Does Atrium Health Cleveland publish its standard charges and chargemaster?

Yes. Atrium Health Cleveland publishes a machine-readable file with 61,698 standard-charge rows — gross charges, cash prices, and payer-negotiated rates, earning a CMS price transparency compliance grade of A. Browse the negotiated rates by procedure and payer on this page.

How much does Atrium Health Cleveland charge for procedures?

Atrium Health Cleveland (Shelby, NC) publishes a separately negotiated rate for each insurance payer, plus a discounted cash price and a gross (list) charge, for every procedure in its price transparency file. This page compares each procedure's negotiated median against the national median so you can see whether a price is above or below market.

▸ Hospital · NC · CCN 340021

Atrium Health Cleveland

Shelby, NC, 28150

308 bedsAcute Care Hospitals11

Compliance grade

100/100

Rates published

61,698

last crawl 2026-05-24

Procedures tracked

198

of 209 target codes

Payers

with negotiated rates

Procedures tracked

...

Payers

...

▸ Compare with other hospitals All NC hospitalsJSON

The report bundles all published codes × every payer rate + compliance grade as a downloadable PDF + CSV with a data-version manifest.

Source MRF: https://sthpiprd.blob.core.windows.net/machine-readable-files/11166/334038167-1669348991_atrium-health-hospitals-inc_standardcharges.csv · CSV

Procedures & rates

vs nat'l shows this hospital's negotiated median against the national median for that code (green = at/below market, amber = 1–1.5×, red = >1.5× the national median).

