▸ Hospital · TN · CCN 440049
Methodist Hospitals Of Memphis
1265 UNION AVENUE, MEMPHIS, TN, 38104
1,368 bedsAcute Care Hospitals1
Compliance grade
A
100/100
Procedures tracked
179
of 209 target codes
Payers
17
with negotiated rates
Rates published
60,805
last crawl 2026-05-24
Procedures & rates
| Procedure | Type | Code | Payers | Gross | Cash | Neg min | Neg median | Neg max |
|---|---|---|---|---|---|---|---|---|
| behavioral | ||||||||
| Psychoses | MS-DRG | 885 | 15 | $30,016 | $6,603.51 | $1,215 | $12,020 | $25,081 |
| Psychiatric diagnostic evaluation | CPT | 90791 | 6 | $551 | $121.22 | $50 | $239.36 | $783 |
| Psychiatric eval with medical services | CPT | 90792 | 6 | $444 | $97.68 | $50 | $239.36 | $783 |
| Psychotherapy 30 minutes | CPT | 90832 | 6 | $457 | $100.54 | $41.43 | $118.13 | $307.15 |
| Psychotherapy 45 minutes | CPT | 90834 | 6 | $457 | $100.54 | $55.08 | $118.13 | $307.15 |
| Psychotherapy 60 minutes | CPT | 90837 | 6 | $457 | $100.54 | $55.08 | $118.13 | $307.15 |
| Crisis psychotherapy 60 minutes | CPT | 90839 | 5 | $436 | $95.92 | $55.08 | $218.08 | $307.15 |
| emergency | ||||||||
| ED visit level 1 | CPT | 99281 | 15 | $807 | $177.54 | $51 | $80.63 | $1,493 |
| ED visit level 2 | CPT | 99282 | 15 | $944 | $207.68 | $51 | $145.66 | $3,892 |
| ED visit level 3 | CPT | 99283 | 14 | $1,406 | $309.32 | $51 | $253.55 | $7,951 |
| ED visit level 4 | CPT | 99284 | 15 | $2,289 | $503.58 | $51 | $401.62 | $9,745 |
| ED visit level 5 | CPT | 99285 | 15 | $28,901 | $6,358.22 | $51 | $594.86 | $10,136 |
| Critical care, first hour | CPT | 99291 | 15 | $31,018 | $6,823.86 | $51 | $771.58 | $10,816 |
| imaging | ||||||||
| CT head without contrast | CPT | 70450 | 15 | $3,202 | $704.44 | $50 | $97.87 | $296.28 |
| CT head with contrast | CPT | 70460 | 15 | $4,432 | $975.04 | $50 | $163.69 | $432.4 |
| CT head with and without contrast | CPT | 70470 | 15 | $5,158 | $1,134.76 | $50 | $169.03 | $517.85 |
| CT neck with contrast | CPT | 70491 | 15 | $4,432 | $975.04 | $50 | $163.69 | $541.04 |
| MRI brain without contrast | CPT | 70551 | 15 | $6,202 | $1,364.44 | $50 | $221.34 | $617.8 |
| MRI brain with contrast | CPT | 70552 | 15 | $7,052 | $1,551.44 | $50 | $327.02 | $914.08 |
| MRI brain with and without contrast | CPT | 70553 | 15 | $8,449 | $1,858.78 | $50 | $331.93 | $1,041.5 |
| Chest X-ray single view | CPT | 71045 | 15 | $438 | $96.36 | $9.02 | $80.63 | $206.83 |
| Chest X-ray 2 views | CPT | 71046 | 15 | $438 | $96.36 | $16.64 | $80.63 | $206.83 |
| Chest X-ray 3 views | CPT | 71047 | 14 | $438 | $96.36 | $21.22 | $80.63 | $206.83 |
| CT chest without contrast | CPT | 71250 | 15 | $3,202 | $704.44 | $50 | $97.87 | $406.35 |
| CT chest with contrast | CPT | 71260 | 15 | $11,886 | $2,615.01 | $50 | $163.69 | $543.94 |
