▸ Hospital · OH · CCN 363039
University Hospitals Avon Rehabilitation Hospital
37900 CHESTER ROAD, AVON, OH, 44011
50 beds5
Compliance grade
A
100/100
Procedures tracked
181
of 209 target codes
Payers
30
with negotiated rates
Rates published
89,845
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 | $15,603 | $31,051 |
| Psychiatric diagnostic evaluation | CPT | 90791 | 40 | $506 | $379.5 | $142.69 | $283.36 | $455.4 |
| Psychiatric eval with medical services | CPT | 90792 | 40 | $506 | $379.5 | $142.69 | $283.36 | $455.4 |
| Psychotherapy 30 minutes | CPT | 90832 | 40 | $248 | $186 | $69.94 | $148.95 | $297.9 |
| Psychotherapy 45 minutes | CPT | 90834 | 40 | $342 | $256.5 | $96.44 | $198.36 | $307.8 |
| Psychotherapy 60 minutes | CPT | 90837 | 40 | $421 | $315.75 | $118.72 | $244.18 | $378.9 |
| Crisis psychotherapy 60 minutes | CPT | 90839 | 40 | $727 | $545.25 | $148.95 | $407.12 | $654.3 |
| emergency | ||||||||
| ED visit level 1 | CPT | 99281 | 40 | $329 | $246.75 | $81.63 | $184.24 | $969 |
| ED visit level 2 | CPT | 99282 | 40 | $539 | $404.25 | $146.81 | $301.84 | $1,941 |
| ED visit level 3 | CPT | 99283 | 40 | $1,029 | $771.75 | $256.69 | $576.24 | $4,051 |
| ED visit level 4 | CPT | 99284 | 40 | $1,406 | $1,054.5 | $394.75 | $787.36 | $4,051 |
| ED visit level 5 | CPT | 99285 | 40 | $10,275 | $7,706.25 | $568.37 | $3,299 | $9,247.5 |
| Critical care, first hour | CPT | 99291 | 40 | $3,879 | $2,909.25 | $781.13 | $2,172.24 | $4,864 |
| imaging | ||||||||
| CT head without contrast | CPT | 70450 | 40 | $1,581 | $1,185.75 | $98.58 | $907.49 | $2,142 |
| CT head with contrast | CPT | 70460 | 40 | $1,882 | $1,411.5 | $165.03 | $1,053.92 | $2,142 |
| CT head with and without contrast | CPT | 70470 | 40 | $2,050 | $1,537.5 | $165.03 | $1,148 | $2,142 |
| CT neck with contrast | CPT | 70491 | 40 | $2,176 | $1,632 | $165.03 | $1,218.56 | $2,142 |
| MRI brain without contrast | CPT | 70551 | 40 | $2,876 | $2,157 | $224.08 | $1,610.56 | $3,270 |
| MRI brain with contrast | CPT | 70552 | 40 | $3,162 | $2,371.5 | $331.07 | $1,770.72 | $3,270 |
| MRI brain with and without contrast | CPT | 70553 | 40 | $3,352 | $2,514 | $331.07 | $1,877.12 | $3,270 |
| Chest X-ray single view | CPT | 71045 | 40 | $322 | $241.5 | $63.96 | $180.32 | $289.8 |
| Chest X-ray 2 views | CPT | 71046 | 40 | $376 | $282 | $81.63 | $210.56 | $338.4 |
| Chest X-ray 3 views | CPT | 71047 | 40 | $506 | $379.5 | $81.63 | $283.36 | $455.4 |
| CT chest without contrast | CPT | 71250 | 40 | $2,170 | $1,627.5 | $98.58 | $1,215.2 | $2,142 |
| CT chest with contrast | CPT | 71260 | 40 | $2,198 | $1,648.5 | $165.03 | $1,230.88 | $2,142 |
| CT chest with and without contrast | CPT | 71270 | 40 | $2,300 | $1,725 | $165.03 | $1,288 | $2,142 |
