▸ Hospital · OH · CCN 360359
University Hospitals Ahuja Medical Center
3999 RICHMOND ROAD, BEACHWOOD, OH, 44122
172 bedsAcute Care Hospitals2
Compliance grade
A
100/100
Procedures tracked
191
of 209 target codes
Payers
30
with negotiated rates
Rates published
70,568
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 | — | — | $936 | $10,714 | $22,375 |
| Psychiatric diagnostic evaluation | CPT | 90791 | 38 | $653 | $489.75 | $148.95 | $333.03 | $587.7 |
| Psychiatric eval with medical services | CPT | 90792 | 17 | — | — | $148.95 | $148.95 | $268.11 |
| Psychotherapy 30 minutes | CPT | 90832 | 17 | — | — | $148.95 | $148.95 | $268.11 |
| Psychotherapy 45 minutes | CPT | 90834 | 38 | $342 | $256.5 | $79 | $188.1 | $307.8 |
| Psychotherapy 60 minutes | CPT | 90837 | 38 | $421 | $315.75 | $97.25 | $231.55 | $378.9 |
| Crisis psychotherapy 60 minutes | CPT | 90839 | 38 | $727 | $545.25 | $148.95 | $370.77 | $654.3 |
| emergency | ||||||||
| ED visit level 1 | CPT | 99281 | 38 | $400 | $300 | $81.63 | $200 | $700 |
| 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 | $251.79 | $545 | $2,178 |
| ED visit level 4 | CPT | 99284 | 38 | $1,711 | $1,283.25 | $394.75 | $958.16 | $2,300 |
| ED visit level 5 | CPT | 99285 | 38 | $5,300 | $3,975 | $568.37 | $2,419.2 | $4,770 |
| Critical care, first hour | CPT | 99291 | 38 | $3,766 | $2,824.5 | $781.13 | $1,958.32 | $5,888 |
| imaging | ||||||||
| CT head without contrast | CPT | 70450 | 38 | $1,612 | $1,209 | $98.58 | $902.72 | $1,843 |
| CT head with contrast | CPT | 70460 | 38 | $1,918 | $1,438.5 | $165.03 | $975 | $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 | $1,387.36 | $2,401.2 |
| MRI brain with contrast | CPT | 70552 | 38 | $2,837 | $2,127.75 | $331.07 | $1,475.24 | $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 | $40.64 | $187.5 | $337.5 |
| Chest X-ray 2 views | CPT | 71046 | 38 | $469 | $351.75 | $55.49 | $234.5 | $422.1 |
| Chest X-ray 3 views | CPT | 71047 | 38 | $641 | $480.75 | $70.36 | $320.5 | $576.9 |
| CT chest without contrast | CPT | 71250 | 38 | $1,948 | $1,461 | $98.58 | $975 | $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 | $1,305.36 | $2,258 |
| MRI chest with contrast | CPT | 71551 | 38 | $2,699 | $2,024.25 | $623.47 | $1,403.48 | $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 | $69.53 | $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 | $975 | $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 | $1,462.76 | $2,531.7 |
| MRI thoracic spine without contrast | CPT | 72146 | 38 | $2,905 | $2,178.75 | $224.08 | $1,503 | $2,614.5 |
| MRI lumbar spine without contrast | CPT | 72148 | 38 | $2,905 | $2,178.75 | $224.08 | $1,503 | $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 | $928.72 | $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 | $60.45 | $295.5 | $531.9 |
| Humerus X-ray | CPT | 73060 | 38 | $466 | $349.5 | $57.97 | $233 | $419.4 |
| Hand X-ray 3 views | CPT | 73130 | 38 | $553 | $414.75 | $67.04 | $276.5 | $497.7 |
| MRI upper extremity joint without contrast | CPT | 73221 | 38 | $2,727 | $2,045.25 | $224.08 | $1,418.04 | $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 | $62.91 | $181.5 | $326.7 |
| Ankle X-ray 3 views | CPT | 73610 | 38 | $509 | $381.75 | $67.88 | $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 | $1,550.5 | $2,790.9 |
