▸ Hospital · IL · CCN 140127
Carle Bromenn Medical Center
1304 VIRGINIA, NORMAL, IL, 61761-
206 bedsAcute Care Hospitals1
Compliance grade
A
100/100
Procedures tracked
198
of 209 target codes
Payers
11
with negotiated rates
Rates published
41,121
last crawl 2026-05-23
Procedures & rates
| Procedure | Type | Code | Payers | Gross | Cash | Neg min | Neg median | Neg max |
|---|---|---|---|---|---|---|---|---|
| behavioral | ||||||||
| Psychoses | MS-DRG | 885 | 10 | — | — | $11,677 | $11,677 | $28,159 |
| Psychiatric diagnostic evaluation | CPT | 90791 | 11 | $479 | $479 | $41.2 | $247.2 | $359.25 |
| Psychiatric eval with medical services | CPT | 90792 | 11 | $465 | $465 | $46.5 | $190.21 | $348.75 |
| Psychotherapy 30 minutes | CPT | 90832 | 11 | $208 | $208 | $20.8 | $128.96 | $190.21 |
| Psychotherapy 45 minutes | CPT | 90834 | 11 | $292 | $292 | $29.2 | $181.04 | $219 |
| Psychotherapy 60 minutes | CPT | 90837 | 11 | $347 | $347 | $34.7 | $190.21 | $260.25 |
| Crisis psychotherapy 60 minutes | CPT | 90839 | 11 | $512 | $512 | $51.2 | $190.21 | $384 |
| emergency | ||||||||
| ED visit level 1 | CPT | 99281 | 11 | $299 | $299 | $8.57 | $90.36 | $224.25 |
| ED visit level 2 | CPT | 99282 | 11 | $494 | $494 | $30.07 | $164.54 | $370.5 |
| ED visit level 3 | CPT | 99283 | 11 | $835 | $835 | $51.73 | $292.53 | $626.25 |
| ED visit level 4 | CPT | 99284 | 11 | $1,337 | $1,337 | $86.76 | $447.15 | $1,002.75 |
| ED visit level 5 | CPT | 99285 | 11 | $1,991 | $1,991 | $126.53 | $638.18 | $1,493.25 |
| Critical care, first hour | CPT | 99291 | 11 | $2,028 | $2,028 | $151.72 | $885.19 | $1,521 |
| imaging | ||||||||
| CT head without contrast | CPT | 70450 | 11 | $3,303 | $3,303 | $84.74 | $465.15 | $2,477.25 |
| CT head with contrast | CPT | 70460 | 11 | $3,077 | $3,077 | $112.19 | $453.85 | $2,307.75 |
| CT head with and without contrast | CPT | 70470 | 11 | $3,542 | $3,542 | $126.41 | $477.1 | $2,656.5 |
| CT neck with contrast | CPT | 70491 | 11 | $3,816 | $3,816 | $136.85 | $490.8 | $2,862 |
| MRI brain without contrast | CPT | 70551 | 11 | $4,197 | $4,197 | $241.18 | $839.4 | $3,147.75 |
| MRI brain with contrast | CPT | 70552 | 11 | $7,905 | $7,905 | $332.97 | $1,200 | $5,928.75 |
| MRI brain with and without contrast | CPT | 70553 | 11 | $6,869 | $6,869 | $373.86 | $1,200 | $5,151.75 |
| Chest X-ray single view | CPT | 71045 | 11 | $340 | $340 | $18.38 | $93.26 | $255 |
| Chest X-ray 2 views | CPT | 71046 | 11 | $340 | $340 | $21.87 | $93.26 | $255 |
| Chest X-ray 3 views | CPT | 71047 | 11 | $375 | $375 | $27.41 | $93.26 | $281.25 |
| CT chest without contrast | CPT | 71250 | 11 | $3,399 | $3,399 | $112.03 | $600 | $2,549.25 |
| CT chest with contrast | CPT | 71260 | 11 | $4,317 | $4,317 | $176.07 | $600 | $3,237.75 |
| CT chest with and without contrast | CPT | 71270 | 11 | $4,865 | $4,865 | $187.96 | $600 | $3,648.75 |
