▸ Hospital · OH · CCN 360041
Parma Community General Hospital
7007 POWERS BLVD., PARMA, OH, 44129-5495
176 bedsAcute Care Hospitals2
Compliance grade
A
100/100
Procedures tracked
189
of 209 target codes
Payers
30
with negotiated rates
Rates published
67,190
last crawl 2026-05-24
Procedures & rates
| Procedure | Type | Code | Payers | Gross | Cash | Neg min | Neg median | Neg max |
|---|---|---|---|---|---|---|---|---|
| behavioral | ||||||||
| Psychoses | MS-DRG | 885 | 19 | — | — | $987 | $10,015 | $21,269 |
| Psychiatric diagnostic evaluation | CPT | 90791 | 17 | — | — | $148.95 | $148.95 | $268.11 |
| Psychiatric eval with medical services | CPT | 90792 | 17 | — | — | $148.95 | $148.95 | $268.11 |
| Psychotherapy 30 minutes | CPT | 90832 | 37 | $248 | $186 | $74.65 | $148.95 | $268.11 |
| Psychotherapy 45 minutes | CPT | 90834 | 17 | — | — | $148.95 | $148.95 | $268.11 |
| Psychotherapy 60 minutes | CPT | 90837 | 17 | — | — | $148.95 | $148.95 | $268.11 |
| Crisis psychotherapy 60 minutes | CPT | 90839 | 37 | $727 | $545.25 | $148.95 | $363.5 | $654.3 |
| emergency | ||||||||
| ED visit level 1 | CPT | 99281 | 37 | $400 | $300 | $81.63 | $200 | $971 |
| ED visit level 2 | CPT | 99282 | 37 | $654 | $490.5 | $146.81 | $327 | $971 |
| ED visit level 3 | CPT | 99283 | 37 | $1,090 | $817.5 | $256.69 | $545 | $1,433 |
| ED visit level 4 | CPT | 99284 | 37 | $1,711 | $1,283.25 | $394.75 | $855.5 | $1,539.9 |
| ED visit level 5 | CPT | 99285 | 37 | $5,300 | $3,975 | $550 | $2,104.96 | $4,770 |
| Critical care, first hour | CPT | 99291 | 37 | $3,766 | $2,824.5 | $550 | $1,883 | $3,389.4 |
| imaging | ||||||||
| CT head without contrast | CPT | 70450 | 37 | $1,612 | $1,209 | $98.58 | $806 | $1,843 |
| CT head with contrast | CPT | 70460 | 37 | $1,918 | $1,438.5 | $165.03 | $959 | $1,843 |
| CT head with and without contrast | CPT | 70470 | 37 | $2,088 | $1,566 | $165.03 | $1,044 | $1,879.2 |
| CT neck with contrast | CPT | 70491 | 37 | $2,218 | $1,663.5 | $165.03 | $1,109 | $1,996.2 |
| MRI brain without contrast | CPT | 70551 | 37 | $2,668 | $2,001 | $224.08 | $1,334 | $2,401.2 |
| MRI brain with contrast | CPT | 70552 | 37 | $2,837 | $2,127.75 | $331.07 | $1,418.5 | $2,553.3 |
| MRI brain with and without contrast | CPT | 70553 | 37 | $3,007 | $2,255.25 | $331.07 | $1,503.5 | $2,706.3 |
| Chest X-ray single view | CPT | 71045 | 37 | $375 | $281.25 | $45.15 | $187.5 | $740 |
| Chest X-ray 2 views | CPT | 71046 | 37 | $469 | $351.75 | $61.65 | $234.5 | $740 |
| Chest X-ray 3 views | CPT | 71047 | 37 | $641 | $480.75 | $78.18 | $320.5 | $740 |
| CT chest without contrast | CPT | 71250 | 37 | $1,948 | $1,461 | $98.58 | $974 | $1,843 |
| CT chest with contrast | CPT | 71260 | 37 | $2,240 | $1,680 | $165.03 | $1,120 | $2,016 |
| CT chest with and without contrast | CPT | 71270 | 37 | $2,345 | $1,758.75 | $165.03 | $1,172.5 | $2,110.5 |
