▸ Hospital · IA · CCN 160117
Finley Hospital
350 NORTH GRANDVIEW AVENUE, DUBUQUE, IA, 52001
66 bedsAcute Care Hospitals2
Compliance grade
A
100/100
Procedures tracked
200
of 209 target codes
Payers
17
with negotiated rates
Rates published
62,225
last crawl 2026-05-23
Procedures & rates
| Procedure | Type | Code | Payers | Gross | Cash | Neg min | Neg median | Neg max |
|---|---|---|---|---|---|---|---|---|
| behavioral | ||||||||
| Psychoses | MS-DRG | 885 | 15 | — | — | $7,813.88 | $11,015 | $20,078 |
| Psychiatric diagnostic evaluation | CPT | 90791 | 14 | $405 | $324 | $139.86 | $207.92 | $645.32 |
| Psychiatric eval with medical services | CPT | 90792 | 14 | $453 | $362.4 | $141.27 | $235.7 | $726.79 |
| Psychotherapy 30 minutes | CPT | 90832 | 14 | $210 | $168 | $67.55 | $149.08 | $371.19 |
| Psychotherapy 45 minutes | CPT | 90834 | 17 | $276.2 | $220.96 | $89.14 | $156.45 | $377.64 |
| Psychotherapy 60 minutes | CPT | 90837 | 17 | $392 | $313.6 | $125.07 | $194.58 | $555.89 |
| Crisis psychotherapy 60 minutes | CPT | 90839 | 14 | $409 | $327.2 | $127.19 | $185.41 | $529.58 |
| emergency | ||||||||
| ED visit level 1 | CPT | 99281 | 15 | $160.2 | $128.16 | $10.3 | $45.46 | $3,527.66 |
| ED visit level 2 | CPT | 99282 | 17 | $297.05 | $237.64 | $20.24 | $93.62 | $3,527.66 |
| ED visit level 3 | CPT | 99283 | 17 | $520.9 | $416.72 | $20.24 | $145.66 | $3,527.66 |
| ED visit level 4 | CPT | 99284 | 17 | $810.53 | $648.43 | $20.24 | $260.08 | $3,527.66 |
| ED visit level 5 | CPT | 99285 | 17 | $1,163.81 | $931.05 | $20.24 | $376.85 | $3,527.66 |
| Critical care, first hour | CPT | 99291 | 17 | $2,143.74 | $1,715 | $194 | $740.85 | $3,527.66 |
| imaging | ||||||||
| CT head without contrast | CPT | 70450 | 17 | $1,201.44 | $961.16 | $37.24 | $106.89 | $961.15 |
| CT head with contrast | CPT | 70460 | 17 | $1,993.7 | $1,594.96 | $49.4 | $176.39 | $1,594.96 |
| CT head with and without contrast | CPT | 70470 | 17 | $2,030.08 | $1,624.07 | $55.55 | $176.39 | $1,624.06 |
| CT neck with contrast | CPT | 70491 | 17 | $1,882.3 | $1,505.84 | $60.29 | $178.95 | $1,505.84 |
| MRI brain without contrast | CPT | 70551 | 17 | $2,205.12 | $1,764.1 | $64.56 | $239.51 | $1,764.1 |
| MRI brain with contrast | CPT | 70552 | 17 | $2,409.71 | $1,927.77 | $77.96 | $353.86 | $1,927.77 |
| MRI brain with and without contrast | CPT | 70553 | 17 | $3,170.13 | $2,536.11 | $100.21 | $353.86 | $2,536.1 |
| Chest X-ray single view | CPT | 71045 | 17 | $238.69 | $190.96 | $8.04 | $31.02 | $203.4 |
| Chest X-ray 2 views | CPT | 71046 | 17 | $244.38 | $195.51 | $9.63 | $40 | $203.4 |
| Chest X-ray 3 views | CPT | 71047 | 17 | $259.17 | $207.34 | $12.13 | $50.17 | $207.34 |
