▸ Hospital · KS · CCN 171337
Wamego Health Center
711 GENN DRIVE, WAMEGO, KS, 171337
Compliance grade
A
100/100
Procedures tracked
198
of 209 target codes
Payers
10
with negotiated rates
Rates published
19,067
last crawl 2026-05-23
Procedures & rates
| Procedure | Type | Code | Payers | Gross | Cash | Neg min | Neg median | Neg max |
|---|---|---|---|---|---|---|---|---|
| behavioral | ||||||||
| Psychoses | MS-DRG | 885 | 6 | — | — | $3,270.6 | $3,401.42 | $17,971 |
| Psychiatric diagnostic evaluation | CPT | 90791 | 8 | $363 | $145.2 | $110.16 | $141.47 | $233.89 |
| Psychiatric eval with medical services | CPT | 90792 | 8 | $442 | $176.8 | $110.16 | $142.15 | $242.66 |
| Psychotherapy 30 minutes | CPT | 90832 | 8 | $290 | $116 | $38.54 | $40.47 | $116.28 |
| Psychotherapy 45 minutes | CPT | 90834 | 8 | $396 | $158.4 | $77.08 | $80.93 | $138.54 |
| Psychotherapy 60 minutes | CPT | 90837 | 8 | $442 | $176.8 | $110.16 | $120.26 | $209.02 |
| Crisis psychotherapy 60 minutes | CPT | 90839 | 7 | $550 | $220 | $110.16 | $129.69 | $174.76 |
| emergency | ||||||||
| ED visit level 1 | CPT | 99281 | 9 | $252 | $100.8 | $16.71 | $109.2 | $252 |
| ED visit level 2 | CPT | 99282 | 9 | $394 | $157.6 | $16.71 | $109.2 | $394 |
| ED visit level 3 | CPT | 99283 | 9 | $605 | $242 | $16.71 | $114.84 | $605 |
| ED visit level 4 | CPT | 99284 | 9 | $1,032 | $412.8 | $16.71 | $204.8 | $1,032 |
| ED visit level 5 | CPT | 99285 | 9 | $1,602 | $640.8 | $16.71 | $203.54 | $1,602 |
| Critical care, first hour | CPT | 99291 | 8 | $1,588 | $635.2 | $122.27 | $128.38 | $1,412.62 |
| imaging | ||||||||
| CT head without contrast | CPT | 70450 | 8 | $2,545 | $1,018 | $33.16 | $62.36 | $664.17 |
| CT head with contrast | CPT | 70460 | 8 | $2,864 | $1,145.6 | $44.12 | $118.59 | $664.17 |
| CT head with and without contrast | CPT | 70470 | 8 | $3,120 | $1,248 | $49.61 | $105.22 | $664.17 |
| CT neck with contrast | CPT | 70491 | 8 | $2,842 | $1,136.8 | $54.08 | $105.22 | $664.17 |
| MRI brain without contrast | CPT | 70551 | 8 | $3,505 | $1,402 | $57.89 | $136.24 | $763.86 |
| MRI brain with contrast | CPT | 70552 | 8 | $4,181 | $1,672.4 | $69.69 | $268.61 | $763.86 |
| MRI brain with and without contrast | CPT | 70553 | 8 | $4,407 | $1,762.8 | $89.37 | $261.06 | $763.86 |
| Chest X-ray single view | CPT | 71045 | 7 | $373 | $149.2 | $6.79 | $25.61 | $170.85 |
| Chest X-ray 2 views | CPT | 71046 | 7 | $548 | $219.2 | $9 | $26.11 | $208.44 |
| Chest X-ray 3 views | CPT | 71047 | 7 | — | — | $10.8 | $23.9 | $216.98 |
| CT chest without contrast | CPT | 71250 | 8 | $2,126 | $850.4 | $42.16 | $106.88 | $664.17 |
| CT chest with contrast | CPT | 71260 | 8 | $2,360 | $944 | $45.51 | $105.22 | $664.17 |
| CT chest with and without contrast | CPT | 71270 | 8 | $2,750 | $1,100 | $48.62 | $119.08 | $664.17 |
