▸ Hospital · NC · CCN 340053
Novant Health Presbyterian Medical Center
200 HAWTHORNE LANE, CHARLOTTE, NC, 28231-1726
536 bedsAcute Care Hospitals2
Compliance grade
A
100/100
Procedures tracked
194
of 209 target codes
Payers
22
with negotiated rates
Rates published
22,564
last crawl 2026-05-22
Procedures & rates
| Procedure | Type | Code | Payers | Gross | Cash | Neg min | Neg median | Neg max |
|---|---|---|---|---|---|---|---|---|
| behavioral | ||||||||
| Psychoses | MS-DRG | 885 | 22 | — | — | $31.95 | $72 | $28,217 |
| Psychiatric diagnostic evaluation | CPT | 90791 | 22 | $393 | $196.5 | $68.46 | $243.66 | $381.21 |
| Psychiatric eval with medical services | CPT | 90792 | 22 | — | — | $17.42 | $70.5 | $344.96 |
| Psychotherapy 30 minutes | CPT | 90832 | 22 | $270 | $135 | $46.68 | $174.64 | $344.96 |
| Psychotherapy 45 minutes | CPT | 90834 | 22 | $347 | $173.5 | $59.92 | $215.14 | $344.96 |
| Psychotherapy 60 minutes | CPT | 90837 | 22 | $368 | $184 | $63.4 | $228.16 | $356.96 |
| Crisis psychotherapy 60 minutes | CPT | 90839 | 22 | $332 | $166 | $57.83 | $205.84 | $344.96 |
| emergency | ||||||||
| ED visit level 1 | CPT | 99281 | 22 | $282 | $141 | $49.12 | $174.84 | $273.54 |
| ED visit level 2 | CPT | 99282 | 22 | $573 | $286.5 | $51.5 | $355.26 | $555.81 |
| ED visit level 3 | CPT | 99283 | 22 | $1,726 | $863 | $51.5 | $1,070.12 | $1,674.22 |
| ED visit level 4 | CPT | 99284 | 22 | $2,455 | $1,227.5 | $51.5 | $1,522.1 | $2,381.35 |
| ED visit level 5 | CPT | 99285 | 22 | $3,453 | $1,726.5 | $51.5 | $2,140.86 | $3,349.41 |
| Critical care, first hour | CPT | 99291 | 22 | $4,644 | $2,322 | $51.5 | $2,879.28 | $4,504.68 |
| imaging | ||||||||
| CT head without contrast | CPT | 70450 | 22 | $2,148 | $1,074 | $51.5 | $808.24 | $2,083.56 |
| CT head with contrast | CPT | 70460 | 22 | $2,551 | $1,275.5 | $51.5 | $960.09 | $2,474.47 |
| CT head with and without contrast | CPT | 70470 | 22 | $2,929 | $1,464.5 | $51.5 | $1,273.8 | $2,841.13 |
| CT neck with contrast | CPT | 70491 | 22 | $2,978 | $1,489 | $51.5 | $1,120.5 | $2,888.66 |
| MRI brain without contrast | CPT | 70551 | 22 | $3,243 | $1,621.5 | $51.5 | $1,497.37 | $3,145.71 |
| MRI brain with contrast | CPT | 70552 | 22 | $3,801 | $1,900.5 | $51.5 | $1,430.85 | $3,686.97 |
| MRI brain with and without contrast | CPT | 70553 | 22 | $5,036 | $2,518 | $51.5 | $1,895.43 | $4,884.92 |
| Chest X-ray single view | CPT | 71045 | 22 | $392 | $196 | $50.69 | $209.52 | $380.24 |
| Chest X-ray 2 views | CPT | 71046 | 22 | $2,616 | $1,308 | $51.5 | $288.3 | $2,537.52 |
| Chest X-ray 3 views | CPT | 71047 | 22 | $560 | $280 | $51.5 | $298.8 | $543.2 |
| CT chest without contrast | CPT | 71250 | 22 | $2,123 | $1,061.5 | $51.5 | $923.45 | $2,059.31 |
| CT chest with contrast | CPT | 71260 | 22 | $2,865 | $1,432.5 | $51.5 | $1,078.61 | $2,779.05 |
