Does M Health Fairview Lakes Medical Center publish its standard charges and chargemaster?

Yes. M Health Fairview Lakes Medical Center publishes a machine-readable file with 315,072 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 M Health Fairview Lakes Medical Center charge for procedures?

M Health Fairview Lakes Medical Center (Wyoming, MN) 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 · MN · CCN 240050

M Health Fairview Lakes Medical Center

Wyoming, MN, 55092-8013

55 bedsAcute Care Hospitals1

Compliance grade

100/100

Rates published

315,072

last crawl 2026-05-24

Procedures tracked

201

of 209 target codes

Payers

with negotiated rates

Procedures tracked

...

Payers

...

▸ Compare with other hospitals All MN 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://requiredlearning.fairview.org/price_transparency/410991680-1083692941_fairview-health-services_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	11	—	—	$6,112.4	$11,925	0.93×	$30,570
Psychiatric diagnostic evaluation	CPT	90791	17	$916	$367.32	$111.69	$433.88	2.4×	$824.4
Psychiatric eval with medical services	CPT	90792	12	—	—	$122.36	$169.63	0.98×	$821.99
Psychotherapy 30 minutes	CPT	90832	17	$545	$218.55	$35.24	$214.8	1.4×	$490.5
Psychotherapy 45 minutes	CPT	90834	17	$561	$226.98	$74.74	$298.87	1.9×	$504.9
Psychotherapy 60 minutes	CPT	90837	17	$791	$317.2	$101.65	$434.83	2.3×	$711.9
Crisis psychotherapy 60 minutes	CPT	90839	17	$588	$235.79	$106.66	$297.19	1.9×	$534.05
emergency
ED visit level 1	CPT	99281	17	$517	$207.32	$7.41	$299.31	2.1×	$1,617
ED visit level 2	CPT	99282	17	$605.6	$242.85	$28.22	$356.19	1.5×	$1,617
ED visit level 3	CPT	99283	17	$728.5	$292.13	$47.84	$431.17	1.1×	$1,617
ED visit level 4	CPT	99284	17	$1,249	$500.85	$81.32	$745.12	1.1×	$1,617
ED visit level 5	CPT	99285	17	$1,772	$710.58	$117.68	$1,085.08	1.0×	$2,423
Critical care, first hour	CPT	99291	17	$3,515	$1,409.52	$144.95	$1,420.68	1.3×	$3,163.5
imaging
CT head without contrast	CPT	70450	17	$1,198.83	$480.74	$27.55	$695.51	3.4×	$1,078.95
CT head with contrast	CPT	70460	17	$1,198	$480.4	$36.74	$167.46	0.72×	$1,078.2
CT head with and without contrast	CPT	70470	17	$1,198	$480.4	$41.22	$182.64	0.68×	$1,078.2
CT neck with contrast	CPT	70491	17	$1,402.1	$562.25	$44.74	$197.29	0.72×	$1,261.89
MRI brain without contrast	CPT	70551	17	$1,604.01	$643.21	$47.81	$255.05	0.63×	$1,443.61
MRI brain with contrast	CPT	70552	17	$2,244	$899.85	$57.93	$335.92	0.70×	$2,019.6
MRI brain with and without contrast	CPT	70553	17	$2,898.26	$1,162.21	$74.42	$722.42	1.2×	$2,608.44
Chest X-ray single view	CPT	71045	17	$323.07	$129.55	$5.89	$92.9	0.98×	$290.76
