Does Community Medical Center publish its standard charges and chargemaster?

Yes. Community Medical Center publishes a machine-readable file with 31,913 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 Community Medical Center charge for procedures?

Community Medical Center (Toms River, NJ) 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 · NJ · CCN 310041

Community Medical Center

Toms River, NJ, 08755-6423

430 bedsAcute Care Hospitals2

Compliance grade

100/100

Rates published

31,913

last crawl 2026-05-22

Procedures tracked

198

of 209 target codes

Payers

with negotiated rates

Procedures tracked

...

Payers

...

▸ Compare with other hospitals All NJ 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://mrfs.hyvehealthcare.com/RWJBarnabasHealth/223452306_community-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	—	$2,426	$60	$6,772.07	0.53×	$34,382
Psychiatric diagnostic evaluation	CPT	90791	12	$858	$177.94	$108.45	$499.36	2.8×	$784.98
Psychiatric eval with medical services	CPT	90792	12	$965	$200.14	$121.97	$561.63	3.2×	$882.87
Psychotherapy 30 minutes	CPT	90832	14	—	—	$12.41	$74.5	0.50×	$349.42
Psychotherapy 45 minutes	CPT	90834	14	—	—	$12.41	$74.5	0.46×	$349.42
Psychotherapy 60 minutes	CPT	90837	14	—	—	$12.41	$74.5	0.39×	$349.42
Crisis psychotherapy 60 minutes	CPT	90839	14	—	—	$12.41	$74.5	0.47×	$349.42
emergency
ED visit level 1	CPT	99281	13	$1,052	$218.18	$96.23	$564	4.0×	$2,675
ED visit level 2	CPT	99282	13	$1,427	$295.95	$143	$564	2.4×	$2,675
ED visit level 3	CPT	99283	13	$2,261	$468.93	$280.59	$1,342.3	3.3×	$2,675
ED visit level 4	CPT	99284	13	$3,099	$642.73	$384.58	$1,508.5	2.3×	$2,828.45
ED visit level 5	CPT	99285	13	$4,357	$903.64	$540.7	$1,508.5	1.4×	$3,976.63
Critical care, first hour	CPT	99291	13	$5,566	$1,154.38	$690.74	$1,845.27	1.7×	$5,080.08
imaging
CT head without contrast	CPT	70450	13	$2,085	$432.42	$57	$231.28	1.1×	$1,907.56
CT head with contrast	CPT	70460	13	$2,305	$478.05	$57	$287.91	1.2×	$2,108.84
CT head with and without contrast	CPT	70470	13	$2,934	$608.51	$57	$298.34	1.1×	$2,684.31
CT neck with contrast	CPT	70491	13	$3,005	$623.23	$57	$312.87	1.1×	$2,749.27
MRI brain without contrast	CPT	70551	13	$3,279	$680.06	$57	$414.46	1.0×	$2,999.95
MRI brain with contrast	CPT	70552	13	$3,615	$749.75	$57	$493.7	1.0×	$3,307.36
MRI brain with and without contrast	CPT	70553	13	$5,038	$1,044.88	$57	$625.21	1.1×	$4,609.26
Chest X-ray single view	CPT	71045	13	$494	$102.45	$18.99	$96.23	1.0×	$451.96
Chest X-ray 2 views	CPT	71046	13	$510	$105.77	$30.85	$96.23	0.98×	$466.59
Chest X-ray 3 views	CPT	71047	13	$541	$112.2	$39.46	$96.23	1.0×	$494.96
CT chest without contrast	CPT	71250	13	$2,195	$455.24	$57	$239.39	1.1×	$2,008.2
CT chest with contrast	CPT	71260	13	$2,983	$618.67	$57	$294.07	1.0×	$2,729.14
CT chest with and without contrast	CPT	71270	13	$3,652	$757.42	$57	$359.91	1.2×	$3,341.21
