Does Mercy San Juan Medical Center publish its standard charges and chargemaster?

Yes. Mercy San Juan Medical Center publishes a machine-readable file with 7,995 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 San Juan Medical Center charge for procedures?

Mercy San Juan Medical Center (Carmichael, 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 050516

Mercy San Juan Medical Center

Carmichael, CA, 95608

384 bedsAcute Care Hospitals1

Compliance grade

100/100

Rates published

7,995

last crawl 2026-05-22

Procedures tracked

192

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-San-Juan-Medical-Center_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	9	—	—	$7,705.65	$12,899	1.0×	$16,124
Psychiatric diagnostic evaluation	CPT	90791	14	$1,242	$869.4	$35.19	$262.56	1.5×	$1,242
Psychiatric eval with medical services	CPT	90792	14	$1,242	$869.4	$35.19	$236.6	1.4×	$1,242
Psychotherapy 30 minutes	CPT	90832	14	$1,237	$865.9	$67.05	$194.61	1.3×	$1,023
Psychotherapy 45 minutes	CPT	90834	14	$663	$464.1	$85.18	$188.94	1.2×	$548.31
Psychotherapy 60 minutes	CPT	90837	14	$990	$693	$124.32	$206.62	1.1×	$818.73
emergency
ED visit level 1	CPT	99281	17	$491	$343.7	$21.77	$309.13	2.2×	$6,939
ED visit level 2	CPT	99282	17	$1,224	$856.8	$34.97	$834.55	3.5×	$12,266
ED visit level 3	CPT	99283	17	$2,268	$1,587.6	$63.97	$1,199.48	3.0×	$14,200
ED visit level 4	CPT	99284	17	$18,542	$12,979	$98.04	$2,355.36	3.5×	$20,609
ED visit level 5	CPT	99285	17	$34,425	$24,098	$76.5	$3,985.99	3.8×	$34,459
Critical care, first hour	CPT	99291	17	$48,238	$33,767	$293	$6,535.78	6.1×	$48,286
imaging
CT head without contrast	CPT	70450	14	$4,465	$3,125.5	$144.97	$229.26	1.1×	$3,692.56
CT head with contrast	CPT	70460	14	$6,697	$4,687.9	$209.04	$376.14	1.6×	$5,538.42
CT head with and without contrast	CPT	70470	14	$6,697	$4,687.9	$237.85	$376.14	1.4×	$5,538.42
CT neck with contrast	CPT	70491	14	$6,697	$4,687.9	$237.85	$376.14	1.4×	$5,538.42
MRI brain without contrast	CPT	70551	14	$5,092	$3,564.4	$283.78	$445.35	1.1×	$4,211.09
MRI brain with contrast	CPT	70552	14	$7,800	$5,460	$396.44	$683.78	1.4×	$6,450.6
MRI brain with and without contrast	CPT	70553	14	$7,800	$5,460	$467.23	$712.73	1.2×	$6,450.6
Chest X-ray single view	CPT	71045	15	$1,054	$737.8	$17.67	$121.28	1.3×	$871.66
Chest X-ray 2 views	CPT	71046	15	$1,054	$737.8	$27.48	$121.28	1.2×	$871.66
Chest X-ray 3 views	CPT	71047	15	$1,054	$737.8	$35.27	$121.28	1.3×	$871.66
CT chest without contrast	CPT	71250	14	$4,465	$3,125.5	$144.97	$229.26	1.1×	$3,692.56
CT chest with contrast	CPT	71260	14	$6,697	$4,687.9	$237.85	$376.14	1.3×	$5,538.42
CT chest with and without contrast	CPT	71270	14	$6,697	$4,687.9	$237.85	$376.14	1.3×	$5,538.42
MRI chest without contrast	CPT	71550	14	$5,092	$3,564.4	$306.4	$516.49	1.2×	$4,211.09
MRI chest with contrast	CPT	71551	14	$8,000	$5,600	$395.33	$1,072.68	1.3×	$6,616