Chest X-ray 2 views	CPT	71046	17	$357	$143.16	$7.06	$65.65	0.67×	$321.3
Chest X-ray 3 views	CPT	71047	17	$234	$93.84	$8.95	$64.49	0.67×	$263.86
CT chest without contrast	CPT	71250	17	$1,174.1	$470.82	$35.08	$203.83	0.95×	$1,056.69
CT chest with contrast	CPT	71260	17	$1,444.22	$579.14	$37.91	$382.2	1.4×	$1,299.8
CT chest with and without contrast	CPT	71270	17	$977	$391.78	$40.5	$191.93	0.66×	$879.78
MRI chest without contrast	CPT	71550	17	$1,552	$622.36	$47.34	$271.4	0.63×	$1,456.1
MRI chest with contrast	CPT	71551	17	$1,552	$622.36	$56.05	$492.49	0.61×	$1,807.19
MRI chest with and without contrast	CPT	71552	17	$1,552.32	$622.48	$73.48	$504.38	0.84×	$2,032.81
Lumbosacral spine X-ray	CPT	72100	17	$388	$155.59	$7.3	$77.88	0.75×	$349.2
CT cervical spine without contrast	CPT	72125	17	$1,178	$472.38	$32.26	$141.98	0.70×	$1,060.2
CT thoracic spine without contrast	CPT	72128	17	$1,161	$465.57	$32.26	$134.27	0.67×	$1,044.9
CT lumbar spine without contrast	CPT	72131	17	$1,174	$470.78	$32.26	$188.8	0.93×	$1,056.6
MRI cervical spine without contrast	CPT	72141	17	$1,878	$753.08	$48.05	$248.46	0.63×	$1,690.2
MRI thoracic spine without contrast	CPT	72146	17	$1,801	$722.21	$48.05	$240.61	0.65×	$1,620.9
MRI lumbar spine without contrast	CPT	72148	17	$1,895	$759.9	$48.05	$248.46	0.66×	$1,705.5
MRI lumbar spine with and without contrast	CPT	72149	17	$1,398	$560.6	$57.93	$335.92	0.74×	$1,398
MRI cervical spine with and without contrast	CPT	72156	17	$2,898	$1,162.1	$74.66	$355.49	0.66×	$2,608.2
MRI lumbar spine with contrast	CPT	72158	17	$3,198	$1,282.4	$74.66	$360.82	0.66×	$2,878.2
CT pelvis without contrast	CPT	72192	17	$1,254.35	$503	$35.33	$196.36	0.98×	$1,128.91
CT pelvis with contrast	CPT	72193	17	$1,621	$650.03	$37.68	$222.57	0.79×	$1,458.9
Shoulder X-ray	CPT	73030	17	$556.47	$223.15	$6.12	$82.82	0.89×	$500.82
Humerus X-ray	CPT	73060	17	$459	$184.06	$5.17	$66.32	0.74×	$413.1
Hand X-ray 3 views	CPT	73130	17	$535.5	$214.74	$5.64	$89.62	0.96×	$481.95
MRI upper extremity joint without contrast	CPT	73221	17	$3,041.26	$1,219.55	$44.04	$240.61	0.58×	$2,737.14
MRI upper extremity joint with and without contrast	CPT	73223	17	$3,812.25	$1,528.72	$69.94	$419.95	0.69×	$3,431.03
Hip X-ray 2 views	CPT	73510	1	—	—	$10.84	$37.06	0.49×	$67.16
Knee X-ray 1-2 views	CPT	73560	17	$565.59	$226.81	$5.41	$87.64	0.94×	$509.03
Ankle X-ray 3 views	CPT	73610	17	$544.5	$218.35	$5.64	$93.92	1.0×	$490.05
MRI lower extremity joint without contrast	CPT	73721	17	$3,015	$1,209.02	$44.04	$589.76	1.3×	$2,713.5
MRI lower extremity joint with and without contrast	CPT	73723	17	$4,288.5	$1,719.69	$69.94	$938.44	1.5×	$3,859.65
CT abdomen without contrast	CPT	74150	17	$1,174	$470.78	$38.62	$139.18	0.74×	$1,056.6
