▸ Hospital · OH · CCN 361308
University Hospitals Conneaut Medical Center
158 WEST MAIN STREET, CONNEAUT, OH, 44030-
25 bedsCritical Access Hospitals2
Compliance grade
A
100/100
Procedures tracked
183
of 209 target codes
Payers
30
with negotiated rates
Rates published
56,130
last crawl 2026-05-24
Procedures & rates
| Procedure | Type | Code | Payers | Gross | Cash | Neg min | Neg median | Neg max |
|---|---|---|---|---|---|---|---|---|
| behavioral | ||||||||
| Psychoses | MS-DRG | 885 | 7 | — | — | $936 | $12,934 | $18,149 |
| emergency | ||||||||
| ED visit level 1 | CPT | 99281 | 38 | $318 | $238.5 | $98.58 | $208.29 | $722 |
| ED visit level 2 | CPT | 99282 | 38 | $605 | $453.75 | $187.55 | $396.28 | $823 |
| ED visit level 3 | CPT | 99283 | 38 | $967 | $725.25 | $299.77 | $633.39 | $2,150 |
| ED visit level 4 | CPT | 99284 | 38 | $1,375 | $1,031.25 | $426.25 | $900.63 | $2,300 |
| ED visit level 5 | CPT | 99285 | 38 | $2,317 | $1,737.75 | $718.27 | $1,517.64 | $4,000 |
| Critical care, first hour | CPT | 99291 | 38 | $2,781 | $2,085.75 | $862.11 | $1,807.65 | $6,087 |
| imaging | ||||||||
| CT head without contrast | CPT | 70450 | 38 | $1,887 | $1,415.25 | $520 | $1,226.55 | $1,887 |
| CT head with contrast | CPT | 70460 | 38 | $2,076 | $1,557 | $520 | $1,349.4 | $2,076 |
| CT head with and without contrast | CPT | 70470 | 38 | $2,284 | $1,713 | $520 | $1,484.6 | $2,284 |
| CT neck with contrast | CPT | 70491 | 38 | $2,319 | $1,739.25 | $520 | $1,507.35 | $2,319 |
| MRI brain without contrast | CPT | 70551 | 38 | $2,420 | $1,815 | $728 | $1,573 | $2,420 |
| MRI brain with contrast | CPT | 70552 | 38 | $2,573 | $1,929.75 | $728 | $1,672.45 | $2,573 |
| MRI brain with and without contrast | CPT | 70553 | 38 | $2,802 | $2,101.5 | $728 | $1,821.3 | $2,802 |
| Chest X-ray single view | CPT | 71045 | 38 | $428 | $321 | $45.15 | $258.94 | $428 |
| Chest X-ray 2 views | CPT | 71046 | 38 | $501 | $375.75 | $61.65 | $303.11 | $501 |
| Chest X-ray 3 views | CPT | 71047 | 38 | $422 | $316.5 | $78.18 | $255.31 | $422 |
| CT chest without contrast | CPT | 71250 | 38 | $1,913 | $1,434.75 | $520 | $1,243.45 | $1,913 |
| CT chest with contrast | CPT | 71260 | 38 | $2,263 | $1,697.25 | $520 | $1,470.95 | $2,263 |
| CT chest with and without contrast | CPT | 71270 | 38 | $3,057 | $2,292.75 | $520 | $1,714.46 | $3,057 |
| MRI chest without contrast | CPT | 71550 | 38 | $3,039 | $2,279.25 | $728 | $1,975.35 | $3,039 |
| MRI chest with contrast | CPT | 71551 | 38 | $3,059 | $2,294.25 | $728 | $1,988.35 | $3,059 |
| MRI chest with and without contrast | CPT | 71552 | 38 | $4,183 | $3,137.25 | $728 | $2,338.3 | $4,183 |
| Lumbosacral spine X-ray | CPT | 72100 | 38 | $520 | $390 | $77.25 | $314.6 | $520 |
