Does ADENA REGIONAL MEDICAL CENTER publish its standard charges and chargemaster?

Yes. ADENA REGIONAL MEDICAL CENTER publishes a machine-readable file with 43,605 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 ADENA REGIONAL MEDICAL CENTER charge for procedures?

ADENA REGIONAL MEDICAL CENTER (Chillicothe, OH) 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 · OH · CCN 360159

ADENA REGIONAL MEDICAL CENTER

Chillicothe, OH, 45601-9031

237 bedsAcute Care Hospitals2

Compliance grade

100/100

Rates published

43,605

last crawl 2026-05-24

Procedures tracked

190

of 209 target codes

Payers

with negotiated rates

Procedures tracked

...

Payers

...

▸ Compare with other hospitals All OH 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://sthpiprd.blob.core.windows.net/machine-readable-files/10272/314379443_adena-health-system_standardcharges.csv · CSV

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	—	—	$11,727	$14,994	1.2×	$32,248
Psychiatric diagnostic evaluation	CPT	90791	11	—	—	$153.1	$153.1	0.86×	$421.03
Psychiatric eval with medical services	CPT	90792	11	—	—	$153.1	$153.1	0.88×	$421.03
Psychotherapy 30 minutes	CPT	90832	21	$562.35	$281.18	$153.1	$393.65	2.6×	$534.23
Psychotherapy 45 minutes	CPT	90834	21	$562.35	$281.18	$153.1	$393.65	2.4×	$534.23
Psychotherapy 60 minutes	CPT	90837	21	$562.35	$281.18	$153.1	$393.65	2.1×	$534.23
Crisis psychotherapy 60 minutes	CPT	90839	11	—	—	$153.1	$153.1	0.96×	$421.03
emergency
ED visit level 1	CPT	99281	21	$339.79	$169.9	$83.9	$234.29	1.7×	$322.8
ED visit level 2	CPT	99282	21	$554.26	$277.13	$150.9	$395	1.7×	$541
ED visit level 3	CPT	99283	21	$1,087.3	$543.65	$263.85	$768.06	1.9×	$1,060
ED visit level 4	CPT	99284	21	$1,772.81	$886.41	$405.76	$1,252.49	1.9×	$3,251
ED visit level 5	CPT	99285	21	$2,145.85	$1,072.93	$584.22	$1,529.99	1.5×	$7,143
Critical care, first hour	CPT	99291	21	$2,949.14	$1,474.57	$802.92	$2,064.4	1.9×	$2,801.68
imaging
CT head without contrast	CPT	70450	21	$1,528.63	$764.32	$101.33	$1,079.98	5.2×	$2,086
CT head with contrast	CPT	70460	21	$2,016.23	$1,008.12	$169.64	$1,411.36	6.0×	$2,086
CT head with and without contrast	CPT	70470	21	$2,390.46	$1,195.23	$169.64	$1,548.3	5.8×	$2,270.94
CT neck with contrast	CPT	70491	21	$2,016.23	$1,008.12	$169.64	$1,411.36	5.2×	$2,086
MRI brain without contrast	CPT	70551	21	$2,319.65	$1,159.83	$230.34	$1,623.76	4.0×	$2,203.67
MRI brain with contrast	CPT	70552	21	$2,517.04	$1,258.52	$340.31	$1,741.47	3.6×	$2,391.19
MRI brain with and without contrast	CPT	70553	21	$2,990.35	$1,495.18	$340.31	$1,906.93	3.2×	$2,840.83
Chest X-ray single view	CPT	71045	21	$346.87	$173.44	$83.9	$242.81	2.6×	$403.57
Chest X-ray 2 views	CPT	71046	21	$346.87	$173.44	$83.9	$242.81	2.5×	$403.57
Chest X-ray 3 views	CPT	71047	21	$346.87	$173.44	$83.9	$242.81	2.5×	$403.57
CT chest without contrast	CPT	71250	21	$1,528.63	$764.32	$101.33	$1,079.98	5.0×	$2,086
CT chest with contrast	CPT	71260	21	$2,016.23	$1,008.12	$169.64	$1,411.36	5.0×	$2,086
