▸ Hospital · MN · CCN 241380
St Josephs Area Health Services
600 PLEASANT DRIVE, PARK RAPIDS, MN, 56470
25 bedsCritical Access Hospitals1
Compliance grade
A
100/100
Procedures tracked
189
of 209 target codes
Payers
16
with negotiated rates
Rates published
13,480
last crawl 2026-05-24
Procedures & rates
| Procedure | Type | Code | Payers | Gross | Cash | Neg min | Neg median | Neg max |
|---|---|---|---|---|---|---|---|---|
| behavioral | ||||||||
| Psychoses | MS-DRG | 885 | 1 | — | — | $13,491 | $13,491 | $13,491 |
| Psychiatric eval with medical services | CPT | 90792 | 8 | $393 | $243.27 | $194.33 | $265.08 | $373.35 |
| emergency | ||||||||
| ED visit level 1 | CPT | 99281 | 10 | $224 | $138.66 | $21.7 | $145.02 | $310 |
| ED visit level 2 | CPT | 99282 | 10 | $308 | $190.66 | $41.3 | $112.1 | $567 |
| ED visit level 3 | CPT | 99283 | 10 | $497 | $307.65 | $61.6 | $167.2 | $877 |
| ED visit level 4 | CPT | 99284 | 10 | $832 | $515.01 | $120.4 | $326.8 | $1,032 |
| ED visit level 5 | CPT | 99285 | 10 | $1,172 | $725.47 | $172.2 | $467.4 | $2,270 |
| Critical care, first hour | CPT | 99291 | 8 | $1,914 | $1,184.77 | $237.73 | $1,542.97 | $1,818.3 |
| imaging | ||||||||
| CT head without contrast | CPT | 70450 | 15 | $2,589 | $1,532.36 | $84.07 | $957.43 | $2,459.55 |
| CT head with contrast | CPT | 70460 | 15 | $2,589 | $1,532.36 | $118.11 | $924.28 | $2,459.55 |
| CT head with and without contrast | CPT | 70470 | 15 | $2,848 | $1,685.6 | $134.78 | $1,016.74 | $2,705.6 |
| CT neck with contrast | CPT | 70491 | 15 | $2,736 | $1,504.8 | $134.78 | $976.76 | $2,599.2 |
| MRI brain without contrast | CPT | 70551 | 15 | $3,621 | $1,991.55 | $161.88 | $1,292.7 | $3,439.95 |
| MRI brain with contrast | CPT | 70552 | 15 | $3,519 | $1,935.45 | $212.59 | $1,256.29 | $3,343.05 |
| MRI brain with and without contrast | CPT | 70553 | 15 | $5,100 | $2,805 | $198.15 | $1,805 | $4,845 |
| Chest X-ray single view | CPT | 71045 | 15 | $483 | $268.97 | $7.02 | $124.36 | $458.85 |
| Chest X-ray 2 views | CPT | 71046 | 15 | $458 | $254.45 | $17.37 | $161.91 | $435.1 |
| Chest X-ray 3 views | CPT | 71047 | 15 | $323 | $181.21 | $25.71 | $113.05 | $306.85 |
| CT chest without contrast | CPT | 71250 | 15 | $2,719 | $1,532.36 | $105.04 | $970.69 | $2,583.05 |
| CT chest with contrast | CPT | 71260 | 15 | $2,719 | $1,532.36 | $127.14 | $970.69 | $2,583.05 |
| CT chest with and without contrast | CPT | 71270 | 15 | $2,991 | $1,685.6 | $66.7 | $1,067.79 | $2,841.45 |
| MRI chest without contrast | CPT | 71550 | 15 | $3,138 | $1,735.68 | $156.32 | $1,176.91 | $2,981.1 |
| MRI chest with contrast | CPT | 71551 | 15 | $3,490 | $1,930.67 | $207.73 | $1,245.93 | $3,315.5 |
| MRI chest with and without contrast | CPT | 71552 | 15 | $4,409 | $2,488.38 | $161.88 | $1,574.02 | $4,188.55 |
| Lumbosacral spine X-ray | CPT | 72100 | 15 | $247 | $135.85 | $31.27 | $91.64 | $234.65 |
