Does Grand Itasca Clinic And Hospital publish its standard charges and chargemaster?

Yes. Grand Itasca Clinic And Hospital publishes a machine-readable file with 185,678 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 Grand Itasca Clinic And Hospital charge for procedures?

Grand Itasca Clinic And Hospital (Grand Rapids, 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 240064

Grand Itasca Clinic And Hospital

Grand Rapids, MN, 55744-3698

34 bedsAcute Care Hospitals2

Compliance grade

100/100

Rates published

185,678

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/411865874_grand-itasca-clinic-and-hospital_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	10	—	—	$7,668.43	$11,288	0.88×	$22,587
Psychiatric diagnostic evaluation	CPT	90791	15	$905.69	$384.92	$122.33	$308.66	1.7×	$1,961.89
Psychiatric eval with medical services	CPT	90792	10	—	—	$139.13	$161.68	0.93×	$1,961.89
Psychotherapy 30 minutes	CPT	90832	15	$314	$133.45	$45.83	$168.75	1.1×	$317.22
Psychotherapy 45 minutes	CPT	90834	15	$438	$186.15	$54.59	$214.42	1.3×	$442.47
Psychotherapy 60 minutes	CPT	90837	15	$725	$308.13	$67.05	$271.86	1.4×	$732.4
Crisis psychotherapy 60 minutes	CPT	90839	15	$631	$268.18	$106.66	$272.49	1.7×	$594
emergency
ED visit level 1	CPT	99281	15	$517	$219.73	$7.41	$387.75	2.8×	$770
ED visit level 2	CPT	99282	15	$605	$257.13	$28.22	$469.53	2.0×	$770
ED visit level 3	CPT	99283	15	$719	$305.58	$47.84	$576.23	1.4×	$770
ED visit level 4	CPT	99284	15	$1,249	$530.83	$81.32	$990.22	1.5×	$1,261.74
ED visit level 5	CPT	99285	15	$1,772	$753.1	$117.68	$1,407.73	1.3×	$1,790.07
Critical care, first hour	CPT	99291	15	$2,410	$1,024.25	$144.95	$1,418.82	1.3×	$2,434.58
imaging
CT head without contrast	CPT	70450	15	$1,200.58	$510.25	$27.55	$625.5	3.0×	$1,602
CT head with contrast	CPT	70460	10	—	—	$36.74	$144.07	0.62×	$585.23
CT head with and without contrast	CPT	70470	15	$1,198	$509.15	$41.22	$180.71	0.68×	$1,602
CT neck with contrast	CPT	70491	15	$1,404	$596.71	$44.74	$484.04	1.8×	$1,602
MRI brain without contrast	CPT	70551	15	$1,604	$681.7	$47.81	$227.36	0.56×	$1,620.36
MRI brain with contrast	CPT	70552	15	$2,244	$953.7	$57.93	$330.11	0.69×	$2,266.89
MRI brain with and without contrast	CPT	70553	15	$2,898	$1,231.65	$74.42	$550.62	0.93×	$2,927.56
Chest X-ray single view	CPT	71045	15	$323.04	$137.3	$5.89	$171.33	1.8×	$329.22
Chest X-ray 2 views	CPT	71046	15	$357	$151.73	$7.06	$87.74	0.89×	$418.58
Chest X-ray 3 views	CPT	71047	10	—	—	$8.95	$35.65	0.37×	$526.75
CT chest without contrast	CPT	71250	15	$1,174	$498.95	$35.08	$132.49	0.62×	$1,602
