▸ Hospital · · CCN 29001E
St Rose Dominican Hospital Siena Campus
Compliance grade
A
100/100
Procedures tracked
188
of 209 target codes
Payers
15
with negotiated rates
Rates published
3,712
last crawl 2026-05-22
Procedures & rates
| Procedure | Type | Code | Payers | Gross | Cash | Neg min | Neg median | Neg max |
|---|---|---|---|---|---|---|---|---|
| behavioral | ||||||||
| Psychoses | MS-DRG | 885 | 5 | — | — | $9,546.37 | $9,546.37 | $27,895 |
| emergency | ||||||||
| ED visit level 1 | CPT | 99281 | 14 | $633 | $443.1 | $19.33 | $327.96 | $1,509 |
| ED visit level 2 | CPT | 99282 | 14 | $1,213 | $849.1 | $38.04 | $628.46 | $2,066 |
| ED visit level 3 | CPT | 99283 | 14 | $2,110 | $1,477 | $56.68 | $1,093.2 | $3,262 |
| ED visit level 4 | CPT | 99284 | 14 | $3,588 | $2,511.6 | $108.14 | $1,886.22 | $8,198 |
| ED visit level 5 | CPT | 99285 | 14 | $5,276 | $3,693.2 | $158.84 | $2,773.6 | $8,198 |
| Critical care, first hour | CPT | 99291 | 14 | $8,441 | $5,908.7 | $205.99 | $4,724.86 | $8,441 |
| imaging | ||||||||
| CT head without contrast | CPT | 70450 | 15 | $5,659 | $3,961.3 | $100 | $1,052 | $3,802.85 |
| CT head with contrast | CPT | 70460 | 15 | $7,923 | $5,546.1 | $100 | $1,052 | $5,324.26 |
| CT head with and without contrast | CPT | 70470 | 15 | $9,337 | $6,535.9 | $100 | $1,052 | $6,274.47 |
| CT neck with contrast | CPT | 70491 | 15 | $7,277 | $5,093.9 | $100 | $1,052 | $4,890.15 |
| MRI brain without contrast | CPT | 70551 | 15 | $8,049 | $5,634.3 | $249.89 | $1,586 | $5,408.93 |
| MRI brain with contrast | CPT | 70552 | 15 | $8,532 | $5,972.4 | $352.03 | $1,586 | $5,733.51 |
| MRI brain with and without contrast | CPT | 70553 | 15 | $8,612 | $6,028.4 | $399.73 | $1,586 | $5,787.27 |
| Chest X-ray single view | CPT | 71045 | 11 | $1,190 | $833 | $20.22 | $220 | $2,013 |
| Chest X-ray 2 views | CPT | 71046 | 11 | $1,476 | $1,033.2 | $31.13 | $220 | $2,013 |
| Chest X-ray 3 views | CPT | 71047 | 11 | $1,797 | $1,257.9 | $39.85 | $229.89 | $2,013 |
| CT chest without contrast | CPT | 71250 | 15 | $3,555 | $2,488.5 | $100 | $1,052 | $2,388.96 |
| CT chest with contrast | CPT | 71260 | 15 | $7,109 | $4,976.3 | $100 | $1,052 | $4,777.25 |
| CT chest with and without contrast | CPT | 71270 | 15 | $7,962 | $5,573.4 | $100 | $1,052 | $5,350.47 |
| MRI chest without contrast | CPT | 71550 | 15 | $4,082 | $2,857.4 | $249.89 | $1,586 | $2,743.11 |
| MRI chest with contrast | CPT | 71551 | 15 | $6,089 | $4,262.3 | $498.37 | $1,586 | $4,091.81 |
| MRI chest with and without contrast | CPT | 71552 | 15 | $6,919 | $4,843.3 | $399.73 | $1,586 | $4,649.57 |
| Lumbosacral spine X-ray | CPT | 72100 | 11 | $1,429 | $1,000.3 | $38.58 | $119.52 | $2,013 |
| CT cervical spine without contrast | CPT | 72125 | 15 | $5,537 | $3,875.9 | $100 | $1,052 | $3,720.87 |
