▸ Hospital · NJ · CCN 310074
Jersey City Medical Center
355 GRAND STREET, JERSEY CITY, NJ, 07302-4321
310 bedsAcute Care Hospitals2
Compliance grade
A
100/100
Procedures tracked
198
of 209 target codes
Payers
14
with negotiated rates
Rates published
27,919
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 | — | $5,589 | $60 | $8,049.6 | $32,476 |
| Psychiatric diagnostic evaluation | CPT | 90791 | 12 | $858 | $178.29 | $189.21 | $456.46 | $778.8 |
| Psychiatric eval with medical services | CPT | 90792 | 12 | $965 | $200.52 | $189.21 | $518.2 | $875.93 |
| Psychotherapy 30 minutes | CPT | 90832 | 12 | $461 | $95.79 | $88.66 | $254.86 | $418.44 |
| Psychotherapy 45 minutes | CPT | 90834 | 12 | $518 | $107.64 | $100.17 | $286.37 | $470.18 |
| Psychotherapy 60 minutes | CPT | 90837 | 12 | $567 | $117.82 | $90.26 | $313.46 | $514.66 |
| Crisis psychotherapy 60 minutes | CPT | 90839 | 12 | $667 | $138.6 | $92.82 | $360.47 | $605.43 |
| emergency | ||||||||
| ED visit level 1 | CPT | 99281 | 13 | $1,052 | $218.6 | $7.37 | $476 | $1,964 |
| ED visit level 2 | CPT | 99282 | 13 | $1,427 | $296.53 | $26.86 | $481.05 | $1,964 |
| ED visit level 3 | CPT | 99283 | 13 | $2,261 | $469.83 | $47.51 | $1,261 | $3,030 |
| ED visit level 4 | CPT | 99284 | 13 | $3,099 | $643.97 | $80.8 | $1,389.5 | $3,030 |
| ED visit level 5 | CPT | 99285 | 13 | $4,357 | $905.38 | $117 | $1,414.41 | $3,954.84 |
| Critical care, first hour | CPT | 99291 | 13 | $5,566 | $1,156.61 | $186.69 | $1,666.74 | $5,052.25 |
| imaging | ||||||||
| CT head without contrast | CPT | 70450 | 13 | $2,085 | $433.26 | $72.88 | $243.58 | $1,892.55 |
| CT head with contrast | CPT | 70460 | 13 | $2,305 | $478.97 | $102.01 | $291.96 | $2,092.24 |
| CT head with and without contrast | CPT | 70470 | 13 | $2,934 | $609.68 | $119.53 | $316.01 | $2,663.19 |
| CT neck with contrast | CPT | 70491 | 13 | $3,005 | $624.43 | $126.87 | $331.4 | $2,727.63 |
| MRI brain without contrast | CPT | 70551 | 13 | $3,279 | $681.37 | $135.37 | $488.43 | $3,317 |
| MRI brain with contrast | CPT | 70552 | 13 | $3,615 | $751.19 | $186.95 | $603.32 | $3,317 |
| MRI brain with and without contrast | CPT | 70553 | 13 | $5,038 | $1,046.89 | $219.86 | $701.21 | $4,572.99 |
| Chest X-ray single view | CPT | 71045 | 13 | $494 | $102.65 | $17.24 | $103.69 | $448.4 |
| Chest X-ray 2 views | CPT | 71046 | 13 | $510 | $105.97 | $22.64 | $111.09 | $462.92 |
| Chest X-ray 3 views | CPT | 71047 | 13 | $541 | $112.41 | $28.47 | $111.09 | $491.06 |
| CT chest without contrast | CPT | 71250 | 13 | $2,195 | $456.12 | $91.4 | $244.3 | $1,992.4 |
| CT chest with contrast | CPT | 71260 | 13 | $2,983 | $619.86 | $115.13 | $311.46 | $2,707.66 |
| CT chest with and without contrast | CPT | 71270 | 13 | $3,652 | $758.88 | $135.45 | $381.23 | $3,314.92 |
| MRI chest without contrast | CPT | 71550 | 13 | $2,920 | $606.77 | $206.45 | $553.66 | $3,317 |