CT chest with contrast	CPT	71260	15	$1,444	$613.7	$37.91	$179.14	0.64×	$1,602
CT chest with and without contrast	CPT	71270	15	$977	$415.23	$40.5	$191.93	0.66×	$1,602
MRI chest without contrast	CPT	71550	15	$1,552	$659.6	$47.34	$269.15	0.63×	$1,567.83
MRI chest with contrast	CPT	71551	10	—	—	$56.05	$307.74	0.38×	$1,606.13
MRI chest with and without contrast	CPT	71552	15	$1,552	$659.6	$73.48	$391.39	0.65×	$2,032.81
Lumbosacral spine X-ray	CPT	72100	15	$388	$164.9	$7.3	$111.71	1.1×	$535.35
CT cervical spine without contrast	CPT	72125	15	$1,178	$500.65	$32.26	$127.24	0.63×	$1,602
CT thoracic spine without contrast	CPT	72128	15	$1,161	$493.43	$32.26	$132.64	0.67×	$1,602
CT lumbar spine without contrast	CPT	72131	15	$1,174	$498.95	$32.26	$274.13	1.3×	$1,602
MRI cervical spine without contrast	CPT	72141	15	$1,878	$798.15	$48.05	$243.25	0.61×	$1,897.16
MRI thoracic spine without contrast	CPT	72146	15	$1,801	$765.43	$48.05	$243.25	0.65×	$1,819.37
MRI lumbar spine without contrast	CPT	72148	15	$1,895	$805.38	$48.05	$243.25	0.65×	$1,914.33
MRI lumbar spine with and without contrast	CPT	72149	15	$1,398	$594.15	$57.93	$330.11	0.73×	$1,412.26
MRI cervical spine with and without contrast	CPT	72156	15	$2,898	$1,231.65	$74.66	$359.39	0.67×	$2,927.56
MRI lumbar spine with contrast	CPT	72158	15	$2,898	$1,231.65	$74.66	$359.39	0.66×	$2,927.56
CT pelvis without contrast	CPT	72192	15	$1,254	$532.95	$35.33	$132.92	0.66×	$1,602
CT pelvis with contrast	CPT	72193	15	$1,621	$688.93	$37.68	$200.6	0.71×	$1,637.53
Shoulder X-ray	CPT	73030	15	$556.5	$236.52	$6.12	$103.37	1.1×	$562.18
Humerus X-ray	CPT	73060	15	$459	$195.08	$5.17	$88.61	0.99×	$535.35
Hand X-ray 3 views	CPT	73130	15	$535.5	$227.59	$5.64	$107.99	1.2×	$540.96
MRI upper extremity joint without contrast	CPT	73221	15	$3,079.5	$1,308.79	$44.04	$706.34	1.7×	$3,110.91
MRI upper extremity joint with and without contrast	CPT	73223	15	$2,773	$1,178.53	$69.94	$376.54	0.62×	$2,801.28
Hip X-ray 2 views	CPT	73510	1	—	—	$10.84	$37.06	0.49×	$67.16
Knee X-ray 1-2 views	CPT	73560	15	$573.14	$243.59	$5.41	$215.96	2.3×	$578.98
Ankle X-ray 3 views	CPT	73610	15	$544.5	$231.42	$5.64	$109.08	1.2×	$550.05
MRI lower extremity joint without contrast	CPT	73721	15	$3,015	$1,281.38	$44.04	$1,020.98	2.2×	$3,045.75
MRI lower extremity joint with and without contrast	CPT	73723	15	$4,288.5	$1,822.62	$69.94	$673.95	1.1×	$4,332.24
CT abdomen without contrast	CPT	74150	15	$1,174	$498.95	$38.62	$139.05	0.74×	$1,602
CT abdomen with contrast	CPT	74160	15	$1,556	$661.3	$41.22	$220.15	0.77×	$1,602
CT abdomen with and without contrast	CPT	74170	15	$1,794	$762.45	$45.21	$237.14	0.71×	$1,812.3
