▸ Hospital · · CCN 319804
Saint Barnabas Medical Center
Compliance grade
A
100/100
Procedures tracked
198
of 209 target codes
Payers
14
with negotiated rates
Rates published
30,540
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 | — | $3,319 | $60 | $6,966 | $34,448 |
| Psychiatric diagnostic evaluation | CPT | 90791 | 12 | $862 | $182.65 | $139.12 | $491.34 | $732.7 |
| Psychiatric eval with medical services | CPT | 90792 | 12 | $725 | $153.62 | $117.01 | $416.8 | $616.25 |
| Psychotherapy 30 minutes | CPT | 90832 | 12 | $461 | $97.68 | $74.4 | $269.91 | $391.85 |
| Psychotherapy 45 minutes | CPT | 90834 | 12 | $518 | $109.76 | $83.6 | $303.28 | $440.3 |
| Psychotherapy 60 minutes | CPT | 90837 | 12 | $567 | $120.14 | $90.26 | $331.97 | $481.95 |
| Crisis psychotherapy 60 minutes | CPT | 90839 | 14 | — | — | $15.83 | $70.87 | $360.52 |
| emergency | ||||||||
| ED visit level 1 | CPT | 99281 | 13 | $1,052 | $222.91 | $98.79 | $605 | $2,912 |
| ED visit level 2 | CPT | 99282 | 13 | $1,531 | $324.41 | $140 | $605 | $2,912 |
| ED visit level 3 | CPT | 99283 | 13 | $2,321 | $491.81 | $310.65 | $1,346 | $3,298 |
| ED visit level 4 | CPT | 99284 | 13 | $3,133 | $663.88 | $477.74 | $1,485 | $3,298 |
| ED visit level 5 | CPT | 99285 | 13 | $4,564 | $967.11 | $620 | $1,485 | $3,879.4 |
| Critical care, first hour | CPT | 99291 | 13 | $5,775 | $1,223.72 | $914.18 | $1,890.68 | $4,908.75 |
| imaging | ||||||||
| CT head without contrast | CPT | 70450 | 13 | $2,085 | $441.81 | $57 | $257.2 | $1,797 |
| CT head with contrast | CPT | 70460 | 13 | $2,305 | $488.42 | $57 | $326.44 | $1,959.25 |
| CT head with and without contrast | CPT | 70470 | 13 | $2,934 | $621.71 | $57 | $361.35 | $2,493.9 |
| CT neck with contrast | CPT | 70491 | 13 | $3,077 | $652.01 | $57 | $366.35 | $2,615.45 |
| MRI brain without contrast | CPT | 70551 | 13 | $3,279 | $694.82 | $57 | $524.15 | $3,317 |
| MRI brain with contrast | CPT | 70552 | 13 | $3,615 | $766.01 | $57 | $593.39 | $3,317 |
| MRI brain with and without contrast | CPT | 70553 | 13 | $5,038 | $1,067.55 | $57 | $797.42 | $4,282.3 |
| Chest X-ray single view | CPT | 71045 | 13 | $494 | $104.67 | $18.99 | $98.79 | $419.9 |
| Chest X-ray 2 views | CPT | 71046 | 13 | $510 | $108.06 | $30.85 | $98.79 | $433.5 |
| Chest X-ray 3 views | CPT | 71047 | 13 | $534 | $113.15 | $39.46 | $98.79 | $453.9 |
| CT chest without contrast | CPT | 71250 | 13 | $2,929 | $620.65 | $57 | $260.2 | $2,489.65 |
| CT chest with contrast | CPT | 71260 | 13 | $4,055 | $859.25 | $57 | $359.02 | $3,446.75 |
| CT chest with and without contrast | CPT | 71270 | 13 | $4,509 | $955.45 | $57 | $394.92 | $3,832.65 |
| MRI chest without contrast | CPT | 71550 | 13 | $2,977 | $630.82 | $57 | $504.11 | $3,317 |
| MRI chest with contrast | CPT | 71551 | 14 | — | — | $15.83 | $886.38 | $3,317 |
