▸ Hospital · NC · CCN 340084
Atrium Health Anson
2301 US HIGHWAY 74 WEST, WADESBORO, NC, 28170-
15 bedsAcute Care Hospitals11
Compliance grade
A
100/100
Procedures tracked
197
of 209 target codes
Payers
26
with negotiated rates
Rates published
58,077
last crawl 2026-05-24
Procedures & rates
| Procedure | Type | Code | Payers | Gross | Cash | Neg min | Neg median | Neg max |
|---|---|---|---|---|---|---|---|---|
| behavioral | ||||||||
| Psychoses | MS-DRG | 885 | 4 | — | — | $16,954 | $17,328 | $17,505 |
| Psychiatric diagnostic evaluation | CPT | 90791 | 26 | $350.55 | $175.28 | $20.82 | $108.12 | $378.32 |
| Psychiatric eval with medical services | CPT | 90792 | 26 | $139.15 | $69.58 | $20.82 | $98.81 | $422.65 |
| Psychotherapy 30 minutes | CPT | 90832 | 26 | $162.95 | $81.48 | $24.38 | $87.34 | $164.66 |
| Psychotherapy 45 minutes | CPT | 90834 | 26 | $226.25 | $113.13 | $28.12 | $122.2 | $217.34 |
| Psychotherapy 60 minutes | CPT | 90837 | 26 | $219.4 | $109.7 | $32.82 | $135.27 | $321.15 |
| Crisis psychotherapy 60 minutes | CPT | 90839 | 26 | $219.4 | $109.7 | $32.82 | $117.6 | $350.62 |
| emergency | ||||||||
| ED visit level 1 | CPT | 99281 | 26 | $356.65 | $178.33 | $10.53 | $169.66 | $1,539 |
| ED visit level 2 | CPT | 99282 | 26 | $657.15 | $328.58 | $36.65 | $290.46 | $1,539 |
| ED visit level 3 | CPT | 99283 | 26 | $3,038.1 | $1,519.05 | $54.86 | $1,288 | $2,886.2 |
| ED visit level 4 | CPT | 99284 | 26 | $3,181.25 | $1,590.63 | $104.11 | $1,324.95 | $3,022.19 |
| ED visit level 5 | CPT | 99285 | 26 | $3,364.05 | $1,682.03 | $153.4 | $1,352.35 | $3,195.85 |
| Critical care, first hour | CPT | 99291 | 26 | $5,617.85 | $2,808.93 | $197.56 | $2,258.38 | $5,336.96 |
| imaging | ||||||||
| CT head without contrast | CPT | 70450 | 26 | $2,537.8 | $1,268.9 | $35.42 | $906 | $2,410.91 |
| CT head with contrast | CPT | 70460 | 26 | $3,040.9 | $1,520.45 | $46.89 | $995.79 | $2,888.86 |
| CT head with and without contrast | CPT | 70470 | 26 | $3,884.8 | $1,942.4 | $52.71 | $1,214.78 | $3,690.56 |
| CT neck with contrast | CPT | 70491 | 26 | $3,334 | $1,667 | $57.15 | $1,020 | $3,167.3 |
| MRI brain without contrast | CPT | 70551 | 26 | $3,530.55 | $1,765.28 | $61.21 | $1,104.01 | $3,354.02 |
| MRI brain with contrast | CPT | 70552 | 26 | $4,534.45 | $2,267.23 | $73.83 | $1,448.76 | $4,307.73 |
| MRI brain with and without contrast | CPT | 70553 | 26 | $5,318.05 | $2,659.03 | $97.64 | $1,662.96 | $5,052.15 |
| Chest X-ray single view | CPT | 71045 | 26 | $373.65 | $186.83 | $7.67 | $106.12 | $354.97 |
| Chest X-ray 2 views | CPT | 71046 | 26 | $464.6 | $232.3 | $9.16 | $77.72 | $441.37 |
| Chest X-ray 3 views | CPT | 71047 | 26 | $387.9 | $193.95 | $11.82 | $144.3 | $368.51 |
| CT chest without contrast | CPT | 71250 | 26 | $2,700.05 | $1,350.03 | $47.69 | $822.04 | $2,565.05 |
| CT chest with contrast | CPT | 71260 | 26 | $3,217.95 | $1,608.98 | $51.33 | $1,020 | $3,057.05 |
| CT chest with and without contrast | CPT | 71270 | 26 | $4,210.8 | $2,105.4 | $55.2 | $1,316.72 | $4,000.26 |
