▸ Hospital · OH · CCN 360123
Uh St John Medical Center
29000 CENTER RIDGE ROAD, WESTLAKE, OH, 44145
98 bedsAcute Care Hospitals2
Compliance grade
A
100/100
Procedures tracked
188
of 209 target codes
Payers
30
with negotiated rates
Rates published
65,492
last crawl 2026-05-24
Procedures & rates
| Procedure | Type | Code | Payers | Gross | Cash | Neg min | Neg median | Neg max |
|---|---|---|---|---|---|---|---|---|
| behavioral | ||||||||
| Psychoses | MS-DRG | 885 | 20 | — | — | $848 | $16,812 | $30,261 |
| Psychiatric diagnostic evaluation | CPT | 90791 | 38 | $653 | $489.75 | $148.95 | $326.5 | $587.7 |
| emergency | ||||||||
| ED visit level 1 | CPT | 99281 | 38 | $400 | $300 | $81.63 | $200 | $743 |
| ED visit level 2 | CPT | 99282 | 38 | $654 | $490.5 | $146.81 | $327 | $823 |
| ED visit level 3 | CPT | 99283 | 38 | $1,090 | $817.5 | $256.69 | $545 | $2,254 |
| ED visit level 4 | CPT | 99284 | 38 | $1,711 | $1,283.25 | $394.75 | $855.5 | $2,300 |
| ED visit level 5 | CPT | 99285 | 38 | $5,300 | $3,975 | $529.58 | $2,066.98 | $4,770 |
| Critical care, first hour | CPT | 99291 | 38 | $3,766 | $2,824.5 | $781.13 | $1,883 | $6,263 |
| imaging | ||||||||
| CT head without contrast | CPT | 70450 | 38 | $1,612 | $1,209 | $98.58 | $810.03 | $1,843 |
| CT head with contrast | CPT | 70460 | 38 | $1,918 | $1,438.5 | $165.03 | $959 | $1,843 |
| CT head with and without contrast | CPT | 70470 | 38 | $2,088 | $1,566 | $165.03 | $1,044 | $1,879.2 |
| CT neck with contrast | CPT | 70491 | 38 | $2,218 | $1,663.5 | $165.03 | $1,109 | $1,996.2 |
| MRI brain without contrast | CPT | 70551 | 38 | $2,668 | $2,001 | $224.08 | $1,340.67 | $2,401.2 |
| MRI brain with contrast | CPT | 70552 | 38 | $2,837 | $2,127.75 | $331.07 | $1,418.5 | $2,553.3 |
| MRI brain with and without contrast | CPT | 70553 | 38 | $3,007 | $2,255.25 | $331.07 | $1,503.5 | $2,706.3 |
| Chest X-ray single view | CPT | 71045 | 38 | $375 | $281.25 | $45.15 | $187.5 | $337.5 |
| Chest X-ray 2 views | CPT | 71046 | 38 | $469 | $351.75 | $61.65 | $234.5 | $422.1 |
| Chest X-ray 3 views | CPT | 71047 | 38 | $641 | $480.75 | $78.18 | $320.5 | $576.9 |
| CT chest without contrast | CPT | 71250 | 38 | $1,948 | $1,461 | $98.58 | $974 | $1,843 |
| CT chest with contrast | CPT | 71260 | 38 | $2,240 | $1,680 | $165.03 | $1,120 | $2,016 |
| CT chest with and without contrast | CPT | 71270 | 38 | $2,345 | $1,758.75 | $165.03 | $1,172.5 | $2,110.5 |
| MRI chest without contrast | CPT | 71550 | 38 | $2,331 | $1,748.25 | $224.08 | $1,171.33 | $2,268 |
| MRI chest with contrast | CPT | 71551 | 38 | $2,699 | $2,024.25 | $728 | $1,350.25 | $2,429.1 |
| MRI chest with and without contrast | CPT | 71552 | 38 | $3,689 | $2,766.75 | $331.07 | $1,844.5 | $3,320.1 |
| Lumbosacral spine X-ray | CPT | 72100 | 38 | $563 | $422.25 | $77.25 | $281.5 | $506.7 |
