▸ Hospital · CA · CCN 050616
St Johns Hospital Camarillo
2309 ANTONIO AVENUE, CAMARILLO, CA, 93010
58 beds1
Compliance grade
A
100/100
Procedures tracked
186
of 209 target codes
Payers
17
with negotiated rates
Rates published
5,126
last crawl 2026-05-22
Procedures & rates
| Procedure | Type | Code | Payers | Gross | Cash | Neg min | Neg median | Neg max |
|---|---|---|---|---|---|---|---|---|
| behavioral | ||||||||
| Psychoses | MS-DRG | 885 | 7 | — | — | $10,309 | $10,309 | $20,619 |
| emergency | ||||||||
| ED visit level 1 | CPT | 99281 | 17 | $714 | $499.8 | $21.77 | $420.94 | $3,390 |
| ED visit level 2 | CPT | 99282 | 17 | $912 | $638.4 | $34.97 | $537.67 | $3,390 |
| ED visit level 3 | CPT | 99283 | 17 | $1,228 | $859.6 | $63.97 | $723.97 | $6,654 |
| ED visit level 4 | CPT | 99284 | 17 | $1,784 | $1,248.8 | $98.04 | $1,051.76 | $9,881 |
| ED visit level 5 | CPT | 99285 | 17 | $3,369 | $2,358.3 | $155.03 | $1,986.2 | $12,845 |
| Critical care, first hour | CPT | 99291 | 16 | $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 | $245.18 | $2,680.8 |
| CT head with contrast | CPT | 70460 | 13 | $4,020 | $2,814 | $209.04 | $401.74 | $3,216 |
| CT head with and without contrast | CPT | 70470 | 13 | $4,692 | $3,284.4 | $227.61 | $402.36 | $3,753.6 |
| CT neck with contrast | CPT | 70491 | 13 | $4,585 | $3,209.5 | $227.61 | $415.14 | $3,668 |
| MRI brain without contrast | CPT | 70551 | 13 | $5,556 | $3,889.2 | $283.78 | $517.79 | $8,486 |
| MRI brain with contrast | CPT | 70552 | 13 | $5,556 | $3,889.2 | $396.44 | $828.27 | $8,486 |
| MRI brain with and without contrast | CPT | 70553 | 13 | $8,120 | $5,684 | $467.23 | $828.27 | $8,486 |
| Chest X-ray single view | CPT | 71045 | 14 | $475 | $332.5 | $17.67 | $115.66 | $380 |
| Chest X-ray 2 views | CPT | 71046 | 14 | $615 | $430.5 | $27.48 | $174.04 | $492 |
| Chest X-ray 3 views | CPT | 71047 | 14 | $757 | $529.9 | $35.27 | $182.03 | $605.6 |
| CT chest without contrast | CPT | 71250 | 13 | $4,153 | $2,907.1 | $138.73 | $258.88 | $3,322.4 |
| CT chest with contrast | CPT | 71260 | 13 | $4,013 | $2,809.1 | $227.61 | $401.74 | $3,210.4 |
| CT chest with and without contrast | CPT | 71270 | 13 | $5,120 | $3,584 | $227.61 | $424.18 | $4,096 |
| MRI chest without contrast | CPT | 71550 | 13 | $5,752 | $4,026.4 | $293.2 | $623.37 | $8,486 |
| MRI chest with contrast | CPT | 71551 | 13 | $4,058 | $2,840.6 | $395.33 | $1,095.66 | $8,486 |
| MRI chest with and without contrast | CPT | 71552 | 13 | $4,058 | $2,840.6 | $469.24 | $828.27 | $8,486 |
| Lumbosacral spine X-ray | CPT | 72100 | 14 | $971 | $679.7 | $43.45 | $200.06 | $776.8 |
| CT cervical spine without contrast | CPT | 72125 | 13 | $5,285 | $3,699.5 | $138.73 | $258.88 | $4,228 |
