Does Trinity Bettendorf publish its standard charges and chargemaster?

Yes. Trinity Bettendorf publishes a machine-readable file with 50,796 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 Trinity Bettendorf charge for procedures?

Trinity Bettendorf (Bettendorf, IA) 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 · IA · CCN 160104

Trinity Bettendorf

Bettendorf, IA, 52722

80 bedsAcute Care Hospitals2

Compliance grade

100/100

Rates published

50,796

last crawl 2026-05-23

Procedures tracked

200

of 209 target codes

Payers

with negotiated rates

Procedures tracked

...

Payers

...

▸ Compare with other hospitals All IA 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/7956/362739299-1124110820_trinity-medical-center_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	12	—	—	$9,932.97	$11,620	0.91×	$20,078
Psychiatric diagnostic evaluation	CPT	90791	13	$451.25	$361	$138.26	$186.91	1.1×	$412.64
Psychiatric eval with medical services	CPT	90792	11	$453	$362.4	$138.26	$191.22	1.1×	$419.07
Psychotherapy 30 minutes	CPT	90832	13	$210	$168	$30.57	$122.74	0.83×	$412.64
Psychotherapy 45 minutes	CPT	90834	13	$262	$209.6	$55.2	$138.26	0.86×	$412.64
Psychotherapy 60 minutes	CPT	90837	13	$392	$313.6	$49.67	$155.54	0.82×	$412.64
Crisis psychotherapy 60 minutes	CPT	90839	13	$464.59	$371.68	$127.19	$181.62	1.1×	$412.64
emergency
ED visit level 1	CPT	99281	11	$212.94	$170.36	$10.3	$45.96	0.33×	$226.14
ED visit level 2	CPT	99282	13	$432.44	$345.96	$19.25	$97.08	0.41×	$406.68
ED visit level 3	CPT	99283	13	$804.55	$643.64	$19.25	$145.66	0.36×	$711.09
ED visit level 4	CPT	99284	13	$1,296.19	$1,036.96	$19.25	$266.24	0.40×	$1,093.57
ED visit level 5	CPT	99285	13	$1,885.48	$1,508.39	$19.25	$386.61	0.37×	$1,574.54
Critical care, first hour	CPT	99291	13	$1,996.66	$1,597.33	$194	$711.95	0.66×	$2,163.96
imaging
CT head without contrast	CPT	70450	13	$2,131.32	$1,705.06	$37.24	$101.26	0.49×	$1,123.21
CT head with contrast	CPT	70460	13	$2,432.15	$1,945.72	$49.4	$153.18	0.65×	$1,281.74
CT head with and without contrast	CPT	70470	13	$2,708.72	$2,166.98	$55.55	$166.24	0.62×	$1,427.5
CT neck with contrast	CPT	70491	13	$2,436.99	$1,949.6	$60.29	$171.89	0.63×	$1,284.29
MRI brain without contrast	CPT	70551	13	$2,542.54	$2,034.04	$64.56	$208	0.52×	$1,339.92
MRI brain with contrast	CPT	70552	13	$4,376.66	$3,501.33	$77.96	$307.31	0.64×	$2,306.5
MRI brain with and without contrast	CPT	70553	13	$5,970.59	$4,776.48	$100.21	$307.31	0.52×	$3,146.5
Chest X-ray single view	CPT	71045	13	$258.38	$206.71	$8.04	$26.96	0.29×	$226.11
Chest X-ray 2 views	CPT	71046	13	$385.75	$308.6	$9.63	$35.33	0.36×	$226.11