| MRI chest without contrast | CPT | 71550 | 40 | $2,598 | $1,948.5 | $224.08 | $1,454.88 | $3,270 |
| MRI chest with contrast | CPT | 71551 | 40 | $3,308 | $2,481 | $728 | $1,852.48 | $3,270 |
| MRI chest with and without contrast | CPT | 71552 | 40 | $3,857 | $2,892.75 | $331.07 | $2,159.92 | $3,471.3 |
| Lumbosacral spine X-ray | CPT | 72100 | 40 | $444 | $333 | $98.58 | $248.64 | $399.6 |
| CT cervical spine without contrast | CPT | 72125 | 40 | $1,974 | $1,480.5 | $98.58 | $1,105.44 | $2,142 |
| CT thoracic spine without contrast | CPT | 72128 | 40 | $1,843 | $1,382.25 | $98.58 | $1,032.08 | $2,142 |
| CT lumbar spine without contrast | CPT | 72131 | 40 | $2,182 | $1,636.5 | $98.58 | $1,221.92 | $2,142 |
| MRI cervical spine without contrast | CPT | 72141 | 40 | $2,760 | $2,070 | $224.08 | $1,545.6 | $3,270 |
| MRI thoracic spine without contrast | CPT | 72146 | 40 | $2,904 | $2,178 | $224.08 | $1,626.24 | $3,270 |
| MRI lumbar spine without contrast | CPT | 72148 | 40 | $2,877 | $2,157.75 | $224.08 | $1,611.12 | $3,270 |
| MRI lumbar spine with and without contrast | CPT | 72149 | 40 | $3,489 | $2,616.75 | $331.07 | $1,953.84 | $3,270 |
| MRI cervical spine with and without contrast | CPT | 72156 | 40 | $3,701 | $2,775.75 | $331.07 | $2,072.56 | $3,330.9 |
| MRI lumbar spine with contrast | CPT | 72158 | 40 | $3,701 | $2,775.75 | $331.07 | $2,072.56 | $3,330.9 |
| CT pelvis without contrast | CPT | 72192 | 40 | $1,752 | $1,314 | $98.58 | $981.12 | $2,142 |
| CT pelvis with contrast | CPT | 72193 | 40 | $2,152 | $1,614 | $165.03 | $1,205.12 | $2,142 |
| Shoulder X-ray | CPT | 73030 | 40 | $506 | $379.5 | $81.63 | $283.36 | $455.4 |
| Humerus X-ray | CPT | 73060 | 40 | $512 | $384 | $81.63 | $286.72 | $460.8 |
| Hand X-ray 3 views | CPT | 73130 | 40 | $428 | $321 | $81.63 | $239.68 | $385.2 |
| MRI upper extremity joint without contrast | CPT | 73221 | 40 | $3,039 | $2,279.25 | $224.08 | $1,701.84 | $3,270 |
| MRI upper extremity joint with and without contrast | CPT | 73223 | 40 | $3,755 | $2,816.25 | $331.07 | $2,102.8 | $3,379.5 |
| Knee X-ray 1-2 views | CPT | 73560 | 40 | $412 | $309 | $81.63 | $230.72 | $370.8 |
| Ankle X-ray 3 views | CPT | 73610 | 40 | $504 | $378 | $81.63 | $282.24 | $453.6 |
| MRI lower extremity joint without contrast | CPT | 73721 | 40 | $3,305 | $2,478.75 | $224.08 | $1,850.8 | $3,270 |
| MRI lower extremity joint with and without contrast | CPT | 73723 | 40 | $3,755 | $2,816.25 | $331.07 | $2,102.8 | $3,379.5 |
| CT abdomen without contrast | CPT | 74150 | 40 | $2,166 | $1,624.5 | $98.58 | $1,212.96 | $2,142 |
| CT abdomen with contrast | CPT | 74160 | 40 | $2,468 | $1,851 | $165.03 | $1,382.08 | $2,221.2 |
| CT abdomen with and without contrast | CPT | 74170 | 40 | $2,577 | $1,932.75 | $165.03 | $1,443.12 | $2,319.3 |
