▸ Hospital · NC · CCN 340032
Caromont Regional Medical Center
2525 COURT DRIVE, GASTONIA, NC, 28054
468 bedsAcute Care Hospitals2
Compliance grade
A
100/100
Procedures tracked
197
of 209 target codes
Payers
28
with negotiated rates
Rates published
79,983
last crawl 2026-05-24
Procedures & rates
| Procedure | Type | Code | Payers | Gross | Cash | Neg min | Neg median | Neg max |
|---|---|---|---|---|---|---|---|---|
| behavioral | ||||||||
| Psychoses | MS-DRG | 885 | 13 | — | — | $12,038 | $21,066 | $37,202 |
| Psychiatric diagnostic evaluation | CPT | 90791 | 12 | — | — | $181.34 | $190.41 | $487.8 |
| Psychiatric eval with medical services | CPT | 90792 | 12 | — | — | $181.34 | $190.41 | $487.8 |
| Psychotherapy 30 minutes | CPT | 90832 | 12 | — | — | $181.34 | $190.41 | $487.8 |
| Psychotherapy 45 minutes | CPT | 90834 | 12 | — | — | $181.34 | $190.41 | $487.8 |
| Psychotherapy 60 minutes | CPT | 90837 | 12 | — | — | $181.34 | $190.41 | $487.8 |
| Crisis psychotherapy 60 minutes | CPT | 90839 | 12 | — | — | $181.34 | $190.41 | $487.8 |
| emergency | ||||||||
| ED visit level 1 | CPT | 99281 | 26 | $401 | $401 | $60.35 | $155.5 | $380.95 |
| ED visit level 2 | CPT | 99282 | 26 | $1,277 | $1,277 | $156.87 | $371.55 | $1,213.15 |
| ED visit level 3 | CPT | 99283 | 26 | $2,485 | $2,485 | $278.89 | $698.04 | $2,360.75 |
| ED visit level 4 | CPT | 99284 | 26 | $2,887 | $2,887 | $426.3 | $839.98 | $3,030 |
| ED visit level 5 | CPT | 99285 | 26 | $13,843 | $13,843 | $494.99 | $2,131.45 | $13,151 |
| Critical care, first hour | CPT | 99291 | 26 | $16,882 | $16,882 | $732.78 | $2,878.21 | $16,038 |
| imaging | ||||||||
| CT head without contrast | CPT | 70450 | 26 | $2,564 | $2,564 | $106.81 | $393.6 | $2,435.8 |
| CT head with contrast | CPT | 70460 | 26 | $3,192 | $3,192 | $179.2 | $490 | $3,032.4 |
| CT head with and without contrast | CPT | 70470 | 26 | $3,978 | $3,978 | $179.2 | $610.66 | $3,779.1 |
| CT neck with contrast | CPT | 70491 | 26 | $3,835 | $3,835 | $179.2 | $588.71 | $3,643.25 |
| MRI brain without contrast | CPT | 70551 | 26 | $3,449 | $3,449 | $243.77 | $632.59 | $3,276.55 |
| MRI brain with contrast | CPT | 70552 | 26 | $5,721 | $5,721 | $356.43 | $924.94 | $5,434.95 |
| MRI brain with and without contrast | CPT | 70553 | 26 | $6,909 | $6,909 | $356.43 | $1,060.6 | $6,563.55 |
| Chest X-ray single view | CPT | 71045 | 26 | $387 | $387 | $58.24 | $116.96 | $367.65 |
| Chest X-ray 2 views | CPT | 71046 | 26 | $400 | $400 | $60.2 | $120.88 | $380 |
| Chest X-ray 3 views | CPT | 71047 | 26 | $420 | $420 | $63.21 | $127.57 | $399 |
| CT chest without contrast | CPT | 71250 | 26 | $2,943 | $2,943 | $106.81 | $451.78 | $2,795.85 |
| CT chest with contrast | CPT | 71260 | 26 | $4,034 | $4,034 | $179.2 | $619.26 | $3,832.3 |
| CT chest with and without contrast | CPT | 71270 | 26 | $5,160 | $5,160 | $179.2 | $792.11 | $4,902 |
| MRI chest without contrast | CPT | 71550 | 26 | $4,618 | $4,618 | $243.77 | $708.91 | $4,387.1 |
