▸ Hospital · MN · CCN 240040
RANGE REGIONAL HEALTH SERVICES
750 EAST 34TH STREET, HIBBING, MN, 55746-
73 bedsAcute Care Hospitals2
Compliance grade
A
100/100
Procedures tracked
201
of 209 target codes
Payers
16
with negotiated rates
Rates published
205,945
last crawl 2026-05-24
Procedures & rates
| Procedure | Type | Code | Payers | Gross | Cash | Neg min | Neg median | Neg max |
|---|---|---|---|---|---|---|---|---|
| behavioral | ||||||||
| Psychoses | MS-DRG | 885 | 10 | — | — | $7,668.43 | $10,997 | $22,005 |
| Psychiatric diagnostic evaluation | CPT | 90791 | 16 | $905.69 | $384.92 | $122.33 | $309.92 | $3,329.11 |
| Psychiatric eval with medical services | CPT | 90792 | 11 | — | — | $139.13 | $158.08 | $3,329.11 |
| Psychotherapy 30 minutes | CPT | 90832 | 16 | $314 | $133.45 | $45.83 | $164.47 | $317.2 |
| Psychotherapy 45 minutes | CPT | 90834 | 16 | $438 | $186.15 | $54.59 | $213.47 | $442.47 |
| Psychotherapy 60 minutes | CPT | 90837 | 16 | $725 | $308.13 | $67.05 | $271.48 | $732.4 |
| Crisis psychotherapy 60 minutes | CPT | 90839 | 16 | $588 | $249.9 | $66.69 | $267.8 | $594 |
| emergency | ||||||||
| ED visit level 1 | CPT | 99281 | 16 | $517 | $219.73 | $7.41 | $387.07 | $770 |
| ED visit level 2 | CPT | 99282 | 16 | $605 | $257.13 | $24 | $468.99 | $770 |
| ED visit level 3 | CPT | 99283 | 16 | $719 | $305.58 | $47.84 | $575.85 | $770 |
| ED visit level 4 | CPT | 99284 | 16 | $1,249 | $530.83 | $81.32 | $991 | $1,261.74 |
| ED visit level 5 | CPT | 99285 | 16 | $1,772 | $753.1 | $110 | $1,402.61 | $1,790.07 |
| Critical care, first hour | CPT | 99291 | 15 | $2,410 | $1,024.25 | $113.5 | $1,805.39 | $2,434.58 |
| imaging | ||||||||
| CT head without contrast | CPT | 70450 | 15 | $1,200.58 | $510.25 | $27.55 | $636.79 | $1,602 |
| CT head with contrast | CPT | 70460 | 10 | — | — | $36.74 | $144.95 | $664.51 |
| CT head with and without contrast | CPT | 70470 | 15 | $1,198 | $509.15 | $41.22 | $177.88 | $1,602 |
| CT neck with contrast | CPT | 70491 | 15 | $1,404 | $596.71 | $44.74 | $495.69 | $1,602 |
| MRI brain without contrast | CPT | 70551 | 15 | $1,604 | $681.7 | $47.81 | $233.43 | $1,620.36 |
| MRI brain with contrast | CPT | 70552 | 15 | $2,244 | $953.7 | $57.93 | $335.92 | $2,266.89 |
| MRI brain with and without contrast | CPT | 70553 | 15 | $2,898 | $1,231.65 | $53.01 | $459.51 | $2,927.56 |
| Chest X-ray single view | CPT | 71045 | 15 | $323.04 | $137.3 | $5.89 | $172.73 | $538.01 |
| Chest X-ray 2 views | CPT | 71046 | 15 | $357 | $151.73 | $7.06 | $89.02 | $684.05 |
| Chest X-ray 3 views | CPT | 71047 | 10 | — | — | $8.95 | $40.43 | $860.82 |
| CT chest without contrast | CPT | 71250 | 15 | $1,174 | $498.95 | $35.08 | $132 | $1,602 |
| CT chest with contrast | CPT | 71260 | 15 | $1,444 | $613.7 | $37.91 | $173.74 | $1,602 |
| CT chest with and without contrast | CPT | 71270 | 15 | $977 | $415.23 | $40.5 | $191.93 | $1,602 |
| MRI chest without contrast | CPT | 71550 | 15 | $1,552 | $659.6 | $47.34 | $288.88 | $1,567.83 |
