▸ Hospital · MN · CCN 240063
M Health Fairview St Joseph's Hospital
45 WEST 10TH STREET, ST PAUL, MN, 55102
28 beds2
Compliance grade
A
100/100
Procedures tracked
201
of 209 target codes
Payers
17
with negotiated rates
Rates published
338,272
last crawl 2026-05-24
Procedures & rates
| Procedure | Type | Code | Payers | Gross | Cash | Neg min | Neg median | Neg max |
|---|---|---|---|---|---|---|---|---|
| behavioral | ||||||||
| Psychoses | MS-DRG | 885 | 11 | — | — | $4,052.31 | $11,579 | $29,019 |
| Psychiatric diagnostic evaluation | CPT | 90791 | 17 | $916 | $389.3 | $111.69 | $433.88 | $824.4 |
| Psychiatric eval with medical services | CPT | 90792 | 12 | — | — | $127.13 | $168.64 | $821.99 |
| Psychotherapy 30 minutes | CPT | 90832 | 17 | $545 | $231.63 | $35.24 | $214.8 | $490.5 |
| Psychotherapy 45 minutes | CPT | 90834 | 17 | $561 | $238.43 | $74.74 | $300.35 | $504.9 |
| Psychotherapy 60 minutes | CPT | 90837 | 17 | $791 | $336.18 | $101.65 | $434.83 | $711.9 |
| Crisis psychotherapy 60 minutes | CPT | 90839 | 17 | $588 | $249.9 | $106.66 | $307.68 | $585.44 |
| emergency | ||||||||
| ED visit level 1 | CPT | 99281 | 17 | $517 | $219.73 | $7.41 | $299.31 | $1,617 |
| ED visit level 2 | CPT | 99282 | 17 | $605.6 | $257.39 | $28.22 | $356.63 | $1,617 |
| ED visit level 3 | CPT | 99283 | 17 | $728.5 | $309.62 | $47.84 | $437.1 | $1,617 |
| ED visit level 4 | CPT | 99284 | 17 | $1,249 | $530.83 | $81.32 | $748.26 | $1,617 |
| ED visit level 5 | CPT | 99285 | 17 | $1,772 | $753.1 | $117.68 | $1,084.3 | $2,423 |
| Critical care, first hour | CPT | 99291 | 17 | $3,515 | $1,493.88 | $144.95 | $1,408.6 | $3,163.5 |
| imaging | ||||||||
| CT head without contrast | CPT | 70450 | 17 | $1,198.83 | $509.51 | $27.55 | $694.04 | $1,078.95 |
| CT head with contrast | CPT | 70460 | 17 | $1,198 | $509.15 | $36.74 | $173.17 | $1,078.2 |
| CT head with and without contrast | CPT | 70470 | 17 | $1,198 | $509.15 | $41.22 | $182 | $1,078.2 |
| CT neck with contrast | CPT | 70491 | 17 | $1,402.1 | $595.9 | $44.74 | $197.29 | $1,261.89 |
| MRI brain without contrast | CPT | 70551 | 17 | $1,604.01 | $681.71 | $47.81 | $249.25 | $1,443.61 |
| MRI brain with contrast | CPT | 70552 | 17 | $2,244 | $953.7 | $57.93 | $335.92 | $2,019.6 |
| MRI brain with and without contrast | CPT | 70553 | 17 | $2,898.26 | $1,231.77 | $74.42 | $826.48 | $2,608.44 |
| Chest X-ray single view | CPT | 71045 | 17 | $323.07 | $137.31 | $5.89 | $85.65 | $290.76 |
| Chest X-ray 2 views | CPT | 71046 | 17 | $357 | $151.73 | $7.06 | $36.03 | $321.3 |
| Chest X-ray 3 views | CPT | 71047 | 17 | $234 | $99.45 | $8.95 | $64.49 | $263.85 |