| CT chest with and without contrast | CPT | 71270 | 15 | $5,158 | $1,134.76 | $50 | $169.03 | $664.14 |
| MRI chest without contrast | CPT | 71550 | 15 | $6,202 | $1,364.44 | $50 | $224.14 | $1,351.42 |
| MRI chest with contrast | CPT | 71551 | 14 | $7,052 | $1,551.44 | $50 | $723.46 | $1,471.62 |
| MRI chest with and without contrast | CPT | 71552 | 15 | $8,449 | $1,858.78 | $50 | $350.09 | $1,843.23 |
| Lumbosacral spine X-ray | CPT | 72100 | 15 | $550 | $121 | $20.74 | $97.38 | $206.83 |
| CT cervical spine without contrast | CPT | 72125 | 15 | $3,202 | $704.44 | $50 | $101.07 | $529.45 |
| CT thoracic spine without contrast | CPT | 72128 | 15 | $3,202 | $704.44 | $50 | $101.07 | $527.97 |
| CT lumbar spine without contrast | CPT | 72131 | 15 | $3,202 | $704.44 | $50 | $101.07 | $525.12 |
| MRI cervical spine without contrast | CPT | 72141 | 15 | $6,202 | $1,364.44 | $50 | $221.34 | $593.18 |
| MRI thoracic spine without contrast | CPT | 72146 | 15 | $6,202 | $1,364.44 | $50 | $221.34 | $594.61 |
| MRI lumbar spine without contrast | CPT | 72148 | 15 | $6,202 | $1,364.44 | $50 | $221.34 | $594.61 |
| MRI lumbar spine with and without contrast | CPT | 72149 | 15 | $7,052 | $1,551.44 | $50 | $331.93 | $921.3 |
| MRI cervical spine with and without contrast | CPT | 72156 | 15 | $8,449 | $1,858.78 | $50 | $331.93 | $1,051.67 |
| MRI lumbar spine with contrast | CPT | 72158 | 15 | $8,449 | $1,858.78 | $50 | $331.93 | $1,048.77 |
| CT pelvis without contrast | CPT | 72192 | 15 | $3,202 | $704.44 | $50 | $97.87 | $368.71 |
| CT pelvis with contrast | CPT | 72193 | 15 | $4,432 | $975.04 | $50 | $163.69 | $713.38 |
| Shoulder X-ray | CPT | 73030 | 15 | $550 | $121 | $18.02 | $80.63 | $206.83 |
| Humerus X-ray | CPT | 73060 | 15 | $550 | $121 | $17.41 | $80.63 | $206.83 |
| Hand X-ray 3 views | CPT | 73130 | 15 | $550 | $121 | $20.74 | $80.63 | $206.83 |
| MRI upper extremity joint without contrast | CPT | 73221 | 15 | $6,201 | $1,364.22 | $50 | $221.34 | $669.31 |
| MRI upper extremity joint with and without contrast | CPT | 73223 | 15 | $8,449 | $1,858.78 | $50 | $331.93 | $1,436.88 |
| Knee X-ray 1-2 views | CPT | 73560 | 15 | $550 | $121 | $18.32 | $80.63 | $206.83 |
| Ankle X-ray 3 views | CPT | 73610 | 15 | $550 | $121 | $18 | $80.63 | $206.83 |
| MRI lower extremity joint without contrast | CPT | 73721 | 15 | $6,202 | $1,364.44 | $50 | $221.34 | $669.31 |
| MRI lower extremity joint with and without contrast | CPT | 73723 | 15 | $8,449 | $1,858.78 | $50 | $331.93 | $1,433.98 |
| CT abdomen without contrast | CPT | 74150 | 15 | $3,202 | $704.44 | $50 | $97.87 | $364.34 |
| CT abdomen with contrast | CPT | 74160 | 15 | $4,432 | $975.04 | $50 | $163.69 | $710.48 |