| CT cervical spine without contrast | CPT | 72125 | 15 | $2,637 | $1,560.78 | $106.23 | $941.41 | $2,505.15 |
| CT thoracic spine without contrast | CPT | 72128 | 15 | $2,624 | $1,553.2 | $105.84 | $936.77 | $2,492.8 |
| CT lumbar spine without contrast | CPT | 72131 | 15 | $2,563 | $1,516.58 | $105.45 | $915 | $2,434.85 |
| MRI cervical spine without contrast | CPT | 72141 | 15 | $3,499 | $1,933.76 | $161.18 | $1,249.15 | $3,324.05 |
| MRI thoracic spine without contrast | CPT | 72146 | 15 | $3,392 | $1,969.04 | $161.18 | $1,210.95 | $3,222.4 |
| MRI lumbar spine without contrast | CPT | 72148 | 15 | $3,423 | $1,986.99 | $161.88 | $1,222.02 | $3,251.85 |
| MRI lumbar spine with and without contrast | CPT | 72149 | 15 | $3,320 | $1,934.38 | $161.18 | $1,237.38 | $3,154 |
| MRI cervical spine with and without contrast | CPT | 72156 | 15 | $4,759 | $2,635.09 | $212.59 | $1,682.31 | $4,521.05 |
| MRI lumbar spine with contrast | CPT | 72158 | 15 | $4,690 | $2,721.75 | $18.76 | $1,674.33 | $4,455.5 |
| CT pelvis without contrast | CPT | 72192 | 15 | $2,680 | $1,532.36 | $105.04 | $956.76 | $2,546 |
| CT pelvis with contrast | CPT | 72193 | 15 | $2,680 | $1,532.36 | $113.94 | $956.76 | $2,546 |
| Shoulder X-ray | CPT | 73030 | 9 | $405.96 | $251.29 | $20.15 | $67.83 | $385.67 |
| Humerus X-ray | CPT | 73060 | 9 | $772.14 | $477.96 | $16.68 | $151.46 | $733.54 |
| Hand X-ray 3 views | CPT | 73130 | 9 | $768.06 | $475.43 | $13.9 | $31.81 | $729.66 |
| MRI upper extremity joint without contrast | CPT | 73221 | 9 | $5,715 | $3,537.59 | $127.84 | $342.93 | $5,429.25 |
| MRI upper extremity joint with and without contrast | CPT | 73223 | 9 | $5,715 | $3,537.59 | $161.18 | $1,282.46 | $5,429.25 |
| Knee X-ray 1-2 views | CPT | 73560 | 9 | $742.56 | $459.65 | $18.76 | $29.83 | $705.44 |
| Ankle X-ray 3 views | CPT | 73610 | 9 | $751.74 | $465.33 | $17.37 | $68.73 | $714.16 |
| MRI lower extremity joint without contrast | CPT | 73721 | 9 | $5,715 | $3,537.59 | $125.06 | $272.03 | $5,429.25 |
| MRI lower extremity joint with and without contrast | CPT | 73723 | 9 | $7,952 | $4,922.29 | $162.57 | $758.16 | $7,554.4 |
| CT abdomen without contrast | CPT | 74150 | 15 | $2,818 | $1,549.9 | $103.86 | $1,006.03 | $2,677.1 |
| CT abdomen with contrast | CPT | 74160 | 15 | $2,818 | $1,549.9 | $129.23 | $1,006.03 | $2,677.1 |
| CT abdomen with and without contrast | CPT | 74170 | 15 | $3,406 | $1,873.3 | $218.85 | $1,448.5 | $3,235.7 |
| CT abdomen and pelvis without contrast | CPT | 74176 | 15 | $4,219 | $2,320.45 | $129.99 | $1,331.32 | $4,008.05 |
| CT abdomen and pelvis with contrast | CPT | 74177 | 15 | $4,219 | $2,320.45 | $186.89 | $1,476.65 | $4,008.05 |
| CT abdomen and pelvis with and without contrast | CPT | 74178 | 15 | $4,640 | $2,552 | $136.17 | $1,624 | $4,408 |