Chest X-ray 3 views	CPT	71047	13	$564.06	$451.25	$12.13	$44.04	0.46×	$297.26
CT chest without contrast	CPT	71250	13	$2,443.06	$1,954.45	$47.19	$121.76	0.57×	$1,287.49
CT chest with contrast	CPT	71260	13	$2,792.41	$2,233.93	$50.96	$160.35	0.57×	$1,471.6
CT chest with and without contrast	CPT	71270	13	$2,897.95	$2,318.36	$54.61	$178.65	0.61×	$1,527.22
MRI chest without contrast	CPT	71550	13	$3,412.28	$2,729.83	$63.91	$284.37	0.66×	$1,798.27
MRI chest with contrast	CPT	71551	13	$4,783.01	$3,826.41	$75.45	$529.79	0.65×	$2,520.65
MRI chest with and without contrast	CPT	71552	13	$5,650.34	$4,520.28	$98.95	$424.39	0.71×	$2,977.73
Lumbosacral spine X-ray	CPT	72100	13	$642.78	$514.23	$9.92	$46.11	0.45×	$338.75
CT cervical spine without contrast	CPT	72125	13	$2,660.19	$2,128.16	$43.57	$121.02	0.60×	$1,401.92
CT thoracic spine without contrast	CPT	72128	13	$2,701.44	$2,161.16	$43.57	$119.92	0.60×	$1,423.66
CT lumbar spine without contrast	CPT	72131	13	$2,701.44	$2,161.16	$43.57	$119.62	0.59×	$1,423.66
MRI cervical spine without contrast	CPT	72141	13	$3,412.28	$2,729.83	$64.86	$208	0.52×	$1,798.27
MRI thoracic spine without contrast	CPT	72146	13	$3,412.28	$2,729.83	$64.86	$208	0.56×	$1,798.27
MRI lumbar spine without contrast	CPT	72148	13	$3,412.28	$2,729.83	$64.86	$208	0.55×	$1,798.27
MRI lumbar spine with and without contrast	CPT	72149	13	$5,650.34	$4,520.28	$78.25	$307.31	0.68×	$2,977.73
MRI cervical spine with and without contrast	CPT	72156	13	$6,760.28	$5,408.23	$100.51	$307.31	0.57×	$3,562.67
MRI lumbar spine with contrast	CPT	72158	13	$6,760.28	$5,408.23	$100.51	$307.31	0.56×	$3,562.67
CT pelvis without contrast	CPT	72192	13	$2,337.52	$1,870.02	$47.51	$121.79	0.61×	$1,231.87
CT pelvis with contrast	CPT	72193	13	$2,610.47	$2,088.38	$50.66	$206.01	0.73×	$1,375.72
Shoulder X-ray	CPT	73030	13	$368.77	$295.02	$8.33	$39.98	0.43×	$226.11
Humerus X-ray	CPT	73060	13	$348.13	$278.51	$7.1	$37.75	0.42×	$226.11
Hand X-ray 3 views	CPT	73130	13	$328.73	$262.99	$7.71	$42.06	0.45×	$226.11
MRI upper extremity joint without contrast	CPT	73221	13	$3,412.28	$2,729.83	$59.32	$208	0.50×	$1,798.27
MRI upper extremity joint with and without contrast	CPT	73223	13	$5,937.84	$4,750.28	$94.35	$349.37	0.57×	$3,129.24
Knee X-ray 1-2 views	CPT	73560	13	$260.8	$208.64	$7.39	$40.32	0.43×	$226.11
Ankle X-ray 3 views	CPT	73610	13	$348.13	$278.51	$7.71	$42.06	0.46×	$226.11
MRI lower extremity joint without contrast	CPT	73721	13	$3,412.28	$2,729.83	$59.32	$208	0.44×	$1,798.27
MRI lower extremity joint with and without contrast	CPT	73723	13	$6,176.81	$4,941.45	$94.35	$348.48	0.55×	$3,255.18