| CT cervical spine without contrast | CPT | 72125 | 38 | $2,075 | $1,556.25 | $520 | $1,348.75 | $2,075 |
| CT thoracic spine without contrast | CPT | 72128 | 38 | $1,965 | $1,473.75 | $520 | $1,277.25 | $1,965 |
| CT lumbar spine without contrast | CPT | 72131 | 38 | $2,225 | $1,668.75 | $520 | $1,446.25 | $2,225 |
| MRI cervical spine without contrast | CPT | 72141 | 38 | $2,552 | $1,914 | $728 | $1,658.8 | $2,552 |
| MRI thoracic spine without contrast | CPT | 72146 | 38 | $2,636 | $1,977 | $728 | $1,713.4 | $2,636 |
| MRI lumbar spine without contrast | CPT | 72148 | 38 | $2,636 | $1,977 | $728 | $1,713.4 | $2,636 |
| MRI lumbar spine with and without contrast | CPT | 72149 | 38 | $3,549 | $2,661.75 | $728 | $2,115.5 | $3,549 |
| MRI cervical spine with and without contrast | CPT | 72156 | 38 | $3,012 | $2,259 | $728 | $1,957.8 | $3,012 |
| MRI lumbar spine with contrast | CPT | 72158 | 38 | $3,012 | $2,259 | $728 | $1,957.8 | $3,012 |
| CT pelvis without contrast | CPT | 72192 | 38 | $1,895 | $1,421.25 | $520 | $1,231.75 | $1,895 |
| CT pelvis with contrast | CPT | 72193 | 38 | $2,377 | $1,782.75 | $520 | $1,545.05 | $2,377 |
| Shoulder X-ray | CPT | 73030 | 38 | $592 | $444 | $67.17 | $358.16 | $592 |
| Humerus X-ray | CPT | 73060 | 38 | $380 | $285 | $64.41 | $229.9 | $380 |
| Hand X-ray 3 views | CPT | 73130 | 38 | $501 | $375.75 | $74.49 | $303.11 | $501 |
| MRI upper extremity joint without contrast | CPT | 73221 | 38 | $2,473 | $1,854.75 | $728 | $1,607.45 | $2,473 |
| MRI upper extremity joint with and without contrast | CPT | 73223 | 38 | $3,525 | $2,643.75 | $728 | $2,115.5 | $3,525 |
| Knee X-ray 1-2 views | CPT | 73560 | 38 | $357 | $267.75 | $69.9 | $215.99 | $357 |
| Ankle X-ray 3 views | CPT | 73610 | 38 | $589 | $441.75 | $75.42 | $356.35 | $589 |
| MRI lower extremity joint without contrast | CPT | 73721 | 38 | $3,056 | $2,292 | $728 | $1,986.4 | $3,056 |
| MRI lower extremity joint with and without contrast | CPT | 73723 | 38 | $3,056 | $2,292 | $728 | $1,986.4 | $3,056 |
| CT abdomen without contrast | CPT | 74150 | 38 | $2,009 | $1,506.75 | $520 | $1,305.85 | $2,009 |
| CT abdomen with contrast | CPT | 74160 | 38 | $2,282 | $1,711.5 | $520 | $1,483.3 | $2,282 |
| CT abdomen with and without contrast | CPT | 74170 | 38 | $2,532 | $1,899 | $520 | $1,620.4 | $2,532 |
| CT abdomen and pelvis without contrast | CPT | 74176 | 38 | $2,963 | $2,222.25 | $520 | $1,688.14 | $2,963 |
| CT abdomen and pelvis with contrast | CPT | 74177 | 38 | $3,129 | $2,346.75 | $520 | $1,752.24 | $3,129 |
| CT abdomen and pelvis with and without contrast | CPT | 74178 | 38 | $3,199 | $2,399.25 | $520 | $1,791.44 | $3,199 |
| MRI abdomen without contrast | CPT | 74181 | 38 | $2,658 | $1,993.5 | $728 | $1,727.7 | $2,658 |
