Does Pekin Memorial Hospital publish its standard charges and chargemaster?

Yes. Pekin Memorial Hospital publishes a machine-readable file with 48,108 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 Pekin Memorial Hospital charge for procedures?

Pekin Memorial Hospital (Pekin, IL) 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 · IL · CCN 140120

Pekin Memorial Hospital

Pekin, IL, 61554

39 bedsAcute Care Hospitals2

Compliance grade

100/100

Rates published

48,108

last crawl 2026-05-23

Procedures tracked

200

of 209 target codes

Payers

with negotiated rates

Procedures tracked

...

Payers

...

▸ Compare with other hospitals All IL 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://sthpiprd.blob.core.windows.net/machine-readable-files/7942/420698265_allen-memorial-hospital-corporation_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	11	—	—	$10,050	$10,832	0.85×	$20,078
Psychiatric diagnostic evaluation	CPT	90791	12	$405	$324	$133.18	$182.8	1.0×	$437.86
Psychiatric eval with medical services	CPT	90792	10	$453	$362.4	$133.18	$191.22	1.1×	$437.86
Psychotherapy 30 minutes	CPT	90832	12	$245.42	$196.34	$67.55	$142.14	0.96×	$437.86
Psychotherapy 45 minutes	CPT	90834	12	$326.42	$261.14	$89.14	$151.1	0.94×	$437.86
Psychotherapy 60 minutes	CPT	90837	12	$392	$313.6	$131.89	$182.64	0.96×	$437.86
Crisis psychotherapy 60 minutes	CPT	90839	12	$409	$327.2	$127.19	$177.2	1.1×	$437.86
emergency
ED visit level 1	CPT	99281	10	$196.15	$156.92	$10.3	$46.37	0.33×	$239.96
ED visit level 2	CPT	99282	12	$401.24	$321	$25.91	$97.08	0.41×	$431.54
ED visit level 3	CPT	99283	12	$748.94	$599.16	$25.91	$145.66	0.36×	$754.56
ED visit level 4	CPT	99284	12	$1,208.35	$966.68	$25.91	$266.24	0.40×	$1,160.42
ED visit level 5	CPT	99285	12	$1,759	$1,407.2	$25.91	$386.61	0.37×	$1,670.8
Critical care, first hour	CPT	99291	12	$2,796.09	$2,236.88	$194	$698.42	0.65×	$2,296.25
imaging
CT head without contrast	CPT	70450	12	$1,627.13	$1,301.71	$37.24	$102.51	0.50×	$1,052.75
CT head with contrast	CPT	70460	12	$1,148.13	$918.51	$49.4	$157.49	0.67×	$742.84
CT head with and without contrast	CPT	70470	12	$2,248.72	$1,798.98	$55.55	$166.83	0.62×	$1,454.92
CT neck with contrast	CPT	70491	12	$1,353.71	$1,082.97	$60.29	$172.34	0.63×	$875.85
MRI brain without contrast	CPT	70551	12	$1,850.09	$1,480.08	$64.56	$213.84	0.53×	$1,197.01
MRI brain with contrast	CPT	70552	12	$1,914.33	$1,531.47	$77.96	$315.94	0.66×	$1,238.57
MRI brain with and without contrast	CPT	70553	12	$2,526.36	$2,021.09	$100.21	$320.62	0.54×	$1,634.55
Chest X-ray single view	CPT	71045	12	$181.37	$145.1	$8.04	$29.6	0.31×	$239.94
Chest X-ray 2 views	CPT	71046	12	$181.37	$145.1	$9.63	$39.36	0.40×	$239.94