| MRI chest with and without contrast | CPT | 71552 | 13 | $4,374 | $926.85 | $57 | $776.41 | $3,717.9 |
| Lumbosacral spine X-ray | CPT | 72100 | 13 | $533 | $112.94 | $36.08 | $119.31 | $453.05 |
| CT cervical spine without contrast | CPT | 72125 | 13 | $2,717 | $575.73 | $57 | $259.81 | $2,309.45 |
| CT thoracic spine without contrast | CPT | 72128 | 13 | $2,415 | $511.73 | $57 | $259.81 | $2,052.75 |
| CT lumbar spine without contrast | CPT | 72131 | 13 | $2,388 | $506.01 | $57 | $260.2 | $2,029.8 |
| MRI cervical spine without contrast | CPT | 72141 | 13 | $2,756 | $583.99 | $57 | $440.54 | $3,317 |
| MRI thoracic spine without contrast | CPT | 72146 | 13 | $2,996 | $634.85 | $57 | $478.91 | $3,317 |
| MRI lumbar spine without contrast | CPT | 72148 | 13 | $2,854 | $604.76 | $57 | $456.21 | $3,317 |
| MRI lumbar spine with and without contrast | CPT | 72149 | 13 | $3,356 | $711.13 | $57 | $561.79 | $3,317 |
| MRI cervical spine with and without contrast | CPT | 72156 | 13 | $4,909 | $1,040.21 | $57 | $781.57 | $4,172.65 |
| MRI lumbar spine with contrast | CPT | 72158 | 13 | $4,859 | $1,029.62 | $57 | $776.71 | $4,130.15 |
| CT pelvis without contrast | CPT | 72192 | 13 | $2,020 | $428.03 | $57 | $259.81 | $1,797 |
| CT pelvis with contrast | CPT | 72193 | 13 | $2,563 | $543.09 | $57 | $402.58 | $2,178.55 |
| Shoulder X-ray | CPT | 73030 | 14 | $1,638 | — | $15.83 | $83.45 | $197.58 |
| Humerus X-ray | CPT | 73060 | 14 | $738 | — | $15.83 | $83.45 | $197.58 |
| Hand X-ray 3 views | CPT | 73130 | 14 | $1,520 | — | $15.83 | $83.45 | $197.58 |
| MRI upper extremity joint without contrast | CPT | 73221 | 14 | $3,754 | — | $15.83 | $340.56 | $3,317 |
| MRI upper extremity joint with and without contrast | CPT | 73223 | 14 | $5,170 | — | $15.83 | $464.85 | $3,317 |
| Knee X-ray 1-2 views | CPT | 73560 | 14 | $1,366 | — | $15.83 | $83.45 | $197.58 |
| Ankle X-ray 3 views | CPT | 73610 | 14 | $1,438 | — | $15.83 | $83.45 | $197.58 |
| MRI lower extremity joint without contrast | CPT | 73721 | 14 | $2,458 | — | $15.83 | $340.56 | $3,317 |
| MRI lower extremity joint with and without contrast | CPT | 73723 | 14 | $4,353 | — | $15.83 | $464.85 | $3,317 |
| CT abdomen without contrast | CPT | 74150 | 13 | $2,001 | $424.01 | $57 | $259.81 | $1,797 |
| CT abdomen with contrast | CPT | 74160 | 13 | $2,845 | $602.85 | $57 | $421.39 | $2,418.25 |
| CT abdomen with and without contrast | CPT | 74170 | 13 | $3,176 | $672.99 | $57 | $451.1 | $2,699.6 |
| CT abdomen and pelvis without contrast | CPT | 74176 | 13 | $3,040 | $644.17 | $57 | $372.21 | $2,584 |
| CT abdomen and pelvis with contrast | CPT | 74177 | 13 | $3,605 | $763.89 | $57 | $592.58 | $3,064.25 |
| CT abdomen and pelvis with and without contrast | CPT | 74178 | 13 | $4,549 | $963.93 | $57 | $649.35 | $3,866.65 |