| CT abdomen and pelvis without contrast | CPT | 74176 | 40 | $3,093 | $2,319.75 | $224.08 | $1,732.08 | $2,783.7 |
| CT abdomen and pelvis with contrast | CPT | 74177 | 40 | $3,137 | $2,352.75 | $331.07 | $1,753 | $2,823.3 |
| CT abdomen and pelvis with and without contrast | CPT | 74178 | 40 | $3,276 | $2,457 | $331.07 | $1,753 | $2,948.4 |
| MRI abdomen without contrast | CPT | 74181 | 40 | $3,267 | $2,450.25 | $224.08 | $1,829.52 | $3,270 |
| MRI abdomen with and without contrast | CPT | 74183 | 40 | $3,756 | $2,817 | $331.07 | $2,103.36 | $3,380.4 |
| Abdominal ultrasound complete | CPT | 76700 | 40 | $1,429 | $1,071.75 | $98.58 | $800.24 | $1,286.1 |
| Abdominal ultrasound limited | CPT | 76705 | 40 | $964 | $723 | $98.58 | $539.84 | $867.6 |
| Retroperitoneal ultrasound complete | CPT | 76770 | 40 | $1,415 | $1,061.25 | $98.58 | $792.4 | $1,273.5 |
| Obstetric ultrasound first trimester | CPT | 76801 | 40 | $1,077 | $807.75 | $98.58 | $603.12 | $969.3 |
| Obstetric ultrasound after first trimester | CPT | 76805 | 40 | $1,097 | $822.75 | $98.58 | $614.32 | $987.3 |
| Obstetric ultrasound with fetal anatomy | CPT | 76811 | 40 | $1,487 | $1,115.25 | $161.25 | $832.72 | $1,338.3 |
| Transvaginal ultrasound | CPT | 76830 | 40 | $1,181 | $885.75 | $98.58 | $661.36 | $1,062.9 |
| Pelvic ultrasound complete | CPT | 76856 | 40 | $996 | $747 | $98.58 | $557.76 | $896.4 |
| Scrotal ultrasound | CPT | 76870 | 40 | $943 | $707.25 | $98.58 | $528.08 | $848.7 |
| Diagnostic mammography unilateral | CPT | 77065 | 40 | $476 | $357 | $77.58 | $239.99 | $428.4 |
| Diagnostic mammography bilateral | CPT | 77066 | 40 | $667 | $500.25 | $98.8 | $333.5 | $600.3 |
| Screening mammography bilateral | CPT | 77067 | 40 | $484 | $363 | $81.66 | $242 | $435.6 |
| EKG tracing only | CPT | 93005 | 40 | $391 | $293.25 | $55.07 | $218.96 | $351.9 |
| EKG interpretation only | CPT | 93010 | 30 | $22 | $16.5 | $6.2 | $13.4 | $19.8 |
| Transthoracic echocardiogram complete | CPT | 93306 | 40 | $2,435 | $1,826.25 | $508.3 | $1,363.6 | $2,191.5 |
| Transthoracic echocardiogram | CPT | 93307 | 40 | $1,673 | $1,254.75 | $224.08 | $936.88 | $1,505.7 |
| Stress echocardiogram | CPT | 93350 | 40 | $2,499 | $1,874.25 | $508.3 | $1,399.44 | $2,249.1 |
| inpatient | ||||||||
| Intracranial hemorrhage/CVA w MCC | MS-DRG | 064 | 20 | — | — | $20,998 | $28,068 | $43,818 |
| Intracranial hemorrhage/CVA w CC | MS-DRG | 065 | 20 | — | — | $11,947 | $14,348 | $22,400 |
| Intracranial hemorrhage/CVA w/o CC/MCC | MS-DRG | 066 | 20 | — | — | $8,088.9 | $9,711.91 | $15,999 |
| Respiratory infections & inflammations w MCC | MS-DRG | 177 | 20 | — | — | $17,529 | $22,809 | $35,608 |
| COPD w MCC | MS-DRG | 190 | 20 | — | — | $12,935 | $15,846 | $24,737 |
