Does Atrium Health Anson publish its standard charges and chargemaster?

Yes. Atrium Health Anson publishes a machine-readable file with 58,077 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 Anson charge for procedures?

Atrium Health Anson (Wadesboro, 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 340084

Atrium Health Anson

Wadesboro, NC, 28170-

15 bedsAcute Care Hospitals11

Compliance grade

100/100

Rates published

58,077

last crawl 2026-05-24

Procedures tracked

197

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/11164/560529945-1659856060_the-charlotte-mecklenburg-hospital-authority_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	4	—	—	$16,954	$17,328	1.4×	$17,505
Psychiatric diagnostic evaluation	CPT	90791	26	$350.55	$175.28	$20.82	$108.12	0.61×	$378.32
Psychiatric eval with medical services	CPT	90792	26	$139.15	$69.58	$20.82	$98.81	0.57×	$422.65
Psychotherapy 30 minutes	CPT	90832	26	$162.95	$81.48	$24.38	$87.34	0.59×	$164.66
Psychotherapy 45 minutes	CPT	90834	26	$226.25	$113.13	$28.12	$122.2	0.76×	$217.34
Psychotherapy 60 minutes	CPT	90837	26	$219.4	$109.7	$32.82	$135.27	0.71×	$321.15
Crisis psychotherapy 60 minutes	CPT	90839	26	$219.4	$109.7	$32.82	$117.6	0.74×	$350.62
emergency
ED visit level 1	CPT	99281	26	$356.65	$178.33	$10.53	$169.66	1.2×	$1,539
ED visit level 2	CPT	99282	26	$657.15	$328.58	$36.65	$290.46	1.2×	$1,539
ED visit level 3	CPT	99283	26	$3,038.1	$1,519.05	$54.86	$1,288	3.2×	$2,886.2
ED visit level 4	CPT	99284	26	$3,181.25	$1,590.63	$104.11	$1,324.95	2.0×	$3,022.19
ED visit level 5	CPT	99285	26	$3,364.05	$1,682.03	$153.4	$1,352.35	1.3×	$3,195.85
Critical care, first hour	CPT	99291	26	$5,617.85	$2,808.93	$197.56	$2,258.38	2.1×	$5,336.96
imaging
CT head without contrast	CPT	70450	26	$2,537.8	$1,268.9	$35.42	$906	4.4×	$2,410.91
CT head with contrast	CPT	70460	26	$3,040.9	$1,520.45	$46.89	$995.79	4.3×	$2,888.86
CT head with and without contrast	CPT	70470	26	$3,884.8	$1,942.4	$52.71	$1,214.78	4.6×	$3,690.56
CT neck with contrast	CPT	70491	26	$3,334	$1,667	$57.15	$1,020	3.7×	$3,167.3
MRI brain without contrast	CPT	70551	26	$3,530.55	$1,765.28	$61.21	$1,104.01	2.7×	$3,354.02
MRI brain with contrast	CPT	70552	26	$4,534.45	$2,267.23	$73.83	$1,448.76	3.0×	$4,307.73
MRI brain with and without contrast	CPT	70553	26	$5,318.05	$2,659.03	$97.64	$1,662.96	2.8×	$5,052.15
Chest X-ray single view	CPT	71045	26	$373.65	$186.83	$7.67	$106.12	1.1×	$354.97
Chest X-ray 2 views	CPT	71046	26	$464.6	$232.3	$9.16	$77.72	0.79×	$441.37
Chest X-ray 3 views	CPT	71047	26	$387.9	$193.95	$11.82	$144.3	1.5×	$368.51
CT chest without contrast	CPT	71250	26	$2,700.05	$1,350.03	$47.69	$822.04	3.8×	$2,565.05