| CT chest without contrast | CPT | 71250 | 17 | $1,174.1 | $499 | $35.08 | $162.35 | $1,056.69 |
| CT chest with contrast | CPT | 71260 | 17 | $1,444.22 | $613.8 | $37.91 | $382.2 | $1,299.8 |
| CT chest with and without contrast | CPT | 71270 | 17 | $977 | $415.23 | $40.5 | $191.93 | $879.76 |
| MRI chest without contrast | CPT | 71550 | 17 | $1,552 | $659.6 | $47.34 | $271.4 | $1,456.1 |
| MRI chest with contrast | CPT | 71551 | 17 | $1,552 | $659.6 | $56.05 | $492.49 | $1,766.15 |
| MRI chest with and without contrast | CPT | 71552 | 17 | $1,552.32 | $659.74 | $73.48 | $504.38 | $2,032.81 |
| Lumbosacral spine X-ray | CPT | 72100 | 17 | $388 | $164.9 | $7.3 | $77.88 | $349.2 |
| CT cervical spine without contrast | CPT | 72125 | 17 | $1,178 | $500.65 | $32.26 | $141.98 | $1,060.2 |
| CT thoracic spine without contrast | CPT | 72128 | 17 | $1,161 | $493.43 | $32.26 | $134.27 | $1,044.9 |
| CT lumbar spine without contrast | CPT | 72131 | 17 | $1,174 | $498.95 | $32.26 | $186.67 | $1,056.6 |
| MRI cervical spine without contrast | CPT | 72141 | 17 | $1,878 | $798.15 | $48.05 | $246.12 | $1,690.2 |
| MRI thoracic spine without contrast | CPT | 72146 | 17 | $1,801 | $765.43 | $48.05 | $235.14 | $1,620.9 |
| MRI lumbar spine without contrast | CPT | 72148 | 17 | $1,895 | $805.38 | $48.05 | $235.14 | $1,705.5 |
| MRI lumbar spine with and without contrast | CPT | 72149 | 17 | $1,398 | $594.15 | $57.93 | $335.92 | $1,398 |
| MRI cervical spine with and without contrast | CPT | 72156 | 17 | $2,898 | $1,231.65 | $74.66 | $347.41 | $2,608.2 |
| MRI lumbar spine with contrast | CPT | 72158 | 17 | $3,198 | $1,359.15 | $74.66 | $366.95 | $2,878.2 |
| CT pelvis without contrast | CPT | 72192 | 17 | $1,254.35 | $533.1 | $35.33 | $196.36 | $1,128.91 |
| CT pelvis with contrast | CPT | 72193 | 17 | $1,621 | $688.93 | $37.68 | $222.57 | $1,458.9 |
| Shoulder X-ray | CPT | 73030 | 17 | $556.47 | $236.5 | $6.12 | $82.82 | $500.82 |
| Humerus X-ray | CPT | 73060 | 17 | $459 | $195.08 | $5.17 | $49.17 | $413.1 |
| Hand X-ray 3 views | CPT | 73130 | 17 | $535.5 | $227.59 | $5.64 | $85.65 | $481.95 |
| MRI upper extremity joint without contrast | CPT | 73221 | 17 | $3,041.26 | $1,292.54 | $44.04 | $235.14 | $2,737.14 |
| MRI upper extremity joint with and without contrast | CPT | 73223 | 17 | $3,812.25 | $1,620.21 | $69.94 | $405.99 | $3,431.03 |
| Hip X-ray 2 views | CPT | 73510 | 1 | — | — | $10.84 | $37.06 | $67.16 |
| Knee X-ray 1-2 views | CPT | 73560 | 17 | $565.59 | $240.38 | $5.41 | $85.89 | $509.03 |
| Ankle X-ray 3 views | CPT | 73610 | 17 | $544.5 | $231.42 | $5.64 | $93.68 | $490.05 |
| MRI lower extremity joint without contrast | CPT | 73721 | 17 | $3,015 | $1,281.38 | $44.04 | $514.88 | $2,713.5 |
