▸ Hospital · MS · CCN 250152
MISSISSIPPI METHODIST REHAB CENTER
1350 E. WOODROW WILSON, JACKSON, MS, 39216
31 bedsAcute Care Hospitals1
Compliance grade
A
100/100
Procedures tracked
197
of 209 target codes
Payers
10
with negotiated rates
Rates published
31,086
last crawl 2026-05-24
Procedures & rates
| Procedure | Type | Code | Payers | Gross | Cash | Neg min | Neg median | Neg max |
|---|---|---|---|---|---|---|---|---|
| behavioral | ||||||||
| Psychoses | MS-DRG | 885 | 9 | — | — | $11,014 | $12,941 | $18,773 |
| Psychiatric diagnostic evaluation | CPT | 90791 | 10 | $693 | $693 | $138.6 | $207.9 | $570.62 |
| Psychiatric eval with medical services | CPT | 90792 | 10 | $557 | $557 | $111.4 | $190.21 | $570.62 |
| Psychotherapy 30 minutes | CPT | 90832 | 10 | $331 | $331 | $66.15 | $165.5 | $570.62 |
| Psychotherapy 45 minutes | CPT | 90834 | 7 | — | — | $87.79 | $190.21 | $381.6 |
| Psychotherapy 60 minutes | CPT | 90837 | 10 | $557 | $557 | $111.4 | $190.21 | $570.62 |
| Crisis psychotherapy 60 minutes | CPT | 90839 | 7 | — | — | $124.63 | $190.21 | $381.6 |
| emergency | ||||||||
| ED visit level 1 | CPT | 99281 | 10 | $478 | $478 | $8.57 | $104.48 | $329.82 |
| ED visit level 2 | CPT | 99282 | 10 | $861 | $861 | $30.07 | $191.1 | $640 |
| ED visit level 3 | CPT | 99283 | 10 | $1,512 | $1,512 | $51.73 | $336.38 | $1,043.28 |
| ED visit level 4 | CPT | 99284 | 10 | $2,373 | $2,373 | $86.76 | $593.25 | $2,107 |
| ED visit level 5 | CPT | 99285 | 10 | $3,402 | $3,402 | $126.53 | $850.5 | $4,259 |
| Critical care, first hour | CPT | 99291 | 10 | $4,515 | $4,515 | $151.72 | $1,128.75 | $3,115.35 |
| imaging | ||||||||
| CT head without contrast | CPT | 70450 | 10 | $4,557 | $4,557 | $105.06 | $336.1 | $2,657 |
| CT head with contrast | CPT | 70460 | 10 | $4,946 | $4,946 | $153.16 | $563.89 | $2,657 |
| CT head with and without contrast | CPT | 70470 | 10 | $5,523 | $5,523 | $183.35 | $563.89 | $2,761.5 |
| CT neck with contrast | CPT | 70491 | 10 | $5,229 | $5,229 | $187.96 | $563.89 | $2,657 |
| MRI brain without contrast | CPT | 70551 | 10 | $7,151 | $7,151 | $241.18 | $1,379 | $3,575.5 |
| MRI brain with contrast | CPT | 70552 | 10 | $7,833 | $7,833 | $332.97 | $1,379 | $3,916.5 |
| MRI brain with and without contrast | CPT | 70553 | 10 | $8,516 | $8,516 | $373.86 | $1,379 | $4,258 |
| Chest X-ray single view | CPT | 71045 | 10 | $536 | $536 | $22.16 | $108.18 | $359.12 |
| Chest X-ray 2 views | CPT | 71046 | 10 | $546 | $546 | $28.59 | $109.2 | $365.82 |
| Chest X-ray 3 views | CPT | 71047 | 10 | $567 | $567 | $35.87 | $113.4 | $379.89 |
| CT chest without contrast | CPT | 71250 | 10 | $5,208 | $5,208 | $112.03 | $1,041.6 | $2,657 |
| CT chest with contrast | CPT | 71260 | 10 | $5,250 | $5,250 | $176.07 | $1,050 | $2,657 |
