▸ Hospital · · CCN 339800
University Hospital S U N Y Health Science Ctr T C
Compliance grade
B
87/100
Procedures tracked
74
of 209 target codes
Payers
11
with negotiated rates
Rates published
3,984
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 | — | — | $15,756 | $16,465 | $43,032 |
| imaging | ||||||||
| EKG interpretation only | CPT | 93010 | 1 | — | — | $5.65 | $11.3 | $16.95 |
| inpatient | ||||||||
| Intracranial hemorrhage/CVA w MCC | MS-DRG | 064 | 10 | — | — | $22,150 | $23,146 | $60,733 |
| Intracranial hemorrhage/CVA w CC | MS-DRG | 065 | 10 | — | — | $11,425 | $11,939 | $31,129 |
| Intracranial hemorrhage/CVA w/o CC/MCC | MS-DRG | 066 | 10 | — | — | $7,800.09 | $8,151.09 | $21,058 |
| Respiratory infections & inflammations w MCC | MS-DRG | 177 | 10 | — | — | $18,039 | $18,850 | $49,441 |
| COPD w MCC | MS-DRG | 190 | 10 | — | — | $12,595 | $13,162 | $34,181 |
| COPD w CC | MS-DRG | 191 | 10 | — | — | $9,684.12 | $10,120 | $26,246 |
| COPD w/o CC/MCC | MS-DRG | 192 | 10 | — | — | $7,346.74 | $7,677.35 | $19,837 |
| Simple pneumonia & pleurisy w CC | MS-DRG | 194 | 10 | — | — | $9,252.8 | $9,669.18 | $25,026 |
| Simple pneumonia & pleurisy w/o CC/MCC | MS-DRG | 195 | 10 | — | — | $7,076.5 | $7,394.94 | $18,922 |
| AMI discharged alive w MCC | MS-DRG | 280 | 10 | — | — | $18,313 | $19,137 | $50,051 |
| AMI discharged alive w CC | MS-DRG | 281 | 10 | — | — | $10,376 | $10,843 | $28,077 |
| AMI discharged alive w/o CC/MCC | MS-DRG | 282 | 10 | — | — | $8,206.01 | $8,575.28 | $22,279 |
| Heart failure & shock w MCC | MS-DRG | 291 | 10 | — | — | $14,600 | $15,257 | $39,675 |
| Heart failure & shock w CC | MS-DRG | 292 | 10 | — | — | $9,707.28 | $10,144 | $26,246 |
| Heart failure & shock w/o CC/MCC | MS-DRG | 293 | 10 | — | — | $6,260.24 | $6,541.95 | $16,785 |
| Cardiac arrhythmia w MCC | MS-DRG | 308 | 10 | — | — | $13,509 | $14,117 | $36,928 |
| Cardiac arrhythmia w CC | MS-DRG | 309 | 10 | — | — | $8,362.65 | $8,738.97 | $22,584 |
| Cardiac arrhythmia w/o CC/MCC | MS-DRG | 310 | 10 | — | — | $6,379.36 | $6,666.43 | $17,091 |
| GI hemorrhage w CC | MS-DRG | 378 | 10 | — | — | $11,083 | $11,581 | $30,214 |
| GI hemorrhage w/o CC/MCC | MS-DRG | 379 | 10 | — | — | $7,230.91 | $7,556.31 | $19,532 |
| Esophagitis/gastroenteritis w/o MCC | MS-DRG | 392 | 10 | — | — | $8,814.91 | $9,211.59 | $23,805 |
| Fractures of femur w/o MCC | MS-DRG | 533 | 10 | — | — | $17,028 | $17,795 | $46,389 |
| Kidney/UTI w MCC | MS-DRG | 689 | 10 | — | — | $13,117 | $13,707 | $35,707 |
| Kidney/UTI w/o MCC | MS-DRG | 690 | 10 | — | — | $9,060.89 | $9,468.63 | $24,415 |
| Septicemia or severe sepsis w MV 96+ hrs | MS-DRG | 871 | 10 | — | — | $21,851 | $22,834 | $59,817 |
| Septicemia or severe sepsis w/o MV 96+ hrs | MS-DRG | 872 | 10 | — | — | $11,580 | $12,101 | $31,435 |
| preventive | ||||||||
| Upper GI endoscopy diagnostic | CPT | 43235 | 10 | — | — | $561.95 | $1,198.23 | $3,254.41 |
| Upper GI endoscopy with biopsy | CPT | 43239 | 10 | — | — | $561.95 | $1,198.23 | $3,254.41 |
| Sigmoidoscopy diagnostic | CPT | 45330 | 10 | — | — | $551.13 | $1,165.19 | $3,164.68 |
| Sigmoidoscopy with biopsy | CPT | 45331 | 10 | — | — | $551.13 | $1,165.19 | $3,164.68 |
| Colonoscopy diagnostic | CPT | 45378 | 10 | — | — | $551.13 | $1,165.19 | $3,164.68 |
| Colonoscopy with biopsy | CPT | 45380 | 10 | — | — | $720.16 | $1,506.9 | $4,092.77 |
| Colonoscopy with polyp removal | CPT | 45385 | 10 | — | — | $720.16 | $1,506.9 | $4,092.77 |
| surgery | ||||||||
| Total shoulder arthroplasty | CPT | 23472 | 10 | — | — | $8,563.44 | $23,503 | $63,835 |
| Total hip replacement | CPT | 27130 | 10 | — | — | $8,563.44 | $16,444 | $44,663 |
| Total knee replacement | CPT | 27447 | 10 | — | — | $8,563.44 | $16,444 | $44,663 |
| Shoulder arthroscopy with decompression | CPT | 29826 | 1 | — | — | $120.01 | $240.02 | $360.03 |
