▸ Hospital · PA · CCN 390063
UPMC Hamot
201 STATE STREET, ERIE, PA, 16550
431 bedsAcute Care Hospitals2
Compliance grade
A
100/100
Procedures tracked
173
of 209 target codes
Payers
17
with negotiated rates
Rates published
60,588
last crawl 2026-05-24
Procedures & rates
| Procedure | Type | Code | Payers | Gross | Cash | Neg min | Neg median | Neg max |
|---|---|---|---|---|---|---|---|---|
| behavioral | ||||||||
| Psychoses | MS-DRG | 885 | 11 | — | — | $10,609 | $13,500 | $16,974 |
| emergency | ||||||||
| ED visit level 1 | CPT | 99281 | 15 | $641 | $384.6 | $51.6 | $220 | $512.8 |
| ED visit level 2 | CPT | 99282 | 16 | $1,067 | $640.2 | $36.28 | $304.1 | $853.6 |
| ED visit level 3 | CPT | 99283 | 16 | $1,322 | $793.2 | $62.31 | $396.6 | $1,057.6 |
| ED visit level 4 | CPT | 99284 | 16 | $2,635 | $1,581 | $104.86 | $788.53 | $2,108 |
| ED visit level 5 | CPT | 99285 | 16 | $3,609 | $2,165.4 | $152.61 | $1,028.57 | $2,887.2 |
| Critical care, first hour | CPT | 99291 | 16 | $4,440 | $2,664 | $166.79 | $1,154.4 | $3,552 |
| imaging | ||||||||
| CT head without contrast | CPT | 70450 | 16 | $5,212 | $3,127.2 | $98.61 | $778.1 | $4,169.6 |
| CT head with contrast | CPT | 70460 | 16 | $5,212 | $3,127.2 | $130.53 | $781.8 | $4,169.6 |
| CT head with and without contrast | CPT | 70470 | 16 | $5,997 | $3,598.2 | $146.43 | $899.55 | $4,797.6 |
| CT neck with contrast | CPT | 70491 | 16 | $2,688 | $1,612.8 | $151.25 | $693 | $2,150.4 |
| MRI brain without contrast | CPT | 70551 | 16 | $8,631 | $5,178.6 | $182.96 | $1,478 | $6,904.8 |
| MRI brain with contrast | CPT | 70552 | 16 | $8,631 | $5,178.6 | $220.15 | $1,479.38 | $6,904.8 |
| MRI brain with and without contrast | CPT | 70553 | 16 | $13,194 | $7,916.4 | $281.64 | $2,610.88 | $10,555 |
| Chest X-ray single view | CPT | 71045 | 16 | $813 | $487.8 | $6.43 | $121.95 | $650.4 |
| Chest X-ray 2 views | CPT | 71046 | 16 | $888 | $532.8 | $11.78 | $133.2 | $710.4 |
| Chest X-ray 3 views | CPT | 71047 | 16 | $1,036 | $621.6 | $14.98 | $155.4 | $828.8 |
| CT chest without contrast | CPT | 71250 | 16 | $5,473 | $3,283.8 | $117.01 | $820.95 | $4,378.4 |
| CT chest with contrast | CPT | 71260 | 16 | $5,473 | $3,283.8 | $134.85 | $820.95 | $4,378.4 |
| CT chest with and without contrast | CPT | 71270 | 16 | $6,840 | $4,104 | $143.96 | $1,026 | $5,472 |
| MRI chest without contrast | CPT | 71550 | 16 | $3,409 | $2,045.4 | $179.49 | $920.43 | $2,780.79 |
| MRI chest with contrast | CPT | 71551 | 16 | $5,073 | $3,043.8 | $431.72 | $1,357.92 | $4,058.4 |
| MRI chest with and without contrast | CPT | 71552 | 16 | $4,025 | $2,415 | $278.13 | $1,207.5 | $4,807.22 |
| Lumbosacral spine X-ray | CPT | 72100 | 16 | $730 | $438 | $25.96 | $182.5 | $584 |
| CT cervical spine without contrast | CPT | 72125 | 16 | $6,840 | $4,104 | $115.81 | $976.03 | $5,472 |
| CT thoracic spine without contrast | CPT | 72128 | 16 | $3,178 | $1,906.8 | $115.76 | $701.1 | $2,542.4 |
| CT lumbar spine without contrast | CPT | 72131 | 16 | $3,178 | $1,906.8 | $115.76 | $701.1 | $2,542.4 |