CT abdomen and pelvis without contrast	CPT	74176	15	$1,391.5	$591.39	$56.52	$323.54	0.89×	$1,602
CT abdomen and pelvis with contrast	CPT	74177	15	$1,832	$778.6	$59.12	$479.72	0.87×	$1,850.69
CT abdomen and pelvis with and without contrast	CPT	74178	15	$2,038	$866.15	$65.01	$346.81	0.60×	$2,058.79
MRI abdomen without contrast	CPT	74181	15	$2,075	$881.88	$47.11	$243.25	0.62×	$2,096.17
MRI abdomen with and without contrast	CPT	74183	15	$3,126	$1,328.55	$71.36	$359.39	0.63×	$3,157.89
Abdominal ultrasound complete	CPT	76700	15	$694.11	$295	$26.14	$251.73	1.7×	$984.26
Abdominal ultrasound limited	CPT	76705	15	$543	$230.78	$19.08	$286.04	2.0×	$984.26
Retroperitoneal ultrasound complete	CPT	76770	15	$573.62	$243.79	$23.79	$228.53	1.6×	$984.26
Obstetric ultrasound first trimester	CPT	76801	15	$664	$282.2	$32.76	$169.63	1.2×	$1,117.99
Obstetric ultrasound after first trimester	CPT	76805	15	$683	$290.28	$33.01	$207.13	1.4×	$1,117.99
Obstetric ultrasound with fetal anatomy	CPT	76811	15	$884	$375.7	$63.38	$221.16	0.94×	$1,117.99
Transvaginal ultrasound	CPT	76830	15	$557	$236.73	$22.6	$113.47	0.77×	$984.26
Pelvic ultrasound complete	CPT	76856	15	$590	$250.75	$22.37	$108.77	0.76×	$984.26
Scrotal ultrasound	CPT	76870	15	$619	$263.08	$20.72	$107.01	0.82×	$984.26
Diagnostic mammography unilateral	CPT	77065	15	$446	$189.55	$26.14	$139.4	0.93×	$450.55
Diagnostic mammography bilateral	CPT	77066	15	$576	$244.8	$32.26	$161.96	0.85×	$581.88
Screening mammography bilateral	CPT	77067	15	$469	$199.33	$24.73	$217.75	1.4×	$473.78
EKG complete	CPT	93000	10	—	—	$9.89	$13.97	0.57×	$396.32
EKG tracing only	CPT	93005	15	$223	$94.78	$4.23	$117.66	1.00×	$396.32
EKG interpretation only	CPT	93010	15	$37	$15.73	$5.41	$25.92	1.4×	$396.32
Transthoracic echocardiogram complete	CPT	93306	15	$1,659	$705.08	$46.86	$549.53	0.92×	$1,675.92
Transthoracic echocardiogram	CPT	93307	10	—	—	$29.67	$130.24	0.53×	$588.4
Stress echocardiogram	CPT	93350	15	$2,165	$920.13	$46.86	$271.91	0.54×	$2,187.08
inpatient
Intracranial hemorrhage/CVA w MCC	MS-DRG	064	10	—	—	$11,040	$16,004	0.79×	$32,024
Intracranial hemorrhage/CVA w CC	MS-DRG	065	10	—	—	$5,546.55	$8,320	0.78×	$16,648
Intracranial hemorrhage/CVA w/o CC/MCC	MS-DRG	066	10	—	—	$3,757.36	$5,817	0.76×	$11,640
Respiratory infections & inflammations w MCC	MS-DRG	177	10	—	—	$8,579.22	$12,562	0.81×	$25,137
COPD w MCC	MS-DRG	190	10	—	—	$6,081.27	$9,068	0.81×	$18,145
COPD w CC	MS-DRG	191	10	—	—	$4,628.07	$7,035	0.80×	$14,077
COPD w/o CC/MCC	MS-DRG	192	10	—	—	$3,524.58	$5,492	0.78×	$10,989
Simple pneumonia & pleurisy w CC	MS-DRG	194	10	—	—	$4,424.39	$6,750	0.80×	$13,507
