Does Red Bud Regional Hospital publish its standard charges and chargemaster?

Yes. Red Bud Regional Hospital publishes a machine-readable file with 105,973 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 Red Bud Regional Hospital charge for procedures?

Red Bud Regional Hospital (Red Bud, 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 141348

Red Bud Regional Hospital

Red Bud, IL, 62278-

25 bedsCritical Access Hospitals4

Compliance grade

100/100

Rates published

105,973

last crawl 2026-05-23

Procedures tracked

201

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/10477/884142509_deaconess-illinois-red-bud-regional-hospital-inc_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	2	—	—	$12,920	$13,593	1.1×	$14,266
Psychiatric diagnostic evaluation	CPT	90791	19	$773.79	$201.19	$122.5	$247.1	1.4×	$638.38
Psychiatric eval with medical services	CPT	90792	6	$380	$133	$133	$228	1.3×	$296.4
Psychotherapy 30 minutes	CPT	90832	19	$610	$158.6	$55.65	$173.85	1.2×	$503.25
Psychotherapy 45 minutes	CPT	90834	19	$755	$196.3	$65.8	$215.18	1.3×	$622.88
Psychotherapy 60 minutes	CPT	90837	19	$770	$200.2	$104.3	$232.44	1.2×	$635.25
Crisis psychotherapy 60 minutes	CPT	90839	6	$295	$103.25	$103.25	$177	1.1×	$230.1
emergency
ED visit level 1	CPT	99281	19	$1,132.08	$294.35	$13.71	$225.65	1.6×	$942
ED visit level 2	CPT	99282	19	$1,214.11	$315.67	$45.5	$361.2	1.5×	$1,004
ED visit level 3	CPT	99283	19	$1,456.94	$378.81	$74.2	$433.44	1.1×	$1,239
ED visit level 4	CPT	99284	19	$1,763.12	$458.42	$110.25	$524.53	0.79×	$1,454.57
ED visit level 5	CPT	99285	19	$2,247.88	$584.45	$164.15	$668.75	0.64×	$2,079
Critical care, first hour	CPT	99291	19	$4,340.89	$1,128.64	$225.75	$1,291.42	1.2×	$3,581.23
imaging
CT head without contrast	CPT	70450	19	$4,596.25	$1,195.03	$47.08	$919.25	4.4×	$3,791.91
CT head with contrast	CPT	70460	19	$5,025.08	$1,306.53	$62.33	$1,050.51	4.5×	$4,145.69
CT head with and without contrast	CPT	70470	19	$5,777.55	$1,502.17	$70.23	$1,155.51	4.3×	$4,766.48
CT neck with contrast	CPT	70491	19	$4,323.5	$1,124.11	$76.03	$864.7	3.2×	$3,566.89
MRI brain without contrast	CPT	70551	19	$8,063.61	$2,096.54	$81.61	$1,612.72	4.0×	$6,652.48
MRI brain with contrast	CPT	70552	19	$9,859.93	$2,563.59	$98.39	$2,169.19	4.5×	$8,134.44
MRI brain with and without contrast	CPT	70553	19	$11,339	$2,948.01	$127.5	$2,267.7	3.8×	$9,354.26
Chest X-ray single view	CPT	71045	19	$818.59	$212.84	$10.21	$163.72	1.7×	$675.34
Chest X-ray 2 views	CPT	71046	19	$1,194.03	$310.45	$12.15	$238.81	2.4×	$985.07
Chest X-ray 3 views	CPT	71047	19	$1,719.07	$446.96	$15.23	$429.77	4.5×	$1,418.23
CT chest without contrast	CPT	71250	19	$5,049.79	$1,312.95	$59.61	$1,009.96	4.7×	$4,166.08
