▸ Hospital · NC · CCN 340158
Novant Health Brunswick Medical Center
240 HOSPITAL DRIVE NE, BOLIVIA, NC, 28422
65 bedsAcute Care Hospitals2
Compliance grade
A
100/100
Procedures tracked
194
of 209 target codes
Payers
24
with negotiated rates
Rates published
13,117
last crawl 2026-05-22
Procedures & rates
| Procedure | Type | Code | Payers | Gross | Cash | Neg min | Neg median | Neg max |
|---|---|---|---|---|---|---|---|---|
| behavioral | ||||||||
| Psychoses | MS-DRG | 885 | 24 | — | — | $31.87 | $75.3 | $25,899 |
| Psychiatric diagnostic evaluation | CPT | 90791 | 24 | — | — | $14.08 | $72 | $380.76 |
| Psychiatric eval with medical services | CPT | 90792 | 24 | — | — | $14.08 | $72 | $380.76 |
| Psychotherapy 30 minutes | CPT | 90832 | 24 | — | — | $14.08 | $72 | $380.76 |
| Psychotherapy 45 minutes | CPT | 90834 | 24 | — | — | $14.08 | $72 | $380.76 |
| Psychotherapy 60 minutes | CPT | 90837 | 24 | — | — | $14.08 | $72 | $380.76 |
| Crisis psychotherapy 60 minutes | CPT | 90839 | 24 | — | — | $14.08 | $72 | $380.76 |
| emergency | ||||||||
| ED visit level 1 | CPT | 99281 | 24 | $343 | $171.5 | $48.29 | $212.66 | $332.71 |
| ED visit level 2 | CPT | 99282 | 24 | $675 | $337.5 | $95.04 | $418.5 | $654.75 |
| ED visit level 3 | CPT | 99283 | 24 | $1,627 | $813.5 | $229.08 | $1,008.74 | $1,578.19 |
| ED visit level 4 | CPT | 99284 | 24 | $3,202 | $1,601 | $447.55 | $1,985.24 | $3,105.94 |
| ED visit level 5 | CPT | 99285 | 24 | $4,514 | $2,257 | $635.57 | $2,798.68 | $4,378.58 |
| Critical care, first hour | CPT | 99291 | 24 | $5,463 | $2,731.5 | $769.19 | $3,387.06 | $5,299.11 |
| imaging | ||||||||
| CT head without contrast | CPT | 70450 | 24 | $1,976 | $988 | $112.14 | $283.75 | $1,916.72 |
| CT head with contrast | CPT | 70460 | 24 | $2,347 | $1,173.5 | $188.13 | $337.02 | $2,276.59 |
| CT head with and without contrast | CPT | 70470 | 24 | $2,695 | $1,347.5 | $188.13 | $387 | $2,614.15 |
| CT neck with contrast | CPT | 70491 | 24 | $2,739 | $1,369.5 | $188.13 | $393.32 | $2,656.83 |
| MRI brain without contrast | CPT | 70551 | 24 | $3,301 | $1,650.5 | $255.92 | $504.7 | $3,201.97 |
| MRI brain with contrast | CPT | 70552 | 24 | $3,870 | $1,935 | $374.2 | $564.78 | $3,753.9 |
| MRI brain with and without contrast | CPT | 70553 | 24 | $5,126 | $2,563 | $374.2 | $736.09 | $4,972.22 |
| Chest X-ray single view | CPT | 71045 | 24 | $386 | $193 | $54.34 | $239.32 | $374.42 |
| Chest X-ray 2 views | CPT | 71046 | 24 | $458 | $229 | $64.48 | $283.96 | $444.26 |
| Chest X-ray 3 views | CPT | 71047 | 24 | $551 | $275.5 | $77.58 | $341.62 | $534.47 |
| CT chest without contrast | CPT | 71250 | 24 | $1,953 | $976.5 | $112.14 | $904.7 | $1,894.41 |
| CT chest with contrast | CPT | 71260 | 24 | $2,636 | $1,318 | $188.13 | $378.52 | $2,556.92 |