| CT thoracic spine without contrast | CPT | 72128 | 13 | $4,258 | $2,980.6 | $138.73 | $258.88 | $3,406.4 |
| CT lumbar spine without contrast | CPT | 72131 | 13 | $4,258 | $2,980.6 | $138.73 | $258.88 | $3,406.4 |
| MRI cervical spine without contrast | CPT | 72141 | 13 | $7,248 | $5,073.6 | $277.53 | $517.79 | $8,486 |
| MRI thoracic spine without contrast | CPT | 72146 | 13 | $4,833 | $3,383.1 | $277.53 | $517.79 | $8,486 |
| MRI lumbar spine without contrast | CPT | 72148 | 13 | $8,333 | $5,833.1 | $277.97 | $517.79 | $8,486 |
| MRI lumbar spine with and without contrast | CPT | 72149 | 13 | $6,823 | $4,776.1 | $399.67 | $828.27 | $8,486 |
| MRI cervical spine with and without contrast | CPT | 72156 | 13 | $10,593 | $7,415.1 | $469.24 | $828.27 | $8,486 |
| MRI lumbar spine with contrast | CPT | 72158 | 13 | $12,178 | $8,524.6 | $469.24 | $828.27 | $9,742.4 |
| CT pelvis without contrast | CPT | 72192 | 13 | $5,131 | $3,591.7 | $138.73 | $258.88 | $4,104.8 |
| CT pelvis with contrast | CPT | 72193 | 13 | $5,535 | $3,874.5 | $227.61 | $424.18 | $4,428 |
| Shoulder X-ray | CPT | 73030 | 14 | $711 | $497.7 | $37.09 | $156.95 | $568.8 |
| Humerus X-ray | CPT | 73060 | 14 | $269 | $188.3 | $29.81 | $117.47 | $351.98 |
| Hand X-ray 3 views | CPT | 73130 | 14 | $690 | $483 | $36.06 | $152.33 | $552 |
| MRI upper extremity joint without contrast | CPT | 73221 | 13 | $5,551 | $3,885.7 | $293.2 | $517.79 | $8,486 |
| MRI upper extremity joint with and without contrast | CPT | 73223 | 13 | $4,684 | $3,278.8 | $408.36 | $828.27 | $8,486 |
| Knee X-ray 1-2 views | CPT | 73560 | 14 | $549 | $384.3 | $27.28 | $134.45 | $439.2 |
| Ankle X-ray 3 views | CPT | 73610 | 14 | $819 | $573.3 | $36.06 | $152.33 | $655.2 |
| MRI lower extremity joint without contrast | CPT | 73721 | 13 | $7,245 | $5,071.5 | $293.2 | $517.79 | $8,486 |
| MRI lower extremity joint with and without contrast | CPT | 73723 | 13 | $5,116 | $3,581.2 | $407.06 | $828.27 | $8,486 |
| CT abdomen without contrast | CPT | 74150 | 13 | $3,179 | $2,225.3 | $138.73 | $258.88 | $2,543.2 |
| CT abdomen with contrast | CPT | 74160 | 13 | $3,263 | $2,284.1 | $227.61 | $424.18 | $2,610.4 |
| CT abdomen with and without contrast | CPT | 74170 | 13 | $3,416 | $2,391.2 | $227.61 | $429.54 | $2,732.8 |
| CT abdomen and pelvis without contrast | CPT | 74176 | 13 | $6,598 | $4,618.6 | $178.43 | $446.89 | $5,278.4 |
| CT abdomen and pelvis with contrast | CPT | 74177 | 13 | $6,954 | $4,867.8 | $281.8 | $713.74 | $5,563.2 |
| CT abdomen and pelvis with and without contrast | CPT | 74178 | 13 | $7,105 | $4,973.5 | $319.24 | $769.14 | $5,684 |
| MRI abdomen without contrast | CPT | 74181 | 13 | $6,165 | $4,315.5 | $287.28 | $517.79 | $8,486 |
