▸ Hospital · NC · CCN 340113
Carolinas Medical Center/behav Health
1000 BLYTHE BLVD, CHARLOTTE, NC, 28232
1,243 bedsAcute Care Hospitals11
Compliance grade
A
100/100
Procedures tracked
198
of 209 target codes
Payers
30
with negotiated rates
Rates published
66,589
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 | — | — | $16,729 | $17,221 | $25,229 |
| Psychiatric diagnostic evaluation | CPT | 90791 | 31 | $350.55 | $175.28 | $30.35 | $100.19 | $378.32 |
| Psychiatric eval with medical services | CPT | 90792 | 31 | $139.15 | $69.58 | $30.35 | $99.8 | $422.65 |
| Psychotherapy 30 minutes | CPT | 90832 | 31 | $162.95 | $81.48 | $35.54 | $84.57 | $191.02 |
| Psychotherapy 45 minutes | CPT | 90834 | 31 | $226.25 | $113.13 | $41 | $114.68 | $217.34 |
| Psychotherapy 60 minutes | CPT | 90837 | 31 | $219.4 | $109.7 | $47.85 | $132.62 | $321.15 |
| Crisis psychotherapy 60 minutes | CPT | 90839 | 31 | $219.4 | $109.7 | $47.85 | $115.61 | $350.62 |
| emergency | ||||||||
| ED visit level 1 | CPT | 99281 | 31 | $356.65 | $178.33 | $10.53 | $158.89 | $1,530 |
| ED visit level 2 | CPT | 99282 | 31 | $657.15 | $328.58 | $36.65 | $284.55 | $1,530 |
| ED visit level 3 | CPT | 99283 | 31 | $3,038.1 | $1,519.05 | $54.86 | $1,236.51 | $2,734.29 |
| ED visit level 4 | CPT | 99284 | 31 | $3,181.25 | $1,590.63 | $75.38 | $1,291.39 | $2,863.13 |
| ED visit level 5 | CPT | 99285 | 31 | $3,364.05 | $1,682.03 | $75.38 | $1,352.35 | $3,027.65 |
| Critical care, first hour | CPT | 99291 | 31 | $5,617.85 | $2,808.93 | $75.38 | $2,258.38 | $5,056.07 |
| imaging | ||||||||
| CT head without contrast | CPT | 70450 | 31 | $2,537.8 | $1,268.9 | $35.42 | $721.68 | $2,284.02 |
| CT head with contrast | CPT | 70460 | 31 | $3,040.9 | $1,520.45 | $46.89 | $883.38 | $2,736.81 |
| CT head with and without contrast | CPT | 70470 | 31 | $3,884.8 | $1,942.4 | $52.71 | $1,020 | $3,496.32 |
| CT neck with contrast | CPT | 70491 | 31 | $3,334 | $1,667 | $57.15 | $937.27 | $3,000.6 |
| MRI brain without contrast | CPT | 70551 | 31 | $3,530.55 | $1,765.28 | $61.21 | $935.6 | $3,177.5 |
| MRI brain with contrast | CPT | 70552 | 31 | $4,534.45 | $2,267.23 | $73.83 | $1,195.28 | $4,081.01 |
| MRI brain with and without contrast | CPT | 70553 | 31 | $5,318.05 | $2,659.03 | $97.64 | $1,394.39 | $4,786.25 |
| Chest X-ray single view | CPT | 71045 | 31 | $373.65 | $186.83 | $7.67 | $99.02 | $336.29 |
| Chest X-ray 2 views | CPT | 71046 | 31 | $464.6 | $232.3 | $9.16 | $102.26 | $418.14 |
| Chest X-ray 3 views | CPT | 71047 | 31 | $387.9 | $193.95 | $11.82 | $126.57 | $349.11 |
| CT chest without contrast | CPT | 71250 | 31 | $2,700.05 | $1,350.03 | $47.69 | $618.04 | $2,430.05 |
| CT chest with contrast | CPT | 71260 | 31 | $3,217.95 | $1,608.98 | $51.33 | $879.38 | $2,896.16 |
| CT chest with and without contrast | CPT | 71270 | 31 | $4,210.8 | $2,105.4 | $55.2 | $1,020 | $3,789.72 |
| MRI chest without contrast | CPT | 71550 | 31 | $4,516.55 | $2,258.28 | $60.14 | $1,184.24 | $4,064.9 |