| CT thoracic spine without contrast | CPT | 72128 | 15 | $7,039 | $4,927.3 | $100 | $1,052 | $4,730.21 |
| CT lumbar spine without contrast | CPT | 72131 | 15 | $5,575 | $3,902.5 | $100 | $1,052 | $3,746.4 |
| MRI cervical spine without contrast | CPT | 72141 | 15 | $8,362 | $5,853.4 | $249.89 | $1,586 | $5,619.27 |
| MRI thoracic spine without contrast | CPT | 72146 | 15 | $5,257 | $3,679.9 | $249.89 | $1,586 | $3,532.71 |
| MRI lumbar spine without contrast | CPT | 72148 | 15 | $7,881 | $5,516.7 | $249.89 | $1,586 | $5,296.04 |
| MRI lumbar spine with and without contrast | CPT | 72149 | 15 | $11,743 | $8,220.1 | $348.63 | $1,586 | $7,891.3 |
| MRI cervical spine with and without contrast | CPT | 72156 | 15 | $14,215 | $9,950.5 | $399.73 | $1,586 | $9,552.48 |
| MRI lumbar spine with contrast | CPT | 72158 | 15 | $13,319 | $9,323.3 | $399.73 | $1,586 | $8,950.37 |
| CT pelvis without contrast | CPT | 72192 | 15 | $3,881 | $2,716.7 | $100 | $1,052 | $2,608.04 |
| CT pelvis with contrast | CPT | 72193 | 15 | $7,800 | $5,460 | $100 | $1,052 | $5,241.6 |
| Shoulder X-ray | CPT | 73030 | 11 | $2,082 | $1,457.4 | $33.36 | $274.08 | $2,013 |
| Humerus X-ray | CPT | 73060 | 11 | $1,309 | $916.3 | $31.08 | $186.2 | $2,013 |
| Hand X-ray 3 views | CPT | 73130 | 11 | $2,006 | $1,404.2 | $35.23 | $302.91 | $2,013 |
| MRI upper extremity joint without contrast | CPT | 73221 | 15 | $12,726 | $8,908.2 | $249.89 | $1,593 | $8,551.88 |
| MRI upper extremity joint with and without contrast | CPT | 73223 | 15 | $21,295 | $14,907 | $399.73 | $1,593 | $14,310 |
| Knee X-ray 1-2 views | CPT | 73560 | 11 | $1,625 | $1,137.5 | $33 | $293.18 | $2,013 |
| Ankle X-ray 3 views | CPT | 73610 | 11 | $2,441 | $1,708.7 | $35.99 | $302.91 | $2,013 |
| MRI lower extremity joint without contrast | CPT | 73721 | 15 | $9,185 | $6,429.5 | $249.89 | $1,593 | $6,172.32 |
| MRI lower extremity joint with and without contrast | CPT | 73723 | 15 | $15,369 | $10,758 | $399.73 | $1,593 | $10,328 |
| CT abdomen without contrast | CPT | 74150 | 15 | $4,434 | $3,103.8 | $100 | $1,052 | $2,979.65 |
| CT abdomen with contrast | CPT | 74160 | 15 | $8,061 | $5,642.7 | $100 | $1,052 | $5,417 |
| CT abdomen with and without contrast | CPT | 74170 | 15 | $9,539 | $6,677.3 | $100 | $1,052 | $6,410.21 |
| CT abdomen and pelvis without contrast | CPT | 74176 | 15 | $8,598 | $6,018.6 | $100 | $1,052 | $5,777.86 |
| CT abdomen and pelvis with contrast | CPT | 74177 | 15 | $13,435 | $9,404.5 | $100 | $1,052 | $9,028.32 |
| CT abdomen and pelvis with and without contrast | CPT | 74178 | 15 | $15,182 | $10,627 | $100 | $1,052 | $10,202 |
| MRI abdomen without contrast | CPT | 74181 | 15 | $6,545 | $4,581.5 | $249.89 | $1,586 | $4,398.24 |