| MRI abdomen with and without contrast | CPT | 74183 | 13 | $7,382 | $5,167.4 | $351.25 | $828.27 | $8,486 |
| Abdominal ultrasound complete | CPT | 76700 | 14 | $1,428 | $999.6 | $119.34 | $258.88 | $1,142.4 |
| Abdominal ultrasound limited | CPT | 76705 | 14 | $1,098 | $768.6 | $87.13 | $245.18 | $878.4 |
| Retroperitoneal ultrasound complete | CPT | 76770 | 14 | $1,947 | $1,362.9 | $115.78 | $258.88 | $1,557.6 |
| Obstetric ultrasound first trimester | CPT | 76801 | 14 | $1,067 | $746.9 | $78.42 | $245.18 | $853.6 |
| Obstetric ultrasound after first trimester | CPT | 76805 | 14 | $1,781 | $1,246.7 | $135.29 | $258.88 | $1,424.8 |
| Obstetric ultrasound with fetal anatomy | CPT | 76811 | 14 | $617 | $431.9 | $159.03 | $327.52 | $1,001.26 |
| Transvaginal ultrasound | CPT | 76830 | 14 | $1,750 | $1,225 | $97.04 | $252.86 | $1,400 |
| Pelvic ultrasound complete | CPT | 76856 | 14 | $1,947 | $1,362.9 | $97.04 | $252.38 | $1,557.6 |
| Scrotal ultrasound | CPT | 76870 | 14 | $1,750 | $1,225 | $85.75 | $254.32 | $1,400 |
| Diagnostic mammography unilateral | CPT | 77065 | 9 | $364 | $254.8 | $98.28 | $231.14 | $397.65 |
| Diagnostic mammography bilateral | CPT | 77066 | 9 | $466 | $326.2 | $125.82 | $295.91 | $508.6 |
| Screening mammography bilateral | CPT | 77067 | 9 | $427 | $298.9 | $95.85 | $264.74 | $427 |
| EKG tracing only | CPT | 93005 | 13 | $613 | $429.1 | $12.56 | $148.18 | $613 |
| Transthoracic echocardiogram complete | CPT | 93306 | 12 | $4,316 | $3,021.2 | $239.76 | $1,165.32 | $4,316 |
| Transthoracic echocardiogram | CPT | 93307 | 12 | $3,277 | $2,293.9 | $215.3 | $575.64 | $3,277 |
| Stress echocardiogram | CPT | 93350 | 12 | $3,380 | $2,366 | $137.87 | $615.71 | $3,380 |
| inpatient | ||||||||
| Respiratory infections & inflammations w MCC | MS-DRG | 177 | 7 | — | — | $13,003 | $15,381 | $30,762 |
| COPD w MCC | MS-DRG | 190 | 7 | — | — | $9,358.58 | $9,358.58 | $18,717 |
| COPD w CC | MS-DRG | 191 | 7 | — | — | $7,355.61 | $7,355.61 | $14,711 |
| COPD w/o CC/MCC | MS-DRG | 192 | 7 | — | — | $5,786 | $5,786 | $13,003 |
| Simple pneumonia & pleurisy w CC | MS-DRG | 194 | 7 | — | — | $7,185.92 | $7,185.92 | $14,372 |
| Simple pneumonia & pleurisy w/o CC/MCC | MS-DRG | 195 | 7 | — | — | $5,538.12 | $5,538.12 | $13,003 |
| AMI discharged alive w MCC | MS-DRG | 280 | 7 | — | — | $13,003 | $13,366 | $26,732 |
| AMI discharged alive w CC | MS-DRG | 281 | 7 | — | — | $7,740.73 | $7,740.73 | $15,481 |
| AMI discharged alive w/o CC/MCC | MS-DRG | 282 | 7 | — | — | $6,039.7 | $6,039.7 | $13,003 |
| Heart failure & shock w MCC | MS-DRG | 291 | 7 | — | — | $10,550 | $10,550 | $21,099 |
| Heart failure & shock w CC | MS-DRG | 292 | 7 | — | — | $7,182.59 | $7,182.59 | $14,365 |
