▸ Hospital · NY · CCN 330250
CHAMPLAIN VALLEY PHYSICIANS HOSPITAL
75 BEEKMAN STREET, PLATTSBURGH, NY, 330250
Compliance grade
A
100/100
Procedures tracked
188
of 209 target codes
Payers
17
with negotiated rates
Rates published
56,002
last crawl 2026-05-24
Procedures & rates
| Procedure | Type | Code | Payers | Gross | Cash | Neg min | Neg median | Neg max |
|---|---|---|---|---|---|---|---|---|
| behavioral | ||||||||
| Psychoses | MS-DRG | 885 | 10 | — | — | $14,216 | $15,037 | $33,785 |
| Psychiatric diagnostic evaluation | CPT | 90791 | 16 | $347 | $347 | $110 | $164.03 | $398.06 |
| Psychiatric eval with medical services | CPT | 90792 | 17 | $441 | $441 | $101.08 | $196.31 | $932.26 |
| Psychotherapy 30 minutes | CPT | 90832 | 17 | $420 | $420 | $32 | $98.26 | $932.26 |
| Psychotherapy 45 minutes | CPT | 90834 | 16 | $197 | $197 | $71.77 | $102.53 | $227.7 |
| Psychotherapy 60 minutes | CPT | 90837 | 16 | $297 | $297 | $74.27 | $151.85 | $335.18 |
| emergency | ||||||||
| ED visit level 1 | CPT | 99281 | 15 | $148 | $148 | $7.98 | $15.27 | $140.6 |
| ED visit level 2 | CPT | 99282 | 15 | $176 | $176 | $29.4 | $51.52 | $167.2 |
| ED visit level 3 | CPT | 99283 | 15 | $244 | $244 | $49.72 | $79.48 | $231.8 |
| ED visit level 4 | CPT | 99284 | 15 | $301 | $301 | $84.74 | $145.21 | $285.95 |
| ED visit level 5 | CPT | 99285 | 17 | $2,668 | $2,668 | $122.87 | $350.4 | $3,557.4 |
| Critical care, first hour | CPT | 99291 | 16 | $3,649 | $3,649 | $169.63 | $533.6 | $4,889.09 |
| imaging | ||||||||
| CT head without contrast | CPT | 70450 | 16 | $3,128 | $3,128 | $26.57 | $90.4 | $2,971.6 |
| CT head with contrast | CPT | 70460 | 16 | $3,323 | $3,323 | $35.22 | $120.8 | $3,156.85 |
| CT head with and without contrast | CPT | 70470 | 16 | $4,031 | $4,031 | $39.63 | $136 | $3,829.45 |
| CT neck with contrast | CPT | 70491 | 16 | $2,930 | $2,930 | $42.99 | $147.2 | $2,783.5 |
| MRI brain without contrast | CPT | 70551 | 16 | $5,689 | $5,689 | $32.96 | $178.4 | $5,404.55 |
| MRI brain with contrast | CPT | 70552 | 16 | $6,693 | $6,693 | $39.93 | $200.7 | $6,358.35 |
| MRI brain with and without contrast | CPT | 70553 | 16 | $8,046 | $8,046 | $52.69 | $228.6 | $7,643.7 |
| Chest X-ray single view | CPT | 71045 | 16 | $223 | $223 | $5.75 | $24.1 | $510.89 |
| Chest X-ray 2 views | CPT | 71046 | 16 | $242 | $242 | $6.87 | $31.23 | $510.89 |
| Chest X-ray 3 views | CPT | 71047 | 16 | $704 | $704 | $8.65 | $29.77 | $668.8 |
| CT chest without contrast | CPT | 71250 | 16 | $3,308 | $3,308 | $33.56 | $123.14 | $3,142.6 |
| CT chest with contrast | CPT | 71260 | 16 | $3,859 | $3,859 | $36.34 | $132.8 | $3,666.05 |
| CT chest with and without contrast | CPT | 71270 | 16 | $5,283 | $5,283 | $38.97 | $146.4 | $5,018.85 |
| MRI chest without contrast | CPT | 71550 | 16 | $4,784 | $4,784 | $32.35 | $178.4 | $4,544.8 |
