▸ Hospital · IA · CCN 160104
Trinity Bettendorf
4500 UTICA RIDGE ROAD, BETTENDORF, IA, 52722
80 bedsAcute Care Hospitals2
Compliance grade
A
100/100
Procedures tracked
200
of 209 target codes
Payers
13
with negotiated rates
Rates published
50,796
last crawl 2026-05-23
Procedures & rates
| Procedure | Type | Code | Payers | Gross | Cash | Neg min | Neg median | Neg max |
|---|---|---|---|---|---|---|---|---|
| behavioral | ||||||||
| Psychoses | MS-DRG | 885 | 12 | — | — | $9,932.97 | $11,620 | $20,078 |
| Psychiatric diagnostic evaluation | CPT | 90791 | 13 | $451.25 | $361 | $138.26 | $186.91 | $412.64 |
| Psychiatric eval with medical services | CPT | 90792 | 11 | $453 | $362.4 | $138.26 | $191.22 | $419.07 |
| Psychotherapy 30 minutes | CPT | 90832 | 13 | $210 | $168 | $30.57 | $122.74 | $412.64 |
| Psychotherapy 45 minutes | CPT | 90834 | 13 | $262 | $209.6 | $55.2 | $138.26 | $412.64 |
| Psychotherapy 60 minutes | CPT | 90837 | 13 | $392 | $313.6 | $49.67 | $155.54 | $412.64 |
| Crisis psychotherapy 60 minutes | CPT | 90839 | 13 | $464.59 | $371.68 | $127.19 | $181.62 | $412.64 |
| emergency | ||||||||
| ED visit level 1 | CPT | 99281 | 11 | $212.94 | $170.36 | $10.3 | $45.96 | $226.14 |
| ED visit level 2 | CPT | 99282 | 13 | $432.44 | $345.96 | $19.25 | $97.08 | $406.68 |
| ED visit level 3 | CPT | 99283 | 13 | $804.55 | $643.64 | $19.25 | $145.66 | $711.09 |
| ED visit level 4 | CPT | 99284 | 13 | $1,296.19 | $1,036.96 | $19.25 | $266.24 | $1,093.57 |
| ED visit level 5 | CPT | 99285 | 13 | $1,885.48 | $1,508.39 | $19.25 | $386.61 | $1,574.54 |
| Critical care, first hour | CPT | 99291 | 13 | $1,996.66 | $1,597.33 | $194 | $711.95 | $2,163.96 |
| imaging | ||||||||
| CT head without contrast | CPT | 70450 | 13 | $2,131.32 | $1,705.06 | $37.24 | $101.26 | $1,123.21 |
| CT head with contrast | CPT | 70460 | 13 | $2,432.15 | $1,945.72 | $49.4 | $153.18 | $1,281.74 |
| CT head with and without contrast | CPT | 70470 | 13 | $2,708.72 | $2,166.98 | $55.55 | $166.24 | $1,427.5 |
| CT neck with contrast | CPT | 70491 | 13 | $2,436.99 | $1,949.6 | $60.29 | $171.89 | $1,284.29 |
| MRI brain without contrast | CPT | 70551 | 13 | $2,542.54 | $2,034.04 | $64.56 | $208 | $1,339.92 |
| MRI brain with contrast | CPT | 70552 | 13 | $4,376.66 | $3,501.33 | $77.96 | $307.31 | $2,306.5 |
| MRI brain with and without contrast | CPT | 70553 | 13 | $5,970.59 | $4,776.48 | $100.21 | $307.31 | $3,146.5 |
| Chest X-ray single view | CPT | 71045 | 13 | $258.38 | $206.71 | $8.04 | $26.96 | $226.11 |
| Chest X-ray 2 views | CPT | 71046 | 13 | $385.75 | $308.6 | $9.63 | $35.33 | $226.11 |
| Chest X-ray 3 views | CPT | 71047 | 13 | $564.06 | $451.25 | $12.13 | $44.04 | $297.26 |