| MRI chest without contrast | CPT | 71550 | 8 | $3,401 | $1,360.4 | $57.05 | $198.49 | $763.86 |
| MRI chest with contrast | CPT | 71551 | 8 | — | — | $67.46 | $432.18 | $763.86 |
| MRI chest with and without contrast | CPT | 71552 | 8 | $5,625 | $2,250 | $88.25 | $313.17 | $763.86 |
| Lumbosacral spine X-ray | CPT | 72100 | 8 | $678 | $271.2 | $8.83 | $45.95 | $241.51 |
| CT cervical spine without contrast | CPT | 72125 | 8 | $3,160 | $1,264 | $38.79 | $89.32 | $664.17 |
| CT thoracic spine without contrast | CPT | 72128 | 8 | $3,325 | $1,330 | $38.79 | $71.75 | $664.17 |
| CT lumbar spine without contrast | CPT | 72131 | 8 | $3,011 | $1,204.4 | $38.79 | $81.02 | $664.17 |
| MRI cervical spine without contrast | CPT | 72141 | 8 | $3,505 | $1,402 | $57.89 | $175.15 | $763.86 |
| MRI thoracic spine without contrast | CPT | 72146 | 8 | $3,505 | $1,402 | $57.89 | $136.24 | $763.86 |
| MRI lumbar spine without contrast | CPT | 72148 | 8 | $4,236 | $1,694.4 | $57.89 | $155.91 | $763.86 |
| MRI lumbar spine with and without contrast | CPT | 72149 | 8 | $5,294 | $2,117.6 | $69.69 | $214.96 | $763.86 |
| MRI cervical spine with and without contrast | CPT | 72156 | 8 | $7,123 | $2,849.2 | $89.37 | $310.1 | $763.86 |
| MRI lumbar spine with contrast | CPT | 72158 | 8 | $7,123 | $2,849.2 | $89.37 | $214.96 | $763.86 |
| CT pelvis without contrast | CPT | 72192 | 8 | $2,864 | $1,145.6 | $42.45 | $70.02 | $664.17 |
| CT pelvis with contrast | CPT | 72193 | 8 | $3,077 | $1,230.8 | $45.25 | $153.29 | $664.17 |
| Shoulder X-ray | CPT | 73030 | 8 | $570 | $228 | $7.42 | $43.13 | $193.98 |
| Humerus X-ray | CPT | 73060 | 8 | $570 | $228 | $6.58 | $40.47 | $190.12 |
| Hand X-ray 3 views | CPT | 73130 | 8 | $447 | $178.8 | $6.87 | $45.66 | $188.84 |
| MRI upper extremity joint without contrast | CPT | 73221 | 8 | $3,505 | $1,402 | $53.22 | $167.14 | $763.86 |
| MRI upper extremity joint with and without contrast | CPT | 73223 | 8 | $6,008 | $2,403.2 | $84.15 | $281.43 | $763.86 |
| Hip X-ray 2 views | CPT | 73510 | 1 | — | — | $45.95 | $45.95 | $45.95 |
| Knee X-ray 1-2 views | CPT | 73560 | 8 | $358 | $143.2 | $6.58 | $45.95 | $149.02 |
| Ankle X-ray 3 views | CPT | 73610 | 8 | $413 | $165.2 | $6.87 | $46.08 | $192.69 |
| MRI lower extremity joint without contrast | CPT | 73721 | 8 | $4,027 | $1,610.8 | $52.96 | $169.5 | $763.86 |
| MRI lower extremity joint with and without contrast | CPT | 73723 | 8 | $6,188 | $2,475.2 | $83.89 | $281.02 | $763.86 |
| CT abdomen without contrast | CPT | 74150 | 8 | $2,457 | $982.8 | $46.38 | $75.53 | $664.17 |
| CT abdomen with contrast | CPT | 74160 | 8 | $3,009 | $1,203.6 | $49.61 | $149.49 | $664.17 |
| CT abdomen with and without contrast | CPT | 74170 | 8 | $3,325 | $1,330 | $54.39 | $145.96 | $664.17 |
