Does Ascension Via Christi Hospital Pittsburg publish its standard charges and chargemaster?

Yes. Ascension Via Christi Hospital Pittsburg publishes a machine-readable file with 40,951 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 Ascension Via Christi Hospital Pittsburg charge for procedures?

Ascension Via Christi Hospital Pittsburg (Pittsburg, KS) 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 · KS · CCN 170006

Ascension Via Christi Hospital Pittsburg

Pittsburg, KS, 66762

64 bedsAcute Care Hospitals1

Compliance grade

100/100

Rates published

40,951

last crawl 2026-05-23

Procedures tracked

198

of 209 target codes

Payers

with negotiated rates

Procedures tracked

...

Payers

...

▸ Compare with other hospitals All KS 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://healthcare.ascension.org/-/media/project/ascension/healthcare/price-transparency-files/ks-csv/481186704_ascension-via-christi-hospital-manhattan-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	6	—	—	$3,270.6	$3,401.42	0.27×	$14,819
Psychiatric diagnostic evaluation	CPT	90791	14	$216	$86.4	$110.16	$148.59	0.84×	$416.05
Psychiatric eval with medical services	CPT	90792	14	—	—	$110.16	$148.59	0.86×	$416.05
Psychotherapy 30 minutes	CPT	90832	14	$187	$74.8	$38.54	$148.59	1.0×	$416.05
Psychotherapy 45 minutes	CPT	90834	14	$187	$74.8	$77.08	$148.59	0.92×	$416.05
Psychotherapy 60 minutes	CPT	90837	14	—	—	$110.16	$148.59	0.78×	$416.05
Crisis psychotherapy 60 minutes	CPT	90839	13	—	—	$110.16	$148.59	0.93×	$416.05
emergency
ED visit level 1	CPT	99281	15	$384	$153.6	$16.71	$82.65	0.59×	$384
ED visit level 2	CPT	99282	15	$790	$316	$16.71	$146.45	0.62×	$790
ED visit level 3	CPT	99283	16	$1,144	$457.6	$16.71	$257.35	0.64×	$1,144
ED visit level 4	CPT	99284	16	$2,139	$855.6	$16.71	$397.75	0.60×	$2,139
ED visit level 5	CPT	99285	15	$3,963	$1,585.2	$16.71	$567.01	0.54×	$3,963
Critical care, first hour	CPT	99291	14	$7,172	$2,868.8	$122.27	$779.26	0.73×	$2,403
imaging
CT head without contrast	CPT	70450	14	$2,653	$1,061.2	$33.16	$98.35	0.48×	$547.67
CT head with contrast	CPT	70460	14	$2,907	$1,162.8	$44.12	$164.64	0.70×	$547.67
CT head with and without contrast	CPT	70470	14	$3,361	$1,344.4	$49.61	$164.64	0.62×	$547.67
CT neck with contrast	CPT	70491	14	$2,946	$1,178.4	$54.08	$164.64	0.60×	$547.67
MRI brain without contrast	CPT	70551	14	$3,591	$1,436.4	$57.89	$223.55	0.55×	$629.87
MRI brain with contrast	CPT	70552	14	$3,440	$1,376	$69.69	$330.28	0.69×	$924.78
MRI brain with and without contrast	CPT	70553	14	$5,290	$2,116	$89.37	$330.28	0.56×	$924.78
Chest X-ray single view	CPT	71045	13	$422	$168.8	$6.79	$81.43	0.86×	$228
Chest X-ray 2 views	CPT	71046	13	$728	$291.2	$9	$81.43	0.83×	$228
Chest X-ray 3 views	CPT	71047	13	$178	$71.2	$10.8	$81.43	0.85×	$228
CT chest without contrast	CPT	71250	14	$1,135	$454	$42.16	$98.84	0.46×	$547.67
CT chest with contrast	CPT	71260	14	$2,538	$1,015.2	$45.51	$165.47	0.59×	$547.67