| MRI chest without contrast | CPT | 71550 | 26 | $4,516.55 | $2,258.28 | $60.14 | $1,412.33 | $4,290.72 |
| MRI chest with contrast | CPT | 71551 | 26 | $4,848 | $2,424 | $71.2 | $1,515.97 | $4,605.6 |
| MRI chest with and without contrast | CPT | 71552 | 26 | $5,305.45 | $2,652.73 | $94.05 | $1,695.09 | $5,040.18 |
| Lumbosacral spine X-ray | CPT | 72100 | 26 | $556.8 | $278.4 | $9.08 | $89.8 | $528.96 |
| CT cervical spine without contrast | CPT | 72125 | 26 | $3,027.9 | $1,513.95 | $43.99 | $993.71 | $2,876.51 |
| CT thoracic spine without contrast | CPT | 72128 | 26 | $2,851.7 | $1,425.85 | $43.99 | $965.56 | $2,709.12 |
| CT lumbar spine without contrast | CPT | 72131 | 26 | $3,008.1 | $1,504.05 | $43.99 | $990.55 | $2,857.7 |
| MRI cervical spine without contrast | CPT | 72141 | 26 | $3,895.15 | $1,947.58 | $65.55 | $1,185.88 | $3,700.39 |
| MRI thoracic spine without contrast | CPT | 72146 | 26 | $4,026.15 | $2,013.08 | $65.55 | $1,231.6 | $3,824.84 |
| MRI lumbar spine without contrast | CPT | 72148 | 26 | $4,026.15 | $2,013.08 | $61.21 | $1,043.47 | $3,824.84 |
| MRI lumbar spine with and without contrast | CPT | 72149 | 26 | $4,831.35 | $2,415.68 | $73.83 | $1,510.77 | $4,589.78 |
| MRI cervical spine with and without contrast | CPT | 72156 | 26 | $5,059.1 | $2,529.55 | $101.73 | $1,581.98 | $4,806.15 |
| MRI lumbar spine with contrast | CPT | 72158 | 26 | $5,312.1 | $2,656.05 | $97.35 | $1,697.22 | $5,046.5 |
| CT pelvis without contrast | CPT | 72192 | 26 | $2,779.35 | $1,389.68 | $45.4 | $963 | $2,640.38 |
| CT pelvis with contrast | CPT | 72193 | 26 | $3,217.95 | $1,608.98 | $48.07 | $1,024.07 | $3,057.05 |
| Shoulder X-ray | CPT | 73030 | 26 | $558.55 | $279.28 | $7.6 | $86.68 | $530.62 |
| Humerus X-ray | CPT | 73060 | 26 | $463 | $231.5 | $7.01 | $131.5 | $439.85 |
| Hand X-ray 3 views | CPT | 73130 | 26 | $533 | $266.5 | $7.01 | $86.05 | $506.35 |
| MRI upper extremity joint without contrast | CPT | 73221 | 26 | $3,876.55 | $1,938.28 | $55.69 | $1,174.59 | $3,682.72 |
| MRI upper extremity joint with and without contrast | CPT | 73223 | 26 | $5,300.2 | $2,650.1 | $88.76 | $1,657.37 | $5,035.19 |
| Knee X-ray 1-2 views | CPT | 73560 | 26 | $433.3 | $216.65 | $7.01 | $87.93 | $411.64 |
| Ankle X-ray 3 views | CPT | 73610 | 26 | $549 | $274.5 | $7.01 | $84.49 | $521.55 |
| MRI lower extremity joint without contrast | CPT | 73721 | 26 | $3,844.6 | $1,922.3 | $55.69 | $1,020 | $3,652.37 |
| MRI lower extremity joint with and without contrast | CPT | 73723 | 26 | $4,990.75 | $2,495.38 | $89.05 | $1,512.2 | $4,741.21 |
| CT abdomen without contrast | CPT | 74150 | 26 | $2,726.7 | $1,363.35 | $49.26 | $960.17 | $2,590.37 |
| CT abdomen with contrast | CPT | 74160 | 26 | $3,217.95 | $1,608.98 | $52.99 | $1,024.07 | $3,057.05 |
| CT abdomen with and without contrast | CPT | 74170 | 26 | $4,286.65 | $2,143.33 | $58.04 | $1,340.44 | $4,072.32 |
