▸ Hospital · IL · CCN 140250
Advocate South Suburban Hospital
178TH STREET AND KEDZIE AVE, HAZELCREST, IL, 60429-
233 beds2
Compliance grade
A
100/100
Procedures tracked
193
of 209 target codes
Payers
11
with negotiated rates
Rates published
32,047
last crawl 2026-05-23
Procedures & rates
| Procedure | Type | Code | Payers | Gross | Cash | Neg min | Neg median | Neg max |
|---|---|---|---|---|---|---|---|---|
| behavioral | ||||||||
| Psychoses | MS-DRG | 885 | 5 | — | — | $2,148 | $20,717 | $27,432 |
| Psychiatric diagnostic evaluation | CPT | 90791 | 11 | $640 | $320 | $242.85 | $512 | $1,556 |
| Psychiatric eval with medical services | CPT | 90792 | 5 | — | — | $242.85 | $321.57 | $976.61 |
| Psychotherapy 30 minutes | CPT | 90832 | 11 | $305 | $152.5 | $106.45 | $242.85 | $410.46 |
| Psychotherapy 45 minutes | CPT | 90834 | 11 | $535 | $267.5 | $186.72 | $320.22 | $594.45 |
| Psychotherapy 60 minutes | CPT | 90837 | 11 | $665 | $332.5 | $232.09 | $377.72 | $872.82 |
| Crisis psychotherapy 60 minutes | CPT | 90839 | 11 | $440 | $220 | $153.56 | $276.32 | $428.56 |
| emergency | ||||||||
| ED visit level 1 | CPT | 99281 | 11 | $390 | $195 | $49.25 | $207.81 | $796 |
| ED visit level 2 | CPT | 99282 | 11 | $835 | $417.5 | $239.36 | $453.73 | $1,214 |
| ED visit level 3 | CPT | 99283 | 11 | $1,430 | $715 | $418.52 | $890.46 | $2,071 |
| ED visit level 4 | CPT | 99284 | 11 | $2,530 | $1,265 | $643.63 | $1,558.3 | $3,426 |
| ED visit level 5 | CPT | 99285 | 11 | $3,640 | $1,820 | $926.71 | $2,086.76 | $4,020 |
| Critical care, first hour | CPT | 99291 | 11 | $4,580 | $2,290 | $1,273.61 | $2,426.26 | $11,010 |
| imaging | ||||||||
| CT head without contrast | CPT | 70450 | 11 | $2,250 | $1,125 | $160.73 | $941 | $2,191.5 |
| CT head with contrast | CPT | 70460 | 11 | $2,450 | $1,225 | $269.08 | $1,070.65 | $2,386.3 |
| CT head with and without contrast | CPT | 70470 | 11 | $3,580 | $1,790 | $269.08 | $1,410.52 | $3,486.92 |
| CT neck with contrast | CPT | 70491 | 11 | $2,450 | $1,225 | $269.08 | $1,070.65 | $2,386.3 |
| MRI brain without contrast | CPT | 70551 | 11 | $3,300 | $1,650 | $365.36 | $1,562.88 | $3,214.2 |
| MRI brain with contrast | CPT | 70552 | 11 | $3,500 | $1,750 | $539.81 | $1,613 | $3,409 |
| MRI brain with and without contrast | CPT | 70553 | 11 | $5,150 | $2,575 | $539.81 | $2,188.03 | $5,016.1 |
| Chest X-ray single view | CPT | 71045 | 11 | $450 | $225 | $78.83 | $220 | $634 |
| Chest X-ray 2 views | CPT | 71046 | 11 | $540 | $270 | $105.62 | $235.98 | $634 |
| Chest X-ray 3 views | CPT | 71047 | 11 | $725 | $362.5 | $132.4 | $297.23 | $706.15 |
| CT chest without contrast | CPT | 71250 | 11 | $2,250 | $1,125 | $160.73 | $941 | $2,191.5 |
| CT chest with contrast | CPT | 71260 | 11 | $2,450 | $1,225 | $269.08 | $1,070.65 | $2,386.3 |