| MRI abdomen without contrast | CPT | 74181 | 13 | $3,138 | $664.94 | $57 | $501.61 | $3,317 |
| MRI abdomen with and without contrast | CPT | 74183 | 13 | $4,542 | $962.44 | $57 | $726.03 | $3,860.7 |
| Abdominal ultrasound complete | CPT | 76700 | 13 | $1,091 | $231.18 | $57 | $171.07 | $927.35 |
| Abdominal ultrasound limited | CPT | 76705 | 13 | $942 | $199.6 | $57 | $146.17 | $800.7 |
| Retroperitoneal ultrasound complete | CPT | 76770 | 13 | $994 | $210.62 | $57 | $164.12 | $844.9 |
| Obstetric ultrasound first trimester | CPT | 76801 | 13 | $743 | $157.44 | $57 | $139.69 | $631.55 |
| Obstetric ultrasound after first trimester | CPT | 76805 | 13 | $931 | $197.27 | $57 | $169.43 | $791.35 |
| Obstetric ultrasound with fetal anatomy | CPT | 76811 | 13 | $923 | $195.58 | $57 | $271.19 | $784.55 |
| Transvaginal ultrasound | CPT | 76830 | 13 | $1,069 | $226.52 | $57 | $159.08 | $908.65 |
| Pelvic ultrasound complete | CPT | 76856 | 13 | $1,121 | $237.53 | $57 | $159.08 | $952.85 |
| Scrotal ultrasound | CPT | 76870 | 13 | $908 | $192.4 | $57 | $154.14 | $771.8 |
| Diagnostic mammography unilateral | CPT | 77065 | 10 | — | — | $15.83 | $102.24 | $454.85 |
| Diagnostic mammography bilateral | CPT | 77066 | 10 | — | — | $15.83 | $128.16 | $583.18 |
| Screening mammography bilateral | CPT | 77067 | 10 | — | — | $15.83 | $94.26 | $480.91 |
| EKG complete | CPT | 93000 | 10 | — | — | $15.83 | $69.03 | $334 |
| EKG tracing only | CPT | 93005 | 13 | $359 | $76.07 | $56.82 | $206.38 | $334 |
| EKG interpretation only | CPT | 93010 | 10 | — | — | $9.13 | $57.49 | $85 |
| Transthoracic echocardiogram complete | CPT | 93306 | 13 | $4,883 | $1,034.7 | $310.35 | $1,880.27 | $4,150.55 |
| Transthoracic echocardiogram | CPT | 93307 | 13 | $2,080 | $440.75 | $194.03 | $961.94 | $1,768 |
| Stress echocardiogram | CPT | 93350 | 13 | $2,547 | $539.7 | $231.24 | $1,274.93 | $2,164.95 |
| inpatient | ||||||||
| Respiratory infections & inflammations w MCC | MS-DRG | 177 | 13 | — | $3,319 | $60 | $26,649 | $51,383 |
| COPD w MCC | MS-DRG | 190 | 13 | — | $3,319 | $60 | $17,976 | $31,295 |
| COPD w CC | MS-DRG | 191 | 13 | — | $3,319 | $60 | $15,438 | $24,590 |
| COPD w/o CC/MCC | MS-DRG | 192 | 13 | — | $3,319 | $60 | $11,952 | $19,350 |
| Simple pneumonia & pleurisy w CC | MS-DRG | 194 | 13 | — | $3,319 | $60 | $15,081 | $24,031 |
| Simple pneumonia & pleurisy w/o CC/MCC | MS-DRG | 195 | 13 | — | $3,319 | $60 | $11,500 | $18,517 |
| AMI discharged alive w MCC | MS-DRG | 280 | 13 | — | $3,319 | $60 | $26,104 | $45,282 |
| AMI discharged alive w CC | MS-DRG | 281 | 13 | — | $3,319 | $60 | $17,023 | $25,955 |
| AMI discharged alive w/o CC/MCC | MS-DRG | 282 | 13 | — | $3,319 | $60 | $13,391 | $20,202 |
| Heart failure & shock w MCC | MS-DRG | 291 | 13 | — | $3,319 | $60 | $21,651 | $37,338 |
