▸ Hospital · IL · CCN 140202
Advocate Condell Medical Center
900 GARFIELD AVE, LIBERTYVILLE, IL, 60648-
275 bedsAcute Care Hospitals1
Compliance grade
A
100/100
Procedures tracked
193
of 209 target codes
Payers
11
with negotiated rates
Rates published
34,487
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 | — | — | $14,072 | $18,564 | $30,160 |
| Psychiatric diagnostic evaluation | CPT | 90791 | 11 | $620 | $310 | $242.85 | $404.77 | $929 |
| Psychiatric eval with medical services | CPT | 90792 | 5 | — | — | $242.85 | $321.57 | $599.45 |
| Psychotherapy 30 minutes | CPT | 90832 | 11 | $305 | $152.5 | $120.17 | $202.24 | $321.57 |
| Psychotherapy 45 minutes | CPT | 90834 | 5 | — | — | $242.85 | $320.76 | $364.88 |
| Psychotherapy 60 minutes | CPT | 90837 | 5 | — | — | $242.85 | $321.57 | $535.74 |
| Crisis psychotherapy 60 minutes | CPT | 90839 | 11 | $480 | $240 | $189.12 | $255.22 | $403.2 |
| emergency | ||||||||
| ED visit level 1 | CPT | 99281 | 11 | $390 | $195 | $49.25 | $193.52 | $724 |
| ED visit level 2 | CPT | 99282 | 11 | $750 | $375 | $239.36 | $397.5 | $1,042 |
| ED visit level 3 | CPT | 99283 | 11 | $1,300 | $650 | $418.52 | $689 | $1,948 |
| ED visit level 4 | CPT | 99284 | 11 | $2,040 | $1,020 | $643.63 | $1,081.2 | $3,263 |
| ED visit level 5 | CPT | 99285 | 11 | $3,010 | $1,505 | $926.71 | $1,565.2 | $2,869 |
| Critical care, first hour | CPT | 99291 | 11 | $4,140 | $2,070 | $799.34 | $2,152.8 | $7,285 |
| imaging | ||||||||
| CT head without contrast | CPT | 70450 | 11 | $2,280 | $1,140 | $160.73 | $954.62 | $1,824 |
| CT head with contrast | CPT | 70460 | 11 | $2,490 | $1,245 | $269.08 | $1,088.13 | $1,992 |
| CT head with and without contrast | CPT | 70470 | 11 | $3,630 | $1,815 | $269.08 | $1,430.22 | $2,904 |
| CT neck with contrast | CPT | 70491 | 11 | $2,490 | $1,245 | $269.08 | $1,088.13 | $1,992 |
| MRI brain without contrast | CPT | 70551 | 11 | $3,530 | $1,765 | $365.36 | $1,591.04 | $2,824 |
| MRI brain with contrast | CPT | 70552 | 11 | $3,730 | $1,865 | $539.81 | $1,630.01 | $2,984 |
| MRI brain with and without contrast | CPT | 70553 | 11 | $5,500 | $2,750 | $539.81 | $2,227.46 | $4,400 |
| Chest X-ray single view | CPT | 71045 | 11 | $440 | $220 | $78.83 | $195 | $352 |
| Chest X-ray 2 views | CPT | 71046 | 11 | $530 | $265 | $105.62 | $224 | $424 |
| Chest X-ray 3 views | CPT | 71047 | 11 | $705 | $352.5 | $132.4 | $238 | $564 |
| CT chest without contrast | CPT | 71250 | 11 | $2,280 | $1,140 | $160.73 | $954.62 | $1,824 |
| CT chest with contrast | CPT | 71260 | 11 | $2,490 | $1,245 | $269.08 | $1,088.13 | $1,992 |
| CT chest with and without contrast | CPT | 71270 | 11 | $3,630 | $1,815 | $269.08 | $1,430.22 | $2,904 |