Chest X-ray 3 views	CPT	71047	12	$181.37	$145.1	$12.13	$49.11	0.51×	$239.94
CT chest without contrast	CPT	71250	12	$1,087.39	$869.92	$47.19	$122.98	0.57×	$703.54
CT chest with contrast	CPT	71260	12	$1,513.71	$1,210.97	$50.96	$164.13	0.58×	$979.37
CT chest with and without contrast	CPT	71270	12	$1,709.92	$1,367.94	$54.61	$182.22	0.63×	$1,106.32
MRI chest without contrast	CPT	71550	12	$1,744.96	$1,395.97	$63.91	$290.06	0.67×	$1,392.56
MRI chest with contrast	CPT	71551	12	$1,854.76	$1,483.81	$75.45	$550.08	0.68×	$2,153.03
MRI chest with and without contrast	CPT	71552	12	$2,932.82	$2,346.26	$98.95	$432.88	0.72×	$1,938.05
Lumbosacral spine X-ray	CPT	72100	12	$139	$111.2	$9.92	$47.91	0.46×	$289.8
CT cervical spine without contrast	CPT	72125	12	$1,356.04	$1,084.84	$43.57	$124.01	0.62×	$877.36
CT thoracic spine without contrast	CPT	72128	12	$1,323	$1,058.4	$43.57	$122.89	0.62×	$855.98
CT lumbar spine without contrast	CPT	72131	12	$1,052.36	$841.89	$43.57	$122.58	0.60×	$680.88
MRI cervical spine without contrast	CPT	72141	12	$1,479.85	$1,183.88	$64.86	$213.84	0.54×	$957.46
MRI thoracic spine without contrast	CPT	72146	12	$1,850.09	$1,480.08	$64.86	$213.84	0.57×	$1,197.01
MRI lumbar spine without contrast	CPT	72148	12	$1,479.85	$1,183.88	$64.86	$213.84	0.57×	$957.46
MRI lumbar spine with and without contrast	CPT	72149	12	$2,116.39	$1,693.12	$78.25	$315.94	0.70×	$1,369.3
MRI cervical spine with and without contrast	CPT	72156	12	$3,334.6	$2,667.68	$100.51	$321.09	0.59×	$2,157.49
MRI lumbar spine with contrast	CPT	72158	12	$3,157.08	$2,525.67	$100.51	$320.78	0.59×	$2,042.63
CT pelvis without contrast	CPT	72192	12	$1,183.17	$946.54	$47.51	$124.23	0.62×	$765.51
CT pelvis with contrast	CPT	72193	12	$1,448.31	$1,158.65	$50.66	$210.13	0.75×	$937.06
Shoulder X-ray	CPT	73030	12	$295.51	$236.41	$8.33	$41.31	0.44×	$239.94
Humerus X-ray	CPT	73060	12	$122.65	$98.12	$7.1	$38.88	0.43×	$239.94
Hand X-ray 3 views	CPT	73130	12	$136.65	$109.32	$7.71	$44.69	0.48×	$239.94
MRI upper extremity joint without contrast	CPT	73221	12	$1,624.67	$1,299.74	$59.32	$213.84	0.51×	$1,051.16
MRI upper extremity joint with and without contrast	CPT	73223	12	$3,032.08	$2,425.67	$94.35	$356.36	0.58×	$1,961.76
Knee X-ray 1-2 views	CPT	73560	12	$237.12	$189.7	$7.39	$41.65	0.45×	$239.94
Ankle X-ray 3 views	CPT	73610	12	$327.04	$261.64	$7.71	$45.03	0.49×	$239.94
MRI lower extremity joint without contrast	CPT	73721	12	$4,140.35	$3,312.28	$59.32	$213.84	0.46×	$2,678.81
MRI lower extremity joint with and without contrast	CPT	73723	12	$4,731.19	$3,784.96	$94.35	$355.45	0.56×	$3,061.08
CT abdomen without contrast	CPT	74150	12	$1,203.02	$962.42	$51.93	$127.52	0.68×	$778.35