| MRI chest with contrast | CPT | 71551 | 16 | $7,215 | $7,215 | $38.41 | $200.7 | $6,854.25 |
| MRI chest with and without contrast | CPT | 71552 | 16 | $7,894 | $7,894 | $50.43 | $225 | $7,499.3 |
| Lumbosacral spine X-ray | CPT | 72100 | 16 | $569 | $569 | $6.46 | $36.75 | $617.02 |
| CT cervical spine without contrast | CPT | 72125 | 16 | $3,128 | $3,128 | $31.04 | $107.2 | $2,971.6 |
| CT thoracic spine without contrast | CPT | 72128 | 16 | $4,113 | $4,113 | $31.04 | $107.2 | $3,907.35 |
| CT lumbar spine without contrast | CPT | 72131 | 16 | $4,252 | $4,252 | $31.04 | $107.2 | $4,039.4 |
| MRI cervical spine without contrast | CPT | 72141 | 16 | $5,423 | $5,423 | $35.83 | $178.4 | $5,151.85 |
| MRI thoracic spine without contrast | CPT | 72146 | 16 | $5,686 | $5,686 | $35.83 | $178.4 | $5,401.7 |
| MRI lumbar spine without contrast | CPT | 72148 | 16 | $5,653 | $5,653 | $33.24 | $178.4 | $5,370.35 |
| MRI lumbar spine with and without contrast | CPT | 72149 | 16 | $6,564 | $6,564 | $39.93 | $200.7 | $6,235.8 |
| MRI cervical spine with and without contrast | CPT | 72156 | 16 | $8,161 | $8,161 | $57.54 | $228.6 | $7,752.95 |
| MRI lumbar spine with contrast | CPT | 72158 | 16 | $7,991 | $7,991 | $52.97 | $228.6 | $7,591.45 |
| CT pelvis without contrast | CPT | 72192 | 16 | $3,164 | $3,164 | $33.89 | $116 | $3,005.8 |
| CT pelvis with contrast | CPT | 72193 | 16 | $3,688 | $3,688 | $36.12 | $124 | $3,503.6 |
| Shoulder X-ray | CPT | 73030 | 16 | $483 | $483 | $5.53 | $32.08 | $510.89 |
| Humerus X-ray | CPT | 73060 | 16 | $417 | $417 | $4.82 | $29.59 | $510.89 |
| Hand X-ray 3 views | CPT | 73130 | 16 | $477 | $477 | $4.63 | $36.25 | $510.89 |
| MRI upper extremity joint without contrast | CPT | 73221 | 16 | $4,539 | $4,539 | $30.66 | $178.4 | $4,312.05 |
| MRI upper extremity joint with and without contrast | CPT | 73223 | 16 | $7,177 | $7,177 | $47.83 | $224.68 | $6,818.15 |
| Knee X-ray 1-2 views | CPT | 73560 | 16 | $459 | $459 | $5.16 | $31.43 | $510.89 |
| Ankle X-ray 3 views | CPT | 73610 | 16 | $477 | $477 | $4.63 | $33.6 | $510.89 |
| MRI lower extremity joint without contrast | CPT | 73721 | 16 | $4,725 | $4,725 | $30.5 | $178.4 | $4,488.75 |
| MRI lower extremity joint with and without contrast | CPT | 73723 | 16 | $4,218 | $4,218 | $47.83 | $224.68 | $4,007.1 |
| CT abdomen without contrast | CPT | 74150 | 16 | $3,412 | $3,412 | $37.02 | $125.32 | $3,241.4 |
| CT abdomen with contrast | CPT | 74160 | 16 | $4,539 | $4,539 | $39.63 | $136 | $4,312.05 |
| CT abdomen with and without contrast | CPT | 74170 | 16 | $4,891 | $4,891 | $43.44 | $149.6 | $4,646.45 |
| CT abdomen and pelvis without contrast | CPT | 74176 | 16 | $5,329 | $5,329 | $54.26 | $179.68 | $5,062.55 |