CT abdomen without contrast	CPT	74150	13	$2,406.69	$1,925.36	$51.93	$125.56	0.67×	$1,268.33
CT abdomen with contrast	CPT	74160	13	$2,696.58	$2,157.27	$55.55	$209.71	0.73×	$1,421.1
CT abdomen with and without contrast	CPT	74170	13	$2,731.77	$2,185.42	$60.94	$223.07	0.67×	$1,439.64
CT abdomen and pelvis without contrast	CPT	74176	13	$4,927.38	$3,941.91	$76.07	$201.5	0.55×	$2,596.73
CT abdomen and pelvis with contrast	CPT	74177	13	$5,373.78	$4,299.03	$79.84	$307.31	0.56×	$2,831.98
CT abdomen and pelvis with and without contrast	CPT	74178	13	$5,751.04	$4,600.84	$87.76	$323.01	0.56×	$3,030.8
MRI abdomen without contrast	CPT	74181	13	$3,412.28	$2,729.83	$63.62	$208	0.53×	$1,798.27
MRI abdomen with and without contrast	CPT	74183	13	$6,526.16	$5,220.93	$96.27	$335.86	0.59×	$3,439.29
Abdominal ultrasound complete	CPT	76700	13	$1,325.85	$1,060.68	$35.36	$103.27	0.69×	$698.72
Abdominal ultrasound limited	CPT	76705	13	$820.01	$656.01	$25.73	$91.51	0.63×	$432.15
Retroperitoneal ultrasound complete	CPT	76770	13	$917.06	$733.65	$32.21	$100.01	0.70×	$483.29
Obstetric ultrasound first trimester	CPT	76801	13	$826.07	$660.86	$43.54	$105.12	0.74×	$435.34
Obstetric ultrasound after first trimester	CPT	76805	13	$883.09	$706.48	$43.84	$120.62	0.79×	$465.39
Obstetric ultrasound with fetal anatomy	CPT	76811	11	$527	$421.6	$77.82	$177.59	0.75×	$620.77
Transvaginal ultrasound	CPT	76830	13	$629.58	$503.67	$30.44	$105.45	0.71×	$331.79
Pelvic ultrasound complete	CPT	76856	13	$629.58	$503.67	$30.15	$98.64	0.69×	$331.79
Scrotal ultrasound	CPT	76870	13	$883.09	$706.48	$27.94	$92.68	0.71×	$465.39
Diagnostic mammography unilateral	CPT	77065	11	$502.2	$401.76	$35.36	$111.44	0.75×	$273.3
Diagnostic mammography bilateral	CPT	77066	11	$605.31	$484.25	$43.57	$142.13	0.75×	$344.4
Screening mammography bilateral	CPT	77067	11	$496.17	$396.94	$33.44	$115.1	0.73×	$279.1
EKG complete	CPT	93000	9	$47	$37.6	$12.88	$28.7	1.2×	$42.87
EKG tracing only	CPT	93005	13	$214.71	$171.77	$5.46	$51.11	0.43×	$152.54
EKG interpretation only	CPT	93010	9	$24	$19.2	$7.42	$15.82	0.87×	$21.83
Transthoracic echocardiogram complete	CPT	93306	13	$2,537.67	$2,030.14	$63.17	$298.58	0.50×	$1,408.12
Transthoracic echocardiogram	CPT	93307	13	$1,082.03	$865.63	$39.95	$184.88	0.75×	$620.77
Stress echocardiogram	CPT	93350	13	$1,684.31	$1,347.45	$63.17	$272.59	0.54×	$1,408.12
inpatient
Intracranial hemorrhage/CVA w MCC	MS-DRG	064	12	—	—	$13,844	$16,287	0.81×	$27,695
Intracranial hemorrhage/CVA w CC	MS-DRG	065	12	—	—	$7,283.34	$8,457.42	0.79×	$14,918
Intracranial hemorrhage/CVA w/o CC/MCC	MS-DRG	066	12	—	—	$5,066.19	$5,836.05	0.77×	$10,600