| CT chest without contrast | CPT | 71250 | 13 | $2,443.06 | $1,954.45 | $47.19 | $121.76 | $1,287.49 |
| CT chest with contrast | CPT | 71260 | 13 | $2,792.41 | $2,233.93 | $50.96 | $160.35 | $1,471.6 |
| CT chest with and without contrast | CPT | 71270 | 13 | $2,897.95 | $2,318.36 | $54.61 | $178.65 | $1,527.22 |
| MRI chest without contrast | CPT | 71550 | 13 | $3,412.28 | $2,729.83 | $63.91 | $284.37 | $1,798.27 |
| MRI chest with contrast | CPT | 71551 | 13 | $4,783.01 | $3,826.41 | $75.45 | $529.79 | $2,520.65 |
| MRI chest with and without contrast | CPT | 71552 | 13 | $5,650.34 | $4,520.28 | $98.95 | $424.39 | $2,977.73 |
| Lumbosacral spine X-ray | CPT | 72100 | 13 | $642.78 | $514.23 | $9.92 | $46.11 | $338.75 |
| CT cervical spine without contrast | CPT | 72125 | 13 | $2,660.19 | $2,128.16 | $43.57 | $121.02 | $1,401.92 |
| CT thoracic spine without contrast | CPT | 72128 | 13 | $2,701.44 | $2,161.16 | $43.57 | $119.92 | $1,423.66 |
| CT lumbar spine without contrast | CPT | 72131 | 13 | $2,701.44 | $2,161.16 | $43.57 | $119.62 | $1,423.66 |
| MRI cervical spine without contrast | CPT | 72141 | 13 | $3,412.28 | $2,729.83 | $64.86 | $208 | $1,798.27 |
| MRI thoracic spine without contrast | CPT | 72146 | 13 | $3,412.28 | $2,729.83 | $64.86 | $208 | $1,798.27 |
| MRI lumbar spine without contrast | CPT | 72148 | 13 | $3,412.28 | $2,729.83 | $64.86 | $208 | $1,798.27 |
| MRI lumbar spine with and without contrast | CPT | 72149 | 13 | $5,650.34 | $4,520.28 | $78.25 | $307.31 | $2,977.73 |
| MRI cervical spine with and without contrast | CPT | 72156 | 13 | $6,760.28 | $5,408.23 | $100.51 | $307.31 | $3,562.67 |
| MRI lumbar spine with contrast | CPT | 72158 | 13 | $6,760.28 | $5,408.23 | $100.51 | $307.31 | $3,562.67 |
| CT pelvis without contrast | CPT | 72192 | 13 | $2,337.52 | $1,870.02 | $47.51 | $121.79 | $1,231.87 |
| CT pelvis with contrast | CPT | 72193 | 13 | $2,610.47 | $2,088.38 | $50.66 | $206.01 | $1,375.72 |
| Shoulder X-ray | CPT | 73030 | 13 | $368.77 | $295.02 | $8.33 | $39.98 | $226.11 |
| Humerus X-ray | CPT | 73060 | 13 | $348.13 | $278.51 | $7.1 | $37.75 | $226.11 |
| Hand X-ray 3 views | CPT | 73130 | 13 | $328.73 | $262.99 | $7.71 | $42.06 | $226.11 |
| MRI upper extremity joint without contrast | CPT | 73221 | 13 | $3,412.28 | $2,729.83 | $59.32 | $208 | $1,798.27 |
| MRI upper extremity joint with and without contrast | CPT | 73223 | 13 | $5,937.84 | $4,750.28 | $94.35 | $349.37 | $3,129.24 |
| Knee X-ray 1-2 views | CPT | 73560 | 13 | $260.8 | $208.64 | $7.39 | $40.32 | $226.11 |
| Ankle X-ray 3 views | CPT | 73610 | 13 | $348.13 | $278.51 | $7.71 | $42.06 | $226.11 |