MRI chest with and without contrast	CPT	71552	14	$7,800	$5,460	$490.35	$712.73	1.2×	$6,450.6
Lumbosacral spine X-ray	CPT	72100	15	$1,175	$822.5	$43.45	$163.23	1.6×	$971.73
CT cervical spine without contrast	CPT	72125	14	$4,465	$3,125.5	$144.97	$229.26	1.1×	$3,692.56
CT thoracic spine without contrast	CPT	72128	14	$4,465	$3,125.5	$144.97	$229.26	1.2×	$3,692.56
CT lumbar spine without contrast	CPT	72131	14	$4,465	$3,125.5	$144.97	$229.26	1.1×	$3,692.56
MRI cervical spine without contrast	CPT	72141	14	$5,092	$3,564.4	$277.53	$445.35	1.1×	$4,211.09
MRI thoracic spine without contrast	CPT	72146	14	$5,092	$3,564.4	$277.53	$445.35	1.2×	$4,211.09
MRI lumbar spine without contrast	CPT	72148	14	$5,092	$3,564.4	$277.97	$445.35	1.2×	$4,211.09
MRI lumbar spine with and without contrast	CPT	72149	14	$7,800	$5,460	$399.67	$686.7	1.5×	$6,450.6
MRI cervical spine with and without contrast	CPT	72156	14	$7,800	$5,460	$471.83	$712.73	1.3×	$6,450.6
MRI lumbar spine with contrast	CPT	72158	14	$7,800	$5,460	$470.9	$712.73	1.3×	$6,450.6
CT pelvis without contrast	CPT	72192	14	$4,465	$3,125.5	$144.97	$229.26	1.1×	$3,692.56
CT pelvis with contrast	CPT	72193	14	$6,697	$4,687.9	$237.85	$376.14	1.3×	$5,538.42
Shoulder X-ray	CPT	73030	15	$1,054	$737.8	$37.09	$121.28	1.3×	$871.66
Humerus X-ray	CPT	73060	15	$1,054	$737.8	$29.81	$121.28	1.4×	$871.66
Hand X-ray 3 views	CPT	73130	15	$1,054	$737.8	$36.06	$121.28	1.3×	$871.66
MRI upper extremity joint without contrast	CPT	73221	14	$5,092	$3,564.4	$295.44	$445.35	1.1×	$4,211.09
MRI upper extremity joint with and without contrast	CPT	73223	14	$7,800	$5,460	$408.36	$694.56	1.1×	$6,450.6
Knee X-ray 1-2 views	CPT	73560	15	$1,054	$737.8	$27.28	$121.28	1.3×	$871.66
Ankle X-ray 3 views	CPT	73610	15	$1,054	$737.8	$36.06	$121.28	1.3×	$871.66
MRI lower extremity joint without contrast	CPT	73721	14	$7,091	$4,963.7	$294.53	$525.45	1.1×	$5,864.26
MRI lower extremity joint with and without contrast	CPT	73723	14	$7,800	$5,460	$407.06	$693.39	1.1×	$6,450.6
CT abdomen without contrast	CPT	74150	14	$4,465	$3,125.5	$144.97	$229.26	1.2×	$3,692.56
CT abdomen with contrast	CPT	74160	14	$6,697	$4,687.9	$237.85	$376.14	1.3×	$5,538.42
CT abdomen with and without contrast	CPT	74170	14	$6,697	$4,687.9	$237.85	$376.14	1.1×	$5,538.42
CT abdomen and pelvis without contrast	CPT	74176	14	$5,921	$4,144.7	$178.43	$355.33	0.98×	$4,896.67
CT abdomen and pelvis with contrast	CPT	74177	14	$8,837	$6,185.9	$281.8	$566.42	1.0×	$7,308.2
CT abdomen and pelvis with and without contrast	CPT	74178	14	$8,837	$6,185.9	$319.24	$606.56	1.1×	$7,308.2
MRI abdomen without contrast	CPT	74181	14	$5,092	$3,564.4	$287.28	$445.35	1.1×	$4,211.09
MRI abdomen with and without contrast	CPT	74183	14	$7,800	$5,460	$351.25	$642.88	1.1×	$6,450.6
Abdominal ultrasound complete	CPT	76700	15	$1,874	$1,311.8	$119.34	$228.01	1.5×	$1,549.8
