Does MARY BLACK MEMORIAL HOSPITAL publish its standard charges and chargemaster?

Yes. MARY BLACK MEMORIAL HOSPITAL publishes a machine-readable file with 1,062,513 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 MARY BLACK MEMORIAL HOSPITAL charge for procedures?

MARY BLACK MEMORIAL HOSPITAL (Spartanburg, SC) 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 · SC · CCN 420083

MARY BLACK MEMORIAL HOSPITAL

Spartanburg, SC, 29304

112 beds4

Compliance grade

100/100

Rates published

1,062,513

last crawl 2026-05-24

Procedures tracked

198

of 209 target codes

Payers

with negotiated rates

Procedures tracked

...

Payers

...

▸ Compare with other hospitals All SC 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://www.chsbuffalo.org/wp-content/uploads/2025/03/16-1523353_Mount-St-Marys-Hospital_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	32	$44,334	$14,654	$5,332.3	$10,188	0.80×	$32,333
Psychiatric diagnostic evaluation	CPT	90791	37	$355.3	$355.3	$68.53	$145.74	0.82×	$262.33
Psychiatric eval with medical services	CPT	90792	37	$404	$404	$55.94	$166.31	0.96×	$299.36
Psychotherapy 30 minutes	CPT	90832	37	$274	$274	$24.71	$67.42	0.45×	$121.36
Psychotherapy 45 minutes	CPT	90834	37	$300	$300	$36.35	$89.16	0.55×	$160.49
Psychotherapy 60 minutes	CPT	90837	37	$274	$274	$53.17	$131.6	0.69×	$238.77
Crisis psychotherapy 60 minutes	CPT	90839	31	$246.42	$246.42	$85.59	$133.46	0.84×	$234.69
emergency
ED visit level 1	CPT	99281	39	$400	$400	$8.04	$11.5	0.08×	$165.86
ED visit level 2	CPT	99282	41	$600	$600	$14.96	$40.03	0.17×	$231.74
ED visit level 3	CPT	99283	41	$951	$951	$24.17	$68.39	0.17×	$336.42
ED visit level 4	CPT	99284	41	$1,482	$1,482	$37.88	$115.62	0.17×	$438.78
ED visit level 5	CPT	99285	41	$1,900	$1,900	$66.52	$168.16	0.16×	$517.57
Critical care, first hour	CPT	99291	37	$2,700	$2,700	$84.68	$203.94	0.19×	$517.57
imaging
CT head without contrast	CPT	70450	37	$553	$422.82	$27.13	$78.38	0.38×	$402.69
CT head with contrast	CPT	70460	37	$663	$486.67	$36.2	$112.72	0.48×	$605.63
CT head with and without contrast	CPT	70470	37	$828	$583.9	$40.74	$136.64	0.51×	$619.16
CT neck with contrast	CPT	70491	37	$663	$529.39	$44.18	$129.87	0.47×	$629.45
MRI brain without contrast	CPT	70551	37	$1,313	$811.76	$47.35	$154.62	0.38×	$1,136.25
MRI brain with contrast	CPT	70552	37	$1,573	$990.03	$56.95	$219.86	0.46×	$1,136.25
MRI brain with and without contrast	CPT	70553	37	$2,916	$1,121.15	$73.09	$250.31	0.42×	$1,158.38
Chest X-ray single view	CPT	71045	37	$175	$175	$6.18	$24.42	0.26×	$190.35
Chest X-ray 2 views	CPT	71046	37	$179	$179	$9.27	$32.13	0.33×	$193.58
Chest X-ray 3 views	CPT	71047	37	$183	$183	$9.27	$40.43	0.42×	$198.68
CT chest without contrast	CPT	71250	37	$692	$540.19	$34.59	$101.07	0.47×	$514.47
CT chest with contrast	CPT	71260	37	$828	$620.73	$37.34	$136.49	0.48×	$616.55
CT chest with and without contrast	CPT	71270	37	$1,036	$746.45	$39.88	$163.49	0.56×	$710.9
MRI chest without contrast	CPT	71550	37	$1,301	$1,301	$46.66	$264.51	0.61×	$982.64
MRI chest with and without contrast	CPT	71552	37	$2,865	$2,865	$72.18	$388.25	0.65×	$1,355.86