| MRI lower extremity joint with and without contrast | CPT | 73723 | 17 | $4,288.5 | $1,822.62 | $69.94 | $938.44 | $3,859.65 |
| CT abdomen without contrast | CPT | 74150 | 17 | $1,174 | $498.95 | $38.62 | $139.18 | $1,056.6 |
| CT abdomen with contrast | CPT | 74160 | 17 | $1,556 | $661.3 | $41.22 | $226.17 | $1,400.4 |
| CT abdomen with and without contrast | CPT | 74170 | 17 | $1,794 | $762.45 | $45.21 | $253.73 | $1,614.6 |
| CT abdomen and pelvis without contrast | CPT | 74176 | 17 | $1,286.21 | $546.65 | $56.52 | $268.2 | $1,359.31 |
| CT abdomen and pelvis with contrast | CPT | 74177 | 17 | $1,832.02 | $778.61 | $59.12 | $500.71 | $1,648.82 |
| CT abdomen and pelvis with and without contrast | CPT | 74178 | 17 | $2,038.2 | $866.24 | $65.01 | $364.13 | $1,834.38 |
| MRI abdomen without contrast | CPT | 74181 | 17 | $2,077.92 | $883.12 | $47.11 | $315.9 | $1,870.13 |
| MRI abdomen with and without contrast | CPT | 74183 | 17 | $3,126 | $1,328.55 | $71.36 | $347.41 | $2,813.4 |
| Abdominal ultrasound complete | CPT | 76700 | 17 | $694.04 | $294.97 | $26.14 | $115.28 | $624.63 |
| Abdominal ultrasound limited | CPT | 76705 | 17 | $546.85 | $232.42 | $19.08 | $297.15 | $492.17 |
| Retroperitoneal ultrasound complete | CPT | 76770 | 17 | $859.5 | $365.29 | $23.79 | $154.37 | $773.55 |
| Obstetric ultrasound first trimester | CPT | 76801 | 17 | $664 | $282.2 | $32.76 | $128.13 | $597.6 |
| Obstetric ultrasound after first trimester | CPT | 76805 | 17 | $683 | $290.28 | $33.01 | $128.98 | $614.7 |
| Obstetric ultrasound with fetal anatomy | CPT | 76811 | 17 | $1,123 | $477.28 | $63.38 | $245.58 | $1,359.31 |
| Transvaginal ultrasound | CPT | 76830 | 17 | $557.04 | $236.75 | $22.6 | $196.38 | $501.34 |
| Pelvic ultrasound complete | CPT | 76856 | 17 | $590.05 | $250.77 | $22.37 | $174.95 | $531.04 |
| Scrotal ultrasound | CPT | 76870 | 17 | $619 | $263.08 | $20.72 | $103.45 | $557.1 |
| Diagnostic mammography unilateral | CPT | 77065 | 17 | $446 | $189.55 | $26.14 | $120.96 | $1,094.04 |
| Diagnostic mammography bilateral | CPT | 77066 | 17 | $576.03 | $244.82 | $32.26 | $152.79 | $1,381.94 |
| Screening mammography bilateral | CPT | 77067 | 17 | $469 | $199.33 | $24.73 | $123.85 | $1,117.06 |
| EKG complete | CPT | 93000 | 17 | $54.38 | $23.12 | $9.89 | $41.33 | $128.83 |
| EKG tracing only | CPT | 93005 | 17 | $223 | $94.78 | $4.23 | $142.15 | $312 |
| EKG interpretation only | CPT | 93010 | 17 | $33 | $14.03 | $5.41 | $25.23 | $128.83 |
| Transthoracic echocardiogram complete | CPT | 93306 | 17 | $1,659.17 | $705.15 | $46.86 | $430.4 | $1,493.25 |
