Does San Angelo Community Medical Center publish its standard charges and chargemaster?

Yes. San Angelo Community Medical Center publishes a machine-readable file with 39,997 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 San Angelo Community Medical Center charge for procedures?

San Angelo Community Medical Center (San Angelo, TX) 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 · TX · CCN 450340

San Angelo Community Medical Center

San Angelo, TX, 76904-

131 beds4

Compliance grade

100/100

Rates published

39,997

last crawl 2026-05-24

Procedures tracked

203

of 209 target codes

Payers

with negotiated rates

Procedures tracked

...

Payers

...

▸ Compare with other hospitals All TX 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://sthpiprd.blob.core.windows.net/machine-readable-files/11019/752559845-1992707228_shannon-medical-center_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	14	—	—	$7,463.83	$14,472	1.1×	$27,102
Psychiatric diagnostic evaluation	CPT	90791	21	$455	$227.5	$63.25	$325.98	1.8×	$404.95
Psychiatric eval with medical services	CPT	90792	21	$455	$227.5	$63.25	$325.98	1.9×	$404.95
Psychotherapy 30 minutes	CPT	90832	12	—	—	$150.87	$245.91	1.7×	$377.16
Psychotherapy 45 minutes	CPT	90834	12	—	—	$150.87	$245.91	1.5×	$377.16
Psychotherapy 60 minutes	CPT	90837	12	—	—	$150.87	$245.91	1.3×	$377.16
Crisis psychotherapy 60 minutes	CPT	90839	12	—	—	$150.87	$245.91	1.5×	$377.16
emergency
ED visit level 1	CPT	99281	21	$502	$251	$43.51	$234.75	1.7×	$446.78
ED visit level 2	CPT	99282	21	$980	$490	$136.22	$598.85	2.5×	$872.2
ED visit level 3	CPT	99283	21	$1,550	$775	$215.45	$1,023	2.5×	$1,379.5
ED visit level 4	CPT	99284	21	$2,468	$1,234	$343.05	$1,628.88	2.4×	$2,196.52
ED visit level 5	CPT	99285	21	$4,579	$2,289.5	$230.32	$1,325.6	1.3×	$4,075.31
Critical care, first hour	CPT	99291	21	$1,571	$785.5	$218.37	$1,201.82	1.1×	$3,119.97
imaging
CT head without contrast	CPT	70450	22	$3,931	$1,965.5	$99.85	$505.77	2.4×	$3,498.59
CT head with contrast	CPT	70460	22	$4,260	$2,130	$161.03	$756.21	3.2×	$3,791.4
CT head with and without contrast	CPT	70470	22	$5,493	$2,746.5	$167.16	$759.87	2.8×	$4,888.77
CT neck with contrast	CPT	70491	22	$5,524	$2,762	$167.16	$762.03	2.8×	$4,916.36
MRI brain without contrast	CPT	70551	22	$5,564	$2,782	$214.36	$1,735.46	4.3×	$4,951.96
MRI brain with contrast	CPT	70552	22	$6,816	$3,408	$296.81	$2,325.94	4.9×	$6,066.24
MRI brain with and without contrast	CPT	70553	22	$9,597	$4,798.5	$335.34	$3,112.5	5.3×	$8,541.33
Chest X-ray single view	CPT	71045	22	$597	$298.5	$27.36	$256.19	2.7×	$531.33
Chest X-ray 2 views	CPT	71046	22	$740	$370	$35.44	$256.19	2.6×	$658.6