| CT chest with and without contrast | CPT | 71270 | 11 | $3,580 | $1,790 | $269.08 | $1,410.52 | $3,486.92 |
| MRI chest without contrast | CPT | 71550 | 11 | $3,300 | $1,650 | $365.36 | $1,562.88 | $3,214.2 |
| MRI chest with contrast | CPT | 71551 | 11 | $3,500 | $1,750 | $1,096 | $1,613 | $3,409 |
| MRI chest with and without contrast | CPT | 71552 | 11 | $5,150 | $2,575 | $539.81 | $2,188.03 | $5,016.1 |
| Lumbosacral spine X-ray | CPT | 72100 | 11 | $770 | $385 | $130.42 | $293 | $749.98 |
| CT cervical spine without contrast | CPT | 72125 | 11 | $2,250 | $1,125 | $160.73 | $941 | $2,191.5 |
| CT thoracic spine without contrast | CPT | 72128 | 11 | $2,250 | $1,125 | $160.73 | $941 | $2,191.5 |
| CT lumbar spine without contrast | CPT | 72131 | 11 | $2,250 | $1,125 | $160.73 | $941 | $2,191.5 |
| MRI cervical spine without contrast | CPT | 72141 | 11 | $3,300 | $1,650 | $365.36 | $1,562.88 | $3,214.2 |
| MRI thoracic spine without contrast | CPT | 72146 | 11 | $3,300 | $1,650 | $365.36 | $1,562.88 | $3,214.2 |
| MRI lumbar spine without contrast | CPT | 72148 | 11 | $3,300 | $1,650 | $365.36 | $1,562.88 | $3,214.2 |
| MRI lumbar spine with and without contrast | CPT | 72149 | 11 | $3,500 | $1,750 | $539.81 | $1,613 | $3,409 |
| MRI cervical spine with and without contrast | CPT | 72156 | 11 | $5,150 | $2,575 | $539.81 | $2,188.03 | $5,016.1 |
| MRI lumbar spine with contrast | CPT | 72158 | 11 | $5,150 | $2,575 | $539.81 | $2,188.03 | $5,016.1 |
| CT pelvis without contrast | CPT | 72192 | 11 | $2,250 | $1,125 | $160.73 | $941 | $2,191.5 |
| CT pelvis with contrast | CPT | 72193 | 11 | $2,450 | $1,225 | $269.08 | $1,070.65 | $2,386.3 |
| Shoulder X-ray | CPT | 73030 | 11 | $790 | $395 | $107.66 | $342.9 | $769.46 |
| Humerus X-ray | CPT | 73060 | 11 | $580 | $290 | $107.66 | $253.46 | $634 |
| Hand X-ray 3 views | CPT | 73130 | 11 | $770 | $385 | $100.21 | $332.1 | $749.98 |
| MRI upper extremity joint without contrast | CPT | 73221 | 11 | $4,120 | $2,060 | $365.36 | $1,777.92 | $4,012.88 |
| MRI upper extremity joint with and without contrast | CPT | 73223 | 11 | $6,440 | $3,220 | $539.81 | $2,537.36 | $6,272.56 |
| Hip X-ray 2 views | CPT | 73510 | 1 | — | — | $215.65 | $233.14 | $245.33 |
| Knee X-ray 1-2 views | CPT | 73560 | 11 | $600 | $300 | $96.72 | $262.2 | $634 |
| Ankle X-ray 3 views | CPT | 73610 | 11 | $720 | $360 | $101.97 | $307.8 | $701.28 |
| MRI lower extremity joint without contrast | CPT | 73721 | 11 | $4,120 | $2,060 | $365.36 | $1,777.92 | $4,012.88 |
| MRI lower extremity joint with and without contrast | CPT | 73723 | 11 | $6,440 | $3,220 | $539.81 | $2,537.36 | $6,272.56 |
| CT abdomen without contrast | CPT | 74150 | 11 | $2,250 | $1,125 | $160.73 | $941 | $2,191.5 |