| MRI chest without contrast | CPT | 71550 | 37 | $2,331 | $1,748.25 | $224.08 | $1,165.5 | $2,258 |
| MRI chest with contrast | CPT | 71551 | 37 | $2,699 | $2,024.25 | $732.42 | $1,349.5 | $2,429.1 |
| MRI chest with and without contrast | CPT | 71552 | 37 | $3,689 | $2,766.75 | $331.07 | $1,844.5 | $3,320.1 |
| Lumbosacral spine X-ray | CPT | 72100 | 37 | $563 | $422.25 | $77.25 | $281.5 | $740 |
| CT cervical spine without contrast | CPT | 72125 | 37 | $2,011 | $1,508.25 | $98.58 | $1,005.5 | $1,843 |
| CT thoracic spine without contrast | CPT | 72128 | 37 | $1,877 | $1,407.75 | $98.58 | $938.5 | $1,843 |
| CT lumbar spine without contrast | CPT | 72131 | 37 | $2,224 | $1,668 | $98.58 | $1,112 | $2,001.6 |
| MRI cervical spine without contrast | CPT | 72141 | 37 | $2,813 | $2,109.75 | $224.08 | $1,406.5 | $2,531.7 |
| MRI thoracic spine without contrast | CPT | 72146 | 37 | $2,905 | $2,178.75 | $224.08 | $1,452.5 | $2,614.5 |
| MRI lumbar spine without contrast | CPT | 72148 | 37 | $2,905 | $2,178.75 | $224.08 | $1,452.5 | $2,614.5 |
| MRI lumbar spine with and without contrast | CPT | 72149 | 37 | $3,130 | $2,347.5 | $331.07 | $1,565 | $2,817 |
| MRI cervical spine with and without contrast | CPT | 72156 | 37 | $3,321 | $2,490.75 | $331.07 | $1,660.5 | $2,988.9 |
| MRI lumbar spine with contrast | CPT | 72158 | 37 | $3,321 | $2,490.75 | $331.07 | $1,660.5 | $2,988.9 |
| CT pelvis without contrast | CPT | 72192 | 37 | $1,786 | $1,339.5 | $98.58 | $893 | $1,843 |
| CT pelvis with contrast | CPT | 72193 | 37 | $2,193 | $1,644.75 | $165.03 | $1,096.5 | $1,973.7 |
| Shoulder X-ray | CPT | 73030 | 37 | $591 | $443.25 | $67.17 | $295.5 | $740 |
| Humerus X-ray | CPT | 73060 | 37 | $466 | $349.5 | $64.41 | $233 | $740 |
| Hand X-ray 3 views | CPT | 73130 | 37 | $553 | $414.75 | $74.49 | $276.5 | $740 |
| MRI upper extremity joint without contrast | CPT | 73221 | 37 | $2,727 | $2,045.25 | $224.08 | $1,363.5 | $2,454.3 |
| MRI upper extremity joint with and without contrast | CPT | 73223 | 37 | $3,370 | $2,527.5 | $331.07 | $1,685 | $3,033 |
| Knee X-ray 1-2 views | CPT | 73560 | 37 | $363 | $272.25 | $69.9 | $181.5 | $740 |
| Ankle X-ray 3 views | CPT | 73610 | 37 | $509 | $381.75 | $75.42 | $254.5 | $740 |
| MRI lower extremity joint without contrast | CPT | 73721 | 37 | $3,370 | $2,527.5 | $224.08 | $1,685 | $3,033 |
| MRI lower extremity joint with and without contrast | CPT | 73723 | 37 | $3,370 | $2,527.5 | $331.07 | $1,685 | $3,033 |
| CT abdomen without contrast | CPT | 74150 | 37 | $2,208 | $1,656 | $98.58 | $1,104 | $1,987.2 |
| CT abdomen with contrast | CPT | 74160 | 37 | $2,516 | $1,887 | $165.03 | $1,258 | $2,264.4 |
| CT abdomen with and without contrast | CPT | 74170 | 37 | $2,627 | $1,970.25 | $165.03 | $1,313.5 | $2,364.3 |
| CT abdomen and pelvis without contrast | CPT | 74176 | 37 | $3,101 | $2,325.75 | $224.08 | $1,550.5 | $2,790.9 |