Procedure	Type	Code	Payers	Gross	Cash	Neg min	Neg median	vs nat'l	Neg max
behavioral
Psychoses	MS-DRG	885	7	—	—	$11,477	$16,829	1.3×	$25,597
Psychiatric diagnostic evaluation	CPT	90791	28	$350.55	$175.28	$19.48	$107.15	0.60×	$378.32
Psychiatric eval with medical services	CPT	90792	28	$139.15	$69.58	$19.48	$99.8	0.58×	$422.65
Psychotherapy 30 minutes	CPT	90832	28	$162.95	$81.48	$22.81	$88.98	0.60×	$164.66
Psychotherapy 45 minutes	CPT	90834	28	$226.25	$113.13	$26.32	$122.2	0.76×	$217.34
Psychotherapy 60 minutes	CPT	90837	28	$219.4	$109.7	$30.72	$133.95	0.70×	$321.15
Crisis psychotherapy 60 minutes	CPT	90839	28	$219.4	$109.7	$30.72	$122.43	0.77×	$350.62
emergency
ED visit level 1	CPT	99281	28	$356.65	$178.33	$10.53	$178.33	1.3×	$1,552
ED visit level 2	CPT	99282	28	$657.15	$328.58	$36.65	$297.63	1.3×	$1,552
ED visit level 3	CPT	99283	28	$3,038.1	$1,519.05	$54.86	$1,301.75	3.2×	$2,886.2
ED visit level 4	CPT	99284	28	$3,181.25	$1,590.63	$104.11	$1,377.48	2.1×	$3,022.19
ED visit level 5	CPT	99285	28	$3,364.05	$1,682.03	$153.4	$1,404.49	1.3×	$3,195.85
Critical care, first hour	CPT	99291	28	$5,617.85	$2,808.93	$197.56	$2,345.46	2.2×	$5,336.96
imaging
CT head without contrast	CPT	70450	28	$2,537.8	$1,268.9	$35.42	$753.22	3.6×	$2,410.91
CT head with contrast	CPT	70460	28	$3,040.9	$1,520.45	$46.89	$904.27	3.9×	$2,888.86
CT head with and without contrast	CPT	70470	28	$3,884.8	$1,942.4	$52.71	$1,021.55	3.8×	$3,690.56
CT neck with contrast	CPT	70491	28	$3,334	$1,667	$57.15	$989.53	3.6×	$3,167.3
MRI brain without contrast	CPT	70551	28	$3,530.55	$1,765.28	$61.21	$977.8	2.4×	$3,354.02
MRI brain with contrast	CPT	70552	28	$4,534.45	$2,267.23	$73.83	$1,201.63	2.5×	$4,307.73
MRI brain with and without contrast	CPT	70553	28	$5,318.05	$2,659.03	$97.64	$1,401.84	2.4×	$5,052.15
Chest X-ray single view	CPT	71045	28	$373.65	$186.83	$7.67	$93.05	0.98×	$354.97
Chest X-ray 2 views	CPT	71046	28	$464.6	$232.3	$9.16	$77.72	0.79×	$441.37
Chest X-ray 3 views	CPT	71047	28	$387.9	$193.95	$11.82	$122.33	1.3×	$368.51
CT chest without contrast	CPT	71250	28	$2,700.05	$1,350.03	$47.69	$662.32	3.1×	$2,565.05
CT chest with contrast	CPT	71260	28	$3,217.95	$1,608.98	$51.33	$906	3.2×	$3,057.05
CT chest with and without contrast	CPT	71270	28	$4,210.8	$2,105.4	$55.2	$1,021.55	3.5×	$4,000.26
MRI chest without contrast	CPT	71550	28	$4,516.55	$2,258.28	$60.14	$1,190.57	2.8×	$4,290.72
MRI chest with contrast	CPT	71551	28	$4,848	$2,424	$71.2	$1,277.94	1.6×	$4,605.6
MRI chest with and without contrast	CPT	71552	28	$5,305.45	$2,652.73	$94.05	$1,405.94	2.3×	$5,040.18
Lumbosacral spine X-ray	CPT	72100	28	$556.8	$278.4	$9.08	$89.95	0.87×	$528.96
CT cervical spine without contrast	CPT	72125	28	$3,027.9	$1,513.95	$43.99	$902.34	4.5×	$2,876.51
CT thoracic spine without contrast	CPT	72128	28	$2,851.7	$1,425.85	$43.99	$855.23	4.3×	$2,709.12
CT lumbar spine without contrast	CPT	72131	28	$3,008.1	$1,504.05	$43.99	$899.4	4.4×	$2,857.7