| MRI chest with contrast | CPT | 71551 | 31 | $4,848 | $2,424 | $71.2 | $1,271.15 | $4,363.2 |
| MRI chest with and without contrast | CPT | 71552 | 31 | $5,305.45 | $2,652.73 | $94.05 | $1,426.12 | $4,774.91 |
| Lumbosacral spine X-ray | CPT | 72100 | 31 | $556.8 | $278.4 | $9.08 | $122.56 | $501.12 |
| CT cervical spine without contrast | CPT | 72125 | 31 | $3,027.9 | $1,513.95 | $43.99 | $879.6 | $2,725.11 |
| CT thoracic spine without contrast | CPT | 72128 | 31 | $2,851.7 | $1,425.85 | $43.99 | $828.42 | $2,566.53 |
| CT lumbar spine without contrast | CPT | 72131 | 31 | $3,008.1 | $1,504.05 | $43.99 | $873.85 | $2,707.29 |
| MRI cervical spine without contrast | CPT | 72141 | 31 | $3,895.15 | $1,947.58 | $65.55 | $1,020.66 | $3,505.64 |
| MRI thoracic spine without contrast | CPT | 72146 | 31 | $4,026.15 | $2,013.08 | $65.55 | $1,055.66 | $3,623.54 |
| MRI lumbar spine without contrast | CPT | 72148 | 31 | $4,026.15 | $2,013.08 | $61.21 | $961.85 | $3,623.54 |
| MRI lumbar spine with and without contrast | CPT | 72149 | 31 | $4,831.35 | $2,415.68 | $73.83 | $1,266.78 | $4,348.22 |
| MRI cervical spine with and without contrast | CPT | 72156 | 31 | $5,059.1 | $2,529.55 | $101.73 | $1,340.66 | $4,553.19 |
| MRI lumbar spine with contrast | CPT | 72158 | 31 | $5,312.1 | $2,656.05 | $97.35 | $1,400.27 | $4,780.89 |
| CT pelvis without contrast | CPT | 72192 | 31 | $2,779.35 | $1,389.68 | $45.4 | $807.4 | $2,501.42 |
| CT pelvis with contrast | CPT | 72193 | 31 | $3,217.95 | $1,608.98 | $48.07 | $906 | $2,896.16 |
| Shoulder X-ray | CPT | 73030 | 31 | $558.55 | $279.28 | $7.6 | $124.06 | $502.7 |
| Humerus X-ray | CPT | 73060 | 31 | $463 | $231.5 | $7.01 | $105.98 | $416.7 |
| Hand X-ray 3 views | CPT | 73130 | 31 | $533 | $266.5 | $7.01 | $118.43 | $479.7 |
| MRI upper extremity joint without contrast | CPT | 73221 | 31 | $3,876.55 | $1,938.28 | $55.69 | $1,016.43 | $3,488.9 |
| MRI upper extremity joint with and without contrast | CPT | 73223 | 31 | $5,300.2 | $2,650.1 | $88.76 | $1,404.55 | $4,770.18 |
| Knee X-ray 1-2 views | CPT | 73560 | 31 | $433.3 | $216.65 | $7.01 | $97.71 | $389.97 |
| Ankle X-ray 3 views | CPT | 73610 | 31 | $549 | $274.5 | $7.01 | $120.26 | $494.1 |
| MRI lower extremity joint without contrast | CPT | 73721 | 31 | $3,844.6 | $1,922.3 | $55.69 | $956.92 | $3,460.14 |
| MRI lower extremity joint with and without contrast | CPT | 73723 | 31 | $4,990.75 | $2,495.38 | $89.05 | $1,275.39 | $4,491.68 |
| CT abdomen without contrast | CPT | 74150 | 31 | $2,726.7 | $1,363.35 | $49.26 | $792.11 | $2,454.03 |
| CT abdomen with contrast | CPT | 74160 | 31 | $3,217.95 | $1,608.98 | $52.99 | $906 | $2,896.16 |
| CT abdomen with and without contrast | CPT | 74170 | 31 | $4,286.65 | $2,143.33 | $58.04 | $1,020 | $3,857.99 |
| CT abdomen and pelvis without contrast | CPT | 74176 | 31 | $5,749.65 | $2,874.83 | $68.89 | $1,312.07 | $5,174.69 |
| CT abdomen and pelvis with contrast | CPT | 74177 | 31 | $6,434.35 | $3,217.18 | $72.25 | $1,463.17 | $5,790.92 |