| Heart failure & shock w/o CC/MCC | MS-DRG | 293 | 7 | — | — | $4,906.79 | $4,906.79 | $13,003 |
| Cardiac arrhythmia w MCC | MS-DRG | 308 | 7 | — | — | $9,989.08 | $9,989.08 | $19,978 |
| Cardiac arrhythmia w CC | MS-DRG | 309 | 7 | — | — | $6,242.66 | $6,242.66 | $13,003 |
| Cardiac arrhythmia w/o CC/MCC | MS-DRG | 310 | 7 | — | — | $4,651.43 | $4,651.43 | $13,003 |
| GI hemorrhage w CC | MS-DRG | 378 | 7 | — | — | $8,263.93 | $8,263.93 | $16,528 |
| GI hemorrhage w/o CC/MCC | MS-DRG | 379 | 7 | — | — | $5,300.23 | $5,300.23 | $13,003 |
| Esophagitis/gastroenteritis w/o MCC | MS-DRG | 392 | 7 | — | — | $6,369.92 | $6,369.92 | $13,003 |
| Fractures of femur w/o MCC | MS-DRG | 533 | 7 | — | — | $11,780 | $11,780 | $23,560 |
| Kidney/UTI w MCC | MS-DRG | 689 | 7 | — | — | $9,267.91 | $9,267.91 | $18,536 |
| Kidney/UTI w/o MCC | MS-DRG | 690 | 7 | — | — | $6,604.49 | $6,604.49 | $13,209 |
| Septicemia or severe sepsis w MV 96+ hrs | MS-DRG | 871 | 7 | — | — | $13,003 | $15,573 | $31,146 |
| Septicemia or severe sepsis w/o MV 96+ hrs | MS-DRG | 872 | 7 | — | — | $8,536.76 | $8,536.76 | $17,074 |
| lab | ||||||||
| Basic metabolic panel (BMP) | CPT | 80048 | 14 | $171 | $119.7 | $8.46 | $20.99 | $168.82 |
| Electrolyte panel | CPT | 80051 | 14 | $506 | $354.2 | $7.01 | $17.39 | $404.8 |
| Comprehensive metabolic panel | CPT | 80053 | 14 | $456 | $319.2 | $10.56 | $26.19 | $364.8 |
| Lipid panel | CPT | 80061 | 14 | $260 | $182 | $13.39 | $33.21 | $260 |
| Renal function panel | CPT | 80069 | 14 | $648 | $453.6 | $8.68 | $21.22 | $518.4 |
| Hepatic function panel | CPT | 80076 | 14 | $416 | $291.2 | $8.17 | $20.27 | $332.8 |
| Urinalysis non-automated | CPT | 81002 | 14 | $96 | $67.2 | $3.08 | $6.96 | $76.8 |
| Urinalysis automated | CPT | 81003 | 14 | $86 | $60.2 | $2.25 | $5.5 | $68.8 |
| Glucose quantitative | CPT | 82947 | 14 | $193 | $135.1 | $3.93 | $9.75 | $154.4 |
| Hemoglobin A1c | CPT | 83036 | 14 | $179 | $125.3 | $9.71 | $24.09 | $179 |
| Thyroid stimulating hormone (TSH) | CPT | 84443 | 14 | $386 | $270.2 | $2.16 | $18.72 | $335.21 |
| Complete blood count with automated differential | CPT | 85025 | 14 | $205 | $143.5 | $7.77 | $19.27 | $164 |
| Complete blood count without differential | CPT | 85027 | 14 | $151 | $105.7 | $6.47 | $15.83 | $129.06 |
| Urine culture bacterial | CPT | 87086 | 14 | $390 | $273 | $8.07 | $20.02 | $312 |
| Tissue exam by pathologist level IV | CPT | 88305 | 14 | $390 | $273 | $58.8 | $88.7 | $312 |
| maternity | ||||||||
| Fetal non-stress test | CPT | 59025 | 11 | — | — | $32.7 | $298.94 | $13,463 |
| Routine obstetric care including vaginal delivery | CPT | 59400 | 4 | — | — | $1,994.02 | $4,482.44 | $13,463 |
| Vaginal delivery only | CPT | 59409 | 11 | — | — | $780.72 | $3,343.23 | $17,494 |
