▸ Hospital · NY · CCN 330027
Nassau University Medical Center
2201 HEMPSTEAD TPKE, EAST MEADOW, NY, 11554
372 bedsAcute Care Hospitals9
Compliance grade
A
100/100
Procedures tracked
198
of 209 target codes
Payers
14
with negotiated rates
Rates published
91,865
last crawl 2026-05-24
Procedures & rates
| Procedure | Type | Code | Payers | Gross | Cash | Neg min | Neg median | Neg max |
|---|---|---|---|---|---|---|---|---|
| behavioral | ||||||||
| Psychoses | MS-DRG | 885 | 6 | — | — | $12,876 | $17,102 | $22,824 |
| Psychiatric diagnostic evaluation | CPT | 90791 | 13 | $698.47 | $488.93 | $60.38 | $181.48 | $698.47 |
| Psychiatric eval with medical services | CPT | 90792 | 13 | $714 | $499.8 | $61 | $190.13 | $572 |
| Psychotherapy 30 minutes | CPT | 90832 | 13 | $572 | $400.4 | $25.21 | $171 | $572 |
| Psychotherapy 45 minutes | CPT | 90834 | 13 | $572 | $400.4 | $37.79 | $180 | $572 |
| Psychotherapy 60 minutes | CPT | 90837 | 13 | $572 | $400.4 | $57.05 | $180 | $572 |
| Crisis psychotherapy 60 minutes | CPT | 90839 | 13 | $572 | $400.4 | $104 | $187.33 | $429 |
| emergency | ||||||||
| ED visit level 1 | CPT | 99281 | 14 | $1,493.5 | $1,045.45 | $8.04 | $104.19 | $1,641 |
| ED visit level 2 | CPT | 99282 | 14 | $1,648 | $1,153.6 | $15.11 | $187.4 | $1,648 |
| ED visit level 3 | CPT | 99283 | 14 | $1,905.5 | $1,333.85 | $24.41 | $327.66 | $1,905.5 |
| ED visit level 4 | CPT | 99284 | 14 | $2,060 | $1,442 | $45.02 | $503.9 | $2,060 |
| ED visit level 5 | CPT | 99285 | 14 | $2,286.68 | $1,600.68 | $67.19 | $725.52 | $2,286.68 |
| Critical care, first hour | CPT | 99291 | 13 | $2,259.51 | $1,581.66 | $84.68 | $945 | $2,259.51 |
| imaging | ||||||||
| CT head without contrast | CPT | 70450 | 12 | $1,254 | $877.8 | $37.22 | $125.84 | $1,251 |
| CT head with contrast | CPT | 70460 | 12 | $1,145.29 | $801.71 | $49.24 | $181.49 | $1,251 |
| CT head with and without contrast | CPT | 70470 | 12 | $1,403.6 | $982.52 | $55.51 | $210.66 | $1,403.6 |
| CT neck with contrast | CPT | 70491 | 12 | $1,194.07 | $835.85 | $60.06 | $210.66 | $1,251 |
| MRI brain without contrast | CPT | 70551 | 12 | $2,119.82 | $1,483.88 | $64.5 | $265.72 | $2,119.82 |
| MRI brain with contrast | CPT | 70552 | 12 | $2,538.91 | $1,777.24 | $77.77 | $360.04 | $2,538.91 |
| MRI brain with and without contrast | CPT | 70553 | 12 | $4,514.59 | $3,160.22 | $100.94 | $407.64 | $4,514.59 |
| Chest X-ray single view | CPT | 71045 | 12 | $476.97 | $333.88 | $7.61 | $23.44 | $625 |
| Chest X-ray 2 views | CPT | 71046 | 12 | $476.97 | $333.88 | $9.03 | $32.9 | $625 |
| Chest X-ray 3 views | CPT | 71047 | 12 | $476.97 | $333.88 | $11.67 | $41.93 | $625 |
| CT chest without contrast | CPT | 71250 | 12 | $1,190.96 | $833.68 | $47.12 | $130.79 | $1,251 |
| CT chest with contrast | CPT | 71260 | 12 | $1,395.85 | $977.1 | $50.78 | $203.42 | $1,395.85 |
| CT chest with and without contrast | CPT | 71270 | 12 | $1,711.16 | $1,197.82 | $54.6 | $210.66 | $1,711.16 |
