Does BETH ISRAEL DEACONESS - PLYMOUTH publish its standard charges and chargemaster?

Yes. BETH ISRAEL DEACONESS - PLYMOUTH publishes a machine-readable file with 31,349 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 BETH ISRAEL DEACONESS - PLYMOUTH charge for procedures?

BETH ISRAEL DEACONESS - PLYMOUTH (Plymouth, MA) 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 · MA · CCN 220060

BETH ISRAEL DEACONESS - PLYMOUTH

Plymouth, MA, 02360

151 bedsAcute Care Hospitals2

Compliance grade

100/100

Rates published

31,349

last crawl 2026-05-22

Procedures tracked

198

of 209 target codes

Payers

with negotiated rates

Procedures tracked

...

Payers

...

▸ Compare with other hospitals All MA 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://mrfs.hyvehealthcare.com/RWJBarnabasHealth/223452311_newark-beth-israel-medical-center_standardcharges.json · JSON

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	—	$3,470	$60	$7,498.97	0.59×	$35,109
Psychiatric diagnostic evaluation	CPT	90791	12	$862	$179.55	$180.26	$470.31	2.7×	$804.5
Psychiatric eval with medical services	CPT	90792	12	$889	$185.17	$180.26	$508.68	2.9×	$829.7
Psychotherapy 30 minutes	CPT	90832	12	$461	$96.02	$88.66	$271.21	1.8×	$430.25
Psychotherapy 45 minutes	CPT	90834	12	$518	$107.89	$100.17	$304.74	1.9×	$483.44
Psychotherapy 60 minutes	CPT	90837	12	$567	$118.1	$90.26	$333.57	1.8×	$529.18
Crisis psychotherapy 60 minutes	CPT	90839	12	$667	$138.93	$92.82	$370.36	2.3×	$622.51
emergency
ED visit level 1	CPT	99281	13	$1,052	$219.13	$5.86	$570	4.1×	$2,958
ED visit level 2	CPT	99282	13	$1,531	$318.9	$21.37	$570	2.4×	$2,958
ED visit level 3	CPT	99283	13	$2,321	$483.46	$37.79	$1,267	3.1×	$3,034
ED visit level 4	CPT	99284	13	$3,133	$652.6	$64.27	$1,485	2.2×	$3,034
ED visit level 5	CPT	99285	13	$4,564	$950.68	$93.07	$1,485	1.4×	$4,259.58
Critical care, first hour	CPT	99291	13	$5,775	$1,202.93	$148.5	$1,862	1.7×	$5,389.8
imaging
CT head without contrast	CPT	70450	13	$2,085	$434.3	$57	$238.03	1.1×	$1,945.93
CT head with contrast	CPT	70460	13	$2,305	$480.13	$57	$291.96	1.2×	$2,151.25
CT head with and without contrast	CPT	70470	13	$2,934	$611.15	$57	$325.26	1.2×	$2,738.3
CT neck with contrast	CPT	70491	13	$3,077	$640.93	$57	$341.1	1.2×	$2,871.76
MRI brain without contrast	CPT	70551	13	$3,279	$683.01	$57	$487.84	1.2×	$3,317
MRI brain with contrast	CPT	70552	13	$3,615	$753	$57	$603.32	1.3×	$3,373.87
MRI brain with and without contrast	CPT	70553	13	$5,038	$1,049.41	$57	$700.33	1.2×	$4,701.96
Chest X-ray single view	CPT	71045	13	$494	$102.9	$13.71	$98.79	1.0×	$461.05
Chest X-ray 2 views	CPT	71046	13	$510	$106.23	$18.01	$108.3	1.1×	$475.98
Chest X-ray 3 views	CPT	71047	13	$534	$111.23	$22.65	$108.6	1.1×	$498.38
CT chest without contrast	CPT	71250	13	$2,929	$610.11	$57	$239.01	1.1×	$2,733.63
CT chest with contrast	CPT	71260	13	$4,055	$844.65	$57	$320.59	1.1×	$3,784.53
