▸ Hospital · GA · CCN 110165
Southern Regional Medical Center
11 UPPER RIVERSIDE ROAD S.W., RIVERDALE, GA, 30274
233 bedsAcute Care Hospitals2
Compliance grade
A
100/100
Procedures tracked
182
of 209 target codes
Payers
30
with negotiated rates
Rates published
8,333
last crawl 2026-05-22
Procedures & rates
| Procedure | Type | Code | Payers | Gross | Cash | Neg min | Neg median | Neg max |
|---|---|---|---|---|---|---|---|---|
| behavioral | ||||||||
| Psychoses | MS-DRG | 885 | 28 | — | $15,913 | $1,501.54 | $15,913 | $27,848 |
| Psychiatric diagnostic evaluation | CPT | 90791 | 26 | $1,341.1 | $177 | $12.84 | $177.16 | $369.42 |
| Crisis psychotherapy 60 minutes | CPT | 90839 | 26 | $1,341.1 | $177 | $146 | $177.16 | $369.42 |
| emergency | ||||||||
| ED visit level 1 | CPT | 99281 | 27 | $468.99 | $84 | $12.84 | $88.37 | $468.99 |
| ED visit level 2 | CPT | 99282 | 27 | $802.95 | $153 | $12.84 | $157.85 | $802.95 |
| ED visit level 3 | CPT | 99283 | 27 | $1,399.3 | $272 | $12.84 | $280.63 | $1,399.3 |
| ED visit level 4 | CPT | 99284 | 28 | $2,261.3 | $416 | $12.84 | $422.72 | $2,261.3 |
| ED visit level 5 | CPT | 99285 | 27 | $3,598.62 | $594 | $12.84 | $612.23 | $3,598.62 |
| Critical care, first hour | CPT | 99291 | 27 | $4,643.6 | $824 | $12.84 | $824.46 | $2,410.62 |
| imaging | ||||||||
| CT head without contrast | CPT | 70450 | 27 | $2,594.31 | $104 | $12.84 | $104.35 | $2,594.31 |
| CT head with contrast | CPT | 70460 | 26 | $3,561.04 | $175 | $166.32 | $175.07 | $3,493 |
| CT head with and without contrast | CPT | 70470 | 26 | $4,139.91 | $175 | $37 | $180.32 | $3,493 |
| CT neck with contrast | CPT | 70491 | 26 | $3,118 | $175 | $12.84 | $177.7 | $3,118 |
| MRI brain without contrast | CPT | 70551 | 27 | $4,017.78 | $238 | $30 | $238.15 | $3,493 |
| MRI brain with contrast | CPT | 70552 | 26 | $4,937.94 | $348 | $330.8 | $348.21 | $3,493 |
| MRI brain with and without contrast | CPT | 70553 | 27 | $6,082.89 | $348 | $30 | $358.66 | $3,493 |
| Chest X-ray single view | CPT | 71045 | 28 | $413.05 | $86 | $12.84 | $86.85 | $413.05 |
| Chest X-ray 2 views | CPT | 71046 | 27 | $467.42 | $86 | $12.84 | $86.85 | $467.42 |
| Chest X-ray 3 views | CPT | 71047 | 27 | $525.13 | $86 | $30 | $86.85 | $525.13 |
| CT chest without contrast | CPT | 71250 | 27 | $2,710 | $104 | $30 | $105.92 | $2,710 |
| CT chest with contrast | CPT | 71260 | 27 | $3,320 | $175 | $12.84 | $175.07 | $3,320 |
| CT chest with and without contrast | CPT | 71270 | 26 | $4,064 | $175 | $37 | $180.32 | $3,493 |
| MRI chest without contrast | CPT | 71550 | 26 | $3,468 | $238 | $226.24 | $245.29 | $3,468 |
| MRI chest with contrast | CPT | 71551 | 26 | $3,440.5 | $782 | $540.01 | $782.44 | $3,440.5 |
| MRI chest with and without contrast | CPT | 71552 | 26 | $5,522.29 | $348 | $330.8 | $358.66 | $3,493 |