| CT abdomen and pelvis without contrast | CPT | 74176 | 26 | $5,749.65 | $2,874.83 | $68.89 | $1,797.92 | $5,462.17 |
| CT abdomen and pelvis with contrast | CPT | 74177 | 26 | $6,434.35 | $3,217.18 | $72.25 | $1,968.27 | $6,112.63 |
| CT abdomen and pelvis with and without contrast | CPT | 74178 | 26 | $7,620.45 | $3,810.23 | $79.91 | $2,382.92 | $7,239.43 |
| MRI abdomen without contrast | CPT | 74181 | 26 | $3,530.55 | $1,765.28 | $60.41 | $1,104.01 | $3,354.02 |
| MRI abdomen with and without contrast | CPT | 74183 | 26 | $5,036.8 | $2,518.4 | $93.49 | $1,533.46 | $4,784.96 |
| Abdominal ultrasound complete | CPT | 76700 | 26 | $1,330.7 | $665.35 | $33.38 | $323.36 | $1,264.17 |
| Abdominal ultrasound limited | CPT | 76705 | 26 | $946.4 | $473.2 | $24.57 | $157.6 | $899.08 |
| Retroperitoneal ultrasound complete | CPT | 76770 | 26 | $1,105.65 | $552.83 | $30.51 | $244.35 | $1,050.37 |
| Obstetric ultrasound first trimester | CPT | 76801 | 26 | $653.45 | $326.73 | $40.5 | $198.95 | $620.78 |
| Obstetric ultrasound after first trimester | CPT | 76805 | 26 | $958.6 | $479.3 | $40.23 | $254.03 | $910.67 |
| Obstetric ultrasound with fetal anatomy | CPT | 76811 | 26 | $1,106.1 | $553.05 | $76.25 | $335.15 | $1,050.8 |
| Transvaginal ultrasound | CPT | 76830 | 26 | $983.15 | $491.58 | $28.16 | $217.28 | $933.99 |
| Pelvic ultrasound complete | CPT | 76856 | 26 | $1,287.6 | $643.8 | $28.44 | $217.79 | $1,223.22 |
| Scrotal ultrasound | CPT | 76870 | 26 | $956.6 | $478.3 | $26.65 | $291.24 | $908.77 |
| Diagnostic mammography unilateral | CPT | 77065 | 26 | $442.65 | $221.33 | $28.46 | $164.67 | $420.52 |
| Diagnostic mammography bilateral | CPT | 77066 | 26 | $885.2 | $442.6 | $35.19 | $329.29 | $840.94 |
| Screening mammography bilateral | CPT | 77067 | 26 | $639.85 | $319.93 | $28.46 | $238.02 | $607.86 |
| EKG complete | CPT | 93000 | 17 | — | — | $13.12 | $16.5 | $92.53 |
| EKG tracing only | CPT | 93005 | 26 | $581.55 | $290.78 | $5.61 | $241.37 | $552.47 |
| EKG interpretation only | CPT | 93010 | 26 | $27.45 | $13.73 | $7.29 | $15.83 | $33.69 |
| Transthoracic echocardiogram complete | CPT | 93306 | 26 | $3,560.1 | $1,780.05 | $58.27 | $538.84 | $3,382.1 |
| Transthoracic echocardiogram | CPT | 93307 | 12 | — | — | $40.29 | $104.51 | $242.11 |
| Stress echocardiogram | CPT | 93350 | 26 | $2,062.55 | $1,031.28 | $63.66 | $460.79 | $1,959.42 |
| inpatient | ||||||||
| Intracranial hemorrhage/CVA w MCC | MS-DRG | 064 | 12 | — | — | $21,979 | $43,876 | $45,192 |
| Intracranial hemorrhage/CVA w CC | MS-DRG | 065 | 12 | — | — | $13,550 | $17,977 | $18,517 |
| Intracranial hemorrhage/CVA w/o CC/MCC | MS-DRG | 066 | 12 | — | — | $9,916.05 | $10,684 | $11,048 |
| Respiratory infections & inflammations w MCC | MS-DRG | 177 | 12 | — | — | $18,748 | $20,655 | $21,274 |
| COPD w MCC | MS-DRG | 190 | 12 | — | — | $13,185 | $14,206 | $14,939 |
| COPD w CC | MS-DRG | 191 | 12 | — | — | $11,040 | $11,894 | $12,577 |
| COPD w/o CC/MCC | MS-DRG | 192 | 12 | — | — | $8,334.24 | $8,979.43 | $10,680 |