| CT chest without contrast | CPT | 71250 | 17 | $1,340.12 | $1,072.1 | $47.19 | $127.85 | $1,072.1 |
| CT chest with contrast | CPT | 71260 | 17 | $2,066.44 | $1,653.16 | $50.96 | $176.39 | $1,653.15 |
| CT chest with and without contrast | CPT | 71270 | 17 | $2,265.36 | $1,812.29 | $54.61 | $187.58 | $1,812.29 |
| MRI chest without contrast | CPT | 71550 | 17 | $1,994.83 | $1,595.87 | $63.91 | $298.59 | $1,595.86 |
| MRI chest with contrast | CPT | 71551 | 14 | $1,341 | $1,072.8 | $75.45 | $529.79 | $1,825.2 |
| MRI chest with and without contrast | CPT | 71552 | 17 | $3,146.26 | $2,517.01 | $98.95 | $445.61 | $2,517.01 |
| Lumbosacral spine X-ray | CPT | 72100 | 17 | $305.76 | $244.61 | $9.92 | $52.76 | $245.68 |
| CT cervical spine without contrast | CPT | 72125 | 17 | $1,520.55 | $1,216.44 | $43.57 | $125.45 | $1,216.44 |
| CT thoracic spine without contrast | CPT | 72128 | 17 | $1,531.08 | $1,224.87 | $43.57 | $125.3 | $1,224.86 |
| CT lumbar spine without contrast | CPT | 72131 | 17 | $1,531.08 | $1,224.87 | $43.57 | $124.72 | $1,224.86 |
| MRI cervical spine without contrast | CPT | 72141 | 17 | $1,776.68 | $1,421.35 | $64.86 | $236.99 | $1,421.34 |
| MRI thoracic spine without contrast | CPT | 72146 | 17 | $1,994.83 | $1,595.87 | $64.86 | $236.68 | $1,595.86 |
| MRI lumbar spine without contrast | CPT | 72148 | 17 | $2,183.3 | $1,746.64 | $64.86 | $237.3 | $1,746.64 |
| MRI lumbar spine with and without contrast | CPT | 72149 | 17 | $3,426.54 | $2,741.24 | $78.25 | $353.86 | $2,741.23 |
| MRI cervical spine with and without contrast | CPT | 72156 | 17 | $2,788.34 | $2,230.68 | $100.51 | $353.86 | $2,230.67 |
| MRI lumbar spine with contrast | CPT | 72158 | 17 | $3,384.97 | $2,707.98 | $100.51 | $353.86 | $2,707.98 |
| CT pelvis without contrast | CPT | 72192 | 17 | $1,188.94 | $951.16 | $47.51 | $127.88 | $951.15 |
| CT pelvis with contrast | CPT | 72193 | 17 | $2,181.24 | $1,745 | $50.66 | $216.31 | $1,744.99 |
| Shoulder X-ray | CPT | 73030 | 17 | $278.49 | $222.8 | $8.33 | $45.2 | $222.79 |
| Humerus X-ray | CPT | 73060 | 17 | $325.09 | $260.08 | $7.1 | $42.24 | $260.07 |
| Hand X-ray 3 views | CPT | 73130 | 17 | $256.88 | $205.51 | $7.71 | $49.8 | $205.5 |
| MRI upper extremity joint without contrast | CPT | 73221 | 17 | $2,049.39 | $1,639.52 | $59.32 | $239.51 | $1,639.51 |
| MRI upper extremity joint with and without contrast | CPT | 73223 | 17 | $3,354.27 | $2,683.42 | $94.35 | $374.68 | $2,683.42 |
| Knee X-ray 1-2 views | CPT | 73560 | 17 | $256.88 | $205.51 | $7.39 | $44.96 | $205.5 |
| Ankle X-ray 3 views | CPT | 73610 | 17 | $267.11 | $213.69 | $7.71 | $48.38 | $213.69 |
