Does MORRISTOWN-HAMBLEN HOSPITAL publish its standard charges and chargemaster?

Yes. MORRISTOWN-HAMBLEN HOSPITAL publishes a machine-readable file with 30,715 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 MORRISTOWN-HAMBLEN HOSPITAL charge for procedures?

MORRISTOWN-HAMBLEN HOSPITAL (Morristown, TN) 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 · TN · CCN 440030

MORRISTOWN-HAMBLEN HOSPITAL

Morristown, TN, 37814-3894

100 bedsAcute Care Hospitals2

Compliance grade

100/100

Rates published

30,715

last crawl 2026-05-23

Procedures tracked

201

of 209 target codes

Payers

with negotiated rates

Procedures tracked

...

Payers

...

▸ Compare with other hospitals All TN 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://mrfs.hyvehealthcare.com/CovenantHealth/620545814_morristown-hamblen-hospital-association_standardcharges.json · JSON

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	24	—	—	$45	$9,312.22	0.73×	$21,719
Psychiatric diagnostic evaluation	CPT	90791	24	$275	$85.25	$52.5	$154.05	0.87×	$247.5
Psychiatric eval with medical services	CPT	90792	24	$330	$102.3	$63	$154.05	0.89×	$270
Psychotherapy 30 minutes	CPT	90832	24	$205	$63.55	$28.77	$109.6	0.74×	$154.05
Psychotherapy 45 minutes	CPT	90834	24	$205	$63.55	$38.85	$142.8	0.89×	$183.6
Psychotherapy 60 minutes	CPT	90837	24	$220	$68.2	$44.1	$147	0.77×	$198
Crisis psychotherapy 60 minutes	CPT	90839	24	$220	$68.2	$42	$146.71	0.92×	$198
emergency
ED visit level 1	CPT	99281	24	$325	$100.75	$77.39	$116	0.83×	$916
ED visit level 2	CPT	99282	24	$586	$181.66	$142.55	$151.83	0.64×	$1,393
ED visit level 3	CPT	99283	24	$750	$232.5	$215	$265.47	0.66×	$2,047
ED visit level 4	CPT	99284	24	$1,000	$310	$386.06	$408.26	0.61×	$2,894
ED visit level 5	CPT	99285	24	$1,144	$354.64	$514.8	$587.82	0.56×	$3,207
Critical care, first hour	CPT	99291	24	$1,320	$409.2	$367.5	$807.87	0.75×	$3,947
imaging
CT head without contrast	CPT	70450	24	$1,245	$385.95	$52.56	$101.96	0.49×	$1,120.5
CT head with contrast	CPT	70460	24	$1,245	$385.95	$121.19	$170.68	0.73×	$1,120.5
CT head with and without contrast	CPT	70470	24	$1,927	$597.37	$123.57	$170.68	0.64×	$1,734.3
CT neck with contrast	CPT	70491	24	$1,125	$348.75	$123.57	$170.68	0.62×	$1,012.5
MRI brain without contrast	CPT	70551	24	$1,772	$549.32	$105.33	$231.76	0.57×	$1,594.8
MRI brain with contrast	CPT	70552	24	$2,023	$627.13	$198.87	$342.41	0.72×	$1,820.7
MRI brain with and without contrast	CPT	70553	24	$2,526	$783.06	$198.87	$342.41	0.58×	$2,273.4
Chest X-ray single view	CPT	71045	24	$162	$50.22	$17.69	$84.42	0.89×	$163.61
Chest X-ray 2 views	CPT	71046	24	$248	$76.88	$23.38	$84.42	0.86×	$223.2
Chest X-ray 3 views	CPT	71047	24	$265	$82.15	$28.97	$84.42	0.88×	$238.5
CT chest without contrast	CPT	71250	24	$1,590	$492.9	$52.56	$101.96	0.47×	$1,431
CT chest with contrast	CPT	71260	24	$1,868	$579.08	$123.57	$170.68	0.61×	$1,681.2
CT chest with and without contrast	CPT	71270	24	$2,383	$738.73	$123.57	$170.68	0.59×	$2,144.7