| CT abdomen and pelvis with and without contrast | CPT | 74178 | 31 | $7,620.45 | $3,810.23 | $79.91 | $1,738.99 | $6,858.41 |
| MRI abdomen without contrast | CPT | 74181 | 31 | $3,530.55 | $1,765.28 | $60.41 | $935.6 | $3,177.5 |
| MRI abdomen with and without contrast | CPT | 74183 | 31 | $5,036.8 | $2,518.4 | $93.49 | $1,320.65 | $4,533.12 |
| Abdominal ultrasound complete | CPT | 76700 | 31 | $1,330.7 | $665.35 | $33.38 | $301.54 | $1,197.63 |
| Abdominal ultrasound limited | CPT | 76705 | 31 | $946.4 | $473.2 | $24.57 | $210.2 | $851.76 |
| Retroperitoneal ultrasound complete | CPT | 76770 | 31 | $1,105.65 | $552.83 | $30.51 | $250.54 | $995.09 |
| Obstetric ultrasound first trimester | CPT | 76801 | 31 | $653.45 | $326.73 | $40.5 | $189.24 | $588.11 |
| Obstetric ultrasound after first trimester | CPT | 76805 | 31 | $958.6 | $479.3 | $40.23 | $254.03 | $862.74 |
| Obstetric ultrasound with fetal anatomy | CPT | 76811 | 31 | $1,106.1 | $553.05 | $76.25 | $331.68 | $995.49 |
| Transvaginal ultrasound | CPT | 76830 | 31 | $983.15 | $491.58 | $28.16 | $220.06 | $884.84 |
| Pelvic ultrasound complete | CPT | 76856 | 31 | $1,287.6 | $643.8 | $28.44 | $280.83 | $1,158.84 |
| Scrotal ultrasound | CPT | 76870 | 31 | $956.6 | $478.3 | $26.65 | $253.5 | $860.94 |
| Diagnostic mammography unilateral | CPT | 77065 | 31 | $442.65 | $221.33 | $28.46 | $144.44 | $398.39 |
| Diagnostic mammography bilateral | CPT | 77066 | 31 | $885.2 | $442.6 | $35.19 | $288.84 | $796.68 |
| Screening mammography bilateral | CPT | 77067 | 31 | $639.85 | $319.93 | $28.46 | $208.78 | $575.87 |
| EKG complete | CPT | 93000 | 17 | — | — | $13.12 | $16.5 | $92.53 |
| EKG tracing only | CPT | 93005 | 31 | $581.55 | $290.78 | $5.61 | $212.85 | $523.4 |
| EKG interpretation only | CPT | 93010 | 28 | $27.45 | $13.73 | $7.29 | $15.35 | $33.69 |
| Transthoracic echocardiogram complete | CPT | 93306 | 31 | $3,560.1 | $1,780.05 | $58.27 | $548.37 | $3,204.09 |
| Transthoracic echocardiogram | CPT | 93307 | 13 | — | — | $40.29 | $113.3 | $287.37 |
| Stress echocardiogram | CPT | 93350 | 31 | $2,062.55 | $1,031.28 | $63.66 | $469.75 | $1,856.3 |
| inpatient | ||||||||
| Intracranial hemorrhage/CVA w MCC | MS-DRG | 064 | 15 | — | — | $21,313 | $35,745 | $38,298 |
| Intracranial hemorrhage/CVA w CC | MS-DRG | 065 | 15 | — | — | $10,928 | $14,981 | $19,578 |
| Intracranial hemorrhage/CVA w/o CC/MCC | MS-DRG | 066 | 15 | — | — | $7,396.47 | $9,062.89 | $13,252 |
| Respiratory infections & inflammations w MCC | MS-DRG | 177 | 15 | — | — | $16,224 | $17,696 | $31,122 |
| COPD w MCC | MS-DRG | 190 | 15 | — | — | $11,048 | $12,070 | $21,621 |
| COPD w CC | MS-DRG | 191 | 15 | — | — | $9,231.89 | $10,090 | $16,540 |
| COPD w/o CC/MCC | MS-DRG | 192 | 15 | — | — | $6,954.81 | $7,617.18 | $12,461 |
| Simple pneumonia & pleurisy w CC | MS-DRG | 194 | 15 | — | — | $8,309.79 | $9,063.94 | $15,787 |
| Simple pneumonia & pleurisy w/o CC/MCC | MS-DRG | 195 | 15 | — | — | $5,062.3 | $6,111.59 | $11,989 |