CT chest with and without contrast	CPT	71270	14	$2,241	$896.4	$48.62	$164.64	0.56×	$547.67
MRI chest without contrast	CPT	71550	14	$3,487	$1,394.8	$57.05	$223.55	0.52×	$629.87
MRI chest with contrast	CPT	71551	14	$3,752	$1,500.8	$67.46	$654.83	0.80×	$2,045.85
MRI chest with and without contrast	CPT	71552	14	$4,038	$1,615.2	$88.25	$330.28	0.55×	$924.78
Lumbosacral spine X-ray	CPT	72100	14	$793	$317.2	$8.83	$98.35	0.95×	$275.38
CT cervical spine without contrast	CPT	72125	14	$2,218	$887.2	$38.79	$99.33	0.49×	$547.67
CT thoracic spine without contrast	CPT	72128	14	$2,218	$887.2	$38.79	$98.35	0.49×	$547.67
CT lumbar spine without contrast	CPT	72131	14	$3,015	$1,206	$38.79	$98.35	0.48×	$547.67
MRI cervical spine without contrast	CPT	72141	14	$3,665	$1,466	$57.89	$223.55	0.56×	$629.87
MRI thoracic spine without contrast	CPT	72146	14	$3,358	$1,343.2	$57.89	$223.55	0.60×	$629.87
MRI lumbar spine without contrast	CPT	72148	14	$3,579	$1,431.6	$57.89	$223.55	0.59×	$629.87
MRI lumbar spine with and without contrast	CPT	72149	14	$4,015	$1,606	$69.69	$330.28	0.73×	$924.78
MRI cervical spine with and without contrast	CPT	72156	14	$4,221	$1,688.4	$89.37	$330.28	0.61×	$924.78
MRI lumbar spine with contrast	CPT	72158	14	$4,516	$1,806.4	$89.37	$330.28	0.60×	$924.78
CT pelvis without contrast	CPT	72192	14	$2,645	$1,058	$42.45	$98.35	0.49×	$547.67
CT pelvis with contrast	CPT	72193	14	$3,133	$1,253.2	$45.25	$164.64	0.59×	$547.67
Shoulder X-ray	CPT	73030	14	$644	$257.6	$7.42	$81.43	0.88×	$228
Humerus X-ray	CPT	73060	14	$565	$226	$6.58	$81.43	0.91×	$228
Hand X-ray 3 views	CPT	73130	14	$565	$226	$6.87	$81.43	0.88×	$228
MRI upper extremity joint without contrast	CPT	73221	14	$3,510	$1,404	$53.22	$223.55	0.54×	$629.87
MRI upper extremity joint with and without contrast	CPT	73223	14	$4,600	$1,840	$84.15	$330.28	0.54×	$924.78
Hip X-ray 2 views	CPT	73510	1	—	—	$45.95	$45.95	0.61×	$45.95
Knee X-ray 1-2 views	CPT	73560	14	$449	$179.6	$6.58	$81.43	0.87×	$228
Ankle X-ray 3 views	CPT	73610	14	$655	$262	$6.87	$81.43	0.88×	$228
MRI lower extremity joint without contrast	CPT	73721	14	$5,759	$2,303.6	$52.96	$223.55	0.48×	$629.87
MRI lower extremity joint with and without contrast	CPT	73723	14	$3,119	$1,247.6	$83.89	$330.28	0.52×	$924.78
CT abdomen without contrast	CPT	74150	14	$2,536	$1,014.4	$46.38	$98.35	0.52×	$547.67
CT abdomen with contrast	CPT	74160	14	$3,502	$1,400.8	$49.61	$164.64	0.57×	$547.67
CT abdomen with and without contrast	CPT	74170	14	$3,727	$1,490.8	$54.39	$164.64	0.49×	$547.67
CT abdomen and pelvis without contrast	CPT	74176	14	$5,346	$2,138.4	$60.72	$223.55	0.61×	$625.94
CT abdomen and pelvis with contrast	CPT	74177	14	$5,640	$2,256	$71.1	$330.28	0.60×	$924.78
CT abdomen and pelvis with and without contrast	CPT	74178	14	$6,378	$2,551.2	$78.14	$330.28	0.57×	$924.78
MRI abdomen without contrast	CPT	74181	14	$3,466	$1,386.4	$57.05	$223.55	0.57×	$629.87
MRI abdomen with and without contrast	CPT	74183	14	$4,405	$1,762	$85.59	$330.28	0.58×	$924.78
