Does Ascension Saint Thomas Dekalb publish its standard charges and chargemaster?

Yes. Ascension Saint Thomas Dekalb publishes a machine-readable file with 40,958 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 Ascension Saint Thomas Dekalb charge for procedures?

Ascension Saint Thomas Dekalb (Smithville, 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 440148

Ascension Saint Thomas Dekalb

Smithville, TN, 37166

18 bedsAcute Care Hospitals1

Compliance grade

100/100

Rates published

40,958

last crawl 2026-05-24

Procedures tracked

197

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://healthcare.ascension.org/-/media/project/ascension/healthcare/price-transparency-files/tn-csv/474063289_saint-thomas-dekalb-hospital-llc-_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	21	—	—	$1,612.22	$11,674	0.91×	$20,671
Psychiatric diagnostic evaluation	CPT	90791	18	—	—	$55.08	$151.66	0.86×	$212.32
Psychiatric eval with medical services	CPT	90792	18	—	—	$55.08	$151.66	0.87×	$212.32
Psychotherapy 30 minutes	CPT	90832	18	—	—	$41.43	$151.66	1.0×	$212.32
Psychotherapy 45 minutes	CPT	90834	18	—	—	$55.08	$151.66	0.94×	$212.32
Psychotherapy 60 minutes	CPT	90837	18	—	—	$55.08	$151.66	0.80×	$212.32
Crisis psychotherapy 60 minutes	CPT	90839	18	—	—	$55.08	$151.66	0.95×	$212.32
emergency
ED visit level 1	CPT	99281	18	$692.3	$207.69	$19.26	$87.27	0.62×	$1,386
ED visit level 2	CPT	99282	18	$1,910	$573	$33.83	$156.95	0.66×	$1,910
ED visit level 3	CPT	99283	18	$2,450	$735	$56.4	$274.43	0.68×	$2,453
ED visit level 4	CPT	99284	18	$3,150	$945	$107.34	$409.97	0.61×	$4,291
ED visit level 5	CPT	99285	18	$3,200.05	$960.02	$158.13	$590.28	0.57×	$4,558
Critical care, first hour	CPT	99291	18	$3,253.4	$976.02	$232.88	$795.34	0.74×	$1,483
imaging
CT head without contrast	CPT	70450	19	$2,707.45	$812.24	$86.77	$105.39	0.51×	$1,407.87
CT head with contrast	CPT	70460	19	$2,939.6	$881.88	$120.17	$171.39	0.73×	$1,528.59
CT head with and without contrast	CPT	70470	19	$2,953.15	$885.95	$148.64	$176.43	0.66×	$1,535.64
CT neck with contrast	CPT	70491	19	$3,736.55	$1,120.97	$148.75	$176.43	0.65×	$1,943.01
MRI brain without contrast	CPT	70551	19	$3,823.15	$1,146.95	$167.52	$239.57	0.59×	$1,988.04
MRI brain with contrast	CPT	70552	19	$4,616.05	$1,384.82	$215.74	$348.9	0.73×	$2,400.35
MRI brain with and without contrast	CPT	70553	19	$5,307.95	$1,592.39	$264.35	$353.96	0.60×	$2,760.13
Chest X-ray single view	CPT	71045	18	$336.7	$101.01	$7.8	$83.11	0.88×	$127.7
Chest X-ray 2 views	CPT	71046	18	$379.55	$113.87	$14.38	$83.11	0.85×	$127.7
Chest X-ray 3 views	CPT	71047	18	—	—	$18.33	$83.11	0.87×	$127.7
CT chest without contrast	CPT	71250	19	$2,569.45	$770.84	$90.33	$117.94	0.55×	$1,336.11
CT chest with contrast	CPT	71260	19	$2,774.85	$832.46	$148.75	$182.66	0.65×	$1,442.92
CT chest with and without contrast	CPT	71270	19	$3,187.2	$956.16	$151.23	$197.44	0.68×	$1,657.34
MRI chest without contrast	CPT	71550	19	$2,518	$755.4	$167.52	$268.09	0.62×	$1,309.36