Abdominal ultrasound limited	CPT	76705	15	$1,874	$1,311.8	$87.13	$183.65	1.3×	$1,549.8
Retroperitoneal ultrasound complete	CPT	76770	15	$1,874	$1,311.8	$115.78	$224.62	1.6×	$1,549.8
Obstetric ultrasound first trimester	CPT	76801	15	$1,874	$1,311.8	$78.42	$180.14	1.3×	$1,549.8
Obstetric ultrasound after first trimester	CPT	76805	15	$1,250	$875	$135.29	$237.07	1.6×	$1,250
Obstetric ultrasound with fetal anatomy	CPT	76811	15	$2,793	$1,955.1	$159.03	$345	1.5×	$2,793
Transvaginal ultrasound	CPT	76830	15	$1,874	$1,311.8	$97.04	$193.61	1.3×	$1,549.8
Pelvic ultrasound complete	CPT	76856	15	$1,874	$1,311.8	$97.04	$193.61	1.4×	$1,549.8
Scrotal ultrasound	CPT	76870	15	$1,874	$1,311.8	$85.75	$185.26	1.4×	$1,549.8
Diagnostic mammography unilateral	CPT	77065	8	$557	$389.9	$91.12	$417.75	2.8×	$557
Diagnostic mammography bilateral	CPT	77066	8	$716	$501.2	$117.13	$537	2.8×	$716
EKG tracing only	CPT	93005	14	$529	$370.3	$29.84	$98.25	0.83×	$529
Transthoracic echocardiogram complete	CPT	93306	15	$3,050	$2,135	$239.76	$1,017.5	1.7×	$3,050
Transthoracic echocardiogram	CPT	93307	14	$1,068	$747.6	$181.56	$397.92	1.6×	$1,068
Stress echocardiogram	CPT	93350	14	$4,164	$2,914.8	$137.87	$692.54	1.4×	$4,164
inpatient
Respiratory infections & inflammations w MCC	MS-DRG	177	9	—	—	$11,990	$18,967	1.2×	$23,709
COPD w MCC	MS-DRG	190	9	—	—	$7,252.96	$11,761	1.0×	$14,702
COPD w CC	MS-DRG	191	9	—	—	$5,660.36	$9,364.75	1.1×	$11,706
COPD w/o CC/MCC	MS-DRG	192	9	—	—	$4,496.34	$7,486.65	1.1×	$9,358.31
Simple pneumonia & pleurisy w CC	MS-DRG	194	9	—	—	$5,633.73	$9,161.71	1.1×	$11,452
Simple pneumonia & pleurisy w/o CC/MCC	MS-DRG	195	9	—	—	$4,324.51	$7,190.05	1.1×	$8,987.56
AMI discharged alive w MCC	MS-DRG	280	9	—	—	$10,340	$16,557	1.1×	$20,696
AMI discharged alive w CC	MS-DRG	281	9	—	—	$6,141.57	$9,825.57	1.0×	$12,282
AMI discharged alive w/o CC/MCC	MS-DRG	282	9	—	—	$4,678.3	$7,790.21	1.00×	$9,737.76
Heart failure & shock w MCC	MS-DRG	291	9	—	—	$8,532.38	$13,187	1.0×	$16,483
Heart failure & shock w CC	MS-DRG	292	9	—	—	$5,740.88	$9,157.73	1.0×	$11,447
Heart failure & shock w/o CC/MCC	MS-DRG	293	9	—	—	$4,154.61	$6,434.63	1.0×	$8,043.29
Cardiac arrhythmia w MCC	MS-DRG	308	9	—	—	$7,530.03	$12,516	1.0×	$15,645
Cardiac arrhythmia w CC	MS-DRG	309	9	—	—	$4,794.94	$8,033.06	1.0×	$10,041
Cardiac arrhythmia w/o CC/MCC	MS-DRG	310	9	—	—	$3,545.96	$6,129.08	0.99×	$7,661.35
GI hemorrhage w CC	MS-DRG	378	9	—	—	$6,264.55	$10,452	1.0×	$13,065
GI hemorrhage w/o CC/MCC	MS-DRG	379	9	—	—	$4,093.74	$6,905.4	1.0×	$8,631.75
Esophagitis/gastroenteritis w/o MCC	MS-DRG	392	9	—	—	$4,827.92	$8,185.34	1.0×	$10,232
Fractures of femur w/o MCC	MS-DRG	533	9	—	—	$9,252.6	$14,659	0.96×	$18,323
Kidney/UTI w MCC	MS-DRG	689	9	—	—	$7,091.92	$11,653	1.0×	$14,566
Kidney/UTI w/o MCC	MS-DRG	690	9	—	—	$5,013.67	$8,466.01	1.0×	$10,583
Septicemia or severe sepsis w MV 96+ hrs	MS-DRG	871	9	—	—	$11,832	$19,197	1.0×	$23,996