CT abdomen with contrast	CPT	74160	17	$1,556	$623.96	$41.22	$226.17	0.79×	$1,400.4
CT abdomen with and without contrast	CPT	74170	17	$1,794	$719.4	$45.21	$253.73	0.76×	$1,614.6
CT abdomen and pelvis without contrast	CPT	74176	17	$1,286.21	$515.78	$56.52	$268.2	0.74×	$1,359.31
CT abdomen and pelvis with contrast	CPT	74177	17	$1,832.02	$734.65	$59.12	$463.91	0.85×	$1,648.82
CT abdomen and pelvis with and without contrast	CPT	74178	17	$2,038.2	$817.32	$65.01	$367.09	0.64×	$1,834.38
MRI abdomen without contrast	CPT	74181	17	$2,077.92	$833.25	$47.11	$271.4	0.70×	$1,870.13
MRI abdomen with and without contrast	CPT	74183	17	$3,126	$1,253.53	$71.36	$355.49	0.63×	$2,813.4
Abdominal ultrasound complete	CPT	76700	17	$694.04	$278.31	$26.14	$117.3	0.79×	$624.63
Abdominal ultrasound limited	CPT	76705	17	$546.85	$219.29	$19.08	$312.27	2.1×	$492.17
Retroperitoneal ultrasound complete	CPT	76770	17	$859.5	$344.66	$23.79	$233.36	1.6×	$773.55
Obstetric ultrasound first trimester	CPT	76801	17	$664	$266.27	$32.76	$128.44	0.91×	$597.6
Obstetric ultrasound after first trimester	CPT	76805	17	$683	$273.89	$33.01	$129.2	0.85×	$614.7
Obstetric ultrasound with fetal anatomy	CPT	76811	17	$1,123	$450.33	$63.38	$242.42	1.0×	$1,359.31
Transvaginal ultrasound	CPT	76830	17	$557.04	$223.38	$22.6	$196.38	1.3×	$501.34
Pelvic ultrasound complete	CPT	76856	17	$590.05	$236.61	$22.37	$174.95	1.2×	$531.04
Scrotal ultrasound	CPT	76870	17	$619	$248.22	$20.72	$105.85	0.81×	$557.1
Diagnostic mammography unilateral	CPT	77065	17	$446	$178.85	$26.14	$120.96	0.81×	$1,094.04
Diagnostic mammography bilateral	CPT	77066	17	$576.03	$231	$32.26	$152.79	0.80×	$1,381.94
Screening mammography bilateral	CPT	77067	17	$469	$188.07	$24.73	$123.85	0.79×	$1,117.06
EKG complete	CPT	93000	17	$58.82	$36.89	$9.89	$42.63	1.7×	$128.83
EKG tracing only	CPT	93005	17	$223	$89.43	$4.23	$141.08	1.2×	$312
EKG interpretation only	CPT	93010	17	$33	$20.7	$5.41	$25.05	1.4×	$128.83
Transthoracic echocardiogram complete	CPT	93306	17	$1,659.17	$665.33	$46.86	$441.45	0.74×	$1,493.25
Transthoracic echocardiogram	CPT	93307	12	—	—	$29.67	$145.22	0.59×	$1,359.31
Stress echocardiogram	CPT	93350	17	$2,166.21	$868.65	$46.86	$303.74	0.60×	$1,949.59
inpatient
Intracranial hemorrhage/CVA w MCC	MS-DRG	064	11	—	—	$8,800.14	$16,719	0.83×	$44,013
Intracranial hemorrhage/CVA w CC	MS-DRG	065	11	—	—	$4,421.07	$8,908.24	0.83×	$22,111
Intracranial hemorrhage/CVA w/o CC/MCC	MS-DRG	066	11	—	—	$2,994.93	$6,365.3	0.83×	$14,979
Respiratory infections & inflammations w MCC	MS-DRG	177	11	—	—	$6,838.38	$13,220	0.86×	$34,201
COPD w MCC	MS-DRG	190	11	—	—	$4,847.3	$9,669.32	0.86×	$24,243
COPD w CC	MS-DRG	191	11	—	—	$3,688.97	$7,602.32	0.86×	$18,450
