Does Mercy Hospital Of Folsom publish its standard charges and chargemaster?

Yes. Mercy Hospital Of Folsom publishes a machine-readable file with 7,040 standard-charge rows — gross charges, cash prices, and payer-negotiated rates, earning a CMS price transparency compliance grade of A. Browse the negotiated rates by procedure and payer on this page.

How much does Mercy Hospital Of Folsom charge for procedures?

Mercy Hospital Of Folsom (Folsom, CA) publishes a separately negotiated rate for each insurance payer, plus a discounted cash price and a gross (list) charge, for every procedure in its price transparency file. This page compares each procedure's negotiated median against the national median so you can see whether a price is above or below market.

▸ Hospital · CA · CCN 050414

Mercy Hospital Of Folsom

Folsom, CA, 93630

106 bedsAcute Care Hospitals1

Compliance grade

100/100

Rates published

7,040

last crawl 2026-05-22

Procedures tracked

193

of 209 target codes

Payers

with negotiated rates

Procedures tracked

...

Payers

...

▸ Compare with other hospitals All CA hospitalsJSON

The report bundles all published codes × every payer rate + compliance grade as a downloadable PDF + CSV with a data-version manifest.

Source MRF: https://www.dignityhealth.org/content/dam/dignity-health/documents/pricing-procedure-spreadsheets-2020/price-transparency-4-30-2022/sacramento/941196203_Mercy-Hospital-of-Folsom_standardcharges.csv · CSV

Procedures & rates

vs nat'l shows this hospital's negotiated median against the national median for that code (green = at/below market, amber = 1–1.5×, red = >1.5× the national median).