| CT chest with and without contrast | CPT | 71270 | 24 | $3,223 | $1,611.5 | $188.13 | $462.82 | $3,126.31 |
| MRI chest without contrast | CPT | 71550 | 24 | $3,271 | $1,635.5 | $255.92 | $551.07 | $3,172.87 |
| MRI chest with contrast | CPT | 71551 | 24 | $3,429 | $1,714.5 | $482.8 | $866.05 | $3,326.13 |
| MRI chest with and without contrast | CPT | 71552 | 24 | $4,622 | $2,311 | $374.2 | $836.21 | $4,483.34 |
| Lumbosacral spine X-ray | CPT | 72100 | 24 | $551 | $275.5 | $34.12 | $115.5 | $534.47 |
| CT cervical spine without contrast | CPT | 72125 | 24 | $2,392 | $1,196 | $112.14 | $343.49 | $2,320.24 |
| CT thoracic spine without contrast | CPT | 72128 | 24 | $2,055 | $1,027.5 | $112.14 | $295.09 | $1,993.35 |
| CT lumbar spine without contrast | CPT | 72131 | 24 | $2,547 | $1,273.5 | $112.14 | $365.74 | $2,470.59 |
| MRI cervical spine without contrast | CPT | 72141 | 24 | $3,993 | $1,996.5 | $255.92 | $573.39 | $3,873.21 |
| MRI thoracic spine without contrast | CPT | 72146 | 24 | $3,993 | $1,996.5 | $255.92 | $573.39 | $3,873.21 |
| MRI lumbar spine without contrast | CPT | 72148 | 24 | $3,993 | $1,996.5 | $255.92 | $573.39 | $3,873.21 |
| MRI lumbar spine with and without contrast | CPT | 72149 | 24 | $4,350 | $2,175 | $374.2 | $624.66 | $4,219.5 |
| MRI cervical spine with and without contrast | CPT | 72156 | 24 | $5,071 | $2,535.5 | $374.2 | $731.94 | $4,918.87 |
| MRI lumbar spine with contrast | CPT | 72158 | 24 | $5,071 | $2,535.5 | $374.2 | $728.19 | $4,918.87 |
| CT pelvis without contrast | CPT | 72192 | 24 | $2,187 | $1,093.5 | $112.14 | $1,096.01 | $2,121.39 |
| CT pelvis with contrast | CPT | 72193 | 24 | $2,644 | $1,322 | $188.13 | $379.67 | $2,564.68 |
| Shoulder X-ray | CPT | 73030 | 24 | $458 | $229 | $26.41 | $96.14 | $444.26 |
| Humerus X-ray | CPT | 73060 | 24 | $458 | $229 | $25.81 | $209.79 | $444.26 |
| Hand X-ray 3 views | CPT | 73130 | 24 | $551 | $275.5 | $27.07 | $96.14 | $534.47 |
| MRI upper extremity joint without contrast | CPT | 73221 | 24 | $3,475 | $1,737.5 | $255.92 | $499.01 | $3,370.75 |
| MRI upper extremity joint with and without contrast | CPT | 73223 | 24 | $4,974 | $2,487 | $374.2 | $714.26 | $4,824.78 |
| Knee X-ray 1-2 views | CPT | 73560 | 24 | $458 | $229 | $25.81 | $96.14 | $444.26 |
| Ankle X-ray 3 views | CPT | 73610 | 24 | $551 | $275.5 | $27.07 | $96.14 | $534.47 |
| MRI lower extremity joint without contrast | CPT | 73721 | 24 | $3,475 | $1,737.5 | $255.92 | $499.01 | $3,370.75 |
| MRI lower extremity joint with and without contrast | CPT | 73723 | 24 | $4,279 | $2,139.5 | $374.2 | $708.33 | $4,150.63 |
| CT abdomen without contrast | CPT | 74150 | 24 | $2,289 | $1,144.5 | $112.14 | $328.7 | $2,220.33 |
| CT abdomen with contrast | CPT | 74160 | 24 | $2,959 | $1,479.5 | $188.13 | $424.91 | $2,870.23 |