| MRI chest with contrast | CPT | 71551 | 26 | $6,184 | $6,184 | $800.9 | $1,445.63 | $5,874.8 |
| MRI chest with and without contrast | CPT | 71552 | 26 | $6,336 | $6,336 | $356.43 | $972.64 | $6,019.2 |
| Lumbosacral spine X-ray | CPT | 72100 | 26 | $747 | $747 | $106.81 | $204.25 | $709.65 |
| CT cervical spine without contrast | CPT | 72125 | 26 | $3,901 | $3,901 | $106.81 | $598.84 | $3,705.95 |
| CT thoracic spine without contrast | CPT | 72128 | 26 | $2,193 | $2,193 | $106.81 | $336.65 | $2,083.35 |
| CT lumbar spine without contrast | CPT | 72131 | 26 | $3,921 | $3,921 | $106.81 | $601.91 | $3,724.95 |
| MRI cervical spine without contrast | CPT | 72141 | 26 | $5,054 | $5,054 | $243.77 | $775.84 | $4,801.3 |
| MRI thoracic spine without contrast | CPT | 72146 | 26 | $5,290 | $5,290 | $243.77 | $812.07 | $5,025.5 |
| MRI lumbar spine without contrast | CPT | 72148 | 26 | $5,275 | $5,275 | $243.77 | $809.77 | $5,011.25 |
| MRI lumbar spine with and without contrast | CPT | 72149 | 26 | $6,467 | $6,467 | $356.43 | $992.75 | $6,143.65 |
| MRI cervical spine with and without contrast | CPT | 72156 | 26 | $7,145 | $7,145 | $356.43 | $1,096.83 | $6,787.75 |
| MRI lumbar spine with contrast | CPT | 72158 | 26 | $7,482 | $7,482 | $356.43 | $1,148.56 | $7,107.9 |
| CT pelvis without contrast | CPT | 72192 | 26 | $3,194 | $3,194 | $106.81 | $490.31 | $3,034.3 |
| CT pelvis with contrast | CPT | 72193 | 26 | $4,218 | $4,218 | $179.2 | $647.51 | $4,007.1 |
| Shoulder X-ray | CPT | 73030 | 26 | $736 | $736 | $55.23 | $141.65 | $699.2 |
| Humerus X-ray | CPT | 73060 | 26 | $363 | $363 | $54.63 | $113.5 | $344.85 |
| Hand X-ray 3 views | CPT | 73130 | 26 | $777 | $777 | $58.39 | $147.44 | $738.15 |
| MRI upper extremity joint without contrast | CPT | 73221 | 26 | $5,290 | $5,290 | $243.77 | $812.07 | $5,025.5 |
| MRI upper extremity joint with and without contrast | CPT | 73223 | 26 | $6,780 | $6,780 | $356.43 | $1,040.8 | $6,441 |
| Knee X-ray 1-2 views | CPT | 73560 | 26 | $680 | $680 | $51.02 | $141.65 | $646 |
| Ankle X-ray 3 views | CPT | 73610 | 26 | $382 | $382 | $57.49 | $119.84 | $362.9 |
| MRI lower extremity joint without contrast | CPT | 73721 | 26 | $5,241 | $5,241 | $243.77 | $804.55 | $4,978.95 |
| MRI lower extremity joint with and without contrast | CPT | 73723 | 26 | $6,780 | $6,780 | $356.43 | $1,040.8 | $6,441 |
| CT abdomen without contrast | CPT | 74150 | 26 | $2,518 | $2,518 | $106.81 | $386.54 | $2,392.1 |
| CT abdomen with contrast | CPT | 74160 | 26 | $3,941 | $3,941 | $179.2 | $604.98 | $3,743.95 |
| CT abdomen with and without contrast | CPT | 74170 | 26 | $4,847 | $4,847 | $179.2 | $1,150.47 | $4,604.65 |
| CT abdomen and pelvis without contrast | CPT | 74176 | 26 | $5,835 | $5,835 | $243.77 | $895.73 | $5,543.25 |
| CT abdomen and pelvis with contrast | CPT | 74177 | 26 | $7,873 | $7,873 | $356.43 | $1,208.58 | $7,479.35 |
| CT abdomen and pelvis with and without contrast | CPT | 74178 | 26 | $9,150 | $9,150 | $356.43 | $1,404.62 | $8,692.5 |