CT chest with and without contrast	CPT	71270	13	$4,509	$939.22	$57	$392.39	1.3×	$4,208.24
MRI chest without contrast	CPT	71550	13	$2,977	$620.1	$57	$541.03	1.3×	$3,317
MRI chest with contrast	CPT	71551	13	$3,711	$773	$57	$913.7	1.1×	$3,463.47
MRI chest with and without contrast	CPT	71552	13	$4,374	$911.1	$57	$799.34	1.3×	$4,082.25
Lumbosacral spine X-ray	CPT	72100	13	$533	$111.02	$21.43	$120.18	1.2×	$497.44
CT cervical spine without contrast	CPT	72125	13	$2,717	$565.95	$57	$238.62	1.2×	$2,535.77
CT thoracic spine without contrast	CPT	72128	13	$2,415	$503.04	$57	$238.17	1.2×	$2,253.91
CT lumbar spine without contrast	CPT	72131	13	$2,388	$497.42	$57	$239.01	1.2×	$2,228.72
MRI cervical spine without contrast	CPT	72141	13	$2,756	$574.07	$57	$487.84	1.2×	$3,317
MRI thoracic spine without contrast	CPT	72146	13	$2,996	$624.06	$57	$487.84	1.3×	$3,317
MRI lumbar spine without contrast	CPT	72148	13	$2,854	$594.48	$57	$487.84	1.3×	$3,317
MRI lumbar spine with and without contrast	CPT	72149	13	$3,356	$699.05	$57	$603.32	1.3×	$3,317
MRI cervical spine with and without contrast	CPT	72156	13	$4,909	$1,022.54	$57	$695.48	1.3×	$4,581.56
MRI lumbar spine with contrast	CPT	72158	13	$4,859	$1,012.12	$57	$700.33	1.3×	$4,534.9
CT pelvis without contrast	CPT	72192	13	$2,020	$420.76	$57	$238.03	1.2×	$1,885.26
CT pelvis with contrast	CPT	72193	13	$2,563	$533.87	$57	$398.44	1.4×	$2,392.04
Shoulder X-ray	CPT	73030	14	$1,638	—	$18.76	$83.45	0.90×	$197.58
Humerus X-ray	CPT	73060	14	$738	—	$17.17	$83.45	0.93×	$197.58
Hand X-ray 3 views	CPT	73130	14	$1,520	—	$20.04	$83.45	0.90×	$197.58
MRI upper extremity joint without contrast	CPT	73221	14	$3,754	—	$20.83	$319.46	0.77×	$3,317
MRI upper extremity joint with and without contrast	CPT	73223	14	$5,170	—	$20.83	$425	0.70×	$3,317
Knee X-ray 1-2 views	CPT	73560	14	$1,366	—	$18.43	$83.45	0.89×	$197.58
Ankle X-ray 3 views	CPT	73610	14	$1,438	—	$19.69	$83.45	0.91×	$197.58
MRI lower extremity joint without contrast	CPT	73721	14	$2,458	—	$20.83	$319.46	0.68×	$3,317
MRI lower extremity joint with and without contrast	CPT	73723	14	$4,353	—	$20.83	$425	0.67×	$3,317
CT abdomen without contrast	CPT	74150	13	$2,001	$416.8	$57	$238.03	1.3×	$1,867.53
CT abdomen with contrast	CPT	74160	13	$2,845	$592.61	$57	$398.44	1.4×	$2,655.23
CT abdomen with and without contrast	CPT	74170	13	$3,176	$661.56	$57	$398.44	1.2×	$2,964.16
CT abdomen and pelvis without contrast	CPT	74176	13	$3,040	$633.23	$57	$368.2	1.0×	$2,837.23
CT abdomen and pelvis with contrast	CPT	74177	13	$3,605	$750.92	$57	$603.32	1.1×	$3,364.54
CT abdomen and pelvis with and without contrast	CPT	74178	13	$4,549	$947.55	$57	$603.32	1.0×	$4,245.58
MRI abdomen without contrast	CPT	74181	13	$3,138	$653.64	$57	$487.84	1.2×	$3,317
MRI abdomen with and without contrast	CPT	74183	13	$4,542	$946.09	$57	$732.83	1.3×	$4,239.04
Abdominal ultrasound complete	CPT	76700	13	$1,091	$227.25	$57	$173.26	1.2×	$1,018.23
Abdominal ultrasound limited	CPT	76705	13	$942	$196.21	$46.5	$149.11	1.0×	$879.16