| MRI abdomen without contrast | CPT | 74181 | 15 | $3,727 | $2,049.85 | $156.32 | $1,025.2 | $3,540.65 |
| MRI abdomen with and without contrast | CPT | 74183 | 15 | $4,659 | $2,562.45 | $161.88 | $1,663.27 | $4,426.05 |
| Abdominal ultrasound complete | CPT | 76700 | 15 | $999 | $549.45 | $54.89 | $370.64 | $949.05 |
| Abdominal ultrasound limited | CPT | 76705 | 15 | $999 | $549.45 | $34.05 | $370.64 | $949.05 |
| Retroperitoneal ultrasound complete | CPT | 76770 | 15 | $1,226.04 | $758.92 | $66.7 | $594.75 | $1,164.74 |
| Obstetric ultrasound first trimester | CPT | 76801 | 15 | $1,147 | $630.85 | $77.12 | $425.54 | $1,089.65 |
| Obstetric ultrasound after first trimester | CPT | 76805 | 15 | $975 | $536.25 | $88.93 | $361.73 | $926.25 |
| Transvaginal ultrasound | CPT | 76830 | 15 | $816 | $448.8 | $66 | $302.74 | $775.2 |
| Pelvic ultrasound complete | CPT | 76856 | 15 | $980 | $539 | $36.13 | $363.58 | $931 |
| Scrotal ultrasound | CPT | 76870 | 15 | $980 | $539 | $62.53 | $363.58 | $931 |
| Diagnostic mammography unilateral | CPT | 77065 | 9 | $745.72 | $461.61 | $50.03 | $249.76 | $708.44 |
| Diagnostic mammography bilateral | CPT | 77066 | 15 | $880 | $484 | $65.31 | $308 | $836 |
| Screening mammography bilateral | CPT | 77067 | 15 | $484 | $266.2 | $63.23 | $224.92 | $459.8 |
| EKG tracing only | CPT | 93005 | 14 | $364 | $204.89 | $7.27 | $244.49 | $345.8 |
| EKG interpretation only | CPT | 93010 | 8 | $44 | $27.24 | $9.16 | $29.68 | $41.8 |
| Transthoracic echocardiogram complete | CPT | 93306 | 15 | $3,257 | $1,791.35 | $40.99 | $1,714.8 | $3,094.15 |
| Transthoracic echocardiogram | CPT | 93307 | 8 | $169.95 | $105.2 | $114.64 | $141.06 | $232.25 |
| inpatient | ||||||||
| Intracranial hemorrhage/CVA w MCC | MS-DRG | 064 | 1 | — | — | $20,810 | $20,810 | $20,810 |
| Intracranial hemorrhage/CVA w CC | MS-DRG | 065 | 1 | — | — | $11,407 | $11,407 | $11,407 |
| Intracranial hemorrhage/CVA w/o CC/MCC | MS-DRG | 066 | 1 | — | — | $7,958.7 | $7,958.7 | $7,958.7 |
| Respiratory infections & inflammations w MCC | MS-DRG | 177 | 1 | — | — | $20,992 | $20,992 | $20,992 |
| COPD w MCC | MS-DRG | 190 | 1 | — | — | $12,698 | $12,698 | $12,698 |
| COPD w CC | MS-DRG | 191 | 1 | — | — | $9,910.08 | $9,910.08 | $9,910.08 |
| COPD w/o CC/MCC | MS-DRG | 192 | 1 | — | — | $7,872.12 | $7,872.12 | $7,872.12 |
| Simple pneumonia & pleurisy w CC | MS-DRG | 194 | 1 | — | — | $9,863.46 | $9,863.46 | $9,863.46 |
| Simple pneumonia & pleurisy w/o CC/MCC | MS-DRG | 195 | 1 | — | — | $7,571.31 | $7,571.31 | $7,571.31 |
| AMI discharged alive w MCC | MS-DRG | 280 | 1 | — | — | $18,103 | $18,103 | $18,103 |
| AMI discharged alive w CC | MS-DRG | 281 | 1 | — | — | $10,753 | $10,753 | $10,753 |
| AMI discharged alive w/o CC/MCC | MS-DRG | 282 | 1 | — | — | $8,190.69 | $8,190.69 | $8,190.69 |