| Lumbosacral spine X-ray | CPT | 72100 | 27 | $775 | $104 | $12.84 | $104.35 | $775 |
| CT cervical spine without contrast | CPT | 72125 | 27 | $2,948.77 | $104 | $12.84 | $104.35 | $2,948.77 |
| CT thoracic spine without contrast | CPT | 72128 | 26 | $3,325 | $104 | $12.84 | $107.48 | $3,325 |
| CT lumbar spine without contrast | CPT | 72131 | 26 | $3,425 | $104 | $12.84 | $104.35 | $3,425 |
| MRI cervical spine without contrast | CPT | 72141 | 27 | $4,208.64 | $238 | $30 | $238.15 | $3,493 |
| MRI thoracic spine without contrast | CPT | 72146 | 26 | $3,999.55 | $238 | $37 | $238.15 | $3,493 |
| MRI lumbar spine without contrast | CPT | 72148 | 27 | $4,072.74 | $238 | $30 | $238.15 | $3,493 |
| MRI lumbar spine with and without contrast | CPT | 72149 | 26 | $4,658.44 | $348 | $330.8 | $348.21 | $3,493 |
| MRI cervical spine with and without contrast | CPT | 72156 | 26 | $6,188 | $348 | $330.8 | $358.66 | $3,493 |
| MRI lumbar spine with contrast | CPT | 72158 | 26 | $5,585 | $348 | $330.8 | $358.66 | $3,493 |
| CT pelvis without contrast | CPT | 72192 | 26 | $2,288.55 | $104 | $12.84 | $107.48 | $2,288.55 |
| CT pelvis with contrast | CPT | 72193 | 26 | $3,980.72 | $175 | $166.32 | $180.32 | $3,493 |
| Shoulder X-ray | CPT | 73030 | 27 | $862.18 | $86 | $12.84 | $86.85 | $862.18 |
| Humerus X-ray | CPT | 73060 | 26 | $750 | $86 | $12.84 | $86.85 | $750 |
| Hand X-ray 3 views | CPT | 73130 | 27 | $745 | $86 | $12.84 | $86.85 | $745 |
| MRI upper extremity joint without contrast | CPT | 73221 | 27 | $4,131.04 | $238 | $30 | $241.72 | $3,493 |
| MRI upper extremity joint with and without contrast | CPT | 73223 | 26 | $6,132.1 | $348 | $330.8 | $358.66 | $3,493 |
| Knee X-ray 1-2 views | CPT | 73560 | 27 | $602.89 | $86 | $12.84 | $86.85 | $602.89 |
| Ankle X-ray 3 views | CPT | 73610 | 27 | $808.62 | $86 | $12.84 | $86.85 | $808.62 |
| MRI lower extremity joint without contrast | CPT | 73721 | 27 | $4,023.64 | $238 | $12.84 | $238.15 | $3,493 |
| MRI lower extremity joint with and without contrast | CPT | 73723 | 27 | $6,179.44 | $348 | $30 | $358.66 | $3,493 |
| CT abdomen without contrast | CPT | 74150 | 26 | $2,450 | $104 | $99.13 | $107.48 | $2,450 |
| CT abdomen with contrast | CPT | 74160 | 26 | $3,713.08 | $175 | $166.32 | $180.32 | $3,493 |
| CT abdomen with and without contrast | CPT | 74170 | 26 | $4,037.85 | $175 | $166.32 | $180.32 | $3,493 |
| CT abdomen and pelvis without contrast | CPT | 74176 | 27 | $5,136.36 | $238 | $12.84 | $238.15 | $3,493 |
| CT abdomen and pelvis with contrast | CPT | 74177 | 27 | $5,682.68 | $348 | $12.84 | $348.21 | $3,493 |
| CT abdomen and pelvis with and without contrast | CPT | 74178 | 27 | $6,845.75 | $348 | $30 | $358.66 | $3,493 |
| MRI abdomen without contrast | CPT | 74181 | 27 | $4,172.44 | $238 | $12.84 | $238.15 | $3,493 |