Respiratory infections & inflammations w MCC	MS-DRG	177	12	—	—	$11,329	$13,286	0.86×	$22,797
COPD w MCC	MS-DRG	190	12	—	—	$7,999.2	$9,311.76	0.83×	$16,312
COPD w CC	MS-DRG	191	12	—	—	$6,218.62	$7,186.75	0.81×	$12,844
COPD w/o CC/MCC	MS-DRG	192	12	—	—	$4,788.88	$5,516.6	0.79×	$10,060
Simple pneumonia & pleurisy w CC	MS-DRG	194	12	—	—	$5,954.79	$6,871.9	0.81×	$12,331
Simple pneumonia & pleurisy w/o CC/MCC	MS-DRG	195	12	—	—	$4,623.58	$5,326.19	0.80×	$9,737.99
AMI discharged alive w MCC	MS-DRG	280	12	—	—	$11,497	$13,486	0.86×	$23,124
AMI discharged alive w CC	MS-DRG	281	12	—	—	$6,641.66	$7,691.63	0.80×	$13,668
AMI discharged alive w/o CC/MCC	MS-DRG	282	12	—	—	$5,314.5	$6,122.09	0.79×	$11,084
Heart failure & shock w MCC	MS-DRG	291	12	—	—	$9,225.86	$10,776	0.84×	$18,701
Heart failure & shock w CC	MS-DRG	292	12	—	—	$6,232.77	$7,203.65	0.81×	$12,872
Heart failure & shock w/o CC/MCC	MS-DRG	293	12	—	—	$4,118.16	$4,751.01	0.76×	$8,765.54
Cardiac arrhythmia w MCC	MS-DRG	308	12	—	—	$8,558.54	$9,979.3	0.83×	$17,402
Cardiac arrhythmia w CC	MS-DRG	309	12	—	—	$5,410.3	$6,232.46	0.80×	$11,270
Cardiac arrhythmia w/o CC/MCC	MS-DRG	310	12	—	—	$4,197.15	$4,834.95	0.78×	$8,907.5
GI hemorrhage w CC	MS-DRG	378	12	—	—	$7,074.16	$8,207.79	0.82×	$14,511
GI hemorrhage w/o CC/MCC	MS-DRG	379	12	—	—	$4,718.03	$5,434.99	0.79×	$9,921.97
Esophagitis/gastroenteritis w/o MCC	MS-DRG	392	12	—	—	$5,686.93	$6,552.22	0.81×	$11,809
Fractures of femur w/o MCC	MS-DRG	533	12	—	—	$10,711	$12,548	0.83×	$21,593
Kidney/UTI w MCC	MS-DRG	689	12	—	—	$8,318.36	$9,692.64	0.83×	$16,934
Kidney/UTI w/o MCC	MS-DRG	690	12	—	—	$5,837.4	$6,731.79	0.81×	$12,102
Septicemia or severe sepsis w MV 96+ hrs	MS-DRG	871	12	—	—	$13,661	$16,068	0.86×	$27,338
Septicemia or severe sepsis w/o MV 96+ hrs	MS-DRG	872	12	—	—	$7,378.46	$8,570.94	0.83×	$15,103
Initial hospital care, low complexity	CPT	99221	9	$227	$181.6	$74.73	$135.5	1.5×	$226.16
Initial hospital care, moderate complexity	CPT	99222	9	$308	$246.4	$118.66	$213.8	1.3×	$307.11
Initial hospital care, high complexity	CPT	99223	9	$453	$362.4	$158.4	$284.9	1.3×	$452.74
Hospital discharge, <30 min	CPT	99238	9	$185	$148	$73.92	$127.89	1.5×	$162.91
Hospital discharge, >30 min	CPT	99239	9	$262	$209.6	$104.69	$183.65	1.5×	$239.49
lab
Basic metabolic panel (BMP)	CPT	80048	11	$85.7	$68.56	$5.08	$8.88	0.27×	$45.16
General health panel	CPT	80050	7	$88	$70.4	$23.22	$38.18	0.36×	$53.61
Electrolyte panel	CPT	80051	11	$85.7	$68.56	$4.21	$7.36	0.31×	$45.16
Comprehensive metabolic panel	CPT	80053	11	$85.7	$68.56	$6.34	$11.09	0.25×	$45.16
Lipid panel	CPT	80061	11	$85.7	$68.56	$8.03	$14.06	0.37×	$45.16
Renal function panel	CPT	80069	11	$85.7	$68.56	$5.21	$9.11	0.33×	$45.16