CT chest with contrast	CPT	71260	19	$5,942.67	$1,545.1	$64.24	$1,188.53	4.2×	$4,902.7
CT chest with and without contrast	CPT	71270	19	$6,368.08	$1,655.71	$69.08	$1,273.62	4.4×	$5,253.67
MRI chest without contrast	CPT	71550	19	$6,597.15	$1,715.26	$80.84	$1,451.38	3.4×	$5,442.65
MRI chest with contrast	CPT	71551	19	$7,006.06	$1,821.58	$95.33	$1,541.33	1.9×	$5,780
MRI chest with and without contrast	CPT	71552	19	$9,482.7	$2,465.51	$125.95	$2,086.2	3.5×	$7,823.23
Lumbosacral spine X-ray	CPT	72100	19	$2,842.03	$738.93	$12.53	$710.51	6.9×	$2,344.67
CT cervical spine without contrast	CPT	72125	19	$5,942.67	$1,545.1	$54.81	$1,188.53	5.9×	$4,902.7
CT thoracic spine without contrast	CPT	72128	19	$5,050.52	$1,313.14	$54.81	$1,010.1	5.1×	$4,166.68
CT lumbar spine without contrast	CPT	72131	19	$6,407.45	$1,665.94	$54.81	$1,281.49	6.3×	$5,286.15
MRI cervical spine without contrast	CPT	72141	19	$8,063.61	$2,096.54	$81.99	$1,612.72	4.1×	$6,652.48
MRI thoracic spine without contrast	CPT	72146	19	$8,063.61	$2,096.54	$81.99	$1,612.72	4.3×	$6,652.48
MRI lumbar spine without contrast	CPT	72148	19	$8,572.43	$2,228.84	$81.99	$1,714.49	4.6×	$7,072.25
MRI lumbar spine with and without contrast	CPT	72149	19	$9,859.93	$2,563.59	$99.51	$1,971.99	4.3×	$8,134.44
MRI cervical spine with and without contrast	CPT	72156	19	$11,340	$2,948.28	$127.86	$2,458.76	4.6×	$9,355.11
MRI lumbar spine with contrast	CPT	72158	19	$11,337	$2,947.68	$127.86	$2,267.44	4.1×	$9,353.2
CT pelvis without contrast	CPT	72192	19	$5,095.29	$1,324.78	$60.01	$1,019.06	5.1×	$4,203.61
CT pelvis with contrast	CPT	72193	19	$5,777.55	$1,502.17	$63.86	$1,155.51	4.1×	$4,766.48
Shoulder X-ray	CPT	73030	19	$906.92	$235.8	$10.59	$235.4	2.5×	$748.21
Humerus X-ray	CPT	73060	19	$899.71	$233.93	$9.06	$233.92	2.6×	$742.26
Hand X-ray 3 views	CPT	73130	19	$1,251.19	$325.31	$9.83	$312.8	3.4×	$1,032.23
MRI upper extremity joint without contrast	CPT	73221	19	$8,063.61	$2,096.54	$74.85	$1,612.72	3.9×	$6,652.48
MRI upper extremity joint with and without contrast	CPT	73223	19	$12,281	$3,193.12	$119.96	$2,568.12	4.2×	$10,132
Hip X-ray 2 views	CPT	73510	5	$118	$41.3	$25.9	$56.61	0.75×	$92.04
Knee X-ray 1-2 views	CPT	73560	19	$2,720.23	$707.26	$9.43	$544.05	5.8×	$2,244.19
Ankle X-ray 3 views	CPT	73610	19	$1,518.99	$394.94	$9.83	$379.75	4.1×	$1,253.17
MRI lower extremity joint without contrast	CPT	73721	19	$8,063.61	$2,096.54	$74.85	$1,612.72	3.4×	$6,652.48
MRI lower extremity joint with and without contrast	CPT	73723	19	$12,281	$3,193.12	$119.96	$2,568.12	4.1×	$10,132
CT abdomen without contrast	CPT	74150	19	$5,095.29	$1,324.78	$65.41	$1,019.06	5.4×	$4,203.61