Abdominal ultrasound complete	CPT	76700	14	$1,783	$713.2	$31.48	$98.35	0.66×	$275.38
Abdominal ultrasound limited	CPT	76705	14	$1,298	$519.2	$23.05	$98.35	0.67×	$275.38
Retroperitoneal ultrasound complete	CPT	76770	14	$1,691	$676.4	$28.68	$98.35	0.68×	$275.38
Obstetric ultrasound first trimester	CPT	76801	14	$1,487	$594.8	$38.76	$98.35	0.70×	$275.38
Obstetric ultrasound after first trimester	CPT	76805	14	$1,388	$555.2	$39.02	$98.35	0.64×	$275.38
Obstetric ultrasound with fetal anatomy	CPT	76811	14	—	—	$70.55	$223.55	0.95×	$625.94
Transvaginal ultrasound	CPT	76830	14	$1,011	$404.4	$27.24	$98.35	0.67×	$275.38
Pelvic ultrasound complete	CPT	76856	14	$2,019	$807.6	$26.98	$98.35	0.69×	$275.38
Scrotal ultrasound	CPT	76870	14	$1,333	$533.2	$25.02	$98.35	0.75×	$275.38
Diagnostic mammography unilateral	CPT	77065	13	$352	$140.8	$31.48	$77.61	0.52×	$215.15
Diagnostic mammography bilateral	CPT	77066	13	$449	$179.6	$38.79	$98.92	0.52×	$274.23
Screening mammography bilateral	CPT	77067	13	$449	$179.6	$29.78	$81.87	0.52×	$226.97
EKG complete	CPT	93000	6	—	—	$17.33	$28.2	1.2×	$28.75
EKG tracing only	CPT	93005	14	$380	$152	$7.33	$54.93	0.47×	$187.51
EKG interpretation only	CPT	93010	6	$21	$8.4	$9.99	$10.83	0.60×	$10.93
Transthoracic echocardiogram complete	CPT	93306	14	$2,272	$908.8	$50.85	$507.08	0.85×	$1,746.67
Transthoracic echocardiogram	CPT	93307	14	—	—	$54.39	$223.55	0.90×	$656.3
Stress echocardiogram	CPT	93350	14	$2,092	$836.8	$49.63	$507.08	1.0×	$1,419.82
inpatient
Respiratory infections & inflammations w MCC	MS-DRG	177	7	—	—	$7,287.75	$14,724	0.95×	$21,558
COPD w MCC	MS-DRG	190	7	—	—	$6,683.4	$9,931.07	0.88×	$12,756
COPD w CC	MS-DRG	191	7	—	—	$6,363.45	$6,681.62	0.76×	$9,556.2
COPD w/o CC/MCC	MS-DRG	192	7	—	—	$5,591.21	$6,322.21	0.90×	$8,235.2
Simple pneumonia & pleurisy w CC	MS-DRG	194	7	—	—	$4,834.8	$8,190.69	0.97×	$10,154
Simple pneumonia & pleurisy w/o CC/MCC	MS-DRG	195	7	—	—	$4,585.95	$6,079.22	0.91×	$7,760.03
AMI discharged alive w MCC	MS-DRG	280	7	—	—	$5,972.4	$12,363	0.79×	$17,828
AMI discharged alive w CC	MS-DRG	281	7	—	—	$4,443.75	$7,951.95	0.82×	$11,081
AMI discharged alive w/o CC/MCC	MS-DRG	282	7	—	—	$3,057.3	$3,210.17	0.41×	$8,782.12
Heart failure & shock w MCC	MS-DRG	291	7	—	—	$6,861.15	$10,810	0.85×	$15,414
Heart failure & shock w CC	MS-DRG	292	7	—	—	$5,296.95	$5,561.8	0.62×	$8,507.25
Heart failure & shock w/o CC/MCC	MS-DRG	293	7	—	—	$2,737.35	$2,874.22	0.46×	$6,423.11
Cardiac arrhythmia w MCC	MS-DRG	308	7	—	—	$5,830.2	$6,121.71	0.51×	$11,831
Cardiac arrhythmia w CC	MS-DRG	309	7	—	—	$3,448.35	$6,709.81	0.86×	$8,181.72
Cardiac arrhythmia w/o CC/MCC	MS-DRG	310	7	—	—	$2,666.25	$2,799.56	0.45×	$6,005.36
GI hemorrhage w CC	MS-DRG	378	7	—	—	$4,941.45	$7,827.7	0.78×	$10,424
GI hemorrhage w/o CC/MCC	MS-DRG	379	7	—	—	$2,879.55	$3,023.53	0.44×	$6,277.73
Esophagitis/gastroenteritis w/o MCC	MS-DRG	392	7	—	—	$3,483.9	$6,398.83	0.80×	$8,175.27