| CT abdomen and pelvis with contrast | CPT | 74177 | 37 | $3,197 | $2,397.75 | $331.07 | $1,595 | $2,877.3 |
| CT abdomen and pelvis with and without contrast | CPT | 74178 | 37 | $3,340 | $2,505 | $331.07 | $1,603.2 | $3,006 |
| MRI abdomen without contrast | CPT | 74181 | 37 | $2,930 | $2,197.5 | $224.08 | $1,465 | $2,637 |
| MRI abdomen with and without contrast | CPT | 74183 | 37 | $3,371 | $2,528.25 | $331.07 | $1,685.5 | $3,033.9 |
| Abdominal ultrasound complete | CPT | 76700 | 37 | $1,436 | $1,077 | $98.58 | $718 | $1,292.4 |
| Abdominal ultrasound limited | CPT | 76705 | 37 | $965 | $723.75 | $98.58 | $482.5 | $868.5 |
| Retroperitoneal ultrasound complete | CPT | 76770 | 37 | $1,247 | $935.25 | $98.58 | $623.5 | $1,122.3 |
| Obstetric ultrasound first trimester | CPT | 76801 | 37 | $1,028 | $771 | $98.58 | $514 | $925.2 |
| Obstetric ultrasound after first trimester | CPT | 76805 | 37 | $1,112 | $834 | $98.58 | $556 | $1,000.8 |
| Obstetric ultrasound with fetal anatomy | CPT | 76811 | 37 | $1,174 | $880.5 | $224.08 | $587 | $1,056.6 |
| Transvaginal ultrasound | CPT | 76830 | 37 | $1,125 | $843.75 | $98.58 | $562.5 | $1,012.5 |
| Pelvic ultrasound complete | CPT | 76856 | 37 | $1,179 | $884.25 | $98.58 | $589.5 | $1,061.1 |
| Scrotal ultrasound | CPT | 76870 | 37 | $943 | $707.25 | $98.58 | $471.5 | $848.7 |
| Diagnostic mammography unilateral | CPT | 77065 | 37 | $644 | $483 | $77.58 | $322 | $579.6 |
| Diagnostic mammography bilateral | CPT | 77066 | 37 | $840 | $630 | $98.8 | $403.2 | $756 |
| Screening mammography bilateral | CPT | 77067 | 37 | $653 | $489.75 | $81.66 | $326.5 | $587.7 |
| EKG tracing only | CPT | 93005 | 37 | $375 | $281.25 | $55.07 | $187.5 | $337.5 |
| Transthoracic echocardiogram complete | CPT | 93306 | 37 | $2,726 | $2,044.5 | $508.3 | $1,363 | $2,453.4 |
| Transthoracic echocardiogram | CPT | 93307 | 37 | $1,639 | $1,229.25 | $224.08 | $819.5 | $1,475.1 |
| Stress echocardiogram | CPT | 93350 | 37 | $2,499 | $1,874.25 | $508.3 | $1,249.5 | $2,249.1 |
| inpatient | ||||||||
| Intracranial hemorrhage/CVA w MCC | MS-DRG | 064 | 19 | — | — | $14,014 | $14,715 | $30,015 |
| Intracranial hemorrhage/CVA w CC | MS-DRG | 065 | 19 | — | — | $7,305.62 | $7,670.9 | $15,344 |
| Intracranial hemorrhage/CVA w/o CC/MCC | MS-DRG | 066 | 19 | — | — | $4,987.42 | $5,290.37 | $10,386 |
| Respiratory infections & inflammations w MCC | MS-DRG | 177 | 19 | — | — | $11,443 | $12,015 | $24,391 |
| COPD w MCC | MS-DRG | 190 | 19 | — | — | $8,037.65 | $8,439.53 | $16,945 |
| COPD w CC | MS-DRG | 191 | 19 | — | — | $6,216.87 | $6,527.71 | $12,963 |
| COPD w/o CC/MCC | MS-DRG | 192 | 19 | — | — | $4,689.61 | $4,992.62 | $9,765.6 |
| Simple pneumonia & pleurisy w CC | MS-DRG | 194 | 19 | — | — | $5,941.72 | $6,244.47 | $12,373 |
| Simple pneumonia & pleurisy w/o CC/MCC | MS-DRG | 195 | 19 | — | — | $4,512.08 | $4,815.13 | $9,395.92 |