| MRI chest without contrast | CPT | 71550 | 11 | $4,830 | $4,830 | $255.69 | $966 | $3,622.5 |
| MRI chest with contrast | CPT | 71551 | 11 | $5,569 | $5,569 | $458.86 | $1,113.8 | $4,176.75 |
| MRI chest with and without contrast | CPT | 71552 | 11 | $7,905 | $7,905 | $373.86 | $1,200 | $5,928.75 |
| Lumbosacral spine X-ray | CPT | 72100 | 11 | $632 | $632 | $22.55 | $112.03 | $474 |
| CT cervical spine without contrast | CPT | 72125 | 11 | $3,827 | $3,827 | $112.03 | $600 | $2,870.25 |
| CT thoracic spine without contrast | CPT | 72128 | 11 | $3,161 | $3,161 | $112.03 | $600 | $2,370.75 |
| CT lumbar spine without contrast | CPT | 72131 | 11 | $3,232 | $3,232 | $112.03 | $600 | $2,424 |
| MRI cervical spine without contrast | CPT | 72141 | 11 | $4,675 | $4,675 | $234.66 | $935 | $3,506.25 |
| MRI thoracic spine without contrast | CPT | 72146 | 11 | $4,401 | $4,401 | $234.66 | $880.2 | $3,300.75 |
| MRI lumbar spine without contrast | CPT | 72148 | 11 | $4,579 | $4,579 | $235.43 | $915.8 | $3,434.25 |
| MRI lumbar spine with and without contrast | CPT | 72149 | 11 | $7,905 | $7,905 | $332.65 | $1,200 | $5,928.75 |
| MRI cervical spine with and without contrast | CPT | 72156 | 11 | $6,869 | $6,869 | $373.86 | $1,200 | $5,151.75 |
| MRI lumbar spine with contrast | CPT | 72158 | 11 | $6,869 | $6,869 | $373.86 | $1,200 | $5,151.75 |
| CT pelvis without contrast | CPT | 72192 | 11 | $3,589 | $3,589 | $112.03 | $600 | $2,691.75 |
| CT pelvis with contrast | CPT | 72193 | 11 | $4,388 | $4,388 | $187.96 | $600 | $3,291 |
| Shoulder X-ray | CPT | 73030 | 11 | $412 | $412 | $19.06 | $93.26 | $309 |
| Humerus X-ray | CPT | 73060 | 11 | $412 | $412 | $16.31 | $93.26 | $309 |
| Hand X-ray 3 views | CPT | 73130 | 11 | $483 | $483 | $17.69 | $93.26 | $362.25 |
| MRI upper extremity joint without contrast | CPT | 73221 | 11 | $4,830 | $4,830 | $248.59 | $966 | $3,622.5 |
| MRI upper extremity joint with and without contrast | CPT | 73223 | 11 | $6,869 | $6,869 | $373.86 | $1,200 | $5,151.75 |
| Hip X-ray 2 views | CPT | 73510 | 9 | $431 | $431 | $43.1 | $265.07 | $323.25 |
| Knee X-ray 1-2 views | CPT | 73560 | 11 | $340 | $340 | $16.97 | $93.26 | $255 |
| Ankle X-ray 3 views | CPT | 73610 | 11 | $412 | $412 | $17.69 | $93.26 | $309 |
| MRI lower extremity joint without contrast | CPT | 73721 | 11 | $4,830 | $4,830 | $248.21 | $966 | $3,622.5 |
| MRI lower extremity joint with and without contrast | CPT | 73723 | 11 | $6,869 | $6,869 | $373.86 | $1,200 | $5,151.75 |
| CT abdomen without contrast | CPT | 74150 | 11 | $3,602 | $3,602 | $112.03 | $720.4 | $2,701.5 |
| CT abdomen with contrast | CPT | 74160 | 11 | $4,328 | $4,328 | $187.96 | $600 | $3,246 |
| CT abdomen with and without contrast | CPT | 74170 | 11 | $4,769 | $4,769 | $187.96 | $600 | $3,576.75 |
