▸ Hospital · NH · CCN 300034
Catholic Medical Center
100 MCGREGOR STREET, MANCHESTER, NH, 300034
Compliance grade
A
100/100
Procedures tracked
191
of 209 target codes
Payers
13
with negotiated rates
Rates published
24,267
last crawl 2026-05-22
Procedures & rates
| Procedure | Type | Code | Payers | Gross | Cash | Neg min | Neg median | Neg max |
|---|---|---|---|---|---|---|---|---|
| behavioral | ||||||||
| Psychoses | MS-DRG | 885 | 12 | — | — | $36.75 | $10,897 | $31,857 |
| emergency | ||||||||
| ED visit level 1 | CPT | 99281 | 6 | $447 | $447 | $50.65 | $198 | $383 |
| ED visit level 2 | CPT | 99282 | 6 | $788 | $788 | $89.28 | $561.21 | $2,127 |
| ED visit level 3 | CPT | 99283 | 6 | $1,967 | $1,967 | $222.86 | $1,400.9 | $2,867 |
| ED visit level 4 | CPT | 99284 | 6 | $3,051 | $3,051 | $345.68 | $2,172.92 | $6,102 |
| ED visit level 5 | CPT | 99285 | 6 | $4,184 | $4,184 | $474.05 | $2,979.84 | $8,906 |
| Critical care, first hour | CPT | 99291 | 6 | $6,409 | $6,409 | $726.14 | $4,480 | $8,906 |
| imaging | ||||||||
| CT head without contrast | CPT | 70450 | 8 | $3,287 | $3,287 | $127.26 | $468.07 | $2,373.21 |
| CT head with contrast | CPT | 70460 | 8 | $3,370 | $3,370 | $168.13 | $588.99 | $2,433.14 |
| CT head with and without contrast | CPT | 70470 | 8 | $3,500 | $3,500 | $188.83 | $688 | $2,527 |
| CT neck with contrast | CPT | 70491 | 8 | $3,140 | $3,140 | $205.17 | $729.11 | $2,267.08 |
| MRI brain without contrast | CPT | 70551 | 8 | $6,250 | $6,250 | $219.07 | $873.84 | $4,512.5 |
| MRI brain with contrast | CPT | 70552 | 8 | $6,384 | $6,384 | $264.58 | $1,074.39 | $4,609.25 |
| MRI brain with and without contrast | CPT | 70553 | 8 | $8,867 | $8,867 | $339.75 | $1,329.94 | $6,401.97 |
| Chest X-ray single view | CPT | 71045 | 7 | $747 | $747 | $26.97 | $104.58 | $622.38 |
| Chest X-ray 2 views | CPT | 71046 | 7 | $999 | $999 | $32.44 | $139.86 | $721.28 |
| Chest X-ray 3 views | CPT | 71047 | 7 | $908 | $908 | $41.21 | $143.18 | $655.58 |
| CT chest without contrast | CPT | 71250 | 8 | $2,854 | $2,854 | $159.67 | $501.94 | $2,060.59 |
| CT chest with contrast | CPT | 71260 | 8 | $3,169 | $3,169 | $173.6 | $663.04 | $2,288.02 |
| CT chest with and without contrast | CPT | 71270 | 8 | $4,058 | $4,058 | $185.55 | $787.63 | $2,929.88 |
| MRI chest without contrast | CPT | 71550 | 8 | $4,400 | $4,400 | $214.94 | $1,345.44 | $3,176.8 |
| MRI chest with contrast | CPT | 71551 | 3 | — | — | $256.94 | $1,473.71 | $6,910.58 |
| MRI chest with and without contrast | CPT | 71552 | 8 | $7,149 | $7,149 | $335.43 | $1,845.23 | $5,161.58 |
| Lumbosacral spine X-ray | CPT | 72100 | 7 | $790 | $790 | $34.69 | $149.74 | $1,123.97 |