Hepatic function panel	CPT	80076	11	$85.7	$68.56	$4.9	$8.58	0.32×	$45.16
Urinalysis non-automated	CPT	81002	11	$32.14	$25.72	$3.48	$3.65	0.52×	$16.94
Urinalysis automated	CPT	81003	11	$32.14	$25.72	$2.25	$2.36	0.17×	$16.94
Glucose quantitative	CPT	82947	11	$41.96	$33.57	$3.93	$4.13	0.23×	$22.11
Hemoglobin A1c	CPT	83036	11	$41.96	$33.57	$5.83	$10.2	0.38×	$22.11
Thyroid stimulating hormone (TSH)	CPT	84443	11	$68.75	$55	$10.08	$17.64	0.37×	$36.23
Complete blood count with automated differential	CPT	85025	11	$41.96	$33.57	$4.66	$8.16	0.31×	$22.11
Complete blood count without differential	CPT	85027	11	$41.96	$33.57	$3.88	$6.79	0.31×	$22.11
Urine culture bacterial	CPT	87086	11	$48.22	$38.58	$4.84	$8.47	0.36×	$25.41
Urine culture identification	CPT	87088	11	$48.22	$38.58	$4.85	$8.49	0.38×	$25.41
Tissue exam by pathologist level IV	CPT	88305	13	$205	$164	$28.96	$61.3	0.60×	$182.28
maternity
Fetal non-stress test	CPT	59025	13	$405.15	$324.12	$17.87	$61.37	0.33×	$516.65
Routine obstetric care including vaginal delivery	CPT	59400	9	$5,690	$4,552	$2,106.28	$3,033	1.3×	$5,372.16
Vaginal delivery only	CPT	59409	13	$3,870.81	$3,096.65	$691.99	$2,039.92	0.92×	$8,165.52
Vaginal delivery with postpartum	CPT	59410	9	$2,641	$2,112.8	$936.78	$1,353.2	1.3×	$2,640.42
Routine obstetric care with C-section	CPT	59510	9	$5,924	$4,739.2	$2,322.97	$3,369.1	1.3×	$5,923.56
C-section delivery only	CPT	59514	9	$2,305	$1,844	$778.91	$1,133.3	1.2×	$2,304.69
C-section with postpartum	CPT	59515	9	$3,196	$2,556.8	$1,153.4	$1,678.5	1.3×	$3,195.11
office
Office visit, new patient, 15-29 min	CPT	99202	9	$167	$133.6	$42.93	$66.3	0.77×	$112.29
Office visit, new patient, 30-44 minutes	CPT	99203	9	$237	$189.6	$74.5	$116	0.95×	$168.46
Office visit, new patient, 45-59 min	CPT	99204	9	$362	$289.6	$121.61	$188.8	1.1×	$288.21
Office visit, new patient, 60-74 min	CPT	99205	9	$459	$367.2	$165.2	$257	1.2×	$376.67
Office visit, established patient, 5 min	CPT	99211	9	$51	$40.8	$8.04	$12.3	0.19×	$20.76
Office visit, established patient, 10-19 min	CPT	99212	9	$104	$83.2	$32.24	$45.89	0.57×	$66.6
Office visit, established patient, 20-29 minutes	CPT	99213	9	$201	$160.8	$60.36	$88.41	0.77×	$124.66
Office visit, established patient, 30-39 minutes	CPT	99214	9	$240	$192	$88.83	$133.25	0.87×	$184.05
Office visit, established patient, 40-54 min	CPT	99215	9	$332	$265.6	$131.48	$193.44	1.0×	$272.53
preventive
Upper GI endoscopy diagnostic	CPT	43235	11	$859	$687.2	$109.69	$385.3	0.42×	$2,407.8
Upper GI endoscopy with biopsy	CPT	43239	11	$1,143	$914.4	$123.53	$435.4	0.45×	$2,407.8