Chest X-ray 3 views	CPT	71047	22	$770	$385	$44.56	$256.19	2.7×	$685.3
CT chest without contrast	CPT	71250	22	$5,129	$2,564.5	$99.85	$1,510.49	7.0×	$4,564.81
CT chest with contrast	CPT	71260	22	$5,492	$2,746	$167.16	$1,617.4	5.7×	$4,887.88
CT chest with and without contrast	CPT	71270	22	$6,860	$3,430	$167.16	$2,020.27	6.9×	$6,105.4
MRI chest without contrast	CPT	71550	22	$3,797	$1,898.5	$226.97	$1,337.89	3.1×	$3,379.33
MRI chest with contrast	CPT	71551	22	$8,547	$4,273.5	$412.23	$3,335.78	4.1×	$7,606.83
MRI chest with and without contrast	CPT	71552	22	$8,014	$4,007	$335.34	$3,693.6	6.1×	$7,132.46
Lumbosacral spine X-ray	CPT	72100	22	$963	$481.5	$42.11	$359.78	3.5×	$857.07
CT cervical spine without contrast	CPT	72125	22	$5,229	$2,614.5	$99.85	$1,539.94	7.6×	$4,653.81
CT thoracic spine without contrast	CPT	72128	22	$4,661	$2,330.5	$99.85	$1,372.67	6.9×	$4,148.29
CT lumbar spine without contrast	CPT	72131	22	$5,929	$2,964.5	$99.85	$1,746.09	8.6×	$5,276.81
MRI cervical spine without contrast	CPT	72141	22	$5,467	$2,733.5	$208.4	$1,713.64	4.3×	$4,865.63
MRI thoracic spine without contrast	CPT	72146	22	$5,662	$2,831	$208.4	$2,738.88	7.3×	$5,039.18
MRI lumbar spine without contrast	CPT	72148	22	$6,371	$3,185.5	$209.1	$2,942.64	7.8×	$5,670.19
MRI lumbar spine with and without contrast	CPT	72149	22	$7,603	$3,801.5	$296.81	$2,503.02	5.5×	$6,766.67
MRI cervical spine with and without contrast	CPT	72156	22	$7,555	$3,777.5	$335.34	$2,492.22	4.6×	$6,723.95
MRI lumbar spine with contrast	CPT	72158	22	$8,979	$4,489.5	$335.34	$2,812.62	5.1×	$7,991.31
CT pelvis without contrast	CPT	72192	22	$4,358	$2,179	$99.85	$1,283.43	6.4×	$3,878.62
CT pelvis with contrast	CPT	72193	22	$4,668	$2,334	$167.16	$1,428.41	5.1×	$4,154.52
Shoulder X-ray	CPT	73030	22	$854	$427	$36.49	$384.3	4.1×	$760.06
Humerus X-ray	CPT	73060	22	$784	$392	$34.03	$494.34	5.5×	$697.76
Hand X-ray 3 views	CPT	73130	22	$662	$331	$38.94	$431.64	4.6×	$589.18
MRI upper extremity joint without contrast	CPT	73221	22	$5,573	$2,786.5	$221.74	$3,678.18	8.8×	$4,959.97
MRI upper extremity joint with and without contrast	CPT	73223	22	$8,177	$4,088.5	$335.34	$4,624.62	7.6×	$7,277.53
Knee X-ray 1-2 views	CPT	73560	22	$699	$349.5	$36.13	$460.68	4.9×	$622.11
Ankle X-ray 3 views	CPT	73610	22	$784	$392	$38.94	$516.78	5.6×	$697.76
MRI lower extremity joint without contrast	CPT	73721	22	$5,951	$2,975.5	$221.38	$3,927.66	8.4×	$5,296.39
MRI lower extremity joint with and without contrast	CPT	73723	22	$8,731	$4,365.5	$335.34	$5,762.46	9.1×	$7,770.59
CT abdomen without contrast	CPT	74150	22	$4,704	$2,352	$99.85	$1,385.33	7.4×	$4,186.56