| AMI discharged alive w MCC | MS-DRG | 280 | 19 | — | — | $11,614 | $12,195 | $24,767 |
| AMI discharged alive w CC | MS-DRG | 281 | 19 | — | — | $6,649.48 | $6,981.95 | $13,909 |
| AMI discharged alive w/o CC/MCC | MS-DRG | 282 | 19 | — | — | $5,254.07 | $5,556.98 | $10,941 |
| Heart failure & shock w MCC | MS-DRG | 291 | 19 | — | — | $9,291.98 | $9,756.58 | $19,688 |
| Heart failure & shock w CC | MS-DRG | 292 | 19 | — | — | $6,231.37 | $6,542.94 | $12,995 |
| Heart failure & shock w/o CC/MCC | MS-DRG | 293 | 19 | — | — | $3,975.88 | $4,279.04 | $8,279.33 |
| Cardiac arrhythmia w MCC | MS-DRG | 308 | 19 | — | — | $8,609.61 | $9,040.09 | $18,196 |
| Cardiac arrhythmia w CC | MS-DRG | 309 | 19 | — | — | $5,356.97 | $5,659.84 | $11,155 |
| Cardiac arrhythmia w/o CC/MCC | MS-DRG | 310 | 19 | — | — | $4,054.14 | $4,357.29 | $8,442.3 |
| GI hemorrhage w CC | MS-DRG | 378 | 19 | — | — | $7,091.73 | $7,446.32 | $14,876 |
| GI hemorrhage w/o CC/MCC | MS-DRG | 379 | 19 | — | — | $4,613.53 | $4,916.56 | $9,607.17 |
| Esophagitis/gastroenteritis w/o MCC | MS-DRG | 392 | 19 | — | — | $5,654.05 | $5,956.86 | $11,774 |
| Fractures of femur w/o MCC | MS-DRG | 533 | 19 | — | — | $10,811 | $11,351 | $23,009 |
| Kidney/UTI w MCC | MS-DRG | 689 | 19 | — | — | $8,364.01 | $8,782.21 | $17,659 |
| Kidney/UTI w/o MCC | MS-DRG | 690 | 19 | — | — | $5,815.64 | $6,118.39 | $12,110 |
| Septicemia or severe sepsis w MV 96+ hrs | MS-DRG | 871 | 19 | — | — | $13,827 | $14,518 | $29,606 |
| Septicemia or severe sepsis w/o MV 96+ hrs | MS-DRG | 872 | 19 | — | — | $7,402.9 | $7,773.05 | $15,557 |
| lab | ||||||||
| Basic metabolic panel (BMP) | CPT | 80048 | 37 | $158 | $118.5 | $3.47 | $79 | $142.2 |
| General health panel | CPT | 80050 | 2 | — | — | $17.1 | $58.25 | $99.39 |
| Electrolyte panel | CPT | 80051 | 37 | $154 | $115.5 | $2.14 | $77 | $138.6 |
| Comprehensive metabolic panel | CPT | 80053 | 37 | $254 | $190.5 | $5 | $127 | $228.6 |
| Lipid panel | CPT | 80061 | 37 | $184 | $138 | $6.02 | $50.74 | $165.6 |
| Renal function panel | CPT | 80069 | 37 | $241 | $180.75 | $4.11 | $120.5 | $216.9 |
| Hepatic function panel | CPT | 80076 | 37 | $182 | $136.5 | $2.99 | $91 | $163.8 |
| Urinalysis non-automated | CPT | 81002 | 37 | $44 | $33 | $2.77 | $22 | $39.6 |
| Urinalysis automated | CPT | 81003 | 37 | $83 | $62.25 | $1.06 | $41.5 | $74.7 |
| Glucose quantitative | CPT | 82947 | 37 | $58 | $43.5 | $3.93 | $29 | $52.2 |
| Hemoglobin A1c | CPT | 83036 | 37 | $147 | $110.25 | $9 | $73.5 | $132.3 |
| Thyroid stimulating hormone (TSH) | CPT | 84443 | 37 | $175 | $131.25 | $7.95 | $87.5 | $157.5 |
| Complete blood count with automated differential | CPT | 85025 | 37 | $134 | $100.5 | $3.68 | $67 | $120.6 |
| Complete blood count without differential | CPT | 85027 | 37 | $116 | $87 | $3.06 | $58 | $104.4 |