| CT abdomen and pelvis with contrast | CPT | 74177 | 16 | $5,613 | $5,613 | $57.05 | $196.52 | $5,332.35 |
| CT abdomen and pelvis with and without contrast | CPT | 74178 | 16 | $6,861 | $6,861 | $62.64 | $215.41 | $6,517.95 |
| MRI abdomen without contrast | CPT | 74181 | 16 | $5,716 | $5,716 | $32.5 | $178.4 | $5,430.2 |
| MRI abdomen with and without contrast | CPT | 74183 | 16 | $8,137 | $8,137 | $50.12 | $224.68 | $7,730.15 |
| Abdominal ultrasound complete | CPT | 76700 | 16 | $489 | $489 | $21.84 | $107.13 | $617.02 |
| Abdominal ultrasound limited | CPT | 76705 | 16 | $1,217 | $1,217 | $15.92 | $73.7 | $1,156.15 |
| Retroperitoneal ultrasound complete | CPT | 76770 | 16 | $1,354 | $1,354 | $19.98 | $99.95 | $1,286.3 |
| Obstetric ultrasound first trimester | CPT | 76801 | 16 | $1,318 | $1,318 | $31.03 | $108.41 | $1,252.1 |
| Obstetric ultrasound after first trimester | CPT | 76805 | 16 | $1,006 | $1,006 | $31.24 | $124.61 | $955.7 |
| Obstetric ultrasound with fetal anatomy | CPT | 76811 | 16 | $1,373 | $1,373 | $59.37 | $173.29 | $1,402.54 |
| Transvaginal ultrasound | CPT | 76830 | 16 | $605 | $605 | $18.71 | $109.15 | $617.02 |
| Pelvic ultrasound complete | CPT | 76856 | 16 | $1,081 | $1,081 | $18.71 | $97.18 | $1,026.95 |
| Scrotal ultrasound | CPT | 76870 | 16 | $329 | $329 | $17.57 | $94.34 | $617.02 |
| Diagnostic mammography unilateral | CPT | 77065 | 16 | $611 | $611 | $25.07 | $57.14 | $580.45 |
| Diagnostic mammography bilateral | CPT | 77066 | 16 | $799 | $799 | $31.03 | $70.28 | $759.05 |
| Screening mammography bilateral | CPT | 77067 | 16 | $640 | $640 | $23.61 | $54.1 | $608 |
| EKG complete | CPT | 93000 | 15 | $40 | $40 | $9.34 | $17.87 | $38 |
| EKG tracing only | CPT | 93005 | 16 | $161 | $161 | $4.03 | $14.02 | $344.68 |
| EKG interpretation only | CPT | 93010 | 15 | $21 | $21 | $5.31 | $9.88 | $19.95 |
| Transthoracic echocardiogram complete | CPT | 93306 | 16 | $3,795 | $3,795 | $126.19 | $432 | $3,605.25 |
| Transthoracic echocardiogram | CPT | 93307 | 16 | $2,137 | $2,137 | $28.42 | $98.4 | $2,030.15 |
| Stress echocardiogram | CPT | 93350 | 15 | $381 | $381 | $44.9 | $154.9 | $418.12 |
| inpatient | ||||||||
| Intracranial hemorrhage/CVA w MCC | MS-DRG | 064 | 10 | — | — | $20,061 | $21,220 | $47,677 |
| Intracranial hemorrhage/CVA w CC | MS-DRG | 065 | 10 | — | — | $10,255 | $10,848 | $24,373 |
| Intracranial hemorrhage/CVA w/o CC/MCC | MS-DRG | 066 | 10 | — | — | $6,941.49 | $7,342.38 | $16,497 |
| Respiratory infections & inflammations w MCC | MS-DRG | 177 | 10 | — | — | $16,302 | $17,244 | $38,744 |
| COPD w MCC | MS-DRG | 190 | 10 | — | — | $11,325 | $11,979 | $26,916 |
| COPD w CC | MS-DRG | 191 | 10 | — | — | $8,664 | $9,164.38 | $20,591 |
| COPD w/o CC/MCC | MS-DRG | 192 | 10 | — | — | $6,526.99 | $6,903.95 | $15,512 |