Lumbosacral spine X-ray	CPT	72100	39	$310.21	$310.21	$7.29	$27.73	0.27×	$234.2
CT cervical spine without contrast	CPT	72125	37	$692	$540.19	$31.89	$101.81	0.51×	$514.47
CT thoracic spine without contrast	CPT	72128	37	$692	$540.19	$31.89	$101.81	0.51×	$514.47
CT lumbar spine without contrast	CPT	72131	37	$692	$692	$31.89	$101.81	0.50×	$514.47
MRI cervical spine without contrast	CPT	72141	37	$1,313	$816.67	$47.35	$154.66	0.39×	$1,136.25
MRI thoracic spine without contrast	CPT	72146	37	$1,457	$890.83	$47.35	$154.66	0.41×	$1,136.25
MRI lumbar spine without contrast	CPT	72148	37	$1,457	$846.63	$47.57	$155.18	0.41×	$1,136.25
MRI lumbar spine with and without contrast	CPT	72149	37	$1,573	$966.95	$57.11	$200.45	0.44×	$920.9
MRI cervical spine with and without contrast	CPT	72156	37	$2,916	$1,178.6	$73.32	$251.83	0.47×	$1,175.77
MRI lumbar spine with contrast	CPT	72158	37	$2,916	$1,149.63	$73.32	$251.06	0.46×	$1,158.38
CT pelvis without contrast	CPT	72192	37	$692	$451.8	$34.83	$97.51	0.49×	$430.28
CT pelvis with contrast	CPT	72193	37	$802	$520.06	$37.12	$179.63	0.64×	$608.69
Shoulder X-ray	CPT	73030	39	$264	$264	$6.13	$24.57	0.26×	$260.7
Humerus X-ray	CPT	73060	39	$210.86	$210.86	$5.23	$22.98	0.26×	$189.05
Hand X-ray 3 views	CPT	73130	39	$303.15	$303.15	$5.68	$27.41	0.29×	$260.7
MRI upper extremity joint without contrast	CPT	73221	37	$1,296	$1,296	$43.48	$164.35	0.39×	$1,136.25
MRI upper extremity joint with and without contrast	CPT	73223	37	$2,879	$2,879	$55.53	$307.46	0.50×	$1,141.98
Knee X-ray 1-2 views	CPT	73560	39	$262.5	$262.5	$5.45	$24.88	0.27×	$260.7
Ankle X-ray 3 views	CPT	73610	39	$387.68	$387.68	$5.68	$26.78	0.29×	$260.7
MRI lower extremity joint without contrast	CPT	73721	37	$1,296	$1,296	$43.48	$164.1	0.35×	$1,136.25
MRI lower extremity joint with and without contrast	CPT	73723	37	$4,318	$4,318	$68.78	$315	0.50×	$1,142.68
CT abdomen without contrast	CPT	74150	37	$663	$503.36	$38.04	$96	0.51×	$479.39
CT abdomen with contrast	CPT	74160	37	$802	$579.48	$40.74	$178.63	0.62×	$619.16
CT abdomen with and without contrast	CPT	74170	37	$993	$694.89	$44.65	$197.26	0.59×	$713.97
CT abdomen and pelvis without contrast	CPT	74176	37	$605	$346.71	$42.46	$180.01	0.49×	$624.38
CT abdomen and pelvis with contrast	CPT	74177	37	$885	$531.35	$66.72	$297.34	0.54×	$901.34
CT abdomen and pelvis with and without contrast	CPT	74178	37	$901	$693.9	$84.53	$333.53	0.58×	$992.7
MRI abdomen without contrast	CPT	74181	37	$1,301	$835.34	$46.66	$159.11	0.41×	$1,136.25
MRI abdomen with and without contrast	CPT	74183	37	$2,885	$1,153.56	$70.17	$275.84	0.49×	$1,151.18
Abdominal ultrasound complete	CPT	76700	37	$286	$250.45	$25.75	$81.85	0.55×	$287.8
Abdominal ultrasound limited	CPT	76705	37	$266	$266	$18.68	$62.09	0.42×	$267.7
Retroperitoneal ultrasound complete	CPT	76770	37	$279	$239.16	$23.67	$76.71	0.53×	$281.26
Obstetric ultrasound first trimester	CPT	76801	39	$503.89	$503.89	$31.71	$79.26	0.56×	$318.35
Obstetric ultrasound after first trimester	CPT	76805	39	$503.89	$503.89	$31.93	$94.92	0.62×	$343.51