| CT abdomen with and without contrast | CPT | 74170 | 24 | $3,407 | $1,703.5 | $188.13 | $1,744.82 | $3,304.79 |
| CT abdomen and pelvis without contrast | CPT | 74176 | 24 | $4,218 | $2,109 | $185.4 | $605.7 | $4,091.46 |
| CT abdomen and pelvis with contrast | CPT | 74177 | 24 | $5,189 | $2,594.5 | $289.88 | $745.14 | $5,033.33 |
| CT abdomen and pelvis with and without contrast | CPT | 74178 | 24 | $5,977 | $2,988.5 | $367.01 | $858.29 | $5,797.69 |
| MRI abdomen without contrast | CPT | 74181 | 24 | $3,600 | $1,800 | $255.92 | $516.96 | $3,492 |
| MRI abdomen with and without contrast | CPT | 74183 | 24 | $5,471 | $2,735.5 | $374.2 | $785.63 | $5,306.87 |
| Abdominal ultrasound complete | CPT | 76700 | 24 | $1,576 | $788 | $112.14 | $226.31 | $1,528.72 |
| Abdominal ultrasound limited | CPT | 76705 | 24 | $1,007 | $503.5 | $87.62 | $144.6 | $976.79 |
| Retroperitoneal ultrasound complete | CPT | 76770 | 24 | $1,185 | $592.5 | $110.06 | $170.16 | $1,149.45 |
| Obstetric ultrasound first trimester | CPT | 76801 | 24 | $831 | $415.5 | $108.62 | $126.14 | $806.07 |
| Obstetric ultrasound after first trimester | CPT | 76805 | 24 | $831 | $415.5 | $112.14 | $141.36 | $806.07 |
| Obstetric ultrasound with fetal anatomy | CPT | 76811 | 24 | $1,178 | $589 | $162.27 | $263.6 | $1,142.66 |
| Transvaginal ultrasound | CPT | 76830 | 24 | $1,078 | $539 | $101.44 | $154.8 | $1,045.66 |
| Pelvic ultrasound complete | CPT | 76856 | 24 | $1,358 | $679 | $102.68 | $195 | $1,317.26 |
| Scrotal ultrasound | CPT | 76870 | 24 | $1,087 | $543.5 | $101.53 | $156.09 | $1,054.39 |
| Diagnostic mammography unilateral | CPT | 77065 | 21 | $333 | $166.5 | $46.88 | $207.12 | $323.01 |
| Diagnostic mammography bilateral | CPT | 77066 | 21 | $416 | $208 | $58.57 | $258.75 | $403.52 |
| Screening mammography bilateral | CPT | 77067 | 21 | $395 | $197.5 | $55.61 | $245.69 | $383.15 |
| EKG complete | CPT | 93000 | 21 | — | — | $14.08 | $40 | $97 |
| EKG tracing only | CPT | 93005 | 24 | — | — | $9.96 | $60 | $142.38 |
| EKG interpretation only | CPT | 93010 | 21 | $46 | $23 | $6.47 | $28.61 | $44.62 |
| Transthoracic echocardiogram complete | CPT | 93306 | 24 | $2,325 | $1,162.5 | $206.8 | $1,178.98 | $2,255.25 |
| Transthoracic echocardiogram | CPT | 93307 | 24 | $2,266 | $1,133 | $133.09 | $1,132.76 | $2,198.02 |
| Stress echocardiogram | CPT | 93350 | 24 | $2,176 | $1,088 | $176.25 | $603.66 | $2,110.72 |
| inpatient | ||||||||
| Respiratory infections & inflammations w MCC | MS-DRG | 177 | 24 | — | — | $54 | $85 | $28,976 |
| COPD w MCC | MS-DRG | 190 | 24 | — | — | $54 | $85 | $20,539 |
| COPD w CC | MS-DRG | 191 | 24 | — | — | $54 | $85 | $15,631 |
| COPD w/o CC/MCC | MS-DRG | 192 | 24 | — | — | $54 | $85 | $11,904 |