| MRI abdomen without contrast | CPT | 74181 | 26 | $4,708 | $4,708 | $243.77 | $722.73 | $4,472.6 |
| MRI abdomen with and without contrast | CPT | 74183 | 26 | $6,620 | $6,620 | $356.43 | $1,016.24 | $6,289 |
| Abdominal ultrasound complete | CPT | 76700 | 26 | $1,729 | $1,729 | $106.81 | $277.18 | $1,642.55 |
| Abdominal ultrasound limited | CPT | 76705 | 26 | $1,227 | $1,227 | $106.81 | $275.21 | $1,165.65 |
| Retroperitoneal ultrasound complete | CPT | 76770 | 26 | $1,196 | $1,196 | $106.81 | $277.18 | $1,136.2 |
| Obstetric ultrasound first trimester | CPT | 76801 | 26 | $952 | $952 | $106.81 | $261.04 | $904.4 |
| Obstetric ultrasound after first trimester | CPT | 76805 | 26 | $895 | $895 | $106.81 | $245.59 | $850.25 |
| Obstetric ultrasound with fetal anatomy | CPT | 76811 | 26 | $1,488 | $1,488 | $223.94 | $421.15 | $1,413.6 |
| Transvaginal ultrasound | CPT | 76830 | 26 | $1,057 | $1,057 | $106.81 | $275.1 | $1,004.15 |
| Pelvic ultrasound complete | CPT | 76856 | 26 | $1,276 | $1,276 | $106.81 | $277.18 | $1,212.2 |
| Scrotal ultrasound | CPT | 76870 | 26 | $1,140 | $1,140 | $106.81 | $277.18 | $1,083 |
| Diagnostic mammography unilateral | CPT | 77065 | 27 | $207 | $207 | $31.15 | $122.63 | $421.1 |
| Diagnostic mammography bilateral | CPT | 77066 | 27 | $415 | $415 | $43.99 | $155.27 | $536.38 |
| Screening mammography bilateral | CPT | 77067 | 27 | $573 | $573 | $33.83 | $159.95 | $544.35 |
| EKG complete | CPT | 93000 | 12 | — | — | $14.52 | $15.24 | $39.06 |
| EKG tracing only | CPT | 93005 | 26 | $268 | $268 | $40.33 | $108.79 | $254.6 |
| EKG interpretation only | CPT | 93010 | 12 | — | — | $8.07 | $8.48 | $21.72 |
| Transthoracic echocardiogram complete | CPT | 93306 | 26 | $3,594 | $3,594 | $540.9 | $1,009.55 | $3,414.3 |
| Transthoracic echocardiogram | CPT | 93307 | 12 | — | — | $243.77 | $255.96 | $655.74 |
| Stress echocardiogram | CPT | 93350 | 26 | $2,124 | $2,124 | $319.66 | $840.95 | $2,154.42 |
| inpatient | ||||||||
| Intracranial hemorrhage/CVA w MCC | MS-DRG | 064 | 21 | — | — | $16,420 | $29,629 | $58,096 |
| Intracranial hemorrhage/CVA w CC | MS-DRG | 065 | 21 | — | — | $9,280.2 | $15,966 | $31,305 |
| Intracranial hemorrhage/CVA w/o CC/MCC | MS-DRG | 066 | 21 | — | — | $6,954.82 | $9,699.4 | $19,018 |
| Respiratory infections & inflammations w MCC | MS-DRG | 177 | 21 | — | — | $13,222 | $19,248 | $41,621 |
| COPD w MCC | MS-DRG | 190 | 21 | — | — | $9,975.17 | $13,036 | $29,502 |
| COPD w CC | MS-DRG | 191 | 21 | — | — | $8,086.48 | $10,503 | $22,452 |
| COPD w/o CC/MCC | MS-DRG | 192 | 21 | — | — | $6,652.29 | $8,395.92 | $17,099 |
| Simple pneumonia & pleurisy w CC | MS-DRG | 194 | 21 | — | — | $7,821.77 | $9,525.52 | $21,464 |
| Simple pneumonia & pleurisy w/o CC/MCC | MS-DRG | 195 | 21 | — | — | $6,464.26 | $6,883.77 | $16,739 |
| AMI discharged alive w MCC | MS-DRG | 280 | 21 | — | — | $13,517 | $19,178 | $42,724 |