| CT cervical spine without contrast | CPT | 72125 | 8 | $2,694 | $2,694 | $149.87 | $498.6 | $1,945.07 |
| CT thoracic spine without contrast | CPT | 72128 | 8 | $2,827 | $2,827 | $149.87 | $498.01 | $2,041.09 |
| CT lumbar spine without contrast | CPT | 72131 | 8 | $2,984 | $2,984 | $149.87 | $497.42 | $2,154.45 |
| MRI cervical spine without contrast | CPT | 72141 | 8 | $5,399 | $5,399 | $220.18 | $804.23 | $3,898.08 |
| MRI thoracic spine without contrast | CPT | 72146 | 8 | $4,994 | $4,994 | $220.18 | $775.11 | $3,605.67 |
| MRI lumbar spine without contrast | CPT | 72148 | 8 | $5,644 | $5,644 | $221.33 | $823.67 | $4,074.97 |
| MRI lumbar spine with and without contrast | CPT | 72149 | 8 | $5,704 | $5,704 | $265.69 | $1,076.76 | $4,118.29 |
| MRI cervical spine with and without contrast | CPT | 72156 | 8 | $7,218 | $7,218 | $340.9 | $1,264.91 | $5,211.4 |
| MRI lumbar spine with contrast | CPT | 72158 | 8 | $8,996 | $8,996 | $340.9 | $1,342 | $6,495.11 |
| CT pelvis without contrast | CPT | 72192 | 8 | $2,356 | $2,356 | $160.72 | $501.92 | $1,701.03 |
| CT pelvis with contrast | CPT | 72193 | 8 | $2,973 | $2,973 | $172.48 | $921.92 | $2,146.51 |
| Shoulder X-ray | CPT | 73030 | 7 | $1,143 | $1,143 | $29.22 | $178.18 | $825.25 |
| Humerus X-ray | CPT | 73060 | 7 | $572 | $572 | $25.95 | $121.05 | $622.38 |
| Hand X-ray 3 views | CPT | 73130 | 7 | $1,386 | $1,386 | $28.14 | $190.1 | $1,000.69 |
| MRI upper extremity joint without contrast | CPT | 73221 | 8 | $9,502 | $9,502 | $204.19 | $1,021.32 | $6,860.44 |
| MRI upper extremity joint with and without contrast | CPT | 73223 | 8 | $11,744 | $11,744 | $321.56 | $1,887.26 | $8,479.17 |
| Knee X-ray 1-2 views | CPT | 73560 | 7 | $1,302 | $1,302 | $25.95 | $171.63 | $940.04 |
| Ankle X-ray 3 views | CPT | 73610 | 7 | $1,302 | $1,302 | $27 | $185.02 | $940.04 |
| MRI lower extremity joint without contrast | CPT | 73721 | 8 | $9,068 | $9,068 | $203.07 | $1,017.95 | $6,547.1 |
| MRI lower extremity joint with and without contrast | CPT | 73723 | 8 | $12,362 | $12,362 | $320.45 | $1,883.06 | $8,925.36 |
| CT abdomen without contrast | CPT | 74150 | 8 | $2,402 | $2,402 | $176.84 | $507.97 | $1,734.24 |
| CT abdomen with contrast | CPT | 74160 | 8 | $3,990 | $3,990 | $188.83 | $920.23 | $2,880.78 |
| CT abdomen with and without contrast | CPT | 74170 | 8 | $4,081 | $4,081 | $207.3 | $983.04 | $2,946.48 |
| CT abdomen and pelvis without contrast | CPT | 74176 | 8 | $6,211 | $6,211 | $257.99 | $815.33 | $4,484.34 |
| CT abdomen and pelvis with contrast | CPT | 74177 | 8 | $8,146 | $8,146 | $270.59 | $1,116.59 | $5,881.41 |
