Does Inspira Medical Center Elmer publish its standard charges and chargemaster?

Yes. Inspira Medical Center Elmer publishes a machine-readable file with 72,849 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 Inspira Medical Center Elmer charge for procedures?

Inspira Medical Center Elmer (Elmer, 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 310069

Inspira Medical Center Elmer

Elmer, NJ, 08318

301 bedsAcute Care Hospitals2

Compliance grade

100/100

Rates published

72,849

last crawl 2026-05-24

Procedures tracked

203

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://www.inspirahealthnetwork.org/sites/default/files/price_transparency/210634484_inspira-medical-center-elmer_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	17	—	—	$3,992	$13,473	1.1×	$39,939
Psychiatric diagnostic evaluation	CPT	90791	19	$976.43	$976.43	$88.8	$199.02	1.1×	$815.81
Psychiatric eval with medical services	CPT	90792	19	$976.43	$976.43	$51.79	$201.55	1.2×	$815.81
Psychotherapy 30 minutes	CPT	90832	19	$1,197.22	$1,197.22	$72.1	$191.95	1.3×	$1,000.28
Psychotherapy 45 minutes	CPT	90834	19	$1,476.9	$1,476.9	$95.4	$191.95	1.2×	$1,233.95
Psychotherapy 60 minutes	CPT	90837	19	$1,476.9	$1,476.9	$43.21	$230.36	1.2×	$1,233.95
Crisis psychotherapy 60 minutes	CPT	90839	19	$1,476.9	$1,476.9	$72.89	$230.36	1.4×	$1,233.95
emergency
ED visit level 1	CPT	99281	19	$507.74	$507.74	$92.4	$104.21	0.74×	$4,105
ED visit level 2	CPT	99282	19	$748.31	$748.31	$136.18	$182.11	0.77×	$4,105
ED visit level 3	CPT	99283	19	$1,282.85	$1,282.85	$233.45	$324.61	0.80×	$4,105
ED visit level 4	CPT	99284	19	$2,244.94	$2,244.94	$408.53	$499.2	0.75×	$4,105
ED visit level 5	CPT	99285	19	$3,875.2	$3,875.2	$684.53	$783.57	0.75×	$4,105
Critical care, first hour	CPT	99291	19	$3,829.2	$3,829.2	$696.84	$987.81	0.92×	$4,105
imaging
CT head without contrast	CPT	70450	19	$536.26	$536.26	$97.59	$127.04	0.61×	$626.17
CT head with contrast	CPT	70460	19	$1,055.86	$1,055.86	$192.15	$217.94	0.93×	$953.47
CT head with and without contrast	CPT	70470	19	$1,189.03	$1,189.03	$198.76	$245.43	0.92×	$1,070.6
CT neck with contrast	CPT	70491	19	$1,055.86	$1,055.86	$192.15	$217.94	0.80×	$1,042.45
MRI brain without contrast	CPT	70551	19	$1,249.97	$1,249.97	$227.47	$283.37	0.70×	$990
MRI brain with contrast	CPT	70552	19	$1,808.5	$1,808.5	$329.11	$418.68	0.88×	$1,329.25
MRI brain with and without contrast	CPT	70553	19	$2,090.18	$2,090.18	$380.37	$422.66	0.72×	$1,632.27
Chest X-ray single view	CPT	71045	19	$243.45	$243.45	$20.26	$98.31	1.0×	$201.54
Chest X-ray 2 views	CPT	71046	19	$309.16	$309.16	$37.25	$98.31	1.0×	$213.6
