▸ Hospital · · CCN 339808
Strong Memorial Hospital T C
Compliance grade
A
100/100
Procedures tracked
192
of 209 target codes
Payers
21
with negotiated rates
Rates published
70,202
last crawl 2026-05-24
Procedures & rates
| Procedure | Type | Code | Payers | Gross | Cash | Neg min | Neg median | Neg max |
|---|---|---|---|---|---|---|---|---|
| behavioral | ||||||||
| Psychoses | MS-DRG | 885 | 7 | — | $16,664 | $18,037 | $19,605 | $24,688 |
| Psychiatric diagnostic evaluation | CPT | 90791 | 19 | $810 | $674.9 | $43.62 | $228.49 | $808.76 |
| Psychiatric eval with medical services | CPT | 90792 | 19 | $910 | $742.05 | $44.97 | $252.13 | $907.14 |
| Psychotherapy 30 minutes | CPT | 90832 | 19 | $386 | $328.1 | $18.22 | $136.87 | $438.88 |
| Psychotherapy 45 minutes | CPT | 90834 | 19 | $772 | $656.2 | $27.31 | $187.1 | $746 |
| Psychotherapy 60 minutes | CPT | 90837 | 19 | $2,239 | $1,903.15 | $41.23 | $288.43 | $2,239 |
| Crisis psychotherapy 60 minutes | CPT | 90839 | 19 | $810 | $688.5 | $43.16 | $229.65 | $724.78 |
| emergency | ||||||||
| ED visit level 1 | CPT | 99281 | 19 | $719 | $611.15 | $5.81 | $50.4 | $579 |
| ED visit level 2 | CPT | 99282 | 19 | $1,304 | $1,108.4 | $10.92 | $187.4 | $1,049 |
| ED visit level 3 | CPT | 99283 | 19 | $2,296 | $1,951.6 | $17.64 | $191.81 | $1,847 |
| ED visit level 4 | CPT | 99284 | 19 | $3,606 | $3,065.1 | $32.52 | $426.54 | $2,901 |
| ED visit level 5 | CPT | 99285 | 19 | $5,176 | $4,399.6 | $48.54 | $803.54 | $4,164 |
| Critical care, first hour | CPT | 99291 | 19 | $4,154 | $3,530.9 | $71.98 | $469.1 | $3,800.98 |
| imaging | ||||||||
| CT head without contrast | CPT | 70450 | 19 | $934 | $793.9 | $87.19 | $161.2 | $497.67 |
| CT head with contrast | CPT | 70460 | 12 | $1,531 | $1,301.35 | $146.45 | $229.62 | $803.04 |
| CT head with and without contrast | CPT | 70470 | 12 | $1,531 | $1,301.35 | $190.44 | $241.17 | $803.04 |
| CT neck with contrast | CPT | 70491 | 12 | $1,531 | $1,301.35 | $171.7 | $232.51 | $803.04 |
| MRI brain without contrast | CPT | 70551 | 12 | $1,971 | $1,675.35 | $258.58 | $505 | $1,136.25 |
| MRI brain with contrast | CPT | 70552 | 12 | $3,153 | $2,680.05 | $382.04 | $505 | $1,610.99 |
| MRI brain with and without contrast | CPT | 70553 | 19 | $3,153 | $2,680.05 | $262.26 | $558.31 | $1,610.99 |
| Chest X-ray single view | CPT | 71045 | 19 | $437 | $371.45 | $10.1 | $43.67 | $397.17 |
| Chest X-ray 2 views | CPT | 71046 | 19 | $437 | $371.45 | $15.15 | $57.32 | $397.17 |
| Chest X-ray 3 views | CPT | 71047 | 12 | $437 | $371.45 | $15.15 | $108.63 | $397.17 |
| CT chest without contrast | CPT | 71250 | 19 | $934 | $793.9 | $109.37 | $199.3 | $624.23 |
| CT chest with contrast | CPT | 71260 | 19 | $1,531 | $1,301.35 | $137.21 | $263.24 | $803.04 |
| CT chest with and without contrast | CPT | 71270 | 12 | $1,531 | $1,301.35 | $190.44 | $256.54 | $839.09 |
| MRI chest without contrast | CPT | 71550 | 12 | $1,971 | $1,675.35 | $258.58 | $505 | $1,491.1 |