| Simple pneumonia & pleurisy w CC | MS-DRG | 194 | 24 | — | — | $54 | $85 | $14,943 |
| Simple pneumonia & pleurisy w/o CC/MCC | MS-DRG | 195 | 24 | — | — | $54 | $85 | $11,654 |
| AMI discharged alive w MCC | MS-DRG | 280 | 24 | — | — | $54 | $85 | $29,743 |
| AMI discharged alive w CC | MS-DRG | 281 | 24 | — | — | $54 | $85 | $17,042 |
| AMI discharged alive w/o CC/MCC | MS-DRG | 282 | 24 | — | — | $54 | $85 | $13,408 |
| Heart failure & shock w MCC | MS-DRG | 291 | 24 | — | — | $54 | $85 | $23,804 |
| Heart failure & shock w CC | MS-DRG | 292 | 24 | — | — | $54 | $85 | $15,742 |
| Heart failure & shock w/o CC/MCC | MS-DRG | 293 | 24 | — | — | $54 | $85 | $10,495 |
| Cardiac arrhythmia w MCC | MS-DRG | 308 | 24 | — | — | $54 | $85 | $22,325 |
| Cardiac arrhythmia w CC | MS-DRG | 309 | 24 | — | — | $54 | $85 | $13,641 |
| Cardiac arrhythmia w/o CC/MCC | MS-DRG | 310 | 24 | — | — | $54 | $85 | $10,497 |
| GI hemorrhage w CC | MS-DRG | 378 | 24 | — | — | $54 | $85 | $18,184 |
| GI hemorrhage w/o CC/MCC | MS-DRG | 379 | 24 | — | — | $54 | $85 | $11,689 |
| Esophagitis/gastroenteritis w/o MCC | MS-DRG | 392 | 24 | — | — | $54 | $85 | $14,455 |
| Fractures of femur w/o MCC | MS-DRG | 533 | 24 | — | — | $54 | $85 | $29,068 |
| Kidney/UTI w MCC | MS-DRG | 689 | 24 | — | — | $54 | $85 | $21,514 |
| Kidney/UTI w/o MCC | MS-DRG | 690 | 24 | — | — | $54 | $85 | $15,010 |
| Septicemia or severe sepsis w MV 96+ hrs | MS-DRG | 871 | 24 | — | — | $54 | $85 | $36,018 |
| Septicemia or severe sepsis w/o MV 96+ hrs | MS-DRG | 872 | 24 | — | — | $54 | $85 | $18,974 |
| Initial hospital care, low complexity | CPT | 99221 | 21 | — | — | $14.08 | $62.2 | $97 |
| Initial hospital care, moderate complexity | CPT | 99222 | 21 | — | — | $14.08 | $62.2 | $97 |
| Initial hospital care, high complexity | CPT | 99223 | 21 | — | — | $14.08 | $62.2 | $97 |
| Hospital discharge, <30 min | CPT | 99238 | 21 | — | — | $14.08 | $62.2 | $97 |
| Hospital discharge, >30 min | CPT | 99239 | 21 | — | — | $14.08 | $62.2 | $97 |
| lab | ||||||||
| Basic metabolic panel (BMP) | CPT | 80048 | 24 | $126 | $63 | $9.06 | $78.12 | $122.22 |
| General health panel | CPT | 80050 | 21 | $268 | $134 | $37.73 | $166.69 | $259.96 |
| Electrolyte panel | CPT | 80051 | 24 | $104 | $52 | $7.51 | $64.48 | $100.88 |
| Comprehensive metabolic panel | CPT | 80053 | 24 | $165 | $82.5 | $11.31 | $102.3 | $160.05 |
| Lipid panel | CPT | 80061 | 24 | $200 | $100 | $14.34 | $124 | $194 |
| Renal function panel | CPT | 80069 | 24 | $179 | $89.5 | $9.3 | $110.98 | $173.63 |
| Hepatic function panel | CPT | 80076 | 24 | $121 | $60.5 | $8.75 | $75.02 | $117.37 |
| Urinalysis non-automated | CPT | 81002 | 24 | $58 | $29 | $3.73 | $35.96 | $56.26 |
| Urinalysis automated | CPT | 81003 | 24 | $46 | $23 | $2.41 | $28.52 | $44.62 |