| Transthoracic echocardiogram | CPT | 93307 | 12 | — | — | $29.67 | $145.22 | $1,359.31 |
| Stress echocardiogram | CPT | 93350 | 17 | $2,166.21 | $920.64 | $46.86 | $236.97 | $1,949.59 |
| inpatient | ||||||||
| Intracranial hemorrhage/CVA w MCC | MS-DRG | 064 | 11 | — | — | $8,800.14 | $16,365 | $41,779 |
| Intracranial hemorrhage/CVA w CC | MS-DRG | 065 | 11 | — | — | $4,421.07 | $8,566.92 | $20,989 |
| Intracranial hemorrhage/CVA w/o CC/MCC | MS-DRG | 066 | 11 | — | — | $2,994.93 | $6,028.22 | $14,218 |
| Respiratory infections & inflammations w MCC | MS-DRG | 177 | 11 | — | — | $6,838.38 | $12,872 | $32,465 |
| COPD w MCC | MS-DRG | 190 | 11 | — | — | $4,847.3 | $9,325.88 | $23,012 |
| COPD w CC | MS-DRG | 191 | 11 | — | — | $3,688.97 | $7,263.12 | $17,513 |
| COPD w/o CC/MCC | MS-DRG | 192 | 11 | — | — | $2,809.39 | $5,697.5 | $13,338 |
| Simple pneumonia & pleurisy w CC | MS-DRG | 194 | 11 | — | — | $3,526.62 | $6,974.8 | $16,743 |
| Simple pneumonia & pleurisy w/o CC/MCC | MS-DRG | 195 | 11 | — | — | $2,750.32 | $5,592.56 | $13,057 |
| AMI discharged alive w MCC | MS-DRG | 280 | 11 | — | — | $7,019.54 | $13,195 | $33,325 |
| AMI discharged alive w CC | MS-DRG | 281 | 11 | — | — | $4,021.98 | $7,856.72 | $19,094 |
| AMI discharged alive w/o CC/MCC | MS-DRG | 282 | 11 | — | — | $3,164.29 | $6,329.26 | $15,022 |
| Heart failure & shock w MCC | MS-DRG | 291 | 11 | — | — | $5,617.91 | $10,699 | $26,671 |
| Heart failure & shock w CC | MS-DRG | 292 | 11 | — | — | $3,715.22 | $7,310.82 | $17,638 |
| Heart failure & shock w/o CC/MCC | MS-DRG | 293 | 11 | — | — | $2,476.82 | $5,104.96 | $11,759 |
| Cardiac arrhythmia w MCC | MS-DRG | 308 | 11 | — | — | $5,268.7 | $10,076 | $25,013 |
| Cardiac arrhythmia w CC | MS-DRG | 309 | 11 | — | — | $3,219.42 | $6,427.84 | $15,284 |
| Cardiac arrhythmia w/o CC/MCC | MS-DRG | 310 | 11 | — | — | $2,477.25 | $5,106.02 | $11,761 |
| GI hemorrhage w CC | MS-DRG | 378 | 11 | — | — | $4,291.54 | $8,336.9 | $20,374 |
| GI hemorrhage w/o CC/MCC | MS-DRG | 379 | 11 | — | — | $2,758.63 | $5,607.4 | $13,097 |
| Esophagitis/gastroenteritis w/o MCC | MS-DRG | 392 | 11 | — | — | $3,411.53 | $6,769.16 | $16,196 |
| Fractures of femur w/o MCC | MS-DRG | 533 | 11 | — | — | $6,860.26 | $12,911 | $32,569 |
| Kidney/UTI w MCC | MS-DRG | 689 | 11 | — | — | $5,077.47 | $9,736.1 | $24,105 |
| Kidney/UTI w/o MCC | MS-DRG | 690 | 11 | — | — | $3,542.37 | $7,002.36 | $16,817 |
| Septicemia or severe sepsis w MV 96+ hrs | MS-DRG | 871 | 11 | — | — | $8,500.38 | $15,832 | $40,355 |
| Septicemia or severe sepsis w/o MV 96+ hrs | MS-DRG | 872 | 11 | — | — | $4,477.96 | $8,668.68 | $21,259 |