| Vaginal delivery with postpartum | CPT | 59410 | 4 | — | — | $3,132 | $5,379 | $13,463 |
| Routine obstetric care with C-section | CPT | 59510 | 4 | — | — | $1,995.21 | $5,122.78 | $13,463 |
| C-section delivery only | CPT | 59514 | 4 | — | — | $781.35 | $5,122.78 | $13,463 |
| C-section with postpartum | CPT | 59515 | 4 | — | — | $3,132 | $5,381 | $13,463 |
| office | ||||||||
| Office visit, new patient, 15-29 min | CPT | 99202 | 8 | $1,347 | $942.9 | $49.2 | $599.42 | $1,347 |
| Office visit, new patient, 30-44 minutes | CPT | 99203 | 8 | $1,548 | $1,083.6 | $82.05 | $688.86 | $1,548 |
| Office visit, new patient, 45-59 min | CPT | 99204 | 8 | $1,843 | $1,290.1 | $98.83 | $820.14 | $1,843 |
| Office visit, new patient, 60-74 min | CPT | 99205 | 8 | $1,981 | $1,386.7 | $118.62 | $881.55 | $1,981 |
| Office visit, established patient, 5 min | CPT | 99211 | 8 | $1,207 | $844.9 | $12.38 | $339.27 | $1,207 |
| Office visit, established patient, 10-19 min | CPT | 99212 | 8 | $1,347 | $942.9 | $16.37 | $599.42 | $1,347 |
| Office visit, established patient, 20-29 minutes | CPT | 99213 | 8 | $1,548 | $1,083.6 | $34.43 | $688.86 | $1,548 |
| Office visit, established patient, 30-39 minutes | CPT | 99214 | 8 | $1,843 | $1,290.1 | $53.79 | $820.14 | $1,843 |
| Office visit, established patient, 40-54 min | CPT | 99215 | 8 | $1,981 | $1,386.7 | $82.05 | $881.55 | $1,981 |
| preventive | ||||||||
| Upper GI endoscopy diagnostic | CPT | 43235 | 11 | — | — | $405.42 | $2,025.1 | $16,750 |
| Upper GI endoscopy with biopsy | CPT | 43239 | 11 | — | — | $423.61 | $2,025.1 | $16,750 |
| Sigmoidoscopy diagnostic | CPT | 45330 | 11 | — | — | $99 | $1,985.2 | $14,888 |
| Sigmoidoscopy with biopsy | CPT | 45331 | 11 | — | — | $130.65 | $1,985.2 | $14,888 |
| Colonoscopy diagnostic | CPT | 45378 | 11 | — | — | $534.04 | $1,985.2 | $16,750 |
| Colonoscopy with biopsy | CPT | 45380 | 11 | — | — | $597.36 | $2,321 | $16,750 |
| Colonoscopy with polyp removal | CPT | 45385 | 11 | — | — | $723.96 | $2,321 | $16,750 |
| surgery | ||||||||
| Total shoulder arthroplasty | CPT | 23472 | 9 | — | — | $5,122.78 | $15,712 | $30,804 |
| PCI w drug-eluting stent w MCC | MS-DRG | 246 | 7 | — | — | $20,718 | $25,988 | $51,976 |
| PCI w drug-eluting stent w/o MCC | MS-DRG | 247 | 7 | — | — | $16,413 | $16,413 | $32,826 |
| Hip hemiarthroplasty | CPT | 27125 | 7 | — | — | $1,885.66 | $10,557 | $30,804 |
| Total hip replacement | CPT | 27130 | 11 | — | — | $2,693.8 | $15,660 | $30,804 |
| Total knee replacement | CPT | 27447 | 11 | — | — | $2,693.8 | $15,712 | $30,804 |
| Knee revision arthroplasty single component | CPT | 27486 | 6 | — | — | $5,122.78 | $13,463 | $30,804 |
| Knee revision arthroplasty all components | CPT | 27487 | 7 | — | — | $2,584.03 | $10,364 | $30,804 |