| MRI lower extremity joint without contrast | CPT | 73721 | 17 | $2,049.39 | $1,639.52 | $59.32 | $239.51 | $1,639.51 |
| MRI lower extremity joint with and without contrast | CPT | 73723 | 17 | $3,014.41 | $2,411.53 | $94.35 | $373.55 | $2,411.53 |
| CT abdomen without contrast | CPT | 74150 | 17 | $1,564.04 | $1,251.24 | $51.93 | $131.27 | $1,251.23 |
| CT abdomen with contrast | CPT | 74160 | 17 | $2,181.24 | $1,745 | $55.55 | $220.2 | $1,744.99 |
| CT abdomen with and without contrast | CPT | 74170 | 17 | $2,330.15 | $1,864.12 | $60.94 | $234.22 | $1,864.12 |
| CT abdomen and pelvis without contrast | CPT | 74176 | 17 | $2,642.73 | $2,114.19 | $76.07 | $228.88 | $2,114.18 |
| CT abdomen and pelvis with contrast | CPT | 74177 | 17 | $3,143.99 | $2,515.2 | $79.84 | $353.86 | $2,515.19 |
| CT abdomen and pelvis with and without contrast | CPT | 74178 | 17 | $3,629.35 | $2,903.48 | $87.76 | $353.86 | $2,903.48 |
| MRI abdomen without contrast | CPT | 74181 | 17 | $2,018.71 | $1,614.97 | $63.62 | $239.51 | $1,614.97 |
| MRI abdomen with and without contrast | CPT | 74183 | 17 | $2,951.9 | $2,361.52 | $96.27 | $353.86 | $2,361.52 |
| Abdominal ultrasound complete | CPT | 76700 | 17 | $1,295.79 | $1,036.64 | $35.36 | $108.76 | $1,036.63 |
| Abdominal ultrasound limited | CPT | 76705 | 17 | $733.14 | $586.52 | $25.73 | $104.37 | $586.51 |
| Retroperitoneal ultrasound complete | CPT | 76770 | 17 | $1,171.9 | $937.52 | $32.21 | $105.37 | $937.52 |
| Obstetric ultrasound first trimester | CPT | 76801 | 17 | $807.03 | $645.63 | $43.54 | $110.38 | $645.62 |
| Obstetric ultrasound after first trimester | CPT | 76805 | 17 | $774.07 | $619.26 | $43.84 | $126.32 | $619.26 |
| Obstetric ultrasound with fetal anatomy | CPT | 76811 | 14 | $527 | $421.6 | $77.82 | $190.32 | $558.42 |
| Transvaginal ultrasound | CPT | 76830 | 17 | $764.96 | $611.97 | $30.44 | $110.72 | $611.97 |
| Pelvic ultrasound complete | CPT | 76856 | 17 | $974.12 | $779.3 | $30.15 | $105.37 | $779.3 |
| Scrotal ultrasound | CPT | 76870 | 17 | $1,024.13 | $819.31 | $27.94 | $99.5 | $819.3 |
| Diagnostic mammography unilateral | CPT | 77065 | 15 | $364.87 | $291.9 | $35.36 | $113.86 | $386.72 |
| Diagnostic mammography bilateral | CPT | 77066 | 15 | $416.01 | $332.81 | $43.57 | $143.63 | $492.66 |
| Screening mammography bilateral | CPT | 77067 | 15 | $398.52 | $318.82 | $33.44 | $117.63 | $408.79 |
| EKG complete | CPT | 93000 | 12 | $47 | $37.6 | $12.88 | $28.7 | $90.91 |
| EKG tracing only | CPT | 93005 | 17 | $169.36 | $135.49 | $5.46 | $32.22 | $137.22 |
| EKG interpretation only | CPT | 93010 | 12 | $24 | $19.2 | $7.42 | $16 | $36.56 |
| Transthoracic echocardiogram complete | CPT | 93306 | 17 | $1,694.75 | $1,355.8 | $63.17 | $328.92 | $1,355.8 |