Chest X-ray 3 views	CPT	71047	19	$243.45	$243.45	$44.3	$98.31	1.0×	$201.54
CT chest without contrast	CPT	71250	19	$536.26	$536.26	$97.59	$124.67	0.58×	$437.91
CT chest with contrast	CPT	71260	19	$1,055.86	$1,055.86	$192.15	$213.49	0.76×	$4,257
CT chest with and without contrast	CPT	71270	19	$1,189.03	$1,189.03	$198.76	$240.42	0.82×	$873.94
MRI chest without contrast	CPT	71550	19	$1,249.97	$1,249.97	$227.47	$283.37	0.66×	$918.73
MRI chest with contrast	CPT	71551	15	—	—	$612.85	$882.1	1.1×	$1,808.31
MRI chest with and without contrast	CPT	71552	19	$2,090.18	$2,090.18	$380.37	$422.66	0.70×	$1,536.28
Lumbosacral spine X-ray	CPT	72100	19	$243.15	$243.15	$44.25	$118.73	1.1×	$243.4
CT cervical spine without contrast	CPT	72125	19	$536.26	$536.26	$97.59	$124.67	0.62×	$429.35
CT thoracic spine without contrast	CPT	72128	19	$536.26	$536.26	$97.59	$124.67	0.63×	$429.35
CT lumbar spine without contrast	CPT	72131	19	$536.26	$536.26	$97.59	$124.67	0.61×	$437.91
MRI cervical spine without contrast	CPT	72141	19	$1,249.97	$1,249.97	$227.47	$283.37	0.71×	$990
MRI thoracic spine without contrast	CPT	72146	19	$1,249.97	$1,249.97	$227.47	$283.37	0.76×	$990
MRI lumbar spine without contrast	CPT	72148	19	$1,249.97	$1,249.97	$227.47	$283.37	0.75×	$990
MRI lumbar spine with and without contrast	CPT	72149	19	$1,808.5	$1,808.5	$329.11	$418.68	0.92×	$1,329.25
MRI cervical spine with and without contrast	CPT	72156	19	$2,090.18	$2,090.18	$380.37	$422.66	0.78×	$1,536.28
MRI lumbar spine with contrast	CPT	72158	19	$2,090.18	$2,090.18	$380.37	$422.66	0.77×	$1,632.27
CT pelvis without contrast	CPT	72192	19	$536.26	$536.26	$97.59	$124.67	0.62×	$430.92
CT pelvis with contrast	CPT	72193	19	$1,055.86	$1,055.86	$192.15	$213.49	0.76×	$776.06
Shoulder X-ray	CPT	73030	19	$486.34	$486.34	$36.17	$98.31	1.1×	$336.01
Humerus X-ray	CPT	73060	19	$486.34	$486.34	$36.17	$98.31	1.1×	$336.01
Hand X-ray 3 views	CPT	73130	19	$486.34	$486.34	$40.96	$98.31	1.1×	$336.01
MRI upper extremity joint without contrast	CPT	73221	19	$2,499.93	$2,499.93	$227.47	$505.49	1.2×	$1,837.45
MRI upper extremity joint with and without contrast	CPT	73223	19	$2,090.18	$2,090.18	$380.37	$422.66	0.69×	$1,536.28
Knee X-ray 1-2 views	CPT	73560	19	$486.34	$486.34	$36.17	$98.31	1.1×	$336.01
Ankle X-ray 3 views	CPT	73610	19	$486.34	$486.34	$40.96	$98.31	1.1×	$336.01
MRI lower extremity joint without contrast	CPT	73721	19	$2,499.93	$2,499.93	$227.47	$505.49	1.1×	$1,837.45
MRI lower extremity joint with and without contrast	CPT	73723	19	$2,090.18	$2,090.18	$380.37	$422.66	0.67×	$1,536.28
CT abdomen without contrast	CPT	74150	19	$536.26	$536.26	$97.59	$124.67	0.66×	$4,257