| Heart failure & shock w CC | MS-DRG | 292 | 13 | — | $3,319 | $60 | $15,904 | $24,924 |
| Heart failure & shock w/o CC/MCC | MS-DRG | 293 | 13 | — | $3,319 | $60 | $10,133 | $19,505 |
| Cardiac arrhythmia w MCC | MS-DRG | 308 | 13 | — | $3,319 | $60 | $20,749 | $33,395 |
| Cardiac arrhythmia w CC | MS-DRG | 309 | 13 | — | $3,319 | $60 | $13,653 | $20,867 |
| Cardiac arrhythmia w/o CC/MCC | MS-DRG | 310 | 13 | — | $3,319 | $60 | $10,333 | $19,505 |
| GI hemorrhage w CC | MS-DRG | 378 | 13 | — | $3,319 | $60 | $16,594 | $27,656 |
| GI hemorrhage w/o CC/MCC | MS-DRG | 379 | 13 | — | $3,319 | $60 | $11,758 | $17,740 |
| Esophagitis/gastroenteritis w/o MCC | MS-DRG | 392 | 13 | — | $3,319 | $60 | $14,410 | $21,285 |
| Fractures of femur w/o MCC | MS-DRG | 533 | 13 | — | $3,319 | $60 | $25,357 | $41,326 |
| Kidney/UTI w MCC | MS-DRG | 689 | 13 | — | $3,319 | $60 | $18,916 | $31,716 |
| Kidney/UTI w/o MCC | MS-DRG | 690 | 13 | — | $3,319 | $60 | $14,822 | $22,059 |
| Septicemia or severe sepsis w MV 96+ hrs | MS-DRG | 871 | 13 | — | $3,319 | $60 | $31,809 | $53,174 |
| Septicemia or severe sepsis w/o MV 96+ hrs | MS-DRG | 872 | 13 | — | $3,319 | $60 | $17,005 | $28,447 |
| Initial hospital care, low complexity | CPT | 99221 | 10 | — | — | $15.83 | $85 | $11,654 |
| Initial hospital care, moderate complexity | CPT | 99222 | 11 | — | — | $15.83 | $2,808.5 | $11,654 |
| Initial hospital care, high complexity | CPT | 99223 | 11 | — | — | $15.83 | $2,808.5 | $11,654 |
| Hospital discharge, <30 min | CPT | 99238 | 11 | — | — | $15.83 | $2,808.5 | $11,654 |
| Hospital discharge, >30 min | CPT | 99239 | 11 | — | — | $15.83 | $2,808.5 | $11,654 |
| lab | ||||||||
| Basic metabolic panel (BMP) | CPT | 80048 | 13 | $164 | $9.31 | $3.98 | $9.52 | $139.4 |
| General health panel | CPT | 80050 | 9 | $623 | $132.01 | $19.11 | $63.8 | $529.55 |
| Electrolyte panel | CPT | 80051 | 13 | $133 | $7.71 | $3.29 | $7.89 | $113.05 |
| Comprehensive metabolic panel | CPT | 80053 | 13 | $328 | $11.62 | $4.96 | $11.88 | $278.8 |
| Lipid panel | CPT | 80061 | 13 | $247 | $14.73 | $6.29 | $15.07 | $209.95 |
| Renal function panel | CPT | 80069 | 13 | $210 | $9.55 | $4.08 | $8.77 | $178.5 |
| Hepatic function panel | CPT | 80076 | 13 | $180 | $8.99 | $3.84 | $9.19 | $153 |
| Urinalysis non-automated | CPT | 81002 | 13 | $43 | $3.83 | $1.64 | $3.52 | $57 |
| Urinalysis automated | CPT | 81003 | 13 | $77 | $2.48 | $1.06 | $2.38 | $65.45 |
| Glucose quantitative | CPT | 82947 | 13 | $44 | $4.32 | $1.85 | $3.93 | $57 |
| Hemoglobin A1c | CPT | 83036 | 13 | $149 | $10.68 | $4.56 | $10.36 | $126.65 |
| Thyroid stimulating hormone (TSH) | CPT | 84443 | 13 | $275 | $18.48 | $7.9 | $18.9 | $233.75 |
| Complete blood count with automated differential | CPT | 85025 | 13 | $146 | $8.55 | $3.65 | $8.07 | $124.1 |