| Simple pneumonia & pleurisy w CC | MS-DRG | 194 | 10 | — | — | $8,269.67 | $8,747.27 | $19,654 |
| Simple pneumonia & pleurisy w/o CC/MCC | MS-DRG | 195 | 10 | — | — | $6,279.91 | $6,642.6 | $14,925 |
| AMI discharged alive w MCC | MS-DRG | 280 | 10 | — | — | $16,553 | $17,509 | $39,341 |
| AMI discharged alive w CC | MS-DRG | 281 | 10 | — | — | $9,296.33 | $9,833.22 | $22,094 |
| AMI discharged alive w/o CC/MCC | MS-DRG | 282 | 10 | — | — | $7,312.61 | $7,734.94 | $17,379 |
| Heart failure & shock w MCC | MS-DRG | 291 | 10 | — | — | $13,159 | $13,919 | $31,273 |
| Heart failure & shock w CC | MS-DRG | 292 | 10 | — | — | $8,685.17 | $9,186.77 | $20,641 |
| Heart failure & shock w/o CC/MCC | MS-DRG | 293 | 10 | — | — | $5,533.62 | $5,853.21 | $13,151 |
| Cardiac arrhythmia w MCC | MS-DRG | 308 | 10 | — | — | $12,161 | $12,864 | $28,903 |
| Cardiac arrhythmia w CC | MS-DRG | 309 | 10 | — | — | $7,455.82 | $7,886.42 | $17,720 |
| Cardiac arrhythmia w/o CC/MCC | MS-DRG | 310 | 10 | — | — | $5,642.53 | $5,968.41 | $13,410 |
| GI hemorrhage w CC | MS-DRG | 378 | 10 | — | — | $9,942.77 | $10,517 | $23,630 |
| GI hemorrhage w/o CC/MCC | MS-DRG | 379 | 10 | — | — | $6,421.1 | $6,791.94 | $15,260 |
| Esophagitis/gastroenteritis w/o MCC | MS-DRG | 392 | 10 | — | — | $7,869.31 | $8,323.79 | $18,702 |
| Fractures of femur w/o MCC | MS-DRG | 533 | 10 | — | — | $15,379 | $16,267 | $36,549 |
| Kidney/UTI w MCC | MS-DRG | 689 | 10 | — | — | $11,802 | $12,484 | $28,050 |
| Kidney/UTI w/o MCC | MS-DRG | 690 | 10 | — | — | $8,094.19 | $8,561.66 | $19,237 |
| Septicemia or severe sepsis w MV 96+ hrs | MS-DRG | 871 | 10 | — | — | $19,788 | $20,931 | $47,028 |
| Septicemia or severe sepsis w/o MV 96+ hrs | MS-DRG | 872 | 10 | — | — | $10,398 | $10,998 | $24,711 |
| Initial hospital care, low complexity | CPT | 99221 | 16 | $243 | $243 | $34.9 | $107.81 | $230.85 |
| Initial hospital care, moderate complexity | CPT | 99222 | 16 | $330 | $330 | $48.07 | $159.63 | $313.5 |
| Initial hospital care, high complexity | CPT | 99223 | 16 | $490 | $490 | $70.62 | $227.51 | $465.5 |
| Hospital discharge, <30 min | CPT | 99238 | 16 | $177 | $177 | $26.74 | $89.47 | $182.27 |
| Hospital discharge, >30 min | CPT | 99239 | 16 | $261 | $261 | $38.33 | $128.89 | $258.39 |
| lab | ||||||||
| Basic metabolic panel (BMP) | CPT | 80048 | 16 | $239 | $239 | $8 | $8.76 | $227.05 |
| General health panel | CPT | 80050 | 10 | $851 | $851 | $37.14 | $573.57 | $808.45 |
| Electrolyte panel | CPT | 80051 | 16 | $212 | $212 | $6.63 | $7.26 | $201.4 |
| Comprehensive metabolic panel | CPT | 80053 | 16 | $361 | $361 | $9.98 | $10.94 | $342.95 |
| Lipid panel | CPT | 80061 | 16 | $298 | $298 | $12.66 | $13.87 | $283.1 |
| Renal function panel | CPT | 80069 | 16 | $273 | $273 | $8.21 | $8.99 | $259.35 |