Sigmoidoscopy diagnostic	CPT	45330	11	$534	$427.2	$50.95	$174.48	0.21×	$2,341.41
Sigmoidoscopy with biopsy	CPT	45331	11	$840	$672	$64.93	$224.58	0.25×	$2,341.41
Colonoscopy diagnostic	CPT	45378	11	$1,017	$813.6	$82.56	$413.7	0.47×	$2,341.41
Colonoscopy with biopsy	CPT	45380	11	$1,309	$1,047.2	$179.1	$664.1	0.55×	$3,028.07
Colonoscopy with polyp removal	CPT	45385	11	$1,371	$1,096.8	$226.39	$814.61	0.68×	$3,028.07
surgery
Total shoulder arthroplasty	CPT	23472	11	$8,950	$7,160	$1,290.01	$4,475	1.1×	$47,229
Hip hemiarthroplasty	CPT	27125	9	$6,968	$5,574.4	$1,013.18	$2,166.09	1.7×	$3,483.37
Total hip replacement	CPT	27130	11	$8,344	$6,675.2	$1,146	$4,171.24	0.96×	$33,044
Total knee replacement	CPT	27447	11	$8,336	$6,668.8	$1,144.67	$4,167.04	1.0×	$33,044
Knee revision arthroplasty single component	CPT	27486	9	$8,660	$6,928	$1,254.09	$2,733.9	1.6×	$11,191
Knee revision arthroplasty all components	CPT	27487	9	$10,830	$8,664	$1,560.09	$3,401.3	1.7×	$14,049
Shoulder arthroscopy with decompression	CPT	29826	9	$1,326	$1,060.8	$151.83	$329.79	1.0×	$538.56
Shoulder arthroscopy with rotator cuff repair	CPT	29827	11	$6,590	$5,272	$958.1	$3,294.92	1.0×	$18,346
Knee arthroscopy with meniscectomy	CPT	29881	11	$3,324	$2,659.2	$490.7	$1,661.93	0.81×	$8,332.67
ACL reconstruction	CPT	29888	11	$6,040	$4,832	$874.13	$3,019.58	0.90×	$18,346
Major small/large bowel procedures w MCC	MS-DRG	329	12	—	—	$31,405	$37,245	0.87×	$61,895
Major small/large bowel procedures w CC	MS-DRG	330	12	—	—	$16,370	$19,302	0.83×	$32,616
Major small/large bowel procedures w/o CC/MCC	MS-DRG	331	12	—	—	$11,562	$13,563	0.83×	$23,250
CABG single arterial graft	CPT	33533	9	$5,709	$4,567.2	$1,610.12	$3,657.21	2.0×	$5,708.4
CABG 2 arterial grafts	CPT	33534	9	$6,708	$5,366.4	$1,891.26	$4,290.91	2.0×	$6,707.71
CABG 3 arterial grafts	CPT	33535	9	$7,481	$5,984.8	$2,102.11	$4,770.13	2.1×	$7,480.06
CABG 4+ arterial grafts	CPT	33536	9	$8,063	$6,450.4	$2,263.84	$5,137.53	2.1×	$8,062.01
Laparoscopic cholecystectomy w/o CDE w MCC	MS-DRG	418	12	—	—	$11,612	$13,623	0.83×	$23,348
Laparoscopic cholecystectomy w/o CDE w CC	MS-DRG	419	12	—	—	$9,312.22	$10,879	0.80×	$18,869
Laparoscopic cholecystectomy w/o CDE w/o CC/MCC	MS-DRG	420	12	—	—	$24,236	$28,690	0.89×	$47,935
Open appendectomy	CPT	44950	11	$1,971	$1,576.8	$565.44	$1,970.89	1.7×	$16,025
Laparoscopic appendectomy	CPT	44970	11	$1,841	$1,472.8	$532.67	$1,840.94	1.2×	$14,984
Major joint replacement w MCC	MS-DRG	469	12	—	—	$22,477	$26,590	0.90×	$44,508
Major joint replacement w/o MCC	MS-DRG	470	12	—	—	$13,144	$15,452	0.82×	$26,332
Laparoscopic cholecystectomy	CPT	47562	11	$2,018	$1,614.4	$583.24	$2,017.34	1.1×	$14,984