CT chest with and without contrast	CPT	71270	21	$2,390.46	$1,195.23	$169.64	$1,548.3	5.3×	$2,270.94
MRI chest without contrast	CPT	71550	21	$1,697.4	$848.7	$230.34	$1,199.22	2.8×	$2,020
MRI chest with contrast	CPT	71551	21	$2,924.57	$1,462.29	$752.85	$1,964.23	2.4×	$3,440.96
MRI chest with and without contrast	CPT	71552	21	$3,207.35	$1,603.68	$340.31	$2,010	3.3×	$3,046.98
Lumbosacral spine X-ray	CPT	72100	21	$372.19	$186.1	$101.33	$260.53	2.5×	$496.49
CT cervical spine without contrast	CPT	72125	21	$1,528.63	$764.32	$101.33	$1,079.98	5.4×	$2,086
CT thoracic spine without contrast	CPT	72128	21	$1,528.63	$764.32	$101.33	$1,079.98	5.4×	$2,086
CT lumbar spine without contrast	CPT	72131	21	$1,528.63	$764.32	$101.33	$1,079.98	5.3×	$2,086
MRI cervical spine without contrast	CPT	72141	21	$2,301.92	$1,150.96	$230.34	$1,611.34	4.1×	$2,186.82
MRI thoracic spine without contrast	CPT	72146	21	$2,311.27	$1,155.64	$230.34	$1,617.89	4.3×	$2,195.71
MRI lumbar spine without contrast	CPT	72148	21	$2,288.5	$1,144.25	$230.34	$1,601.95	4.3×	$2,174.08
MRI lumbar spine with and without contrast	CPT	72149	21	$2,587.5	$1,293.75	$340.31	$1,758.5	3.9×	$2,458.13
MRI cervical spine with and without contrast	CPT	72156	21	$2,975.49	$1,487.75	$340.31	$1,902.21	3.5×	$2,826.72
MRI lumbar spine with contrast	CPT	72158	21	$2,932.5	$1,466.25	$340.31	$1,888.54	3.4×	$2,785.88
CT pelvis without contrast	CPT	72192	21	$1,528.63	$764.32	$101.33	$1,079.98	5.4×	$2,086
CT pelvis with contrast	CPT	72193	21	$2,016.23	$1,008.12	$169.64	$1,411.36	5.0×	$2,086
Shoulder X-ray	CPT	73030	21	$707.02	$353.51	$83.9	$480.56	5.2×	$671.67
Humerus X-ray	CPT	73060	21	$353.51	$176.76	$83.9	$247.46	2.8×	$403.57
Hand X-ray 3 views	CPT	73130	21	$707.02	$353.51	$83.9	$480.56	5.2×	$671.67
MRI upper extremity joint without contrast	CPT	73221	21	$2,188.24	$1,094.12	$230.34	$1,531.77	3.7×	$2,078.83
MRI upper extremity joint with and without contrast	CPT	73223	21	$3,022.06	$1,511.03	$340.31	$1,922.03	3.1×	$2,870.96
Knee X-ray 1-2 views	CPT	73560	21	$707.02	$353.51	$83.9	$480.56	5.2×	$671.67
Ankle X-ray 3 views	CPT	73610	21	$707.02	$353.51	$83.9	$480.56	5.2×	$671.67
MRI lower extremity joint without contrast	CPT	73721	21	$4,232	$2,116	$230.34	$2,319.81	5.0×	$4,020.4
MRI lower extremity joint with and without contrast	CPT	73723	21	$5,750	$2,875	$340.31	$3,084.3	4.9×	$5,462.5
CT abdomen without contrast	CPT	74150	21	$1,528.63	$764.32	$101.33	$1,079.98	5.7×	$2,086
CT abdomen with contrast	CPT	74160	21	$2,016.23	$1,008.12	$169.64	$1,411.36	4.9×	$2,086
CT abdomen with and without contrast	CPT	74170	21	$2,390.46	$1,195.23	$169.64	$1,548.3	4.6×	$2,270.94
CT abdomen and pelvis without contrast	CPT	74176	21	$3,053.6	$1,526.8	$230.34	$1,942.09	5.3×	$2,900.92
CT abdomen and pelvis with contrast	CPT	74177	21	$4,032.45	$2,016.23	$340.31	$2,291.05	4.2×	$3,830.83
CT abdomen and pelvis with and without contrast	CPT	74178	21	$4,780.93	$2,390.47	$340.31	$2,564.5	4.5×	$4,541.88