| MRI chest with contrast | CPT | 71551 | 13 | $3,808 | $791.3 | $259.45 | $970.37 | $3,456.52 |
| MRI chest with and without contrast | CPT | 71552 | 13 | $4,726 | $982.06 | $322.98 | $818.03 | $4,289.79 |
| Lumbosacral spine X-ray | CPT | 72100 | 13 | $533 | $110.75 | $26.94 | $126.48 | $483.8 |
| CT cervical spine without contrast | CPT | 72125 | 13 | $2,209 | $459.03 | $89.47 | $243.58 | $2,005.1 |
| CT thoracic spine without contrast | CPT | 72128 | 13 | $2,008 | $417.26 | $89.25 | $243.58 | $1,822.66 |
| CT lumbar spine without contrast | CPT | 72131 | 13 | $2,093 | $434.92 | $88.8 | $244.3 | $1,899.81 |
| MRI cervical spine without contrast | CPT | 72141 | 13 | $2,756 | $572.69 | $131.5 | $488.43 | $3,317 |
| MRI thoracic spine without contrast | CPT | 72146 | 13 | $2,996 | $622.56 | $131.27 | $488.43 | $3,317 |
| MRI lumbar spine without contrast | CPT | 72148 | 13 | $2,854 | $593.06 | $131.96 | $488.43 | $3,317 |
| MRI lumbar spine with and without contrast | CPT | 72149 | 13 | $3,356 | $697.37 | $187.16 | $603.32 | $3,317 |
| MRI cervical spine with and without contrast | CPT | 72156 | 13 | $4,909 | $1,020.09 | $220.99 | $694.69 | $4,455.89 |
| MRI lumbar spine with contrast | CPT | 72158 | 13 | $4,859 | $1,009.7 | $220.55 | $701.21 | $4,410.51 |
| CT pelvis without contrast | CPT | 72192 | 13 | $2,020 | $419.75 | $91.38 | $243.58 | $1,833.55 |
| CT pelvis with contrast | CPT | 72193 | 13 | $2,563 | $532.59 | $156.91 | $407.77 | $2,326.43 |
| Shoulder X-ray | CPT | 73030 | 14 | $1,140 | — | $20.78 | $83.82 | $206.34 |
| Humerus X-ray | CPT | 73060 | 14 | $519 | — | $20.78 | $83.82 | $206.34 |
| Hand X-ray 3 views | CPT | 73130 | 14 | $1,074 | — | $20.78 | $83.82 | $206.34 |
| MRI upper extremity joint without contrast | CPT | 73221 | 14 | $3,173 | — | $20.78 | $326 | $3,317 |
| MRI upper extremity joint with and without contrast | CPT | 73223 | 14 | $4,658 | — | $20.78 | $436 | $3,317 |
| Knee X-ray 1-2 views | CPT | 73560 | 14 | $1,072 | — | $20.78 | $83.82 | $206.34 |
| Ankle X-ray 3 views | CPT | 73610 | 14 | $958 | — | $20.78 | $83.82 | $206.34 |
| MRI lower extremity joint without contrast | CPT | 73721 | 14 | $2,458 | — | $20.78 | $326 | $3,317 |
| MRI lower extremity joint with and without contrast | CPT | 73723 | 14 | $4,353 | — | $20.78 | $436 | $3,317 |
| CT abdomen without contrast | CPT | 74150 | 13 | $2,001 | $415.8 | $93.75 | $243.58 | $1,816.3 |
| CT abdomen with contrast | CPT | 74160 | 13 | $2,990 | $621.32 | $160.39 | $407.77 | $2,714.02 |
| CT abdomen with and without contrast | CPT | 74170 | 13 | $3,739 | $776.96 | $164.09 | $407.77 | $3,393.89 |
| CT abdomen and pelvis without contrast | CPT | 74176 | 13 | $3,040 | $631.71 | $125.47 | $368.2 | $2,759.4 |
| CT abdomen and pelvis with contrast | CPT | 74177 | 13 | $3,605 | $749.11 | $209.62 | $598.7 | $3,272.25 |