| MRI chest with contrast | CPT | 71551 | 12 | $4,414 | $3,751.9 | $505 | $1,019.51 | $3,563.95 |
| MRI chest with and without contrast | CPT | 71552 | 12 | $3,153 | $2,680.05 | $382.04 | $505 | $2,200.97 |
| Lumbosacral spine X-ray | CPT | 72100 | 19 | $590 | $501.5 | $15.15 | $68.03 | $479.7 |
| CT cervical spine without contrast | CPT | 72125 | 19 | $934 | $793.9 | $106.93 | $198.32 | $610.33 |
| CT thoracic spine without contrast | CPT | 72128 | 12 | $934 | $793.9 | $113.76 | $143.75 | $508.37 |
| CT lumbar spine without contrast | CPT | 72131 | 12 | $934 | $793.9 | $113.76 | $143.75 | $506.35 |
| MRI cervical spine without contrast | CPT | 72141 | 12 | $1,971 | $1,675.35 | $258.58 | $505 | $1,136.25 |
| MRI thoracic spine without contrast | CPT | 72146 | 12 | $1,971 | $1,675.35 | $258.58 | $505 | $1,136.25 |
| MRI lumbar spine without contrast | CPT | 72148 | 12 | $1,971 | $1,675.35 | $258.58 | $505 | $1,136.25 |
| MRI lumbar spine with and without contrast | CPT | 72149 | 12 | $3,153 | $2,680.05 | $382.04 | $505 | $1,610.99 |
| MRI cervical spine with and without contrast | CPT | 72156 | 12 | $3,153 | $2,680.05 | $382.04 | $505 | $1,610.99 |
| MRI lumbar spine with contrast | CPT | 72158 | 12 | $3,153 | $2,680.05 | $382.04 | $505 | $1,610.99 |
| CT pelvis without contrast | CPT | 72192 | 12 | $934 | $793.9 | $113.76 | $143.75 | $502.39 |
| CT pelvis with contrast | CPT | 72193 | 12 | $1,531 | $1,301.35 | $171.7 | $232.51 | $1,050.6 |
| Shoulder X-ray | CPT | 73030 | 19 | $437 | $371.45 | $15.15 | $59.45 | $397.17 |
| Humerus X-ray | CPT | 73060 | 19 | $437 | $371.45 | $10.1 | $54.31 | $397.17 |
| Hand X-ray 3 views | CPT | 73130 | 19 | $437 | $371.45 | $12.63 | $63.35 | $397.17 |
| MRI upper extremity joint without contrast | CPT | 73221 | 12 | $1,971 | $1,675.35 | $258.58 | $505 | $1,136.25 |
| MRI upper extremity joint with and without contrast | CPT | 73223 | 12 | $3,153 | $2,680.05 | $382.04 | $505 | $1,724.58 |
| Knee X-ray 1-2 views | CPT | 73560 | 19 | $437 | $371.45 | $10.1 | $58.25 | $397.17 |
| Ankle X-ray 3 views | CPT | 73610 | 19 | $437 | $371.45 | $12.63 | $62.23 | $397.17 |
| MRI lower extremity joint without contrast | CPT | 73721 | 12 | $1,971 | $1,675.35 | $258.58 | $505 | $1,136.25 |
| MRI lower extremity joint with and without contrast | CPT | 73723 | 12 | $3,153 | $2,680.05 | $382.04 | $505 | $1,718.6 |
| CT abdomen without contrast | CPT | 74150 | 12 | $934 | $793.9 | $113.76 | $143.75 | $494.39 |
| CT abdomen with contrast | CPT | 74160 | 12 | $1,531 | $1,301.35 | $171.7 | $232.51 | $1,042.6 |
| CT abdomen with and without contrast | CPT | 74170 | 12 | $1,531 | $1,301.35 | $190.44 | $256.54 | $1,096.49 |
| CT abdomen and pelvis without contrast | CPT | 74176 | 19 | $1,971 | $1,675.35 | $69.38 | $290.04 | $1,090.38 |
| CT abdomen and pelvis with contrast | CPT | 74177 | 19 | $3,153 | $2,680.05 | $109.01 | $446.9 | $1,610.99 |
