Does Catholic Medical Center publish its standard charges and chargemaster?

Yes. Catholic Medical Center publishes a machine-readable file with 24,267 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 Catholic Medical Center charge for procedures?

Catholic Medical Center (Manchester, NH) 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 · NH · CCN 300034

Catholic Medical Center

Manchester, NH, 03102

262 bedsAcute Care Hospitals2

Compliance grade

100/100

Rates published

24,267

last crawl 2026-05-22

Procedures tracked

191

of 209 target codes

Payers

with negotiated rates

Procedures tracked

...

Payers

...

▸ Compare with other hospitals All NH 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://core.secure.ehc.com/src/util/json-detail-price-list/99-3123201_CATHOLIC-MEDICAL-CENTER_standardcharges.json · JSON

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	12	—	—	$36.75	$10,897	0.85×	$31,857
emergency
ED visit level 1	CPT	99281	6	$447	$447	$50.65	$198	1.4×	$383
ED visit level 2	CPT	99282	6	$788	$788	$89.28	$561.21	2.4×	$2,127
ED visit level 3	CPT	99283	6	$1,967	$1,967	$222.86	$1,400.9	3.5×	$2,867
ED visit level 4	CPT	99284	6	$3,051	$3,051	$345.68	$2,172.92	3.3×	$6,102
ED visit level 5	CPT	99285	6	$4,184	$4,184	$474.05	$2,979.84	2.9×	$8,906
Critical care, first hour	CPT	99291	6	$6,409	$6,409	$726.14	$4,480	4.2×	$8,906
imaging
CT head without contrast	CPT	70450	8	$3,287	$3,287	$127.26	$468.07	2.3×	$2,373.21
CT head with contrast	CPT	70460	8	$3,370	$3,370	$168.13	$588.99	2.5×	$2,433.14
CT head with and without contrast	CPT	70470	8	$3,500	$3,500	$188.83	$688	2.6×	$2,527
CT neck with contrast	CPT	70491	8	$3,140	$3,140	$205.17	$729.11	2.7×	$2,267.08
MRI brain without contrast	CPT	70551	8	$6,250	$6,250	$219.07	$873.84	2.2×	$4,512.5
MRI brain with contrast	CPT	70552	8	$6,384	$6,384	$264.58	$1,074.39	2.2×	$4,609.25
MRI brain with and without contrast	CPT	70553	8	$8,867	$8,867	$339.75	$1,329.94	2.3×	$6,401.97
Chest X-ray single view	CPT	71045	7	$747	$747	$26.97	$104.58	1.1×	$622.38
Chest X-ray 2 views	CPT	71046	7	$999	$999	$32.44	$139.86	1.4×	$721.28
Chest X-ray 3 views	CPT	71047	7	$908	$908	$41.21	$143.18	1.5×	$655.58
CT chest without contrast	CPT	71250	8	$2,854	$2,854	$159.67	$501.94	2.3×	$2,060.59
CT chest with contrast	CPT	71260	8	$3,169	$3,169	$173.6	$663.04	2.4×	$2,288.02
CT chest with and without contrast	CPT	71270	8	$4,058	$4,058	$185.55	$787.63	2.7×	$2,929.88
MRI chest without contrast	CPT	71550	8	$4,400	$4,400	$214.94	$1,345.44	3.1×	$3,176.8
MRI chest with contrast	CPT	71551	3	—	—	$256.94	$1,473.71	1.8×	$6,910.58
MRI chest with and without contrast	CPT	71552	8	$7,149	$7,149	$335.43	$1,845.23	3.1×	$5,161.58
Lumbosacral spine X-ray	CPT	72100	7	$790	$790	$34.69	$149.74	1.4×	$1,123.97