| MRI lower extremity joint without contrast | CPT | 73721 | 13 | $3,412.28 | $2,729.83 | $59.32 | $208 | $1,798.27 |
| MRI lower extremity joint with and without contrast | CPT | 73723 | 13 | $6,176.81 | $4,941.45 | $94.35 | $348.48 | $3,255.18 |
| CT abdomen without contrast | CPT | 74150 | 13 | $2,406.69 | $1,925.36 | $51.93 | $125.56 | $1,268.33 |
| CT abdomen with contrast | CPT | 74160 | 13 | $2,696.58 | $2,157.27 | $55.55 | $209.71 | $1,421.1 |
| CT abdomen with and without contrast | CPT | 74170 | 13 | $2,731.77 | $2,185.42 | $60.94 | $223.07 | $1,439.64 |
| CT abdomen and pelvis without contrast | CPT | 74176 | 13 | $4,927.38 | $3,941.91 | $76.07 | $201.5 | $2,596.73 |
| CT abdomen and pelvis with contrast | CPT | 74177 | 13 | $5,373.78 | $4,299.03 | $79.84 | $307.31 | $2,831.98 |
| CT abdomen and pelvis with and without contrast | CPT | 74178 | 13 | $5,751.04 | $4,600.84 | $87.76 | $323.01 | $3,030.8 |
| MRI abdomen without contrast | CPT | 74181 | 13 | $3,412.28 | $2,729.83 | $63.62 | $208 | $1,798.27 |
| MRI abdomen with and without contrast | CPT | 74183 | 13 | $6,526.16 | $5,220.93 | $96.27 | $335.86 | $3,439.29 |
| Abdominal ultrasound complete | CPT | 76700 | 13 | $1,325.85 | $1,060.68 | $35.36 | $103.27 | $698.72 |
| Abdominal ultrasound limited | CPT | 76705 | 13 | $820.01 | $656.01 | $25.73 | $91.51 | $432.15 |
| Retroperitoneal ultrasound complete | CPT | 76770 | 13 | $917.06 | $733.65 | $32.21 | $100.01 | $483.29 |
| Obstetric ultrasound first trimester | CPT | 76801 | 13 | $826.07 | $660.86 | $43.54 | $105.12 | $435.34 |
| Obstetric ultrasound after first trimester | CPT | 76805 | 13 | $883.09 | $706.48 | $43.84 | $120.62 | $465.39 |
| Obstetric ultrasound with fetal anatomy | CPT | 76811 | 11 | $527 | $421.6 | $77.82 | $177.59 | $620.77 |
| Transvaginal ultrasound | CPT | 76830 | 13 | $629.58 | $503.67 | $30.44 | $105.45 | $331.79 |
| Pelvic ultrasound complete | CPT | 76856 | 13 | $629.58 | $503.67 | $30.15 | $98.64 | $331.79 |
| Scrotal ultrasound | CPT | 76870 | 13 | $883.09 | $706.48 | $27.94 | $92.68 | $465.39 |
| Diagnostic mammography unilateral | CPT | 77065 | 11 | $502.2 | $401.76 | $35.36 | $111.44 | $273.3 |
| Diagnostic mammography bilateral | CPT | 77066 | 11 | $605.31 | $484.25 | $43.57 | $142.13 | $344.4 |
| Screening mammography bilateral | CPT | 77067 | 11 | $496.17 | $396.94 | $33.44 | $115.1 | $279.1 |
| EKG complete | CPT | 93000 | 9 | $47 | $37.6 | $12.88 | $28.7 | $42.87 |
| EKG tracing only | CPT | 93005 | 13 | $214.71 | $171.77 | $5.46 | $51.11 | $152.54 |
| EKG interpretation only | CPT | 93010 | 9 | $24 | $19.2 | $7.42 | $15.82 | $21.83 |