| MRI abdomen with and without contrast | CPT | 74183 | 15 | $11,061 | $7,742.7 | $399.73 | $1,586 | $7,433 |
| Abdominal ultrasound complete | CPT | 76700 | 11 | $2,900 | $2,030 | $100 | $618.41 | $2,630 |
| Abdominal ultrasound limited | CPT | 76705 | 11 | $2,377 | $1,663.9 | $100 | $471.52 | $2,630 |
| Retroperitoneal ultrasound complete | CPT | 76770 | 11 | $3,587 | $2,510.9 | $100 | $581.19 | $2,630 |
| Obstetric ultrasound first trimester | CPT | 76801 | 11 | $2,015 | $1,410.5 | $100 | $444.36 | $2,630 |
| Obstetric ultrasound after first trimester | CPT | 76805 | 11 | $2,317 | $1,621.9 | $100 | $511.56 | $2,630 |
| Obstetric ultrasound with fetal anatomy | CPT | 76811 | 11 | $921 | $644.7 | $100 | $254.89 | $2,630 |
| Transvaginal ultrasound | CPT | 76830 | 11 | $1,458 | $1,020.6 | $100 | $340.21 | $2,630 |
| Pelvic ultrasound complete | CPT | 76856 | 11 | $2,966 | $2,076.2 | $100 | $561.85 | $2,630 |
| Scrotal ultrasound | CPT | 76870 | 11 | $3,102 | $2,171.4 | $77.84 | $537.1 | $2,630 |
| Diagnostic mammography unilateral | CPT | 77065 | 11 | $550 | $385 | $91.54 | $172.56 | $550 |
| Diagnostic mammography bilateral | CPT | 77066 | 11 | $1,100 | $770 | $100 | $294.01 | $1,100 |
| Screening mammography bilateral | CPT | 77067 | 11 | $800 | $560 | $96.78 | $220.74 | $800 |
| EKG tracing only | CPT | 93005 | 8 | $1,262 | $883.4 | $7.4 | $60.44 | $1,083 |
| Transthoracic echocardiogram complete | CPT | 93306 | 8 | $7,744 | $5,420.8 | $203.54 | $524.35 | $5,203.97 |
| Transthoracic echocardiogram | CPT | 93307 | 8 | $2,739 | $1,917.3 | $117.41 | $249.89 | $1,840.61 |
| Stress echocardiogram | CPT | 93350 | 8 | $1,284 | $898.8 | $214.85 | $524.35 | $1,321 |
| inpatient | ||||||||
| Respiratory infections & inflammations w MCC | MS-DRG | 177 | 5 | — | — | $13,943 | $13,943 | $41,610 |
| COPD w MCC | MS-DRG | 190 | 5 | — | — | $8,727.98 | $8,727.98 | $25,343 |
| COPD w CC | MS-DRG | 191 | 5 | — | — | $6,987.09 | $6,987.09 | $19,913 |
| COPD w/o CC/MCC | MS-DRG | 192 | 5 | — | — | $5,626.48 | $5,626.48 | $15,669 |
| Simple pneumonia & pleurisy w CC | MS-DRG | 194 | 5 | — | — | $6,841.78 | $6,841.78 | $19,460 |
| Simple pneumonia & pleurisy w/o CC/MCC | MS-DRG | 195 | 5 | — | — | $5,410.32 | $5,410.32 | $14,995 |
| AMI discharged alive w MCC | MS-DRG | 280 | 5 | — | — | $12,359 | $12,359 | $36,669 |
| AMI discharged alive w CC | MS-DRG | 281 | 5 | — | — | $7,341.34 | $7,341.34 | $21,018 |
| AMI discharged alive w/o CC/MCC | MS-DRG | 282 | 5 | — | — | $5,847.71 | $5,847.71 | $16,359 |
| Heart failure & shock w MCC | MS-DRG | 291 | 5 | — | — | $10,297 | $10,297 | $30,236 |
| Heart failure & shock w CC | MS-DRG | 292 | 5 | — | — | $7,073.85 | $7,073.85 | $20,184 |
| Heart failure & shock w/o CC/MCC | MS-DRG | 293 | 5 | — | — | $5,320.67 | $5,320.67 | $14,715 |