CT cervical spine without contrast	CPT	72125	8	$2,694	$2,694	$149.87	$498.6	2.5×	$1,945.07
CT thoracic spine without contrast	CPT	72128	8	$2,827	$2,827	$149.87	$498.01	2.5×	$2,041.09
CT lumbar spine without contrast	CPT	72131	8	$2,984	$2,984	$149.87	$497.42	2.4×	$2,154.45
MRI cervical spine without contrast	CPT	72141	8	$5,399	$5,399	$220.18	$804.23	2.0×	$3,898.08
MRI thoracic spine without contrast	CPT	72146	8	$4,994	$4,994	$220.18	$775.11	2.1×	$3,605.67
MRI lumbar spine without contrast	CPT	72148	8	$5,644	$5,644	$221.33	$823.67	2.2×	$4,074.97
MRI lumbar spine with and without contrast	CPT	72149	8	$5,704	$5,704	$265.69	$1,076.76	2.4×	$4,118.29
MRI cervical spine with and without contrast	CPT	72156	8	$7,218	$7,218	$340.9	$1,264.91	2.3×	$5,211.4
MRI lumbar spine with contrast	CPT	72158	8	$8,996	$8,996	$340.9	$1,342	2.5×	$6,495.11
CT pelvis without contrast	CPT	72192	8	$2,356	$2,356	$160.72	$501.92	2.5×	$1,701.03
CT pelvis with contrast	CPT	72193	8	$2,973	$2,973	$172.48	$921.92	3.3×	$2,146.51
Shoulder X-ray	CPT	73030	7	$1,143	$1,143	$29.22	$178.18	1.9×	$825.25
Humerus X-ray	CPT	73060	7	$572	$572	$25.95	$121.05	1.4×	$622.38
Hand X-ray 3 views	CPT	73130	7	$1,386	$1,386	$28.14	$190.1	2.0×	$1,000.69
MRI upper extremity joint without contrast	CPT	73221	8	$9,502	$9,502	$204.19	$1,021.32	2.5×	$6,860.44
MRI upper extremity joint with and without contrast	CPT	73223	8	$11,744	$11,744	$321.56	$1,887.26	3.1×	$8,479.17
Knee X-ray 1-2 views	CPT	73560	7	$1,302	$1,302	$25.95	$171.63	1.8×	$940.04
Ankle X-ray 3 views	CPT	73610	7	$1,302	$1,302	$27	$185.02	2.0×	$940.04
MRI lower extremity joint without contrast	CPT	73721	8	$9,068	$9,068	$203.07	$1,017.95	2.2×	$6,547.1
MRI lower extremity joint with and without contrast	CPT	73723	8	$12,362	$12,362	$320.45	$1,883.06	3.0×	$8,925.36
CT abdomen without contrast	CPT	74150	8	$2,402	$2,402	$176.84	$507.97	2.7×	$1,734.24
CT abdomen with contrast	CPT	74160	8	$3,990	$3,990	$188.83	$920.23	3.2×	$2,880.78
CT abdomen with and without contrast	CPT	74170	8	$4,081	$4,081	$207.3	$983.04	2.9×	$2,946.48
CT abdomen and pelvis without contrast	CPT	74176	8	$6,211	$6,211	$257.99	$815.33	2.2×	$4,484.34
CT abdomen and pelvis with contrast	CPT	74177	8	$8,146	$8,146	$270.59	$1,116.59	2.0×	$5,881.41
CT abdomen and pelvis with and without contrast	CPT	74178	8	$8,166	$8,166	$299.75	$1,237.45	2.2×	$5,895.85
MRI abdomen without contrast	CPT	74181	8	$5,137	$5,137	$214.94	$793.01	2.0×	$3,708.91
MRI abdomen with and without contrast	CPT	74183	8	$7,693	$7,693	$327.76	$1,344.55	2.4×	$5,554.35
Abdominal ultrasound complete	CPT	76700	7	$1,704	$1,704	$121	$397.59	2.7×	$1,230.29
Abdominal ultrasound limited	CPT	76705	7	$1,536	$1,536	$88.56	$428.83	2.9×	$1,123.97
Retroperitoneal ultrasound complete	CPT	76770	7	$1,391	$1,391	$110.09	$369.96	2.6×	$1,123.97