| CT abdomen and pelvis with and without contrast | CPT | 74178 | 13 | $4,549 | $945.28 | $221 | $603.32 | $4,129.12 |
| MRI abdomen without contrast | CPT | 74181 | 13 | $3,098 | $643.76 | $135.15 | $488.43 | $3,317 |
| MRI abdomen with and without contrast | CPT | 74183 | 13 | $4,542 | $943.82 | $233.84 | $724.21 | $4,122.77 |
| Abdominal ultrasound complete | CPT | 76700 | 13 | $1,091 | $226.7 | $78.14 | $173.26 | $990.3 |
| Abdominal ultrasound limited | CPT | 76705 | 13 | $942 | $195.74 | $58.46 | $143.22 | $855.05 |
| Retroperitoneal ultrasound complete | CPT | 76770 | 13 | $994 | $206.55 | $72.8 | $170.61 | $902.25 |
| Obstetric ultrasound first trimester | CPT | 76801 | 13 | $743 | $154.39 | $78.59 | $143.22 | $674.42 |
| Obstetric ultrasound after first trimester | CPT | 76805 | 13 | $931 | $193.46 | $91.08 | $173.26 | $845.06 |
| Obstetric ultrasound with fetal anatomy | CPT | 76811 | 13 | $923 | $191.79 | $118.26 | $284.66 | $837.8 |
| Transvaginal ultrasound | CPT | 76830 | 13 | $1,069 | $222.13 | $80.35 | $152.15 | $970.33 |
| Pelvic ultrasound complete | CPT | 76856 | 13 | $1,138 | $236.47 | $70.82 | $152.15 | $1,032.96 |
| Scrotal ultrasound | CPT | 76870 | 13 | $908 | $188.68 | $67.25 | $154.14 | $824.19 |
| Diagnostic mammography unilateral | CPT | 77065 | 10 | $619 | — | $20.78 | $102.24 | $454.85 |
| Diagnostic mammography bilateral | CPT | 77066 | 9 | $783 | $162.7 | $106.72 | $215.95 | $710.72 |
| Screening mammography bilateral | CPT | 77067 | 9 | $634 | $131.74 | $83.91 | $174.85 | $575.48 |
| EKG complete | CPT | 93000 | 10 | — | — | $9.53 | $60.43 | $334 |
| EKG tracing only | CPT | 93005 | 13 | $359 | $74.6 | $4.32 | $192.78 | $334 |
| EKG interpretation only | CPT | 93010 | 10 | — | — | $5.21 | $53.7 | $90.77 |
| Transthoracic echocardiogram complete | CPT | 93306 | 13 | $4,118 | $855.72 | $131.76 | $1,284.96 | $3,737.9 |
| Transthoracic echocardiogram | CPT | 93307 | 13 | $2,033 | $422.45 | $91.62 | $846 | $1,845.35 |
| Stress echocardiogram | CPT | 93350 | 13 | $2,547 | $529.26 | $124.28 | $1,231.34 | $2,311.91 |
| inpatient | ||||||||
| Respiratory infections & inflammations w MCC | MS-DRG | 177 | 13 | — | $5,589 | $60 | $27,912 | $48,768 |
| COPD w MCC | MS-DRG | 190 | 13 | — | $5,589 | $60 | $19,527 | $33,880 |
| COPD w CC | MS-DRG | 191 | 13 | — | $5,589 | $60 | $15,690 | $25,918 |
| COPD w/o CC/MCC | MS-DRG | 192 | 13 | — | $5,589 | $60 | $11,820 | $19,525 |
| Simple pneumonia & pleurisy w CC | MS-DRG | 194 | 13 | — | $5,589 | $60 | $14,976 | $24,739 |
| Simple pneumonia & pleurisy w/o CC/MCC | MS-DRG | 195 | 13 | — | $5,589 | $60 | $11,373 | $18,786 |
| AMI discharged alive w MCC | MS-DRG | 280 | 13 | — | $5,589 | $60 | $27,915 | $49,519 |
| AMI discharged alive w CC | MS-DRG | 281 | 13 | — | $5,589 | $60 | $16,835 | $27,810 |
| AMI discharged alive w/o CC/MCC | MS-DRG | 282 | 13 | — | $5,589 | $60 | $13,243 | $21,876 |