| CT abdomen and pelvis with and without contrast | CPT | 74178 | 8 | $8,166 | $8,166 | $299.75 | $1,237.45 | $5,895.85 |
| MRI abdomen without contrast | CPT | 74181 | 8 | $5,137 | $5,137 | $214.94 | $793.01 | $3,708.91 |
| MRI abdomen with and without contrast | CPT | 74183 | 8 | $7,693 | $7,693 | $327.76 | $1,344.55 | $5,554.35 |
| Abdominal ultrasound complete | CPT | 76700 | 7 | $1,704 | $1,704 | $121 | $397.59 | $1,230.29 |
| Abdominal ultrasound limited | CPT | 76705 | 7 | $1,536 | $1,536 | $88.56 | $428.83 | $1,123.97 |
| Retroperitoneal ultrasound complete | CPT | 76770 | 7 | $1,391 | $1,391 | $110.09 | $369.96 | $1,123.97 |
| Obstetric ultrasound first trimester | CPT | 76801 | 7 | $1,729 | $1,729 | $150.22 | $406 | $1,248.34 |
| Obstetric ultrasound after first trimester | CPT | 76805 | 7 | $1,258 | $1,258 | $142.53 | $473.05 | $1,123.97 |
| Obstetric ultrasound with fetal anatomy | CPT | 76811 | 2 | — | — | $293.64 | $461.08 | $2,303.29 |
| Transvaginal ultrasound | CPT | 76830 | 7 | $1,364 | $1,364 | $104.72 | $527.25 | $1,123.97 |
| Pelvic ultrasound complete | CPT | 76856 | 7 | $1,657 | $1,657 | $104.72 | $367.48 | $1,196.35 |
| Scrotal ultrasound | CPT | 76870 | 7 | $1,439 | $1,439 | $95.94 | $347.2 | $1,123.97 |
| Diagnostic mammography unilateral | CPT | 77065 | 11 | $957 | $957 | $85.23 | $391.46 | $939.66 |
| Diagnostic mammography bilateral | CPT | 77066 | 11 | $1,443 | $1,443 | $108.6 | $547.08 | $1,202.5 |
| Screening mammography bilateral | CPT | 77067 | 11 | $1,226 | $1,226 | $89.82 | $440.74 | $993.71 |
| EKG complete | CPT | 93000 | 4 | — | — | $11.63 | $219.02 | $308.47 |
| EKG tracing only | CPT | 93005 | 9 | $470 | $470 | $53.25 | $238.3 | $339.34 |
| EKG interpretation only | CPT | 93010 | 1 | — | — | $64 | $64 | $64 |
| Transthoracic echocardiogram complete | CPT | 93306 | 9 | $4,513 | $4,513 | $64 | $2,284.71 | $3,258.39 |
| Transthoracic echocardiogram | CPT | 93307 | 9 | $2,311 | $2,311 | $64 | $1,119 | $1,668.54 |
| Stress echocardiogram | CPT | 93350 | 2 | — | — | $64 | $2,258.23 | $2,745.25 |
| inpatient | ||||||||
| Intracranial hemorrhage/CVA w MCC | MS-DRG | 064 | 12 | — | — | $36.75 | $17,121 | $74,152 |
| Intracranial hemorrhage/CVA w CC | MS-DRG | 065 | 12 | — | — | $36.75 | $8,792.74 | $37,253 |
| Intracranial hemorrhage/CVA w/o CC/MCC | MS-DRG | 066 | 12 | — | — | $36.75 | $6,052.18 | $25,236 |
| Respiratory infections & inflammations w MCC | MS-DRG | 177 | 12 | — | — | $36.75 | $13,421 | $57,621 |
| COPD w MCC | MS-DRG | 190 | 12 | — | — | $36.75 | $9,640.42 | $40,844 |
| COPD w CC | MS-DRG | 191 | 12 | — | — | $36.75 | $7,336.71 | $31,084 |
| COPD w/o CC/MCC | MS-DRG | 192 | 12 | — | — | $36.75 | $5,708.92 | $23,672 |