| COPD w CC | MS-DRG | 191 | 20 | — | — | $10,096 | $12,122 | $18,924 |
| COPD w/o CC/MCC | MS-DRG | 192 | 20 | — | — | $7,605.89 | $9,131.99 | $15,310 |
| Simple pneumonia & pleurisy w CC | MS-DRG | 194 | 20 | — | — | $9,636.64 | $11,570 | $18,206 |
| Simple pneumonia & pleurisy w/o CC/MCC | MS-DRG | 195 | 20 | — | — | $7,317.97 | $8,786.3 | $14,900 |
| AMI discharged alive w MCC | MS-DRG | 280 | 20 | — | — | $17,760 | $23,160 | $36,157 |
| AMI discharged alive w CC | MS-DRG | 281 | 20 | — | — | $10,833 | $13,007 | $20,305 |
| AMI discharged alive w/o CC/MCC | MS-DRG | 282 | 20 | — | — | $8,521.38 | $10,231 | $16,615 |
| Heart failure & shock w MCC | MS-DRG | 291 | 20 | — | — | $14,627 | $18,411 | $28,742 |
| Heart failure & shock w CC | MS-DRG | 292 | 20 | — | — | $10,121 | $12,152 | $18,971 |
| Heart failure & shock w/o CC/MCC | MS-DRG | 293 | 20 | — | — | $6,448.32 | $7,968.09 | $13,660 |
| Cardiac arrhythmia w MCC | MS-DRG | 308 | 20 | — | — | $13,706 | $17,015 | $26,564 |
| Cardiac arrhythmia w CC | MS-DRG | 309 | 20 | — | — | $8,688.25 | $10,432 | $16,853 |
| Cardiac arrhythmia w/o CC/MCC | MS-DRG | 310 | 20 | — | — | $6,575.24 | $8,073.64 | $13,841 |
| GI hemorrhage w CC | MS-DRG | 378 | 20 | — | — | $11,586 | $13,911 | $21,717 |
| GI hemorrhage w/o CC/MCC | MS-DRG | 379 | 20 | — | — | $7,482.5 | $8,983.84 | $15,134 |
| Esophagitis/gastroenteritis w/o MCC | MS-DRG | 392 | 20 | — | — | $9,170.09 | $11,010 | $17,540 |
| Fractures of femur w/o MCC | MS-DRG | 533 | 20 | — | — | $16,676 | $21,516 | $33,591 |
| Kidney/UTI w MCC | MS-DRG | 689 | 20 | — | — | $13,375 | $16,513 | $25,779 |
| Kidney/UTI w/o MCC | MS-DRG | 690 | 20 | — | — | $9,432.16 | $11,325 | $17,914 |
| Septicemia or severe sepsis w MV 96+ hrs | MS-DRG | 871 | 20 | — | — | $20,746 | $27,685 | $43,221 |
| Septicemia or severe sepsis w/o MV 96+ hrs | MS-DRG | 872 | 20 | — | — | $12,078 | $14,547 | $22,711 |
| lab | ||||||||
| Basic metabolic panel (BMP) | CPT | 80048 | 40 | $157 | $117.75 | $3.47 | $87.92 | $141.3 |
| General health panel | CPT | 80050 | 1 | — | — | $17.1 | $17.1 | $17.1 |
| Electrolyte panel | CPT | 80051 | 40 | $156 | $117 | $2.14 | $87.36 | $140.4 |
| Comprehensive metabolic panel | CPT | 80053 | 40 | $254 | $190.5 | $5 | $142.24 | $228.6 |
| Lipid panel | CPT | 80061 | 40 | $184 | $138 | $6.02 | $51.32 | $165.6 |
| Renal function panel | CPT | 80069 | 40 | $241 | $180.75 | $4.11 | $134.96 | $216.9 |
| Hepatic function panel | CPT | 80076 | 40 | $182 | $136.5 | $2.99 | $101.92 | $163.8 |
| Urinalysis non-automated | CPT | 81002 | 40 | $44 | $33 | $2.77 | $24.64 | $39.6 |
| Urinalysis automated | CPT | 81003 | 40 | $68 | $51 | $1.06 | $38.08 | $61.2 |