| CT abdomen with and without contrast | CPT | 74170 | 15 | $5,158 | $1,134.76 | $50 | $170.48 | $814.75 |
| CT abdomen and pelvis without contrast | CPT | 74176 | 15 | $6,402 | $1,408.44 | $50 | $221.34 | $458.49 |
| CT abdomen and pelvis with contrast | CPT | 74177 | 15 | $8,861 | $1,949.42 | $50 | $327.02 | $924.83 |
| CT abdomen and pelvis with and without contrast | CPT | 74178 | 15 | $10,312 | $2,268.64 | $50 | $327.02 | $1,055.99 |
| MRI abdomen without contrast | CPT | 74181 | 15 | $6,202 | $1,364.44 | $50 | $221.34 | $694.56 |
| MRI abdomen with and without contrast | CPT | 74183 | 15 | $8,449 | $1,858.78 | $50 | $331.93 | $1,174.76 |
| Abdominal ultrasound complete | CPT | 76700 | 15 | $1,277 | $280.94 | $48.89 | $97.38 | $406.89 |
| Abdominal ultrasound limited | CPT | 76705 | 15 | $1,217 | $267.74 | $20 | $97.38 | $320.76 |
| Retroperitoneal ultrasound complete | CPT | 76770 | 15 | $1,217 | $267.74 | $44 | $97.38 | $388.2 |
| Obstetric ultrasound first trimester | CPT | 76801 | 15 | $783 | $172.26 | $42.75 | $97.38 | $312.16 |
| Obstetric ultrasound after first trimester | CPT | 76805 | 14 | $1,217 | $267.74 | $48.89 | $97.38 | $391.1 |
| Obstetric ultrasound with fetal anatomy | CPT | 76811 | 15 | $1,968 | $432.96 | $50 | $221.34 | $412.2 |
| Transvaginal ultrasound | CPT | 76830 | 15 | $1,217 | $267.74 | $48.89 | $97.38 | $370.98 |
| Pelvic ultrasound complete | CPT | 76856 | 15 | $1,217 | $267.74 | $40 | $97.38 | $363.85 |
| Scrotal ultrasound | CPT | 76870 | 15 | $1,217 | $267.74 | $31 | $97.38 | $181.35 |
| Diagnostic mammography unilateral | CPT | 77065 | 14 | $1,156 | $254.32 | $48.06 | $76 | $381.15 |
| Diagnostic mammography bilateral | CPT | 77066 | 14 | $1,156 | $254.32 | $50 | $96.86 | $487.75 |
| Screening mammography bilateral | CPT | 77067 | 14 | $524 | $115.28 | $50 | $80.17 | $402.74 |
| EKG complete | CPT | 93000 | 13 | $731 | $160.82 | $11.48 | $12.81 | $446 |
| EKG tracing only | CPT | 93005 | 15 | $356 | $78.32 | $6.97 | $54.39 | $446 |
| EKG interpretation only | CPT | 93010 | 13 | $24 | $5.28 | $5.16 | $7.41 | $8.43 |
| Transthoracic echocardiogram complete | CPT | 93306 | 15 | $7,307 | $1,607.54 | $50 | $502.08 | $935.02 |
| Stress echocardiogram | CPT | 93350 | 15 | $2,398 | $527.56 | $50 | $502.08 | $935.02 |
| inpatient | ||||||||
| Respiratory infections & inflammations w MCC | MS-DRG | 177 | 15 | $47,041 | $10,349 | $1,397 | $13,179 | $30,394 |
| COPD w MCC | MS-DRG | 190 | 5 | $36,851 | $8,107.33 | $50 | $1,226.5 | $17,077 |
| COPD w CC | MS-DRG | 191 | 15 | $22,224 | $4,889.39 | $1,397 | $8,149.15 | $15,137 |
| COPD w/o CC/MCC | MS-DRG | 192 | 15 | $20,491 | $4,508.07 | $1,397 | $6,744.35 | $11,528 |
| Simple pneumonia & pleurisy w CC | MS-DRG | 194 | 15 | $29,969 | $6,593.18 | $1,215 | $7,889.87 | $14,471 |