| AMI discharged alive w CC | MS-DRG | 281 | 21 | — | — | $8,629.46 | $12,406 | $24,479 |
| AMI discharged alive w/o CC/MCC | MS-DRG | 282 | 21 | — | — | $7,230.96 | $10,455 | $20,500 |
| Heart failure & shock w MCC | MS-DRG | 291 | 21 | — | — | $11,232 | $15,804 | $34,193 |
| Heart failure & shock w CC | MS-DRG | 292 | 21 | — | — | $8,129.27 | $12,794 | $25,086 |
| Heart failure & shock w/o CC/MCC | MS-DRG | 293 | 21 | — | — | $6,110.01 | $9,802.81 | $19,221 |
| Cardiac arrhythmia w MCC | MS-DRG | 308 | 21 | — | — | $10,662 | $18,150 | $35,588 |
| Cardiac arrhythmia w CC | MS-DRG | 309 | 21 | — | — | $7,320.86 | $10,591 | $20,768 |
| Cardiac arrhythmia w/o CC/MCC | MS-DRG | 310 | 21 | — | — | $6,110.72 | $7,597.01 | $15,277 |
| GI hemorrhage w CC | MS-DRG | 378 | 21 | — | — | $9,069 | $12,531 | $26,120 |
| GI hemorrhage w/o CC/MCC | MS-DRG | 379 | 21 | — | — | $6,569.52 | $8,739.12 | $17,136 |
| Esophagitis/gastroenteritis w/o MCC | MS-DRG | 392 | 21 | — | — | $7,634.08 | $8,405.01 | $20,764 |
| Fractures of femur w/o MCC | MS-DRG | 533 | 21 | — | — | $13,257 | $15,014 | $41,754 |
| Kidney/UTI w MCC | MS-DRG | 689 | 21 | — | — | $10,350 | $14,387 | $30,903 |
| Kidney/UTI w/o MCC | MS-DRG | 690 | 21 | — | — | $7,847.44 | $8,615.25 | $21,560 |
| Septicemia or severe sepsis w MV 96+ hrs | MS-DRG | 871 | 21 | — | — | $15,932 | $23,208 | $51,737 |
| Septicemia or severe sepsis w/o MV 96+ hrs | MS-DRG | 872 | 21 | — | — | $9,372.94 | $11,685 | $27,255 |
| Initial hospital care, low complexity | CPT | 99221 | 12 | — | — | $71.28 | $74.84 | $191.73 |
| Initial hospital care, moderate complexity | CPT | 99222 | 12 | — | — | $112.63 | $118.26 | $302.98 |
| Initial hospital care, high complexity | CPT | 99223 | 12 | — | — | $150.93 | $158.47 | $405.99 |
| Hospital discharge, <30 min | CPT | 99238 | 12 | — | — | $71.98 | $75.58 | $193.64 |
| Hospital discharge, >30 min | CPT | 99239 | 12 | — | — | $102.65 | $107.78 | $276.13 |
| lab | ||||||||
| Basic metabolic panel (BMP) | CPT | 80048 | 27 | $201 | $201 | $4.29 | $13.42 | $190.95 |
| General health panel | CPT | 80050 | 24 | $518 | $518 | $15.49 | $164.23 | $492.1 |
| Electrolyte panel | CPT | 80051 | 27 | $121 | $121 | $3.37 | $11.54 | $114.95 |
| Comprehensive metabolic panel | CPT | 80053 | 27 | $229 | $229 | $5.42 | $14.15 | $217.55 |
| Lipid panel | CPT | 80061 | 27 | $159 | $159 | $8.03 | $22.44 | $151.05 |
| Renal function panel | CPT | 80069 | 27 | $273 | $273 | $4.17 | $13.42 | $259.35 |
| Hepatic function panel | CPT | 80076 | 27 | $157 | $157 | $4.28 | $13.42 | $149.15 |
| Urinalysis non-automated | CPT | 81002 | 16 | — | — | $1.53 | $3.69 | $10.62 |
| Urinalysis automated | CPT | 81003 | 27 | $75 | $75 | $1.27 | $3.76 | $71.25 |
| Glucose quantitative | CPT | 82947 | 27 | $96 | $96 | $2.14 | $6.57 | $91.2 |
| Hemoglobin A1c | CPT | 83036 | 27 | $120 | $120 | $5.83 | $16.25 | $114 |
| Thyroid stimulating hormone (TSH) | CPT | 84443 | 27 | $138 | $138 | $10.08 | $27.3 | $131.1 |