| CT abdomen and pelvis without contrast | CPT | 74176 | 8 | $4,969 | $1,987.6 | $60.72 | $110.85 | $664.17 |
| CT abdomen and pelvis with contrast | CPT | 74177 | 8 | $5,885 | $2,354 | $71.1 | $120.34 | $664.17 |
| CT abdomen and pelvis with and without contrast | CPT | 74178 | 8 | $6,448 | $2,579.2 | $78.14 | $159.95 | $664.17 |
| MRI abdomen without contrast | CPT | 74181 | 8 | $3,505 | $1,402 | $57.05 | $185.84 | $763.86 |
| MRI abdomen with and without contrast | CPT | 74183 | 8 | $6,188 | $2,475.2 | $85.59 | $313.17 | $763.86 |
| Abdominal ultrasound complete | CPT | 76700 | 8 | $1,386 | $554.4 | $31.48 | $66.68 | $209.45 |
| Abdominal ultrasound limited | CPT | 76705 | 8 | $1,132 | $452.8 | $23.05 | $62.36 | $181.02 |
| Retroperitoneal ultrasound complete | CPT | 76770 | 8 | $1,483 | $593.2 | $28.68 | $62.36 | $209.45 |
| Obstetric ultrasound first trimester | CPT | 76801 | 8 | $1,156 | $462.4 | $38.76 | $62.85 | $169.09 |
| Obstetric ultrasound after first trimester | CPT | 76805 | 8 | $1,260 | $504 | $39.02 | $69.79 | $182.92 |
| Obstetric ultrasound with fetal anatomy | CPT | 76811 | 8 | — | — | $70.55 | $136.24 | $325.34 |
| Transvaginal ultrasound | CPT | 76830 | 8 | $587 | $234.8 | $27.24 | $67.06 | $170.35 |
| Pelvic ultrasound complete | CPT | 76856 | 8 | $1,411 | $564.4 | $26.98 | $62.36 | $170.35 |
| Scrotal ultrasound | CPT | 76870 | 8 | $850 | $340 | $25.02 | $62.36 | $170.35 |
| Diagnostic mammography unilateral | CPT | 77065 | 8 | $454 | $181.6 | $31.48 | $80.39 | $170.35 |
| Diagnostic mammography bilateral | CPT | 77066 | 8 | $572 | $228.8 | $38.79 | $102.52 | $206.66 |
| Screening mammography bilateral | CPT | 77067 | 8 | $472 | $188.8 | $29.78 | $83.3 | $222.58 |
| EKG complete | CPT | 93000 | 6 | — | — | $17.33 | $28.2 | $28.75 |
| EKG tracing only | CPT | 93005 | 8 | $181 | $72.4 | $7.33 | $21.69 | $227.39 |
| EKG interpretation only | CPT | 93010 | 6 | — | — | $9.99 | $10.83 | $10.93 |
| Transthoracic echocardiogram complete | CPT | 93306 | 8 | $3,357 | $1,342.8 | $50.85 | $131.6 | $2,118.22 |
| Transthoracic echocardiogram | CPT | 93307 | 8 | $1,686 | $674.4 | $54.39 | $104 | $795.91 |
| Stress echocardiogram | CPT | 93350 | 8 | $1,217 | $486.8 | $49.63 | $182.29 | $801.49 |
| inpatient | ||||||||
| Respiratory infections & inflammations w MCC | MS-DRG | 177 | 6 | — | — | $7,287.75 | $7,579.26 | $26,144 |
| COPD w MCC | MS-DRG | 190 | 6 | — | — | $6,683.4 | $7,017.57 | $15,470 |
| COPD w CC | MS-DRG | 191 | 6 | — | — | $6,363.45 | $6,681.62 | $11,589 |
| COPD w/o CC/MCC | MS-DRG | 192 | 6 | — | — | $5,591.21 | $6,322.21 | $9,986.99 |
| Simple pneumonia & pleurisy w CC | MS-DRG | 194 | 6 | — | — | $4,834.8 | $5,076.54 | $12,314 |
| Simple pneumonia & pleurisy w/o CC/MCC | MS-DRG | 195 | 6 | — | — | $4,585.95 | $4,815.25 | $9,410.73 |