| Hepatic function panel | CPT | 80076 | 16 | $236 | $236 | $7.72 | $8.46 | $224.2 |
| Urinalysis non-automated | CPT | 81002 | 15 | $11 | $11 | $1.39 | $3.48 | $10.45 |
| Urinalysis automated | CPT | 81003 | 16 | $143 | $143 | $1.11 | $2.25 | $135.85 |
| Glucose quantitative | CPT | 82947 | 16 | $84 | $84 | $1.94 | $3.93 | $79.8 |
| Hemoglobin A1c | CPT | 83036 | 16 | $190 | $190 | $4.8 | $9.71 | $180.5 |
| Thyroid stimulating hormone (TSH) | CPT | 84443 | 16 | $281 | $281 | $15.88 | $17.4 | $266.95 |
| Complete blood count with automated differential | CPT | 85025 | 16 | $210 | $210 | $7.35 | $8.05 | $199.5 |
| Complete blood count without differential | CPT | 85027 | 16 | $109 | $109 | $6.12 | $6.7 | $103.55 |
| Urine culture bacterial | CPT | 87086 | 16 | $154 | $154 | $7.63 | $8.36 | $146.3 |
| Urine culture identification | CPT | 87088 | 16 | $180 | $180 | $7.65 | $8.38 | $171 |
| Tissue exam by pathologist level IV | CPT | 88305 | 16 | $475 | $475 | $18.21 | $67.09 | $451.25 |
| maternity | ||||||||
| Fetal non-stress test | CPT | 59025 | 16 | $684 | $684 | $18.67 | $47.06 | $1,167.23 |
| Routine obstetric care including vaginal delivery | CPT | 59400 | 15 | $5,064 | $5,064 | $1,720.75 | $2,425.4 | $5,342.58 |
| Vaginal delivery only | CPT | 59409 | 16 | $7,830 | $7,830 | $623.08 | $1,739.7 | $18,449 |
| Vaginal delivery with postpartum | CPT | 59410 | 15 | $2,490 | $2,490 | $843.5 | $1,216.29 | $2,365.5 |
| Routine obstetric care with C-section | CPT | 59510 | 15 | $5,597 | $5,597 | $1,948.09 | $2,680.12 | $5,892.67 |
| C-section delivery only | CPT | 59514 | 15 | $2,177 | $2,177 | $704.25 | $984.26 | $2,068.15 |
| C-section with postpartum | CPT | 59515 | 15 | $3,021 | $3,021 | $1,042.67 | $1,324.61 | $2,893.08 |
| office | ||||||||
| Office visit, new patient, 15-29 min | CPT | 99202 | 17 | $383 | $383 | $44.02 | $75.42 | $363.85 |
| Office visit, new patient, 30-44 minutes | CPT | 99203 | 17 | $493 | $493 | $52.79 | $130.72 | $468.35 |
| Office visit, new patient, 45-59 min | CPT | 99204 | 17 | $636 | $636 | $105.58 | $200 | $604.2 |
| Office visit, new patient, 60-74 min | CPT | 99205 | 17 | $809 | $809 | $105.58 | $252.85 | $768.55 |
| Office visit, established patient, 5 min | CPT | 99211 | 17 | $171 | $171 | $8.21 | $24.32 | $162.45 |
| Office visit, established patient, 10-19 min | CPT | 99212 | 17 | $259 | $259 | $29.16 | $53.18 | $246.05 |
| Office visit, established patient, 20-29 minutes | CPT | 99213 | 17 | $431 | $431 | $38.8 | $90.68 | $409.45 |
| Office visit, established patient, 30-39 minutes | CPT | 99214 | 17 | $590 | $590 | $44.34 | $131.27 | $560.5 |
| Office visit, established patient, 40-54 min | CPT | 99215 | 17 | $764 | $764 | $70.95 | $185.93 | $725.8 |
| preventive | ||||||||