| Transthoracic echocardiogram | CPT | 93307 | 17 | $716.94 | $573.56 | $39.95 | $212.55 | $573.55 |
| Stress echocardiogram | CPT | 93350 | 17 | $753.9 | $603.12 | $63.17 | $290.29 | $1,266.69 |
| inpatient | ||||||||
| Intracranial hemorrhage/CVA w MCC | MS-DRG | 064 | 15 | — | — | $11,027 | $15,545 | $27,695 |
| Intracranial hemorrhage/CVA w CC | MS-DRG | 065 | 15 | — | — | $5,637.01 | $7,946.66 | $14,918 |
| Intracranial hemorrhage/CVA w/o CC/MCC | MS-DRG | 066 | 15 | — | — | $3,815.47 | $5,378.78 | $10,600 |
| Respiratory infections & inflammations w MCC | MS-DRG | 177 | 15 | — | — | $8,960.79 | $12,632 | $22,797 |
| COPD w MCC | MS-DRG | 190 | 15 | — | — | $6,225.16 | $8,775.78 | $16,312 |
| COPD w CC | MS-DRG | 191 | 15 | — | — | $4,762.27 | $6,713.51 | $12,844 |
| COPD w/o CC/MCC | MS-DRG | 192 | 15 | — | — | $3,587.64 | $5,057.6 | $10,060 |
| Simple pneumonia & pleurisy w CC | MS-DRG | 194 | 15 | — | — | $4,545.53 | $6,407.96 | $12,331 |
| Simple pneumonia & pleurisy w/o CC/MCC | MS-DRG | 195 | 15 | — | — | $3,451.83 | $4,866.15 | $9,737.99 |
| AMI discharged alive w MCC | MS-DRG | 280 | 15 | — | — | $9,098.82 | $12,827 | $23,124 |
| AMI discharged alive w CC | MS-DRG | 281 | 15 | — | — | $5,109.84 | $7,203.49 | $13,668 |
| AMI discharged alive w/o CC/MCC | MS-DRG | 282 | 15 | — | — | $4,019.47 | $5,666.36 | $11,084 |
| Heart failure & shock w MCC | MS-DRG | 291 | 15 | — | — | $7,232.94 | $10,196 | $18,701 |
| Heart failure & shock w CC | MS-DRG | 292 | 15 | — | — | $4,773.92 | $6,729.92 | $12,872 |
| Heart failure & shock w/o CC/MCC | MS-DRG | 293 | 15 | — | — | $3,041.63 | $4,287.87 | $8,765.54 |
| Cardiac arrhythmia w MCC | MS-DRG | 308 | 15 | — | — | $6,684.7 | $9,423.61 | $17,402 |
| Cardiac arrhythmia w CC | MS-DRG | 309 | 15 | — | — | $4,098.18 | $5,777.33 | $11,270 |
| Cardiac arrhythmia w/o CC/MCC | MS-DRG | 310 | 15 | — | — | $3,101.49 | $4,372.26 | $8,907.5 |
| GI hemorrhage w CC | MS-DRG | 378 | 15 | — | — | $5,465.17 | $7,704.4 | $14,511 |
| GI hemorrhage w/o CC/MCC | MS-DRG | 379 | 15 | — | — | $3,529.44 | $4,975.55 | $9,921.97 |
| Esophagitis/gastroenteritis w/o MCC | MS-DRG | 392 | 15 | — | — | $4,325.46 | $6,097.72 | $11,809 |
| Fractures of femur w/o MCC | MS-DRG | 533 | 15 | — | — | $8,453.02 | $11,916 | $21,593 |
| Kidney/UTI w MCC | MS-DRG | 689 | 15 | — | — | $6,487.36 | $9,145.41 | $16,934 |
| Kidney/UTI w/o MCC | MS-DRG | 690 | 15 | — | — | $4,449.08 | $6,271.99 | $12,102 |
| Septicemia or severe sepsis w MV 96+ hrs | MS-DRG | 871 | 15 | — | — | $10,877 | $15,333 | $27,338 |
| Septicemia or severe sepsis w/o MV 96+ hrs | MS-DRG | 872 | 15 | — | — | $5,715.17 | $8,056.84 | $15,103 |