| Heart failure & shock w MCC | MS-DRG | 291 | 1 | — | — | $14,938 | $14,938 | $14,938 |
| Heart failure & shock w CC | MS-DRG | 292 | 1 | — | — | $10,051 | $10,051 | $10,051 |
| Heart failure & shock w/o CC/MCC | MS-DRG | 293 | 1 | — | — | $7,273.83 | $7,273.83 | $7,273.83 |
| Cardiac arrhythmia w MCC | MS-DRG | 308 | 1 | — | — | $13,183 | $13,183 | $13,183 |
| Cardiac arrhythmia w CC | MS-DRG | 309 | 1 | — | — | $8,394.93 | $8,394.93 | $8,394.93 |
| Cardiac arrhythmia w/o CC/MCC | MS-DRG | 310 | 1 | — | — | $6,208.23 | $6,208.23 | $6,208.23 |
| GI hemorrhage w CC | MS-DRG | 378 | 1 | — | — | $10,968 | $10,968 | $10,968 |
| GI hemorrhage w/o CC/MCC | MS-DRG | 379 | 1 | — | — | $7,167.27 | $7,167.27 | $7,167.27 |
| Esophagitis/gastroenteritis w/o MCC | MS-DRG | 392 | 1 | — | — | $8,452.65 | $8,452.65 | $8,452.65 |
| Fractures of femur w/o MCC | MS-DRG | 533 | 1 | — | — | $16,199 | $16,199 | $16,199 |
| Kidney/UTI w MCC | MS-DRG | 689 | 1 | — | — | $12,416 | $12,416 | $12,416 |
| Kidney/UTI w/o MCC | MS-DRG | 690 | 1 | — | — | $8,777.88 | $8,777.88 | $8,777.88 |
| Septicemia or severe sepsis w MV 96+ hrs | MS-DRG | 871 | 1 | — | — | $20,716 | $20,716 | $20,716 |
| Septicemia or severe sepsis w/o MV 96+ hrs | MS-DRG | 872 | 1 | — | — | $11,536 | $11,536 | $11,536 |
| Initial hospital care, low complexity | CPT | 99221 | 8 | $471 | $291.55 | $108.67 | $332 | $447.45 |
| Initial hospital care, moderate complexity | CPT | 99222 | 8 | $639 | $395.55 | $147.65 | $428.99 | $607.05 |
| Initial hospital care, high complexity | CPT | 99223 | 8 | $931 | $576.29 | $218.05 | $589.01 | $884.45 |
| Hospital discharge, <30 min | CPT | 99238 | 8 | $333 | $206.13 | $78.97 | $182.63 | $316.35 |
| Hospital discharge, >30 min | CPT | 99239 | 8 | $493 | $305.17 | $116.42 | $269.55 | $468.35 |
| lab | ||||||||
| Basic metabolic panel (BMP) | CPT | 80048 | 13 | $379.04 | $234.63 | $8.46 | $104.4 | $360.09 |
| General health panel | CPT | 80050 | 12 | $416 | $228.8 | $14.15 | $145.6 | $395.2 |
| Electrolyte panel | CPT | 80051 | 13 | $186.43 | $115.41 | $7.01 | $60.84 | $177.11 |
| Comprehensive metabolic panel | CPT | 80053 | 13 | $234.84 | $145.37 | $2.67 | $14.08 | $223.1 |
| Lipid panel | CPT | 80061 | 13 | $281 | $154.55 | $2.67 | $22.62 | $266.95 |
| Renal function panel | CPT | 80069 | 13 | $179.22 | $110.94 | $8.68 | $77.82 | $170.26 |
| Hepatic function panel | CPT | 80076 | 13 | $339.9 | $210.4 | $4.1 | $24.64 | $322.91 |
| Urinalysis automated | CPT | 81003 | 13 | $88 | $48.4 | $2.25 | $35.77 | $83.6 |
| Glucose quantitative | CPT | 82947 | 13 | $94 | $51.7 | $2.46 | $28.49 | $89.3 |
| Hemoglobin A1c | CPT | 83036 | 13 | $96 | $52.8 | $2.46 | $33.6 | $91.2 |
| Thyroid stimulating hormone (TSH) | CPT | 84443 | 13 | $291.49 | $180.44 | $2.2 | $16.8 | $276.92 |
| Complete blood count with automated differential | CPT | 85025 | 13 | $160 | $88 | $2.67 | $54.25 | $152 |