| MRI chest without contrast | CPT | 71550 | 11 | $3,530 | $1,765 | $365.36 | $1,591.04 | $2,824 |
| MRI chest with contrast | CPT | 71551 | 11 | $3,730 | $1,865 | $1,096 | $1,630.01 | $2,984 |
| MRI chest with and without contrast | CPT | 71552 | 11 | $5,500 | $2,750 | $539.81 | $2,227.46 | $4,400 |
| Lumbosacral spine X-ray | CPT | 72100 | 11 | $800 | $400 | $130.42 | $224 | $640 |
| CT cervical spine without contrast | CPT | 72125 | 11 | $2,280 | $1,140 | $160.73 | $954.62 | $1,824 |
| CT thoracic spine without contrast | CPT | 72128 | 11 | $2,280 | $1,140 | $160.73 | $954.62 | $1,824 |
| CT lumbar spine without contrast | CPT | 72131 | 11 | $2,280 | $1,140 | $160.73 | $954.62 | $1,824 |
| MRI cervical spine without contrast | CPT | 72141 | 11 | $3,530 | $1,765 | $365.36 | $1,591.04 | $2,824 |
| MRI thoracic spine without contrast | CPT | 72146 | 11 | $3,530 | $1,765 | $365.36 | $1,591.04 | $2,824 |
| MRI lumbar spine without contrast | CPT | 72148 | 11 | $3,530 | $1,765 | $365.36 | $1,591.04 | $2,824 |
| MRI lumbar spine with and without contrast | CPT | 72149 | 11 | $3,730 | $1,865 | $539.81 | $1,630.01 | $2,984 |
| MRI cervical spine with and without contrast | CPT | 72156 | 11 | $5,500 | $2,750 | $539.81 | $2,227.46 | $4,400 |
| MRI lumbar spine with contrast | CPT | 72158 | 11 | $5,500 | $2,750 | $539.81 | $2,227.46 | $4,400 |
| CT pelvis without contrast | CPT | 72192 | 11 | $2,280 | $1,140 | $160.73 | $954.62 | $1,824 |
| CT pelvis with contrast | CPT | 72193 | 11 | $2,490 | $1,245 | $269.08 | $1,088.13 | $1,992 |
| Shoulder X-ray | CPT | 73030 | 11 | $650 | $325 | $107.66 | $256.1 | $520 |
| Humerus X-ray | CPT | 73060 | 11 | $640 | $320 | $101.83 | $252.16 | $512 |
| Hand X-ray 3 views | CPT | 73130 | 11 | $660 | $330 | $100.21 | $260.04 | $528 |
| MRI upper extremity joint without contrast | CPT | 73221 | 11 | $4,400 | $2,200 | $365.36 | $1,809.92 | $3,520 |
| MRI upper extremity joint with and without contrast | CPT | 73223 | 11 | $6,880 | $3,440 | $539.81 | $2,710.72 | $5,504 |
| Hip X-ray 2 views | CPT | 73510 | 1 | — | — | $132.38 | $143.14 | $150.59 |
| Knee X-ray 1-2 views | CPT | 73560 | 11 | $500 | $250 | $96.72 | $218.5 | $400 |
| Ankle X-ray 3 views | CPT | 73610 | 11 | $660 | $330 | $101.97 | $260.04 | $528 |
| MRI lower extremity joint without contrast | CPT | 73721 | 11 | $4,400 | $2,200 | $365.36 | $1,809.92 | $3,520 |
| MRI lower extremity joint with and without contrast | CPT | 73723 | 11 | $6,880 | $3,440 | $539.81 | $2,710.72 | $5,504 |
| CT abdomen without contrast | CPT | 74150 | 11 | $2,280 | $1,140 | $160.73 | $954.62 | $1,824 |
| CT abdomen with contrast | CPT | 74160 | 11 | $2,490 | $1,245 | $269.08 | $1,088.13 | $1,992 |
| CT abdomen with and without contrast | CPT | 74170 | 11 | $3,630 | $1,815 | $269.08 | $1,430.22 | $2,904 |