CT abdomen with contrast	CPT	74160	19	$1,055.86	$1,055.86	$192.15	$213.49	0.74×	$776.06
CT abdomen with and without contrast	CPT	74170	19	$1,189.03	$1,189.03	$198.76	$240.42	0.72×	$873.94
CT abdomen and pelvis without contrast	CPT	74176	19	$1,025.28	$1,025.28	$186.58	$283.37	0.78×	$753.58
CT abdomen and pelvis with contrast	CPT	74177	19	$1,654.33	$1,654.33	$301.05	$418.68	0.76×	$1,215.93
CT abdomen and pelvis with and without contrast	CPT	74178	19	$1,654.33	$1,654.33	$301.05	$418.68	0.73×	$1,215.93
MRI abdomen without contrast	CPT	74181	19	$1,249.97	$1,249.97	$227.47	$283.37	0.73×	$990
MRI abdomen with and without contrast	CPT	74183	19	$2,090.18	$2,090.18	$380.37	$422.66	0.75×	$1,536.28
Abdominal ultrasound complete	CPT	76700	19	$570.61	$570.61	$103.84	$124.67	0.84×	$600.83
Abdominal ultrasound limited	CPT	76705	19	$570.61	$570.61	$103.84	$124.67	0.85×	$4,257
Retroperitoneal ultrasound complete	CPT	76770	19	$570.61	$570.61	$103.84	$124.67	0.87×	$566.51
Obstetric ultrasound first trimester	CPT	76801	19	$570.61	$570.61	$103.84	$124.67	0.88×	$533.92
Obstetric ultrasound after first trimester	CPT	76805	19	$570.61	$570.61	$103.84	$124.67	0.82×	$419.4
Obstetric ultrasound with fetal anatomy	CPT	76811	19	$1,201.55	$1,201.55	$197.38	$269.88	1.1×	$883.14
Transvaginal ultrasound	CPT	76830	19	$570.61	$570.61	$103.84	$124.67	0.84×	$538.12
Pelvic ultrasound complete	CPT	76856	19	$570.61	$570.61	$103.84	$124.67	0.87×	$528.9
Scrotal ultrasound	CPT	76870	19	$570.61	$570.61	$103.84	$124.67	0.95×	$419.4
Diagnostic mammography unilateral	CPT	77065	10	$954.09	$954.09	$96.1	$193.38	1.3×	$701.26
Diagnostic mammography bilateral	CPT	77066	10	$1,908.19	$1,908.19	$122.45	$385.84	2.0×	$1,402.52
Screening mammography bilateral	CPT	77067	10	$572.45	$572.45	$65.03	$118.16	0.75×	$420.75
EKG complete	CPT	93000	3	—	—	$148.5	$148.5	6.1×	$196.24
EKG tracing only	CPT	93005	19	$461.85	$461.85	$66.32	$93.39	0.79×	$339.46
EKG interpretation only	CPT	93010	1	—	—	$12.27	$12.27	0.68×	$12.27
Transthoracic echocardiogram complete	CPT	93306	19	$5,580.78	$5,580.78	$612.18	$1,128.43	1.9×	$4,101.87
Transthoracic echocardiogram	CPT	93307	15	—	—	$269.88	$277.98	1.1×	$2,023
Stress echocardiogram	CPT	93350	19	$2,772.39	$2,772.39	$504.52	$642.79	1.3×	$2,813
inpatient
Intracranial hemorrhage/CVA w MCC	MS-DRG	064	17	—	—	$11,239	$21,094	1.0×	$63,826
Intracranial hemorrhage/CVA w CC	MS-DRG	065	17	—	—	$5,974	$10,215	0.95×	$33,927
Intracranial hemorrhage/CVA w/o CC/MCC	MS-DRG	066	17	—	—	$4,168	$6,671.48	0.87×	$23,669
Respiratory infections & inflammations w MCC	MS-DRG	177	17	—	—	$10,830	$16,220	1.1×	$61,505
COPD w MCC	MS-DRG	190	17	—	—	$6,590	$11,273	1.0×	$37,423
