Does MISSISSIPPI METHODIST REHAB CENTER publish its standard charges and chargemaster?

Yes. MISSISSIPPI METHODIST REHAB CENTER publishes a machine-readable file with 31,086 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 MISSISSIPPI METHODIST REHAB CENTER charge for procedures?

MISSISSIPPI METHODIST REHAB CENTER (Jackson, MS) 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 · MS · CCN 250152

MISSISSIPPI METHODIST REHAB CENTER

Jackson, MS, 39216

31 bedsAcute Care Hospitals1

Compliance grade

100/100

Rates published

31,086

last crawl 2026-05-24

Procedures tracked

197

of 209 target codes

Payers

with negotiated rates

Procedures tracked

...

Payers

...

▸ Compare with other hospitals All MS 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://sthpiprd.blob.core.windows.net/machine-readable-files/11406/370661223_methodist-medical-center-of-illinois_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	9	—	—	$11,014	$12,941	1.0×	$18,773
Psychiatric diagnostic evaluation	CPT	90791	10	$693	$693	$138.6	$207.9	1.2×	$570.62
Psychiatric eval with medical services	CPT	90792	10	$557	$557	$111.4	$190.21	1.1×	$570.62
Psychotherapy 30 minutes	CPT	90832	10	$331	$331	$66.15	$165.5	1.1×	$570.62
Psychotherapy 45 minutes	CPT	90834	7	—	—	$87.79	$190.21	1.2×	$381.6
Psychotherapy 60 minutes	CPT	90837	10	$557	$557	$111.4	$190.21	1.0×	$570.62
Crisis psychotherapy 60 minutes	CPT	90839	7	—	—	$124.63	$190.21	1.2×	$381.6
emergency
ED visit level 1	CPT	99281	10	$478	$478	$8.57	$104.48	0.75×	$329.82
ED visit level 2	CPT	99282	10	$861	$861	$30.07	$191.1	0.81×	$640
ED visit level 3	CPT	99283	10	$1,512	$1,512	$51.73	$336.38	0.83×	$1,043.28
ED visit level 4	CPT	99284	10	$2,373	$2,373	$86.76	$593.25	0.89×	$2,107
ED visit level 5	CPT	99285	10	$3,402	$3,402	$126.53	$850.5	0.82×	$4,259
Critical care, first hour	CPT	99291	10	$4,515	$4,515	$151.72	$1,128.75	1.1×	$3,115.35
imaging
CT head without contrast	CPT	70450	10	$4,557	$4,557	$105.06	$336.1	1.6×	$2,657
CT head with contrast	CPT	70460	10	$4,946	$4,946	$153.16	$563.89	2.4×	$2,657
CT head with and without contrast	CPT	70470	10	$5,523	$5,523	$183.35	$563.89	2.1×	$2,761.5
CT neck with contrast	CPT	70491	10	$5,229	$5,229	$187.96	$563.89	2.1×	$2,657
MRI brain without contrast	CPT	70551	10	$7,151	$7,151	$241.18	$1,379	3.4×	$3,575.5
MRI brain with contrast	CPT	70552	10	$7,833	$7,833	$332.97	$1,379	2.9×	$3,916.5
MRI brain with and without contrast	CPT	70553	10	$8,516	$8,516	$373.86	$1,379	2.3×	$4,258
Chest X-ray single view	CPT	71045	10	$536	$536	$22.16	$108.18	1.1×	$359.12
Chest X-ray 2 views	CPT	71046	10	$546	$546	$28.59	$109.2	1.1×	$365.82
Chest X-ray 3 views	CPT	71047	10	$567	$567	$35.87	$113.4	1.2×	$379.89
CT chest without contrast	CPT	71250	10	$5,208	$5,208	$112.03	$1,041.6	4.8×	$2,657
CT chest with contrast	CPT	71260	10	$5,250	$5,250	$176.07	$1,050	3.7×	$2,657