Procedure	Type	Code	Payers	Gross	Cash	Neg min	Neg median	vs nat'l	Neg max
behavioral
Psychoses	MS-DRG	885	7	—	—	$7,705.65	$12,075	0.94×	$12,438
Psychiatric diagnostic evaluation	CPT	90791	13	$1,242	$869.4	$35.19	$302.26	1.7×	$1,242
Psychiatric eval with medical services	CPT	90792	13	$1,242	$869.4	$35.19	$250.12	1.4×	$1,242
Psychotherapy 30 minutes	CPT	90832	13	$1,237	$865.9	$67.05	$194.61	1.3×	$1,009.4
Psychotherapy 45 minutes	CPT	90834	13	$663	$464.1	$85.18	$188.94	1.2×	$541.01
Psychotherapy 60 minutes	CPT	90837	13	$990	$693	$124.32	$214.64	1.1×	$807.84
emergency
ED visit level 1	CPT	99281	17	$491	$343.7	$21.77	$321.1	2.3×	$4,271
ED visit level 2	CPT	99282	17	$1,224	$856.8	$34.97	$896.08	3.8×	$6,051
ED visit level 3	CPT	99283	17	$2,268	$1,587.6	$63.97	$1,233.2	3.0×	$10,471
ED visit level 4	CPT	99284	17	$18,542	$12,979	$98.04	$2,705.31	4.1×	$20,506
ED visit level 5	CPT	99285	17	$34,425	$24,098	$76.5	$4,285.5	4.1×	$34,360
Critical care, first hour	CPT	99291	17	$48,238	$33,767	$293	$6,677.74	6.2×	$48,146
imaging
CT head without contrast	CPT	70450	13	$4,465	$3,125.5	$144.97	$418.01	2.0×	$4,465
CT head with contrast	CPT	70460	13	$6,697	$4,687.9	$209.04	$523.72	2.2×	$6,697
CT head with and without contrast	CPT	70470	13	$6,697	$4,687.9	$237.85	$562.1	2.1×	$6,697
CT neck with contrast	CPT	70491	13	$6,697	$4,687.9	$237.85	$577.85	2.1×	$6,697
MRI brain without contrast	CPT	70551	13	$5,092	$3,564.4	$283.78	$718.02	1.8×	$9,286
MRI brain with contrast	CPT	70552	13	$7,800	$5,460	$396.44	$1,061.42	2.2×	$9,286
MRI brain with and without contrast	CPT	70553	13	$7,800	$5,460	$467.23	$1,132.57	1.9×	$9,286
Chest X-ray single view	CPT	71045	15	$1,054	$737.8	$17.67	$128.06	1.4×	$1,054
Chest X-ray 2 views	CPT	71046	15	$1,054	$737.8	$27.48	$148.42	1.5×	$1,054
Chest X-ray 3 views	CPT	71047	15	$1,054	$737.8	$35.27	$148.42	1.6×	$1,054
CT chest without contrast	CPT	71250	13	$4,465	$3,125.5	$144.97	$505.17	2.3×	$4,465
CT chest with contrast	CPT	71260	13	$6,697	$4,687.9	$237.85	$584.69	2.1×	$6,697
CT chest with and without contrast	CPT	71270	13	$6,697	$4,687.9	$237.85	$629.74	2.2×	$6,697
MRI chest without contrast	CPT	71550	13	$5,092	$3,564.4	$306.4	$983.99	2.3×	$9,286
MRI chest with contrast	CPT	71551	13	$8,000	$5,600	$395.33	$1,200.28	1.5×	$9,286
MRI chest with and without contrast	CPT	71552	13	$7,800	$5,460	$490.35	$1,166.62	1.9×	$9,286
Lumbosacral spine X-ray	CPT	72100	15	$1,175	$822.5	$43.45	$179.05	1.7×	$1,175
CT cervical spine without contrast	CPT	72125	13	$4,465	$3,125.5	$144.97	$501.81	2.5×	$4,465
CT thoracic spine without contrast	CPT	72128	13	$4,465	$3,125.5	$144.97	$501.32	2.5×	$4,465
CT lumbar spine without contrast	CPT	72131	13	$4,465	$3,125.5	$144.97	$500.87	2.5×	$4,465
MRI cervical spine without contrast	CPT	72141	13	$5,092	$3,564.4	$277.53	$711.74	1.8×	$9,286