CT abdomen with contrast	CPT	74160	19	$5,859.74	$1,523.54	$70.23	$1,171.95	4.1×	$4,834.29
CT abdomen with and without contrast	CPT	74170	19	$6,738.44	$1,752	$76.81	$1,347.69	4.0×	$5,559.21
CT abdomen and pelvis without contrast	CPT	74176	19	$10,190	$2,649.3	$96.09	$2,037.92	5.6×	$8,406.42
CT abdomen and pelvis with contrast	CPT	74177	19	$11,636	$3,025.45	$101.45	$2,327.26	4.2×	$9,599.96
CT abdomen and pelvis with and without contrast	CPT	74178	19	$13,013	$3,383.34	$111.13	$2,602.56	4.5×	$10,736
MRI abdomen without contrast	CPT	74181	19	$7,001.68	$1,820.44	$80.46	$1,400.34	3.6×	$5,776.39
MRI abdomen with and without contrast	CPT	74183	19	$12,665	$3,292.81	$122.3	$2,532.92	4.5×	$10,448
Abdominal ultrasound complete	CPT	76700	19	$4,234.07	$1,100.86	$44.76	$846.81	5.7×	$3,493.11
Abdominal ultrasound limited	CPT	76705	19	$3,467.5	$901.55	$32.61	$693.5	4.7×	$2,860.69
Retroperitoneal ultrasound complete	CPT	76770	19	$3,688.69	$959.06	$40.9	$922.18	6.4×	$3,043.17
Obstetric ultrasound first trimester	CPT	76801	19	$1,998.2	$519.54	$54.79	$506.77	3.6×	$1,648.52
Obstetric ultrasound after first trimester	CPT	76805	19	$4,020.86	$1,045.43	$55.15	$1,005.22	6.6×	$3,317.21
Obstetric ultrasound with fetal anatomy	CPT	76811	19	$4,623.16	$1,202.03	$95.55	$1,155.79	4.9×	$3,814.11
Transvaginal ultrasound	CPT	76830	19	$1,253.25	$325.85	$38.38	$250.65	1.7×	$1,033.93
Pelvic ultrasound complete	CPT	76856	19	$3,508.44	$912.2	$38.01	$877.11	6.1×	$2,894.46
Scrotal ultrasound	CPT	76870	19	$3,644.14	$947.48	$33.25	$728.83	5.6×	$3,006.42
Diagnostic mammography unilateral	CPT	77065	19	$664.87	$172.87	$44.76	$181.18	1.2×	$548.52
Diagnostic mammography bilateral	CPT	77066	19	$754.99	$196.3	$54.81	$205.74	1.1×	$622.87
Screening mammography bilateral	CPT	77067	19	$574.23	$149.3	$42.43	$137.72	0.87×	$473.74
EKG complete	CPT	93000	6	$82	$28.7	$16.65	$49.2	2.0×	$63.96
EKG tracing only	CPT	93005	19	$1,099.58	$285.9	$7.2	$340.87	2.9×	$907.15
EKG interpretation only	CPT	93010	6	$49	$17.15	$9.45	$29.4	1.6×	$38.22
Transthoracic echocardiogram complete	CPT	93306	19	$14,075	$3,659.53	$78.79	$2,815.02	4.7×	$11,612
Transthoracic echocardiogram	CPT	93307	19	$7,398.09	$1,923.51	$50	$1,479.62	6.0×	$6,103.42
Stress echocardiogram	CPT	93350	19	$2,140.98	$556.66	$78.79	$452.12	0.89×	$1,766.31
inpatient
Intracranial hemorrhage/CVA w MCC	MS-DRG	064	2	—	—	$18,602	$19,570	0.97×	$20,538
Intracranial hemorrhage/CVA w CC	MS-DRG	065	2	—	—	$9,345.28	$9,831.74	0.92×	$10,318
Intracranial hemorrhage/CVA w/o CC/MCC	MS-DRG	066	2	—	—	$6,330.7	$6,660.24	0.87×	$6,989.78
Respiratory infections & inflammations w MCC	MS-DRG	177	2	—	—	$14,455	$15,207	0.99×	$15,960
COPD w MCC	MS-DRG	190	2	—	—	$10,246	$10,780	0.96×	$11,313