| Complete blood count with automated differential | CPT | 85025 | 27 | $152 | $152 | $4.66 | $13.01 | $144.4 |
| Complete blood count without differential | CPT | 85027 | 27 | $137 | $137 | $3.88 | $10.84 | $130.15 |
| Urine culture bacterial | CPT | 87086 | 27 | $175 | $175 | $4.84 | $13.5 | $166.25 |
| Urine culture identification | CPT | 87088 | 16 | — | — | $4.85 | $8.58 | $26.56 |
| Tissue exam by pathologist level IV | CPT | 88305 | 27 | $340 | $340 | $22.75 | $74.02 | $323 |
| maternity | ||||||||
| Fetal non-stress test | CPT | 59025 | 26 | $361 | $361 | $54.33 | $216.88 | $2,325 |
| Routine obstetric care including vaginal delivery | CPT | 59400 | 12 | — | — | $2,045.41 | $2,147.68 | $5,502.15 |
| Vaginal delivery only | CPT | 59409 | 26 | $10,307 | $10,307 | $1,504.22 | $4,122.8 | $9,971 |
| Vaginal delivery with postpartum | CPT | 59410 | 26 | $5,177 | $5,177 | $455.26 | $1,567.03 | $4,918.15 |
| Routine obstetric care with C-section | CPT | 59510 | 12 | — | — | $2,271.83 | $2,385.42 | $6,111.22 |
| C-section delivery only | CPT | 59514 | 26 | $5,710 | $5,710 | $755.38 | $1,661.33 | $5,424.5 |
| C-section with postpartum | CPT | 59515 | 12 | — | — | $1,122.46 | $1,178.58 | $3,019.41 |
| office | ||||||||
| Office visit, new patient, 15-29 min | CPT | 99202 | 26 | $364 | $364 | $30.25 | $134.52 | $365.89 |
| Office visit, new patient, 30-44 minutes | CPT | 99203 | 26 | $685 | $685 | $103.09 | $192.42 | $650.75 |
| Office visit, new patient, 45-59 min | CPT | 99204 | 26 | $849 | $849 | $127.77 | $238.04 | $806.55 |
| Office visit, new patient, 60-74 min | CPT | 99205 | 26 | $1,140 | $1,140 | $136.02 | $241.01 | $1,083 |
| Office visit, established patient, 5 min | CPT | 99211 | 26 | $184 | $184 | $23.05 | $62.01 | $365.89 |
| Office visit, established patient, 10-19 min | CPT | 99212 | 26 | $413 | $413 | $56.45 | $136.02 | $392.35 |
| Office visit, established patient, 20-29 minutes | CPT | 99213 | 26 | $489 | $489 | $73.59 | $142.82 | $464.55 |
| Office visit, established patient, 30-39 minutes | CPT | 99214 | 26 | $606 | $606 | $91.2 | $170.23 | $575.7 |
| Office visit, established patient, 40-54 min | CPT | 99215 | 26 | $849 | $849 | $127.77 | $238.04 | $806.55 |
| preventive | ||||||||
| Upper GI endoscopy diagnostic | CPT | 43235 | 26 | $3,169 | $3,169 | $398.07 | $1,309.28 | $6,824 |
| Upper GI endoscopy with biopsy | CPT | 43239 | 26 | $3,968 | $3,968 | $439.91 | $1,642.95 | $6,824 |
| Sigmoidoscopy diagnostic | CPT | 45330 | 27 | $2,744 | $2,744 | $311.99 | $997.61 | $4,278 |
| Sigmoidoscopy with biopsy | CPT | 45331 | 26 | $2,686 | $2,686 | $325.38 | $1,070.19 | $4,278 |
| Colonoscopy diagnostic | CPT | 45378 | 27 | $4,027 | $4,027 | $517.27 | $1,037.77 | $3,825.65 |
| Colonoscopy with biopsy | CPT | 45380 | 27 | $4,880 | $4,880 | $504.33 | $1,283.69 | $4,636 |
| Colonoscopy with polyp removal | CPT | 45385 | 27 | $5,422 | $5,422 | $696.36 | $1,295.92 | $5,150.9 |
| surgery | ||||||||
