▸ Hospital · NC · CCN 340068
Columbus Regional Healthcare System
500 JEFFERSON STREET, WHITEVILLE, NC, 340068
Compliance grade
A
100/100
Procedures tracked
196
of 209 target codes
Payers
30
with negotiated rates
Rates published
93,587
last crawl 2026-05-24
Procedures & rates
| Procedure | Type | Code | Payers | Gross | Cash | Neg min | Neg median | Neg max |
|---|---|---|---|---|---|---|---|---|
| behavioral | ||||||||
| Psychoses | MS-DRG | 885 | 11 | — | — | $11,137 | $11,251 | $11,694 |
| Psychiatric diagnostic evaluation | CPT | 90791 | 30 | $249.6 | $174.72 | $55.74 | $156.76 | $242.11 |
| Psychiatric eval with medical services | CPT | 90792 | 11 | — | — | $150.73 | $152.24 | $158.27 |
| Psychotherapy 30 minutes | CPT | 90832 | 11 | — | — | $150.73 | $152.24 | $158.27 |
| Psychotherapy 45 minutes | CPT | 90834 | 11 | — | — | $150.73 | $152.24 | $158.27 |
| Psychotherapy 60 minutes | CPT | 90837 | 11 | — | — | $150.73 | $152.24 | $158.27 |
| Crisis psychotherapy 60 minutes | CPT | 90839 | 11 | — | — | $150.73 | $152.24 | $158.27 |
| emergency | ||||||||
| ED visit level 1 | CPT | 99281 | 30 | $242 | $169.4 | $54.04 | $146.65 | $234.74 |
| ED visit level 2 | CPT | 99282 | 30 | $429.4 | $300.58 | $95.89 | $260.22 | $416.52 |
| ED visit level 3 | CPT | 99283 | 30 | $1,255.07 | $878.55 | $259.76 | $760.57 | $1,217.42 |
| ED visit level 4 | CPT | 99284 | 30 | $1,622.5 | $1,135.75 | $362.3 | $983.24 | $1,573.83 |
| ED visit level 5 | CPT | 99285 | 30 | $2,516.51 | $1,761.56 | $561.94 | $1,525.01 | $2,441.01 |
| Critical care, first hour | CPT | 99291 | 30 | $3,323.12 | $2,326.19 | $742.05 | $2,013.81 | $3,223.43 |
| imaging | ||||||||
| CT head without contrast | CPT | 70450 | 30 | $1,150.55 | $805.39 | $99.76 | $683.43 | $1,116.03 |
| CT head with contrast | CPT | 70460 | 30 | $1,277.42 | $894.2 | $167.01 | $758.79 | $1,239.1 |
| CT head with and without contrast | CPT | 70470 | 30 | $1,593.61 | $1,115.53 | $167.01 | $946.61 | $1,545.8 |
| CT neck with contrast | CPT | 70491 | 30 | $1,999.23 | $1,399.47 | $167.01 | $1,187.54 | $1,939.25 |
| MRI brain without contrast | CPT | 70551 | 30 | $3,704.15 | $2,592.91 | $226.77 | $2,200.27 | $3,593.03 |
| MRI brain with contrast | CPT | 70552 | 30 | $4,008.99 | $2,806.3 | $335.04 | $2,381.34 | $3,888.72 |
| MRI brain with and without contrast | CPT | 70553 | 30 | $4,721.81 | $3,305.27 | $335.04 | $2,804.76 | $4,580.16 |
| Chest X-ray single view | CPT | 71045 | 30 | $297.08 | $207.96 | $8.95 | $176.47 | $288.17 |
| Chest X-ray 2 views | CPT | 71046 | 30 | $369.6 | $258.72 | $16.49 | $219.55 | $358.51 |
| Chest X-ray 3 views | CPT | 71047 | 12 | — | — | $21.02 | $83.02 | $86.73 |
| CT chest without contrast | CPT | 71250 | 30 | $1,535.69 | $1,074.99 | $99.76 | $912.2 | $1,489.62 |
| CT chest with contrast | CPT | 71260 | 30 | $1,856.08 | $1,299.26 | $167.01 | $1,102.51 | $1,800.4 |
| CT chest with and without contrast | CPT | 71270 | 30 | $1,856.08 | $1,299.26 | $167.01 | $1,102.51 | $1,800.4 |