MRI chest without contrast	CPT	71550	24	$1,769	$548.39	$105.33	$231.76	0.54×	$1,592.1
MRI chest with contrast	CPT	71551	24	$1,777	$550.87	$306.29	$757.49	0.93×	$1,599.3
MRI chest with and without contrast	CPT	71552	24	$2,526	$783.06	$198.87	$344.75	0.57×	$2,273.4
Lumbosacral spine X-ray	CPT	72100	24	$251	$77.81	$28.65	$101.96	0.99×	$229.76
CT cervical spine without contrast	CPT	72125	24	$1,814	$562.34	$52.56	$101.96	0.51×	$1,632.6
CT thoracic spine without contrast	CPT	72128	24	$1,814	$562.34	$52.56	$101.96	0.51×	$1,632.6
CT lumbar spine without contrast	CPT	72131	24	$1,814	$562.34	$52.56	$101.96	0.50×	$1,632.6
MRI cervical spine without contrast	CPT	72141	24	$2,350	$728.5	$105.33	$231.76	0.58×	$2,115
MRI thoracic spine without contrast	CPT	72146	24	$2,350	$728.5	$105.33	$231.76	0.62×	$2,115
MRI lumbar spine without contrast	CPT	72148	24	$2,350	$728.5	$105.33	$231.76	0.62×	$2,115
MRI lumbar spine with and without contrast	CPT	72149	24	$2,350	$728.5	$198.87	$342.41	0.75×	$2,115
MRI cervical spine with and without contrast	CPT	72156	24	$2,890	$895.9	$198.87	$342.41	0.63×	$2,601
MRI lumbar spine with contrast	CPT	72158	24	$2,890	$895.9	$198.87	$342.41	0.63×	$2,601
CT pelvis without contrast	CPT	72192	24	$1,320	$409.2	$52.56	$101.96	0.51×	$1,188
CT pelvis with contrast	CPT	72193	24	$1,320	$409.2	$123.57	$170.68	0.61×	$1,188
Shoulder X-ray	CPT	73030	24	$437	$135.47	$23.38	$82.81	0.89×	$163.61
Humerus X-ray	CPT	73060	24	$437	$135.47	$24.59	$82.81	0.93×	$163.61
Hand X-ray 3 views	CPT	73130	24	$438	$135.78	$27.84	$82.81	0.89×	$163.61
MRI upper extremity joint without contrast	CPT	73221	24	$1,769	$548.39	$45	$231.76	0.56×	$987
MRI upper extremity joint with and without contrast	CPT	73223	24	$2,715	$841.65	$45	$342.41	0.56×	$987
Knee X-ray 1-2 views	CPT	73560	24	$308	$95.48	$27.03	$82.81	0.89×	$163.61
Ankle X-ray 3 views	CPT	73610	24	$437	$135.47	$27.84	$82.81	0.90×	$163.61
MRI lower extremity joint without contrast	CPT	73721	24	$1,551	$480.81	$45	$231.76	0.50×	$987
MRI lower extremity joint with and without contrast	CPT	73723	24	$2,715	$841.65	$45	$342.41	0.54×	$987
CT abdomen without contrast	CPT	74150	24	$1,320	$409.2	$52.56	$101.96	0.54×	$1,188
CT abdomen with contrast	CPT	74160	24	$1,320	$409.2	$123.57	$170.68	0.60×	$1,188
CT abdomen with and without contrast	CPT	74170	24	$1,979	$613.49	$123.57	$170.68	0.51×	$1,781.1
CT abdomen and pelvis without contrast	CPT	74176	24	$2,640	$818.4	$105.33	$231.76	0.64×	$2,376
CT abdomen and pelvis with contrast	CPT	74177	24	$2,640	$818.4	$123.57	$342.41	0.62×	$2,376
CT abdomen and pelvis with and without contrast	CPT	74178	24	$3,958	$1,226.98	$198.87	$342.41	0.60×	$3,562.2
MRI abdomen without contrast	CPT	74181	24	$1,777	$550.87	$105.33	$231.76	0.59×	$1,599.3
MRI abdomen with and without contrast	CPT	74183	24	$2,526	$783.06	$198.87	$342.41	0.60×	$2,273.4
Abdominal ultrasound complete	CPT	76700	24	$894	$277.14	$52.56	$101.96	0.68×	$804.6