Obstetric ultrasound with fetal anatomy	CPT	76811	37	$799	$799	$58.45	$108.97	0.46×	$638.72
Transvaginal ultrasound	CPT	76830	37	$518.45	$518.45	$22.12	$82.31	0.56×	$277.31
Pelvic ultrasound complete	CPT	76856	37	$275	$219.02	$21.9	$75.75	0.53×	$277.31
Scrotal ultrasound	CPT	76870	37	$270	$188.09	$18.54	$71.46	0.54×	$272.73
Diagnostic mammography unilateral	CPT	77065	37	$277.46	$277.46	$29.39	$119.79	0.80×	$264.25
Diagnostic mammography bilateral	CPT	77066	37	$350.63	$350.63	$59.96	$151.56	0.80×	$333.94
Screening mammography bilateral	CPT	77067	37	$282.37	$282.37	$29.39	$122.23	0.78×	$302.8
EKG complete	CPT	93000	39	$154.25	$154.25	$9.61	$15.15	0.62×	$58.72
EKG tracing only	CPT	93005	36	$132.92	$132.92	$4.15	$7.58	0.06×	$114.99
EKG interpretation only	CPT	93010	39	$34.5	$34.5	$5.46	$7.8	0.43×	$29.4
Transthoracic echocardiogram complete	CPT	93306	39	$1,081	$1,081	$46.15	$170.85	0.29×	$1,481.87
Transthoracic echocardiogram	CPT	93307	37	$818	$818	$29.02	$106.41	0.43×	$388.74
Stress echocardiogram	CPT	93350	39	$1,081	$1,081	$36.36	$144.54	0.29×	$1,481.87
inpatient
Intracranial hemorrhage/CVA w MCC	MS-DRG	064	32	$54,781	$27,382	$5,030.78	$14,934	0.74×	$37,041
Intracranial hemorrhage/CVA w CC	MS-DRG	065	36	$87,763	$26,563	$1,063.88	$7,578.05	0.71×	$18,796
Intracranial hemorrhage/CVA w/o CC/MCC	MS-DRG	066	36	$26,321	$17,113	$1,063.88	$5,125.84	0.67×	$17,341
Respiratory infections & inflammations w MCC	MS-DRG	177	36	$63,440	$24,150	$1,063.88	$11,057	0.72×	$31,372
COPD w MCC	MS-DRG	190	36	$19,703	$14,109	$1,063.88	$8,163.07	0.73×	$20,379
COPD w CC	MS-DRG	191	36	$26,451	$16,658	$1,063.88	$6,329.95	0.72×	$15,701
COPD w/o CC/MCC	MS-DRG	192	25	$18,931	$15,774	$3,500.89	$4,785.11	0.68×	$12,508
Simple pneumonia & pleurisy w CC	MS-DRG	194	33	$17,979	$11,823	$1,063.88	$6,130.14	0.72×	$15,205
Simple pneumonia & pleurisy w/o CC/MCC	MS-DRG	195	28	$31,674	$12,768	$3,127.12	$4,664.33	0.70×	$11,569
AMI discharged alive w MCC	MS-DRG	280	33	$60,367	$37,777	$1,063.88	$11,829	0.75×	$29,339
AMI discharged alive w CC	MS-DRG	281	32	$28,968	$21,793	$4,642.1	$6,807.12	0.70×	$16,884
AMI discharged alive w/o CC/MCC	MS-DRG	282	32	$45,620	$13,492	$4,642.1	$5,353.99	0.69×	$16,001
Heart failure & shock w MCC	MS-DRG	291	36	$36,045	$27,091	$1,063.88	$9,120.92	0.71×	$23,743
Heart failure & shock w CC	MS-DRG	292	36	$29,920	$17,721	$1,063.88	$6,385.87	0.71×	$15,839
Heart failure & shock w/o CC/MCC	MS-DRG	293	36	$19,834	$7,105.45	$1,063.88	$4,186.42	0.67×	$12,393
Cardiac arrhythmia w MCC	MS-DRG	308	32	$40,775	$22,126	$2,728.98	$8,183.88	0.68×	$22,232
Cardiac arrhythmia w CC	MS-DRG	309	36	$21,950	$17,473	$1,063.88	$5,552.31	0.71×	$13,772
Cardiac arrhythmia w/o CC/MCC	MS-DRG	310	36	$15,315	$11,948	$1,063.88	$4,123.04	0.66×	$10,227
GI hemorrhage w CC	MS-DRG	378	26	$38,349	$16,275	$3,318.26	$7,334.99	0.73×	$18,193
GI hemorrhage w/o CC/MCC	MS-DRG	379	32	$29,843	$12,088	$3,282.34	$4,720.99	0.69×	$11,710
Esophagitis/gastroenteritis w/o MCC	MS-DRG	392	36	$35,330	$12,355	$1,063.88	$5,721.42	0.71×	$14,528
Fractures of femur w/o MCC	MS-DRG	533	29	$10,528	$9,320.05	$3,245.82	$10,004	0.66×	$30,169