MRI thoracic spine without contrast	CPT	72146	13	$5,092	$3,564.4	$277.53	$711.74	1.9×	$9,286
MRI lumbar spine without contrast	CPT	72148	13	$5,092	$3,564.4	$277.97	$712.18	1.9×	$9,286
MRI lumbar spine with and without contrast	CPT	72149	13	$7,800	$5,460	$399.67	$1,064.67	2.3×	$9,286
MRI cervical spine with and without contrast	CPT	72156	13	$7,800	$5,460	$471.83	$1,137.19	2.1×	$9,286
MRI lumbar spine with contrast	CPT	72158	13	$7,800	$5,460	$470.9	$1,136.26	2.1×	$9,286
CT pelvis without contrast	CPT	72192	13	$4,465	$3,125.5	$144.97	$505.55	2.5×	$4,465
CT pelvis with contrast	CPT	72193	13	$6,697	$4,687.9	$237.85	$640.2	2.3×	$6,697
Shoulder X-ray	CPT	73030	15	$1,054	$737.8	$37.09	$148.42	1.6×	$1,054
Humerus X-ray	CPT	73060	15	$1,054	$737.8	$29.81	$148.42	1.7×	$1,054
Hand X-ray 3 views	CPT	73130	15	$1,054	$737.8	$36.06	$146.4	1.6×	$1,054
MRI upper extremity joint without contrast	CPT	73221	13	$5,092	$3,564.4	$295.44	$729.74	1.8×	$9,286
MRI upper extremity joint with and without contrast	CPT	73223	13	$7,800	$5,460	$408.36	$1,073.4	1.8×	$9,286
Knee X-ray 1-2 views	CPT	73560	15	$1,054	$737.8	$27.28	$145	1.6×	$1,054
Ankle X-ray 3 views	CPT	73610	15	$1,054	$737.8	$36.06	$146.4	1.6×	$1,054
MRI lower extremity joint without contrast	CPT	73721	13	$7,091	$4,963.7	$294.53	$3,545.25	7.6×	$9,286
MRI lower extremity joint with and without contrast	CPT	73723	13	$7,800	$5,460	$407.06	$1,072.1	1.7×	$9,286
CT abdomen without contrast	CPT	74150	13	$4,465	$3,125.5	$144.97	$510.24	2.7×	$4,465
CT abdomen with contrast	CPT	74160	13	$6,697	$4,687.9	$237.85	$646.42	2.3×	$6,697
CT abdomen with and without contrast	CPT	74170	13	$6,697	$4,687.9	$237.85	$688.05	2.1×	$6,697
CT abdomen and pelvis without contrast	CPT	74176	13	$5,921	$4,144.7	$178.43	$349.41	0.96×	$5,921
CT abdomen and pelvis with contrast	CPT	74177	13	$8,837	$6,185.9	$281.8	$551.01	1.0×	$8,837
CT abdomen and pelvis with and without contrast	CPT	74178	13	$8,837	$6,185.9	$319.24	$624.11	1.1×	$8,837
MRI abdomen without contrast	CPT	74181	13	$5,092	$3,564.4	$287.28	$721.54	1.8×	$9,286
MRI abdomen with and without contrast	CPT	74183	13	$7,800	$5,460	$351.25	$1,016.01	1.8×	$9,286
Abdominal ultrasound complete	CPT	76700	15	$1,874	$1,311.8	$119.34	$343.81	2.3×	$1,874
Abdominal ultrasound limited	CPT	76705	15	$1,874	$1,311.8	$87.13	$309.19	2.1×	$1,874
Retroperitoneal ultrasound complete	CPT	76770	15	$1,874	$1,311.8	$115.78	$343.81	2.4×	$1,874
Obstetric ultrasound first trimester	CPT	76801	15	$1,874	$1,311.8	$78.42	$316.39	2.2×	$1,874
Obstetric ultrasound after first trimester	CPT	76805	15	$1,250	$875	$135.29	$320.49	2.1×	$1,250
Obstetric ultrasound with fetal anatomy	CPT	76811	15	$2,793	$1,955.1	$159.03	$429.77	1.8×	$2,793
Transvaginal ultrasound	CPT	76830	15	$1,874	$1,311.8	$97.04	$334.66	2.3×	$1,874