| Initial hospital care, low complexity | CPT | 99221 | 17 | $373 | $158.53 | $56.21 | $282.94 | $676.58 |
| Initial hospital care, moderate complexity | CPT | 99222 | 17 | $527.6 | $224.23 | $76.72 | $397.19 | $1,079.64 |
| Initial hospital care, high complexity | CPT | 99223 | 17 | $746 | $317.05 | $119.35 | $566.96 | $1,436.64 |
| Hospital discharge, <30 min | CPT | 99238 | 17 | $327 | $138.98 | $56.21 | $248.17 | $676.58 |
| Hospital discharge, >30 min | CPT | 99239 | 17 | $462 | $196.35 | $79.41 | $350.39 | $958.71 |
| lab | ||||||||
| Basic metabolic panel (BMP) | CPT | 80048 | 17 | $188 | $79.91 | $8.32 | $96.86 | $169.2 |
| General health panel | CPT | 80050 | 9 | — | — | $16.61 | $53.49 | $328.21 |
| Electrolyte panel | CPT | 80051 | 17 | $84.01 | $35.71 | $6.9 | $48.38 | $75.61 |
| Comprehensive metabolic panel | CPT | 80053 | 17 | $230.63 | $98.02 | $10.39 | $130.6 | $207.57 |
| Lipid panel | CPT | 80061 | 17 | $102.25 | $43.46 | $13.18 | $55.72 | $118.04 |
| Renal function panel | CPT | 80069 | 17 | $196 | $83.3 | $8.54 | $22.94 | $176.4 |
| Hepatic function panel | CPT | 80076 | 17 | $120.03 | $51.02 | $8.04 | $17.58 | $108.03 |
| Urinalysis non-automated | CPT | 81002 | 12 | — | — | $2.33 | $4.62 | $31.68 |
| Urinalysis automated | CPT | 81003 | 17 | $70 | $29.75 | $1.69 | $31.25 | $63 |
| Glucose quantitative | CPT | 82947 | 17 | $59 | $25.08 | $3.87 | $29.25 | $53.1 |
| Hemoglobin A1c | CPT | 83036 | 17 | $77 | $32.73 | $9.55 | $40.12 | $86.38 |
| Thyroid stimulating hormone (TSH) | CPT | 84443 | 17 | $99 | $42.08 | $16.53 | $54.01 | $146.84 |
| Complete blood count with automated differential | CPT | 85025 | 17 | $134 | $56.95 | $5.25 | $63.22 | $120.6 |
| Complete blood count without differential | CPT | 85027 | 17 | $219 | $93.08 | $4.8 | $78.07 | $197.1 |
| Urine culture bacterial | CPT | 87086 | 17 | $85 | $36.13 | $7.94 | $49.8 | $76.5 |
| Urine culture identification | CPT | 87088 | 17 | $105 | $44.63 | $7.96 | $57.58 | $94.5 |
| Tissue exam by pathologist level IV | CPT | 88305 | 17 | $317 | $134.73 | $23.86 | $111.92 | $285.3 |
| maternity | ||||||||
| Fetal non-stress test | CPT | 59025 | 17 | $699.48 | $297.28 | $14.59 | $195.69 | $1,438 |
| Routine obstetric care including vaginal delivery | CPT | 59400 | 17 | $11,489 | $4,882.72 | $673 | $5,923.87 | $19,148 |
| Vaginal delivery only | CPT | 59409 | 17 | $3,006 | $1,277.55 | $507.93 | $2,555.1 | $7,155.48 |
| Vaginal delivery with postpartum | CPT | 59410 | 17 | $4,993.75 | $2,122.35 | $655.35 | $2,914.08 | $8,386.61 |
| Routine obstetric care with C-section | CPT | 59510 | 17 | $12,580 | $5,346.5 | $87.17 | $5,504.91 | $21,051 |
| C-section delivery only | CPT | 59514 | 17 | $3,343.17 | $1,420.85 | $495.28 | $1,945.57 | $6,921.19 |