Kidney/UTI w MCC	MS-DRG	689	29	$36,619	$18,071	$3,050.59	$8,756.06	0.75×	$21,718
Kidney/UTI w/o MCC	MS-DRG	690	36	$25,512	$13,651	$1,063.88	$6,016.06	0.72×	$14,922
Septicemia or severe sepsis w MV 96+ hrs	MS-DRG	871	36	$42,442	$29,995	$1,063.88	$10,285	0.55×	$36,664
Septicemia or severe sepsis w/o MV 96+ hrs	MS-DRG	872	36	$26,148	$13,602	$1,063.88	$7,678.7	0.74×	$19,046
Initial hospital care, low complexity	CPT	99221	41	$181.36	$181.36	$28.49	$79.18	0.85×	$170.99
Initial hospital care, moderate complexity	CPT	99222	41	$245.84	$245.84	$48.07	$125.32	0.74×	$230.33
Initial hospital care, high complexity	CPT	99223	39	$451.77	$451.77	$71.33	$166.44	0.74×	$299.59
Hospital discharge, <30 min	CPT	99238	41	$145	$145	$26.74	$77.88	0.91×	$140.18
Hospital discharge, >30 min	CPT	99239	41	$206	$206	$38.33	$109.97	0.91×	$197.95
lab
Basic metabolic panel (BMP)	CPT	80048	33	$19	$7.25	$6.59	$8.71	0.27×	$16.48
Electrolyte panel	CPT	80051	33	$16	$16	$5.47	$7.22	0.30×	$13.73
Comprehensive metabolic panel	CPT	80053	33	$26	$10	$8.24	$10.88	0.24×	$22.73
Lipid panel	CPT	80061	33	$54	$6.04	$6.1	$13.39	0.35×	$25.14
Renal function panel	CPT	80069	33	$21	$8.68	$6.77	$8.94	0.33×	$19.53
Hepatic function panel	CPT	80076	33	$19	$7.25	$6.37	$8.42	0.32×	$16.48
Urinalysis non-automated	CPT	81002	35	$16.93	$16.93	$1.57	$2.96	0.43×	$5.87
Urinalysis automated	CPT	81003	34	$13.92	$13.92	$1.01	$2.05	0.15×	$5.87
Glucose quantitative	CPT	82947	33	$26.92	$26.92	$1.77	$3.93	0.22×	$8.84
Hemoglobin A1c	CPT	83036	34	$38.11	$38.11	$4.08	$9.71	0.36×	$21.85
Thyroid stimulating hormone (TSH)	CPT	84443	33	$68	$9	$9.09	$16.8	0.36×	$28.09
Complete blood count with automated differential	CPT	85025	34	$36.1	$36.1	$3.2	$6.6	0.25×	$12.99
Complete blood count without differential	CPT	85027	33	$17	$17	$2.72	$6.47	0.30×	$11.43
Urine culture bacterial	CPT	87086	33	$22	$8.07	$6.29	$8.31	0.36×	$18.16
Urine culture identification	CPT	87088	1	$22	$22	$8.09	$8.09	0.36×	$8.09
Tissue exam by pathologist level IV	CPT	88305	36	$164	$164	$8.98	$37.66	0.37×	$169.47
maternity
Fetal non-stress test	CPT	59025	37	$500	$500	$13.44	$30.22	0.16×	$409.7
Routine obstetric care including vaginal delivery	CPT	59400	39	$4,665.94	$4,665.94	$1,707.33	$2,295.19	1.0×	$5,036.67
Vaginal delivery only	CPT	59409	39	$5,372	$5,372	$615.27	$771.62	0.35×	$1,736.15
Vaginal delivery with postpartum	CPT	59410	39	$5,141.02	$2,064.54	$814.9	$1,021.63	0.96×	$2,230.9
Routine obstetric care with C-section	CPT	59510	39	$5,141.02	$4,869.62	$1,775.93	$2,486.34	0.99×	$5,594.27
C-section delivery only	CPT	59514	39	$3,399	$3,399	$694.59	$912.14	0.95×	$2,214.05
C-section with postpartum	CPT	59515	39	$2,396.03	$2,396.03	$919.78	$1,264.2	1.00×	$2,766.49
office
Office visit, new patient, 15-29 min	CPT	99202	39	$235	$235	$31.12	$66.24	0.77×	$145.82
Office visit, new patient, 30-44 minutes	CPT	99203	39	$236	$236	$56.93	$107.39	0.88×	$224.42
Office visit, new patient, 45-59 min	CPT	99204	39	$350	$350	$86.41	$161.26	0.93×	$332.73
Office visit, new patient, 60-74 min	CPT	99205	39	$462	$462	$108.35	$212.68	0.96×	$439.81