Pelvic ultrasound complete	CPT	76856	15	$1,874	$1,311.8	$97.04	$334.01	2.3×	$1,874
Scrotal ultrasound	CPT	76870	15	$1,874	$1,311.8	$85.75	$336.64	2.6×	$1,874
Diagnostic mammography unilateral	CPT	77065	9	$557	$389.9	$91.12	$437.38	2.9×	$557
Diagnostic mammography bilateral	CPT	77066	9	$716	$501.2	$117.13	$562.23	3.0×	$716
EKG complete	CPT	93000	8	$505	$353.5	$52.21	$378.75	15.5×	$505
EKG tracing only	CPT	93005	13	$529	$370.3	$29.84	$135.56	1.1×	$529
Transthoracic echocardiogram complete	CPT	93306	14	$3,050	$2,135	$239.76	$2,085	3.5×	$3,050
Transthoracic echocardiogram	CPT	93307	13	$1,068	$747.6	$181.56	$409.08	1.7×	$1,068
Stress echocardiogram	CPT	93350	13	$4,164	$2,914.8	$137.87	$682.3	1.3×	$4,164
inpatient
Respiratory infections & inflammations w MCC	MS-DRG	177	7	—	—	$11,990	$17,777	1.2×	$18,311
COPD w MCC	MS-DRG	190	7	—	—	$7,252.96	$11,006	0.98×	$11,336
COPD w CC	MS-DRG	191	7	—	—	$5,660.36	$8,754.2	0.99×	$9,016.83
COPD w/o CC/MCC	MS-DRG	192	7	—	—	$4,496.34	$6,989.39	1.00×	$7,199.07
Simple pneumonia & pleurisy w CC	MS-DRG	194	7	—	—	$5,633.73	$8,563.41	1.0×	$8,820.31
Simple pneumonia & pleurisy w/o CC/MCC	MS-DRG	195	7	—	—	$4,324.51	$6,710.69	1.0×	$6,912.01
AMI discharged alive w MCC	MS-DRG	280	7	—	—	$10,340	$15,161	0.97×	$15,978
AMI discharged alive w CC	MS-DRG	281	7	—	—	$6,141.57	$9,187.22	0.95×	$9,462.84
AMI discharged alive w/o CC/MCC	MS-DRG	282	7	—	—	$4,678.3	$7,274.64	0.93×	$9,285
Heart failure & shock w MCC	MS-DRG	291	7	—	—	$8,532.38	$12,346	0.97×	$12,716
Heart failure & shock w CC	MS-DRG	292	7	—	—	$5,740.88	$8,559.67	0.96×	$8,816.46
Heart failure & shock w/o CC/MCC	MS-DRG	293	7	—	—	$4,154.61	$6,000.84	0.97×	$6,180.87
Cardiac arrhythmia w MCC	MS-DRG	308	7	—	—	$7,530.03	$11,715	0.97×	$12,067
Cardiac arrhythmia w CC	MS-DRG	309	7	—	—	$4,794.94	$7,502.84	0.97×	$7,727.93
Cardiac arrhythmia w/o CC/MCC	MS-DRG	310	7	—	—	$3,545.96	$5,713.72	0.92×	$5,885.13
GI hemorrhage w CC	MS-DRG	378	7	—	—	$6,264.55	$9,775.48	0.98×	$10,069
GI hemorrhage w/o CC/MCC	MS-DRG	379	7	—	—	$4,093.74	$6,443.21	0.94×	$6,636.51
Esophagitis/gastroenteritis w/o MCC	MS-DRG	392	7	—	—	$4,827.92	$7,645.93	0.95×	$7,875.31
Fractures of femur w/o MCC	MS-DRG	533	7	—	—	$9,252.6	$13,729	0.90×	$14,141
Kidney/UTI w MCC	MS-DRG	689	7	—	—	$7,091.92	$10,904	0.94×	$11,231
Kidney/UTI w/o MCC	MS-DRG	690	7	—	—	$5,013.67	$7,909.67	0.95×	$8,146.96
Septicemia or severe sepsis w MV 96+ hrs	MS-DRG	871	7	—	—	$11,832	$17,993	0.96×	$18,533
Septicemia or severe sepsis w/o MV 96+ hrs	MS-DRG	872	7	—	—	$6,589.17	$10,082	0.97×	$10,385
lab
Basic metabolic panel (BMP)	CPT	80048	14	$479	$335.3	$7.98	$34.49	1.1×	$502.04
General health panel	CPT	80050	10	$481	$336.7	$81.77	$354.29	3.3×	$504.14
Electrolyte panel	CPT	80051	14	$371	$259.7	$6.61	$28.56	1.2×	$388.85
Comprehensive metabolic panel	CPT	80053	14	$953	$667.1	$9.96	$43.03	0.97×	$998.84