| MRI chest with contrast | CPT | 71551 | 10 | — | — | $56.05 | $347.85 | $1,680.23 |
| MRI chest with and without contrast | CPT | 71552 | 15 | $1,552 | $659.6 | $73.48 | $414.89 | $2,120.32 |
| Lumbosacral spine X-ray | CPT | 72100 | 15 | $388 | $164.9 | $7.3 | $115.98 | $908.42 |
| CT cervical spine without contrast | CPT | 72125 | 15 | $1,178 | $500.65 | $32.26 | $127.24 | $1,602 |
| CT thoracic spine without contrast | CPT | 72128 | 15 | $1,161 | $493.43 | $32.26 | $130.49 | $1,602 |
| CT lumbar spine without contrast | CPT | 72131 | 15 | $1,174 | $498.95 | $32.26 | $204.02 | $1,602 |
| MRI cervical spine without contrast | CPT | 72141 | 15 | $1,878 | $798.15 | $48.05 | $233.43 | $1,897.16 |
| MRI thoracic spine without contrast | CPT | 72146 | 15 | $1,801 | $765.43 | $48.05 | $233.43 | $1,819.37 |
| MRI lumbar spine without contrast | CPT | 72148 | 15 | $1,895 | $805.38 | $48.05 | $233.43 | $1,914.33 |
| MRI lumbar spine with and without contrast | CPT | 72149 | 15 | $1,398 | $594.15 | $57.93 | $330.11 | $1,412.26 |
| MRI cervical spine with and without contrast | CPT | 72156 | 15 | $2,898 | $1,231.65 | $74.66 | $348.8 | $2,927.56 |
| MRI lumbar spine with contrast | CPT | 72158 | 15 | $2,898 | $1,231.65 | $74.66 | $344.88 | $2,927.56 |
| CT pelvis without contrast | CPT | 72192 | 15 | $1,254 | $532.95 | $35.33 | $131.99 | $1,602 |
| CT pelvis with contrast | CPT | 72193 | 15 | $1,621 | $688.93 | $37.68 | $217.12 | $1,637.53 |
| Shoulder X-ray | CPT | 73030 | 15 | $556.5 | $236.52 | $6.12 | $108.48 | $908.42 |
| Humerus X-ray | CPT | 73060 | 15 | $459 | $195.08 | $5.17 | $88.4 | $908.42 |
| Hand X-ray 3 views | CPT | 73130 | 15 | $535.5 | $227.59 | $5.64 | $111.4 | $908.42 |
| MRI upper extremity joint without contrast | CPT | 73221 | 15 | $3,079.5 | $1,308.79 | $44.04 | $702.33 | $3,110.91 |
| MRI upper extremity joint with and without contrast | CPT | 73223 | 15 | $2,773 | $1,178.53 | $53.01 | $373.15 | $2,801.28 |
| Hip X-ray 2 views | CPT | 73510 | 1 | — | — | $10.84 | $37.06 | $67.16 |
| Knee X-ray 1-2 views | CPT | 73560 | 15 | $573.14 | $243.59 | $5.41 | $221.55 | $908.42 |
| Ankle X-ray 3 views | CPT | 73610 | 15 | $544.5 | $231.42 | $5.64 | $111.4 | $908.42 |
| MRI lower extremity joint without contrast | CPT | 73721 | 15 | $3,015 | $1,281.38 | $44.04 | $1,029.35 | $3,045.75 |
| MRI lower extremity joint with and without contrast | CPT | 73723 | 15 | $4,288.5 | $1,822.62 | $69.94 | $674.07 | $4,332.24 |
| CT abdomen without contrast | CPT | 74150 | 15 | $1,174 | $498.95 | $38.62 | $138.38 | $1,602 |
| CT abdomen with contrast | CPT | 74160 | 15 | $1,556 | $661.3 | $41.22 | $226.17 | $1,602 |
| CT abdomen with and without contrast | CPT | 74170 | 15 | $1,794 | $762.45 | $45.21 | $255.6 | $1,812.3 |
| CT abdomen and pelvis without contrast | CPT | 74176 | 15 | $1,391.5 | $591.39 | $56.52 | $332.53 | $1,602 |
| CT abdomen and pelvis with contrast | CPT | 74177 | 15 | $1,832 | $778.6 | $53.01 | $355.7 | $1,850.69 |