| CT chest with and without contrast | CPT | 71270 | 22 | $3,504 | $1,752 | $51.5 | $1,318.52 | $3,398.88 |
| MRI chest without contrast | CPT | 71550 | 22 | $3,213 | $1,606.5 | $51.5 | $1,209.04 | $3,116.61 |
| MRI chest with contrast | CPT | 71551 | 22 | $3,369 | $1,684.5 | $51.5 | $780.82 | $3,267.93 |
| MRI chest with and without contrast | CPT | 71552 | 22 | $4,540 | $2,270 | $51.5 | $1,708.84 | $4,403.8 |
| Lumbosacral spine X-ray | CPT | 72100 | 22 | $560 | $280 | $34.12 | $203.18 | $543.2 |
| CT cervical spine without contrast | CPT | 72125 | 22 | $2,600 | $1,300 | $51.5 | $1,130.8 | $2,522 |
| CT thoracic spine without contrast | CPT | 72128 | 22 | $2,234 | $1,117 | $51.5 | $840.61 | $2,166.98 |
| CT lumbar spine without contrast | CPT | 72131 | 22 | $2,768 | $1,384 | $51.5 | $1,042.44 | $2,684.96 |
| MRI cervical spine without contrast | CPT | 72141 | 22 | $3,922 | $1,961 | $51.5 | $1,476.07 | $3,804.34 |
| MRI thoracic spine without contrast | CPT | 72146 | 22 | $3,922 | $1,961 | $51.5 | $1,476.07 | $3,804.34 |
| MRI lumbar spine without contrast | CPT | 72148 | 22 | $3,922 | $1,961 | $51.5 | $1,476.07 | $3,804.34 |
| MRI lumbar spine with and without contrast | CPT | 72149 | 22 | $4,273 | $2,136.5 | $51.5 | $1,608.4 | $4,144.81 |
| MRI cervical spine with and without contrast | CPT | 72156 | 22 | $4,982 | $2,491 | $51.5 | $1,874.96 | $4,832.54 |
| MRI lumbar spine with contrast | CPT | 72158 | 22 | $4,982 | $2,491 | $51.5 | $1,874.96 | $4,832.54 |
| CT pelvis without contrast | CPT | 72192 | 22 | $2,377 | $1,188.5 | $51.5 | $1,081.94 | $2,305.69 |
| CT pelvis with contrast | CPT | 72193 | 22 | $2,874 | $1,437 | $51.5 | $1,081.47 | $2,787.78 |
| Shoulder X-ray | CPT | 73030 | 22 | $465 | $232.5 | $26.41 | $169.14 | $451.05 |
| Humerus X-ray | CPT | 73060 | 22 | $465 | $232.5 | $23.16 | $99.75 | $451.05 |
| Hand X-ray 3 views | CPT | 73130 | 22 | $560 | $280 | $27.07 | $197.54 | $543.2 |
| MRI upper extremity joint without contrast | CPT | 73221 | 22 | $3,388 | $1,694 | $51.5 | $1,275.2 | $3,286.36 |
| MRI upper extremity joint with and without contrast | CPT | 73223 | 22 | $4,886 | $2,443 | $51.5 | $1,838.78 | $4,739.42 |
| Knee X-ray 1-2 views | CPT | 73560 | 22 | $465 | $232.5 | $25.81 | $179.02 | $451.05 |
| Ankle X-ray 3 views | CPT | 73610 | 22 | $560 | $280 | $27.07 | $197.54 | $543.2 |
| MRI lower extremity joint without contrast | CPT | 73721 | 22 | $3,355 | $1,677.5 | $51.5 | $1,549.35 | $3,254.35 |
| MRI lower extremity joint with and without contrast | CPT | 73723 | 22 | $4,126 | $2,063 | $51.5 | $1,553.18 | $4,002.22 |
| CT abdomen without contrast | CPT | 74150 | 22 | $2,488 | $1,244 | $51.5 | $936.76 | $2,413.36 |
| CT abdomen with contrast | CPT | 74160 | 22 | $3,216 | $1,608 | $51.5 | $1,210.46 | $3,119.52 |