| Shoulder arthroscopy with decompression | CPT | 29826 | 6 | — | — | $605.06 | $6,038 | $15,097 |
| Shoulder arthroscopy with rotator cuff repair | CPT | 29827 | 11 | — | — | $623.03 | $7,981.47 | $22,334 |
| Knee arthroscopy with meniscectomy | CPT | 29881 | 11 | — | — | $790.35 | $5,577 | $18,612 |
| ACL reconstruction | CPT | 29888 | 11 | — | — | $1,220.29 | $7,981.47 | $22,334 |
| Major small/large bowel procedures w MCC | MS-DRG | 329 | 7 | — | — | $20,718 | $40,643 | $81,287 |
| Major small/large bowel procedures w CC | MS-DRG | 330 | 7 | — | — | $20,718 | $21,205 | $42,410 |
| Major small/large bowel procedures w/o CC/MCC | MS-DRG | 331 | 7 | — | — | $14,228 | $14,228 | $28,456 |
| CABG single arterial graft | CPT | 33533 | 5 | — | — | $3,386.12 | $12,490 | $20,474 |
| CABG 2 arterial grafts | CPT | 33534 | 5 | — | — | $3,807.69 | $12,521 | $26,695 |
| CABG 3 arterial grafts | CPT | 33535 | 5 | — | — | $4,228.6 | $12,521 | $26,695 |
| CABG 4+ arterial grafts | CPT | 33536 | 5 | — | — | $4,650.86 | $12,521 | $26,695 |
| Laparoscopic cholecystectomy w/o CDE w MCC | MS-DRG | 418 | 7 | — | — | $14,049 | $14,049 | $28,098 |
| Laparoscopic cholecystectomy w/o CDE w CC | MS-DRG | 419 | 7 | — | — | $10,941 | $10,941 | $21,881 |
| Laparoscopic cholecystectomy w/o CDE w/o CC/MCC | MS-DRG | 420 | 7 | — | — | $20,718 | $29,250 | $58,500 |
| Open appendectomy | CPT | 44950 | 11 | — | — | $724.63 | $4,054.15 | $18,612 |
| Laparoscopic appendectomy | CPT | 44970 | 11 | — | — | $494.31 | $6,447.62 | $22,334 |
| Spinal fusion (non-cervical) w MCC | MS-DRG | 459 | 7 | — | — | $20,718 | $56,009 | $112,018 |
| Spinal fusion (non-cervical) w/o MCC | MS-DRG | 460 | 7 | — | — | $20,718 | $32,696 | $65,391 |
| Major joint replacement w MCC | MS-DRG | 469 | 7 | — | — | $20,718 | $25,669 | $51,337 |
| Major joint replacement w/o MCC | MS-DRG | 470 | 7 | — | — | $15,807 | $15,807 | $31,613 |
| Laparoscopic cholecystectomy | CPT | 47562 | 11 | — | — | $843.15 | $9,044 | $26,695 |
| Lap cholecystectomy with cholangiography | CPT | 47563 | 11 | — | — | $970.44 | $9,044 | $26,695 |
| Hip & femur procedures except major joint w MCC | MS-DRG | 480 | 7 | — | — | $20,718 | $25,169 | $50,337 |
| Hip & femur procedures except major joint w CC | MS-DRG | 481 | 7 | — | — | $17,435 | $17,435 | $34,871 |
| Hip & femur procedures except major joint w/o CC/MCC | MS-DRG | 482 | 7 | — | — | $13,690 | $13,690 | $27,380 |
| Open umbilical hernia repair | CPT | 49560 | 11 | — | — | $839.12 | $5,577 | $18,612 |
| Umbilical hernia repair age 5+ | CPT | 49585 | 11 | — | — | $534.04 | $5,577 | $18,612 |
| Lap inguinal hernia repair | CPT | 49650 | 11 | — | — | $379.7 | $6,447.62 | $22,334 |