| Cardiac arrhythmia w MCC | MS-DRG | 308 | 5 | — | — | $9,273.09 | $9,273.09 | $27,043 |
| Cardiac arrhythmia w CC | MS-DRG | 309 | 5 | — | — | $6,020.5 | $6,020.5 | $16,898 |
| Cardiac arrhythmia w/o CC/MCC | MS-DRG | 310 | 5 | — | — | $4,639.65 | $4,639.65 | $12,591 |
| GI hemorrhage w CC | MS-DRG | 378 | 5 | — | — | $7,783.07 | $7,783.07 | $22,396 |
| GI hemorrhage w/o CC/MCC | MS-DRG | 379 | 5 | — | — | $5,208.61 | $5,208.61 | $14,366 |
| Esophagitis/gastroenteritis w/o MCC | MS-DRG | 392 | 5 | — | — | $6,128.94 | $6,128.94 | $17,236 |
| Fractures of femur w/o MCC | MS-DRG | 533 | 5 | — | — | $10,815 | $10,815 | $31,853 |
| Kidney/UTI w MCC | MS-DRG | 689 | 5 | — | — | $8,636.89 | $8,636.89 | $25,059 |
| Kidney/UTI w/o MCC | MS-DRG | 690 | 5 | — | — | $6,329.92 | $6,329.92 | $17,863 |
| Septicemia or severe sepsis w MV 96+ hrs | MS-DRG | 871 | 5 | — | — | $14,109 | $14,109 | $42,126 |
| Septicemia or severe sepsis w/o MV 96+ hrs | MS-DRG | 872 | 5 | — | — | $7,988.39 | $7,988.39 | $23,036 |
| lab | ||||||||
| Basic metabolic panel (BMP) | CPT | 80048 | 11 | $818 | $572.6 | $5.77 | $14.06 | $549.7 |
| General health panel | CPT | 80050 | 7 | $140 | $98 | $24.31 | $62.55 | $94.08 |
| Electrolyte panel | CPT | 80051 | 11 | $644 | $450.8 | $4.79 | $11.65 | $432.77 |
| Comprehensive metabolic panel | CPT | 80053 | 11 | $1,234 | $863.8 | $7.21 | $17.95 | $829.25 |
| Lipid panel | CPT | 80061 | 11 | $462 | $323.4 | $9.14 | $22.75 | $310.47 |
| Renal function panel | CPT | 80069 | 11 | $416 | $291.2 | $5.93 | $14.43 | $279.56 |
| Hepatic function panel | CPT | 80076 | 11 | $1,359 | $951.3 | $5.57 | $13.57 | $913.25 |
| Urinalysis non-automated | CPT | 81002 | 11 | $35 | $24.5 | $1.75 | $4.74 | $23.52 |
| Urinalysis automated | CPT | 81003 | 11 | $386 | $270.2 | $1.53 | $3.73 | $259.4 |
| Glucose quantitative | CPT | 82947 | 11 | $330 | $231 | $2.68 | $6.53 | $221.76 |
| Hemoglobin A1c | CPT | 83036 | 11 | $431 | $301.7 | $6.62 | $16.5 | $289.64 |
| Thyroid stimulating hormone (TSH) | CPT | 84443 | 11 | $951 | $665.7 | $11.47 | $28.57 | $639.08 |
| Complete blood count with automated differential | CPT | 85025 | 11 | $500 | $350 | $5.31 | $12.92 | $336 |
| Complete blood count without differential | CPT | 85027 | 11 | $241 | $168.7 | $4.42 | $10.75 | $161.96 |
| Urine culture bacterial | CPT | 87086 | 11 | $1,051 | $735.7 | $5.51 | $13.42 | $706.28 |
| Urine culture identification | CPT | 87088 | 11 | $602 | $421.4 | $5.53 | $13.45 | $404.55 |
| Tissue exam by pathologist level IV | CPT | 88305 | 11 | $1,845 | $1,291.5 | $27.3 | $60.84 | $1,239.84 |
| maternity | ||||||||
| Fetal non-stress test | CPT | 59025 | 13 | $751 | $525.7 | $62.13 | $335.7 | $1,083 |
| Routine obstetric care including vaginal delivery | CPT | 59400 | 3 | — | — | $2,023 | $2,031.86 | $3,793.41 |