MRI chest with contrast	CPT	71551	19	—	—	$215.74	$745.74	0.92×	$1,380.32
MRI chest with and without contrast	CPT	71552	19	$4,152.05	$1,245.62	$264.35	$396.1	0.66×	$2,159.07
Lumbosacral spine X-ray	CPT	72100	19	$603.2	$180.96	$19.13	$100.37	0.97×	$179.33
CT cervical spine without contrast	CPT	72125	19	$2,960.6	$888.18	$90.33	$117.94	0.59×	$1,539.51
CT thoracic spine without contrast	CPT	72128	19	$2,864.15	$859.25	$90.33	$117.94	0.59×	$1,489.36
CT lumbar spine without contrast	CPT	72131	19	$3,114.7	$934.41	$90.33	$117.94	0.58×	$1,619.64
MRI cervical spine without contrast	CPT	72141	19	$3,256.1	$976.83	$167.52	$238.62	0.60×	$1,693.17
MRI thoracic spine without contrast	CPT	72146	19	$3,256.1	$976.83	$167.52	$238.62	0.64×	$1,693.17
MRI lumbar spine without contrast	CPT	72148	19	$3,256.1	$976.83	$167.52	$238.62	0.63×	$1,693.17
MRI lumbar spine with and without contrast	CPT	72149	19	$3,378.65	$1,013.6	$215.74	$348.9	0.77×	$1,756.9
MRI cervical spine with and without contrast	CPT	72156	19	$4,858	$1,457.4	$264.35	$353.96	0.66×	$2,526.16
MRI lumbar spine with contrast	CPT	72158	19	$4,749.45	$1,424.84	$264.35	$353.96	0.65×	$2,469.71
CT pelvis without contrast	CPT	72192	19	$2,724.95	$817.49	$90.33	$105.39	0.53×	$1,416.97
CT pelvis with contrast	CPT	72193	19	$2,793.5	$838.05	$148.75	$182.66	0.65×	$1,452.62
Shoulder X-ray	CPT	73030	19	$500.95	$150.29	$16.3	$83.11	0.89×	$130.25
Humerus X-ray	CPT	73060	19	$382.05	$114.62	$16.3	$83.11	0.93×	$127.7
Hand X-ray 3 views	CPT	73130	19	$392.8	$117.84	$15.33	$83.11	0.89×	$127.7
MRI upper extremity joint without contrast	CPT	73221	19	$3,120.5	$936.15	$167.52	$239.57	0.58×	$1,622.66
MRI upper extremity joint with and without contrast	CPT	73223	19	$3,986	$1,195.8	$264.35	$419.84	0.69×	$2,072.72
Knee X-ray 1-2 views	CPT	73560	19	$384.5	$115.35	$15.04	$83.11	0.89×	$127.7
Ankle X-ray 3 views	CPT	73610	19	$464.4	$139.32	$15.33	$83.11	0.90×	$127.7
MRI lower extremity joint without contrast	CPT	73721	19	$3,246.75	$974.03	$167.52	$239.57	0.51×	$1,688.31
MRI lower extremity joint with and without contrast	CPT	73723	19	$3,405.05	$1,021.52	$264.35	$378.47	0.60×	$1,770.63
CT abdomen without contrast	CPT	74150	19	$2,589.2	$776.76	$90.33	$105.39	0.56×	$1,346.38
CT abdomen with contrast	CPT	74160	19	$2,828.7	$848.61	$148.75	$182.28	0.64×	$1,470.92
CT abdomen with and without contrast	CPT	74170	19	$3,211.3	$963.39	$151.23	$197.44	0.59×	$1,669.88
CT abdomen and pelvis without contrast	CPT	74176	19	$5,738.75	$1,721.63	$101.11	$228.16	0.63×	$2,984.15
CT abdomen and pelvis with contrast	CPT	74177	19	$6,034.15	$1,810.25	$192.93	$340.47	0.62×	$3,137.76
CT abdomen and pelvis with and without contrast	CPT	74178	19	$6,670.25	$2,001.08	$255.01	$343.84	0.60×	$3,468.53
MRI abdomen without contrast	CPT	74181	19	$3,083.15	$924.95	$167.52	$260.73	0.67×	$1,603.24
MRI abdomen with and without contrast	CPT	74183	19	$4,160.95	$1,248.29	$264.35	$394.22	0.70×	$2,163.69