| Complete blood count without differential | CPT | 85027 | 13 | $102 | $7.12 | $3.04 | $7.24 | $86.7 |
| Urine culture bacterial | CPT | 87086 | 13 | $143 | $8.88 | $3.79 | $9.04 | $121.55 |
| Urine culture identification | CPT | 87088 | 13 | $78 | $8.9 | $3.8 | $8.17 | $66.3 |
| Tissue exam by pathologist level IV | CPT | 88305 | 13 | $827 | $175.24 | $23.57 | $61.59 | $702.95 |
| maternity | ||||||||
| Fetal non-stress test | CPT | 59025 | 13 | $1,583 | $6,839 | $33.15 | $449.14 | $4,294 |
| Routine obstetric care including vaginal delivery | CPT | 59400 | 9 | — | $6,839 | $15.83 | $59.95 | $4,294 |
| Vaginal delivery only | CPT | 59409 | 13 | — | $6,839 | $15.83 | $693.83 | $7,134.36 |
| Vaginal delivery with postpartum | CPT | 59410 | 9 | — | $6,839 | $15.83 | $59.95 | $4,294 |
| Routine obstetric care with C-section | CPT | 59510 | 9 | — | $6,839 | $15.83 | $59.95 | $4,294 |
| C-section delivery only | CPT | 59514 | 9 | — | $6,839 | $15.83 | $59.95 | $4,294 |
| C-section with postpartum | CPT | 59515 | 9 | — | $6,839 | $15.83 | $59.95 | $8,466 |
| office | ||||||||
| Office visit, new patient, 15-29 min | CPT | 99202 | 9 | $391 | $82.85 | $42.02 | $226.86 | $332.35 |
| Office visit, new patient, 30-44 minutes | CPT | 99203 | 9 | $578 | $122.47 | $64.24 | $335.35 | $491.3 |
| Office visit, new patient, 45-59 min | CPT | 99204 | 9 | $697 | $147.69 | $95.55 | $404.4 | $592.45 |
| Office visit, new patient, 60-74 min | CPT | 99205 | 9 | $809 | $171.42 | $126.02 | $469.38 | $687.65 |
| Office visit, established patient, 5 min | CPT | 99211 | 9 | $305 | $64.62 | $16 | $176.96 | $259.25 |
| Office visit, established patient, 10-19 min | CPT | 99212 | 9 | $465 | $98.53 | $49.06 | $269.79 | $395.25 |
| Office visit, established patient, 20-29 minutes | CPT | 99213 | 9 | $513 | $108.7 | $81.2 | $297.64 | $436.05 |
| Office visit, established patient, 30-39 minutes | CPT | 99214 | 9 | $564 | $119.51 | $89.28 | $327.23 | $479.4 |
| Office visit, established patient, 40-54 min | CPT | 99215 | 9 | $665 | $140.91 | $105.26 | $385.83 | $565.25 |
| preventive | ||||||||
| Upper GI endoscopy diagnostic | CPT | 43235 | 13 | — | $6,839 | $15.83 | $1,051.87 | $4,584 |
| Upper GI endoscopy with biopsy | CPT | 43239 | 13 | — | $6,839 | $15.83 | $1,051.87 | $5,521 |
| Sigmoidoscopy diagnostic | CPT | 45330 | 13 | — | $6,839 | $15.83 | $1,022.87 | $4,294 |
| Sigmoidoscopy with biopsy | CPT | 45331 | 13 | — | $6,839 | $15.83 | $1,022.87 | $4,294 |
| Colonoscopy diagnostic | CPT | 45378 | 13 | — | $6,839 | $15.83 | $1,022.87 | $5,521 |
| Colonoscopy with biopsy | CPT | 45380 | 13 | — | $6,839 | $15.83 | $1,322.83 | $5,521 |
| Colonoscopy with polyp removal | CPT | 45385 | 13 | — | $6,839 | $15.83 | $1,322.83 | $5,521 |
| surgery | ||||||||
| Total shoulder arthroplasty | CPT | 23472 | 13 | — | $6,839 | $15.83 | $20,632 | $41,264 |