| MRI chest without contrast | CPT | 71550 | 12 | $2,078.35 | $1,454.85 | $63.91 | $311.3 | $2,078.35 |
| MRI chest with contrast | CPT | 71551 | 12 | $2,905 | $2,033.5 | $75.32 | $457.31 | $2,905 |
| MRI chest with and without contrast | CPT | 71552 | 12 | $4,366.1 | $3,056.27 | $99.73 | $450.92 | $4,366.1 |
| Lumbosacral spine X-ray | CPT | 72100 | 12 | $420 | $294 | $9.31 | $39.85 | $625 |
| CT cervical spine without contrast | CPT | 72125 | 12 | $1,190.96 | $833.68 | $43.27 | $127.92 | $1,251 |
| CT thoracic spine without contrast | CPT | 72128 | 12 | $1,190.96 | $833.68 | $43.27 | $127.59 | $1,251 |
| CT lumbar spine without contrast | CPT | 72131 | 12 | $1,192.29 | $834.61 | $43.27 | $127.26 | $1,251 |
| MRI cervical spine without contrast | CPT | 72141 | 12 | $2,140.89 | $1,498.63 | $64.83 | $262.04 | $2,140.89 |
| MRI thoracic spine without contrast | CPT | 72146 | 12 | $2,339.12 | $1,637.39 | $64.83 | $262.04 | $2,339.12 |
| MRI lumbar spine without contrast | CPT | 72148 | 12 | $2,316.5 | $1,621.55 | $64.83 | $262.64 | $2,316.5 |
| MRI lumbar spine with and without contrast | CPT | 72149 | 12 | $2,541.35 | $1,778.95 | $78.82 | $356.53 | $2,541.35 |
| MRI cervical spine with and without contrast | CPT | 72156 | 12 | $4,555.62 | $3,188.94 | $101.27 | $408.93 | $4,555.62 |
| MRI lumbar spine with contrast | CPT | 72158 | 12 | $4,517.03 | $3,161.93 | $101.27 | $422.61 | $4,517.03 |
| CT pelvis without contrast | CPT | 72192 | 12 | $1,178.98 | $825.29 | $47.41 | $130.75 | $1,251 |
| CT pelvis with contrast | CPT | 72193 | 12 | $1,343.96 | $940.78 | $50.45 | $215.27 | $1,343.96 |
| Shoulder X-ray | CPT | 73030 | 12 | $700.4 | $490.28 | $7.89 | $34.6 | $700.4 |
| Humerus X-ray | CPT | 73060 | 12 | $341 | $238.7 | $7.03 | $31.91 | $625 |
| Hand X-ray 3 views | CPT | 73130 | 12 | $937.3 | $656.11 | $7.3 | $36.71 | $937.3 |
| MRI upper extremity joint without contrast | CPT | 73221 | 12 | $2,046.42 | $1,432.5 | $59.18 | $275.43 | $2,046.42 |
| MRI upper extremity joint with and without contrast | CPT | 73223 | 12 | $4,376.02 | $3,063.22 | $95 | $422.61 | $4,376.02 |
| Knee X-ray 1-2 views | CPT | 73560 | 12 | $341 | $238.7 | $7.03 | $34.26 | $625 |
| Ankle X-ray 3 views | CPT | 73610 | 12 | $341 | $238.7 | $7.3 | $36.99 | $625 |
| MRI lower extremity joint without contrast | CPT | 73721 | 12 | $2,046.42 | $1,432.5 | $59.18 | $275.81 | $2,046.42 |
| MRI lower extremity joint with and without contrast | CPT | 73723 | 12 | $4,376.02 | $3,063.22 | $95 | $422.61 | $4,376.02 |
| CT abdomen without contrast | CPT | 74150 | 12 | $1,155.03 | $808.53 | $51.66 | $132.13 | $1,251 |
| CT abdomen with contrast | CPT | 74160 | 12 | $1,366.57 | $956.6 | $55.51 | $216.45 | $1,366.57 |
| CT abdomen with and without contrast | CPT | 74170 | 12 | $1,655.28 | $1,158.7 | $60.65 | $235.35 | $1,655.28 |
| CT abdomen and pelvis without contrast | CPT | 74176 | 12 | $1,178.98 | $825.29 | $75.94 | $222.26 | $1,251 |
