Does WILSON N JONES REGIONAL MEDICAL CTR publish its standard charges and chargemaster?

Yes. WILSON N JONES REGIONAL MEDICAL CTR publishes a machine-readable file with 46,830 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 WILSON N JONES REGIONAL MEDICAL CTR charge for procedures?

WILSON N JONES REGIONAL MEDICAL CTR (Sherman, 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 450469

WILSON N JONES REGIONAL MEDICAL CTR

Sherman, TX, 75092

214 bedsAcute Care Hospitals6

Compliance grade

100/100

Rates published

46,830

last crawl 2026-05-24

Procedures tracked

200

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/7947/421487967_st-luke'sjones-regional-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	2	—	—	$18,019	$19,049	1.5×	$20,078
Psychiatric diagnostic evaluation	CPT	90791	12	$405	$324	$127.98	$202.34	1.1×	$368.89
Psychiatric eval with medical services	CPT	90792	8	$453	$362.4	$158.78	$233.2	1.3×	$419.07
Psychotherapy 30 minutes	CPT	90832	12	$210	$168	$47.15	$95.96	0.65×	$170.59
Psychotherapy 45 minutes	CPT	90834	12	$262	$209.6	$87.56	$130.19	0.81×	$241.2
Psychotherapy 60 minutes	CPT	90837	8	$392	$313.6	$131.89	$195.9	1.0×	$333.11
Crisis psychotherapy 60 minutes	CPT	90839	8	$409	$327.2	$127.19	$189.7	1.2×	$342.39
emergency
ED visit level 1	CPT	99281	12	$182.41	$145.93	$10.3	$49.06	0.35×	$160.2
ED visit level 2	CPT	99282	12	$297.05	$237.64	$19.97	$68.9	0.29×	$297.05
ED visit level 3	CPT	99283	12	$520.9	$416.72	$19.97	$116.3	0.29×	$520.9
ED visit level 4	CPT	99284	12	$810.53	$648.43	$19.97	$198.4	0.30×	$810.53
ED visit level 5	CPT	99285	12	$1,163.81	$931.05	$19.97	$287.6	0.28×	$1,163.81
Critical care, first hour	CPT	99291	12	$1,794.29	$1,435.44	$194	$735.21	0.69×	$1,794.29
imaging
CT head without contrast	CPT	70450	12	$2,228.77	$1,783.02	$37.24	$150.72	0.73×	$2,228.77
CT head with contrast	CPT	70460	12	$2,969.33	$2,375.47	$49.4	$216.61	0.93×	$2,969.33
CT head with and without contrast	CPT	70470	12	$3,044.81	$2,435.85	$55.55	$260.31	0.98×	$3,044.81
CT neck with contrast	CPT	70491	12	$3,055.71	$2,444.57	$60.29	$317.85	1.2×	$3,055.71
MRI brain without contrast	CPT	70551	12	$3,749.77	$2,999.82	$64.56	$362.77	0.90×	$3,749.77
MRI brain with contrast	CPT	70552	12	$4,145.88	$3,316.71	$77.96	$516.14	1.1×	$4,145.88
MRI brain with and without contrast	CPT	70553	12	$5,746.95	$4,597.56	$100.21	$596.06	1.0×	$5,746.95
Chest X-ray single view	CPT	71045	12	$331.29	$265.04	$8.04	$31.68	0.34×	$331.29
Chest X-ray 2 views	CPT	71046	12	$509.23	$407.39	$9.63	$41.82	0.43×	$509.23
Chest X-ray 3 views	CPT	71047	12	$509.23	$407.39	$12.13	$52.56	0.55×	$509.23