| Simple pneumonia & pleurisy w/o CC/MCC | MS-DRG | 195 | 15 | $23,369 | $5,141.13 | $1,215 | $6,650.01 | $11,286 |
| AMI discharged alive w MCC | MS-DRG | 280 | 15 | $44,697 | $9,833.33 | $1,397 | $13,469 | $37,545 |
| AMI discharged alive w CC | MS-DRG | 281 | 15 | $46,815 | $10,299 | $1,397 | $8,681.03 | $28,456 |
| AMI discharged alive w/o CC/MCC | MS-DRG | 282 | 15 | $57,502 | $12,650 | $1,215 | $7,311.16 | $27,513 |
| Heart failure & shock w MCC | MS-DRG | 291 | 16 | $33,249 | $7,314.8 | $1,397 | $11,230 | $23,052 |
| Heart failure & shock w CC | MS-DRG | 292 | 5 | $15,149 | $3,332.87 | $51 | $1,129 | $13,089 |
| Heart failure & shock w/o CC/MCC | MS-DRG | 293 | 15 | $18,779 | $4,131.45 | $1,215 | $6,213.17 | $10,163 |
| Cardiac arrhythmia w MCC | MS-DRG | 308 | 15 | $37,609 | $8,274.01 | $1,397 | $10,672 | $26,575 |
| Cardiac arrhythmia w CC | MS-DRG | 309 | 15 | $26,190 | $5,761.76 | $1,215 | $7,399.22 | $15,604 |
| Cardiac arrhythmia w/o CC/MCC | MS-DRG | 310 | 15 | $20,152 | $4,433.44 | $1,215 | $6,213.88 | $11,327 |
| GI hemorrhage w CC | MS-DRG | 378 | 15 | $36,723 | $8,079.03 | $1,215 | $9,111.56 | $17,610 |
| GI hemorrhage w/o CC/MCC | MS-DRG | 379 | 15 | $26,731 | $5,880.86 | $1,215 | $6,663.26 | $11,320 |
| Esophagitis/gastroenteritis w/o MCC | MS-DRG | 392 | 15 | $25,328 | $5,572.06 | $1,397 | $7,706.05 | $13,999 |
| Fractures of femur w/o MCC | MS-DRG | 533 | 15 | $31,402 | $6,908.51 | $1,397 | $13,214 | $49,298 |
| Kidney/UTI w MCC | MS-DRG | 689 | 15 | $30,457 | $6,700.57 | $1,397 | $10,367 | $20,835 |
| Kidney/UTI w/o MCC | MS-DRG | 690 | 5 | $26,351 | $5,797.11 | $51 | $1,129 | $12,480 |
| Septicemia or severe sepsis w MV 96+ hrs | MS-DRG | 871 | 5 | $54,743 | $12,044 | $50 | $1,226.5 | $29,948 |
| Septicemia or severe sepsis w/o MV 96+ hrs | MS-DRG | 872 | 15 | $31,988 | $7,037.47 | $1,397 | $9,409.29 | $18,375 |
| Hospital discharge, <30 min | CPT | 99238 | 12 | $241 | $53.02 | $51.82 | $73.82 | $73.82 |
| lab | ||||||||
| Basic metabolic panel (BMP) | CPT | 80048 | 14 | $95 | $20.9 | $3.55 | $8.46 | $51.78 |
| General health panel | CPT | 80050 | 5 | $150 | $33 | $19.86 | $20.2 | $189.73 |
| Electrolyte panel | CPT | 80051 | 14 | $80 | $17.6 | $2.94 | $7.01 | $43.6 |
| Comprehensive metabolic panel | CPT | 80053 | 14 | $120 | $26.4 | $4.44 | $10.56 | $65.4 |
| Lipid panel | CPT | 80061 | 14 | $184 | $40.48 | $5.62 | $13.39 | $100.28 |
| Renal function panel | CPT | 80069 | 14 | $95 | $20.9 | $3.65 | $8.68 | $51.78 |
| Hepatic function panel | CPT | 80076 | 14 | $95 | $20.9 | $3.43 | $8.17 | $51.78 |
| Urinalysis non-automated | CPT | 81002 | 14 | $35 | $7.7 | $1.46 | $3.48 | $19.08 |
| Urinalysis automated | CPT | 81003 | 14 | $31 | $6.82 | $1.64 | $2.25 | $16.9 |