MRI cervical spine without contrast	CPT	72141	28	$3,895.15	$1,947.58	$65.55	$1,021.31	2.6×	$3,700.39
MRI thoracic spine without contrast	CPT	72146	28	$4,026.15	$2,013.08	$65.55	$1,061.3	2.8×	$3,824.84
MRI lumbar spine without contrast	CPT	72148	28	$4,026.15	$2,013.08	$61.21	$990.43	2.6×	$3,824.84
MRI lumbar spine with and without contrast	CPT	72149	28	$4,831.35	$2,415.68	$73.83	$1,273.55	2.8×	$4,589.78
MRI cervical spine with and without contrast	CPT	72156	28	$5,059.1	$2,529.55	$101.73	$1,333.58	2.5×	$4,806.15
MRI lumbar spine with contrast	CPT	72158	28	$5,312.1	$2,656.05	$97.35	$1,407.71	2.6×	$5,046.5
CT pelvis without contrast	CPT	72192	28	$2,779.35	$1,389.68	$45.4	$833.53	4.2×	$2,640.38
CT pelvis with contrast	CPT	72193	28	$3,217.95	$1,608.98	$48.07	$930.55	3.3×	$3,057.05
Shoulder X-ray	CPT	73030	28	$558.55	$279.28	$7.6	$85.58	0.92×	$530.62
Humerus X-ray	CPT	73060	28	$463	$231.5	$7.01	$109.81	1.2×	$439.85
Hand X-ray 3 views	CPT	73130	28	$533	$266.5	$7.01	$86.2	0.93×	$506.35
MRI upper extremity joint without contrast	CPT	73221	28	$3,876.55	$1,938.28	$55.69	$1,018.22	2.4×	$3,682.72
MRI upper extremity joint with and without contrast	CPT	73223	28	$5,300.2	$2,650.1	$88.76	$1,397.13	2.3×	$5,035.19
Knee X-ray 1-2 views	CPT	73560	28	$433.3	$216.65	$7.01	$86.82	0.93×	$411.64
Ankle X-ray 3 views	CPT	73610	28	$549	$274.5	$7.01	$81.7	0.89×	$521.55
MRI lower extremity joint without contrast	CPT	73721	28	$3,844.6	$1,922.3	$55.69	$976.91	2.1×	$3,652.37
MRI lower extremity joint with and without contrast	CPT	73723	28	$4,990.75	$2,495.38	$89.05	$1,227.72	1.9×	$4,741.21
CT abdomen without contrast	CPT	74150	28	$2,726.7	$1,363.35	$49.26	$817.74	4.3×	$2,590.37
CT abdomen with contrast	CPT	74160	28	$3,217.95	$1,608.98	$52.99	$930.55	3.2×	$3,057.05
CT abdomen with and without contrast	CPT	74170	28	$4,286.65	$2,143.33	$58.04	$1,021.55	3.1×	$4,072.32
CT abdomen and pelvis without contrast	CPT	74176	28	$5,749.65	$2,874.83	$68.89	$1,294.82	3.6×	$5,462.17
CT abdomen and pelvis with contrast	CPT	74177	28	$6,434.35	$3,217.18	$72.25	$1,446.44	2.6×	$6,112.63
CT abdomen and pelvis with and without contrast	CPT	74178	28	$7,620.45	$3,810.23	$79.91	$1,716.13	3.0×	$7,239.43
MRI abdomen without contrast	CPT	74181	28	$3,530.55	$1,765.28	$60.41	$977.8	2.5×	$3,354.02
MRI abdomen with and without contrast	CPT	74183	28	$5,036.8	$2,518.4	$93.49	$1,301.18	2.3×	$4,784.96
Abdominal ultrasound complete	CPT	76700	28	$1,330.7	$665.35	$33.38	$266.95	1.8×	$1,264.17
Abdominal ultrasound limited	CPT	76705	28	$946.4	$473.2	$24.57	$158.43	1.1×	$899.08
Retroperitoneal ultrasound complete	CPT	76770	28	$1,105.65	$552.83	$30.51	$232.99	1.6×	$1,050.37
Obstetric ultrasound first trimester	CPT	76801	28	$653.45	$326.73	$40.5	$198	1.4×	$620.78
Obstetric ultrasound after first trimester	CPT	76805	28	$958.6	$479.3	$40.23	$255.61	1.7×	$910.67
Obstetric ultrasound with fetal anatomy	CPT	76811	28	$1,106.1	$553.05	$76.25	$335.15	1.4×	$1,050.8
Transvaginal ultrasound	CPT	76830	28	$983.15	$491.58	$28.16	$211.05	1.4×	$933.99