COPD w/o CC/MCC	MS-DRG	192	11	—	—	$2,809.39	$6,033.52	0.86×	$14,051
Simple pneumonia & pleurisy w CC	MS-DRG	194	11	—	—	$3,526.62	$7,312.94	0.86×	$17,638
Simple pneumonia & pleurisy w/o CC/MCC	MS-DRG	195	11	—	—	$2,750.32	$5,928.58	0.89×	$13,755
AMI discharged alive w MCC	MS-DRG	280	11	—	—	$7,019.54	$13,544	0.86×	$35,107
AMI discharged alive w CC	MS-DRG	281	11	—	—	$4,021.98	$8,196.98	0.85×	$20,115
AMI discharged alive w/o CC/MCC	MS-DRG	282	11	—	—	$3,164.29	$6,667.4	0.86×	$15,826
Heart failure & shock w MCC	MS-DRG	291	11	—	—	$5,617.91	$11,043	0.86×	$28,097
Heart failure & shock w CC	MS-DRG	292	11	—	—	$3,715.22	$7,650.02	0.86×	$18,581
Heart failure & shock w/o CC/MCC	MS-DRG	293	11	—	—	$2,476.82	$5,440.98	0.88×	$12,387
Cardiac arrhythmia w MCC	MS-DRG	308	11	—	—	$5,268.7	$10,421	0.86×	$26,351
Cardiac arrhythmia w CC	MS-DRG	309	11	—	—	$3,219.42	$6,764.92	0.87×	$16,102
Cardiac arrhythmia w/o CC/MCC	MS-DRG	310	11	—	—	$2,477.25	$5,440.98	0.88×	$12,390
GI hemorrhage w CC	MS-DRG	378	11	—	—	$4,291.54	$8,677.16	0.87×	$21,464
GI hemorrhage w/o CC/MCC	MS-DRG	379	11	—	—	$2,758.63	$5,943.42	0.87×	$13,797
Esophagitis/gastroenteritis w/o MCC	MS-DRG	392	11	—	—	$3,411.53	$7,108.36	0.88×	$17,062
Fractures of femur w/o MCC	MS-DRG	533	11	—	—	$6,860.26	$13,260	0.87×	$34,311
Kidney/UTI w MCC	MS-DRG	689	11	—	—	$5,077.47	$10,080	0.87×	$25,394
Kidney/UTI w/o MCC	MS-DRG	690	11	—	—	$3,542.37	$7,341.56	0.88×	$17,717
Septicemia or severe sepsis w MV 96+ hrs	MS-DRG	871	11	—	—	$8,500.38	$16,185	0.87×	$42,514
Septicemia or severe sepsis w/o MV 96+ hrs	MS-DRG	872	11	—	—	$4,477.96	$9,010	0.87×	$22,396
Initial hospital care, low complexity	CPT	99221	17	$373	$233.88	$54.92	$273.05	2.9×	$676.58
Initial hospital care, moderate complexity	CPT	99222	17	$521	$326.67	$89.45	$407.64	2.4×	$1,079.64
Initial hospital care, high complexity	CPT	99223	17	$746	$467.75	$119.35	$566.96	2.5×	$1,436.64
Hospital discharge, <30 min	CPT	99238	17	$327	$205.03	$56.21	$247.39	2.9×	$676.58
Hospital discharge, >30 min	CPT	99239	17	$462	$289.68	$79.41	$350.36	2.9×	$958.71
lab
Basic metabolic panel (BMP)	CPT	80048	17	$188	$75.39	$8.32	$105.73	3.3×	$169.2
General health panel	CPT	80050	9	—	—	$16.61	$53.49	0.50×	$328.21
Electrolyte panel	CPT	80051	17	$84.01	$33.69	$6.9	$48.38	2.0×	$75.61
Comprehensive metabolic panel	CPT	80053	17	$230.63	$92.49	$10.39	$130.6	2.9×	$207.57
Lipid panel	CPT	80061	17	$102.25	$41.01	$13.18	$55.72	1.5×	$118.04
Renal function panel	CPT	80069	17	$196	$78.6	$8.54	$20.92	0.77×	$176.4
Hepatic function panel	CPT	80076	17	$120.03	$48.14	$8.04	$17.58	0.66×	$108.03
Urinalysis non-automated	CPT	81002	12	—	—	$2.33	$4.62	0.66×	$31.68
Urinalysis automated	CPT	81003	17	$70	$28.07	$1.69	$31.25	2.2×	$63