| Simple pneumonia & pleurisy w CC | MS-DRG | 194 | 12 | — | — | $9,917.19 | $10,685 | $12,227 |
| Simple pneumonia & pleurisy w/o CC/MCC | MS-DRG | 195 | 12 | — | — | $6,041.52 | $6,509.22 | $10,461 |
| AMI discharged alive w MCC | MS-DRG | 280 | 12 | — | — | $18,964 | $21,063 | $21,695 |
| AMI discharged alive w CC | MS-DRG | 281 | 12 | — | — | $12,693 | $13,541 | $13,947 |
| AMI discharged alive w/o CC/MCC | MS-DRG | 282 | 12 | — | — | $9,880.62 | $10,646 | $11,378 |
| Heart failure & shock w MCC | MS-DRG | 291 | 12 | — | — | $16,046 | $18,200 | $18,746 |
| Heart failure & shock w CC | MS-DRG | 292 | 12 | — | — | $12,200 | $15,243 | $15,700 |
| Heart failure & shock w/o CC/MCC | MS-DRG | 293 | 12 | — | — | $5,232.33 | $5,637.39 | $9,798.71 |
| Cardiac arrhythmia w MCC | MS-DRG | 308 | 12 | — | — | $15,188 | $22,757 | $23,439 |
| Cardiac arrhythmia w CC | MS-DRG | 309 | 12 | — | — | $10,569 | $11,274 | $11,612 |
| Cardiac arrhythmia w/o CC/MCC | MS-DRG | 310 | 12 | — | — | $7,083.87 | $7,632.27 | $9,895.35 |
| GI hemorrhage w CC | MS-DRG | 378 | 12 | — | — | $13,281 | $14,189 | $14,615 |
| GI hemorrhage w/o CC/MCC | MS-DRG | 379 | 12 | — | — | $9,104.57 | $9,809.4 | $10,586 |
| Esophagitis/gastroenteritis w/o MCC | MS-DRG | 392 | 12 | — | — | $8,825.7 | $9,508.93 | $11,872 |
| Fractures of femur w/o MCC | MS-DRG | 533 | 12 | — | — | $12,112 | $13,049 | $18,537 |
| Kidney/UTI w MCC | MS-DRG | 689 | 12 | — | — | $14,088 | $15,028 | $15,479 |
| Kidney/UTI w/o MCC | MS-DRG | 690 | 12 | — | — | $8,406.24 | $9,057.01 | $12,071 |
| Septicemia or severe sepsis w MV 96+ hrs | MS-DRG | 871 | 12 | — | — | $21,744 | $25,811 | $26,585 |
| Septicemia or severe sepsis w/o MV 96+ hrs | MS-DRG | 872 | 12 | — | — | $11,259 | $12,131 | $14,116 |
| Initial hospital care, low complexity | CPT | 99221 | 16 | — | — | $76.15 | $90.3 | $211.13 |
| Initial hospital care, moderate complexity | CPT | 99222 | 16 | — | — | $120.58 | $125.14 | $371.72 |
| Initial hospital care, high complexity | CPT | 99223 | 16 | — | — | $160.87 | $181.35 | $518.92 |
| Hospital discharge, <30 min | CPT | 99238 | 16 | — | — | $64.61 | $77.9 | $152.38 |
| Hospital discharge, >30 min | CPT | 99239 | 16 | — | — | $95.33 | $110.9 | $312.56 |
| lab | ||||||||
| Basic metabolic panel (BMP) | CPT | 80048 | 26 | $354.05 | $177.03 | $8.63 | $156.49 | $336.35 |
| General health panel | CPT | 80050 | 13 | — | — | $11.16 | $11.33 | $88.78 |
| Electrolyte panel | CPT | 80051 | 26 | $172.65 | $86.33 | $7.15 | $86.33 | $164.02 |
| Comprehensive metabolic panel | CPT | 80053 | 26 | $489.45 | $244.73 | $8.58 | $211.93 | $464.98 |
| Lipid panel | CPT | 80061 | 26 | $375.45 | $187.73 | $13.6 | $162.57 | $356.68 |
| Renal function panel | CPT | 80069 | 26 | $226.7 | $113.35 | $8.85 | $113.35 | $215.37 |
| Hepatic function panel | CPT | 80076 | 26 | $397 | $198.5 | $8.33 | $173.69 | $377.15 |
| Urinalysis non-automated | CPT | 81002 | 26 | $74.35 | $37.18 | $3.05 | $32.19 | $70.63 |
| Urinalysis automated | CPT | 81003 | 26 | $104.75 | $52.38 | $2.16 | $45.36 | $99.51 |