| Total shoulder arthroplasty | CPT | 23472 | 12 | — | — | $17,914 | $18,809 | $48,188 |
| Hip hemiarthroplasty | CPT | 27125 | 12 | — | — | $13,117 | $13,773 | $35,284 |
| Total hip replacement | CPT | 27130 | 12 | — | — | $13,117 | $13,773 | $35,284 |
| Total knee replacement | CPT | 27447 | 12 | — | — | $13,117 | $13,773 | $35,284 |
| Knee revision arthroplasty single component | CPT | 27486 | 12 | — | — | $13,117 | $13,773 | $35,284 |
| Knee revision arthroplasty all components | CPT | 27487 | 12 | — | — | $17,914 | $18,809 | $48,188 |
| Shoulder arthroscopy with decompression | CPT | 29826 | 12 | — | — | $138.6 | $145.53 | $2,325 |
| Shoulder arthroscopy with rotator cuff repair | CPT | 29827 | 12 | — | — | $7,413.38 | $7,784.05 | $19,942 |
| Knee arthroscopy with meniscectomy | CPT | 29881 | 12 | — | — | $3,342.87 | $3,510.01 | $12,515 |
| ACL reconstruction | CPT | 29888 | 12 | — | — | $7,413.38 | $7,784.05 | $19,942 |
| Major small/large bowel procedures w MCC | MS-DRG | 329 | 21 | — | — | $34,869 | $52,089 | $122,423 |
| Major small/large bowel procedures w CC | MS-DRG | 330 | 21 | — | — | $19,176 | $26,363 | $63,847 |
| Major small/large bowel procedures w/o CC/MCC | MS-DRG | 331 | 21 | — | — | $14,079 | $18,817 | $44,822 |
| CABG single arterial graft | CPT | 33533 | 12 | — | — | $1,633.92 | $1,715.62 | $6,824 |
| CABG 2 arterial grafts | CPT | 33534 | 12 | — | — | $1,915.71 | $2,011.5 | $6,824 |
| CABG 3 arterial grafts | CPT | 33535 | 12 | — | — | $2,124.86 | $2,231.1 | $6,824 |
| CABG 4+ arterial grafts | CPT | 33536 | 12 | — | — | $2,287.05 | $2,401.4 | $6,824 |
| Laparoscopic cholecystectomy w/o CDE w MCC | MS-DRG | 418 | 21 | — | — | $14,141 | $17,986 | $45,054 |
| Laparoscopic cholecystectomy w/o CDE w CC | MS-DRG | 419 | 21 | — | — | $11,817 | $14,653 | $36,377 |
| Laparoscopic cholecystectomy w/o CDE w/o CC/MCC | MS-DRG | 420 | 21 | — | — | $26,382 | $50,919 | $99,841 |
| Open appendectomy | CPT | 44950 | 12 | — | — | $6,614.04 | $6,944.74 | $17,792 |
| Laparoscopic appendectomy | CPT | 44970 | 12 | — | — | $6,176.47 | $6,485.29 | $17,271 |
| Major joint replacement w MCC | MS-DRG | 469 | 21 | — | — | $23,714 | $42,773 | $83,868 |
| Major joint replacement w/o MCC | MS-DRG | 470 | 21 | — | — | $15,835 | $24,045 | $51,374 |
| Laparoscopic cholecystectomy | CPT | 47562 | 26 | $13,055 | $13,055 | $779.96 | $6,473.76 | $17,271 |
| Lap cholecystectomy with cholangiography | CPT | 47563 | 12 | — | — | $6,176.47 | $6,485.29 | $17,271 |
| Hip & femur procedures except major joint w MCC | MS-DRG | 480 | 21 | — | — | $22,851 | $43,442 | $85,181 |
| Hip & femur procedures except major joint w CC | MS-DRG | 481 | 21 | — | — | $17,016 | $24,214 | $55,785 |
| Hip & femur procedures except major joint w/o CC/MCC | MS-DRG | 482 | 21 | — | — | $13,709 | $17,202 | $43,440 |
| Lap inguinal hernia repair | CPT | 49650 | 26 | $13,055 | $13,055 | $1,270.23 | $6,473.76 | $17,271 |
| Total abdominal hysterectomy | CPT | 58150 | 12 | — | — | $874.98 | $918.73 | $12,515 |