| Glucose quantitative | CPT | 82947 | 40 | $58 | $43.5 | $3.93 | $29 | $52.2 |
| Hemoglobin A1c | CPT | 83036 | 40 | $147 | $110.25 | $9 | $82.32 | $132.3 |
| Thyroid stimulating hormone (TSH) | CPT | 84443 | 40 | $237 | $177.75 | $7.95 | $132.72 | $213.3 |
| Complete blood count with automated differential | CPT | 85025 | 40 | $126 | $94.5 | $3.68 | $70.56 | $113.4 |
| Complete blood count without differential | CPT | 85027 | 40 | $116 | $87 | $3.06 | $64.96 | $104.4 |
| Urine culture bacterial | CPT | 87086 | 40 | $162 | $121.5 | $8.07 | $90.72 | $145.8 |
| Urine culture identification | CPT | 87088 | 17 | — | — | $8.09 | $8.09 | $14.56 |
| Tissue exam by pathologist level IV | CPT | 88305 | 40 | $528 | $396 | $49.53 | $209.84 | $475.2 |
| maternity | ||||||||
| Fetal non-stress test | CPT | 59025 | 40 | $499 | $374.25 | $140.72 | $289.42 | $449.1 |
| Vaginal delivery only | CPT | 59409 | 40 | $3,028 | $2,271 | $774.65 | $1,895.53 | $5,895.1 |
| C-section delivery only | CPT | 59514 | 30 | $6,015 | $4,511.25 | $1,696.23 | $3,663.14 | $5,413.5 |
| office | ||||||||
| Office visit, established patient, 5 min | CPT | 99211 | 40 | $141 | $105.75 | $26.78 | $80.5 | $215.04 |
| Office visit, established patient, 10-19 min | CPT | 99212 | 39 | $255 | $191.25 | $26.78 | $127.5 | $229.5 |
| Office visit, established patient, 20-29 minutes | CPT | 99213 | 39 | $369 | $276.75 | $26.78 | $141.9 | $332.1 |
| Office visit, established patient, 30-39 minutes | CPT | 99214 | 39 | $567 | $425.25 | $26.78 | $160.82 | $510.3 |
| Office visit, established patient, 40-54 min | CPT | 99215 | 39 | $711 | $533.25 | $26.78 | $184.8 | $639.9 |
| preventive | ||||||||
| Upper GI endoscopy diagnostic | CPT | 43235 | 40 | $3,364 | $2,523 | $869.16 | $1,883.84 | $3,027.6 |
| Upper GI endoscopy with biopsy | CPT | 43239 | 40 | $3,649 | $2,736.75 | $869.16 | $2,043.44 | $3,284.1 |
| Sigmoidoscopy diagnostic | CPT | 45330 | 40 | $2,076 | $1,557 | $585.43 | $1,191.62 | $1,868.4 |
| Sigmoidoscopy with biopsy | CPT | 45331 | 40 | $2,598 | $1,948.5 | $732.64 | $1,491.25 | $2,338.2 |
| Colonoscopy diagnostic | CPT | 45378 | 40 | $3,337 | $2,502.75 | $845.19 | $1,868.72 | $3,003.3 |
| Colonoscopy with biopsy | CPT | 45380 | 40 | $3,385 | $2,538.75 | $954.57 | $1,942.99 | $3,046.5 |
| Colonoscopy with polyp removal | CPT | 45385 | 40 | $3,297 | $2,472.75 | $929.75 | $1,892.48 | $2,967.3 |
| surgery | ||||||||
| Total shoulder arthroplasty | CPT | 23472 | 17 | — | — | $17,048 | $17,048 | $30,687 |
| Hip hemiarthroplasty | CPT | 27125 | 1 | — | — | $32,594 | $34,405 | $36,215 |
| Total hip replacement | CPT | 27130 | 17 | — | — | $11,928 | $11,928 | $36,215 |
| Total knee replacement | CPT | 27447 | 17 | — | — | $11,928 | $12,107 | $36,817 |