CT abdomen with contrast	CPT	74160	22	$5,063	$2,531.5	$167.16	$1,517.28	5.3×	$4,506.07
CT abdomen with and without contrast	CPT	74170	22	$6,279	$3,139.5	$167.16	$1,849.17	5.5×	$5,588.31
CT abdomen and pelvis without contrast	CPT	74176	22	$5,253	$2,626.5	$199.28	$1,665.49	4.6×	$4,675.17
CT abdomen and pelvis with contrast	CPT	74177	22	$5,657	$2,828.5	$333.99	$2,065.17	3.8×	$5,034.73
CT abdomen and pelvis with and without contrast	CPT	74178	22	$6,309	$3,154.5	$335.34	$2,211.87	3.8×	$5,615.01
MRI abdomen without contrast	CPT	74181	22	$8,391	$4,195.5	$215.07	$3,681.75	9.4×	$7,467.99
MRI abdomen with and without contrast	CPT	74183	22	$8,811	$4,405.5	$335.34	$2,774.82	4.9×	$7,841.79
Abdominal ultrasound complete	CPT	76700	22	$1,985	$992.5	$99.85	$626.52	4.2×	$1,766.65
Abdominal ultrasound limited	CPT	76705	22	$1,604	$802	$92.98	$540.79	3.7×	$1,427.56
Retroperitoneal ultrasound complete	CPT	76770	22	$1,810	$905	$99.85	$587.14	4.1×	$1,610.9
Obstetric ultrasound first trimester	CPT	76801	22	$1,094	$547	$99.85	$370.97	2.6×	$973.66
Obstetric ultrasound after first trimester	CPT	76805	22	$2,655	$1,327.5	$99.85	$781.9	5.1×	$2,362.95
Obstetric ultrasound with fetal anatomy	CPT	76811	22	$2,601	$1,300.5	$184.89	$868.94	3.7×	$2,314.89
Transvaginal ultrasound	CPT	76830	22	$1,385	$692.5	$99.85	$453.35	3.1×	$1,232.65
Pelvic ultrasound complete	CPT	76856	22	$1,572	$786	$99.85	$533.59	3.7×	$1,399.08
Scrotal ultrasound	CPT	76870	22	$1,420	$710	$99.85	$499.39	3.8×	$1,263.8
Diagnostic mammography unilateral	CPT	77065	21	$769	$384.5	$80.39	$346.05	2.3×	$684.41
Diagnostic mammography bilateral	CPT	77066	21	$946	$473	$102.39	$425.7	2.2×	$841.94
Screening mammography bilateral	CPT	77067	21	$754	$377	$84.67	$339.3	2.2×	$671.06
EKG complete	CPT	93000	1	—	—	$55.53	$58.13	2.4×	$58.13
EKG tracing only	CPT	93005	21	$733	$366.5	$55.78	$329.85	2.8×	$652.37
EKG interpretation only	CPT	93010	1	—	—	$28.89	$30.36	1.7×	$30.36
Transthoracic echocardiogram complete	CPT	93306	21	$4,920	$2,460	$452.6	$2,214	3.7×	$4,378.8
Transthoracic echocardiogram	CPT	93307	22	$1,966	$983	$147.71	$726.07	2.9×	$1,749.74
Stress echocardiogram	CPT	93350	22	$3,270	$1,635	$197.87	$1,379.31	2.7×	$2,910.3
inpatient
Intracranial hemorrhage/CVA w MCC	MS-DRG	064	15	—	—	$10,533	$21,273	1.1×	$37,096
Intracranial hemorrhage/CVA w CC	MS-DRG	065	15	—	—	$5,384.49	$10,978	1.0×	$20,330
Intracranial hemorrhage/CVA w/o CC/MCC	MS-DRG	066	15	—	—	$3,644.55	$7,918.49	1.0×	$14,664
Respiratory infections & inflammations w MCC	MS-DRG	177	15	—	—	$8,559.37	$17,287	1.1×	$30,669
COPD w MCC	MS-DRG	190	15	—	—	$5,946.29	$12,009	1.1×	$22,160
COPD w CC	MS-DRG	191	15	—	—	$4,548.93	$9,508.87	1.1×	$17,609