Pelvic ultrasound complete	CPT	76856	28	$1,287.6	$643.8	$28.44	$218.81	1.5×	$1,223.22
Scrotal ultrasound	CPT	76870	28	$956.6	$478.3	$26.65	$271.68	2.1×	$908.77
Diagnostic mammography unilateral	CPT	77065	28	$442.65	$221.33	$28.46	$139.59	0.93×	$420.52
Diagnostic mammography bilateral	CPT	77066	28	$885.2	$442.6	$35.19	$279.15	1.5×	$840.94
Screening mammography bilateral	CPT	77067	28	$639.85	$319.93	$28.46	$201.78	1.3×	$607.86
EKG complete	CPT	93000	16	—	—	$13.12	$16.5	0.67×	$92.53
EKG tracing only	CPT	93005	28	$581.55	$290.78	$5.61	$223.32	1.9×	$552.47
EKG interpretation only	CPT	93010	26	$27.45	$13.73	$7.29	$15.83	0.87×	$33.69
Transthoracic echocardiogram complete	CPT	93306	28	$3,560.1	$1,780.05	$58.27	$512.75	0.86×	$3,382.1
Transthoracic echocardiogram	CPT	93307	12	—	—	$40.29	$104.51	0.42×	$239.04
Stress echocardiogram	CPT	93350	28	$2,062.55	$1,031.28	$63.66	$460.79	0.91×	$1,959.42
inpatient
Intracranial hemorrhage/CVA w MCC	MS-DRG	064	14	—	—	$15,551	$34,573	1.7×	$37,779
Intracranial hemorrhage/CVA w CC	MS-DRG	065	14	—	—	$8,716.74	$14,369	1.3×	$18,466
Intracranial hemorrhage/CVA w/o CC/MCC	MS-DRG	066	14	—	—	$6,407.17	$8,842.67	1.2×	$12,499
Respiratory infections & inflammations w MCC	MS-DRG	177	14	—	—	$12,931	$17,266	1.1×	$29,354
COPD w MCC	MS-DRG	190	14	—	—	$9,462.45	$11,758	1.0×	$20,393
COPD w CC	MS-DRG	191	14	—	—	$7,607.63	$9,844.55	1.1×	$15,600
COPD w/o CC/MCC	MS-DRG	192	14	—	—	$6,118.3	$7,432.08	1.1×	$11,753
Simple pneumonia & pleurisy w CC	MS-DRG	194	14	—	—	$7,332.82	$8,843.69	1.0×	$14,890
Simple pneumonia & pleurisy w/o CC/MCC	MS-DRG	195	14	—	—	$5,078.28	$6,033.54	0.90×	$11,308
AMI discharged alive w MCC	MS-DRG	280	14	—	—	$13,106	$17,608	1.1×	$29,806
AMI discharged alive w CC	MS-DRG	281	14	—	—	$8,048.31	$11,319	1.2×	$16,739
AMI discharged alive w/o CC/MCC	MS-DRG	282	14	—	—	$6,665.82	$8,811.07	1.1×	$13,167
Heart failure & shock w MCC	MS-DRG	291	14	—	—	$10,740	$15,215	1.2×	$23,694
Heart failure & shock w CC	MS-DRG	292	14	—	—	$7,622.4	$12,169	1.4×	$15,639
Heart failure & shock w/o CC/MCC	MS-DRG	293	14	—	—	$4,398.1	$5,489.14	0.88×	$9,963.84
Cardiac arrhythmia w MCC	MS-DRG	308	14	—	—	$10,045	$17,932	1.5×	$21,898
Cardiac arrhythmia w CC	MS-DRG	309	14	—	—	$6,765.62	$9,424.63	1.2×	$13,425
Cardiac arrhythmia w/o CC/MCC	MS-DRG	310	14	—	—	$5,501.9	$6,317.06	1.0×	$10,160
GI hemorrhage w CC	MS-DRG	378	14	—	—	$8,498.83	$11,862	1.2×	$17,903
GI hemorrhage w/o CC/MCC	MS-DRG	379	14	—	—	$6,044.51	$8,119.03	1.2×	$11,562
Esophagitis/gastroenteritis w/o MCC	MS-DRG	392	14	—	—	$7,053.79	$7,870.34	0.98×	$14,169
Fractures of femur w/o MCC	MS-DRG	533	14	—	—	$10,181	$12,468	0.82×	$27,691
Kidney/UTI w MCC	MS-DRG	689	14	—	—	$9,794.9	$12,563	1.1×	$21,251
Kidney/UTI w/o MCC	MS-DRG	690	14	—	—	$7,065.98	$7,571.25	0.91×	$14,574
Septicemia or severe sepsis w MV 96+ hrs	MS-DRG	871	14	—	—	$15,360	$21,577	1.2×	$35,630
Septicemia or severe sepsis w/o MV 96+ hrs	MS-DRG	872	14	—	—	$8,815.82	$10,141	0.98×	$18,722