| CT abdomen and pelvis with and without contrast | CPT | 74178 | 15 | $2,038 | $866.15 | $65.01 | $344.88 | $2,058.79 |
| MRI abdomen without contrast | CPT | 74181 | 15 | $2,075 | $881.88 | $47.11 | $233.43 | $2,096.17 |
| MRI abdomen with and without contrast | CPT | 74183 | 15 | $3,126 | $1,328.55 | $71.36 | $349.98 | $3,157.89 |
| Abdominal ultrasound complete | CPT | 76700 | 15 | $694.11 | $295 | $26.14 | $261.66 | $1,670.18 |
| Abdominal ultrasound limited | CPT | 76705 | 15 | $543 | $230.78 | $19.08 | $297.15 | $1,670.18 |
| Retroperitoneal ultrasound complete | CPT | 76770 | 15 | $573.62 | $243.79 | $23.79 | $234.93 | $1,670.18 |
| Obstetric ultrasound first trimester | CPT | 76801 | 15 | $664 | $282.2 | $32.76 | $165.57 | $1,897.1 |
| Obstetric ultrasound after first trimester | CPT | 76805 | 15 | $683 | $290.28 | $33.01 | $182.86 | $1,897.1 |
| Obstetric ultrasound with fetal anatomy | CPT | 76811 | 15 | $884 | $375.7 | $63.38 | $227.36 | $1,897.1 |
| Transvaginal ultrasound | CPT | 76830 | 15 | $557 | $236.73 | $22.6 | $118.58 | $1,670.18 |
| Pelvic ultrasound complete | CPT | 76856 | 15 | $590 | $250.75 | $22.37 | $105.78 | $1,670.18 |
| Scrotal ultrasound | CPT | 76870 | 15 | $619 | $263.08 | $20.72 | $102.69 | $1,670.18 |
| Diagnostic mammography unilateral | CPT | 77065 | 15 | $446 | $189.55 | $26.14 | $149.29 | $547.93 |
| Diagnostic mammography bilateral | CPT | 77066 | 15 | $576 | $244.8 | $32.26 | $161.96 | $693.66 |
| Screening mammography bilateral | CPT | 77067 | 15 | $469 | $199.33 | $24.73 | $231.57 | $559.59 |
| EKG complete | CPT | 93000 | 10 | — | — | $9.89 | $14.04 | $672.5 |
| EKG tracing only | CPT | 93005 | 15 | $223 | $94.78 | $4.23 | $102.99 | $672.5 |
| EKG interpretation only | CPT | 93010 | 15 | $37 | $15.73 | $5.41 | $26.15 | $672.5 |
| Transthoracic echocardiogram complete | CPT | 93306 | 15 | $1,659 | $705.08 | $46.86 | $448.7 | $1,675.92 |
| Transthoracic echocardiogram | CPT | 93307 | 10 | — | — | $29.67 | $130.24 | $596.02 |
| Stress echocardiogram | CPT | 93350 | 15 | $2,165 | $920.13 | $46.86 | $289.16 | $2,187.08 |
| inpatient | ||||||||
| Intracranial hemorrhage/CVA w MCC | MS-DRG | 064 | 10 | — | — | $11,040 | $15,584 | $31,184 |
| Intracranial hemorrhage/CVA w CC | MS-DRG | 065 | 10 | — | — | $5,546.55 | $8,110 | $16,228 |
| Intracranial hemorrhage/CVA w/o CC/MCC | MS-DRG | 066 | 10 | — | — | $3,757.36 | $5,676 | $11,358 |
| Respiratory infections & inflammations w MCC | MS-DRG | 177 | 10 | — | — | $8,579.22 | $12,236 | $24,484 |
| COPD w MCC | MS-DRG | 190 | 10 | — | — | $6,081.27 | $8,838 | $17,685 |
| COPD w CC | MS-DRG | 191 | 10 | — | — | $4,628.07 | $6,861 | $13,729 |
| COPD w/o CC/MCC | MS-DRG | 192 | 10 | — | — | $3,524.58 | $5,359 | $10,723 |
| Simple pneumonia & pleurisy w CC | MS-DRG | 194 | 10 | — | — | $4,424.39 | $6,584 | $13,175 |
| Simple pneumonia & pleurisy w/o CC/MCC | MS-DRG | 195 | 10 | — | — | $3,450.47 | $5,259 | $10,523 |
| AMI discharged alive w MCC | MS-DRG | 280 | 10 | — | — | $8,806.51 | $12,545 | $25,103 |