CT chest with and without contrast	CPT	71270	10	$6,311	$6,311	$187.96	$1,061	3.6×	$3,155.5
MRI chest without contrast	CPT	71550	10	$7,466	$7,466	$255.69	$1,379	3.2×	$3,733
MRI chest with contrast	CPT	71551	10	$6,416	$6,416	$458.86	$1,604	2.0×	$3,208
MRI chest with and without contrast	CPT	71552	10	$8,957	$8,957	$373.86	$1,379	2.3×	$4,478.5
Lumbosacral spine X-ray	CPT	72100	10	$788	$788	$33.81	$157.6	1.5×	$527.96
CT cervical spine without contrast	CPT	72125	10	$5,219	$5,219	$112.03	$1,043.8	5.2×	$2,657
CT thoracic spine without contrast	CPT	72128	10	$4,778	$4,778	$112.03	$955.6	4.8×	$2,657
CT lumbar spine without contrast	CPT	72131	10	$5,345	$5,345	$112.03	$1,061	5.2×	$2,672.5
MRI cervical spine without contrast	CPT	72141	10	$7,151	$7,151	$234.66	$1,379	3.5×	$3,575.5
MRI thoracic spine without contrast	CPT	72146	10	$7,172	$7,172	$234.66	$1,379	3.7×	$3,586
MRI lumbar spine without contrast	CPT	72148	10	$7,151	$7,151	$235.43	$1,379	3.7×	$3,575.5
MRI lumbar spine with and without contrast	CPT	72149	10	$7,581	$7,581	$332.65	$1,379	3.0×	$3,790.5
MRI cervical spine with and without contrast	CPT	72156	10	$9,125	$9,125	$373.86	$1,379	2.6×	$4,562.5
MRI lumbar spine with contrast	CPT	72158	10	$8,516	$8,516	$373.86	$1,379	2.5×	$4,258
CT pelvis without contrast	CPT	72192	10	$5,313	$5,313	$112.03	$1,061	5.3×	$2,657
CT pelvis with contrast	CPT	72193	10	$5,555	$5,555	$187.96	$1,061	3.8×	$2,777.5
Shoulder X-ray	CPT	73030	10	$756	$756	$29.31	$151.2	1.6×	$506.52
Humerus X-ray	CPT	73060	10	$714	$714	$27.33	$142.8	1.6×	$478.38
Hand X-ray 3 views	CPT	73130	10	$777	$777	$31.21	$155.4	1.7×	$520.59
MRI upper extremity joint without contrast	CPT	73221	10	$7,151	$7,151	$248.59	$1,379	3.3×	$3,575.5
MRI upper extremity joint with and without contrast	CPT	73223	10	$8,211	$8,211	$373.86	$1,379	2.3×	$4,105.5
Knee X-ray 1-2 views	CPT	73560	10	$725	$725	$28.98	$145	1.6×	$485.75
Ankle X-ray 3 views	CPT	73610	10	$998	$998	$31.21	$199.6	2.2×	$668.66
MRI lower extremity joint without contrast	CPT	73721	10	$7,151	$7,151	$248.21	$1,379	2.9×	$3,575.5
MRI lower extremity joint with and without contrast	CPT	73723	10	$8,579	$8,579	$373.86	$1,379	2.2×	$4,289.5
CT abdomen without contrast	CPT	74150	10	$3,455	$3,455	$112.03	$989.1	5.3×	$2,657
CT abdomen with contrast	CPT	74160	10	$5,208	$5,208	$187.96	$1,041.6	3.6×	$2,657
CT abdomen with and without contrast	CPT	74170	10	$6,185	$6,185	$187.96	$1,061	3.2×	$3,092.5
CT abdomen and pelvis without contrast	CPT	74176	10	$6,993	$6,993	$194.99	$1,061	2.9×	$3,496.5
CT abdomen and pelvis with contrast	CPT	74177	10	$8,285	$8,285	$322.23	$1,121.58	2.0×	$4,142.5
CT abdomen and pelvis with and without contrast	CPT	74178	10	$8,285	$8,285	$360.53	$1,121.58	2.0×	$4,142.5
MRI abdomen without contrast	CPT	74181	10	$7,424	$7,424	$241.87	$1,379	3.5×	$3,712