Lap cholecystectomy with cholangiography	CPT	47563	11	$2,196	$1,756.8	$633.75	$2,195.8	1.2×	$14,984
Hip & femur procedures except major joint w MCC	MS-DRG	480	12	—	—	$20,266	$23,951	0.86×	$40,202
Hip & femur procedures except major joint w CC	MS-DRG	481	12	—	—	$14,422	$16,977	0.84×	$28,821
Hip & femur procedures except major joint w/o CC/MCC	MS-DRG	482	12	—	—	$11,126	$13,043	0.82×	$22,402
Open umbilical hernia repair	CPT	49560	1	—	—	$1,405	$1,405	0.74×	$1,652
Umbilical hernia repair age 5+	CPT	49585	1	—	—	$854	$854	0.65×	$1,005
Lap inguinal hernia repair	CPT	49650	11	$2,632	$2,105.6	$384.86	$1,315.76	1.2×	$14,984
Lap incisional hernia repair	CPT	49652	1	—	—	$1,356	$1,356	0.50×	$1,596
Total abdominal hysterectomy	CPT	58150	9	$3,151	$2,520.8	$912.58	$1,935.5	2.0×	$7,412.9
Vaginal hysterectomy	CPT	58260	11	$2,609	$2,087.2	$751.29	$2,608.44	1.4×	$12,678
Lap-assisted vaginal hysterectomy	CPT	58550	11	$2,758	$2,206.4	$791.18	$2,757.27	1.9×	$14,984
Lap-assisted vaginal hysterectomy >250g	CPT	58552	11	$3,073	$2,458.4	$879.56	$3,072.25	1.4×	$26,738
Lap salpingo-oophorectomy	CPT	58661	11	$4,064	$3,251.2	$584.08	$2,031.54	1.0×	$14,984
OR procedure for obesity w MCC	MS-DRG	619	12	—	—	$18,818	$22,224	0.82×	$37,383
OR procedure for obesity w CC	MS-DRG	620	12	—	—	$11,197	$13,129	0.81×	$22,541
OR procedure for obesity w/o CC/MCC	MS-DRG	621	12	—	—	$10,285	$12,040	0.79×	$20,764
Complex cataract surgery	CPT	66982	11	$4,656	$3,724.8	$669.56	$2,038.77	0.92×	$5,857.27
Cataract surgery with lens implant	CPT	66984	11	$3,394	$2,715.2	$488.93	$1,699.34	0.78×	$5,857.27
Intravitreal injection	CPT	67028	11	$630	$504	$83.2	$285.42	0.83×	$851.83
Vitrectomy mechanical	CPT	67042	11	$7,152	$5,721.6	$1,024.83	$3,461.67	1.4×	$10,331
Uterine & adnexa procedures w CC/MCC	MS-DRG	743	12	—	—	$8,509.97	$9,921.32	0.81×	$17,307
Uterine & adnexa procedures w/o CC/MCC	MS-DRG	744	12	—	—	$13,606	$16,003	0.84×	$27,232
PCI single major coronary artery	CPT	92920	13	$10,939	$8,751.37	$452.43	$4,058.45	0.72×	$14,642
PCI with drug-eluting stent	CPT	92928	13	$18,660	$14,928	$502.96	$6,922.94	0.69×	$29,124
PCI bypass graft	CPT	92937	13	$18,660	$14,928	$502.63	$6,922.94	0.64×	$29,124
Left heart catheterization	CPT	93452	13	$9,607.27	$7,685.82	$203.9	$1,312.43	0.42×	$8,260.26
Coronary angiography with cath	CPT	93455	13	$12,374	$9,899.38	$240.23	$1,531.29	0.49×	$8,260.26
Coronary angiography with bypass cath	CPT	93458	13	$14,276	$11,421	$253.81	$1,562.52	0.50×	$8,260.26

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 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

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