Does NEW HANOVER REGIONAL MEDICAL CENTER publish its standard charges and chargemaster?

Yes. NEW HANOVER REGIONAL MEDICAL CENTER publishes a machine-readable file with 12,828 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 NEW HANOVER REGIONAL MEDICAL CENTER charge for procedures?

NEW HANOVER REGIONAL MEDICAL CENTER (Wilmington, 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 340141

NEW HANOVER REGIONAL MEDICAL CENTER

Wilmington, NC, 28402

723 bedsAcute Care Hospitals2

Compliance grade

100/100

Rates published

12,828

last crawl 2026-05-22

Procedures tracked

198

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://mrfs.hyvehealthcare.com/RWJBarnabasHealth/223601678_trinitas-regional-medical-center_standardcharges.json · JSON

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	12	—	$2,726	$60	$13,386	1.0×	$28,092
Psychiatric diagnostic evaluation	CPT	90791	12	$858	$161.04	$22.58	$440.52	2.5×	$835.52
Psychiatric eval with medical services	CPT	90792	12	$965	$181.13	$158.74	$520.83	3.0×	$939.71
Psychotherapy 30 minutes	CPT	90832	12	$461	$86.52	$75.83	$293.97	2.0×	$734.77
Psychotherapy 45 minutes	CPT	90834	12	$518	$97.22	$85.21	$330.32	2.1×	$734.77
Psychotherapy 60 minutes	CPT	90837	12	$567	$106.42	$90.26	$351.18	1.8×	$734.77
Crisis psychotherapy 60 minutes	CPT	90839	12	$667	$125.19	$74.35	$400.2	2.5×	$734.77
emergency
ED visit level 1	CPT	99281	13	$1,052	$197.46	$5.69	$241.42	1.7×	$1,339
ED visit level 2	CPT	99282	13	$1,427	$267.84	$20.76	$398	1.7×	$1,339
ED visit level 3	CPT	99283	13	$2,261	$424.38	$36.71	$759.19	1.9×	$1,562
ED visit level 4	CPT	99284	13	$3,099	$581.68	$62.43	$1,056	1.6×	$2,186
ED visit level 5	CPT	99285	13	$4,357	$817.8	$90.41	$1,056	1.0×	$2,803.85
Critical care, first hour	CPT	99291	13	$5,566	$1,044.73	$144.26	$1,832.53	1.7×	$4,708.83
imaging
CT head without contrast	CPT	70450	13	$2,085	$391.35	$56.31	$281	1.4×	$1,329.6
CT head with contrast	CPT	70460	13	$2,305	$432.64	$78.83	$346.21	1.5×	$1,469.89
CT head with and without contrast	CPT	70470	13	$2,934	$550.71	$92.36	$387.15	1.5×	$1,871.01
CT neck with contrast	CPT	70491	13	$3,005	$564.03	$98.03	$384.2	1.4×	$1,916.28
MRI brain without contrast	CPT	70551	13	$3,279	$615.46	$104.6	$492.5	1.2×	$2,091.01
MRI brain with contrast	CPT	70552	13	$3,615	$678.53	$144.46	$603.32	1.3×	$2,305.28
MRI brain with and without contrast	CPT	70553	13	$5,038	$945.63	$169.89	$756.7	1.3×	$3,212.73
Chest X-ray single view	CPT	71045	13	$494	$92.72	$13.32	$116.42	1.2×	$402.68
Chest X-ray 2 views	CPT	71046	13	$510	$95.72	$17.49	$121.37	1.2×	$402.68
Chest X-ray 3 views	CPT	71047	13	$541	$101.54	$22	$126.1	1.3×	$402.68
CT chest without contrast	CPT	71250	13	$2,195	$412	$70.62	$281	1.3×	$1,399.75
CT chest with contrast	CPT	71260	13	$2,983	$559.9	$88.96	$387.15	1.4×	$1,902.25
CT chest with and without contrast	CPT	71270	13	$3,652	$685.48	$104.66	$389.1	1.3×	$2,328.88
MRI chest without contrast	CPT	71550	13	$2,920	$548.08	$159.53	$480.34	1.1×	$2,573.54