| Glucose quantitative | CPT | 82947 | 24 | $73 | $36.5 | $4.21 | $34.8 | $70.81 |
| Hemoglobin A1c | CPT | 83036 | 24 | $145 | $72.5 | $10.4 | $89.9 | $140.65 |
| Thyroid stimulating hormone (TSH) | CPT | 84443 | 24 | $240 | $120 | $17.99 | $148.8 | $232.8 |
| Complete blood count with automated differential | CPT | 85025 | 24 | $246 | $123 | $8.32 | $93.6 | $238.62 |
| Complete blood count without differential | CPT | 85027 | 24 | $97 | $48.5 | $6.93 | $60.14 | $94.09 |
| Urine culture bacterial | CPT | 87086 | 24 | $120 | $60 | $8.64 | $74.4 | $116.4 |
| Urine culture identification | CPT | 87088 | 24 | $126 | $63 | $8.66 | $78.12 | $122.22 |
| Tissue exam by pathologist level IV | CPT | 88305 | 24 | $717 | $358.5 | $55.89 | $442.03 | $695.49 |
| maternity | ||||||||
| Fetal non-stress test | CPT | 59025 | 24 | — | — | $14.08 | $72 | $487.91 |
| Routine obstetric care including vaginal delivery | CPT | 59400 | 21 | — | — | $14.08 | $62.2 | $97 |
| Vaginal delivery only | CPT | 59409 | 24 | — | — | $14.08 | $72 | $7,812.29 |
| Vaginal delivery with postpartum | CPT | 59410 | 21 | — | — | $14.08 | $62.2 | $97 |
| Routine obstetric care with C-section | CPT | 59510 | 21 | — | — | $14.08 | $62.2 | $97 |
| C-section delivery only | CPT | 59514 | 21 | — | — | $14.08 | $62.2 | $97 |
| C-section with postpartum | CPT | 59515 | 21 | — | — | $14.08 | $62.2 | $97 |
| office | ||||||||
| Office visit, new patient, 15-29 min | CPT | 99202 | 21 | $303 | $151.5 | $42.66 | $188.46 | $293.91 |
| Office visit, new patient, 30-44 minutes | CPT | 99203 | 21 | $406 | $203 | $57.16 | $252.53 | $393.82 |
| Office visit, new patient, 45-59 min | CPT | 99204 | 21 | — | — | $14.08 | $62.2 | $97 |
| Office visit, new patient, 60-74 min | CPT | 99205 | 21 | $665 | $332.5 | $93.63 | $413.63 | $645.05 |
| Office visit, established patient, 5 min | CPT | 99211 | 21 | $147 | $73.5 | $20.69 | $91.43 | $142.59 |
| Office visit, established patient, 10-19 min | CPT | 99212 | 21 | $213 | $106.5 | $29.99 | $132.48 | $206.61 |
| Office visit, established patient, 20-29 minutes | CPT | 99213 | 21 | $264 | $132 | $37.17 | $164.2 | $256.08 |
| Office visit, established patient, 30-39 minutes | CPT | 99214 | 21 | $330 | $165 | $46.46 | $205.26 | $320.1 |
| Office visit, established patient, 40-54 min | CPT | 99215 | 21 | $369 | $184.5 | $51.95 | $229.51 | $357.93 |
| preventive | ||||||||
| Upper GI endoscopy diagnostic | CPT | 43235 | 24 | — | — | $14.08 | $72 | $2,188.87 |
| Upper GI endoscopy with biopsy | CPT | 43239 | 24 | — | — | $14.08 | $72 | $2,188.87 |
| Sigmoidoscopy diagnostic | CPT | 45330 | 24 | — | — | $14.08 | $72 | $2,244.31 |
| Sigmoidoscopy with biopsy | CPT | 45331 | 24 | — | — | $14.08 | $72 | $2,244.31 |