| Glucose quantitative | CPT | 82947 | 26 | $76.65 | $38.33 | $3.77 | $33.54 | $72.82 |
| Hemoglobin A1c | CPT | 83036 | 26 | $273.4 | $136.7 | $9.31 | $118.38 | $259.73 |
| Thyroid stimulating hormone (TSH) | CPT | 84443 | 26 | $373.95 | $186.98 | $17.14 | $163.61 | $355.25 |
| Complete blood count with automated differential | CPT | 85025 | 26 | $270.95 | $135.48 | $7.93 | $108.92 | $257.4 |
| Complete blood count without differential | CPT | 85027 | 26 | $132.85 | $66.43 | $6.6 | $56.87 | $126.21 |
| Urine culture bacterial | CPT | 87086 | 26 | $238.45 | $119.23 | $8.23 | $119.23 | $226.53 |
| Urine culture identification | CPT | 87088 | 26 | $68.65 | $34.33 | $8.25 | $34.33 | $65.22 |
| Tissue exam by pathologist level IV | CPT | 88305 | 26 | $692.6 | $346.3 | $30.25 | $183.54 | $657.97 |
| maternity | ||||||||
| Fetal non-stress test | CPT | 59025 | 26 | $1,015.8 | $507.9 | $18.19 | $154.81 | $965.01 |
| Routine obstetric care including vaginal delivery | CPT | 59400 | 13 | — | — | $1,747.98 | $2,206.65 | $5,050.56 |
| Vaginal delivery only | CPT | 59409 | 26 | $6,683.85 | $3,341.93 | $697.93 | $3,179.51 | $6,349.66 |
| Vaginal delivery with postpartum | CPT | 59410 | 13 | — | — | $859.8 | $984.6 | $2,105.56 |
| Routine obstetric care with C-section | CPT | 59510 | 13 | — | — | $1,747.98 | $2,465.65 | $5,569.11 |
| C-section delivery only | CPT | 59514 | 13 | — | — | $697.93 | $762.71 | $2,155.94 |
| C-section with postpartum | CPT | 59515 | 13 | — | — | $859.8 | $1,203.91 | $2,536.51 |
| office | ||||||||
| Office visit, new patient, 15-29 min | CPT | 99202 | 16 | — | — | $43.57 | $68.65 | $149.18 |
| Office visit, new patient, 30-44 minutes | CPT | 99203 | 17 | — | — | $74.98 | $108.59 | $312.8 |
| Office visit, new patient, 45-59 min | CPT | 99204 | 17 | — | — | $123.71 | $163.23 | $445.66 |
| Office visit, new patient, 60-74 min | CPT | 99205 | 16 | — | — | $165.62 | $214.02 | $567.6 |
| Office visit, established patient, 5 min | CPT | 99211 | 16 | — | — | $8.13 | $14.84 | $46.95 |
| Office visit, established patient, 10-19 min | CPT | 99212 | 16 | — | — | $24.98 | $39.09 | $115.61 |
| Office visit, established patient, 20-29 minutes | CPT | 99213 | 17 | — | — | $50.41 | $79.2 | $186.29 |
| Office visit, established patient, 30-39 minutes | CPT | 99214 | 17 | — | — | $77.28 | $121.63 | $269.47 |
| Office visit, established patient, 40-54 min | CPT | 99215 | 17 | — | — | $109.21 | $170.92 | $395.83 |
| preventive | ||||||||
| Upper GI endoscopy diagnostic | CPT | 43235 | 16 | — | — | $112.05 | $255.13 | $939.06 |
| Upper GI endoscopy with biopsy | CPT | 43239 | 16 | — | — | $126.08 | $296.67 | $939.06 |
| Sigmoidoscopy diagnostic | CPT | 45330 | 26 | $2,568.25 | $1,284.13 | $47.36 | $1,112.05 | $2,439.84 |
| Sigmoidoscopy with biopsy | CPT | 45331 | 26 | $2,703.25 | $1,351.63 | $57.49 | $1,170.51 | $2,568.09 |
| Colonoscopy diagnostic | CPT | 45378 | 16 | — | — | $84.41 | $174.44 | $913.17 |