COPD w/o CC/MCC	MS-DRG	192	15	—	—	$3,426.92	$7,535.77	1.1×	$13,955
Simple pneumonia & pleurisy w CC	MS-DRG	194	15	—	—	$4,341.9	$9,144.79	1.1×	$16,935
Simple pneumonia & pleurisy w/o CC/MCC	MS-DRG	195	15	—	—	$3,297.2	$7,307.66	1.1×	$13,533
AMI discharged alive w MCC	MS-DRG	280	15	—	—	$8,691.21	$17,553	1.1×	$31,099
AMI discharged alive w CC	MS-DRG	281	15	—	—	$4,880.93	$10,093	1.0×	$18,690
AMI discharged alive w/o CC/MCC	MS-DRG	282	15	—	—	$3,839.4	$8,261.14	1.1×	$15,298
Heart failure & shock w MCC	MS-DRG	291	15	—	—	$6,908.92	$13,954	1.1×	$25,294
Heart failure & shock w CC	MS-DRG	292	15	—	—	$4,560.05	$9,528.44	1.1×	$17,645
Heart failure & shock w/o CC/MCC	MS-DRG	293	15	—	—	$2,905.37	$6,618.56	1.1×	$12,257
Cardiac arrhythmia w MCC	MS-DRG	308	15	—	—	$6,385.24	$12,896	1.1×	$23,589
Cardiac arrhythmia w CC	MS-DRG	309	15	—	—	$3,914.59	$8,393.38	1.1×	$15,543
Cardiac arrhythmia w/o CC/MCC	MS-DRG	310	15	—	—	$2,962.55	$6,569.84	1.1×	$12,443
GI hemorrhage w CC	MS-DRG	378	15	—	—	$5,220.34	$10,690	1.1×	$19,795
GI hemorrhage w/o CC/MCC	MS-DRG	379	15	—	—	$3,371.33	$7,383.99	1.1×	$13,774
Esophagitis/gastroenteritis w/o MCC	MS-DRG	392	15	—	—	$4,131.69	$8,775.09	1.1×	$16,250
Fractures of femur w/o MCC	MS-DRG	533	15	—	—	$8,074.35	$16,307	1.1×	$29,090
Kidney/UTI w MCC	MS-DRG	689	15	—	—	$6,196.74	$12,515	1.1×	$22,975
Kidney/UTI w/o MCC	MS-DRG	690	15	—	—	$4,249.77	$8,982.75	1.1×	$16,635
Septicemia or severe sepsis w MV 96+ hrs	MS-DRG	871	15	—	—	$10,389	$20,983	1.1×	$36,628
Septicemia or severe sepsis w/o MV 96+ hrs	MS-DRG	872	15	—	—	$5,459.15	$11,110	1.1×	$20,573
Initial hospital care, low complexity	CPT	99221	1	—	—	$344.25	$361.78	3.9×	$361.78
Initial hospital care, moderate complexity	CPT	99222	1	—	—	$464.63	$488.28	2.9×	$488.28
Initial hospital care, high complexity	CPT	99223	1	—	—	$686.1	$721.02	3.2×	$721.02
Hospital discharge, <30 min	CPT	99238	1	—	—	$247.96	$260.58	3.0×	$260.58
Hospital discharge, >30 min	CPT	99239	1	—	—	$363.53	$382.03	3.1×	$382.03
lab
Basic metabolic panel (BMP)	CPT	80048	22	$360	$180	$8.46	$39.24	1.2×	$320.4
General health panel	CPT	80050	11	$1,865	$932.5	$113.38	$1,342.8	12.5×	$1,659.85
Electrolyte panel	CPT	80051	22	$428	$214	$7.01	$41.52	1.7×	$380.92
Comprehensive metabolic panel	CPT	80053	22	$966	$483	$10.56	$84.88	1.9×	$859.74
Lipid panel	CPT	80061	22	$503	$251.5	$13.39	$57.46	1.5×	$447.67
Renal function panel	CPT	80069	22	$273	$136.5	$8.68	$33.56	1.2×	$242.97
Hepatic function panel	CPT	80076	22	$532	$266	$8.17	$50.7	1.9×	$473.48
Urinalysis non-automated	CPT	81002	22	$152	$76	$3.48	$16.41	2.4×	$135.28
Urinalysis automated	CPT	81003	22	$152	$76	$2.25	$14.35	1.0×	$135.28
Glucose quantitative	CPT	82947	22	$222	$111	$3.93	$22.03	1.3×	$197.58
