▸ Hospital · IL · CCN 140182
Advocate Illinois Masonic Medical Center
836 W WELLINGTON AVE, CHICAGO, IL, 60657
255 bedsAcute Care Hospitals1
Compliance grade
A
100/100
Procedures tracked
194
of 209 target codes
Payers
11
with negotiated rates
Rates published
33,396
last crawl 2026-05-23
Procedures & rates
| Procedure | Type | Code | Payers | Gross | Cash | Neg min | Neg median | Neg max |
|---|---|---|---|---|---|---|---|---|
| behavioral | ||||||||
| Psychoses | MS-DRG | 885 | 8 | — | — | $15,480 | $21,431 | $30,160 |
| Psychiatric diagnostic evaluation | CPT | 90791 | 11 | $535 | $267.5 | $210.79 | $414.63 | $1,556 |
| Psychiatric eval with medical services | CPT | 90792 | 11 | $390 | $195 | $153.66 | $312 | $1,556 |
| Psychotherapy 30 minutes | CPT | 90832 | 11 | $270 | $135 | $94.23 | $209.25 | $411.65 |
| Psychotherapy 45 minutes | CPT | 90834 | 11 | $360 | $180 | $125.64 | $245.63 | $596.16 |
| Psychotherapy 60 minutes | CPT | 90837 | 11 | $450 | $225 | $157.05 | $282.6 | $875.33 |
| Crisis psychotherapy 60 minutes | CPT | 90839 | 11 | $330 | $165 | $115.17 | $242.85 | $321.57 |
| emergency | ||||||||
| ED visit level 1 | CPT | 99281 | 11 | $390 | $195 | $49.25 | $207.81 | $796 |
| ED visit level 2 | CPT | 99282 | 11 | $790 | $395 | $239.36 | $433.9 | $1,214 |
| ED visit level 3 | CPT | 99283 | 11 | $1,570 | $785 | $418.52 | $865.06 | $2,071 |
| ED visit level 4 | CPT | 99284 | 11 | $2,660 | $1,330 | $643.63 | $1,470.98 | $3,426 |
| ED visit level 5 | CPT | 99285 | 11 | $3,900 | $1,950 | $926.71 | $2,141.49 | $4,020 |
| Critical care, first hour | CPT | 99291 | 11 | $4,460 | $2,230 | $1,273.61 | $2,407.29 | $11,010 |
| imaging | ||||||||
| CT head without contrast | CPT | 70450 | 11 | $1,710 | $855 | $160.73 | $923.4 | $1,391.94 |
| CT head with contrast | CPT | 70460 | 11 | $1,910 | $955 | $269.08 | $941 | $1,554.74 |
| CT head with and without contrast | CPT | 70470 | 11 | $2,770 | $1,385 | $269.08 | $1,210.49 | $2,254.78 |
| CT neck with contrast | CPT | 70491 | 11 | $1,910 | $955 | $269.08 | $941 | $1,554.74 |
| MRI brain without contrast | CPT | 70551 | 11 | $2,700 | $1,350 | $365.36 | $1,458 | $2,197.8 |
| MRI brain with contrast | CPT | 70552 | 11 | $2,900 | $1,450 | $539.81 | $1,566 | $2,496.26 |
| MRI brain with and without contrast | CPT | 70553 | 11 | $4,250 | $2,125 | $539.81 | $1,857.25 | $3,459.5 |
| Chest X-ray single view | CPT | 71045 | 11 | $445 | $222.5 | $78.83 | $220 | $634 |
| Chest X-ray 2 views | CPT | 71046 | 11 | $535 | $267.5 | $105.62 | $233.8 | $634 |
| Chest X-ray 3 views | CPT | 71047 | 11 | $720 | $360 | $132.4 | $298.09 | $634 |
| CT chest without contrast | CPT | 71250 | 11 | $1,710 | $855 | $160.73 | $923.4 | $1,391.94 |
| CT chest with contrast | CPT | 71260 | 11 | $1,910 | $955 | $269.08 | $941 | $1,554.74 |