| AMI discharged alive w CC | MS-DRG | 281 | 10 | — | — | $5,045.86 | $7,429 | $14,865 |
| AMI discharged alive w/o CC/MCC | MS-DRG | 282 | 10 | — | — | $3,969.82 | $5,965 | $11,936 |
| Heart failure & shock w MCC | MS-DRG | 291 | 10 | — | — | $7,048.06 | $10,153 | $20,316 |
| Heart failure & shock w CC | MS-DRG | 292 | 10 | — | — | $4,661.01 | $6,905 | $13,817 |
| Heart failure & shock w/o CC/MCC | MS-DRG | 293 | 10 | — | — | $3,107.34 | $4,792 | $9,588.79 |
| Cardiac arrhythmia w MCC | MS-DRG | 308 | 10 | — | — | $6,609.96 | $9,557 | $19,124 |
| Cardiac arrhythmia w CC | MS-DRG | 309 | 10 | — | — | $4,038.99 | $6,059 | $12,124 |
| Cardiac arrhythmia w/o CC/MCC | MS-DRG | 310 | 10 | — | — | $3,107.89 | $4,792 | $9,588.79 |
| GI hemorrhage w CC | MS-DRG | 378 | 10 | — | — | $5,384.04 | $7,889 | $15,786 |
| GI hemorrhage w/o CC/MCC | MS-DRG | 379 | 10 | — | — | $3,460.9 | $5,273 | $10,551 |
| Esophagitis/gastroenteritis w/o MCC | MS-DRG | 392 | 10 | — | — | $4,280 | $6,387 | $12,780 |
| Fractures of femur w/o MCC | MS-DRG | 533 | 10 | — | — | $8,606.67 | $12,273 | $24,558 |
| Kidney/UTI w MCC | MS-DRG | 689 | 10 | — | — | $6,370.05 | $9,231 | $18,471 |
| Kidney/UTI w/o MCC | MS-DRG | 690 | 10 | — | — | $4,444.16 | $6,610 | $13,227 |
| Septicemia or severe sepsis w MV 96+ hrs | MS-DRG | 871 | 10 | — | — | $10,664 | $15,073 | $30,161 |
| Septicemia or severe sepsis w/o MV 96+ hrs | MS-DRG | 872 | 10 | — | — | $5,617.92 | $8,207 | $16,422 |
| Initial hospital care, low complexity | CPT | 99221 | 16 | $372 | $158.1 | $42.5 | $264.84 | $2,198.17 |
| Initial hospital care, moderate complexity | CPT | 99222 | 16 | $582 | $247.35 | $89.45 | $475.63 | $2,966.76 |
| Initial hospital care, high complexity | CPT | 99223 | 16 | $775 | $329.38 | $119.35 | $600.45 | $4,380.96 |
| Hospital discharge, <30 min | CPT | 99238 | 16 | $362 | $153.85 | $56.21 | $267.19 | $1,583.3 |
| Hospital discharge, >30 min | CPT | 99239 | 16 | $510 | $216.75 | $79.41 | $415.76 | $2,321.14 |
| lab | ||||||||
| Basic metabolic panel (BMP) | CPT | 80048 | 15 | $188 | $79.9 | $8.32 | $139.66 | $210.79 |
| General health panel | CPT | 80050 | 14 | $135 | $57.38 | $39.14 | $50.33 | $210.79 |
| Electrolyte panel | CPT | 80051 | 15 | $84 | $35.7 | $6.9 | $18.48 | $210.79 |
| Comprehensive metabolic panel | CPT | 80053 | 15 | $209.09 | $88.87 | $10.39 | $29.7 | $211.22 |
| Lipid panel | CPT | 80061 | 15 | $96.3 | $40.93 | $13.18 | $34.65 | $210.79 |
| Renal function panel | CPT | 80069 | 15 | $182 | $77.35 | $8.54 | $21.69 | $210.79 |
| Hepatic function panel | CPT | 80076 | 15 | $120 | $51 | $8.04 | $21.32 | $210.79 |
| Urinalysis non-automated | CPT | 81002 | 10 | — | — | $1.12 | $3.63 | $6.77 |
| Urinalysis automated | CPT | 81003 | 15 | $70 | $29.75 | $2.21 | $24.75 | $70.71 |
| Glucose quantitative | CPT | 82947 | 15 | $46 | $19.55 | $3.87 | $12.6 | $136.15 |
| Hemoglobin A1c | CPT | 83036 | 15 | $66.19 | $28.13 | $9.55 | $28.83 | $232.54 |