| Urine culture bacterial | CPT | 87086 | 37 | $162 | $121.5 | $8.07 | $81 | $145.8 |
| Urine culture identification | CPT | 87088 | 17 | — | — | $8.09 | $8.09 | $19.41 |
| Tissue exam by pathologist level IV | CPT | 88305 | 37 | $424 | $318 | $49.53 | $212 | $381.6 |
| maternity | ||||||||
| Fetal non-stress test | CPT | 59025 | 37 | $613 | $459.75 | $184.51 | $308.43 | $1,089.86 |
| Routine obstetric care including vaginal delivery | CPT | 59400 | 1 | — | — | $2,336 | $2,336 | $2,336 |
| Vaginal delivery only | CPT | 59409 | 37 | $3,028 | $2,271 | $786.21 | $1,983.34 | $5,305.59 |
| Vaginal delivery with postpartum | CPT | 59410 | 2 | — | — | $2,336 | $2,441.6 | $2,547.19 |
| Routine obstetric care with C-section | CPT | 59510 | 1 | — | — | $2,336 | $2,336 | $2,336 |
| C-section delivery only | CPT | 59514 | 2 | — | — | $2,336 | $2,839.18 | $3,342.35 |
| C-section with postpartum | CPT | 59515 | 2 | — | — | $2,336 | $4,060.24 | $5,784.48 |
| office | ||||||||
| Office visit, established patient, 5 min | CPT | 99211 | 37 | $140 | $105 | $31 | $91 | $215.04 |
| Office visit, established patient, 10-19 min | CPT | 99212 | 37 | $146 | $109.5 | $31 | $116.8 | $215.04 |
| Office visit, established patient, 20-29 minutes | CPT | 99213 | 37 | $162 | $121.5 | $31 | $119.47 | $215.04 |
| Office visit, established patient, 30-39 minutes | CPT | 99214 | 37 | $189 | $141.75 | $31 | $119.47 | $215.04 |
| Office visit, established patient, 40-54 min | CPT | 99215 | 37 | $216 | $162 | $31 | $119.47 | $215.04 |
| preventive | ||||||||
| Upper GI endoscopy diagnostic | CPT | 43235 | 37 | $3,224 | $2,418 | $869.16 | $1,612 | $2,901.6 |
| Upper GI endoscopy with biopsy | CPT | 43239 | 37 | $3,160 | $2,370 | $869.16 | $1,580 | $3,601.91 |
| Sigmoidoscopy diagnostic | CPT | 45330 | 37 | $2,261 | $1,695.75 | $680.56 | $1,130.5 | $2,547.19 |
| Sigmoidoscopy with biopsy | CPT | 45331 | 37 | $2,490 | $1,867.5 | $749.49 | $1,245 | $2,547.19 |
| Colonoscopy diagnostic | CPT | 45378 | 37 | $3,337 | $2,502.75 | $845.19 | $1,668.5 | $3,601.91 |
| Colonoscopy with biopsy | CPT | 45380 | 37 | $3,254 | $2,440.5 | $979.45 | $1,627 | $3,601.91 |
| Colonoscopy with polyp removal | CPT | 45385 | 37 | $3,170 | $2,377.5 | $954.17 | $1,585 | $3,601.91 |
| surgery | ||||||||
| Total shoulder arthroplasty | CPT | 23472 | 17 | — | — | $3,235.41 | $17,048 | $30,687 |
| Hip hemiarthroplasty | CPT | 27125 | 4 | — | — | $3,342.35 | $7,832.67 | $25,058 |
| Total hip replacement | CPT | 27130 | 17 | — | — | $3,342.35 | $11,928 | $25,058 |
| Total knee replacement | CPT | 27447 | 17 | — | — | $3,342.35 | $12,107 | $27,124 |
| Knee revision arthroplasty single component | CPT | 27486 | 4 | — | — | $3,342.35 | $11,234 | $25,058 |
| Knee revision arthroplasty all components | CPT | 27487 | 4 | — | — | $3,342.35 | $11,234 | $25,058 |
| Shoulder arthroscopy with decompression | CPT | 29826 | 4 | — | — | $308.52 | $1,438.97 | $4,084.98 |