Abdominal ultrasound complete	CPT	76700	19	$1,563.35	$469.01	$47.68	$102.38	0.69×	$406.47
Abdominal ultrasound limited	CPT	76705	19	$758.45	$227.54	$40.08	$102.38	0.70×	$197.2
Retroperitoneal ultrasound complete	CPT	76770	19	$797.15	$239.15	$47.68	$102.38	0.71×	$207.26
Obstetric ultrasound first trimester	CPT	76801	19	$843.85	$253.16	$29.75	$102.38	0.72×	$219.4
Obstetric ultrasound after first trimester	CPT	76805	19	$1,207.65	$362.3	$47.68	$102.38	0.67×	$313.99
Obstetric ultrasound with fetal anatomy	CPT	76811	19	$1,129.7	$338.91	$75.31	$228.16	0.97×	$372.86
Transvaginal ultrasound	CPT	76830	19	$1,234.1	$370.23	$43.3	$102.38	0.69×	$320.87
Pelvic ultrasound complete	CPT	76856	19	$1,236.9	$371.07	$43.3	$102.38	0.71×	$321.59
Scrotal ultrasound	CPT	76870	19	$1,112.8	$333.84	$43.3	$100.37	0.77×	$289.33
Diagnostic mammography unilateral	CPT	77065	19	$718.6	$215.58	$68.4	$95.61	0.64×	$249.9
Diagnostic mammography bilateral	CPT	77066	19	$814.2	$244.26	$87.17	$122.09	0.64×	$319.26
Screening mammography bilateral	CPT	77067	19	$631.8	$189.54	$72.15	$100.93	0.64×	$263.95
EKG complete	CPT	93000	1	—	—	$23.94	$31.86	1.3×	$35.58
EKG tracing only	CPT	93005	18	$356.2	$106.86	$13.36	$56.07	0.48×	$181.66
EKG interpretation only	CPT	93010	1	—	—	$10.54	$12.29	0.68×	$14.03
Transthoracic echocardiogram complete	CPT	93306	18	$4,070.75	$1,221.23	$148.77	$517.54	0.86×	$2,076.08
Transthoracic echocardiogram	CPT	93307	18	$2,866.55	$859.97	$117.72	$228.16	0.92×	$1,461.94
Stress echocardiogram	CPT	93350	18	—	—	$105.21	$517.54	1.0×	$724.56
inpatient
Respiratory infections & inflammations w MCC	MS-DRG	177	21	—	—	$3,657.7	$11,915	0.77×	$30,699
COPD w MCC	MS-DRG	190	21	—	—	$2,097.75	$11,511	1.0×	$20,300
COPD w CC	MS-DRG	191	21	—	—	$1,494.35	$9,668.93	1.1×	$20,300
COPD w/o CC/MCC	MS-DRG	192	21	—	—	$1,112.18	$8,415.1	1.2×	$20,300
Simple pneumonia & pleurisy w CC	MS-DRG	194	21	—	—	$1,410.09	$9,550.36	1.1×	$20,300
Simple pneumonia & pleurisy w/o CC/MCC	MS-DRG	195	21	—	—	$990.17	$8,327.4	1.2×	$20,300
AMI discharged alive w MCC	MS-DRG	280	21	—	—	$4,518.26	$11,915	0.76×	$25,855
AMI discharged alive w CC	MS-DRG	281	21	—	—	$3,424.49	$10,639	1.1×	$28,741
AMI discharged alive w/o CC/MCC	MS-DRG	282	21	—	—	$2,810.24	$9,436.95	1.2×	$20,300
Heart failure & shock w MCC	MS-DRG	291	21	—	—	$2,435.94	$11,888	0.93×	$20,445
Heart failure & shock w CC	MS-DRG	292	21	—	—	$1,562.49	$9,610	1.1×	$20,300
Heart failure & shock w/o CC/MCC	MS-DRG	293	21	—	—	$1,153.85	$7,838.18	1.3×	$20,300
Cardiac arrhythmia w MCC	MS-DRG	308	21	—	—	$3,198.19	$11,828	0.98×	$26,842
Cardiac arrhythmia w CC	MS-DRG	309	21	—	—	$1,877.89	$9,557.55	1.2×	$20,300
Cardiac arrhythmia w/o CC/MCC	MS-DRG	310	21	—	—	$1,363.12	$7,793.82	1.3×	$20,300
GI hemorrhage w CC	MS-DRG	378	21	—	—	$1,572.16	$10,479	1.0×	$20,300
GI hemorrhage w/o CC/MCC	MS-DRG	379	21	—	—	$1,234.66	$8,257.17	1.2×	$20,300
Esophagitis/gastroenteritis w/o MCC	MS-DRG	392	21	—	—	$1,047.49	$9,282.22	1.2×	$20,300
Fractures of femur w/o MCC	MS-DRG	533	21	—	—	$5,327.08	$11,915	0.78×	$49,793