| CT abdomen and pelvis with contrast | CPT | 74177 | 12 | $1,445 | $1,011.5 | $80.33 | $351.53 | $1,445 |
| CT abdomen and pelvis with and without contrast | CPT | 74178 | 12 | $1,655.28 | $1,158.7 | $87.86 | $401.48 | $1,655.28 |
| MRI abdomen without contrast | CPT | 74181 | 12 | $2,083.68 | $1,458.58 | $63.59 | $285.29 | $2,083.68 |
| MRI abdomen with and without contrast | CPT | 74183 | 12 | $4,411.93 | $3,088.36 | $96.79 | $422.61 | $4,411.93 |
| Abdominal ultrasound complete | CPT | 76700 | 12 | $485.83 | $340.09 | $33.44 | $120.51 | $485.83 |
| Abdominal ultrasound limited | CPT | 76705 | 12 | $420 | $294 | $24.44 | $99.26 | $420 |
| Retroperitoneal ultrasound complete | CPT | 76770 | 12 | $468.54 | $327.98 | $30.59 | $118.35 | $468.54 |
| Obstetric ultrasound first trimester | CPT | 76801 | 12 | $521.09 | $364.77 | $41.8 | $125.84 | $521.09 |
| Obstetric ultrasound after first trimester | CPT | 76805 | 12 | $541.71 | $379.2 | $42.26 | $125.84 | $541.71 |
| Obstetric ultrasound with fetal anatomy | CPT | 76811 | 12 | $1,007.4 | $705.18 | $73.03 | $204.81 | $1,007.4 |
| Transvaginal ultrasound | CPT | 76830 | 12 | $462 | $323.4 | $28.9 | $117.22 | $420 |
| Pelvic ultrasound complete | CPT | 76856 | 12 | $420 | $294 | $28.59 | $112.28 | $420 |
| Scrotal ultrasound | CPT | 76870 | 12 | $420 | $294 | $26.6 | $93.5 | $420 |
| Diagnostic mammography unilateral | CPT | 77065 | 12 | $968 | $677.6 | $32.4 | $110.74 | $916 |
| Diagnostic mammography bilateral | CPT | 77066 | 12 | $685.18 | $479.63 | $40.26 | $137.01 | $685.18 |
| Screening mammography bilateral | CPT | 77067 | 12 | $990 | $693 | $30.56 | $106.44 | $685.18 |
| EKG complete | CPT | 93000 | 12 | $79.83 | $55.89 | $13.95 | $19.96 | $97 |
| EKG tracing only | CPT | 93005 | 12 | $226 | $158.2 | $6.46 | $70.29 | $226 |
| EKG interpretation only | CPT | 93010 | 7 | $120 | $84 | $7.48 | $8.8 | $23.41 |
| Transthoracic echocardiogram complete | CPT | 93306 | 12 | $1,974 | $1,381.8 | $59.31 | $221.53 | $1,974 |
| Transthoracic echocardiogram | CPT | 93307 | 12 | $916 | $641.2 | $39.41 | $155.23 | $1,360 |
| Stress echocardiogram | CPT | 93350 | 12 | $1,974 | $1,381.8 | $62.01 | $228.06 | $1,974 |
| inpatient | ||||||||
| Intracranial hemorrhage/CVA w MCC | MS-DRG | 064 | 6 | — | — | $18,170 | $24,134 | $32,210 |
| Intracranial hemorrhage/CVA w CC | MS-DRG | 065 | 6 | — | — | $9,290.3 | $12,339 | $16,468 |
| Intracranial hemorrhage/CVA w/o CC/MCC | MS-DRG | 066 | 6 | — | — | $6,287.62 | $8,351.16 | $11,146 |
| Respiratory infections & inflammations w MCC | MS-DRG | 177 | 6 | — | — | $14,767 | $19,613 | $26,176 |
| COPD w MCC | MS-DRG | 190 | 6 | — | — | $10,261 | $13,629 | $18,190 |
| COPD w CC | MS-DRG | 191 | 6 | — | — | $7,847.88 | $10,423 | $13,911 |
| COPD w/o CC/MCC | MS-DRG | 192 | 6 | — | — | $5,912.17 | $7,852.5 | $10,480 |
| Simple pneumonia & pleurisy w CC | MS-DRG | 194 | 6 | — | — | $7,490.7 | $9,949.08 | $13,278 |
