▸ Hospital · DE · CCN 083027
PAM REHAB HOSPITAL OF DOVER
1240 MCKEE ROAD, DOVER, DE, 19904
34 beds5
Compliance grade
A
100/100
Procedures tracked
152
of 209 target codes
Payers
11
with negotiated rates
Rates published
8,203
last crawl 2026-05-23
Procedures & rates
| Procedure | Type | Code | Payers | Gross | Cash | Neg min | Neg median | Neg max |
|---|---|---|---|---|---|---|---|---|
| behavioral | ||||||||
| Psychiatric diagnostic evaluation | CPT | 90791 | 1 | — | — | $166.53 | $166.53 | $166.53 |
| Psychiatric eval with medical services | CPT | 90792 | 1 | — | — | $187.3 | $187.3 | $187.3 |
| Psychotherapy 30 minutes | CPT | 90832 | 1 | — | — | $75.71 | $75.71 | $75.71 |
| Psychotherapy 45 minutes | CPT | 90834 | 1 | — | — | $99.88 | $99.88 | $99.88 |
| Psychotherapy 60 minutes | CPT | 90837 | 1 | — | — | $147.25 | $147.25 | $147.25 |
| Crisis psychotherapy 60 minutes | CPT | 90839 | 1 | — | — | $141.72 | $141.72 | $141.72 |
| emergency | ||||||||
| ED visit level 1 | CPT | 99281 | 1 | — | — | $10.92 | $10.92 | $10.92 |
| ED visit level 2 | CPT | 99282 | 8 | $806.14 | $806.14 | $39.84 | $604.61 | $685.22 |
| ED visit level 3 | CPT | 99283 | 8 | $1,429.38 | $1,429.38 | $67.81 | $1,072.04 | $1,214.97 |
| ED visit level 4 | CPT | 99284 | 8 | $2,251.46 | $2,251.46 | $115.38 | $1,688.6 | $1,913.74 |
| ED visit level 5 | CPT | 99285 | 8 | $2,401.75 | $2,401.75 | $167.13 | $1,801.31 | $2,041.49 |
| Critical care, first hour | CPT | 99291 | 8 | $4,466.63 | $4,466.63 | $262.27 | $3,349.97 | $3,796.64 |
| imaging | ||||||||
| CT head without contrast | CPT | 70450 | 8 | $3,565.8 | $3,565.8 | $104.16 | $2,674.35 | $3,030.93 |
| CT head with contrast | CPT | 70460 | 8 | $5,509.35 | $5,509.35 | $145.68 | $4,132.01 | $4,682.95 |
| CT head with and without contrast | CPT | 70470 | 8 | $6,136.8 | $6,136.8 | $170.56 | $4,602.6 | $5,216.28 |
| CT neck with contrast | CPT | 70491 | 8 | $5,509.35 | $5,509.35 | $181.12 | $4,132.01 | $4,682.95 |
| MRI brain without contrast | CPT | 70551 | 8 | $6,305.1 | $6,305.1 | $193.26 | $4,728.83 | $5,359.34 |
| MRI brain with contrast | CPT | 70552 | 8 | $4,023.2 | $4,023.2 | $266.29 | $3,017.4 | $3,419.72 |
| MRI brain with and without contrast | CPT | 70553 | 8 | $9,794.35 | $9,794.35 | $313.64 | $7,345.76 | $8,325.2 |
| Chest X-ray single view | CPT | 71045 | 8 | $308.5 | $308.5 | $24.58 | $231.38 | $262.23 |
| Chest X-ray 2 views | CPT | 71046 | 8 | $549.75 | $549.75 | $32.24 | $412.31 | $467.29 |
| Chest X-ray 3 views | CPT | 71047 | 8 | $203.5 | $203.5 | $40.54 | $152.63 | $172.98 |
| CT chest without contrast | CPT | 71250 | 8 | $3,565.8 | $3,565.8 | $130.69 | $2,674.35 | $3,030.93 |
| CT chest with contrast | CPT | 71260 | 8 | $5,509.35 | $5,509.35 | $164.14 | $4,132.01 | $4,682.95 |
| CT chest with and without contrast | CPT | 71270 | 8 | $6,136.8 | $6,136.8 | $192.84 | $4,602.6 | $5,216.28 |
| MRI chest without contrast | CPT | 71550 | 8 | $6,305.1 | $6,305.1 | $292.86 | $4,728.83 | $5,359.34 |
| MRI chest with contrast | CPT | 71551 | 1 | — | — | $367.8 | $367.8 | $367.8 |
| MRI chest with and without contrast | CPT | 71552 | 8 | $9,794.35 | $9,794.35 | $458.13 | $7,345.76 | $8,325.2 |