CT abdomen with contrast	CPT	74160	12	$1,499.69	$1,199.76	$55.55	$213.9	0.75×	$970.3
CT abdomen with and without contrast	CPT	74170	12	$1,746.14	$1,396.92	$60.94	$227.53	0.68×	$1,129.75
CT abdomen and pelvis without contrast	CPT	74176	12	$2,607.56	$2,086.05	$76.07	$201.23	0.55×	$1,687.09
CT abdomen and pelvis with contrast	CPT	74177	12	$3,258.04	$2,606.44	$79.84	$315.94	0.58×	$2,107.95
CT abdomen and pelvis with and without contrast	CPT	74178	12	$3,909.65	$3,127.72	$87.76	$329.44	0.57×	$2,529.54
MRI abdomen without contrast	CPT	74181	12	$1,637.52	$1,310.02	$63.62	$213.84	0.55×	$1,103.05
MRI abdomen with and without contrast	CPT	74183	12	$4,837.64	$3,870.12	$96.27	$336.71	0.59×	$3,129.95
Abdominal ultrasound complete	CPT	76700	12	$1,146.96	$917.57	$35.36	$103.27	0.69×	$742.08
Abdominal ultrasound limited	CPT	76705	12	$560.62	$448.5	$25.73	$94.08	0.64×	$362.72
Retroperitoneal ultrasound complete	CPT	76770	12	$899.33	$719.47	$32.21	$100.72	0.70×	$581.87
Obstetric ultrasound first trimester	CPT	76801	12	$551.3	$441.04	$43.54	$107.22	0.76×	$356.69
Obstetric ultrasound after first trimester	CPT	76805	12	$992.78	$794.23	$43.84	$121.83	0.80×	$642.33
Obstetric ultrasound with fetal anatomy	CPT	76811	10	$527	$421.6	$77.82	$178.22	0.76×	$658.72
Transvaginal ultrasound	CPT	76830	12	$807.08	$645.67	$30.44	$105.9	0.72×	$522.18
Pelvic ultrasound complete	CPT	76856	12	$933.22	$746.58	$30.15	$99.33	0.69×	$603.79
Scrotal ultrasound	CPT	76870	12	$749.84	$599.88	$27.94	$93.84	0.72×	$485.15
Diagnostic mammography unilateral	CPT	77065	10	$283	$226.4	$35.36	$111.44	0.75×	$273.3
Diagnostic mammography bilateral	CPT	77066	10	$357	$285.6	$43.57	$142.13	0.75×	$344.4
Screening mammography bilateral	CPT	77067	10	$306.68	$245.35	$33.44	$116.25	0.74×	$279.1
EKG complete	CPT	93000	8	$47	$37.6	$12.88	$28.7	1.2×	$42.87
EKG tracing only	CPT	93005	12	$206.1	$164.88	$5.46	$49.23	0.42×	$161.86
EKG interpretation only	CPT	93010	8	$24	$19.2	$7.42	$16	0.88×	$21.83
Transthoracic echocardiogram complete	CPT	93306	12	$1,569	$1,255.2	$63.17	$313.57	0.52×	$1,494.21
Transthoracic echocardiogram	CPT	93307	12	$383	$306.4	$39.95	$165.72	0.67×	$658.72
Stress echocardiogram	CPT	93350	12	$1,151.69	$921.36	$63.17	$283.31	0.56×	$1,494.21
inpatient
Intracranial hemorrhage/CVA w MCC	MS-DRG	064	11	—	—	$14,182	$14,941	0.74×	$27,695
Intracranial hemorrhage/CVA w CC	MS-DRG	065	11	—	—	$7,250.04	$8,048.07	0.75×	$14,918
Intracranial hemorrhage/CVA w/o CC/MCC	MS-DRG	066	11	—	—	$4,907.27	$5,718.57	0.75×	$10,600
Respiratory infections & inflammations w MCC	MS-DRG	177	11	—	—	$11,525	$12,299	0.80×	$22,797
COPD w MCC	MS-DRG	190	11	—	—	$8,006.48	$8,800.22	0.78×	$16,312