| CT abdomen and pelvis without contrast | CPT | 74176 | 11 | $4,560 | $2,280 | $365.36 | $1,032.19 | $3,648 |
| CT abdomen and pelvis with contrast | CPT | 74177 | 11 | $4,970 | $2,485 | $539.81 | $1,445.07 | $3,976 |
| CT abdomen and pelvis with and without contrast | CPT | 74178 | 11 | $7,260 | $3,630 | $539.81 | $1,032.19 | $5,808 |
| MRI abdomen without contrast | CPT | 74181 | 11 | $3,530 | $1,765 | $365.36 | $1,591.04 | $2,824 |
| MRI abdomen with and without contrast | CPT | 74183 | 11 | $5,500 | $2,750 | $539.81 | $2,227.46 | $4,400 |
| Abdominal ultrasound complete | CPT | 76700 | 11 | $1,510 | $755 | $160.73 | $533.98 | $1,208 |
| Abdominal ultrasound limited | CPT | 76705 | 11 | $1,130 | $565 | $160.73 | $388.11 | $904 |
| Retroperitoneal ultrasound complete | CPT | 76770 | 11 | $1,460 | $730 | $160.73 | $489.94 | $1,168 |
| Obstetric ultrasound first trimester | CPT | 76801 | 11 | $890 | $445 | $160.73 | $401.78 | $867 |
| Obstetric ultrasound after first trimester | CPT | 76805 | 11 | $1,020 | $510 | $160.73 | $445.74 | $867 |
| Obstetric ultrasound with fetal anatomy | CPT | 76811 | 11 | $1,640 | $820 | $235 | $716.68 | $1,312 |
| Transvaginal ultrasound | CPT | 76830 | 10 | $1,210 | $605 | $160.73 | $473.71 | $968 |
| Pelvic ultrasound complete | CPT | 76856 | 11 | $1,190 | $595 | $160.73 | $473.44 | $952 |
| Scrotal ultrasound | CPT | 76870 | 11 | $1,270 | $635 | $160.73 | $448.65 | $1,016 |
| Diagnostic mammography unilateral | CPT | 77065 | 11 | $565 | $282.5 | $127.12 | $247.96 | $452 |
| Diagnostic mammography bilateral | CPT | 77066 | 11 | $565 | $282.5 | $161.67 | $247.96 | $452 |
| Screening mammography bilateral | CPT | 77067 | 11 | $475 | $237.5 | $133.37 | $242.5 | $434.38 |
| EKG complete | CPT | 93000 | 1 | — | — | $84 | $90.83 | $95.56 |
| EKG tracing only | CPT | 93005 | 11 | $445 | $222.5 | $48.37 | $179.17 | $356 |
| EKG interpretation only | CPT | 93010 | 1 | — | — | $35.64 | $38.53 | $40.54 |
| Transthoracic echocardiogram complete | CPT | 93306 | 11 | $3,430 | $1,715 | $828.76 | $1,649.44 | $2,744 |
| Transthoracic echocardiogram | CPT | 93307 | 11 | $2,600 | $1,300 | $365.36 | $1,271.9 | $2,080 |
| Stress echocardiogram | CPT | 93350 | 11 | $3,130 | $1,565 | $827.34 | $1,561.87 | $2,504 |
| inpatient | ||||||||
| Intracranial hemorrhage/CVA w MCC | MS-DRG | 064 | 8 | — | — | $19,858 | $26,198 | $42,561 |
| Intracranial hemorrhage/CVA w CC | MS-DRG | 065 | 8 | — | — | $10,152 | $13,393 | $21,758 |
| Intracranial hemorrhage/CVA w/o CC/MCC | MS-DRG | 066 | 8 | — | — | $6,871.3 | $9,064.91 | $15,079 |
| Respiratory infections & inflammations w MCC | MS-DRG | 177 | 8 | — | — | $16,138 | $21,289 | $34,587 |