Office visit, established patient, 5 min	CPT	99211	39	$352.5	$352.5	$7.18	$20.56	0.32×	$58.31
Office visit, established patient, 10-19 min	CPT	99212	39	$235	$235	$12.05	$50.31	0.63×	$113.22
Office visit, established patient, 20-29 minutes	CPT	99213	39	$235	$235	$29.93	$78.95	0.69×	$180.14
Office visit, established patient, 30-39 minutes	CPT	99214	39	$266	$266	$56.18	$119.27	0.78×	$252.83
Office visit, established patient, 40-54 min	CPT	99215	39	$376	$376	$75.8	$163.85	0.87×	$357.59
preventive
Upper GI endoscopy diagnostic	CPT	43235	39	$1,657	$772.6	$80.8	$238.79	0.26×	$623.95
Upper GI endoscopy with biopsy	CPT	43239	39	$1,657	$772.6	$91.99	$312.51	0.32×	$797.99
Sigmoidoscopy diagnostic	CPT	45330	37	$289.42	$289.42	$29.69	$53.95	0.06×	$194.43
Sigmoidoscopy with biopsy	CPT	45331	37	$575.7	$575.7	$35.69	$68.77	0.08×	$283.54
Colonoscopy diagnostic	CPT	45378	39	$721.84	$721.84	$51.62	$203.74	0.23×	$708.86
Colonoscopy with biopsy	CPT	45380	39	$922.38	$922.38	$132.92	$363.6	0.30×	$911.99
Colonoscopy with polyp removal	CPT	45385	39	$1,054.78	$1,054.78	$146.87	$421.3	0.35×	$1,004.55
surgery
Total shoulder arthroplasty	CPT	23472	39	$4,202.09	$4,202.09	$730.45	$1,377.88	0.33×	$4,001.99
Hip hemiarthroplasty	CPT	27125	37	$2,843.22	$2,843.22	$540.25	$1,081.78	0.86×	$2,707.83
Total hip replacement	CPT	27130	39	$5,463.15	$5,463.15	$697.27	$1,224.48	0.28×	$5,203
Total knee replacement	CPT	27447	39	$4,138.3	$4,138.3	$712	$1,222.73	0.29×	$3,941.23
Knee revision arthroplasty single component	CPT	27486	37	$3,262.15	$3,262.15	$683.36	$1,338.93	0.80×	$3,106.81
Knee revision arthroplasty all components	CPT	27487	37	$4,587	$4,587	$861.73	$1,667.66	0.83×	$4,368.57
Shoulder arthroscopy with decompression	CPT	29826	39	$3,086.99	$3,086.99	$18.15	$162.01	0.50×	$900.26
Shoulder arthroscopy with rotator cuff repair	CPT	29827	39	$2,916.69	$2,916.69	$531.79	$1,023.38	0.31×	$2,210.02
Knee arthroscopy with meniscectomy	CPT	29881	39	$1,869.25	$1,869.25	$292.82	$523.05	0.26×	$1,780.24
ACL reconstruction	CPT	29888	39	$3,781.03	$3,781.03	$479.98	$933.64	0.28×	$3,600.98
Major small/large bowel procedures w MCC	MS-DRG	329	28	$65,906	$62,461	$9,049.6	$28,130	0.65×	$83,529
Major small/large bowel procedures w CC	MS-DRG	330	25	$114,021	$53,945	$9,049.6	$17,686	0.76×	$43,867
Major small/large bowel procedures w/o CC/MCC	MS-DRG	331	26	$60,318	$40,928	$9,126.61	$12,466	0.76×	$32,333
CABG single arterial graft	CPT	33533	37	$4,272.27	$4,272.27	$1,082.72	$1,739.07	0.93×	$4,068.83
CABG 2 arterial grafts	CPT	33534	37	$4,780.52	$4,780.52	$1,281.69	$2,042.12	0.95×	$4,552.87
CABG 3 arterial grafts	CPT	33535	37	$5,318.54	$5,318.54	$1,389.76	$2,269.48	1.00×	$5,065.28
CABG 4+ arterial grafts	CPT	33536	37	$5,314.29	$5,314.29	$1,496.82	$2,445.54	1.0×	$5,061.22
Laparoscopic cholecystectomy w/o CDE w MCC	MS-DRG	418	28	$63,614	$40,981	$5,384.96	$12,188	0.74×	$30,231
Laparoscopic cholecystectomy w/o CDE w CC	MS-DRG	419	27	$41,237	$37,172	$5,430.78	$9,790.92	0.72×	$24,285
Laparoscopic cholecystectomy w/o CDE w/o CC/MCC	MS-DRG	420	20	$35,436	$34,042	$8,189.15	$10,686	0.33×	$29,012