Initial hospital care, low complexity	CPT	99221	15	—	—	$76.15	$90.3	0.97×	$211.13
Initial hospital care, moderate complexity	CPT	99222	15	—	—	$120.58	$124.97	0.74×	$371.72
Initial hospital care, high complexity	CPT	99223	15	—	—	$160.87	$181.35	0.81×	$518.92
Hospital discharge, <30 min	CPT	99238	15	—	—	$64.61	$77.8	0.91×	$152.38
Hospital discharge, >30 min	CPT	99239	15	—	—	$95.33	$110.25	0.91×	$312.56
lab
Basic metabolic panel (BMP)	CPT	80048	28	$354.05	$177.03	$8.63	$153.3	4.7×	$336.35
General health panel	CPT	80050	13	—	—	$11.16	$11.33	0.11×	$88.78
Electrolyte panel	CPT	80051	28	$172.65	$86.33	$7.15	$83.31	3.5×	$164.02
Comprehensive metabolic panel	CPT	80053	28	$489.45	$244.73	$8.58	$200.48	4.5×	$464.98
Lipid panel	CPT	80061	28	$375.45	$187.73	$13.6	$153.78	4.0×	$356.68
Renal function panel	CPT	80069	28	$226.7	$113.35	$8.85	$109.39	4.0×	$215.37
Hepatic function panel	CPT	80076	28	$397	$198.5	$8.33	$171.9	6.5×	$377.15
Urinalysis non-automated	CPT	81002	28	$74.35	$37.18	$3.05	$30.17	4.3×	$70.63
Urinalysis automated	CPT	81003	28	$104.75	$52.38	$2.16	$42.51	3.1×	$99.51
Glucose quantitative	CPT	82947	28	$76.65	$38.33	$3.77	$33.19	1.9×	$72.82
Hemoglobin A1c	CPT	83036	28	$273.4	$136.7	$9.31	$115.18	4.3×	$259.73
Thyroid stimulating hormone (TSH)	CPT	84443	28	$373.95	$186.98	$17.14	$161.92	3.4×	$355.25
Complete blood count with automated differential	CPT	85025	28	$270.95	$135.48	$7.93	$101.88	3.8×	$257.4
Complete blood count without differential	CPT	85027	28	$132.85	$66.43	$6.6	$52.21	2.4×	$126.21
Urine culture bacterial	CPT	87086	28	$238.45	$119.23	$8.23	$110.88	4.8×	$226.53
Urine culture identification	CPT	87088	28	$68.65	$34.33	$8.25	$33.13	1.5×	$65.22
Tissue exam by pathologist level IV	CPT	88305	28	$692.6	$346.3	$30.25	$164.25	1.6×	$657.97
maternity
Fetal non-stress test	CPT	59025	28	$1,015.8	$507.9	$18.19	$146.07	0.78×	$965.01
Routine obstetric care including vaginal delivery	CPT	59400	13	—	—	$1,747.98	$2,206.65	0.96×	$5,050.56
Vaginal delivery only	CPT	59409	28	$6,683.85	$3,341.93	$697.93	$3,144.25	1.4×	$6,349.66
Vaginal delivery with postpartum	CPT	59410	13	—	—	$859.8	$984.6	0.93×	$2,105.56
Routine obstetric care with C-section	CPT	59510	13	—	—	$1,747.98	$2,465.65	0.99×	$5,569.11
C-section delivery only	CPT	59514	13	—	—	$697.93	$762.71	0.80×	$2,155.94
C-section with postpartum	CPT	59515	13	—	—	$859.8	$1,203.91	0.95×	$2,536.51
office
Office visit, new patient, 15-29 min	CPT	99202	15	—	—	$43.57	$68.16	0.79×	$149.18
Office visit, new patient, 30-44 minutes	CPT	99203	16	—	—	$74.98	$107.82	0.88×	$312.8
Office visit, new patient, 45-59 min	CPT	99204	16	—	—	$123.71	$162.07	0.93×	$445.66
Office visit, new patient, 60-74 min	CPT	99205	15	—	—	$165.62	$212.48	0.96×	$567.6
Office visit, established patient, 5 min	CPT	99211	15	—	—	$8.13	$14.34	0.22×	$46.95
Office visit, established patient, 10-19 min	CPT	99212	15	—	—	$24.98	$38.34	0.48×	$115.61
Office visit, established patient, 20-29 minutes	CPT	99213	16	—	—	$50.41	$77.77	0.68×	$186.29