| Colonoscopy with biopsy | CPT | 45380 | 17 | — | — | $183.07 | $463.54 | $1,180.97 |
| Colonoscopy with polyp removal | CPT | 45385 | 16 | — | — | $231.16 | $539.26 | $1,180.97 |
| surgery | ||||||||
| Total shoulder arthroplasty | CPT | 23472 | 12 | — | — | $1,117.84 | $1,140.2 | $18,420 |
| Hip hemiarthroplasty | CPT | 27125 | 12 | — | — | $830.95 | $847.57 | $1,097.3 |
| Total hip replacement | CPT | 27130 | 12 | — | — | $1,072.82 | $1,094.28 | $12,887 |
| Total knee replacement | CPT | 27447 | 12 | — | — | $1,148.49 | $1,171.46 | $12,887 |
| Knee revision arthroplasty single component | CPT | 27486 | 12 | — | — | $1,047.31 | $1,068.26 | $1,358.75 |
| Knee revision arthroplasty all components | CPT | 27487 | 12 | — | — | $1,322.92 | $1,349.38 | $1,691.06 |
| Shoulder arthroscopy with decompression | CPT | 29826 | 12 | — | — | $156.46 | $490.03 | $499.83 |
| Shoulder arthroscopy with rotator cuff repair | CPT | 29827 | 12 | — | — | $802.4 | $818.45 | $7,155.18 |
| Knee arthroscopy with meniscectomy | CPT | 29881 | 12 | — | — | $465.87 | $475.19 | $3,249.81 |
| ACL reconstruction | CPT | 29888 | 12 | — | — | $732.27 | $746.92 | $7,155.18 |
| Major small/large bowel procedures w MCC | MS-DRG | 329 | 12 | — | — | $44,544 | $64,909 | $66,856 |
| Major small/large bowel procedures w CC | MS-DRG | 330 | 12 | — | — | $25,226 | $28,541 | $29,397 |
| Major small/large bowel procedures w/o CC/MCC | MS-DRG | 331 | 12 | — | — | $18,456 | $19,688 | $20,279 |
| CABG single arterial graft | CPT | 33533 | 14 | — | — | $1,503.79 | $1,703.17 | $10,105 |
| CABG 2 arterial grafts | CPT | 33534 | 15 | — | — | $1,749.22 | $2,030.2 | $11,882 |
| CABG 3 arterial grafts | CPT | 33535 | 13 | — | — | $1,942.85 | $2,201.8 | $13,248 |
| CABG 4+ arterial grafts | CPT | 33536 | 13 | — | — | $2,082.43 | $2,236.11 | $7,702.02 |
| Laparoscopic cholecystectomy w/o CDE w MCC | MS-DRG | 418 | 12 | — | — | $17,589 | $18,950 | $19,732 |
| Laparoscopic cholecystectomy w/o CDE w CC | MS-DRG | 419 | 12 | — | — | $15,537 | $16,574 | $17,071 |
| Laparoscopic cholecystectomy w/o CDE w/o CC/MCC | MS-DRG | 420 | 12 | — | — | $27,299 | $29,412 | $36,480 |
| Open appendectomy | CPT | 44950 | 12 | — | — | $461.9 | $528.25 | $6,249.75 |
| Laparoscopic appendectomy | CPT | 44970 | 16 | — | — | $424.1 | $1,018.7 | $5,843.71 |
| Major joint replacement w MCC | MS-DRG | 469 | 12 | — | — | $33,072 | $41,935 | $43,193 |
| Major joint replacement w/o MCC | MS-DRG | 470 | 12 | — | — | $21,080 | $26,717 | $27,518 |
| Laparoscopic cholecystectomy | CPT | 47562 | 16 | — | — | $528.57 | $1,117.46 | $5,843.71 |
| Lap cholecystectomy with cholangiography | CPT | 47563 | 14 | — | — | $541.29 | $680.24 | $5,843.71 |
| Hip & femur procedures except major joint w MCC | MS-DRG | 480 | 12 | — | — | $30,231 | $34,520 | $35,555 |
| Hip & femur procedures except major joint w CC | MS-DRG | 481 | 12 | — | — | $22,722 | $25,261 | $26,019 |
| Hip & femur procedures except major joint w/o CC/MCC | MS-DRG | 482 | 12 | — | — | $17,000 | $18,316 | $19,087 |
