Does Madison St Joseph Health Center publish its standard charges and chargemaster?

Yes. Madison St Joseph Health Center publishes a machine-readable file with 3,560 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 Madison St Joseph Health Center charge for procedures?

Madison St Joseph Health Center (Madisonville, 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 451316

Madison St Joseph Health Center

Madisonville, TX, 77864

15 bedsCritical Access Hospitals1

Compliance grade

100/100

Rates published

3,560

last crawl 2026-05-24

Procedures tracked

199

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://stjoseph.stlukeshealth.org/content/dam/stjoseph-stlukeshealth/documents/pricing-transparency-files/742761145_St-Joseph-Health-Madison-Hospital_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	1	—	—	$16,701	$16,701	1.3×	$16,701
Psychiatric diagnostic evaluation	CPT	90791	5	$334	$116.9	$200.4	$283.9	1.6×	$411
Psychotherapy 30 minutes	CPT	90832	4	$229	$80.15	$137.4	$170.61	1.1×	$206.1
Psychotherapy 45 minutes	CPT	90834	4	$291	$101.85	$174.6	$216.8	1.3×	$261.9
Psychotherapy 60 minutes	CPT	90837	4	$291	$101.85	$174.6	$216.8	1.1×	$261.9
Crisis psychotherapy 60 minutes	CPT	90839	4	$334	$116.9	$200.4	$248.83	1.6×	$300.6
emergency
ED visit level 1	CPT	99281	7	$1,258	$440.3	$50.43	$241.6	1.7×	$1,500
ED visit level 2	CPT	99282	7	$1,664	$582.4	$95.48	$428	1.8×	$1,750
ED visit level 3	CPT	99283	7	$2,531	$885.85	$194.99	$961.2	2.4×	$2,500
ED visit level 4	CPT	99284	6	$3,911	$1,368.85	$1,684.8	$2,419.95	3.6×	$3,700
ED visit level 5	CPT	99285	6	$4,596	$1,608.6	$2,041.8	$2,970.55	2.8×	$4,200
Critical care, first hour	CPT	99291	6	$4,673	$1,635.55	$254.4	$2,803.8	2.6×	$6,750
imaging
CT head without contrast	CPT	70450	8	$2,324	$813.4	$109.6	$1,136.4	5.5×	$3,750
CT head with contrast	CPT	70460	8	$4,225	$1,478.75	$154.36	$2,376.6	10.2×	$3,802.5
CT head with and without contrast	CPT	70470	8	$3,417	$1,195.95	$181.1	$850	3.2×	$3,750
CT neck with contrast	CPT	70491	8	$2,999	$1,049.65	$192.13	$850	3.1×	$3,750
MRI brain without contrast	CPT	70551	8	$4,297	$1,503.95	$218.85	$799.15	2.0×	$4,500
MRI brain with contrast	CPT	70552	8	$5,041	$1,764.35	$252.74	$869.43	1.8×	$4,536.9
MRI brain with and without contrast	CPT	70553	8	$5,649	$1,977.15	$357.85	$1,450	2.5×	$5,084.1
Chest X-ray single view	CPT	71045	7	$392	$137.2	$20.71	$49	0.52×	$400
Chest X-ray 2 views	CPT	71046	7	$601	$210.35	$28.74	$159.03	1.6×	$540.9
CT chest without contrast	CPT	71250	8	$3,082	$1,078.7	$114.46	$393.74	1.8×	$3,750
CT chest with contrast	CPT	71260	8	$3,386	$1,185.1	$185.78	$850	3.0×	$3,750
CT chest with and without contrast	CPT	71270	8	$4,521	$1,582.35	$222.54	$850	2.9×	$4,068.9
MRI chest without contrast	CPT	71550	8	$6,058	$2,120.3	$232.31	$799.15	1.9×	$5,452.2
MRI chest with contrast	CPT	71551	8	$4,590	$1,606.5	$432.7	$2,107.01	2.6×	$4,500
MRI chest with and without contrast	CPT	71552	8	$7,589	$2,656.15	$456.37	$1,450	2.4×	$6,830.1
Lumbosacral spine X-ray	CPT	72100	7	$805	$281.75	$31.8	$53	0.51×	$724.5
CT cervical spine without contrast	CPT	72125	8	$2,262	$791.7	$114.46	$393.74	2.0×	$3,750
CT thoracic spine without contrast	CPT	72128	8	$2,310	$808.5	$114.46	$393.74	2.0×	$3,750
CT lumbar spine without contrast	CPT	72131	8	$2,505	$876.75	$114.46	$1,375.2	6.8×	$3,750
MRI cervical spine without contrast	CPT	72141	8	$245	$85.75	$147	$220.5	0.56×	$4,500
MRI thoracic spine without contrast	CPT	72146	8	$4,548	$1,591.8	$213.18	$799.15	2.1×	$4,500
MRI lumbar spine without contrast	CPT	72148	8	$4,548	$1,591.8	$212.84	$799.15	2.1×	$4,500