Lipid panel	CPT	80061	14	$325	$227.5	$1.36	$11.98	0.31×	$340.64
Renal function panel	CPT	80069	14	$248	$173.6	$8.19	$35.36	1.3×	$259.93
Hepatic function panel	CPT	80076	14	$234	$163.8	$7.7	$33.27	1.3×	$245.26
Urinalysis non-automated	CPT	81002	14	$39	$27.3	$3.08	$9.27	1.3×	$40.88
Urinalysis automated	CPT	81003	14	$90	$63	$2.12	$48.16	3.5×	$94.33
Glucose quantitative	CPT	82947	14	$130	$91	$3.71	$21.28	1.2×	$136.26
Hemoglobin A1c	CPT	83036	14	$544	$380.8	$9.16	$153.37	5.7×	$570.17
Thyroid stimulating hormone (TSH)	CPT	84443	14	$231	$161.7	$15.84	$44.77	0.95×	$242.12
Complete blood count with automated differential	CPT	85025	14	$185	$129.5	$7.33	$31.45	1.2×	$193.9
Complete blood count without differential	CPT	85027	14	$148	$103.6	$6.1	$25.16	1.2×	$155.12
Urine culture bacterial	CPT	87086	14	$143	$100.1	$7.61	$24.31	1.0×	$149.88
Urine culture identification	CPT	87088	14	$147	$102.9	$7.63	$41.43	1.9×	$154.08
Tissue exam by pathologist level IV	CPT	88305	15	$620	$434	$5.66	$62.71	0.61×	$620
maternity
Fetal non-stress test	CPT	59025	17	$861	$602.7	$32.7	$429.86	2.3×	$23,269
Routine obstetric care including vaginal delivery	CPT	59400	5	—	—	$1,994.02	$6,242.74	2.7×	$23,269
Vaginal delivery only	CPT	59409	10	—	—	$780.72	$4,207	1.9×	$23,269
Vaginal delivery with postpartum	CPT	59410	5	—	—	$3,393.68	$6,547.74	6.2×	$23,269
Routine obstetric care with C-section	CPT	59510	5	—	—	$1,995.21	$7,134.55	2.9×	$23,269
C-section delivery only	CPT	59514	5	—	—	$781.35	$6,808.11	7.1×	$23,269
C-section with postpartum	CPT	59515	5	—	—	$3,878.49	$7,631.66	6.0×	$23,269
office
Office visit, new patient, 15-29 min	CPT	99202	11	$1,856	$1,299.2	$49.2	$305.58	3.5×	$7,969
Office visit, new patient, 30-44 minutes	CPT	99203	10	$397	$277.9	$60.86	$278.01	2.3×	$397
Office visit, new patient, 45-59 min	CPT	99204	11	$3,410	$2,387	$68	$349.87	2.0×	$7,969
Office visit, new patient, 60-74 min	CPT	99205	10	$505	$353.5	$77.86	$370.07	1.7×	$505
Office visit, established patient, 5 min	CPT	99211	11	$1,856	$1,299.2	$17.21	$224.4	3.5×	$7,969
Office visit, established patient, 10-19 min	CPT	99212	10	$316	$221.2	$16.37	$203	2.5×	$316
Office visit, established patient, 20-29 minutes	CPT	99213	10	$358	$250.6	$34.43	$203	1.8×	$358
Office visit, established patient, 30-39 minutes	CPT	99214	11	$3,410	$2,387	$53.79	$326.4	2.1×	$7,969
Office visit, established patient, 40-54 min	CPT	99215	10	$486	$340.2	$77.86	$344.21	1.8×	$486
preventive
Upper GI endoscopy diagnostic	CPT	43235	10	—	—	$405.42	$3,143.69	3.4×	$10,296
Upper GI endoscopy with biopsy	CPT	43239	10	—	—	$423.61	$3,918	4.1×	$10,296
Sigmoidoscopy diagnostic	CPT	45330	10	—	—	$99	$2,793	3.3×	$9,151
Sigmoidoscopy with biopsy	CPT	45331	10	—	—	$130.65	$2,793	3.1×	$9,151
Colonoscopy diagnostic	CPT	45378	10	—	—	$534.04	$3,393.68	3.9×	$10,296