| CT abdomen with and without contrast | CPT | 74170 | 22 | $3,703 | $1,851.5 | $51.5 | $1,721.62 | $3,591.91 |
| CT abdomen and pelvis without contrast | CPT | 74176 | 22 | $4,585 | $2,292.5 | $51.5 | $1,725.97 | $4,447.45 |
| CT abdomen and pelvis with contrast | CPT | 74177 | 22 | $5,640 | $2,820 | $51.5 | $2,122.48 | $5,470.8 |
| CT abdomen and pelvis with and without contrast | CPT | 74178 | 22 | $6,497 | $3,248.5 | $51.5 | $2,445.68 | $6,302.09 |
| MRI abdomen without contrast | CPT | 74181 | 22 | $3,537 | $1,768.5 | $51.5 | $1,331.37 | $3,430.89 |
| MRI abdomen with and without contrast | CPT | 74183 | 22 | $5,375 | $2,687.5 | $51.5 | $2,023 | $5,213.75 |
| Abdominal ultrasound complete | CPT | 76700 | 22 | $1,322 | $661 | $101.59 | $517.8 | $1,282.34 |
| Abdominal ultrasound limited | CPT | 76705 | 22 | $959 | $479.5 | $87.62 | $441.86 | $930.23 |
| Retroperitoneal ultrasound complete | CPT | 76770 | 22 | $1,128 | $564 | $101.59 | $441.99 | $1,094.16 |
| Obstetric ultrasound first trimester | CPT | 76801 | 22 | $791 | $395.5 | $101.59 | $327.03 | $767.27 |
| Obstetric ultrasound after first trimester | CPT | 76805 | 22 | $791 | $395.5 | $101.59 | $310.18 | $767.27 |
| Obstetric ultrasound with fetal anatomy | CPT | 76811 | 22 | $1,122 | $561 | $154.51 | $460.26 | $1,088.34 |
| Transvaginal ultrasound | CPT | 76830 | 22 | $1,028 | $514 | $101.44 | $402.35 | $997.16 |
| Pelvic ultrasound complete | CPT | 76856 | 22 | $1,294 | $647 | $101.59 | $506.89 | $1,255.18 |
| Scrotal ultrasound | CPT | 76870 | 22 | $1,035 | $517.5 | $101.53 | $405.32 | $1,003.95 |
| Diagnostic mammography unilateral | CPT | 77065 | 20 | $360 | $180 | $51.5 | $223.2 | $349.2 |
| Diagnostic mammography bilateral | CPT | 77066 | 20 | $457 | $228.5 | $51.5 | $283.34 | $443.29 |
| Screening mammography bilateral | CPT | 77067 | 20 | $365 | $182.5 | $51.5 | $226.3 | $354.05 |
| EKG complete | CPT | 93000 | 20 | — | — | $17.42 | $33 | $97 |
| EKG tracing only | CPT | 93005 | 22 | $456 | $228 | $9.96 | $131.8 | $442.32 |
| EKG interpretation only | CPT | 93010 | 20 | $46 | $23 | $8.01 | $28.52 | $44.62 |
| Transthoracic echocardiogram complete | CPT | 93306 | 22 | $2,926 | $1,463 | $206.8 | $1,291.2 | $2,838.22 |
| Transthoracic echocardiogram | CPT | 93307 | 22 | $2,266 | $1,133 | $133.09 | $881.38 | $2,198.02 |
| Stress echocardiogram | CPT | 93350 | 22 | $2,926 | $1,463 | $176.25 | $1,461.83 | $2,838.22 |
| inpatient | ||||||||
| Respiratory infections & inflammations w MCC | MS-DRG | 177 | 22 | — | — | $46 | $76.5 | $31,568 |
| COPD w MCC | MS-DRG | 190 | 22 | — | — | $46 | $76.5 | $22,377 |
| COPD w CC | MS-DRG | 191 | 22 | — | — | $46 | $76.5 | $17,029 |
| COPD w/o CC/MCC | MS-DRG | 192 | 22 | — | — | $46 | $76.5 | $12,969 |