| Lumbosacral spine X-ray | CPT | 72100 | 8 | $497.55 | $497.55 | $38.29 | $373.16 | $422.92 |
| CT cervical spine without contrast | CPT | 72125 | 8 | $3,565.8 | $3,565.8 | $127.79 | $2,674.35 | $3,030.93 |
| CT thoracic spine without contrast | CPT | 72128 | 8 | $3,565.8 | $3,565.8 | $127.48 | $2,674.35 | $3,030.93 |
| CT lumbar spine without contrast | CPT | 72131 | 8 | $3,565.8 | $3,565.8 | $126.84 | $2,674.35 | $3,030.93 |
| MRI cervical spine without contrast | CPT | 72141 | 8 | $6,305.1 | $6,305.1 | $187.85 | $4,728.83 | $5,359.34 |
| MRI thoracic spine without contrast | CPT | 72146 | 8 | $6,305.1 | $6,305.1 | $187.52 | $4,728.83 | $5,359.34 |
| MRI lumbar spine without contrast | CPT | 72148 | 8 | $6,305.1 | $6,305.1 | $188.48 | $4,728.83 | $5,359.34 |
| MRI lumbar spine with and without contrast | CPT | 72149 | 8 | $6,305.1 | $6,305.1 | $266.59 | $4,728.83 | $5,359.34 |
| MRI cervical spine with and without contrast | CPT | 72156 | 8 | $9,794.35 | $9,794.35 | $315.23 | $7,345.76 | $8,325.2 |
| MRI lumbar spine with contrast | CPT | 72158 | 8 | $9,794.35 | $9,794.35 | $314.59 | $7,345.76 | $8,325.2 |
| CT pelvis without contrast | CPT | 72192 | 8 | $3,565.8 | $3,565.8 | $130.69 | $2,674.35 | $3,030.93 |
| CT pelvis with contrast | CPT | 72193 | 8 | $5,509.35 | $5,509.35 | $222.71 | $4,132.01 | $4,682.95 |
| Shoulder X-ray | CPT | 73030 | 8 | $1,434.24 | $1,434.24 | $33.5 | $550.09 | $1,219.1 |
| Humerus X-ray | CPT | 73060 | 8 | $369.85 | $369.85 | $30.62 | $277.39 | $314.37 |
| Hand X-ray 3 views | CPT | 73130 | 8 | $543.1 | $543.1 | $35.72 | $295.67 | $461.64 |
| MRI upper extremity joint without contrast | CPT | 73221 | 8 | $6,305.1 | $6,305.1 | $199.88 | $4,728.83 | $5,359.34 |
| MRI upper extremity joint with and without contrast | CPT | 73223 | 8 | $6,354.18 | $6,354.18 | $381.38 | $4,765.64 | $5,401.05 |
| Knee X-ray 1-2 views | CPT | 73560 | 8 | $427.6 | $427.6 | $32.85 | $274.31 | $363.46 |
| Ankle X-ray 3 views | CPT | 73610 | 8 | $456.05 | $456.05 | $35.08 | $172.98 | $387.64 |
| MRI lower extremity joint without contrast | CPT | 73721 | 8 | $6,305.1 | $6,305.1 | $199.57 | $4,728.83 | $5,359.34 |
| MRI lower extremity joint with and without contrast | CPT | 73723 | 8 | $6,305.1 | $6,305.1 | $379.79 | $4,728.83 | $5,359.34 |
| CT abdomen without contrast | CPT | 74150 | 8 | $3,565.8 | $3,565.8 | $134.25 | $2,674.35 | $3,030.93 |
| CT abdomen with contrast | CPT | 74160 | 8 | $5,509.35 | $5,509.35 | $227.85 | $4,132.01 | $4,682.95 |
| CT abdomen with and without contrast | CPT | 74170 | 8 | $6,136.8 | $6,136.8 | $233.34 | $4,602.6 | $5,216.28 |
| CT abdomen and pelvis without contrast | CPT | 74176 | 8 | $5,348.7 | $5,348.7 | $180.02 | $4,011.53 | $4,546.4 |
| CT abdomen and pelvis with contrast | CPT | 74177 | 8 | $8,264 | $8,264 | $298.16 | $6,198 | $7,024.4 |
| CT abdomen and pelvis with and without contrast | CPT | 74178 | 8 | $9,205.2 | $9,205.2 | $334.52 | $6,903.9 | $7,824.42 |
| MRI abdomen without contrast | CPT | 74181 | 8 | $6,305.1 | $6,305.1 | $192.92 | $4,728.83 | $5,359.34 |
| MRI abdomen with and without contrast | CPT | 74183 | 8 | $6,305.1 | $6,305.1 | $333.02 | $4,728.83 | $5,359.34 |