| CT chest with and without contrast | CPT | 71270 | 10 | $6,311 | $6,311 | $187.96 | $1,061 | $3,155.5 |
| MRI chest without contrast | CPT | 71550 | 10 | $7,466 | $7,466 | $255.69 | $1,379 | $3,733 |
| MRI chest with contrast | CPT | 71551 | 10 | $6,416 | $6,416 | $458.86 | $1,604 | $3,208 |
| MRI chest with and without contrast | CPT | 71552 | 10 | $8,957 | $8,957 | $373.86 | $1,379 | $4,478.5 |
| Lumbosacral spine X-ray | CPT | 72100 | 10 | $788 | $788 | $33.81 | $157.6 | $527.96 |
| CT cervical spine without contrast | CPT | 72125 | 10 | $5,219 | $5,219 | $112.03 | $1,043.8 | $2,657 |
| CT thoracic spine without contrast | CPT | 72128 | 10 | $4,778 | $4,778 | $112.03 | $955.6 | $2,657 |
| CT lumbar spine without contrast | CPT | 72131 | 10 | $5,345 | $5,345 | $112.03 | $1,061 | $2,672.5 |
| MRI cervical spine without contrast | CPT | 72141 | 10 | $7,151 | $7,151 | $234.66 | $1,379 | $3,575.5 |
| MRI thoracic spine without contrast | CPT | 72146 | 10 | $7,172 | $7,172 | $234.66 | $1,379 | $3,586 |
| MRI lumbar spine without contrast | CPT | 72148 | 10 | $7,151 | $7,151 | $235.43 | $1,379 | $3,575.5 |
| MRI lumbar spine with and without contrast | CPT | 72149 | 10 | $7,581 | $7,581 | $332.65 | $1,379 | $3,790.5 |
| MRI cervical spine with and without contrast | CPT | 72156 | 10 | $9,125 | $9,125 | $373.86 | $1,379 | $4,562.5 |
| MRI lumbar spine with contrast | CPT | 72158 | 10 | $8,516 | $8,516 | $373.86 | $1,379 | $4,258 |
| CT pelvis without contrast | CPT | 72192 | 10 | $5,313 | $5,313 | $112.03 | $1,061 | $2,657 |
| CT pelvis with contrast | CPT | 72193 | 10 | $5,555 | $5,555 | $187.96 | $1,061 | $2,777.5 |
| Shoulder X-ray | CPT | 73030 | 10 | $756 | $756 | $29.31 | $151.2 | $506.52 |
| Humerus X-ray | CPT | 73060 | 10 | $714 | $714 | $27.33 | $142.8 | $478.38 |
| Hand X-ray 3 views | CPT | 73130 | 10 | $777 | $777 | $31.21 | $155.4 | $520.59 |
| MRI upper extremity joint without contrast | CPT | 73221 | 10 | $7,151 | $7,151 | $248.59 | $1,379 | $3,575.5 |
| MRI upper extremity joint with and without contrast | CPT | 73223 | 10 | $8,211 | $8,211 | $373.86 | $1,379 | $4,105.5 |
| Knee X-ray 1-2 views | CPT | 73560 | 10 | $725 | $725 | $28.98 | $145 | $485.75 |
| Ankle X-ray 3 views | CPT | 73610 | 10 | $998 | $998 | $31.21 | $199.6 | $668.66 |
| MRI lower extremity joint without contrast | CPT | 73721 | 10 | $7,151 | $7,151 | $248.21 | $1,379 | $3,575.5 |
| MRI lower extremity joint with and without contrast | CPT | 73723 | 10 | $8,579 | $8,579 | $373.86 | $1,379 | $4,289.5 |
| CT abdomen without contrast | CPT | 74150 | 10 | $3,455 | $3,455 | $112.03 | $989.1 | $2,657 |
| CT abdomen with contrast | CPT | 74160 | 10 | $5,208 | $5,208 | $187.96 | $1,041.6 | $2,657 |
| CT abdomen with and without contrast | CPT | 74170 | 10 | $6,185 | $6,185 | $187.96 | $1,061 | $3,092.5 |