Obstetric ultrasound first trimester	CPT	76801	7	$1,729	$1,729	$150.22	$406	2.9×	$1,248.34
Obstetric ultrasound after first trimester	CPT	76805	7	$1,258	$1,258	$142.53	$473.05	3.1×	$1,123.97
Obstetric ultrasound with fetal anatomy	CPT	76811	2	—	—	$293.64	$461.08	2.0×	$2,303.29
Transvaginal ultrasound	CPT	76830	7	$1,364	$1,364	$104.72	$527.25	3.6×	$1,123.97
Pelvic ultrasound complete	CPT	76856	7	$1,657	$1,657	$104.72	$367.48	2.6×	$1,196.35
Scrotal ultrasound	CPT	76870	7	$1,439	$1,439	$95.94	$347.2	2.6×	$1,123.97
Diagnostic mammography unilateral	CPT	77065	11	$957	$957	$85.23	$391.46	2.6×	$939.66
Diagnostic mammography bilateral	CPT	77066	11	$1,443	$1,443	$108.6	$547.08	2.9×	$1,202.5
Screening mammography bilateral	CPT	77067	11	$1,226	$1,226	$89.82	$440.74	2.8×	$993.71
EKG complete	CPT	93000	4	—	—	$11.63	$219.02	9.0×	$308.47
EKG tracing only	CPT	93005	9	$470	$470	$53.25	$238.3	2.0×	$339.34
EKG interpretation only	CPT	93010	1	—	—	$64	$64	3.5×	$64
Transthoracic echocardiogram complete	CPT	93306	9	$4,513	$4,513	$64	$2,284.71	3.8×	$3,258.39
Transthoracic echocardiogram	CPT	93307	9	$2,311	$2,311	$64	$1,119	4.5×	$1,668.54
Stress echocardiogram	CPT	93350	2	—	—	$64	$2,258.23	4.5×	$2,745.25
inpatient
Intracranial hemorrhage/CVA w MCC	MS-DRG	064	12	—	—	$36.75	$17,121	0.85×	$74,152
Intracranial hemorrhage/CVA w CC	MS-DRG	065	12	—	—	$36.75	$8,792.74	0.82×	$37,253
Intracranial hemorrhage/CVA w/o CC/MCC	MS-DRG	066	12	—	—	$36.75	$6,052.18	0.79×	$25,236
Respiratory infections & inflammations w MCC	MS-DRG	177	12	—	—	$36.75	$13,421	0.87×	$57,621
COPD w MCC	MS-DRG	190	12	—	—	$36.75	$9,640.42	0.86×	$40,844
COPD w CC	MS-DRG	191	12	—	—	$36.75	$7,336.71	0.83×	$31,084
COPD w/o CC/MCC	MS-DRG	192	12	—	—	$36.75	$5,708.92	0.82×	$23,672
Simple pneumonia & pleurisy w CC	MS-DRG	194	12	—	—	$36.75	$7,173.78	0.85×	$39,750
Simple pneumonia & pleurisy w/o CC/MCC	MS-DRG	195	12	—	—	$36.75	$5,709.42	0.85×	$39,750
AMI discharged alive w MCC	MS-DRG	280	12	—	—	$36.75	$13,763	0.88×	$59,148
AMI discharged alive w CC	MS-DRG	281	12	—	—	$36.75	$7,999.02	0.83×	$33,890
AMI discharged alive w/o CC/MCC	MS-DRG	282	12	—	—	$36.75	$6,365.49	0.82×	$26,663
Heart failure & shock w MCC	MS-DRG	291	12	—	—	$36.75	$11,119	0.87×	$47,338
Heart failure & shock w CC	MS-DRG	292	12	—	—	$36.75	$7,388.93	0.83×	$31,305
Heart failure & shock w/o CC/MCC	MS-DRG	293	12	—	—	$36.75	$5,093.63	0.82×	$20,870
Cardiac arrhythmia w MCC	MS-DRG	308	12	—	—	$36.75	$10,460	0.87×	$44,395
Cardiac arrhythmia w CC	MS-DRG	309	12	—	—	$36.75	$6,467.5	0.83×	$27,127
Cardiac arrhythmia w/o CC/MCC	MS-DRG	310	12	—	—	$36.75	$5,094.44	0.82×	$20,874
GI hemorrhage w CC	MS-DRG	378	12	—	—	$36.75	$8,535.13	0.85×	$36,161
GI hemorrhage w/o CC/MCC	MS-DRG	379	12	—	—	$36.75	$5,615.01	0.82×	$23,245
Esophagitis/gastroenteritis w/o MCC	MS-DRG	392	12	—	—	$36.75	$6,956.69	0.86×	$31,381