Glucose quantitative	CPT	82947	17	$59	$23.66	$3.87	$29.25	1.7×	$53.1
Hemoglobin A1c	CPT	83036	17	$77	$30.88	$9.55	$40.12	1.5×	$86.38
Thyroid stimulating hormone (TSH)	CPT	84443	17	$99	$39.7	$16.53	$53.6	1.1×	$146.83
Complete blood count with automated differential	CPT	85025	17	$134	$53.74	$5.25	$64.34	2.4×	$120.6
Complete blood count without differential	CPT	85027	17	$219	$87.82	$4.8	$78.07	3.6×	$197.1
Urine culture bacterial	CPT	87086	17	$85	$34.09	$7.94	$49.8	2.1×	$76.5
Urine culture identification	CPT	87088	17	$105	$42.11	$7.96	$57.58	2.6×	$94.5
Tissue exam by pathologist level IV	CPT	88305	17	$317	$165.53	$23.86	$114.35	1.1×	$285.3
maternity
Fetal non-stress test	CPT	59025	17	$699.48	$280.5	$14.59	$200.24	1.1×	$1,438
Routine obstetric care including vaginal delivery	CPT	59400	17	$11,489	$7,203.45	$673	$6,719.27	2.9×	$19,148
Vaginal delivery only	CPT	59409	17	$2,992.91	$1,876.56	$507.93	$2,488.14	1.1×	$7,272.92
Vaginal delivery with postpartum	CPT	59410	17	$4,755	$2,981.39	$655.35	$2,857.49	2.7×	$8,386.61
Routine obstetric care with C-section	CPT	59510	17	$12,580	$7,887.66	$673	$7,387.38	3.0×	$21,051
C-section delivery only	CPT	59514	17	$3,370	$2,112.99	$496.23	$1,044	1.1×	$6,921.19
C-section with postpartum	CPT	59515	17	$6,096.25	$3,822.35	$655.35	$3,525.82	2.8×	$10,313
office
Office visit, new patient, 15-29 min	CPT	99202	17	$298	$186.85	$32.29	$175.46	2.0×	$616.11
Office visit, new patient, 30-44 minutes	CPT	99203	17	$455	$285.29	$55.97	$331.15	2.7×	$944.33
Office visit, new patient, 45-59 min	CPT	99204	17	$675	$423.23	$91.85	$506.91	2.9×	$1,410.73
Office visit, new patient, 60-74 min	CPT	99205	17	$890	$558.03	$124.62	$621.38	2.8×	$1,859.85
Office visit, established patient, 5 min	CPT	99211	17	$105.27	$57.69	$5.97	$62.85	0.98×	$201.54
Office visit, established patient, 10-19 min	CPT	99212	17	$346	$146.72	$24.16	$177.42	2.2×	$483.68
Office visit, established patient, 20-29 minutes	CPT	99213	17	$380.95	$231.37	$45.44	$273.6	2.4×	$774.46
Office visit, established patient, 30-39 minutes	CPT	99214	17	$551.1	$327.93	$66.97	$392.63	2.6×	$1,091.15
Office visit, established patient, 40-54 min	CPT	99215	17	$736.67	$456.46	$99.5	$529.39	2.8×	$1,534.53
preventive
Upper GI endoscopy diagnostic	CPT	43235	17	$2,046.19	$820.53	$81.95	$1,043.38	1.1×	$3,500
Upper GI endoscopy with biopsy	CPT	43239	17	$2,088.23	$991.29	$92.32	$1,249.88	1.3×	$3,500
Sigmoidoscopy diagnostic	CPT	45330	17	$2,024.57	$811.86	$38.38	$907.51	1.1×	$2,872
Sigmoidoscopy with biopsy	CPT	45331	17	$2,824.61	$1,132.67	$48.75	$961.96	1.1×	$2,872
Colonoscopy diagnostic	CPT	45378	17	$3,012	$1,207.82	$83.34	$1,065.92	1.2×	$3,500