CT chest without contrast	CPT	71250	12	$1,586.53	$1,269.23	$47.19	$226.06	1.1×	$1,586.53
CT chest with contrast	CPT	71260	12	$2,651.42	$2,121.14	$50.96	$292.85	1.0×	$2,651.42
CT chest with and without contrast	CPT	71270	12	$2,651.42	$2,121.14	$54.61	$350.5	1.2×	$2,651.42
MRI chest without contrast	CPT	71550	12	$3,171.24	$2,537	$63.91	$658.6	1.5×	$3,171.24
MRI chest with contrast	CPT	71551	12	$3,531.28	$2,825.03	$75.45	$755.82	0.93×	$3,531.28
MRI chest with and without contrast	CPT	71552	12	$4,869.26	$3,895.41	$98.95	$939.77	1.6×	$4,869.26
Lumbosacral spine X-ray	CPT	72100	12	$372.76	$298.21	$9.92	$56.67	0.55×	$372.76
CT cervical spine without contrast	CPT	72125	12	$3,035.73	$2,428.59	$43.57	$223.7	1.1×	$3,035.73
CT thoracic spine without contrast	CPT	72128	12	$2,350.04	$1,880.04	$43.57	$223	1.1×	$2,350.04
CT lumbar spine without contrast	CPT	72131	12	$2,881.56	$2,305.25	$43.57	$222.3	1.1×	$2,881.56
MRI cervical spine without contrast	CPT	72141	12	$2,791.03	$2,232.83	$64.86	$347.39	0.87×	$2,791.03
MRI thoracic spine without contrast	CPT	72146	12	$2,791.03	$2,232.83	$64.86	$347.39	0.93×	$2,791.03
MRI lumbar spine without contrast	CPT	72148	12	$2,791.03	$2,232.83	$64.86	$345.24	0.92×	$2,791.03
MRI lumbar spine with and without contrast	CPT	72149	12	$3,202.69	$2,562.16	$78.25	$515	1.1×	$3,202.69
MRI cervical spine with and without contrast	CPT	72156	12	$4,243.51	$3,394.81	$100.51	$598.52	1.1×	$4,243.51
MRI lumbar spine with contrast	CPT	72158	12	$4,240.38	$3,392.31	$100.51	$596.99	1.1×	$4,240.38
CT pelvis without contrast	CPT	72192	12	$2,338.55	$1,870.84	$47.51	$186.38	0.93×	$2,338.55
CT pelvis with contrast	CPT	72193	12	$3,908.18	$3,126.55	$50.66	$390.39	1.4×	$3,908.18
Shoulder X-ray	CPT	73030	12	$330.75	$264.6	$8.33	$49.79	0.54×	$330.75
Humerus X-ray	CPT	73060	12	$287.93	$230.35	$7.1	$46.21	0.52×	$287.93
Hand X-ray 3 views	CPT	73130	12	$287.93	$230.35	$7.71	$55.97	0.60×	$287.93
MRI upper extremity joint without contrast	CPT	73221	12	$2,723.12	$2,178.5	$59.32	$386.99	0.93×	$2,723.12
MRI upper extremity joint with and without contrast	CPT	73223	12	$4,144.45	$3,315.56	$94.35	$758.16	1.2×	$4,144.45
Knee X-ray 1-2 views	CPT	73560	12	$287.93	$230.35	$7.39	$50.78	0.54×	$287.93
Ankle X-ray 3 views	CPT	73610	12	$287.93	$230.35	$7.71	$54.73	0.59×	$287.93
MRI lower extremity joint without contrast	CPT	73721	12	$2,778.17	$2,222.54	$59.32	$386.22	0.83×	$2,778.17
MRI lower extremity joint with and without contrast	CPT	73723	12	$4,133.43	$3,306.75	$94.35	$755.23	1.2×	$4,133.43
CT abdomen without contrast	CPT	74150	12	$2,082.54	$1,666.04	$51.93	$184.92	0.98×	$2,082.54