Hemoglobin A1c	CPT	83036	22	$274	$137	$9.71	$35.36	1.3×	$243.86
Thyroid stimulating hormone (TSH)	CPT	84443	22	$588	$294	$16.8	$69.09	1.5×	$523.32
Complete blood count with automated differential	CPT	85025	22	$318	$159	$7.77	$35.16	1.3×	$283.02
Complete blood count without differential	CPT	85027	22	$266	$133	$6.47	$29.36	1.4×	$236.74
Urine culture bacterial	CPT	87086	22	$303	$151.5	$8.07	$34.62	1.5×	$269.67
Urine culture identification	CPT	87088	22	$102	$51	$8.09	$27.18	1.2×	$90.78
Tissue exam by pathologist level IV	CPT	88305	21	$845	$422.5	$50.17	$273.24	2.7×	$752.05
maternity
Fetal non-stress test	CPT	59025	22	$573	$286.5	$16.57	$378.18	2.0×	$509.97
Routine obstetric care including vaginal delivery	CPT	59400	1	—	—	$5,901.95	$6,206.84	2.7×	$6,206.84
Vaginal delivery only	CPT	59409	21	$8,443	$4,221.5	$1,173.58	$6,205.61	2.8×	$7,514.27
Vaginal delivery with postpartum	CPT	59410	1	—	—	$2,924.12	$3,075.18	2.9×	$3,075.18
Routine obstetric care with C-section	CPT	59510	1	—	—	$6,543.62	$6,881.67	2.8×	$6,881.67
C-section delivery only	CPT	59514	1	—	—	$2,571.55	$2,704.39	2.8×	$2,704.39
C-section with postpartum	CPT	59515	1	—	—	$3,555.03	$3,738.69	3.0×	$3,738.69
office
Office visit, new patient, 15-29 min	CPT	99202	11	$664	$332	$92.3	$478.08	5.5×	$590.96
Office visit, new patient, 30-44 minutes	CPT	99203	11	$810	$405	$112.59	$583.2	4.8×	$720.9
Office visit, new patient, 45-59 min	CPT	99204	11	$882	$441	$122.6	$635.04	3.6×	$784.98
Office visit, new patient, 60-74 min	CPT	99205	11	$1,098	$549	$18.21	$329.4	1.5×	$977.22
Office visit, established patient, 5 min	CPT	99211	11	$3,795	$1,897.5	$18.21	$198.72	3.1×	$3,377.55
Office visit, established patient, 10-19 min	CPT	99212	11	$299	$149.5	$41.56	$215.28	2.7×	$266.11
Office visit, established patient, 20-29 minutes	CPT	99213	11	$773	$386.5	$48.79	$280.8	2.5×	$687.97
Office visit, established patient, 30-39 minutes	CPT	99214	11	$351	$175.5	$48.79	$263.25	1.7×	$312.39
Office visit, established patient, 40-54 min	CPT	99215	11	$586	$293	$81.45	$421.92	2.2×	$521.54
preventive
Upper GI endoscopy diagnostic	CPT	43235	14	—	—	$351.7	$1,434.97	1.6×	$2,239.87
Upper GI endoscopy with biopsy	CPT	43239	14	—	—	$351.7	$1,434.97	1.5×	$2,239.87
Sigmoidoscopy diagnostic	CPT	45330	14	—	—	$137.2	$1,155.7	1.4×	$2,140.19
Sigmoidoscopy with biopsy	CPT	45331	14	—	—	$344.93	$1,395.41	1.6×	$2,177.06
Colonoscopy diagnostic	CPT	45378	14	—	—	$344.93	$1,395.41	1.6×	$2,177.06
Colonoscopy with biopsy	CPT	45380	14	—	—	$450.72	$1,804.63	1.5×	$2,862.03
Colonoscopy with polyp removal	CPT	45385	14	—	—	$450.72	$1,804.63	1.5×	$2,862.03
surgery
Total shoulder arthroplasty	CPT	23472	13	—	—	$4,095.14	$27,629	6.7×	$43,170