| MRI abdomen with and without contrast | CPT | 74183 | 38 | $3,057 | $2,292.75 | $728 | $1,987.05 | $3,057 |
| Abdominal ultrasound complete | CPT | 76700 | 38 | $1,047 | $785.25 | $161.25 | $633.44 | $1,047 |
| Abdominal ultrasound limited | CPT | 76705 | 38 | $895 | $671.25 | $161.25 | $541.48 | $895 |
| Retroperitoneal ultrasound complete | CPT | 76770 | 38 | $972 | $729 | $161.25 | $588.06 | $972 |
| Obstetric ultrasound first trimester | CPT | 76801 | 38 | $996 | $747 | $161.25 | $602.58 | $996 |
| Obstetric ultrasound after first trimester | CPT | 76805 | 1 | — | — | $247.92 | $247.92 | $247.92 |
| Obstetric ultrasound with fetal anatomy | CPT | 76811 | 1 | — | — | $226.98 | $226.98 | $226.98 |
| Transvaginal ultrasound | CPT | 76830 | 38 | $1,165 | $873.75 | $161.25 | $704.83 | $1,165 |
| Pelvic ultrasound complete | CPT | 76856 | 38 | $1,016 | $762 | $161.25 | $614.68 | $1,016 |
| Scrotal ultrasound | CPT | 76870 | 38 | $925 | $693.75 | $161.25 | $559.63 | $925 |
| Diagnostic mammography unilateral | CPT | 77065 | 38 | $496 | $372 | $129 | $275.23 | $471.2 |
| Diagnostic mammography bilateral | CPT | 77066 | 38 | $632 | $474 | $129 | $350.7 | $600.4 |
| Screening mammography bilateral | CPT | 77067 | 38 | $420 | $315 | $129 | $234.78 | $399 |
| EKG tracing only | CPT | 93005 | 38 | $347 | $260.25 | $107.57 | $225.55 | $347 |
| Transthoracic echocardiogram complete | CPT | 93306 | 38 | $2,251 | $1,688.25 | $697.81 | $1,463.15 | $2,251 |
| Transthoracic echocardiogram | CPT | 93307 | 38 | $2,177 | $1,632.75 | $674.87 | $1,415.05 | $2,177 |
| Stress echocardiogram | CPT | 93350 | 38 | $3,081 | $2,310.75 | $955.11 | $2,002.65 | $3,081 |
| inpatient | ||||||||
| Intracranial hemorrhage/CVA w MCC | MS-DRG | 064 | 7 | — | — | $10,978 | $19,518 | $26,596 |
| Intracranial hemorrhage/CVA w CC | MS-DRG | 065 | 7 | — | — | $9,283.28 | $11,615 | $13,596 |
| Intracranial hemorrhage/CVA w/o CC/MCC | MS-DRG | 066 | 7 | — | — | $6,283.49 | $8,577.6 | $13,000 |
| Respiratory infections & inflammations w MCC | MS-DRG | 177 | 7 | — | — | $10,978 | $15,861 | $21,613 |
| COPD w MCC | MS-DRG | 190 | 7 | — | — | $10,252 | $12,196 | $15,015 |
| COPD w CC | MS-DRG | 191 | 7 | — | — | $7,842.72 | $10,665 | $13,000 |
| COPD w/o CC/MCC | MS-DRG | 192 | 7 | — | — | $5,908.29 | $8,065.41 | $13,000 |
| Simple pneumonia & pleurisy w CC | MS-DRG | 194 | 7 | — | — | $7,485.78 | $10,219 | $13,000 |
| Simple pneumonia & pleurisy w/o CC/MCC | MS-DRG | 195 | 7 | — | — | $5,684.63 | $7,760.09 | $13,000 |
| AMI discharged alive w MCC | MS-DRG | 280 | 8 | — | — | $10,978 | $16,650 | $33,070 |
| AMI discharged alive w CC | MS-DRG | 281 | 8 | — | — | $8,415.11 | $11,107 | $28,970 |
| AMI discharged alive w/o CC/MCC | MS-DRG | 282 | 8 | — | — | $6,619.44 | $9,335.66 | $24,331 |