MRI abdomen without contrast	CPT	74181	21	$2,317.25	$1,158.63	$230.34	$1,622.08	4.2×	$2,201.39
MRI abdomen with and without contrast	CPT	74183	21	$3,151	$1,575.5	$340.31	$2,002.02	3.5×	$2,993.45
Abdominal ultrasound complete	CPT	76700	21	$818.4	$409.2	$101.33	$556.27	3.7×	$777.48
Abdominal ultrasound limited	CPT	76705	21	$818.4	$409.2	$101.33	$556.27	3.8×	$777.48
Retroperitoneal ultrasound complete	CPT	76770	21	$743.83	$371.92	$101.33	$508.59	3.5×	$706.64
Obstetric ultrasound first trimester	CPT	76801	21	$818.4	$409.2	$101.33	$556.27	3.9×	$777.48
Obstetric ultrasound after first trimester	CPT	76805	21	$818.4	$409.2	$101.33	$556.27	3.6×	$777.48
Obstetric ultrasound with fetal anatomy	CPT	76811	12	—	—	$230.34	$230.34	0.98×	$1,084.76
Transvaginal ultrasound	CPT	76830	21	$818.4	$409.2	$101.33	$556.27	3.8×	$777.48
Pelvic ultrasound complete	CPT	76856	21	$818.4	$409.2	$101.33	$556.27	3.9×	$777.48
Scrotal ultrasound	CPT	76870	21	$818.4	$409.2	$101.33	$556.27	4.2×	$777.48
Diagnostic mammography unilateral	CPT	77065	21	$652.05	$326.03	$77.58	$443.2	3.0×	$619.45
Diagnostic mammography bilateral	CPT	77066	21	$749.8	$374.9	$98.8	$524.86	2.8×	$712.31
Screening mammography bilateral	CPT	77067	21	$287.5	$143.75	$81.66	$203.12	1.3×	$449.72
EKG tracing only	CPT	93005	21	$307.67	$153.84	$56.6	$209.13	1.8×	$292.29
Transthoracic echocardiogram complete	CPT	93306	21	$4,778.55	$2,389.28	$522.48	$2,610.67	4.4×	$4,539.62
Transthoracic echocardiogram	CPT	93307	21	$782.36	$391.18	$230.34	$547.65	2.2×	$743.24
Stress echocardiogram	CPT	93350	21	$2,058.37	$1,029.19	$522.48	$1,438.84	2.8×	$1,955.45
inpatient
Intracranial hemorrhage/CVA w MCC	MS-DRG	064	12	—	—	$16,138	$20,950	1.0×	$44,381
Intracranial hemorrhage/CVA w CC	MS-DRG	065	12	—	—	$8,737.52	$10,958	1.0×	$24,028
Intracranial hemorrhage/CVA w/o CC/MCC	MS-DRG	066	12	—	—	$6,236.28	$7,581.5	0.99×	$17,150
Respiratory infections & inflammations w MCC	MS-DRG	177	12	—	—	$13,302	$17,120	1.1×	$36,579
COPD w MCC	MS-DRG	190	12	—	—	$9,545.13	$12,048	1.1×	$26,249
COPD w CC	MS-DRG	191	12	—	—	$7,536.38	$9,336.64	1.1×	$20,725
COPD w/o CC/MCC	MS-DRG	192	12	—	—	$5,923.44	$7,159.15	1.0×	$16,289
Simple pneumonia & pleurisy w CC	MS-DRG	194	12	—	—	$7,238.75	$8,934.85	1.1×	$19,907
Simple pneumonia & pleurisy w/o CC/MCC	MS-DRG	195	12	—	—	$5,736.95	$6,907.39	1.0×	$15,777
AMI discharged alive w MCC	MS-DRG	280	12	—	—	$13,491	$17,376	1.1×	$37,100
AMI discharged alive w CC	MS-DRG	281	12	—	—	$8,013.63	$9,980.94	1.0×	$22,037
AMI discharged alive w/o CC/MCC	MS-DRG	282	12	—	—	$6,516.41	$8,699.41	1.1×	$21,861
Heart failure & shock w MCC	MS-DRG	291	12	—	—	$10,929	$13,917	1.1×	$30,055
Heart failure & shock w CC	MS-DRG	292	12	—	—	$7,552.36	$9,358.22	1.0×	$20,769
Heart failure & shock w/o CC/MCC	MS-DRG	293	12	—	—	$5,173.67	$6,146.96	0.99×	$14,228
Cardiac arrhythmia w MCC	MS-DRG	308	12	—	—	$10,176	$12,900	1.1×	$27,984
Cardiac arrhythmia w CC	MS-DRG	309	12	—	—	$6,624.48	$8,105.57	1.0×	$18,217