Abdominal ultrasound limited	CPT	76705	24	$487	$150.97	$52.56	$101.96	0.70×	$438.3
Retroperitoneal ultrasound complete	CPT	76770	24	$290	$89.9	$52.56	$101.96	0.71×	$331
Obstetric ultrasound first trimester	CPT	76801	24	$662	$205.22	$52.56	$101.96	0.72×	$595.8
Obstetric ultrasound after first trimester	CPT	76805	24	$662	$205.22	$52.56	$101.96	0.67×	$595.8
Obstetric ultrasound with fetal anatomy	CPT	76811	24	$301	$93.31	$45	$227.34	0.96×	$477.73
Transvaginal ultrasound	CPT	76830	24	$279	$86.49	$52.56	$101.96	0.69×	$331
Pelvic ultrasound complete	CPT	76856	24	$364	$112.84	$52.56	$101.96	0.71×	$331
Scrotal ultrasound	CPT	76870	24	$345	$106.95	$52.56	$101.96	0.78×	$331
Diagnostic mammography unilateral	CPT	77065	17	$271	$84.01	$44.35	$89	0.60×	$261
Diagnostic mammography bilateral	CPT	77066	17	$348	$107.88	$56.73	$247.11	1.3×	$313.2
Screening mammography bilateral	CPT	77067	17	$234	$72.54	$46.86	$185.6	1.2×	$261
EKG complete	CPT	93000	17	—	—	$18.31	$65	2.7×	$234
EKG tracing only	CPT	93005	24	$157	$48.67	$8.81	$56.95	0.48×	$234
EKG interpretation only	CPT	93010	17	$38	$11.78	$3.68	$15.46	0.85×	$34.2
Transthoracic echocardiogram complete	CPT	93306	24	$1,249	$387.19	$140.09	$525.69	0.88×	$1,124.1
Transthoracic echocardiogram	CPT	93307	24	$785	$243.35	$100.29	$231.76	0.94×	$706.5
Stress echocardiogram	CPT	93350	24	$89.54	$27.76	$45	$480.86	0.95×	$619
inpatient
Respiratory infections & inflammations w MCC	MS-DRG	177	24	—	—	$45	$11,629	0.75×	$24,907
COPD w MCC	MS-DRG	190	24	—	—	$45	$8,038.2	0.72×	$17,303
COPD w CC	MS-DRG	191	24	—	—	$45	$6,039.39	0.68×	$13,237
COPD w/o CC/MCC	MS-DRG	192	24	—	—	$45	$4,522.41	0.65×	$9,972.06
Simple pneumonia & pleurisy w CC	MS-DRG	194	24	—	—	$45	$5,731.8	0.68×	$12,635
Simple pneumonia & pleurisy w/o CC/MCC	MS-DRG	195	24	—	—	$45	$4,272.64	0.64×	$9,594.56
AMI discharged alive w MCC	MS-DRG	280	24	—	—	$45	$11,749	0.75×	$25,291
AMI discharged alive w CC	MS-DRG	281	24	—	—	$45	$6,695.56	0.69×	$14,203
AMI discharged alive w/o CC/MCC	MS-DRG	282	24	—	—	$45	$5,266.81	0.68×	$13,339
Heart failure & shock w MCC	MS-DRG	291	24	—	—	$45	$9,339.48	0.73×	$20,104
Heart failure & shock w CC	MS-DRG	292	24	—	—	$45	$6,164.29	0.69×	$13,269
Heart failure & shock w/o CC/MCC	MS-DRG	293	24	—	—	$45	$3,985.52	0.64×	$8,454.37
Cardiac arrhythmia w MCC	MS-DRG	308	24	—	—	$45	$8,631.58	0.71×	$18,581
Cardiac arrhythmia w CC	MS-DRG	309	24	—	—	$45	$5,291.76	0.68×	$11,391
Cardiac arrhythmia w/o CC/MCC	MS-DRG	310	24	—	—	$45	$4,004.79	0.65×	$8,620.78
GI hemorrhage w CC	MS-DRG	378	24	—	—	$45	$6,643.24	0.66×	$15,191
GI hemorrhage w/o CC/MCC	MS-DRG	379	24	—	—	$45	$4,557.36	0.67×	$9,810.27
Esophagitis/gastroenteritis w/o MCC	MS-DRG	392	24	—	—	$45	$5,247.72	0.65×	$12,023
Fractures of femur w/o MCC	MS-DRG	533	24	—	—	$45	$11,076	0.73×	$23,902
Kidney/UTI w MCC	MS-DRG	689	24	—	—	$45	$7,858.34	0.68×	$18,032
Kidney/UTI w/o MCC	MS-DRG	690	24	—	—	$45	$5,394.04	0.65×	$12,366
Septicemia or severe sepsis w MV 96+ hrs	MS-DRG	871	24	—	—	$45	$13,225	0.71×	$30,232