PCI w drug-eluting stent w MCC	MS-DRG	246	1	—	—	$36,227	$38,377	1.4×	$38,377
PCI w drug-eluting stent w/o MCC	MS-DRG	247	1	—	—	$23,043	$24,411	1.3×	$24,411
Hip hemiarthroplasty	CPT	27125	1	—	—	$3,194.66	$3,359.69	2.7×	$3,359.69
Total hip replacement	CPT	27130	13	—	—	$12,082	$24,163	5.6×	$33,917
Total knee replacement	CPT	27447	13	—	—	$12,082	$24,163	5.8×	$33,917
Knee revision arthroplasty single component	CPT	27486	1	—	—	$3,959.39	$4,163.94	2.5×	$4,163.94
Knee revision arthroplasty all components	CPT	27487	1	—	—	$4,954.58	$5,210.54	2.6×	$5,210.54
Shoulder arthroscopy with rotator cuff repair	CPT	29827	14	—	—	$2,518.45	$10,934	3.3×	$17,049
Knee arthroscopy with meniscectomy	CPT	29881	14	—	—	$1,142.68	$4,966	2.4×	$7,801.73
ACL reconstruction	CPT	29888	14	—	—	$3,465.05	$10,934	3.3×	$17,049
Major small/large bowel procedures w MCC	MS-DRG	329	15	—	—	$24,314	$49,106	1.1×	$81,975
Major small/large bowel procedures w CC	MS-DRG	330	15	—	—	$12,516	$25,277	1.1×	$43,553
Major small/large bowel procedures w/o CC/MCC	MS-DRG	331	15	—	—	$8,742.05	$17,656	1.1×	$31,264
CABG single arterial graft	CPT	33533	1	—	—	$5,282.74	$5,555.65	3.0×	$5,555.65
CABG 2 arterial grafts	CPT	33534	1	—	—	$6,213.52	$6,534.51	3.0×	$6,534.51
CABG 3 arterial grafts	CPT	33535	1	—	—	$6,932.34	$7,290.47	3.2×	$7,290.47
CABG 4+ arterial grafts	CPT	33536	1	—	—	$7,433.37	$7,817.38	3.2×	$7,817.38
Laparoscopic cholecystectomy w/o CDE w MCC	MS-DRG	418	15	—	—	$8,781.23	$17,735	1.1×	$31,392
Laparoscopic cholecystectomy w/o CDE w CC	MS-DRG	419	15	—	—	$6,976.69	$14,090	1.0×	$25,515
Laparoscopic cholecystectomy w/o CDE w/o CC/MCC	MS-DRG	420	15	—	—	$18,689	$37,744	1.2×	$63,656
Open appendectomy	CPT	44950	13	—	—	$5,859	$9,374.4	8.3×	$14,648
Laparoscopic appendectomy	CPT	44970	13	—	—	$5,478.35	$10,957	7.0×	$13,776
Spinal fusion (non-cervical) w MCC	MS-DRG	459	1	—	—	$78,022	$82,653	1.7×	$82,653
Spinal fusion (non-cervical) w/o MCC	MS-DRG	460	1	—	—	$45,580	$48,286	1.4×	$48,286
Major joint replacement w MCC	MS-DRG	469	15	—	—	$17,308	$34,955	1.2×	$59,159
Major joint replacement w/o MCC	MS-DRG	470	15	—	—	$9,983.72	$20,164	1.1×	$35,308
Laparoscopic cholecystectomy	CPT	47562	14	—	—	$1,983.29	$8,929.71	5.0×	$13,776
Lap cholecystectomy with cholangiography	CPT	47563	14	—	—	$1,983.29	$8,929.71	4.8×	$13,776
Hip & femur procedures except major joint w MCC	MS-DRG	480	15	—	—	$15,573	$31,451	1.1×	$53,508
Hip & femur procedures except major joint w CC	MS-DRG	481	15	—	—	$10,987	$22,189	1.1×	$38,574
Hip & femur procedures except major joint w/o CC/MCC	MS-DRG	482	15	—	—	$8,399.99	$16,965	1.1×	$30,150
Open umbilical hernia repair	CPT	49560	1	—	—	$8,426.31	$8,861.62	4.6×	$8,861.62