| MRI cervical spine without contrast | CPT | 72141 | 16 | $2,513 | $1,507.8 | $183.52 | $753.9 | $2,780.79 |
| MRI thoracic spine without contrast | CPT | 72146 | 16 | $2,738 | $1,642.8 | $183.52 | $821.4 | $3,033.13 |
| MRI lumbar spine without contrast | CPT | 72148 | 16 | $2,705 | $1,623 | $183.52 | $811.5 | $2,995.03 |
| MRI lumbar spine with and without contrast | CPT | 72149 | 16 | $2,578 | $1,546.8 | $220.65 | $773.4 | $3,293.93 |
| MRI cervical spine with and without contrast | CPT | 72156 | 16 | $4,271 | $2,562.6 | $281.64 | $1,281.3 | $5,874.31 |
| MRI lumbar spine with contrast | CPT | 72158 | 16 | $4,227 | $2,536.2 | $281.64 | $1,268.1 | $5,814.46 |
| CT pelvis without contrast | CPT | 72192 | 16 | $4,730 | $2,838 | $117.01 | $709.5 | $3,784 |
| CT pelvis with contrast | CPT | 72193 | 16 | $4,730 | $2,838 | $134.02 | $786.07 | $3,784 |
| Shoulder X-ray | CPT | 73030 | 15 | $569 | $341.4 | $21.87 | $170.7 | $455.2 |
| Humerus X-ray | CPT | 73060 | 15 | $391 | $234.6 | $19.42 | $118.5 | $312.8 |
| Hand X-ray 3 views | CPT | 73130 | 15 | $417 | $250.2 | $20.23 | $125.1 | $333.6 |
| MRI upper extremity joint without contrast | CPT | 73221 | 15 | $3,409 | $2,045.4 | $167.99 | $1,124.97 | $2,727.2 |
| MRI upper extremity joint with and without contrast | CPT | 73223 | 15 | $4,025 | $2,415 | $265.23 | $1,328.25 | $4,829.42 |
| Knee X-ray 1-2 views | CPT | 73560 | 15 | $423 | $253.8 | $19.42 | $126.9 | $338.4 |
| Ankle X-ray 3 views | CPT | 73610 | 15 | $542 | $325.2 | $20.23 | $162.6 | $433.6 |
| MRI lower extremity joint without contrast | CPT | 73721 | 15 | $3,409 | $2,045.4 | $167.99 | $1,124.97 | $2,727.2 |
| MRI lower extremity joint with and without contrast | CPT | 73723 | 15 | $4,025 | $2,415 | $264.38 | $1,328.25 | $4,829.42 |
| CT abdomen without contrast | CPT | 74150 | 16 | $6,840 | $4,104 | $117.01 | $949.58 | $5,472 |
| CT abdomen with contrast | CPT | 74160 | 16 | $6,840 | $4,104 | $146.43 | $1,026 | $5,472 |
| CT abdomen with and without contrast | CPT | 74170 | 16 | $8,788 | $5,272.8 | $161.2 | $1,318.2 | $7,030.4 |
| CT abdomen and pelvis without contrast | CPT | 74176 | 16 | $11,576 | $6,945.6 | $185.12 | $1,433.74 | $9,260.8 |
| CT abdomen and pelvis with contrast | CPT | 74177 | 16 | $11,576 | $6,945.6 | $210.72 | $1,736.4 | $9,260.8 |
| CT abdomen and pelvis with and without contrast | CPT | 74178 | 16 | $15,631 | $9,378.6 | $231.84 | $2,298.03 | $12,505 |
| MRI abdomen without contrast | CPT | 74181 | 16 | $4,008 | $2,404.8 | $180.32 | $1,082.16 | $3,206.4 |
| MRI abdomen with and without contrast | CPT | 74183 | 16 | $4,763 | $2,857.8 | $271.09 | $1,286.01 | $4,838.94 |
| Abdominal ultrasound complete | CPT | 76700 | 16 | $1,085 | $651 | $93.32 | $276.9 | $868 |
| Abdominal ultrasound limited | CPT | 76705 | 16 | $793 | $475.8 | $68.13 | $219.23 | $634.4 |
| Retroperitoneal ultrasound complete | CPT | 76770 | 16 | $737 | $442.2 | $85.14 | $221.1 | $630.6 |
| Obstetric ultrasound first trimester | CPT | 76801 | 16 | $1,124 | $674.4 | $92.5 | $278.17 | $899.2 |