| Simple pneumonia & pleurisy w CC | MS-DRG | 194 | 22 | — | — | $46 | $76.5 | $16,280 |
| Simple pneumonia & pleurisy w/o CC/MCC | MS-DRG | 195 | 22 | — | — | $46 | $76.5 | $12,696 |
| AMI discharged alive w MCC | MS-DRG | 280 | 22 | — | — | $46 | $76.5 | $32,404 |
| AMI discharged alive w CC | MS-DRG | 281 | 22 | — | — | $46 | $76.5 | $18,567 |
| AMI discharged alive w/o CC/MCC | MS-DRG | 282 | 22 | — | — | $46 | $76.5 | $14,607 |
| Heart failure & shock w MCC | MS-DRG | 291 | 22 | — | — | $46 | $76.5 | $25,934 |
| Heart failure & shock w CC | MS-DRG | 292 | 22 | — | — | $46 | $76.5 | $17,151 |
| Heart failure & shock w/o CC/MCC | MS-DRG | 293 | 22 | — | — | $46 | $76.5 | $11,434 |
| Cardiac arrhythmia w MCC | MS-DRG | 308 | 22 | — | — | $46 | $76.5 | $24,322 |
| Cardiac arrhythmia w CC | MS-DRG | 309 | 22 | — | — | $46 | $76.5 | $14,862 |
| Cardiac arrhythmia w/o CC/MCC | MS-DRG | 310 | 22 | — | — | $46 | $76.5 | $11,436 |
| GI hemorrhage w CC | MS-DRG | 378 | 22 | — | — | $46 | $76.5 | $19,811 |
| GI hemorrhage w/o CC/MCC | MS-DRG | 379 | 22 | — | — | $46 | $76.5 | $12,735 |
| Esophagitis/gastroenteritis w/o MCC | MS-DRG | 392 | 22 | — | — | $46 | $76.5 | $15,749 |
| Fractures of femur w/o MCC | MS-DRG | 533 | 22 | — | — | $46 | $76.5 | $31,669 |
| Kidney/UTI w MCC | MS-DRG | 689 | 22 | — | — | $46 | $76.5 | $23,439 |
| Kidney/UTI w/o MCC | MS-DRG | 690 | 22 | — | — | $46 | $76.5 | $16,353 |
| Septicemia or severe sepsis w MV 96+ hrs | MS-DRG | 871 | 22 | — | — | $46 | $76.5 | $39,240 |
| Septicemia or severe sepsis w/o MV 96+ hrs | MS-DRG | 872 | 22 | — | — | $46 | $76.5 | $20,672 |
| Initial hospital care, low complexity | CPT | 99221 | 20 | — | — | $17.42 | $62 | $97 |
| Initial hospital care, moderate complexity | CPT | 99222 | 20 | — | — | $17.42 | $62 | $97 |
| Initial hospital care, high complexity | CPT | 99223 | 20 | — | — | $17.42 | $62 | $97 |
| Hospital discharge, <30 min | CPT | 99238 | 20 | — | — | $17.42 | $62 | $97 |
| Hospital discharge, >30 min | CPT | 99239 | 20 | — | — | $17.42 | $62 | $97 |
| lab | ||||||||
| Basic metabolic panel (BMP) | CPT | 80048 | 22 | $131 | $65.5 | $5.4 | $23.25 | $127.07 |
| General health panel | CPT | 80050 | 20 | $294 | $147 | $51.21 | $182.28 | $285.18 |
| Electrolyte panel | CPT | 80051 | 22 | $125 | $62.5 | $7.01 | $73.75 | $121.25 |
| Comprehensive metabolic panel | CPT | 80053 | 22 | $224 | $112 | $6.61 | $77.79 | $217.28 |
| Lipid panel | CPT | 80061 | 22 | $200 | $100 | $8.88 | $38.25 | $194 |
| Renal function panel | CPT | 80069 | 22 | $152 | $76 | $8.68 | $92.4 | $147.44 |
| Hepatic function panel | CPT | 80076 | 22 | $131 | $65.5 | $5.4 | $23.25 | $127.07 |
| Urinalysis non-automated | CPT | 81002 | 22 | $63 | $31.5 | $3.48 | $27.3 | $61.11 |
| Urinalysis automated | CPT | 81003 | 22 | $73 | $36.5 | $2.25 | $20.16 | $70.81 |