| CT abdomen and pelvis with and without contrast | CPT | 74178 | 12 | $3,153 | $2,680.05 | $138.11 | $435.49 | $1,610.99 |
| MRI abdomen without contrast | CPT | 74181 | 12 | $1,971 | $1,675.35 | $258.58 | $505 | $1,136.25 |
| MRI abdomen with and without contrast | CPT | 74183 | 12 | $3,153 | $2,680.05 | $382.04 | $505 | $1,610.99 |
| Abdominal ultrasound complete | CPT | 76700 | 19 | $743 | $631.55 | $60.6 | $140.76 | $531.74 |
| Abdominal ultrasound limited | CPT | 76705 | 19 | $895 | $760.75 | $40.4 | $130.5 | $479.7 |
| Retroperitoneal ultrasound complete | CPT | 76770 | 19 | $743 | $631.55 | $60.6 | $139.05 | $495.26 |
| Obstetric ultrasound first trimester | CPT | 76801 | 19 | $590 | $501.5 | $55.55 | $143.75 | $538.08 |
| Obstetric ultrasound after first trimester | CPT | 76805 | 19 | $635 | $501.5 | $55.55 | $154.19 | $620.83 |
| Obstetric ultrasound with fetal anatomy | CPT | 76811 | 19 | $1,245 | $1,058.25 | $72.72 | $297.84 | $1,090.38 |
| Transvaginal ultrasound | CPT | 76830 | 19 | $765 | $650.25 | $60.6 | $137.39 | $544.71 |
| Pelvic ultrasound complete | CPT | 76856 | 19 | $595 | $505.75 | $55.55 | $137.17 | $481.61 |
| Scrotal ultrasound | CPT | 76870 | 19 | $743 | $631.55 | $30.3 | $135.34 | $479.7 |
| Diagnostic mammography unilateral | CPT | 77065 | 12 | $519 | $441.15 | $72.85 | $99.17 | $572.88 |
| Diagnostic mammography bilateral | CPT | 77066 | 19 | $745 | $586.5 | $92.83 | $190.83 | $724.81 |
| Screening mammography bilateral | CPT | 77067 | 19 | $690 | $586.5 | $76.8 | $156.63 | $584.56 |
| EKG complete | CPT | 93000 | 19 | $70 | $42.5 | $10.95 | $18.33 | $65.65 |
| EKG tracing only | CPT | 93005 | 19 | $245 | $208.25 | $4.9 | $13.13 | $267.95 |
| EKG interpretation only | CPT | 93010 | 19 | $40 | $20 | $5.47 | $12.06 | $52.4 |
| Transthoracic echocardiogram complete | CPT | 93306 | 19 | $2,971 | $2,525.35 | $153.23 | $429.89 | $3,563.95 |
| Transthoracic echocardiogram | CPT | 93307 | 12 | $1,302 | $1,106.7 | $90.9 | $591.82 | $1,196.71 |
| Stress echocardiogram | CPT | 93350 | 19 | $2,735 | $2,324.75 | $121.2 | $350.92 | $3,563.95 |
| inpatient | ||||||||
| Respiratory infections & inflammations w MCC | MS-DRG | 177 | 7 | — | $18,500 | $20,024 | $21,765 | $27,621 |
| COPD w MCC | MS-DRG | 190 | 7 | — | $13,465 | $14,574 | $15,842 | $19,579 |
| COPD w CC | MS-DRG | 191 | 7 | — | $10,536 | $11,404 | $12,396 | $14,900 |
| COPD w/o CC/MCC | MS-DRG | 192 | 7 | — | $8,312.25 | $8,996.79 | $9,779.12 | $11,347 |
| Simple pneumonia & pleurisy w CC | MS-DRG | 194 | 7 | — | $10,126 | $10,960 | $11,913 | $14,244 |
| Simple pneumonia & pleurisy w/o CC/MCC | MS-DRG | 195 | 7 | — | $8,162.87 | $8,835.11 | $9,603.38 | $11,109 |
| AMI discharged alive w MCC | MS-DRG | 280 | 7 | — | $18,958 | $20,519 | $22,304 | $28,352 |
| AMI discharged alive w CC | MS-DRG | 281 | 7 | — | $11,378 | $12,315 | $13,386 | $16,245 |
| AMI discharged alive w/o CC/MCC | MS-DRG | 282 | 7 | — | $9,209.64 | $9,968.08 | $10,835 | $12,781 |