| CT abdomen and pelvis without contrast | CPT | 74176 | 11 | $5,390 | $5,390 | $194.99 | $600 | $4,042.5 |
| CT abdomen and pelvis with contrast | CPT | 74177 | 11 | $6,523 | $6,523 | $322.23 | $652.3 | $4,892.25 |
| CT abdomen and pelvis with and without contrast | CPT | 74178 | 11 | $7,202 | $7,202 | $360.53 | $720.2 | $5,401.5 |
| MRI abdomen without contrast | CPT | 74181 | 11 | $4,459 | $4,459 | $241.87 | $891.8 | $3,344.25 |
| MRI abdomen with and without contrast | CPT | 74183 | 11 | $6,869 | $6,869 | $373.86 | $1,200 | $5,151.75 |
| Abdominal ultrasound complete | CPT | 76700 | 11 | $966 | $966 | $96.6 | $193.2 | $724.5 |
| Abdominal ultrasound limited | CPT | 76705 | 11 | $896 | $896 | $75.01 | $179.2 | $672 |
| Retroperitoneal ultrasound complete | CPT | 76770 | 11 | $1,085 | $1,085 | $92.47 | $217 | $813.75 |
| Obstetric ultrasound first trimester | CPT | 76801 | 11 | $1,085 | $1,085 | $100.56 | $217 | $813.75 |
| Obstetric ultrasound after first trimester | CPT | 76805 | 11 | $1,085 | $1,085 | $108.5 | $217 | $813.75 |
| Obstetric ultrasound with fetal anatomy | CPT | 76811 | 11 | $896 | $896 | $89.6 | $255.69 | $672 |
| Transvaginal ultrasound | CPT | 76830 | 11 | $1,085 | $1,085 | $101.68 | $217 | $813.75 |
| Pelvic ultrasound complete | CPT | 76856 | 11 | $1,085 | $1,085 | $89.86 | $217 | $813.75 |
| Scrotal ultrasound | CPT | 76870 | 11 | $1,085 | $1,085 | $85.87 | $217 | $813.75 |
| Diagnostic mammography unilateral | CPT | 77065 | 11 | $328 | $328 | $32.8 | $116.73 | $246 |
| Diagnostic mammography bilateral | CPT | 77066 | 11 | $465 | $465 | $46.5 | $147.91 | $348.75 |
| Screening mammography bilateral | CPT | 77067 | 11 | $530 | $530 | $53 | $118.51 | $397.5 |
| EKG complete | CPT | 93000 | 7 | — | — | $14.96 | $14.96 | $15.63 |
| EKG tracing only | CPT | 93005 | 11 | $245 | $245 | $6.48 | $63.22 | $183.75 |
| EKG interpretation only | CPT | 93010 | 7 | — | — | $8.33 | $8.33 | $8.95 |
| Transthoracic echocardiogram complete | CPT | 93306 | 11 | $1,705 | $1,705 | $170.5 | $585.55 | $1,278.75 |
| Transthoracic echocardiogram | CPT | 93307 | 11 | $1,503 | $1,503 | $140.29 | $300.6 | $1,127.25 |
| Stress echocardiogram | CPT | 93350 | 11 | $1,860 | $1,860 | $186 | $585.55 | $1,395 |
| inpatient | ||||||||
| Intracranial hemorrhage/CVA w MCC | MS-DRG | 064 | 10 | — | — | $16,522 | $16,522 | $40,542 |
| Intracranial hemorrhage/CVA w CC | MS-DRG | 065 | 10 | — | — | $8,628.03 | $8,628.03 | $20,368 |
| Intracranial hemorrhage/CVA w/o CC/MCC | MS-DRG | 066 | 10 | — | — | $6,057.13 | $6,057.13 | $13,798 |
| Respiratory infections & inflammations w MCC | MS-DRG | 177 | 10 | — | — | $12,986 | $12,986 | $31,504 |
| COPD w MCC | MS-DRG | 190 | 10 | — | — | $9,396.37 | $9,396.37 | $22,331 |
| COPD w CC | MS-DRG | 191 | 10 | — | — | $7,308.26 | $7,308.26 | $16,995 |
| COPD w/o CC/MCC | MS-DRG | 192 | 10 | — | — | $5,722.66 | $5,722.66 | $12,943 |