| CT abdomen with contrast | CPT | 74160 | 11 | $2,450 | $1,225 | $269.08 | $1,070.65 | $2,386.3 |
| CT abdomen with and without contrast | CPT | 74170 | 11 | $3,580 | $1,790 | $269.08 | $1,410.52 | $3,486.92 |
| CT abdomen and pelvis without contrast | CPT | 74176 | 11 | $4,490 | $2,245 | $365.36 | $1,013.76 | $4,373.26 |
| CT abdomen and pelvis with contrast | CPT | 74177 | 11 | $4,910 | $2,455 | $539.81 | $1,419.26 | $4,782.34 |
| CT abdomen and pelvis with and without contrast | CPT | 74178 | 11 | $7,160 | $3,580 | $539.81 | $1,013.76 | $6,973.84 |
| MRI abdomen without contrast | CPT | 74181 | 11 | $3,300 | $1,650 | $365.36 | $1,562.88 | $3,214.2 |
| MRI abdomen with and without contrast | CPT | 74183 | 11 | $5,150 | $2,575 | $539.81 | $2,188.03 | $5,016.1 |
| Abdominal ultrasound complete | CPT | 76700 | 11 | $1,620 | $810 | $160.73 | $638.28 | $1,577.88 |
| Abdominal ultrasound limited | CPT | 76705 | 11 | $1,220 | $610 | $160.73 | $533.14 | $1,188.28 |
| Retroperitoneal ultrasound complete | CPT | 76770 | 11 | $1,530 | $765 | $160.73 | $602.82 | $1,490.22 |
| Obstetric ultrasound first trimester | CPT | 76801 | 11 | $930 | $465 | $160.73 | $444 | $905.82 |
| Obstetric ultrasound after first trimester | CPT | 76805 | 11 | $1,080 | $540 | $160.73 | $471.96 | $1,051.92 |
| Obstetric ultrasound with fetal anatomy | CPT | 76811 | 11 | $1,730 | $865 | $214 | $693.18 | $1,685.02 |
| Transvaginal ultrasound | CPT | 76830 | 10 | $810 | $405 | $160.73 | $440.7 | $806.76 |
| Pelvic ultrasound complete | CPT | 76856 | 11 | $870 | $435 | $160.73 | $469.37 | $847.38 |
| Scrotal ultrasound | CPT | 76870 | 11 | $770 | $385 | $160.73 | $415.8 | $769.02 |
| Diagnostic mammography unilateral | CPT | 77065 | 11 | $565 | $282.5 | $127.12 | $306.05 | $550.31 |
| Diagnostic mammography bilateral | CPT | 77066 | 11 | $565 | $282.5 | $161.67 | $306.05 | $550.31 |
| Screening mammography bilateral | CPT | 77067 | 11 | $475 | $237.5 | $133.37 | $285.5 | $524 |
| EKG complete | CPT | 93000 | 1 | — | — | $136.86 | $147.96 | $155.69 |
| EKG tracing only | CPT | 93005 | 11 | $525 | $262.5 | $78.79 | $251.22 | $511.35 |
| EKG interpretation only | CPT | 93010 | 1 | — | — | $58.06 | $62.77 | $66.05 |
| Transthoracic echocardiogram complete | CPT | 93306 | 11 | $2,320 | $1,160 | $774.78 | $1,352.92 | $2,259.68 |
| Transthoracic echocardiogram | CPT | 93307 | 11 | $1,660 | $830 | $365.36 | $989.36 | $1,877 |
| Stress echocardiogram | CPT | 93350 | 11 | $1,790 | $895 | $624.71 | $1,082.12 | $1,743.46 |
| inpatient | ||||||||
| Intracranial hemorrhage/CVA w MCC | MS-DRG | 064 | 4 | — | — | $28,213 | $28,699 | $37,358 |
| Intracranial hemorrhage/CVA w CC | MS-DRG | 065 | 4 | — | — | $15,638 | $15,907 | $20,707 |