| CT abdomen and pelvis with contrast | CPT | 74177 | 38 | $3,197 | $2,397.75 | $331.07 | $1,595 | $2,877.3 |
| CT abdomen and pelvis with and without contrast | CPT | 74178 | 38 | $3,340 | $2,505 | $331.07 | $1,603.2 | $3,006 |
| MRI abdomen without contrast | CPT | 74181 | 38 | $2,930 | $2,197.5 | $224.08 | $1,503 | $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 | 17 | — | — | $204.28 | $224.08 | $403.35 |
| 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 | $191.25 | $337.5 |
| Transthoracic echocardiogram complete | CPT | 93306 | 38 | $2,726 | $2,044.5 | $508.3 | $1,390.26 | $2,453.4 |
| Transthoracic echocardiogram | CPT | 93307 | 38 | $1,639 | $1,229.25 | $224.08 | $835.89 | $1,475.1 |
| Stress echocardiogram | CPT | 93350 | 38 | $2,499 | $1,874.25 | $508.3 | $1,274.49 | $2,249.1 |
| inpatient | ||||||||
| Intracranial hemorrhage/CVA w MCC | MS-DRG | 064 | 20 | — | — | $14,162 | $22,414 | $31,575 |
| Intracranial hemorrhage/CVA w CC | MS-DRG | 065 | 20 | — | — | $7,521.72 | $11,458 | $16,141 |
| Intracranial hemorrhage/CVA w/o CC/MCC | MS-DRG | 066 | 20 | — | — | $5,277.67 | $7,755.76 | $10,925 |
| Respiratory infections & inflammations w MCC | MS-DRG | 177 | 20 | — | — | $11,616 | $18,215 | $25,659 |
| COPD w MCC | MS-DRG | 190 | 20 | — | — | $8,246.28 | $12,654 | $17,825 |
| COPD w CC | MS-DRG | 191 | 20 | — | — | $6,444.08 | $9,680.34 | $13,636 |
| COPD w/o CC/MCC | MS-DRG | 192 | 20 | — | — | $4,996.98 | $7,292.65 | $10,273 |
| Simple pneumonia & pleurisy w CC | MS-DRG | 194 | 20 | — | — | $6,177.07 | $9,239.76 | $13,016 |
| Simple pneumonia & pleurisy w/o CC/MCC | MS-DRG | 195 | 20 | — | — | $4,829.7 | $7,016.58 | $9,884.12 |
| AMI discharged alive w MCC | MS-DRG | 280 | 20 | — | — | $11,786 | $18,495 | $31,993 |
| AMI discharged alive w CC | MS-DRG | 281 | 20 | — | — | $6,872.26 | $10,387 | $28,027 |
| AMI discharged alive w/o CC/MCC | MS-DRG | 282 | 20 | — | — | $5,528.99 | $8,170.43 | $23,539 |
| Heart failure & shock w MCC | MS-DRG | 291 | 20 | — | — | $9,487.82 | $14,702 | $20,711 |
| Heart failure & shock w CC | MS-DRG | 292 | 20 | — | — | $6,458.41 | $9,704 | $13,670 |
| Heart failure & shock w/o CC/MCC | MS-DRG | 293 | 20 | — | — | $4,324.34 | $6,182.75 | $8,709.52 |
| Cardiac arrhythmia w MCC | MS-DRG | 308 | 20 | — | — | $8,812.42 | $13,588 | $19,141 |
| Cardiac arrhythmia w CC | MS-DRG | 309 | 20 | — | — | $5,625.94 | $8,330.43 | $11,735 |
| Cardiac arrhythmia w/o CC/MCC | MS-DRG | 310 | 20 | — | — | $4,398.07 | $6,304.45 | $8,880.94 |
| GI hemorrhage w CC | MS-DRG | 378 | 20 | — | — | $7,310.02 | $11,109 | $15,649 |
| GI hemorrhage w/o CC/MCC | MS-DRG | 379 | 20 | — | — | $4,925.29 | $7,174.34 | $10,106 |
| Esophagitis/gastroenteritis w/o MCC | MS-DRG | 392 | 20 | — | — | $5,905.94 | $8,792.42 | $12,386 |
| Fractures of femur w/o MCC | MS-DRG | 533 | 20 | — | — | $10,991 | $17,183 | $24,205 |
| Kidney/UTI w MCC | MS-DRG | 689 | 20 | — | — | $8,569.3 | $13,187 | $18,576 |
| Kidney/UTI w/o MCC | MS-DRG | 690 | 20 | — | — | $6,058.24 | $9,043.7 | $12,740 |
| Septicemia or severe sepsis w MV 96+ hrs | MS-DRG | 871 | 20 | — | — | $13,977 | $22,109 | $31,144 |
| Septicemia or severe sepsis w/o MV 96+ hrs | MS-DRG | 872 | 20 | — | — | $7,618.01 | $11,617 | $16,365 |