MRI chest without contrast	CPT	71550	13	$2,920	$605.6	$57	$436	1.0×	$2,671.5
MRI chest with contrast	CPT	71551	13	$3,808	$789.77	$57	$863.44	1.1×	$3,483.93
MRI chest with and without contrast	CPT	71552	13	$4,726	$980.17	$57	$641.79	1.1×	$4,323.81
Lumbosacral spine X-ray	CPT	72100	13	$533	$110.54	$36.08	$116.22	1.1×	$487.64
CT cervical spine without contrast	CPT	72125	13	$2,209	$458.14	$57	$231.28	1.1×	$2,021.01
CT thoracic spine without contrast	CPT	72128	13	$2,008	$416.45	$57	$231.28	1.2×	$1,837.11
CT lumbar spine without contrast	CPT	72131	13	$2,093	$434.08	$57	$239.39	1.2×	$1,914.88
MRI cervical spine without contrast	CPT	72141	13	$2,756	$571.59	$57	$374.26	0.94×	$2,521.46
MRI thoracic spine without contrast	CPT	72146	13	$2,996	$621.37	$57	$406.85	1.1×	$2,741.04
MRI lumbar spine without contrast	CPT	72148	13	$2,854	$591.91	$57	$387.57	1.0×	$2,611.12
MRI lumbar spine with and without contrast	CPT	72149	13	$3,356	$696.03	$57	$493.7	1.1×	$3,070.4
MRI cervical spine with and without contrast	CPT	72156	13	$4,909	$1,018.12	$57	$609.2	1.1×	$4,491.24
MRI lumbar spine with contrast	CPT	72158	13	$4,859	$1,007.75	$57	$603.32	1.1×	$4,445.49
CT pelvis without contrast	CPT	72192	13	$2,020	$418.94	$57	$235.57	1.2×	$1,848.09
CT pelvis with contrast	CPT	72193	13	$2,563	$531.56	$57	$323.96	1.2×	$2,344.88
Shoulder X-ray	CPT	73030	14	$1,140	—	$12.41	$85	0.91×	$191.5
Humerus X-ray	CPT	73060	14	$519	—	$12.41	$85	0.95×	$191.5
Hand X-ray 3 views	CPT	73130	14	$1,074	—	$12.41	$85	0.91×	$191.5
MRI upper extremity joint without contrast	CPT	73221	14	$3,173	—	$12.41	$326	0.78×	$2,166
MRI upper extremity joint with and without contrast	CPT	73223	14	$4,658	—	$12.41	$436	0.71×	$2,166
Knee X-ray 1-2 views	CPT	73560	14	$1,072	—	$12.41	$85	0.91×	$191.5
Ankle X-ray 3 views	CPT	73610	14	$958	—	$12.41	$85	0.92×	$191.5
MRI lower extremity joint without contrast	CPT	73721	14	$2,458	—	$12.41	$326	0.70×	$2,166
MRI lower extremity joint with and without contrast	CPT	73723	14	$4,353	—	$12.41	$436	0.69×	$2,166
CT abdomen without contrast	CPT	74150	13	$2,001	$415	$57	$233.22	1.2×	$1,830.71
CT abdomen with contrast	CPT	74160	13	$2,990	$620.12	$57	$371.05	1.3×	$2,735.55
CT abdomen with and without contrast	CPT	74170	13	$3,739	$775.46	$57	$387.15	1.2×	$3,420.81
CT abdomen and pelvis without contrast	CPT	74176	13	$3,040	$630.49	$57	$368.2	1.0×	$2,781.29
CT abdomen and pelvis with contrast	CPT	74177	13	$3,605	$747.67	$57	$493.7	0.90×	$3,298.21
CT abdomen and pelvis with and without contrast	CPT	74178	13	$4,549	$943.46	$57	$574.99	1.00×	$4,161.88
MRI abdomen without contrast	CPT	74181	13	$3,098	$642.52	$57	$414	1.1×	$2,834.36
MRI abdomen with and without contrast	CPT	74183	13	$4,542	$942.01	$57	$612.96	1.1×	$4,155.47
Abdominal ultrasound complete	CPT	76700	13	$1,091	$226.27	$57	$169.43	1.1×	$998.15
Abdominal ultrasound limited	CPT	76705	13	$942	$195.37	$57	$130.88	0.89×	$861.83