CT chest with contrast	CPT	71260	26	$3,217.95	$1,608.98	$51.33	$1,020	3.6×	$3,057.05
CT chest with and without contrast	CPT	71270	26	$4,210.8	$2,105.4	$55.2	$1,316.72	4.5×	$4,000.26
MRI chest without contrast	CPT	71550	26	$4,516.55	$2,258.28	$60.14	$1,412.33	3.3×	$4,290.72
MRI chest with contrast	CPT	71551	26	$4,848	$2,424	$71.2	$1,515.97	1.9×	$4,605.6
MRI chest with and without contrast	CPT	71552	26	$5,305.45	$2,652.73	$94.05	$1,695.09	2.8×	$5,040.18
Lumbosacral spine X-ray	CPT	72100	26	$556.8	$278.4	$9.08	$89.8	0.87×	$528.96
CT cervical spine without contrast	CPT	72125	26	$3,027.9	$1,513.95	$43.99	$993.71	4.9×	$2,876.51
CT thoracic spine without contrast	CPT	72128	26	$2,851.7	$1,425.85	$43.99	$965.56	4.8×	$2,709.12
CT lumbar spine without contrast	CPT	72131	26	$3,008.1	$1,504.05	$43.99	$990.55	4.9×	$2,857.7
MRI cervical spine without contrast	CPT	72141	26	$3,895.15	$1,947.58	$65.55	$1,185.88	3.0×	$3,700.39
MRI thoracic spine without contrast	CPT	72146	26	$4,026.15	$2,013.08	$65.55	$1,231.6	3.3×	$3,824.84
MRI lumbar spine without contrast	CPT	72148	26	$4,026.15	$2,013.08	$61.21	$1,043.47	2.8×	$3,824.84
MRI lumbar spine with and without contrast	CPT	72149	26	$4,831.35	$2,415.68	$73.83	$1,510.77	3.3×	$4,589.78
MRI cervical spine with and without contrast	CPT	72156	26	$5,059.1	$2,529.55	$101.73	$1,581.98	2.9×	$4,806.15
MRI lumbar spine with contrast	CPT	72158	26	$5,312.1	$2,656.05	$97.35	$1,697.22	3.1×	$5,046.5
CT pelvis without contrast	CPT	72192	26	$2,779.35	$1,389.68	$45.4	$963	4.8×	$2,640.38
CT pelvis with contrast	CPT	72193	26	$3,217.95	$1,608.98	$48.07	$1,024.07	3.6×	$3,057.05
Shoulder X-ray	CPT	73030	26	$558.55	$279.28	$7.6	$86.68	0.93×	$530.62
Humerus X-ray	CPT	73060	26	$463	$231.5	$7.01	$131.5	1.5×	$439.85
Hand X-ray 3 views	CPT	73130	26	$533	$266.5	$7.01	$86.05	0.93×	$506.35
MRI upper extremity joint without contrast	CPT	73221	26	$3,876.55	$1,938.28	$55.69	$1,174.59	2.8×	$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	2.7×	$5,035.19
Knee X-ray 1-2 views	CPT	73560	26	$433.3	$216.65	$7.01	$87.93	0.94×	$411.64
Ankle X-ray 3 views	CPT	73610	26	$549	$274.5	$7.01	$84.49	0.92×	$521.55
MRI lower extremity joint without contrast	CPT	73721	26	$3,844.6	$1,922.3	$55.69	$1,020	2.2×	$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	2.4×	$4,741.21
CT abdomen without contrast	CPT	74150	26	$2,726.7	$1,363.35	$49.26	$960.17	5.1×	$2,590.37
CT abdomen with contrast	CPT	74160	26	$3,217.95	$1,608.98	$52.99	$1,024.07	3.6×	$3,057.05
CT abdomen with and without contrast	CPT	74170	26	$4,286.65	$2,143.33	$58.04	$1,340.44	4.0×	$4,072.32
CT abdomen and pelvis without contrast	CPT	74176	26	$5,749.65	$2,874.83	$68.89	$1,797.92	4.9×	$5,462.17