| MRI abdomen with and without contrast | CPT | 74183 | 27 | $5,405.45 | $348 | $30 | $358.66 | $3,493 |
| Abdominal ultrasound complete | CPT | 76700 | 27 | $1,739 | $104 | $12.84 | $104.35 | $1,739 |
| Abdominal ultrasound limited | CPT | 76705 | 27 | $1,150.36 | $104 | $12.84 | $104.35 | $1,150.36 |
| Retroperitoneal ultrasound complete | CPT | 76770 | 27 | $778.33 | $104 | $12.84 | $104.35 | $778.33 |
| Obstetric ultrasound first trimester | CPT | 76801 | 26 | $956.64 | $104 | $12.84 | $105.92 | $956.64 |
| Obstetric ultrasound after first trimester | CPT | 76805 | 26 | $1,117.3 | $104 | $12.84 | $105.92 | $1,117.3 |
| Obstetric ultrasound with fetal anatomy | CPT | 76811 | 26 | $1,100.24 | $238 | $142.25 | $238.15 | $1,100.24 |
| Transvaginal ultrasound | CPT | 76830 | 27 | $1,099.34 | $104 | $12.84 | $104.35 | $1,099.34 |
| Pelvic ultrasound complete | CPT | 76856 | 27 | $1,197.96 | $104 | $12.84 | $104.35 | $1,197.96 |
| Scrotal ultrasound | CPT | 76870 | 26 | $1,323.49 | $104 | $37 | $107.48 | $1,323.49 |
| Diagnostic mammography unilateral | CPT | 77065 | 27 | $655.81 | $87 | $12.84 | $87.61 | $655.81 |
| Diagnostic mammography bilateral | CPT | 77066 | 27 | $730.36 | $112 | $12.84 | $112.45 | $730.36 |
| Screening mammography bilateral | CPT | 77067 | 27 | $814.71 | $92 | $12.84 | $92.71 | $814.71 |
| EKG tracing only | CPT | 93005 | 27 | $478.93 | $58 | $5.99 | $58.88 | $122.78 |
| EKG interpretation only | CPT | 93010 | 2 | $40 | — | $7.59 | $7.59 | $15.78 |
| Transthoracic echocardiogram complete | CPT | 93306 | 27 | $3,197.5 | $545 | $12.84 | $545.37 | $1,137.22 |
| Transthoracic echocardiogram | CPT | 93307 | 26 | $2,046.25 | $238 | $92.16 | $238.15 | $496.6 |
| Stress echocardiogram | CPT | 93350 | 26 | $3,311.28 | $545 | $114.34 | $545.37 | $1,137.22 |
| inpatient | ||||||||
| Intracranial hemorrhage/CVA w MCC | MS-DRG | 064 | 28 | — | $20,316 | $4,259.06 | $20,394 | $35,554 |
| Intracranial hemorrhage/CVA w CC | MS-DRG | 065 | 28 | — | $13,142 | $3,870.72 | $13,150 | $22,999 |
| Intracranial hemorrhage/CVA w/o CC/MCC | MS-DRG | 066 | 28 | — | $10,805 | $4,100.77 | $10,702 | $18,909 |
| Respiratory infections & inflammations w MCC | MS-DRG | 177 | 28 | — | $17,102 | $3,691.82 | $17,126 | $29,930 |
| COPD w MCC | MS-DRG | 190 | 28 | — | $13,840 | $3,578.71 | $13,857 | $24,221 |
| COPD w CC | MS-DRG | 191 | 28 | — | $11,942 | $3,567.35 | $11,943 | $20,899 |
| COPD w/o CC/MCC | MS-DRG | 192 | 28 | — | $10,501 | $3,410.99 | $10,401 | $18,377 |
| Simple pneumonia & pleurisy w CC | MS-DRG | 194 | 28 | — | $11,676 | $3,210.42 | $11,677 | $20,434 |
| Simple pneumonia & pleurisy w/o CC/MCC | MS-DRG | 195 | 28 | — | $10,404 | $3,160.32 | $10,305 | $18,208 |
| AMI discharged alive w MCC | MS-DRG | 280 | 28 | — | $17,399 | $4,089.47 | $17,423 | $30,449 |