Colonoscopy with biopsy	CPT	45380	10	—	—	$597.36	$3,393.68	2.8×	$10,296
Colonoscopy with polyp removal	CPT	45385	10	—	—	$723.96	$3,393.68	2.8×	$10,296
surgery
Total shoulder arthroplasty	CPT	23472	9	—	—	$2,359.38	$16,419	4.0×	$26,461
PCI w drug-eluting stent w MCC	MS-DRG	246	7	—	—	$20,116	$28,857	1.0×	$30,595
PCI w drug-eluting stent w/o MCC	MS-DRG	247	7	—	—	$12,900	$18,398	1.0×	$19,506
Hip hemiarthroplasty	CPT	27125	7	—	—	$1,885.66	$6,332.3	5.1×	$23,349
Total hip replacement	CPT	27130	10	—	—	$2,693.8	$13,555	3.1×	$26,461
Total knee replacement	CPT	27447	10	—	—	$2,693.8	$14,871	3.6×	$26,461
Knee revision arthroplasty single component	CPT	27486	6	—	—	$2,608.21	$7,729.32	4.6×	$26,461
Knee revision arthroplasty all components	CPT	27487	7	—	—	$2,584.03	$8,695.58	4.3×	$26,461
Shoulder arthroscopy with decompression	CPT	29826	7	—	—	$605.06	$6,227	19.1×	$13,068
Shoulder arthroscopy with rotator cuff repair	CPT	29827	10	—	—	$623.03	$8,844.69	2.7×	$23,349
Knee arthroscopy with meniscectomy	CPT	29881	10	—	—	$790.35	$5,945.28	2.9×	$15,566
ACL reconstruction	CPT	29888	10	—	—	$1,220.29	$7,751	2.3×	$23,349
Major small/large bowel procedures w MCC	MS-DRG	329	7	—	—	$31,112	$46,182	1.1×	$47,567
Major small/large bowel procedures w CC	MS-DRG	330	7	—	—	$16,020	$24,326	1.0×	$25,056
Major small/large bowel procedures w/o CC/MCC	MS-DRG	331	7	—	—	$10,710	$16,481	1.0×	$16,976
CABG single arterial graft	CPT	33533	6	—	—	$3,386.12	$12,217	6.5×	$23,269
CABG 2 arterial grafts	CPT	33534	6	—	—	$3,807.69	$14,451	6.7×	$23,269
CABG 3 arterial grafts	CPT	33535	6	—	—	$4,228.6	$14,737	6.5×	$23,269
CABG 4+ arterial grafts	CPT	33536	6	—	—	$4,650.86	$15,406	6.3×	$23,269
Laparoscopic cholecystectomy w/o CDE w MCC	MS-DRG	418	7	—	—	$10,581	$16,280	0.99×	$16,769
Laparoscopic cholecystectomy w/o CDE w CC	MS-DRG	419	7	—	—	$8,285.12	$12,785	0.94×	$13,169
Laparoscopic cholecystectomy w/o CDE w/o CC/MCC	MS-DRG	420	7	—	—	$21,777	$33,372	1.0×	$34,373
Open appendectomy	CPT	44950	10	—	—	$724.63	$4,492.62	4.0×	$23,269
Laparoscopic appendectomy	CPT	44970	10	—	—	$494.31	$7,144.95	4.6×	$23,349
Spinal fusion (non-cervical) w MCC	MS-DRG	459	7	—	—	$43,442	$63,458	1.3×	$65,362
Spinal fusion (non-cervical) w/o MCC	MS-DRG	460	7	—	—	$25,109	$37,245	1.1×	$38,363
Major joint replacement w MCC	MS-DRG	469	7	—	—	$19,907	$29,345	0.99×	$30,225
Major joint replacement w/o MCC	MS-DRG	470	7	—	—	$12,480	$18,256	0.97×	$18,804
Laparoscopic cholecystectomy	CPT	47562	10	—	—	$843.15	$9,384.85	5.3×	$23,349
Lap cholecystectomy with cholangiography	CPT	47563	10	—	—	$970.44	$9,384.85	5.0×	$23,349
Hip & femur procedures except major joint w MCC	MS-DRG	480	7	—	—	$19,137	$28,782	1.0×	$29,646
Hip & femur procedures except major joint w CC	MS-DRG	481	7	—	—	$13,237	$20,087	0.99×	$20,690
Hip & femur procedures except major joint w/o CC/MCC	MS-DRG	482	7	—	—	$10,431	$15,876	0.99×	$16,352