CT abdomen and pelvis with contrast	CPT	74177	26	$6,434.35	$3,217.18	$72.25	$1,968.27	3.6×	$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	4.1×	$7,239.43
MRI abdomen without contrast	CPT	74181	26	$3,530.55	$1,765.28	$60.41	$1,104.01	2.8×	$3,354.02
MRI abdomen with and without contrast	CPT	74183	26	$5,036.8	$2,518.4	$93.49	$1,533.46	2.7×	$4,784.96
Abdominal ultrasound complete	CPT	76700	26	$1,330.7	$665.35	$33.38	$323.36	2.2×	$1,264.17
Abdominal ultrasound limited	CPT	76705	26	$946.4	$473.2	$24.57	$157.6	1.1×	$899.08
Retroperitoneal ultrasound complete	CPT	76770	26	$1,105.65	$552.83	$30.51	$244.35	1.7×	$1,050.37
Obstetric ultrasound first trimester	CPT	76801	26	$653.45	$326.73	$40.5	$198.95	1.4×	$620.78
Obstetric ultrasound after first trimester	CPT	76805	26	$958.6	$479.3	$40.23	$254.03	1.7×	$910.67
Obstetric ultrasound with fetal anatomy	CPT	76811	26	$1,106.1	$553.05	$76.25	$335.15	1.4×	$1,050.8
Transvaginal ultrasound	CPT	76830	26	$983.15	$491.58	$28.16	$217.28	1.5×	$933.99
Pelvic ultrasound complete	CPT	76856	26	$1,287.6	$643.8	$28.44	$217.79	1.5×	$1,223.22
Scrotal ultrasound	CPT	76870	26	$956.6	$478.3	$26.65	$291.24	2.2×	$908.77
Diagnostic mammography unilateral	CPT	77065	26	$442.65	$221.33	$28.46	$164.67	1.1×	$420.52
Diagnostic mammography bilateral	CPT	77066	26	$885.2	$442.6	$35.19	$329.29	1.7×	$840.94
Screening mammography bilateral	CPT	77067	26	$639.85	$319.93	$28.46	$238.02	1.5×	$607.86
EKG complete	CPT	93000	17	—	—	$13.12	$16.5	0.67×	$92.53
EKG tracing only	CPT	93005	26	$581.55	$290.78	$5.61	$241.37	2.0×	$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	26	$3,560.1	$1,780.05	$58.27	$538.84	0.90×	$3,382.1
Transthoracic echocardiogram	CPT	93307	12	—	—	$40.29	$104.51	0.42×	$242.11
Stress echocardiogram	CPT	93350	26	$2,062.55	$1,031.28	$63.66	$460.79	0.91×	$1,959.42
inpatient
Intracranial hemorrhage/CVA w MCC	MS-DRG	064	12	—	—	$21,979	$43,876	2.2×	$45,192
Intracranial hemorrhage/CVA w CC	MS-DRG	065	12	—	—	$13,550	$17,977	1.7×	$18,517
Intracranial hemorrhage/CVA w/o CC/MCC	MS-DRG	066	12	—	—	$9,916.05	$10,684	1.4×	$11,048
Respiratory infections & inflammations w MCC	MS-DRG	177	12	—	—	$18,748	$20,655	1.3×	$21,274
COPD w MCC	MS-DRG	190	12	—	—	$13,185	$14,206	1.3×	$14,939
COPD w CC	MS-DRG	191	12	—	—	$11,040	$11,894	1.3×	$12,577
COPD w/o CC/MCC	MS-DRG	192	12	—	—	$8,334.24	$8,979.43	1.3×	$10,680
Simple pneumonia & pleurisy w CC	MS-DRG	194	12	—	—	$9,917.19	$10,685	1.3×	$12,227
Simple pneumonia & pleurisy w/o CC/MCC	MS-DRG	195	12	—	—	$6,041.52	$6,509.22	0.97×	$10,461
AMI discharged alive w MCC	MS-DRG	280	12	—	—	$18,964	$21,063	1.3×	$21,695
AMI discharged alive w CC	MS-DRG	281	12	—	—	$12,693	$13,541	1.4×	$13,947