| Heart failure & shock w MCC | MS-DRG | 291 | 7 | — | $15,414 | $16,683 | $18,134 | $22,691 |
| Heart failure & shock w CC | MS-DRG | 292 | 7 | — | $10,603 | $11,476 | $12,474 | $15,006 |
| Heart failure & shock w/o CC/MCC | MS-DRG | 293 | 7 | — | $7,471.3 | $8,086.58 | $8,789.76 | $10,004 |
| Cardiac arrhythmia w MCC | MS-DRG | 308 | 7 | — | $14,531 | $15,728 | $17,095 | $21,281 |
| Cardiac arrhythmia w CC | MS-DRG | 309 | 7 | — | $9,349.06 | $10,119 | $10,999 | $13,004 |
| Cardiac arrhythmia w/o CC/MCC | MS-DRG | 310 | 7 | — | $7,472.4 | $8,087.78 | $8,791.06 | $10,006 |
| GI hemorrhage w CC | MS-DRG | 378 | 7 | — | $12,060 | $13,053 | $14,188 | $17,334 |
| GI hemorrhage w/o CC/MCC | MS-DRG | 379 | 7 | — | $8,183.9 | $8,857.86 | $9,628.11 | $11,142 |
| Esophagitis/gastroenteritis w/o MCC | MS-DRG | 392 | 7 | — | $9,834.83 | $10,645 | $11,570 | $13,779 |
| Fractures of femur w/o MCC | MS-DRG | 533 | 7 | — | $18,555 | $20,083 | $21,830 | $27,709 |
| Kidney/UTI w MCC | MS-DRG | 689 | 7 | — | $14,047 | $15,204 | $16,526 | $20,508 |
| Kidney/UTI w/o MCC | MS-DRG | 690 | 7 | — | $10,166 | $11,003 | $11,960 | $14,308 |
| Septicemia or severe sepsis w MV 96+ hrs | MS-DRG | 871 | 7 | — | $22,703 | $24,572 | $26,709 | $34,334 |
| Septicemia or severe sepsis w/o MV 96+ hrs | MS-DRG | 872 | 7 | — | $12,531 | $13,563 | $14,743 | $18,087 |
| Initial hospital care, low complexity | CPT | 99221 | 19 | $470 | $399.5 | $22 | $100 | $378.65 |
| Initial hospital care, moderate complexity | CPT | 99222 | 19 | $740 | $629 | $28.62 | $140.36 | $599.32 |
| Initial hospital care, high complexity | CPT | 99223 | 19 | $912 | $775.2 | $42.64 | $194 | $795.94 |
| Hospital discharge, <30 min | CPT | 99238 | 19 | $383 | $325.55 | $19.52 | $120.63 | $372.46 |
| Hospital discharge, >30 min | CPT | 99239 | 19 | $567 | $481.95 | $27.97 | $168.11 | $525.92 |
| lab | ||||||||
| Basic metabolic panel (BMP) | CPT | 80048 | 14 | $46 | $39.1 | $7.53 | $8.46 | $16.48 |
| General health panel | CPT | 80050 | 10 | $104 | $88.4 | $27.24 | $30.6 | $100 |
| Electrolyte panel | CPT | 80051 | 14 | $38 | $32.3 | $6.09 | $7.01 | $13.73 |
| Comprehensive metabolic panel | CPT | 80053 | 14 | $60 | $51 | $9.4 | $10.56 | $22.73 |
| Lipid panel | CPT | 80061 | 14 | $74 | $62.9 | $7.02 | $13.39 | $22.09 |
| Renal function panel | CPT | 80069 | 14 | $49 | $41.65 | $7.73 | $8.68 | $19.53 |
| Hepatic function panel | CPT | 80076 | 14 | $46 | $39.1 | $7.27 | $8.17 | $16.48 |
| Urinalysis non-automated | CPT | 81002 | 20 | $14 | $11.9 | $1.72 | $3.4 | $11.74 |
| Urinalysis automated | CPT | 81003 | 20 | $10 | $7.65 | $1.48 | $2.25 | $7.59 |
| Glucose quantitative | CPT | 82947 | 20 | $22 | $18.7 | $2.59 | $3.93 | $13.26 |
| Hemoglobin A1c | CPT | 83036 | 20 | $53 | $45.05 | $5.83 | $9.71 | $12,320 |
| Thyroid stimulating hormone (TSH) | CPT | 84443 | 14 | $96 | $81.6 | $10.45 | $16.8 | $27.72 |