| Complete blood count without differential | CPT | 85027 | 13 | $134 | $73.7 | $6.47 | $46.9 | $127.3 |
| Urine culture bacterial | CPT | 87086 | 13 | $135 | $74.25 | $8.07 | $57.61 | $128.25 |
| Urine culture identification | CPT | 87088 | 13 | $140 | $78.43 | $8.09 | $58.45 | $133 |
| Tissue exam by pathologist level IV | CPT | 88305 | 14 | $602 | $333.45 | $30.98 | $162.46 | $571.9 |
| maternity | ||||||||
| Fetal non-stress test | CPT | 59025 | 8 | $136 | $84.19 | $22.31 | $91.74 | $129.2 |
| Routine obstetric care including vaginal delivery | CPT | 59400 | 4 | — | — | $2,523.53 | $2,523.53 | $3,535.16 |
| Vaginal delivery only | CPT | 59409 | 8 | $5,350 | $3,311.65 | $835.71 | $2,003.27 | $5,082.5 |
| Vaginal delivery with postpartum | CPT | 59410 | 8 | $2,825 | $1,748.68 | $1,106.26 | $1,905.47 | $2,683.75 |
| Routine obstetric care with C-section | CPT | 59510 | 4 | — | — | $2,764.72 | $2,764.72 | $3,919.5 |
| C-section delivery only | CPT | 59514 | 8 | $2,488 | $1,540.08 | $938.08 | $1,678.16 | $2,363.6 |
| C-section with postpartum | CPT | 59515 | 4 | — | — | $1,352.27 | $1,352.27 | $2,129.4 |
| office | ||||||||
| Office visit, new patient, 15-29 min | CPT | 99202 | 9 | $213 | $131.85 | $35.08 | $141.93 | $202.35 |
| Office visit, new patient, 30-44 minutes | CPT | 99203 | 9 | $502 | $310.74 | $51.94 | $214.83 | $476.9 |
| Office visit, new patient, 45-59 min | CPT | 99204 | 9 | $744 | $460.54 | $77.57 | $312.81 | $706.8 |
| Office visit, new patient, 60-74 min | CPT | 99205 | 9 | $685 | $424.02 | $96.46 | $382.02 | $650.75 |
| Office visit, established patient, 5 min | CPT | 99211 | 9 | $740 | $458.06 | $9.45 | $53.2 | $703 |
| Office visit, established patient, 10-19 min | CPT | 99212 | 9 | $538 | $333.03 | $21.59 | $116.72 | $511.1 |
| Office visit, established patient, 20-29 minutes | CPT | 99213 | 9 | $267 | $165.28 | $35.08 | $155.43 | $253.65 |
| Office visit, established patient, 30-39 minutes | CPT | 99214 | 9 | $496 | $307.03 | $51.27 | $268.67 | $471.2 |
| Office visit, established patient, 40-54 min | CPT | 99215 | 9 | $647 | $400.5 | $69.48 | $288.3 | $614.65 |
| preventive | ||||||||
| Upper GI endoscopy diagnostic | CPT | 43235 | 8 | $586 | $362.74 | $131.53 | $302.35 | $2,311.27 |
| Upper GI endoscopy with biopsy | CPT | 43239 | 4 | — | — | $151.22 | $236.93 | $2,311.27 |
| Sigmoidoscopy diagnostic | CPT | 45330 | 4 | — | — | $60.87 | $60.87 | $95.36 |
| Sigmoidoscopy with biopsy | CPT | 45331 | 4 | — | — | $78.55 | $78.55 | $121.68 |
| Colonoscopy diagnostic | CPT | 45378 | 8 | $524 | $324.36 | $201.54 | $459.2 | $2,791.66 |
| Colonoscopy with biopsy | CPT | 45380 | 8 | $567 | $350.98 | $218.95 | $484.22 | $2,425.49 |
| Colonoscopy with polyp removal | CPT | 45385 | 8 | $719 | $445.07 | $277.08 | $614.03 | $2,425.49 |
| surgery | ||||||||