Simple pneumonia & pleurisy w/o CC/MCC	MS-DRG	195	10	—	—	$3,450.47	$5,388	0.81×	$10,781
AMI discharged alive w MCC	MS-DRG	280	10	—	—	$8,806.51	$12,880	0.82×	$25,773
AMI discharged alive w CC	MS-DRG	281	10	—	—	$5,045.86	$7,620	0.79×	$15,248
AMI discharged alive w/o CC/MCC	MS-DRG	282	10	—	—	$3,969.82	$6,114	0.78×	$12,234
Heart failure & shock w MCC	MS-DRG	291	10	—	—	$7,048.06	$10,420	0.82×	$20,850
Heart failure & shock w CC	MS-DRG	292	10	—	—	$4,661.01	$7,081	0.79×	$14,169
Heart failure & shock w/o CC/MCC	MS-DRG	293	10	—	—	$3,107.34	$4,908	0.79×	$9,820.91
Cardiac arrhythmia w MCC	MS-DRG	308	10	—	—	$6,609.96	$9,807	0.81×	$19,624
Cardiac arrhythmia w CC	MS-DRG	309	10	—	—	$4,038.99	$6,211	0.80×	$12,428
Cardiac arrhythmia w/o CC/MCC	MS-DRG	310	10	—	—	$3,107.89	$4,909	0.79×	$9,822.91
GI hemorrhage w CC	MS-DRG	378	10	—	—	$5,384.04	$8,093	0.81×	$16,194
GI hemorrhage w/o CC/MCC	MS-DRG	379	10	—	—	$3,460.9	$5,403	0.79×	$10,811
Esophagitis/gastroenteritis w/o MCC	MS-DRG	392	10	—	—	$4,280	$6,548	0.81×	$13,103
Fractures of femur w/o MCC	MS-DRG	533	10	—	—	$8,606.67	$12,600	0.83×	$25,213
Kidney/UTI w MCC	MS-DRG	689	10	—	—	$6,370.05	$9,472	0.82×	$18,953
Kidney/UTI w/o MCC	MS-DRG	690	10	—	—	$4,444.16	$6,778	0.82×	$13,563
Septicemia or severe sepsis w MV 96+ hrs	MS-DRG	871	10	—	—	$10,664	$15,478	0.83×	$30,971
Septicemia or severe sepsis w/o MV 96+ hrs	MS-DRG	872	10	—	—	$5,617.92	$8,420	0.81×	$16,848
Initial hospital care, low complexity	CPT	99221	15	$372	$158.1	$56.21	$261.28	2.8×	$1,345.1
Initial hospital care, moderate complexity	CPT	99222	15	$582	$247.35	$89.45	$465.94	2.8×	$1,815.42
Initial hospital care, high complexity	CPT	99223	15	$775	$329.38	$119.35	$629.1	2.8×	$2,680.8
Hospital discharge, <30 min	CPT	99238	15	$362	$153.85	$56.21	$262.77	3.1×	$968.85
Hospital discharge, >30 min	CPT	99239	15	$510	$216.75	$79.41	$372.3	3.1×	$1,420.35
lab
Basic metabolic panel (BMP)	CPT	80048	15	$188	$79.9	$8.32	$139.6	4.3×	$189.92
General health panel	CPT	80050	7	—	—	$40.61	$50.13	0.47×	$124.22
Electrolyte panel	CPT	80051	15	$84	$35.7	$6.9	$18.67	0.78×	$124.22
Comprehensive metabolic panel	CPT	80053	15	$209.09	$88.87	$10.39	$28.98	0.65×	$211.22
Lipid panel	CPT	80061	15	$96.3	$40.93	$13.18	$34.66	0.91×	$124.22
Renal function panel	CPT	80069	15	$182	$77.35	$8.54	$22.14	0.81×	$183.86
Hepatic function panel	CPT	80076	15	$120	$51	$8.04	$21.37	0.80×	$124.22
Urinalysis non-automated	CPT	81002	10	—	—	$2.09	$3.63	0.52×	$9.32
Urinalysis automated	CPT	81003	15	$70	$29.75	$1.51	$31.06	2.2×	$70.71
Glucose quantitative	CPT	82947	15	$46	$19.55	$3.87	$12.88	0.73×	$80.24