| PCI w drug-eluting stent w MCC | MS-DRG | 246 | 3 | — | — | $6,640 | $49,781 | $87,036 |
| PCI w drug-eluting stent w/o MCC | MS-DRG | 247 | 3 | — | — | $6,640 | $21,312 | $55,362 |
| Hip hemiarthroplasty | CPT | 27125 | 9 | — | $6,839 | $15.83 | $2,982.5 | $26,990 |
| Total hip replacement | CPT | 27130 | 13 | — | $6,839 | $15.83 | $14,436 | $28,871 |
| Total knee replacement | CPT | 27447 | 13 | — | $6,839 | $15.83 | $14,436 | $28,871 |
| Knee revision arthroplasty single component | CPT | 27486 | 9 | — | $6,839 | $15.83 | $2,982.5 | $26,990 |
| Knee revision arthroplasty all components | CPT | 27487 | 9 | — | $6,839 | $15.83 | $2,982.5 | $26,990 |
| Shoulder arthroscopy with decompression | CPT | 29826 | 9 | — | $6,839 | $15.83 | $86 | $23,489 |
| Shoulder arthroscopy with rotator cuff repair | CPT | 29827 | 13 | — | $6,839 | $15.83 | $7,624 | $23,489 |
| Knee arthroscopy with meniscectomy | CPT | 29881 | 13 | — | $6,839 | $15.83 | $3,640.19 | $23,489 |
| ACL reconstruction | CPT | 29888 | 13 | — | $6,839 | $15.83 | $6,748 | $23,489 |
| Major small/large bowel procedures w MCC | MS-DRG | 329 | 13 | — | $3,319 | $60 | $77,906 | $135,059 |
| Major small/large bowel procedures w CC | MS-DRG | 330 | 13 | — | $3,319 | $60 | $40,478 | $70,700 |
| Major small/large bowel procedures w/o CC/MCC | MS-DRG | 331 | 13 | — | $3,319 | $60 | $28,394 | $47,618 |
| CABG single arterial graft | CPT | 33533 | 9 | — | $6,839 | $15.83 | $74.04 | $4,294 |
| CABG 2 arterial grafts | CPT | 33534 | 9 | — | $6,839 | $15.83 | $74.04 | $4,294 |
| CABG 3 arterial grafts | CPT | 33535 | 9 | — | $6,839 | $15.83 | $74.04 | $4,294 |
| CABG 4+ arterial grafts | CPT | 33536 | 9 | — | $6,839 | $15.83 | $74.04 | $4,294 |
| Laparoscopic cholecystectomy w/o CDE w MCC | MS-DRG | 418 | 13 | — | $3,319 | $60 | $28,164 | $47,006 |
| Laparoscopic cholecystectomy w/o CDE w CC | MS-DRG | 419 | 13 | — | $3,319 | $60 | $22,491 | $36,622 |
| Laparoscopic cholecystectomy w/o CDE w/o CC/MCC | MS-DRG | 420 | 13 | — | $3,319 | $60 | $57,719 | $97,852 |
| Open appendectomy | CPT | 44950 | 13 | — | $6,839 | $15.83 | $2,699 | $14,001 |
| Laparoscopic appendectomy | CPT | 44970 | 13 | — | $6,839 | $15.83 | $4,187 | $13,091 |
| Spinal fusion (non-cervical) w MCC | MS-DRG | 459 | 3 | — | — | $6,640 | $155,483 | $187,450 |
| Spinal fusion (non-cervical) w/o MCC | MS-DRG | 460 | 3 | — | — | $6,640 | $87,135 | $109,508 |
| Major joint replacement w MCC | MS-DRG | 469 | 13 | — | $3,319 | $60 | $56,371 | $88,583 |
| Major joint replacement w/o MCC | MS-DRG | 470 | 13 | — | $3,319 | $60 | $31,170 | $71,649 |
| Laparoscopic cholecystectomy | CPT | 47562 | 13 | — | $6,839 | $15.83 | $6,545.69 | $13,091 |
| Lap cholecystectomy with cholangiography | CPT | 47563 | 13 | — | $6,839 | $15.83 | $6,545.69 | $13,091 |