| Colonoscopy diagnostic | CPT | 45378 | 24 | — | — | $14.08 | $72 | $2,244.31 |
| Colonoscopy with biopsy | CPT | 45380 | 24 | — | — | $14.08 | $72 | $2,887.92 |
| Colonoscopy with polyp removal | CPT | 45385 | 24 | — | — | $14.08 | $72 | $2,887.92 |
| surgery | ||||||||
| Total shoulder arthroplasty | CPT | 23472 | 24 | — | — | $14.08 | $72 | $42,315 |
| Hip hemiarthroplasty | CPT | 27125 | 24 | — | — | $14.08 | $72 | $30,984 |
| Total hip replacement | CPT | 27130 | 24 | — | — | $14.08 | $72 | $30,984 |
| Total knee replacement | CPT | 27447 | 24 | — | — | $14.08 | $72 | $30,984 |
| Knee revision arthroplasty single component | CPT | 27486 | 24 | — | — | $14.08 | $72 | $30,984 |
| Knee revision arthroplasty all components | CPT | 27487 | 24 | — | — | $14.08 | $72 | $42,315 |
| Shoulder arthroscopy with decompression | CPT | 29826 | 21 | — | — | $14.08 | $62.2 | $97 |
| Shoulder arthroscopy with rotator cuff repair | CPT | 29827 | 24 | — | — | $14.08 | $72 | $17,512 |
| Knee arthroscopy with meniscectomy | CPT | 29881 | 24 | — | — | $14.08 | $72 | $7,896.47 |
| ACL reconstruction | CPT | 29888 | 24 | — | — | $14.08 | $72 | $17,512 |
| Major small/large bowel procedures w MCC | MS-DRG | 329 | 24 | — | — | $54 | $85 | $85,228 |
| Major small/large bowel procedures w CC | MS-DRG | 330 | 24 | — | — | $54 | $85 | $44,449 |
| Major small/large bowel procedures w/o CC/MCC | MS-DRG | 331 | 24 | — | — | $54 | $85 | $31,204 |
| CABG single arterial graft | CPT | 33533 | 21 | — | — | $14.08 | $62.2 | $97 |
| CABG 2 arterial grafts | CPT | 33534 | 21 | — | — | $14.08 | $62.2 | $97 |
| CABG 3 arterial grafts | CPT | 33535 | 21 | — | — | $14.08 | $62.2 | $97 |
| CABG 4+ arterial grafts | CPT | 33536 | 21 | — | — | $14.08 | $62.2 | $97 |
| Laparoscopic cholecystectomy w/o CDE w MCC | MS-DRG | 418 | 24 | — | — | $54 | $85 | $31,366 |
| Laparoscopic cholecystectomy w/o CDE w CC | MS-DRG | 419 | 24 | — | — | $54 | $85 | $25,325 |
| Laparoscopic cholecystectomy w/o CDE w/o CC/MCC | MS-DRG | 420 | 24 | — | — | $54 | $85 | $63,174 |
| Open appendectomy | CPT | 44950 | 24 | — | — | $14.08 | $72 | $15,624 |
| Laparoscopic appendectomy | CPT | 44970 | 24 | — | — | $14.08 | $72 | $14,590 |
| Major joint replacement w MCC | MS-DRG | 469 | 24 | — | — | $54 | $85 | $56,242 |
| Major joint replacement w/o MCC | MS-DRG | 470 | 24 | — | — | $54 | $85 | $35,766 |
| Laparoscopic cholecystectomy | CPT | 47562 | 24 | — | — | $14.08 | $72 | $14,590 |
| Lap cholecystectomy with cholangiography | CPT | 47563 | 24 | — | — | $14.08 | $72 | $14,590 |
| Hip & femur procedures except major joint w MCC | MS-DRG | 480 | 24 | — | — | $54 | $85 | $54,000 |
| Hip & femur procedures except major joint w CC | MS-DRG | 481 | 24 | — | — | $54 | $85 | $38,836 |