| MRI chest without contrast | CPT | 71550 | 30 | $4,244.24 | $2,970.97 | $226.77 | $2,521.08 | $4,116.91 |
| MRI chest with contrast | CPT | 71551 | 30 | $3,046.44 | $2,132.51 | $680.27 | $1,809.59 | $2,955.05 |
| MRI chest with and without contrast | CPT | 71552 | 30 | $3,521.44 | $2,465.01 | $335.04 | $2,091.74 | $3,415.8 |
| Lumbosacral spine X-ray | CPT | 72100 | 30 | $498.3 | $348.81 | $40.37 | $295.99 | $483.35 |
| CT cervical spine without contrast | CPT | 72125 | 30 | $2,671.77 | $1,870.24 | $99.76 | $1,587.03 | $2,591.62 |
| CT thoracic spine without contrast | CPT | 72128 | 30 | $2,223.99 | $1,556.8 | $99.76 | $1,321.05 | $2,157.27 |
| CT lumbar spine without contrast | CPT | 72131 | 30 | $2,223.99 | $1,556.8 | $99.76 | $1,321.05 | $2,157.27 |
| MRI cervical spine without contrast | CPT | 72141 | 30 | $4,071.1 | $2,849.77 | $226.77 | $2,418.24 | $3,948.97 |
| MRI thoracic spine without contrast | CPT | 72146 | 30 | $3,433.5 | $2,403.45 | $226.77 | $2,039.5 | $3,330.5 |
| MRI lumbar spine without contrast | CPT | 72148 | 30 | $3,794.7 | $2,656.29 | $226.77 | $2,254.06 | $3,680.86 |
| MRI lumbar spine with and without contrast | CPT | 72149 | 30 | $4,722.64 | $3,305.85 | $335.04 | $2,805.25 | $4,580.96 |
| MRI cervical spine with and without contrast | CPT | 72156 | 30 | $5,306.03 | $3,714.23 | $335.04 | $3,151.78 | $5,146.85 |
| MRI lumbar spine with contrast | CPT | 72158 | 30 | $5,544.08 | $3,880.86 | $335.04 | $3,293.18 | $5,377.76 |
| CT pelvis without contrast | CPT | 72192 | 30 | $1,925.47 | $1,347.83 | $99.76 | $1,143.73 | $1,867.71 |
| CT pelvis with contrast | CPT | 72193 | 30 | $2,384.77 | $1,669.34 | $167.01 | $1,416.56 | $2,313.23 |
| Shoulder X-ray | CPT | 73030 | 30 | $239.86 | $167.91 | $34.24 | $142.48 | $232.66 |
| Humerus X-ray | CPT | 73060 | 30 | $204.7 | $143.29 | $14.57 | $121.6 | $198.56 |
| Hand X-ray 3 views | CPT | 73130 | 30 | $238.6 | $167.02 | $32.1 | $141.73 | $231.44 |
| MRI upper extremity joint without contrast | CPT | 73221 | 30 | $3,626.74 | $2,538.72 | $226.77 | $2,154.28 | $3,517.94 |
| MRI upper extremity joint with and without contrast | CPT | 73223 | 30 | $5,548.13 | $3,883.7 | $335.04 | $3,295.59 | $5,381.69 |
| Knee X-ray 1-2 views | CPT | 73560 | 30 | $617.84 | $432.49 | $31.51 | $257.95 | $599.3 |
| Ankle X-ray 3 views | CPT | 73610 | 30 | $308.92 | $216.25 | $32.1 | $183.5 | $299.65 |
| MRI lower extremity joint without contrast | CPT | 73721 | 30 | $3,818.49 | $2,672.95 | $226.77 | $2,268.18 | $3,703.94 |
| MRI lower extremity joint with and without contrast | CPT | 73723 | 30 | $5,383.81 | $3,768.67 | $335.04 | $3,197.99 | $5,222.3 |
| CT abdomen without contrast | CPT | 74150 | 30 | $1,933.93 | $1,353.76 | $99.76 | $1,148.76 | $1,875.91 |
| CT abdomen with contrast | CPT | 74160 | 30 | $2,338.3 | $1,636.81 | $167.01 | $1,388.95 | $2,268.15 |
| CT abdomen with and without contrast | CPT | 74170 | 30 | $2,819.79 | $1,973.86 | $167.01 | $1,674.96 | $2,735.2 |
| CT abdomen and pelvis without contrast | CPT | 74176 | 30 | $4,578.64 | $3,205.05 | $226.77 | $2,719.72 | $4,441.28 |