| Heart failure & shock w MCC | MS-DRG | 291 | 7 | — | — | $10,978 | $13,118 | $17,445 |
| Heart failure & shock w CC | MS-DRG | 292 | 7 | — | — | $7,861.89 | $10,677 | $13,000 |
| Heart failure & shock w/o CC/MCC | MS-DRG | 293 | 7 | — | — | $5,009.08 | $6,837.9 | $13,000 |
| Cardiac arrhythmia w MCC | MS-DRG | 308 | 7 | — | — | $10,978 | $12,616 | $16,123 |
| Cardiac arrhythmia w CC | MS-DRG | 309 | 7 | — | — | $6,749.07 | $9,213.16 | $13,000 |
| Cardiac arrhythmia w/o CC/MCC | MS-DRG | 310 | 7 | — | — | $5,107.68 | $6,972.49 | $13,000 |
| GI hemorrhage w CC | MS-DRG | 378 | 7 | — | — | $9,000.28 | $11,429 | $13,181 |
| GI hemorrhage w/o CC/MCC | MS-DRG | 379 | 7 | — | — | $5,812.43 | $7,934.56 | $13,000 |
| Esophagitis/gastroenteritis w/o MCC | MS-DRG | 392 | 7 | — | — | $7,123.36 | $9,724.1 | $13,000 |
| Fractures of femur w/o MCC | MS-DRG | 533 | 7 | — | — | $10,978 | $14,962 | $20,388 |
| Kidney/UTI w MCC | MS-DRG | 689 | 7 | — | — | $10,684 | $12,436 | $15,647 |
| Kidney/UTI w/o MCC | MS-DRG | 690 | 7 | — | — | $7,326.94 | $10,002 | $13,000 |
| Septicemia or severe sepsis w MV 96+ hrs | MS-DRG | 871 | 7 | — | — | $10,978 | $19,252 | $26,233 |
| Septicemia or severe sepsis w/o MV 96+ hrs | MS-DRG | 872 | 7 | — | — | $9,412 | $11,700 | $13,784 |
| lab | ||||||||
| Basic metabolic panel (BMP) | CPT | 80048 | 38 | $209 | $156.75 | $3.47 | $116.62 | $198.55 |
| General health panel | CPT | 80050 | 2 | — | — | $17.1 | $17.1 | $99.39 |
| Electrolyte panel | CPT | 80051 | 38 | $206 | $154.5 | $2.14 | $114.95 | $195.7 |
| Comprehensive metabolic panel | CPT | 80053 | 38 | $309 | $231.75 | $5 | $172.42 | $293.55 |
| Lipid panel | CPT | 80061 | 38 | $234 | $175.5 | $6.02 | $55.7 | $222.3 |
| Renal function panel | CPT | 80069 | 38 | $306 | $229.5 | $4.11 | $170.75 | $290.7 |
| Hepatic function panel | CPT | 80076 | 38 | $242 | $181.5 | $2.99 | $135.04 | $229.9 |
| Urinalysis non-automated | CPT | 81002 | 2 | — | — | $2.77 | $2.77 | $8.34 |
| Urinalysis automated | CPT | 81003 | 38 | $68 | $51 | $1.06 | $38.01 | $64.6 |
| Glucose quantitative | CPT | 82947 | 38 | $78 | $58.5 | $5.13 | $30.85 | $74.1 |
| Hemoglobin A1c | CPT | 83036 | 38 | $195 | $146.25 | $9 | $108.81 | $185.25 |
| Thyroid stimulating hormone (TSH) | CPT | 84443 | 38 | $219 | $164.25 | $7.95 | $122.2 | $208.05 |
| Complete blood count with automated differential | CPT | 85025 | 38 | $116 | $87 | $3.68 | $64.73 | $110.2 |
| Complete blood count without differential | CPT | 85027 | 38 | $125 | $93.75 | $3.06 | $69.75 | $118.75 |
| Urine culture bacterial | CPT | 87086 | 38 | $130 | $97.5 | $10.16 | $72.54 | $123.5 |
| Urine culture identification | CPT | 87088 | 2 | — | — | $9.54 | $9.54 | $19.41 |