| CT cervical spine without contrast | CPT | 72125 | 38 | $2,011 | $1,508.25 | $98.58 | $1,005.5 | $1,843 |
| CT thoracic spine without contrast | CPT | 72128 | 38 | $1,877 | $1,407.75 | $98.58 | $938.5 | $1,843 |
| CT lumbar spine without contrast | CPT | 72131 | 38 | $2,224 | $1,668 | $98.58 | $1,112 | $2,001.6 |
| MRI cervical spine without contrast | CPT | 72141 | 38 | $2,813 | $2,109.75 | $224.08 | $1,406.5 | $2,531.7 |
| MRI thoracic spine without contrast | CPT | 72146 | 38 | $2,905 | $2,178.75 | $224.08 | $1,452.5 | $2,614.5 |
| MRI lumbar spine without contrast | CPT | 72148 | 38 | $2,905 | $2,178.75 | $224.08 | $1,452.5 | $2,614.5 |
| MRI lumbar spine with and without contrast | CPT | 72149 | 38 | $3,130 | $2,347.5 | $331.07 | $1,565 | $2,817 |
| MRI cervical spine with and without contrast | CPT | 72156 | 38 | $3,321 | $2,490.75 | $331.07 | $1,660.5 | $2,988.9 |
| MRI lumbar spine with contrast | CPT | 72158 | 38 | $3,321 | $2,490.75 | $331.07 | $1,660.5 | $2,988.9 |
| CT pelvis without contrast | CPT | 72192 | 38 | $1,786 | $1,339.5 | $98.58 | $896.5 | $1,843 |
| CT pelvis with contrast | CPT | 72193 | 38 | $2,193 | $1,644.75 | $165.03 | $1,096.5 | $1,973.7 |
| Shoulder X-ray | CPT | 73030 | 38 | $591 | $443.25 | $67.17 | $295.5 | $531.9 |
| Humerus X-ray | CPT | 73060 | 38 | $466 | $349.5 | $64.41 | $233 | $419.4 |
| Hand X-ray 3 views | CPT | 73130 | 38 | $553 | $414.75 | $74.49 | $276.5 | $497.7 |
| MRI upper extremity joint without contrast | CPT | 73221 | 38 | $2,727 | $2,045.25 | $224.08 | $1,363.5 | $2,454.3 |
| MRI upper extremity joint with and without contrast | CPT | 73223 | 38 | $3,370 | $2,527.5 | $331.07 | $1,685 | $3,033 |
| Knee X-ray 1-2 views | CPT | 73560 | 38 | $363 | $272.25 | $69.9 | $181.5 | $326.7 |
| Ankle X-ray 3 views | CPT | 73610 | 38 | $509 | $381.75 | $75.42 | $254.5 | $458.1 |
| MRI lower extremity joint without contrast | CPT | 73721 | 38 | $3,370 | $2,527.5 | $224.08 | $1,685 | $3,033 |
| MRI lower extremity joint with and without contrast | CPT | 73723 | 38 | $3,370 | $2,527.5 | $331.07 | $1,685 | $3,033 |
| CT abdomen without contrast | CPT | 74150 | 38 | $2,208 | $1,656 | $98.58 | $1,104 | $1,987.2 |
| CT abdomen with contrast | CPT | 74160 | 38 | $2,516 | $1,887 | $165.03 | $1,258 | $2,264.4 |
| CT abdomen with and without contrast | CPT | 74170 | 38 | $2,627 | $1,970.25 | $165.03 | $1,313.5 | $2,364.3 |
| CT abdomen and pelvis without contrast | CPT | 74176 | 38 | $3,101 | $2,325.75 | $224.08 | $1,519.49 | $2,790.9 |
| CT abdomen and pelvis with contrast | CPT | 74177 | 38 | $3,197 | $2,397.75 | $331.07 | $1,548.78 | $2,877.3 |
| CT abdomen and pelvis with and without contrast | CPT | 74178 | 38 | $3,340 | $2,505 | $331.07 | $1,599.1 | $3,006 |
| MRI abdomen without contrast | CPT | 74181 | 38 | $2,930 | $2,197.5 | $224.08 | $1,465 | $2,637 |