MRI abdomen with and without contrast	CPT	74183	10	$8,285	$8,285	$373.86	$1,379	2.4×	$4,142.5
Abdominal ultrasound complete	CPT	76700	10	$2,289	$2,289	$99.25	$572.25	3.8×	$1,533.63
Abdominal ultrasound limited	CPT	76705	10	$1,302	$1,302	$75.01	$330.8	2.3×	$872.34
Retroperitoneal ultrasound complete	CPT	76770	10	$1,785	$1,785	$92.47	$252.28	1.8×	$1,195.95
Obstetric ultrasound first trimester	CPT	76801	10	$1,271	$1,271	$100.56	$252.28	1.8×	$851.57
Obstetric ultrasound after first trimester	CPT	76805	10	$1,617	$1,617	$112.03	$252.28	1.7×	$1,083.39
Obstetric ultrasound with fetal anatomy	CPT	76811	10	$2,153	$2,153	$120.57	$430.6	1.8×	$1,442.51
Transvaginal ultrasound	CPT	76830	10	$1,155	$1,155	$101.68	$231	1.6×	$773.85
Pelvic ultrasound complete	CPT	76856	10	$1,670	$1,670	$89.86	$252.28	1.8×	$1,118.9
Scrotal ultrasound	CPT	76870	10	$1,533	$1,533	$85.87	$383.25	2.9×	$1,027.11
Diagnostic mammography unilateral	CPT	77065	10	$567	$567	$85.68	$133.72	0.89×	$379.89
Diagnostic mammography bilateral	CPT	77066	10	$872	$872	$109.04	$171.06	0.90×	$584.24
Screening mammography bilateral	CPT	77067	10	$557	$557	$90.06	$137.47	0.87×	$373.19
EKG complete	CPT	93000	7	—	—	$14.96	$14.96	0.61×	$17.35
EKG tracing only	CPT	93005	10	$536	$536	$6.48	$134	1.1×	$359.12
EKG interpretation only	CPT	93010	7	—	—	$8.33	$8.33	0.46×	$9.67
Transthoracic echocardiogram complete	CPT	93306	10	$4,851	$4,851	$201.38	$1,455.3	2.4×	$3,250.17
Transthoracic echocardiogram	CPT	93307	10	$2,111	$2,111	$140.29	$527.75	2.1×	$1,477.7
Stress echocardiogram	CPT	93350	7	—	—	$190.43	$585.55	1.2×	$1,303.8
inpatient
Intracranial hemorrhage/CVA w MCC	MS-DRG	064	9	—	—	$11,014	$18,110	0.90×	$27,028
Intracranial hemorrhage/CVA w CC	MS-DRG	065	9	—	—	$9,002.78	$10,328	0.96×	$13,578
Intracranial hemorrhage/CVA w/o CC/MCC	MS-DRG	066	9	—	—	$6,098.69	$7,187.45	0.94×	$11,014
Respiratory infections & inflammations w MCC	MS-DRG	177	9	—	—	$11,014	$14,337	0.93×	$21,003
COPD w MCC	MS-DRG	190	9	—	—	$9,870.71	$10,761	0.96×	$14,887
COPD w CC	MS-DRG	191	9	—	—	$7,511.97	$8,715.74	0.99×	$11,330
COPD w/o CC/MCC	MS-DRG	192	9	—	—	$5,720.86	$6,778.87	0.97×	$11,014
Simple pneumonia & pleurisy w CC	MS-DRG	194	9	—	—	$7,181.37	$8,358.24	0.99×	$11,014
Simple pneumonia & pleurisy w/o CC/MCC	MS-DRG	195	9	—	—	$5,600.56	$6,648.79	0.99×	$11,014
AMI discharged alive w MCC	MS-DRG	280	9	—	—	$11,014	$14,686	0.94×	$21,559
AMI discharged alive w CC	MS-DRG	281	9	—	—	$8,190.1	$9,449.06	0.98×	$12,353
AMI discharged alive w/o CC/MCC	MS-DRG	282	9	—	—	$6,443.54	$7,560.37	0.97×	$11,014
Heart failure & shock w MCC	MS-DRG	291	9	—	—	$11,014	$11,990	0.94×	$17,254
Heart failure & shock w CC	MS-DRG	292	9	—	—	$7,565.44	$8,773.56	0.98×	$11,411
Heart failure & shock w/o CC/MCC	MS-DRG	293	9	—	—	$5,043.63	$6,046.54	0.97×	$11,014
Cardiac arrhythmia w MCC	MS-DRG	308	9	—	—	$10,729	$11,318	0.94×	$16,182
Cardiac arrhythmia w CC	MS-DRG	309	9	—	—	$6,555.82	$7,681.79	0.99×	$11,014