Septicemia or severe sepsis w/o MV 96+ hrs	MS-DRG	872	24	—	—	$45	$6,907.99	0.67×	$15,886
Initial hospital care, low complexity	CPT	99221	18	$225	$69.75	$83.25	$160.15	1.7×	$4,949
Initial hospital care, moderate complexity	CPT	99222	18	$252	$78.12	$112.5	$214.2	1.3×	$4,949
Initial hospital care, high complexity	CPT	99223	18	$370	$114.7	$123.75	$296	1.3×	$4,949
Hospital discharge, <30 min	CPT	99238	18	$132	$40.92	$59.4	$2,000	23.3×	$4,949
Hospital discharge, >30 min	CPT	99239	18	$196	$60.76	$59.4	$156.8	1.3×	$4,949
lab
Basic metabolic panel (BMP)	CPT	80048	23	$131	$40.61	$1.01	$8.88	0.27×	$117.9
General health panel	CPT	80050	16	—	—	$21.92	$80	0.75×	$90
Electrolyte panel	CPT	80051	23	$65	$20.15	$3.15	$7.36	0.31×	$58.5
Comprehensive metabolic panel	CPT	80053	23	$234	$72.54	$1	$11.09	0.25×	$210.6
Lipid panel	CPT	80061	23	$135	$41.85	$1.07	$14.06	0.37×	$121.5
Renal function panel	CPT	80069	23	$70	$21.7	$3.91	$9.11	0.33×	$63
Hepatic function panel	CPT	80076	23	$120	$37.2	$1.03	$8.58	0.32×	$108
Urinalysis non-automated	CPT	81002	23	$26	$8.06	$1.57	$5.01	0.72×	$23.4
Urinalysis automated	CPT	81003	23	$23	$7.13	$1	$2.36	0.17×	$20.7
Glucose quantitative	CPT	82947	23	$38	$11.78	$1.77	$4.13	0.23×	$34.2
Hemoglobin A1c	CPT	83036	23	$98	$30.38	$1.21	$10.2	0.38×	$88.2
Thyroid stimulating hormone (TSH)	CPT	84443	23	$169	$52.39	$1	$17.64	0.37×	$152.1
Complete blood count with automated differential	CPT	85025	23	$90	$27.9	$1	$8.16	0.31×	$81
Complete blood count without differential	CPT	85027	23	$65	$20.15	$2.91	$6.79	0.31×	$58.5
Urine culture bacterial	CPT	87086	23	$81	$25.11	$3.63	$8.47	0.36×	$72.9
Urine culture identification	CPT	87088	23	$82	$25.42	$3.64	$8.49	0.38×	$73.8
Tissue exam by pathologist level IV	CPT	88305	24	$424	$131.44	$18.51	$51.23	0.50×	$381.6
maternity
Fetal non-stress test	CPT	59025	24	$302	$93.62	$84	$192.87	1.0×	$2,244
Routine obstetric care including vaginal delivery	CPT	59400	18	—	—	$40	$85	0.04×	$3,295
Vaginal delivery only	CPT	59409	24	$2,609	$808.79	$1,174.05	$2,990.39	1.4×	$4,055
Vaginal delivery with postpartum	CPT	59410	18	—	—	$45	$86.5	0.08×	$3,295
Routine obstetric care with C-section	CPT	59510	18	—	—	$40	$85	0.03×	$3,295
C-section delivery only	CPT	59514	18	—	—	$40	$85	0.09×	$3,295
C-section with postpartum	CPT	59515	18	—	—	$45	$86.5	0.07×	$3,295
office
Office visit, new patient, 15-29 min	CPT	99202	17	$225	$69.75	$34.65	$132	1.5×	$237
Office visit, new patient, 30-44 minutes	CPT	99203	17	$250	$77.5	$40.74	$150	1.2×	$237
Office visit, new patient, 45-59 min	CPT	99204	17	$282	$87.42	$57.75	$169.85	0.98×	$253.8
Office visit, new patient, 60-74 min	CPT	99205	17	$345	$106.95	$63	$190	0.86×	$310.5
Office visit, established patient, 5 min	CPT	99211	17	$182	$56.42	$16.38	$70.2	1.1×	$237
Office visit, established patient, 10-19 min	CPT	99212	17	$200	$62	$19.32	$86.18	1.1×	$237
Office visit, established patient, 20-29 minutes	CPT	99213	17	$225	$69.75	$22.68	$102.3	0.89×	$237