Colonoscopy with biopsy	CPT	45380	17	$3,579	$1,435.18	$133.3	$1,668.24	1.4×	$3,533.51
Colonoscopy with polyp removal	CPT	45385	17	$3,673.75	$1,473.18	$168.4	$1,710.06	1.4×	$3,533.51
surgery
Total shoulder arthroplasty	CPT	23472	17	$5,681	$3,561.99	$966.61	$4,828.85	1.2×	$42,066
Hip hemiarthroplasty	CPT	27125	12	—	—	$761.47	$3,054.96	2.4×	$9,370
Total hip replacement	CPT	27130	17	$5,035	$3,156.95	$741.4	$4,081.06	0.94×	$29,432
Total knee replacement	CPT	27447	17	$5,031	$3,154.44	$740.81	$4,075.87	0.98×	$29,432
Knee revision arthroplasty single component	CPT	27486	12	—	—	$940.46	$3,470.06	2.1×	$11,496
Knee revision arthroplasty all components	CPT	27487	12	—	—	$1,166.58	$4,281.44	2.1×	$14,165
Shoulder arthroscopy with decompression	CPT	29826	17	$665	$416.96	$112.11	$505.4	1.5×	$1,831.33
Shoulder arthroscopy with rotator cuff repair	CPT	29827	17	$4,234	$2,654.72	$721.42	$3,667.98	1.1×	$16,341
Knee arthroscopy with meniscectomy	CPT	29881	12	—	—	$373.08	$2,162.27	1.1×	$7,421.78
ACL reconstruction	CPT	29888	12	—	—	$658.06	$3,813.38	1.1×	$16,341
Major small/large bowel procedures w MCC	MS-DRG	329	11	—	—	$19,062	$36,900	0.86×	$112,941
Major small/large bowel procedures w CC	MS-DRG	330	11	—	—	$9,941.19	$19,734	0.85×	$58,902
Major small/large bowel procedures w/o CC/MCC	MS-DRG	331	11	—	—	$6,978.99	$14,158	0.86×	$41,351
CABG single arterial graft	CPT	33533	12	—	—	$673	$2,179.5	1.2×	$14,323
CABG 2 arterial grafts	CPT	33534	12	—	—	$673	$2,179.5	1.0×	$16,805
CABG 3 arterial grafts	CPT	33535	12	—	—	$673	$2,274.23	1.0×	$18,665
CABG 4+ arterial grafts	CPT	33536	12	—	—	$673	$2,447.53	1.0×	$20,107
Laparoscopic cholecystectomy w/o CDE w MCC	MS-DRG	418	11	—	—	$7,015.07	$14,226	0.86×	$41,564
Laparoscopic cholecystectomy w/o CDE w CC	MS-DRG	419	11	—	—	$5,663.97	$11,683	0.86×	$33,559
Laparoscopic cholecystectomy w/o CDE w/o CC/MCC	MS-DRG	420	11	—	—	$14,129	$27,616	0.85×	$83,716
Open appendectomy	CPT	44950	12	—	—	$417.59	$2,308.77	2.0×	$14,273
Laparoscopic appendectomy	CPT	44970	17	$2,908.75	$1,823.79	$342.65	$1,874.94	1.2×	$13,346
Major joint replacement w MCC	MS-DRG	469	11	—	—	$12,579	$24,698	0.83×	$74,529
Major joint replacement w/o MCC	MS-DRG	470	11	—	—	$7,999.15	$16,078	0.85×	$47,395
Laparoscopic cholecystectomy	CPT	47562	17	$3,173.75	$1,989.95	$371.89	$1,997.34	1.1×	$13,346
Lap cholecystectomy with cholangiography	CPT	47563	17	$3,456.25	$2,167.07	$407.15	$2,245.55	1.2×	$13,346
Hip & femur procedures except major joint w MCC	MS-DRG	480	11	—	—	$12,077	$23,755	0.85×	$71,558
Hip & femur procedures except major joint w CC	MS-DRG	481	11	—	—	$8,685.89	$17,371	0.86×	$51,464
Hip & femur procedures except major joint w/o CC/MCC	MS-DRG	482	11	—	—	$6,763.76	$13,754	0.86×	$40,075