Cardiac arrhythmia w/o CC/MCC	MS-DRG	310	9	—	—	$5,044.52	$6,047.5	0.97×	$11,014
GI hemorrhage w CC	MS-DRG	378	9	—	—	$8,739.02	$10,043	1.0×	$13,181
GI hemorrhage w/o CC/MCC	MS-DRG	379	9	—	—	$5,617.49	$6,667.1	0.97×	$11,014
Esophagitis/gastroenteritis w/o MCC	MS-DRG	392	9	—	—	$6,947.02	$8,104.81	1.0×	$11,014
Fractures of femur w/o MCC	MS-DRG	533	9	—	—	$11,014	$14,379	0.95×	$21,070
Kidney/UTI w MCC	MS-DRG	689	9	—	—	$10,339	$10,982	0.95×	$15,594
Kidney/UTI w/o MCC	MS-DRG	690	9	—	—	$7,213.45	$8,392.93	1.0×	$11,014
Septicemia or severe sepsis w MV 96+ hrs	MS-DRG	871	9	—	—	$11,014	$17,534	0.94×	$26,107
Septicemia or severe sepsis w/o MV 96+ hrs	MS-DRG	872	9	—	—	$9,118.63	$10,406	1.0×	$13,753
Initial hospital care, low complexity	CPT	99221	10	$131	$131	$26.2	$64.19	0.69×	$230.6
Initial hospital care, moderate complexity	CPT	99222	7	—	—	$91.94	$119.28	0.71×	$138.37
Initial hospital care, high complexity	CPT	99223	7	—	—	$122.29	$158.97	0.71×	$184.4
Hospital discharge, <30 min	CPT	99238	7	—	—	$56.6	$75.27	0.88×	$87.32
Hospital discharge, >30 min	CPT	99239	7	—	—	$80.45	$107	0.88×	$124.12
lab
Basic metabolic panel (BMP)	CPT	80048	10	$252	$252	$7.28	$75.3	2.3×	$168.84
General health panel	CPT	80050	7	$137	$137	$27.4	$50.69	0.47×	$91.79
Electrolyte panel	CPT	80051	10	$134	$134	$6.03	$21.03	0.88×	$89.78
Comprehensive metabolic panel	CPT	80053	10	$357	$357	$9.08	$102.3	2.3×	$239.19
Lipid panel	CPT	80061	10	$291	$291	$11.52	$86.7	2.3×	$194.97
Renal function panel	CPT	80069	10	$310	$310	$7.46	$26.04	0.95×	$207.7
Hepatic function panel	CPT	80076	10	$236	$236	$7.03	$24.51	0.92×	$158.12
Urinalysis non-automated	CPT	81002	8	—	—	$2.99	$3.48	0.50×	$4.66
Urinalysis automated	CPT	81003	10	$83	$83	$1.94	$20.75	1.5×	$55.61
Glucose quantitative	CPT	82947	10	$173	$173	$3.38	$30.5	1.7×	$115.91
Hemoglobin A1c	CPT	83036	10	$216	$216	$8.35	$29.13	1.1×	$144.72
Thyroid stimulating hormone (TSH)	CPT	84443	10	$252	$252	$14.2	$47.57	1.0×	$168.84
Complete blood count with automated differential	CPT	85025	10	$163	$163	$5	$23.31	0.88×	$109.21
Complete blood count without differential	CPT	85027	10	$139	$139	$5.56	$41.1	1.9×	$93.13
Urine culture bacterial	CPT	87086	10	$221	$221	$6.94	$24.21	1.0×	$148.07
Urine culture identification	CPT	87088	8	—	—	$6.96	$8.09	0.36×	$12.04
Tissue exam by pathologist level IV	CPT	88305	10	$499	$499	$37.84	$133.95	1.3×	$334.33
maternity
Fetal non-stress test	CPT	59025	10	$467	$467	$36.25	$216.65	1.2×	$649.95
Routine obstetric care including vaginal delivery	CPT	59400	7	—	—	$1,791.18	$2,358.17	1.0×	$2,735.47
Vaginal delivery only	CPT	59409	7	—	—	$623.52	$3,468.96	1.6×	$7,559.92
Vaginal delivery with postpartum	CPT	59410	7	—	—	$823.17	$1,061.82	1.0×	$1,231.71
Routine obstetric care with C-section	CPT	59510	7	—	—	$1,991.74	$2,659.68	1.1×	$3,085.23