| Obstetric ultrasound after first trimester | CPT | 76805 | 16 | $1,381 | $828.6 | $85.25 | $327.93 | $1,104.8 |
| Obstetric ultrasound with fetal anatomy | CPT | 76811 | 16 | $1,381 | $828.6 | $202.52 | $393.59 | $1,626.97 |
| Transvaginal ultrasound | CPT | 76830 | 16 | $770 | $462 | $84.15 | $226.31 | $616 |
| Pelvic ultrasound complete | CPT | 76856 | 16 | $1,199 | $719.4 | $80.17 | $276 | $959.2 |
| Scrotal ultrasound | CPT | 76870 | 16 | $1,163 | $697.8 | $74.44 | $276 | $930.4 |
| Diagnostic mammography unilateral | CPT | 77065 | 13 | $798 | $478.8 | $57.72 | $239.4 | $638.4 |
| Diagnostic mammography bilateral | CPT | 77066 | 13 | $1,020 | $612 | $73.61 | $306 | $816 |
| Screening mammography bilateral | CPT | 77067 | 13 | $342 | $205.2 | $51.3 | $136.8 | $294.68 |
| EKG tracing only | CPT | 93005 | 16 | $301 | $180.6 | $11.51 | $80.34 | $240.8 |
| Transthoracic echocardiogram complete | CPT | 93306 | 16 | $2,493 | $1,495.8 | $155.12 | $731.43 | $1,994.4 |
| Transthoracic echocardiogram | CPT | 93307 | 16 | $1,352 | $811.2 | $154.42 | $393.4 | $1,081.6 |
| Stress echocardiogram | CPT | 93350 | 16 | $1,160 | $696 | $84.15 | $522.91 | $957.76 |
| inpatient | ||||||||
| Intracranial hemorrhage/CVA w MCC | MS-DRG | 064 | 12 | — | — | $9,495.41 | $19,383 | $44,378 |
| Intracranial hemorrhage/CVA w CC | MS-DRG | 065 | 12 | — | — | $9,208.67 | $9,886.09 | $27,879 |
| Intracranial hemorrhage/CVA w/o CC/MCC | MS-DRG | 066 | 12 | — | — | $6,255.42 | $6,810 | $21,778 |
| Respiratory infections & inflammations w MCC | MS-DRG | 177 | 12 | — | — | $9,495.41 | $15,134 | $34,200 |
| COPD w MCC | MS-DRG | 190 | 12 | — | — | $9,495.41 | $10,822 | $23,074 |
| COPD w CC | MS-DRG | 191 | 12 | — | — | $7,705.02 | $8,313.93 | $20,388 |
| COPD w/o CC/MCC | MS-DRG | 192 | 12 | — | — | $5,867.88 | $6,408.13 | $16,278 |
| Simple pneumonia & pleurisy w CC | MS-DRG | 194 | 12 | — | — | $7,365.93 | $7,961.59 | $19,313 |
| Simple pneumonia & pleurisy w/o CC/MCC | MS-DRG | 195 | 12 | — | — | $5,744.49 | $6,280.18 | $14,508 |
| AMI discharged alive w MCC | MS-DRG | 280 | 12 | — | — | $9,495.41 | $15,527 | $34,643 |
| AMI discharged alive w CC | MS-DRG | 281 | 12 | — | — | $8,400.57 | $9,049.79 | $23,896 |
| AMI discharged alive w/o CC/MCC | MS-DRG | 282 | 12 | — | — | $6,609.13 | $7,176.8 | $21,557 |
| Heart failure & shock w MCC | MS-DRG | 291 | 12 | — | — | $9,495.41 | $12,491 | $26,772 |
| Heart failure & shock w CC | MS-DRG | 292 | 12 | — | — | $7,759.86 | $8,371.96 | $18,270 |
| Heart failure & shock w/o CC/MCC | MS-DRG | 293 | 12 | — | — | $5,173.24 | $5,687.82 | $16,342 |
| Cardiac arrhythmia w MCC | MS-DRG | 308 | 12 | — | — | $9,495.41 | $11,735 | $24,844 |
| Cardiac arrhythmia w CC | MS-DRG | 309 | 12 | — | — | $6,724.3 | $7,296.21 | $15,646 |
| Cardiac arrhythmia w/o CC/MCC | MS-DRG | 310 | 12 | — | — | $5,174.15 | $5,688.76 | $12,233 |
| GI hemorrhage w CC | MS-DRG | 378 | 12 | — | — | $8,947.69 | $9,601.17 | $24,339 |
| GI hemorrhage w/o CC/MCC | MS-DRG | 379 | 12 | — | — | $5,761.86 | $6,298.19 | $17,163 |