| Initial hospital care, low complexity | CPT | 99221 | 12 | $227 | $181.6 | $74.73 | $135.5 | $279.06 |
| Initial hospital care, moderate complexity | CPT | 99222 | 12 | $308 | $246.4 | $118.66 | $213.8 | $430.74 |
| Initial hospital care, high complexity | CPT | 99223 | 12 | $453 | $362.4 | $158.4 | $284.9 | $570.72 |
| Hospital discharge, <30 min | CPT | 99238 | 12 | $185 | $148 | $73.92 | $131.33 | $260.05 |
| Hospital discharge, >30 min | CPT | 99239 | 12 | $262 | $209.6 | $104.66 | $185.81 | $370.12 |
| lab | ||||||||
| Basic metabolic panel (BMP) | CPT | 80048 | 15 | $85.7 | $68.56 | $3.5 | $8.88 | $68.56 |
| General health panel | CPT | 80050 | 11 | $88 | $70.4 | $3.5 | $44.05 | $103.95 |
| Electrolyte panel | CPT | 80051 | 15 | $85.7 | $68.56 | $3.5 | $7.36 | $68.56 |
| Comprehensive metabolic panel | CPT | 80053 | 15 | $85.7 | $68.56 | $6.34 | $12.73 | $68.56 |
| Lipid panel | CPT | 80061 | 15 | $85.7 | $68.56 | $8.03 | $16.14 | $68.56 |
| Renal function panel | CPT | 80069 | 15 | $85.7 | $68.56 | $3.5 | $9.11 | $68.56 |
| Hepatic function panel | CPT | 80076 | 15 | $85.7 | $68.56 | $3.5 | $8.58 | $68.56 |
| Urinalysis non-automated | CPT | 81002 | 15 | $32.14 | $25.72 | $2.94 | $3.65 | $25.71 |
| Urinalysis automated | CPT | 81003 | 15 | $32.14 | $25.72 | $2.25 | $2.93 | $25.71 |
| Glucose quantitative | CPT | 82947 | 15 | $41.96 | $33.57 | $3.3 | $4.13 | $33.57 |
| Hemoglobin A1c | CPT | 83036 | 15 | $41.96 | $33.57 | $3.5 | $10.2 | $33.57 |
| Thyroid stimulating hormone (TSH) | CPT | 84443 | 15 | $68.75 | $55 | $10.08 | $20.25 | $55 |
| Complete blood count with automated differential | CPT | 85025 | 15 | $41.96 | $33.57 | $3.5 | $8.16 | $33.57 |
| Complete blood count without differential | CPT | 85027 | 15 | $41.96 | $33.57 | $3.5 | $6.79 | $33.57 |
| Urine culture bacterial | CPT | 87086 | 15 | $48.22 | $38.58 | $3.5 | $8.47 | $38.58 |
| Urine culture identification | CPT | 87088 | 15 | $48.22 | $38.58 | $3.5 | $8.49 | $38.58 |
| Tissue exam by pathologist level IV | CPT | 88305 | 17 | $205 | $164 | $28.96 | $65.05 | $379.3 |
| maternity | ||||||||
| Fetal non-stress test | CPT | 59025 | 17 | $355.77 | $284.62 | $17.87 | $70.55 | $464.76 |
| Routine obstetric care including vaginal delivery | CPT | 59400 | 12 | $5,690 | $4,552 | $2,106.28 | $3,433.88 | $9,959.3 |
| Vaginal delivery only | CPT | 59409 | 14 | $2,051 | $1,640.8 | $691.99 | $1,968.72 | $7,345.4 |
| Vaginal delivery with postpartum | CPT | 59410 | 12 | $2,641 | $2,112.8 | $936.78 | $1,616.13 | $5,444.16 |
| Routine obstetric care with C-section | CPT | 59510 | 12 | $5,924 | $4,739.2 | $2,322.97 | $3,814.92 | $10,758 |