| CT abdomen and pelvis with contrast | CPT | 74177 | 30 | $5,423.8 | $3,796.66 | $335.04 | $3,221.74 | $5,261.09 |
| CT abdomen and pelvis with and without contrast | CPT | 74178 | 30 | $5,452.68 | $3,816.88 | $335.04 | $3,238.89 | $5,289.1 |
| MRI abdomen without contrast | CPT | 74181 | 30 | $4,306.5 | $3,014.55 | $226.77 | $2,558.06 | $4,177.31 |
| MRI abdomen with and without contrast | CPT | 74183 | 30 | $5,418.5 | $3,792.95 | $335.04 | $3,218.59 | $5,255.95 |
| Abdominal ultrasound complete | CPT | 76700 | 30 | $1,241.6 | $869.12 | $99.76 | $737.51 | $1,204.35 |
| Abdominal ultrasound limited | CPT | 76705 | 30 | $1,437.45 | $1,006.22 | $85.28 | $853.85 | $1,394.33 |
| Retroperitoneal ultrasound complete | CPT | 76770 | 30 | $815.96 | $571.18 | $99.76 | $484.68 | $791.48 |
| Obstetric ultrasound first trimester | CPT | 76801 | 30 | $734.64 | $514.25 | $66.78 | $436.38 | $712.6 |
| Obstetric ultrasound after first trimester | CPT | 76805 | 30 | $699.66 | $489.77 | $99.76 | $415.6 | $678.67 |
| Obstetric ultrasound with fetal anatomy | CPT | 76811 | 12 | — | — | $226.31 | $227.9 | $238.11 |
| Transvaginal ultrasound | CPT | 76830 | 30 | $1,241.6 | $869.12 | $91.7 | $778.14 | $1,204.35 |
| Pelvic ultrasound complete | CPT | 76856 | 30 | $1,241.6 | $869.12 | $91.7 | $737.51 | $1,204.35 |
| Scrotal ultrasound | CPT | 76870 | 30 | $822.55 | $575.79 | $91.7 | $488.6 | $797.87 |
| Diagnostic mammography unilateral | CPT | 77065 | 30 | $315.48 | $220.84 | $36.04 | $187.4 | $306.02 |
| Diagnostic mammography bilateral | CPT | 77066 | 30 | $508.42 | $355.9 | $45.3 | $302 | $493.17 |
| Screening mammography bilateral | CPT | 77067 | 30 | $858 | $600.6 | $39.01 | $358.22 | $832.26 |
| EKG complete | CPT | 93000 | 11 | — | — | $13.12 | $13.25 | $13.77 |
| EKG tracing only | CPT | 93005 | 30 | $230.35 | $161.25 | $51.44 | $139.59 | $223.44 |
| EKG interpretation only | CPT | 93010 | 11 | — | — | $7.51 | $7.59 | $7.89 |
| Transthoracic echocardiogram complete | CPT | 93306 | 30 | $2,130.19 | $1,491.14 | $475.67 | $1,290.9 | $2,066.28 |
| Transthoracic echocardiogram | CPT | 93307 | 11 | — | — | $226.77 | $229.03 | $238.11 |
| Stress echocardiogram | CPT | 93350 | 11 | — | — | $514.38 | $519.53 | $540.1 |
| inpatient | ||||||||
| Intracranial hemorrhage/CVA w MCC | MS-DRG | 064 | 20 | — | — | $15,412 | $22,465 | $28,986 |
| Intracranial hemorrhage/CVA w CC | MS-DRG | 065 | 20 | — | — | $8,137.64 | $10,321 | $11,877 |
| Intracranial hemorrhage/CVA w/o CC/MCC | MS-DRG | 066 | 20 | — | — | $5,512.62 | $6,707.54 | $6,988.24 |
| Respiratory infections & inflammations w MCC | MS-DRG | 177 | 20 | — | — | $12,292 | $13,216 | $13,645 |
| COPD w MCC | MS-DRG | 190 | 20 | — | — | $8,922.17 | $9,291.88 | $9,581.46 |
| COPD w CC | MS-DRG | 191 | 20 | — | — | $6,790.1 | $7,679.49 | $7,780.02 |
| COPD w/o CC/MCC | MS-DRG | 192 | 20 | — | — | $5,171.1 | $5,873.47 | $6,178.08 |
| Simple pneumonia & pleurisy w CC | MS-DRG | 194 | 20 | — | — | $6,491.27 | $6,989.05 | $7,375.85 |