MRI chest with contrast	CPT	71551	13	$3,808	$714.76	$200.48	$992.61	1.2×	$3,613.15
MRI chest with and without contrast	CPT	71552	13	$4,726	$887.07	$249.57	$776.7	1.3×	$3,798.62
Lumbosacral spine X-ray	CPT	72100	13	$533	$100.04	$20.82	$143.22	1.4×	$486.33
CT cervical spine without contrast	CPT	72125	13	$2,209	$414.62	$69.14	$281	1.4×	$1,408.67
CT thoracic spine without contrast	CPT	72128	13	$2,008	$376.9	$68.96	$281	1.4×	$1,280.5
CT lumbar spine without contrast	CPT	72131	13	$2,093	$392.85	$68.62	$281	1.4×	$1,334.7
MRI cervical spine without contrast	CPT	72141	13	$2,756	$517.3	$101.61	$436	1.1×	$1,757.5
MRI thoracic spine without contrast	CPT	72146	13	$2,996	$562.34	$101.44	$449.99	1.2×	$1,910.54
MRI lumbar spine without contrast	CPT	72148	13	$2,854	$535.69	$101.97	$436	1.2×	$1,819.99
MRI lumbar spine with and without contrast	CPT	72149	13	$3,356	$629.92	$144.63	$603.32	1.3×	$2,140.12
MRI cervical spine with and without contrast	CPT	72156	13	$4,909	$921.41	$170.77	$737.33	1.4×	$3,130.46
MRI lumbar spine with contrast	CPT	72158	13	$4,859	$912.03	$170.42	$729.82	1.3×	$3,098.58
CT pelvis without contrast	CPT	72192	13	$2,020	$379.15	$70.61	$281	1.4×	$1,288.15
CT pelvis with contrast	CPT	72193	13	$2,563	$481.07	$121.25	$384.96	1.4×	$1,813.28
Shoulder X-ray	CPT	73030	14	$1,140	—	$15.02	$96.23	1.0×	$402.68
Humerus X-ray	CPT	73060	14	$519	—	$15.02	$96.23	1.1×	$402.68
Hand X-ray 3 views	CPT	73130	14	$1,074	—	$15.02	$96.23	1.0×	$402.68
MRI upper extremity joint without contrast	CPT	73221	14	$3,173	—	$15.02	$331.78	0.80×	$1,475.5
MRI upper extremity joint with and without contrast	CPT	73223	14	$4,658	—	$15.02	$464.85	0.76×	$2,976.33
Knee X-ray 1-2 views	CPT	73560	14	$1,072	—	$15.02	$96.23	1.0×	$402.68
Ankle X-ray 3 views	CPT	73610	14	$958	—	$15.02	$96.23	1.0×	$402.68
MRI lower extremity joint without contrast	CPT	73721	14	$2,458	—	$15.02	$331.78	0.71×	$1,472.05
MRI lower extremity joint with and without contrast	CPT	73723	14	$4,353	—	$15.02	$464.85	0.73×	$2,965.98
CT abdomen without contrast	CPT	74150	13	$2,001	$375.58	$72.44	$281	1.5×	$1,276.03
CT abdomen with contrast	CPT	74160	13	$2,990	$561.22	$123.94	$387.15	1.3×	$1,906.72
CT abdomen with and without contrast	CPT	74170	13	$3,739	$701.81	$126.8	$389.1	1.2×	$2,384.36
CT abdomen and pelvis without contrast	CPT	74176	13	$3,040	$570.6	$96.95	$368.2	1.0×	$1,938.6
CT abdomen and pelvis with contrast	CPT	74177	13	$3,605	$676.65	$161.98	$593.02	1.1×	$2,298.9
CT abdomen and pelvis with and without contrast	CPT	74178	13	$4,549	$853.84	$181.76	$603.32	1.0×	$2,900.89
MRI abdomen without contrast	CPT	74181	13	$3,098	$581.49	$104.44	$509.62	1.3×	$1,975.59
MRI abdomen with and without contrast	CPT	74183	13	$4,542	$852.53	$180.69	$747.15	1.3×	$2,896.43
Abdominal ultrasound complete	CPT	76700	13	$1,091	$204.78	$48.09	$179.46	1.2×	$797.77
Abdominal ultrasound limited	CPT	76705	13	$942	$176.81	$45.18	$177.09	1.2×	$608.9