| C-section delivery only | CPT | 59514 | 12 | $2,305 | $1,844 | $778.91 | $1,517.07 | $5,131.77 |
| C-section with postpartum | CPT | 59515 | 12 | $3,196 | $2,556.8 | $1,153.4 | $1,990.39 | $6,760.82 |
| office | ||||||||
| Office visit, new patient, 15-29 min | CPT | 99202 | 12 | $167 | $133.6 | $42.93 | $78.98 | $159.96 |
| Office visit, new patient, 30-44 minutes | CPT | 99203 | 12 | $237 | $189.6 | $74.5 | $128.7 | $279.06 |
| Office visit, new patient, 45-59 min | CPT | 99204 | 12 | $362 | $289.6 | $121.61 | $213.83 | $444.52 |
| Office visit, new patient, 60-74 min | CPT | 99205 | 12 | $459 | $367.2 | $165.2 | $257 | $603.47 |
| Office visit, established patient, 5 min | CPT | 99211 | 12 | $51 | $40.8 | $8.04 | $14.8 | $46.92 |
| Office visit, established patient, 10-19 min | CPT | 99212 | 12 | $104 | $83.2 | $32.24 | $49.7 | $118.32 |
| Office visit, established patient, 20-29 minutes | CPT | 99213 | 12 | $201 | $160.8 | $60.36 | $96.19 | $218.65 |
| Office visit, established patient, 30-39 minutes | CPT | 99214 | 12 | $240 | $192 | $88.83 | $145.05 | $322.19 |
| Office visit, established patient, 40-54 min | CPT | 99215 | 12 | $332 | $265.6 | $131.48 | $210.06 | $472.73 |
| preventive | ||||||||
| Upper GI endoscopy diagnostic | CPT | 43235 | 14 | $859 | $687.2 | $109.69 | $453.75 | $2,165.97 |
| Upper GI endoscopy with biopsy | CPT | 43239 | 14 | $1,143 | $914.4 | $123.53 | $564.42 | $2,165.97 |
| Sigmoidoscopy diagnostic | CPT | 45330 | 14 | $534 | $427.2 | $50.95 | $231.36 | $2,106.25 |
| Sigmoidoscopy with biopsy | CPT | 45331 | 14 | $840 | $672 | $64.93 | $293.7 | $2,106.25 |
| Colonoscopy diagnostic | CPT | 45378 | 14 | $1,017 | $813.6 | $82.56 | $459.12 | $2,106.25 |
| Colonoscopy with biopsy | CPT | 45380 | 14 | $1,309 | $1,047.2 | $179.1 | $792.54 | $2,723.94 |
| Colonoscopy with polyp removal | CPT | 45385 | 14 | $1,371 | $1,096.8 | $226.39 | $867.97 | $2,723.94 |
| surgery | ||||||||
| Total shoulder arthroplasty | CPT | 23472 | 14 | $8,950 | $7,160 | $1,290.01 | $4,475 | $42,485 |
| Hip hemiarthroplasty | CPT | 27125 | 12 | $6,968 | $5,574.4 | $1,013.18 | $2,208.3 | $6,410.56 |
| Total hip replacement | CPT | 27130 | 14 | $8,344 | $6,675.2 | $1,146 | $4,171.24 | $29,725 |
| Total knee replacement | CPT | 27447 | 14 | $8,336 | $6,668.8 | $1,144.67 | $4,167.04 | $29,725 |
| Knee revision arthroplasty single component | CPT | 27486 | 12 | $8,660 | $6,928 | $1,254.09 | $3,099.48 | $11,191 |
| Knee revision arthroplasty all components | CPT | 27487 | 12 | $10,830 | $8,664 | $1,560.09 | $3,872 | $14,049 |
| Shoulder arthroscopy with decompression | CPT | 29826 | 12 | $1,326 | $1,060.8 | $151.83 | $354.79 | $3,613.95 |