AMI discharged alive w/o CC/MCC	MS-DRG	282	12	—	—	$9,880.62	$10,646	1.4×	$11,378
Heart failure & shock w MCC	MS-DRG	291	12	—	—	$16,046	$18,200	1.4×	$18,746
Heart failure & shock w CC	MS-DRG	292	12	—	—	$12,200	$15,243	1.7×	$15,700
Heart failure & shock w/o CC/MCC	MS-DRG	293	12	—	—	$5,232.33	$5,637.39	0.91×	$9,798.71
Cardiac arrhythmia w MCC	MS-DRG	308	12	—	—	$15,188	$22,757	1.9×	$23,439
Cardiac arrhythmia w CC	MS-DRG	309	12	—	—	$10,569	$11,274	1.5×	$11,612
Cardiac arrhythmia w/o CC/MCC	MS-DRG	310	12	—	—	$7,083.87	$7,632.27	1.2×	$9,895.35
GI hemorrhage w CC	MS-DRG	378	12	—	—	$13,281	$14,189	1.4×	$14,615
GI hemorrhage w/o CC/MCC	MS-DRG	379	12	—	—	$9,104.57	$9,809.4	1.4×	$10,586
Esophagitis/gastroenteritis w/o MCC	MS-DRG	392	12	—	—	$8,825.7	$9,508.93	1.2×	$11,872
Fractures of femur w/o MCC	MS-DRG	533	12	—	—	$12,112	$13,049	0.86×	$18,537
Kidney/UTI w MCC	MS-DRG	689	12	—	—	$14,088	$15,028	1.3×	$15,479
Kidney/UTI w/o MCC	MS-DRG	690	12	—	—	$8,406.24	$9,057.01	1.1×	$12,071
Septicemia or severe sepsis w MV 96+ hrs	MS-DRG	871	12	—	—	$21,744	$25,811	1.4×	$26,585
Septicemia or severe sepsis w/o MV 96+ hrs	MS-DRG	872	12	—	—	$11,259	$12,131	1.2×	$14,116
Initial hospital care, low complexity	CPT	99221	16	—	—	$76.15	$90.3	0.97×	$211.13
Initial hospital care, moderate complexity	CPT	99222	16	—	—	$120.58	$125.14	0.74×	$371.72
Initial hospital care, high complexity	CPT	99223	16	—	—	$160.87	$181.35	0.81×	$518.92
Hospital discharge, <30 min	CPT	99238	16	—	—	$64.61	$77.9	0.91×	$152.38
Hospital discharge, >30 min	CPT	99239	16	—	—	$95.33	$110.9	0.91×	$312.56
lab
Basic metabolic panel (BMP)	CPT	80048	26	$354.05	$177.03	$8.63	$156.49	4.8×	$336.35
General health panel	CPT	80050	13	—	—	$11.16	$11.33	0.11×	$88.78
Electrolyte panel	CPT	80051	26	$172.65	$86.33	$7.15	$86.33	3.6×	$164.02
Comprehensive metabolic panel	CPT	80053	26	$489.45	$244.73	$8.58	$211.93	4.8×	$464.98
Lipid panel	CPT	80061	26	$375.45	$187.73	$13.6	$162.57	4.3×	$356.68
Renal function panel	CPT	80069	26	$226.7	$113.35	$8.85	$113.35	4.2×	$215.37
Hepatic function panel	CPT	80076	26	$397	$198.5	$8.33	$173.69	6.5×	$377.15
Urinalysis non-automated	CPT	81002	26	$74.35	$37.18	$3.05	$32.19	4.6×	$70.63
Urinalysis automated	CPT	81003	26	$104.75	$52.38	$2.16	$45.36	3.3×	$99.51
Glucose quantitative	CPT	82947	26	$76.65	$38.33	$3.77	$33.54	1.9×	$72.82
Hemoglobin A1c	CPT	83036	26	$273.4	$136.7	$9.31	$118.38	4.4×	$259.73
Thyroid stimulating hormone (TSH)	CPT	84443	26	$373.95	$186.98	$17.14	$163.61	3.5×	$355.25
Complete blood count with automated differential	CPT	85025	26	$270.95	$135.48	$7.93	$108.92	4.1×	$257.4
Complete blood count without differential	CPT	85027	26	$132.85	$66.43	$6.6	$56.87	2.6×	$126.21
Urine culture bacterial	CPT	87086	26	$238.45	$119.23	$8.23	$119.23	5.1×	$226.53