| Transthoracic echocardiogram complete | CPT | 93306 | 13 | $2,537.67 | $2,030.14 | $63.17 | $298.58 | $1,408.12 |
| Transthoracic echocardiogram | CPT | 93307 | 13 | $1,082.03 | $865.63 | $39.95 | $184.88 | $620.77 |
| Stress echocardiogram | CPT | 93350 | 13 | $1,684.31 | $1,347.45 | $63.17 | $272.59 | $1,408.12 |
| inpatient | ||||||||
| Intracranial hemorrhage/CVA w MCC | MS-DRG | 064 | 12 | — | — | $13,844 | $16,287 | $27,695 |
| Intracranial hemorrhage/CVA w CC | MS-DRG | 065 | 12 | — | — | $7,283.34 | $8,457.42 | $14,918 |
| Intracranial hemorrhage/CVA w/o CC/MCC | MS-DRG | 066 | 12 | — | — | $5,066.19 | $5,836.05 | $10,600 |
| Respiratory infections & inflammations w MCC | MS-DRG | 177 | 12 | — | — | $11,329 | $13,286 | $22,797 |
| COPD w MCC | MS-DRG | 190 | 12 | — | — | $7,999.2 | $9,311.76 | $16,312 |
| COPD w CC | MS-DRG | 191 | 12 | — | — | $6,218.62 | $7,186.75 | $12,844 |
| COPD w/o CC/MCC | MS-DRG | 192 | 12 | — | — | $4,788.88 | $5,516.6 | $10,060 |
| Simple pneumonia & pleurisy w CC | MS-DRG | 194 | 12 | — | — | $5,954.79 | $6,871.9 | $12,331 |
| Simple pneumonia & pleurisy w/o CC/MCC | MS-DRG | 195 | 12 | — | — | $4,623.58 | $5,326.19 | $9,737.99 |
| AMI discharged alive w MCC | MS-DRG | 280 | 12 | — | — | $11,497 | $13,486 | $23,124 |
| AMI discharged alive w CC | MS-DRG | 281 | 12 | — | — | $6,641.66 | $7,691.63 | $13,668 |
| AMI discharged alive w/o CC/MCC | MS-DRG | 282 | 12 | — | — | $5,314.5 | $6,122.09 | $11,084 |
| Heart failure & shock w MCC | MS-DRG | 291 | 12 | — | — | $9,225.86 | $10,776 | $18,701 |
| Heart failure & shock w CC | MS-DRG | 292 | 12 | — | — | $6,232.77 | $7,203.65 | $12,872 |
| Heart failure & shock w/o CC/MCC | MS-DRG | 293 | 12 | — | — | $4,118.16 | $4,751.01 | $8,765.54 |
| Cardiac arrhythmia w MCC | MS-DRG | 308 | 12 | — | — | $8,558.54 | $9,979.3 | $17,402 |
| Cardiac arrhythmia w CC | MS-DRG | 309 | 12 | — | — | $5,410.3 | $6,232.46 | $11,270 |
| Cardiac arrhythmia w/o CC/MCC | MS-DRG | 310 | 12 | — | — | $4,197.15 | $4,834.95 | $8,907.5 |
| GI hemorrhage w CC | MS-DRG | 378 | 12 | — | — | $7,074.16 | $8,207.79 | $14,511 |
| GI hemorrhage w/o CC/MCC | MS-DRG | 379 | 12 | — | — | $4,718.03 | $5,434.99 | $9,921.97 |
| Esophagitis/gastroenteritis w/o MCC | MS-DRG | 392 | 12 | — | — | $5,686.93 | $6,552.22 | $11,809 |
| Fractures of femur w/o MCC | MS-DRG | 533 | 12 | — | — | $10,711 | $12,548 | $21,593 |
| Kidney/UTI w MCC | MS-DRG | 689 | 12 | — | — | $8,318.36 | $9,692.64 | $16,934 |
| Kidney/UTI w/o MCC | MS-DRG | 690 | 12 | — | — | $5,837.4 | $6,731.79 | $12,102 |
| Septicemia or severe sepsis w MV 96+ hrs | MS-DRG | 871 | 12 | — | — | $13,661 | $16,068 | $27,338 |