Retroperitoneal ultrasound complete	CPT	76770	13	$994	$186.57	$56.25	$177.09	1.2×	$753
Obstetric ultrasound first trimester	CPT	76801	13	$743	$139.46	$60.73	$177.09	1.3×	$719.05
Obstetric ultrasound after first trimester	CPT	76805	13	$931	$174.74	$70.38	$177.09	1.2×	$897.56
Obstetric ultrasound with fetal anatomy	CPT	76811	13	$923	$173.24	$91.38	$368.2	1.6×	$1,105.45
Transvaginal ultrasound	CPT	76830	13	$1,069	$200.65	$62.09	$177.09	1.2×	$876.95
Pelvic ultrasound complete	CPT	76856	13	$1,138	$213.6	$54.72	$177.09	1.2×	$746.1
Scrotal ultrasound	CPT	76870	13	$908	$170.43	$51.97	$177.09	1.4×	$718.59
Diagnostic mammography unilateral	CPT	77065	9	$619	—	$15.02	$91.18	0.61×	$904.46
Diagnostic mammography bilateral	CPT	77066	8	$783	$146.96	$82.47	$331.44	1.7×	$1,152.34
Screening mammography bilateral	CPT	77067	8	$634	$119	$66.58	$268.37	1.7×	$953.13
EKG complete	CPT	93000	9	—	—	$7.36	$77.17	3.2×	$334
EKG tracing only	CPT	93005	13	$359	$67.38	$3.34	$215.4	1.8×	$470.02
EKG interpretation only	CPT	93010	9	—	—	$4.03	$54.66	3.0×	$97.38
Transthoracic echocardiogram complete	CPT	93306	13	$4,118	$772.94	$101.82	$1,524.24	2.5×	$4,338.43
Transthoracic echocardiogram	CPT	93307	13	$2,033	$381.59	$70.8	$848.43	3.4×	$1,979.73
Stress echocardiogram	CPT	93350	13	$2,547	$478.07	$96.03	$1,344.39	2.7×	$4,338.43
inpatient
Respiratory infections & inflammations w MCC	MS-DRG	177	13	—	$2,726	$60	$23,098	1.5×	$43,143
COPD w MCC	MS-DRG	190	13	—	$2,726	$60	$14,494	1.3×	$29,972
COPD w CC	MS-DRG	191	13	—	$2,726	$60	$11,427	1.3×	$22,929
COPD w/o CC/MCC	MS-DRG	192	13	—	$2,726	$60	$8,754.16	1.3×	$17,273
Simple pneumonia & pleurisy w CC	MS-DRG	194	13	—	$2,726	$60	$11,215	1.3×	$21,885
Simple pneumonia & pleurisy w/o CC/MCC	MS-DRG	195	13	—	$2,726	$60	$8,533.19	1.3×	$16,619
AMI discharged alive w MCC	MS-DRG	280	13	—	$2,726	$60	$21,063	1.3×	$43,807
AMI discharged alive w CC	MS-DRG	281	13	—	$2,726	$60	$12,424	1.3×	$24,602
AMI discharged alive w/o CC/MCC	MS-DRG	282	13	—	$2,726	$60	$9,452.84	1.2×	$19,352
Heart failure & shock w MCC	MS-DRG	291	13	—	$2,726	$60	$17,512	1.4×	$34,824
Heart failure & shock w CC	MS-DRG	292	13	—	$2,726	$60	$11,683	1.3×	$22,985
Heart failure & shock w/o CC/MCC	MS-DRG	293	13	—	$2,726	$60	$7,658.86	1.2×	$14,644
Cardiac arrhythmia w MCC	MS-DRG	308	13	—	$2,726	$60	$15,500	1.3×	$32,184
Cardiac arrhythmia w CC	MS-DRG	309	13	—	$2,726	$60	$9,812.13	1.3×	$19,731
Cardiac arrhythmia w/o CC/MCC	MS-DRG	310	13	—	$2,726	$60	$7,142.09	1.2×	$14,933
GI hemorrhage w CC	MS-DRG	378	13	—	$2,726	$60	$12,688	1.3×	$26,313
GI hemorrhage w/o CC/MCC	MS-DRG	379	13	—	$2,726	$60	$8,366.72	1.2×	$16,993
Esophagitis/gastroenteritis w/o MCC	MS-DRG	392	13	—	$2,726	$60	$9,777.96	1.2×	$20,825
Fractures of femur w/o MCC	MS-DRG	533	13	—	$2,726	$60	$19,696	1.3×	$40,698
Kidney/UTI w MCC	MS-DRG	689	13	—	$2,726	$60	$14,460	1.2×	$31,234
Kidney/UTI w/o MCC	MS-DRG	690	13	—	$2,726	$60	$10,191	1.2×	$21,421