| AMI discharged alive w MCC | MS-DRG | 280 | 6 | — | — | $5,972.4 | $6,211.3 | $21,621 |
| AMI discharged alive w CC | MS-DRG | 281 | 6 | — | — | $4,443.75 | $4,621.5 | $13,438 |
| AMI discharged alive w/o CC/MCC | MS-DRG | 282 | 6 | — | — | $3,057.3 | $3,179.59 | $10,650 |
| Heart failure & shock w MCC | MS-DRG | 291 | 6 | — | — | $6,861.15 | $7,204.21 | $18,693 |
| Heart failure & shock w CC | MS-DRG | 292 | 6 | — | — | $5,296.95 | $5,561.8 | $10,317 |
| Heart failure & shock w/o CC/MCC | MS-DRG | 293 | 6 | — | — | $2,737.35 | $2,846.84 | $7,789.43 |
| Cardiac arrhythmia w MCC | MS-DRG | 308 | 6 | — | — | $5,830.2 | $6,063.41 | $14,348 |
| Cardiac arrhythmia w CC | MS-DRG | 309 | 6 | — | — | $3,448.35 | $3,620.77 | $9,922.13 |
| Cardiac arrhythmia w/o CC/MCC | MS-DRG | 310 | 6 | — | — | $2,666.25 | $2,799.56 | $7,282.82 |
| GI hemorrhage w CC | MS-DRG | 378 | 6 | — | — | $4,941.45 | $5,139.11 | $12,642 |
| GI hemorrhage w/o CC/MCC | MS-DRG | 379 | 6 | — | — | $2,879.55 | $2,994.73 | $7,613.12 |
| Esophagitis/gastroenteritis w/o MCC | MS-DRG | 392 | 6 | — | — | $3,483.9 | $3,623.26 | $9,914.31 |
| Fractures of femur w/o MCC | MS-DRG | 533 | 6 | — | — | $7,536.6 | $7,838.06 | $21,817 |
| Kidney/UTI w MCC | MS-DRG | 689 | 6 | — | — | $5,439.15 | $5,656.72 | $13,312 |
| Kidney/UTI w/o MCC | MS-DRG | 690 | 6 | — | — | $4,017.15 | $4,177.84 | $10,368 |
| Septicemia or severe sepsis w MV 96+ hrs | MS-DRG | 871 | 6 | — | — | $7,821 | $8,212.05 | $23,769 |
| Septicemia or severe sepsis w/o MV 96+ hrs | MS-DRG | 872 | 6 | — | — | $4,728.15 | $4,964.56 | $13,484 |
| Initial hospital care, low complexity | CPT | 99221 | 5 | — | — | $60.97 | $63.41 | $136.4 |
| Initial hospital care, moderate complexity | CPT | 99222 | 5 | — | — | $101.12 | $105.16 | $209.22 |
| Initial hospital care, high complexity | CPT | 99223 | 5 | — | — | $140.93 | $146.57 | $271.83 |
| Hospital discharge, <30 min | CPT | 99238 | 5 | — | — | $63.25 | $65.78 | $96.52 |
| Hospital discharge, >30 min | CPT | 99239 | 5 | — | — | $86.27 | $89.72 | $142.98 |
| lab | ||||||||
| Basic metabolic panel (BMP) | CPT | 80048 | 7 | $80 | $32 | $8.46 | $8.8 | $72 |
| General health panel | CPT | 80050 | 2 | $539 | $215.6 | $28 | $458.15 | $485.1 |
| Electrolyte panel | CPT | 80051 | 7 | $161 | $64.4 | $6 | $6.3 | $144.9 |
| Comprehensive metabolic panel | CPT | 80053 | 7 | $222 | $88.8 | $10.56 | $10.98 | $199.8 |
| Lipid panel | CPT | 80061 | 7 | $207 | $82.8 | $13.39 | $13.93 | $186.3 |
| Renal function panel | CPT | 80069 | 7 | $264 | $105.6 | $8.68 | $9.03 | $237.6 |
| Hepatic function panel | CPT | 80076 | 7 | $264 | $105.6 | $8.17 | $8.5 | $237.6 |
| Urinalysis non-automated | CPT | 81002 | 7 | $43 | $17.2 | $3.01 | $3.15 | $38.7 |
| Urinalysis automated | CPT | 81003 | 7 | $69 | $27.6 | $1.91 | $2.25 | $62.1 |