| CT abdomen and pelvis without contrast | CPT | 74176 | 10 | $6,993 | $6,993 | $194.99 | $1,061 | $3,496.5 |
| CT abdomen and pelvis with contrast | CPT | 74177 | 10 | $8,285 | $8,285 | $322.23 | $1,121.58 | $4,142.5 |
| CT abdomen and pelvis with and without contrast | CPT | 74178 | 10 | $8,285 | $8,285 | $360.53 | $1,121.58 | $4,142.5 |
| MRI abdomen without contrast | CPT | 74181 | 10 | $7,424 | $7,424 | $241.87 | $1,379 | $3,712 |
| MRI abdomen with and without contrast | CPT | 74183 | 10 | $8,285 | $8,285 | $373.86 | $1,379 | $4,142.5 |
| Abdominal ultrasound complete | CPT | 76700 | 10 | $2,289 | $2,289 | $99.25 | $572.25 | $1,533.63 |
| Abdominal ultrasound limited | CPT | 76705 | 10 | $1,302 | $1,302 | $75.01 | $330.8 | $872.34 |
| Retroperitoneal ultrasound complete | CPT | 76770 | 10 | $1,785 | $1,785 | $92.47 | $252.28 | $1,195.95 |
| Obstetric ultrasound first trimester | CPT | 76801 | 10 | $1,271 | $1,271 | $100.56 | $252.28 | $851.57 |
| Obstetric ultrasound after first trimester | CPT | 76805 | 10 | $1,617 | $1,617 | $112.03 | $252.28 | $1,083.39 |
| Obstetric ultrasound with fetal anatomy | CPT | 76811 | 10 | $2,153 | $2,153 | $120.57 | $430.6 | $1,442.51 |
| Transvaginal ultrasound | CPT | 76830 | 10 | $1,155 | $1,155 | $101.68 | $231 | $773.85 |
| Pelvic ultrasound complete | CPT | 76856 | 10 | $1,670 | $1,670 | $89.86 | $252.28 | $1,118.9 |
| Scrotal ultrasound | CPT | 76870 | 10 | $1,533 | $1,533 | $85.87 | $383.25 | $1,027.11 |
| Diagnostic mammography unilateral | CPT | 77065 | 10 | $567 | $567 | $85.68 | $133.72 | $379.89 |
| Diagnostic mammography bilateral | CPT | 77066 | 10 | $872 | $872 | $109.04 | $171.06 | $584.24 |
| Screening mammography bilateral | CPT | 77067 | 10 | $557 | $557 | $90.06 | $137.47 | $373.19 |
| EKG complete | CPT | 93000 | 7 | — | — | $14.96 | $14.96 | $17.35 |
| EKG tracing only | CPT | 93005 | 10 | $536 | $536 | $6.48 | $134 | $359.12 |
| EKG interpretation only | CPT | 93010 | 7 | — | — | $8.33 | $8.33 | $9.67 |
| Transthoracic echocardiogram complete | CPT | 93306 | 10 | $4,851 | $4,851 | $201.38 | $1,455.3 | $3,250.17 |
| Transthoracic echocardiogram | CPT | 93307 | 10 | $2,111 | $2,111 | $140.29 | $527.75 | $1,477.7 |
| Stress echocardiogram | CPT | 93350 | 7 | — | — | $190.43 | $585.55 | $1,303.8 |
| inpatient | ||||||||
| Intracranial hemorrhage/CVA w MCC | MS-DRG | 064 | 9 | — | — | $11,014 | $18,110 | $27,028 |
| Intracranial hemorrhage/CVA w CC | MS-DRG | 065 | 9 | — | — | $9,002.78 | $10,328 | $13,578 |
| Intracranial hemorrhage/CVA w/o CC/MCC | MS-DRG | 066 | 9 | — | — | $6,098.69 | $7,187.45 | $11,014 |
| Respiratory infections & inflammations w MCC | MS-DRG | 177 | 9 | — | — | $11,014 | $14,337 | $21,003 |
| COPD w MCC | MS-DRG | 190 | 9 | — | — | $9,870.71 | $10,761 | $14,887 |
| COPD w CC | MS-DRG | 191 | 9 | — | — | $7,511.97 | $8,715.74 | $11,330 |