| Septicemia or severe sepsis w/o MV 96+ hrs | MS-DRG | 872 | 12 | — | — | $7,378.46 | $8,570.94 | $15,103 |
| Initial hospital care, low complexity | CPT | 99221 | 9 | $227 | $181.6 | $74.73 | $135.5 | $226.16 |
| Initial hospital care, moderate complexity | CPT | 99222 | 9 | $308 | $246.4 | $118.66 | $213.8 | $307.11 |
| Initial hospital care, high complexity | CPT | 99223 | 9 | $453 | $362.4 | $158.4 | $284.9 | $452.74 |
| Hospital discharge, <30 min | CPT | 99238 | 9 | $185 | $148 | $73.92 | $127.89 | $162.91 |
| Hospital discharge, >30 min | CPT | 99239 | 9 | $262 | $209.6 | $104.69 | $183.65 | $239.49 |
| lab | ||||||||
| Basic metabolic panel (BMP) | CPT | 80048 | 11 | $85.7 | $68.56 | $5.08 | $8.88 | $45.16 |
| General health panel | CPT | 80050 | 7 | $88 | $70.4 | $23.22 | $38.18 | $53.61 |
| Electrolyte panel | CPT | 80051 | 11 | $85.7 | $68.56 | $4.21 | $7.36 | $45.16 |
| Comprehensive metabolic panel | CPT | 80053 | 11 | $85.7 | $68.56 | $6.34 | $11.09 | $45.16 |
| Lipid panel | CPT | 80061 | 11 | $85.7 | $68.56 | $8.03 | $14.06 | $45.16 |
| Renal function panel | CPT | 80069 | 11 | $85.7 | $68.56 | $5.21 | $9.11 | $45.16 |
| Hepatic function panel | CPT | 80076 | 11 | $85.7 | $68.56 | $4.9 | $8.58 | $45.16 |
| Urinalysis non-automated | CPT | 81002 | 11 | $32.14 | $25.72 | $3.48 | $3.65 | $16.94 |
| Urinalysis automated | CPT | 81003 | 11 | $32.14 | $25.72 | $2.25 | $2.36 | $16.94 |
| Glucose quantitative | CPT | 82947 | 11 | $41.96 | $33.57 | $3.93 | $4.13 | $22.11 |
| Hemoglobin A1c | CPT | 83036 | 11 | $41.96 | $33.57 | $5.83 | $10.2 | $22.11 |
| Thyroid stimulating hormone (TSH) | CPT | 84443 | 11 | $68.75 | $55 | $10.08 | $17.64 | $36.23 |
| Complete blood count with automated differential | CPT | 85025 | 11 | $41.96 | $33.57 | $4.66 | $8.16 | $22.11 |
| Complete blood count without differential | CPT | 85027 | 11 | $41.96 | $33.57 | $3.88 | $6.79 | $22.11 |
| Urine culture bacterial | CPT | 87086 | 11 | $48.22 | $38.58 | $4.84 | $8.47 | $25.41 |
| Urine culture identification | CPT | 87088 | 11 | $48.22 | $38.58 | $4.85 | $8.49 | $25.41 |
| Tissue exam by pathologist level IV | CPT | 88305 | 13 | $205 | $164 | $28.96 | $61.3 | $182.28 |
| maternity | ||||||||
| Fetal non-stress test | CPT | 59025 | 13 | $405.15 | $324.12 | $17.87 | $61.37 | $516.65 |
| Routine obstetric care including vaginal delivery | CPT | 59400 | 9 | $5,690 | $4,552 | $2,106.28 | $3,033 | $5,372.16 |
| Vaginal delivery only | CPT | 59409 | 13 | $3,870.81 | $3,096.65 | $691.99 | $2,039.92 | $8,165.52 |
| Vaginal delivery with postpartum | CPT | 59410 | 9 | $2,641 | $2,112.8 | $936.78 | $1,353.2 | $2,640.42 |