CT abdomen with contrast	CPT	74160	12	$3,384.42	$2,707.54	$55.55	$365.25	1.3×	$3,384.42
CT abdomen with and without contrast	CPT	74170	12	$3,625	$2,900	$60.94	$415.82	1.2×	$3,625
CT abdomen and pelvis without contrast	CPT	74176	12	$4,158.66	$3,326.93	$76.07	$245.32	0.67×	$4,158.66
CT abdomen and pelvis with contrast	CPT	74177	12	$6,526.92	$5,221.54	$79.84	$483.34	0.88×	$6,526.92
CT abdomen and pelvis with and without contrast	CPT	74178	12	$6,526.92	$5,221.54	$87.76	$560.37	0.97×	$6,526.92
MRI abdomen without contrast	CPT	74181	12	$2,559.64	$2,047.72	$63.62	$363.19	0.93×	$2,559.64
MRI abdomen with and without contrast	CPT	74183	12	$5,562.79	$4,450.24	$96.27	$1,745.21	3.1×	$5,562.79
Abdominal ultrasound complete	CPT	76700	12	$916.24	$733	$35.36	$162.32	1.1×	$916.24
Abdominal ultrasound limited	CPT	76705	12	$613.24	$490.6	$25.73	$123	0.84×	$613.24
Retroperitoneal ultrasound complete	CPT	76770	12	$770.81	$616.65	$32.21	$152.67	1.1×	$770.81
Obstetric ultrasound first trimester	CPT	76801	12	$590.85	$472.68	$43.54	$150.03	1.1×	$590.85
Obstetric ultrasound after first trimester	CPT	76805	12	$957.93	$766.35	$43.84	$179.51	1.2×	$957.93
Obstetric ultrasound with fetal anatomy	CPT	76811	8	$527	$421.6	$77.82	$161.43	0.69×	$466.39
Transvaginal ultrasound	CPT	76830	12	$756.31	$605.05	$30.44	$171.13	1.2×	$756.31
Pelvic ultrasound complete	CPT	76856	12	$1,197.42	$957.94	$30.15	$149.2	1.0×	$1,197.42
Scrotal ultrasound	CPT	76870	12	$725.05	$580.04	$27.94	$125.98	0.96×	$725.05
Diagnostic mammography unilateral	CPT	77065	12	$529.14	$423.32	$35.36	$163.74	1.1×	$529.14
Diagnostic mammography bilateral	CPT	77066	12	$656.33	$525.07	$43.57	$208.36	1.1×	$656.33
Screening mammography bilateral	CPT	77067	12	$576.05	$460.84	$33.44	$172.15	1.1×	$576.05
EKG complete	CPT	93000	8	$47	$37.6	$12.88	$28.7	1.2×	$42.87
EKG tracing only	CPT	93005	12	$268.06	$214.45	$5.46	$109.84	0.93×	$268.06
EKG interpretation only	CPT	93010	8	$24	$19.2	$7.42	$16	0.88×	$21.83
Transthoracic echocardiogram complete	CPT	93306	12	$2,500.74	$2,000.6	$63.17	$372.1	0.62×	$2,500.74
Transthoracic echocardiogram	CPT	93307	12	$1,639.06	$1,311.25	$39.95	$243.77	0.99×	$1,639.06
Stress echocardiogram	CPT	93350	8	$561	$448.8	$63.17	$173.01	0.34×	$615.19
inpatient
Intracranial hemorrhage/CVA w MCC	MS-DRG	064	2	—	—	$24,854	$26,274	1.3×	$27,695
Intracranial hemorrhage/CVA w CC	MS-DRG	065	2	—	—	$13,388	$14,153	1.3×	$14,918
Intracranial hemorrhage/CVA w/o CC/MCC	MS-DRG	066	2	—	—	$9,512.83	$10,056	1.3×	$10,600
Respiratory infections & inflammations w MCC	MS-DRG	177	2	—	—	$20,459	$21,628	1.4×	$22,797
COPD w MCC	MS-DRG	190	2	—	—	$14,639	$15,476	1.4×	$16,312
COPD w CC	MS-DRG	191	2	—	—	$11,527	$12,186	1.4×	$12,844