| Shoulder arthroscopy with rotator cuff repair | CPT | 29827 | 10 | — | — | $4,349.99 | $9,129.89 | $24,797 |
| Knee arthroscopy with meniscectomy | CPT | 29881 | 10 | — | — | $1,966.75 | $4,146.7 | $11,263 |
| ACL reconstruction | CPT | 29888 | 10 | — | — | $4,349.99 | $9,129.89 | $24,797 |
| Major small/large bowel procedures w MCC | MS-DRG | 329 | 10 | — | — | $50,859 | $53,148 | $140,082 |
| Major small/large bowel procedures w CC | MS-DRG | 330 | 10 | — | — | $26,281 | $27,463 | $72,025 |
| Major small/large bowel procedures w/o CC/MCC | MS-DRG | 331 | 10 | — | — | $18,419 | $19,248 | $50,356 |
| Laparoscopic cholecystectomy w/o CDE w MCC | MS-DRG | 418 | 10 | — | — | $18,501 | $19,333 | $50,662 |
| Laparoscopic cholecystectomy w/o CDE w CC | MS-DRG | 419 | 10 | — | — | $14,742 | $15,405 | $40,285 |
| Laparoscopic cholecystectomy w/o CDE w/o CC/MCC | MS-DRG | 420 | 10 | — | — | $39,140 | $40,901 | $107,732 |
| Open appendectomy | CPT | 44950 | 10 | — | — | $2,209.56 | $7,679.22 | $21,659 |
| Laparoscopic appendectomy | CPT | 44970 | 10 | — | — | $3,514.03 | $7,456.48 | $20,252 |
| Major joint replacement w MCC | MS-DRG | 469 | 10 | — | — | $36,263 | $37,895 | $99,797 |
| Major joint replacement w/o MCC | MS-DRG | 470 | 10 | — | — | $21,006 | $21,951 | $57,681 |
| Laparoscopic cholecystectomy | CPT | 47562 | 10 | — | — | $3,514.03 | $7,456.48 | $20,252 |
| Lap cholecystectomy with cholangiography | CPT | 47563 | 10 | — | — | $3,514.03 | $7,456.48 | $20,252 |
| Hip & femur procedures except major joint w MCC | MS-DRG | 480 | 10 | — | — | $32,649 | $34,118 | $89,726 |
| Hip & femur procedures except major joint w CC | MS-DRG | 481 | 10 | — | — | $23,095 | $24,134 | $63,174 |
| Hip & femur procedures except major joint w/o CC/MCC | MS-DRG | 482 | 10 | — | — | $17,707 | $18,503 | $48,525 |
| Lap inguinal hernia repair | CPT | 49650 | 10 | — | — | $3,514.03 | $7,456.48 | $20,252 |
| Lap-assisted vaginal hysterectomy >250g | CPT | 58552 | 10 | — | — | $6,185.59 | $13,306 | $36,139 |
| Lap salpingo-oophorectomy | CPT | 58661 | 10 | — | — | $3,514.03 | $7,456.48 | $20,252 |
| OR procedure for obesity w MCC | MS-DRG | 619 | 10 | — | — | $23,100 | $31,040 | $66,372 |
| OR procedure for obesity w CC | MS-DRG | 620 | 10 | — | — | $17,824 | $18,447 | $42,691 |
| OR procedure for obesity w/o CC/MCC | MS-DRG | 621 | 10 | — | — | $16,332 | $17,067 | $42,691 |
| Complex cataract surgery | CPT | 66982 | 10 | — | — | $1,442.18 | $2,914.83 | $7,916.74 |
| Cataract surgery with lens implant | CPT | 66984 | 10 | — | — | $1,442.18 | $2,914.83 | $7,916.74 |
| Intravitreal injection | CPT | 67028 | 10 | — | — | $221.44 | $423.91 | $1,151.35 |
| Vitrectomy mechanical | CPT | 67042 | 10 | — | — | $2,719.72 | $5,141.33 | $13,964 |
| Uterine & adnexa procedures w CC/MCC | MS-DRG | 743 | 10 | — | — | $13,430 | $14,034 | $36,623 |
| Uterine & adnexa procedures w/o CC/MCC | MS-DRG | 744 | 10 | — | — | $21,761 | $22,741 | $59,512 |
| PCI single major coronary artery | CPT | 92920 | 10 | — | — | $3,442.09 | $7,286.71 | $19,791 |
| PCI with drug-eluting stent | CPT | 92928 | 10 | — | — | $6,975.77 | $14,494 | $39,365 |
| PCI bypass graft | CPT | 92937 | 10 | — | — | $6,975.77 | $14,494 | $39,365 |
| Coronary angiography with cath | CPT | 93455 | 10 | — | — | $2,013.83 | $4,110.66 | $11,165 |
| Coronary angiography with bypass cath | CPT | 93458 | 10 | — | — | $2,013.83 | $4,110.66 | $11,165 |
Payer mix (top 11)
| Payer | Codes covered | Median rate |
|---|---|---|
| UnitedHealthcare | 74 | $10,542 |
| capital district physicians health plan (cdphp) | 72 | $10,041 |
| emblemhealth | 72 | $18,358 |
| excellus | 72 | $10,849 |
| fidelis | 72 | $12,513 |
| Aetna | 72 | $16,480 |
| mycompass | 72 | $10,845 |
| optum | 72 | $12,320 |
| icircle of the finger lakes | 72 | $10,242 |
| umr | 43 | $29,152 |
| mvp health care of ny | 29 | $13,855 |