| Upper GI endoscopy diagnostic | CPT | 43235 | 16 | $4,016 | $4,016 | $96.56 | $604.97 | $5,440.01 |
| Upper GI endoscopy with biopsy | CPT | 43239 | 16 | $2,602 | $2,602 | $108.6 | $823.85 | $5,440.01 |
| Sigmoidoscopy diagnostic | CPT | 45330 | 16 | $2,368 | $2,368 | $45.02 | $333.6 | $5,290.04 |
| Sigmoidoscopy with biopsy | CPT | 45331 | 16 | $2,368 | $2,368 | $57.26 | $523.2 | $5,290.04 |
| Colonoscopy diagnostic | CPT | 45378 | 16 | $4,336 | $4,336 | $144.99 | $736.51 | $5,290.04 |
| Colonoscopy with biopsy | CPT | 45380 | 16 | $4,975 | $4,975 | $157.7 | $921.53 | $6,841.36 |
| Colonoscopy with polyp removal | CPT | 45385 | 16 | $5,005 | $5,005 | $199.02 | $956.58 | $6,841.36 |
| surgery | ||||||||
| Total shoulder arthroplasty | CPT | 23472 | 15 | $3,492 | $3,492 | $944.1 | $2,195.45 | $106,705 |
| Hip hemiarthroplasty | CPT | 27125 | 15 | $2,716 | $2,716 | $742 | $1,224.34 | $2,580.2 |
| Total hip replacement | CPT | 27130 | 15 | $3,254 | $3,254 | $839.55 | $1,952.31 | $74,657 |
| Total knee replacement | CPT | 27447 | 15 | $3,250 | $3,250 | $838.52 | $1,949.93 | $74,657 |
| Knee revision arthroplasty single component | CPT | 27486 | 15 | $3,376 | $3,376 | $918.64 | $1,510.73 | $3,207.2 |
| Knee revision arthroplasty all components | CPT | 27487 | 15 | $4,222 | $4,222 | $1,143.04 | $1,889.52 | $4,010.9 |
| Shoulder arthroscopy with decompression | CPT | 29826 | 15 | $422 | $422 | $111.23 | $192.08 | $6,441 |
| Shoulder arthroscopy with rotator cuff repair | CPT | 29827 | 15 | $2,568 | $2,568 | $700.83 | $1,629.71 | $41,450 |
| Knee arthroscopy with meniscectomy | CPT | 29881 | 15 | $1,299 | $1,299 | $358.85 | $1,019.7 | $18,826 |
| ACL reconstruction | CPT | 29888 | 15 | $2,359 | $2,359 | $639.14 | $1,854.38 | $41,450 |
| Major small/large bowel procedures w MCC | MS-DRG | 329 | 10 | — | — | $46,309 | $48,984 | $110,059 |
| Major small/large bowel procedures w CC | MS-DRG | 330 | 10 | — | — | $23,838 | $25,215 | $56,653 |
| Major small/large bowel procedures w/o CC/MCC | MS-DRG | 331 | 10 | — | — | $16,650 | $17,612 | $39,571 |
| Laparoscopic cholecystectomy w/o CDE w MCC | MS-DRG | 418 | 10 | — | — | $16,725 | $17,691 | $39,749 |
| Laparoscopic cholecystectomy w/o CDE w CC | MS-DRG | 419 | 10 | — | — | $13,288 | $14,055 | $31,580 |
| Laparoscopic cholecystectomy w/o CDE w/o CC/MCC | MS-DRG | 420 | 10 | — | — | $35,595 | $37,651 | $84,595 |
| Open appendectomy | CPT | 44950 | 15 | $1,578 | $1,578 | $416.91 | $969.48 | $36,205 |
| Laparoscopic appendectomy | CPT | 44970 | 15 | $1,478 | $1,478 | $392.57 | $1,182.4 | $33,853 |
| Major joint replacement w MCC | MS-DRG | 469 | 10 | — | — | $32,965 | $34,869 | $78,344 |
| Major joint replacement w/o MCC | MS-DRG | 470 | 10 | — | — | $19,015 | $20,113 | $45,192 |
| Laparoscopic cholecystectomy | CPT | 47562 | 15 | $1,617 | $1,617 | $430.26 | $1,293.6 | $33,853 |