| AMI discharged alive w CC | MS-DRG | 281 | 28 | — | $12,488 | $4,355.66 | $12,488 | $21,854 |
| AMI discharged alive w/o CC/MCC | MS-DRG | 282 | 28 | — | $11,082 | $4,968.02 | $11,053 | $19,395 |
| Heart failure & shock w MCC | MS-DRG | 291 | 28 | — | $15,102 | $3,505.82 | $15,122 | $26,430 |
| Heart failure & shock w CC | MS-DRG | 292 | 28 | — | $11,985 | $3,105.53 | $11,986 | $20,975 |
| Heart failure & shock w/o CC/MCC | MS-DRG | 293 | 28 | — | $9,956 | $3,007.53 | $9,861.08 | $17,424 |
| Cardiac arrhythmia w MCC | MS-DRG | 308 | 28 | — | $14,530 | $3,672.1 | $14,549 | $25,429 |
| Cardiac arrhythmia w CC | MS-DRG | 309 | 28 | — | $11,173 | $3,618.08 | $11,173 | $19,553 |
| Cardiac arrhythmia w/o CC/MCC | MS-DRG | 310 | 28 | — | $9,957 | $3,650.87 | $9,861.8 | $17,425 |
| GI hemorrhage w CC | MS-DRG | 378 | 28 | — | $12,929 | $3,859.94 | $12,930 | $22,627 |
| GI hemorrhage w/o CC/MCC | MS-DRG | 379 | 28 | — | $10,418 | $3,635.29 | $10,319 | $18,232 |
| Esophagitis/gastroenteritis w/o MCC | MS-DRG | 392 | 28 | — | $11,487 | $3,341.39 | $11,488 | $20,104 |
| Fractures of femur w/o MCC | MS-DRG | 533 | 28 | — | $17,138 | $3,482.62 | $17,162 | $29,992 |
| Kidney/UTI w MCC | MS-DRG | 689 | 28 | — | $14,217 | $3,207.32 | $14,217 | $24,881 |
| Kidney/UTI w/o MCC | MS-DRG | 690 | 28 | — | $11,702 | $3,142.29 | $11,702 | $20,479 |
| Septicemia or severe sepsis w MV 96+ hrs | MS-DRG | 871 | 28 | — | $19,825 | $4,073.74 | $19,957 | $34,695 |
| Septicemia or severe sepsis w/o MV 96+ hrs | MS-DRG | 872 | 28 | — | $13,235 | $3,363.76 | $13,235 | $23,162 |
| Initial hospital care, low complexity | CPT | 99221 | 1 | $265.39 | — | $78.87 | $78.87 | $78.87 |
| Initial hospital care, moderate complexity | CPT | 99222 | 2 | $321.3 | — | $106.21 | $106.21 | $255.82 |
| Initial hospital care, high complexity | CPT | 99223 | 2 | $408.71 | — | $156.4 | $156.4 | $338.52 |
| Hospital discharge, <30 min | CPT | 99238 | 3 | $188.32 | — | $188.32 | $188.32 | $188.32 |
| Hospital discharge, >30 min | CPT | 99239 | 3 | $108.62 | — | $108.62 | $108.62 | $108.62 |
| lab | ||||||||
| Basic metabolic panel (BMP) | CPT | 80048 | 29 | $280.35 | $8 | $5.63 | $8.71 | $37 |
| General health panel | CPT | 80050 | 3 | $493 | — | $30.1 | $44.47 | $81.16 |
| Electrolyte panel | CPT | 80051 | 28 | $225.8 | $7 | $4.66 | $7.12 | $14.02 |
| Comprehensive metabolic panel | CPT | 80053 | 29 | $399.6 | $10 | $7.02 | $10.56 | $37 |
| Lipid panel | CPT | 80061 | 29 | $272.95 | $13 | $8.9 | $13.39 | $37 |
| Renal function panel | CPT | 80069 | 29 | $43.4 | $8 | $5.77 | $8.94 | $30 |
| Hepatic function panel | CPT | 80076 | 28 | $364.94 | $8 | $5.43 | $8.17 | $37 |
| Urinalysis non-automated | CPT | 81002 | 28 | $101.79 | $3 | $2.31 | $3.48 | $6.96 |
| Urinalysis automated | CPT | 81003 | 29 | $56.7 | $2 | $1.5 | $2.32 | $37 |
| Glucose quantitative | CPT | 82947 | 29 | $96.83 | $3 | $2.61 | $4.05 | $37 |