Fractures of femur w/o MCC	MS-DRG	533	7	—	—	$7,536.6	$11,767	0.77×	$17,990
Kidney/UTI w MCC	MS-DRG	689	7	—	—	$5,439.15	$5,711.11	0.49×	$10,977
Kidney/UTI w/o MCC	MS-DRG	690	7	—	—	$4,017.15	$4,218.01	0.51×	$8,549.18
Septicemia or severe sepsis w MV 96+ hrs	MS-DRG	871	7	—	—	$7,821	$8,212.05	0.44×	$19,600
Septicemia or severe sepsis w/o MV 96+ hrs	MS-DRG	872	7	—	—	$4,728.15	$7,951.95	0.77×	$11,119
Initial hospital care, low complexity	CPT	99221	5	—	—	$60.97	$63.41	0.68×	$136.4
Initial hospital care, moderate complexity	CPT	99222	5	—	—	$101.12	$105.16	0.62×	$209.22
Initial hospital care, high complexity	CPT	99223	5	—	—	$140.93	$146.57	0.65×	$271.83
Hospital discharge, <30 min	CPT	99238	5	—	—	$63.25	$65.78	0.77×	$96.52
Hospital discharge, >30 min	CPT	99239	5	—	—	$86.27	$89.72	0.74×	$142.98
lab
Basic metabolic panel (BMP)	CPT	80048	13	$87	$34.8	$8.46	$8.63	0.27×	$78.3
General health panel	CPT	80050	3	—	—	$28	$35.77	0.33×	$82.87
Electrolyte panel	CPT	80051	13	$139	$55.6	$4.34	$7.01	0.29×	$125.1
Comprehensive metabolic panel	CPT	80053	13	$289	$115.6	$10.56	$10.77	0.24×	$260.1
Lipid panel	CPT	80061	13	$220	$88	$12.16	$13.52	0.35×	$198
Renal function panel	CPT	80069	13	$112	$44.8	$8.68	$8.85	0.32×	$100.8
Hepatic function panel	CPT	80076	13	$166	$66.4	$7.59	$8.29	0.31×	$149.4
Urinalysis non-automated	CPT	81002	13	$39	$15.6	$2.11	$3.48	0.50×	$35.1
Urinalysis automated	CPT	81003	13	$57	$22.8	$1.85	$2.25	0.16×	$51.3
Glucose quantitative	CPT	82947	13	$66	$26.4	$1.08	$3.97	0.23×	$59.4
Hemoglobin A1c	CPT	83036	13	$145	$58	$8	$9.81	0.36×	$130.5
Thyroid stimulating hormone (TSH)	CPT	84443	13	$253	$101.2	$15.25	$16.8	0.36×	$227.7
Complete blood count with automated differential	CPT	85025	13	$177	$70.8	$6.41	$7.77	0.29×	$159.3
Complete blood count without differential	CPT	85027	13	$88	$35.2	$5.33	$6.53	0.30×	$79.2
Urine culture bacterial	CPT	87086	13	—	—	$7.33	$8.15	0.35×	$34.63
Urine culture identification	CPT	87088	13	$134	$53.6	$6.93	$8.17	0.37×	$120.6
Tissue exam by pathologist level IV	CPT	88305	14	$254	$101.6	$29.84	$49.41	0.48×	$228.6
maternity
Fetal non-stress test	CPT	59025	13	$833	$333.2	$16.13	$186.05	0.99×	$520.94
Routine obstetric care including vaginal delivery	CPT	59400	6	—	—	$1,751.03	$1,821.07	0.79×	$2,857.09
Vaginal delivery only	CPT	59409	7	—	—	$450	$468	0.21×	$1,454.55
Vaginal delivery with postpartum	CPT	59410	6	—	—	$450	$468	0.44×	$1,266.67
Routine obstetric care with C-section	CPT	59510	6	—	—	$1,924.96	$2,001.96	0.80×	$3,137.75
C-section delivery only	CPT	59514	6	—	—	$573.07	$962.76	1.0×	$1,090.91
C-section with postpartum	CPT	59515	6	—	—	$940.91	$978.55	0.77×	$1,550.07
office
Office visit, new patient, 15-29 min	CPT	99202	7	$439	$175.6	$52.18	$59.16	0.69×	$94.88
Office visit, new patient, 30-44 minutes	CPT	99203	7	$691	$276.4	$77.71	$88.09	0.72×	$115.14
Office visit, new patient, 45-59 min	CPT	99204	7	$806	$322.4	$109.38	$120.26	0.69×	$170.85
Office visit, new patient, 60-74 min	CPT	99205	7	$1,080	$432	$140.72	$159.52	0.72×	$227.27