| CT chest with and without contrast | CPT | 71270 | 11 | $2,770 | $1,385 | $269.08 | $1,210.49 | $2,254.78 |
| MRI chest without contrast | CPT | 71550 | 11 | $2,700 | $1,350 | $365.36 | $1,458 | $2,197.8 |
| MRI chest with contrast | CPT | 71551 | 11 | $2,900 | $1,450 | $1,096 | $1,581.26 | $2,496.26 |
| MRI chest with and without contrast | CPT | 71552 | 11 | $4,250 | $2,125 | $539.81 | $1,857.25 | $3,459.5 |
| Lumbosacral spine X-ray | CPT | 72100 | 11 | $670 | $335 | $130.42 | $263.98 | $634 |
| CT cervical spine without contrast | CPT | 72125 | 11 | $1,710 | $855 | $160.73 | $923.4 | $1,391.94 |
| CT thoracic spine without contrast | CPT | 72128 | 11 | $1,710 | $855 | $160.73 | $923.4 | $1,391.94 |
| CT lumbar spine without contrast | CPT | 72131 | 11 | $1,710 | $855 | $160.73 | $923.4 | $1,391.94 |
| MRI cervical spine without contrast | CPT | 72141 | 11 | $2,700 | $1,350 | $365.36 | $1,458 | $2,197.8 |
| MRI thoracic spine without contrast | CPT | 72146 | 11 | $4,250 | $2,125 | $365.36 | $1,693.44 | $3,459.5 |
| MRI lumbar spine without contrast | CPT | 72148 | 11 | $4,250 | $2,125 | $365.36 | $1,693.44 | $3,459.5 |
| MRI lumbar spine with and without contrast | CPT | 72149 | 11 | $2,900 | $1,450 | $539.81 | $1,566 | $2,496.26 |
| MRI cervical spine with and without contrast | CPT | 72156 | 11 | $4,250 | $2,125 | $539.81 | $1,857.25 | $3,459.5 |
| MRI lumbar spine with contrast | CPT | 72158 | 11 | $4,250 | $2,125 | $539.81 | $1,857.25 | $3,459.5 |
| CT pelvis without contrast | CPT | 72192 | 11 | $1,710 | $855 | $160.73 | $923.4 | $1,391.94 |
| CT pelvis with contrast | CPT | 72193 | 11 | $1,910 | $955 | $269.08 | $941 | $1,554.74 |
| Shoulder X-ray | CPT | 73030 | 11 | $580 | $290 | $107.66 | $253.8 | $634 |
| Humerus X-ray | CPT | 73060 | 11 | $500 | $250 | $107.66 | $220 | $634 |
| Hand X-ray 3 views | CPT | 73130 | 11 | $610 | $305 | $100.21 | $266.57 | $634 |
| MRI upper extremity joint without contrast | CPT | 73221 | 11 | $3,380 | $1,690 | $365.36 | $1,613 | $2,751.32 |
| MRI upper extremity joint with and without contrast | CPT | 73223 | 11 | $4,250 | $2,125 | $539.81 | $1,857.25 | $3,459.5 |
| Hip X-ray 2 views | CPT | 73510 | 1 | — | — | $216.18 | $233.67 | $246.03 |
| Knee X-ray 1-2 views | CPT | 73560 | 11 | $480 | $240 | $96.72 | $220 | $634 |
| Ankle X-ray 3 views | CPT | 73610 | 11 | $590 | $295 | $101.97 | $257.83 | $634 |
| MRI lower extremity joint without contrast | CPT | 73721 | 11 | $3,380 | $1,690 | $365.36 | $1,613 | $2,751.32 |
| MRI lower extremity joint with and without contrast | CPT | 73723 | 11 | $5,320 | $2,660 | $539.81 | $2,324.84 | $4,330.48 |
| CT abdomen without contrast | CPT | 74150 | 11 | $1,710 | $855 | $160.73 | $923.4 | $1,391.94 |
| CT abdomen with contrast | CPT | 74160 | 11 | $1,910 | $955 | $269.08 | $941 | $1,554.74 |