| AMI discharged alive w MCC | MS-DRG | 280 | 15 | — | — | $16,545 | $18,046 | $31,602 |
| AMI discharged alive w CC | MS-DRG | 281 | 15 | — | — | $9,905.66 | $11,601 | $17,747 |
| AMI discharged alive w/o CC/MCC | MS-DRG | 282 | 15 | — | — | $7,791.92 | $9,030.51 | $13,960 |
| Heart failure & shock w MCC | MS-DRG | 291 | 15 | — | — | $14,021 | $15,594 | $25,121 |
| Heart failure & shock w CC | MS-DRG | 292 | 15 | — | — | $9,254.46 | $12,702 | $16,581 |
| Heart failure & shock w/o CC/MCC | MS-DRG | 293 | 15 | — | — | $4,384.26 | $5,343.54 | $10,564 |
| Cardiac arrhythmia w MCC | MS-DRG | 308 | 15 | — | — | $12,959 | $18,788 | $23,217 |
| Cardiac arrhythmia w CC | MS-DRG | 309 | 15 | — | — | $7,944.52 | $9,659.36 | $14,234 |
| Cardiac arrhythmia w/o CC/MCC | MS-DRG | 310 | 15 | — | — | $5,935.7 | $6,474.39 | $10,772 |
| GI hemorrhage w CC | MS-DRG | 378 | 15 | — | — | $10,594 | $12,157 | $18,982 |
| GI hemorrhage w/o CC/MCC | MS-DRG | 379 | 15 | — | — | $6,841.98 | $8,321.23 | $12,258 |
| Esophagitis/gastroenteritis w/o MCC | MS-DRG | 392 | 15 | — | — | $7,395.2 | $8,232.98 | $15,023 |
| Fractures of femur w/o MCC | MS-DRG | 533 | 15 | — | — | $10,149 | $13,738 | $29,359 |
| Kidney/UTI w MCC | MS-DRG | 689 | 15 | — | — | $11,804 | $12,876 | $22,532 |
| Kidney/UTI w/o MCC | MS-DRG | 690 | 15 | — | — | $7,043.74 | $8,160.77 | $15,452 |
| Septicemia or severe sepsis w MV 96+ hrs | MS-DRG | 871 | 15 | — | — | $20,274 | $21,721 | $37,776 |
| Septicemia or severe sepsis w/o MV 96+ hrs | MS-DRG | 872 | 15 | — | — | $9,434.11 | $10,694 | $19,850 |
| Initial hospital care, low complexity | CPT | 99221 | 16 | — | — | $76.15 | $90.3 | $211.13 |
| Initial hospital care, moderate complexity | CPT | 99222 | 16 | — | — | $120.58 | $125.88 | $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 | $78.36 | $152.38 |
| Hospital discharge, >30 min | CPT | 99239 | 16 | — | — | $95.33 | $111.55 | $312.56 |
| lab | ||||||||
| Basic metabolic panel (BMP) | CPT | 80048 | 31 | $354.05 | $177.03 | $8.63 | $153.3 | $318.65 |
| General health panel | CPT | 80050 | 13 | — | — | $11.16 | $11.33 | $88.78 |
| Electrolyte panel | CPT | 80051 | 31 | $172.65 | $86.33 | $7.15 | $76.92 | $155.39 |
| Comprehensive metabolic panel | CPT | 80053 | 31 | $489.45 | $244.73 | $8.58 | $199.21 | $440.51 |
| Lipid panel | CPT | 80061 | 31 | $375.45 | $187.73 | $13.6 | $152.81 | $337.91 |
| Renal function panel | CPT | 80069 | 31 | $226.7 | $113.35 | $8.85 | $101 | $204.03 |
| Hepatic function panel | CPT | 80076 | 31 | $397 | $198.5 | $8.33 | $171.9 | $357.3 |
| Urinalysis non-automated | CPT | 81002 | 31 | $74.35 | $37.18 | $3.05 | $30.08 | $66.92 |
| Urinalysis automated | CPT | 81003 | 31 | $104.75 | $52.38 | $2.16 | $42.37 | $94.28 |
| Glucose quantitative | CPT | 82947 | 31 | $76.65 | $38.33 | $3.77 | $33.19 | $68.99 |
| Hemoglobin A1c | CPT | 83036 | 31 | $273.4 | $136.7 | $9.31 | $114.83 | $246.06 |