Cardiac arrhythmia w/o CC/MCC	MS-DRG	310	12	—	—	$5,255.89	$7,016.62	1.1×	$14,454
GI hemorrhage w CC	MS-DRG	378	12	—	—	$8,501.55	$10,640	1.1×	$23,379
GI hemorrhage w/o CC/MCC	MS-DRG	379	12	—	—	$5,843.52	$7,051.26	1.0×	$16,070
Esophagitis/gastroenteritis w/o MCC	MS-DRG	392	12	—	—	$6,936.56	$8,526.89	1.1×	$19,076
Fractures of femur w/o MCC	MS-DRG	533	12	—	—	$12,604	$16,178	1.1×	$34,662
Kidney/UTI w MCC	MS-DRG	689	12	—	—	$9,905.16	$12,535	1.1×	$27,239
Kidney/UTI w/o MCC	MS-DRG	690	12	—	—	$7,106.31	$8,756.05	1.1×	$19,542
Septicemia or severe sepsis w MV 96+ hrs	MS-DRG	871	12	—	—	$15,932	$20,671	1.1×	$43,814
Septicemia or severe sepsis w/o MV 96+ hrs	MS-DRG	872	12	—	—	$8,844.84	$11,103	1.1×	$24,323
lab
Basic metabolic panel (BMP)	CPT	80048	21	$40.22	$20.11	$8.46	$26.05	0.80×	$61.55
General health panel	CPT	80050	14	$634.7	$317.35	$112.27	$444.29	4.1×	$602.97
Electrolyte panel	CPT	80051	21	$25.2	$12.6	$7.01	$17.5	0.74×	$51
Comprehensive metabolic panel	CPT	80053	21	$57.93	$28.97	$10.56	$36.84	0.83×	$76.85
Lipid panel	CPT	80061	21	$69.76	$34.88	$13.39	$45.03	1.2×	$97.44
Renal function panel	CPT	80069	21	$47.62	$23.81	$8.68	$30.29	1.1×	$63.16
Hepatic function panel	CPT	80076	21	$34.66	$17.33	$8.17	$22.66	0.85×	$59.45
Urinalysis non-automated	CPT	81002	21	$12.65	$6.33	$3.48	$8.74	1.3×	$25.33
Urinalysis automated	CPT	81003	21	$12.32	$6.16	$2.25	$7.84	0.56×	$16.38
Glucose quantitative	CPT	82947	21	$18.73	$9.37	$3.93	$12.13	0.69×	$28.61
Hemoglobin A1c	CPT	83036	21	$46.28	$23.14	$9.71	$29.98	1.1×	$70.66
Thyroid stimulating hormone (TSH)	CPT	84443	21	$80.12	$40.06	$16.8	$51.9	1.1×	$122.24
Complete blood count with automated differential	CPT	85025	21	$42.63	$21.32	$7.77	$27.11	1.0×	$56.54
Complete blood count without differential	CPT	85027	21	$35.47	$17.74	$6.47	$22.56	1.0×	$47.07
Urine culture bacterial	CPT	87086	21	$44.01	$22.01	$8.07	$24.01	1.0×	$58.71
Urine culture identification	CPT	87088	21	$44.14	$22.07	$8.09	$28.07	1.3×	$58.86
Tissue exam by pathologist level IV	CPT	88305	21	$195.5	$97.75	$50.91	$126.63	1.2×	$280.86
maternity
Fetal non-stress test	CPT	59025	21	$704.1	$352.05	$191.69	$492.87	2.6×	$4,433
Routine obstetric care including vaginal delivery	CPT	59400	1	—	—	$11,032	$12,564	5.5×	$15,092
Vaginal delivery only	CPT	59409	12	—	—	$3,029.77	$3,090.37	1.4×	$8,331.88
Vaginal delivery with postpartum	CPT	59410	1	—	—	$11,032	$12,564	11.8×	$15,092
Routine obstetric care with C-section	CPT	59510	1	—	—	$11,032	$12,564	5.0×	$15,092
C-section delivery only	CPT	59514	1	—	—	$5,859	$6,673	7.0×	$8,015
C-section with postpartum	CPT	59515	1	—	—	$11,032	$12,564	9.9×	$15,092
office
Office visit, new patient, 15-29 min	CPT	99202	21	$132.3	$66.15	$47.36	$112.46	1.3×	$337.7
Office visit, new patient, 30-44 minutes	CPT	99203	21	$180.6	$90.3	$64.65	$128.77	1.1×	$337.7
Office visit, new patient, 45-59 min	CPT	99204	21	$219.45	$109.73	$78.56	$153.62	0.88×	$337.7
Office visit, new patient, 60-74 min	CPT	99205	21	$245.7	$122.85	$87.96	$171.99	0.78×	$337.7