| Abdominal ultrasound complete | CPT | 76700 | 8 | $1,130.75 | $1,130.75 | $111.46 | $848.06 | $961.14 |
| Abdominal ultrasound limited | CPT | 76705 | 8 | $978.85 | $978.85 | $83.35 | $734.14 | $832.02 |
| Retroperitoneal ultrasound complete | CPT | 76770 | 8 | $1,415.51 | $1,415.51 | $103.79 | $867.72 | $1,203.18 |
| Obstetric ultrasound first trimester | CPT | 76801 | 1 | — | — | $112.52 | $112.52 | $112.52 |
| Obstetric ultrasound after first trimester | CPT | 76805 | 1 | — | — | $130.02 | $130.02 | $130.02 |
| Obstetric ultrasound with fetal anatomy | CPT | 76811 | 1 | — | — | $170.28 | $170.28 | $170.28 |
| Transvaginal ultrasound | CPT | 76830 | 8 | $662.2 | $662.2 | $114.27 | $496.65 | $562.87 |
| Pelvic ultrasound complete | CPT | 76856 | 8 | $1,130.75 | $1,130.75 | $100.91 | $848.06 | $961.14 |
| Scrotal ultrasound | CPT | 76870 | 8 | $446.8 | $446.8 | $95.8 | $335.1 | $379.78 |
| Diagnostic mammography unilateral | CPT | 77065 | 1 | — | — | $120.06 | $120.06 | $120.06 |
| Diagnostic mammography bilateral | CPT | 77066 | 1 | — | — | $151.97 | $151.97 | $151.97 |
| Screening mammography bilateral | CPT | 77067 | 8 | $1,628.79 | $1,628.79 | $122.58 | $1,221.59 | $1,384.47 |
| EKG complete | CPT | 93000 | 1 | — | — | $13.75 | $13.75 | $13.75 |
| EKG tracing only | CPT | 93005 | 11 | $349.05 | $349.05 | $6.04 | $261.79 | $296.69 |
| EKG interpretation only | CPT | 93010 | 1 | — | — | $7.72 | $7.72 | $7.72 |
| Transthoracic echocardiogram complete | CPT | 93306 | 8 | $1,063.7 | $1,063.7 | $188.18 | $797.78 | $904.15 |
| Transthoracic echocardiogram | CPT | 93307 | 8 | $1,063.7 | $1,063.7 | $130.62 | $797.78 | $904.15 |
| Stress echocardiogram | CPT | 93350 | 1 | — | — | $177.69 | $177.69 | $177.69 |
| inpatient | ||||||||
| Initial hospital care, low complexity | CPT | 99221 | 1 | — | — | $78.95 | $78.95 | $78.95 |
| Initial hospital care, moderate complexity | CPT | 99222 | 1 | — | — | $124.61 | $124.61 | $124.61 |
| Initial hospital care, high complexity | CPT | 99223 | 1 | — | — | $165.17 | $165.17 | $165.17 |
| Hospital discharge, <30 min | CPT | 99238 | 1 | — | — | $77.38 | $77.38 | $77.38 |
| Hospital discharge, >30 min | CPT | 99239 | 1 | — | — | $109.2 | $109.2 | $109.2 |
| lab | ||||||||
| Basic metabolic panel (BMP) | CPT | 80048 | 8 | $449.25 | $449.25 | $8.29 | $336.94 | $381.86 |
| General health panel | CPT | 80050 | 1 | — | — | $16.32 | $16.32 | $16.32 |
| Electrolyte panel | CPT | 80051 | 1 | — | — | $6.87 | $6.87 | $6.87 |
| Comprehensive metabolic panel | CPT | 80053 | 8 | $585.95 | $585.95 | $10.35 | $439.46 | $498.06 |
| Lipid panel | CPT | 80061 | 8 | $234.35 | $234.35 | $13.12 | $175.76 | $199.2 |
| Renal function panel | CPT | 80069 | 8 | $572.45 | $572.45 | $8.51 | $429.34 | $486.58 |
| Hepatic function panel | CPT | 80076 | 8 | $375.25 | $375.25 | $8.01 | $281.44 | $318.96 |
| Urinalysis non-automated | CPT | 81002 | 1 | — | — | $3.41 | $3.41 | $3.41 |
| Urinalysis automated | CPT | 81003 | 8 | $78.45 | $78.45 | $2.21 | $58.84 | $66.68 |
| Glucose quantitative | CPT | 82947 | 1 | — | — | $3.85 | $3.85 | $3.85 |
| Hemoglobin A1c | CPT | 83036 | 8 | $147.2 | $147.2 | $9.52 | $110.4 | $125.12 |