| Glucose quantitative | CPT | 82947 | 7 | $131 | $52.4 | $3.93 | $4.13 | $117.9 |
| Hemoglobin A1c | CPT | 83036 | 7 | $176 | $70.4 | $9.71 | $10.1 | $158.4 |
| Thyroid stimulating hormone (TSH) | CPT | 84443 | 7 | $121 | $48.4 | $15.75 | $16.54 | $108.9 |
| Complete blood count with automated differential | CPT | 85025 | 7 | $166 | $66.4 | $6.6 | $6.93 | $149.4 |
| Complete blood count without differential | CPT | 85027 | 7 | $163 | $65.2 | $6.47 | $6.73 | $146.7 |
| Urine culture bacterial | CPT | 87086 | 7 | $107 | $42.8 | $8.07 | $8.39 | $96.3 |
| Urine culture identification | CPT | 87088 | 7 | $134 | $53.6 | $8.09 | $8.49 | $120.6 |
| Tissue exam by pathologist level IV | CPT | 88305 | 8 | $300 | $120 | $29.84 | $34.18 | $270.43 |
| maternity | ||||||||
| Fetal non-stress test | CPT | 59025 | 7 | — | — | $16.13 | $29.33 | $497.38 |
| Routine obstetric care including vaginal delivery | CPT | 59400 | 6 | — | — | $1,751.03 | $1,821.07 | $2,857.09 |
| Vaginal delivery only | CPT | 59409 | 8 | $4,445 | $1,778 | $450 | $470.25 | $2,800 |
| Vaginal delivery with postpartum | CPT | 59410 | 6 | — | — | $450 | $468 | $1,266.67 |
| Routine obstetric care with C-section | CPT | 59510 | 6 | — | — | $1,924.96 | $2,001.96 | $3,137.75 |
| C-section delivery only | CPT | 59514 | 6 | — | — | $573.07 | $962.76 | $1,090.91 |
| C-section with postpartum | CPT | 59515 | 6 | — | — | $940.91 | $978.55 | $1,550.07 |
| office | ||||||||
| Office visit, new patient, 15-29 min | CPT | 99202 | 7 | — | — | $52.18 | $59.16 | $94.88 |
| Office visit, new patient, 30-44 minutes | CPT | 99203 | 7 | $553 | $221.2 | $77.71 | $88.09 | $139.63 |
| Office visit, new patient, 45-59 min | CPT | 99204 | 7 | — | — | $110.33 | $125.07 | $170.85 |
| Office visit, new patient, 60-74 min | CPT | 99205 | 7 | — | — | $140.72 | $159.52 | $233.19 |
| Office visit, established patient, 5 min | CPT | 99211 | 7 | $159 | $63.6 | $12.64 | $25.08 | $58.76 |
| Office visit, established patient, 10-19 min | CPT | 99212 | 7 | $238 | $95.2 | $30.65 | $35.07 | $118.04 |
| Office visit, established patient, 20-29 minutes | CPT | 99213 | 7 | $290 | $116 | $42.07 | $47.69 | $184.55 |
| Office visit, established patient, 30-39 minutes | CPT | 99214 | 7 | $343 | $137.2 | $66.15 | $74.98 | $260.7 |
| Office visit, established patient, 40-54 min | CPT | 99215 | 7 | $396 | $158.4 | $96.82 | $109.75 | $368.08 |
| preventive | ||||||||
| Upper GI endoscopy diagnostic | CPT | 43235 | 8 | — | — | $225 | $236.25 | $1,428.44 |
| Upper GI endoscopy with biopsy | CPT | 43239 | 8 | — | — | $225 | $236.25 | $1,594.6 |
| Sigmoidoscopy diagnostic | CPT | 45330 | 8 | — | — | $225 | $234 | $1,117.06 |
| Sigmoidoscopy with biopsy | CPT | 45331 | 8 | — | — | $225 | $236.25 | $1,117.06 |
| Colonoscopy diagnostic | CPT | 45378 | 8 | — | — | $213.19 | $235.13 | $1,826.39 |