COPD w/o CC/MCC	MS-DRG	192	2	—	—	$9,028.15	$9,544.04	1.4×	$10,060
Simple pneumonia & pleurisy w CC	MS-DRG	194	2	—	—	$11,066	$11,698	1.4×	$12,331
Simple pneumonia & pleurisy w/o CC/MCC	MS-DRG	195	2	—	—	$8,739.22	$9,238.61	1.4×	$9,737.99
AMI discharged alive w MCC	MS-DRG	280	2	—	—	$20,753	$21,938	1.4×	$23,124
AMI discharged alive w CC	MS-DRG	281	2	—	—	$12,266	$12,967	1.3×	$13,668
AMI discharged alive w/o CC/MCC	MS-DRG	282	2	—	—	$9,946.79	$10,515	1.3×	$11,084
Heart failure & shock w MCC	MS-DRG	291	2	—	—	$16,783	$17,742	1.4×	$18,701
Heart failure & shock w CC	MS-DRG	292	2	—	—	$11,552	$12,212	1.4×	$12,872
Heart failure & shock w/o CC/MCC	MS-DRG	293	2	—	—	$7,866.51	$8,316.03	1.3×	$8,765.54
Cardiac arrhythmia w MCC	MS-DRG	308	2	—	—	$15,617	$16,509	1.4×	$17,402
Cardiac arrhythmia w CC	MS-DRG	309	2	—	—	$10,114	$10,692	1.4×	$11,270
Cardiac arrhythmia w/o CC/MCC	MS-DRG	310	2	—	—	$7,993.91	$8,450.71	1.4×	$8,907.5
GI hemorrhage w CC	MS-DRG	378	2	—	—	$13,022	$13,766	1.4×	$14,511
GI hemorrhage w/o CC/MCC	MS-DRG	379	2	—	—	$8,904.33	$9,413.15	1.4×	$9,921.97
Esophagitis/gastroenteritis w/o MCC	MS-DRG	392	2	—	—	$10,598	$11,203	1.4×	$11,809
Fractures of femur w/o MCC	MS-DRG	533	2	—	—	$19,379	$20,486	1.3×	$21,593
Kidney/UTI w MCC	MS-DRG	689	2	—	—	$15,197	$16,065	1.4×	$16,934
Kidney/UTI w/o MCC	MS-DRG	690	2	—	—	$10,861	$11,481	1.4×	$12,102
Septicemia or severe sepsis w MV 96+ hrs	MS-DRG	871	2	—	—	$24,535	$25,936	1.4×	$27,338
Septicemia or severe sepsis w/o MV 96+ hrs	MS-DRG	872	2	—	—	$13,554	$14,329	1.4×	$15,103
Initial hospital care, low complexity	CPT	99221	8	$227	$181.6	$74.73	$135.5	1.5×	$226.16
Initial hospital care, moderate complexity	CPT	99222	8	$308	$246.4	$118.66	$213.8	1.3×	$307.11
Initial hospital care, high complexity	CPT	99223	8	$453	$362.4	$158.4	$284.9	1.3×	$452.74
Hospital discharge, <30 min	CPT	99238	8	$185	$148	$73.92	$133.3	1.6×	$162.91
Hospital discharge, >30 min	CPT	99239	8	$262	$209.6	$104.69	$188.4	1.6×	$239.49
lab
Basic metabolic panel (BMP)	CPT	80048	12	$85.7	$68.56	$5.08	$37.71	1.2×	$85.7
General health panel	CPT	80050	12	$88	$70.4	$25.73	$43.71	0.41×	$85.7
Electrolyte panel	CPT	80051	12	$85.7	$68.56	$4.21	$37.71	1.6×	$85.7
Comprehensive metabolic panel	CPT	80053	12	$85.7	$68.56	$6.34	$37.71	0.85×	$85.7
Lipid panel	CPT	80061	12	$85.7	$68.56	$8.03	$37.71	0.99×	$85.7
Renal function panel	CPT	80069	12	$85.7	$68.56	$5.21	$37.71	1.4×	$85.7
Hepatic function panel	CPT	80076	12	$85.7	$68.56	$4.9	$37.71	1.4×	$85.7
Urinalysis non-automated	CPT	81002	12	$32.14	$25.72	$3.48	$14.14	2.0×	$32.14
Urinalysis automated	CPT	81003	12	$32.14	$25.72	$2.25	$14.14	1.0×	$32.14