Retroperitoneal ultrasound complete	CPT	76770	13	$994	$207.05	$57	$170.61	1.2×	$927.7
Obstetric ultrasound first trimester	CPT	76801	13	$743	$154.76	$57	$143.22	1.0×	$693.44
Obstetric ultrasound after first trimester	CPT	76805	13	$931	$193.92	$57	$173.26	1.1×	$868.9
Obstetric ultrasound with fetal anatomy	CPT	76811	13	$923	$192.26	$57	$271.19	1.2×	$861.43
Transvaginal ultrasound	CPT	76830	13	$1,069	$222.67	$57	$159.08	1.1×	$997.69
Pelvic ultrasound complete	CPT	76856	13	$1,121	$233.5	$56.33	$159.08	1.1×	$1,046.22
Scrotal ultrasound	CPT	76870	13	$908	$189.13	$53.5	$160.07	1.2×	$847.43
Diagnostic mammography unilateral	CPT	77065	10	$619	—	$20.83	$102.24	0.68×	$454.85
Diagnostic mammography bilateral	CPT	77066	9	$783	$163.09	$57	$190.45	1.0×	$730.77
Screening mammography bilateral	CPT	77067	9	$634	$132.06	$57	$157.95	1.0×	$591.71
EKG complete	CPT	93000	10	—	—	$7.58	$69.12	2.8×	$334
EKG tracing only	CPT	93005	13	$359	$74.77	$3.43	$204.63	1.7×	$335.05
EKG interpretation only	CPT	93010	10	—	—	$4.15	$57	3.1×	$93.33
Transthoracic echocardiogram complete	CPT	93306	13	$4,883	$1,017.12	$104.81	$2,219.5	3.7×	$4,557.3
Transthoracic echocardiogram	CPT	93307	13	$2,080	$433.26	$72.88	$945.5	3.8×	$1,941.26
Stress echocardiogram	CPT	93350	13	$2,547	$530.54	$98.86	$1,230.3	2.4×	$2,377.11
inpatient
Respiratory infections & inflammations w MCC	MS-DRG	177	13	—	$3,470	$60	$30,085	1.9×	$52,454
COPD w MCC	MS-DRG	190	13	—	$3,470	$60	$20,900	1.9×	$36,440
COPD w CC	MS-DRG	191	13	—	$3,470	$60	$15,989	1.8×	$27,877
COPD w/o CC/MCC	MS-DRG	192	13	—	$3,470	$60	$12,741	1.8×	$21,001
Simple pneumonia & pleurisy w CC	MS-DRG	194	13	—	$3,470	$60	$15,261	1.8×	$26,608
Simple pneumonia & pleurisy w/o CC/MCC	MS-DRG	195	13	—	$3,470	$60	$12,259	1.8×	$20,206
AMI discharged alive w MCC	MS-DRG	280	13	—	$3,470	$60	$30,548	1.9×	$53,262
AMI discharged alive w CC	MS-DRG	281	13	—	$3,470	$60	$18,147	1.9×	$29,911
AMI discharged alive w/o CC/MCC	MS-DRG	282	13	—	$3,470	$60	$14,275	1.8×	$23,529
Heart failure & shock w MCC	MS-DRG	291	13	—	$3,470	$60	$24,284	1.9×	$42,339
Heart failure & shock w CC	MS-DRG	292	13	—	$3,470	$60	$16,954	1.9×	$27,945
Heart failure & shock w/o CC/MCC	MS-DRG	293	13	—	$3,470	$60	$10,802	1.7×	$19,261
Cardiac arrhythmia w MCC	MS-DRG	308	13	—	$3,470	$60	$22,443	1.9×	$39,130
Cardiac arrhythmia w CC	MS-DRG	309	13	—	$3,470	$60	$14,555	1.9×	$23,990
Cardiac arrhythmia w/o CC/MCC	MS-DRG	310	13	—	$3,470	$60	$11,015	1.8×	$19,261
GI hemorrhage w CC	MS-DRG	378	13	—	$3,470	$60	$18,349	1.8×	$31,991
GI hemorrhage w/o CC/MCC	MS-DRG	379	13	—	$3,470	$60	$12,535	1.8×	$20,660
Esophagitis/gastroenteritis w/o MCC	MS-DRG	392	13	—	$3,470	$60	$14,522	1.8×	$25,320
Fractures of femur w/o MCC	MS-DRG	533	13	—	$3,470	$60	$28,131	1.9×	$49,481
Kidney/UTI w MCC	MS-DRG	689	13	—	$3,470	$60	$21,780	1.9×	$37,975
Kidney/UTI w/o MCC	MS-DRG	690	13	—	$3,470	$60	$14,937	1.8×	$26,044