Hemoglobin A1c	CPT	83036	15	$66.19	$28.13	$9.55	$28.86	1.1×	$137.04
Thyroid stimulating hormone (TSH)	CPT	84443	15	$98	$41.65	$16.53	$53.06	1.1×	$135.27
Complete blood count with automated differential	CPT	85025	15	$109.14	$46.39	$3.37	$23.34	0.88×	$110.26
Complete blood count without differential	CPT	85027	15	$148.03	$62.92	$4.31	$86.37	4.0×	$149.54
Urine culture bacterial	CPT	87086	15	$85	$36.13	$7.94	$23.85	1.0×	$103.23
Urine culture identification	CPT	87088	15	$105	$44.63	$7.96	$25.88	1.2×	$106.07
Tissue exam by pathologist level IV	CPT	88305	15	$224.27	$95.32	$19.2	$95.43	0.93×	$337.52
maternity
Fetal non-stress test	CPT	59025	15	$813	$345.53	$14.59	$233.74	1.2×	$1,780.64
Routine obstetric care including vaginal delivery	CPT	59400	15	$11,489	$4,882.72	$53.01	$6,354.13	2.8×	$28,421
Vaginal delivery only	CPT	59409	15	$3,766.33	$1,600.7	$53.01	$2,434.32	1.1×	$12,357
Vaginal delivery with postpartum	CPT	59410	15	$4,718.67	$2,005.44	$53.01	$963.98	0.91×	$12,357
Routine obstetric care with C-section	CPT	59510	15	$15,695	$6,670.38	$53.01	$8,723.14	3.5×	$31,511
C-section delivery only	CPT	59514	15	$4,329	$1,839.83	$507.93	$870.61	0.91×	$12,383
C-section with postpartum	CPT	59515	15	$6,216	$2,641.8	$53.01	$1,992.15	1.6×	$17,120
office
Office visit, new patient, 15-29 min	CPT	99202	15	$326	$138.55	$32.29	$79.7	0.92×	$672.55
Office visit, new patient, 30-44 minutes	CPT	99203	15	$504	$214.2	$55.97	$132.31	1.1×	$1,011.18
Office visit, new patient, 45-59 min	CPT	99204	15	$747	$317.48	$91.85	$214.51	1.2×	$1,711.95
Office visit, new patient, 60-74 min	CPT	99205	10	—	—	$124.62	$173.18	0.78×	$2,234
Office visit, established patient, 5 min	CPT	99211	10	—	—	$5.97	$8.74	0.14×	$122.28
Office visit, established patient, 10-19 min	CPT	99212	15	$255	$108.38	$24.16	$130.01	1.6×	$338.63
Office visit, established patient, 20-29 minutes	CPT	99213	15	$406	$172.55	$45.44	$209.07	1.8×	$677.26
Office visit, established patient, 30-39 minutes	CPT	99214	15	$573	$243.53	$66.97	$308.26	2.0×	$1,044.1
Office visit, established patient, 40-54 min	CPT	99215	15	$803	$341.28	$99.5	$215.13	1.1×	$1,472.09
preventive
Upper GI endoscopy diagnostic	CPT	43235	15	$2,038.05	$866.18	$53.01	$943.48	1.0×	$2,058.84
Upper GI endoscopy with biopsy	CPT	43239	15	$2,134	$906.95	$52.96	$1,085.24	1.1×	$2,155.77
Sigmoidoscopy diagnostic	CPT	45330	15	$2,024	$860.2	$38.38	$763.05	0.90×	$2,044.64
Sigmoidoscopy with biopsy	CPT	45331	15	$2,824	$1,200.2	$48.75	$953.05	1.1×	$7,269.12
Colonoscopy diagnostic	CPT	45378	15	$2,640	$1,122	$52.97	$972.52	1.1×	$3,418.48