Glucose quantitative	CPT	82947	12	$41.96	$33.57	$3.93	$18.46	1.0×	$41.96
Hemoglobin A1c	CPT	83036	12	$41.96	$33.57	$5.83	$18.93	0.70×	$41.96
Thyroid stimulating hormone (TSH)	CPT	84443	12	$68.75	$55	$10.08	$32.6	0.69×	$68.75
Complete blood count with automated differential	CPT	85025	12	$41.96	$33.57	$4.66	$18.46	0.70×	$41.96
Complete blood count without differential	CPT	85027	12	$41.96	$33.57	$3.88	$18.46	0.85×	$41.96
Urine culture bacterial	CPT	87086	12	$48.22	$38.58	$4.84	$21.22	0.91×	$48.22
Urine culture identification	CPT	87088	12	$48.22	$38.58	$4.85	$21.22	0.95×	$48.22
Tissue exam by pathologist level IV	CPT	88305	12	$205	$164	$28.96	$63.55	0.62×	$182.28
maternity
Fetal non-stress test	CPT	59025	12	$460.07	$368.06	$17.87	$89.07	0.47×	$460.07
Routine obstetric care including vaginal delivery	CPT	59400	8	$5,690	$4,552	$2,106.28	$3,033	1.3×	$5,372.16
Vaginal delivery only	CPT	59409	12	$2,858.65	$2,286.92	$691.99	$1,443.62	0.65×	$2,858.65
Vaginal delivery with postpartum	CPT	59410	8	$2,641	$2,112.8	$936.78	$1,353.2	1.3×	$2,640.42
Routine obstetric care with C-section	CPT	59510	8	$5,924	$4,739.2	$2,322.97	$3,369.1	1.3×	$5,923.56
C-section delivery only	CPT	59514	8	$2,305	$1,844	$778.91	$1,133.3	1.2×	$2,304.69
C-section with postpartum	CPT	59515	8	$3,196	$2,556.8	$1,153.4	$1,678.5	1.3×	$3,195.11
office
Office visit, new patient, 15-29 min	CPT	99202	8	$167	$133.6	$42.93	$66.3	0.77×	$112.29
Office visit, new patient, 30-44 minutes	CPT	99203	8	$237	$189.6	$74.5	$116	0.95×	$168.46
Office visit, new patient, 45-59 min	CPT	99204	8	$362	$289.6	$121.61	$188.8	1.1×	$288.21
Office visit, new patient, 60-74 min	CPT	99205	8	$459	$367.2	$165.2	$257	1.2×	$376.67
Office visit, established patient, 5 min	CPT	99211	8	$51	$40.8	$8.04	$12.3	0.19×	$20.76
Office visit, established patient, 10-19 min	CPT	99212	8	$104	$83.2	$32.24	$49.59	0.62×	$66.6
Office visit, established patient, 20-29 minutes	CPT	99213	8	$201	$160.8	$60.36	$93.2	0.81×	$124.66
Office visit, established patient, 30-39 minutes	CPT	99214	8	$240	$192	$88.83	$137.3	0.90×	$184.05
Office visit, established patient, 40-54 min	CPT	99215	8	$332	$265.6	$131.48	$203	1.1×	$272.53
preventive
Upper GI endoscopy diagnostic	CPT	43235	8	$878.06	$702.45	$109.69	$234.2	0.26×	$385.3
Upper GI endoscopy with biopsy	CPT	43239	8	$1,143	$914.4	$123.53	$263.1	0.27×	$435.4
Sigmoidoscopy diagnostic	CPT	45330	8	$534	$427.2	$50.95	$109.7	0.13×	$174.48
Sigmoidoscopy with biopsy	CPT	45331	8	$840	$672	$64.93	$139.3	0.16×	$224.58
Colonoscopy diagnostic	CPT	45378	8	$1,471.83	$1,177.47	$82.56	$172.9	0.20×	$582.44
Colonoscopy with biopsy	CPT	45380	8	$1,690.25	$1,352.2	$179.1	$382.5	0.32×	$695.6