Septicemia or severe sepsis w/o MV 96+ hrs	MS-DRG	872	9	—	—	$6,589.17	$10,778	1.0×	$13,473
lab
Basic metabolic panel (BMP)	CPT	80048	15	$479	$335.3	$7.98	$21.03	0.65×	$396.14
General health panel	CPT	80050	10	$481	$336.7	$54.43	$257.34	2.4×	$481
Electrolyte panel	CPT	80051	15	$371	$259.7	$6.61	$17.21	0.72×	$306.82
Comprehensive metabolic panel	CPT	80053	15	$953	$667.1	$9.96	$26.56	0.60×	$788.14
Lipid panel	CPT	80061	15	$325	$227.5	$1.36	$11.63	0.30×	$325
Renal function panel	CPT	80069	15	$248	$173.6	$8.19	$21.58	0.79×	$233.7
Hepatic function panel	CPT	80076	15	$234	$163.8	$7.7	$20.25	0.76×	$220.1
Urinalysis non-automated	CPT	81002	15	$39	$27.3	$3.08	$6.71	0.96×	$39
Urinalysis automated	CPT	81003	15	$90	$63	$2.12	$21.63	1.6×	$74.43
Glucose quantitative	CPT	82947	15	$130	$91	$3.71	$13.02	0.74×	$107.51
Hemoglobin A1c	CPT	83036	15	$544	$380.8	$9.16	$91.83	3.4×	$449.89
Thyroid stimulating hormone (TSH)	CPT	84443	15	$231	$161.7	$15.84	$39.27	0.83×	$231
Complete blood count with automated differential	CPT	85025	15	$185	$129.5	$7.33	$19.21	0.72×	$185
Complete blood count without differential	CPT	85027	15	$148	$103.6	$6.1	$15.69	0.73×	$148
Urine culture bacterial	CPT	87086	15	$143	$100.1	$7.61	$18.59	0.80×	$143
Urine culture identification	CPT	87088	15	$147	$102.9	$7.63	$24.99	1.1×	$147
Tissue exam by pathologist level IV	CPT	88305	15	$620	$434	$5.66	$66.17	0.65×	$512.74
maternity
Fetal non-stress test	CPT	59025	17	$861	$602.7	$32.7	$410.94	2.2×	$23,269
Routine obstetric care including vaginal delivery	CPT	59400	6	—	—	$1,994.02	$6,884.19	3.0×	$23,269
Vaginal delivery only	CPT	59409	11	—	—	$780.72	$4,595.51	2.1×	$253,188
Vaginal delivery with postpartum	CPT	59410	5	—	—	$4,052.09	$7,511.13	7.1×	$23,269
Routine obstetric care with C-section	CPT	59510	6	—	—	$1,995.21	$7,867.65	3.1×	$23,269
C-section delivery only	CPT	59514	6	—	—	$781.35	$7,751.46	8.1×	$23,269
C-section with postpartum	CPT	59515	5	—	—	$4,630.96	$8,892.89	7.0×	$23,269
office
Office visit, new patient, 15-29 min	CPT	99202	10	$1,856	$1,299.2	$49.2	$312.28	3.6×	$7,969
Office visit, new patient, 30-44 minutes	CPT	99203	9	$397	$277.9	$60.86	$268.5	2.2×	$397
Office visit, new patient, 45-59 min	CPT	99204	10	$3,410	$2,387	$68	$358.1	2.1×	$7,969
Office visit, new patient, 60-74 min	CPT	99205	9	$505	$353.5	$77.86	$372.58	1.7×	$505
Office visit, established patient, 5 min	CPT	99211	10	$1,856	$1,299.2	$17.21	$240.82	3.7×	$7,969
Office visit, established patient, 10-19 min	CPT	99212	9	$316	$221.2	$16.37	$152	1.9×	$316
Office visit, established patient, 20-29 minutes	CPT	99213	9	$358	$250.6	$34.43	$152	1.3×	$358
Office visit, established patient, 30-39 minutes	CPT	99214	10	$3,410	$2,387	$53.79	$330.8	2.2×	$7,969
Office visit, established patient, 40-54 min	CPT	99215	9	$486	$340.2	$77.86	$328.19	1.7×	$486
preventive
Upper GI endoscopy diagnostic	CPT	43235	11	—	—	$405.42	$2,365.92	2.6×	$252,199