| Simple pneumonia & pleurisy w CC | MS-DRG | 194 | 10 | — | — | $7,015.59 | $7,015.59 | $16,247 |
| Simple pneumonia & pleurisy w/o CC/MCC | MS-DRG | 195 | 10 | — | — | $5,616.15 | $5,616.15 | $12,671 |
| AMI discharged alive w MCC | MS-DRG | 280 | 10 | — | — | $13,312 | $13,312 | $32,339 |
| AMI discharged alive w CC | MS-DRG | 281 | 10 | — | — | $7,908.58 | $7,908.58 | $18,529 |
| AMI discharged alive w/o CC/MCC | MS-DRG | 282 | 10 | — | — | $6,362.41 | $6,362.41 | $14,578 |
| Heart failure & shock w MCC | MS-DRG | 291 | 10 | — | — | $10,786 | $10,786 | $25,881 |
| Heart failure & shock w CC | MS-DRG | 292 | 10 | — | — | $7,355.58 | $7,355.58 | $17,116 |
| Heart failure & shock w/o CC/MCC | MS-DRG | 293 | 10 | — | — | $5,123.1 | $5,123.1 | $11,411 |
| Cardiac arrhythmia w MCC | MS-DRG | 308 | 10 | — | — | $10,156 | $10,156 | $24,273 |
| Cardiac arrhythmia w CC | MS-DRG | 309 | 10 | — | — | $6,461.82 | $6,461.82 | $14,832 |
| Cardiac arrhythmia w/o CC/MCC | MS-DRG | 310 | 10 | — | — | $5,123.91 | $5,123.91 | $11,413 |
| GI hemorrhage w CC | MS-DRG | 378 | 10 | — | — | $8,394.52 | $8,394.52 | $19,771 |
| GI hemorrhage w/o CC/MCC | MS-DRG | 379 | 10 | — | — | $5,631.15 | $5,631.15 | $12,709 |
| Esophagitis/gastroenteritis w/o MCC | MS-DRG | 392 | 10 | — | — | $6,808.11 | $6,808.11 | $15,717 |
| Fractures of femur w/o MCC | MS-DRG | 533 | 10 | — | — | $13,025 | $13,025 | $31,605 |
| Kidney/UTI w MCC | MS-DRG | 689 | 10 | — | — | $9,811.3 | $9,811.3 | $23,392 |
| Kidney/UTI w/o MCC | MS-DRG | 690 | 10 | — | — | $7,043.99 | $7,043.99 | $16,320 |
| Septicemia or severe sepsis w MV 96+ hrs | MS-DRG | 871 | 10 | — | — | $15,982 | $15,982 | $39,161 |
| Septicemia or severe sepsis w/o MV 96+ hrs | MS-DRG | 872 | 10 | — | — | $8,730.57 | $8,730.57 | $20,630 |
| Initial hospital care, low complexity | CPT | 99221 | 11 | $93 | $93 | $9.3 | $60.45 | $76.87 |
| Initial hospital care, moderate complexity | CPT | 99222 | 7 | — | — | $91.94 | $119.28 | $119.28 |
| Initial hospital care, high complexity | CPT | 99223 | 7 | — | — | $122.29 | $158.97 | $158.97 |
| Hospital discharge, <30 min | CPT | 99238 | 7 | — | — | $56.6 | $75.27 | $75.27 |
| Hospital discharge, >30 min | CPT | 99239 | 7 | — | — | $80.45 | $107 | $107 |
| lab | ||||||||
| Basic metabolic panel (BMP) | CPT | 80048 | 11 | $107 | $107 | $7.28 | $21.4 | $80.25 |
| General health panel | CPT | 80050 | 10 | $352 | $352 | $31.89 | $211.2 | $264 |
| Electrolyte panel | CPT | 80051 | 11 | $125 | $125 | $6.03 | $49.6 | $93.75 |
| Comprehensive metabolic panel | CPT | 80053 | 11 | $322 | $322 | $9.08 | $68.2 | $241.5 |
| Lipid panel | CPT | 80061 | 11 | $144 | $144 | $11.52 | $28.8 | $108 |
| Renal function panel | CPT | 80069 | 11 | $131 | $131 | $7.46 | $26.2 | $98.25 |
| Hepatic function panel | CPT | 80076 | 11 | $110 | $110 | $7.03 | $22 | $82.5 |