| CT abdomen with and without contrast | CPT | 74170 | 11 | $2,770 | $1,385 | $269.08 | $1,210.49 | $2,254.78 |
| CT abdomen and pelvis without contrast | CPT | 74176 | 11 | $3,410 | $1,705 | $365.36 | $1,016.06 | $2,775.74 |
| CT abdomen and pelvis with contrast | CPT | 74177 | 11 | $3,830 | $1,915 | $539.81 | $1,422.49 | $3,117.62 |
| CT abdomen and pelvis with and without contrast | CPT | 74178 | 11 | $5,530 | $2,765 | $539.81 | $1,016.06 | $4,501.42 |
| MRI abdomen without contrast | CPT | 74181 | 11 | $2,700 | $1,350 | $365.36 | $1,458 | $2,197.8 |
| MRI abdomen with and without contrast | CPT | 74183 | 11 | $4,250 | $2,125 | $539.81 | $1,857.25 | $3,459.5 |
| Abdominal ultrasound complete | CPT | 76700 | 11 | $1,480 | $740 | $160.73 | $583.12 | $1,204.72 |
| Abdominal ultrasound limited | CPT | 76705 | 11 | $1,110 | $555 | $160.73 | $485.07 | $903.54 |
| Retroperitoneal ultrasound complete | CPT | 76770 | 11 | $1,470 | $735 | $160.73 | $579.18 | $1,196.58 |
| Obstetric ultrasound first trimester | CPT | 76801 | 11 | $895 | $447.5 | $160.73 | $444 | $884.79 |
| Obstetric ultrasound after first trimester | CPT | 76805 | 11 | $1,030 | $515 | $160.73 | $450.11 | $979.42 |
| Obstetric ultrasound with fetal anatomy | CPT | 76811 | 11 | $1,650 | $825 | $214 | $693.18 | $1,495.15 |
| Transvaginal ultrasound | CPT | 76830 | 10 | $1,140 | $570 | $160.73 | $517.59 | $927.96 |
| Pelvic ultrasound complete | CPT | 76856 | 11 | $1,150 | $575 | $160.73 | $537 | $936.1 |
| Scrotal ultrasound | CPT | 76870 | 11 | $1,140 | $570 | $160.73 | $498.18 | $927.96 |
| Diagnostic mammography unilateral | CPT | 77065 | 11 | $565 | $282.5 | $127.12 | $306.05 | $524 |
| Diagnostic mammography bilateral | CPT | 77066 | 11 | $565 | $282.5 | $161.67 | $306.05 | $524 |
| Screening mammography bilateral | CPT | 77067 | 11 | $475 | $237.5 | $133.37 | $285.5 | $524 |
| EKG complete | CPT | 93000 | 1 | — | — | $137.2 | $148.3 | $156.14 |
| EKG tracing only | CPT | 93005 | 11 | $525 | $262.5 | $78.98 | $251.22 | $427.35 |
| EKG interpretation only | CPT | 93010 | 1 | — | — | $58.2 | $62.91 | $66.24 |
| Transthoracic echocardiogram complete | CPT | 93306 | 11 | $2,330 | $1,165 | $778.27 | $1,358.88 | $1,977.77 |
| Transthoracic echocardiogram | CPT | 93307 | 11 | $1,770 | $885 | $365.36 | $996.41 | $1,877 |
| Stress echocardiogram | CPT | 93350 | 5 | — | — | $828.76 | $1,097.39 | $1,537.73 |
| inpatient | ||||||||
| Intracranial hemorrhage/CVA w MCC | MS-DRG | 064 | 8 | — | — | $21,845 | $29,186 | $42,561 |
| Intracranial hemorrhage/CVA w CC | MS-DRG | 065 | 8 | — | — | $11,168 | $15,638 | $21,758 |
| Intracranial hemorrhage/CVA w/o CC/MCC | MS-DRG | 066 | 8 | — | — | $7,558.91 | $11,230 | $15,079 |
| Respiratory infections & inflammations w MCC | MS-DRG | 177 | 8 | — | — | $17,752 | $24,199 | $34,587 |