| Glucose quantitative | CPT | 82947 | 14 | $55 | $12.1 | $1.65 | $3.93 | $29.98 |
| Hemoglobin A1c | CPT | 83036 | 15 | $811 | $178.42 | $4.08 | $9.71 | $113.54 |
| Thyroid stimulating hormone (TSH) | CPT | 84443 | 14 | $232 | $51.04 | $7.06 | $16.8 | $126.44 |
| Complete blood count with automated differential | CPT | 85025 | 14 | $108 | $23.76 | $3.26 | $7.77 | $58.86 |
| Complete blood count without differential | CPT | 85027 | 14 | $91 | $20.02 | $2.72 | $6.47 | $49.6 |
| Urine culture bacterial | CPT | 87086 | 14 | $111 | $24.42 | $3.39 | $8.07 | $60.5 |
| Urine culture identification | CPT | 87088 | 14 | $111 | $24.42 | $3.4 | $8.09 | $60.5 |
| Tissue exam by pathologist level IV | CPT | 88305 | 16 | $12,870 | $2,831.33 | $17.28 | $122.52 | $3,626.38 |
| maternity | ||||||||
| Fetal non-stress test | CPT | 59025 | 14 | $778 | $171.16 | $12.8 | $184.21 | $2,010 |
| Routine obstetric care including vaginal delivery | CPT | 59400 | 12 | $2,231 | $490.82 | $12.8 | $2,120.43 | $2,120.43 |
| Vaginal delivery only | CPT | 59409 | 15 | $15,008 | $3,301.81 | $12.8 | $2,911.5 | $16,786 |
| C-section delivery only | CPT | 59514 | 12 | $8,504 | $1,870.88 | $297 | $788.79 | $2,055.13 |
| office | ||||||||
| Office visit, new patient, 15-29 min | CPT | 99202 | 14 | $257 | $56.54 | $34.48 | $42.91 | $123.62 |
| Office visit, new patient, 30-44 minutes | CPT | 99203 | 14 | $281 | $61.82 | $44.87 | $74.57 | $135.16 |
| Office visit, new patient, 45-59 min | CPT | 99204 | 14 | $339 | $74.58 | $56.79 | $121.65 | $163.06 |
| Office visit, new patient, 60-74 min | CPT | 99205 | 14 | $409 | $89.98 | $12 | $165.28 | $196.73 |
| Office visit, established patient, 5 min | CPT | 99211 | 14 | $173 | $38.06 | $7.29 | $8.03 | $93.59 |
| Office visit, established patient, 10-19 min | CPT | 99212 | 14 | $257 | $56.54 | $24.52 | $32.22 | $123.62 |
| Office visit, established patient, 20-29 minutes | CPT | 99213 | 14 | $281 | $61.82 | $34.48 | $60.33 | $135.16 |
| Office visit, established patient, 30-39 minutes | CPT | 99214 | 14 | $339 | $74.58 | $44.87 | $88.8 | $163.06 |
| Office visit, established patient, 40-54 min | CPT | 99215 | 14 | $409 | $89.98 | $56.79 | $131.36 | $196.73 |
| preventive | ||||||||
| Upper GI endoscopy diagnostic | CPT | 43235 | 16 | $10,886 | $2,394.99 | $250 | $858.52 | $2,439 |
| Upper GI endoscopy with biopsy | CPT | 43239 | 16 | $12,559 | $2,763.03 | $297 | $858.52 | $3,463 |
| Sigmoidoscopy diagnostic | CPT | 45330 | 15 | $9,923.79 | $2,183.23 | $250 | $834.85 | $1,742.87 |
| Sigmoidoscopy with biopsy | CPT | 45331 | 16 | $10,116 | $2,225.48 | $250 | $834.85 | $2,439 |
| Colonoscopy diagnostic | CPT | 45378 | 16 | $7,880.16 | $1,733.64 | $250 | $834.85 | $3,463 |
| Colonoscopy with biopsy | CPT | 45380 | 16 | $8,984.14 | $1,976.51 | $250 | $1,079.68 | $3,463 |