| Routine obstetric care with C-section | CPT | 59510 | 9 | $5,924 | $4,739.2 | $2,322.97 | $3,369.1 | $5,923.56 |
| C-section delivery only | CPT | 59514 | 9 | $2,305 | $1,844 | $778.91 | $1,133.3 | $2,304.69 |
| C-section with postpartum | CPT | 59515 | 9 | $3,196 | $2,556.8 | $1,153.4 | $1,678.5 | $3,195.11 |
| office | ||||||||
| Office visit, new patient, 15-29 min | CPT | 99202 | 9 | $167 | $133.6 | $42.93 | $66.3 | $112.29 |
| Office visit, new patient, 30-44 minutes | CPT | 99203 | 9 | $237 | $189.6 | $74.5 | $116 | $168.46 |
| Office visit, new patient, 45-59 min | CPT | 99204 | 9 | $362 | $289.6 | $121.61 | $188.8 | $288.21 |
| Office visit, new patient, 60-74 min | CPT | 99205 | 9 | $459 | $367.2 | $165.2 | $257 | $376.67 |
| Office visit, established patient, 5 min | CPT | 99211 | 9 | $51 | $40.8 | $8.04 | $12.3 | $20.76 |
| Office visit, established patient, 10-19 min | CPT | 99212 | 9 | $104 | $83.2 | $32.24 | $45.89 | $66.6 |
| Office visit, established patient, 20-29 minutes | CPT | 99213 | 9 | $201 | $160.8 | $60.36 | $88.41 | $124.66 |
| Office visit, established patient, 30-39 minutes | CPT | 99214 | 9 | $240 | $192 | $88.83 | $133.25 | $184.05 |
| Office visit, established patient, 40-54 min | CPT | 99215 | 9 | $332 | $265.6 | $131.48 | $193.44 | $272.53 |
| preventive | ||||||||
| Upper GI endoscopy diagnostic | CPT | 43235 | 11 | $859 | $687.2 | $109.69 | $385.3 | $2,407.8 |
| Upper GI endoscopy with biopsy | CPT | 43239 | 11 | $1,143 | $914.4 | $123.53 | $435.4 | $2,407.8 |
| Sigmoidoscopy diagnostic | CPT | 45330 | 11 | $534 | $427.2 | $50.95 | $174.48 | $2,341.41 |
| Sigmoidoscopy with biopsy | CPT | 45331 | 11 | $840 | $672 | $64.93 | $224.58 | $2,341.41 |
| Colonoscopy diagnostic | CPT | 45378 | 11 | $1,017 | $813.6 | $82.56 | $413.7 | $2,341.41 |
| Colonoscopy with biopsy | CPT | 45380 | 11 | $1,309 | $1,047.2 | $179.1 | $664.1 | $3,028.07 |
| Colonoscopy with polyp removal | CPT | 45385 | 11 | $1,371 | $1,096.8 | $226.39 | $814.61 | $3,028.07 |
| surgery | ||||||||
| Total shoulder arthroplasty | CPT | 23472 | 11 | $8,950 | $7,160 | $1,290.01 | $4,475 | $47,229 |
| Hip hemiarthroplasty | CPT | 27125 | 9 | $6,968 | $5,574.4 | $1,013.18 | $2,166.09 | $3,483.37 |
| Total hip replacement | CPT | 27130 | 11 | $8,344 | $6,675.2 | $1,146 | $4,171.24 | $33,044 |
| Total knee replacement | CPT | 27447 | 11 | $8,336 | $6,668.8 | $1,144.67 | $4,167.04 | $33,044 |
| Knee revision arthroplasty single component | CPT | 27486 | 9 | $8,660 | $6,928 | $1,254.09 | $2,733.9 | $11,191 |
| Knee revision arthroplasty all components | CPT | 27487 | 9 | $10,830 | $8,664 | $1,560.09 | $3,401.3 | $14,049 |