COPD w CC	MS-DRG	191	11	—	—	$6,125	$6,929.41	0.79×	$12,844
COPD w/o CC/MCC	MS-DRG	192	11	—	—	$4,614.24	$5,427.2	0.78×	$10,060
Simple pneumonia & pleurisy w CC	MS-DRG	194	11	—	—	$5,846.23	$6,652.2	0.78×	$12,331
Simple pneumonia & pleurisy w/o CC/MCC	MS-DRG	195	11	—	—	$4,439.57	$5,253.52	0.79×	$9,737.99
AMI discharged alive w MCC	MS-DRG	280	11	—	—	$11,702	$12,475	0.80×	$23,124
AMI discharged alive w CC	MS-DRG	281	11	—	—	$6,572.02	$7,373.88	0.76×	$13,668
AMI discharged alive w/o CC/MCC	MS-DRG	282	11	—	—	$5,169.64	$5,979.44	0.77×	$11,084
Heart failure & shock w MCC	MS-DRG	291	11	—	—	$9,302.64	$10,089	0.79×	$18,701
Heart failure & shock w CC	MS-DRG	292	11	—	—	$6,139.97	$6,944.28	0.78×	$12,872
Heart failure & shock w/o CC/MCC	MS-DRG	293	11	—	—	$3,911.98	$4,728.9	0.76×	$8,765.54
Cardiac arrhythmia w MCC	MS-DRG	308	11	—	—	$8,597.52	$9,387.9	0.78×	$17,402
Cardiac arrhythmia w CC	MS-DRG	309	11	—	—	$5,270.88	$6,080.13	0.78×	$11,270
Cardiac arrhythmia w/o CC/MCC	MS-DRG	310	11	—	—	$3,988.98	$4,805.48	0.77×	$8,907.5
GI hemorrhage w CC	MS-DRG	378	11	—	—	$7,029.02	$7,828.3	0.78×	$14,511
GI hemorrhage w/o CC/MCC	MS-DRG	379	11	—	—	$4,539.38	$5,352.78	0.78×	$9,921.97
Esophagitis/gastroenteritis w/o MCC	MS-DRG	392	11	—	—	$5,563.19	$6,370.78	0.79×	$11,809
Fractures of femur w/o MCC	MS-DRG	533	11	—	—	$10,872	$11,649	0.77×	$21,593
Kidney/UTI w MCC	MS-DRG	689	11	—	—	$8,343.71	$9,135.55	0.79×	$16,934
Kidney/UTI w/o MCC	MS-DRG	690	11	—	—	$5,722.18	$6,528.87	0.79×	$12,102
Septicemia or severe sepsis w MV 96+ hrs	MS-DRG	871	11	—	—	$13,989	$14,749	0.79×	$27,338
Septicemia or severe sepsis w/o MV 96+ hrs	MS-DRG	872	11	—	—	$7,350.57	$8,148.01	0.79×	$15,103
Initial hospital care, low complexity	CPT	99221	8	$227	$181.6	$74.73	$135.5	1.5×	$226.16
Initial hospital care, moderate complexity	CPT	99222	8	$308	$246.4	$118.66	$213.8	1.3×	$307.11
Initial hospital care, high complexity	CPT	99223	8	$453	$362.4	$158.4	$284.9	1.3×	$452.74
Hospital discharge, <30 min	CPT	99238	8	$185	$148	$73.92	$133.3	1.6×	$162.91
Hospital discharge, >30 min	CPT	99239	8	$262	$209.6	$104.69	$188.4	1.6×	$239.49
lab
Basic metabolic panel (BMP)	CPT	80048	10	$85.7	$68.56	$5.08	$8.88	0.27×	$55.45
General health panel	CPT	80050	7	$88	$70.4	$25.73	$42.85	0.40×	$55.45
Electrolyte panel	CPT	80051	10	$85.7	$68.56	$4.21	$7.36	0.31×	$55.45
Comprehensive metabolic panel	CPT	80053	10	$85.7	$68.56	$6.34	$11.09	0.25×	$55.45
Lipid panel	CPT	80061	10	$85.7	$68.56	$8.03	$14.06	0.37×	$55.45
Renal function panel	CPT	80069	10	$85.7	$68.56	$5.21	$9.11	0.33×	$55.45
Hepatic function panel	CPT	80076	10	$85.7	$68.56	$4.9	$8.58	0.32×	$55.45
Urinalysis non-automated	CPT	81002	10	$32.14	$25.72	$3.48	$3.65	0.52×	$20.79