| Complete blood count with automated differential | CPT | 85025 | 14 | $45 | $38.25 | $3.68 | $7.38 | $12.82 |
| Complete blood count without differential | CPT | 85027 | 14 | $38 | $32.3 | $3.68 | $6.47 | $10.68 |
| Urine culture bacterial | CPT | 87086 | 20 | $46 | $39.1 | $5.33 | $8.07 | $27.22 |
| Urine culture identification | CPT | 87088 | 14 | $46 | $39.1 | $7.2 | $8.09 | $18.2 |
| Tissue exam by pathologist level IV | CPT | 88305 | 19 | $397 | $337.45 | $22.46 | $87.57 | $330.2 |
| maternity | ||||||||
| Fetal non-stress test | CPT | 59025 | 19 | $964 | $819.4 | $15.15 | $83.19 | $907.48 |
| Routine obstetric care including vaginal delivery | CPT | 59400 | 17 | $11,390 | $5,695 | $1,477.27 | $3,122.79 | $10,976 |
| Vaginal delivery only | CPT | 59409 | 17 | $3,750 | $3,842.42 | $623.08 | $1,350.5 | $8,004.25 |
| Vaginal delivery with postpartum | CPT | 59410 | 17 | $5,075 | $2,537.5 | $756.98 | $1,467.03 | $4,885.73 |
| Routine obstetric care with C-section | CPT | 59510 | 17 | $12,665 | $6,332.5 | $1,509.54 | $3,449.85 | $12,164 |
| C-section delivery only | CPT | 59514 | 17 | $4,250 | $2,125 | $704.25 | $1,274.72 | $4,079.5 |
| C-section with postpartum | CPT | 59515 | 17 | $6,300 | $3,150 | $781.81 | $1,780.54 | $6,045.76 |
| office | ||||||||
| Office visit, new patient, 15-29 min | CPT | 99202 | 19 | $355 | $177.5 | $16.03 | $98 | $581.33 |
| Office visit, new patient, 30-44 minutes | CPT | 99203 | 19 | $525 | $262.5 | $24.6 | $152.5 | $581.33 |
| Office visit, new patient, 45-59 min | CPT | 99204 | 19 | $785 | $392.5 | $40.88 | $230.1 | $771.2 |
| Office visit, new patient, 60-74 min | CPT | 99205 | 19 | $3,493 | $2,969.05 | $53.17 | $327.8 | $2,981 |
| Office visit, established patient, 5 min | CPT | 99211 | 19 | $315 | $267.75 | $3.15 | $25.11 | $581.33 |
| Office visit, established patient, 10-19 min | CPT | 99212 | 19 | $938 | $797.3 | $8.3 | $75.3 | $801 |
| Office visit, established patient, 20-29 minutes | CPT | 99213 | 19 | $550 | $467.5 | $17.57 | $116.67 | $581.33 |
| Office visit, established patient, 30-39 minutes | CPT | 99214 | 19 | $825 | $701.25 | $24.59 | $166.85 | $592.38 |
| Office visit, established patient, 40-54 min | CPT | 99215 | 19 | $1,090 | $926.5 | $35.33 | $213.13 | $833.94 |
| preventive | ||||||||
| Upper GI endoscopy diagnostic | CPT | 43235 | 19 | $4,492 | $3,818.2 | $68.68 | $356 | $4,229.3 |
| Upper GI endoscopy with biopsy | CPT | 43239 | 19 | $4,492 | $3,818.2 | $85.85 | $439.84 | $4,229.3 |
| Sigmoidoscopy diagnostic | CPT | 45330 | 19 | $4,494 | $3,819.9 | $25.24 | $198.88 | $4,112.69 |
| Sigmoidoscopy with biopsy | CPT | 45331 | 19 | $4,494 | $3,819.9 | $30.34 | $279.55 | $4,112.69 |
| Colonoscopy diagnostic | CPT | 45378 | 19 | $4,494 | $3,819.9 | $87.75 | $491.68 | $4,112.69 |
| Colonoscopy with biopsy | CPT | 45380 | 19 | $5,851 | $4,973.35 | $137.36 | $598.53 | $5,318.81 |
| Colonoscopy with polyp removal | CPT | 45385 | 19 | $5,851 | $4,973.35 | $124.84 | $661.51 | $5,318.81 |