| Thyroid stimulating hormone (TSH) | CPT | 84443 | 15 | $98 | $41.65 | $16.53 | $53.06 | $229.54 |
| Complete blood count with automated differential | CPT | 85025 | 15 | $109.14 | $46.39 | $2.53 | $23.8 | $110.26 |
| Complete blood count without differential | CPT | 85027 | 15 | $148.03 | $62.92 | $2.31 | $86.37 | $149.54 |
| Urine culture bacterial | CPT | 87086 | 15 | $85 | $36.13 | $7.94 | $23.39 | $175.16 |
| Urine culture identification | CPT | 87088 | 15 | $105 | $44.63 | $7.96 | $25.88 | $175.16 |
| Tissue exam by pathologist level IV | CPT | 88305 | 15 | $224.27 | $95.32 | $19.2 | $103.15 | $572.73 |
| maternity | ||||||||
| Fetal non-stress test | CPT | 59025 | 15 | $813 | $345.53 | $14.59 | $234.31 | $3,021.56 |
| Routine obstetric care including vaginal delivery | CPT | 59400 | 15 | $10,839 | $4,606.58 | $53.01 | $2,209.28 | $46,446 |
| Vaginal delivery only | CPT | 59409 | 15 | $3,619 | $1,538.08 | $53.01 | $2,391.48 | $20,969 |
| Vaginal delivery with postpartum | CPT | 59410 | 15 | $4,795 | $2,037.88 | $53.01 | $968.62 | $20,969 |
| Routine obstetric care with C-section | CPT | 59510 | 15 | $12,009 | $5,103.83 | $53.01 | $5,579.62 | $51,496 |
| C-section delivery only | CPT | 59514 | 15 | $4,097 | $1,741.23 | $53.01 | $799.71 | $20,237 |
| C-section with postpartum | CPT | 59515 | 15 | $5,899 | $2,507.08 | $53.01 | $1,190.05 | $27,977 |
| office | ||||||||
| Office visit, new patient, 15-29 min | CPT | 99202 | 11 | — | — | $32.29 | $55.13 | $1,099.08 |
| Office visit, new patient, 30-44 minutes | CPT | 99203 | 16 | $504 | $214.2 | $55.97 | $132.63 | $1,652.47 |
| Office visit, new patient, 45-59 min | CPT | 99204 | 16 | $747 | $317.48 | $91.85 | $218.36 | $2,797.67 |
| Office visit, new patient, 60-74 min | CPT | 99205 | 16 | $986 | $419.05 | $124.62 | $587.16 | $3,650.8 |
| Office visit, established patient, 5 min | CPT | 99211 | 11 | — | — | $5.97 | $18.1 | $199.83 |
| Office visit, established patient, 10-19 min | CPT | 99212 | 16 | $255 | $108.38 | $24.16 | $56.23 | $553.38 |
| Office visit, established patient, 20-29 minutes | CPT | 99213 | 16 | $406 | $172.55 | $45.44 | $237.58 | $1,106.77 |
| Office visit, established patient, 30-39 minutes | CPT | 99214 | 16 | $571.13 | $242.74 | $66.97 | $335.12 | $1,706.27 |
| Office visit, established patient, 40-54 min | CPT | 99215 | 16 | $803 | $341.28 | $99.5 | $465.79 | $2,405.69 |
| preventive | ||||||||
| Upper GI endoscopy diagnostic | CPT | 43235 | 15 | $2,038.05 | $866.18 | $53.01 | $905.4 | $2,058.84 |
| Upper GI endoscopy with biopsy | CPT | 43239 | 15 | $2,134 | $906.95 | $53.01 | $1,230.54 | $2,155.77 |
| Sigmoidoscopy diagnostic | CPT | 45330 | 15 | $2,024 | $860.2 | $38.38 | $723.1 | $2,044.64 |
| Sigmoidoscopy with biopsy | CPT | 45331 | 15 | $2,824 | $1,200.2 | $48.75 | $933.27 | $12,335 |
| Colonoscopy diagnostic | CPT | 45378 | 15 | $2,640 | $1,122 | $53.01 | $979.2 | $3,418.48 |
| Colonoscopy with biopsy | CPT | 45380 | 15 | $2,887.83 | $1,227.33 | $53.01 | $1,700.93 | $3,418.48 |