Retroperitoneal ultrasound complete	CPT	76770	13	$994	$206.15	$57	$164.12	1.1×	$909.41
Obstetric ultrasound first trimester	CPT	76801	13	$743	$154.09	$57	$139.85	0.99×	$679.77
Obstetric ultrasound after first trimester	CPT	76805	13	$931	$193.08	$57	$169.43	1.1×	$851.77
Obstetric ultrasound with fetal anatomy	CPT	76811	14	—	—	$12.41	$226.5	0.96×	$525.7
Transvaginal ultrasound	CPT	76830	13	$1,069	$221.71	$57	$152.15	1.0×	$978.02
Pelvic ultrasound complete	CPT	76856	13	$1,138	$236.02	$57	$152.15	1.1×	$1,041.15
Scrotal ultrasound	CPT	76870	13	$908	$188.31	$57	$154.14	1.2×	$830.72
Diagnostic mammography unilateral	CPT	77065	10	$619	—	$12.41	$102.24	0.68×	$454.85
Diagnostic mammography bilateral	CPT	77066	9	$783	$162.39	$57	$171.06	0.90×	$716.36
Screening mammography bilateral	CPT	77067	9	$634	$131.49	$57	$141.87	0.90×	$580.04
EKG complete	CPT	93000	10	—	—	$12.41	$74.5	3.0×	$334
EKG tracing only	CPT	93005	13	$359	$74.45	$44.55	$214.32	1.8×	$334
EKG interpretation only	CPT	93010	10	—	—	$9.35	$59.7	3.3×	$91.49
Transthoracic echocardiogram complete	CPT	93306	13	$4,118	$854.07	$310.35	$2,059.2	3.4×	$3,767.55
Transthoracic echocardiogram	CPT	93307	13	$2,033	$421.64	$194.03	$1,016.4	4.1×	$1,859.99
Stress echocardiogram	CPT	93350	13	$2,547	$528.24	$231.24	$1,273.25	2.5×	$2,330.25
inpatient
Respiratory infections & inflammations w MCC	MS-DRG	177	13	—	$2,426	$60	$27,461	1.8×	$51,286
COPD w MCC	MS-DRG	190	13	—	$2,426	$60	$17,839	1.6×	$31,236
COPD w CC	MS-DRG	191	13	—	$2,426	$60	$13,744	1.6×	$24,544
COPD w/o CC/MCC	MS-DRG	192	13	—	$2,426	$60	$11,251	1.6×	$19,313
Simple pneumonia & pleurisy w CC	MS-DRG	194	13	—	$2,426	$60	$13,310	1.6×	$23,985
Simple pneumonia & pleurisy w/o CC/MCC	MS-DRG	195	13	—	$2,426	$60	$10,825	1.6×	$18,482
AMI discharged alive w MCC	MS-DRG	280	13	—	$2,426	$60	$25,682	1.6×	$45,197
AMI discharged alive w CC	MS-DRG	281	13	—	$2,426	$60	$14,780	1.5×	$25,906
AMI discharged alive w/o CC/MCC	MS-DRG	282	13	—	$2,426	$60	$12,606	1.6×	$20,164
Heart failure & shock w MCC	MS-DRG	291	13	—	$2,426	$60	$20,784	1.6×	$37,267
Heart failure & shock w CC	MS-DRG	292	13	—	$2,426	$60	$14,049	1.6×	$24,877
Heart failure & shock w/o CC/MCC	MS-DRG	293	13	—	$2,426	$60	$9,538.87	1.5×	$18,138
Cardiac arrhythmia w MCC	MS-DRG	308	13	—	$2,426	$60	$19,461	1.6×	$33,332
Cardiac arrhythmia w CC	MS-DRG	309	13	—	$2,426	$60	$12,852	1.7×	$20,828
Cardiac arrhythmia w/o CC/MCC	MS-DRG	310	13	—	$2,426	$60	$9,726.62	1.6×	$15,519
GI hemorrhage w CC	MS-DRG	378	13	—	$2,426	$60	$15,926	1.6×	$27,604
GI hemorrhage w/o CC/MCC	MS-DRG	379	13	—	$2,426	$60	$11,069	1.6×	$17,707
Esophagitis/gastroenteritis w/o MCC	MS-DRG	392	13	—	$2,426	$60	$12,717	1.6×	$21,245
Fractures of femur w/o MCC	MS-DRG	533	13	—	$2,426	$60	$26,409	1.7×	$40,698
Kidney/UTI w MCC	MS-DRG	689	13	—	$2,426	$60	$19,011	1.6×	$31,234
Kidney/UTI w/o MCC	MS-DRG	690	13	—	$2,426	$60	$13,062	1.6×	$22,017
Septicemia or severe sepsis w MV 96+ hrs	MS-DRG	871	13	—	$2,426	$60	$32,094	1.7×	$52,366