| Heart failure & shock w MCC | MS-DRG | 291 | 13 | — | $5,589 | $60 | $22,190 | $39,365 |
| Heart failure & shock w CC | MS-DRG | 292 | 13 | — | $5,589 | $60 | $15,729 | $25,982 |
| Heart failure & shock w/o CC/MCC | MS-DRG | 293 | 13 | — | $5,589 | $60 | $10,021 | $19,215 |
| Cardiac arrhythmia w MCC | MS-DRG | 308 | 13 | — | $5,589 | $60 | $20,578 | $36,381 |
| Cardiac arrhythmia w CC | MS-DRG | 309 | 13 | — | $5,589 | $60 | $13,502 | $22,304 |
| Cardiac arrhythmia w/o CC/MCC | MS-DRG | 310 | 13 | — | $5,589 | $60 | $10,218 | $19,215 |
| GI hemorrhage w CC | MS-DRG | 378 | 13 | — | $5,589 | $60 | $18,006 | $29,744 |
| GI hemorrhage w/o CC/MCC | MS-DRG | 379 | 13 | — | $5,589 | $60 | $11,628 | $19,209 |
| Esophagitis/gastroenteritis w/o MCC | MS-DRG | 392 | 13 | — | $5,589 | $60 | $14,251 | $23,541 |
| Fractures of femur w/o MCC | MS-DRG | 533 | 13 | — | $5,589 | $60 | $26,573 | $46,005 |
| Kidney/UTI w MCC | MS-DRG | 689 | 13 | — | $5,589 | $60 | $19,957 | $35,307 |
| Kidney/UTI w/o MCC | MS-DRG | 690 | 13 | — | $5,589 | $60 | $14,658 | $24,214 |
| Septicemia or severe sepsis w MV 96+ hrs | MS-DRG | 871 | 13 | — | $5,589 | $60 | $33,368 | $59,194 |
| Septicemia or severe sepsis w/o MV 96+ hrs | MS-DRG | 872 | 13 | — | $5,589 | $60 | $18,690 | $31,104 |
| Initial hospital care, low complexity | CPT | 99221 | 10 | — | — | $20.78 | $77.5 | $10,257 |
| Initial hospital care, moderate complexity | CPT | 99222 | 11 | — | — | $20.78 | $3,218 | $10,257 |
| Initial hospital care, high complexity | CPT | 99223 | 11 | — | — | $20.78 | $3,218 | $10,257 |
| Hospital discharge, <30 min | CPT | 99238 | 11 | — | — | $20.78 | $3,218 | $10,257 |
| Hospital discharge, >30 min | CPT | 99239 | 11 | — | — | $20.78 | $3,218 | $10,257 |
| lab | ||||||||
| Basic metabolic panel (BMP) | CPT | 80048 | 13 | $164 | $9.31 | $3.98 | $8.79 | $148.86 |
| General health panel | CPT | 80050 | 10 | — | — | $19.11 | $53.26 | $161.56 |
| Electrolyte panel | CPT | 80051 | 13 | $133 | $7.71 | $3.29 | $7.28 | $120.72 |
| Comprehensive metabolic panel | CPT | 80053 | 13 | $328 | $11.62 | $4.96 | $10.96 | $297.72 |
| Lipid panel | CPT | 80061 | 13 | $247 | $14.73 | $6.29 | $13.9 | $224.2 |
| Renal function panel | CPT | 80069 | 13 | $210 | $9.55 | $4.08 | $8.77 | $190.61 |
| Hepatic function panel | CPT | 80076 | 13 | $180 | $8.99 | $3.84 | $8.48 | $163.38 |
| Urinalysis non-automated | CPT | 81002 | 13 | $43 | $3.83 | $1.64 | $3.52 | $39.03 |
| Urinalysis automated | CPT | 81003 | 13 | $77 | $2.48 | $1.06 | $2.34 | $69.89 |
| Glucose quantitative | CPT | 82947 | 13 | $46 | $4.32 | $1.85 | $3.93 | $41.75 |
| Hemoglobin A1c | CPT | 83036 | 13 | $115 | $10.68 | $4.56 | $10.08 | $104.38 |
| Thyroid stimulating hormone (TSH) | CPT | 84443 | 13 | $275 | $18.48 | $7.9 | $17.44 | $249.61 |