Open appendectomy	CPT	44950	37	$1,193	$1,193	$41.28	$548.51	0.48×	$1,136.19
Laparoscopic appendectomy	CPT	44970	39	$1,193	$1,193	$37.87	$465.36	0.30×	$1,271.59
Spinal fusion (non-cervical) w MCC	MS-DRG	459	29	$94,632	$75,297	$18,824	$49,449	1.0×	$122,651
Spinal fusion (non-cervical) w/o MCC	MS-DRG	460	28	$101,649	$60,372	$18,665	$27,272	0.81×	$67,646
Major joint replacement w MCC	MS-DRG	469	28	$59,545	$58,522	$11,234	$24,826	0.84×	$61,578
Major joint replacement w/o MCC	MS-DRG	470	29	$76,009	$54,605	$11,329	$14,030	0.74×	$40,137
Laparoscopic cholecystectomy	CPT	47562	39	$1,862.87	$1,862.87	$47.16	$509.03	0.29×	$1,774.16
Lap cholecystectomy with cholangiography	CPT	47563	37	$1,986.21	$1,986.21	$48.6	$343.71	0.18×	$1,891.63
Hip & femur procedures except major joint w MCC	MS-DRG	480	32	$58,142	$55,350	$8,427.33	$21,986	0.79×	$54,534
Hip & femur procedures except major joint w CC	MS-DRG	481	29	$46,751	$42,425	$8,199.58	$15,470	0.76×	$38,371
Hip & femur procedures except major joint w/o CC/MCC	MS-DRG	482	29	$49,647	$33,753	$8,199.58	$11,843	0.74×	$29,374
Open umbilical hernia repair	CPT	49560	6	$1,490.72	$1,490.72	$98.86	$1,419.74	0.74×	$1,419.74
Umbilical hernia repair age 5+	CPT	49585	6	$1,118.57	$1,118.57	$60.12	$1,065.31	0.81×	$1,065.31
Lap inguinal hernia repair	CPT	49650	39	$1,789.5	$1,789.5	$27.37	$434.31	0.39×	$1,704.29
Lap incisional hernia repair	CPT	49652	6	$1,813.96	$1,813.96	$99.67	$1,727.58	0.64×	$1,727.58
Total abdominal hysterectomy	CPT	58150	37	$1,941.55	$1,941.55	$67.31	$476.06	0.49×	$1,849.1
Vaginal hysterectomy	CPT	58260	37	$1,871.38	$1,871.38	$63.97	$725.8	0.40×	$1,782.26
Lap-assisted vaginal hysterectomy	CPT	58550	37	$2,011.73	$2,011.73	$60.62	$428.77	0.29×	$1,915.93
Lap-assisted vaginal hysterectomy >250g	CPT	58552	37	$1,871.38	$1,871.38	$75.52	$847.29	0.38×	$1,782.26
Lap salpingo-oophorectomy	CPT	58661	39	$1,395.03	$1,395.03	$44.35	$438.3	0.22×	$1,341.5
OR procedure for obesity w MCC	MS-DRG	619	29	$33,332	$33,292	$6,939.69	$19,358	0.71×	$48,128
OR procedure for obesity w CC	MS-DRG	620	28	$44,879	$44,839	$6,939.69	$12,095	0.75×	$29,999
OR procedure for obesity w/o CC/MCC	MS-DRG	621	28	$58,155	$40,780	$6,939.69	$11,313	0.75×	$28,059
Intravitreal injection	CPT	67028	37	$389.16	$389.16	$61.08	$104.71	0.31×	$454.5
Vitrectomy mechanical	CPT	67042	37	$3,285.54	$3,285.54	$637.04	$1,086.53	0.43×	$3,129.09
Uterine & adnexa procedures w CC/MCC	MS-DRG	743	25	$52,800	$37,070	$5,227.9	$8,663.61	0.71×	$21,489
Uterine & adnexa procedures w/o CC/MCC	MS-DRG	744	30	$30,779	$27,666	$191.27	$11,362	0.59×	$34,811
PCI single major coronary artery	CPT	92920	37	$10,149	$10,149	$247.63	$513.11	0.09×	$4,532.68
PCI with drug-eluting stent	CPT	92928	37	$20,568	$20,568	$274.91	$570.91	0.06×	$8,724.22
PCI bypass graft	CPT	92937	37	$20,568	$20,568	$314.9	$570.81	0.05×	$8,724.22
Left heart catheterization	CPT	93452	37	$408	$408	$153.41	$219.15	0.07×	$427.85
Coronary angiography with cath	CPT	93455	37	$1,588.67	$1,588.67	$492.6	$942.39	0.30×	$1,696.3
Coronary angiography with bypass cath	CPT	93458	37	$5,938	$2,010.5	$191.19	$509.25	0.16×	$1,751.62