| Total shoulder arthroplasty | CPT | 23472 | 8 | $4,383 | $2,713.08 | $1,568.37 | $2,956.34 | $4,163.85 |
| PCI w drug-eluting stent w MCC | MS-DRG | 246 | 1 | — | — | $35,218 | $35,218 | $35,218 |
| PCI w drug-eluting stent w/o MCC | MS-DRG | 247 | 1 | — | — | $22,585 | $22,585 | $22,585 |
| Hip hemiarthroplasty | CPT | 27125 | 8 | $3,409 | $2,110.18 | $1,227.49 | $2,299.38 | $3,238.55 |
| Total hip replacement | CPT | 27130 | 8 | $4,082 | $2,526.76 | $1,389.84 | $2,753.31 | $3,877.9 |
| Total knee replacement | CPT | 27447 | 8 | $4,081 | $2,526.14 | $1,388.39 | $2,752.64 | $3,876.95 |
| Knee revision arthroplasty single component | CPT | 27486 | 8 | $4,233 | $2,620.23 | $1,520.03 | $2,855.16 | $4,021.35 |
| Knee revision arthroplasty all components | CPT | 27487 | 8 | $5,295 | $3,277.61 | $1,892.73 | $3,571.48 | $5,030.25 |
| Shoulder arthroscopy with decompression | CPT | 29826 | 8 | $533 | $329.93 | $185.55 | $359.51 | $506.35 |
| Shoulder arthroscopy with rotator cuff repair | CPT | 29827 | 8 | $3,174 | $1,964.71 | $1,163.84 | $2,140.87 | $3,015.3 |
| Knee arthroscopy with meniscectomy | CPT | 29881 | 8 | $1,628 | $1,007.74 | $595.57 | $1,098.09 | $1,546.6 |
| ACL reconstruction | CPT | 29888 | 8 | $2,966 | $1,835.96 | $1,064.82 | $2,000.57 | $2,817.7 |
| Major small/large bowel procedures w MCC | MS-DRG | 329 | 1 | — | — | $54,470 | $54,470 | $54,470 |
| Major small/large bowel procedures w CC | MS-DRG | 330 | 1 | — | — | $28,047 | $28,047 | $28,047 |
| Major small/large bowel procedures w/o CC/MCC | MS-DRG | 331 | 1 | — | — | $18,750 | $18,750 | $18,750 |
| CABG single arterial graft | CPT | 33533 | 4 | — | — | $1,949.08 | $1,949.08 | $3,164.27 |
| CABG 2 arterial grafts | CPT | 33534 | 4 | — | — | $2,286.97 | $2,286.97 | $3,721.77 |
| CABG 3 arterial grafts | CPT | 33535 | 4 | — | — | $2,545.79 | $2,545.79 | $4,152.33 |
| CABG 4+ arterial grafts | CPT | 33536 | 4 | — | — | $2,739.68 | $2,739.68 | $4,452.44 |
| Laparoscopic cholecystectomy w/o CDE w MCC | MS-DRG | 418 | 1 | — | — | $18,525 | $18,525 | $18,525 |
| Laparoscopic cholecystectomy w/o CDE w CC | MS-DRG | 419 | 1 | — | — | $14,505 | $14,505 | $14,505 |
| Laparoscopic cholecystectomy w/o CDE w/o CC/MCC | MS-DRG | 420 | 1 | — | — | $38,126 | $38,126 | $38,126 |
| Open appendectomy | CPT | 44950 | 4 | — | — | $683.1 | $683.1 | $1,089.27 |
| Laparoscopic appendectomy | CPT | 44970 | 4 | — | — | $642.89 | $642.89 | $1,019.07 |
| Spinal fusion (non-cervical) w MCC | MS-DRG | 459 | 1 | — | — | $76,057 | $76,057 | $76,057 |
| Spinal fusion (non-cervical) w/o MCC | MS-DRG | 460 | 1 | — | — | $43,960 | $43,960 | $43,960 |
| Major joint replacement w MCC | MS-DRG | 469 | 1 | — | — | $34,853 | $34,853 | $34,853 |
| Major joint replacement w/o MCC | MS-DRG | 470 | 1 | — | — | $21,849 | $21,849 | $21,849 |
| Laparoscopic cholecystectomy | CPT | 47562 | 4 | — | — | $702.98 | $702.98 | $1,115.6 |