| MRI abdomen with and without contrast | CPT | 74183 | 38 | $3,371 | $2,528.25 | $331.07 | $1,685.5 | $3,033.9 |
| Abdominal ultrasound complete | CPT | 76700 | 38 | $1,436 | $1,077 | $98.58 | $718 | $1,292.4 |
| Abdominal ultrasound limited | CPT | 76705 | 38 | $965 | $723.75 | $98.58 | $482.5 | $868.5 |
| Retroperitoneal ultrasound complete | CPT | 76770 | 38 | $1,247 | $935.25 | $98.58 | $623.5 | $1,122.3 |
| Obstetric ultrasound first trimester | CPT | 76801 | 38 | $1,028 | $771 | $98.58 | $514 | $925.2 |
| Obstetric ultrasound after first trimester | CPT | 76805 | 38 | $1,112 | $834 | $98.58 | $556 | $1,000.8 |
| Obstetric ultrasound with fetal anatomy | CPT | 76811 | 38 | $1,174 | $880.5 | $161.25 | $587 | $1,056.6 |
| Transvaginal ultrasound | CPT | 76830 | 38 | $1,125 | $843.75 | $98.58 | $562.5 | $1,012.5 |
| Pelvic ultrasound complete | CPT | 76856 | 38 | $1,179 | $884.25 | $98.58 | $589.5 | $1,061.1 |
| Scrotal ultrasound | CPT | 76870 | 38 | $943 | $707.25 | $98.58 | $471.5 | $848.7 |
| Diagnostic mammography unilateral | CPT | 77065 | 38 | $644 | $483 | $77.58 | $309.12 | $579.6 |
| Diagnostic mammography bilateral | CPT | 77066 | 38 | $840 | $630 | $98.8 | $403.2 | $756 |
| Screening mammography bilateral | CPT | 77067 | 38 | $653 | $489.75 | $81.66 | $313.44 | $587.7 |
| EKG tracing only | CPT | 93005 | 38 | $375 | $281.25 | $55.07 | $187.5 | $337.5 |
| Transthoracic echocardiogram complete | CPT | 93306 | 38 | $2,726 | $2,044.5 | $508.3 | $1,363 | $2,453.4 |
| Transthoracic echocardiogram | CPT | 93307 | 38 | $1,639 | $1,229.25 | $224.08 | $819.5 | $1,475.1 |
| Stress echocardiogram | CPT | 93350 | 38 | $2,499 | $1,874.25 | $508.3 | $1,249.5 | $2,249.1 |
| inpatient | ||||||||
| Intracranial hemorrhage/CVA w MCC | MS-DRG | 064 | 20 | — | — | $10,978 | $23,451 | $42,211 |
| Intracranial hemorrhage/CVA w CC | MS-DRG | 065 | 20 | — | — | $6,355.63 | $12,313 | $22,164 |
| Intracranial hemorrhage/CVA w/o CC/MCC | MS-DRG | 066 | 20 | — | — | $4,301.88 | $8,549.09 | $15,388 |
| Respiratory infections & inflammations w MCC | MS-DRG | 177 | 20 | — | — | $10,103 | $19,182 | $34,527 |
| COPD w MCC | MS-DRG | 190 | 20 | — | — | $7,018.75 | $13,529 | $24,351 |
| COPD w CC | MS-DRG | 191 | 20 | — | — | $5,369.38 | $10,506 | $18,910 |
| COPD w/o CC/MCC | MS-DRG | 192 | 20 | — | — | $4,045 | $8,078.28 | $14,541 |
| Simple pneumonia & pleurisy w CC | MS-DRG | 194 | 20 | — | — | $5,125 | $10,058 | $18,104 |
| Simple pneumonia & pleurisy w/o CC/MCC | MS-DRG | 195 | 20 | — | — | $3,891.88 | $7,797.66 | $14,036 |
| AMI discharged alive w MCC | MS-DRG | 280 | 20 | — | — | $10,259 | $19,467 | $35,040 |
| AMI discharged alive w CC | MS-DRG | 281 | 20 | — | — | $5,761.25 | $11,224 | $29,807 |
| AMI discharged alive w/o CC/MCC | MS-DRG | 282 | 20 | — | — | $4,531.88 | $8,970.63 | $25,036 |