Colonoscopy with biopsy	CPT	45380	15	$2,887.83	$1,227.33	$52.92	$1,673.65	1.4×	$3,418.48
Colonoscopy with polyp removal	CPT	45385	15	$2,939	$1,249.08	$52.87	$1,728.77	1.4×	$2,968.98
surgery
Total shoulder arthroplasty	CPT	23472	15	$6,525	$2,773.13	$53.01	$4,106.31	0.99×	$36,309
Hip hemiarthroplasty	CPT	27125	10	—	—	$761.47	$1,072.64	0.86×	$15,384
Total hip replacement	CPT	27130	15	$7,247.5	$3,080.19	$52.93	$1,333.54	0.31×	$25,404
Total knee replacement	CPT	27447	15	$5,791	$2,461.18	$52.92	$3,403.94	0.82×	$25,404
Knee revision arthroplasty single component	CPT	27486	10	—	—	$940.46	$1,324.73	0.79×	$19,067
Knee revision arthroplasty all components	CPT	27487	10	—	—	$1,166.58	$1,643.37	0.82×	$23,859
Shoulder arthroscopy with decompression	CPT	29826	15	$772	$328.1	$112.11	$454.71	1.4×	$1,831.33
Shoulder arthroscopy with rotator cuff repair	CPT	29827	15	$4,840	$2,057	$53.01	$3,401.25	1.0×	$14,105
Knee arthroscopy with meniscectomy	CPT	29881	15	$2,467	$1,048.48	$52.73	$1,538.74	0.75×	$6,406.13
ACL reconstruction	CPT	29888	10	—	—	$658.06	$3,015.13	0.90×	$14,105
Major small/large bowel procedures w MCC	MS-DRG	329	10	—	—	$25,235	$35,858	0.83×	$71,752
Major small/large bowel procedures w CC	MS-DRG	330	10	—	—	$13,161	$18,970	0.82×	$37,959
Major small/large bowel procedures w/o CC/MCC	MS-DRG	331	10	—	—	$9,239.12	$13,485	0.82×	$26,983
CABG single arterial graft	CPT	33533	10	—	—	$1,175.05	$1,656.24	0.88×	$25,439
CABG 2 arterial grafts	CPT	33534	10	—	—	$1,379.5	$1,944.13	0.91×	$29,922
CABG 3 arterial grafts	CPT	33535	10	—	—	$1,531.89	$2,159.2	0.95×	$33,383
CABG 4+ arterial grafts	CPT	33536	10	—	—	$1,648.71	$2,323.79	0.95×	$35,796
Laparoscopic cholecystectomy w/o CDE w MCC	MS-DRG	418	10	—	—	$9,286.88	$13,551	0.82×	$27,116
Laparoscopic cholecystectomy w/o CDE w CC	MS-DRG	419	10	—	—	$7,498.24	$11,050	0.82×	$22,111
Laparoscopic cholecystectomy w/o CDE w/o CC/MCC	MS-DRG	420	10	—	—	$18,705	$26,724	0.83×	$53,475
Open appendectomy	CPT	44950	10	—	—	$417.59	$1,959.92	1.7×	$12,320
Laparoscopic appendectomy	CPT	44970	15	$2,727	$1,158.98	$52.67	$587.23	0.38×	$11,519
Major joint replacement w MCC	MS-DRG	469	10	—	—	$16,652	$23,853	0.81×	$47,730
Major joint replacement w/o MCC	MS-DRG	470	10	—	—	$10,590	$15,374	0.81×	$30,763
Laparoscopic cholecystectomy	CPT	47562	15	$3,731.25	$1,585.79	$53.01	$2,177.55	1.2×	$11,519
Lap cholecystectomy with cholangiography	CPT	47563	15	$3,253	$1,382.53	$53.01	$2,045.15	1.1×	$11,519
Hip & femur procedures except major joint w MCC	MS-DRG	480	10	—	—	$15,989	$22,925	0.82×	$45,873
Hip & femur procedures except major joint w CC	MS-DRG	481	10	—	—	$11,499	$16,645	0.82×	$33,307