| Shoulder arthroscopy with decompression | CPT | 29826 | 9 | $1,326 | $1,060.8 | $151.83 | $329.79 | $538.56 |
| Shoulder arthroscopy with rotator cuff repair | CPT | 29827 | 11 | $6,590 | $5,272 | $958.1 | $3,294.92 | $18,346 |
| Knee arthroscopy with meniscectomy | CPT | 29881 | 11 | $3,324 | $2,659.2 | $490.7 | $1,661.93 | $8,332.67 |
| ACL reconstruction | CPT | 29888 | 11 | $6,040 | $4,832 | $874.13 | $3,019.58 | $18,346 |
| Major small/large bowel procedures w MCC | MS-DRG | 329 | 12 | — | — | $31,405 | $37,245 | $61,895 |
| Major small/large bowel procedures w CC | MS-DRG | 330 | 12 | — | — | $16,370 | $19,302 | $32,616 |
| Major small/large bowel procedures w/o CC/MCC | MS-DRG | 331 | 12 | — | — | $11,562 | $13,563 | $23,250 |
| CABG single arterial graft | CPT | 33533 | 9 | $5,709 | $4,567.2 | $1,610.12 | $3,657.21 | $5,708.4 |
| CABG 2 arterial grafts | CPT | 33534 | 9 | $6,708 | $5,366.4 | $1,891.26 | $4,290.91 | $6,707.71 |
| CABG 3 arterial grafts | CPT | 33535 | 9 | $7,481 | $5,984.8 | $2,102.11 | $4,770.13 | $7,480.06 |
| CABG 4+ arterial grafts | CPT | 33536 | 9 | $8,063 | $6,450.4 | $2,263.84 | $5,137.53 | $8,062.01 |
| Laparoscopic cholecystectomy w/o CDE w MCC | MS-DRG | 418 | 12 | — | — | $11,612 | $13,623 | $23,348 |
| Laparoscopic cholecystectomy w/o CDE w CC | MS-DRG | 419 | 12 | — | — | $9,312.22 | $10,879 | $18,869 |
| Laparoscopic cholecystectomy w/o CDE w/o CC/MCC | MS-DRG | 420 | 12 | — | — | $24,236 | $28,690 | $47,935 |
| Open appendectomy | CPT | 44950 | 11 | $1,971 | $1,576.8 | $565.44 | $1,970.89 | $16,025 |
| Laparoscopic appendectomy | CPT | 44970 | 11 | $1,841 | $1,472.8 | $532.67 | $1,840.94 | $14,984 |
| Major joint replacement w MCC | MS-DRG | 469 | 12 | — | — | $22,477 | $26,590 | $44,508 |
| Major joint replacement w/o MCC | MS-DRG | 470 | 12 | — | — | $13,144 | $15,452 | $26,332 |
| Laparoscopic cholecystectomy | CPT | 47562 | 11 | $2,018 | $1,614.4 | $583.24 | $2,017.34 | $14,984 |
| Lap cholecystectomy with cholangiography | CPT | 47563 | 11 | $2,196 | $1,756.8 | $633.75 | $2,195.8 | $14,984 |
| Hip & femur procedures except major joint w MCC | MS-DRG | 480 | 12 | — | — | $20,266 | $23,951 | $40,202 |
| Hip & femur procedures except major joint w CC | MS-DRG | 481 | 12 | — | — | $14,422 | $16,977 | $28,821 |
| Hip & femur procedures except major joint w/o CC/MCC | MS-DRG | 482 | 12 | — | — | $11,126 | $13,043 | $22,402 |
| Open umbilical hernia repair | CPT | 49560 | 1 | — | — | $1,405 | $1,405 | $1,652 |
| Umbilical hernia repair age 5+ | CPT | 49585 | 1 | — | — | $854 | $854 | $1,005 |
| Lap inguinal hernia repair | CPT | 49650 | 11 | $2,632 | $2,105.6 | $384.86 | $1,315.76 | $14,984 |