Colonoscopy with polyp removal	CPT	45385	8	$2,009.19	$1,607.36	$226.39	$482	0.40×	$825.61
surgery
Total shoulder arthroplasty	CPT	23472	8	$8,950	$7,160	$1,290.01	$2,807	0.68×	$4,475
Hip hemiarthroplasty	CPT	27125	8	$6,968	$5,574.4	$1,013.18	$2,208.3	1.8×	$3,483.37
Total hip replacement	CPT	27130	8	$8,344	$6,675.2	$1,146	$2,498.3	0.58×	$4,171.24
Total knee replacement	CPT	27447	8	$8,336	$6,668.8	$1,144.67	$2,495.1	0.60×	$4,167.04
Knee revision arthroplasty single component	CPT	27486	8	$8,660	$6,928	$1,254.09	$2,733.9	1.6×	$4,329.42
Knee revision arthroplasty all components	CPT	27487	8	$10,830	$8,664	$1,560.09	$3,401.3	1.7×	$5,414.21
Shoulder arthroscopy with decompression	CPT	29826	8	$1,326	$1,060.8	$151.83	$330.5	1.0×	$538.56
Shoulder arthroscopy with rotator cuff repair	CPT	29827	8	$6,590	$5,272	$958.1	$2,083.8	0.63×	$3,294.92
Knee arthroscopy with meniscectomy	CPT	29881	8	$3,324	$2,659.2	$490.7	$1,067.9	0.52×	$1,661.93
ACL reconstruction	CPT	29888	8	$6,040	$4,832	$874.13	$1,899.6	0.57×	$3,019.58
Major small/large bowel procedures w MCC	MS-DRG	329	2	—	—	$55,547	$58,721	1.4×	$61,895
Major small/large bowel procedures w CC	MS-DRG	330	2	—	—	$29,270	$30,943	1.3×	$32,616
Major small/large bowel procedures w/o CC/MCC	MS-DRG	331	2	—	—	$20,866	$22,058	1.3×	$23,250
CABG single arterial graft	CPT	33533	8	$5,709	$4,567.2	$1,610.12	$3,690.6	2.0×	$5,708.4
CABG 2 arterial grafts	CPT	33534	8	$6,708	$5,366.4	$1,891.26	$4,335.1	2.0×	$6,707.71
CABG 3 arterial grafts	CPT	33535	8	$7,481	$5,984.8	$2,102.11	$4,815.5	2.1×	$7,480.06
CABG 4+ arterial grafts	CPT	33536	8	$8,063	$6,450.4	$2,263.84	$5,187.2	2.1×	$8,062.01
Laparoscopic cholecystectomy w/o CDE w MCC	MS-DRG	418	2	—	—	$20,953	$22,150	1.3×	$23,348
Laparoscopic cholecystectomy w/o CDE w CC	MS-DRG	419	2	—	—	$16,934	$17,902	1.3×	$18,869
Laparoscopic cholecystectomy w/o CDE w/o CC/MCC	MS-DRG	420	2	—	—	$43,019	$45,477	1.4×	$47,935
Open appendectomy	CPT	44950	8	$1,971	$1,576.8	$565.44	$1,246.3	1.1×	$1,970.89
Laparoscopic appendectomy	CPT	44970	8	$1,957.06	$1,565.65	$532.67	$1,173.8	0.75×	$1,840.94
Major joint replacement w MCC	MS-DRG	469	2	—	—	$39,943	$42,225	1.4×	$44,508
Major joint replacement w/o MCC	MS-DRG	470	2	—	—	$23,631	$24,982	1.3×	$26,332
Laparoscopic cholecystectomy	CPT	47562	8	$3,382.97	$2,706.38	$583.24	$1,287.4	0.73×	$2,017.34
Lap cholecystectomy with cholangiography	CPT	47563	8	$3,550.51	$2,840.41	$633.75	$1,399.7	0.75×	$2,195.8
Hip & femur procedures except major joint w MCC	MS-DRG	480	2	—	—	$36,078	$38,140	1.4×	$40,202
Hip & femur procedures except major joint w CC	MS-DRG	481	2	—	—	$25,865	$27,343	1.3×	$28,821