Office visit, established patient, 5 min	CPT	99211	14	$87.15	$43.58	$31.2	$62.49	0.97×	$82.79
Office visit, established patient, 10-19 min	CPT	99212	21	$103.95	$51.98	$37.21	$88.36	1.1×	$337.7
Office visit, established patient, 20-29 minutes	CPT	99213	21	$131.25	$65.63	$46.99	$111.56	0.97×	$337.7
Office visit, established patient, 30-39 minutes	CPT	99214	21	$164.85	$82.43	$59.02	$123.22	0.81×	$337.7
Office visit, established patient, 40-54 min	CPT	99215	21	$203.7	$101.85	$72.92	$142.59	0.76×	$337.7
preventive
Upper GI endoscopy diagnostic	CPT	43235	21	$4,942.57	$2,471.29	$893.4	$3,459.8	3.8×	$4,695.44
Upper GI endoscopy with biopsy	CPT	43239	21	$5,492	$2,746	$893.4	$3,844.4	4.0×	$5,217.4
Sigmoidoscopy diagnostic	CPT	45330	21	$4,136.74	$2,068.37	$868.77	$2,922.61	3.5×	$4,433
Sigmoidoscopy with biopsy	CPT	45331	21	$4,910.52	$2,455.26	$868.77	$3,437.36	3.8×	$4,664.99
Colonoscopy diagnostic	CPT	45378	21	$5,695.76	$2,847.88	$868.77	$3,987.03	4.5×	$5,410.97
Colonoscopy with biopsy	CPT	45380	21	$6,355.05	$3,177.53	$1,123.55	$4,489.85	3.7×	$8,015
Colonoscopy with polyp removal	CPT	45385	21	$6,133.02	$3,066.51	$1,123.55	$4,332.98	3.6×	$8,015
surgery
Total shoulder arthroplasty	CPT	23472	12	—	—	$16,556	$17,524	4.2×	$48,191
PCI w drug-eluting stent w/o MCC	MS-DRG	247	1	—	—	$41,088	$44,714	2.4×	$53,710
Hip hemiarthroplasty	CPT	27125	1	—	—	$11,032	$12,564	10.0×	$15,092
Total hip replacement	CPT	27130	12	—	—	$12,261	$12,506	2.9×	$33,717
Total knee replacement	CPT	27447	12	—	—	$12,261	$12,506	3.0×	$33,717
Knee revision arthroplasty single component	CPT	27486	1	—	—	$16,556	$18,855	11.3×	$22,648
Knee revision arthroplasty all components	CPT	27487	1	—	—	$16,556	$18,855	9.4×	$22,648
Shoulder arthroscopy with rotator cuff repair	CPT	29827	12	—	—	$6,807.26	$6,943.41	2.1×	$22,648
Knee arthroscopy with meniscectomy	CPT	29881	12	—	—	$3,091.79	$3,153.62	1.5×	$15,092
ACL reconstruction	CPT	29888	12	—	—	$6,807.26	$6,943.41	2.1×	$22,648
Major small/large bowel procedures w MCC	MS-DRG	329	12	—	—	$35,950	$47,695	1.1×	$98,862
Major small/large bowel procedures w CC	MS-DRG	330	12	—	—	$18,989	$24,798	1.1×	$52,220
Major small/large bowel procedures w/o CC/MCC	MS-DRG	331	12	—	—	$13,564	$17,474	1.1×	$37,301
CABG single arterial graft	CPT	33533	1	—	—	$21,971	$25,022	13.3×	$30,057
CABG 2 arterial grafts	CPT	33534	1	—	—	$21,971	$25,022	11.7×	$30,057
CABG 3 arterial grafts	CPT	33535	1	—	—	$21,971	$25,022	11.0×	$30,057
CABG 4+ arterial grafts	CPT	33536	1	—	—	$21,971	$25,022	10.2×	$30,057
Laparoscopic cholecystectomy w/o CDE w MCC	MS-DRG	418	12	—	—	$13,620	$17,550	1.1×	$37,456
Laparoscopic cholecystectomy w/o CDE w CC	MS-DRG	419	12	—	—	$11,026	$14,029	1.0×	$30,323
Laparoscopic cholecystectomy w/o CDE w/o CC/MCC	MS-DRG	420	12	—	—	$27,863	$36,778	1.1×	$76,623
Open appendectomy	CPT	44950	12	—	—	$5,945.86	$6,064.77	5.3×	$16,351
Laparoscopic appendectomy	CPT	44970	12	—	—	$5,559.56	$5,670.75	3.6×	$21,917
Major joint replacement w MCC	MS-DRG	469	12	—	—	$25,878	$34,098	1.2×	$71,164