| Colonoscopy with polyp removal | CPT | 45385 | 16 | $8,981.56 | $1,975.94 | $250 | $1,079.68 | $3,463 |
| surgery | ||||||||
| Total shoulder arthroplasty | CPT | 23472 | 15 | $71,161 | $15,655 | $232.56 | $16,613 | $35,155 |
| Total hip replacement | CPT | 27130 | 15 | $57,522 | $12,655 | $297 | $11,782 | $24,597 |
| Total knee replacement | CPT | 27447 | 15 | $53,410 | $11,750 | $297 | $11,782 | $24,597 |
| Knee revision arthroplasty single component | CPT | 27486 | 15 | $40,044 | $8,809.75 | $250 | $1,256.74 | $16,556 |
| Knee revision arthroplasty all components | CPT | 27487 | 15 | $122,832 | $27,023 | $250 | $1,564.42 | $16,556 |
| Shoulder arthroscopy with decompression | CPT | 29826 | 16 | $41,079 | $9,037.38 | $50 | $5,850.05 | $13,656 |
| Shoulder arthroscopy with rotator cuff repair | CPT | 29827 | 16 | $41,079 | $9,037.38 | $50 | $6,541.51 | $13,656 |
| Knee arthroscopy with meniscectomy | CPT | 29881 | 16 | $20,779 | $4,571.44 | $297 | $2,971.09 | $6,202.56 |
| ACL reconstruction | CPT | 29888 | 16 | $56,598 | $12,452 | $297 | $6,541.51 | $13,656 |
| Major small/large bowel procedures w MCC | MS-DRG | 329 | 15 | $152,479 | $33,545 | $1,397 | $34,383 | $82,536 |
| Major small/large bowel procedures w CC | MS-DRG | 330 | 15 | $86,046 | $18,930 | $1,397 | $19,012 | $43,045 |
| Major small/large bowel procedures w/o CC/MCC | MS-DRG | 331 | 15 | $56,252 | $12,375 | $1,397 | $14,019 | $30,219 |
| Laparoscopic cholecystectomy w/o CDE w MCC | MS-DRG | 418 | 15 | $66,345 | $14,596 | $1,215 | $14,080 | $35,299 |
| Laparoscopic cholecystectomy w/o CDE w CC | MS-DRG | 419 | 15 | $57,337 | $12,614 | $1,397 | $11,803 | $24,525 |
| Laparoscopic cholecystectomy w/o CDE w/o CC/MCC | MS-DRG | 420 | 15 | $175,855 | $38,688 | $1,397 | $26,070 | $61,179 |
| Laparoscopic appendectomy | CPT | 44970 | 15 | $23,490 | $5,167.83 | $297 | $5,342.52 | $11,153 |
| Major joint replacement w MCC | MS-DRG | 469 | 15 | $99,795 | $21,955 | $1,397 | $23,457 | $60,789 |
| Major joint replacement w/o MCC | MS-DRG | 470 | 15 | $64,995 | $14,299 | $1,215 | $15,739 | $51,150 |
| Laparoscopic cholecystectomy | CPT | 47562 | 15 | $26,468 | $5,822.85 | $297 | $5,342.52 | $11,153 |
| Lap cholecystectomy with cholangiography | CPT | 47563 | 15 | $24,289 | $5,343.48 | $297 | $5,342.52 | $11,153 |
| Hip & femur procedures except major joint w MCC | MS-DRG | 480 | 15 | $106,662 | $23,466 | $1,397 | $22,612 | $52,638 |
| Hip & femur procedures except major joint w CC | MS-DRG | 481 | 15 | $85,491 | $18,808 | $1,397 | $17,403 | $46,798 |
| Hip & femur procedures except major joint w/o CC/MCC | MS-DRG | 482 | 15 | $65,838 | $14,484 | $1,397 | $14,066 | $35,368 |