Umbilical hernia repair age 5+	CPT	49585	1	—	—	$8,426.31	$8,861.62	6.7×	$8,861.62
Lap inguinal hernia repair	CPT	49650	14	—	—	$1,983.29	$8,929.71	7.9×	$13,776
Lap incisional hernia repair	CPT	49652	1	—	—	$13,099	$13,776	5.1×	$13,776
Total abdominal hysterectomy	CPT	58150	1	—	—	$2,842.09	$2,988.91	3.1×	$2,988.91
Vaginal hysterectomy	CPT	58260	14	—	—	$1,603.34	$7,555.42	4.2×	$12,174
Lap-assisted vaginal hysterectomy	CPT	58550	14	—	—	$1,983.29	$8,929.71	6.0×	$13,776
Lap-assisted vaginal hysterectomy >250g	CPT	58552	14	—	—	$3,265.51	$15,935	7.2×	$24,440
Lap salpingo-oophorectomy	CPT	58661	14	—	—	$1,983.29	$8,929.71	4.4×	$13,776
OR procedure for obesity w MCC	MS-DRG	619	15	—	—	$14,437	$29,157	1.1×	$49,809
OR procedure for obesity w CC	MS-DRG	620	15	—	—	$8,456.12	$17,078	1.1×	$30,333
OR procedure for obesity w/o CC/MCC	MS-DRG	621	15	—	—	$7,740.23	$15,632	1.0×	$28,002
Complex cataract surgery	CPT	66982	14	—	—	$892.44	$3,490.74	1.6×	$5,762.3
Cataract surgery with lens implant	CPT	66984	14	—	—	$892.44	$3,490.74	1.6×	$5,762.3
Intravitreal injection	CPT	67028	14	—	—	$50.87	$420.46	1.2×	$778.63
Vitrectomy mechanical	CPT	67042	14	—	—	$1,610.16	$6,157.14	2.4×	$10,882
Uterine & adnexa procedures w CC/MCC	MS-DRG	743	15	—	—	$6,347.12	$12,819	1.0×	$23,465
Uterine & adnexa procedures w/o CC/MCC	MS-DRG	744	15	—	—	$10,346	$20,792	1.1×	$36,489
PCI single major coronary artery	CPT	92920	21	$21,501	$10,751	$2,988.64	$14,191	2.5×	$19,136
PCI with drug-eluting stent	CPT	92928	21	$31,417	$15,709	$4,366.96	$22,757	2.3×	$30,122
PCI bypass graft	CPT	92937	21	$29,920	$14,960	$4,158.88	$21,991	2.0×	$30,122
Left heart catheterization	CPT	93452	21	$10,451	$5,225.5	$1,452.69	$7,211.19	2.3×	$9,301.39
Coronary angiography with cath	CPT	93455	21	$15,426	$7,713	$2,144.21	$8,663.85	2.8×	$13,729
Coronary angiography with bypass cath	CPT	93458	21	$18,690	$9,345	$2,597.91	$8,663.85	2.8×	$16,634

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 22)

Payer	Codes covered	Median rate
Blue Cross Blue Shield	198	$1,584.68
scott & white	176	$536.54
Humana	176	$1,136
care improvement	166	$335.34
wellpoint	166	$306.41
Ambetter	166	$720.98
caprock	166	$838.34
insurance management services	166	$546.6
insurance services of lubbock	166	$546.6
kempton group	166	$670.68
pdh/texas trust	166	$670.68
wellmed	166	$335.34
90 degree benefits	166	$838.34
city of san angelo	146	$712.93
Cigna	146	$3,693.24
web tpa	103	$861.98
UnitedHealthcare	103	$1,494.09
Aetna	103	$1,264.23
First Health	103	$1,436.63
healthsmart	103	$1,704.8
assurant health	103	$1,264.23
Molina	93	$189.36

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