| Hemoglobin A1c | CPT | 83036 | 29 | $149 | $9 | $6.46 | $10 | $37 |
| Thyroid stimulating hormone (TSH) | CPT | 84443 | 29 | $195.78 | $16 | $11.17 | $16.8 | $37 |
| Complete blood count with automated differential | CPT | 85025 | 28 | $152.25 | $7 | $5.17 | $8 | $37 |
| Complete blood count without differential | CPT | 85027 | 28 | $154.76 | $6 | $4.3 | $6.66 | $37 |
| Urine culture bacterial | CPT | 87086 | 29 | $219.33 | $8 | $5.37 | $8.07 | $37 |
| Tissue exam by pathologist level IV | CPT | 88305 | 28 | $592.5 | $52 | $22.44 | $52 | $140.7 |
| maternity | ||||||||
| Fetal non-stress test | CPT | 59025 | 5 | $1,519.77 | — | $12.84 | $17.64 | $97.94 |
| Routine obstetric care including vaginal delivery | CPT | 59400 | 3 | $4,725.79 | — | $2,724.84 | $2,724.84 | $4,725.79 |
| Vaginal delivery only | CPT | 59409 | 26 | $8,066.85 | $3,231 | $1,604.02 | $3,231 | $6,737.36 |
| Vaginal delivery with postpartum | CPT | 59410 | 3 | $4,168.24 | — | $2,170.5 | $2,724.84 | $2,724.84 |
| Routine obstetric care with C-section | CPT | 59510 | 3 | $6,318.9 | — | $2,724.84 | $2,724.84 | $5,414.96 |
| C-section delivery only | CPT | 59514 | 3 | $27,922 | — | $1,822.08 | $2,262.43 | $4,466.43 |
| C-section with postpartum | CPT | 59515 | 3 | $5,376.26 | — | $2,699.42 | $2,724.84 | $4,275 |
| office | ||||||||
| Office visit, new patient, 15-29 min | CPT | 99202 | 2 | $372 | — | $38.91 | $38.91 | $142.56 |
| Office visit, new patient, 30-44 minutes | CPT | 99203 | 3 | $634.5 | — | $13.49 | $65.86 | $220.42 |
| Office visit, new patient, 45-59 min | CPT | 99204 | 2 | $746.47 | — | $107.26 | $107.26 | $330.34 |
| Office visit, new patient, 60-74 min | CPT | 99205 | 2 | $786.25 | — | $145.64 | $145.64 | $435.76 |
| Office visit, established patient, 5 min | CPT | 99211 | 3 | $216.25 | — | $7.09 | $10.29 | $45.82 |
| Office visit, established patient, 10-19 min | CPT | 99212 | 2 | $314.13 | — | $28.34 | $28.34 | $111.64 |
| Office visit, established patient, 20-29 minutes | CPT | 99213 | 3 | $746.47 | — | $13.49 | $53.12 | $179.36 |
| Office visit, established patient, 30-39 minutes | CPT | 99214 | 3 | $746.47 | — | $13.49 | $78.47 | $252.96 |
| Office visit, established patient, 40-54 min | CPT | 99215 | 3 | $918.6 | — | $13.49 | $115.52 | $356.32 |
| preventive | ||||||||
| Upper GI endoscopy diagnostic | CPT | 43235 | 26 | $4,131.95 | $905 | $12.84 | $905.26 | $2,297.2 |
| Upper GI endoscopy with biopsy | CPT | 43239 | 26 | $4,131.95 | $905 | $12.84 | $905.26 | $2,297.2 |
| Sigmoidoscopy diagnostic | CPT | 45330 | 26 | $4,052.4 | $928 | $13.49 | $956.05 | $2,297.2 |
| Sigmoidoscopy with biopsy | CPT | 45331 | 26 | $2,001.25 | $928 | $561.72 | $956.05 | $2,001.25 |
| Colonoscopy diagnostic | CPT | 45378 | 26 | $4,052.4 | $928 | $12.84 | $928.2 | $2,297.2 |