Hip & femur procedures except major joint w/o CC/MCC	MS-DRG	482	2	—	—	$20,104	$21,253	1.3×	$22,402
Open umbilical hernia repair	CPT	49560	1	—	—	$1,405	$1,405	0.74×	$1,652
Umbilical hernia repair age 5+	CPT	49585	1	—	—	$854	$854	0.65×	$1,005
Lap inguinal hernia repair	CPT	49650	8	$2,632	$2,105.6	$384.86	$848.4	0.75×	$1,315.76
Lap incisional hernia repair	CPT	49652	1	—	—	$1,356	$1,356	0.50×	$1,596
Total abdominal hysterectomy	CPT	58150	8	$3,151	$2,520.8	$912.58	$1,935.5	2.0×	$3,150.41
Vaginal hysterectomy	CPT	58260	8	$2,609	$2,087.2	$751.29	$1,592.5	0.88×	$2,608.44
Lap-assisted vaginal hysterectomy	CPT	58550	8	$2,758	$2,206.4	$791.18	$1,677	1.1×	$2,757.27
Lap-assisted vaginal hysterectomy >250g	CPT	58552	8	$3,073	$2,458.4	$879.56	$1,864.2	0.84×	$3,072.25
Lap salpingo-oophorectomy	CPT	58661	8	$4,064	$3,251.2	$584.08	$1,238.8	0.61×	$2,031.54
OR procedure for obesity w MCC	MS-DRG	619	2	—	—	$33,549	$35,466	1.3×	$37,383
OR procedure for obesity w CC	MS-DRG	620	2	—	—	$20,229	$21,385	1.3×	$22,541
OR procedure for obesity w/o CC/MCC	MS-DRG	621	2	—	—	$18,635	$19,699	1.3×	$20,764
Complex cataract surgery	CPT	66982	8	$4,656	$3,724.8	$669.56	$1,392.7	0.63×	$2,327.87
Cataract surgery with lens implant	CPT	66984	8	$3,394	$2,715.2	$488.93	$1,016.9	0.47×	$1,702.14
Intravitreal injection	CPT	67028	8	$630	$504	$83.2	$172.7	0.50×	$306.78
Vitrectomy mechanical	CPT	67042	8	$7,152	$5,721.6	$1,024.83	$2,129.6	0.84×	$3,575.49
Uterine & adnexa procedures w CC/MCC	MS-DRG	743	2	—	—	$15,532	$16,419	1.3×	$17,307
Uterine & adnexa procedures w/o CC/MCC	MS-DRG	744	2	—	—	$24,439	$25,836	1.4×	$27,232
PCI single major coronary artery	CPT	92920	8	$1,434	$1,147.2	$452.43	$1,033.6	0.18×	$1,489.06
PCI with drug-eluting stent	CPT	92928	8	$1,594	$1,275.2	$502.96	$1,148.3	0.11×	$1,652.56
PCI bypass graft	CPT	92937	8	$1,592	$1,273.6	$502.63	$1,147.7	0.11×	$1,651.24
Left heart catheterization	CPT	93452	8	$2,434	$1,947.2	$203.9	$757.63	0.24×	$2,403.26
Coronary angiography with cath	CPT	93455	8	$2,771	$2,216.8	$240.23	$851.56	0.27×	$2,782.43
Coronary angiography with bypass cath	CPT	93458	8	$2,855	$2,284	$253.81	$878.86	0.28×	$2,862.85

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 12)

Payer	Codes covered	Median rate
Blue Cross Blue Shield	157	$198.4
amerivantage	154	$118.7
UnitedHealthcare	154	$194.7
health partners open network	154	$240.28
Humana	154	$118.7
iowa health	154	$124.47
Aetna	154	$261.95
Cigna	154	$271.88
medica exchange insure	130	$2,505.63
medica exchange inspire	130	$2,237.28
amerigroup	87	$339.16
iowa total care	87	$339.16

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