Upper GI endoscopy with biopsy	CPT	43239	11	—	—	$423.61	$2,878	3.0×	$252,199
Sigmoidoscopy diagnostic	CPT	45330	11	—	—	$99	$2,349.52	2.8×	$23,486
Sigmoidoscopy with biopsy	CPT	45331	11	—	—	$130.65	$2,349.52	2.6×	$23,486
Colonoscopy diagnostic	CPT	45378	11	—	—	$534.04	$2,407.46	2.7×	$252,199
Colonoscopy with biopsy	CPT	45380	11	—	—	$597.36	$2,652.32	2.2×	$252,199
Colonoscopy with polyp removal	CPT	45385	11	—	—	$723.96	$2,708.65	2.2×	$252,199
surgery
Total shoulder arthroplasty	CPT	23472	11	—	—	$2,359.38	$17,412	4.2×	$48,140
PCI w drug-eluting stent w MCC	MS-DRG	246	9	—	—	$20,116	$31,659	1.1×	$39,574
PCI w drug-eluting stent w/o MCC	MS-DRG	247	9	—	—	$12,900	$20,202	1.1×	$25,253
Hip hemiarthroplasty	CPT	27125	7	—	—	$1,885.66	$7,455.46	6.0×	$42,475
Total hip replacement	CPT	27130	11	—	—	$2,693.8	$16,865	3.9×	$48,140
Total knee replacement	CPT	27447	11	—	—	$2,693.8	$17,361	4.2×	$48,140
Knee revision arthroplasty single component	CPT	27486	6	—	—	$2,608.21	$11,423	6.8×	$48,140
Knee revision arthroplasty all components	CPT	27487	7	—	—	$2,584.03	$10,013	5.0×	$48,140
Shoulder arthroscopy with decompression	CPT	29826	7	—	—	$605.06	$7,751	23.7×	$17,966
Shoulder arthroscopy with rotator cuff repair	CPT	29827	11	—	—	$623.03	$9,708.42	2.9×	$42,475
Knee arthroscopy with meniscectomy	CPT	29881	11	—	—	$790.35	$5,844.93	2.9×	$29,354
ACL reconstruction	CPT	29888	11	—	—	$1,220.29	$8,430.53	2.5×	$42,475
Major small/large bowel procedures w MCC	MS-DRG	329	9	—	—	$31,112	$49,195	1.1×	$61,494
Major small/large bowel procedures w CC	MS-DRG	330	9	—	—	$16,020	$25,936	1.1×	$32,420
Major small/large bowel procedures w/o CC/MCC	MS-DRG	331	9	—	—	$10,710	$17,588	1.1×	$21,985
CABG single arterial graft	CPT	33533	6	—	—	$3,386.12	$16,587	8.8×	$33,981
CABG 2 arterial grafts	CPT	33534	6	—	—	$3,807.69	$20,361	9.5×	$43,418
CABG 3 arterial grafts	CPT	33535	6	—	—	$4,228.6	$20,361	9.0×	$43,418
CABG 4+ arterial grafts	CPT	33536	6	—	—	$4,650.86	$20,361	8.3×	$43,418
Laparoscopic cholecystectomy w/o CDE w MCC	MS-DRG	418	9	—	—	$10,581	$17,374	1.1×	$21,717
Laparoscopic cholecystectomy w/o CDE w CC	MS-DRG	419	9	—	—	$8,285.12	$13,654	1.0×	$17,068
Laparoscopic cholecystectomy w/o CDE w/o CC/MCC	MS-DRG	420	9	—	—	$21,777	$35,563	1.1×	$44,453
Open appendectomy	CPT	44950	11	—	—	$724.63	$4,770.27	4.2×	$29,354
Laparoscopic appendectomy	CPT	44970	11	—	—	$494.31	$7,595.87	4.9×	$42,475
Spinal fusion (non-cervical) w MCC	MS-DRG	459	9	—	—	$43,442	$67,581	1.4×	$84,476
Spinal fusion (non-cervical) w/o MCC	MS-DRG	460	9	—	—	$25,109	$39,685	1.2×	$49,606
Major joint replacement w MCC	MS-DRG	469	9	—	—	$19,907	$31,277	1.1×	$39,096
Major joint replacement w/o MCC	MS-DRG	470	9	—	—	$12,480	$19,477	1.0×	$24,346
Laparoscopic cholecystectomy	CPT	47562	11	—	—	$843.15	$10,344	5.8×	$43,418
Lap cholecystectomy with cholangiography	CPT	47563	11	—	—	$970.44	$10,344	5.5×	$43,418