| C-section with postpartum | CPT | 59515 | 17 | $6,096.25 | $2,590.91 | $655.35 | $3,525.82 | $10,313 |
| office | ||||||||
| Office visit, new patient, 15-29 min | CPT | 99202 | 17 | $298 | $126.65 | $32.29 | $188.57 | $616.13 |
| Office visit, new patient, 30-44 minutes | CPT | 99203 | 17 | $455 | $193.38 | $55.97 | $331.41 | $944.33 |
| Office visit, new patient, 45-59 min | CPT | 99204 | 17 | $675 | $286.88 | $91.85 | $507.98 | $1,410.74 |
| Office visit, new patient, 60-74 min | CPT | 99205 | 17 | $890 | $378.25 | $124.62 | $663.79 | $1,859.86 |
| Office visit, established patient, 5 min | CPT | 99211 | 17 | $105.27 | $44.74 | $5.97 | $62.77 | $201.54 |
| Office visit, established patient, 10-19 min | CPT | 99212 | 17 | $346 | $147.05 | $24.16 | $177.45 | $483.68 |
| Office visit, established patient, 20-29 minutes | CPT | 99213 | 17 | $380.95 | $161.91 | $45.44 | $273.6 | $774.45 |
| Office visit, established patient, 30-39 minutes | CPT | 99214 | 17 | $551.1 | $234.22 | $66.97 | $395.55 | $1,091.15 |
| Office visit, established patient, 40-54 min | CPT | 99215 | 17 | $736.67 | $313.09 | $99.5 | $548.03 | $1,534.53 |
| preventive | ||||||||
| Upper GI endoscopy diagnostic | CPT | 43235 | 17 | $2,046.19 | $869.64 | $81.95 | $1,040.45 | $3,500 |
| Upper GI endoscopy with biopsy | CPT | 43239 | 17 | $2,088.23 | $887.5 | $92.32 | $1,249.88 | $3,500 |
| Sigmoidoscopy diagnostic | CPT | 45330 | 17 | $2,024.57 | $860.45 | $38.38 | $886.9 | $2,872 |
| Sigmoidoscopy with biopsy | CPT | 45331 | 17 | $2,824.61 | $1,200.46 | $48.75 | $921.69 | $2,872 |
| Colonoscopy diagnostic | CPT | 45378 | 17 | $3,012 | $1,280.1 | $83.34 | $920.31 | $3,500 |
| Colonoscopy with biopsy | CPT | 45380 | 17 | $3,579 | $1,521.08 | $133.3 | $1,669.79 | $3,533.51 |
| Colonoscopy with polyp removal | CPT | 45385 | 17 | $3,673.75 | $1,561.35 | $168.4 | $1,732.87 | $3,533.51 |
| surgery | ||||||||
| Total shoulder arthroplasty | CPT | 23472 | 17 | $5,681 | $2,414.43 | $836.53 | $4,578.75 | $41,386 |
| Hip hemiarthroplasty | CPT | 27125 | 12 | — | — | $761.47 | $3,054.96 | $9,370 |
| Total hip replacement | CPT | 27130 | 17 | $5,035 | $2,139.88 | $739.9 | $3,965.55 | $28,957 |
| Total knee replacement | CPT | 27447 | 17 | $6,288.75 | $2,672.72 | $740.81 | $4,066.31 | $28,957 |
| Knee revision arthroplasty single component | CPT | 27486 | 17 | $6,893.75 | $2,929.85 | $406.04 | $3,346.2 | $11,496 |
| Knee revision arthroplasty all components | CPT | 27487 | 17 | $6,853 | $2,912.53 | $1,009.1 | $4,169.08 | $14,165 |
| Shoulder arthroscopy with decompression | CPT | 29826 | 17 | $665 | $282.63 | $112.11 | $505.4 | $1,831.33 |