| surgery | ||||||||
| Total shoulder arthroplasty | CPT | 23472 | 8 | — | $20,812 | $21,314 | $24,108 | $43,355 |
| Hip hemiarthroplasty | CPT | 27125 | 8 | — | $15,239 | $15,607 | $17,653 | $31,745 |
| Total hip replacement | CPT | 27130 | 8 | — | $15,239 | $15,607 | $17,653 | $31,745 |
| Total knee replacement | CPT | 27447 | 8 | — | $15,239 | $15,607 | $17,653 | $31,745 |
| Knee revision arthroplasty single component | CPT | 27486 | 8 | — | $15,239 | $15,607 | $17,653 | $31,745 |
| Knee revision arthroplasty all components | CPT | 27487 | 8 | — | $20,812 | $21,314 | $24,108 | $43,355 |
| Shoulder arthroscopy with decompression | CPT | 29826 | 17 | $800 | $400 | $135.07 | $288.97 | $774.78 |
| Shoulder arthroscopy with rotator cuff repair | CPT | 29827 | 8 | — | $8,613.01 | $8,820.59 | $9,977.08 | $17,942 |
| Knee arthroscopy with meniscectomy | CPT | 29881 | 8 | — | $3,883.81 | $3,977.41 | $4,498.91 | $8,090.48 |
| ACL reconstruction | CPT | 29888 | 8 | — | $8,613.01 | $8,820.59 | $9,977.08 | $17,942 |
| Major small/large bowel procedures w MCC | MS-DRG | 329 | 7 | — | $52,070 | $56,358 | $61,258 | $81,243 |
| Major small/large bowel procedures w CC | MS-DRG | 330 | 7 | — | $27,734 | $30,018 | $32,628 | $42,371 |
| Major small/large bowel procedures w/o CC/MCC | MS-DRG | 331 | 7 | — | $19,830 | $21,463 | $23,329 | $29,745 |
| Laparoscopic cholecystectomy w/o CDE w MCC | MS-DRG | 418 | 7 | — | $19,926 | $21,567 | $23,443 | $29,899 |
| Laparoscopic cholecystectomy w/o CDE w CC | MS-DRG | 419 | 7 | — | $16,321 | $17,665 | $19,201 | $24,141 |
| Laparoscopic cholecystectomy w/o CDE w/o CC/MCC | MS-DRG | 420 | 7 | — | $38,909 | $42,113 | $45,775 | $60,220 |
| Open appendectomy | CPT | 44950 | 17 | $3,015 | $7,684.32 | $248.17 | $1,066.08 | $16,007 |
| Laparoscopic appendectomy | CPT | 44970 | 17 | $2,840 | $7,175.95 | $227.66 | $998.97 | $14,948 |
| Spinal fusion (non-cervical) w MCC | MS-DRG | 459 | 1 | — | — | $87,760 | $87,760 | $87,760 |
| Spinal fusion (non-cervical) w/o MCC | MS-DRG | 460 | 1 | — | — | $49,040 | $49,040 | $49,040 |
| Major joint replacement w MCC | MS-DRG | 469 | 7 | — | $34,771 | $37,635 | $40,908 | $53,612 |
| Major joint replacement w/o MCC | MS-DRG | 470 | 7 | — | $22,552 | $24,409 | $26,532 | $34,093 |
| Laparoscopic cholecystectomy | CPT | 47562 | 17 | $3,110 | $7,175.95 | $283.54 | $1,108.4 | $14,948 |
| Lap cholecystectomy with cholangiography | CPT | 47563 | 8 | — | $7,175.95 | $7,348.89 | $8,312.42 | $14,948 |
| Hip & femur procedures except major joint w MCC | MS-DRG | 480 | 7 | — | $33,434 | $36,187 | $39,334 | $51,475 |
| Hip & femur procedures except major joint w CC | MS-DRG | 481 | 7 | — | $24,384 | $26,393 | $28,688 | $37,020 |
| Hip & femur procedures except major joint w/o CC/MCC | MS-DRG | 482 | 7 | — | $19,256 | $20,842 | $22,654 | $28,828 |
| Lap inguinal hernia repair | CPT | 49650 | 17 | $2,050 | $7,175.95 | $164.53 | $755.6 | $14,948 |