| Thyroid stimulating hormone (TSH) | CPT | 84443 | 8 | $219.8 | $219.8 | $16.46 | $164.85 | $186.83 |
| Complete blood count with automated differential | CPT | 85025 | 8 | $135.7 | $135.7 | $7.61 | $101.78 | $115.35 |
| Complete blood count without differential | CPT | 85027 | 8 | $139.7 | $139.7 | $6.34 | $104.78 | $118.75 |
| Urine culture bacterial | CPT | 87086 | 8 | $231.05 | $231.05 | $7.91 | $173.29 | $196.39 |
| Urine culture identification | CPT | 87088 | 8 | $1,197.45 | $1,197.45 | $7.93 | $898.09 | $1,017.83 |
| Tissue exam by pathologist level IV | CPT | 88305 | 8 | $490.75 | $490.75 | $97.57 | $368.06 | $417.14 |
| maternity | ||||||||
| Fetal non-stress test | CPT | 59025 | 1 | — | — | $47.21 | $47.21 | $47.21 |
| Vaginal delivery only | CPT | 59409 | 1 | — | — | $766.74 | $766.74 | $766.74 |
| Vaginal delivery with postpartum | CPT | 59410 | 1 | — | — | $1,038.01 | $1,038.01 | $1,038.01 |
| C-section delivery only | CPT | 59514 | 1 | — | — | $766.74 | $766.74 | $766.74 |
| C-section with postpartum | CPT | 59515 | 1 | — | — | $1,038.01 | $1,038.01 | $1,038.01 |
| office | ||||||||
| Office visit, new patient, 15-29 min | CPT | 99202 | 1 | — | — | $69.47 | $69.47 | $69.47 |
| Office visit, new patient, 30-44 minutes | CPT | 99203 | 1 | — | — | $107.29 | $107.29 | $107.29 |
| Office visit, new patient, 45-59 min | CPT | 99204 | 1 | — | — | $160.89 | $160.89 | $160.89 |
| Office visit, new patient, 60-74 min | CPT | 99205 | 1 | — | — | $212.19 | $212.19 | $212.19 |
| Office visit, established patient, 5 min | CPT | 99211 | 1 | — | — | $22.36 | $22.36 | $22.36 |
| Office visit, established patient, 10-19 min | CPT | 99212 | 1 | — | — | $54.41 | $54.41 | $54.41 |
| Office visit, established patient, 20-29 minutes | CPT | 99213 | 1 | — | — | $87.47 | $87.47 | $87.47 |
| Office visit, established patient, 30-39 minutes | CPT | 99214 | 1 | — | — | $123.41 | $123.41 | $123.41 |
| Office visit, established patient, 40-54 min | CPT | 99215 | 1 | — | — | $173.75 | $173.75 | $173.75 |
| preventive | ||||||||
| Upper GI endoscopy diagnostic | CPT | 43235 | 1 | — | — | $275.5 | $275.5 | $275.5 |
| Upper GI endoscopy with biopsy | CPT | 43239 | 8 | $2,503.44 | $2,503.44 | $359.96 | $1,877.58 | $2,127.92 |
| Sigmoidoscopy diagnostic | CPT | 45330 | 1 | — | — | $178.23 | $178.23 | $178.23 |
| Sigmoidoscopy with biopsy | CPT | 45331 | 1 | — | — | $273.54 | $273.54 | $273.54 |
| Colonoscopy diagnostic | CPT | 45378 | 1 | — | — | $325.58 | $325.58 | $325.58 |
| Colonoscopy with biopsy | CPT | 45380 | 1 | — | — | $414.84 | $414.84 | $414.84 |
| Colonoscopy with polyp removal | CPT | 45385 | 1 | — | — | $434.64 | $434.64 | $434.64 |
| surgery | ||||||||
| Total shoulder arthroplasty | CPT | 23472 | 1 | — | — | $1,388.52 | $1,388.52 | $1,388.52 |
| Hip hemiarthroplasty | CPT | 27125 | 1 | — | — | $1,090.82 | $1,090.82 | $1,090.82 |
| Total hip replacement | CPT | 27130 | 1 | — | — | $1,234.83 | $1,234.83 | $1,234.83 |
| Total knee replacement | CPT | 27447 | 1 | — | — | $1,232.94 | $1,232.94 | $1,232.94 |
| Knee revision arthroplasty single component | CPT | 27486 | 1 | — | — | $1,350.47 | $1,350.47 | $1,350.47 |