| Colonoscopy with biopsy | CPT | 45380 | 26 | $3,657 | $1,194 | $12.84 | $1,194.38 | $2,490.55 |
| Colonoscopy with polyp removal | CPT | 45385 | 26 | $4,194.75 | $1,194 | $12.84 | $1,194.38 | $2,490.55 |
| surgery | ||||||||
| Total shoulder arthroplasty | CPT | 23472 | 26 | $84,320 | $17,500 | $2,877.56 | $17,501 | $36,493 |
| Total hip replacement | CPT | 27130 | 26 | $51,475 | $12,814 | $37 | $12,814 | $26,721 |
| Total knee replacement | CPT | 27447 | 26 | $79,418 | $12,814 | $37 | $12,814 | $26,721 |
| Knee revision arthroplasty single component | CPT | 27486 | 26 | $94,125 | $12,814 | $2,799.88 | $12,814 | $26,721 |
| Shoulder arthroscopy with decompression | CPT | 29826 | 3 | $17,121 | — | $37 | $2,211.59 | $4,084.61 |
| Shoulder arthroscopy with rotator cuff repair | CPT | 29827 | 26 | $58,828 | $7,242 | $37 | $7,242.49 | $15,102 |
| Knee arthroscopy with meniscectomy | CPT | 29881 | 26 | $33,837 | $3,265 | $37 | $3,265.81 | $6,809.95 |
| ACL reconstruction | CPT | 29888 | 26 | $88,443 | $7,242 | $58.84 | $7,242.49 | $15,102 |
| Major small/large bowel procedures w MCC | MS-DRG | 329 | 28 | — | $38,854 | $5,033.82 | $42,079 | $70,074 |
| Major small/large bowel procedures w CC | MS-DRG | 330 | 28 | — | $23,085 | $5,224.16 | $23,450 | $40,400 |
| Major small/large bowel procedures w/o CC/MCC | MS-DRG | 331 | 28 | — | $17,964 | $6,855.65 | $17,989 | $31,438 |
| Laparoscopic cholecystectomy w/o CDE w MCC | MS-DRG | 418 | 28 | — | $18,026 | $5,681.26 | $18,052 | $31,547 |
| Laparoscopic cholecystectomy w/o CDE w CC | MS-DRG | 419 | 28 | — | $15,690 | $6,687.06 | $15,691 | $27,459 |
| Laparoscopic cholecystectomy w/o CDE w/o CC/MCC | MS-DRG | 420 | 28 | — | $30,326 | $4,836.47 | $31,288 | $53,071 |
| Laparoscopic appendectomy | CPT | 44970 | 26 | $20,739 | $6,034 | $13.49 | $6,034.1 | $12,582 |
| Spinal fusion (non-cervical) w MCC | MS-DRG | 459 | 10 | — | — | $45,597 | $63,718 | $81,865 |
| Spinal fusion (non-cervical) w/o MCC | MS-DRG | 460 | 10 | — | — | $32,244 | $35,143 | $49,675 |
| Major joint replacement w MCC | MS-DRG | 469 | 28 | — | $27,645 | $8,958.2 | $31,029 | $48,380 |
| Major joint replacement w/o MCC | MS-DRG | 470 | 28 | — | $19,728 | $12,303 | $19,838 | $34,524 |
| Laparoscopic cholecystectomy | CPT | 47562 | 26 | $46,272 | $6,034 | $37 | $6,034.1 | $12,582 |
| Lap cholecystectomy with cholangiography | CPT | 47563 | 26 | $31,587 | $6,034 | $1,440.62 | $6,034.1 | $12,582 |
| Hip & femur procedures except major joint w MCC | MS-DRG | 480 | 28 | — | $26,778 | $5,302.7 | $27,961 | $46,863 |
| Hip & femur procedures except major joint w CC | MS-DRG | 481 | 28 | — | $20,915 | $5,802.52 | $21,575 | $36,602 |
| Hip & femur procedures except major joint w/o CC/MCC | MS-DRG | 482 | 28 | — | $17,592 | $6,210.98 | $17,617 | $30,786 |