| Simple pneumonia & pleurisy w/o CC/MCC | MS-DRG | 195 | 6 | — | — | $5,689.28 | $7,556.45 | $10,085 |
| AMI discharged alive w MCC | MS-DRG | 280 | 6 | — | — | $14,995 | $19,916 | $26,581 |
| AMI discharged alive w CC | MS-DRG | 281 | 6 | — | — | $8,420.64 | $11,184 | $14,927 |
| AMI discharged alive w/o CC/MCC | MS-DRG | 282 | 6 | — | — | $6,623.79 | $8,797.66 | $11,742 |
| Heart failure & shock w MCC | MS-DRG | 291 | 6 | — | — | $11,920 | $15,832 | $21,130 |
| Heart failure & shock w CC | MS-DRG | 292 | 6 | — | — | $7,867.98 | $10,450 | $13,947 |
| Heart failure & shock w/o CC/MCC | MS-DRG | 293 | 6 | — | — | $5,015.12 | $6,661.03 | $8,889.96 |
| Cardiac arrhythmia w MCC | MS-DRG | 308 | 6 | — | — | $11,017 | $14,632 | $19,529 |
| Cardiac arrhythmia w CC | MS-DRG | 309 | 6 | — | — | $6,753.51 | $8,969.95 | $11,971 |
| Cardiac arrhythmia w/o CC/MCC | MS-DRG | 310 | 6 | — | — | $5,111.03 | $6,788.43 | $9,059.98 |
| GI hemorrhage w CC | MS-DRG | 378 | 6 | — | — | $9,006.2 | $11,962 | $15,965 |
| GI hemorrhage w/o CC/MCC | MS-DRG | 379 | 6 | — | — | $5,815.34 | $7,723.89 | $10,308 |
| Esophagitis/gastroenteritis w/o MCC | MS-DRG | 392 | 6 | — | — | $7,128.04 | $9,467.4 | $12,635 |
| Fractures of femur w/o MCC | MS-DRG | 533 | 6 | — | — | $13,929 | $18,500 | $24,691 |
| Kidney/UTI w MCC | MS-DRG | 689 | 6 | — | — | $10,692 | $14,201 | $18,952 |
| Kidney/UTI w/o MCC | MS-DRG | 690 | 6 | — | — | $7,331.75 | $9,737.97 | $12,997 |
| Septicemia or severe sepsis w MV 96+ hrs | MS-DRG | 871 | 6 | — | — | $17,926 | $23,809 | $31,776 |
| Septicemia or severe sepsis w/o MV 96+ hrs | MS-DRG | 872 | 6 | — | — | $9,418.19 | $12,509 | $16,695 |
| Initial hospital care, low complexity | CPT | 99221 | 8 | $312 | $218.4 | $35.25 | $84.12 | $245.46 |
| Initial hospital care, moderate complexity | CPT | 99222 | 8 | $605 | $423.5 | $48.55 | $141.56 | $383.86 |
| Initial hospital care, high complexity | CPT | 99223 | 7 | $879 | $615.3 | $71.33 | $191.83 | $510.27 |
| Hospital discharge, <30 min | CPT | 99238 | 9 | $338 | $236.6 | $27.01 | $76.62 | $2,808 |
| Hospital discharge, >30 min | CPT | 99239 | 9 | $425 | $297.5 | $38.71 | $108.66 | $2,808 |
| lab | ||||||||
| Basic metabolic panel (BMP) | CPT | 80048 | 12 | $108.15 | $75.71 | $2.62 | $8.46 | $625 |
| General health panel | CPT | 80050 | 8 | $160.68 | $112.48 | $15.49 | $52.08 | $625 |
| Electrolyte panel | CPT | 80051 | 12 | $23 | $16.1 | $2.19 | $7.01 | $625 |
| Comprehensive metabolic panel | CPT | 80053 | 12 | $278.78 | $195.15 | $3.91 | $10.56 | $625 |
| Lipid panel | CPT | 80061 | 12 | $44 | $30.8 | $5.48 | $13.39 | $625 |
| Renal function panel | CPT | 80069 | 12 | $29 | $20.3 | $3.28 | $8.68 | $625 |
| Hepatic function panel | CPT | 80076 | 12 | $56.34 | $39.44 | $2.62 | $8.17 | $625 |
| Urinalysis non-automated | CPT | 81002 | 12 | $33.04 | $23.13 | $1.05 | $3.4 | $625 |
| Urinalysis automated | CPT | 81003 | 12 | $40.83 | $28.59 | $1.1 | $2.25 | $625 |