Kidney/UTI w MCC	MS-DRG	689	21	—	—	$1,647.9	$11,426	0.98×	$20,300
Kidney/UTI w/o MCC	MS-DRG	690	21	—	—	$989.02	$9,384.35	1.1×	$20,300
Septicemia or severe sepsis w MV 96+ hrs	MS-DRG	871	21	—	—	$3,130.73	$13,593	0.73×	$28,188
Septicemia or severe sepsis w/o MV 96+ hrs	MS-DRG	872	21	—	—	$1,618.89	$10,898	1.1×	$20,300
Initial hospital care, low complexity	CPT	99221	2	—	—	$57.98	$91.84	0.99×	$97.29
Initial hospital care, moderate complexity	CPT	99222	2	—	—	$95.75	$124.98	0.74×	$131.9
Initial hospital care, high complexity	CPT	99223	2	—	—	$123.3	$184.51	0.82×	$195.88
Hospital discharge, <30 min	CPT	99238	2	—	—	$53.19	$65.76	0.77×	$70.8
Hospital discharge, >30 min	CPT	99239	2	—	—	$73.5	$97.13	0.80×	$104
lab
Basic metabolic panel (BMP)	CPT	80048	19	$250.3	$75.09	$5.93	$8.46	0.26×	$130.16
General health panel	CPT	80050	5	—	—	$19.54	$49.96	0.47×	$149.01
Electrolyte panel	CPT	80051	19	$187.5	$56.25	$4.92	$7.01	0.29×	$97.5
Comprehensive metabolic panel	CPT	80053	19	$597.25	$179.18	$7.42	$10.57	0.24×	$310.57
Lipid panel	CPT	80061	19	$338.1	$101.43	$9.4	$13.39	0.35×	$175.81
Renal function panel	CPT	80069	19	$242.4	$72.72	$6.09	$8.69	0.32×	$126.05
Hepatic function panel	CPT	80076	19	$350.85	$105.26	$5.73	$8.17	0.31×	$182.44
Urinalysis non-automated	CPT	81002	19	—	—	$1.79	$3.48	0.50×	$11.28
Urinalysis automated	CPT	81003	19	$116	$34.8	$1.57	$2.25	0.16×	$60.32
Glucose quantitative	CPT	82947	19	$169.4	$50.82	$2.75	$3.93	0.22×	$88.09
Hemoglobin A1c	CPT	83036	19	$139.85	$41.96	$6.81	$9.71	0.36×	$72.72
Thyroid stimulating hormone (TSH)	CPT	84443	19	$247.55	$74.27	$11.78	$16.8	0.36×	$128.73
Complete blood count with automated differential	CPT	85025	19	$249.15	$74.75	$5.45	$7.77	0.29×	$129.56
Complete blood count without differential	CPT	85027	19	$174.75	$52.43	$4.54	$6.47	0.30×	$90.87
Urine culture bacterial	CPT	87086	19	$121.85	$36.56	$5.66	$8.07	0.35×	$63.36
Urine culture identification	CPT	87088	19	—	—	$5.68	$8.09	0.36×	$31.6
Tissue exam by pathologist level IV	CPT	88305	19	$374	$112.2	$15.18	$50.43	0.49×	$194.48
maternity
Fetal non-stress test	CPT	59025	19	—	—	$7.2	$189.88	1.0×	$5,600
Routine obstetric care including vaginal delivery	CPT	59400	1	—	—	$2,118	$2,215	0.97×	$5,600
Vaginal delivery only	CPT	59409	2	—	—	$923.1	$2,176.75	0.98×	$5,600
Vaginal delivery with postpartum	CPT	59410	1	—	—	$2,118	$2,215	2.1×	$5,600
Routine obstetric care with C-section	CPT	59510	1	—	—	$2,118	$2,215	0.89×	$5,600
C-section delivery only	CPT	59514	1	—	—	$2,118	$2,215	2.3×	$5,600
C-section with postpartum	CPT	59515	1	—	—	$2,118	$2,215	1.8×	$5,600
office
Office visit, new patient, 15-29 min	CPT	99202	3	—	—	$36.06	$45.55	0.53×	$54.62
Office visit, new patient, 30-44 minutes	CPT	99203	3	—	—	$47.56	$69.16	0.56×	$75.06
Office visit, new patient, 45-59 min	CPT	99204	3	—	—	$65.21	$114.78	0.66×	$124.32
Office visit, new patient, 60-74 min	CPT	99205	3	—	—	$88.26	$146.54	0.66×	$162.31
Office visit, established patient, 5 min	CPT	99211	2	—	—	$8.47	$8.7	0.14×	$26.9