| Vaginal delivery only | CPT | 59409 | 11 | — | — | $822.61 | $2,848.44 | $3,793.41 |
| Vaginal delivery with postpartum | CPT | 59410 | 4 | — | — | $1,014.4 | $2,023 | $3,793.41 |
| Routine obstetric care with C-section | CPT | 59510 | 3 | — | — | $2,023 | $2,247.1 | $3,793.41 |
| C-section delivery only | CPT | 59514 | 3 | — | — | $895.91 | $2,023 | $3,793.41 |
| C-section with postpartum | CPT | 59515 | 4 | — | — | $1,228.85 | $2,892 | $4,539 |
| office | ||||||||
| Office visit, new patient, 15-29 min | CPT | 99202 | 5 | $399 | $279.3 | $46.46 | $200 | $4,645 |
| Office visit, new patient, 30-44 minutes | CPT | 99203 | 4 | $528 | $369.6 | $70.88 | $232 | $354.82 |
| Office visit, new patient, 45-59 min | CPT | 99204 | 5 | $3,976 | $2,783.2 | $121.31 | $433.44 | $4,645 |
| Office visit, new patient, 60-74 min | CPT | 99205 | 4 | $884 | $618.8 | $156.48 | $321 | $594.05 |
| Office visit, established patient, 5 min | CPT | 99211 | 9 | $399 | $279.3 | $8.55 | $214.67 | $4,645 |
| Office visit, established patient, 10-19 min | CPT | 99212 | 4 | $399 | $279.3 | $23.38 | $199.75 | $268.13 |
| Office visit, established patient, 20-29 minutes | CPT | 99213 | 4 | $419 | $293.3 | $47.41 | $204.75 | $281.57 |
| Office visit, established patient, 30-39 minutes | CPT | 99214 | 5 | $3,976 | $2,783.2 | $72.73 | $433.44 | $4,645 |
| Office visit, established patient, 40-54 min | CPT | 99215 | 4 | $645 | $451.5 | $102.33 | $261.25 | $433.44 |
| preventive | ||||||||
| Upper GI endoscopy diagnostic | CPT | 43235 | 12 | — | — | $329.44 | $1,315 | $4,552 |
| Upper GI endoscopy with biopsy | CPT | 43239 | 12 | — | — | $329.44 | $1,729 | $5,125 |
| Sigmoidoscopy diagnostic | CPT | 45330 | 11 | — | — | $60.11 | $1,097.02 | $4,552 |
| Sigmoidoscopy with biopsy | CPT | 45331 | 12 | — | — | $217.65 | $1,315 | $4,552 |
| Colonoscopy diagnostic | CPT | 45378 | 12 | — | — | $332.71 | $1,729 | $5,125 |
| Colonoscopy with biopsy | CPT | 45380 | 12 | — | — | $332.71 | $1,729 | $5,125 |
| Colonoscopy with polyp removal | CPT | 45385 | 12 | — | — | $332.71 | $1,729 | $5,125 |
| surgery | ||||||||
| Total shoulder arthroplasty | CPT | 23472 | 10 | — | — | $1,391.87 | $13,372 | $14,448 |
| PCI w drug-eluting stent w MCC | MS-DRG | 246 | 8 | — | — | $11,054 | $23,200 | $70,481 |
| PCI w drug-eluting stent w/o MCC | MS-DRG | 247 | 8 | — | — | $11,054 | $14,977 | $66,233 |
| Hip hemiarthroplasty | CPT | 27125 | 10 | — | — | $1,079.36 | $3,793.41 | $13,640 |
| Total hip replacement | CPT | 27130 | 11 | — | — | $1,294.96 | $11,136 | $14,448 |
| Total knee replacement | CPT | 27447 | 11 | — | — | $1,294.26 | $11,136 | $14,448 |
| Knee revision arthroplasty single component | CPT | 27486 | 10 | — | — | $1,343.02 | $13,372 | $14,448 |