COPD w CC	MS-DRG	191	2	—	—	$7,797.75	$8,203.66	0.93×	$8,609.56
COPD w/o CC/MCC	MS-DRG	192	2	—	—	$5,938.5	$6,247.63	0.89×	$6,556.75
Simple pneumonia & pleurisy w CC	MS-DRG	194	2	—	—	$7,454.58	$7,842.62	0.92×	$8,230.66
Simple pneumonia & pleurisy w/o CC/MCC	MS-DRG	195	2	—	—	$5,813.63	$6,116.25	0.92×	$6,418.87
AMI discharged alive w MCC	MS-DRG	280	2	—	—	$14,838	$15,610	1.00×	$16,383
AMI discharged alive w CC	MS-DRG	281	2	—	—	$8,501.68	$8,944.23	0.93×	$9,386.77
AMI discharged alive w/o CC/MCC	MS-DRG	282	2	—	—	$6,688.68	$7,036.85	0.90×	$7,385.02
Heart failure & shock w MCC	MS-DRG	291	2	—	—	$11,875	$12,493	0.98×	$13,111
Heart failure & shock w CC	MS-DRG	292	2	—	—	$7,853.25	$8,262.05	0.92×	$8,670.84
Heart failure & shock w/o CC/MCC	MS-DRG	293	2	—	—	$5,235.5	$5,508.03	0.89×	$5,780.56
Cardiac arrhythmia w MCC	MS-DRG	308	2	—	—	$11,137	$11,717	0.97×	$12,296
Cardiac arrhythmia w CC	MS-DRG	309	2	—	—	$6,805.23	$7,159.47	0.92×	$7,513.7
Cardiac arrhythmia w/o CC/MCC	MS-DRG	310	2	—	—	$5,236.43	$5,509.01	0.89×	$5,781.58
GI hemorrhage w CC	MS-DRG	378	2	—	—	$9,071.48	$9,543.69	0.95×	$10,016
GI hemorrhage w/o CC/MCC	MS-DRG	379	2	—	—	$5,831.2	$6,134.74	0.90×	$6,438.28
Esophagitis/gastroenteritis w/o MCC	MS-DRG	392	2	—	—	$7,211.3	$7,586.68	0.94×	$7,962.05
Fractures of femur w/o MCC	MS-DRG	533	2	—	—	$14,501	$15,256	1.0×	$16,011
Kidney/UTI w MCC	MS-DRG	689	2	—	—	$10,733	$11,291	0.97×	$11,850
Kidney/UTI w/o MCC	MS-DRG	690	2	—	—	$7,487.88	$7,877.65	0.95×	$8,267.42
Septicemia or severe sepsis w MV 96+ hrs	MS-DRG	871	2	—	—	$17,968	$18,903	1.0×	$19,839
Septicemia or severe sepsis w/o MV 96+ hrs	MS-DRG	872	2	—	—	$9,465.53	$9,958.25	0.96×	$10,451
Initial hospital care, low complexity	CPT	99221	6	$218	$76.3	$76.3	$130.8	1.4×	$170.04
Initial hospital care, moderate complexity	CPT	99222	6	$322	$112.7	$112.7	$193.2	1.1×	$251.16
Initial hospital care, high complexity	CPT	99223	6	$468	$163.8	$163.8	$280.8	1.2×	$365.04
Hospital discharge, <30 min	CPT	99238	6	$191	$66.85	$66.85	$114.6	1.3×	$148.98
Hospital discharge, >30 min	CPT	99239	6	$263	$92.05	$92.05	$157.8	1.3×	$205.14
lab
Basic metabolic panel (BMP)	CPT	80048	19	$764.26	$198.71	$10.58	$198.71	6.1×	$630.51
General health panel	CPT	80050	19	$1,733.23	$450.64	$50.75	$450.64	4.2×	$1,429.91
Electrolyte panel	CPT	80051	19	$592.51	$154.06	$8.76	$118.5	5.0×	$488.82
Comprehensive metabolic panel	CPT	80053	19	$929.58	$241.7	$13.2	$185.92	4.2×	$766.9
Lipid panel	CPT	80061	19	$1,074.81	$279.46	$16.74	$279.45	7.3×	$886.72
Renal function panel	CPT	80069	19	$739.03	$192.15	$10.85	$147.81	5.4×	$609.7
Hepatic function panel	CPT	80076	19	$703.75	$182.98	$10.21	$182.98	6.9×	$580.59
Urinalysis non-automated	CPT	81002	19	$128.24	$33.35	$4.35	$33.34	4.8×	$105.8