| Colonoscopy with biopsy | CPT | 45380 | 8 | — | — | $225 | $236.25 | $1,885.04 |
| Colonoscopy with polyp removal | CPT | 45385 | 8 | — | — | $225 | $236.25 | $2,055.39 |
| surgery | ||||||||
| Total shoulder arthroplasty | CPT | 23472 | 6 | — | — | $803.81 | $8,805.05 | $21,792 |
| Hip hemiarthroplasty | CPT | 27125 | 6 | — | — | $538.58 | $896.2 | $59,654 |
| Total hip replacement | CPT | 27130 | 6 | — | — | $695.52 | $8,509.01 | $21,792 |
| Total knee replacement | CPT | 27447 | 7 | — | — | $550 | $761.45 | $21,792 |
| Knee revision arthroplasty single component | CPT | 27486 | 6 | — | — | $740.76 | $1,232.64 | $7,703.52 |
| Knee revision arthroplasty all components | CPT | 27487 | 6 | — | — | $949 | $1,579.12 | $7,703.52 |
| Shoulder arthroscopy with decompression | CPT | 29826 | 8 | — | — | $210.95 | $765 | $5,315.81 |
| Shoulder arthroscopy with rotator cuff repair | CPT | 29827 | 8 | — | — | $450 | $629.5 | $10,990 |
| Knee arthroscopy with meniscectomy | CPT | 29881 | 8 | — | — | $450 | $472.5 | $4,970.09 |
| ACL reconstruction | CPT | 29888 | 8 | — | — | $450 | $565.02 | $11,627 |
| Major small/large bowel procedures w MCC | MS-DRG | 329 | 6 | — | — | $20,655 | $21,481 | $58,379 |
| Major small/large bowel procedures w CC | MS-DRG | 330 | 6 | — | — | $9,385.2 | $9,854.46 | $34,561 |
| Major small/large bowel procedures w/o CC/MCC | MS-DRG | 331 | 6 | — | — | $5,936.85 | $6,174.32 | $22,525 |
| CABG single arterial graft | CPT | 33533 | 6 | — | — | $1,641.12 | $1,706.76 | $2,236.03 |
| CABG 2 arterial grafts | CPT | 33534 | 6 | — | — | $1,806.53 | $1,878.79 | $2,625.13 |
| CABG 3 arterial grafts | CPT | 33535 | 6 | — | — | $1,908.99 | $1,985.35 | $2,924.51 |
| CABG 4+ arterial grafts | CPT | 33536 | 6 | — | — | $2,125.59 | $2,210.61 | $3,148.41 |
| Laparoscopic cholecystectomy w/o CDE w MCC | MS-DRG | 418 | 6 | — | — | $6,114.6 | $6,359.18 | $20,180 |
| Laparoscopic cholecystectomy w/o CDE w CC | MS-DRG | 419 | 6 | — | — | $4,123.8 | $4,288.75 | $15,897 |
| Laparoscopic cholecystectomy w/o CDE w/o CC/MCC | MS-DRG | 420 | 6 | — | — | $11,305 | $11,870 | $42,014 |
| Open appendectomy | CPT | 44950 | 8 | — | — | $325.26 | $520 | $8,165.71 |
| Laparoscopic appendectomy | CPT | 44970 | 8 | — | — | $289.38 | $520 | $7,537.36 |
| Major joint replacement w MCC | MS-DRG | 469 | 6 | — | — | $15,038 | $15,790 | $40,779 |
| Major joint replacement w/o MCC | MS-DRG | 470 | 6 | — | — | $8,176.5 | $8,585.33 | $30,625 |
| Laparoscopic cholecystectomy | CPT | 47562 | 8 | — | — | $364.49 | $452.4 | $9,500.53 |
| Lap cholecystectomy with cholangiography | CPT | 47563 | 8 | — | — | $391.39 | $452.4 | $9,500.53 |
| Hip & femur procedures except major joint w MCC | MS-DRG | 480 | 6 | — | — | $14,398 | $15,118 | $38,697 |