| COPD w/o CC/MCC | MS-DRG | 192 | 9 | — | — | $5,720.86 | $6,778.87 | $11,014 |
| Simple pneumonia & pleurisy w CC | MS-DRG | 194 | 9 | — | — | $7,181.37 | $8,358.24 | $11,014 |
| Simple pneumonia & pleurisy w/o CC/MCC | MS-DRG | 195 | 9 | — | — | $5,600.56 | $6,648.79 | $11,014 |
| AMI discharged alive w MCC | MS-DRG | 280 | 9 | — | — | $11,014 | $14,686 | $21,559 |
| AMI discharged alive w CC | MS-DRG | 281 | 9 | — | — | $8,190.1 | $9,449.06 | $12,353 |
| AMI discharged alive w/o CC/MCC | MS-DRG | 282 | 9 | — | — | $6,443.54 | $7,560.37 | $11,014 |
| Heart failure & shock w MCC | MS-DRG | 291 | 9 | — | — | $11,014 | $11,990 | $17,254 |
| Heart failure & shock w CC | MS-DRG | 292 | 9 | — | — | $7,565.44 | $8,773.56 | $11,411 |
| Heart failure & shock w/o CC/MCC | MS-DRG | 293 | 9 | — | — | $5,043.63 | $6,046.54 | $11,014 |
| Cardiac arrhythmia w MCC | MS-DRG | 308 | 9 | — | — | $10,729 | $11,318 | $16,182 |
| Cardiac arrhythmia w CC | MS-DRG | 309 | 9 | — | — | $6,555.82 | $7,681.79 | $11,014 |
| Cardiac arrhythmia w/o CC/MCC | MS-DRG | 310 | 9 | — | — | $5,044.52 | $6,047.5 | $11,014 |
| GI hemorrhage w CC | MS-DRG | 378 | 9 | — | — | $8,739.02 | $10,043 | $13,181 |
| GI hemorrhage w/o CC/MCC | MS-DRG | 379 | 9 | — | — | $5,617.49 | $6,667.1 | $11,014 |
| Esophagitis/gastroenteritis w/o MCC | MS-DRG | 392 | 9 | — | — | $6,947.02 | $8,104.81 | $11,014 |
| Fractures of femur w/o MCC | MS-DRG | 533 | 9 | — | — | $11,014 | $14,379 | $21,070 |
| Kidney/UTI w MCC | MS-DRG | 689 | 9 | — | — | $10,339 | $10,982 | $15,594 |
| Kidney/UTI w/o MCC | MS-DRG | 690 | 9 | — | — | $7,213.45 | $8,392.93 | $11,014 |
| Septicemia or severe sepsis w MV 96+ hrs | MS-DRG | 871 | 9 | — | — | $11,014 | $17,534 | $26,107 |
| Septicemia or severe sepsis w/o MV 96+ hrs | MS-DRG | 872 | 9 | — | — | $9,118.63 | $10,406 | $13,753 |
| Initial hospital care, low complexity | CPT | 99221 | 10 | $131 | $131 | $26.2 | $64.19 | $230.6 |
| Initial hospital care, moderate complexity | CPT | 99222 | 7 | — | — | $91.94 | $119.28 | $138.37 |
| Initial hospital care, high complexity | CPT | 99223 | 7 | — | — | $122.29 | $158.97 | $184.4 |
| Hospital discharge, <30 min | CPT | 99238 | 7 | — | — | $56.6 | $75.27 | $87.32 |
| Hospital discharge, >30 min | CPT | 99239 | 7 | — | — | $80.45 | $107 | $124.12 |
| lab | ||||||||
| Basic metabolic panel (BMP) | CPT | 80048 | 10 | $252 | $252 | $7.28 | $75.3 | $168.84 |
| General health panel | CPT | 80050 | 7 | $137 | $137 | $27.4 | $50.69 | $91.79 |
| Electrolyte panel | CPT | 80051 | 10 | $134 | $134 | $6.03 | $21.03 | $89.78 |
| Comprehensive metabolic panel | CPT | 80053 | 10 | $357 | $357 | $9.08 | $102.3 | $239.19 |
| Lipid panel | CPT | 80061 | 10 | $291 | $291 | $11.52 | $86.7 | $194.97 |
| Renal function panel | CPT | 80069 | 10 | $310 | $310 | $7.46 | $26.04 | $207.7 |