| Thyroid stimulating hormone (TSH) | CPT | 84443 | 31 | $373.95 | $186.98 | $17.14 | $161.92 | $336.56 |
| Complete blood count with automated differential | CPT | 85025 | 31 | $270.95 | $135.48 | $7.93 | $99.17 | $243.86 |
| Complete blood count without differential | CPT | 85027 | 31 | $132.85 | $66.43 | $6.6 | $51.22 | $119.57 |
| Urine culture bacterial | CPT | 87086 | 31 | $238.45 | $119.23 | $8.23 | $105.39 | $214.61 |
| Urine culture identification | CPT | 87088 | 31 | $68.65 | $34.33 | $8.25 | $30.58 | $61.79 |
| Tissue exam by pathologist level IV | CPT | 88305 | 31 | $692.6 | $346.3 | $30.25 | $158.54 | $623.34 |
| maternity | ||||||||
| Fetal non-stress test | CPT | 59025 | 31 | $1,015.8 | $507.9 | $18.19 | $201.2 | $914.22 |
| Routine obstetric care including vaginal delivery | CPT | 59400 | 14 | — | — | $1,747.98 | $2,228.5 | $5,050.56 |
| Vaginal delivery only | CPT | 59409 | 31 | $6,683.85 | $3,341.93 | $75.38 | $3,135.65 | $6,015.47 |
| Vaginal delivery with postpartum | CPT | 59410 | 14 | — | — | $859.8 | $994.35 | $2,105.56 |
| Routine obstetric care with C-section | CPT | 59510 | 14 | — | — | $1,747.98 | $2,465.65 | $5,569.11 |
| C-section delivery only | CPT | 59514 | 14 | — | — | $697.93 | $821.67 | $2,155.94 |
| C-section with postpartum | CPT | 59515 | 14 | — | — | $859.8 | $1,227.98 | $2,536.51 |
| office | ||||||||
| Office visit, new patient, 15-29 min | CPT | 99202 | 16 | — | — | $43.57 | $68.16 | $149.18 |
| Office visit, new patient, 30-44 minutes | CPT | 99203 | 17 | — | — | $74.98 | $107.82 | $312.8 |
| Office visit, new patient, 45-59 min | CPT | 99204 | 17 | — | — | $123.71 | $162.07 | $445.66 |
| Office visit, new patient, 60-74 min | CPT | 99205 | 16 | — | — | $165.62 | $212.48 | $567.6 |
| Office visit, established patient, 5 min | CPT | 99211 | 16 | — | — | $8.13 | $14.34 | $46.95 |
| Office visit, established patient, 10-19 min | CPT | 99212 | 16 | — | — | $24.98 | $39.99 | $115.61 |
| Office visit, established patient, 20-29 minutes | CPT | 99213 | 17 | — | — | $50.41 | $77.9 | $186.29 |
| Office visit, established patient, 30-39 minutes | CPT | 99214 | 17 | — | — | $77.28 | $119.46 | $269.47 |
| Office visit, established patient, 40-54 min | CPT | 99215 | 17 | — | — | $109.21 | $169.33 | $395.83 |
| preventive | ||||||||
| Upper GI endoscopy diagnostic | CPT | 43235 | 17 | — | — | $112.05 | $308.61 | $1,114.64 |
| Upper GI endoscopy with biopsy | CPT | 43239 | 17 | — | — | $126.08 | $357.51 | $1,432.11 |
| Sigmoidoscopy diagnostic | CPT | 45330 | 31 | $2,568.25 | $1,284.13 | $47.36 | $1,052.73 | $2,311.43 |
| Sigmoidoscopy with biopsy | CPT | 45331 | 31 | $2,703.25 | $1,351.63 | $57.49 | $1,086.71 | $2,432.93 |
| Colonoscopy diagnostic | CPT | 45378 | 17 | — | — | $84.41 | $192.54 | $1,083.91 |
| Colonoscopy with biopsy | CPT | 45380 | 18 | — | — | $183.07 | $518.65 | $1,401.78 |
| Colonoscopy with polyp removal | CPT | 45385 | 17 | — | — | $231.16 | $650.86 | $1,432.11 |
| surgery | ||||||||
| Total shoulder arthroplasty | CPT | 23472 | 14 | — | — | $1,058.22 | $1,233.34 | $21,863 |