| Shoulder arthroscopy with rotator cuff repair | CPT | 29827 | 17 | — | — | $2,133.13 | $6,622.52 | $11,921 |
| Knee arthroscopy with meniscectomy | CPT | 29881 | 17 | — | — | $1,876.66 | $3,007.88 | $5,414.19 |
| ACL reconstruction | CPT | 29888 | 17 | — | — | $1,788.08 | $6,622.52 | $11,921 |
| Major small/large bowel procedures w MCC | MS-DRG | 329 | 19 | — | — | $31,971 | $33,570 | $69,287 |
| Major small/large bowel procedures w CC | MS-DRG | 330 | 19 | — | — | $16,598 | $17,428 | $35,666 |
| Major small/large bowel procedures w/o CC/MCC | MS-DRG | 331 | 19 | — | — | $11,681 | $12,265 | $24,912 |
| CABG single arterial graft | CPT | 33533 | 2 | — | — | $2,071.52 | $2,706.94 | $3,342.35 |
| CABG 2 arterial grafts | CPT | 33534 | 2 | — | — | $2,071.52 | $2,706.94 | $3,342.35 |
| CABG 3 arterial grafts | CPT | 33535 | 2 | — | — | $2,071.52 | $2,706.94 | $3,342.35 |
| CABG 4+ arterial grafts | CPT | 33536 | 2 | — | — | $2,071.52 | $2,706.94 | $3,342.35 |
| Laparoscopic cholecystectomy w/o CDE w MCC | MS-DRG | 418 | 19 | — | — | $11,732 | $12,318 | $25,024 |
| Laparoscopic cholecystectomy w/o CDE w CC | MS-DRG | 419 | 19 | — | — | $9,380.28 | $9,849.29 | $19,881 |
| Laparoscopic cholecystectomy w/o CDE w/o CC/MCC | MS-DRG | 420 | 19 | — | — | $24,641 | $25,873 | $53,257 |
| Open appendectomy | CPT | 44950 | 17 | — | — | $2,336 | $5,784.5 | $10,412 |
| Laparoscopic appendectomy | CPT | 44970 | 17 | — | — | $1,876.66 | $5,408.69 | $9,735.63 |
| Major joint replacement w MCC | MS-DRG | 469 | 19 | — | — | $22,842 | $23,984 | $49,321 |
| Major joint replacement w/o MCC | MS-DRG | 470 | 19 | — | — | $13,299 | $13,963 | $28,450 |
| Laparoscopic cholecystectomy | CPT | 47562 | 17 | — | — | $3,342.35 | $5,408.69 | $9,735.63 |
| Lap cholecystectomy with cholangiography | CPT | 47563 | 17 | — | — | $3,342.35 | $5,408.69 | $9,735.63 |
| Hip & femur procedures except major joint w MCC | MS-DRG | 480 | 19 | — | — | $20,581 | $21,610 | $44,377 |
| Hip & femur procedures except major joint w CC | MS-DRG | 481 | 19 | — | — | $14,605 | $15,336 | $31,308 |
| Hip & femur procedures except major joint w/o CC/MCC | MS-DRG | 482 | 19 | — | — | $11,235 | $11,797 | $23,937 |
| Open umbilical hernia repair | CPT | 49560 | 2 | — | — | $1,876.66 | $2,339.2 | $2,801.74 |
| Umbilical hernia repair age 5+ | CPT | 49585 | 2 | — | — | $1,876.66 | $2,339.2 | $2,801.74 |
| Lap inguinal hernia repair | CPT | 49650 | 17 | — | — | $1,876.66 | $5,408.69 | $9,735.63 |
| Lap incisional hernia repair | CPT | 49652 | 2 | — | — | $3,564.83 | $4,025.26 | $4,485.69 |
| Total abdominal hysterectomy | CPT | 58150 | 4 | — | — | $1,895.08 | $3,985.12 | $8,037.09 |
| Vaginal hysterectomy | CPT | 58260 | 17 | — | — | $1,895.08 | $4,576.29 | $8,237.32 |
| Lap-assisted vaginal hysterectomy | CPT | 58550 | 17 | — | — | $3,564.83 | $5,408.69 | $9,735.63 |