| Complete blood count with automated differential | CPT | 85025 | 13 | $146 | $8.55 | $3.65 | $8.07 | $132.52 |
| Complete blood count without differential | CPT | 85027 | 13 | $102 | $7.12 | $3.04 | $6.72 | $92.58 |
| Urine culture bacterial | CPT | 87086 | 13 | $130 | $8.88 | $3.79 | $8.38 | $118 |
| Urine culture identification | CPT | 87088 | 13 | $78 | $8.9 | $3.8 | $8.17 | $70.8 |
| Tissue exam by pathologist level IV | CPT | 88305 | 13 | $429 | $89.14 | $23.57 | $64.89 | $389.4 |
| maternity | ||||||||
| Fetal non-stress test | CPT | 59025 | 13 | $1,064 | $5,339 | $32.8 | $459.07 | $4,174 |
| Routine obstetric care including vaginal delivery | CPT | 59400 | 9 | — | $5,339 | $27.58 | $60 | $4,174 |
| Vaginal delivery only | CPT | 59409 | 13 | — | $5,339 | $27.58 | $421.56 | $7,451.38 |
| Vaginal delivery with postpartum | CPT | 59410 | 9 | — | $5,339 | $27.58 | $54.19 | $4,174 |
| Routine obstetric care with C-section | CPT | 59510 | 9 | — | $5,339 | $27.58 | $60 | $4,174 |
| C-section delivery only | CPT | 59514 | 9 | — | $5,339 | $27.58 | $54.19 | $4,174 |
| C-section with postpartum | CPT | 59515 | 9 | — | $5,339 | $27.58 | $60 | $7,514 |
| office | ||||||||
| Office visit, new patient, 15-29 min | CPT | 99202 | 9 | $391 | $81.24 | $42.02 | $211.88 | $354.91 |
| Office visit, new patient, 30-44 minutes | CPT | 99203 | 9 | $578 | $120.1 | $64.24 | $313.21 | $524.65 |
| Office visit, new patient, 45-59 min | CPT | 99204 | 9 | $697 | $144.83 | $95.55 | $377.7 | $632.66 |
| Office visit, new patient, 60-74 min | CPT | 99205 | 9 | $809 | $168.11 | $126.02 | $438.39 | $734.32 |
| Office visit, established patient, 5 min | CPT | 99211 | 9 | $305 | $63.37 | $15.66 | $165.27 | $276.84 |
| Office visit, established patient, 10-19 min | CPT | 99212 | 9 | $465 | $96.62 | $39.15 | $251.98 | $422.08 |
| Office visit, established patient, 20-29 minutes | CPT | 99213 | 9 | $513 | $106.6 | $62.61 | $277.99 | $465.65 |
| Office visit, established patient, 30-39 minutes | CPT | 99214 | 9 | $564 | $117.19 | $88.18 | $305.63 | $511.94 |
| Office visit, established patient, 40-54 min | CPT | 99215 | 9 | $665 | $138.18 | $130.19 | $360.36 | $603.62 |
| preventive | ||||||||
| Upper GI endoscopy diagnostic | CPT | 43235 | 13 | — | $5,339 | $27.58 | $1,104.13 | $4,523 |
| Upper GI endoscopy with biopsy | CPT | 43239 | 13 | — | $5,339 | $27.58 | $1,104.13 | $5,009 |
| Sigmoidoscopy diagnostic | CPT | 45330 | 13 | — | $5,339 | $27.58 | $1,073.68 | $4,174 |
| Sigmoidoscopy with biopsy | CPT | 45331 | 13 | — | $5,339 | $27.58 | $1,073.68 | $4,174 |
| Colonoscopy diagnostic | CPT | 45378 | 13 | — | $5,339 | $27.58 | $1,073.68 | $5,009 |
| Colonoscopy with biopsy | CPT | 45380 | 13 | — | $5,339 | $27.58 | $1,388.56 | $5,009 |
| Colonoscopy with polyp removal | CPT | 45385 | 13 | — | $5,339 | $27.58 | $1,388.56 | $5,009 |
| surgery | ||||||||