| Tissue exam by pathologist level IV | CPT | 88305 | 38 | $591 | $443.25 | $29.76 | $90.58 | $561.45 |
| maternity | ||||||||
| Fetal non-stress test | CPT | 59025 | 1 | — | — | $505.32 | $505.32 | $505.32 |
| Vaginal delivery only | CPT | 59409 | 2 | — | — | $2,547.19 | $3,284.14 | $4,021.08 |
| Vaginal delivery with postpartum | CPT | 59410 | 1 | — | — | $2,547.19 | $2,547.19 | $2,547.19 |
| C-section with postpartum | CPT | 59515 | 1 | — | — | $5,784.48 | $5,784.48 | $5,784.48 |
| office | ||||||||
| Office visit, established patient, 5 min | CPT | 99211 | 37 | $131 | $98.25 | $26.78 | $73.36 | $131 |
| Office visit, established patient, 10-19 min | CPT | 99212 | 37 | $141 | $105.75 | $26.78 | $71.21 | $141 |
| Office visit, established patient, 20-29 minutes | CPT | 99213 | 37 | $153 | $114.75 | $26.78 | $97.5 | $153 |
| Office visit, established patient, 30-39 minutes | CPT | 99214 | 37 | $200 | $150 | $26.78 | $112 | $200 |
| Office visit, established patient, 40-54 min | CPT | 99215 | 37 | $360 | $270 | $26.78 | $201.6 | $360 |
| preventive | ||||||||
| Upper GI endoscopy diagnostic | CPT | 43235 | 38 | $3,078 | $2,308.5 | $954.18 | $1,961 | $3,078 |
| Upper GI endoscopy with biopsy | CPT | 43239 | 38 | $3,255 | $2,441.25 | $1,009.05 | $2,064.43 | $3,601.91 |
| Sigmoidoscopy diagnostic | CPT | 45330 | 38 | $947 | $710.25 | $293.57 | $615.55 | $2,547.19 |
| Sigmoidoscopy with biopsy | CPT | 45331 | 38 | $2,348 | $1,761 | $727.88 | $1,483.82 | $2,547.19 |
| Colonoscopy diagnostic | CPT | 45378 | 38 | $2,660 | $1,995 | $824.6 | $1,729 | $3,601.91 |
| Colonoscopy with biopsy | CPT | 45380 | 38 | $2,660 | $1,995 | $824.6 | $1,729 | $3,601.91 |
| Colonoscopy with polyp removal | CPT | 45385 | 38 | $2,660 | $1,995 | $824.6 | $1,729 | $3,601.91 |
| surgery | ||||||||
| Total shoulder arthroplasty | CPT | 23472 | 2 | — | — | $5,784.48 | $8,975.62 | $12,167 |
| PCI w drug-eluting stent w MCC | MS-DRG | 246 | 2 | — | — | $29,385 | $32,650 | $56,920 |
| PCI w drug-eluting stent w/o MCC | MS-DRG | 247 | 2 | — | — | $24,031 | $26,701 | $52,203 |
| Hip hemiarthroplasty | CPT | 27125 | 3 | — | — | $6,599.21 | $15,563 | $25,363 |
| Total hip replacement | CPT | 27130 | 3 | — | — | $6,599.21 | $17,084 | $25,363 |
| Total knee replacement | CPT | 27447 | 3 | — | — | $12,167 | $21,896 | $25,363 |
| Knee revision arthroplasty single component | CPT | 27486 | 3 | — | — | $6,599.21 | $17,084 | $25,363 |
| Knee revision arthroplasty all components | CPT | 27487 | 3 | — | — | $6,599.21 | $17,084 | $25,363 |
| Shoulder arthroscopy with decompression | CPT | 29826 | 4 | — | — | $2,453.36 | $3,464.63 | $13,691 |
| Shoulder arthroscopy with rotator cuff repair | CPT | 29827 | 4 | — | — | $3,711.03 | $4,951.44 | $9,124.55 |