| Glucose quantitative | CPT | 82947 | 22 | $94 | $47 | $2.78 | $26.55 | $91.18 |
| Hemoglobin A1c | CPT | 83036 | 22 | $145 | $72.5 | $6.61 | $28.5 | $140.65 |
| Thyroid stimulating hormone (TSH) | CPT | 84443 | 22 | $240 | $120 | $13.76 | $58.46 | $232.8 |
| Complete blood count with automated differential | CPT | 85025 | 22 | $3,230 | $1,615 | $6.44 | $141.98 | $3,133.1 |
| Complete blood count without differential | CPT | 85027 | 22 | $97 | $48.5 | $4.18 | $18 | $94.09 |
| Urine culture bacterial | CPT | 87086 | 22 | $120 | $60 | $7.83 | $33.75 | $116.4 |
| Urine culture identification | CPT | 87088 | 22 | $120 | $60 | $8.09 | $70.08 | $116.4 |
| Tissue exam by pathologist level IV | CPT | 88305 | 22 | $658 | $329 | $33.44 | $302.68 | $638.26 |
| maternity | ||||||||
| Fetal non-stress test | CPT | 59025 | 22 | $679 | $339.5 | $95.46 | $398.07 | $658.63 |
| Routine obstetric care including vaginal delivery | CPT | 59400 | 20 | — | — | $17.42 | $62 | $97 |
| Vaginal delivery only | CPT | 59409 | 22 | — | — | $17.42 | $70.5 | $6,291.42 |
| Vaginal delivery with postpartum | CPT | 59410 | 20 | — | — | $17.42 | $62 | $97 |
| Routine obstetric care with C-section | CPT | 59510 | 20 | — | — | $17.42 | $62 | $97 |
| C-section delivery only | CPT | 59514 | 20 | — | — | $17.42 | $62 | $97 |
| C-section with postpartum | CPT | 59515 | 20 | — | — | $17.42 | $62 | $97 |
| office | ||||||||
| Office visit, new patient, 15-29 min | CPT | 99202 | 20 | $318 | $159 | $32.22 | $133.2 | $308.46 |
| Office visit, new patient, 30-44 minutes | CPT | 99203 | 20 | $425 | $212.5 | $51.91 | $238.4 | $412.25 |
| Office visit, new patient, 45-59 min | CPT | 99204 | 20 | $584 | $292 | $81.17 | $335.52 | $566.48 |
| Office visit, new patient, 60-74 min | CPT | 99205 | 20 | $697 | $348.5 | $105.39 | $427.8 | $676.09 |
| Office visit, established patient, 5 min | CPT | 99211 | 20 | $294 | $147 | $8.18 | $38.4 | $285.18 |
| Office visit, established patient, 10-19 min | CPT | 99212 | 20 | $522 | $261 | $16.89 | $124.71 | $506.34 |
| Office visit, established patient, 20-29 minutes | CPT | 99213 | 20 | $458 | $229 | $32.57 | $181.39 | $444.26 |
| Office visit, established patient, 30-39 minutes | CPT | 99214 | 20 | $474 | $237 | $49.99 | $209.87 | $459.78 |
| Office visit, established patient, 40-54 min | CPT | 99215 | 20 | $763 | $381.5 | $71.59 | $295.92 | $740.11 |
| preventive | ||||||||
| Upper GI endoscopy diagnostic | CPT | 43235 | 22 | — | — | $17.42 | $70.5 | $1,762.74 |
| Upper GI endoscopy with biopsy | CPT | 43239 | 22 | — | — | $17.42 | $70.5 | $1,762.74 |
| Sigmoidoscopy diagnostic | CPT | 45330 | 22 | $1,932 | $966 | $51.5 | $1,197.84 | $1,874.04 |
| Sigmoidoscopy with biopsy | CPT | 45331 | 22 | $1,932 | $966 | $51.5 | $1,197.84 | $1,874.04 |