| Simple pneumonia & pleurisy w/o CC/MCC | MS-DRG | 195 | 20 | — | — | $4,220.46 | $4,660.04 | $6,079.42 |
| AMI discharged alive w MCC | MS-DRG | 280 | 20 | — | — | $12,580 | $13,501 | $13,915 |
| AMI discharged alive w CC | MS-DRG | 281 | 20 | — | — | $7,403.06 | $8,535.22 | $8,945.53 |
| AMI discharged alive w/o CC/MCC | MS-DRG | 282 | 20 | — | — | $5,824.34 | $6,836.58 | $6,963.27 |
| Heart failure & shock w MCC | MS-DRG | 291 | 20 | — | — | $10,341 | $11,394 | $12,024 |
| Heart failure & shock w CC | MS-DRG | 292 | 20 | — | — | $6,838.42 | $8,836.37 | $10,070 |
| Heart failure & shock w/o CC/MCC | MS-DRG | 293 | 20 | — | — | $3,655.18 | $4,123.19 | $5,622.67 |
| Cardiac arrhythmia w MCC | MS-DRG | 308 | 20 | — | — | $9,697.83 | $12,594 | $15,034 |
| Cardiac arrhythmia w CC | MS-DRG | 309 | 20 | — | — | $5,925.83 | $7,122.94 | $7,448.16 |
| Cardiac arrhythmia w/o CC/MCC | MS-DRG | 310 | 20 | — | — | $4,559.75 | $4,992.29 | $5,623.4 |
| GI hemorrhage w CC | MS-DRG | 378 | 20 | — | — | $7,899.22 | $8,972.68 | $9,374.04 |
| GI hemorrhage w/o CC/MCC | MS-DRG | 379 | 20 | — | — | $5,077.67 | $6,226.77 | $6,416.36 |
| Esophagitis/gastroenteritis w/o MCC | MS-DRG | 392 | 20 | — | — | $6,165.42 | $6,249.63 | $7,183.66 |
| Fractures of femur w/o MCC | MS-DRG | 533 | 20 | — | — | $8,460.89 | $10,431 | $12,943 |
| Kidney/UTI w MCC | MS-DRG | 689 | 20 | — | — | $9,345.85 | $9,899.56 | $9,965.83 |
| Kidney/UTI w/o MCC | MS-DRG | 690 | 20 | — | — | $5,872.41 | $6,222.24 | $7,402.17 |
| Septicemia or severe sepsis w MV 96+ hrs | MS-DRG | 871 | 20 | — | — | $14,935 | $16,292 | $17,052 |
| Septicemia or severe sepsis w/o MV 96+ hrs | MS-DRG | 872 | 20 | — | — | $7,865.27 | $8,088.51 | $8,964.65 |
| Initial hospital care, low complexity | CPT | 99221 | 11 | — | — | $76.15 | $76.91 | $79.96 |
| Initial hospital care, moderate complexity | CPT | 99222 | 11 | — | — | $120.58 | $121.79 | $126.61 |
| Initial hospital care, high complexity | CPT | 99223 | 11 | — | — | $160.87 | $162.48 | $168.91 |
| Hospital discharge, <30 min | CPT | 99238 | 11 | — | — | $75.06 | $75.81 | $78.82 |
| Hospital discharge, >30 min | CPT | 99239 | 11 | — | — | $106.23 | $107.3 | $111.55 |
| lab | ||||||||
| Basic metabolic panel (BMP) | CPT | 80048 | 30 | $44.1 | $30.87 | $8.46 | $26.2 | $42.78 |
| Electrolyte panel | CPT | 80051 | 30 | $124.49 | $87.15 | $7.01 | $73.95 | $120.76 |
| Comprehensive metabolic panel | CPT | 80053 | 30 | $55.65 | $38.96 | $10.56 | $33.06 | $53.98 |
| Lipid panel | CPT | 80061 | 30 | $70.35 | $49.25 | $13.39 | $41.79 | $68.24 |
| Renal function panel | CPT | 80069 | 30 | $182.83 | $127.99 | $8.68 | $108.6 | $177.35 |
| Hepatic function panel | CPT | 80076 | 30 | $43.05 | $30.14 | $8.17 | $25.58 | $41.76 |
| Urinalysis non-automated | CPT | 81002 | 30 | $45.97 | $32.18 | $3.48 | $27.31 | $44.59 |
| Urinalysis automated | CPT | 81003 | 30 | $13.36 | $9.36 | $2.25 | $7.94 | $12.96 |
| Glucose quantitative | CPT | 82947 | 30 | $57.04 | $39.93 | $3.93 | $33.89 | $55.33 |