| Lap incisional hernia repair | CPT | 49652 | 11 | — | — | $524.57 | $6,447.62 | $22,334 |
| Total abdominal hysterectomy | CPT | 58150 | 6 | — | — | $1,162.9 | $10,407 | $19,171 |
| Vaginal hysterectomy | CPT | 58260 | 11 | — | — | $1,162.9 | $5,618.91 | $19,171 |
| Lap-assisted vaginal hysterectomy | CPT | 58550 | 11 | — | — | $838.74 | $7,669 | $22,334 |
| Lap-assisted vaginal hysterectomy >250g | CPT | 58552 | 11 | — | — | $616.65 | $11,349 | $22,334 |
| Lap salpingo-oophorectomy | CPT | 58661 | 11 | — | — | $701.38 | $6,447.62 | $22,334 |
| OR procedure for obesity w MCC | MS-DRG | 619 | 7 | — | — | $20,718 | $25,467 | $50,934 |
| OR procedure for obesity w CC | MS-DRG | 620 | 7 | — | — | $14,662 | $14,662 | $29,324 |
| OR procedure for obesity w/o CC/MCC | MS-DRG | 621 | 7 | — | — | $13,285 | $13,285 | $26,569 |
| Complex cataract surgery | CPT | 66982 | 11 | — | — | $1,272.35 | $5,200.72 | $18,011 |
| Cataract surgery with lens implant | CPT | 66984 | 11 | — | — | $1,818.32 | $5,200.72 | $18,011 |
| Intravitreal injection | CPT | 67028 | 11 | — | — | $390.39 | $1,073.57 | $9,306 |
| Vitrectomy mechanical | CPT | 67042 | 11 | — | — | $1,186.9 | $5,122.78 | $20,474 |
| Uterine & adnexa procedures w CC/MCC | MS-DRG | 743 | 7 | — | — | $9,422.63 | $9,422.63 | $20,718 |
| Uterine & adnexa procedures w/o CC/MCC | MS-DRG | 744 | 7 | — | — | $14,934 | $14,934 | $29,868 |
| PCI single major coronary artery | CPT | 92920 | 14 | $15,695 | $10,987 | $435.12 | $7,916.86 | $26,695 |
| PCI with drug-eluting stent | CPT | 92928 | 14 | $23,845 | $16,692 | $483.05 | $12,799 | $26,695 |
| PCI bypass graft | CPT | 92937 | 14 | $23,845 | $16,692 | $482.46 | $12,799 | $26,695 |
| Left heart catheterization | CPT | 93452 | 14 | $10,277 | $7,193.9 | $967.53 | $6,371.74 | $20,474 |
| Coronary angiography with cath | CPT | 93455 | 14 | $16,616 | $11,631 | $1,166.18 | $7,251.5 | $26,695 |
| Coronary angiography with bypass cath | CPT | 93458 | 14 | $16,795 | $11,757 | $1,204.89 | $7,251.5 | $26,695 |
Payer mix (top 17)
| Payer | Codes covered | Median rate |
|---|---|---|
| Anthem BCBS | 186 | $1,266.84 |
| Aetna | 183 | $1,031.07 |
| Kaiser Permanente | 172 | $959.76 |
| Blue Cross Blue Shield | 170 | $1,034.42 |
| commercial | clinicas | all plans | 163 | $1,887.06 |
| Medicare | 160 | $911.64 |
| Humana | 160 | $911.64 |
| Medicaid | 138 | $298.96 |
| UnitedHealthcare | 137 | $5,047 |
| commercial | valley care ipa | all plans | 115 | $293.85 |
| First Health | 97 | $1,104.83 |
| Multiplan | 97 | $1,319.2 |
| Cigna | 87 | $5,229 |
| commercial | ventura hp | all plans | 80 | $859.6 |
| commercial | sea view | all plans | 19 | $105.67 |
| commercial | western growers | all plans | 12 | $4,416.78 |
| Health Net | 6 | $1,208.84 |