| Shoulder arthroscopy with rotator cuff repair | CPT | 29827 | 17 | $4,234 | $1,799.45 | $721.42 | $3,603.12 | $16,077 |
| Knee arthroscopy with meniscectomy | CPT | 29881 | 12 | — | — | $373.08 | $2,127.64 | $7,301.94 |
| ACL reconstruction | CPT | 29888 | 17 | $4,832.5 | $2,053.82 | $569.27 | $3,286.1 | $16,077 |
| Major small/large bowel procedures w MCC | MS-DRG | 329 | 11 | — | — | $19,062 | $36,514 | $93,815 |
| Major small/large bowel procedures w CC | MS-DRG | 330 | 11 | — | — | $9,941.19 | $19,375 | $48,927 |
| Major small/large bowel procedures w/o CC/MCC | MS-DRG | 331 | 11 | — | — | $6,978.99 | $13,809 | $34,348 |
| CABG single arterial graft | CPT | 33533 | 12 | — | — | $673 | $2,040 | $14,323 |
| CABG 2 arterial grafts | CPT | 33534 | 12 | — | — | $673 | $2,047.69 | $16,805 |
| CABG 3 arterial grafts | CPT | 33535 | 12 | — | — | $673 | $2,274.23 | $18,665 |
| CABG 4+ arterial grafts | CPT | 33536 | 12 | — | — | $673 | $2,447.53 | $20,107 |
| Laparoscopic cholecystectomy w/o CDE w MCC | MS-DRG | 418 | 11 | — | — | $7,015.07 | $13,876 | $34,526 |
| Laparoscopic cholecystectomy w/o CDE w CC | MS-DRG | 419 | 11 | — | — | $5,663.97 | $11,338 | $27,876 |
| Laparoscopic cholecystectomy w/o CDE w/o CC/MCC | MS-DRG | 420 | 11 | — | — | $14,129 | $27,245 | $69,539 |
| Open appendectomy | CPT | 44950 | 12 | — | — | $417.59 | $2,308.77 | $14,042 |
| Laparoscopic appendectomy | CPT | 44970 | 17 | $2,908.75 | $1,236.22 | $341.76 | $1,766.85 | $13,130 |
| Major joint replacement w MCC | MS-DRG | 469 | 11 | — | — | $12,579 | $24,331 | $62,982 |
| Major joint replacement w/o MCC | MS-DRG | 470 | 11 | — | — | $7,999.15 | $15,726 | $39,369 |
| Laparoscopic cholecystectomy | CPT | 47562 | 17 | $3,173.75 | $1,348.85 | $186.94 | $1,597.49 | $13,130 |
| Lap cholecystectomy with cholangiography | CPT | 47563 | 17 | $3,456.25 | $1,468.91 | $407.15 | $2,245.55 | $13,130 |
| Hip & femur procedures except major joint w MCC | MS-DRG | 480 | 11 | — | — | $12,077 | $23,389 | $59,440 |
| Hip & femur procedures except major joint w CC | MS-DRG | 481 | 11 | — | — | $8,685.89 | $17,016 | $42,749 |
| Hip & femur procedures except major joint w/o CC/MCC | MS-DRG | 482 | 11 | — | — | $6,763.76 | $13,405 | $33,289 |
| Open umbilical hernia repair | CPT | 49560 | 2 | — | — | $706.91 | $2,742.1 | $4,244.14 |
| Umbilical hernia repair age 5+ | CPT | 49585 | 2 | — | — | $433.71 | $1,887.52 | $6,348.61 |
| Lap inguinal hernia repair | CPT | 49650 | 17 | $3,161.25 | $1,343.54 | $247.09 | $1,360.79 | $13,130 |
| Lap incisional hernia repair | CPT | 49652 | 2 | — | — | $712.84 | $3,102.33 | $9,156.66 |