| Knee revision arthroplasty single component | CPT | 27486 | 1 | — | — | $32,594 | $34,405 | $36,215 |
| Knee revision arthroplasty all components | CPT | 27487 | 1 | — | — | $32,594 | $34,405 | $36,215 |
| Shoulder arthroscopy with decompression | CPT | 29826 | 1 | — | — | $2,453.36 | $2,453.36 | $2,453.36 |
| Shoulder arthroscopy with rotator cuff repair | CPT | 29827 | 18 | — | — | $4,118.4 | $6,622.52 | $11,921 |
| Knee arthroscopy with meniscectomy | CPT | 29881 | 18 | — | — | $2,693.6 | $3,007.88 | $5,414.19 |
| ACL reconstruction | CPT | 29888 | 18 | — | — | $2,453.36 | $6,622.52 | $11,921 |
| Major small/large bowel procedures w MCC | MS-DRG | 329 | 20 | — | — | $45,226 | $64,792 | $101,150 |
| Major small/large bowel procedures w CC | MS-DRG | 330 | 20 | — | — | $24,484 | $33,352 | $52,068 |
| Major small/large bowel procedures w/o CC/MCC | MS-DRG | 331 | 20 | — | — | $17,850 | $23,296 | $36,368 |
| Laparoscopic cholecystectomy w/o CDE w MCC | MS-DRG | 418 | 20 | — | — | $17,919 | $23,400 | $36,531 |
| Laparoscopic cholecystectomy w/o CDE w CC | MS-DRG | 419 | 20 | — | — | $14,746 | $18,591 | $29,024 |
| Laparoscopic cholecystectomy w/o CDE w/o CC/MCC | MS-DRG | 420 | 20 | — | — | $35,337 | $49,801 | $77,748 |
| Open appendectomy | CPT | 44950 | 17 | — | — | $5,784.5 | $5,784.5 | $10,412 |
| Laparoscopic appendectomy | CPT | 44970 | 17 | — | — | $5,408.69 | $5,408.69 | $9,735.63 |
| Spinal fusion (non-cervical) w/o MCC | MS-DRG | 460 | 1 | — | — | $54,349 | $57,369 | $60,388 |
| Major joint replacement w MCC | MS-DRG | 469 | 20 | — | — | $32,863 | $36,514 | $72,003 |
| Major joint replacement w/o MCC | MS-DRG | 470 | 20 | — | — | $20,033 | $26,604 | $41,534 |
| Laparoscopic cholecystectomy | CPT | 47562 | 17 | — | — | $5,408.69 | $5,408.69 | $9,735.63 |
| Lap cholecystectomy with cholangiography | CPT | 47563 | 17 | — | — | $5,408.69 | $5,408.69 | $9,735.63 |
| Hip & femur procedures except major joint w MCC | MS-DRG | 480 | 20 | — | — | $29,858 | $41,498 | $64,784 |
| Hip & femur procedures except major joint w CC | MS-DRG | 481 | 20 | — | — | $21,796 | $29,277 | $45,706 |
| Hip & femur procedures except major joint w/o CC/MCC | MS-DRG | 482 | 20 | — | — | $17,249 | $22,384 | $34,945 |
| Open umbilical hernia repair | CPT | 49560 | 1 | — | — | $2,693.6 | $2,693.6 | $2,693.6 |
| Umbilical hernia repair age 5+ | CPT | 49585 | 1 | — | — | $2,693.6 | $2,693.6 | $2,693.6 |
| Lap inguinal hernia repair | CPT | 49650 | 18 | — | — | $2,693.6 | $5,408.69 | $9,735.63 |
| Vaginal hysterectomy | CPT | 58260 | 17 | — | — | $4,576.29 | $4,576.29 | $8,237.32 |
| Lap-assisted vaginal hysterectomy | CPT | 58550 | 18 | — | — | $5,408.69 | $5,408.69 | $9,735.63 |
| Lap-assisted vaginal hysterectomy >250g | CPT | 58552 | 17 | — | — | $9,651.62 | $9,651.62 | $17,373 |