Septicemia or severe sepsis w/o MV 96+ hrs	MS-DRG	872	13	—	$2,426	$60	$16,672	1.6×	$28,393
Initial hospital care, low complexity	CPT	99221	10	—	—	$12.41	$88.25	0.95×	$9,781
Initial hospital care, moderate complexity	CPT	99222	11	—	—	$12.41	$3,047	18.0×	$10,382
Initial hospital care, high complexity	CPT	99223	11	—	—	$12.41	$3,047	13.5×	$10,382
Hospital discharge, <30 min	CPT	99238	11	—	—	$12.41	$3,047	35.6×	$10,382
Hospital discharge, >30 min	CPT	99239	11	—	—	$12.41	$3,047	25.1×	$10,382
lab
Basic metabolic panel (BMP)	CPT	80048	13	$164	$9.31	$3.98	$10.15	0.31×	$150.04
General health panel	CPT	80050	9	$623	$129.21	$19.11	$63.8	0.59×	$569.98
Electrolyte panel	CPT	80051	13	$133	$7.71	$3.29	$8.41	0.35×	$121.68
Comprehensive metabolic panel	CPT	80053	13	$328	$11.62	$4.96	$12.67	0.29×	$300.08
Lipid panel	CPT	80061	13	$247	$14.73	$6.29	$16.07	0.42×	$225.98
Renal function panel	CPT	80069	13	$210	$9.55	$4.08	$8.85	0.32×	$192.12
Hepatic function panel	CPT	80076	13	$180	$8.99	$3.84	$9.8	0.37×	$164.68
Urinalysis non-automated	CPT	81002	13	$43	$3.83	$1.64	$3.55	0.51×	$57
Urinalysis automated	CPT	81003	13	$77	$2.48	$1.06	$2.46	0.18×	$70.44
Glucose quantitative	CPT	82947	13	$46	$4.32	$1.85	$3.93	0.22×	$57
Hemoglobin A1c	CPT	83036	13	$115	$10.68	$4.56	$10.82	0.40×	$105.21
Thyroid stimulating hormone (TSH)	CPT	84443	13	$275	$18.48	$7.9	$20.16	0.43×	$251.59
Complete blood count with automated differential	CPT	85025	13	$146	$8.55	$3.65	$8.2	0.31×	$133.57
Complete blood count without differential	CPT	85027	13	$102	$7.12	$3.04	$7.76	0.36×	$93.31
Urine culture bacterial	CPT	87086	13	$130	$8.88	$3.79	$9.68	0.42×	$118.93
Urine culture identification	CPT	87088	13	$78	$8.9	$3.8	$8.25	0.37×	$71.36
Tissue exam by pathologist level IV	CPT	88305	13	$429	$88.97	$23.57	$60.87	0.59×	$392.49
maternity
Fetal non-stress test	CPT	59025	13	$1,064	$3,786	$64.95	$439.75	2.3×	$4,174
Routine obstetric care including vaginal delivery	CPT	59400	9	—	$3,786	$12.41	$64.95	0.03×	$4,174
Vaginal delivery only	CPT	59409	13	—	$3,786	$12.41	$401.02	0.18×	$6,914.93
Vaginal delivery with postpartum	CPT	59410	9	—	$3,786	$12.41	$64.95	0.06×	$4,174
Routine obstetric care with C-section	CPT	59510	9	—	$3,786	$12.41	$64.95	0.03×	$4,174
C-section delivery only	CPT	59514	9	—	$3,786	$12.41	$73.26	0.08×	$4,174
C-section with postpartum	CPT	59515	9	—	$3,786	$12.41	$64.95	0.05×	$7,514
office
Office visit, new patient, 15-29 min	CPT	99202	9	$391	$81.09	$42.02	$234.6	2.7×	$357.72
Office visit, new patient, 30-44 minutes	CPT	99203	9	$578	$119.87	$64.24	$346.8	2.8×	$528.81
Office visit, new patient, 45-59 min	CPT	99204	9	$697	$144.55	$86.49	$418.2	2.4×	$637.68
Office visit, new patient, 60-74 min	CPT	99205	9	$809	$167.78	$100.39	$485.4	2.2×	$740.15
Office visit, established patient, 5 min	CPT	99211	9	$305	$63.25	$16	$183	2.8×	$279.04
Office visit, established patient, 10-19 min	CPT	99212	9	$465	$96.44	$49.06	$279	3.5×	$425.42