COPD w CC	MS-DRG	191	17	—	—	$5,179	$8,395.71	0.95×	$29,414
COPD w/o CC/MCC	MS-DRG	192	17	—	—	$4,074	$6,210.53	0.89×	$23,137
Simple pneumonia & pleurisy w CC	MS-DRG	194	17	—	—	$5,060	$7,992.37	0.94×	$28,735
Simple pneumonia & pleurisy w/o CC/MCC	MS-DRG	195	17	—	—	$3,900	$6,063.76	0.91×	$22,146
AMI discharged alive w MCC	MS-DRG	280	17	—	—	$9,412	$16,670	1.1×	$53,449
AMI discharged alive w CC	MS-DRG	281	17	—	—	$5,450	$9,223.03	0.95×	$30,954
AMI discharged alive w/o CC/MCC	MS-DRG	282	17	—	—	$4,253	$7,092.22	0.91×	$24,152
Heart failure & shock w MCC	MS-DRG	291	17	—	—	$7,428	$13,188	1.0×	$42,186
Heart failure & shock w CC	MS-DRG	292	17	—	—	$5,057	$8,460.95	0.95×	$28,722
Heart failure & shock w/o CC/MCC	MS-DRG	293	17	—	—	$3,455	$5,384.29	0.87×	$19,621
Cardiac arrhythmia w MCC	MS-DRG	308	17	—	—	$7,034	$12,320	1.0×	$39,944
Cardiac arrhythmia w CC	MS-DRG	309	17	—	—	$4,396	$7,229.2	0.93×	$24,963
Cardiac arrhythmia w/o CC/MCC	MS-DRG	310	17	—	—	$3,275	$5,385.36	0.87×	$18,600
GI hemorrhage w CC	MS-DRG	378	17	—	—	$5,819	$9,892.73	0.99×	$33,046
GI hemorrhage w/o CC/MCC	MS-DRG	379	17	—	—	$3,732	$6,084.41	0.89×	$21,195
Esophagitis/gastroenteritis w/o MCC	MS-DRG	392	17	—	—	$4,485	$7,706.45	0.96×	$25,472
Fractures of femur w/o MCC	MS-DRG	533	17	—	—	$8,295	$16,274	1.1×	$47,106
Kidney/UTI w MCC	MS-DRG	689	17	—	—	$6,526	$11,845	1.0×	$37,061
Kidney/UTI w/o MCC	MS-DRG	690	17	—	—	$4,650	$8,031.52	0.97×	$26,410
Septicemia or severe sepsis w MV 96+ hrs	MS-DRG	871	17	—	—	$10,965	$20,349	1.1×	$62,273
Septicemia or severe sepsis w/o MV 96+ hrs	MS-DRG	872	17	—	—	$6,011	$10,356	1.00×	$34,137
Initial hospital care, low complexity	CPT	99221	1	—	—	$110	$110	1.2×	$110
Initial hospital care, moderate complexity	CPT	99222	1	—	—	$110	$110	0.65×	$110
Initial hospital care, high complexity	CPT	99223	1	—	—	$110	$110	0.49×	$110
Hospital discharge, <30 min	CPT	99238	1	—	—	$41.5	$41.5	0.48×	$41.5
Hospital discharge, >30 min	CPT	99239	1	—	—	$60.01	$60.01	0.49×	$60.01
lab
Basic metabolic panel (BMP)	CPT	80048	19	$28.63	$28.63	$5.79	$8.71	0.27×	$38.91
General health panel	CPT	80050	10	$447.05	$447.05	$38.88	$90.39	0.84×	$183.02
Electrolyte panel	CPT	80051	19	$17.89	$17.89	$3.62	$7.01	0.29×	$32.26
Comprehensive metabolic panel	CPT	80053	19	$32.37	$32.37	$6.55	$10.88	0.24×	$48.6
Lipid panel	CPT	80061	19	$45.35	$45.35	$9.17	$13.79	0.36×	$61.6
Renal function panel	CPT	80069	19	$29.45	$29.45	$5.95	$8.94	0.33×	$39.9
Hepatic function panel	CPT	80076	19	$27.7	$27.7	$5.6	$8.17	0.31×	$37.56
Urinalysis non-automated	CPT	81002	16	—	—	$1.08	$3.48	0.50×	$11.75
Urinalysis automated	CPT	81003	19	$7.59	$7.59	$1.53	$2.25	0.16×	$10.34