| Lap inguinal hernia repair | CPT | 49650 | 26 | $60,595 | $6,034 | $37 | $6,034.1 | $12,582 |
| Total abdominal hysterectomy | CPT | 58150 | 3 | $63,173 | — | $2,027.6 | $3,027.6 | $4,466.44 |
| Vaginal hysterectomy | CPT | 58260 | 26 | $13,511 | $4,992 | $1,675.66 | $4,992.98 | $10,411 |
| Lap-assisted vaginal hysterectomy | CPT | 58550 | 26 | $67,652 | $6,034 | $1,761.52 | $6,034.1 | $12,582 |
| Lap-assisted vaginal hysterectomy >250g | CPT | 58552 | 26 | $64,957 | $10,609 | $1,956.32 | $10,610 | $22,124 |
| Lap salpingo-oophorectomy | CPT | 58661 | 26 | $31,166 | $6,034 | $13.49 | $6,034.1 | $12,582 |
| OR procedure for obesity w MCC | MS-DRG | 619 | 28 | — | $26,600 | $8,895.53 | $27,443 | $46,551 |
| OR procedure for obesity w CC | MS-DRG | 620 | 28 | — | $17,372 | $11,518 | $17,396 | $30,401 |
| OR procedure for obesity w/o CC/MCC | MS-DRG | 621 | 28 | — | $16,713 | $13,988 | $16,736 | $29,248 |
| Uterine & adnexa procedures w CC/MCC | MS-DRG | 743 | 28 | — | $14,793 | $9,662.23 | $14,794 | $25,889 |
| Uterine & adnexa procedures w/o CC/MCC | MS-DRG | 744 | 28 | — | $20,589 | $4,056.92 | $20,620 | $36,032 |
| PCI single major coronary artery | CPT | 92920 | 26 | $25,310 | $5,680 | $1,029.82 | $5,851.22 | $11,846 |
| PCI with drug-eluting stent | CPT | 92928 | 26 | $51,292 | $11,522 | $1,145.8 | $11,522 | $24,027 |
| PCI bypass graft | CPT | 92937 | 26 | $33,726 | $11,522 | $1,145.88 | $11,522 | $24,027 |
| Left heart catheterization | CPT | 93452 | 26 | $16,082 | $3,235 | $1,740.14 | $3,235.8 | $9,785 |
| Coronary angiography with cath | CPT | 93455 | 26 | $14,001 | $3,235 | $1,955.84 | $3,235.8 | $9,785 |
| Coronary angiography with bypass cath | CPT | 93458 | 26 | $18,930 | $3,235 | $12.84 | $3,235.8 | $9,785 |
Payer mix (top 30)
| Payer | Codes covered | Median rate |
|---|---|---|
| Humana | 181 | $540.19 |
| Aetna | 180 | $3,175.3 |
| Blue Cross Blue Shield | 167 | $1,816.56 |
| CareSource | 162 | $358.66 |
| corvel | 158 | $480.92 |
| prime health services | 158 | $480.92 |
| americas choice provider network | 158 | $480.92 |
| georgia workers’ compensation | 158 | $480.92 |
| three rivers | 158 | $480.92 |
| Multiplan | 158 | $480.92 |
| provider select | 158 | $480.92 |
| novanet | 158 | $480.92 |
| UnitedHealthcare | 158 | $348.21 |
| peach state | 157 | $285.78 |
| WellCare | 156 | $365.62 |
| centurion | 156 | $573.52 |
| Cigna | 156 | $726.1 |
| clear spring health plan | 156 | $382.34 |
| devoted health | 156 | $393.81 |
| employer direct healthcare | 156 | $535.28 |
| Medicare | 156 | $382.34 |
| naphcare | 156 | $592.63 |
| Oscar Health | 156 | $497.04 |
| riverwood behavioral health | 156 | $435.26 |
| sonder health plan | 156 | $401.46 |
| TRICARE | 156 | $382.34 |
| keenan | 49 | $30 |
| national healthcare solutions, inc. | 43 | $24,165 |
| ubh optum | 43 | $15,122 |
| Medicaid | 17 | $11.92 |