| Heart failure & shock w MCC | MS-DRG | 291 | 20 | — | — | $8,155 | $15,611 | $28,100 |
| Heart failure & shock w CC | MS-DRG | 292 | 20 | — | — | $5,382.5 | $10,530 | $18,953 |
| Heart failure & shock w/o CC/MCC | MS-DRG | 293 | 20 | — | — | $3,429.38 | $6,949.99 | $12,510 |
| Cardiac arrhythmia w MCC | MS-DRG | 308 | 20 | — | — | $7,536.88 | $14,478 | $26,061 |
| Cardiac arrhythmia w CC | MS-DRG | 309 | 20 | — | — | $4,620.63 | $9,133.28 | $16,440 |
| Cardiac arrhythmia w/o CC/MCC | MS-DRG | 310 | 20 | — | — | $3,496.88 | $7,073.69 | $12,733 |
| GI hemorrhage w CC | MS-DRG | 378 | 20 | — | — | $6,161.88 | $11,958 | $21,525 |
| GI hemorrhage w/o CC/MCC | MS-DRG | 379 | 20 | — | — | $3,979.38 | $7,958.03 | $14,324 |
| Esophagitis/gastroenteritis w/o MCC | MS-DRG | 392 | 20 | — | — | $4,876.88 | $9,602.95 | $17,285 |
| Fractures of femur w/o MCC | MS-DRG | 533 | 20 | — | — | $9,530.63 | $18,132 | $32,638 |
| Kidney/UTI w MCC | MS-DRG | 689 | 20 | — | — | $7,314.38 | $14,070 | $25,327 |
| Kidney/UTI w/o MCC | MS-DRG | 690 | 20 | — | — | $5,016.25 | $9,858.39 | $17,745 |
| Septicemia or severe sepsis w MV 96+ hrs | MS-DRG | 871 | 20 | — | — | $10,978 | $23,140 | $41,653 |
| Septicemia or severe sepsis w/o MV 96+ hrs | MS-DRG | 872 | 20 | — | — | $6,443.75 | $12,475 | $22,454 |
| lab | ||||||||
| Basic metabolic panel (BMP) | CPT | 80048 | 38 | $158 | $118.5 | $3.47 | $77.42 | $142.2 |
| General health panel | CPT | 80050 | 2 | — | — | $17.1 | $58.25 | $99.39 |
| Electrolyte panel | CPT | 80051 | 38 | $154 | $115.5 | $2.14 | $75.46 | $138.6 |
| Comprehensive metabolic panel | CPT | 80053 | 38 | $254 | $190.5 | $5 | $124.46 | $228.6 |
| Lipid panel | CPT | 80061 | 38 | $184 | $138 | $6.02 | $53.1 | $165.6 |
| Renal function panel | CPT | 80069 | 38 | $241 | $180.75 | $4.11 | $118.09 | $216.9 |
| Hepatic function panel | CPT | 80076 | 38 | $182 | $136.5 | $2.99 | $89.18 | $163.8 |
| Urinalysis non-automated | CPT | 81002 | 2 | — | — | $2.77 | $5.56 | $8.34 |
| Urinalysis automated | CPT | 81003 | 38 | $83 | $62.25 | $1.06 | $41.5 | $74.7 |
| Glucose quantitative | CPT | 82947 | 38 | $58 | $43.5 | $3.93 | $29 | $60 |
| Hemoglobin A1c | CPT | 83036 | 38 | $147 | $110.25 | $9 | $72.03 | $132.3 |
| Thyroid stimulating hormone (TSH) | CPT | 84443 | 38 | $175 | $131.25 | $7.95 | $87.5 | $157.5 |
| Complete blood count with automated differential | CPT | 85025 | 38 | $134 | $100.5 | $3.68 | $65.66 | $120.6 |
| Complete blood count without differential | CPT | 85027 | 38 | $116 | $87 | $3.06 | $58 | $104.4 |
| Urine culture bacterial | CPT | 87086 | 38 | $162 | $121.5 | $8.07 | $79.38 | $145.8 |
| Urine culture identification | CPT | 87088 | 2 | — | — | $9.54 | $14.48 | $19.41 |
| Tissue exam by pathologist level IV | CPT | 88305 | 38 | $424 | $318 | $49.53 | $212 | $381.6 |