Septicemia or severe sepsis w MV 96+ hrs	MS-DRG	871	13	—	$3,470	$60	$36,517	2.0×	$63,667
Septicemia or severe sepsis w/o MV 96+ hrs	MS-DRG	872	13	—	$3,470	$60	$19,188	1.9×	$33,455
Initial hospital care, low complexity	CPT	99221	10	—	—	$20.83	$85	0.91×	$9,494
Initial hospital care, moderate complexity	CPT	99222	11	—	—	$20.83	$3,317	19.6×	$9,494
Initial hospital care, high complexity	CPT	99223	11	—	—	$20.83	$3,317	14.7×	$9,494
Hospital discharge, <30 min	CPT	99238	11	—	—	$20.83	$3,317	38.7×	$9,494
Hospital discharge, >30 min	CPT	99239	11	—	—	$20.83	$3,317	27.3×	$9,494
lab
Basic metabolic panel (BMP)	CPT	80048	13	$164	$9.31	$3.98	$10.41	0.32×	$153.06
General health panel	CPT	80050	9	$623	$129.77	$19.11	$63.8	0.59×	$581.44
Electrolyte panel	CPT	80051	13	$133	$7.71	$3.29	$8.62	0.36×	$124.12
Comprehensive metabolic panel	CPT	80053	13	$328	$11.62	$4.96	$12.99	0.29×	$306.12
Lipid panel	CPT	80061	13	$247	$14.73	$6.29	$16.47	0.43×	$230.52
Renal function panel	CPT	80069	13	$210	$9.55	$4.08	$8.85	0.32×	$195.99
Hepatic function panel	CPT	80076	13	$180	$8.99	$3.84	$10.05	0.38×	$167.99
Urinalysis non-automated	CPT	81002	13	$43	$3.83	$1.64	$3.55	0.51×	$57
Urinalysis automated	CPT	81003	13	$77	$2.48	$1.06	$2.46	0.18×	$71.86
Glucose quantitative	CPT	82947	13	$44	$4.32	$1.85	$3.93	0.22×	$57
Hemoglobin A1c	CPT	83036	13	$149	$10.68	$4.56	$10.82	0.40×	$139.06
Thyroid stimulating hormone (TSH)	CPT	84443	13	$275	$18.48	$7.9	$20.66	0.44×	$256.65
Complete blood count with automated differential	CPT	85025	13	$146	$8.55	$3.65	$8.2	0.31×	$136.26
Complete blood count without differential	CPT	85027	13	$102	$7.12	$3.04	$7.87	0.36×	$95.19
Urine culture bacterial	CPT	87086	13	$143	$8.88	$3.79	$9.84	0.42×	$133.46
Urine culture identification	CPT	87088	13	$78	$8.9	$3.8	$8.25	0.37×	$72.79
Tissue exam by pathologist level IV	CPT	88305	13	$827	$172.26	$23.57	$65.6	0.64×	$771.83
maternity
Fetal non-stress test	CPT	59025	13	$1,583	$4,881	$26.09	$451.4	2.4×	$4,049
Routine obstetric care including vaginal delivery	CPT	59400	9	—	$4,881	$22.71	$67.02	0.03×	$4,049
Vaginal delivery only	CPT	59409	13	—	$4,881	$22.71	$832.59	0.38×	$7,134.36
Vaginal delivery with postpartum	CPT	59410	9	—	$4,881	$22.71	$61.4	0.06×	$4,049
Routine obstetric care with C-section	CPT	59510	9	—	$4,881	$22.71	$67.02	0.03×	$4,049
C-section delivery only	CPT	59514	9	—	$4,881	$22.71	$61.4	0.06×	$4,049
C-section with postpartum	CPT	59515	9	—	$4,881	$22.71	$67.02	0.05×	$7,484
office
Office visit, new patient, 15-29 min	CPT	99202	9	$391	$81.44	$39.7	$224.16	2.6×	$364.92
Office visit, new patient, 30-44 minutes	CPT	99203	9	$578	$120.39	$61.09	$331.37	2.7×	$539.44
Office visit, new patient, 45-59 min	CPT	99204	9	$697	$145.18	$91.33	$399.59	2.3×	$650.51
Office visit, new patient, 60-74 min	CPT	99205	9	$809	$168.51	$120.34	$463.8	2.1×	$755.03
Office visit, established patient, 5 min	CPT	99211	9	$305	$63.53	$12.45	$174.86	2.7×	$284.65
Office visit, established patient, 10-19 min	CPT	99212	9	$465	$96.85	$31.14	$266.58	3.3×	$433.98