| Intracranial hemorrhage/CVA w/o CC/MCC | MS-DRG | 066 | 4 | — | — | $11,388 | $11,584 | $15,079 |
| Respiratory infections & inflammations w MCC | MS-DRG | 177 | 4 | — | — | $23,393 | $23,796 | $30,975 |
| COPD w MCC | MS-DRG | 190 | 4 | — | — | $17,010 | $17,303 | $22,524 |
| COPD w CC | MS-DRG | 191 | 4 | — | — | $13,597 | $13,831 | $18,004 |
| COPD w/o CC/MCC | MS-DRG | 192 | 4 | — | — | $10,856 | $11,044 | $14,375 |
| Simple pneumonia & pleurisy w CC | MS-DRG | 194 | 4 | — | — | $13,091 | $13,317 | $17,335 |
| Simple pneumonia & pleurisy w/o CC/MCC | MS-DRG | 195 | 4 | — | — | $10,540 | $10,721 | $13,956 |
| AMI discharged alive w MCC | MS-DRG | 280 | 4 | — | — | $23,715 | $24,124 | $31,401 |
| AMI discharged alive w CC | MS-DRG | 281 | 4 | — | — | $14,408 | $14,656 | $19,078 |
| AMI discharged alive w/o CC/MCC | MS-DRG | 282 | 4 | — | — | $11,864 | $12,068 | $15,709 |
| Heart failure & shock w MCC | MS-DRG | 291 | 4 | — | — | $19,361 | $19,695 | $25,637 |
| Heart failure & shock w CC | MS-DRG | 292 | 4 | — | — | $13,624 | $13,859 | $18,040 |
| Heart failure & shock w/o CC/MCC | MS-DRG | 293 | 4 | — | — | $9,582.46 | $9,747.68 | $12,688 |
| Cardiac arrhythmia w MCC | MS-DRG | 308 | 4 | — | — | $18,082 | $18,394 | $23,943 |
| Cardiac arrhythmia w CC | MS-DRG | 309 | 4 | — | — | $12,048 | $12,255 | $15,953 |
| Cardiac arrhythmia w/o CC/MCC | MS-DRG | 310 | 4 | — | — | $9,722.15 | $9,889.78 | $12,873 |
| GI hemorrhage w CC | MS-DRG | 378 | 4 | — | — | $15,237 | $15,500 | $20,176 |
| GI hemorrhage w/o CC/MCC | MS-DRG | 379 | 4 | — | — | $10,721 | $10,905 | $14,196 |
| Esophagitis/gastroenteritis w/o MCC | MS-DRG | 392 | 4 | — | — | $12,578 | $12,795 | $16,655 |
| Fractures of femur w/o MCC | MS-DRG | 533 | 4 | — | — | $22,208 | $22,591 | $29,406 |
| Kidney/UTI w MCC | MS-DRG | 689 | 4 | — | — | $17,622 | $17,926 | $23,334 |
| Kidney/UTI w/o MCC | MS-DRG | 690 | 4 | — | — | $12,866 | $13,088 | $17,037 |
| Septicemia or severe sepsis w MV 96+ hrs | MS-DRG | 871 | 4 | — | — | $27,862 | $28,343 | $36,894 |
| Septicemia or severe sepsis w/o MV 96+ hrs | MS-DRG | 872 | 4 | — | — | $15,820 | $16,093 | $20,948 |
| Initial hospital care, low complexity | CPT | 99221 | 1 | — | — | $439.61 | $475.25 | $500.1 |
| Initial hospital care, moderate complexity | CPT | 99222 | 1 | — | — | $601.35 | $650.11 | $684.1 |
| Initial hospital care, high complexity | CPT | 99223 | 1 | — | — | $883.37 | $954.99 | $1,004.91 |
| Hospital discharge, <30 min | CPT | 99238 | 1 | — | — | $327.63 | $354.2 | $372.71 |
| Hospital discharge, >30 min | CPT | 99239 | 1 | — | — | $472.8 | $511.13 | $537.85 |
| lab | ||||||||
| Basic metabolic panel (BMP) | CPT | 80048 | 11 | $125 | $62.5 | $8.46 | $67.5 | $163.57 |