Urine culture identification	CPT	87088	26	$68.65	$34.33	$8.25	$34.33	1.5×	$65.22
Tissue exam by pathologist level IV	CPT	88305	26	$692.6	$346.3	$30.25	$183.54	1.8×	$657.97
maternity
Fetal non-stress test	CPT	59025	26	$1,015.8	$507.9	$18.19	$154.81	0.82×	$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	26	$6,683.85	$3,341.93	$697.93	$3,179.51	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	16	—	—	$43.57	$68.65	0.80×	$149.18
Office visit, new patient, 30-44 minutes	CPT	99203	17	—	—	$74.98	$108.59	0.89×	$312.8
Office visit, new patient, 45-59 min	CPT	99204	17	—	—	$123.71	$163.23	0.94×	$445.66
Office visit, new patient, 60-74 min	CPT	99205	16	—	—	$165.62	$214.02	0.97×	$567.6
Office visit, established patient, 5 min	CPT	99211	16	—	—	$8.13	$14.84	0.23×	$46.95
Office visit, established patient, 10-19 min	CPT	99212	16	—	—	$24.98	$39.09	0.49×	$115.61
Office visit, established patient, 20-29 minutes	CPT	99213	17	—	—	$50.41	$79.2	0.69×	$186.29
Office visit, established patient, 30-39 minutes	CPT	99214	17	—	—	$77.28	$121.63	0.80×	$269.47
Office visit, established patient, 40-54 min	CPT	99215	17	—	—	$109.21	$170.92	0.91×	$395.83
preventive
Upper GI endoscopy diagnostic	CPT	43235	16	—	—	$112.05	$255.13	0.28×	$939.06
Upper GI endoscopy with biopsy	CPT	43239	16	—	—	$126.08	$296.67	0.31×	$939.06
Sigmoidoscopy diagnostic	CPT	45330	26	$2,568.25	$1,284.13	$47.36	$1,112.05	1.3×	$2,439.84
Sigmoidoscopy with biopsy	CPT	45331	26	$2,703.25	$1,351.63	$57.49	$1,170.51	1.3×	$2,568.09
Colonoscopy diagnostic	CPT	45378	16	—	—	$84.41	$174.44	0.20×	$913.17
Colonoscopy with biopsy	CPT	45380	17	—	—	$183.07	$463.54	0.38×	$1,180.97
Colonoscopy with polyp removal	CPT	45385	16	—	—	$231.16	$539.26	0.45×	$1,180.97
surgery
Total shoulder arthroplasty	CPT	23472	12	—	—	$1,117.84	$1,140.2	0.28×	$18,420
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×	$12,887
Total knee replacement	CPT	27447	12	—	—	$1,148.49	$1,171.46	0.28×	$12,887
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×	$7,155.18
Knee arthroscopy with meniscectomy	CPT	29881	12	—	—	$465.87	$475.19	0.23×	$3,249.81
ACL reconstruction	CPT	29888	12	—	—	$732.27	$746.92	0.22×	$7,155.18
Major small/large bowel procedures w MCC	MS-DRG	329	12	—	—	$44,544	$64,909	1.5×	$66,856
Major small/large bowel procedures w CC	MS-DRG	330	12	—	—	$25,226	$28,541	1.2×	$29,397
Major small/large bowel procedures w/o CC/MCC	MS-DRG	331	12	—	—	$18,456	$19,688	1.2×	$20,279
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	12	—	—	$17,589	$18,950	1.1×	$19,732
Laparoscopic cholecystectomy w/o CDE w CC	MS-DRG	419	12	—	—	$15,537	$16,574	1.2×	$17,071
Laparoscopic cholecystectomy w/o CDE w/o CC/MCC	MS-DRG	420	12	—	—	$27,299	$29,412	0.91×	$36,480