Urinalysis automated	CPT	81003	10	$32.14	$25.72	$2.25	$2.36	0.17×	$20.79
Glucose quantitative	CPT	82947	10	$41.96	$33.57	$3.93	$4.13	0.23×	$27.15
Hemoglobin A1c	CPT	83036	10	$41.96	$33.57	$5.83	$10.2	0.38×	$27.15
Thyroid stimulating hormone (TSH)	CPT	84443	10	$68.75	$55	$10.08	$17.64	0.37×	$44.48
Complete blood count with automated differential	CPT	85025	10	$41.96	$33.57	$4.66	$8.16	0.31×	$27.15
Complete blood count without differential	CPT	85027	10	$41.96	$33.57	$3.88	$6.79	0.31×	$27.15
Urine culture bacterial	CPT	87086	10	$48.22	$38.58	$4.84	$8.47	0.36×	$31.2
Urine culture identification	CPT	87088	10	$48.22	$38.58	$4.85	$8.49	0.38×	$31.2
Tissue exam by pathologist level IV	CPT	88305	12	$205	$164	$28.96	$62.79	0.61×	$182.28
maternity
Fetal non-stress test	CPT	59025	12	$476.55	$381.24	$17.87	$66.15	0.35×	$548.23
Routine obstetric care including vaginal delivery	CPT	59400	8	$5,690	$4,552	$2,106.28	$3,033	1.3×	$5,372.16
Vaginal delivery only	CPT	59409	12	$3,092.73	$2,474.19	$691.99	$2,001	0.90×	$8,664.72
Vaginal delivery with postpartum	CPT	59410	8	$2,641	$2,112.8	$936.78	$1,353.2	1.3×	$2,640.42
Routine obstetric care with C-section	CPT	59510	8	$5,924	$4,739.2	$2,322.97	$3,369.1	1.3×	$5,923.56
C-section delivery only	CPT	59514	8	$2,305	$1,844	$778.91	$1,133.3	1.2×	$2,304.69
C-section with postpartum	CPT	59515	8	$3,196	$2,556.8	$1,153.4	$1,678.5	1.3×	$3,195.11
office
Office visit, new patient, 15-29 min	CPT	99202	8	$167	$133.6	$42.93	$66.3	0.77×	$112.29
Office visit, new patient, 30-44 minutes	CPT	99203	8	$237	$189.6	$74.5	$116	0.95×	$168.46
Office visit, new patient, 45-59 min	CPT	99204	8	$362	$289.6	$121.61	$188.8	1.1×	$288.21
Office visit, new patient, 60-74 min	CPT	99205	8	$459	$367.2	$165.2	$257	1.2×	$376.67
Office visit, established patient, 5 min	CPT	99211	8	$51	$40.8	$8.04	$12.3	0.19×	$20.76
Office visit, established patient, 10-19 min	CPT	99212	8	$104	$83.2	$32.24	$49.59	0.62×	$66.6
Office visit, established patient, 20-29 minutes	CPT	99213	8	$201	$160.8	$60.36	$93.2	0.81×	$124.66
Office visit, established patient, 30-39 minutes	CPT	99214	8	$240	$192	$88.83	$137.3	0.90×	$184.05
Office visit, established patient, 40-54 min	CPT	99215	8	$332	$265.6	$131.48	$203	1.1×	$272.53
preventive
Upper GI endoscopy diagnostic	CPT	43235	12	$2,189.57	$1,751.66	$109.69	$777.12	0.85×	$2,555
Upper GI endoscopy with biopsy	CPT	43239	10	$1,143	$914.4	$123.53	$435.4	0.45×	$2,555
Sigmoidoscopy diagnostic	CPT	45330	10	$534	$427.2	$50.95	$174.48	0.21×	$2,484.55
Sigmoidoscopy with biopsy	CPT	45331	10	$840	$672	$64.93	$224.58	0.25×	$2,484.55
Colonoscopy diagnostic	CPT	45378	10	$1,017	$813.6	$82.56	$426.74	0.49×	$2,484.55