| Simple pneumonia & pleurisy w CC | MS-DRG | 194 | 12 | — | — | $36.75 | $7,173.78 | $39,750 |
| Simple pneumonia & pleurisy w/o CC/MCC | MS-DRG | 195 | 12 | — | — | $36.75 | $5,709.42 | $39,750 |
| AMI discharged alive w MCC | MS-DRG | 280 | 12 | — | — | $36.75 | $13,763 | $59,148 |
| AMI discharged alive w CC | MS-DRG | 281 | 12 | — | — | $36.75 | $7,999.02 | $33,890 |
| AMI discharged alive w/o CC/MCC | MS-DRG | 282 | 12 | — | — | $36.75 | $6,365.49 | $26,663 |
| Heart failure & shock w MCC | MS-DRG | 291 | 12 | — | — | $36.75 | $11,119 | $47,338 |
| Heart failure & shock w CC | MS-DRG | 292 | 12 | — | — | $36.75 | $7,388.93 | $31,305 |
| Heart failure & shock w/o CC/MCC | MS-DRG | 293 | 12 | — | — | $36.75 | $5,093.63 | $20,870 |
| Cardiac arrhythmia w MCC | MS-DRG | 308 | 12 | — | — | $36.75 | $10,460 | $44,395 |
| Cardiac arrhythmia w CC | MS-DRG | 309 | 12 | — | — | $36.75 | $6,467.5 | $27,127 |
| Cardiac arrhythmia w/o CC/MCC | MS-DRG | 310 | 12 | — | — | $36.75 | $5,094.44 | $20,874 |
| GI hemorrhage w CC | MS-DRG | 378 | 12 | — | — | $36.75 | $8,535.13 | $36,161 |
| GI hemorrhage w/o CC/MCC | MS-DRG | 379 | 12 | — | — | $36.75 | $5,615.01 | $23,245 |
| Esophagitis/gastroenteritis w/o MCC | MS-DRG | 392 | 12 | — | — | $36.75 | $6,956.69 | $31,381 |
| Fractures of femur w/o MCC | MS-DRG | 533 | 12 | — | — | $36.75 | $13,462 | $57,806 |
| Kidney/UTI w MCC | MS-DRG | 689 | 12 | — | — | $36.75 | $10,099 | $39,750 |
| Kidney/UTI w/o MCC | MS-DRG | 690 | 12 | — | — | $36.75 | $7,203.5 | $31,381 |
| Septicemia or severe sepsis w MV 96+ hrs | MS-DRG | 871 | 12 | — | — | $36.75 | $16,556 | $44,303 |
| Septicemia or severe sepsis w/o MV 96+ hrs | MS-DRG | 872 | 12 | — | — | $36.75 | $8,968.33 | $31,381 |
| lab | ||||||||
| Basic metabolic panel (BMP) | CPT | 80048 | 11 | $109 | $109 | $7.54 | $25.02 | $91.08 |
| General health panel | CPT | 80050 | 9 | $296 | $296 | $8.2 | $133.72 | $411.85 |
| Electrolyte panel | CPT | 80051 | 11 | $137 | $137 | $6.24 | $20.73 | $98.91 |
| Comprehensive metabolic panel | CPT | 80053 | 11 | $181 | $181 | $9.4 | $31.23 | $130.68 |
| Lipid panel | CPT | 80061 | 11 | $229 | $229 | $11.93 | $39.6 | $165.34 |
| Renal function panel | CPT | 80069 | 11 | $130 | $130 | $7.74 | $25.67 | $93.86 |
| Hepatic function panel | CPT | 80076 | 11 | $127 | $127 | $7.28 | $24.16 | $91.69 |
| Urinalysis non-automated | CPT | 81002 | 9 | — | — | $3.1 | $5.99 | $30.36 |
| Urinalysis automated | CPT | 81003 | 11 | $62 | $62 | $2.01 | $6.65 | $44.76 |
| Glucose quantitative | CPT | 82947 | 11 | $61 | $61 | $3.5 | $11.62 | $44.04 |
| Hemoglobin A1c | CPT | 83036 | 11 | $146 | $146 | $8.65 | $28.72 | $105.41 |