Hip & femur procedures except major joint w MCC	MS-DRG	480	9	—	—	$19,137	$30,679	1.1×	$38,349
Hip & femur procedures except major joint w CC	MS-DRG	481	9	—	—	$13,237	$21,426	1.1×	$26,782
Hip & femur procedures except major joint w/o CC/MCC	MS-DRG	482	9	—	—	$10,431	$16,944	1.1×	$21,180
Open umbilical hernia repair	CPT	49560	11	—	—	$839.12	$6,187.18	3.2×	$29,354
Umbilical hernia repair age 5+	CPT	49585	11	—	—	$534.04	$6,187.18	4.7×	$29,354
Lap inguinal hernia repair	CPT	49650	11	—	—	$379.7	$7,329.6	6.5×	$42,475
Lap incisional hernia repair	CPT	49652	11	—	—	$524.57	$9,236.37	3.4×	$42,475
Total abdominal hysterectomy	CPT	58150	7	—	—	$1,162.9	$5,571.11	5.7×	$29,354
Vaginal hysterectomy	CPT	58260	11	—	—	$1,162.9	$6,226.62	3.4×	$29,354
Lap-assisted vaginal hysterectomy	CPT	58550	11	—	—	$838.74	$11,668	7.9×	$42,475
Lap-assisted vaginal hysterectomy >250g	CPT	58552	11	—	—	$616.65	$13,354	6.0×	$42,475
Lap salpingo-oophorectomy	CPT	58661	11	—	—	$701.38	$8,570.6	4.2×	$42,475
OR procedure for obesity w MCC	MS-DRG	619	9	—	—	$19,518	$31,036	1.1×	$38,795
OR procedure for obesity w CC	MS-DRG	620	9	—	—	$11,378	$18,107	1.1×	$22,634
OR procedure for obesity w/o CC/MCC	MS-DRG	621	9	—	—	$9,966.49	$16,459	1.1×	$20,574
Complex cataract surgery	CPT	66982	11	—	—	$1,272.35	$7,689.98	3.5×	$253,188
Cataract surgery with lens implant	CPT	66984	11	—	—	$1,818.32	$8,387.26	3.8×	$253,188
Intravitreal injection	CPT	67028	11	—	—	$424.58	$2,558.53	7.5×	$14,679
Vitrectomy mechanical	CPT	67042	11	—	—	$1,186.9	$5,975.52	2.4×	$33,981
Uterine & adnexa procedures w CC/MCC	MS-DRG	743	9	—	—	$7,281.5	$11,838	0.96×	$14,798
Uterine & adnexa procedures w/o CC/MCC	MS-DRG	744	9	—	—	$11,035	$18,433	0.96×	$23,041
PCI single major coronary artery	CPT	92920	15	$17,500	$12,250	$435.12	$8,441.99	1.5×	$43,418
PCI with drug-eluting stent	CPT	92928	15	$36,094	$25,266	$483.05	$14,224	1.4×	$43,418
PCI bypass graft	CPT	92937	14	$36,094	$25,266	$482.46	$14,184	1.3×	$43,418
Left heart catheterization	CPT	93452	15	$36,933	$25,853	$967.53	$8,787.5	2.8×	$33,981
Coronary angiography with cath	CPT	93455	15	$34,066	$23,846	$1,166.18	$8,701.33	2.8×	$43,418
Coronary angiography with bypass cath	CPT	93458	15	$41,919	$29,343	$1,204.89	$9,211.31	3.0×	$43,418

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	192	$1,397
Humana	190	$1,120.59
Aetna	180	$1,011.13
Blue Cross Blue Shield	177	$4,188.78
Bright Health	166	$657.42
Medicare	166	$601.15
commercial \| hill physicians \| all plans	166	$601.15
Kaiser Permanente	166	$678.33
UnitedHealthcare	146	$1,224.38
Medicaid	144	$358.69
First Health	104	$790.5
Multiplan	104	$871.66
commercial \| wcmg \| all plans	104	$179.18
commercial \| sutter health \| all plans	104	$843.2
Cigna	95	$2,067.9
commercial \| western health advantage \| all plans	44	$8,892.49
commercial \| connected care intel \| all plans	17	$4,828.33
Health Net	7	$1,186.72

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