| Total abdominal hysterectomy | CPT | 58150 | 17 | $4,780 | $2,390 | $404.65 | $1,161.02 | $4,665.81 |
| Vaginal hysterectomy | CPT | 58260 | 17 | $3,950 | $5,937.83 | $339.84 | $1,401.97 | $12,369 |
| Lap-assisted vaginal hysterectomy | CPT | 58550 | 17 | $4,150 | $7,175.95 | $364.45 | $1,475.26 | $14,948 |
| Lap-assisted vaginal hysterectomy >250g | CPT | 58552 | 17 | $4,610 | $12,617 | $401.18 | $1,640.84 | $26,284 |
| Lap salpingo-oophorectomy | CPT | 58661 | 19 | $25,862 | $21,983 | $266.6 | $1,498.1 | $26,319 |
| OR procedure for obesity w MCC | MS-DRG | 619 | 7 | — | $33,158 | $35,301 | $39,010 | $51,035 |
| OR procedure for obesity w CC | MS-DRG | 620 | 7 | — | $18,916 | $20,474 | $22,254 | $28,285 |
| OR procedure for obesity w/o CC/MCC | MS-DRG | 621 | 7 | — | $17,899 | $19,373 | $21,058 | $26,661 |
| Complex cataract surgery | CPT | 66982 | 8 | — | $2,739.35 | $2,805.37 | $3,173.19 | $5,706.42 |
| Cataract surgery with lens implant | CPT | 66984 | 8 | — | $2,739.35 | $2,805.37 | $3,173.19 | $5,706.42 |
| Intravitreal injection | CPT | 67028 | 12 | $2,753 | $2,340.05 | $262.15 | $567.91 | $1,747 |
| Vitrectomy mechanical | CPT | 67042 | 8 | — | $4,906.31 | $5,024.55 | $5,683.34 | $10,220 |
| Uterine & adnexa procedures w CC/MCC | MS-DRG | 743 | 7 | — | $14,937 | $16,167 | $17,573 | $21,929 |
| Uterine & adnexa procedures w/o CC/MCC | MS-DRG | 744 | 7 | — | $23,882 | $25,849 | $28,097 | $36,218 |
| PCI single major coronary artery | CPT | 92920 | 12 | $20,070 | $17,060 | $2,422.94 | $8,897.55 | $25,719 |
| PCI with drug-eluting stent | CPT | 92928 | 12 | $34,791 | $29,572 | $4,200.2 | $16,641 | $51,157 |
| PCI bypass graft | CPT | 92937 | 12 | $34,791 | $29,572 | $4,237.53 | $16,641 | $51,157 |
| Left heart catheterization | CPT | 93452 | 12 | $14,533 | $12,353 | $3,440.78 | $7,331.12 | $14,509 |
| Coronary angiography with cath | CPT | 93455 | 12 | $14,533 | $12,353 | $1,754.55 | $5,480.95 | $14,509 |
| Coronary angiography with bypass cath | CPT | 93458 | 12 | $14,533 | $12,353 | $1,754.55 | $5,480.95 | $14,509 |
Payer mix (top 21)
| Payer | Codes covered | Median rate |
|---|---|---|
| Medicare | 192 | $208.14 |
| Blue Cross Blue Shield | 190 | $297.8 |
| Aetna | 190 | $263.91 |
| UnitedHealthcare | 190 | $217.85 |
| martins point [1205] | 189 | $210.66 |
| Humana | 189 | $197.18 |
| Cigna | 150 | $479.7 |
| mvp [2900] | 150 | $398.2 |
| Medicaid | 137 | $128.79 |
| fidelis [5155] | 137 | $272.7 |
| Molina | 122 | $184 |
| excellus [2201] | 122 | $117.2 |
| independent health [5156] | 97 | $203.71 |
| icircle [1728] | 87 | $123.74 |
| excellus bc/bs [2201], bc/bs out of area [2401] | 87 | $293.03 |
| capital district physicians health plan (cdphp) [5149] | 87 | $384.85 |
| excellus bc/bs [2201] | 87 | $165.74 |
| elderplan [1316] | 87 | $123.74 |
| nascentia [1729] | 87 | $123.74 |
| pomco ins co [5157] | 40 | $22,584 |
| capital district physicians health plan (cdphp) [51490] | 15 | $8.09 |