Glucose quantitative	CPT	82947	19	$13.3	$13.3	$2.69	$3.93	0.22×	$18.04
Hemoglobin A1c	CPT	83036	19	$32.86	$32.86	$6.64	$9.71	0.36×	$44.62
Thyroid stimulating hormone (TSH)	CPT	84443	19	$56.92	$56.92	$11.51	$17.3	0.37×	$77.23
Complete blood count with automated differential	CPT	85025	19	$26.34	$26.34	$5.33	$7.77	0.29×	$35.76
Complete blood count without differential	CPT	85027	19	$21.94	$21.94	$4.44	$6.47	0.30×	$29.76
Urine culture bacterial	CPT	87086	19	$27.33	$27.33	$5.53	$8.07	0.35×	$37.14
Urine culture identification	CPT	87088	19	$27.42	$27.42	$2.92	$8.09	0.36×	$37.24
Tissue exam by pathologist level IV	CPT	88305	19	$154.9	$154.9	$31.32	$59.65	0.58×	$159.94
maternity
Fetal non-stress test	CPT	59025	19	$1,395.32	$1,395.32	$224.61	$282.13	1.5×	$1,165.79
Routine obstetric care including vaginal delivery	CPT	59400	1	—	—	$1,137.3	$1,137.3	0.50×	$1,137.3
Vaginal delivery only	CPT	59409	19	$10,394	$10,394	$932.07	$3,549.95	1.6×	$7,277.4
Vaginal delivery with postpartum	CPT	59410	2	—	—	$889.46	$3,880.73	3.7×	$6,872
Routine obstetric care with C-section	CPT	59510	1	—	—	$1,333.54	$1,333.54	0.53×	$1,333.54
C-section delivery only	CPT	59514	1	—	—	$958.9	$958.9	1.0×	$958.9
C-section with postpartum	CPT	59515	2	—	—	$1,061.64	$6,967.82	5.5×	$12,874
office
Office visit, new patient, 15-29 min	CPT	99202	1	—	—	$42.02	$52.85	0.61×	$92.13
Office visit, new patient, 30-44 minutes	CPT	99203	1	—	—	$64.24	$97.13	0.79×	$130.01
Office visit, new patient, 45-59 min	CPT	99204	1	—	—	$95.55	$146.5	0.84×	$197.44
Office visit, new patient, 60-74 min	CPT	99205	1	—	—	$126.02	$187.54	0.85×	$249.05
Office visit, established patient, 5 min	CPT	99211	10	$360.91	$360.91	$16	$156.53	2.4×	$1,239
Office visit, established patient, 10-19 min	CPT	99212	10	$421.18	$421.18	$47.85	$278.4	3.5×	$3,867
Office visit, established patient, 20-29 minutes	CPT	99213	10	$449.1	$449.1	$51.02	$100.56	0.88×	$1,239
Office visit, established patient, 30-39 minutes	CPT	99214	10	$673.67	$673.67	$76.53	$142.43	0.93×	$1,239
Office visit, established patient, 40-54 min	CPT	99215	1	—	—	$161.06	$175.79	0.93×	$198.34
preventive
Upper GI endoscopy diagnostic	CPT	43235	19	$2,727.68	$2,727.68	$336.73	$1,078.19	1.2×	$4,105
Upper GI endoscopy with biopsy	CPT	43239	13	—	—	$447.25	$1,046.79	1.1×	$8,155
Sigmoidoscopy diagnostic	CPT	45330	13	—	—	$105.93	$1,017.92	1.2×	$6,872
Sigmoidoscopy with biopsy	CPT	45331	13	—	—	$120.42	$1,017.92	1.1×	$6,872
Colonoscopy diagnostic	CPT	45378	13	—	—	$370.4	$1,017.92	1.2×	$8,155
Colonoscopy with biopsy	CPT	45380	13	—	—	$446.45	$1,316.44	1.1×	$8,155
Colonoscopy with polyp removal	CPT	45385	13	—	—	$604.33	$1,316.44	1.1×	$8,155