| lab | ||||||||
| Basic metabolic panel (BMP) | CPT | 80048 | 38 | $158 | $118.5 | $3.47 | $75.84 | $142.2 |
| General health panel | CPT | 80050 | 2 | — | — | $17.1 | $53.28 | $99.39 |
| Electrolyte panel | CPT | 80051 | 38 | $154 | $115.5 | $2.14 | $73.92 | $138.6 |
| Comprehensive metabolic panel | CPT | 80053 | 38 | $254 | $190.5 | $5 | $121.92 | $228.6 |
| Lipid panel | CPT | 80061 | 38 | $184 | $138 | $6.02 | $50.15 | $165.6 |
| Renal function panel | CPT | 80069 | 38 | $241 | $180.75 | $4.11 | $115.68 | $216.9 |
| Hepatic function panel | CPT | 80076 | 38 | $182 | $136.5 | $2.99 | $87.36 | $163.8 |
| Urinalysis non-automated | CPT | 81002 | 38 | $44 | $33 | $2.77 | $22 | $56 |
| 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 | $56 |
| Hemoglobin A1c | CPT | 83036 | 38 | $147 | $110.25 | $9 | $70.56 | $132.3 |
| Thyroid stimulating hormone (TSH) | CPT | 84443 | 38 | $175 | $131.25 | $7.95 | $84 | $157.5 |
| Complete blood count with automated differential | CPT | 85025 | 38 | $134 | $100.5 | $3.68 | $64.32 | $120.6 |
| Complete blood count without differential | CPT | 85027 | 38 | $116 | $87 | $3.06 | $56 | $104.4 |
| Urine culture bacterial | CPT | 87086 | 38 | $162 | $121.5 | $8.07 | $77.76 | $145.8 |
| Urine culture identification | CPT | 87088 | 17 | — | — | $8.09 | $8.09 | $19.41 |
| Tissue exam by pathologist level IV | CPT | 88305 | 38 | $424 | $318 | $48 | $212 | $381.6 |
| maternity | ||||||||
| Fetal non-stress test | CPT | 59025 | 17 | — | — | $186.49 | $186.49 | $2,388.78 |
| Routine obstetric care including vaginal delivery | CPT | 59400 | 1 | — | — | $3,540.73 | $3,737.39 | $3,934.04 |
| Vaginal delivery only | CPT | 59409 | 17 | — | — | $2,292.78 | $2,947.55 | $5,305.59 |
| Vaginal delivery with postpartum | CPT | 59410 | 2 | — | — | $2,292.78 | $3,043.96 | $3,934.04 |
| Routine obstetric care with C-section | CPT | 59510 | 1 | — | — | $3,540.73 | $3,737.39 | $3,934.04 |
| C-section delivery only | CPT | 59514 | 1 | — | — | $3,540.73 | $3,737.39 | $3,934.04 |
| C-section with postpartum | CPT | 59515 | 2 | — | — | $3,540.73 | $4,569.83 | $5,784.48 |
| office | ||||||||
| Office visit, established patient, 5 min | CPT | 99211 | 37 | $140 | $105 | $25.75 | $88.2 | $215.04 |
| Office visit, established patient, 10-19 min | CPT | 99212 | 37 | $146 | $109.5 | $25.75 | $101.03 | $215.04 |
| Office visit, established patient, 20-29 minutes | CPT | 99213 | 37 | $162 | $121.5 | $25.75 | $112.11 | $215.04 |
| Office visit, established patient, 30-39 minutes | CPT | 99214 | 37 | $189 | $141.75 | $25.75 | $119.47 | $215.04 |
| Office visit, established patient, 40-54 min | CPT | 99215 | 37 | $216 | $162 | $25.75 | $120.22 | $215.04 |
| preventive | ||||||||
| Upper GI endoscopy diagnostic | CPT | 43235 | 38 | $3,224 | $2,418 | $744.74 | $1,644.24 | $3,232.3 |
| Upper GI endoscopy with biopsy | CPT | 43239 | 38 | $3,160 | $2,370 | $729.96 | $1,643.2 | $3,601.91 |
| Sigmoidoscopy diagnostic | CPT | 45330 | 38 | $2,261 | $1,695.75 | $522.29 | $1,243.55 | $2,547.19 |
| Sigmoidoscopy with biopsy | CPT | 45331 | 38 | $2,490 | $1,867.5 | $575.19 | $1,369.5 | $2,547.19 |
| Colonoscopy diagnostic | CPT | 45378 | 38 | $3,337 | $2,502.75 | $770.85 | $1,735.24 | $3,601.91 |
| Colonoscopy with biopsy | CPT | 45380 | 38 | $3,254 | $2,440.5 | $751.67 | $1,822.24 | $3,601.91 |