| Total abdominal hysterectomy | CPT | 58150 | 17 | $4,002 | $1,700.85 | $589.29 | $2,410.59 | $8,303.13 |
| Vaginal hysterectomy | CPT | 58260 | 17 | $3,330 | $1,415.25 | $560.09 | $2,830.5 | $11,109 |
| Lap-assisted vaginal hysterectomy | CPT | 58550 | 12 | — | — | $589.06 | $3,136.32 | $13,130 |
| Lap-assisted vaginal hysterectomy >250g | CPT | 58552 | 17 | $3,876 | $1,647.3 | $570.74 | $3,091.66 | $23,430 |
| Lap salpingo-oophorectomy | CPT | 58661 | 17 | $4,824.38 | $2,050.37 | $378.87 | $2,109.86 | $13,130 |
| OR procedure for obesity w MCC | MS-DRG | 619 | 11 | — | — | $11,974 | $23,195 | $58,932 |
| OR procedure for obesity w CC | MS-DRG | 620 | 11 | — | — | $6,636.44 | $13,165 | $32,662 |
| OR procedure for obesity w/o CC/MCC | MS-DRG | 621 | 11 | — | — | $6,255.33 | $12,449 | $30,786 |
| Complex cataract surgery | CPT | 66982 | 12 | — | — | $512.75 | $2,218.65 | $5,132.74 |
| Cataract surgery with lens implant | CPT | 66984 | 12 | — | — | $374.96 | $2,028.66 | $5,132.74 |
| Intravitreal injection | CPT | 67028 | 17 | $1,748 | $742.9 | $62.88 | $685.36 | $1,617 |
| Vitrectomy mechanical | CPT | 67042 | 12 | — | — | $782.66 | $3,751.55 | $9,053.38 |
| Uterine & adnexa procedures w CC/MCC | MS-DRG | 743 | 11 | — | — | $5,145.18 | $10,363 | $25,323 |
| Uterine & adnexa procedures w/o CC/MCC | MS-DRG | 744 | 11 | — | — | $8,497.62 | $16,662 | $41,822 |
| PCI single major coronary artery | CPT | 92920 | 17 | $17,472 | $7,425.6 | $329.26 | $5,316.99 | $16,515 |
| PCI with drug-eluting stent | CPT | 92928 | 17 | $29,872 | $12,696 | $366.01 | $2,061.49 | $26,885 |
| PCI bypass graft | CPT | 92937 | 17 | $29,872 | $12,696 | $365.78 | $10,576 | $26,885 |
| Left heart catheterization | CPT | 93452 | 17 | $8,848 | $3,760.4 | $149.09 | $1,864.51 | $7,963.2 |
| Coronary angiography with cath | CPT | 93455 | 17 | $8,757 | $3,721.73 | $175.46 | $2,429.43 | $7,881.3 |
| Coronary angiography with bypass cath | CPT | 93458 | 17 | $9,757 | $4,146.73 | $185.36 | $2,484.96 | $8,781.3 |
Payer mix (top 17)
| Payer | Codes covered | Median rate |
|---|---|---|
| health partners | 201 | $265.41 |
| Blue Cross Blue Shield | 200 | $244.55 |
| UnitedHealthcare | 197 | $321.28 |
| itasca medical care | 197 | $126.59 |
| medica | 197 | $337.11 |
| south country health alliance | 197 | $126.59 |
| ucare | 197 | $220.21 |
| primewest | 197 | $126.59 |
| security health plan | 196 | $369.69 |
| WellCare | 196 | $152.79 |
| sanford health plan | 196 | $306.12 |
| hennepin health | 154 | $108.03 |
| wisconsin physician services | 139 | $501.32 |
| First Health | 139 | $456.76 |
| Multiplan | 139 | $473.45 |
| private healthcare systems | 139 | $473.45 |
| america's ppo | 139 | $377.6 |