| Hip & femur procedures except major joint w/o CC/MCC | MS-DRG | 482 | 24 | — | — | $54 | $85 | $30,242 |
| Lap inguinal hernia repair | CPT | 49650 | 24 | — | — | $14.08 | $72 | $14,590 |
| Total abdominal hysterectomy | CPT | 58150 | 21 | — | — | $14.08 | $62.2 | $97 |
| Vaginal hysterectomy | CPT | 58260 | 24 | — | — | $14.08 | $72 | $12,073 |
| Lap-assisted vaginal hysterectomy | CPT | 58550 | 24 | — | — | $14.08 | $72 | $14,590 |
| Lap-assisted vaginal hysterectomy >250g | CPT | 58552 | 24 | — | — | $14.08 | $72 | $25,653 |
| Lap salpingo-oophorectomy | CPT | 58661 | 24 | — | — | $14.08 | $72 | $14,590 |
| OR procedure for obesity w MCC | MS-DRG | 619 | 24 | — | — | $54 | $85 | $53,538 |
| OR procedure for obesity w CC | MS-DRG | 620 | 24 | — | — | $54 | $85 | $29,673 |
| OR procedure for obesity w/o CC/MCC | MS-DRG | 621 | 24 | — | — | $54 | $85 | $27,969 |
| Complex cataract surgery | CPT | 66982 | 24 | — | — | $14.08 | $72 | $5,569.58 |
| Cataract surgery with lens implant | CPT | 66984 | 24 | — | — | $14.08 | $72 | $5,569.58 |
| Intravitreal injection | CPT | 67028 | 24 | — | — | $14.08 | $72 | $797.15 |
| Vitrectomy mechanical | CPT | 67042 | 24 | — | — | $14.08 | $72 | $9,975.38 |
| Uterine & adnexa procedures w CC/MCC | MS-DRG | 743 | 24 | — | — | $54 | $85 | $23,005 |
| Uterine & adnexa procedures w/o CC/MCC | MS-DRG | 744 | 24 | — | — | $54 | $85 | $37,994 |
| PCI single major coronary artery | CPT | 92920 | 24 | — | — | $14.08 | $72 | $13,736 |
| PCI with drug-eluting stent | CPT | 92928 | 24 | — | — | $14.08 | $72 | $27,860 |
| PCI bypass graft | CPT | 92937 | 24 | — | — | $14.08 | $72 | $27,860 |
| Left heart catheterization | CPT | 93452 | 24 | — | — | $14.08 | $72 | $7,823.9 |
| Coronary angiography with cath | CPT | 93455 | 24 | — | — | $14.08 | $72 | $7,823.9 |
| Coronary angiography with bypass cath | CPT | 93458 | 24 | — | — | $14.08 | $72 | $7,823.9 |
Payer mix (top 24)
| Payer | Codes covered | Median rate |
|---|---|---|
| Aetna | 194 | $93.16 |
| Ambetter | 194 | $575.82 |
| amerihealth | 194 | $79.12 |
| amps | 194 | $55 |
| atlantic corporation dba atlantic packaging | 194 | $54 |
| bcbsfl | 194 | $72 |
| Blue Cross Blue Shield | 194 | $284.87 |
| CareSource | 194 | $220.4 |
| carolina complete | 194 | $77.58 |
| Cigna | 194 | $196.09 |
| employers choice network | 194 | $97 |
| Humana | 194 | $230.48 |
| transformhealth | 194 | $80 |
| UnitedHealthcare | 194 | $185.73 |
| WellCare | 194 | $79.12 |
| medcost | 194 | $84.1 |
| Multiplan | 194 | $90 |
| nc department of public safety | 194 | $376.26 |
| phcs | 194 | $90 |
| plotkin health | 194 | $60 |
| three rivers provider network | 194 | $97 |
| liberty health | 163 | $392.91 |
| pace of the southern piedmont | 163 | $374.2 |
| new hanover health advantage | 163 | $381.68 |