| Lap salpingo-oophorectomy | CPT | 58661 | 18 | — | — | $4,118.4 | $5,408.69 | $9,735.63 |
| OR procedure for obesity w MCC | MS-DRG | 619 | 20 | — | — | $27,862 | $38,471 | $60,059 |
| OR procedure for obesity w CC | MS-DRG | 620 | 20 | — | — | $17,347 | $22,534 | $35,179 |
| OR procedure for obesity w/o CC/MCC | MS-DRG | 621 | 20 | — | — | $16,089 | $20,626 | $32,201 |
| Complex cataract surgery | CPT | 66982 | 18 | — | — | $2,114.33 | $2,114.33 | $4,914 |
| Cataract surgery with lens implant | CPT | 66984 | 18 | — | — | $2,114.33 | $2,114.33 | $4,914 |
| Intravitreal injection | CPT | 67028 | 17 | — | — | $307.49 | $307.49 | $553.48 |
| Vitrectomy mechanical | CPT | 67042 | 17 | — | — | $3,729.35 | $3,729.35 | $6,712.83 |
| Uterine & adnexa procedures w CC/MCC | MS-DRG | 743 | 20 | — | — | $13,639 | $16,482 | $26,405 |
| Uterine & adnexa procedures w/o CC/MCC | MS-DRG | 744 | 20 | — | — | $20,670 | $27,571 | $43,043 |
| PCI single major coronary artery | CPT | 92920 | 40 | $12,068 | $9,051 | $3,403.18 | $6,999.44 | $14,352 |
| PCI with drug-eluting stent | CPT | 92928 | 40 | $19,286 | $14,465 | $5,438.65 | $11,186 | $21,026 |
| PCI bypass graft | CPT | 92937 | 40 | $39,092 | $29,319 | $10,513 | $21,892 | $35,183 |
| Left heart catheterization | CPT | 93452 | 40 | $20,147 | $15,110 | $2,981.74 | $11,282 | $18,132 |
| Coronary angiography with cath | CPT | 93455 | 40 | $11,746 | $8,809.5 | $2,981.74 | $6,577.76 | $14,352 |
| Coronary angiography with bypass cath | CPT | 93458 | 40 | $22,622 | $16,967 | $2,981.74 | $12,668 | $20,360 |
Payer mix (top 30)
| Payer | Codes covered | Median rate |
|---|---|---|
| Anthem BCBS | 178 | $1,261.65 |
| Aetna | 173 | $758.67 |
| Cigna | 173 | $948 |
| medical mutual of ohio | 173 | $887.51 |
| the health plan | 173 | $1,115.93 |
| summacare | 173 | $1,766.64 |
| UnitedHealthcare | 173 | $1,885 |
| WellCare | 171 | $331.07 |
| Ambetter | 171 | $595.93 |
| CareSource | 171 | $595.93 |
| devoted health | 171 | $331.07 |
| Humana | 171 | $331.07 |
| Molina | 171 | $331.07 |
| paramount | 171 | $341.01 |
| perennial advantage of ohio | 171 | $347.63 |
| primetime health plan | 171 | $331.07 |
| valor health plans | 171 | $347.63 |
| university health employee plan (contigo) | 160 | $728 |
| jp farley | 153 | $1,594 |
| aultcare | 153 | $1,377 |
| sunrise plain communities | 110 | $711 |
| immergrun | 110 | $711 |
| buckeye plain ministries | 110 | $600 |
| medical mutual traditional/health ohio | 110 | $995.4 |
| Multiplan | 110 | $1,279.8 |
| ohio health choice | 110 | $1,045.28 |
| ohio preferred network | 110 | $1,227.2 |
| amish church fund and workers aid plan | 110 | $600 |
| amish aid community plan | 110 | $600 |
| private healthcare system | 110 | $1,222.92 |