Office visit, established patient, 10-19 min	CPT	99212	2	—	—	$22.92	$23.72	0.30×	$36.06
Office visit, established patient, 20-29 minutes	CPT	99213	2	—	—	$36.06	$46.61	0.41×	$49.51
Office visit, established patient, 30-39 minutes	CPT	99214	2	—	—	$47.56	$71.66	0.47×	$75.95
Office visit, established patient, 40-54 min	CPT	99215	2	—	—	$65.21	$100.98	0.54×	$107.26
preventive
Upper GI endoscopy diagnostic	CPT	43235	19	$3,643.85	$1,093.16	$372.8	$884.96	0.97×	$1,467
Upper GI endoscopy with biopsy	CPT	43239	19	$3,643.85	$1,093.16	$372.8	$884.96	0.92×	$2,984
Sigmoidoscopy diagnostic	CPT	45330	19	$2,242.5	$672.75	$37.88	$860.56	1.0×	$1,467
Sigmoidoscopy with biopsy	CPT	45331	19	$2,242.5	$672.75	$48.71	$860.56	0.96×	$1,467
Colonoscopy diagnostic	CPT	45378	19	$4,204.35	$1,261.31	$394.93	$860.56	0.98×	$2,984
Colonoscopy with biopsy	CPT	45380	2	$4,204.35	$1,261.31	$394.93	$1,217.75	1.0×	$2,984
Colonoscopy with polyp removal	CPT	45385	2	$4,204.35	$1,261.31	$394.93	$1,217.75	1.0×	$2,984
surgery
Total shoulder arthroplasty	CPT	23472	4	—	—	$2,118	$19,804	4.8×	$28,151
Hip hemiarthroplasty	CPT	27125	4	—	—	$2,118	$21,555	17.2×	$28,151
Total hip replacement	CPT	27130	4	—	—	$2,118	$21,555	5.0×	$28,151
Total knee replacement	CPT	27447	4	—	—	$2,118	$21,670	5.2×	$28,151
Knee revision arthroplasty single component	CPT	27486	2	—	—	$2,118	$12,597	7.5×	$23,491
Knee revision arthroplasty all components	CPT	27487	2	—	—	$2,118	$12,597	6.3×	$23,491
Shoulder arthroscopy with decompression	CPT	29826	1	—	—	$1,468.5	$1,535	4.7×	$3,099
Shoulder arthroscopy with rotator cuff repair	CPT	29827	2	—	—	$2,172.78	$2,246.75	0.68×	$4,888
Knee arthroscopy with meniscectomy	CPT	29881	2	—	—	$1,075.79	$1,941	0.95×	$3,580
ACL reconstruction	CPT	29888	2	—	—	$1,468.5	$1,539.25	0.46×	$3,161.4
Major small/large bowel procedures w MCC	MS-DRG	329	21	—	—	$8,001	$21,048	0.49×	$71,071
Major small/large bowel procedures w CC	MS-DRG	330	21	—	—	$4,555.32	$16,775	0.72×	$38,232
Major small/large bowel procedures w/o CC/MCC	MS-DRG	331	21	—	—	$3,108.63	$11,915	0.73×	$26,091
CABG single arterial graft	CPT	33533	1	—	—	$2,118	$2,215	1.2×	$5,600
CABG 2 arterial grafts	CPT	33534	1	—	—	$2,118	$2,215	1.0×	$5,600
CABG 3 arterial grafts	CPT	33535	1	—	—	$2,118	$2,215	0.97×	$5,600
CABG 4+ arterial grafts	CPT	33536	1	—	—	$2,118	$2,215	0.91×	$5,600
Laparoscopic cholecystectomy w/o CDE w MCC	MS-DRG	418	21	—	—	$4,247.98	$11,915	0.72×	$35,653
Laparoscopic cholecystectomy w/o CDE w CC	MS-DRG	419	21	—	—	$2,448.14	$11,915	0.88×	$20,300
Laparoscopic cholecystectomy w/o CDE w/o CC/MCC	MS-DRG	420	21	—	—	$3,310.07	$18,163	0.56×	$51,492
Open appendectomy	CPT	44950	2	—	—	$1,142.96	$2,176.75	1.9×	$5,600
Laparoscopic appendectomy	CPT	44970	2	—	—	$1,889.5	$1,941	1.2×	$3,580
Major joint replacement w MCC	MS-DRG	469	21	—	—	$7,315.64	$19,103	0.65×	$45,196
Major joint replacement w/o MCC	MS-DRG	470	21	—	—	$6,155.57	$13,498	0.71×	$51,663
Laparoscopic cholecystectomy	CPT	47562	2	—	—	$1,889.7	$3,088.5	1.7×	$5,086