| COPD w MCC | MS-DRG | 190 | 8 | — | — | $12,333 | $17,106 | $24,028 |
| COPD w CC | MS-DRG | 191 | 8 | — | — | $9,434.64 | $13,597 | $18,381 |
| COPD w/o CC/MCC | MS-DRG | 192 | 8 | — | — | $7,107.55 | $10,560 | $14,375 |
| Simple pneumonia & pleurisy w CC | MS-DRG | 194 | 8 | — | — | $9,005.24 | $13,091 | $17,545 |
| Simple pneumonia & pleurisy w/o CC/MCC | MS-DRG | 195 | 8 | — | — | $6,838.49 | $10,160 | $13,956 |
| AMI discharged alive w MCC | MS-DRG | 280 | 8 | — | — | $18,026 | $24,532 | $35,119 |
| AMI discharged alive w CC | MS-DRG | 281 | 8 | — | — | $10,123 | $14,408 | $19,723 |
| AMI discharged alive w/o CC/MCC | MS-DRG | 282 | 8 | — | — | $7,963.05 | $11,831 | $15,709 |
| Heart failure & shock w MCC | MS-DRG | 291 | 8 | — | — | $14,329 | $19,875 | $27,918 |
| Heart failure & shock w CC | MS-DRG | 292 | 8 | — | — | $9,457.7 | $13,624 | $18,426 |
| Heart failure & shock w/o CC/MCC | MS-DRG | 293 | 8 | — | — | $6,025.82 | $8,952.59 | $12,688 |
| Cardiac arrhythmia w MCC | MS-DRG | 308 | 8 | — | — | $13,243 | $18,368 | $25,801 |
| Cardiac arrhythmia w CC | MS-DRG | 309 | 8 | — | — | $8,118.99 | $12,048 | $15,953 |
| Cardiac arrhythmia w/o CC/MCC | MS-DRG | 310 | 8 | — | — | $6,144.43 | $9,128.8 | $12,873 |
| GI hemorrhage w CC | MS-DRG | 378 | 8 | — | — | $10,827 | $15,237 | $21,094 |
| GI hemorrhage w/o CC/MCC | MS-DRG | 379 | 8 | — | — | $6,992.24 | $10,388 | $14,196 |
| Esophagitis/gastroenteritis w/o MCC | MS-DRG | 392 | 8 | — | — | $8,569.25 | $12,578 | $16,695 |
| Fractures of femur w/o MCC | MS-DRG | 533 | 8 | — | — | $16,746 | $22,974 | $32,627 |
| Kidney/UTI w MCC | MS-DRG | 689 | 8 | — | — | $12,852 | $17,826 | $25,040 |
| Kidney/UTI w/o MCC | MS-DRG | 690 | 8 | — | — | $8,814.15 | $12,866 | $17,172 |
| Septicemia or severe sepsis w MV 96+ hrs | MS-DRG | 871 | 8 | — | — | $21,548 | $28,823 | $41,981 |
| Septicemia or severe sepsis w/o MV 96+ hrs | MS-DRG | 872 | 8 | — | — | $11,322 | $15,820 | $22,059 |
| Initial hospital care, low complexity | CPT | 99221 | 1 | — | — | $440.69 | $476.33 | $501.54 |
| Initial hospital care, moderate complexity | CPT | 99222 | 1 | — | — | $602.83 | $651.59 | $686.07 |
| Initial hospital care, high complexity | CPT | 99223 | 1 | — | — | $885.54 | $957.16 | $1,007.81 |
| Hospital discharge, <30 min | CPT | 99238 | 1 | — | — | $328.44 | $355 | $373.78 |
| Hospital discharge, >30 min | CPT | 99239 | 1 | — | — | $473.96 | $512.29 | $539.4 |
| lab | ||||||||
| Basic metabolic panel (BMP) | CPT | 80048 | 11 | $115 | $57.5 | $8.46 | $62.1 | $164.04 |
| General health panel | CPT | 80050 | 7 | $560 | $280 | $47.28 | $302.4 | $455.84 |
| Electrolyte panel | CPT | 80051 | 11 | $100 | $50 | $7.01 | $39.4 | $81.4 |