| maternity | ||||||||
| Fetal non-stress test | CPT | 59025 | 38 | $613 | $459.75 | $166.74 | $312.94 | $1,640.48 |
| Routine obstetric care including vaginal delivery | CPT | 59400 | 1 | — | — | $2,372.22 | $2,372.22 | $2,372.22 |
| Vaginal delivery only | CPT | 59409 | 4 | — | — | $2,372.22 | $3,633 | $4,455.78 |
| Vaginal delivery with postpartum | CPT | 59410 | 2 | — | — | $2,372.22 | $2,459.71 | $2,547.19 |
| Routine obstetric care with C-section | CPT | 59510 | 1 | — | — | $2,372.22 | $2,372.22 | $2,372.22 |
| C-section delivery only | CPT | 59514 | 2 | — | — | $2,372.22 | $3,414 | $4,455.78 |
| C-section with postpartum | CPT | 59515 | 2 | — | — | $2,372.22 | $4,078.35 | $5,784.48 |
| office | ||||||||
| Office visit, established patient, 5 min | CPT | 99211 | 37 | $140 | $105 | $31 | $85.68 | $215.04 |
| Office visit, established patient, 10-19 min | CPT | 99212 | 37 | $146 | $109.5 | $31 | $102.2 | $215.04 |
| Office visit, established patient, 20-29 minutes | CPT | 99213 | 37 | $162 | $121.5 | $31 | $113.4 | $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 | 38 | $3,224 | $2,418 | $869.16 | $1,612 | $2,901.6 |
| Upper GI endoscopy with biopsy | CPT | 43239 | 38 | $3,160 | $2,370 | $859.52 | $1,587.9 | $3,601.91 |
| Sigmoidoscopy diagnostic | CPT | 45330 | 38 | $2,261 | $1,695.75 | $614.99 | $1,147.46 | $2,547.19 |
| Sigmoidoscopy with biopsy | CPT | 45331 | 38 | $2,490 | $1,867.5 | $677.28 | $1,263.68 | $2,547.19 |
| Colonoscopy diagnostic | CPT | 45378 | 38 | $3,337 | $2,502.75 | $845.19 | $1,676.85 | $3,601.91 |
| Colonoscopy with biopsy | CPT | 45380 | 38 | $3,254 | $2,440.5 | $885.09 | $1,785.8 | $3,601.91 |
| Colonoscopy with polyp removal | CPT | 45385 | 38 | $3,170 | $2,377.5 | $862.24 | $1,759.35 | $3,601.91 |
| surgery | ||||||||
| Total shoulder arthroplasty | CPT | 23472 | 4 | — | — | $4,455.78 | $7,084.58 | $12,214 |
| PCI w drug-eluting stent w MCC | MS-DRG | 246 | 1 | — | — | $52,713 | $55,641 | $58,570 |
| PCI w drug-eluting stent w/o MCC | MS-DRG | 247 | 1 | — | — | $48,343 | $51,029 | $53,714 |
| Hip hemiarthroplasty | CPT | 27125 | 4 | — | — | $4,455.78 | $8,242 | $34,299 |
| Total hip replacement | CPT | 27130 | 4 | — | — | $4,455.78 | $10,993 | $34,299 |
| Total knee replacement | CPT | 27447 | 5 | — | — | $4,455.78 | $21,902 | $34,299 |
| Knee revision arthroplasty single component | CPT | 27486 | 4 | — | — | $4,455.78 | $10,993 | $34,299 |
| Knee revision arthroplasty all components | CPT | 27487 | 4 | — | — | $4,455.78 | $10,993 | $34,299 |
| Shoulder arthroscopy with decompression | CPT | 29826 | 5 | — | — | $1,640.48 | $3,296 | $13,744 |
| Shoulder arthroscopy with rotator cuff repair | CPT | 29827 | 5 | — | — | $3,865.59 | $6,358.97 | $9,158 |
| Knee arthroscopy with meniscectomy | CPT | 29881 | 5 | — | — | $2,372.22 | $4,070.05 | $9,292 |