| PCI w drug-eluting stent w/o MCC | MS-DRG | 247 | 1 | — | — | $31,218 | $31,218 | $31,218 |
| Hip hemiarthroplasty | CPT | 27125 | 13 | — | — | $830.95 | $1,041.97 | $1,302.47 |
| Total hip replacement | CPT | 27130 | 14 | — | — | $1,003.38 | $1,136.79 | $15,297 |
| Total knee replacement | CPT | 27447 | 14 | — | — | $1,110.32 | $1,174.67 | $15,297 |
| Knee revision arthroplasty single component | CPT | 27486 | 13 | — | — | $1,047.31 | $1,290.24 | $1,612.8 |
| Knee revision arthroplasty all components | CPT | 27487 | 13 | — | — | $1,322.92 | $1,605.79 | $2,007.24 |
| Shoulder arthroscopy with decompression | CPT | 29826 | 14 | — | — | $156.46 | $342.81 | $1,695.94 |
| Shoulder arthroscopy with rotator cuff repair | CPT | 29827 | 14 | — | — | $802.4 | $994.16 | $8,493 |
| Knee arthroscopy with meniscectomy | CPT | 29881 | 14 | — | — | $465.87 | $508.55 | $3,857.44 |
| ACL reconstruction | CPT | 29888 | 14 | — | — | $732.27 | $906.77 | $8,493 |
| Major small/large bowel procedures w MCC | MS-DRG | 329 | 15 | — | — | $41,899 | $54,089 | $88,408 |
| Major small/large bowel procedures w CC | MS-DRG | 330 | 15 | — | — | $22,418 | $24,453 | $45,508 |
| Major small/large bowel procedures w/o CC/MCC | MS-DRG | 331 | 15 | — | — | $15,465 | $17,320 | $31,787 |
| CABG single arterial graft | CPT | 33533 | 15 | — | — | $1,503.79 | $1,715.69 | $10,105 |
| CABG 2 arterial grafts | CPT | 33534 | 16 | — | — | $1,749.22 | $2,030.2 | $11,882 |
| CABG 3 arterial grafts | CPT | 33535 | 14 | — | — | $1,942.85 | $2,223.6 | $13,248 |
| CABG 4+ arterial grafts | CPT | 33536 | 14 | — | — | $2,082.43 | $2,371.61 | $7,702.02 |
| Laparoscopic cholecystectomy w/o CDE w MCC | MS-DRG | 418 | 15 | — | — | $14,738 | $16,963 | $31,929 |
| Laparoscopic cholecystectomy w/o CDE w CC | MS-DRG | 419 | 15 | — | — | $13,019 | $14,200 | $25,368 |
| Laparoscopic cholecystectomy w/o CDE w/o CC/MCC | MS-DRG | 420 | 15 | — | — | $22,874 | $29,245 | $67,953 |
| Open appendectomy | CPT | 44950 | 14 | — | — | $461.9 | $597.07 | $7,418.28 |
| Laparoscopic appendectomy | CPT | 44970 | 17 | — | — | $424.1 | $1,113.29 | $6,936.32 |
| Major joint replacement w MCC | MS-DRG | 469 | 15 | — | — | $31,433 | $35,210 | $62,932 |
| Major joint replacement w/o MCC | MS-DRG | 470 | 16 | — | — | $20,262 | $22,486 | $50,287 |
| Laparoscopic cholecystectomy | CPT | 47562 | 17 | — | — | $528.57 | $879.37 | $6,936.32 |
| Lap cholecystectomy with cholangiography | CPT | 47563 | 16 | — | — | $541.29 | $820.41 | $6,936.32 |
| Hip & femur procedures except major joint w MCC | MS-DRG | 480 | 15 | — | — | $27,115 | $29,432 | $56,623 |
| Hip & femur procedures except major joint w CC | MS-DRG | 481 | 15 | — | — | $19,842 | $21,836 | $39,948 |
| Hip & femur procedures except major joint w/o CC/MCC | MS-DRG | 482 | 15 | — | — | $14,245 | $16,306 | $30,543 |
| Lap inguinal hernia repair | CPT | 49650 | 15 | — | — | $302.65 | $408.72 | $6,936.32 |