C-section delivery only	CPT	59514	7	—	—	$708.83	$907.65	0.95×	$1,052.87
C-section with postpartum	CPT	59515	7	—	—	$1,016.31	$1,342.1	1.1×	$1,556.83
office
Office visit, new patient, 15-29 min	CPT	99202	7	—	—	$33.84	$72.84	0.84×	$84.49
Office visit, new patient, 30-44 minutes	CPT	99203	7	—	—	$58.66	$115.47	0.94×	$133.94
Office visit, new patient, 45-59 min	CPT	99204	7	—	—	$94.01	$174.69	1.0×	$202.65
Office visit, new patient, 60-74 min	CPT	99205	7	—	—	$127.56	$234.2	1.1×	$271.67
Office visit, established patient, 5 min	CPT	99211	10	$102	$102	$6.18	$26.09	0.41×	$69
Office visit, established patient, 10-19 min	CPT	99212	10	$436	$436	$25.06	$109	1.4×	$292.12
Office visit, established patient, 20-29 minutes	CPT	99213	7	—	—	$46.43	$92.64	0.81×	$107.47
Office visit, established patient, 30-39 minutes	CPT	99214	7	—	—	$68.51	$132.43	0.87×	$153.62
Office visit, established patient, 40-54 min	CPT	99215	7	—	—	$100.53	$188.35	1.0×	$218.48
preventive
Upper GI endoscopy diagnostic	CPT	43235	7	—	—	$118.34	$971.94	1.1×	$2,228.12
Upper GI endoscopy with biopsy	CPT	43239	7	—	—	$133.51	$971.94	1.0×	$2,228.12
Sigmoidoscopy diagnostic	CPT	45330	7	—	—	$54.21	$996.56	1.2×	$2,166.64
Sigmoidoscopy with biopsy	CPT	45331	7	—	—	$69.26	$996.56	1.1×	$2,166.64
Colonoscopy diagnostic	CPT	45378	7	—	—	$178.84	$996.56	1.1×	$2,166.64
Colonoscopy with biopsy	CPT	45380	7	—	—	$194.2	$1,282.34	1.1×	$2,802.64
Colonoscopy with polyp removal	CPT	45385	7	—	—	$245.75	$1,282.34	1.1×	$2,802.64
surgery
Total shoulder arthroplasty	CPT	23472	7	—	—	$1,352.64	$18,790	4.5×	$43,723
Hip hemiarthroplasty	CPT	27125	7	—	—	$1,058.52	$13,758	11.0×	$15,959
Total hip replacement	CPT	27130	7	—	—	$1,203.7	$13,758	3.2×	$30,592
Total knee replacement	CPT	27447	7	—	—	$1,202.43	$13,758	3.3×	$30,592
Knee revision arthroplasty single component	CPT	27486	7	—	—	$1,313.78	$13,758	8.2×	$15,959
Knee revision arthroplasty all components	CPT	27487	7	—	—	$1,641.41	$18,790	9.4×	$21,796
Shoulder arthroscopy with decompression	CPT	29826	7	—	—	$155.89	$155.89	0.48×	$180.84
Shoulder arthroscopy with rotator cuff repair	CPT	29827	7	—	—	$999.51	$7,775.89	2.4×	$16,983
Knee arthroscopy with meniscectomy	CPT	29881	7	—	—	$504.71	$3,506.34	1.7×	$7,714.68
ACL reconstruction	CPT	29888	7	—	—	$911.67	$7,775.89	2.3×	$16,983
Major small/large bowel procedures w MCC	MS-DRG	329	9	—	—	$11,014	$40,415	0.94×	$61,777
Major small/large bowel procedures w CC	MS-DRG	330	9	—	—	$11,014	$21,361	0.92×	$32,218
Major small/large bowel procedures w/o CC/MCC	MS-DRG	331	9	—	—	$11,014	$15,349	0.93×	$22,618
CABG single arterial graft	CPT	33533	7	—	—	$1,877.09	$1,877.09	1.0×	$2,177.43
CABG 2 arterial grafts	CPT	33534	7	—	—	$2,203.47	$2,203.47	1.0×	$2,556.02
CABG 3 arterial grafts	CPT	33535	7	—	—	$2,446.3	$2,446.3	1.1×	$2,837.7
CABG 4+ arterial grafts	CPT	33536	7	—	—	$2,636.71	$2,636.71	1.1×	$3,058.59