Office visit, established patient, 30-39 minutes	CPT	99214	17	$250	$77.5	$25.62	$125	0.82×	$237
Office visit, established patient, 40-54 min	CPT	99215	17	$276	$85.56	$32.34	$140.76	0.75×	$248.4
preventive
Upper GI endoscopy diagnostic	CPT	43235	24	—	—	$45	$898.91	0.98×	$2,610
Upper GI endoscopy with biopsy	CPT	43239	24	—	—	$45	$898.91	0.93×	$2,610
Sigmoidoscopy diagnostic	CPT	45330	24	—	—	$45	$874.13	1.0×	$2,244
Sigmoidoscopy with biopsy	CPT	45331	24	—	—	$45	$874.13	0.98×	$2,244
Colonoscopy diagnostic	CPT	45378	24	—	—	$45	$874.13	1.00×	$2,610
Colonoscopy with biopsy	CPT	45380	24	—	—	$45	$1,130.47	0.93×	$2,805
Colonoscopy with polyp removal	CPT	45385	24	—	—	$45	$1,130.47	0.94×	$2,805
surgery
Total shoulder arthroplasty	CPT	23472	24	—	—	$45	$14,052	3.4×	$17,632
PCI w drug-eluting stent w MCC	MS-DRG	246	1	—	—	$16,591	$16,591	0.60×	$16,591
PCI w drug-eluting stent w/o MCC	MS-DRG	247	1	—	—	$10,639	$10,639	0.58×	$10,639
Hip hemiarthroplasty	CPT	27125	18	—	—	$45	$2,135	1.7×	$11,500
Total hip replacement	CPT	27130	24	—	—	$45	$11,907	2.7×	$20,333
Total knee replacement	CPT	27447	24	—	—	$45	$11,907	2.9×	$20,970
Knee revision arthroplasty single component	CPT	27486	18	—	—	$45	$2,281	1.4×	$24,147
Knee revision arthroplasty all components	CPT	27487	18	—	—	$45	$2,281	1.1×	$24,147
Shoulder arthroscopy with decompression	CPT	29826	18	—	—	$45	$147	0.45×	$2,669
Shoulder arthroscopy with rotator cuff repair	CPT	29827	24	—	—	$45	$6,523.08	2.0×	$8,352
Knee arthroscopy with meniscectomy	CPT	29881	24	—	—	$45	$3,051.6	1.5×	$5,482
ACL reconstruction	CPT	29888	24	—	—	$45	$6,523.08	2.0×	$8,352
Major small/large bowel procedures w MCC	MS-DRG	329	24	—	—	$45	$32,868	0.76×	$70,752
Major small/large bowel procedures w CC	MS-DRG	330	24	—	—	$45	$16,919	0.73×	$36,420
Major small/large bowel procedures w/o CC/MCC	MS-DRG	331	24	—	—	$45	$11,818	0.72×	$25,439
CABG single arterial graft	CPT	33533	18	—	—	$45	$1,575	0.84×	$3,295
CABG 2 arterial grafts	CPT	33534	18	—	—	$45	$1,575	0.73×	$3,295
CABG 3 arterial grafts	CPT	33535	18	—	—	$45	$1,575	0.69×	$3,295
CABG 4+ arterial grafts	CPT	33536	18	—	—	$45	$1,575	0.64×	$3,295
Laparoscopic cholecystectomy w/o CDE w MCC	MS-DRG	418	24	—	—	$45	$11,870	0.72×	$25,553
Laparoscopic cholecystectomy w/o CDE w CC	MS-DRG	419	24	—	—	$45	$9,431.11	0.70×	$20,302
Laparoscopic cholecystectomy w/o CDE w/o CC/MCC	MS-DRG	420	24	—	—	$45	$22,904	0.71×	$54,383
Open appendectomy	CPT	44950	24	—	—	$45	$5,697.64	5.0×	$6,848
Laparoscopic appendectomy	CPT	44970	24	—	—	$45	$5,407.38	3.5×	$8,352
Spinal fusion (non-cervical) w MCC	MS-DRG	459	2	—	—	$42,150	$42,150	0.85×	$45,326
Spinal fusion (non-cervical) w/o MCC	MS-DRG	460	2	—	—	$23,247	$23,247	0.69×	$24,119
Major joint replacement w MCC	MS-DRG	469	24	—	—	$45	$23,397	0.79×	$50,364
Major joint replacement w/o MCC	MS-DRG	470	24	—	—	$45	$13,496	0.71×	$29,052
Laparoscopic cholecystectomy	CPT	47562	24	—	—	$45	$5,407.38	3.0×	$8,352