| Colonoscopy diagnostic | CPT | 45378 | 22 | — | — | $17.42 | $70.5 | $1,807.4 |
| Colonoscopy with biopsy | CPT | 45380 | 22 | — | — | $17.42 | $70.5 | $2,325.7 |
| Colonoscopy with polyp removal | CPT | 45385 | 22 | — | — | $17.42 | $70.5 | $2,325.7 |
| surgery | ||||||||
| Total shoulder arthroplasty | CPT | 23472 | 22 | — | — | $17.42 | $70.5 | $34,077 |
| Hip hemiarthroplasty | CPT | 27125 | 22 | — | — | $17.42 | $70.5 | $24,952 |
| Total hip replacement | CPT | 27130 | 22 | — | — | $17.42 | $70.5 | $24,952 |
| Total knee replacement | CPT | 27447 | 22 | — | — | $17.42 | $70.5 | $24,952 |
| Knee revision arthroplasty single component | CPT | 27486 | 22 | — | — | $17.42 | $70.5 | $24,952 |
| Knee revision arthroplasty all components | CPT | 27487 | 22 | — | — | $17.42 | $70.5 | $34,077 |
| Shoulder arthroscopy with decompression | CPT | 29826 | 20 | — | — | $17.42 | $62 | $97 |
| Shoulder arthroscopy with rotator cuff repair | CPT | 29827 | 22 | — | — | $17.42 | $70.5 | $14,103 |
| Knee arthroscopy with meniscectomy | CPT | 29881 | 22 | — | — | $17.42 | $70.5 | $6,359.2 |
| ACL reconstruction | CPT | 29888 | 22 | — | — | $17.42 | $70.5 | $14,103 |
| Major small/large bowel procedures w MCC | MS-DRG | 329 | 22 | — | — | $46 | $76.5 | $97,735 |
| Major small/large bowel procedures w CC | MS-DRG | 330 | 22 | — | — | $46 | $76.5 | $50,972 |
| Major small/large bowel procedures w/o CC/MCC | MS-DRG | 331 | 22 | — | — | $46 | $76.5 | $35,784 |
| CABG single arterial graft | CPT | 33533 | 20 | — | — | $17.42 | $62 | $97 |
| CABG 2 arterial grafts | CPT | 33534 | 20 | — | — | $17.42 | $62 | $97 |
| CABG 3 arterial grafts | CPT | 33535 | 20 | — | — | $17.42 | $62 | $97 |
| CABG 4+ arterial grafts | CPT | 33536 | 20 | — | — | $17.42 | $62 | $97 |
| Laparoscopic cholecystectomy w/o CDE w MCC | MS-DRG | 418 | 22 | — | — | $46 | $76.5 | $35,968 |
| Laparoscopic cholecystectomy w/o CDE w CC | MS-DRG | 419 | 22 | — | — | $46 | $76.5 | $29,041 |
| Laparoscopic cholecystectomy w/o CDE w/o CC/MCC | MS-DRG | 420 | 22 | — | — | $46 | $76.5 | $72,445 |
| Open appendectomy | CPT | 44950 | 22 | — | — | $17.42 | $70.5 | $12,582 |
| Laparoscopic appendectomy | CPT | 44970 | 22 | — | — | $17.42 | $70.5 | $11,750 |
| Major joint replacement w MCC | MS-DRG | 469 | 22 | — | — | $46 | $76.5 | $81,666 |
| Major joint replacement w/o MCC | MS-DRG | 470 | 22 | — | — | $46 | $75 | $49,815 |
| Laparoscopic cholecystectomy | CPT | 47562 | 22 | — | — | $17.42 | $70.5 | $11,750 |
| Lap cholecystectomy with cholangiography | CPT | 47563 | 22 | — | — | $17.42 | $70.5 | $11,750 |
| Hip & femur procedures except major joint w MCC | MS-DRG | 480 | 22 | — | — | $46 | $76.5 | $61,924 |
| Hip & femur procedures except major joint w CC | MS-DRG | 481 | 22 | — | — | $46 | $76.5 | $44,535 |