| Hip & femur procedures except major joint w CC | MS-DRG | 481 | 6 | — | — | $9,420.75 | $9,797.58 | $28,572 |
| Hip & femur procedures except major joint w/o CC/MCC | MS-DRG | 482 | 6 | — | — | $5,865.75 | $6,100.38 | $19,776 |
| Open umbilical hernia repair | CPT | 49560 | 2 | — | — | $891.51 | $1,660.31 | $2,429.11 |
| Umbilical hernia repair age 5+ | CPT | 49585 | 2 | — | — | $541.4 | $1,485.26 | $2,429.11 |
| Lap inguinal hernia repair | CPT | 49650 | 8 | — | — | $215.11 | $452.4 | $9,947.42 |
| Lap incisional hernia repair | CPT | 49652 | 2 | — | — | $898.94 | $3,010.17 | $5,121.39 |
| Total abdominal hysterectomy | CPT | 58150 | 7 | — | — | $510.86 | $850.06 | $3,348.41 |
| Vaginal hysterectomy | CPT | 58260 | 8 | — | — | $441.33 | $1,036.36 | $6,624.17 |
| Lap-assisted vaginal hysterectomy | CPT | 58550 | 8 | — | — | $482.07 | $1,040 | $10,868 |
| Lap-assisted vaginal hysterectomy >250g | CPT | 58552 | 8 | — | — | $536.01 | $1,040 | $15,634 |
| Lap salpingo-oophorectomy | CPT | 58661 | 8 | — | — | $364.41 | $452.4 | $8,640.46 |
| OR procedure for obesity w MCC | MS-DRG | 619 | 6 | — | — | $7,749.9 | $8,137.4 | $34,441 |
| OR procedure for obesity w CC | MS-DRG | 620 | 6 | — | — | $4,834.8 | $5,076.54 | $22,386 |
| OR procedure for obesity w/o CC/MCC | MS-DRG | 621 | 6 | — | — | $3,874.95 | $4,029.95 | $19,807 |
| Complex cataract surgery | CPT | 66982 | 8 | — | — | $650 | $682.5 | $3,637.43 |
| Cataract surgery with lens implant | CPT | 66984 | 8 | — | — | $650 | $676 | $3,740.75 |
| Intravitreal injection | CPT | 67028 | 7 | — | — | $139.69 | $208 | $231.76 |
| Vitrectomy mechanical | CPT | 67042 | 8 | — | — | $651.34 | $1,041.34 | $7,015.3 |
| Uterine & adnexa procedures w CC/MCC | MS-DRG | 743 | 6 | — | — | $4,692.6 | $4,880.3 | $14,125 |
| Uterine & adnexa procedures w/o CC/MCC | MS-DRG | 744 | 6 | — | — | $7,607.7 | $7,912.01 | $21,451 |
| PCI single major coronary artery | CPT | 92920 | 8 | — | — | $608.81 | $1,936.29 | $4,023.05 |
| PCI with drug-eluting stent | CPT | 92928 | 8 | — | — | $677.26 | $3,881.94 | $10,794 |
| PCI bypass graft | CPT | 92937 | 8 | — | — | $424.6 | $4,295.89 | $10,794 |
| Left heart catheterization | CPT | 93452 | 8 | — | — | $199.62 | $1,083.95 | $8,463.13 |
| Coronary angiography with cath | CPT | 93455 | 8 | — | — | $234.8 | $1,083.95 | $7,165.94 |
| Coronary angiography with bypass cath | CPT | 93458 | 8 | — | — | $248.88 | $894.2 | $8,463.13 |
Payer mix (top 10)
| Payer | Codes covered | Median rate |
|---|---|---|
| UnitedHealthcare | 193 | $115.67 |
| kancare healthy blue | 193 | $128.43 |
| kancare sunflower | 193 | $128.43 |
| Aetna | 193 | $128.43 |
| Blue Cross Blue Shield | 175 | $762.64 |
| kancare amerigroup | 174 | $128.38 |
| providrs care | 157 | $138.41 |
| TRICARE | 112 | $338.49 |
| medica | 6 | $818.5 |
| Ambetter | 3 | $83.3 |