| Urinalysis non-automated | CPT | 81002 | 11 | $110 | $110 | $2.6 | $28.45 | $82.5 |
| Urinalysis automated | CPT | 81003 | 11 | $71 | $71 | $1.94 | $29.14 | $53.25 |
| Glucose quantitative | CPT | 82947 | 11 | $193 | $193 | $3.38 | $37.13 | $144.75 |
| Hemoglobin A1c | CPT | 83036 | 11 | $180 | $180 | $2.6 | $17.19 | $135 |
| Thyroid stimulating hormone (TSH) | CPT | 84443 | 11 | $149 | $149 | $5 | $31 | $111.75 |
| Complete blood count with automated differential | CPT | 85025 | 11 | $83 | $83 | $6.1 | $37.82 | $62.25 |
| Complete blood count without differential | CPT | 85027 | 11 | $125 | $125 | $4.9 | $29.75 | $93.75 |
| Urine culture bacterial | CPT | 87086 | 11 | $70 | $70 | $6.94 | $14 | $52.5 |
| Urine culture identification | CPT | 87088 | 11 | $172 | $172 | $6.96 | $34.4 | $129 |
| Tissue exam by pathologist level IV | CPT | 88305 | 11 | $585 | $585 | $26.9 | $174.85 | $438.75 |
| maternity | ||||||||
| Fetal non-stress test | CPT | 59025 | 11 | $846 | $846 | $36.25 | $216.65 | $634.5 |
| Routine obstetric care including vaginal delivery | CPT | 59400 | 7 | — | — | $1,791.18 | $2,358.17 | $2,358.17 |
| Vaginal delivery only | CPT | 59409 | 7 | — | — | $623.52 | $3,468.96 | $3,468.96 |
| Vaginal delivery with postpartum | CPT | 59410 | 7 | — | — | $823.17 | $1,061.82 | $1,061.82 |
| Routine obstetric care with C-section | CPT | 59510 | 7 | — | — | $1,991.74 | $2,659.68 | $2,659.68 |
| C-section delivery only | CPT | 59514 | 7 | — | — | $708.83 | $907.65 | $907.65 |
| C-section with postpartum | CPT | 59515 | 7 | — | — | $1,016.31 | $1,342.1 | $1,342.1 |
| office | ||||||||
| Office visit, new patient, 15-29 min | CPT | 99202 | 11 | $316 | $316 | $31.6 | $72.84 | $237 |
| Office visit, new patient, 30-44 minutes | CPT | 99203 | 11 | $405 | $405 | $40.5 | $115.47 | $303.75 |
| Office visit, new patient, 45-59 min | CPT | 99204 | 11 | $530 | $530 | $53 | $174.69 | $397.5 |
| Office visit, new patient, 60-74 min | CPT | 99205 | 11 | $656 | $656 | $65.6 | $234.2 | $492 |
| Office visit, established patient, 5 min | CPT | 99211 | 11 | $131 | $131 | $6.18 | $24.6 | $98.25 |
| Office visit, established patient, 10-19 min | CPT | 99212 | 11 | $250 | $250 | $25 | $57.62 | $187.5 |
| Office visit, established patient, 20-29 minutes | CPT | 99213 | 11 | $299 | $299 | $29.9 | $92.64 | $224.25 |
| Office visit, established patient, 30-39 minutes | CPT | 99214 | 11 | $347 | $347 | $34.7 | $132.43 | $260.25 |
| Office visit, established patient, 40-54 min | CPT | 99215 | 11 | $394 | $394 | $39.4 | $188.35 | $295.5 |
| preventive | ||||||||
| Upper GI endoscopy diagnostic | CPT | 43235 | 11 | $1,478 | $1,478 | $82 | $916.36 | $1,108.5 |
| Upper GI endoscopy with biopsy | CPT | 43239 | 11 | $2,170 | $2,170 | $82 | $971.94 | $1,627.5 |
| Sigmoidoscopy diagnostic | CPT | 45330 | 11 | $1,634 | $1,634 | $54.21 | $996.56 | $1,225.5 |