Office visit, established patient, 20-29 minutes	CPT	99213	9	$513	$106.39	$63.66	$307.8	2.7×	$469.34
Office visit, established patient, 30-39 minutes	CPT	99214	9	$564	$116.97	$69.99	$338.4	2.2×	$516
Office visit, established patient, 40-54 min	CPT	99215	9	$665	$137.92	$82.52	$399	2.1×	$608.4
preventive
Upper GI endoscopy diagnostic	CPT	43235	13	—	$3,786	$12.41	$1,024.64	1.1×	$4,523
Upper GI endoscopy with biopsy	CPT	43239	13	—	$3,786	$12.41	$1,024.64	1.1×	$5,009
Sigmoidoscopy diagnostic	CPT	45330	13	—	$3,786	$12.41	$996.39	1.2×	$4,174
Sigmoidoscopy with biopsy	CPT	45331	13	—	$3,786	$12.41	$996.39	1.1×	$4,174
Colonoscopy diagnostic	CPT	45378	13	—	$3,786	$12.41	$996.39	1.1×	$5,009
Colonoscopy with biopsy	CPT	45380	13	—	$3,786	$12.41	$1,288.59	1.1×	$5,009
Colonoscopy with polyp removal	CPT	45385	13	—	$3,786	$12.41	$1,288.59	1.1×	$5,009
surgery
Total shoulder arthroplasty	CPT	23472	13	—	$3,786	$12.41	$20,098	4.9×	$39,995
PCI w drug-eluting stent w MCC	MS-DRG	246	3	—	—	$5,673	$49,781	1.8×	$86,872
PCI w drug-eluting stent w/o MCC	MS-DRG	247	3	—	—	$5,673	$44,213	2.4×	$55,258
Hip hemiarthroplasty	CPT	27125	9	—	$3,786	$12.41	$3,266	2.6×	$26,500
Total hip replacement	CPT	27130	13	—	$3,786	$12.41	$14,062	3.2×	$27,983
Total knee replacement	CPT	27447	13	—	$3,786	$12.41	$14,062	3.4×	$27,983
Knee revision arthroplasty single component	CPT	27486	9	—	$3,786	$12.41	$3,266	2.0×	$26,500
Knee revision arthroplasty all components	CPT	27487	9	—	$3,786	$12.41	$3,266	1.6×	$26,500
Shoulder arthroscopy with decompression	CPT	29826	9	—	$3,786	$12.41	$91.49	0.28×	$21,412
Shoulder arthroscopy with rotator cuff repair	CPT	29827	13	—	$3,786	$12.41	$7,306.5	2.2×	$21,412
Knee arthroscopy with meniscectomy	CPT	29881	13	—	$3,786	$12.41	$3,545.97	1.7×	$21,412
ACL reconstruction	CPT	29888	13	—	$3,786	$12.41	$5,845	1.7×	$21,412
Major small/large bowel procedures w MCC	MS-DRG	329	13	—	$2,426	$60	$79,828	1.9×	$134,803
Major small/large bowel procedures w CC	MS-DRG	330	13	—	$2,426	$60	$41,092	1.8×	$70,566
Major small/large bowel procedures w/o CC/MCC	MS-DRG	331	13	—	$2,426	$60	$28,702	1.7×	$47,528
CABG single arterial graft	CPT	33533	9	—	$3,786	$12.41	$78.74	0.04×	$4,174
CABG 2 arterial grafts	CPT	33534	9	—	$3,786	$12.41	$78.74	0.04×	$4,174
CABG 3 arterial grafts	CPT	33535	9	—	$3,786	$12.41	$78.74	0.03×	$4,174
CABG 4+ arterial grafts	CPT	33536	9	—	$3,786	$12.41	$78.74	0.03×	$4,174
Laparoscopic cholecystectomy w/o CDE w MCC	MS-DRG	418	13	—	$2,426	$60	$28,830	1.7×	$46,917
Laparoscopic cholecystectomy w/o CDE w CC	MS-DRG	419	13	—	$2,426	$60	$22,906	1.7×	$36,553
Laparoscopic cholecystectomy w/o CDE w/o CC/MCC	MS-DRG	420	13	—	$2,426	$60	$60,818	1.9×	$97,667
Open appendectomy	CPT	44950	13	—	$3,786	$12.41	$1,566.24	1.4×	$13,570
Laparoscopic appendectomy	CPT	44970	13	—	$3,786	$12.41	$5,168	3.3×	$12,689
Spinal fusion (non-cervical) w MCC	MS-DRG	459	3	—	—	$5,673	$149,699	3.0×	$187,095