| COPD w MCC | MS-DRG | 190 | 8 | — | — | $11,211 | $14,790 | $24,028 |
| COPD w CC | MS-DRG | 191 | 8 | — | — | $8,576.4 | $11,314 | $18,381 |
| COPD w/o CC/MCC | MS-DRG | 192 | 8 | — | — | $6,461 | $8,523.62 | $14,375 |
| Simple pneumonia & pleurisy w CC | MS-DRG | 194 | 8 | — | — | $8,186.06 | $10,799 | $17,545 |
| Simple pneumonia & pleurisy w/o CC/MCC | MS-DRG | 195 | 8 | — | — | $6,216.41 | $8,200.96 | $13,956 |
| AMI discharged alive w MCC | MS-DRG | 280 | 8 | — | — | $16,386 | $21,617 | $35,119 |
| AMI discharged alive w CC | MS-DRG | 281 | 8 | — | — | $9,202.33 | $12,140 | $19,723 |
| AMI discharged alive w/o CC/MCC | MS-DRG | 282 | 8 | — | — | $7,238.67 | $9,549.57 | $15,709 |
| Heart failure & shock w MCC | MS-DRG | 291 | 8 | — | — | $13,026 | $17,184 | $27,918 |
| Heart failure & shock w CC | MS-DRG | 292 | 8 | — | — | $8,597.36 | $11,342 | $18,426 |
| Heart failure & shock w/o CC/MCC | MS-DRG | 293 | 8 | — | — | $5,477.67 | $7,226.38 | $12,688 |
| Cardiac arrhythmia w MCC | MS-DRG | 308 | 8 | — | — | $12,039 | $15,882 | $25,801 |
| Cardiac arrhythmia w CC | MS-DRG | 309 | 8 | — | — | $7,380.43 | $9,736.58 | $15,953 |
| Cardiac arrhythmia w/o CC/MCC | MS-DRG | 310 | 8 | — | — | $5,585.49 | $7,368.62 | $12,873 |
| GI hemorrhage w CC | MS-DRG | 378 | 8 | — | — | $9,842.24 | $12,984 | $21,094 |
| GI hemorrhage w/o CC/MCC | MS-DRG | 379 | 8 | — | — | $6,356.18 | $8,385.34 | $14,196 |
| Esophagitis/gastroenteritis w/o MCC | MS-DRG | 392 | 8 | — | — | $7,789.73 | $10,277 | $16,695 |
| Fractures of femur w/o MCC | MS-DRG | 533 | 8 | — | — | $15,223 | $20,083 | $32,627 |
| Kidney/UTI w MCC | MS-DRG | 689 | 8 | — | — | $11,683 | $15,413 | $25,040 |
| Kidney/UTI w/o MCC | MS-DRG | 690 | 8 | — | — | $8,012.36 | $10,570 | $17,172 |
| Septicemia or severe sepsis w MV 96+ hrs | MS-DRG | 871 | 8 | — | — | $19,588 | $25,841 | $41,981 |
| Septicemia or severe sepsis w/o MV 96+ hrs | MS-DRG | 872 | 8 | — | — | $10,292 | $13,578 | $22,059 |
| Initial hospital care, low complexity | CPT | 99221 | 1 | — | — | $269.84 | $291.77 | $306.97 |
| Initial hospital care, moderate complexity | CPT | 99222 | 1 | — | — | $369.12 | $399.11 | $419.9 |
| Initial hospital care, high complexity | CPT | 99223 | 1 | — | — | $542.22 | $586.28 | $616.82 |
| Hospital discharge, <30 min | CPT | 99238 | 1 | — | — | $201.1 | $217.45 | $228.77 |
| Hospital discharge, >30 min | CPT | 99239 | 1 | — | — | $290.2 | $313.78 | $330.13 |
| lab | ||||||||
| Basic metabolic panel (BMP) | CPT | 80048 | 11 | $215 | $107.5 | $8.46 | $93.96 | $172 |
| General health panel | CPT | 80050 | 4 | — | — | $47.28 | $180.06 | $202.71 |
| Electrolyte panel | CPT | 80051 | 11 | $100 | $50 | $7.01 | $31.25 | $80 |