| Esophagitis/gastroenteritis w/o MCC | MS-DRG | 392 | 12 | — | — | $7,125.54 | $7,712.29 | $16,405 |
| Fractures of femur w/o MCC | MS-DRG | 533 | 11 | — | — | $14,123 | $15,252 | $48,298 |
| Kidney/UTI w MCC | MS-DRG | 689 | 11 | — | — | $10,531 | $11,373 | $28,827 |
| Kidney/UTI w/o MCC | MS-DRG | 690 | 11 | — | — | $7,398.83 | $7,958.87 | $15,773 |
| Septicemia or severe sepsis w MV 96+ hrs | MS-DRG | 871 | 11 | — | — | $17,428 | $18,820 | $44,315 |
| Septicemia or severe sepsis w/o MV 96+ hrs | MS-DRG | 872 | 11 | — | — | $9,323.28 | $10,047 | $22,632 |
| lab | ||||||||
| Basic metabolic panel (BMP) | CPT | 80048 | 16 | $891 | $534.6 | $8.36 | $88.28 | $712.8 |
| Electrolyte panel | CPT | 80051 | 16 | $241 | $144.6 | $6.92 | $32.65 | $192.8 |
| Comprehensive metabolic panel | CPT | 80053 | 16 | $753 | $451.8 | $10.43 | $98.88 | $602.4 |
| Lipid panel | CPT | 80061 | 16 | $689 | $413.4 | $13.24 | $58.72 | $551.2 |
| Renal function panel | CPT | 80069 | 16 | $634 | $380.4 | $8.58 | $53.21 | $507.2 |
| Hepatic function panel | CPT | 80076 | 16 | $535 | $321 | $8.08 | $46.47 | $428 |
| Urinalysis non-automated | CPT | 81002 | 14 | $33 | $19.8 | $3.44 | $10.4 | $33.61 |
| Urinalysis automated | CPT | 81003 | 16 | $61 | $36.6 | $2.22 | $10.59 | $48.8 |
| Glucose quantitative | CPT | 82947 | 16 | $272 | $163.2 | $3.89 | $29.87 | $217.6 |
| Hemoglobin A1c | CPT | 83036 | 16 | $209 | $125.4 | $7 | $43.1 | $167.2 |
| Thyroid stimulating hormone (TSH) | CPT | 84443 | 16 | $429 | $257.4 | $16.6 | $81.24 | $343.2 |
| Complete blood count with automated differential | CPT | 85025 | 16 | $357 | $214.2 | $6 | $49.47 | $285.6 |
| Complete blood count without differential | CPT | 85027 | 16 | $258 | $154.8 | $6.39 | $38.25 | $206.4 |
| Urine culture bacterial | CPT | 87086 | 16 | $104 | $62.4 | $7.98 | $20.15 | $83.2 |
| Urine culture identification | CPT | 87088 | 16 | $104 | $62.4 | $8 | $20.42 | $83.2 |
| Tissue exam by pathologist level IV | CPT | 88305 | 16 | $417 | $250.2 | $33.11 | $102.15 | $333.6 |
| maternity | ||||||||
| Fetal non-stress test | CPT | 59025 | 16 | $1,410 | $846 | $19.25 | $366.6 | $1,128 |
| Vaginal delivery only | CPT | 59409 | 15 | $15,526 | $9,315.6 | $1,380.58 | $4,657.8 | $12,421 |
| C-section delivery only | CPT | 59514 | 11 | $16,455 | $9,873 | $817.56 | $6,582 | $13,164 |
| office | ||||||||
| Office visit, new patient, 15-29 min | CPT | 99202 | 14 | $300 | $180 | $38.86 | $120 | $259.81 |
| Office visit, new patient, 30-44 minutes | CPT | 99203 | 14 | $386 | $231.6 | $57.9 | $154.4 | $334.78 |
| Office visit, new patient, 45-59 min | CPT | 99204 | 14 | $495 | $297 | $63.91 | $198 | $419.02 |
| Office visit, new patient, 60-74 min | CPT | 99205 | 14 | $601 | $360.6 | $63.91 | $230.51 | $527.06 |
| Office visit, established patient, 5 min | CPT | 99211 | 16 | $197 | $118.2 | $20.2 | $63.91 | $161.47 |
| Office visit, established patient, 10-19 min | CPT | 99212 | 14 | $231 | $138.6 | $28.6 | $92.4 | $184.8 |
| Office visit, established patient, 20-29 minutes | CPT | 99213 | 14 | $261 | $156.6 | $38.5 | $104.4 | $208.8 |