| Thyroid stimulating hormone (TSH) | CPT | 84443 | 11 | $282 | $282 | $14.97 | $49.68 | $203.6 |
| Complete blood count with automated differential | CPT | 85025 | 9 | — | — | $6.92 | $13.37 | $75.29 |
| Complete blood count without differential | CPT | 85027 | 11 | $137 | $137 | $5.77 | $38.52 | $98.91 |
| Urine culture bacterial | CPT | 87086 | 11 | $97 | $97 | $7.19 | $23.87 | $78.25 |
| Urine culture identification | CPT | 87088 | 9 | — | — | $7.21 | $13.92 | $78.43 |
| Tissue exam by pathologist level IV | CPT | 88305 | 7 | $586 | $586 | $36.08 | $234.84 | $444.73 |
| maternity | ||||||||
| Fetal non-stress test | CPT | 59025 | 10 | $812 | $812 | $11.03 | $471.37 | $706.93 |
| Routine obstetric care including vaginal delivery | CPT | 59400 | 2 | — | — | $51.15 | $4,676.4 | $6,276 |
| Vaginal delivery only | CPT | 59409 | 2 | — | — | $51.15 | $1,566.9 | $3,870 |
| Vaginal delivery with postpartum | CPT | 59410 | 2 | — | — | $51.15 | $4,676.4 | $6,276 |
| Routine obstetric care with C-section | CPT | 59510 | 2 | — | — | $51.15 | $4,676.4 | $6,276 |
| C-section delivery only | CPT | 59514 | 2 | — | — | $51.15 | $1,566.9 | $3,870 |
| C-section with postpartum | CPT | 59515 | 2 | — | — | $51.15 | $4,676.4 | $6,276 |
| Vaginal delivery w complicating dx | MS-DRG | 774 | 1 | — | — | $2,252.94 | $2,252.94 | $2,252.94 |
| Vaginal delivery w/o complicating dx | MS-DRG | 775 | 1 | — | — | $2,252.94 | $2,252.94 | $2,252.94 |
| office | ||||||||
| Office visit, new patient, 15-29 min | CPT | 99202 | 6 | $243 | $243 | $27.53 | $104.25 | $175.45 |
| Office visit, new patient, 30-44 minutes | CPT | 99203 | 6 | $461 | $461 | $52.23 | $197.77 | $332.84 |
| Office visit, new patient, 45-59 min | CPT | 99204 | 6 | $506 | $506 | $56.42 | $217.07 | $365.33 |
| Office visit, new patient, 60-74 min | CPT | 99205 | 6 | $651 | $651 | $73.76 | $279.28 | $470.02 |
| Office visit, established patient, 5 min | CPT | 99211 | 6 | $182 | $182 | $20.62 | $78.08 | $131.4 |
| Office visit, established patient, 10-19 min | CPT | 99212 | 8 | $182 | $182 | $20.62 | $84.63 | $158.45 |
| Office visit, established patient, 20-29 minutes | CPT | 99213 | 8 | $182 | $182 | $20.62 | $84.63 | $158.45 |
| Office visit, established patient, 30-39 minutes | CPT | 99214 | 8 | $506 | $506 | $57.33 | $235.29 | $440.52 |
| Office visit, established patient, 40-54 min | CPT | 99215 | 8 | $651 | $651 | $73.76 | $302.72 | $566.76 |
| preventive | ||||||||
| Upper GI endoscopy diagnostic | CPT | 43235 | 2 | — | — | $51.15 | $1,279.8 | $3,452 |
| Upper GI endoscopy with biopsy | CPT | 43239 | 2 | — | — | $51.15 | $1,279.8 | $3,452 |
| Sigmoidoscopy diagnostic | CPT | 45330 | 2 | — | — | $51.15 | $1,279.8 | $3,452 |