| Comprehensive metabolic panel | CPT | 80053 | 11 | $215 | $107.5 | $10.56 | $93.96 | $213.96 |
| Lipid panel | CPT | 80061 | 11 | $165 | $82.5 | $13.39 | $72.62 | $134.31 |
| Renal function panel | CPT | 80069 | 11 | $165 | $82.5 | $8.68 | $47.07 | $134.31 |
| Hepatic function panel | CPT | 80076 | 11 | $160 | $80 | $8.17 | $69.92 | $156.91 |
| Urinalysis non-automated | CPT | 81002 | 11 | $50 | $25 | $3.48 | $14.19 | $40.7 |
| Urinalysis automated | CPT | 81003 | 11 | $65 | $32.5 | $2.25 | $20 | $52.91 |
| Glucose quantitative | CPT | 82947 | 11 | $80 | $40 | $3.93 | $31.52 | $65.12 |
| Hemoglobin A1c | CPT | 83036 | 11 | $140 | $70 | $9.71 | $58.41 | $113.96 |
| Thyroid stimulating hormone (TSH) | CPT | 84443 | 11 | $220 | $110 | $16.8 | $40.7 | $179.08 |
| Complete blood count with automated differential | CPT | 85025 | 11 | $85 | $42.5 | $7.77 | $45.9 | $83.94 |
| Complete blood count without differential | CPT | 85027 | 11 | $75 | $37.5 | $6.47 | $37.42 | $61.05 |
| Urine culture bacterial | CPT | 87086 | 11 | $115 | $57.5 | $8.07 | $45.74 | $93.61 |
| Urine culture identification | CPT | 87088 | 11 | $95 | $47.5 | $8.09 | $43.88 | $77.33 |
| Tissue exam by pathologist level IV | CPT | 88305 | 11 | $475 | $237.5 | $49.47 | $256.5 | $449.49 |
| maternity | ||||||||
| Fetal non-stress test | CPT | 59025 | 11 | $900 | $450 | $304.07 | $511.2 | $759.6 |
| Vaginal delivery only | CPT | 59409 | 10 | $2,740 | $1,370 | $1,079.56 | $2,055 | $6,363.66 |
| C-section delivery only | CPT | 59514 | 6 | $11,980 | $5,990 | $4,720.12 | $6,684.84 | $10,111 |
| office | ||||||||
| Office visit, new patient, 15-29 min | CPT | 99202 | 7 | $230 | $115 | $80.27 | $124.15 | $187.22 |
| Office visit, new patient, 30-44 minutes | CPT | 99203 | 7 | $295 | $147.5 | $102.96 | $144.04 | $240.13 |
| Office visit, new patient, 45-59 min | CPT | 99204 | 7 | $355 | $177.5 | $105 | $173.33 | $288.97 |
| Office visit, new patient, 60-74 min | CPT | 99205 | 7 | $415 | $207.5 | $105 | $202.63 | $337.81 |
| Office visit, established patient, 5 min | CPT | 99211 | 7 | $180 | $90 | $62.82 | $115.18 | $146.52 |
| Office visit, established patient, 10-19 min | CPT | 99212 | 7 | $240 | $120 | $83.76 | $128.22 | $195.36 |
| Office visit, established patient, 20-29 minutes | CPT | 99213 | 7 | $295 | $147.5 | $102.96 | $144.04 | $240.13 |
| Office visit, established patient, 30-39 minutes | CPT | 99214 | 7 | $355 | $177.5 | $105 | $173.33 | $288.97 |
| Office visit, established patient, 40-54 min | CPT | 99215 | 7 | $415 | $207.5 | $105 | $202.63 | $337.81 |
| preventive | ||||||||
| Upper GI endoscopy diagnostic | CPT | 43235 | 5 | — | — | $1,417.13 | $2,501.24 | $6,181 |
| Upper GI endoscopy with biopsy | CPT | 43239 | 5 | — | — | $1,417.13 | $2,501.24 | $6,181 |
| Sigmoidoscopy diagnostic | CPT | 45330 | 5 | — | — | $1,378.06 | $2,447.37 | $6,071 |