| Total shoulder arthroplasty | CPT | 23472 | 13 | — | $5,339 | $27.58 | $21,657 | $43,098 |
| PCI w drug-eluting stent w MCC | MS-DRG | 246 | 3 | — | — | $6,640 | $48,331 | $82,056 |
| PCI w drug-eluting stent w/o MCC | MS-DRG | 247 | 3 | — | — | $6,640 | $13,619 | $52,194 |
| Hip hemiarthroplasty | CPT | 27125 | 9 | — | $5,339 | $27.58 | $2,700 | $26,500 |
| Total hip replacement | CPT | 27130 | 13 | — | $5,339 | $27.58 | $15,153 | $30,154 |
| Total knee replacement | CPT | 27447 | 13 | — | $5,339 | $27.58 | $15,153 | $30,154 |
| Knee revision arthroplasty single component | CPT | 27486 | 9 | — | $5,339 | $27.58 | $2,700 | $26,500 |
| Knee revision arthroplasty all components | CPT | 27487 | 9 | — | $5,339 | $27.58 | $2,700 | $26,500 |
| Shoulder arthroscopy with decompression | CPT | 29826 | 9 | — | $5,339 | $27.58 | $90.77 | $26,028 |
| Shoulder arthroscopy with rotator cuff repair | CPT | 29827 | 13 | — | $5,339 | $27.58 | $7,306.5 | $26,028 |
| Knee arthroscopy with meniscectomy | CPT | 29881 | 13 | — | $5,339 | $27.58 | $3,821.05 | $26,028 |
| ACL reconstruction | CPT | 29888 | 13 | — | $5,339 | $27.58 | $5,845 | $26,028 |
| Major small/large bowel procedures w MCC | MS-DRG | 329 | 13 | — | $5,589 | $60 | $82,596 | $138,533 |
| Major small/large bowel procedures w CC | MS-DRG | 330 | 13 | — | $5,589 | $60 | $42,942 | $71,310 |
| Major small/large bowel procedures w/o CC/MCC | MS-DRG | 331 | 13 | — | $5,589 | $60 | $30,131 | $49,809 |
| CABG single arterial graft | CPT | 33533 | 9 | — | $5,339 | $27.58 | $64 | $4,174 |
| CABG 2 arterial grafts | CPT | 33534 | 9 | — | $5,339 | $27.58 | $64 | $4,174 |
| CABG 3 arterial grafts | CPT | 33535 | 9 | — | $5,339 | $27.58 | $64 | $4,174 |
| CABG 4+ arterial grafts | CPT | 33536 | 9 | — | $5,339 | $27.58 | $64 | $4,174 |
| Laparoscopic cholecystectomy w/o CDE w MCC | MS-DRG | 418 | 13 | — | $5,589 | $60 | $29,861 | $50,032 |
| Laparoscopic cholecystectomy w/o CDE w CC | MS-DRG | 419 | 13 | — | $5,589 | $60 | $23,855 | $39,751 |
| Laparoscopic cholecystectomy w/o CDE w/o CC/MCC | MS-DRG | 420 | 13 | — | $5,589 | $60 | $61,037 | $106,481 |
| Open appendectomy | CPT | 44950 | 13 | — | $5,339 | $27.58 | $440.89 | $14,623 |
| Laparoscopic appendectomy | CPT | 44970 | 13 | — | $5,339 | $27.58 | $4,675.5 | $13,673 |
| Spinal fusion (non-cervical) w MCC | MS-DRG | 459 | 3 | — | — | $6,640 | $141,218 | $176,722 |
| Spinal fusion (non-cervical) w/o MCC | MS-DRG | 460 | 3 | — | — | $6,640 | $82,499 | $103,241 |
| Major joint replacement w MCC | MS-DRG | 469 | 13 | — | $5,589 | $60 | $59,698 | $98,613 |
| Major joint replacement w/o MCC | MS-DRG | 470 | 13 | — | $5,589 | $60 | $30,676 | $45,925 |
| Laparoscopic cholecystectomy | CPT | 47562 | 13 | — | $5,339 | $27.58 | $6,870.89 | $13,673 |
| Lap cholecystectomy with cholangiography | CPT | 47563 | 13 | — | $5,339 | $27.58 | $6,870.89 | $13,673 |