| Glucose quantitative | CPT | 82947 | 12 | $61.8 | $43.26 | $1.61 | $3.93 | $625 |
| Hemoglobin A1c | CPT | 83036 | 12 | $36.05 | $25.24 | $3.97 | $9.71 | $625 |
| Thyroid stimulating hormone (TSH) | CPT | 84443 | 12 | $97.2 | $68.04 | $6.88 | $16.8 | $625 |
| Complete blood count with automated differential | CPT | 85025 | 12 | $128.75 | $90.13 | $3.19 | $7.29 | $625 |
| Complete blood count without differential | CPT | 85027 | 12 | $40.83 | $28.59 | $2.38 | $6.47 | $625 |
| Urine culture bacterial | CPT | 87086 | 12 | $38.05 | $26.64 | $3.31 | $8.07 | $625 |
| Urine culture identification | CPT | 87088 | 12 | $38.05 | $26.64 | $3.32 | $8.09 | $625 |
| Tissue exam by pathologist level IV | CPT | 88305 | 12 | $2,176 | $1,523.2 | $24.2 | $48.91 | $625 |
| maternity | ||||||||
| Fetal non-stress test | CPT | 59025 | 13 | $699 | $489.3 | $20.32 | $185 | $3,271 |
| Routine obstetric care including vaginal delivery | CPT | 59400 | 7 | — | — | $2,461.91 | $2,896.36 | $7,704.32 |
| Vaginal delivery only | CPT | 59409 | 10 | $3,235 | $2,264.5 | $813.63 | $1,675.12 | $4,025.91 |
| Vaginal delivery with postpartum | CPT | 59410 | 8 | — | — | $1,073.38 | $1,329.39 | $3,488 |
| Routine obstetric care with C-section | CPT | 59510 | 7 | — | — | $2,524.5 | $3,243.43 | $8,627.52 |
| C-section delivery only | CPT | 59514 | 7 | $3,698 | $2,588.6 | $930.73 | $1,149.73 | $2,912.65 |
| C-section with postpartum | CPT | 59515 | 7 | — | — | $1,378.76 | $1,703.17 | $4,314.71 |
| office | ||||||||
| Office visit, new patient, 15-29 min | CPT | 99202 | 12 | $474 | $331.8 | $22.18 | $152.5 | $474 |
| Office visit, new patient, 30-44 minutes | CPT | 99203 | 12 | $474 | $331.8 | $34.04 | $153.5 | $474 |
| Office visit, new patient, 45-59 min | CPT | 99204 | 11 | $736 | $515.2 | $56.57 | $154.5 | $474 |
| Office visit, new patient, 60-74 min | CPT | 99205 | 12 | $965 | $675.5 | $73.59 | $180 | $540.8 |
| Office visit, established patient, 5 min | CPT | 99211 | 13 | $474 | $331.8 | $4.36 | $152.5 | $474 |
| Office visit, established patient, 10-19 min | CPT | 99212 | 13 | $651 | $455.7 | $11.47 | $114.68 | $474 |
| Office visit, established patient, 20-29 minutes | CPT | 99213 | 13 | $474 | $331.8 | $21.76 | $152.5 | $3,498 |
| Office visit, established patient, 30-39 minutes | CPT | 99214 | 13 | $974 | $681.8 | $34.03 | $152.5 | $522.96 |
| Office visit, established patient, 40-54 min | CPT | 99215 | 13 | $685 | $479.5 | $48.89 | $159.12 | $474 |
| preventive | ||||||||
| Upper GI endoscopy diagnostic | CPT | 43235 | 11 | $1,119 | $783.3 | $117.95 | $1,073.38 | $3,079 |
| Upper GI endoscopy with biopsy | CPT | 43239 | 11 | $1,465 | $1,025.5 | $132.07 | $1,109.47 | $3,079 |
| Sigmoidoscopy diagnostic | CPT | 45330 | 10 | — | — | $55.85 | $1,049.16 | $1,622 |
| Sigmoidoscopy with biopsy | CPT | 45331 | 10 | — | — | $70.49 | $1,049.16 | $1,622 |
| Colonoscopy diagnostic | CPT | 45378 | 12 | $3,259 | $2,281.3 | $88.99 | $1,078.88 | $3,498 |