| Colonoscopy with polyp removal | CPT | 45385 | 15 | $2,939 | $1,249.08 | $53.01 | $1,726.47 | $2,968.98 |
| surgery | ||||||||
| Total shoulder arthroplasty | CPT | 23472 | 15 | $6,525 | $2,773.13 | $53.01 | $4,555.09 | $34,844 |
| Hip hemiarthroplasty | CPT | 27125 | 15 | $5,116 | $2,174.3 | $53.01 | $1,077.8 | $25,141 |
| Total hip replacement | CPT | 27130 | 15 | $5,798 | $2,464.15 | $53.01 | $4,148.41 | $30,044 |
| Total knee replacement | CPT | 27447 | 15 | $5,791 | $2,461.18 | $53.01 | $4,223.24 | $30,029 |
| Knee revision arthroplasty single component | CPT | 27486 | 10 | — | — | $940.46 | $1,331.1 | $31,159 |
| Knee revision arthroplasty all components | CPT | 27487 | 15 | $7,898 | $3,356.65 | $53.01 | $1,651.27 | $38,991 |
| Shoulder arthroscopy with decompression | CPT | 29826 | 15 | $772 | $328.1 | $112.11 | $528.33 | $1,831.33 |
| Shoulder arthroscopy with rotator cuff repair | CPT | 29827 | 15 | $4,840 | $2,057 | $53.01 | $2,286.77 | $13,535 |
| Knee arthroscopy with meniscectomy | CPT | 29881 | 15 | $2,467 | $1,048.48 | $53.01 | $1,791.88 | $6,147.55 |
| ACL reconstruction | CPT | 29888 | 15 | $4,416 | $1,876.8 | $53.01 | $2,947.62 | $13,535 |
| Major small/large bowel procedures w MCC | MS-DRG | 329 | 10 | — | — | $25,235 | $34,895 | $69,825 |
| Major small/large bowel procedures w CC | MS-DRG | 330 | 10 | — | — | $13,161 | $18,469 | $36,956 |
| Major small/large bowel procedures w/o CC/MCC | MS-DRG | 331 | 10 | — | — | $9,239.12 | $13,134 | $26,281 |
| CABG single arterial graft | CPT | 33533 | 10 | — | — | $1,175.05 | $1,664.21 | $41,573 |
| CABG 2 arterial grafts | CPT | 33534 | 10 | — | — | $1,379.5 | $1,953.48 | $48,898 |
| CABG 3 arterial grafts | CPT | 33535 | 10 | — | — | $1,531.89 | $2,169.58 | $54,555 |
| CABG 4+ arterial grafts | CPT | 33536 | 10 | — | — | $1,648.71 | $2,334.96 | $58,497 |
| Laparoscopic cholecystectomy w/o CDE w MCC | MS-DRG | 418 | 10 | — | — | $9,286.88 | $13,199 | $26,411 |
| Laparoscopic cholecystectomy w/o CDE w CC | MS-DRG | 419 | 10 | — | — | $7,498.24 | $10,765 | $21,541 |
| Laparoscopic cholecystectomy w/o CDE w/o CC/MCC | MS-DRG | 420 | 10 | — | — | $18,705 | $26,012 | $52,050 |
| Open appendectomy | CPT | 44950 | 15 | $3,627.5 | $1,541.69 | $53.01 | $2,005.67 | $14,311 |
| Laparoscopic appendectomy | CPT | 44970 | 15 | $2,727 | $1,158.98 | $44.18 | $1,820.41 | $13,389 |
| Major joint replacement w MCC | MS-DRG | 469 | 10 | — | — | $16,652 | $23,219 | $46,461 |
| Major joint replacement w/o MCC | MS-DRG | 470 | 10 | — | — | $10,590 | $14,971 | $29,957 |
| Laparoscopic cholecystectomy | CPT | 47562 | 15 | $3,731.25 | $1,585.79 | $53.01 | $2,424.25 | $14,657 |
| Lap cholecystectomy with cholangiography | CPT | 47563 | 15 | $3,253 | $1,382.53 | $53.01 | $2,212.77 | $15,948 |
| Hip & femur procedures except major joint w MCC | MS-DRG | 480 | 10 | — | — | $15,989 | $22,316 | $44,654 |
| Hip & femur procedures except major joint w CC | MS-DRG | 481 | 10 | — | — | $11,499 | $16,208 | $32,432 |