Hip & femur procedures except major joint w/o CC/MCC	MS-DRG	482	10	—	—	$8,954.19	$13,086	0.82×	$26,185
Open umbilical hernia repair	CPT	49560	2	—	—	$706.91	$2,649.11	1.4×	$10,055
Umbilical hernia repair age 5+	CPT	49585	2	—	—	$433.71	$1,625.3	1.2×	$6,348.61
Lap inguinal hernia repair	CPT	49650	15	$2,946	$1,252.05	$53.01	$1,429.15	1.3×	$11,519
Lap incisional hernia repair	CPT	49652	2	—	—	$712.84	$2,671.34	0.99×	$9,156.66
Total abdominal hysterectomy	CPT	58150	10	—	—	$679.74	$957.73	0.98×	$13,686
Vaginal hysterectomy	CPT	58260	15	$3,806	$1,617.55	$53.01	$2,380.27	1.3×	$11,043
Lap-assisted vaginal hysterectomy	CPT	58550	15	$3,993	$1,697.03	$53.01	$1,996.3	1.4×	$11,519
Lap-assisted vaginal hysterectomy >250g	CPT	58552	15	$4,443	$1,888.28	$53.01	$2,247.04	1.0×	$20,556
Lap salpingo-oophorectomy	CPT	58661	15	$4,431	$1,883.18	$53.01	$2,128.23	1.0×	$11,519
OR procedure for obesity w MCC	MS-DRG	619	10	—	—	$15,852	$22,734	0.84×	$45,491
OR procedure for obesity w CC	MS-DRG	620	10	—	—	$8,785.65	$12,850	0.79×	$25,713
OR procedure for obesity w/o CC/MCC	MS-DRG	621	10	—	—	$8,281.12	$12,145	0.80×	$24,302
Complex cataract surgery	CPT	66982	10	—	—	$512.75	$2,072.95	0.93×	$4,883.55
Cataract surgery with lens implant	CPT	66984	10	—	—	$374.96	$1,649.61	0.75×	$15,756
Intravitreal injection	CPT	67028	10	—	—	$62.88	$286.51	0.84×	$3,504.26
Vitrectomy mechanical	CPT	67042	10	—	—	$782.66	$3,464.2	1.4×	$15,403
Uterine & adnexa procedures w CC/MCC	MS-DRG	743	10	—	—	$6,811.44	$10,089	0.82×	$20,188
Uterine & adnexa procedures w/o CC/MCC	MS-DRG	744	10	—	—	$11,250	$16,297	0.85×	$32,610
PCI single major coronary artery	CPT	92920	10	—	—	$329.26	$1,456.16	0.26×	$50,803
PCI with drug-eluting stent	CPT	92928	10	—	—	$366.01	$1,619.72	0.16×	$50,803
PCI bypass graft	CPT	92937	10	—	—	$365.78	$1,618.84	0.15×	$50,803
Left heart catheterization	CPT	93452	10	—	—	$149.09	$721.93	0.23×	$18,766
Coronary angiography with cath	CPT	93455	10	—	—	$175.46	$849.77	0.27×	$18,766
Coronary angiography with bypass cath	CPT	93458	10	—	—	$185.36	$900.06	0.29×	$18,766

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 15)

Payer	Codes covered	Median rate
health partners	201	$209.22
Blue Cross Blue Shield	200	$278.04
primewest	197	$126.59
itasca medical care	197	$126.59
medica	197	$171.62
ucare	197	$188.75
UnitedHealthcare	197	$239.61
sanford health plan	196	$191.16
WellCare	196	$152.79
security health plan	196	$229.5
wisconsin physician services	124	$332.72
First Health	124	$302.97
Multiplan	124	$314.37
private healthcare systems	124	$314.37
america's ppo	124	$339.92

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