| Knee arthroscopy with meniscectomy | CPT | 29881 | 4 | — | — | $2,693.6 | $4,048.98 | $9,254.72 |
| ACL reconstruction | CPT | 29888 | 4 | — | — | $2,453.36 | $3,464.63 | $19,850 |
| Major small/large bowel procedures w MCC | MS-DRG | 329 | 7 | — | — | $10,978 | $45,056 | $61,394 |
| Major small/large bowel procedures w CC | MS-DRG | 330 | 7 | — | — | $10,978 | $23,193 | $31,603 |
| Major small/large bowel procedures w/o CC/MCC | MS-DRG | 331 | 7 | — | — | $10,978 | $16,200 | $22,074 |
| CABG single arterial graft | CPT | 33533 | 1 | — | — | $2,013.1 | $2,013.1 | $2,013.1 |
| CABG 2 arterial grafts | CPT | 33534 | 1 | — | — | $2,013.1 | $2,013.1 | $2,013.1 |
| CABG 3 arterial grafts | CPT | 33535 | 1 | — | — | $2,013.1 | $2,013.1 | $2,013.1 |
| CABG 4+ arterial grafts | CPT | 33536 | 1 | — | — | $2,013.1 | $2,013.1 | $2,013.1 |
| Laparoscopic cholecystectomy w/o CDE w MCC | MS-DRG | 418 | 7 | — | — | $10,978 | $16,272 | $22,173 |
| Laparoscopic cholecystectomy w/o CDE w CC | MS-DRG | 419 | 7 | — | — | $10,978 | $13,183 | $17,616 |
| Laparoscopic cholecystectomy w/o CDE w/o CC/MCC | MS-DRG | 420 | 7 | — | — | $10,978 | $34,631 | $47,189 |
| Open appendectomy | CPT | 44950 | 2 | — | — | $4,947.09 | $5,669.5 | $6,391.9 |
| Laparoscopic appendectomy | CPT | 44970 | 3 | — | — | $3,150.87 | $4,084.98 | $9,124.55 |
| Spinal fusion (non-cervical) w/o MCC | MS-DRG | 460 | 1 | — | — | $40,677 | $42,937 | $45,197 |
| Major joint replacement w MCC | MS-DRG | 469 | 8 | — | — | $10,978 | $30,987 | $43,703 |
| Major joint replacement w/o MCC | MS-DRG | 470 | 8 | — | — | $10,978 | $22,826 | $40,765 |
| Laparoscopic cholecystectomy | CPT | 47562 | 2 | — | — | $5,784.48 | $7,454.52 | $9,124.55 |
| Lap cholecystectomy with cholangiography | CPT | 47563 | 2 | — | — | $5,784.48 | $7,454.52 | $9,124.55 |
| Hip & femur procedures except major joint w MCC | MS-DRG | 480 | 8 | — | — | $10,978 | $29,834 | $39,321 |
| Hip & femur procedures except major joint w CC | MS-DRG | 481 | 8 | — | — | $10,978 | $21,048 | $37,341 |
| Hip & femur procedures except major joint w/o CC/MCC | MS-DRG | 482 | 8 | — | — | $10,978 | $16,092 | $25,074 |
| Open umbilical hernia repair | CPT | 49560 | 2 | — | — | $2,693.6 | $2,922.24 | $3,150.87 |
| Umbilical hernia repair age 5+ | CPT | 49585 | 2 | — | — | $2,693.6 | $2,922.24 | $3,150.87 |
| Lap inguinal hernia repair | CPT | 49650 | 4 | — | — | $2,693.6 | $4,048.98 | $9,124.55 |
| Lap incisional hernia repair | CPT | 49652 | 1 | — | — | $6,939.35 | $6,939.35 | $6,939.35 |
| Total abdominal hysterectomy | CPT | 58150 | 2 | — | — | $6,391.9 | $7,214.5 | $8,037.09 |
| Vaginal hysterectomy | CPT | 58260 | 3 | — | — | $5,784.48 | $6,391.9 | $6,939.35 |
| Lap-assisted vaginal hysterectomy | CPT | 58550 | 4 | — | — | $6,599.21 | $6,862.68 | $9,124.55 |