Fractures of femur w/o MCC	MS-DRG	533	12	—	—	$36.75	$13,462	0.89×	$57,806
Kidney/UTI w MCC	MS-DRG	689	12	—	—	$36.75	$10,099	0.87×	$39,750
Kidney/UTI w/o MCC	MS-DRG	690	12	—	—	$36.75	$7,203.5	0.87×	$31,381
Septicemia or severe sepsis w MV 96+ hrs	MS-DRG	871	12	—	—	$36.75	$16,556	0.89×	$44,303
Septicemia or severe sepsis w/o MV 96+ hrs	MS-DRG	872	12	—	—	$36.75	$8,968.33	0.86×	$31,381
lab
Basic metabolic panel (BMP)	CPT	80048	11	$109	$109	$7.54	$25.02	0.77×	$91.08
General health panel	CPT	80050	9	$296	$296	$8.2	$133.72	1.2×	$411.85
Electrolyte panel	CPT	80051	11	$137	$137	$6.24	$20.73	0.87×	$98.91
Comprehensive metabolic panel	CPT	80053	11	$181	$181	$9.4	$31.23	0.70×	$130.68
Lipid panel	CPT	80061	11	$229	$229	$11.93	$39.6	1.0×	$165.34
Renal function panel	CPT	80069	11	$130	$130	$7.74	$25.67	0.94×	$93.86
Hepatic function panel	CPT	80076	11	$127	$127	$7.28	$24.16	0.91×	$91.69
Urinalysis non-automated	CPT	81002	9	—	—	$3.1	$5.99	0.86×	$30.36
Urinalysis automated	CPT	81003	11	$62	$62	$2.01	$6.65	0.48×	$44.76
Glucose quantitative	CPT	82947	11	$61	$61	$3.5	$11.62	0.66×	$44.04
Hemoglobin A1c	CPT	83036	11	$146	$146	$8.65	$28.72	1.1×	$105.41
Thyroid stimulating hormone (TSH)	CPT	84443	11	$282	$282	$14.97	$49.68	1.1×	$203.6
Complete blood count with automated differential	CPT	85025	9	—	—	$6.92	$13.37	0.50×	$75.29
Complete blood count without differential	CPT	85027	11	$137	$137	$5.77	$38.52	1.8×	$98.91
Urine culture bacterial	CPT	87086	11	$97	$97	$7.19	$23.87	1.0×	$78.25
Urine culture identification	CPT	87088	9	—	—	$7.21	$13.92	0.62×	$78.43
Tissue exam by pathologist level IV	CPT	88305	7	$586	$586	$36.08	$234.84	2.3×	$444.73
maternity
Fetal non-stress test	CPT	59025	10	$812	$812	$11.03	$471.37	2.5×	$706.93
Routine obstetric care including vaginal delivery	CPT	59400	2	—	—	$51.15	$4,676.4	2.0×	$6,276
Vaginal delivery only	CPT	59409	2	—	—	$51.15	$1,566.9	0.71×	$3,870
Vaginal delivery with postpartum	CPT	59410	2	—	—	$51.15	$4,676.4	4.4×	$6,276
Routine obstetric care with C-section	CPT	59510	2	—	—	$51.15	$4,676.4	1.9×	$6,276
C-section delivery only	CPT	59514	2	—	—	$51.15	$1,566.9	1.6×	$3,870
C-section with postpartum	CPT	59515	2	—	—	$51.15	$4,676.4	3.7×	$6,276
Vaginal delivery w complicating dx	MS-DRG	774	1	—	—	$2,252.94	$2,252.94	24.5×	$2,252.94
Vaginal delivery w/o complicating dx	MS-DRG	775	1	—	—	$2,252.94	$2,252.94	2.4×	$2,252.94
office
Office visit, new patient, 15-29 min	CPT	99202	6	$243	$243	$27.53	$104.25	1.2×	$175.45
Office visit, new patient, 30-44 minutes	CPT	99203	6	$461	$461	$52.23	$197.77	1.6×	$332.84
Office visit, new patient, 45-59 min	CPT	99204	6	$506	$506	$56.42	$217.07	1.2×	$365.33
Office visit, new patient, 60-74 min	CPT	99205	6	$651	$651	$73.76	$279.28	1.3×	$470.02
Office visit, established patient, 5 min	CPT	99211	6	$182	$182	$20.62	$78.08	1.2×	$131.4