Office visit, established patient, 30-39 minutes	CPT	99214	16	—	—	$77.28	$119.46	0.78×	$269.47
Office visit, established patient, 40-54 min	CPT	99215	16	—	—	$109.21	$169.33	0.90×	$395.83
preventive
Upper GI endoscopy diagnostic	CPT	43235	15	—	—	$112.05	$301.29	0.33×	$927.16
Upper GI endoscopy with biopsy	CPT	43239	15	—	—	$126.08	$357.51	0.37×	$927.16
Sigmoidoscopy diagnostic	CPT	45330	28	$2,568.25	$1,284.13	$47.36	$1,112.05	1.3×	$2,439.84
Sigmoidoscopy with biopsy	CPT	45331	28	$2,703.25	$1,351.63	$57.49	$1,128.61	1.3×	$2,568.09
Colonoscopy diagnostic	CPT	45378	15	—	—	$84.41	$174.44	0.20×	$901.59
Colonoscopy with biopsy	CPT	45380	16	—	—	$183.07	$491.1	0.40×	$1,166
Colonoscopy with polyp removal	CPT	45385	15	—	—	$231.16	$643.44	0.53×	$1,166
surgery
Total shoulder arthroplasty	CPT	23472	12	—	—	$1,117.84	$1,140.2	0.28×	$18,186
PCI w drug-eluting stent w/o MCC	MS-DRG	247	1	—	—	$31,218	$31,218	1.7×	$31,218
Hip hemiarthroplasty	CPT	27125	12	—	—	$830.95	$847.57	0.68×	$1,097.3
Total hip replacement	CPT	27130	12	—	—	$1,072.82	$1,094.28	0.25×	$12,724
Total knee replacement	CPT	27447	12	—	—	$1,148.49	$1,171.46	0.28×	$12,724
Knee revision arthroplasty single component	CPT	27486	12	—	—	$1,047.31	$1,068.26	0.64×	$1,358.75
Knee revision arthroplasty all components	CPT	27487	12	—	—	$1,322.92	$1,349.38	0.67×	$1,691.06
Shoulder arthroscopy with decompression	CPT	29826	12	—	—	$156.46	$490.03	1.5×	$499.83
Shoulder arthroscopy with rotator cuff repair	CPT	29827	12	—	—	$802.4	$818.45	0.25×	$7,064.46
Knee arthroscopy with meniscectomy	CPT	29881	12	—	—	$465.87	$475.19	0.23×	$3,208.6
ACL reconstruction	CPT	29888	12	—	—	$732.27	$746.92	0.22×	$7,064.46
Major small/large bowel procedures w MCC	MS-DRG	329	14	—	—	$33,844	$54,261	1.3×	$83,384
Major small/large bowel procedures w CC	MS-DRG	330	14	—	—	$18,183	$23,859	1.0×	$42,922
Major small/large bowel procedures w/o CC/MCC	MS-DRG	331	14	—	—	$13,173	$16,516	1.0×	$29,981
CABG single arterial graft	CPT	33533	14	—	—	$1,503.79	$1,703.17	0.91×	$10,105
CABG 2 arterial grafts	CPT	33534	15	—	—	$1,749.22	$2,030.2	0.95×	$11,882
CABG 3 arterial grafts	CPT	33535	13	—	—	$1,942.85	$2,201.8	0.97×	$13,248
CABG 4+ arterial grafts	CPT	33536	13	—	—	$2,082.43	$2,236.11	0.91×	$7,702.02
Laparoscopic cholecystectomy w/o CDE w MCC	MS-DRG	418	14	—	—	$13,225	$15,841	0.96×	$30,115
Laparoscopic cholecystectomy w/o CDE w CC	MS-DRG	419	14	—	—	$10,830	$13,855	1.0×	$23,926
Laparoscopic cholecystectomy w/o CDE w/o CC/MCC	MS-DRG	420	14	—	—	$22,946	$26,764	0.83×	$64,092
Open appendectomy	CPT	44950	12	—	—	$461.9	$528.25	0.46×	$6,170.51
Laparoscopic appendectomy	CPT	44970	15	—	—	$424.1	$842.55	0.54×	$5,769.62
Major joint replacement w MCC	MS-DRG	469	14	—	—	$24,543	$35,056	1.2×	$59,356
Major joint replacement w/o MCC	MS-DRG	470	14	—	—	$14,822	$22,334	1.2×	$36,422
Laparoscopic cholecystectomy	CPT	47562	15	—	—	$528.57	$950.41	0.54×	$5,769.62
Lap cholecystectomy with cholangiography	CPT	47563	14	—	—	$541.29	$680.24	0.36×	$5,769.62