Septicemia or severe sepsis w MV 96+ hrs	MS-DRG	871	13	—	$2,726	$60	$24,190	1.3×	$52,366
Septicemia or severe sepsis w/o MV 96+ hrs	MS-DRG	872	13	—	$2,726	$60	$13,290	1.3×	$27,516
Initial hospital care, low complexity	CPT	99221	9	—	—	$15.02	$91.18	0.98×	$9,368
Initial hospital care, moderate complexity	CPT	99222	10	—	—	$15.02	$1,526.92	9.0×	$9,368
Initial hospital care, high complexity	CPT	99223	10	—	—	$15.02	$1,526.92	6.8×	$9,368
Hospital discharge, <30 min	CPT	99238	10	—	—	$15.02	$1,526.92	17.8×	$9,368
Hospital discharge, >30 min	CPT	99239	10	—	—	$15.02	$1,526.92	12.6×	$9,368
lab
Basic metabolic panel (BMP)	CPT	80048	13	$164	$9.31	$3.98	$16.92	0.52×	$104.58
General health panel	CPT	80050	9	—	—	$16.45	$63.77	0.59×	$161.56
Electrolyte panel	CPT	80051	13	$133	$7.71	$3.29	$14.02	0.59×	$84.81
Comprehensive metabolic panel	CPT	80053	13	$328	$11.62	$4.96	$21.12	0.48×	$209.16
Lipid panel	CPT	80061	13	$247	$14.73	$6.29	$26.78	0.70×	$157.51
Renal function panel	CPT	80069	13	$210	$9.55	$4.08	$17.27	0.63×	$133.91
Hepatic function panel	CPT	80076	13	$180	$8.99	$3.84	$16.34	0.61×	$114.78
Urinalysis non-automated	CPT	81002	13	$43	$3.83	$1.64	$6.93	1.00×	$27.42
Urinalysis automated	CPT	81003	13	$77	$2.48	$1.06	$4.48	0.32×	$49.1
Glucose quantitative	CPT	82947	13	$46	$4.32	$1.85	$5.27	0.30×	$29.33
Hemoglobin A1c	CPT	83036	13	$115	$10.68	$4.56	$18.91	0.70×	$73.33
Thyroid stimulating hormone (TSH)	CPT	84443	13	$275	$18.48	$7.9	$33.6	0.71×	$175.36
Complete blood count with automated differential	CPT	85025	13	$146	$8.55	$3.65	$15.46	0.58×	$93.1
Complete blood count without differential	CPT	85027	13	$102	$7.12	$3.04	$12.88	0.60×	$65.04
Urine culture bacterial	CPT	87086	13	$130	$8.88	$3.79	$16.06	0.69×	$82.9
Urine culture identification	CPT	87088	13	$78	$8.9	$3.8	$12.83	0.58×	$49.74
Tissue exam by pathologist level IV	CPT	88305	13	$429	$80.52	$23.57	$104	1.0×	$481
maternity
Fetal non-stress test	CPT	59025	13	$1,064	$5,855	$25.35	$678.51	3.6×	$4,118
Routine obstetric care including vaginal delivery	CPT	59400	8	—	$5,855	$15.02	$63.28	0.03×	$4,118
Vaginal delivery only	CPT	59409	13	—	$5,855	$15.02	$3,474.84	1.6×	$14,541
Vaginal delivery with postpartum	CPT	59410	7	—	$5,855	$15.02	$61.4	0.06×	$2,612
Routine obstetric care with C-section	CPT	59510	8	—	$5,855	$15.02	$63.28	0.03×	$4,118
C-section delivery only	CPT	59514	7	—	$5,855	$15.02	$61.4	0.06×	$4,118
C-section with postpartum	CPT	59515	8	—	$5,855	$15.02	$63.28	0.05×	$2,612
office
Office visit, new patient, 15-29 min	CPT	99202	8	$391	$73.39	$38.57	$241.97	2.8×	$380.75
Office visit, new patient, 30-44 minutes	CPT	99203	8	$578	$108.49	$59.34	$357.7	2.9×	$562.85
Office visit, new patient, 45-59 min	CPT	99204	8	$697	$130.82	$88.72	$431.34	2.5×	$678.73
Office visit, new patient, 60-74 min	CPT	99205	8	$809	$151.84	$116.9	$500.65	2.3×	$787.8
Office visit, established patient, 5 min	CPT	99211	8	$305	$57.24	$12.1	$188.75	2.9×	$297
Office visit, established patient, 10-19 min	CPT	99212	8	$465	$87.28	$30.25	$287.77	3.6×	$452.81