| Hemoglobin A1c | CPT | 83036 | 30 | $53.42 | $37.4 | $9.71 | $31.73 | $51.82 |
| Thyroid stimulating hormone (TSH) | CPT | 84443 | 30 | $66.15 | $46.31 | $14.77 | $39.3 | $64.17 |
| Complete blood count with automated differential | CPT | 85025 | 30 | $40.95 | $28.67 | $7.77 | $24.33 | $39.72 |
| Complete blood count without differential | CPT | 85027 | 30 | $104.73 | $73.32 | $6.47 | $62.21 | $101.59 |
| Urine culture bacterial | CPT | 87086 | 30 | $44.52 | $31.17 | $8.07 | $26.45 | $43.18 |
| Urine culture identification | CPT | 87088 | 30 | $91.65 | $64.16 | $8.09 | $54.44 | $88.9 |
| Tissue exam by pathologist level IV | CPT | 88305 | 30 | $336.42 | $235.5 | $31.77 | $199.84 | $326.33 |
| maternity | ||||||||
| Fetal non-stress test | CPT | 59025 | 30 | $234.31 | $164.02 | $52.32 | $172.34 | $227.28 |
| Routine obstetric care including vaginal delivery | CPT | 59400 | 11 | — | — | $2,184.8 | $2,206.65 | $2,294.04 |
| Vaginal delivery only | CPT | 59409 | 12 | — | — | $1,823.59 | $2,997.76 | $3,131.99 |
| Vaginal delivery with postpartum | CPT | 59410 | 11 | — | — | $974.85 | $984.6 | $1,023.59 |
| Routine obstetric care with C-section | CPT | 59510 | 11 | — | — | $2,417.3 | $2,441.48 | $2,538.17 |
| C-section delivery only | CPT | 59514 | 11 | — | — | $813.53 | $821.66 | $854.2 |
| C-section with postpartum | CPT | 59515 | 11 | — | — | $1,203.91 | $1,215.94 | $1,264.1 |
| office | ||||||||
| Office visit, new patient, 15-29 min | CPT | 99202 | 11 | — | — | $66.33 | $67 | $69.65 |
| Office visit, new patient, 30-44 minutes | CPT | 99203 | 11 | — | — | $103.42 | $104.45 | $108.59 |
| Office visit, new patient, 45-59 min | CPT | 99204 | 11 | — | — | $155.46 | $157.01 | $163.23 |
| Office visit, new patient, 60-74 min | CPT | 99205 | 11 | — | — | $205.29 | $207.35 | $215.56 |
| Office visit, established patient, 5 min | CPT | 99211 | 11 | — | — | $21.31 | $21.53 | $22.38 |
| Office visit, established patient, 10-19 min | CPT | 99212 | 11 | — | — | $52.17 | $52.7 | $54.78 |
| Office visit, established patient, 20-29 minutes | CPT | 99213 | 11 | — | — | $84.64 | $85.48 | $88.87 |
| Office visit, established patient, 30-39 minutes | CPT | 99214 | 11 | — | — | $119.25 | $120.44 | $125.21 |
| Office visit, established patient, 40-54 min | CPT | 99215 | 11 | — | — | $167.57 | $169.25 | $175.95 |
| preventive | ||||||||
| Upper GI endoscopy diagnostic | CPT | 43235 | 30 | $2,157.62 | $1,510.34 | $481.8 | $1,281.63 | $2,092.89 |
| Upper GI endoscopy with biopsy | CPT | 43239 | 30 | $2,290.73 | $1,603.52 | $511.52 | $1,388.18 | $2,222.01 |
| Sigmoidoscopy diagnostic | CPT | 45330 | 30 | $1,233.63 | $863.55 | $275.47 | $855.31 | $1,196.62 |
| Sigmoidoscopy with biopsy | CPT | 45331 | 30 | $2,127 | $1,488.9 | $474.96 | $1,263.44 | $2,063.19 |
| Colonoscopy diagnostic | CPT | 45378 | 30 | $2,287.69 | $1,601.39 | $510.84 | $1,358.89 | $2,219.06 |
| Colonoscopy with biopsy | CPT | 45380 | 30 | $2,293.89 | $1,605.73 | $512.23 | $1,362.57 | $2,225.07 |