| Knee revision arthroplasty all components | CPT | 27487 | 10 | — | — | $1,679.74 | $13,372 | $14,448 |
| Shoulder arthroscopy with decompression | CPT | 29826 | 8 | — | — | $168.17 | $1,638 | $11,780 |
| Shoulder arthroscopy with rotator cuff repair | CPT | 29827 | 11 | — | — | $1,965.14 | $6,802.86 | $8,696 |
| Knee arthroscopy with meniscectomy | CPT | 29881 | 11 | — | — | $1,058.82 | $3,073.42 | $11,780 |
| ACL reconstruction | CPT | 29888 | 11 | — | — | $1,638 | $6,789.93 | $8,696 |
| Major small/large bowel procedures w MCC | MS-DRG | 329 | 5 | — | — | $35,668 | $35,668 | $109,369 |
| Major small/large bowel procedures w CC | MS-DRG | 330 | 5 | — | — | $18,959 | $18,959 | $57,252 |
| Major small/large bowel procedures w/o CC/MCC | MS-DRG | 331 | 5 | — | — | $12,966 | $12,966 | $38,561 |
| CABG single arterial graft | CPT | 33533 | 6 | — | — | $1,381 | $2,024 | $3,793.41 |
| CABG 2 arterial grafts | CPT | 33534 | 6 | — | — | $1,381 | $2,077.14 | $3,793.41 |
| CABG 3 arterial grafts | CPT | 33535 | 6 | — | — | $1,381 | $2,096.5 | $3,793.41 |
| CABG 4+ arterial grafts | CPT | 33536 | 6 | — | — | $1,381 | $2,096.5 | $3,793.41 |
| Laparoscopic cholecystectomy w/o CDE w MCC | MS-DRG | 418 | 5 | — | — | $10,688 | $12,807 | $38,065 |
| Laparoscopic cholecystectomy w/o CDE w CC | MS-DRG | 419 | 5 | — | — | $10,111 | $10,212 | $29,656 |
| Laparoscopic cholecystectomy w/o CDE w/o CC/MCC | MS-DRG | 420 | 5 | — | — | $26,008 | $26,008 | $79,239 |
| Open appendectomy | CPT | 44950 | 11 | — | — | $1,154.72 | $3,363.87 | $4,071 |
| Laparoscopic appendectomy | CPT | 44970 | 11 | — | — | $1,589.51 | $5,494.93 | $8,696 |
| Spinal fusion (non-cervical) w MCC | MS-DRG | 459 | 5 | — | — | $49,271 | $49,271 | $170,584 |
| Spinal fusion (non-cervical) w/o MCC | MS-DRG | 460 | 6 | — | — | $29,034 | $29,034 | $99,655 |
| Major joint replacement w MCC | MS-DRG | 469 | 6 | — | — | $22,902 | $22,902 | $69,550 |
| Major joint replacement w/o MCC | MS-DRG | 470 | 6 | — | — | $14,338 | $14,338 | $54,619 |
| Laparoscopic cholecystectomy | CPT | 47562 | 11 | — | — | $1,589.51 | $5,494.93 | $15,372 |
| Lap cholecystectomy with cholangiography | CPT | 47563 | 11 | — | — | $1,589.51 | $5,494.93 | $15,372 |
| Hip & femur procedures except major joint w MCC | MS-DRG | 480 | 6 | — | — | $22,469 | $22,469 | $68,199 |
| Hip & femur procedures except major joint w CC | MS-DRG | 481 | 6 | — | — | $15,752 | $15,752 | $54,619 |
| Hip & femur procedures except major joint w/o CC/MCC | MS-DRG | 482 | 6 | — | — | $12,508 | $12,508 | $54,619 |
| Open umbilical hernia repair | CPT | 49560 | 12 | — | — | $1,154.72 | $3,456.74 | $8,107 |
| Umbilical hernia repair age 5+ | CPT | 49585 | 12 | — | — | $1,154.72 | $3,456.74 | $8,107 |