| Sigmoidoscopy with biopsy | CPT | 45331 | 2 | — | — | $51.15 | $1,279.8 | $3,452 |
| Colonoscopy diagnostic | CPT | 45378 | 2 | — | — | $51.15 | $1,279.8 | $3,452 |
| Colonoscopy with biopsy | CPT | 45380 | 2 | — | — | $51.15 | $1,566.9 | $3,870 |
| Colonoscopy with polyp removal | CPT | 45385 | 2 | — | — | $51.15 | $1,566.9 | $3,870 |
| surgery | ||||||||
| Total shoulder arthroplasty | CPT | 23472 | 4 | — | — | $51.15 | $37,285 | $54,304 |
| Hip hemiarthroplasty | CPT | 27125 | 3 | — | — | $51.15 | $5,736 | $54,304 |
| Total hip replacement | CPT | 27130 | 4 | — | — | $51.15 | $37,285 | $54,304 |
| Total knee replacement | CPT | 27447 | 4 | — | — | $51.15 | $37,285 | $54,304 |
| Knee revision arthroplasty single component | CPT | 27486 | 4 | — | — | $51.15 | $37,285 | $54,304 |
| Knee revision arthroplasty all components | CPT | 27487 | 4 | — | — | $51.15 | $37,285 | $54,304 |
| Shoulder arthroscopy with decompression | CPT | 29826 | 1 | — | — | $51.15 | $51.15 | $51.15 |
| Shoulder arthroscopy with rotator cuff repair | CPT | 29827 | 2 | — | — | $51.15 | $9,982.8 | $18,201 |
| Knee arthroscopy with meniscectomy | CPT | 29881 | 2 | — | — | $51.15 | $4,676.4 | $6,276 |
| ACL reconstruction | CPT | 29888 | 2 | — | — | $51.15 | $9,982.8 | $18,201 |
| Major small/large bowel procedures w MCC | MS-DRG | 329 | 12 | — | — | $36.75 | $38,464 | $169,487 |
| Major small/large bowel procedures w CC | MS-DRG | 330 | 12 | — | — | $36.75 | $20,309 | $88,392 |
| Major small/large bowel procedures w/o CC/MCC | MS-DRG | 331 | 12 | — | — | $36.75 | $14,413 | $62,054 |
| CABG single arterial graft | CPT | 33533 | 2 | — | — | $51.15 | $10,546 | $19,927 |
| CABG 2 arterial grafts | CPT | 33534 | 2 | — | — | $51.15 | $10,546 | $19,927 |
| CABG 3 arterial grafts | CPT | 33535 | 2 | — | — | $51.15 | $10,546 | $19,927 |
| CABG 4+ arterial grafts | CPT | 33536 | 2 | — | — | $51.15 | $10,546 | $19,927 |
| Laparoscopic cholecystectomy w/o CDE w MCC | MS-DRG | 418 | 12 | — | — | $36.75 | $14,485 | $62,374 |
| Laparoscopic cholecystectomy w/o CDE w CC | MS-DRG | 419 | 12 | — | — | $36.75 | $11,796 | $50,361 |
| Laparoscopic cholecystectomy w/o CDE w/o CC/MCC | MS-DRG | 420 | 12 | — | — | $36.75 | $28,646 | $125,630 |
| Open appendectomy | CPT | 44950 | 2 | — | — | $51.15 | $4,676.4 | $6,276 |
| Laparoscopic appendectomy | CPT | 44970 | 2 | — | — | $51.15 | $9,982.8 | $18,201 |
| Major joint replacement w MCC | MS-DRG | 469 | 12 | — | — | $36.75 | $24,576 | $70,693 |
| Major joint replacement w/o MCC | MS-DRG | 470 | 12 | — | — | $36.75 | $16,444 | $70,693 |
| Laparoscopic cholecystectomy | CPT | 47562 | 2 | — | — | $51.15 | $9,982.8 | $18,201 |