Lap cholecystectomy with cholangiography	CPT	47563	2	—	—	$1,889.7	$3,088.5	1.6×	$5,086
Hip & femur procedures except major joint w MCC	MS-DRG	480	21	—	—	$6,334.68	$18,317	0.65×	$44,318
Hip & femur procedures except major joint w CC	MS-DRG	481	21	—	—	$5,631.82	$14,657	0.72×	$30,848
Hip & femur procedures except major joint w/o CC/MCC	MS-DRG	482	21	—	—	$4,256.27	$11,915	0.75×	$24,131
Open umbilical hernia repair	CPT	49560	2	—	—	$1,337.72	$2,176.75	1.1×	$5,600
Umbilical hernia repair age 5+	CPT	49585	2	—	—	$1,337.72	$2,176.75	1.7×	$5,600
Lap inguinal hernia repair	CPT	49650	2	—	—	$1,889.5	$1,941	1.7×	$3,580
Lap incisional hernia repair	CPT	49652	2	—	—	$2,118	$2,220.25	0.82×	$5,600
Total abdominal hysterectomy	CPT	58150	2	—	—	$2,118	$2,225.5	2.3×	$5,600
Vaginal hysterectomy	CPT	58260	3	—	—	$1,989.59	$3,151	1.7×	$5,086
Lap-assisted vaginal hysterectomy	CPT	58550	2	—	—	$2,739.57	$3,088.5	2.1×	$5,086
Lap-assisted vaginal hysterectomy >250g	CPT	58552	2	—	—	$1,889.7	$2,246.75	1.0×	$4,888
Lap salpingo-oophorectomy	CPT	58661	2	—	—	$1,889.7	$2,246.75	1.1×	$4,888
OR procedure for obesity w MCC	MS-DRG	619	21	—	—	$6,359.77	$18,832	0.69×	$53,377
OR procedure for obesity w CC	MS-DRG	620	21	—	—	$4,601.14	$11,915	0.73×	$42,515
OR procedure for obesity w/o CC/MCC	MS-DRG	621	21	—	—	$3,936.04	$11,915	0.79×	$42,515
Complex cataract surgery	CPT	66982	2	—	—	$876.31	$2,865.75	1.3×	$3,339
Cataract surgery with lens implant	CPT	66984	2	—	—	$876.31	$2,865.75	1.3×	$3,339
Intravitreal injection	CPT	67028	19	—	—	$157.21	$313.08	0.91×	$1,467
Vitrectomy mechanical	CPT	67042	2	—	—	$1,561.28	$3,088.5	1.2×	$5,086
Uterine & adnexa procedures w CC/MCC	MS-DRG	743	21	—	—	$1,632.25	$11,520	0.94×	$20,300
Uterine & adnexa procedures w/o CC/MCC	MS-DRG	744	21	—	—	$2,332.57	$14,339	0.75×	$26,966
PCI single major coronary artery	CPT	92920	5	—	—	$440.44	$13,091	2.3×	$16,976
PCI with drug-eluting stent	CPT	92928	5	—	—	$489.99	$12,902	1.3×	$16,976
PCI bypass graft	CPT	92937	5	—	—	$489.68	$12,902	1.2×	$16,976
Left heart catheterization	CPT	93452	4	—	—	$462.57	$8,875	2.9×	$11,857
Coronary angiography with cath	CPT	93455	4	—	—	$550.37	$7,684	2.5×	$11,857
Coronary angiography with bypass cath	CPT	93458	4	—	—	$560.1	$8,875	2.9×	$11,857

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 21)

Payer	Codes covered	Median rate
Cigna	170	$2,225.5
community plan	165	$165.38
Aetna	162	$343.84
Blue Cross Blue Shield	158	$268.75
UnitedHealthcare	147	$610.96
Ambetter	136	$218.44
centurion of tn	136	$168.03
amerigroup mcr replacement	136	$189.88
smart health	136	$767.38
ascension complete	136	$168.03
healthspring mcr replacement	136	$168.03
Humana	136	$168.03
Medicare	136	$168.03
Medicare Advantage	136	$168.03
nhc advantage	136	$168.03
optum va	136	$168.03
Oscar Health	136	$767.38
point comfort underwriters	136	$151.23
Self-Pay (Cash)	136	$228.16
amerigroup mcaid replacement	40	$5,199.22
health 2 business	40	$17,332

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