| Comprehensive metabolic panel | CPT | 80053 | 11 | $215 | $107.5 | $10.56 | $93.96 | $172 |
| Lipid panel | CPT | 80061 | 11 | $165 | $82.5 | $13.39 | $61.01 | $132 |
| Renal function panel | CPT | 80069 | 11 | $165 | $82.5 | $8.68 | $40.18 | $132 |
| Hepatic function panel | CPT | 80076 | 11 | $160 | $80 | $8.17 | $69.92 | $128 |
| Urinalysis non-automated | CPT | 81002 | 11 | $50 | $25 | $3.48 | $13.84 | $40 |
| Urinalysis automated | CPT | 81003 | 11 | $65 | $32.5 | $2.25 | $18.55 | $52 |
| Glucose quantitative | CPT | 82947 | 11 | $80 | $40 | $3.93 | $31.2 | $64 |
| Hemoglobin A1c | CPT | 83036 | 11 | $140 | $70 | $9.71 | $54.6 | $112 |
| Thyroid stimulating hormone (TSH) | CPT | 84443 | 11 | $220 | $110 | $16.8 | $40 | $176 |
| Complete blood count with automated differential | CPT | 85025 | 11 | $155 | $77.5 | $7.77 | $48.83 | $124 |
| Complete blood count without differential | CPT | 85027 | 11 | $135 | $67.5 | $6.47 | $29.76 | $108 |
| Urine culture bacterial | CPT | 87086 | 11 | $115 | $57.5 | $8.07 | $37.2 | $92 |
| Urine culture identification | CPT | 87088 | 11 | $95 | $47.5 | $8.09 | $37.2 | $76 |
| Tissue exam by pathologist level IV | CPT | 88305 | 11 | $475 | $237.5 | $49.47 | $241.84 | $380 |
| maternity | ||||||||
| Fetal non-stress test | CPT | 59025 | 11 | $900 | $450 | $304.07 | $468 | $756 |
| Vaginal delivery only | CPT | 59409 | 10 | $2,270 | $1,135 | $894.38 | $1,675.26 | $6,363.66 |
| office | ||||||||
| Office visit, new patient, 15-29 min | CPT | 99202 | 7 | $230 | $115 | $90.62 | $123.35 | $184 |
| Office visit, new patient, 30-44 minutes | CPT | 99203 | 7 | $295 | $147.5 | $105 | $147.95 | $236 |
| Office visit, new patient, 45-59 min | CPT | 99204 | 7 | $355 | $177.5 | $105 | $169.62 | $284 |
| Office visit, new patient, 60-74 min | CPT | 99205 | 7 | $415 | $207.5 | $105 | $191.94 | $332 |
| Office visit, established patient, 5 min | CPT | 99211 | 7 | $180 | $90 | $70.92 | $102.49 | $166 |
| Office visit, established patient, 10-19 min | CPT | 99212 | 7 | $240 | $120 | $94.56 | $126.84 | $192 |
| Office visit, established patient, 20-29 minutes | CPT | 99213 | 7 | $295 | $147.5 | $105 | $147.95 | $236 |
| Office visit, established patient, 30-39 minutes | CPT | 99214 | 7 | $355 | $177.5 | $105 | $169.62 | $284 |
| Office visit, established patient, 40-54 min | CPT | 99215 | 7 | $415 | $207.5 | $105 | $191.94 | $332 |
| preventive | ||||||||
| Upper GI endoscopy diagnostic | CPT | 43235 | 5 | — | — | $1,417.13 | $2,576.74 | $4,636 |
| Upper GI endoscopy with biopsy | CPT | 43239 | 5 | — | — | $1,417.13 | $2,576.74 | $4,636 |
| Sigmoidoscopy diagnostic | CPT | 45330 | 5 | — | — | $1,378.06 | $2,567.37 | $4,681 |
| Sigmoidoscopy with biopsy | CPT | 45331 | 5 | — | — | $1,378.06 | $2,567.37 | $4,681 |