Office visit, established patient, 10-19 min	CPT	99212	8	$182	$182	$20.62	$84.63	1.1×	$158.45
Office visit, established patient, 20-29 minutes	CPT	99213	8	$182	$182	$20.62	$84.63	0.74×	$158.45
Office visit, established patient, 30-39 minutes	CPT	99214	8	$506	$506	$57.33	$235.29	1.5×	$440.52
Office visit, established patient, 40-54 min	CPT	99215	8	$651	$651	$73.76	$302.72	1.6×	$566.76
preventive
Upper GI endoscopy diagnostic	CPT	43235	2	—	—	$51.15	$1,279.8	1.4×	$3,452
Upper GI endoscopy with biopsy	CPT	43239	2	—	—	$51.15	$1,279.8	1.3×	$3,452
Sigmoidoscopy diagnostic	CPT	45330	2	—	—	$51.15	$1,279.8	1.5×	$3,452
Sigmoidoscopy with biopsy	CPT	45331	2	—	—	$51.15	$1,279.8	1.4×	$3,452
Colonoscopy diagnostic	CPT	45378	2	—	—	$51.15	$1,279.8	1.5×	$3,452
Colonoscopy with biopsy	CPT	45380	2	—	—	$51.15	$1,566.9	1.3×	$3,870
Colonoscopy with polyp removal	CPT	45385	2	—	—	$51.15	$1,566.9	1.3×	$3,870
surgery
Total shoulder arthroplasty	CPT	23472	4	—	—	$51.15	$37,285	9.0×	$54,304
Hip hemiarthroplasty	CPT	27125	3	—	—	$51.15	$5,736	4.6×	$54,304
Total hip replacement	CPT	27130	4	—	—	$51.15	$37,285	8.6×	$54,304
Total knee replacement	CPT	27447	4	—	—	$51.15	$37,285	8.9×	$54,304
Knee revision arthroplasty single component	CPT	27486	4	—	—	$51.15	$37,285	22.3×	$54,304
Knee revision arthroplasty all components	CPT	27487	4	—	—	$51.15	$37,285	18.6×	$54,304
Shoulder arthroscopy with decompression	CPT	29826	1	—	—	$51.15	$51.15	0.16×	$51.15
Shoulder arthroscopy with rotator cuff repair	CPT	29827	2	—	—	$51.15	$9,982.8	3.0×	$18,201
Knee arthroscopy with meniscectomy	CPT	29881	2	—	—	$51.15	$4,676.4	2.3×	$6,276
ACL reconstruction	CPT	29888	2	—	—	$51.15	$9,982.8	3.0×	$18,201
Major small/large bowel procedures w MCC	MS-DRG	329	12	—	—	$36.75	$38,464	0.89×	$169,487
Major small/large bowel procedures w CC	MS-DRG	330	12	—	—	$36.75	$20,309	0.87×	$88,392
Major small/large bowel procedures w/o CC/MCC	MS-DRG	331	12	—	—	$36.75	$14,413	0.88×	$62,054
CABG single arterial graft	CPT	33533	2	—	—	$51.15	$10,546	5.6×	$19,927
CABG 2 arterial grafts	CPT	33534	2	—	—	$51.15	$10,546	4.9×	$19,927
CABG 3 arterial grafts	CPT	33535	2	—	—	$51.15	$10,546	4.6×	$19,927
CABG 4+ arterial grafts	CPT	33536	2	—	—	$51.15	$10,546	4.3×	$19,927
Laparoscopic cholecystectomy w/o CDE w MCC	MS-DRG	418	12	—	—	$36.75	$14,485	0.88×	$62,374
Laparoscopic cholecystectomy w/o CDE w CC	MS-DRG	419	12	—	—	$36.75	$11,796	0.87×	$50,361
Laparoscopic cholecystectomy w/o CDE w/o CC/MCC	MS-DRG	420	12	—	—	$36.75	$28,646	0.89×	$125,630
Open appendectomy	CPT	44950	2	—	—	$51.15	$4,676.4	4.1×	$6,276
Laparoscopic appendectomy	CPT	44970	2	—	—	$51.15	$9,982.8	6.4×	$18,201
Major joint replacement w MCC	MS-DRG	469	12	—	—	$36.75	$24,576	0.83×	$70,693
Major joint replacement w/o MCC	MS-DRG	470	12	—	—	$36.75	$16,444	0.87×	$70,693