Colonoscopy with biopsy	CPT	45380	10	$1,309	$1,047.2	$179.1	$664.1	0.55×	$3,213.19
Colonoscopy with polyp removal	CPT	45385	10	$1,371	$1,096.8	$226.39	$814.61	0.68×	$3,213.19
surgery
Total shoulder arthroplasty	CPT	23472	10	$8,950	$7,160	$1,290.01	$4,475	1.1×	$50,116
Hip hemiarthroplasty	CPT	27125	8	$6,968	$5,574.4	$1,013.18	$2,208.3	1.8×	$3,483.37
Total hip replacement	CPT	27130	10	$8,344	$6,675.2	$1,146	$4,171.24	0.96×	$35,064
Total knee replacement	CPT	27447	10	$8,336	$6,668.8	$1,144.67	$4,167.04	1.0×	$35,064
Knee revision arthroplasty single component	CPT	27486	8	$8,660	$6,928	$1,254.09	$2,733.9	1.6×	$11,191
Knee revision arthroplasty all components	CPT	27487	8	$10,830	$8,664	$1,560.09	$3,401.3	1.7×	$14,049
Shoulder arthroscopy with decompression	CPT	29826	8	$1,326	$1,060.8	$151.83	$330.5	1.0×	$538.56
Shoulder arthroscopy with rotator cuff repair	CPT	29827	10	$6,590	$5,272	$958.1	$3,294.92	1.0×	$19,468
Knee arthroscopy with meniscectomy	CPT	29881	10	$3,324	$2,659.2	$490.7	$1,661.93	0.81×	$8,842.09
ACL reconstruction	CPT	29888	10	$6,040	$4,832	$874.13	$3,019.58	0.90×	$19,468
Major small/large bowel procedures w MCC	MS-DRG	329	11	—	—	$32,376	$33,392	0.78×	$61,895
Major small/large bowel procedures w CC	MS-DRG	330	11	—	—	$16,852	$17,596	0.76×	$32,616
Major small/large bowel procedures w/o CC/MCC	MS-DRG	331	11	—	—	$11,771	$12,543	0.76×	$23,250
CABG single arterial graft	CPT	33533	8	$5,709	$4,567.2	$1,610.12	$3,690.6	2.0×	$5,708.4
CABG 2 arterial grafts	CPT	33534	8	$6,708	$5,366.4	$1,891.26	$4,335.1	2.0×	$6,707.71
CABG 3 arterial grafts	CPT	33535	8	$7,481	$5,984.8	$2,102.11	$4,815.5	2.1×	$7,480.06
CABG 4+ arterial grafts	CPT	33536	8	$8,063	$6,450.4	$2,263.84	$5,187.2	2.1×	$8,062.01
Laparoscopic cholecystectomy w/o CDE w MCC	MS-DRG	418	11	—	—	$11,824	$12,596	0.76×	$23,348
Laparoscopic cholecystectomy w/o CDE w CC	MS-DRG	419	11	—	—	$9,393.9	$10,180	0.75×	$18,869
Laparoscopic cholecystectomy w/o CDE w/o CC/MCC	MS-DRG	420	11	—	—	$25,074	$25,860	0.80×	$47,935
Open appendectomy	CPT	44950	10	$1,971	$1,576.8	$565.44	$1,970.89	1.7×	$17,004
Laparoscopic appendectomy	CPT	44970	10	$1,841	$1,472.8	$532.67	$1,840.94	1.2×	$15,900
Major joint replacement w MCC	MS-DRG	469	11	—	—	$23,281	$24,011	0.81×	$44,508
Major joint replacement w/o MCC	MS-DRG	470	11	—	—	$13,443	$14,206	0.75×	$26,332
Laparoscopic cholecystectomy	CPT	47562	10	$2,018	$1,614.4	$583.24	$2,017.34	1.1×	$15,900
Lap cholecystectomy with cholangiography	CPT	47563	10	$2,196	$1,756.8	$633.75	$2,195.8	1.2×	$15,900
Hip & femur procedures except major joint w MCC	MS-DRG	480	11	—	—	$20,968	$21,688	0.77×	$40,202
Hip & femur procedures except major joint w CC	MS-DRG	481	11	—	—	$14,793	$15,548	0.77×	$28,821