| ACL reconstruction | CPT | 29888 | 5 | — | — | $2,453.36 | $5,584.78 | $19,926 |
| Major small/large bowel procedures w MCC | MS-DRG | 329 | 20 | — | — | $10,978 | $53,264 | $95,876 |
| Major small/large bowel procedures w CC | MS-DRG | 330 | 20 | — | — | $10,978 | $27,741 | $49,933 |
| Major small/large bowel procedures w/o CC/MCC | MS-DRG | 331 | 20 | — | — | $10,319 | $19,577 | $35,238 |
| CABG single arterial graft | CPT | 33533 | 2 | — | — | $1,818 | $2,020 | $4,455.78 |
| CABG 2 arterial grafts | CPT | 33534 | 2 | — | — | $1,818 | $2,020 | $4,455.78 |
| CABG 3 arterial grafts | CPT | 33535 | 2 | — | — | $1,818 | $2,020 | $4,455.78 |
| CABG 4+ arterial grafts | CPT | 33536 | 2 | — | — | $1,818 | $2,020 | $4,455.78 |
| Laparoscopic cholecystectomy w/o CDE w MCC | MS-DRG | 418 | 20 | — | — | $10,365 | $19,662 | $35,391 |
| Laparoscopic cholecystectomy w/o CDE w CC | MS-DRG | 419 | 20 | — | — | $8,235 | $15,758 | $28,364 |
| Laparoscopic cholecystectomy w/o CDE w/o CC/MCC | MS-DRG | 420 | 20 | — | — | $10,978 | $41,095 | $73,971 |
| Open appendectomy | CPT | 44950 | 4 | — | — | $2,372.22 | $4,947.09 | $6,418 |
| Laparoscopic appendectomy | CPT | 44970 | 4 | — | — | $3,193 | $4,084.98 | $9,158 |
| Spinal fusion (non-cervical) w MCC | MS-DRG | 459 | 2 | — | — | $49,321 | $63,366 | $67,101 |
| Spinal fusion (non-cervical) w/o MCC | MS-DRG | 460 | 2 | — | — | $52,504 | $54,801 | $57,536 |
| Major joint replacement w MCC | MS-DRG | 469 | 20 | — | — | $10,978 | $38,107 | $68,593 |
| Major joint replacement w/o MCC | MS-DRG | 470 | 20 | — | — | $10,978 | $22,263 | $41,946 |
| Laparoscopic cholecystectomy | CPT | 47562 | 4 | — | — | $4,276.62 | $5,784.48 | $9,158 |
| Lap cholecystectomy with cholangiography | CPT | 47563 | 4 | — | — | $4,276.62 | $5,784.48 | $9,158 |
| Hip & femur procedures except major joint w MCC | MS-DRG | 480 | 20 | — | — | $10,978 | $34,354 | $61,836 |
| Hip & femur procedures except major joint w CC | MS-DRG | 481 | 20 | — | — | $10,978 | $24,450 | $43,978 |
| Hip & femur procedures except major joint w/o CC/MCC | MS-DRG | 482 | 20 | — | — | $10,978 | $18,837 | $43,352 |
| Open umbilical hernia repair | CPT | 49560 | 3 | — | — | $2,693.6 | $2,911.46 | $3,193 |
| Umbilical hernia repair age 5+ | CPT | 49585 | 3 | — | — | $2,693.6 | $2,911.46 | $3,193 |
| Lap inguinal hernia repair | CPT | 49650 | 5 | — | — | $2,693.6 | $4,298.25 | $9,158 |
| Lap incisional hernia repair | CPT | 49652 | 2 | — | — | $5,096.44 | $6,014.95 | $6,933.46 |
| Total abdominal hysterectomy | CPT | 58150 | 4 | — | — | $4,455.78 | $5,776 | $8,037.09 |
| Vaginal hysterectomy | CPT | 58260 | 4 | — | — | $5,096.44 | $5,776 | $6,418 |
| Lap-assisted vaginal hysterectomy | CPT | 58550 | 5 | — | — | $5,096.44 | $6,692.61 | $9,158 |