Open appendectomy	CPT	44950	12	—	—	$461.9	$528.25	0.46×	$6,249.75
Laparoscopic appendectomy	CPT	44970	16	—	—	$424.1	$1,018.7	0.65×	$5,843.71
Major joint replacement w MCC	MS-DRG	469	12	—	—	$33,072	$41,935	1.4×	$43,193
Major joint replacement w/o MCC	MS-DRG	470	12	—	—	$21,080	$26,717	1.4×	$27,518
Laparoscopic cholecystectomy	CPT	47562	16	—	—	$528.57	$1,117.46	0.63×	$5,843.71
Lap cholecystectomy with cholangiography	CPT	47563	14	—	—	$541.29	$680.24	0.36×	$5,843.71
Hip & femur procedures except major joint w MCC	MS-DRG	480	12	—	—	$30,231	$34,520	1.2×	$35,555
Hip & femur procedures except major joint w CC	MS-DRG	481	12	—	—	$22,722	$25,261	1.2×	$26,019
Hip & femur procedures except major joint w/o CC/MCC	MS-DRG	482	12	—	—	$17,000	$18,316	1.1×	$19,087
Lap inguinal hernia repair	CPT	49650	13	—	—	$302.65	$397.78	0.35×	$5,843.71
Total abdominal hysterectomy	CPT	58150	15	—	—	$752.09	$955.23	0.98×	$3,253.35
Vaginal hysterectomy	CPT	58260	13	—	—	$627.58	$770.72	0.42×	$4,944.37
Lap-assisted vaginal hysterectomy	CPT	58550	12	—	—	$671.12	$684.54	0.46×	$5,843.71
Lap-assisted vaginal hysterectomy >250g	CPT	58552	13	—	—	$740.98	$829.17	0.37×	$10,428
Lap salpingo-oophorectomy	CPT	58661	13	—	—	$491.66	$605.62	0.30×	$5,843.71
OR procedure for obesity w MCC	MS-DRG	619	12	—	—	$23,720	$25,557	0.94×	$29,292
OR procedure for obesity w CC	MS-DRG	620	12	—	—	$18,579	$21,578	1.3×	$22,225
OR procedure for obesity w/o CC/MCC	MS-DRG	621	12	—	—	$16,497	$17,598	1.2×	$18,126
Complex cataract surgery	CPT	66982	12	—	—	$679.52	$726.85	0.33×	$2,284.39
Cataract surgery with lens implant	CPT	66984	12	—	—	$496.09	$520.69	0.24×	$2,284.39
Intravitreal injection	CPT	67028	26	$2,653.15	$1,326.58	$84.5	$1,233.71	3.6×	$2,520.49
Vitrectomy mechanical	CPT	67042	12	—	—	$1,030.06	$1,040.36	0.41×	$4,029.31
Uterine & adnexa procedures w CC/MCC	MS-DRG	743	12	—	—	$11,580	$12,477	1.0×	$15,617
Uterine & adnexa procedures w/o CC/MCC	MS-DRG	744	12	—	—	$14,743	$15,884	0.83×	$22,377
PCI single major coronary artery	CPT	92920	26	$18,263	$9,131.7	$427.21	$8,492.48	1.5×	$17,350
PCI with drug-eluting stent	CPT	92928	26	$22,707	$11,354	$474.36	$11,325	1.1×	$21,572
PCI bypass graft	CPT	92937	26	$55,177	$27,589	$473.82	$25,657	2.4×	$52,418
Left heart catheterization	CPT	93452	26	$23,555	$11,777	$204.92	$8,762.4	2.8×	$22,377
Coronary angiography with cath	CPT	93455	26	$28,353	$14,176	$238.56	$9,058.74	2.9×	$26,935
Coronary angiography with bypass cath	CPT	93458	26	$29,307	$14,653	$252.12	$6,476.75	2.1×	$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 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

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