| Lap inguinal hernia repair | CPT | 49650 | 13 | — | — | $302.65 | $397.78 | $5,843.71 |
| Total abdominal hysterectomy | CPT | 58150 | 15 | — | — | $752.09 | $955.23 | $3,253.35 |
| Vaginal hysterectomy | CPT | 58260 | 13 | — | — | $627.58 | $770.72 | $4,944.37 |
| Lap-assisted vaginal hysterectomy | CPT | 58550 | 12 | — | — | $671.12 | $684.54 | $5,843.71 |
| Lap-assisted vaginal hysterectomy >250g | CPT | 58552 | 13 | — | — | $740.98 | $829.17 | $10,428 |
| Lap salpingo-oophorectomy | CPT | 58661 | 13 | — | — | $491.66 | $605.62 | $5,843.71 |
| OR procedure for obesity w MCC | MS-DRG | 619 | 12 | — | — | $23,720 | $25,557 | $29,292 |
| OR procedure for obesity w CC | MS-DRG | 620 | 12 | — | — | $18,579 | $21,578 | $22,225 |
| OR procedure for obesity w/o CC/MCC | MS-DRG | 621 | 12 | — | — | $16,497 | $17,598 | $18,126 |
| Complex cataract surgery | CPT | 66982 | 12 | — | — | $679.52 | $726.85 | $2,284.39 |
| Cataract surgery with lens implant | CPT | 66984 | 12 | — | — | $496.09 | $520.69 | $2,284.39 |
| Intravitreal injection | CPT | 67028 | 26 | $2,653.15 | $1,326.58 | $84.5 | $1,233.71 | $2,520.49 |
| Vitrectomy mechanical | CPT | 67042 | 12 | — | — | $1,030.06 | $1,040.36 | $4,029.31 |
| Uterine & adnexa procedures w CC/MCC | MS-DRG | 743 | 12 | — | — | $11,580 | $12,477 | $15,617 |
| Uterine & adnexa procedures w/o CC/MCC | MS-DRG | 744 | 12 | — | — | $14,743 | $15,884 | $22,377 |
| PCI single major coronary artery | CPT | 92920 | 26 | $18,263 | $9,131.7 | $427.21 | $8,492.48 | $17,350 |
| PCI with drug-eluting stent | CPT | 92928 | 26 | $22,707 | $11,354 | $474.36 | $11,325 | $21,572 |
| PCI bypass graft | CPT | 92937 | 26 | $55,177 | $27,589 | $473.82 | $25,657 | $52,418 |
| Left heart catheterization | CPT | 93452 | 26 | $23,555 | $11,777 | $204.92 | $8,762.4 | $22,377 |
| Coronary angiography with cath | CPT | 93455 | 26 | $28,353 | $14,176 | $238.56 | $9,058.74 | $26,935 |
| Coronary angiography with bypass cath | CPT | 93458 | 26 | $29,307 | $14,653 | $252.12 | $6,476.75 | $27,841 |
Payer mix (top 26)
| Payer | Codes covered | Median rate |
|---|---|---|
| Aetna | 197 | $351.55 |
| UnitedHealthcare | 197 | $218.53 |
| amerihealth caritas | 196 | $168.22 |
| WellCare | 196 | $168.54 |
| alliance | 196 | $194.56 |
| carolina complete health | 196 | $168.7 |
| Cigna | 196 | $356.65 |
| healthy blue | 196 | $168.7 |
| Humana | 196 | $155.87 |
| partners | 196 | $168.7 |
| trillium | 196 | $171.26 |
| vaya | 196 | $170.2 |
| Blue Cross Blue Shield | 138 | $348.1 |
| choicecare | 126 | $501.91 |
| medcost | 125 | $516.06 |
| Ambetter | 123 | $329.29 |
| employers health network | 107 | $588.17 |
| private health care systems | 100 | $2,334.78 |
| provider select | 100 | $2,284.02 |
| First Health | 100 | $2,284.02 |
| healthgram | 100 | $2,284.02 |
| gmmi | 100 | $1,649.57 |
| quik trip | 100 | $1,649.57 |
| Multiplan | 100 | $2,410.91 |
| beechstreet | 100 | $2,410.91 |
| physician reach out | 100 | $1,268.9 |