| Colonoscopy with polyp removal | CPT | 45385 | 30 | $2,436.36 | $1,705.46 | $544.04 | $1,476.43 | $2,363.27 |
| surgery | ||||||||
| Total shoulder arthroplasty | CPT | 23472 | 12 | — | — | $1,137.87 | $17,339 | $18,115 |
| Hip hemiarthroplasty | CPT | 27125 | 11 | — | — | $1,041.97 | $1,052.39 | $1,094.07 |
| Total hip replacement | CPT | 27130 | 12 | — | — | $1,078.91 | $12,131 | $12,674 |
| Total knee replacement | CPT | 27447 | 12 | — | — | $1,193.9 | $12,131 | $12,674 |
| Knee revision arthroplasty single component | CPT | 27486 | 11 | — | — | $1,290.24 | $1,303.15 | $1,354.76 |
| Knee revision arthroplasty all components | CPT | 27487 | 11 | — | — | $1,605.79 | $1,621.85 | $1,686.08 |
| Shoulder arthroscopy with decompression | CPT | 29826 | 12 | — | — | $156.46 | $158.81 | $1,823.59 |
| Shoulder arthroscopy with rotator cuff repair | CPT | 29827 | 12 | — | — | $1,539.91 | $6,735.33 | $7,036.91 |
| Knee arthroscopy with meniscectomy | CPT | 29881 | 12 | — | — | $1,823.59 | $3,059.12 | $3,196.09 |
| ACL reconstruction | CPT | 29888 | 12 | — | — | $1,539.91 | $6,735.33 | $7,036.91 |
| Major small/large bowel procedures w MCC | MS-DRG | 329 | 20 | — | — | $33,407 | $39,765 | $42,882 |
| Major small/large bowel procedures w CC | MS-DRG | 330 | 20 | — | — | $18,100 | $18,855 | $19,309 |
| Major small/large bowel procedures w/o CC/MCC | MS-DRG | 331 | 20 | — | — | $12,893 | $13,068 | $13,785 |
| CABG single arterial graft | CPT | 33533 | 11 | — | — | $1,669.77 | $1,686.47 | $1,753.26 |
| CABG 2 arterial grafts | CPT | 33534 | 11 | — | — | $1,961.55 | $1,981.16 | $2,059.62 |
| CABG 3 arterial grafts | CPT | 33535 | 11 | — | — | $2,180 | $2,201.8 | $2,289 |
| CABG 4+ arterial grafts | CPT | 33536 | 11 | — | — | $2,348.13 | $2,371.61 | $2,465.54 |
| Laparoscopic cholecystectomy w/o CDE w MCC | MS-DRG | 418 | 20 | — | — | $12,287 | $12,792 | $13,849 |
| Laparoscopic cholecystectomy w/o CDE w CC | MS-DRG | 419 | 20 | — | — | $10,854 | $10,950 | $11,468 |
| Laparoscopic cholecystectomy w/o CDE w/o CC/MCC | MS-DRG | 420 | 20 | — | — | $19,070 | $22,184 | $27,443 |
| Open appendectomy | CPT | 44950 | 12 | — | — | $1,823.59 | $5,883.03 | $6,146.45 |
| Laparoscopic appendectomy | CPT | 44970 | 12 | — | — | $1,823.59 | $5,500.82 | $5,747.12 |
| Major joint replacement w MCC | MS-DRG | 469 | 20 | — | — | $22,527 | $25,947 | $27,704 |
| Major joint replacement w/o MCC | MS-DRG | 470 | 20 | — | — | $14,841 | $16,539 | $17,650 |
| Laparoscopic cholecystectomy | CPT | 47562 | 12 | — | — | $945.56 | $5,500.82 | $5,747.12 |
| Lap cholecystectomy with cholangiography | CPT | 47563 | 12 | — | — | $945.56 | $5,500.82 | $5,747.12 |
| Hip & femur procedures except major joint w MCC | MS-DRG | 480 | 20 | — | — | $21,685 | $22,787 | $23,458 |
| Hip & femur procedures except major joint w CC | MS-DRG | 481 | 20 | — | — | $15,993 | $16,688 | $16,871 |
| Hip & femur procedures except major joint w/o CC/MCC | MS-DRG | 482 | 20 | — | — | $11,876 | $12,374 | $13,406 |