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 30)

Payer	Codes covered	Median rate
no fault [114001]	197	$333.94
mvp healthcare [100168]	197	$165.8
Medicare	197	$124.33
univera healthcare [100169]	197	$138.56
federal workers compensation [500100]	196	$326.46
univera healthcare essential [100170]	194	$105.73
beacon essential [350122]	194	$136.68
TRICARE	194	$119.9
Blue Cross Blue Shield	194	$138.22
fidelis essential [100163]	194	$140.04
Medicaid	194	$113.25
UnitedHealthcare	194	$103.9
crime victims [100176]	193	$130.35
Cigna	193	$150.63
Aetna	193	$112.52
excellus rochester mcd [350117]	193	$141.49
fallon health [450115]	193	$119.58
fidelis dual advantage [450120]	193	$126.22
Molina	193	$272.7
seneca nation [450119]	193	$119.58
VA Health	193	$107.39
WellCare	193	$130.06
champ va [700002]	185	$119.58
covid19 hrsa [45013]	184	$116.15
catholic health life pace [400005]	182	$119.9
upmc health plan [100181]	182	$218.2
Humana	181	$124.6
beacon health options [100023]	180	$152.02
independent health essential [100166]	173	$130.35
iha first choice [800001]	173	$155.61

Related data on other Healthparse brands

Explore this hospital across cost reports, quality ratings, and non-profit filings.

HCRIS.io

Medicare cost reports, margins, utilization

Stetho.io

SNF, HHA, hospice, dialysis cost reports + ownership

990Health

IRS Form 990 financials, executive compensation

CareLens

CMS quality ratings, inspections, staffing