Hip & femur procedures except major joint w MCC	MS-DRG	480	14	—	—	$22,240	$29,145	1.0×	$53,406
Hip & femur procedures except major joint w CC	MS-DRG	481	14	—	—	$16,153	$21,117	1.0×	$37,678
Hip & femur procedures except major joint w/o CC/MCC	MS-DRG	482	14	—	—	$12,719	$15,311	0.96×	$28,807
Lap inguinal hernia repair	CPT	49650	13	—	—	$302.65	$397.78	0.35×	$5,769.62
Total abdominal hysterectomy	CPT	58150	14	—	—	$752.09	$955.23	0.98×	$3,253.35
Vaginal hysterectomy	CPT	58260	13	—	—	$627.58	$770.72	0.42×	$4,881.67
Lap-assisted vaginal hysterectomy	CPT	58550	12	—	—	$671.12	$684.54	0.46×	$5,769.62
Lap-assisted vaginal hysterectomy >250g	CPT	58552	13	—	—	$740.98	$829.17	0.37×	$10,296
Lap salpingo-oophorectomy	CPT	58661	13	—	—	$491.66	$605.62	0.30×	$5,769.62
OR procedure for obesity w MCC	MS-DRG	619	14	—	—	$18,309	$21,364	0.79×	$49,511
OR procedure for obesity w CC	MS-DRG	620	14	—	—	$12,794	$18,038	1.1×	$29,000
OR procedure for obesity w/o CC/MCC	MS-DRG	621	14	—	—	$11,844	$14,711	0.97×	$26,545
Complex cataract surgery	CPT	66982	12	—	—	$679.52	$726.85	0.33×	$2,255.42
Cataract surgery with lens implant	CPT	66984	12	—	—	$496.09	$520.69	0.24×	$2,255.42
Intravitreal injection	CPT	67028	28	$2,653.15	$1,326.58	$84.5	$1,230.53	3.6×	$2,520.49
Vitrectomy mechanical	CPT	67042	12	—	—	$1,030.06	$1,040.36	0.41×	$3,978.22
Uterine & adnexa procedures w CC/MCC	MS-DRG	743	14	—	—	$9,733.85	$10,430	0.85×	$21,767
Uterine & adnexa procedures w/o CC/MCC	MS-DRG	744	14	—	—	$12,392	$15,528	0.81×	$35,483
PCI single major coronary artery	CPT	92920	28	$18,263	$9,131.7	$427.21	$8,072.42	1.4×	$17,350
PCI with drug-eluting stent	CPT	92928	28	$22,707	$11,354	$474.36	$11,022	1.1×	$21,572
PCI bypass graft	CPT	92937	28	$55,177	$27,589	$473.82	$24,388	2.2×	$52,418
Left heart catheterization	CPT	93452	28	$23,555	$11,777	$204.92	$7,332.62	2.4×	$22,377
Coronary angiography with cath	CPT	93455	28	$28,353	$14,176	$238.56	$8,812.07	2.8×	$26,935
Coronary angiography with bypass cath	CPT	93458	28	$29,307	$14,653	$252.12	$5,519.89	1.8×	$27,841

Rate history available after the next quarterly refresh. We re-crawl all hospital MRFs each quarter to track rate changes over time.

Payer mix (top 28)

Payer	Codes covered	Median rate
UnitedHealthcare	197	$212.31
Cigna	197	$431.2
Aetna	197	$330.9
amerihealth caritas	197	$168.82
WellCare	196	$168.22
alliance	196	$191.08
carolina complete health	196	$168.22
healthy blue	196	$168.22
Humana	196	$153.89
partners	196	$168.22
trillium	196	$166.55
vaya	196	$168.22
Blue Cross Blue Shield	181	$373.51
Ambetter	143	$1,262.85
choicecare	126	$459.4
medcost	125	$424.22
employers health network	107	$588.17
beechstreet	100	$2,334.78
physician reach out	100	$1,268.9
private health care systems	100	$2,284.02
First Health	100	$2,157.13
healthgram	100	$2,030.24
quik trip	100	$1,649.57
lifesynch community choice care	100	$2,157.13
Multiplan	100	$2,410.91
gmmi	100	$1,649.57
magellan	99	$1,540.95
carolina behavioral health	99	$1,927.16

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