| Vaginal hysterectomy | CPT | 58260 | 12 | — | — | $5,110.8 | $5,366.34 | $13,748 |
| Lap-assisted vaginal hysterectomy | CPT | 58550 | 12 | — | — | $6,176.47 | $6,485.29 | $17,271 |
| Lap-assisted vaginal hysterectomy >250g | CPT | 58552 | 12 | — | — | $10,860 | $11,403 | $29,214 |
| Lap salpingo-oophorectomy | CPT | 58661 | 12 | — | — | $6,176.47 | $6,485.29 | $17,271 |
| OR procedure for obesity w MCC | MS-DRG | 619 | 21 | — | — | $22,674 | $31,827 | $76,903 |
| OR procedure for obesity w CC | MS-DRG | 620 | 21 | — | — | $13,490 | $18,934 | $42,622 |
| OR procedure for obesity w/o CC/MCC | MS-DRG | 621 | 21 | — | — | $12,834 | $17,535 | $40,175 |
| Complex cataract surgery | CPT | 66982 | 26 | $8,063 | $8,063 | $1,213.48 | $3,555.38 | $9,971 |
| Cataract surgery with lens implant | CPT | 66984 | 26 | $8,033 | $8,033 | $1,208.97 | $3,542.16 | $9,971 |
| Intravitreal injection | CPT | 67028 | 26 | $607 | $607 | $91.35 | $354.33 | $2,325 |
| Vitrectomy mechanical | CPT | 67042 | 12 | — | — | $4,222.95 | $4,434.1 | $16,438 |
| Uterine & adnexa procedures w CC/MCC | MS-DRG | 743 | 21 | — | — | $10,924 | $12,281 | $33,045 |
| Uterine & adnexa procedures w/o CC/MCC | MS-DRG | 744 | 21 | — | — | $16,692 | $19,712 | $54,576 |
| PCI single major coronary artery | CPT | 92920 | 26 | $33,937 | $33,937 | $5,107.52 | $9,854.44 | $32,240 |
| PCI with drug-eluting stent | CPT | 92928 | 26 | $51,545 | $51,545 | $7,757.52 | $15,515 | $48,968 |
| PCI bypass graft | CPT | 92937 | 26 | $51,545 | $51,545 | $7,757.52 | $15,515 | $48,968 |
| Left heart catheterization | CPT | 93452 | 26 | $23,536 | $23,536 | $3,312.15 | $6,385.93 | $22,359 |
| Coronary angiography with cath | CPT | 93455 | 26 | $22,701 | $22,701 | $3,312.15 | $6,268.66 | $21,566 |
| Coronary angiography with bypass cath | CPT | 93458 | 26 | $26,990 | $26,990 | $3,312.15 | $6,871.05 | $25,641 |
Payer mix (top 28)
| Payer | Codes covered | Median rate |
|---|---|---|
| healthteam | 197 | $374.25 |
| UnitedHealthcare | 197 | $610.96 |
| Blue Cross Blue Shield | 197 | $1,039.8 |
| carolina caring | 197 | $1,458.36 |
| Aetna | 197 | $1,023 |
| Cigna | 197 | $1,513.02 |
| devoted health | 197 | $374.25 |
| Humana | 197 | $1,052.48 |
| Molina | 197 | $396.12 |
| longevity health | 196 | $374.25 |
| corporate benefits service | 196 | $958.8 |
| surgery plus | 196 | $623.75 |
| gaston county jail | 156 | $1,214.23 |
| partners behavioral health | 156 | $607.12 |
| vaya behavioral health | 156 | $619.26 |
| medcost | 155 | $2,305.05 |
| WellCare | 154 | $647.51 |
| alliance behavioral health | 154 | $647.51 |
| amerihealth caritas | 154 | $647.51 |
| carolina complete health | 154 | $634.81 |
| carolina complete health tailored plans | 154 | $647.51 |
| First Health | 112 | $2,742.65 |
| beech street | 112 | $2,367.34 |
| absolute total care | 112 | $779.96 |
| Self-Pay (Cash) | 112 | $1,876.55 |
| Multiplan | 112 | $2,367.34 |
| avalon | 17 | $5.42 |
| kintegra health | 7 | $1,200 |