| Colonoscopy diagnostic | CPT | 45378 | 7 | — | — | $1,378.06 | $1,717 | $4,636 |
| Colonoscopy with biopsy | CPT | 45380 | 5 | — | — | $1,782.19 | $2,818.44 | $4,636 |
| Colonoscopy with polyp removal | CPT | 45385 | 5 | — | — | $1,782.19 | $2,818.44 | $4,636 |
| surgery | ||||||||
| Total shoulder arthroplasty | CPT | 23472 | 5 | — | — | $17,324 | $26,150 | $36,807 |
| Hip hemiarthroplasty | CPT | 27125 | 1 | — | — | $11,784 | $13,942 | $16,667 |
| Total hip replacement | CPT | 27130 | 5 | — | — | $17,324 | $20,032 | $25,752 |
| Total knee replacement | CPT | 27447 | 5 | — | — | $17,324 | $20,032 | $25,752 |
| Knee revision arthroplasty single component | CPT | 27486 | 1 | — | — | $17,324 | $20,497 | $24,503 |
| Knee revision arthroplasty all components | CPT | 27487 | 1 | — | — | $17,324 | $20,497 | $24,503 |
| Shoulder arthroscopy with decompression | CPT | 29826 | 1 | — | — | $3,202 | $3,638.5 | $4,528 |
| Shoulder arthroscopy with rotator cuff repair | CPT | 29827 | 5 | — | — | $10,798 | $12,676 | $16,667 |
| Knee arthroscopy with meniscectomy | CPT | 29881 | 5 | — | — | $4,904.26 | $6,596.96 | $9,476 |
| ACL reconstruction | CPT | 29888 | 5 | — | — | $10,798 | $12,676 | $16,667 |
| Major small/large bowel procedures w MCC | MS-DRG | 329 | 8 | — | — | $45,841 | $60,475 | $98,248 |
| Major small/large bowel procedures w CC | MS-DRG | 330 | 8 | — | — | $23,597 | $31,130 | $50,574 |
| Major small/large bowel procedures w/o CC/MCC | MS-DRG | 331 | 8 | — | — | $16,482 | $21,744 | $35,325 |
| CABG single arterial graft | CPT | 33533 | 1 | — | — | $3,277 | $3,878.5 | $4,636 |
| CABG 2 arterial grafts | CPT | 33534 | 1 | — | — | $3,277 | $3,878.5 | $4,636 |
| CABG 3 arterial grafts | CPT | 33535 | 1 | — | — | $3,277 | $3,878.5 | $4,636 |
| CABG 4+ arterial grafts | CPT | 33536 | 1 | — | — | $3,277 | $3,878.5 | $4,636 |
| Laparoscopic cholecystectomy w/o CDE w MCC | MS-DRG | 418 | 8 | — | — | $16,556 | $21,841 | $35,483 |
| Laparoscopic cholecystectomy w/o CDE w CC | MS-DRG | 419 | 8 | — | — | $13,154 | $17,353 | $28,191 |
| Laparoscopic cholecystectomy w/o CDE w/o CC/MCC | MS-DRG | 420 | 8 | — | — | $35,235 | $46,484 | $75,517 |
| Open appendectomy | CPT | 44950 | 5 | — | — | $6,700 | $9,431.44 | $12,489 |
| Laparoscopic appendectomy | CPT | 44970 | 5 | — | — | $8,818.69 | $11,731 | $16,667 |
| Major joint replacement w MCC | MS-DRG | 469 | 8 | — | — | $32,631 | $43,049 | $69,937 |
| Major joint replacement w/o MCC | MS-DRG | 470 | 8 | — | — | $18,823 | $24,832 | $40,342 |
| Laparoscopic cholecystectomy | CPT | 47562 | 5 | — | — | $8,818.69 | $11,731 | $16,667 |
| Lap cholecystectomy with cholangiography | CPT | 47563 | 5 | — | — | $8,818.69 | $11,731 | $16,667 |