| Sigmoidoscopy with biopsy | CPT | 45331 | 11 | $1,944 | $1,944 | $69.26 | $996.56 | $1,458 |
| Colonoscopy diagnostic | CPT | 45378 | 11 | $2,409 | $2,409 | $82 | $996.56 | $1,806.75 |
| Colonoscopy with biopsy | CPT | 45380 | 11 | $3,172 | $3,172 | $82 | $1,282.34 | $2,379 |
| Colonoscopy with polyp removal | CPT | 45385 | 11 | $3,232 | $3,232 | $82 | $1,282.34 | $2,424 |
| surgery | ||||||||
| Total shoulder arthroplasty | CPT | 23472 | 7 | — | — | $1,352.64 | $18,790 | $18,790 |
| Hip hemiarthroplasty | CPT | 27125 | 7 | — | — | $1,058.52 | $13,758 | $13,758 |
| Total hip replacement | CPT | 27130 | 7 | — | — | $1,203.7 | $13,758 | $13,758 |
| Total knee replacement | CPT | 27447 | 7 | — | — | $1,202.43 | $13,758 | $13,758 |
| Knee revision arthroplasty single component | CPT | 27486 | 7 | — | — | $1,313.78 | $13,758 | $13,758 |
| Knee revision arthroplasty all components | CPT | 27487 | 7 | — | — | $1,641.41 | $18,790 | $18,790 |
| Shoulder arthroscopy with decompression | CPT | 29826 | 7 | — | — | $155.89 | $155.89 | $166.81 |
| Shoulder arthroscopy with rotator cuff repair | CPT | 29827 | 7 | — | — | $999.51 | $7,775.89 | $7,775.89 |
| Knee arthroscopy with meniscectomy | CPT | 29881 | 7 | — | — | $504.71 | $3,506.34 | $3,506.34 |
| ACL reconstruction | CPT | 29888 | 7 | — | — | $911.67 | $7,775.89 | $7,775.89 |
| Major small/large bowel procedures w MCC | MS-DRG | 329 | 10 | — | — | $36,918 | $36,918 | $92,665 |
| Major small/large bowel procedures w CC | MS-DRG | 330 | 10 | — | — | $19,569 | $19,569 | $48,328 |
| Major small/large bowel procedures w/o CC/MCC | MS-DRG | 331 | 10 | — | — | $13,934 | $13,934 | $33,927 |
| CABG single arterial graft | CPT | 33533 | 7 | — | — | $1,877.09 | $1,877.09 | $2,128.94 |
| CABG 2 arterial grafts | CPT | 33534 | 7 | — | — | $2,203.47 | $2,203.47 | $2,499.89 |
| CABG 3 arterial grafts | CPT | 33535 | 7 | — | — | $2,446.3 | $2,446.3 | $2,781.29 |
| CABG 4+ arterial grafts | CPT | 33536 | 7 | — | — | $2,636.71 | $2,636.71 | $2,994.11 |
| Laparoscopic cholecystectomy w/o CDE w MCC | MS-DRG | 418 | 10 | — | — | $14,003 | $14,003 | $34,103 |
| Laparoscopic cholecystectomy w/o CDE w CC | MS-DRG | 419 | 10 | — | — | $11,432 | $11,432 | $27,535 |
| Laparoscopic cholecystectomy w/o CDE w/o CC/MCC | MS-DRG | 420 | 10 | — | — | $27,535 | $27,535 | $68,687 |
| Open appendectomy | CPT | 44950 | 7 | — | — | $644.12 | $6,937.47 | $6,937.47 |
| Laparoscopic appendectomy | CPT | 44970 | 7 | — | — | $602.74 | $6,478.5 | $6,478.5 |
| Major joint replacement w MCC | MS-DRG | 469 | 10 | — | — | $24,586 | $24,586 | $61,149 |
| Major joint replacement w/o MCC | MS-DRG | 470 | 10 | — | — | $15,874 | $15,874 | $38,887 |
| Laparoscopic cholecystectomy | CPT | 47562 | 7 | — | — | $660.53 | $6,478.5 | $6,478.5 |