| Colonoscopy with polyp removal | CPT | 45385 | 38 | $3,170 | $2,377.5 | $732.27 | $1,775.2 | $3,601.91 |
| surgery | ||||||||
| Total shoulder arthroplasty | CPT | 23472 | 17 | — | — | $5,205.62 | $17,048 | $30,687 |
| PCI w drug-eluting stent w MCC | MS-DRG | 246 | 1 | — | — | $48,459 | $51,763 | $55,067 |
| PCI w drug-eluting stent w/o MCC | MS-DRG | 247 | 1 | — | — | $44,443 | $47,473 | $50,504 |
| Hip hemiarthroplasty | CPT | 27125 | 3 | — | — | $5,938.98 | $9,395.15 | $26,485 |
| Total hip replacement | CPT | 27130 | 17 | — | — | $5,938.98 | $11,928 | $26,485 |
| Total knee replacement | CPT | 27447 | 17 | — | — | $11,727 | $12,405 | $27,792 |
| Knee revision arthroplasty single component | CPT | 27486 | 3 | — | — | $5,938.98 | $12,527 | $26,485 |
| Knee revision arthroplasty all components | CPT | 27487 | 3 | — | — | $5,938.98 | $12,527 | $26,485 |
| Shoulder arthroscopy with decompression | CPT | 29826 | 5 | — | — | $2,149.69 | $3,339.78 | $13,243 |
| Shoulder arthroscopy with rotator cuff repair | CPT | 29827 | 18 | — | — | $4,111.76 | $6,622.52 | $11,921 |
| Knee arthroscopy with meniscectomy | CPT | 29881 | 18 | — | — | $2,693.6 | $3,053 | $8,953.38 |
| ACL reconstruction | CPT | 29888 | 18 | — | — | $2,453.36 | $6,622.52 | $19,204 |
| Major small/large bowel procedures w MCC | MS-DRG | 329 | 20 | — | — | $31,936 | $51,742 | $72,887 |
| Major small/large bowel procedures w CC | MS-DRG | 330 | 20 | — | — | $16,719 | $26,634 | $37,519 |
| Major small/large bowel procedures w/o CC/MCC | MS-DRG | 331 | 20 | — | — | $11,852 | $18,603 | $26,206 |
| CABG single arterial graft | CPT | 33533 | 1 | — | — | $1,940.32 | $2,072.55 | $2,204.77 |
| CABG 2 arterial grafts | CPT | 33534 | 1 | — | — | $1,940.32 | $2,072.55 | $2,204.77 |
| CABG 3 arterial grafts | CPT | 33535 | 1 | — | — | $1,940.32 | $2,072.55 | $2,204.77 |
| CABG 4+ arterial grafts | CPT | 33536 | 1 | — | — | $1,940.32 | $2,072.55 | $2,204.77 |
| Laparoscopic cholecystectomy w/o CDE w MCC | MS-DRG | 418 | 20 | — | — | $11,903 | $18,687 | $26,324 |
| Laparoscopic cholecystectomy w/o CDE w CC | MS-DRG | 419 | 20 | — | — | $9,575.23 | $14,847 | $20,914 |
| Laparoscopic cholecystectomy w/o CDE w/o CC/MCC | MS-DRG | 420 | 20 | — | — | $24,681 | $39,770 | $56,024 |
| Open appendectomy | CPT | 44950 | 17 | — | — | $3,540.73 | $5,784.5 | $10,412 |
| Laparoscopic appendectomy | CPT | 44970 | 17 | — | — | $3,359.86 | $5,408.69 | $9,994.78 |
| Major joint replacement w MCC | MS-DRG | 469 | 20 | — | — | $22,900 | $36,832 | $51,884 |
| Major joint replacement w/o MCC | MS-DRG | 470 | 20 | — | — | $13,454 | $21,246 | $39,441 |
| Laparoscopic cholecystectomy | CPT | 47562 | 17 | — | — | $4,931.78 | $5,408.69 | $9,994.78 |
| Lap cholecystectomy with cholangiography | CPT | 47563 | 17 | — | — | $4,931.78 | $5,408.69 | $9,994.78 |
| Hip & femur procedures except major joint w MCC | MS-DRG | 480 | 20 | — | — | $20,662 | $33,139 | $46,682 |
| Hip & femur procedures except major joint w CC | MS-DRG | 481 | 20 | — | — | $14,747 | $23,380 | $36,124 |
| Hip & femur procedures except major joint w/o CC/MCC | MS-DRG | 482 | 20 | — | — | $11,411 | $17,876 | $25,181 |
| Open umbilical hernia repair | CPT | 49560 | 3 | — | — | $2,693.6 | $3,893.28 | $4,918.32 |