| Sigmoidoscopy with biopsy | CPT | 45331 | 5 | — | — | $1,378.06 | $2,447.37 | $6,071 |
| Colonoscopy diagnostic | CPT | 45378 | 7 | — | — | $1,378.06 | $1,890 | $6,181 |
| Colonoscopy with biopsy | CPT | 45380 | 5 | — | — | $1,782.19 | $2,742.94 | $6,181 |
| Colonoscopy with polyp removal | CPT | 45385 | 5 | — | — | $1,782.19 | $2,742.94 | $6,181 |
| surgery | ||||||||
| Total shoulder arthroplasty | CPT | 23472 | 5 | — | — | $24,003 | $28,284 | $47,462 |
| Hip hemiarthroplasty | CPT | 27125 | 1 | — | — | $12,700 | $18,206 | $25,111 |
| Total hip replacement | CPT | 27130 | 5 | — | — | $19,448 | $24,878 | $47,462 |
| Total knee replacement | CPT | 27447 | 5 | — | — | $19,448 | $24,878 | $47,462 |
| Knee revision arthroplasty single component | CPT | 27486 | 1 | — | — | $24,003 | $34,410 | $47,462 |
| Knee revision arthroplasty all components | CPT | 27487 | 1 | — | — | $24,003 | $34,410 | $47,462 |
| Shoulder arthroscopy with decompression | CPT | 29826 | 1 | — | — | $3,181 | $4,561.5 | $6,291 |
| Shoulder arthroscopy with rotator cuff repair | CPT | 29827 | 5 | — | — | $10,798 | $13,499 | $25,111 |
| Knee arthroscopy with meniscectomy | CPT | 29881 | 5 | — | — | $4,904.26 | $7,657.46 | $17,439 |
| ACL reconstruction | CPT | 29888 | 5 | — | — | $10,798 | $13,499 | $25,111 |
| Major small/large bowel procedures w MCC | MS-DRG | 329 | 8 | — | — | $50,428 | $66,899 | $98,248 |
| Major small/large bowel procedures w CC | MS-DRG | 330 | 8 | — | — | $25,958 | $34,437 | $50,574 |
| Major small/large bowel procedures w/o CC/MCC | MS-DRG | 331 | 8 | — | — | $18,131 | $24,661 | $35,325 |
| CABG single arterial graft | CPT | 33533 | 1 | — | — | $3,181 | $4,561.5 | $6,291 |
| CABG 2 arterial grafts | CPT | 33534 | 1 | — | — | $3,181 | $4,561.5 | $6,291 |
| CABG 3 arterial grafts | CPT | 33535 | 1 | — | — | $3,181 | $4,561.5 | $6,291 |
| CABG 4+ arterial grafts | CPT | 33536 | 1 | — | — | $3,181 | $4,561.5 | $6,291 |
| Laparoscopic cholecystectomy w/o CDE w MCC | MS-DRG | 418 | 8 | — | — | $18,213 | $24,760 | $35,483 |
| Laparoscopic cholecystectomy w/o CDE w CC | MS-DRG | 419 | 8 | — | — | $14,470 | $20,070 | $28,191 |
| Laparoscopic cholecystectomy w/o CDE w/o CC/MCC | MS-DRG | 420 | 8 | — | — | $38,761 | $51,421 | $75,517 |
| Open appendectomy | CPT | 44950 | 5 | — | — | $8,821 | $9,987.83 | $17,439 |
| Laparoscopic appendectomy | CPT | 44970 | 5 | — | — | $8,818.69 | $12,189 | $25,111 |
| Major joint replacement w MCC | MS-DRG | 469 | 8 | — | — | $35,897 | $47,622 | $69,937 |
| Major joint replacement w/o MCC | MS-DRG | 470 | 8 | — | — | $20,707 | $27,798 | $40,342 |
| Laparoscopic cholecystectomy | CPT | 47562 | 5 | — | — | $8,818.69 | $12,189 | $25,111 |
| Lap cholecystectomy with cholangiography | CPT | 47563 | 5 | — | — | $8,818.69 | $12,189 | $25,111 |