| Office visit, established patient, 30-39 minutes | CPT | 99214 | 14 | $297 | $178.2 | $44.55 | $118.8 | $247.66 |
| Office visit, established patient, 40-54 min | CPT | 99215 | 14 | $343 | $205.8 | $51.45 | $137.2 | $333.55 |
| preventive | ||||||||
| Upper GI endoscopy diagnostic | CPT | 43235 | 16 | $3,851 | $2,310.6 | $137.74 | $1,155.3 | $3,080.8 |
| Upper GI endoscopy with biopsy | CPT | 43239 | 16 | $5,207 | $3,124.2 | $163.44 | $1,473.76 | $4,165.6 |
| Sigmoidoscopy diagnostic | CPT | 45330 | 16 | $997 | $598.2 | $58.47 | $672.98 | $6,879.78 |
| Sigmoidoscopy with biopsy | CPT | 45331 | 16 | $3,856 | $2,313.6 | $70.04 | $1,156.8 | $3,084.8 |
| Colonoscopy diagnostic | CPT | 45378 | 16 | $2,500 | $1,500 | $198.55 | $1,028.66 | $3,528.4 |
| Colonoscopy with biopsy | CPT | 45380 | 16 | $5,165 | $3,099 | $247.96 | $1,549.5 | $4,132 |
| Colonoscopy with polyp removal | CPT | 45385 | 16 | $5,164 | $3,098.4 | $294.89 | $1,549.2 | $4,131.2 |
| surgery | ||||||||
| Total shoulder arthroplasty | CPT | 23472 | 11 | — | — | $2,617.92 | $20,656 | $25,500 |
| PCI w drug-eluting stent w MCC | MS-DRG | 246 | 1 | — | — | $9,495.41 | $9,495.41 | $9,495.41 |
| PCI w drug-eluting stent w/o MCC | MS-DRG | 247 | 1 | — | — | $9,495.41 | $9,495.41 | $9,495.41 |
| Total hip replacement | CPT | 27130 | 11 | — | — | $2,469.3 | $14,582 | $22,327 |
| Total knee replacement | CPT | 27447 | 11 | — | — | $2,665.46 | $14,582 | $22,327 |
| Knee revision arthroplasty single component | CPT | 27486 | 3 | — | — | $2,414.3 | $4,632.7 | $11,673 |
| Knee revision arthroplasty all components | CPT | 27487 | 3 | — | — | $3,091.05 | $5,035.44 | $14,944 |
| Shoulder arthroscopy with decompression | CPT | 29826 | 4 | — | — | $340 | $2,529.08 | $4,046.49 |
| Shoulder arthroscopy with rotator cuff repair | CPT | 29827 | 11 | — | — | $1,262.14 | $8,023.89 | $11,318 |
| Knee arthroscopy with meniscectomy | CPT | 29881 | 13 | — | — | $597.85 | $3,570.11 | $5,093.35 |
| ACL reconstruction | CPT | 29888 | 11 | — | — | $836.96 | $8,023.89 | $11,318 |
| Major small/large bowel procedures w MCC | MS-DRG | 329 | 12 | — | — | $9,495.41 | $43,889 | $91,033 |
| Major small/large bowel procedures w CC | MS-DRG | 330 | 12 | — | — | $9,495.41 | $23,044 | $55,979 |
| Major small/large bowel procedures w/o CC/MCC | MS-DRG | 331 | 12 | — | — | $9,495.41 | $16,274 | $42,071 |
| Laparoscopic cholecystectomy w/o CDE w MCC | MS-DRG | 418 | 12 | — | — | $9,495.41 | $16,356 | $40,332 |
| Laparoscopic cholecystectomy w/o CDE w CC | MS-DRG | 419 | 12 | — | — | $9,495.41 | $13,268 | $33,537 |
| Laparoscopic cholecystectomy w/o CDE w/o CC/MCC | MS-DRG | 420 | 12 | — | — | $9,495.41 | $32,616 | $105,636 |
| Laparoscopic appendectomy | CPT | 44970 | 11 | — | — | $1,067.82 | $6,612.25 | $8,918.49 |
| Spinal fusion (non-cervical) w MCC | MS-DRG | 459 | 1 | — | — | $9,495.41 | $9,495.41 | $9,495.41 |
| Spinal fusion (non-cervical) w/o MCC | MS-DRG | 460 | 1 | — | — | $9,495.41 | $9,495.41 | $9,495.41 |