Office visit, established patient, 20-29 minutes	CPT	99213	9	$513	$106.85	$49.8	$294.1	2.6×	$478.78
Office visit, established patient, 30-39 minutes	CPT	99214	9	$564	$117.48	$70.14	$323.34	2.1×	$526.38
Office visit, established patient, 40-54 min	CPT	99215	9	$665	$138.51	$103.56	$381.24	2.0×	$620.64
preventive
Upper GI endoscopy diagnostic	CPT	43235	13	—	$4,881	$22.71	$1,051.87	1.1×	$4,584
Upper GI endoscopy with biopsy	CPT	43239	13	—	$4,881	$22.71	$1,051.87	1.1×	$4,908
Sigmoidoscopy diagnostic	CPT	45330	13	—	$4,881	$22.71	$1,022.87	1.2×	$4,049
Sigmoidoscopy with biopsy	CPT	45331	13	—	$4,881	$22.71	$1,022.87	1.1×	$4,049
Colonoscopy diagnostic	CPT	45378	13	—	$4,881	$22.71	$1,022.87	1.2×	$4,908
Colonoscopy with biopsy	CPT	45380	13	—	$4,881	$22.71	$1,322.83	1.1×	$4,908
Colonoscopy with polyp removal	CPT	45385	13	—	$4,881	$22.71	$1,322.83	1.1×	$4,908
surgery
Total shoulder arthroplasty	CPT	23472	13	—	$4,881	$22.71	$20,632	5.0×	$41,264
PCI w drug-eluting stent w MCC	MS-DRG	246	3	—	—	$6,640	$49,781	1.8×	$78,027
PCI w drug-eluting stent w/o MCC	MS-DRG	247	3	—	—	$6,640	$22,146	1.2×	$49,632
Hip hemiarthroplasty	CPT	27125	9	—	$4,881	$22.71	$2,982.5	2.4×	$26,990
Total hip replacement	CPT	27130	13	—	$4,881	$22.71	$14,436	3.3×	$28,871
Total knee replacement	CPT	27447	13	—	$4,881	$22.71	$14,436	3.5×	$28,871
Knee revision arthroplasty single component	CPT	27486	9	—	$4,881	$22.71	$2,982.5	1.8×	$26,990
Knee revision arthroplasty all components	CPT	27487	9	—	$4,881	$22.71	$2,982.5	1.5×	$26,990
Shoulder arthroscopy with decompression	CPT	29826	9	—	$4,881	$22.71	$90.98	0.28×	$24,026
Shoulder arthroscopy with rotator cuff repair	CPT	29827	13	—	$4,881	$22.71	$7,484	2.3×	$24,026
Knee arthroscopy with meniscectomy	CPT	29881	13	—	$4,881	$22.71	$3,640.19	1.8×	$24,026
ACL reconstruction	CPT	29888	13	—	$4,881	$22.71	$5,766	1.7×	$24,026
Major small/large bowel procedures w MCC	MS-DRG	329	13	—	$3,470	$60	$85,460	2.0×	$149,003
Major small/large bowel procedures w CC	MS-DRG	330	13	—	$3,470	$60	$43,991	1.9×	$76,700
Major small/large bowel procedures w/o CC/MCC	MS-DRG	331	13	—	$3,470	$60	$30,727	1.9×	$53,573
CABG single arterial graft	CPT	33533	9	—	$4,881	$22.71	$77.39	0.04×	$4,049
CABG 2 arterial grafts	CPT	33534	9	—	$4,881	$22.71	$77.39	0.04×	$4,049
CABG 3 arterial grafts	CPT	33535	9	—	$4,881	$22.71	$77.39	0.03×	$4,695.6
CABG 4+ arterial grafts	CPT	33536	9	—	$4,881	$22.71	$77.39	0.03×	$4,695.6
Laparoscopic cholecystectomy w/o CDE w MCC	MS-DRG	418	13	—	$3,470	$60	$30,864	1.9×	$53,813
Laparoscopic cholecystectomy w/o CDE w CC	MS-DRG	419	13	—	$3,470	$60	$24,522	1.8×	$42,755
Laparoscopic cholecystectomy w/o CDE w/o CC/MCC	MS-DRG	420	13	—	$3,470	$60	$65,688	2.0×	$114,529
Open appendectomy	CPT	44950	13	—	$4,881	$22.71	$767.52	0.68×	$14,001
Laparoscopic appendectomy	CPT	44970	13	—	$4,881	$22.71	$3,765	2.4×	$13,091
Spinal fusion (non-cervical) w MCC	MS-DRG	459	3	—	—	$6,640	$134,058	2.7×	$191,760