| General health panel | CPT | 80050 | 4 | — | — | $47.28 | $184.08 | $330.25 |
| Electrolyte panel | CPT | 80051 | 11 | $100 | $50 | $7.01 | $39.4 | $97.4 |
| Comprehensive metabolic panel | CPT | 80053 | 11 | $215 | $107.5 | $10.56 | $93.96 | $213.35 |
| Lipid panel | CPT | 80061 | 11 | $165 | $82.5 | $13.39 | $72.62 | $160.71 |
| Renal function panel | CPT | 80069 | 11 | $165 | $82.5 | $8.68 | $47.07 | $160.71 |
| Hepatic function panel | CPT | 80076 | 11 | $160 | $80 | $8.17 | $69.92 | $156.46 |
| Urinalysis non-automated | CPT | 81002 | 11 | $50 | $25 | $3.48 | $14.15 | $48.7 |
| Urinalysis automated | CPT | 81003 | 11 | $65 | $32.5 | $2.25 | $20 | $63.31 |
| Glucose quantitative | CPT | 82947 | 11 | $80 | $40 | $3.93 | $31.52 | $77.92 |
| Hemoglobin A1c | CPT | 83036 | 11 | $140 | $70 | $9.71 | $58.28 | $136.36 |
| Thyroid stimulating hormone (TSH) | CPT | 84443 | 11 | $220 | $110 | $16.8 | $48.7 | $214.28 |
| Complete blood count with automated differential | CPT | 85025 | 11 | $85 | $42.5 | $7.77 | $42.11 | $83.7 |
| Complete blood count without differential | CPT | 85027 | 11 | $60 | $30 | $6.47 | $32.4 | $58.44 |
| Urine culture bacterial | CPT | 87086 | 11 | $115 | $57.5 | $8.07 | $45.63 | $112.01 |
| Urine culture identification | CPT | 87088 | 11 | $95 | $47.5 | $8.09 | $43.88 | $92.53 |
| Tissue exam by pathologist level IV | CPT | 88305 | 11 | $475 | $237.5 | $49.47 | $256.5 | $462.65 |
| maternity | ||||||||
| Fetal non-stress test | CPT | 59025 | 11 | $900 | $450 | $304.07 | $511.2 | $876.6 |
| Vaginal delivery only | CPT | 59409 | 10 | $3,100 | $1,550 | $1,221.4 | $2,480 | $6,363.66 |
| office | ||||||||
| Office visit, new patient, 15-29 min | CPT | 99202 | 7 | $230 | $115 | $80.27 | $124.15 | $224.02 |
| Office visit, new patient, 30-44 minutes | CPT | 99203 | 7 | $295 | $147.5 | $102.96 | $144.04 | $287.33 |
| Office visit, new patient, 45-59 min | CPT | 99204 | 7 | $355 | $177.5 | $105 | $173.33 | $345.77 |
| Office visit, new patient, 60-74 min | CPT | 99205 | 7 | $415 | $207.5 | $105 | $202.63 | $404.21 |
| Office visit, established patient, 5 min | CPT | 99211 | 7 | $180 | $90 | $62.82 | $115.04 | $175.32 |
| Office visit, established patient, 10-19 min | CPT | 99212 | 7 | $240 | $120 | $83.76 | $128.04 | $233.76 |
| Office visit, established patient, 20-29 minutes | CPT | 99213 | 7 | $295 | $147.5 | $102.96 | $144.04 | $287.33 |
| Office visit, established patient, 30-39 minutes | CPT | 99214 | 7 | $355 | $177.5 | $105 | $173.33 | $345.77 |
| Office visit, established patient, 40-54 min | CPT | 99215 | 7 | $415 | $207.5 | $105 | $202.63 | $404.21 |
| 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 | $1,885 | $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 | 4 | — | — | $61,874 | $62,941 | $81,930 |