Laparoscopic cholecystectomy	CPT	47562	2	—	—	$51.15	$9,982.8	5.6×	$18,201
Lap cholecystectomy with cholangiography	CPT	47563	2	—	—	$51.15	$9,982.8	5.3×	$18,201
Hip & femur procedures except major joint w MCC	MS-DRG	480	12	—	—	$36.75	$23,617	0.84×	$66,421
Hip & femur procedures except major joint w CC	MS-DRG	481	12	—	—	$36.75	$17,811	0.88×	$65,753
Hip & femur procedures except major joint w/o CC/MCC	MS-DRG	482	12	—	—	$36.75	$13,985	0.88×	$65,753
Open umbilical hernia repair	CPT	49560	1	—	—	$3,476.9	$4,936.2	2.6×	$6,276
Umbilical hernia repair age 5+	CPT	49585	1	—	—	$3,476.9	$4,936.2	3.8×	$6,276
Lap inguinal hernia repair	CPT	49650	2	—	—	$51.15	$9,982.8	8.9×	$18,201
Lap incisional hernia repair	CPT	49652	1	—	—	$7,422.8	$10,537	3.9×	$18,201
Total abdominal hysterectomy	CPT	58150	2	—	—	$51.15	$9,982.8	10.2×	$18,201
Vaginal hysterectomy	CPT	58260	2	—	—	$51.15	$5,592.6	3.1×	$9,205
Lap-assisted vaginal hysterectomy	CPT	58550	2	—	—	$51.15	$9,982.8	6.8×	$18,201
Lap-assisted vaginal hysterectomy >250g	CPT	58552	2	—	—	$51.15	$10,546	4.7×	$19,927
Lap salpingo-oophorectomy	CPT	58661	2	—	—	$51.15	$9,982.8	4.9×	$18,201
OR procedure for obesity w MCC	MS-DRG	619	12	—	—	$36.75	$24,356	0.90×	$106,467
OR procedure for obesity w CC	MS-DRG	620	12	—	—	$36.75	$13,731	0.85×	$59,008
OR procedure for obesity w/o CC/MCC	MS-DRG	621	12	—	—	$36.75	$12,973	0.86×	$55,619
Complex cataract surgery	CPT	66982	2	—	—	$51.15	$1,566.9	0.71×	$3,870
Cataract surgery with lens implant	CPT	66984	2	—	—	$51.15	$1,566.9	0.72×	$3,870
Intravitreal injection	CPT	67028	2	—	—	$51.15	$1,279.8	3.7×	$3,452
Vitrectomy mechanical	CPT	67042	2	—	—	$51.15	$5,592.6	2.2×	$9,205
Uterine & adnexa procedures w CC/MCC	MS-DRG	743	12	—	—	$36.75	$10,763	0.88×	$45,748
Uterine & adnexa procedures w/o CC/MCC	MS-DRG	744	12	—	—	$36.75	$17,436	0.91×	$75,556
PCI single major coronary artery	CPT	92920	1	—	—	$16,004	$22,720	4.0×	$31,570
PCI with drug-eluting stent	CPT	92928	1	—	—	$10,884	$15,452	1.5×	$21,469
PCI bypass graft	CPT	92937	1	—	—	$10,884	$15,452	1.4×	$21,469
Left heart catheterization	CPT	93452	2	—	—	$64	$9,723.6	3.1×	$14,377
Coronary angiography with cath	CPT	93455	2	—	—	$64	$9,723.6	3.1×	$14,377
Coronary angiography with bypass cath	CPT	93458	2	—	—	$64	$9,723.6	3.1×	$14,377

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 13)

Payer	Codes covered	Median rate
Anthem BCBS	185	$617.73
UnitedHealthcare	134	$506.84
amerihealth caritas	134	$452.07
well sense health plan	134	$558.6
harvard pilgrim	133	$1,796.49
maine community health	131	$317.17
tufts health plan	131	$426.8
Cigna	128	$1,040
Aetna	70	$6,514.9
Humana	69	$5,596.98
martin's point health	64	$5,451.88
Centene	62	$9,954.58
granite state health	1	$9,868.76

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