| Lap cholecystectomy with cholangiography | CPT | 47563 | 15 | $1,754 | $1,754 | $467.69 | $1,087.59 | $33,853 |
| Hip & femur procedures except major joint w MCC | MS-DRG | 480 | 10 | — | — | $29,660 | $31,373 | $70,490 |
| Hip & femur procedures except major joint w CC | MS-DRG | 481 | 10 | — | — | $20,925 | $22,134 | $49,731 |
| Hip & femur procedures except major joint w/o CC/MCC | MS-DRG | 482 | 10 | — | — | $15,999 | $16,923 | $38,023 |
| Lap inguinal hernia repair | CPT | 49650 | 15 | $1,054 | $1,054 | $283.6 | $659.49 | $33,853 |
| Total abdominal hysterectomy | CPT | 58150 | 15 | $2,443 | $2,443 | $665.41 | $1,000.73 | $8,546 |
| Vaginal hysterectomy | CPT | 58260 | 15 | $1,668 | $1,668 | $547.62 | $1,196.95 | $28,643 |
| Lap-assisted vaginal hysterectomy | CPT | 58550 | 15 | $2,137 | $2,137 | $576.73 | $1,260.57 | $33,853 |
| Lap-assisted vaginal hysterectomy >250g | CPT | 58552 | 15 | $2,382 | $2,382 | $641.17 | $1,401.4 | $60,409 |
| Lap salpingo-oophorectomy | CPT | 58661 | 15 | $1,966 | $1,966 | $425.96 | $973.62 | $33,853 |
| OR procedure for obesity w MCC | MS-DRG | 619 | 10 | — | — | $27,497 | $29,085 | $65,349 |
| OR procedure for obesity w CC | MS-DRG | 620 | 10 | — | — | $16,106 | $17,036 | $38,277 |
| OR procedure for obesity w/o CC/MCC | MS-DRG | 621 | 10 | — | — | $14,742 | $15,594 | $35,036 |
| Uterine & adnexa procedures w CC/MCC | MS-DRG | 743 | 10 | — | — | $12,089 | $12,787 | $28,730 |
| Uterine & adnexa procedures w/o CC/MCC | MS-DRG | 744 | 10 | — | — | $19,706 | $20,844 | $46,833 |
| PCI single major coronary artery | CPT | 92920 | 16 | $14,631 | $14,631 | $333.31 | $1,088 | $33,082 |
| PCI with drug-eluting stent | CPT | 92928 | 16 | $26,885 | $26,885 | $370.43 | $1,361.7 | $65,801 |
| PCI bypass graft | CPT | 92937 | 16 | $26,885 | $26,885 | $370.2 | $1,359.9 | $65,801 |
| Left heart catheterization | CPT | 93452 | 16 | $14,183 | $14,183 | $789 | $6,030.97 | $18,663 |
| Coronary angiography with cath | CPT | 93455 | 16 | $15,602 | $15,602 | $175.89 | $931.38 | $18,663 |
| Coronary angiography with bypass cath | CPT | 93458 | 16 | $15,602 | $15,602 | $185.72 | $961.2 | $18,663 |
Payer mix (top 17)
| Payer | Codes covered | Median rate |
|---|---|---|
| Aetna | 188 | $239.86 |
| mvp | 188 | $151.48 |
| Blue Cross Blue Shield | 188 | $204.08 |
| capital district physicians' health plan | 188 | $154.33 |
| UnitedHealthcare | 188 | $161.06 |
| wellpath | 187 | $226.51 |
| fidelis care | 187 | $107.27 |
| Humana | 187 | $161.79 |
| st. regis | 187 | $295.34 |
| VA Health | 187 | $141.73 |
| magnacare | 145 | $352.8 |
| Multiplan | 145 | $443.65 |
| First Health | 145 | $420.3 |
| harvard pilgrim | 145 | $373.6 |
| martins point | 144 | $139.16 |
| Emblem Health | 104 | $2,108 |
| beacon health | 20 | $98.66 |