| Shoulder arthroscopy with rotator cuff repair | CPT | 29827 | 14 | $6,590 | $5,272 | $958.1 | $3,294.92 | $16,504 |
| Knee arthroscopy with meniscectomy | CPT | 29881 | 14 | $3,324 | $2,659.2 | $490.7 | $1,661.93 | $7,495.76 |
| ACL reconstruction | CPT | 29888 | 14 | $6,040 | $4,832 | $874.13 | $3,019.58 | $16,504 |
| Major small/large bowel procedures w MCC | MS-DRG | 329 | 15 | — | — | $25,454 | $35,884 | $61,895 |
| Major small/large bowel procedures w CC | MS-DRG | 330 | 15 | — | — | $13,103 | $18,471 | $32,616 |
| Major small/large bowel procedures w/o CC/MCC | MS-DRG | 331 | 15 | — | — | $9,152.04 | $12,902 | $23,250 |
| CABG single arterial graft | CPT | 33533 | 12 | $5,709 | $4,567.2 | $1,610.12 | $3,657.21 | $8,116.27 |
| CABG 2 arterial grafts | CPT | 33534 | 12 | $6,708 | $5,366.4 | $1,891.26 | $4,290.91 | $9,526.87 |
| CABG 3 arterial grafts | CPT | 33535 | 12 | $7,481 | $5,984.8 | $2,102.11 | $4,770.13 | $10,594 |
| CABG 4+ arterial grafts | CPT | 33536 | 12 | $8,063 | $6,450.4 | $2,263.84 | $5,137.53 | $11,402 |
| Laparoscopic cholecystectomy w/o CDE w MCC | MS-DRG | 418 | 15 | — | — | $9,193.06 | $12,960 | $23,348 |
| Laparoscopic cholecystectomy w/o CDE w CC | MS-DRG | 419 | 15 | — | — | $7,303.89 | $10,297 | $18,869 |
| Laparoscopic cholecystectomy w/o CDE w/o CC/MCC | MS-DRG | 420 | 15 | — | — | $19,565 | $27,582 | $47,935 |
| Open appendectomy | CPT | 44950 | 14 | $1,971 | $1,576.8 | $565.44 | $1,892.11 | $14,415 |
| Laparoscopic appendectomy | CPT | 44970 | 14 | $1,841 | $1,472.8 | $532.67 | $1,767.33 | $13,479 |
| Major joint replacement w MCC | MS-DRG | 469 | 15 | — | — | $18,119 | $25,544 | $44,508 |
| Major joint replacement w/o MCC | MS-DRG | 470 | 15 | — | — | $10,452 | $14,734 | $26,332 |
| Laparoscopic cholecystectomy | CPT | 47562 | 14 | $2,018 | $1,614.4 | $583.24 | $2,017.34 | $13,479 |
| Lap cholecystectomy with cholangiography | CPT | 47563 | 14 | $2,196 | $1,756.8 | $633.75 | $2,108.06 | $13,479 |
| Hip & femur procedures except major joint w MCC | MS-DRG | 480 | 15 | — | — | $16,303 | $22,983 | $40,202 |
| Hip & femur procedures except major joint w CC | MS-DRG | 481 | 15 | — | — | $11,502 | $16,214 | $28,821 |
| Hip & femur procedures except major joint w/o CC/MCC | MS-DRG | 482 | 15 | — | — | $8,793.94 | $12,397 | $22,402 |
| Open umbilical hernia repair | CPT | 49560 | 3 | — | — | $1,405 | $2,670.33 | $11,411 |
| Umbilical hernia repair age 5+ | CPT | 49585 | 2 | — | — | $854 | $929.5 | $3,688.65 |
| Lap inguinal hernia repair | CPT | 49650 | 14 | $2,632 | $2,105.6 | $384.86 | $1,315.76 | $13,479 |
| Lap incisional hernia repair | CPT | 49652 | 2 | — | — | $1,356 | $1,476 | $4,396.95 |
