS-DRG | 872 | 8 | — | — | $7,991.42 | $9,401.67 | $18,333 |
| lab | ||||||||
| Basic metabolic panel (BMP) | CPT | 80048 | 16 | $730 | $511 | $7.19 | $16.61 | $598.6 |
| General health panel | CPT | 80050 | 10 | $1,866 | $1,306.2 | $54.43 | $453.97 | $1,530.12 |
| Electrolyte panel | CPT | 80051 | 16 | $665 | $465.5 | $5.96 | $13.67 | $545.3 |
| Comprehensive metabolic panel | CPT | 80053 | 16 | $863 | $604.1 | $8.98 | $20.97 | $707.66 |
| Lipid panel | CPT | 80061 | 16 | $797 | $557.9 | $11.38 | $26.11 | $653.54 |
| Renal function panel | CPT | 80069 | 16 | $639 | $447.3 | $7.38 | $17.04 | $523.98 |
| Hepatic function panel | CPT | 80076 | 16 | $690 | $483 | $6.94 | $15.99 | $565.8 |
| Urinalysis non-automated | CPT | 81002 | 16 | $71 | $49.7 | $1.1 | $3.73 | $58.22 |
| Urinalysis automated | CPT | 81003 | 16 | $173 | $121.1 | $1.91 | $11.09 | $141.86 |
| Glucose quantitative | CPT | 82947 | 16 | $254 | $177.8 | $3.34 | $12.11 | $208.28 |
| Hemoglobin A1c | CPT | 83036 | 16 | $507 | $354.9 | $5.4 | $22.2 | $415.74 |
| Thyroid stimulating hormone (TSH) | CPT | 84443 | 16 | $744 | $520.8 | $1.6 | $16.8 | $610.08 |
| Complete blood count with automated differential | CPT | 85025 | 16 | $315 | $220.5 | $6.6 | $15.17 | $258.3 |
| Complete blood count without differential | CPT | 85027 | 16 | $297 | $207.9 | $5.5 | $12.62 | $243.54 |
| Urine culture bacterial | CPT | 87086 | 16 | $452 | $316.4 | $6.86 | $15.74 | $370.64 |
| Urine culture identification | CPT | 87088 | 16 | $28.35 | $19.85 | $5.67 | $10.55 | $28.35 |
| Tissue exam by pathologist level IV | CPT | 88305 | 15 | $487 | $340.9 | $5.2 | $59.41 | $399.34 |
| maternity | ||||||||
| Fetal non-stress test | CPT | 59025 | 13 | $2,165 | $1,515.5 | $32.7 | $306.9 | $10,714 |
| Routine obstetric care including vaginal delivery | CPT | 59400 | 3 | — | — | $1,934 | $2,599.82 | $12,265 |
| Vaginal delivery only | CPT | 59409 | 10 | — | — | $780.72 | $2,888.25 | $20,142 |
| Vaginal delivery with postpartum | CPT | 59410 | 3 | — | — | $1,934 | $2,599.82 | $12,265 |
| Routine obstetric care with C-section | CPT | 59510 | 3 | — | — | $1,934 | $2,754.49 | $12,265 |
| C-section delivery only | CPT | 59514 | 3 | — | — | $781.35 | $1,748.35 | $12,265 |
| C-section with postpartum | CPT | 59515 | 3 | — | — | $1,934 | $4,082.79 | $12,265 |
| office | ||||||||
| Office visit, new patient, 15-29 min | CPT | 99202 | 13 | $589 | $412.3 | $49.2 | $437.69 | $3,035 |
| Office visit, new patient, 30-44 minutes | CPT | 99203 | 8 | $768 | $537.6 | $82.05 | $238.08 | $768 |
| Office visit, new patient, 45-59 min | CPT | 99204 | 8 | $2,779 | $1,945.3 | $98.83 | $776.8 | $2,779 |
| Office visit, new patient, 60-74 min | CPT | 99205 | 13 | $1,385 | $969.5 | $118.62 | $914.1 | $3,035 |
| Office visit, established patient, 5 min | CPT | 99211 | 13 | $486 | $340.2 | $17.21 | $361.15 | $3,035 |
| Office visit, established patient, 10-19 min | CPT | 99212 | 13 | $589 | $412.3 | $16.37 | $437.69 | $3,035 |
| Office visit, established patient, 20-29 minutes | CPT | 99213 | 13 | $700 | $490 | $34.43 | $482.98 | $3,035 |
| Office visit, established patient, 30-39 minutes | CPT | 99214 | 13 | $2,779 | $1,945.3 | $53.79 | $694.4 | $3,035 |
| Office visit, established patient, 40-54 min | CPT | 99215 | 13 | $971 | $679.7 | $82.05 | $640.86 | $3,035 |
| preventive | ||||||||
| Upper GI endoscopy diagnostic | CPT | 43235 | 11 | — | — | $405.42 | $999 | $19,284 |