| Lap inguinal hernia repair | CPT | 49650 | 16 | $35,167 | $7,736.79 | $297 | $5,342.52 | $13,076 |
| Total abdominal hysterectomy | CPT | 58150 | 14 | $33,945 | $7,467.79 | $250 | $914.97 | $3,707 |
| Vaginal hysterectomy | CPT | 58260 | 16 | $44,834 | $9,863.43 | $297 | $4,128.12 | $9,436.77 |
| Lap-assisted vaginal hysterectomy | CPT | 58550 | 16 | $55,252 | $12,155 | $297 | $5,342.52 | $11,153 |
| Lap-assisted vaginal hysterectomy >250g | CPT | 58552 | 15 | $40,845 | $8,985.84 | $297 | $9,273 | $19,132 |
| Lap salpingo-oophorectomy | CPT | 58661 | 16 | $97,338 | $21,414 | $250 | $5,342.52 | $13,076 |
| OR procedure for obesity w MCC | MS-DRG | 619 | 16 | $82,910 | $18,240 | $1,397 | $22,774 | $52,847 |
| OR procedure for obesity w CC | MS-DRG | 620 | 16 | $51,891 | $11,416 | $1,215 | $13,644 | $38,233 |
| OR procedure for obesity w/o CC/MCC | MS-DRG | 621 | 16 | $35,074 | $7,716.24 | $1,215 | $13,190 | $32,707 |
| Complex cataract surgery | CPT | 66982 | 16 | $18,606 | $4,093.32 | $297 | $2,088.46 | $6,652 |
| Cataract surgery with lens implant | CPT | 66984 | 16 | $17,619 | $3,876.1 | $297 | $3,490.02 | $7,690.3 |
| Vitrectomy mechanical | CPT | 67042 | 15 | $22,786 | $5,012.88 | $297 | $3,683.73 | $7,690.3 |
| Uterine & adnexa procedures w CC/MCC | MS-DRG | 743 | 15 | $44,031 | $9,686.83 | $1,215 | $10,929 | $22,278 |
| Uterine & adnexa procedures w/o CC/MCC | MS-DRG | 744 | 15 | $143,019 | $31,464 | $1,397 | $16,579 | $36,794 |
| PCI single major coronary artery | CPT | 92920 | 15 | $21,961 | $4,831.42 | $50 | $5,220.88 | $10,899 |
| PCI with drug-eluting stent | CPT | 92928 | 15 | $33,359 | $7,338.98 | $50 | $9,840.95 | $21,679 |
| PCI bypass graft | CPT | 92937 | 15 | $33,359 | $7,338.98 | $50 | $9,840.95 | $21,679 |
| Left heart catheterization | CPT | 93452 | 15 | $27,546 | $6,060.12 | $50 | $2,945.27 | $6,148.66 |
| Coronary angiography with cath | CPT | 93455 | 15 | $35,583 | $7,828.26 | $50 | $2,945.27 | $6,148.66 |
| Coronary angiography with bypass cath | CPT | 93458 | 15 | $35,451 | $7,799.22 | $50 | $2,945.27 | $6,148.66 |
Payer mix (top 17)
| Payer | Codes covered | Median rate |
|---|---|---|
| Medicaid | 179 | $250 |
| Cigna | 179 | $553.67 |
| UnitedHealthcare | 179 | $610.96 |
| transplant optum tenncare [350013] | 174 | $269.35 |
| Blue Cross Blue Shield | 173 | $588 |
| Medicare | 168 | $446 |
| Medicare Advantage | 168 | $446 |
| american health advantage mcr adv [450117] | 168 | $446 |
| carecentrix [450200] | 168 | $446 |
| devoted health [450111] | 168 | $459.38 |
| generic hospice vbid [10940000101] | 168 | $446 |
| Humana | 168 | $446 |
| va hospital [600005] | 168 | $446 |
| TRICARE | 137 | $810.88 |
| Molina | 134 | $181.55 |
| health plans inc [100282] | 36 | $12,720 |
| langston performance health [100405] | 21 | $3,463 |