Open umbilical hernia repair	CPT	49560	2	—	—	$706.91	$2,742.1	1.4×	$4,244.14
Umbilical hernia repair age 5+	CPT	49585	2	—	—	$433.71	$1,887.52	1.4×	$6,348.61
Lap inguinal hernia repair	CPT	49650	17	$2,529	$1,585.69	$247.64	$1,328.57	1.2×	$13,346
Lap incisional hernia repair	CPT	49652	2	—	—	$712.84	$3,102.33	1.1×	$9,156.66
Total abdominal hysterectomy	CPT	58150	17	$4,002	$2,509.26	$589.29	$2,410.59	2.5×	$8,303.13
Vaginal hysterectomy	CPT	58260	17	$3,330	$2,087.91	$466.93	$2,530.8	1.4×	$11,292
Lap-assisted vaginal hysterectomy	CPT	58550	17	$3,489	$2,187.61	$513.76	$2,783.99	1.9×	$13,346
Lap-assisted vaginal hysterectomy >250g	CPT	58552	17	$3,876	$2,430.26	$570.74	$3,091.66	1.4×	$23,815
Lap salpingo-oophorectomy	CPT	58661	17	$4,824.38	$3,024.89	$360.76	$2,162.86	1.1×	$13,346
OR procedure for obesity w MCC	MS-DRG	619	11	—	—	$11,974	$23,560	0.87×	$70,946
OR procedure for obesity w CC	MS-DRG	620	11	—	—	$6,636.44	$13,514	0.83×	$39,321
OR procedure for obesity w/o CC/MCC	MS-DRG	621	11	—	—	$6,255.33	$12,796	0.84×	$37,063
Complex cataract surgery	CPT	66982	12	—	—	$512.75	$2,270.23	1.0×	$5,216.99
Cataract surgery with lens implant	CPT	66984	12	—	—	$374.96	$1,963	0.90×	$5,216.99
Intravitreal injection	CPT	67028	17	$1,748	$700.95	$62.88	$684.56	2.0×	$1,617
Vitrectomy mechanical	CPT	67042	12	—	—	$782.66	$3,751.55	1.5×	$9,201.95
Uterine & adnexa procedures w CC/MCC	MS-DRG	743	11	—	—	$5,145.18	$10,707	0.87×	$30,485
Uterine & adnexa procedures w/o CC/MCC	MS-DRG	744	11	—	—	$8,497.62	$17,017	0.89×	$50,348
PCI single major coronary artery	CPT	92920	17	$17,472	$7,006.28	$329.26	$5,675.26	1.0×	$16,515
PCI with drug-eluting stent	CPT	92928	17	$29,872	$11,979	$366.01	$8,551.64	0.85×	$26,885
PCI bypass graft	CPT	92937	17	$29,872	$11,979	$365.78	$11,288	1.0×	$26,885
Left heart catheterization	CPT	93452	17	$8,848	$3,548.05	$149.09	$1,864.51	0.60×	$7,963.2
Coronary angiography with cath	CPT	93455	17	$8,757	$3,511.56	$175.46	$2,492.52	0.80×	$7,881.3
Coronary angiography with bypass cath	CPT	93458	17	$9,757	$3,912.56	$185.36	$2,999.48	0.96×	$8,781.3

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 17)

Payer	Codes covered	Median rate
health partners	201	$264.09
Blue Cross Blue Shield	200	$247.15
UnitedHealthcare	197	$321.28
itasca medical care	197	$126.59
medica	197	$330.23
south country health alliance	197	$126.59
ucare	197	$220.21
primewest	197	$126.59
security health plan	196	$378.16
WellCare	196	$152.79
sanford health plan	196	$306.54
hennepin health	154	$108.03
wisconsin physician services	137	$515.25
First Health	137	$469.45
Multiplan	137	$486.2
private healthcare systems	137	$486.2
america's ppo	137	$386.24

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