Hip & femur procedures except major joint w/o CC/MCC	MS-DRG	482	11	—	—	$11,310	$12,085	0.76×	$22,402
Open umbilical hernia repair	CPT	49560	1	—	—	$1,405	$1,405	0.74×	$1,652
Umbilical hernia repair age 5+	CPT	49585	1	—	—	$854	$854	0.65×	$1,005
Lap inguinal hernia repair	CPT	49650	10	$2,632	$2,105.6	$384.86	$1,315.76	1.2×	$15,900
Lap incisional hernia repair	CPT	49652	1	—	—	$1,356	$1,356	0.50×	$1,596
Total abdominal hysterectomy	CPT	58150	8	$3,151	$2,520.8	$912.58	$1,935.5	2.0×	$7,412.9
Vaginal hysterectomy	CPT	58260	10	$2,609	$2,087.2	$751.29	$2,608.44	1.4×	$13,453
Lap-assisted vaginal hysterectomy	CPT	58550	10	$2,758	$2,206.4	$791.18	$2,757.27	1.9×	$15,900
Lap-assisted vaginal hysterectomy >250g	CPT	58552	10	$3,073	$2,458.4	$879.56	$3,072.25	1.4×	$28,372
Lap salpingo-oophorectomy	CPT	58661	10	$4,064	$3,251.2	$584.08	$2,031.54	1.0×	$15,900
OR procedure for obesity w MCC	MS-DRG	619	11	—	—	$19,439	$20,168	0.74×	$37,383
OR procedure for obesity w CC	MS-DRG	620	11	—	—	$11,386	$12,160	0.75×	$22,541
OR procedure for obesity w/o CC/MCC	MS-DRG	621	11	—	—	$10,422	$11,202	0.74×	$20,764
Complex cataract surgery	CPT	66982	10	$4,656	$3,724.8	$669.56	$2,002.71	0.90×	$6,215.36
Cataract surgery with lens implant	CPT	66984	10	$3,394	$2,715.2	$488.93	$1,699.34	0.78×	$6,215.36
Intravitreal injection	CPT	67028	10	$630	$504	$83.2	$274.93	0.80×	$903.91
Vitrectomy mechanical	CPT	67042	10	$7,152	$5,721.6	$1,024.83	$3,334.45	1.3×	$10,963
Uterine & adnexa procedures w CC/MCC	MS-DRG	743	11	—	—	$8,546.19	$9,336.87	0.76×	$17,307
Uterine & adnexa procedures w/o CC/MCC	MS-DRG	744	11	—	—	$13,931	$14,691	0.77×	$27,232
PCI single major coronary artery	CPT	92920	12	$14,331	$11,465	$452.43	$4,725.85	0.83×	$15,538
PCI with drug-eluting stent	CPT	92928	12	$18,138	$14,511	$502.96	$8,971.51	0.89×	$30,905
PCI bypass graft	CPT	92937	12	$18,138	$14,511	$502.63	$8,971.51	0.83×	$30,905
Left heart catheterization	CPT	93452	12	$9,904.84	$7,923.88	$203.9	$1,436.65	0.46×	$8,765.25
Coronary angiography with cath	CPT	93455	12	$9,904.84	$7,923.88	$240.23	$1,641.71	0.52×	$8,765.25
Coronary angiography with bypass cath	CPT	93458	12	$12,851	$10,281	$253.81	$1,676.56	0.54×	$8,765.25

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 12)

Payer	Codes covered	Median rate
Blue Cross Blue Shield	200	$188.9
Aetna	197	$284.37
health partners open network	197	$274.58
UnitedHealthcare	197	$239.49
amerivantage	196	$155.54
Humana	196	$155.54
Molina	196	$151.1
Cigna	154	$249.86
amerigroup	147	$755.69
iowa total care	147	$755.69
medica exchange insure	140	$910.36
medica exchange inspire	140	$813.63

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