| Hip & femur procedures except major joint w MCC | MS-DRG | 480 | 13 | — | $3,319 | $60 | $50,344 | $84,219 |
| Hip & femur procedures except major joint w CC | MS-DRG | 481 | 13 | — | $3,319 | $60 | $35,474 | $58,350 |
| Hip & femur procedures except major joint w/o CC/MCC | MS-DRG | 482 | 13 | — | $3,319 | $60 | $27,138 | $45,856 |
| Lap inguinal hernia repair | CPT | 49650 | 13 | — | $6,839 | $15.83 | $4,187 | $13,091 |
| Total abdominal hysterectomy | CPT | 58150 | 9 | — | $6,839 | $15.83 | $84.63 | $10,182 |
| Vaginal hysterectomy | CPT | 58260 | 13 | — | $6,839 | $15.83 | $5,463 | $11,077 |
| Lap-assisted vaginal hysterectomy | CPT | 58550 | 13 | — | $6,839 | $15.83 | $6,545.69 | $13,091 |
| Lap-assisted vaginal hysterectomy >250g | CPT | 58552 | 13 | — | $6,839 | $15.83 | $5,659 | $23,361 |
| Lap salpingo-oophorectomy | CPT | 58661 | 13 | — | $6,839 | $15.83 | $5,659 | $13,091 |
| OR procedure for obesity w MCC | MS-DRG | 619 | 13 | — | $3,319 | $60 | $35,086 | $103,607 |
| OR procedure for obesity w CC | MS-DRG | 620 | 13 | — | $3,319 | $60 | $29,492 | $60,686 |
| OR procedure for obesity w/o CC/MCC | MS-DRG | 621 | 13 | — | $3,319 | $60 | $28,044 | $55,548 |
| Complex cataract surgery | CPT | 66982 | 13 | — | $6,839 | $15.83 | $2,558.8 | $9,054 |
| Cataract surgery with lens implant | CPT | 66984 | 13 | — | $6,839 | $15.83 | $2,558.8 | $9,054 |
| Intravitreal injection | CPT | 67028 | 13 | — | $6,839 | $15.83 | $372.13 | $4,294 |
| Vitrectomy mechanical | CPT | 67042 | 13 | — | $6,839 | $15.83 | $4,513.33 | $10,188 |
| Uterine & adnexa procedures w CC/MCC | MS-DRG | 743 | 13 | — | $3,319 | $60 | $20,201 | $32,485 |
| Uterine & adnexa procedures w/o CC/MCC | MS-DRG | 744 | 13 | — | $3,319 | $60 | $32,835 | $52,954 |
| PCI single major coronary artery | CPT | 92920 | 14 | $18,550 | — | $15.83 | $9,626.96 | $52,449 |
| PCI with drug-eluting stent | CPT | 92928 | 14 | $29,649 | — | $15.83 | $13,045 | $52,449 |
| PCI bypass graft | CPT | 92937 | 14 | $20,317 | — | $15.83 | $13,045 | $52,449 |
| Left heart catheterization | CPT | 93452 | 13 | $14,112 | $2,990.33 | $2,233.92 | $7,217.1 | $22,479 |
| Coronary angiography with cath | CPT | 93455 | 13 | $28,972 | $6,139.16 | $3,180 | $7,217.1 | $22,479 |
| Coronary angiography with bypass cath | CPT | 93458 | 13 | $29,629 | $6,278.38 | $3,180 | $7,217.1 | $22,479 |
Payer mix (top 14)
| Payer | Codes covered | Median rate |
|---|---|---|
| amerihealth | 198 | $443.34 |
| qualcare inc | 198 | $1,797 |
| Blue Cross Blue Shield | 198 | $398.24 |
| wellpoint | 194 | $620 |
| Cigna | 194 | $459.35 |
| fidelis care | 194 | $180.26 |
| First Health | 194 | $60 |
| Aetna | 194 | $487.52 |
| UnitedHealthcare | 188 | $493.7 |
| Emblem Health | 164 | $1,052.65 |
| Humana | 160 | $400.67 |
| clover health | 160 | $400.67 |
| WellCare | 160 | $797.33 |
| Self-Pay (Cash) | 24 | $21.19 |