Laparoscopic cholecystectomy w/o CDE w MCC	MS-DRG	418	9	—	—	$11,014	$15,422	0.94×	$22,735
Laparoscopic cholecystectomy w/o CDE w CC	MS-DRG	419	9	—	—	$11,014	$12,680	0.94×	$18,356
Laparoscopic cholecystectomy w/o CDE w/o CC/MCC	MS-DRG	420	9	—	—	$11,014	$30,110	0.93×	$45,791
Open appendectomy	CPT	44950	7	—	—	$644.12	$6,937.47	6.1×	$14,836
Laparoscopic appendectomy	CPT	44970	7	—	—	$602.74	$6,478.5	4.1×	$13,871
Major joint replacement w MCC	MS-DRG	469	9	—	—	$11,014	$26,871	0.91×	$40,766
Major joint replacement w/o MCC	MS-DRG	470	9	—	—	$11,014	$17,419	0.92×	$25,924
Laparoscopic cholecystectomy	CPT	47562	7	—	—	$660.53	$6,478.5	3.7×	$13,871
Lap cholecystectomy with cholangiography	CPT	47563	7	—	—	$720.68	$6,478.5	3.5×	$13,871
Hip & femur procedures except major joint w MCC	MS-DRG	480	9	—	—	$11,014	$25,824	0.92×	$39,141
Hip & femur procedures except major joint w CC	MS-DRG	481	9	—	—	$11,014	$18,813	0.93×	$28,150
Hip & femur procedures except major joint w/o CC/MCC	MS-DRG	482	9	—	—	$11,014	$14,912	0.93×	$21,921
Lap inguinal hernia repair	CPT	49650	7	—	—	$431.49	$6,478.5	5.8×	$13,871
Total abdominal hysterectomy	CPT	58150	7	—	—	$882.15	$975.12	1.00×	$1,131.13
Vaginal hysterectomy	CPT	58260	7	—	—	$731.08	$5,360.72	3.0×	$11,736
Lap-assisted vaginal hysterectomy	CPT	58550	7	—	—	$768.47	$6,478.5	4.4×	$13,871
Lap-assisted vaginal hysterectomy >250g	CPT	58552	7	—	—	$855.39	$11,391	5.1×	$24,753
Lap salpingo-oophorectomy	CPT	58661	7	—	—	$569.47	$6,478.5	3.2×	$13,871
OR procedure for obesity w MCC	MS-DRG	619	9	—	—	$11,014	$25,608	0.94×	$38,807
OR procedure for obesity w CC	MS-DRG	620	9	—	—	$11,014	$14,654	0.90×	$21,508
OR procedure for obesity w/o CC/MCC	MS-DRG	621	9	—	—	$11,014	$13,880	0.91×	$20,273
Complex cataract surgery	CPT	66982	7	—	—	$738.24	$2,473.11	1.1×	$5,422.96
Cataract surgery with lens implant	CPT	66984	7	—	—	$538.68	$2,473.11	1.1×	$5,422.96
Intravitreal injection	CPT	67028	7	—	—	$91.47	$353.96	1.0×	$788.64
Vitrectomy mechanical	CPT	67042	7	—	—	$1,133.45	$4,429.45	1.8×	$9,565.44
Uterine & adnexa procedures w CC/MCC	MS-DRG	743	9	—	—	$11,014	$11,627	0.95×	$16,675
Uterine & adnexa procedures w/o CC/MCC	MS-DRG	744	9	—	—	$11,014	$18,431	0.96×	$27,540
PCI single major coronary artery	CPT	92920	10	$18,029	$18,029	$526.77	$6,099.19	1.1×	$18,298
PCI with drug-eluting stent	CPT	92928	10	$35,721	$35,721	$587.67	$12,371	1.2×	$37,113
PCI bypass graft	CPT	92937	10	$37,055	$37,055	$587.03	$12,371	1.1×	$37,113
Left heart catheterization	CPT	93452	10	$11,319	$11,319	$927.06	$3,474.11	1.1×	$10,422
Coronary angiography with cath	CPT	93455	10	$13,094	$13,094	$1,038.72	$3,928.2	1.3×	$10,422
Coronary angiography with bypass cath	CPT	93458	10	$18,323	$18,323	$1,072.24	$4,580.75	1.5×	$12,826

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 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

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