| Hip & femur procedures except major joint w MCC | MS-DRG | 480 | 8 | — | — | $32,298 | $42,847 | $62,926 |
| Hip & femur procedures except major joint w CC | MS-DRG | 481 | 8 | — | — | $22,787 | $30,332 | $44,395 |
| Hip & femur procedures except major joint w/o CC/MCC | MS-DRG | 482 | 8 | — | — | $17,422 | $23,797 | $33,943 |
| Lap inguinal hernia repair | CPT | 49650 | 5 | — | — | $8,818.69 | $12,189 | $25,111 |
| Total abdominal hysterectomy | CPT | 58150 | 1 | — | — | $8,821 | $12,644 | $17,439 |
| Vaginal hysterectomy | CPT | 58260 | 5 | — | — | $7,461.49 | $9,350.52 | $17,439 |
| Lap-assisted vaginal hysterectomy | CPT | 58550 | 5 | — | — | $8,818.69 | $12,189 | $25,111 |
| Lap-assisted vaginal hysterectomy >250g | CPT | 58552 | 5 | — | — | $12,700 | $16,008 | $25,111 |
| Lap salpingo-oophorectomy | CPT | 58661 | 5 | — | — | $8,818.69 | $12,189 | $25,111 |
| OR procedure for obesity w MCC | MS-DRG | 619 | 8 | — | — | $13,685 | $37,749 | $58,336 |
| OR procedure for obesity w CC | MS-DRG | 620 | 8 | — | — | $13,685 | $23,140 | $34,169 |
| OR procedure for obesity w/o CC/MCC | MS-DRG | 621 | 8 | — | — | $13,685 | $21,392 | $31,277 |
| Complex cataract surgery | CPT | 66982 | 5 | — | — | $3,447.34 | $5,430.38 | $12,362 |
| Cataract surgery with lens implant | CPT | 66984 | 5 | — | — | $3,447.34 | $5,430.38 | $12,362 |
| Intravitreal injection | CPT | 67028 | 5 | — | — | $501.35 | $1,922.43 | $6,291 |
| Vitrectomy mechanical | CPT | 67042 | 5 | — | — | $6,080.59 | $8,603.27 | $18,102 |
| Uterine & adnexa procedures w CC/MCC | MS-DRG | 743 | 8 | — | — | $13,164 | $18,259 | $25,647 |
| Uterine & adnexa procedures w/o CC/MCC | MS-DRG | 744 | 8 | — | — | $21,459 | $28,715 | $41,808 |
| PCI single major coronary artery | CPT | 92920 | 11 | $18,930 | $9,465 | $7,336.28 | $11,422 | $25,111 |
| PCI with drug-eluting stent | CPT | 92928 | 11 | $25,070 | $12,535 | $9,542.68 | $15,725 | $25,111 |
| PCI bypass graft | CPT | 92937 | 11 | $34,950 | $17,475 | $11,477 | $18,864 | $27,960 |
| Left heart catheterization | CPT | 93452 | 11 | $13,430 | $6,715 | $4,861.63 | $8,165.44 | $18,102 |
| Coronary angiography with cath | CPT | 93455 | 11 | $14,820 | $7,410 | $4,861.63 | $9,010.56 | $18,102 |
| Coronary angiography with bypass cath | CPT | 93458 | 11 | $16,210 | $8,105 | $4,861.63 | $9,742.21 | $18,102 |
Payer mix (top 11)
| Payer | Codes covered | Median rate |
|---|---|---|
| UnitedHealthcare | 183 | $3,654 |
| Ambetter | 166 | $539.81 |
| hstechnology | 166 | $714.78 |
| Molina | 166 | $539.81 |
| Oscar Health | 166 | $558.42 |
| Blue Cross Blue Shield | 160 | $1,411.03 |
| Cigna | 151 | $1,118 |
| Aetna | 149 | $954.92 |
| advocate employee | 107 | $491.63 |
| private healthcare systems | 107 | $783.15 |
| Multiplan | 107 | $912 |