| Lap-assisted vaginal hysterectomy >250g | CPT | 58552 | 4 | — | — | $3,649.41 | $8,037.09 | $9,158 |
| Lap salpingo-oophorectomy | CPT | 58661 | 5 | — | — | $3,649.41 | $4,951.44 | $9,158 |
| OR procedure for obesity w MCC | MS-DRG | 619 | 20 | — | — | $20,825 | $31,896 | $57,414 |
| OR procedure for obesity w CC | MS-DRG | 620 | 20 | — | — | $12,198 | $19,100 | $34,125 |
| OR procedure for obesity w/o CC/MCC | MS-DRG | 621 | 20 | — | — | $11,165 | $17,511 | $31,874 |
| Complex cataract surgery | CPT | 66982 | 5 | — | — | $2,372.22 | $3,895.68 | $7,715.73 |
| Cataract surgery with lens implant | CPT | 66984 | 5 | — | — | $2,372.22 | $3,895.68 | $7,715.73 |
| Intravitreal injection | CPT | 67028 | 4 | — | — | $455 | $1,415.22 | $2,547.19 |
| Vitrectomy mechanical | CPT | 67042 | 4 | — | — | $2,911.46 | $5,776 | $6,418 |
| Uterine & adnexa procedures w CC/MCC | MS-DRG | 743 | 20 | — | — | $7,491.88 | $14,396 | $25,912 |
| Uterine & adnexa procedures w/o CC/MCC | MS-DRG | 744 | 20 | — | — | $10,978 | $23,048 | $41,486 |
| PCI single major coronary artery | CPT | 92920 | 38 | $12,068 | $9,051 | $3,282.5 | $6,782.22 | $16,525 |
| PCI with drug-eluting stent | CPT | 92928 | 38 | $15,429 | $11,572 | $4,196.69 | $10,513 | $18,924 |
| PCI bypass graft | CPT | 92937 | 38 | $39,092 | $29,319 | $8,242 | $19,546 | $35,183 |
| Left heart catheterization | CPT | 93452 | 38 | $15,603 | $11,702 | $2,372.22 | $7,879.52 | $16,525 |
| Coronary angiography with cath | CPT | 93455 | 38 | $17,249 | $12,937 | $2,372.22 | $8,624.5 | $16,525 |
| Coronary angiography with bypass cath | CPT | 93458 | 38 | $21,371 | $16,028 | $2,372.22 | $10,686 | $19,234 |
Payer mix (top 30)
| Payer | Codes covered | Median rate |
|---|---|---|
| Anthem BCBS | 182 | $895 |
| UnitedHealthcare | 177 | $1,563 |
| Cigna | 177 | $1,090.32 |
| Aetna | 174 | $1,433 |
| university health employee plan (contigo) | 150 | $728 |
| medical mutual of ohio | 145 | $806.96 |
| WellCare | 144 | $331.07 |
| Ambetter | 144 | $595.93 |
| aultcare | 144 | $1,377 |
| CareSource | 144 | $595.93 |
| devoted health | 144 | $331.07 |
| Humana | 144 | $331.07 |
| jp farley | 144 | $1,595 |
| Molina | 144 | $331.07 |
| paramount | 144 | $341.01 |
| perennial advantage of ohio | 144 | $347.63 |
| primetime health plan | 144 | $331.07 |
| summacare | 144 | $1,200 |
| the health plan | 144 | $1,154.01 |
| valor health plans | 144 | $347.63 |
| private healthcare system | 101 | $1,614.22 |
| buckeye plain ministries | 101 | $600 |
| medical mutual traditional/health ohio | 101 | $1,313.9 |
| amish church fund and workers aid plan | 101 | $600 |
| Multiplan | 101 | $1,689.3 |
| ohio health choice | 101 | $1,332.18 |
| ohio preferred network | 101 | $1,548.75 |
| sunrise plan communities | 101 | $938.5 |
| christian healthcare ministries | 101 | $900 |
| century health network | 101 | $1,595.45 |