Office visit, established patient, 5 min	CPT	99211	7	$496	$198.4	$12.64	$24.6	0.38×	$56.77
Office visit, established patient, 10-19 min	CPT	99212	7	$382	$152.8	$30.65	$35.07	0.44×	$97.33
Office visit, established patient, 20-29 minutes	CPT	99213	7	$9,311	$3,724.4	$42.07	$47.69	0.42×	$152.18
Office visit, established patient, 30-39 minutes	CPT	99214	7	$658	$263.2	$66.15	$74.98	0.49×	$214.97
Office visit, established patient, 40-54 min	CPT	99215	7	$784	$313.6	$96.82	$109.75	0.58×	$303.51
preventive
Upper GI endoscopy diagnostic	CPT	43235	14	—	—	$225	$867.07	0.95×	$2,427.8
Upper GI endoscopy with biopsy	CPT	43239	14	—	—	$225	$867.07	0.90×	$2,427.8
Sigmoidoscopy diagnostic	CPT	45330	14	—	—	$225	$843.17	1.0×	$2,360.88
Sigmoidoscopy with biopsy	CPT	45331	14	—	—	$225	$843.17	0.94×	$2,360.88
Colonoscopy diagnostic	CPT	45378	14	—	—	$213.19	$843.17	0.96×	$2,360.88
Colonoscopy with biopsy	CPT	45380	8	—	—	$225	$236.25	0.19×	$1,554.39
Colonoscopy with polyp removal	CPT	45385	8	—	—	$225	$236.25	0.20×	$1,694.86
surgery
Total shoulder arthroplasty	CPT	23472	6	—	—	$803.81	$8,805.05	2.1×	$17,970
Hip hemiarthroplasty	CPT	27125	6	—	—	$538.58	$896.2	0.72×	$49,190
Total hip replacement	CPT	27130	6	—	—	$695.52	$8,509.01	2.0×	$17,970
Total knee replacement	CPT	27447	7	—	—	$550	$761.45	0.18×	$17,970
Knee revision arthroplasty single component	CPT	27486	6	—	—	$740.76	$1,232.64	0.74×	$6,352.27
Knee revision arthroplasty all components	CPT	27487	6	—	—	$949	$1,579.12	0.79×	$6,352.27
Shoulder arthroscopy with decompression	CPT	29826	8	—	—	$210.95	$765	2.3×	$4,383.38
Shoulder arthroscopy with rotator cuff repair	CPT	29827	8	—	—	$450	$629.5	0.19×	$9,062.66
Knee arthroscopy with meniscectomy	CPT	29881	8	—	—	$450	$472.5	0.23×	$4,098.3
ACL reconstruction	CPT	29888	8	—	—	$450	$565.02	0.17×	$9,587.71
Major small/large bowel procedures w MCC	MS-DRG	329	7	—	—	$20,655	$37,958	0.88×	$48,139
Major small/large bowel procedures w CC	MS-DRG	330	7	—	—	$9,385.2	$9,854.46	0.42×	$28,499
Major small/large bowel procedures w/o CC/MCC	MS-DRG	331	7	—	—	$5,936.85	$14,102	0.86×	$18,574
CABG single arterial graft	CPT	33533	6	—	—	$1,641.12	$1,706.76	0.91×	$2,236.03
CABG 2 arterial grafts	CPT	33534	6	—	—	$1,806.53	$1,878.79	0.88×	$2,625.13
CABG 3 arterial grafts	CPT	33535	6	—	—	$1,908.99	$1,985.35	0.87×	$2,924.51
CABG 4+ arterial grafts	CPT	33536	6	—	—	$2,125.59	$2,210.61	0.90×	$3,148.41
Laparoscopic cholecystectomy w/o CDE w MCC	MS-DRG	418	7	—	—	$6,114.6	$10,934	0.66×	$16,640
Laparoscopic cholecystectomy w/o CDE w CC	MS-DRG	419	7	—	—	$4,123.8	$9,008.06	0.67×	$13,108
Laparoscopic cholecystectomy w/o CDE w/o CC/MCC	MS-DRG	420	7	—	—	$11,305	$21,930	0.68×	$34,645
Open appendectomy	CPT	44950	8	—	—	$325.26	$520	0.46×	$6,733.39
Laparoscopic appendectomy	CPT	44970	8	—	—	$289.38	$520	0.33×	$6,215.26
Major joint replacement w MCC	MS-DRG	469	7	—	—	$15,038	$19,072	0.64×	$33,626
Major joint replacement w/o MCC	MS-DRG	470	7	—	—	$8,176.5	$8,585.33	0.45×	$25,253