Urinalysis automated	CPT	81003	7	$18	$6.3	$2.81	$10.13	0.73×	$14.04
Glucose quantitative	CPT	82947	19	$291.75	$75.86	$4.91	$75.86	4.3×	$240.69
Hemoglobin A1c	CPT	83036	19	$384.19	$99.89	$12.14	$99.89	3.7×	$316.96
Thyroid stimulating hormone (TSH)	CPT	84443	19	$457.06	$118.84	$21	$118.84	2.5×	$377.07
Complete blood count with automated differential	CPT	85025	19	$439.04	$114.16	$9.71	$114.15	4.3×	$362.21
Complete blood count without differential	CPT	85027	19	$305.91	$79.54	$8.09	$61.18	2.8×	$252.38
Urine culture bacterial	CPT	87086	19	$340.67	$88.58	$10.09	$88.57	3.8×	$281.05
Urine culture identification	CPT	87088	7	$59	$20.65	$10.11	$33.19	1.5×	$46.02
Tissue exam by pathologist level IV	CPT	88305	19	$747.21	$194.28	$39.65	$194.27	1.9×	$616.45
maternity
Fetal non-stress test	CPT	59025	6	$214	$74.9	$13.3	$74.9	0.40×	$166.92
Routine obstetric care including vaginal delivery	CPT	59400	6	$6,700	$2,345	$2,345	$4,020	1.8×	$5,226
Vaginal delivery only	CPT	59409	6	$3,200	$1,120	$992.69	$1,920	0.87×	$2,496
Vaginal delivery with postpartum	CPT	59410	6	$3,663	$1,282.05	$1,282.05	$2,197.8	2.1×	$2,857.14
Routine obstetric care with C-section	CPT	59510	6	$7,200	$2,520	$2,520	$4,320	1.7×	$5,616
C-section delivery only	CPT	59514	6	$3,268	$1,143.8	$1,132.58	$1,960.8	2.1×	$2,549.04
C-section with postpartum	CPT	59515	6	$3,524	$1,233.4	$1,233.4	$2,114.4	1.7×	$2,748.72
office
Office visit, new patient, 15-29 min	CPT	99202	6	$172	$60.2	$55.21	$103.2	1.2×	$134.16
Office visit, new patient, 30-44 minutes	CPT	99203	6	$249	$87.15	$87.15	$149.4	1.2×	$194.22
Office visit, new patient, 45-59 min	CPT	99204	6	$369	$129.15	$129.15	$221.4	1.3×	$287.82
Office visit, new patient, 60-74 min	CPT	99205	6	$451	$157.85	$157.85	$270.6	1.2×	$351.78
Office visit, established patient, 5 min	CPT	99211	6	$55	$19.25	$10.21	$33	0.51×	$42.9
Office visit, established patient, 10-19 min	CPT	99212	6	$105	$36.75	$36.75	$63	0.79×	$81.9
Office visit, established patient, 20-29 minutes	CPT	99213	6	$170	$59.5	$59.5	$102	0.89×	$132.6
Office visit, established patient, 30-39 minutes	CPT	99214	6	$248	$86.8	$86.8	$148.8	0.98×	$193.44
Office visit, established patient, 40-54 min	CPT	99215	6	$327	$114.45	$114.45	$196.2	1.0×	$255.06
preventive
Upper GI endoscopy diagnostic	CPT	43235	6	$905	$316.75	$144.79	$543	0.59×	$705.9
Upper GI endoscopy with biopsy	CPT	43239	6	$1,075	$376.25	$162.49	$645	0.67×	$838.5
Sigmoidoscopy diagnostic	CPT	45330	6	$389	$136.15	$67.56	$233.4	0.28×	$303.42
Sigmoidoscopy with biopsy	CPT	45331	6	$525	$183.75	$85.81	$315	0.35×	$409.5
Colonoscopy diagnostic	CPT	45378	8	$1,269	$444.15	$109.54	$837.54	0.95×	$2,122