Open umbilical hernia repair	CPT	49560	10	—	—	$839.12	$5,945.28	3.1×	$15,566
Umbilical hernia repair age 5+	CPT	49585	10	—	—	$534.04	$5,945.28	4.5×	$15,566
Lap inguinal hernia repair	CPT	49650	10	—	—	$379.7	$7,144.95	6.4×	$23,349
Lap incisional hernia repair	CPT	49652	10	—	—	$524.57	$7,359.3	2.7×	$23,349
Total abdominal hysterectomy	CPT	58150	7	—	—	$1,162.9	$4,731.82	4.9×	$23,269
Vaginal hysterectomy	CPT	58260	10	—	—	$1,162.9	$6,190.41	3.4×	$16,907
Lap-assisted vaginal hysterectomy	CPT	58550	10	—	—	$838.74	$10,189	6.9×	$23,349
Lap-assisted vaginal hysterectomy >250g	CPT	58552	10	—	—	$616.65	$12,504	5.6×	$23,349
Lap salpingo-oophorectomy	CPT	58661	10	—	—	$701.38	$7,144.95	3.5×	$23,349
OR procedure for obesity w MCC	MS-DRG	619	7	—	—	$19,518	$29,118	1.1×	$29,992
OR procedure for obesity w CC	MS-DRG	620	7	—	—	$11,378	$16,969	1.0×	$17,478
OR procedure for obesity w/o CC/MCC	MS-DRG	621	7	—	—	$9,966.49	$15,421	1.0×	$15,883
Complex cataract surgery	CPT	66982	10	—	—	$1,272.35	$8,663	3.9×	$18,071
Cataract surgery with lens implant	CPT	66984	10	—	—	$1,818.32	$8,663	4.0×	$18,071
Intravitreal injection	CPT	67028	10	—	—	$424.58	$2,793	8.2×	$8,864
Vitrectomy mechanical	CPT	67042	10	—	—	$1,186.9	$5,529.91	2.2×	$18,681
Uterine & adnexa procedures w CC/MCC	MS-DRG	743	7	—	—	$7,281.5	$11,078	0.90×	$11,411
Uterine & adnexa procedures w/o CC/MCC	MS-DRG	744	7	—	—	$11,035	$17,275	0.90×	$17,793
PCI single major coronary artery	CPT	92920	14	$17,500	$12,250	$435.12	$7,103.65	1.3×	$23,349
PCI with drug-eluting stent	CPT	92928	14	$36,094	$25,266	$483.05	$13,553	1.4×	$29,453
PCI bypass graft	CPT	92937	13	$36,094	$25,266	$482.46	$13,375	1.2×	$29,453
Left heart catheterization	CPT	93452	14	$36,933	$25,853	$967.53	$9,302.93	3.0×	$30,137
Coronary angiography with cath	CPT	93455	14	$34,066	$23,846	$1,166.18	$9,514.45	3.0×	$27,798
Coronary angiography with bypass cath	CPT	93458	14	$41,919	$29,343	$1,204.89	$9,514.45	3.1×	$34,206

Rate history available after the next quarterly refresh. We re-crawl all hospital MRFs each quarter to track rate changes over time.

Payer mix (top 18)

Payer	Codes covered	Median rate
Anthem BCBS	193	$1,449.43
Aetna	180	$1,120.59
Blue Cross Blue Shield	177	$4,304.94
Kaiser Permanente	166	$597.65
Medicare	166	$601.15
commercial \| hill physicians \| all plans	166	$601.15
Medicaid	144	$392.12
UnitedHealthcare	128	$2,949.35
commercial \| wcmg \| all plans	105	$179.18
First Health	105	$790.5
commercial \| sutter health \| all plans	105	$843.2
commercial \| healthsmart \| all plans	105	$793.77
Multiplan	105	$860.07
Cigna	95	$2,067.9
Humana	95	$2,105.94
commercial \| western health advantage \| all plans	44	$8,892.49
commercial \| connected care intel \| all plans	17	$4,828.33
Health Net	7	$1,234.04

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