| Total abdominal hysterectomy | CPT | 58150 | 12 | $3,151 | $2,520.8 | $912.58 | $1,955.79 | $11,411 |
| Vaginal hysterectomy | CPT | 58260 | 14 | $2,609 | $2,087.2 | $751.29 | $2,504.36 | $11,404 |
| Lap-assisted vaginal hysterectomy | CPT | 58550 | 14 | $2,758 | $2,206.4 | $791.18 | $2,647.32 | $13,479 |
| Lap-assisted vaginal hysterectomy >250g | CPT | 58552 | 14 | $3,073 | $2,458.4 | $879.56 | $2,949.71 | $24,052 |
| Lap salpingo-oophorectomy | CPT | 58661 | 14 | $4,064 | $3,251.2 | $584.08 | $2,031.54 | $13,479 |
| OR procedure for obesity w MCC | MS-DRG | 619 | 15 | — | — | $15,114 | $21,306 | $37,383 |
| OR procedure for obesity w CC | MS-DRG | 620 | 15 | — | — | $8,852.7 | $12,480 | $22,541 |
| OR procedure for obesity w/o CC/MCC | MS-DRG | 621 | 15 | — | — | $8,103.24 | $11,423 | $20,764 |
| Complex cataract surgery | CPT | 66982 | 14 | $4,656 | $3,724.8 | $669.56 | $2,128.37 | $5,268.99 |
| Cataract surgery with lens implant | CPT | 66984 | 14 | $3,394 | $2,715.2 | $488.93 | $1,699.34 | $5,268.99 |
| Intravitreal injection | CPT | 67028 | 14 | $630 | $504 | $83.2 | $290.72 | $766.28 |
| Vitrectomy mechanical | CPT | 67042 | 14 | $7,152 | $5,721.6 | $1,024.83 | $3,537.02 | $9,293.69 |
| Uterine & adnexa procedures w CC/MCC | MS-DRG | 743 | 15 | — | — | $6,644.79 | $9,367.35 | $17,307 |
| Uterine & adnexa procedures w/o CC/MCC | MS-DRG | 744 | 15 | — | — | $10,832 | $15,270 | $27,232 |
| PCI single major coronary artery | CPT | 92920 | 17 | $10,521 | $8,416.72 | $452.43 | $4,673.78 | $13,172 |
| PCI with drug-eluting stent | CPT | 92928 | 14 | $1,594 | $1,275.2 | $502.96 | $1,574.14 | $26,199 |
| PCI bypass graft | CPT | 92937 | 17 | $15,977 | $12,781 | $502.63 | $4,730.13 | $26,199 |
| Left heart catheterization | CPT | 93452 | 14 | $2,434 | $1,947.2 | $203.9 | $1,262.76 | $11,411 |
| Coronary angiography with cath | CPT | 93455 | 17 | $10,982 | $8,785.91 | $240.23 | $1,652.36 | $21,945 |
| Coronary angiography with bypass cath | CPT | 93458 | 17 | $10,982 | $8,785.91 | $253.81 | $1,692.35 | $21,945 |
Payer mix (top 17)
| Payer | Codes covered | Median rate |
|---|---|---|
| medical associates health plan | 200 | $230.56 |
| Blue Cross Blue Shield | 200 | $188.9 |
| bc illinois community | 198 | $430.74 |
| Aetna | 197 | $284.15 |
| health partners open network | 197 | $325.07 |
| UnitedHealthcare | 197 | $224.21 |
| meridian | 196 | $163.11 |
| amerivantage | 196 | $161.51 |
| Humana | 196 | $161.51 |
| Molina | 196 | $156.89 |
| dean health plan | 154 | $367.08 |
| Cigna | 154 | $237.93 |
| amerigroup | 147 | $801.6 |
| iowa total care | 147 | $801.6 |
| medica exchange inspire | 132 | $754.18 |
| quartz health | 132 | $1,639.51 |
| medica exchange insure | 132 | $844.35 |