| Lap inguinal hernia repair | CPT | 49650 | 12 | — | — | $1,539.91 | $5,500.82 | $5,747.12 |
| Total abdominal hysterectomy | CPT | 58150 | 11 | — | — | $936.5 | $945.87 | $983.33 |
| Vaginal hysterectomy | CPT | 58260 | 12 | — | — | $1,823.59 | $4,654.24 | $4,862.64 |
| Lap-assisted vaginal hysterectomy | CPT | 58550 | 12 | — | — | $1,823.59 | $5,500.82 | $5,747.12 |
| Lap-assisted vaginal hysterectomy >250g | CPT | 58552 | 12 | — | — | $1,823.59 | $9,816.02 | $10,256 |
| Lap salpingo-oophorectomy | CPT | 58661 | 12 | — | — | $1,539.91 | $5,500.82 | $5,747.12 |
| OR procedure for obesity w MCC | MS-DRG | 619 | 20 | — | — | $16,570 | $19,114 | $23,257 |
| OR procedure for obesity w CC | MS-DRG | 620 | 20 | — | — | $12,554 | $13,656 | $14,255 |
| OR procedure for obesity w/o CC/MCC | MS-DRG | 621 | 20 | — | — | $11,524 | $11,770 | $12,510 |
| Complex cataract surgery | CPT | 66982 | 12 | — | — | $2,139.64 | $2,171.74 | $3,377.02 |
| Cataract surgery with lens implant | CPT | 66984 | 12 | — | — | $2,139.64 | $2,171.74 | $3,377.02 |
| Intravitreal injection | CPT | 67028 | 12 | — | — | $311.17 | $315.84 | $337.7 |
| Vitrectomy mechanical | CPT | 67042 | 12 | — | — | $1,539.91 | $3,792.88 | $3,962.71 |
| Uterine & adnexa procedures w CC/MCC | MS-DRG | 743 | 20 | — | — | $8,089.63 | $9,077.22 | $10,553 |
| Uterine & adnexa procedures w/o CC/MCC | MS-DRG | 744 | 20 | — | — | $10,299 | $13,034 | $16,505 |
| PCI single major coronary artery | CPT | 92920 | 12 | — | — | $1,539.91 | $5,375.57 | $5,616.27 |
| PCI with drug-eluting stent | CPT | 92928 | 12 | — | — | $1,539.91 | $10,692 | $11,171 |
| PCI bypass graft | CPT | 92937 | 12 | — | — | $1,539.91 | $10,692 | $11,171 |
| Left heart catheterization | CPT | 93452 | 12 | — | — | $3,017.44 | $3,062.71 | $3,377.02 |
| Coronary angiography with cath | CPT | 93455 | 12 | — | — | $3,017.44 | $3,062.71 | $3,377.02 |
| Coronary angiography with bypass cath | CPT | 93458 | 30 | $12,639 | $8,847.39 | $2,822.32 | $7,507.64 | $12,260 |
Payer mix (top 30)
| Payer | Codes covered | Median rate |
|---|---|---|
| WellCare | 196 | $511.88 |
| Blue Cross Blue Shield | 196 | $747.58 |
| Cigna | 196 | $953.44 |
| devoted health | 196 | $348.44 |
| Humana | 196 | $345.09 |
| liberty | 196 | $341.74 |
| troy | 196 | $335.04 |
| UnitedHealthcare | 196 | $784.36 |
| va communicare care | 196 | $335.04 |
| vaya health | 196 | $338.39 |
| Aetna | 196 | $1,204.35 |
| alliance | 131 | $579.28 |
| amerihealth | 131 | $579.28 |
| apex health | 131 | $579.28 |
| partners | 131 | $579.28 |
| cardinal | 131 | $579.28 |
| carolina complete health | 131 | $579.28 |
| healthy blue | 131 | $579.28 |
| sandhills | 131 | $579.28 |
| trillium | 131 | $579.28 |
| Molina | 117 | $411.24 |
| quicktrip | 89 | $1,085.95 |
| healthgram | 89 | $1,289.57 |
| medcost | 89 | $1,289.57 |
| Multiplan | 89 | $1,253.63 |
| oscar | 89 | $933.43 |
| Ambetter | 89 | $857.25 |
| choicecare | 89 | $1,289.57 |
| queens university | 89 | $746.59 |
| employers health network | 89 | $949.8 |