| Upper GI endoscopy with biopsy | CPT | 43239 | 11 | — | — | $423.61 | $999 | $19,284 |
| Sigmoidoscopy diagnostic | CPT | 45330 | 11 | — | — | $99 | $948.73 | $17,142 |
| Sigmoidoscopy with biopsy | CPT | 45331 | 11 | — | — | $130.65 | $948.73 | $17,142 |
| Colonoscopy diagnostic | CPT | 45378 | 11 | — | — | $534.04 | $954 | $19,284 |
| Colonoscopy with biopsy | CPT | 45380 | 11 | — | — | $597.36 | $1,239.71 | $19,284 |
| Colonoscopy with polyp removal | CPT | 45385 | 11 | — | — | $715 | $1,288.65 | $19,284 |
| surgery | ||||||||
| Total shoulder arthroplasty | CPT | 23472 | 9 | — | — | $1,862.67 | $14,673 | $28,746 |
| PCI w drug-eluting stent w MCC | MS-DRG | 246 | 8 | — | — | $23,138 | $27,221 | $53,081 |
| PCI w drug-eluting stent w/o MCC | MS-DRG | 247 | 8 | — | — | $14,828 | $17,444 | $34,016 |
| Hip hemiarthroplasty | CPT | 27125 | 5 | — | — | $1,885.66 | $3,356.47 | $25,717 |
| Total hip replacement | CPT | 27130 | 10 | — | — | $1,934 | $11,524 | $28,746 |
| Total knee replacement | CPT | 27447 | 10 | — | — | $2,491.15 | $13,145 | $28,746 |
| Knee revision arthroplasty single component | CPT | 27486 | 4 | — | — | $1,860 | $7,665 | $27,854 |
| Knee revision arthroplasty all components | CPT | 27487 | 5 | — | — | $1,860 | $4,599.57 | $27,854 |
| Shoulder arthroscopy with decompression | CPT | 29826 | 6 | — | — | $605.06 | $2,485 | $13,957 |
| Shoulder arthroscopy with rotator cuff repair | CPT | 29827 | 11 | — | — | $623.03 | $7,453.71 | $25,717 |
| Knee arthroscopy with meniscectomy | CPT | 29881 | 11 | — | — | $790.35 | $3,385.65 | $21,426 |
| ACL reconstruction | CPT | 29888 | 11 | — | — | $1,220.29 | $6,916.21 | $25,717 |
| Major small/large bowel procedures w MCC | MS-DRG | 329 | 8 | — | — | $35,858 | $42,186 | $82,263 |
| Major small/large bowel procedures w CC | MS-DRG | 330 | 8 | — | — | $18,987 | $22,337 | $43,558 |
| Major small/large bowel procedures w/o CC/MCC | MS-DRG | 331 | 8 | — | — | $12,931 | $15,213 | $29,665 |
| CABG single arterial graft | CPT | 33533 | 4 | — | — | $2,366 | $6,772.24 | $23,569 |
| CABG 2 arterial grafts | CPT | 33534 | 4 | — | — | $3,293 | $7,425 | $24,707 |
| CABG 3 arterial grafts | CPT | 33535 | 4 | — | — | $3,293 | $7,526.91 | $24,707 |
| CABG 4+ arterial grafts | CPT | 33536 | 4 | — | — | $3,293 | $7,665 | $24,707 |
| Laparoscopic cholecystectomy w/o CDE w MCC | MS-DRG | 418 | 8 | — | — | $12,776 | $15,030 | $29,309 |
| Laparoscopic cholecystectomy w/o CDE w CC | MS-DRG | 419 | 8 | — | — | $10,078 | $11,856 | $23,120 |
| Laparoscopic cholecystectomy w/o CDE w/o CC/MCC | MS-DRG | 420 | 8 | — | — | $25,970 | $30,552 | $59,577 |
| Open appendectomy | CPT | 44950 | 10 | — | — | $724.63 | $3,803.62 | $21,426 |
| Laparoscopic appendectomy | CPT | 44970 | 11 | — | — | $494.31 | $5,996 | $25,717 |
| Spinal fusion (non-cervical) w MCC | MS-DRG | 459 | 8 | — | — | $49,195 | $57,876 | $112,859 |
| Spinal fusion (non-cervical) w/o MCC | MS-DRG | 460 | 8 | — | — | $28,960 | $34,071 | $66,437 |
| Major joint replacement w MCC | MS-DRG | 469 | 8 | — | — | $22,861 | $26,895 | $52,445 |
| Major joint replacement w/o MCC | MS-DRG | 470 | 8 | — | — | $14,301 | $16,825 | $32,809 |
| Laparoscopic cholecystectomy | CPT | 47562 | 12 | — | — | $843.15 | $6,049.19 | $25,717 |
| Lap cholecystectomy with cholangiography | CPT | 47563 | 11 | — | — | $970.44 | $6,049.19 | $25,717 |