| Hip & femur procedures except major joint w/o CC/MCC | MS-DRG | 482 | 10 | — | — | $8,954.19 | $12,746 | $25,505 |
| Open umbilical hernia repair | CPT | 49560 | 2 | — | — | $706.91 | $2,649.11 | $16,432 |
| Umbilical hernia repair age 5+ | CPT | 49585 | 2 | — | — | $433.71 | $1,448.64 | $6,348.61 |
| Lap inguinal hernia repair | CPT | 49650 | 15 | $2,899 | $1,232.08 | $53.01 | $1,528.72 | $11,054 |
| Lap incisional hernia repair | CPT | 49652 | 2 | — | — | $712.84 | $2,380.98 | $9,156.66 |
| Total abdominal hysterectomy | CPT | 58150 | 15 | $4,582 | $1,947.35 | $53.01 | $962.33 | $22,366 |
| Vaginal hysterectomy | CPT | 58260 | 15 | $3,806 | $1,617.55 | $53.01 | $2,666.26 | $18,046 |
| Lap-assisted vaginal hysterectomy | CPT | 58550 | 10 | — | — | $402.36 | $2,316 | $11,054 |
| Lap-assisted vaginal hysterectomy >250g | CPT | 58552 | 15 | $4,443 | $1,888.28 | $53.01 | $2,571.04 | $19,726 |
| Lap salpingo-oophorectomy | CPT | 58661 | 15 | $4,431 | $1,883.18 | $53.01 | $2,606.74 | $14,257 |
| OR procedure for obesity w MCC | MS-DRG | 619 | 10 | — | — | $15,852 | $22,130 | $44,282 |
| OR procedure for obesity w CC | MS-DRG | 620 | 10 | — | — | $8,785.65 | $12,517 | $25,047 |
| OR procedure for obesity w/o CC/MCC | MS-DRG | 621 | 10 | — | — | $8,281.12 | $11,830 | $23,672 |
| Complex cataract surgery | CPT | 66982 | 15 | $90 | $38.25 | $53.01 | $1,321.78 | $4,883.55 |
| Cataract surgery with lens implant | CPT | 66984 | 15 | $90 | $38.25 | $53.01 | $1,347.79 | $26,736 |
| Intravitreal injection | CPT | 67028 | 10 | — | — | $62.88 | $302.45 | $5,946.35 |
| Vitrectomy mechanical | CPT | 67042 | 10 | — | — | $782.66 | $3,751.55 | $25,171 |
| Uterine & adnexa procedures w CC/MCC | MS-DRG | 743 | 10 | — | — | $6,811.44 | $9,831 | $19,672 |
| Uterine & adnexa procedures w/o CC/MCC | MS-DRG | 744 | 10 | — | — | $11,250 | $15,869 | $31,754 |
| PCI single major coronary artery | CPT | 92920 | 10 | — | — | $329.26 | $1,588.4 | $86,207 |
| PCI with drug-eluting stent | CPT | 92928 | 10 | — | — | $366.01 | $1,766.9 | $86,207 |
| PCI bypass graft | CPT | 92937 | 10 | — | — | $365.78 | $1,766.9 | $86,207 |
| Left heart catheterization | CPT | 93452 | 10 | — | — | $149.09 | $813.49 | $31,844 |
| Coronary angiography with cath | CPT | 93455 | 10 | — | — | $175.46 | $913.01 | $31,844 |
| Coronary angiography with bypass cath | CPT | 93458 | 10 | — | — | $185.36 | $941.63 | $31,844 |
Payer mix (top 16)
| Payer | Codes covered | Median rate |
|---|---|---|
| health partners | 201 | $204.63 |
| Blue Cross Blue Shield | 200 | $324.74 |
| ucare | 197 | $227.11 |
| UnitedHealthcare | 197 | $233.43 |
| itasca medical care | 197 | $126.59 |
| sanford health plan | 197 | $190.26 |
| primewest | 197 | $126.59 |
| medica | 197 | $173.94 |
| security health plan | 197 | $224.41 |
| WellCare | 196 | $152.79 |
| wisconsin physician services | 131 | $329.99 |
| First Health | 131 | $300.53 |
| Multiplan | 131 | $311.65 |
| private healthcare systems | 131 | $311.65 |
| america's ppo | 131 | $332.32 |
| optum | 25 | $121.22 |