| Umbilical hernia repair age 5+ | CPT | 49585 | 3 | — | — | $2,693.6 | $3,893.28 | $4,918.32 |
| Lap inguinal hernia repair | CPT | 49650 | 18 | — | — | $2,693.6 | $5,408.69 | $9,994.78 |
| Lap incisional hernia repair | CPT | 49652 | 2 | — | — | $6,932.43 | $7,702.47 | $7,774.44 |
| Total abdominal hysterectomy | CPT | 58150 | 3 | — | — | $5,945.04 | $6,804.6 | $8,037.09 |
| Vaginal hysterectomy | CPT | 58260 | 17 | — | — | $4,576.29 | $4,713.58 | $8,237.32 |
| Lap-assisted vaginal hysterectomy | CPT | 58550 | 18 | — | — | $5,408.69 | $5,625.04 | $9,994.78 |
| Lap-assisted vaginal hysterectomy >250g | CPT | 58552 | 17 | — | — | $4,111.76 | $9,651.62 | $17,373 |
| Lap salpingo-oophorectomy | CPT | 58661 | 18 | — | — | $4,111.76 | $5,408.69 | $9,994.78 |
| OR procedure for obesity w MCC | MS-DRG | 619 | 20 | — | — | $19,197 | $26,330 | $43,278 |
| OR procedure for obesity w CC | MS-DRG | 620 | 20 | — | — | $11,483 | $17,995 | $26,330 |
| OR procedure for obesity w/o CC/MCC | MS-DRG | 621 | 20 | — | — | $10,560 | $16,472 | $26,330 |
| Complex cataract surgery | CPT | 66982 | 18 | — | — | $2,114.33 | $2,198.9 | $7,715.73 |
| Cataract surgery with lens implant | CPT | 66984 | 18 | — | — | $2,114.33 | $2,198.9 | $7,715.73 |
| Intravitreal injection | CPT | 67028 | 17 | — | — | $307.49 | $316.71 | $2,547.19 |
| Vitrectomy mechanical | CPT | 67042 | 17 | — | — | $3,729.35 | $3,841.23 | $7,774.44 |
| Uterine & adnexa procedures w CC/MCC | MS-DRG | 743 | 20 | — | — | $8,763.24 | $13,507 | $19,027 |
| Uterine & adnexa procedures w/o CC/MCC | MS-DRG | 744 | 20 | — | — | $13,921 | $22,018 | $31,016 |
| PCI single major coronary artery | CPT | 92920 | 38 | $12,068 | $9,051 | $2,787.71 | $7,844.2 | $16,525 |
| PCI with drug-eluting stent | CPT | 92928 | 38 | $15,429 | $11,572 | $3,564.1 | $10,513 | $18,924 |
| PCI bypass graft | CPT | 92937 | 17 | — | — | $8,795.52 | $10,513 | $18,924 |
| Left heart catheterization | CPT | 93452 | 38 | $15,603 | $11,702 | $2,981.74 | $8,737.68 | $17,164 |
| Coronary angiography with cath | CPT | 93455 | 38 | $17,249 | $12,937 | $2,981.74 | $9,659.44 | $17,164 |
| Coronary angiography with bypass cath | CPT | 93458 | 38 | $21,371 | $16,028 | $2,981.74 | $10,686 | $19,234 |
Payer mix (top 30)
| Payer | Codes covered | Median rate |
|---|---|---|
| Anthem BCBS | 185 | $1,481.57 |
| UnitedHealthcare | 182 | $1,870 |
| Aetna | 179 | $1,843 |
| Cigna | 175 | $1,236.48 |
| 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 | $836.83 |
| Molina | 171 | $331.07 |
| paramount | 171 | $341.01 |
| perennial advantage of ohio | 171 | $347.63 |
| primetime health plan | 171 | $331.07 |
| summacare | 171 | $1,200 |
| the health plan | 171 | $1,285.68 |
| valor health plans | 171 | $347.63 |
| university health employee plan (contigo) | 151 | $728 |
| aultcare | 145 | $1,377 |
| jp farley | 145 | $1,595 |
| private healthcare system | 102 | $1,471.46 |
| medical mutual traditional/health ohio | 102 | $1,197.7 |
| Multiplan | 102 | $1,539.9 |
| ohio health choice | 102 | $1,256.45 |
| ohio preferred network | 102 | $1,462.95 |
| beech street | 102 | $1,462.95 |
| buckeye plain ministries | 102 | $600 |
| sunrise plan communities | 102 | $855.5 |
| century health network | 102 | $1,454.35 |
| christian healthcare ministries | 102 | $874.25 |