| Lap cholecystectomy with cholangiography | CPT | 47563 | 2 | — | — | $51.15 | $9,982.8 | $18,201 |
| Hip & femur procedures except major joint w MCC | MS-DRG | 480 | 12 | — | — | $36.75 | $23,617 | $66,421 |
| Hip & femur procedures except major joint w CC | MS-DRG | 481 | 12 | — | — | $36.75 | $17,811 | $65,753 |
| Hip & femur procedures except major joint w/o CC/MCC | MS-DRG | 482 | 12 | — | — | $36.75 | $13,985 | $65,753 |
| Open umbilical hernia repair | CPT | 49560 | 1 | — | — | $3,476.9 | $4,936.2 | $6,276 |
| Umbilical hernia repair age 5+ | CPT | 49585 | 1 | — | — | $3,476.9 | $4,936.2 | $6,276 |
| Lap inguinal hernia repair | CPT | 49650 | 2 | — | — | $51.15 | $9,982.8 | $18,201 |
| Lap incisional hernia repair | CPT | 49652 | 1 | — | — | $7,422.8 | $10,537 | $18,201 |
| Total abdominal hysterectomy | CPT | 58150 | 2 | — | — | $51.15 | $9,982.8 | $18,201 |
| Vaginal hysterectomy | CPT | 58260 | 2 | — | — | $51.15 | $5,592.6 | $9,205 |
| Lap-assisted vaginal hysterectomy | CPT | 58550 | 2 | — | — | $51.15 | $9,982.8 | $18,201 |
| Lap-assisted vaginal hysterectomy >250g | CPT | 58552 | 2 | — | — | $51.15 | $10,546 | $19,927 |
| Lap salpingo-oophorectomy | CPT | 58661 | 2 | — | — | $51.15 | $9,982.8 | $18,201 |
| OR procedure for obesity w MCC | MS-DRG | 619 | 12 | — | — | $36.75 | $24,356 | $106,467 |
| OR procedure for obesity w CC | MS-DRG | 620 | 12 | — | — | $36.75 | $13,731 | $59,008 |
| OR procedure for obesity w/o CC/MCC | MS-DRG | 621 | 12 | — | — | $36.75 | $12,973 | $55,619 |
| Complex cataract surgery | CPT | 66982 | 2 | — | — | $51.15 | $1,566.9 | $3,870 |
| Cataract surgery with lens implant | CPT | 66984 | 2 | — | — | $51.15 | $1,566.9 | $3,870 |
| Intravitreal injection | CPT | 67028 | 2 | — | — | $51.15 | $1,279.8 | $3,452 |
| Vitrectomy mechanical | CPT | 67042 | 2 | — | — | $51.15 | $5,592.6 | $9,205 |
| Uterine & adnexa procedures w CC/MCC | MS-DRG | 743 | 12 | — | — | $36.75 | $10,763 | $45,748 |
| Uterine & adnexa procedures w/o CC/MCC | MS-DRG | 744 | 12 | — | — | $36.75 | $17,436 | $75,556 |
| PCI single major coronary artery | CPT | 92920 | 1 | — | — | $16,004 | $22,720 | $31,570 |
| PCI with drug-eluting stent | CPT | 92928 | 1 | — | — | $10,884 | $15,452 | $21,469 |
| PCI bypass graft | CPT | 92937 | 1 | — | — | $10,884 | $15,452 | $21,469 |
| Left heart catheterization | CPT | 93452 | 2 | — | — | $64 | $9,723.6 | $14,377 |
| Coronary angiography with cath | CPT | 93455 | 2 | — | — | $64 | $9,723.6 | $14,377 |
| Coronary angiography with bypass cath | CPT | 93458 | 2 | — | — | $64 | $9,723.6 | $14,377 |
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 |