| Hepatic function panel | CPT | 80076 | 10 | $236 | $236 | $7.03 | $24.51 | $158.12 |
| Urinalysis non-automated | CPT | 81002 | 8 | — | — | $2.99 | $3.48 | $4.66 |
| Urinalysis automated | CPT | 81003 | 10 | $83 | $83 | $1.94 | $20.75 | $55.61 |
| Glucose quantitative | CPT | 82947 | 10 | $173 | $173 | $3.38 | $30.5 | $115.91 |
| Hemoglobin A1c | CPT | 83036 | 10 | $216 | $216 | $8.35 | $29.13 | $144.72 |
| Thyroid stimulating hormone (TSH) | CPT | 84443 | 10 | $252 | $252 | $14.2 | $47.57 | $168.84 |
| Complete blood count with automated differential | CPT | 85025 | 10 | $163 | $163 | $5 | $23.31 | $109.21 |
| Complete blood count without differential | CPT | 85027 | 10 | $139 | $139 | $5.56 | $41.1 | $93.13 |
| Urine culture bacterial | CPT | 87086 | 10 | $221 | $221 | $6.94 | $24.21 | $148.07 |
| Urine culture identification | CPT | 87088 | 8 | — | — | $6.96 | $8.09 | $12.04 |
| Tissue exam by pathologist level IV | CPT | 88305 | 10 | $499 | $499 | $37.84 | $133.95 | $334.33 |
| maternity | ||||||||
| Fetal non-stress test | CPT | 59025 | 10 | $467 | $467 | $36.25 | $216.65 | $649.95 |
| Routine obstetric care including vaginal delivery | CPT | 59400 | 7 | — | — | $1,791.18 | $2,358.17 | $2,735.47 |
| Vaginal delivery only | CPT | 59409 | 7 | — | — | $623.52 | $3,468.96 | $7,559.92 |
| Vaginal delivery with postpartum | CPT | 59410 | 7 | — | — | $823.17 | $1,061.82 | $1,231.71 |
| Routine obstetric care with C-section | CPT | 59510 | 7 | — | — | $1,991.74 | $2,659.68 | $3,085.23 |
| C-section delivery only | CPT | 59514 | 7 | — | — | $708.83 | $907.65 | $1,052.87 |
| C-section with postpartum | CPT | 59515 | 7 | — | — | $1,016.31 | $1,342.1 | $1,556.83 |
| office | ||||||||
| Office visit, new patient, 15-29 min | CPT | 99202 | 7 | — | — | $33.84 | $72.84 | $84.49 |
| Office visit, new patient, 30-44 minutes | CPT | 99203 | 7 | — | — | $58.66 | $115.47 | $133.94 |
| Office visit, new patient, 45-59 min | CPT | 99204 | 7 | — | — | $94.01 | $174.69 | $202.65 |
| Office visit, new patient, 60-74 min | CPT | 99205 | 7 | — | — | $127.56 | $234.2 | $271.67 |
| Office visit, established patient, 5 min | CPT | 99211 | 10 | $102 | $102 | $6.18 | $26.09 | $69 |
| Office visit, established patient, 10-19 min | CPT | 99212 | 10 | $436 | $436 | $25.06 | $109 | $292.12 |
| Office visit, established patient, 20-29 minutes | CPT | 99213 | 7 | — | — | $46.43 | $92.64 | $107.47 |
| Office visit, established patient, 30-39 minutes | CPT | 99214 | 7 | — | — | $68.51 | $132.43 | $153.62 |
| Office visit, established patient, 40-54 min | CPT | 99215 | 7 | — | — | $100.53 | $188.35 | $218.48 |
| preventive | ||||||||
| Upper GI endoscopy diagnostic | CPT | 43235 | 7 | — | — | $118.34 | $971.94 | $2,228.12 |
| Upper GI endoscopy with biopsy | CPT | 43239 | 7 | — | — | $133.51 | $971.94 | $2,228.12 |