Colonoscopy with biopsy	CPT	45380	6	$1,517	$530.95	$237.33	$910.2	0.75×	$1,183.26
Colonoscopy with polyp removal	CPT	45385	6	$1,698	$594.3	$298.64	$1,018.8	0.85×	$1,324.44
surgery
Total shoulder arthroplasty	CPT	23472	6	$5,450	$1,907.5	$1,748.9	$3,270	0.79×	$4,251
Hip hemiarthroplasty	CPT	27125	6	$5,080	$1,778	$1,373.34	$3,048	2.4×	$3,962.4
Total hip replacement	CPT	27130	6	$6,157	$2,154.95	$1,558.76	$3,694.2	0.85×	$4,802.46
Total knee replacement	CPT	27447	6	$6,094	$2,132.9	$1,556.73	$3,656.4	0.88×	$4,753.32
Knee revision arthroplasty single component	CPT	27486	6	$4,453	$1,558.55	$1,558.55	$2,671.8	1.6×	$3,473.34
Knee revision arthroplasty all components	CPT	27487	6	$6,529	$2,285.15	$2,124.83	$3,917.4	2.0×	$5,092.62
Shoulder arthroscopy with decompression	CPT	29826	6	$3,876	$1,356.6	$208.38	$2,325.6	7.1×	$3,023.28
Shoulder arthroscopy with rotator cuff repair	CPT	29827	6	$4,850	$1,697.5	$1,292.61	$2,910	0.88×	$3,783
Knee arthroscopy with meniscectomy	CPT	29881	6	$3,400	$1,190	$186.55	$657.01	0.32×	$2,652
ACL reconstruction	CPT	29888	6	$6,870	$2,404.5	$1,177.96	$4,122	1.2×	$5,358.6
Major small/large bowel procedures w MCC	MS-DRG	329	2	—	—	$42,518	$44,731	1.0×	$46,944
Major small/large bowel procedures w CC	MS-DRG	330	2	—	—	$22,174	$23,328	1.0×	$24,483
Major small/large bowel procedures w/o CC/MCC	MS-DRG	331	2	—	—	$15,567	$16,377	1.00×	$17,187
CABG single arterial graft	CPT	33533	6	$8,296	$2,903.6	$2,273.51	$4,977.6	2.7×	$6,470.88
CABG 2 arterial grafts	CPT	33534	6	$9,863	$3,452.05	$2,672.1	$5,917.8	2.8×	$7,693.14
CABG 3 arterial grafts	CPT	33535	6	$10,505	$3,676.75	$2,969.33	$6,303	2.8×	$8,193.9
CABG 4+ arterial grafts	CPT	33536	6	$5,992	$2,097.2	$2,097.2	$3,595.2	1.5×	$4,673.76
Laparoscopic cholecystectomy w/o CDE w MCC	MS-DRG	418	2	—	—	$15,647	$16,462	1.00×	$17,276
Laparoscopic cholecystectomy w/o CDE w CC	MS-DRG	419	2	—	—	$12,634	$13,291	0.98×	$13,949
Laparoscopic cholecystectomy w/o CDE w/o CC/MCC	MS-DRG	420	2	—	—	$31,516	$33,156	1.0×	$34,797
Open appendectomy	CPT	44950	6	$2,310	$808.5	$790.56	$1,386	1.2×	$1,801.8
Laparoscopic appendectomy	CPT	44970	6	$1,950	$682.5	$682.5	$1,170	0.75×	$1,521
Major joint replacement w MCC	MS-DRG	469	2	—	—	$28,057	$29,518	1.00×	$30,978
Major joint replacement w/o MCC	MS-DRG	470	2	—	—	$17,842	$18,771	0.99×	$19,700
Laparoscopic cholecystectomy	CPT	47562	7	$2,906	$1,017.1	$814.8	$1,917.96	1.1×	$2,800
Lap cholecystectomy with cholangiography	CPT	47563	7	$3,421	$1,197.35	$886.88	$2,257.86	1.2×	$2,800
Hip & femur procedures except major joint w MCC	MS-DRG	480	2	—	—	$26,939	$28,341	1.0×	$29,743
Hip & femur procedures except major joint w CC	MS-DRG	481	2	—	—	$19,374	$20,383	1.0×	$21,391