| Hip & femur procedures except major joint w/o CC/MCC | MS-DRG | 482 | 22 | — | — | $46 | $76.5 | $34,680 |
| Lap inguinal hernia repair | CPT | 49650 | 22 | — | — | $17.42 | $70.5 | $11,750 |
| Total abdominal hysterectomy | CPT | 58150 | 20 | — | — | $17.42 | $62 | $97 |
| Vaginal hysterectomy | CPT | 58260 | 22 | — | — | $17.42 | $70.5 | $9,722.38 |
| Lap-assisted vaginal hysterectomy | CPT | 58550 | 22 | — | — | $17.42 | $70.5 | $11,750 |
| Lap-assisted vaginal hysterectomy >250g | CPT | 58552 | 22 | — | — | $17.42 | $70.5 | $20,659 |
| Lap salpingo-oophorectomy | CPT | 58661 | 22 | — | — | $17.42 | $70.5 | $11,750 |
| OR procedure for obesity w MCC | MS-DRG | 619 | 22 | — | — | $46 | $80 | $61,395 |
| OR procedure for obesity w CC | MS-DRG | 620 | 22 | — | — | $46 | $80 | $34,027 |
| OR procedure for obesity w/o CC/MCC | MS-DRG | 621 | 22 | — | — | $46 | $80 | $32,073 |
| Complex cataract surgery | CPT | 66982 | 22 | — | — | $17.42 | $70.5 | $4,485.3 |
| Cataract surgery with lens implant | CPT | 66984 | 22 | — | — | $17.42 | $70.5 | $4,485.3 |
| Intravitreal injection | CPT | 67028 | 22 | — | — | $17.42 | $70.5 | $641.96 |
| Vitrectomy mechanical | CPT | 67042 | 22 | — | — | $17.42 | $70.5 | $8,033.4 |
| Uterine & adnexa procedures w CC/MCC | MS-DRG | 743 | 22 | — | — | $46 | $76.5 | $26,381 |
| Uterine & adnexa procedures w/o CC/MCC | MS-DRG | 744 | 22 | — | — | $46 | $76.5 | $43,570 |
| PCI single major coronary artery | CPT | 92920 | 22 | — | — | $17.42 | $70.5 | $11,062 |
| PCI with drug-eluting stent | CPT | 92928 | 22 | — | — | $17.42 | $70.5 | $22,436 |
| PCI bypass graft | CPT | 92937 | 22 | — | — | $17.42 | $70.5 | $22,436 |
| Left heart catheterization | CPT | 93452 | 22 | — | — | $17.42 | $70.5 | $6,300.76 |
| Coronary angiography with cath | CPT | 93455 | 22 | — | — | $17.42 | $70.5 | $6,300.76 |
| Coronary angiography with bypass cath | CPT | 93458 | 22 | — | — | $17.42 | $70.5 | $6,300.76 |
Payer mix (top 22)
| Payer | Codes covered | Median rate |
|---|---|---|
| Aetna | 194 | $249 |
| amerihealth | 194 | $110.7 |
| amps | 194 | $189.2 |
| atlantic corporation dba atlantic packaging | 194 | $158.24 |
| bcbsfl | 194 | $72 |
| Blue Cross Blue Shield | 194 | $293.93 |
| CareSource | 194 | $206.25 |
| carolina complete | 194 | $108.52 |
| Cigna | 194 | $238.82 |
| employers choice network | 194 | $333.68 |
| Humana | 194 | $298.8 |
| UnitedHealthcare | 194 | $271.56 |
| WellCare | 194 | $110.7 |
| medcost | 194 | $258 |
| Multiplan | 194 | $258 |
| nc department of public safety | 194 | $338.73 |
| phcs | 194 | $258 |
| plotkin health | 194 | $206.4 |
| primary physician care | 194 | $254.56 |
| three rivers provider network | 194 | $333.68 |
| liberty health | 163 | $355.97 |
| pace of the southern piedmont | 163 | $339.02 |