| Sigmoidoscopy diagnostic | CPT | 45330 | 7 | — | — | $54.21 | $996.56 | $2,166.64 |
| Sigmoidoscopy with biopsy | CPT | 45331 | 7 | — | — | $69.26 | $996.56 | $2,166.64 |
| Colonoscopy diagnostic | CPT | 45378 | 7 | — | — | $178.84 | $996.56 | $2,166.64 |
| Colonoscopy with biopsy | CPT | 45380 | 7 | — | — | $194.2 | $1,282.34 | $2,802.64 |
| Colonoscopy with polyp removal | CPT | 45385 | 7 | — | — | $245.75 | $1,282.34 | $2,802.64 |
| surgery | ||||||||
| Total shoulder arthroplasty | CPT | 23472 | 7 | — | — | $1,352.64 | $18,790 | $43,723 |
| Hip hemiarthroplasty | CPT | 27125 | 7 | — | — | $1,058.52 | $13,758 | $15,959 |
| Total hip replacement | CPT | 27130 | 7 | — | — | $1,203.7 | $13,758 | $30,592 |
| Total knee replacement | CPT | 27447 | 7 | — | — | $1,202.43 | $13,758 | $30,592 |
| Knee revision arthroplasty single component | CPT | 27486 | 7 | — | — | $1,313.78 | $13,758 | $15,959 |
| Knee revision arthroplasty all components | CPT | 27487 | 7 | — | — | $1,641.41 | $18,790 | $21,796 |
| Shoulder arthroscopy with decompression | CPT | 29826 | 7 | — | — | $155.89 | $155.89 | $180.84 |
| Shoulder arthroscopy with rotator cuff repair | CPT | 29827 | 7 | — | — | $999.51 | $7,775.89 | $16,983 |
| Knee arthroscopy with meniscectomy | CPT | 29881 | 7 | — | — | $504.71 | $3,506.34 | $7,714.68 |
| ACL reconstruction | CPT | 29888 | 7 | — | — | $911.67 | $7,775.89 | $16,983 |
| Major small/large bowel procedures w MCC | MS-DRG | 329 | 9 | — | — | $11,014 | $40,415 | $61,777 |
| Major small/large bowel procedures w CC | MS-DRG | 330 | 9 | — | — | $11,014 | $21,361 | $32,218 |
| Major small/large bowel procedures w/o CC/MCC | MS-DRG | 331 | 9 | — | — | $11,014 | $15,349 | $22,618 |
| CABG single arterial graft | CPT | 33533 | 7 | — | — | $1,877.09 | $1,877.09 | $2,177.43 |
| CABG 2 arterial grafts | CPT | 33534 | 7 | — | — | $2,203.47 | $2,203.47 | $2,556.02 |
| CABG 3 arterial grafts | CPT | 33535 | 7 | — | — | $2,446.3 | $2,446.3 | $2,837.7 |
| CABG 4+ arterial grafts | CPT | 33536 | 7 | — | — | $2,636.71 | $2,636.71 | $3,058.59 |
| Laparoscopic cholecystectomy w/o CDE w MCC | MS-DRG | 418 | 9 | — | — | $11,014 | $15,422 | $22,735 |
| Laparoscopic cholecystectomy w/o CDE w CC | MS-DRG | 419 | 9 | — | — | $11,014 | $12,680 | $18,356 |
| Laparoscopic cholecystectomy w/o CDE w/o CC/MCC | MS-DRG | 420 | 9 | — | — | $11,014 | $30,110 | $45,791 |
| Open appendectomy | CPT | 44950 | 7 | — | — | $644.12 | $6,937.47 | $14,836 |
| Laparoscopic appendectomy | CPT | 44970 | 7 | — | — | $602.74 | $6,478.5 | $13,871 |
| Major joint replacement w MCC | MS-DRG | 469 | 9 | — | — | $11,014 | $26,871 | $40,766 |
| Major joint replacement w/o MCC | MS-DRG | 470 | 9 | — | — | $11,014 | $17,419 | $25,924 |
| Laparoscopic cholecystectomy | CPT | 47562 | 7 | — | — | $660.53 | $6,478.5 | $13,871 |