Spinal fusion (non-cervical) w/o MCC	MS-DRG	460	3	—	—	$5,673	$84,062	2.5×	$109,301
Major joint replacement w MCC	MS-DRG	469	13	—	$2,426	$60	$56,825	1.9×	$88,073
Major joint replacement w/o MCC	MS-DRG	470	13	—	$2,426	$60	$25,986	1.4×	$40,593
Laparoscopic cholecystectomy	CPT	47562	13	—	$3,786	$12.41	$6,376.26	3.6×	$12,887
Lap cholecystectomy with cholangiography	CPT	47563	13	—	$3,786	$12.41	$6,376.26	3.4×	$12,887
Hip & femur procedures except major joint w MCC	MS-DRG	480	13	—	$2,426	$60	$51,128	1.8×	$84,059
Hip & femur procedures except major joint w CC	MS-DRG	481	13	—	$2,426	$60	$36,071	1.8×	$58,240
Hip & femur procedures except major joint w/o CC/MCC	MS-DRG	482	13	—	$2,426	$60	$27,579	1.7×	$45,769
Lap inguinal hernia repair	CPT	49650	13	—	$3,786	$12.41	$5,168	4.6×	$12,689
Total abdominal hysterectomy	CPT	58150	9	—	$3,786	$12.41	$79	0.08×	$9,184
Vaginal hysterectomy	CPT	58260	13	—	$3,786	$12.41	$5,392.48	3.0×	$12,887
Lap-assisted vaginal hysterectomy	CPT	58550	13	—	$3,786	$12.41	$6,376.26	4.3×	$12,887
Lap-assisted vaginal hysterectomy >250g	CPT	58552	13	—	$3,786	$12.41	$6,949.5	3.1×	$22,643
Lap salpingo-oophorectomy	CPT	58661	13	—	$3,786	$12.41	$6,376.26	3.1×	$12,689
OR procedure for obesity w MCC	MS-DRG	619	13	—	$2,426	$60	$24,295	0.89×	$68,836
OR procedure for obesity w CC	MS-DRG	620	13	—	$2,426	$60	$22,762	1.4×	$42,226
OR procedure for obesity w/o CC/MCC	MS-DRG	621	13	—	$2,426	$60	$22,762	1.5×	$42,226
Complex cataract surgery	CPT	66982	13	—	$3,786	$12.41	$2,492.56	1.1×	$11,459
Cataract surgery with lens implant	CPT	66984	13	—	$3,786	$12.41	$2,492.56	1.1×	$11,459
Intravitreal injection	CPT	67028	13	—	$3,786	$12.41	$362.5	1.1×	$4,174
Vitrectomy mechanical	CPT	67042	13	—	$3,786	$12.41	$4,396.5	1.7×	$12,887
Uterine & adnexa procedures w CC/MCC	MS-DRG	743	13	—	$2,426	$60	$20,839	1.7×	$31,992
Uterine & adnexa procedures w/o CC/MCC	MS-DRG	744	13	—	$2,426	$60	$33,969	1.8×	$52,150
PCI single major coronary artery	CPT	92920	14	$15,906	—	$12.41	$10,904	1.9×	$50,824
PCI with drug-eluting stent	CPT	92928	14	$24,712	—	$12.41	$13,375	1.3×	$50,824
PCI bypass graft	CPT	92937	14	$17,872	—	$12.41	$13,375	1.2×	$50,824
Left heart catheterization	CPT	93452	13	$14,112	$2,926.82	$1,751.29	$8,424.86	2.7×	$21,771
Coronary angiography with cath	CPT	93455	13	$21,408	$4,440.01	$2,656.73	$9,545	3.0×	$21,771
Coronary angiography with bypass cath	CPT	93458	13	$21,894	$4,540.81	$2,717.04	$9,545	3.1×	$21,771

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 14)

Payer	Codes covered	Median rate
amerihealth	198	$455.92
qualcare inc	198	$911.85
Blue Cross Blue Shield	198	$419.9
wellpoint	194	$620
Cigna	194	$459.51
fidelis care	194	$175.59
First Health	194	$60
Aetna	194	$390.3
UnitedHealthcare	191	$398.11
Emblem Health	164	$922.33
Humana	160	$390.3
clover health	160	$390.3
WellCare	160	$776.7
Self-Pay (Cash)	25	$20.74

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