| Lap incisional hernia repair | CPT | 49652 | 1 | — | — | $1,356 | $1,356 | $1,596 |
| Total abdominal hysterectomy | CPT | 58150 | 9 | $3,151 | $2,520.8 | $912.58 | $1,935.5 | $7,412.9 |
| Vaginal hysterectomy | CPT | 58260 | 11 | $2,609 | $2,087.2 | $751.29 | $2,608.44 | $12,678 |
| Lap-assisted vaginal hysterectomy | CPT | 58550 | 11 | $2,758 | $2,206.4 | $791.18 | $2,757.27 | $14,984 |
| Lap-assisted vaginal hysterectomy >250g | CPT | 58552 | 11 | $3,073 | $2,458.4 | $879.56 | $3,072.25 | $26,738 |
| Lap salpingo-oophorectomy | CPT | 58661 | 11 | $4,064 | $3,251.2 | $584.08 | $2,031.54 | $14,984 |
| OR procedure for obesity w MCC | MS-DRG | 619 | 12 | — | — | $18,818 | $22,224 | $37,383 |
| OR procedure for obesity w CC | MS-DRG | 620 | 12 | — | — | $11,197 | $13,129 | $22,541 |
| OR procedure for obesity w/o CC/MCC | MS-DRG | 621 | 12 | — | — | $10,285 | $12,040 | $20,764 |
| Complex cataract surgery | CPT | 66982 | 11 | $4,656 | $3,724.8 | $669.56 | $2,038.77 | $5,857.27 |
| Cataract surgery with lens implant | CPT | 66984 | 11 | $3,394 | $2,715.2 | $488.93 | $1,699.34 | $5,857.27 |
| Intravitreal injection | CPT | 67028 | 11 | $630 | $504 | $83.2 | $285.42 | $851.83 |
| Vitrectomy mechanical | CPT | 67042 | 11 | $7,152 | $5,721.6 | $1,024.83 | $3,461.67 | $10,331 |
| Uterine & adnexa procedures w CC/MCC | MS-DRG | 743 | 12 | — | — | $8,509.97 | $9,921.32 | $17,307 |
| Uterine & adnexa procedures w/o CC/MCC | MS-DRG | 744 | 12 | — | — | $13,606 | $16,003 | $27,232 |
| PCI single major coronary artery | CPT | 92920 | 13 | $10,939 | $8,751.37 | $452.43 | $4,058.45 | $14,642 |
| PCI with drug-eluting stent | CPT | 92928 | 13 | $18,660 | $14,928 | $502.96 | $6,922.94 | $29,124 |
| PCI bypass graft | CPT | 92937 | 13 | $18,660 | $14,928 | $502.63 | $6,922.94 | $29,124 |
| Left heart catheterization | CPT | 93452 | 13 | $9,607.27 | $7,685.82 | $203.9 | $1,312.43 | $8,260.26 |
| Coronary angiography with cath | CPT | 93455 | 13 | $12,374 | $9,899.38 | $240.23 | $1,531.29 | $8,260.26 |
| Coronary angiography with bypass cath | CPT | 93458 | 13 | $14,276 | $11,421 | $253.81 | $1,562.52 | $8,260.26 |
Payer mix (top 13)
| Payer | Codes covered | Median rate |
|---|---|---|
| Blue Cross Blue Shield | 200 | $188.9 |
| UnitedHealthcare | 197 | $233.29 |
| health partners open network | 197 | $274.58 |
| Aetna | 197 | $286.83 |
| Ambetter | 196 | $157.82 |
| health alliance | 196 | $151.1 |
| meridian health plan | 196 | $155.54 |
| Humana | 196 | $155.54 |
| Cigna | 154 | $259.56 |
| amerigroup | 147 | $784.53 |
| iowa total care | 147 | $784.53 |
| medica exchange inspire | 139 | $966.73 |
| medica exchange insure | 139 | $1,082.74 |