Major joint replacement w/o MCC	MS-DRG	470	12	—	—	$15,349	$20,491	1.1×	$42,210
Laparoscopic cholecystectomy	CPT	47562	12	—	—	$5,559.56	$5,670.75	3.2×	$21,917
Lap cholecystectomy with cholangiography	CPT	47563	12	—	—	$5,559.56	$5,670.75	3.0×	$21,917
Hip & femur procedures except major joint w MCC	MS-DRG	480	12	—	—	$23,383	$30,730	1.1×	$64,304
Hip & femur procedures except major joint w CC	MS-DRG	481	12	—	—	$16,791	$21,830	1.1×	$46,175
Hip & femur procedures except major joint w/o CC/MCC	MS-DRG	482	12	—	—	$13,072	$16,810	1.1×	$35,949
Lap inguinal hernia repair	CPT	49650	12	—	—	$5,559.56	$5,670.75	5.0×	$21,917
Total abdominal hysterectomy	CPT	58150	1	—	—	$16,021	$18,246	18.7×	$21,917
Vaginal hysterectomy	CPT	58260	12	—	—	$4,703.94	$4,798.02	2.6×	$16,907
Lap-assisted vaginal hysterectomy	CPT	58550	12	—	—	$5,559.56	$5,670.75	3.8×	$21,917
Lap-assisted vaginal hysterectomy >250g	CPT	58552	12	—	—	$9,920.85	$10,119	4.5×	$30,057
Lap salpingo-oophorectomy	CPT	58661	12	—	—	$5,559.56	$5,670.75	2.8×	$21,917
OR procedure for obesity w MCC	MS-DRG	619	12	—	—	$21,751	$28,526	1.1×	$59,814
OR procedure for obesity w CC	MS-DRG	620	12	—	—	$13,153	$16,919	1.0×	$36,171
OR procedure for obesity w/o CC/MCC	MS-DRG	621	12	—	—	$12,124	$15,530	1.0×	$33,341
Complex cataract surgery	CPT	66982	12	—	—	$2,173.31	$2,216.77	1.00×	$8,015
Cataract surgery with lens implant	CPT	66984	12	—	—	$2,173.31	$2,216.77	1.0×	$8,015
Intravitreal injection	CPT	67028	12	—	—	$316.07	$322.39	0.94×	$4,433
Vitrectomy mechanical	CPT	67042	12	—	—	$3,833.38	$3,910.05	1.6×	$16,907
Uterine & adnexa procedures w CC/MCC	MS-DRG	743	12	—	—	$10,121	$12,826	1.0×	$27,834
Uterine & adnexa procedures w/o CC/MCC	MS-DRG	744	12	—	—	$15,871	$20,588	1.1×	$43,644
PCI single major coronary artery	CPT	92920	21	$22,012	$11,006	$5,432.98	$15,175	2.7×	$20,912
PCI with drug-eluting stent	CPT	92928	21	$59,875	$29,937	$10,806	$40,697	4.1×	$56,881
PCI bypass graft	CPT	92937	21	$81,889	$40,945	$10,806	$55,660	5.1×	$77,795
Left heart catheterization	CPT	93452	12	—	—	$3,064.92	$3,126.22	1.0×	$15,092
Coronary angiography with cath	CPT	93455	21	$18,505	$9,252.48	$3,064.92	$12,953	4.1×	$17,580
Coronary angiography with bypass cath	CPT	93458	21	$23,854	$11,927	$3,064.92	$16,214	5.2×	$22,662

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 21)

Payer	Codes covered	Median rate
Anthem BCBS	186	$1,725.26
Aetna	176	$583.52
Humana	176	$777.48
medical mutual of ohio	176	$693.69
UnitedHealthcare	176	$1,484.08
care source just4me	174	$612.56
gateway health	174	$347.12
medigold	174	$340.31
Molina	174	$478.43
sidecar health	174	$935.85
buckeye community health plan	174	$340.31
care source	174	$347.12
Cigna	109	$506.59
Multiplan	108	$905.21
First Health	108	$852.44
ohio health choice	108	$758.47
healthsmart	108	$809.93
the health plan	108	$667
integrated health plan	108	$905.21
ohio ppo connect	108	$667
three rivers network	108	$905.21

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