surgery
Total shoulder arthroplasty	CPT	23472	12	—	—	$12,874	$20,532	5.0×	$42,092
PCI w drug-eluting stent w MCC	MS-DRG	246	3	—	—	$18,299	$92,413	3.3×	$103,920
PCI w drug-eluting stent w/o MCC	MS-DRG	247	3	—	—	$11,557	$58,768	3.2×	$65,633
Hip hemiarthroplasty	CPT	27125	2	—	—	$1,077.09	$7,231.05	5.8×	$13,385
Total hip replacement	CPT	27130	13	—	—	$1,884.35	$14,366	3.3×	$29,450
Total knee replacement	CPT	27447	13	—	—	$1,465.18	$14,366	3.4×	$29,450
Knee revision arthroplasty single component	CPT	27486	2	—	—	$1,616.75	$7,500.88	4.5×	$13,385
Knee revision arthroplasty all components	CPT	27487	2	—	—	$1,696.63	$7,540.82	3.8×	$13,385
Shoulder arthroscopy with decompression	CPT	29826	2	—	—	$668.35	$5,938.18	18.2×	$11,208
Shoulder arthroscopy with rotator cuff repair	CPT	29827	13	—	—	$992.35	$7,975.97	2.4×	$16,351
Knee arthroscopy with meniscectomy	CPT	29881	13	—	—	$633.32	$3,622.61	1.8×	$13,320
ACL reconstruction	CPT	29888	13	—	—	$976.61	$7,975.97	2.4×	$16,351
Major small/large bowel procedures w MCC	MS-DRG	329	17	—	—	$28,618	$49,202	1.1×	$162,525
Major small/large bowel procedures w CC	MS-DRG	330	17	—	—	$14,931	$25,292	1.1×	$84,795
Major small/large bowel procedures w/o CC/MCC	MS-DRG	331	17	—	—	$10,018	$17,527	1.1×	$56,895
CABG single arterial graft	CPT	33533	1	—	—	$2,285.75	$2,285.75	1.2×	$2,285.75
CABG 2 arterial grafts	CPT	33534	1	—	—	$2,921.3	$2,921.3	1.4×	$2,921.3
CABG 3 arterial grafts	CPT	33535	1	—	—	$3,478.8	$3,478.8	1.5×	$3,478.8
CABG 4+ arterial grafts	CPT	33536	1	—	—	$3,478.8	$3,478.8	1.4×	$3,478.8
Laparoscopic cholecystectomy w/o CDE w MCC	MS-DRG	418	17	—	—	$9,892	$17,621	1.1×	$56,180
Laparoscopic cholecystectomy w/o CDE w CC	MS-DRG	419	17	—	—	$7,704	$14,079	1.0×	$43,750
Laparoscopic cholecystectomy w/o CDE w/o CC/MCC	MS-DRG	420	17	—	—	$20,596	$36,271	1.1×	$116,966
Open appendectomy	CPT	44950	13	—	—	$568.63	$6,966.68	6.1×	$14,282
Laparoscopic appendectomy	CPT	44970	13	—	—	$507.79	$6,514.06	4.2×	$13,354
Spinal fusion (non-cervical) w MCC	MS-DRG	459	3	—	—	$39,438	$201,470	4.1×	$223,970
Spinal fusion (non-cervical) w/o MCC	MS-DRG	460	3	—	—	$23,022	$116,132	3.5×	$130,743
Major joint replacement w MCC	MS-DRG	469	17	—	—	$18,074	$32,207	1.1×	$102,643
Major joint replacement w/o MCC	MS-DRG	470	17	—	—	$11,130	$20,201	1.1×	$63,208
Laparoscopic cholecystectomy	CPT	47562	12	—	—	$6,514.06	$6,514.06	3.7×	$13,354
Lap cholecystectomy with cholangiography	CPT	47563	12	—	—	$6,514.06	$6,514.06	3.5×	$13,354
Hip & femur procedures except major joint w MCC	MS-DRG	480	17	—	—	$17,722	$30,892	1.1×	$100,644
Hip & femur procedures except major joint w CC	MS-DRG	481	17	—	—	$12,277	$22,001	1.1×	$69,720