| Major joint replacement w MCC | MS-DRG | 469 | 12 | — | — | $9,495.41 | $29,072 | $70,203 |
| Major joint replacement w/o MCC | MS-DRG | 470 | 12 | — | — | $9,495.41 | $18,605 | $38,120 |
| Laparoscopic cholecystectomy | CPT | 47562 | 11 | — | — | $1,414.39 | $6,612.25 | $8,918.49 |
| Lap cholecystectomy with cholangiography | CPT | 47563 | 11 | — | — | $1,521.52 | $6,612.25 | $8,918.49 |
| Hip & femur procedures except major joint w MCC | MS-DRG | 480 | 12 | — | — | $9,495.41 | $27,926 | $80,570 |
| Hip & femur procedures except major joint w CC | MS-DRG | 481 | 12 | — | — | $9,495.41 | $20,175 | $56,516 |
| Hip & femur procedures except major joint w/o CC/MCC | MS-DRG | 482 | 12 | — | — | $9,495.41 | $15,782 | $40,933 |
| Lap inguinal hernia repair | CPT | 49650 | 11 | — | — | $818.32 | $6,553.19 | $8,918.49 |
| Total abdominal hysterectomy | CPT | 58150 | 4 | — | — | $1,657.58 | $4,042 | $8,013.98 |
| Vaginal hysterectomy | CPT | 58260 | 11 | — | — | $1,432.63 | $5,703.25 | $7,931.12 |
| Lap-assisted vaginal hysterectomy | CPT | 58550 | 11 | — | — | $1,761.78 | $6,869.04 | $11,396 |
| Lap-assisted vaginal hysterectomy >250g | CPT | 58552 | 11 | — | — | $1,582.65 | $11,694 | $15,549 |
| Lap salpingo-oophorectomy | CPT | 58661 | 15 | $11,804 | $7,082.4 | $1,232.68 | $6,492.2 | $9,443.2 |
| OR procedure for obesity w MCC | MS-DRG | 619 | 11 | — | — | $25,759 | $27,817 | $69,159 |
| OR procedure for obesity w CC | MS-DRG | 620 | 11 | — | — | $14,411 | $15,562 | $40,364 |
| OR procedure for obesity w/o CC/MCC | MS-DRG | 621 | 11 | — | — | $13,600 | $14,687 | $32,588 |
| Uterine & adnexa procedures w CC/MCC | MS-DRG | 743 | 11 | — | — | $11,240 | $12,138 | $27,594 |
| Uterine & adnexa procedures w/o CC/MCC | MS-DRG | 744 | 11 | — | — | $18,368 | $19,835 | $32,209 |
| PCI single major coronary artery | CPT | 92920 | 11 | $29,430 | $17,658 | $773.91 | $11,772 | $23,544 |
| PCI with drug-eluting stent | CPT | 92928 | 11 | $44,697 | $26,818 | $859.73 | $17,879 | $35,758 |
| PCI bypass graft | CPT | 92937 | 11 | $44,697 | $26,818 | $513.05 | $17,879 | $35,758 |
| Left heart catheterization | CPT | 93452 | 15 | $24,737 | $14,842 | $1,046.36 | $7,050.05 | $19,790 |
| Coronary angiography with cath | CPT | 93455 | 15 | $20,417 | $12,250 | $1,277.57 | $6,125.1 | $16,334 |
| Coronary angiography with bypass cath | CPT | 93458 | 15 | $34,669 | $20,801 | $1,309.04 | $9,880.67 | $27,735 |
Payer mix (top 17)
| Payer | Codes covered | Median rate |
|---|---|---|
| UnitedHealthcare | 169 | $420.47 |
| Blue Cross Blue Shield | 169 | $559.91 |
| upmc health plan | 167 | $401.13 |
| Aetna | 165 | $539 |
| Cigna | 165 | $738.24 |
| pa health & wellness | 165 | $287.25 |
| independent health | 161 | $460.77 |
| amerihealth caritas | 161 | $262.72 |
| upmc work partners | 159 | $957.76 |
| univera | 152 | $687.75 |
| fidelis | 149 | $392.96 |
| WellCare | 148 | $443.68 |
| geisinger | 110 | $188.68 |
| Multiplan | 109 | $1,747.55 |
| intergroup | 109 | $1,622.73 |
| health partners plans (jefferson health plan) | 91 | $157.89 |
| Molina | 1 | $45.45 |