| Knee revision arthroplasty all components | CPT | 27487 | 1 | — | — | $1,681.81 | $1,681.81 | $1,681.81 |
| Shoulder arthroscopy with decompression | CPT | 29826 | 1 | — | — | $163.18 | $163.18 | $163.18 |
| Shoulder arthroscopy with rotator cuff repair | CPT | 29827 | 1 | — | — | $1,031.19 | $1,031.19 | $1,031.19 |
| Knee arthroscopy with meniscectomy | CPT | 29881 | 1 | — | — | $527.14 | $527.14 | $527.14 |
| ACL reconstruction | CPT | 29888 | 1 | — | — | $940.5 | $940.5 | $940.5 |
| CABG single arterial graft | CPT | 33533 | 1 | — | — | $1,760.89 | $1,760.89 | $1,760.89 |
| CABG 2 arterial grafts | CPT | 33534 | 1 | — | — | $2,067.8 | $2,067.8 | $2,067.8 |
| CABG 3 arterial grafts | CPT | 33535 | 1 | — | — | $2,297.54 | $2,297.54 | $2,297.54 |
| CABG 4+ arterial grafts | CPT | 33536 | 1 | — | — | $2,475.69 | $2,475.69 | $2,475.69 |
| Open appendectomy | CPT | 44950 | 1 | — | — | $617.18 | $617.18 | $617.18 |
| Laparoscopic appendectomy | CPT | 44970 | 1 | — | — | $580.64 | $580.64 | $580.64 |
| Laparoscopic cholecystectomy | CPT | 47562 | 1 | — | — | $636.18 | $636.18 | $636.18 |
| Lap cholecystectomy with cholangiography | CPT | 47563 | 1 | — | — | $691.45 | $691.45 | $691.45 |
| Lap inguinal hernia repair | CPT | 49650 | 1 | — | — | $418.89 | $418.89 | $418.89 |
| Total abdominal hysterectomy | CPT | 58150 | 1 | — | — | $980.14 | $980.14 | $980.14 |
| Vaginal hysterectomy | CPT | 58260 | 1 | — | — | $810.14 | $810.14 | $810.14 |
| Lap-assisted vaginal hysterectomy | CPT | 58550 | 1 | — | — | $851.48 | $851.48 | $851.48 |
| Lap-assisted vaginal hysterectomy >250g | CPT | 58552 | 1 | — | — | $945.65 | $945.65 | $945.65 |
| Lap salpingo-oophorectomy | CPT | 58661 | 1 | — | — | $629.05 | $629.05 | $629.05 |
| Complex cataract surgery | CPT | 66982 | 1 | — | — | $708.32 | $708.32 | $708.32 |
| Cataract surgery with lens implant | CPT | 66984 | 1 | — | — | $517.03 | $517.03 | $517.03 |
| Intravitreal injection | CPT | 67028 | 1 | — | — | $107.91 | $107.91 | $107.91 |
| Vitrectomy mechanical | CPT | 67042 | 1 | — | — | $1,083.4 | $1,083.4 | $1,083.4 |
| PCI single major coronary artery | CPT | 92920 | 1 | — | — | $494.11 | $494.11 | $494.11 |
| PCI with drug-eluting stent | CPT | 92928 | 1 | — | — | $549.76 | $549.76 | $549.76 |
| PCI bypass graft | CPT | 92937 | 1 | — | — | $549.74 | $549.74 | $549.74 |
| Left heart catheterization | CPT | 93452 | 1 | — | — | $845.42 | $845.42 | $845.42 |
| Coronary angiography with cath | CPT | 93455 | 1 | — | — | $950.03 | $950.03 | $950.03 |
| Coronary angiography with bypass cath | CPT | 93458 | 1 | — | — | $980.68 | $980.68 | $980.68 |
Payer mix (top 11)
| Payer | Codes covered | Median rate |
|---|---|---|
| pace (milford wellness village) | 152 | $170.42 |
| americas choice provider network | 73 | $1,003.97 |
| Multiplan | 73 | $1,147.39 |
| velocity provider ppo network | 73 | $1,073.86 |
| provider network of america | 73 | $1,075.68 |
| quik trip | 73 | $1,075.68 |
| usa managed care organization | 73 | $1,075.68 |
| prime health services | 73 | $1,219.1 |
| Blue Cross Blue Shield | 1 | $31 |
| Aetna | 1 | $7.03 |
| UnitedHealthcare | 1 | $171.03 |