| Total abdominal hysterectomy | CPT | 58150 | 15 | — | — | $752.09 | $962.26 | $3,253.35 |
| Vaginal hysterectomy | CPT | 58260 | 15 | — | — | $627.58 | $791.92 | $5,868.82 |
| Lap-assisted vaginal hysterectomy | CPT | 58550 | 14 | — | — | $671.12 | $819.9 | $6,936.32 |
| Lap-assisted vaginal hysterectomy >250g | CPT | 58552 | 15 | — | — | $740.98 | $920.59 | $12,378 |
| Lap salpingo-oophorectomy | CPT | 58661 | 15 | — | — | $491.66 | $620.61 | $6,936.32 |
| OR procedure for obesity w MCC | MS-DRG | 619 | 15 | — | — | $18,309 | $21,679 | $52,493 |
| OR procedure for obesity w CC | MS-DRG | 620 | 15 | — | — | $16,949 | $18,325 | $30,747 |
| OR procedure for obesity w/o CC/MCC | MS-DRG | 621 | 15 | — | — | $13,823 | $15,407 | $28,144 |
| Complex cataract surgery | CPT | 66982 | 14 | — | — | $679.52 | $726.85 | $3,140.63 |
| Cataract surgery with lens implant | CPT | 66984 | 14 | — | — | $496.09 | $520.69 | $3,140.63 |
| Intravitreal injection | CPT | 67028 | 31 | $2,653.15 | $1,326.58 | $75.38 | $1,148.81 | $2,387.84 |
| Vitrectomy mechanical | CPT | 67042 | 14 | — | — | $1,030.06 | $1,055.82 | $4,782.68 |
| Uterine & adnexa procedures w CC/MCC | MS-DRG | 743 | 15 | — | — | $9,703.21 | $11,742 | $23,079 |
| Uterine & adnexa procedures w/o CC/MCC | MS-DRG | 744 | 15 | — | — | $12,353 | $17,248 | $37,620 |
| PCI single major coronary artery | CPT | 92920 | 31 | $18,263 | $9,131.7 | $261.3 | $7,948.23 | $16,437 |
| PCI with drug-eluting stent | CPT | 92928 | 31 | $22,707 | $11,354 | $261.3 | $10,536 | $20,437 |
| PCI bypass graft | CPT | 92937 | 31 | $55,177 | $27,589 | $261.3 | $24,013 | $49,660 |
| Left heart catheterization | CPT | 93452 | 31 | $23,555 | $11,777 | $204.92 | $7,411.54 | $21,199 |
| Coronary angiography with cath | CPT | 93455 | 31 | $28,353 | $14,176 | $238.56 | $8,413.71 | $25,518 |
| Coronary angiography with bypass cath | CPT | 93458 | 31 | $29,307 | $14,653 | $252.12 | $6,640.86 | $26,376 |
Payer mix (top 30)
| Payer | Codes covered | Median rate |
|---|---|---|
| Aetna | 197 | $305.6 |
| UnitedHealthcare | 197 | $216.48 |
| Cigna | 197 | $431.2 |
| WellCare | 196 | $209.82 |
| alliance | 196 | $223.48 |
| amerihealth caritas | 196 | $207.8 |
| carolina complete health | 196 | $209.73 |
| healthy blue | 196 | $209.82 |
| Humana | 196 | $155.87 |
| partners | 196 | $207.75 |
| trillium | 196 | $210.57 |
| vaya | 196 | $210.57 |
| Blue Cross Blue Shield | 180 | $373.93 |
| Molina | 165 | $626.41 |
| ortho carolina | 154 | $154.24 |
| Ambetter | 142 | $1,169.6 |
| choicecare | 126 | $421.03 |
| medcost | 125 | $387.72 |
| employers health network | 107 | $588.17 |
| private health care systems | 100 | $2,030.24 |
| provider select | 100 | $2,080.28 |
| First Health | 100 | $2,054.6 |
| healthgram | 100 | $2,030.24 |
| quik trip | 100 | $1,649.57 |
| lifesynch community choice care | 100 | $2,081 |
| Multiplan | 100 | $2,284.02 |
| beechstreet | 100 | $2,207.89 |
| physician reach out | 100 | $1,268.9 |
| gmmi | 100 | $1,649.57 |
| magellan | 99 | $1,540.95 |