| Lap inguinal hernia repair | CPT | 49650 | 11 | — | — | $1,589.51 | $5,494.93 | $8,696 |
| Lap incisional hernia repair | CPT | 49652 | 11 | — | — | $1,589.51 | $5,494.93 | $11,088 |
| Total abdominal hysterectomy | CPT | 58150 | 8 | — | — | $963.35 | $2,305 | $9,089 |
| Vaginal hysterectomy | CPT | 58260 | 12 | — | — | $1,430.56 | $4,321.01 | $11,088 |
| Lap-assisted vaginal hysterectomy | CPT | 58550 | 11 | — | — | $1,589.51 | $5,494.93 | $11,088 |
| Lap-assisted vaginal hysterectomy >250g | CPT | 58552 | 11 | — | — | $2,590.67 | $8,076 | $9,865.92 |
| Lap salpingo-oophorectomy | CPT | 58661 | 11 | — | — | $1,589.51 | $5,494.93 | $8,696 |
| OR procedure for obesity w MCC | MS-DRG | 619 | 11 | — | — | $11,512 | $22,960 | $69,025 |
| OR procedure for obesity w CC | MS-DRG | 620 | 11 | — | — | $11,512 | $19,722 | $58,741 |
| OR procedure for obesity w/o CC/MCC | MS-DRG | 621 | 11 | — | — | $11,512 | $19,722 | $58,741 |
| Complex cataract surgery | CPT | 66982 | 12 | — | — | $771.57 | $2,978 | $10,422 |
| Cataract surgery with lens implant | CPT | 66984 | 12 | — | — | $771.57 | $2,978 | $10,422 |
| Intravitreal injection | CPT | 67028 | 11 | — | — | $97.47 | $629.5 | $4,552 |
| Vitrectomy mechanical | CPT | 67042 | 11 | — | — | $1,417.92 | $4,287.57 | $11,088 |
| Uterine & adnexa procedures w CC/MCC | MS-DRG | 743 | 5 | — | — | $8,788.71 | $8,788.71 | $25,532 |
| Uterine & adnexa procedures w/o CC/MCC | MS-DRG | 744 | 5 | — | — | $13,573 | $13,573 | $40,453 |
| PCI single major coronary artery | CPT | 92920 | 11 | $23,474 | $16,432 | $5,382.43 | $9,938 | $26,315 |
| PCI with drug-eluting stent | CPT | 92928 | 11 | $33,769 | $23,638 | $3,921 | $11,014 | $22,693 |
| PCI bypass graft | CPT | 92937 | 11 | $33,769 | $23,638 | $3,921 | $11,014 | $22,693 |
| Left heart catheterization | CPT | 93452 | 13 | $25,516 | $17,861 | $788.91 | $6,260 | $17,147 |
| Coronary angiography with cath | CPT | 93455 | 11 | $28,666 | $20,066 | $935.95 | $4,744 | $19,264 |
| Coronary angiography with bypass cath | CPT | 93458 | 13 | $43,050 | $30,135 | $964.15 | $6,260 | $28,930 |
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 |
|---|---|---|
| UnitedHealthcare | 178 | $2,145 |
| Aetna | 172 | $1,367 |
| Anthem BCBS | 169 | $694.92 |
| Humana | 167 | $752.15 |
| Medicare | 167 | $879.07 |
| Medicaid | 141 | $217.65 |
| Cigna | 134 | $481.26 |
| commercial | health services coalition | all plans | 131 | $1,435 |
| commercial | teachers health trust | all plans | 128 | $2,219.88 |
| First Health | 100 | $1,048 |
| Multiplan | 100 | $1,408.52 |
| commercial | health plan of nv | all plans | 92 | $1,593 |
| commercial | sierra health options | prime | 92 | $2,025 |
| commercial | sierra health options | state of nv | 57 | $1,912 |
| Kaiser Permanente | 46 | $2,013 |