Office visit, established patient, 20-29 minutes	CPT	99213	8	$513	$96.29	$48.38	$317.47	2.8×	$499.55
Office visit, established patient, 30-39 minutes	CPT	99214	8	$564	$105.86	$68.14	$349.03	2.3×	$549.22
Office visit, established patient, 40-54 min	CPT	99215	8	$665	$124.82	$99.88	$411.54	2.2×	$647.57
preventive
Upper GI endoscopy diagnostic	CPT	43235	13	—	$5,855	$15.02	$1,045.13	1.1×	$4,523
Upper GI endoscopy with biopsy	CPT	43239	13	—	$5,855	$15.02	$1,673.82	1.7×	$4,523
Sigmoidoscopy diagnostic	CPT	45330	13	—	$5,855	$15.02	$1,016.32	1.2×	$4,169.49
Sigmoidoscopy with biopsy	CPT	45331	13	—	$5,855	$15.02	$1,016.32	1.1×	$4,169.49
Colonoscopy diagnostic	CPT	45378	13	—	$5,855	$15.02	$1,673.82	1.9×	$4,523
Colonoscopy with biopsy	CPT	45380	13	—	$5,855	$15.02	$1,673.82	1.4×	$5,392.23
Colonoscopy with polyp removal	CPT	45385	13	—	$5,855	$15.02	$1,673.82	1.4×	$5,392.23
surgery
Total shoulder arthroplasty	CPT	23472	13	—	$5,855	$15.02	$20,098	4.9×	$84,103
PCI w drug-eluting stent w MCC	MS-DRG	246	2	—	—	$25,837	$34,027	1.2×	$42,216
PCI w drug-eluting stent w/o MCC	MS-DRG	247	2	—	—	$16,570	$22,126	1.2×	$27,682
Hip hemiarthroplasty	CPT	27125	8	—	$5,855	$15.02	$1,136.9	0.91×	$26,500
Total hip replacement	CPT	27130	13	—	$5,855	$15.02	$14,062	3.2×	$58,843
Total knee replacement	CPT	27447	13	—	$5,855	$15.02	$14,062	3.4×	$58,843
Knee revision arthroplasty single component	CPT	27486	8	—	$5,855	$15.02	$1,205.51	0.72×	$26,500
Knee revision arthroplasty all components	CPT	27487	8	—	$5,855	$15.02	$1,293.08	0.65×	$26,500
Shoulder arthroscopy with decompression	CPT	29826	8	—	$5,855	$15.02	$802.61	2.5×	$24,027
Shoulder arthroscopy with rotator cuff repair	CPT	29827	13	—	$5,855	$15.02	$7,807.24	2.4×	$32,670
Knee arthroscopy with meniscectomy	CPT	29881	13	—	$5,855	$15.02	$3,545.97	1.7×	$24,027
ACL reconstruction	CPT	29888	13	—	$5,855	$15.02	$7,807.24	2.3×	$32,670
Major small/large bowel procedures w MCC	MS-DRG	329	13	—	$2,726	$60	$61,521	1.4×	$122,553
Major small/large bowel procedures w CC	MS-DRG	330	13	—	$2,726	$60	$31,582	1.4×	$63,085
Major small/large bowel procedures w/o CC/MCC	MS-DRG	331	13	—	$2,726	$60	$21,292	1.3×	$44,064
CABG single arterial graft	CPT	33533	8	—	$5,855	$15.02	$90.66	0.05×	$3,236
CABG 2 arterial grafts	CPT	33534	8	—	$5,855	$15.02	$90.66	0.04×	$3,236
CABG 3 arterial grafts	CPT	33535	8	—	$5,855	$15.02	$90.66	0.04×	$3,236
CABG 4+ arterial grafts	CPT	33536	8	—	$5,855	$15.02	$90.66	0.04×	$3,236
Laparoscopic cholecystectomy w/o CDE w MCC	MS-DRG	418	13	—	$2,726	$60	$21,117	1.3×	$44,261
Laparoscopic cholecystectomy w/o CDE w CC	MS-DRG	419	13	—	$2,726	$60	$16,455	1.2×	$35,165
Laparoscopic cholecystectomy w/o CDE w/o CC/MCC	MS-DRG	420	13	—	$2,726	$60	$43,659	1.3×	$94,199
Open appendectomy	CPT	44950	13	—	$5,855	$15.02	$5,390	4.7×	$28,536
Laparoscopic appendectomy	CPT	44970	13	—	$5,855	$15.02	$6,376.26	4.1×	$26,682
Spinal fusion (non-cervical) w MCC	MS-DRG	459	2	—	—	$50,935	$91,019	1.8×	$101,547