| Colonoscopy with biopsy | CPT | 45380 | 10 | $1,682 | $1,177.4 | $192.62 | $1,339.72 | $1,714 |
| Colonoscopy with polyp removal | CPT | 45385 | 10 | $1,757 | $1,229.9 | $241.77 | $1,339.72 | $1,714 |
| surgery | ||||||||
| Total shoulder arthroplasty | CPT | 23472 | 10 | — | — | $1,445.83 | $2,976.72 | $23,285 |
| Hip hemiarthroplasty | CPT | 27125 | 7 | — | — | $1,139.61 | $1,379.1 | $3,566.32 |
| Total hip replacement | CPT | 27130 | 10 | $5,081 | $3,556.7 | $1,289.68 | $2,953.63 | $16,292 |
| Total knee replacement | CPT | 27447 | 10 | $5,072 | $3,550.4 | $1,287.84 | $2,953.63 | $41,039 |
| Knee revision arthroplasty single component | CPT | 27486 | 7 | — | — | $1,411.19 | $1,715.73 | $4,416.19 |
| Knee revision arthroplasty all components | CPT | 27487 | 7 | — | — | $1,755.94 | $2,146.28 | $5,495.05 |
| Shoulder arthroscopy with decompression | CPT | 29826 | 8 | $669 | $468.3 | $170.31 | $212.6 | $2,070 |
| Shoulder arthroscopy with rotator cuff repair | CPT | 29827 | 10 | $4,232 | $2,962.4 | $1,072.67 | $2,646.71 | $9,045.36 |
| Knee arthroscopy with meniscectomy | CPT | 29881 | 10 | $2,165 | $1,515.5 | $550.09 | $2,006.49 | $4,108.31 |
| ACL reconstruction | CPT | 29888 | 10 | $3,856 | $2,699.2 | $976.9 | $2,011.26 | $9,045.36 |
| Major small/large bowel procedures w MCC | MS-DRG | 329 | 6 | — | — | $41,945 | $55,711 | $74,353 |
| Major small/large bowel procedures w CC | MS-DRG | 330 | 6 | — | — | $21,592 | $28,679 | $38,275 |
| Major small/large bowel procedures w/o CC/MCC | MS-DRG | 331 | 6 | — | — | $15,082 | $20,032 | $26,735 |
| CABG single arterial graft | CPT | 33533 | 7 | — | — | $1,856.37 | $2,293.17 | $5,809.36 |
| CABG 2 arterial grafts | CPT | 33534 | 7 | — | — | $2,180.68 | $2,693.79 | $6,824.26 |
| CABG 3 arterial grafts | CPT | 33535 | 7 | — | — | $2,420.69 | $2,990.26 | $7,575.33 |
| CABG 4+ arterial grafts | CPT | 33536 | 7 | — | — | $2,608.2 | $3,221.89 | $8,162.13 |
| Laparoscopic cholecystectomy w/o CDE w MCC | MS-DRG | 418 | 6 | — | — | $15,150 | $20,123 | $26,856 |
| Laparoscopic cholecystectomy w/o CDE w CC | MS-DRG | 419 | 6 | — | — | $12,036 | $15,986 | $21,336 |
| Laparoscopic cholecystectomy w/o CDE w/o CC/MCC | MS-DRG | 420 | 6 | — | — | $32,239 | $42,820 | $57,148 |
| Open appendectomy | CPT | 44950 | 10 | — | — | $651.63 | $2,039.21 | $7,900.74 |
| Laparoscopic appendectomy | CPT | 44970 | 10 | $2,422 | $1,695.4 | $613.53 | $1,919.99 | $7,387.44 |
| Spinal fusion (non-cervical) w/o MCC | MS-DRG | 460 | 6 | — | — | $33,415 | $44,381 | $59,232 |
| Major joint replacement w MCC | MS-DRG | 469 | 6 | — | — | $29,858 | $39,657 | $52,927 |
| Major joint replacement w/o MCC | MS-DRG | 470 | 6 | — | — | $17,224 | $22,877 | $30,532 |
| Laparoscopic cholecystectomy | CPT | 47562 | 10 | $2,659 | $1,861.3 | $674.2 | $2,216.46 | $7,387.44 |
| Lap cholecystectomy with cholangiography | CPT | 47563 | 10 | $2,890 | $2,023 | $733.51 | $2,295.45 | $7,387.44 |