| Lap cholecystectomy with cholangiography | CPT | 47563 | 7 | — | — | $720.68 | $6,478.5 | $6,478.5 |
| Hip & femur procedures except major joint w MCC | MS-DRG | 480 | 10 | — | — | $23,632 | $23,632 | $58,712 |
| Hip & femur procedures except major joint w CC | MS-DRG | 481 | 10 | — | — | $17,181 | $17,181 | $42,225 |
| Hip & femur procedures except major joint w/o CC/MCC | MS-DRG | 482 | 10 | — | — | $13,524 | $13,524 | $32,881 |
| Lap inguinal hernia repair | CPT | 49650 | 7 | — | — | $431.49 | $6,478.5 | $6,478.5 |
| Total abdominal hysterectomy | CPT | 58150 | 7 | — | — | $882.15 | $975.12 | $975.12 |
| Vaginal hysterectomy | CPT | 58260 | 7 | — | — | $731.08 | $5,360.72 | $5,360.72 |
| Lap-assisted vaginal hysterectomy | CPT | 58550 | 7 | — | — | $768.47 | $6,478.5 | $6,478.5 |
| Lap-assisted vaginal hysterectomy >250g | CPT | 58552 | 7 | — | — | $855.39 | $11,391 | $11,391 |
| Lap salpingo-oophorectomy | CPT | 58661 | 7 | — | — | $569.47 | $6,478.5 | $6,478.5 |
| OR procedure for obesity w MCC | MS-DRG | 619 | 10 | — | — | $23,436 | $23,436 | $58,210 |
| OR procedure for obesity w CC | MS-DRG | 620 | 10 | — | — | $13,282 | $13,282 | $32,262 |
| OR procedure for obesity w/o CC/MCC | MS-DRG | 621 | 10 | — | — | $12,557 | $12,557 | $30,409 |
| Complex cataract surgery | CPT | 66982 | 7 | — | — | $738.24 | $2,473.11 | $2,473.11 |
| Cataract surgery with lens implant | CPT | 66984 | 7 | — | — | $538.68 | $2,473.11 | $2,473.11 |
| Intravitreal injection | CPT | 67028 | 11 | $1,217 | $1,217 | $82 | $353.96 | $912.75 |
| Vitrectomy mechanical | CPT | 67042 | 7 | — | — | $1,133.45 | $4,429.45 | $4,429.45 |
| Uterine & adnexa procedures w CC/MCC | MS-DRG | 743 | 10 | — | — | $10,446 | $10,446 | $25,013 |
| Uterine & adnexa procedures w/o CC/MCC | MS-DRG | 744 | 10 | — | — | $16,823 | $16,823 | $41,310 |
| PCI single major coronary artery | CPT | 92920 | 11 | $18,195 | $18,195 | $526.77 | $6,099.19 | $13,646 |
| PCI with drug-eluting stent | CPT | 92928 | 11 | $13,474 | $13,474 | $587.67 | $8,353.88 | $12,371 |
| PCI bypass graft | CPT | 92937 | 11 | $37,226 | $37,226 | $587.03 | $12,371 | $27,920 |
| Left heart catheterization | CPT | 93452 | 11 | $11,363 | $11,363 | $927.06 | $3,474.11 | $8,522.25 |
| Coronary angiography with cath | CPT | 93455 | 11 | $10,981 | $10,981 | $1,038.72 | $3,474.11 | $8,235.75 |
| Coronary angiography with bypass cath | CPT | 93458 | 11 | $14,618 | $14,618 | $1,072.24 | $3,474.11 | $10,964 |
Payer mix (top 11)
| Payer | Codes covered | Median rate |
|---|---|---|
| Aetna | 198 | $272.33 |
| Blue Cross Blue Shield | 198 | $845.61 |
| UnitedHealthcare | 198 | $518.59 |
| Molina | 198 | $190.21 |
| meridian | 198 | $190.21 |
| Humana | 197 | $194.6 |
| WellCare | 196 | $373.86 |
| community partners health plan (cphp) | 159 | $1,023 |
| Multiplan | 159 | $1,278.75 |
| Cigna | 159 | $600 |
| healthlink | 116 | $344.5 |