| Hip & femur procedures except major joint w MCC | MS-DRG | 480 | 13 | — | $5,589 | $60 | $53,406 | $88,727 |
| Hip & femur procedures except major joint w CC | MS-DRG | 481 | 13 | — | $5,589 | $60 | $37,628 | $62,598 |
| Hip & femur procedures except major joint w/o CC/MCC | MS-DRG | 482 | 13 | — | $5,589 | $60 | $28,788 | $47,860 |
| Lap inguinal hernia repair | CPT | 49650 | 13 | — | $5,339 | $27.58 | $4,675.5 | $13,673 |
| Total abdominal hysterectomy | CPT | 58150 | 9 | — | $5,339 | $27.58 | $64 | $9,184 |
| Vaginal hysterectomy | CPT | 58260 | 13 | — | $5,339 | $27.58 | $5,513.5 | $11,569 |
| Lap-assisted vaginal hysterectomy | CPT | 58550 | 13 | — | $5,339 | $27.58 | $6,870.89 | $13,673 |
| Lap-assisted vaginal hysterectomy >250g | CPT | 58552 | 13 | — | $5,339 | $27.58 | $5,794.5 | $24,399 |
| Lap salpingo-oophorectomy | CPT | 58661 | 13 | — | $5,339 | $27.58 | $5,794.5 | $13,673 |
| OR procedure for obesity w MCC | MS-DRG | 619 | 13 | — | $5,589 | $60 | $32,300 | $65,416 |
| OR procedure for obesity w CC | MS-DRG | 620 | 13 | — | $5,589 | $60 | $30,288 | $43,038 |
| OR procedure for obesity w/o CC/MCC | MS-DRG | 621 | 13 | — | $5,589 | $60 | $29,429 | $43,038 |
| Complex cataract surgery | CPT | 66982 | 13 | — | $5,339 | $27.58 | $2,685.92 | $9,509 |
| Cataract surgery with lens implant | CPT | 66984 | 13 | — | $5,339 | $27.58 | $2,685.92 | $9,509 |
| Intravitreal injection | CPT | 67028 | 13 | $813 | $5,339 | $41.38 | $390.62 | $4,174 |
| Vitrectomy mechanical | CPT | 67042 | 13 | — | $5,339 | $27.58 | $4,737.56 | $10,725 |
| Uterine & adnexa procedures w CC/MCC | MS-DRG | 743 | 13 | — | $5,589 | $60 | $21,407 | $36,164 |
| Uterine & adnexa procedures w/o CC/MCC | MS-DRG | 744 | 13 | — | $5,589 | $60 | $34,789 | $58,950 |
| PCI single major coronary artery | CPT | 92920 | 14 | $15,906 | — | $20.78 | $12,757 | $50,824 |
| PCI with drug-eluting stent | CPT | 92928 | 14 | $24,712 | — | $20.78 | $13,638 | $50,824 |
| PCI bypass graft | CPT | 92937 | 14 | $17,872 | — | $20.78 | $13,638 | $50,824 |
| Left heart catheterization | CPT | 93452 | 13 | $14,112 | $2,932.47 | $595.6 | $8,115.1 | $20,919 |
| Coronary angiography with cath | CPT | 93455 | 13 | $21,408 | $4,448.58 | $668.69 | $9,545 | $20,919 |
| Coronary angiography with bypass cath | CPT | 93458 | 13 | $21,894 | $4,549.57 | $690.25 | $9,545 | $20,919 |
Payer mix (top 14)
| Payer | Codes covered | Median rate |
|---|---|---|
| amerihealth | 198 | $443.34 |
| qualcare inc | 198 | $1,796 |
| Blue Cross Blue Shield | 198 | $420.02 |
| wellpoint | 194 | $209.65 |
| Cigna | 194 | $454.85 |
| fidelis care | 194 | $255.23 |
| First Health | 194 | $60 |
| Aetna | 194 | $558.28 |
| UnitedHealthcare | 187 | $555.46 |
| Emblem Health | 164 | $1,012.98 |
| Humana | 160 | $420.58 |
| clover health | 160 | $420.58 |
| WellCare | 160 | $836.95 |
| Self-Pay (Cash) | 21 | $20.78 |