| Hip & femur procedures except major joint w MCC | MS-DRG | 480 | 6 | — | — | $26,866 | $35,683 | $47,624 |
| Hip & femur procedures except major joint w CC | MS-DRG | 481 | 6 | — | — | $18,954 | $25,175 | $33,599 |
| Hip & femur procedures except major joint w/o CC/MCC | MS-DRG | 482 | 6 | — | — | $14,492 | $19,248 | $25,689 |
| Lap inguinal hernia repair | CPT | 49650 | 10 | $1,749 | $1,224.3 | $443.65 | $2,006.49 | $7,387.44 |
| Total abdominal hysterectomy | CPT | 58150 | 7 | $3,980 | $2,786 | $1,005.34 | $1,241.89 | $3,287.59 |
| Vaginal hysterectomy | CPT | 58260 | 10 | — | — | $826.63 | $2,543 | $6,250.51 |
| Lap-assisted vaginal hysterectomy | CPT | 58550 | 10 | $3,457 | $2,419.9 | $870.45 | $2,724 | $7,387.44 |
| Lap-assisted vaginal hysterectomy >250g | CPT | 58552 | 10 | — | — | $967.59 | $3,027.98 | $13,183 |
| Lap salpingo-oophorectomy | CPT | 58661 | 13 | $20,440 | $14,308 | $250 | $1,241 | $20,440 |
| OR procedure for obesity w MCC | MS-DRG | 619 | 6 | — | — | $24,906 | $33,079 | $44,149 |
| OR procedure for obesity w CC | MS-DRG | 620 | 6 | — | — | $14,588 | $19,375 | $25,859 |
| OR procedure for obesity w/o CC/MCC | MS-DRG | 621 | 6 | — | — | $13,353 | $17,735 | $23,669 |
| Complex cataract surgery | CPT | 66982 | 11 | $8,469 | $5,928.3 | $180 | $2,390.22 | $8,469 |
| Cataract surgery with lens implant | CPT | 66984 | 10 | $2,047 | $1,432.9 | $515.65 | $2,216.46 | $3,687 |
| Intravitreal injection | CPT | 67028 | 11 | $1,305 | $913.5 | $87.41 | $323.21 | $1,305 |
| Vitrectomy mechanical | CPT | 67042 | 10 | $4,285 | $2,999.5 | $1,078.74 | $2,646.71 | $5,093.73 |
| Uterine & adnexa procedures w CC/MCC | MS-DRG | 743 | 6 | — | — | $10,949 | $14,543 | $19,409 |
| Uterine & adnexa procedures w/o CC/MCC | MS-DRG | 744 | 6 | — | — | $17,849 | $23,707 | $31,640 |
| PCI single major coronary artery | CPT | 92920 | 10 | — | — | $283.83 | $1,620.74 | $7,219.24 |
| PCI with drug-eluting stent | CPT | 92928 | 10 | — | — | $315.25 | $1,799.52 | $16,028 |
| PCI bypass graft | CPT | 92937 | 10 | — | — | $314.9 | $1,798.59 | $16,028 |
| Left heart catheterization | CPT | 93452 | 12 | $11,602 | $8,121.4 | $226.85 | $1,046.19 | $11,602 |
| Coronary angiography with cath | CPT | 93455 | 12 | $11,602 | $8,121.4 | $268.15 | $1,176.68 | $11,602 |
| Coronary angiography with bypass cath | CPT | 93458 | 12 | $11,602 | $8,121.4 | $282.63 | $1,213.97 | $11,602 |
Payer mix (top 14)
| Payer | Codes covered | Median rate |
|---|---|---|
| emblemhealth | 198 | $253.83 |
| Aetna | 198 | $391.74 |
| 1199seiu national benefit funds | 182 | $842.16 |
| UnitedHealthcare | 178 | $403 |
| Humana | 154 | $210.66 |
| fidelis care | 153 | $155.01 |
| Anthem BCBS | 153 | $103.01 |
| centers plan for healthy living | 153 | $151.84 |
| Molina | 153 | $85.59 |
| magnacare | 152 | $636 |
| Cigna | 151 | $264.52 |
| Blue Cross Blue Shield | 134 | $468.54 |
| valueoptions | 20 | $100 |
| Healthfirst | 8 | $250 |