Lap cholecystectomy with cholangiography	CPT	47563	24	—	—	$45	$5,407.38	2.9×	$8,352
Hip & femur procedures except major joint w MCC	MS-DRG	480	24	—	—	$45	$21,051	0.75×	$45,315
Hip & femur procedures except major joint w CC	MS-DRG	481	24	—	—	$45	$14,852	0.73×	$31,970
Hip & femur procedures except major joint w/o CC/MCC	MS-DRG	482	24	—	—	$45	$11,355	0.71×	$24,443
Open umbilical hernia repair	CPT	49560	1	—	—	$2,826.21	$2,826.21	1.5×	$2,826.21
Umbilical hernia repair age 5+	CPT	49585	1	—	—	$2,826.21	$2,826.21	2.1×	$2,826.21
Lap inguinal hernia repair	CPT	49650	24	—	—	$45	$5,407.38	4.8×	$8,352
Lap incisional hernia repair	CPT	49652	1	—	—	$4,393.57	$4,393.57	1.6×	$4,393.57
Total abdominal hysterectomy	CPT	58150	18	—	—	$45	$1,692	1.7×	$6,848
Vaginal hysterectomy	CPT	58260	24	—	—	$45	$4,499.79	2.5×	$5,482
Lap-assisted vaginal hysterectomy	CPT	58550	24	—	—	$45	$5,407.38	3.7×	$8,352
Lap-assisted vaginal hysterectomy >250g	CPT	58552	24	—	—	$45	$8,561	3.8×	$9,982.02
Lap salpingo-oophorectomy	CPT	58661	24	—	—	$45	$5,407.38	2.7×	$8,352
OR procedure for obesity w MCC	MS-DRG	619	24	—	—	$45	$19,804	0.73×	$42,010
OR procedure for obesity w CC	MS-DRG	620	24	—	—	$45	$11,600	0.72×	$24,607
OR procedure for obesity w/o CC/MCC	MS-DRG	621	24	—	—	$45	$10,618	0.70×	$22,865
Complex cataract surgery	CPT	66982	24	—	—	$45	$2,186.71	0.99×	$5,120
Cataract surgery with lens implant	CPT	66984	24	—	—	$45	$2,186.71	1.0×	$5,120
Intravitreal injection	CPT	67028	24	—	—	$45	$318.01	0.93×	$2,244
Vitrectomy mechanical	CPT	67042	24	—	—	$45	$3,783.55	1.5×	$6,324
Uterine & adnexa procedures w CC/MCC	MS-DRG	743	24	—	—	$45	$7,919.07	0.64×	$18,470
Uterine & adnexa procedures w/o CC/MCC	MS-DRG	744	24	—	—	$45	$12,871	0.67×	$30,107
PCI single major coronary artery	CPT	92920	24	$5,696	$1,765.76	$45	$5,466.48	0.96×	$11,074
PCI with drug-eluting stent	CPT	92928	24	$8,652	$2,682.12	$45	$9,972.17	0.99×	$11,074
PCI bypass graft	CPT	92937	24	$8,652	$2,682.12	$1,941	$10,511	0.97×	$11,074
Left heart catheterization	CPT	93452	24	$3,986	$1,235.66	$1,793.7	$3,083.82	1.00×	$9,300
Coronary angiography with cath	CPT	93455	24	$5,634	$1,746.54	$1,921	$3,083.82	0.98×	$9,300
Coronary angiography with bypass cath	CPT	93458	24	$5,266	$1,632.46	$1,921	$3,083.82	0.99×	$9,300

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 24)

Payer	Codes covered	Median rate
Aetna	194	$396
ehn	194	$45
galaxy health network	194	$90
initial group	194	$88
medsave usa	194	$80
national provider network	194	$80
novanet	194	$75
UnitedHealthcare	194	$477.73
usa managed care organization	194	$70
beech street	194	$85
Blue Cross Blue Shield	194	$522
ccn managed care	194	$85
Cigna	194	$454
community services network	194	$65
correctional medical services	194	$60
direct care america	194	$80
wellpoint	186	$525.69
Ambetter	178	$987
farm bureau	162	$335.21
WellCare	160	$342.41
TRICARE	160	$326.1
Humana	160	$335.88
optum	160	$326.1
devoted health	160	$342.41

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