| Hip & femur procedures except major joint w MCC | MS-DRG | 480 | 8 | — | — | $22,427 | $26,385 | $51,450 |
| Hip & femur procedures except major joint w CC | MS-DRG | 481 | 8 | — | — | $15,715 | $18,488 | $36,052 |
| Hip & femur procedures except major joint w/o CC/MCC | MS-DRG | 482 | 8 | — | — | $12,464 | $14,663 | $28,594 |
| Open umbilical hernia repair | CPT | 49560 | 11 | — | — | $839.12 | $3,803.62 | $21,426 |
| Umbilical hernia repair age 5+ | CPT | 49585 | 11 | — | — | $534.04 | $3,803.62 | $21,426 |
| Lap inguinal hernia repair | CPT | 49650 | 11 | — | — | $379.7 | $5,804.97 | $25,717 |
| Lap incisional hernia repair | CPT | 49652 | 11 | — | — | $524.57 | $5,804.97 | $25,717 |
| Total abdominal hysterectomy | CPT | 58150 | 5 | — | — | $1,162.9 | $2,345.9 | $21,426 |
| Vaginal hysterectomy | CPT | 58260 | 11 | — | — | $1,162.9 | $5,259.54 | $21,426 |
| Lap-assisted vaginal hysterectomy | CPT | 58550 | 11 | — | — | $838.74 | $6,049.19 | $25,717 |
| Lap-assisted vaginal hysterectomy >250g | CPT | 58552 | 11 | — | — | $616.65 | $9,177 | $25,717 |
| Lap salpingo-oophorectomy | CPT | 58661 | 11 | — | — | $701.38 | $6,035.24 | $25,717 |
| OR procedure for obesity w MCC | MS-DRG | 619 | 8 | — | — | $22,686 | $26,690 | $52,045 |
| OR procedure for obesity w CC | MS-DRG | 620 | 8 | — | — | $13,308 | $15,656 | $30,530 |
| OR procedure for obesity w/o CC/MCC | MS-DRG | 621 | 8 | — | — | $12,112 | $14,250 | $27,787 |
| Complex cataract surgery | CPT | 66982 | 11 | — | — | $1,272.35 | $2,544.7 | $20,142 |
| Cataract surgery with lens implant | CPT | 66984 | 11 | — | — | $1,818.32 | $3,227.43 | $20,142 |
| Intravitreal injection | CPT | 67028 | 11 | — | — | $324.01 | $783.42 | $10,714 |
| Vitrectomy mechanical | CPT | 67042 | 11 | — | — | $1,186.9 | $4,681.84 | $23,569 |
| Uterine & adnexa procedures w CC/MCC | MS-DRG | 743 | 8 | — | — | $8,760.3 | $10,306 | $20,097 |
| Uterine & adnexa procedures w/o CC/MCC | MS-DRG | 744 | 8 | — | — | $13,544 | $15,934 | $31,072 |
| PCI single major coronary artery | CPT | 92920 | 14 | $17,140 | $11,998 | $435.12 | $5,925.35 | $25,717 |
| PCI with drug-eluting stent | CPT | 92928 | 14 | $24,657 | $17,260 | $483.05 | $11,981 | $25,717 |
| PCI bypass graft | CPT | 92937 | 14 | $24,657 | $17,260 | $482.46 | $11,981 | $25,717 |
| Left heart catheterization | CPT | 93452 | 16 | $16,368 | $11,458 | $967.53 | $4,596 | $23,569 |
| Coronary angiography with cath | CPT | 93455 | 16 | $15,065 | $10,546 | $1,166.18 | $4,596 | $24,707 |
| Coronary angiography with bypass cath | CPT | 93458 | 16 | $26,605 | $18,624 | $1,204.89 | $4,596 | $24,707 |
Payer mix (top 19)
| Payer | Codes covered | Median rate |
|---|---|---|
| Anthem BCBS | 188 | $1,034 |
| Blue Cross Blue Shield | 181 | $1,628.83 |
| Kaiser Permanente | 174 | $428.11 |
| Medicare | 168 | $1,039.63 |
| commercial | naphcare | all plans | 161 | $1,217.27 |
| commercial | epic health | all plans | 161 | $869.9 |
| Humana | 161 | $624.24 |
| UnitedHealthcare | 139 | $828.27 |
| Medicaid | 139 | $317.94 |
| Aetna | 134 | $995.96 |
| commercial | redlands | all plans | 119 | $368.12 |
| commercial | healthsmart | all plans | 100 | $610.08 |
| First Health | 100 | $491.04 |
| Multiplan | 100 | $595.2 |
| Cigna | 77 | $382.37 |
| commercial | dhmg | all plans | 38 | $272.9 |
| commercial | hpn | all plans | 19 | $2,024 |
| Health Net | 14 | $805.6 |
| commercial | primecare | all plans | 10 | $2,926.27 |