Spinal fusion (non-cervical) w/o MCC	MS-DRG	460	3	—	—	$6,640	$78,316	2.3×	$105,761
Major joint replacement w MCC	MS-DRG	469	13	—	$3,470	$60	$60,834	2.1×	$106,066
Major joint replacement w/o MCC	MS-DRG	470	13	—	$3,470	$60	$29,790	1.6×	$39,258
Laparoscopic cholecystectomy	CPT	47562	13	—	$4,881	$22.71	$6,545.69	3.7×	$13,091
Lap cholecystectomy with cholangiography	CPT	47563	13	—	$4,881	$22.71	$6,545.69	3.5×	$13,091
Hip & femur procedures except major joint w MCC	MS-DRG	480	13	—	$3,470	$60	$54,735	2.0×	$95,433
Hip & femur procedures except major joint w CC	MS-DRG	481	13	—	$3,470	$60	$38,616	1.9×	$67,328
Hip & femur procedures except major joint w/o CC/MCC	MS-DRG	482	13	—	$3,470	$60	$29,524	1.8×	$51,477
Lap inguinal hernia repair	CPT	49650	13	—	$4,881	$22.71	$3,765	3.3×	$13,091
Total abdominal hysterectomy	CPT	58150	9	—	$4,881	$22.71	$77.39	0.08×	$9,200
Vaginal hysterectomy	CPT	58260	13	—	$4,881	$22.71	$5,463	3.0×	$11,077
Lap-assisted vaginal hysterectomy	CPT	58550	13	—	$4,881	$22.71	$6,545.69	4.4×	$13,091
Lap-assisted vaginal hysterectomy >250g	CPT	58552	13	—	$4,881	$22.71	$5,089	2.3×	$23,361
Lap salpingo-oophorectomy	CPT	58661	13	—	$4,881	$22.71	$5,089	2.5×	$13,091
OR procedure for obesity w MCC	MS-DRG	619	13	—	$3,470	$60	$32,300	1.2×	$75,246
OR procedure for obesity w CC	MS-DRG	620	13	—	$3,470	$60	$27,672	1.7×	$43,038
OR procedure for obesity w/o CC/MCC	MS-DRG	621	13	—	$3,470	$60	$27,672	1.8×	$43,038
Complex cataract surgery	CPT	66982	13	—	$4,881	$22.71	$2,558.8	1.2×	$8,576
Cataract surgery with lens implant	CPT	66984	13	—	$4,881	$22.71	$2,558.8	1.2×	$8,576
Intravitreal injection	CPT	67028	13	—	$4,881	$22.71	$372.13	1.1×	$4,049
Vitrectomy mechanical	CPT	67042	13	—	$4,881	$22.71	$4,513.33	1.8×	$9,647
Uterine & adnexa procedures w CC/MCC	MS-DRG	743	13	—	$3,470	$60	$22,309	1.8×	$38,897
Uterine & adnexa procedures w/o CC/MCC	MS-DRG	744	13	—	$3,470	$60	$35,726	1.9×	$63,405
PCI single major coronary artery	CPT	92920	14	$18,550	—	$20.83	$9,626.96	1.7×	$51,511
PCI with drug-eluting stent	CPT	92928	14	$29,649	—	$20.83	$13,045	1.3×	$51,511
PCI bypass graft	CPT	92937	14	$20,317	—	$20.83	$13,045	1.2×	$51,511
Left heart catheterization	CPT	93452	13	$14,112	$2,939.52	$473.77	$7,217.1	2.3×	$21,049
Coronary angiography with cath	CPT	93455	13	$28,972	$6,034.86	$531.91	$7,521.13	2.4×	$22,358
Coronary angiography with bypass cath	CPT	93458	13	$29,629	$6,171.72	$549.07	$7,691.68	2.5×	$22,865

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 14)

Payer	Codes covered	Median rate
amerihealth	198	$459.64
qualcare inc	198	$1,797
Blue Cross Blue Shield	198	$432.94
wellpoint	194	$620
Cigna	194	$459.66
fidelis care	194	$230.78
First Health	194	$60
Aetna	194	$512.69
UnitedHealthcare	187	$388.17
Emblem Health	164	$1,052.65
Humana	160	$400.67
clover health	160	$400.67
WellCare	160	$797.33
Self-Pay (Cash)	20	$20.83

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