| Hip & femur procedures except major joint w MCC | MS-DRG | 480 | 8 | — | — | $29,360 | $38,733 | $62,926 |
| Hip & femur procedures except major joint w CC | MS-DRG | 481 | 8 | — | — | $20,714 | $27,326 | $44,395 |
| Hip & femur procedures except major joint w/o CC/MCC | MS-DRG | 482 | 8 | — | — | $15,837 | $20,893 | $33,943 |
| Lap inguinal hernia repair | CPT | 49650 | 5 | — | — | $8,818.69 | $11,731 | $16,667 |
| Total abdominal hysterectomy | CPT | 58150 | 1 | — | — | $6,700 | $7,926.5 | $9,476 |
| Vaginal hysterectomy | CPT | 58260 | 5 | — | — | $6,700 | $7,715.89 | $9,880.04 |
| Lap-assisted vaginal hysterectomy | CPT | 58550 | 5 | — | — | $8,818.69 | $11,731 | $16,667 |
| Lap-assisted vaginal hysterectomy >250g | CPT | 58552 | 5 | — | — | $11,784 | $15,737 | $20,838 |
| Lap salpingo-oophorectomy | CPT | 58661 | 5 | — | — | $8,818.69 | $11,731 | $16,667 |
| OR procedure for obesity w MCC | MS-DRG | 619 | 8 | — | — | $27,219 | $35,908 | $58,336 |
| OR procedure for obesity w CC | MS-DRG | 620 | 8 | — | — | $15,943 | $21,032 | $34,169 |
| OR procedure for obesity w/o CC/MCC | MS-DRG | 621 | 8 | — | — | $14,593 | $19,252 | $31,277 |
| Complex cataract surgery | CPT | 66982 | 5 | — | — | $3,447.34 | $5,111.38 | $8,003 |
| Cataract surgery with lens implant | CPT | 66984 | 5 | — | — | $3,447.34 | $5,111.38 | $8,003 |
| Intravitreal injection | CPT | 67028 | 5 | — | — | $501.35 | $1,932.93 | $4,528 |
| Vitrectomy mechanical | CPT | 67042 | 5 | — | — | $6,080.59 | $8,083.77 | $11,479 |
| Uterine & adnexa procedures w CC/MCC | MS-DRG | 743 | 8 | — | — | $11,967 | $15,787 | $25,647 |
| Uterine & adnexa procedures w/o CC/MCC | MS-DRG | 744 | 8 | — | — | $19,507 | $25,734 | $41,808 |
| PCI single major coronary artery | CPT | 92920 | 11 | $17,150 | $8,575 | $6,757.1 | $11,245 | $16,667 |
| PCI with drug-eluting stent | CPT | 92928 | 11 | $30,500 | $15,250 | $10,015 | $17,111 | $24,400 |
| PCI bypass graft | CPT | 92937 | 11 | $25,420 | $12,710 | $10,015 | $16,544 | $22,698 |
| Left heart catheterization | CPT | 93452 | 11 | $11,750 | $5,875 | $4,629.5 | $7,195.12 | $11,479 |
| Coronary angiography with cath | CPT | 93455 | 11 | $17,060 | $8,530 | $4,861.63 | $9,449.3 | $13,648 |
| Coronary angiography with bypass cath | CPT | 93458 | 11 | $20,330 | $10,165 | $4,861.63 | $10,775 | $16,264 |
Payer mix (top 11)
| Payer | Codes covered | Median rate |
|---|---|---|
| UnitedHealthcare | 181 | $3,277 |
| Ambetter | 166 | $539.81 |
| hstechnology | 166 | $714.78 |
| Molina | 166 | $539.81 |
| Oscar Health | 166 | $558.42 |
| Blue Cross Blue Shield | 159 | $1,336.47 |
| Cigna | 148 | $1,096 |
| Aetna | 146 | $1,244.21 |
| advocate employee | 103 | $522.03 |
| private healthcare systems | 103 | $668.2 |
| Multiplan | 103 | $1,016 |