Des Moines, IA, 50314
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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 | |||||||||
| Psychiatric diagnostic evaluation | CPT | 90791 | 7 | $384 | $384 | $155.71 | $193.51 | 1.1× | $384 |
| Psychiatric eval with medical services | CPT | 90792 | 7 | $408 | $408 | $143.9 | $191.59 | 1.1× | $408 |
| Psychotherapy 30 minutes | CPT | 90832 | 7 | $288 | $288 | $71.52 | $83.68 | 0.56× | $288 |
| Psychotherapy 45 minutes | CPT | 90834 | 7 | $320 | $320 | $93.32 | $111.57 | 0.69× | $320 |
| Psychotherapy 60 minutes | CPT | 90837 | 7 | $384 | $384 | $136.78 | $153.06 | 0.80× | $384 |
| Crisis psychotherapy 60 minutes | CPT | 90839 | 7 | $393 | $393 | $178.78 | $342.62 | 2.2× | $393 |
| emergency | |||||||||
| Critical care, first hour | CPT | 99291 | 7 | $619 | $619 | $298.26 | $344.99 | 0.32× | $619 |
| imaging | |||||||||
| Abdominal ultrasound limited | CPT | 76705 | 7 | $220 | $220 | $81.67 | $220 | 1.5× | $220 |
| Obstetric ultrasound first trimester | CPT | 76801 | 7 | $259 | $259 | $127.76 | $259 | 1.8× | $259 |
| Obstetric ultrasound after first trimester | CPT | 76805 | 7 | $250 | $250 | $127.76 | $250 | 1.6× | $250 |
| Transvaginal ultrasound | CPT | 76830 | 7 | $236 | $236 | $90.95 | $236 | 1.6× | $236 |
| EKG complete | CPT | 93000 | 7 | $103 | $103 | $38.55 | $103 | 4.2× | $103 |
| Transthoracic echocardiogram complete | CPT | 93306 | 7 | $325 | $325 | $296.75 | $325 | 0.54× | $325 |
| maternity | |||||||||
| Fetal non-stress test | CPT | 59025 | 7 | $357 | $357 | $64.83 | $142 | 0.76× | $357 |
| office | |||||||||
| Office visit, new patient, 15-29 min | CPT | 99202 | 7 | $199 | $199 | $76.53 | $86.04 | 1.00× | $199 |
| Office visit, new patient, 30-44 minutes | CPT | 99203 | 7 | $230 | $230 | $114.8 | $128.03 | 1.0× | $230 |
| Office visit, new patient, 45-59 min | CPT | 99204 | 7 | $282 | $282 | $163.19 | $196.81 | 1.1× | $282 |
| Office visit, new patient, 60-74 min | CPT | 99205 | 7 | $329 | $329 | $208.22 | $257.04 | 1.2× | $329 |
| Office visit, established patient, 5 min | CPT | 99211 | 7 | $142 | $142 | $13.98 | $26.94 | 0.42× | $142 |
| Office visit, established patient, 10-19 min | CPT | 99212 | 7 | $184 | $184 | $39.26 | $49.31 | 0.62× | $184 |
| Office visit, established patient, 20-29 minutes | CPT | 99213 | 7 | $215 | $215 | $64.36 | $77.97 | 0.68× | $215 |
| Office visit, established patient, 30-39 minutes | CPT | 99214 | 7 | $246 | $246 | $101.2 | $119.92 | 0.79× | $246 |
| Office visit, established patient, 40-54 min | CPT | 99215 | 7 | $293 | $293 | $144.07 | $169.38 | 0.90× | $293 |
| preventive | |||||||||
| Colonoscopy diagnostic | CPT | 45378 | 7 | $300 | $300 | $116.49 | $300 | 0.34× | $300 |
| Colonoscopy with biopsy | CPT | 45380 | 7 | $721 | $721 | $417.92 | $699.1 | 0.58× | $721 |
| Colonoscopy with polyp removal | CPT | 45385 | 7 | $415 | $415 | $415 | $415 | 0.34× | $415 |
| surgery | |||||||||
| Hip hemiarthroplasty | CPT | 27125 | 7 | $3,156 | $3,156 | $1,646.71 | $3,156 | 2.5× | $3,156 |
| Shoulder arthroscopy with rotator cuff repair | CPT | 29827 | 7 | $2,990 | $2,990 | $1,745.89 | $2,990 | 0.91× | $2,990 |
| Knee arthroscopy with meniscectomy | CPT | 29881 | 7 | $1,519 | $1,519 | $946.01 | $1,519 | 0.74× | $1,519 |
| Lap-assisted vaginal hysterectomy | CPT | 58550 | 7 | $1,438 | $1,438 | $1,395.12 | $1,438 | 0.97× | $1,438 |
| Intravitreal injection | CPT | 67028 | 7 | $853 | $853 | $201.38 | $319.89 | 0.93× | $853 |
| Payer | Codes covered | Median rate |
|---|---|---|
| Aetna | 31 | $171.08 |
| Blue Cross Blue Shield | 31 | $310 |
| Cigna | 31 | $221.01 |
| health partners | 31 | $196.81 |
| medica | 31 | $196.81 |
| midlands choice | 31 | $196.81 |
| UnitedHealthcare | 31 | $261.64 |