| Lap cholecystectomy with cholangiography | CPT | 47563 | 4 | — | — | $764.89 | $764.89 | $1,213.88 |
| Hip & femur procedures except major joint w MCC | MS-DRG | 480 | 1 | — | — | $33,505 | $33,505 | $33,505 |
| Hip & femur procedures except major joint w CC | MS-DRG | 481 | 1 | — | — | $23,175 | $23,175 | $23,175 |
| Hip & femur procedures except major joint w/o CC/MCC | MS-DRG | 482 | 1 | — | — | $18,263 | $18,263 | $18,263 |
| Open umbilical hernia repair | CPT | 49560 | 4 | — | — | $785.8 | $785.8 | $1,250.73 |
| Umbilical hernia repair age 5+ | CPT | 49585 | 4 | — | — | $480.96 | $480.96 | $752.9 |
| Lap inguinal hernia repair | CPT | 49650 | 4 | — | — | $463.89 | $463.89 | $725.99 |
| Lap incisional hernia repair | CPT | 49652 | 4 | — | — | $792.57 | $792.57 | $1,260.68 |
| Total abdominal hysterectomy | CPT | 58150 | 4 | — | — | $1,098.82 | $1,098.82 | $1,702.35 |
| Vaginal hysterectomy | CPT | 58260 | 4 | — | — | $914.96 | $914.96 | $1,373.58 |
| Lap-assisted vaginal hysterectomy | CPT | 58550 | 4 | — | — | $960.89 | $960.89 | $1,457.82 |
| Lap-assisted vaginal hysterectomy >250g | CPT | 58552 | 4 | — | — | $1,068.09 | $1,068.09 | $1,640.93 |
| Lap salpingo-oophorectomy | CPT | 58661 | 4 | — | — | $707.78 | $707.78 | $1,085.18 |
| OR procedure for obesity w MCC | MS-DRG | 619 | 1 | — | — | $34,171 | $34,171 | $34,171 |
| OR procedure for obesity w CC | MS-DRG | 620 | 1 | — | — | $19,920 | $19,920 | $19,920 |
| OR procedure for obesity w/o CC/MCC | MS-DRG | 621 | 1 | — | — | $17,449 | $17,449 | $17,449 |
| Complex cataract surgery | CPT | 66982 | 4 | — | — | $827.65 | $827.65 | $1,319.76 |
| Cataract surgery with lens implant | CPT | 66984 | 4 | — | — | $604.53 | $604.53 | $1,062.36 |
| Intravitreal injection | CPT | 67028 | 4 | — | — | $101.74 | $101.74 | $165.56 |
| Vitrectomy mechanical | CPT | 67042 | 4 | — | — | $1,266.53 | $1,266.53 | $1,915.88 |
| Uterine & adnexa procedures w CC/MCC | MS-DRG | 743 | 1 | — | — | $12,748 | $12,748 | $12,748 |
| Uterine & adnexa procedures w/o CC/MCC | MS-DRG | 744 | 1 | — | — | $19,320 | $19,320 | $19,320 |
Payer mix (top 16)
| Payer | Codes covered | Median rate |
|---|---|---|
| commercial | preferred one | all other plans | 174 | $662.81 |
| Blue Cross Blue Shield | 142 | $253.19 |
| Humana | 142 | $182.98 |
| Medicare | 141 | $149.97 |
| UnitedHealthcare | 115 | $283.86 |
| commercial | health partners | all plans | 115 | $269.11 |
| commercial | sanford health plan | all plans | 115 | $291.18 |
| commercial | preferred one | ppo | 97 | $458.03 |
| commercial | medica | all plans | 89 | $182.91 |
| health partners | 64 | $342.13 |
| sanford health plan | 64 | $459.33 |
| south country health alliance | 64 | $169.23 |
| ucare | 64 | $366.08 |
| prime west health | 64 | $331.5 |
| medica | 64 | $328.01 |
| Medicaid | 5 | $61.6 |