| Lap-assisted vaginal hysterectomy >250g | CPT | 58552 | 17 | — | — | $2,133.13 | $9,651.62 | $17,373 |
| Lap salpingo-oophorectomy | CPT | 58661 | 17 | — | — | $2,133.13 | $5,408.69 | $9,735.63 |
| OR procedure for obesity w MCC | MS-DRG | 619 | 19 | — | — | $18,757 | $20,056 | $41,140 |
| OR procedure for obesity w CC | MS-DRG | 620 | 19 | — | — | $11,308 | $11,873 | $24,097 |
| OR procedure for obesity w/o CC/MCC | MS-DRG | 621 | 19 | — | — | $10,375 | $10,894 | $22,795 |
| Complex cataract surgery | CPT | 66982 | 17 | — | — | $2,114.33 | $2,114.33 | $7,715.73 |
| Cataract surgery with lens implant | CPT | 66984 | 17 | — | — | $2,114.33 | $2,114.33 | $7,715.73 |
| Intravitreal injection | CPT | 67028 | 17 | — | — | $307.49 | $307.49 | $2,547.19 |
| Vitrectomy mechanical | CPT | 67042 | 17 | — | — | $2,801.74 | $3,729.35 | $7,171.92 |
| Uterine & adnexa procedures w CC/MCC | MS-DRG | 743 | 19 | — | — | $8,559.94 | $8,987.94 | $18,087 |
| Uterine & adnexa procedures w/o CC/MCC | MS-DRG | 744 | 19 | — | — | $13,771 | $14,460 | $29,484 |
| PCI single major coronary artery | CPT | 92920 | 37 | $12,068 | $9,051 | $3,632.47 | $6,305.53 | $19,416 |
| PCI with drug-eluting stent | CPT | 92928 | 37 | $15,429 | $11,572 | $4,644.13 | $10,513 | $18,924 |
| PCI bypass graft | CPT | 92937 | 37 | $39,092 | $29,319 | $10,513 | $19,546 | $35,183 |
| Left heart catheterization | CPT | 93452 | 37 | $15,603 | $11,702 | $2,981.74 | $7,801.5 | $16,525 |
| Coronary angiography with cath | CPT | 93455 | 37 | $17,249 | $12,937 | $2,981.74 | $8,624.5 | $16,525 |
| Coronary angiography with bypass cath | CPT | 93458 | 37 | $21,371 | $16,028 | $2,981.74 | $10,686 | $19,234 |
Payer mix (top 30)
| Payer | Codes covered | Median rate |
|---|---|---|
| Anthem BCBS | 185 | $1,089.86 |
| Cigna | 184 | $933.4 |
| UnitedHealthcare | 180 | $1,192 |
| Aetna | 179 | $1,843 |
| WellCare | 171 | $331.07 |
| Ambetter | 171 | $595.93 |
| CareSource | 171 | $595.93 |
| devoted health | 171 | $331.07 |
| Humana | 171 | $331.07 |
| medical mutual of ohio | 171 | $854.81 |
| Molina | 171 | $331.07 |
| paramount | 171 | $341.01 |
| perennial advantage of ohio | 171 | $347.63 |
| primetime health plan | 171 | $331.07 |
| summacare | 171 | $331.07 |
| the health plan | 171 | $1,306.47 |
| valor health plans | 171 | $347.63 |
| aultcare | 147 | $1,377 |
| jp farley | 147 | $1,595 |
| immergrun | 104 | $915.75 |
| amish aid community plan | 104 | $842.49 |
| medical mutual traditional/health ohio | 104 | $1,282.05 |
| private healthcare system | 104 | $1,575.09 |
| Multiplan | 104 | $1,648.35 |
| ohio health choice | 104 | $1,299.78 |
| beech street | 104 | $1,537.15 |
| buckeye plain ministries | 104 | $842.49 |
| ohio preferred network | 104 | $1,537.15 |
| century health network | 104 | $1,556.78 |
| christian healthcare ministries | 104 | $900 |