Hip & femur procedures except major joint w/o CC/MCC	MS-DRG	482	17	—	—	$9,639	$16,962	1.1×	$54,743
Open umbilical hernia repair	CPT	49560	1	—	—	$614.65	$614.65	0.32×	$614.65
Umbilical hernia repair age 5+	CPT	49585	1	—	—	$405.86	$405.86	0.31×	$405.86
Lap inguinal hernia repair	CPT	49650	13	—	—	$405.86	$6,514.06	5.8×	$13,354
Total abdominal hysterectomy	CPT	58150	2	—	—	$814.4	$7,270.7	7.5×	$13,727
Vaginal hysterectomy	CPT	58260	13	—	—	$777.16	$5,511.55	3.0×	$12,874
Lap-assisted vaginal hysterectomy	CPT	58550	13	—	—	$848.78	$6,514.06	4.4×	$13,385
Lap-assisted vaginal hysterectomy >250g	CPT	58552	13	—	—	$795.11	$11,624	5.2×	$23,829
Lap salpingo-oophorectomy	CPT	58661	13	—	—	$638.58	$6,514.06	3.2×	$13,354
OR procedure for obesity w MCC	MS-DRG	619	17	—	—	$17,932	$30,621	1.1×	$101,838
OR procedure for obesity w CC	MS-DRG	620	17	—	—	$10,324	$16,629	1.0×	$58,631
OR procedure for obesity w/o CC/MCC	MS-DRG	621	17	—	—	$9,354	$15,630	1.0×	$53,123
Complex cataract surgery	CPT	66982	13	—	—	$1,494.1	$2,546.44	1.1×	$12,874
Cataract surgery with lens implant	CPT	66984	13	—	—	$1,143.99	$2,546.44	1.2×	$12,874
Intravitreal injection	CPT	67028	13	—	—	$178.4	$370.33	1.1×	$6,872
Vitrectomy mechanical	CPT	67042	12	—	—	$4,491.52	$4,491.52	1.8×	$12,874
Uterine & adnexa procedures w CC/MCC	MS-DRG	743	17	—	—	$6,635	$12,719	1.0×	$37,679
Uterine & adnexa procedures w/o CC/MCC	MS-DRG	744	17	—	—	$10,516	$21,508	1.1×	$59,719
PCI single major coronary artery	CPT	92920	19	$28,748	$28,748	$3,378	$6,684.04	1.2×	$158,133
PCI with drug-eluting stent	CPT	92928	19	$55,474	$55,474	$3,378	$12,662	1.3×	$158,133
PCI bypass graft	CPT	92937	19	$55,474	$55,474	$3,378	$12,662	1.2×	$158,133
Left heart catheterization	CPT	93452	19	$17,050	$17,050	$3,102.8	$3,770.68	1.2×	$158,133
Coronary angiography with cath	CPT	93455	19	$17,050	$17,050	$3,102.8	$3,770.68	1.2×	$158,133
Coronary angiography with bypass cath	CPT	93458	19	$17,050	$17,050	$3,102.8	$3,770.68	1.2×	$158,133

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 19)

Payer	Codes covered	Median rate
horizon nj health	199	$519.2
Aetna	178	$505.49
braven health	171	$398.74
UnitedHealthcare	171	$380.37
wellpoint full dual advantage	163	$398.74
Ambetter	163	$817.42
horizon nj total care	163	$398.74
Humana	163	$418.68
jefferson health plan	163	$426.65
Medicare	163	$398.74
WellCare	163	$398.74
clover health	163	$398.74
healthspring	163	$410.7
Blue Cross Blue Shield	151	$1,381.61
amerihealth	151	$1,000.28
oxford health plans	144	$1,175.53
Cigna	143	$740.4
fidelis care of nj	100	$151.31
wellpoint	100	$154.46

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