| Lap cholecystectomy with cholangiography | CPT | 47563 | 7 | — | — | $720.68 | $6,478.5 | $13,871 |
| Hip & femur procedures except major joint w MCC | MS-DRG | 480 | 9 | — | — | $11,014 | $25,824 | $39,141 |
| Hip & femur procedures except major joint w CC | MS-DRG | 481 | 9 | — | — | $11,014 | $18,813 | $28,150 |
| Hip & femur procedures except major joint w/o CC/MCC | MS-DRG | 482 | 9 | — | — | $11,014 | $14,912 | $21,921 |
| Lap inguinal hernia repair | CPT | 49650 | 7 | — | — | $431.49 | $6,478.5 | $13,871 |
| Total abdominal hysterectomy | CPT | 58150 | 7 | — | — | $882.15 | $975.12 | $1,131.13 |
| Vaginal hysterectomy | CPT | 58260 | 7 | — | — | $731.08 | $5,360.72 | $11,736 |
| Lap-assisted vaginal hysterectomy | CPT | 58550 | 7 | — | — | $768.47 | $6,478.5 | $13,871 |
| Lap-assisted vaginal hysterectomy >250g | CPT | 58552 | 7 | — | — | $855.39 | $11,391 | $24,753 |
| Lap salpingo-oophorectomy | CPT | 58661 | 7 | — | — | $569.47 | $6,478.5 | $13,871 |
| OR procedure for obesity w MCC | MS-DRG | 619 | 9 | — | — | $11,014 | $25,608 | $38,807 |
| OR procedure for obesity w CC | MS-DRG | 620 | 9 | — | — | $11,014 | $14,654 | $21,508 |
| OR procedure for obesity w/o CC/MCC | MS-DRG | 621 | 9 | — | — | $11,014 | $13,880 | $20,273 |
| Complex cataract surgery | CPT | 66982 | 7 | — | — | $738.24 | $2,473.11 | $5,422.96 |
| Cataract surgery with lens implant | CPT | 66984 | 7 | — | — | $538.68 | $2,473.11 | $5,422.96 |
| Intravitreal injection | CPT | 67028 | 7 | — | — | $91.47 | $353.96 | $788.64 |
| Vitrectomy mechanical | CPT | 67042 | 7 | — | — | $1,133.45 | $4,429.45 | $9,565.44 |
| Uterine & adnexa procedures w CC/MCC | MS-DRG | 743 | 9 | — | — | $11,014 | $11,627 | $16,675 |
| Uterine & adnexa procedures w/o CC/MCC | MS-DRG | 744 | 9 | — | — | $11,014 | $18,431 | $27,540 |
| PCI single major coronary artery | CPT | 92920 | 10 | $18,029 | $18,029 | $526.77 | $6,099.19 | $18,298 |
| PCI with drug-eluting stent | CPT | 92928 | 10 | $35,721 | $35,721 | $587.67 | $12,371 | $37,113 |
| PCI bypass graft | CPT | 92937 | 10 | $37,055 | $37,055 | $587.03 | $12,371 | $37,113 |
| Left heart catheterization | CPT | 93452 | 10 | $11,319 | $11,319 | $927.06 | $3,474.11 | $10,422 |
| Coronary angiography with cath | CPT | 93455 | 10 | $13,094 | $13,094 | $1,038.72 | $3,928.2 | $10,422 |
| Coronary angiography with bypass cath | CPT | 93458 | 10 | $18,323 | $18,323 | $1,072.24 | $4,580.75 | $12,826 |
Payer mix (top 10)
| Payer | Codes covered | Median rate |
|---|---|---|
| Humana | 197 | $194.6 |
| Blue Cross Blue Shield | 197 | $925.47 |
| Aetna | 197 | $255.69 |
| Molina | 197 | $373.86 |
| WellCare | 196 | $373.86 |
| meridian | 196 | $433.68 |
| UnitedHealthcare | 196 | $563.89 |
| healthlink | 140 | $2,657 |
| Cigna | 138 | $1,072.2 |
| Multiplan | 95 | $703.5 |