Laparoscopic cholecystectomy	CPT	47562	8	—	—	$364.49	$452.4	0.25×	$7,834.07
Lap cholecystectomy with cholangiography	CPT	47563	8	—	—	$391.39	$452.4	0.24×	$7,834.07
Hip & femur procedures except major joint w MCC	MS-DRG	480	7	—	—	$14,398	$15,118	0.54×	$31,909
Hip & femur procedures except major joint w CC	MS-DRG	481	7	—	—	$9,420.75	$17,331	0.85×	$23,560
Hip & femur procedures except major joint w/o CC/MCC	MS-DRG	482	7	—	—	$5,865.75	$11,617	0.73×	$16,307
Open umbilical hernia repair	CPT	49560	2	—	—	$891.51	$1,660.31	0.87×	$2,429.11
Umbilical hernia repair age 5+	CPT	49585	2	—	—	$541.4	$1,485.26	1.1×	$2,429.11
Lap inguinal hernia repair	CPT	49650	8	—	—	$215.11	$452.4	0.40×	$8,202.57
Lap incisional hernia repair	CPT	49652	2	—	—	$898.94	$3,010.17	1.1×	$5,121.39
Total abdominal hysterectomy	CPT	58150	7	—	—	$510.86	$850.06	0.87×	$2,761.08
Vaginal hysterectomy	CPT	58260	8	—	—	$441.33	$1,036.36	0.57×	$5,462.24
Lap-assisted vaginal hysterectomy	CPT	58550	8	—	—	$482.07	$1,040	0.70×	$8,961.35
Lap-assisted vaginal hysterectomy >250g	CPT	58552	8	—	—	$536.01	$1,040	0.47×	$12,892
Lap salpingo-oophorectomy	CPT	58661	8	—	—	$364.41	$452.4	0.22×	$7,124.86
OR procedure for obesity w MCC	MS-DRG	619	7	—	—	$7,749.9	$21,992	0.81×	$28,400
OR procedure for obesity w CC	MS-DRG	620	7	—	—	$4,834.8	$12,860	0.79×	$18,460
OR procedure for obesity w/o CC/MCC	MS-DRG	621	7	—	—	$3,874.95	$10,313	0.68×	$16,333
Complex cataract surgery	CPT	66982	8	—	—	$650	$682.5	0.31×	$2,999.4
Cataract surgery with lens implant	CPT	66984	8	—	—	$650	$676	0.31×	$3,084.6
Intravitreal injection	CPT	67028	13	—	—	$139.69	$306.75	0.90×	$858.9
Vitrectomy mechanical	CPT	67042	8	—	—	$651.34	$1,041.34	0.41×	$5,784.77
Uterine & adnexa procedures w CC/MCC	MS-DRG	743	7	—	—	$4,692.6	$8,794.46	0.72×	$11,647
Uterine & adnexa procedures w/o CC/MCC	MS-DRG	744	7	—	—	$7,607.7	$7,988.09	0.42×	$17,688
PCI single major coronary artery	CPT	92920	8	$11,117	$4,446.8	$608.81	$1,936.29	0.34×	$4,023.05
PCI with drug-eluting stent	CPT	92928	8	$18,237	$7,294.8	$677.26	$3,881.94	0.39×	$8,900.32
PCI bypass graft	CPT	92937	8	$13,115	$5,246	$424.6	$4,295.89	0.40×	$8,900.32
Left heart catheterization	CPT	93452	9	—	—	$199.62	$1,083.95	0.35×	$9,203
Coronary angiography with cath	CPT	93455	9	$9,436	$3,774.4	$234.8	$1,083.95	0.35×	$9,203
Coronary angiography with bypass cath	CPT	93458	9	$9,403	$3,761.2	$248.88	$894.2	0.29×	$9,203

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 16)

Payer	Codes covered	Median rate
Aetna	193	$127.16
kancare healthy blue	193	$127.16
kancare sunflower	193	$127.16
UnitedHealthcare	193	$153.34
Blue Cross Blue Shield	175	$598.38
kancare amerigroup	174	$131.59
providrs care	157	$136.8
smarthealth	139	$312.97
TRICARE	112	$338.49
va	96	$148.59
Ambetter	96	$252.6
Humana	96	$148.59
Medicare	96	$148.59
Medicare Advantage	96	$148.59
medica	5	$1,144
Cigna	2	$1,029.6

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