Spinal fusion (non-cervical) w/o MCC	MS-DRG	460	2	—	—	$32,209	$52,549	1.6×	$56,006
Major joint replacement w MCC	MS-DRG	469	13	—	$2,726	$60	$42,482	1.4×	$87,238
Major joint replacement w/o MCC	MS-DRG	470	13	—	$2,726	$60	$24,608	1.3×	$47,391
Laparoscopic cholecystectomy	CPT	47562	13	—	$5,855	$15.02	$6,376.26	3.6×	$26,682
Lap cholecystectomy with cholangiography	CPT	47563	13	—	$5,855	$15.02	$6,376.26	3.4×	$26,682
Hip & femur procedures except major joint w MCC	MS-DRG	480	13	—	$2,726	$60	$38,141	1.4×	$78,492
Hip & femur procedures except major joint w CC	MS-DRG	481	13	—	$2,726	$60	$25,985	1.3×	$55,377
Hip & femur procedures except major joint w/o CC/MCC	MS-DRG	482	13	—	$2,726	$60	$20,592	1.3×	$42,339
Lap inguinal hernia repair	CPT	49650	13	—	$5,855	$15.02	$6,376.26	5.7×	$26,682
Total abdominal hysterectomy	CPT	58150	8	—	$5,855	$15.02	$90.66	0.09×	$6,341
Vaginal hysterectomy	CPT	58260	13	—	$5,855	$15.02	$5,394.95	3.0×	$22,576
Lap-assisted vaginal hysterectomy	CPT	58550	13	—	$5,855	$15.02	$6,376.26	4.3×	$26,682
Lap-assisted vaginal hysterectomy >250g	CPT	58552	13	—	$5,855	$15.02	$7,987	3.6×	$47,613
Lap salpingo-oophorectomy	CPT	58661	13	—	$5,855	$15.02	$6,376.26	3.1×	$26,682
OR procedure for obesity w MCC	MS-DRG	619	13	—	$2,726	$60	$26,150	0.96×	$53,704
OR procedure for obesity w CC	MS-DRG	620	13	—	$2,726	$60	$20,134	1.2×	$43,329
OR procedure for obesity w/o CC/MCC	MS-DRG	621	13	—	$2,726	$60	$19,864	1.3×	$43,329
Complex cataract surgery	CPT	66982	13	—	$5,855	$15.02	$2,612	1.2×	$10,430
Cataract surgery with lens implant	CPT	66984	13	—	$5,855	$15.02	$2,612	1.2×	$10,430
Intravitreal injection	CPT	67028	13	—	$5,855	$15.02	$380.41	1.1×	$3,236
Vitrectomy mechanical	CPT	67042	13	—	$5,855	$15.02	$4,440.47	1.8×	$18,398
Uterine & adnexa procedures w CC/MCC	MS-DRG	743	13	—	$2,726	$60	$13,907	1.1×	$31,992
Uterine & adnexa procedures w/o CC/MCC	MS-DRG	744	13	—	$2,726	$60	$22,857	1.2×	$52,150
PCI single major coronary artery	CPT	92920	14	$15,906	—	$15.02	$6,231.08	1.1×	$50,824
PCI with drug-eluting stent	CPT	92928	14	$24,712	—	$15.02	$12,394	1.2×	$51,863
PCI bypass graft	CPT	92937	14	$17,872	—	$15.02	$12,394	1.1×	$51,863
Left heart catheterization	CPT	93452	13	$14,112	$2,648.82	$460.23	$6,308	2.0×	$14,710
Coronary angiography with cath	CPT	93455	13	$21,408	$4,018.28	$516.71	$6,422.4	2.0×	$16,521
Coronary angiography with bypass cath	CPT	93458	13	$21,894	$4,109.5	$533.38	$6,568.2	2.1×	$16,896

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 14)

Payer	Codes covered	Median rate
Blue Cross Blue Shield	198	$814.11
qualcare inc	198	$214.94
wellpoint	194	$194.55
Cigna	194	$463.33
First Health	194	$60
Aetna	194	$880.76
amerihealth	192	$939.71
UnitedHealthcare	187	$493.7
Emblem Health	164	$1,036.73
clover health	160	$390.3
fidelis care	160	$390.3
WellCare	160	$776.7
Humana	160	$390.3
Self-Pay (Cash)	21	$18.77

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