| Major small/large bowel procedures w CC | MS-DRG | 330 | 4 | — | — | $33,056 | $33,626 | $43,771 |
| Major small/large bowel procedures w/o CC/MCC | MS-DRG | 331 | 4 | — | — | $23,839 | $24,250 | $31,566 |
| 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 | 4 | — | — | $23,935 | $24,347 | $31,693 |
| Laparoscopic cholecystectomy w/o CDE w CC | MS-DRG | 419 | 4 | — | — | $19,527 | $19,864 | $25,856 |
| Laparoscopic cholecystectomy w/o CDE w/o CC/MCC | MS-DRG | 420 | 4 | — | — | $48,134 | $48,964 | $63,736 |
| 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 | 4 | — | — | $44,761 | $45,533 | $59,270 |
| Major joint replacement w/o MCC | MS-DRG | 470 | 4 | — | — | $26,872 | $27,335 | $35,582 |
| 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 | 4 | — | — | $40,523 | $41,221 | $53,658 |
| Hip & femur procedures except major joint w CC | MS-DRG | 481 | 4 | — | — | $29,321 | $29,827 | $38,825 |
| Hip & femur procedures except major joint w/o CC/MCC | MS-DRG | 482 | 4 | — | — | $23,003 | $23,400 | $30,460 |
| 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 | 5 | — | — | $13,685 | $30,124 | $49,984 |
| OR procedure for obesity w CC | MS-DRG | 620 | 5 | — | — | $13,685 | $22,820 | $30,641 |
| OR procedure for obesity w/o CC/MCC | MS-DRG | 621 | 5 | — | — | $13,685 | $21,392 | $28,326 |
| 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 | 11 | $1,320 | $660 | $84 | $854.12 | $6,291 |
| Vitrectomy mechanical | CPT | 67042 | 5 | — | — | $6,080.59 | $8,603.27 | $18,102 |
| Uterine & adnexa procedures w CC/MCC | MS-DRG | 743 | 4 | — | — | $17,989 | $18,299 | $23,820 |
| Uterine & adnexa procedures w/o CC/MCC | MS-DRG | 744 | 4 | — | — | $27,758 | $28,236 | $36,755 |
| PCI single major coronary artery | CPT | 92920 | 11 | $11,950 | $5,975 | $4,708.3 | $8,771.49 | $25,111 |
| PCI with drug-eluting stent | CPT | 92928 | 11 | $23,380 | $11,690 | $9,211.72 | $17,011 | $25,111 |
| PCI bypass graft | CPT | 92937 | 11 | $17,510 | $8,755 | $6,898.94 | $13,833 | $25,111 |
| Left heart catheterization | CPT | 93452 | 11 | $10,650 | $5,325 | $4,196.1 | $6,789.38 | $18,102 |
| Coronary angiography with cath | CPT | 93455 | 11 | $7,940 | $3,970 | $3,128.36 | $5,423.02 | $18,102 |
| Coronary angiography with bypass cath | CPT | 93458 | 11 | $9,050 | $4,525 | $3,565.7 | $6,132.84 | $18,102 |
Payer mix (top 11)
| Payer | Codes covered | Median rate |
|---|---|---|
| hstechnology | 166 | $714.78 |
| Oscar Health | 166 | $558.42 |
| Ambetter | 166 | $539.81 |
| Molina | 166 | $539.81 |
| UnitedHealthcare | 143 | $1,087 |
| Blue Cross Blue Shield | 118 | $867.78 |
| Cigna | 108 | $623.5 |
| Multiplan | 106 | $864 |
| Aetna | 106 | $589.37 |
| private healthcare systems | 106 | $710.1 |
| advocate employee | 106 | $448.74 |