| Lap-assisted vaginal hysterectomy >250g | CPT | 58552 | 3 | — | — | $3,711.03 | $8,037.09 | $9,124.55 |
| Lap salpingo-oophorectomy | CPT | 58661 | 4 | — | — | $3,711.03 | $4,951.44 | $9,124.55 |
| OR procedure for obesity w MCC | MS-DRG | 619 | 7 | — | — | $22,795 | $26,994 | $36,453 |
| OR procedure for obesity w CC | MS-DRG | 620 | 7 | — | — | $14,579 | $19,902 | $26,330 |
| OR procedure for obesity w/o CC/MCC | MS-DRG | 621 | 7 | — | — | $13,345 | $18,217 | $26,330 |
| Complex cataract surgery | CPT | 66982 | 4 | — | — | $4,021.08 | $5,152.75 | $7,715.73 |
| Cataract surgery with lens implant | CPT | 66984 | 4 | — | — | $4,021.08 | $5,152.75 | $7,715.73 |
| Intravitreal injection | CPT | 67028 | 3 | — | — | $505.32 | $1,921.29 | $2,547.19 |
| Vitrectomy mechanical | CPT | 67042 | 3 | — | — | $5,784.48 | $6,391.9 | $6,939.35 |
| Uterine & adnexa procedures w CC/MCC | MS-DRG | 743 | 7 | — | — | $10,943 | $12,580 | $16,027 |
| Uterine & adnexa procedures w/o CC/MCC | MS-DRG | 744 | 7 | — | — | $10,978 | $19,173 | $26,125 |
| PCI single major coronary artery | CPT | 92920 | 2 | — | — | $9,124.55 | $9,829.65 | $10,535 |
| PCI with drug-eluting stent | CPT | 92928 | 2 | — | — | $9,124.55 | $9,829.65 | $10,535 |
| PCI bypass graft | CPT | 92937 | 2 | — | — | $9,124.55 | $9,829.65 | $10,535 |
| Left heart catheterization | CPT | 93452 | 3 | — | — | $6,391.9 | $8,037.09 | $8,311.09 |
| Coronary angiography with cath | CPT | 93455 | 3 | — | — | $6,391.9 | $8,037.09 | $8,311.09 |
| Coronary angiography with bypass cath | CPT | 93458 | 3 | — | — | $6,391.9 | $8,037.09 | $8,311.09 |
Payer mix (top 30)
| Payer | Codes covered | Median rate |
|---|---|---|
| Aetna | 169 | $947.67 |
| Anthem BCBS | 145 | $1,340.63 |
| university health employee plan (contigo) | 140 | $728 |
| UnitedHealthcare | 137 | $827.17 |
| the health plan | 134 | $791.12 |
| aultcare | 134 | $1,377 |
| summacare | 134 | $797.63 |
| jp farley | 134 | $1,595 |
| Cigna | 114 | $736.87 |
| clarity | 91 | $609.6 |
| configurenet | 91 | $1,143 |
| devoted | 91 | $393.7 |
| First Health | 91 | $1,054.1 |
| fortified provider network | 91 | $1,143 |
| healthsmart | 91 | $825.5 |
| Humana | 91 | $393.7 |
| immergrun | 91 | $635 |
| medical mutual of ohio | 91 | $841.31 |
| medical mutual traditional/health ohio | 91 | $889 |
| Molina | 91 | $393.7 |
| Multiplan | 91 | $1,143 |
| ohio health choice | 91 | $995.4 |
| ohio preferred network | 91 | $1,074.25 |
| paramount | 91 | $405.51 |
| perennial advantage of ohio | 91 | $413.39 |
| primetime health plan | 91 | $393.7 |
| private healthcare system | 91 | $1,092.2 |
| sunrise plan communities | 91 | $635 |
| valor health plans | 91 | $413.39 |
| WellCare | 91 | $393.7 |