Hip & femur procedures except major joint w/o CC/MCC	MS-DRG	482	2	—	—	$15,087	$15,872	0.99×	$16,657
Open umbilical hernia repair	CPT	49560	5	$2,558	$895.3	$895.3	$1,688.28	0.88×	$1,995.24
Umbilical hernia repair age 5+	CPT	49585	5	$1,828	$639.8	$639.8	$1,206.48	0.92×	$1,425.84
Lap inguinal hernia repair	CPT	49650	6	$1,889	$661.15	$533.06	$1,133.4	1.0×	$1,473.42
Lap incisional hernia repair	CPT	49652	5	$2,800	$980	$980	$1,848	0.69×	$2,184
Total abdominal hysterectomy	CPT	58150	6	$4,520	$1,582	$1,229.05	$2,712	2.8×	$3,525.6
Vaginal hysterectomy	CPT	58260	6	$4,413	$1,544.55	$1,010.16	$2,647.8	1.5×	$3,442.14
Lap-assisted vaginal hysterectomy	CPT	58550	6	$4,250	$1,487.5	$1,064.91	$2,550	1.7×	$3,315
Lap-assisted vaginal hysterectomy >250g	CPT	58552	6	$4,381	$1,533.35	$1,184.51	$2,628.6	1.2×	$3,417.18
Lap salpingo-oophorectomy	CPT	58661	6	$4,000	$1,400	$788.35	$2,400	1.2×	$3,120
OR procedure for obesity w MCC	MS-DRG	619	2	—	—	$26,708	$28,099	1.0×	$29,489
OR procedure for obesity w CC	MS-DRG	620	2	—	—	$14,803	$15,573	0.96×	$16,344
OR procedure for obesity w/o CC/MCC	MS-DRG	621	2	—	—	$13,953	$14,679	0.97×	$15,405
Complex cataract surgery	CPT	66982	6	$3,938	$1,378.3	$854.41	$2,362.8	1.1×	$3,071.64
Cataract surgery with lens implant	CPT	66984	6	$3,841	$1,344.35	$623.05	$2,304.6	1.1×	$2,995.98
Intravitreal injection	CPT	67028	6	$790	$276.5	$106.81	$474	1.4×	$616.2
Vitrectomy mechanical	CPT	67042	6	$4,421	$1,547.35	$1,309.34	$2,652.6	1.1×	$3,448.38
Uterine & adnexa procedures w CC/MCC	MS-DRG	743	2	—	—	$11,476	$12,074	0.98×	$12,671
Uterine & adnexa procedures w/o CC/MCC	MS-DRG	744	2	—	—	$18,954	$19,941	1.0×	$20,927
PCI single major coronary artery	CPT	92920	6	$1,446	$506.1	$506.1	$867.6	0.15×	$1,127.88
PCI with drug-eluting stent	CPT	92928	6	$1,650	$577.5	$577.5	$990	0.10×	$1,287
PCI bypass graft	CPT	92937	6	$1,650	$577.5	$577.5	$990	0.09×	$1,287
Left heart catheterization	CPT	93452	6	$2,215	$775.25	$246.4	$805.88	0.26×	$1,727.7
Coronary angiography with cath	CPT	93455	6	$2,627	$919.45	$331.59	$967.58	0.31×	$2,049.06
Coronary angiography with bypass cath	CPT	93458	6	$2,708	$947.8	$349.7	$987	0.32×	$2,112.24

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 19)

Payer	Codes covered	Median rate
Humana	158	$706.65
Multiplan	158	$624
prime health services	158	$680.19
Self-Pay (Cash)	158	$283.82
Cigna	158	$482.08
claimdoc	154	$158.2
healthlink	131	$3,814.11
UnitedHealthcare	131	$1,096
deaconess onecare	87	$735.16
dhp	87	$839.9
WellCare	86	$697.6
alliance coal	86	$1,151.04
Blue Cross Blue Shield	86	$1,080.13
hope trust	86	$1,220.79
meridian	86	$697.6
Molina	86	$697.6
mytruadvantage (dhp)	86	$697.6
umwa	86	$697.6
Aetna	86	$738.93

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