MRI lumbar spine with and without contrast	CPT	72149	8	$5,144	$1,800.4	$305.06	$1,450	3.2×	$4,629.6
MRI cervical spine with and without contrast	CPT	72156	8	$6,130	$2,145.5	$359.86	$1,450	2.7×	$5,517
MRI lumbar spine with contrast	CPT	72158	8	$6,130	$2,145.5	$359.19	$1,450	2.6×	$5,517
CT pelvis without contrast	CPT	72192	8	$2,059	$720.65	$114.46	$393.74	2.0×	$3,750
CT pelvis with contrast	CPT	72193	8	$2,637	$922.95	$213.51	$850	3.0×	$3,750
Shoulder X-ray	CPT	73030	7	$798	$279.3	$26.4	$44	0.47×	$718.2
Humerus X-ray	CPT	73060	7	$583	$204.05	$26.4	$159.03	1.8×	$524.7
Hand X-ray 3 views	CPT	73130	7	$671	$234.85	$28.2	$47	0.51×	$603.9
MRI upper extremity joint without contrast	CPT	73221	8	$4,781	$1,673.35	$224.88	$799.15	1.9×	$4,500
MRI upper extremity joint with and without contrast	CPT	73223	8	$6,643	$2,325.05	$445.4	$3,834	6.3×	$5,978.7
Knee X-ray 1-2 views	CPT	73560	7	$498	$174.3	$28.2	$47	0.50×	$448.2
Ankle X-ray 3 views	CPT	73610	7	$645	$225.75	$28.8	$48	0.52×	$580.5
MRI lower extremity joint without contrast	CPT	73721	8	$4,781	$1,673.35	$224.88	$799.15	1.7×	$4,500
MRI lower extremity joint with and without contrast	CPT	73723	8	$6,282	$2,198.7	$444.73	$1,450	2.3×	$5,653.8
CT abdomen without contrast	CPT	74150	8	$3,258	$1,140.3	$114.46	$393.74	2.1×	$3,750
CT abdomen with contrast	CPT	74160	8	$4,107	$1,437.45	$218.19	$850	3.0×	$3,750
CT abdomen with and without contrast	CPT	74170	8	$4,362	$1,526.7	$248.26	$850	2.5×	$3,925.8
CT abdomen and pelvis without contrast	CPT	74176	8	$7,461	$2,611.35	$189.79	$799.15	2.2×	$6,714.9
CT abdomen and pelvis with contrast	CPT	74177	8	$7,865	$2,752.75	$252.74	$850	1.5×	$7,078.5
CT abdomen and pelvis with and without contrast	CPT	74178	8	$7,978	$2,792.3	$252.74	$850	1.5×	$7,180.2
MRI abdomen without contrast	CPT	74181	8	$4,440	$1,554	$232.31	$799.15	2.0×	$4,500
MRI abdomen with and without contrast	CPT	74183	8	$6,062	$2,121.7	$404.3	$1,450	2.6×	$5,455.8
Abdominal ultrasound complete	CPT	76700	7	$1,866	$653.1	$114.46	$650	4.4×	$1,679.4
Abdominal ultrasound limited	CPT	76705	7	$1,157	$404.95	$55.8	$293.02	2.0×	$1,041.3
Retroperitoneal ultrasound complete	CPT	76770	7	$1,347	$471.45	$107.93	$724.6	5.0×	$1,212.3
Obstetric ultrasound first trimester	CPT	76801	7	$1,186	$415.1	$114.46	$203.5	1.4×	$1,067.4
Obstetric ultrasound after first trimester	CPT	76805	7	$1,508	$527.8	$114.46	$253.89	1.7×	$1,357.2
Transvaginal ultrasound	CPT	76830	7	$981	$343.35	$114.46	$584.1	4.0×	$882.9
Pelvic ultrasound complete	CPT	76856	7	$1,475	$516.25	$96.28	$763.3	5.3×	$1,327.5
Scrotal ultrasound	CPT	76870	7	$105	$36.75	$63	$67.71	0.52×	$650
Diagnostic mammography unilateral	CPT	77065	6	$482	$168.7	$205.05	$298.84	2.0×	$433.8
Diagnostic mammography bilateral	CPT	77066	6	$497	$173.95	$69	$298.2	1.6×	$447.3
Screening mammography bilateral	CPT	77067	6	$482	$168.7	$136.2	$259.1	1.6×	$433.8
EKG tracing only	CPT	93005	6	$2,251	$787.85	$15.6	$251.5	2.1×	$2,025.9
EKG interpretation only	CPT	93010	5	$46	$16.1	$15.15	$27.6	1.5×	$41.4
Transthoracic echocardiogram complete	CPT	93306	6	$3,868	$1,353.8	$243.81	$2,315.4	3.9×	$3,481.2
Transthoracic echocardiogram	CPT	93307	7	$1,924	$673.4	$132.65	$219.4	0.89×	$2,310
Stress echocardiogram	CPT	93350	7	$4,068	$1,423.8	$177.43	$307.64	0.61×	$3,661.2
inpatient
Intracranial hemorrhage/CVA w MCC	MS-DRG	064	2	—	—	$12,330	$16,443	0.81×	$25,826
Intracranial hemorrhage/CVA w CC	MS-DRG	065	2	—	—	$7,188.83	$9,586.66	0.89×	$13,746
Intracranial hemorrhage/CVA w/o CC/MCC	MS-DRG	066	2	—	—	$5,205.3	$6,941.51	0.91×	$9,597.15
Respiratory infections & inflammations w MCC	MS-DRG	177	2	—	—	$12,903	$17,207	1.1×	$24,912
COPD w MCC	MS-DRG	190	2	—	—	$8,035.93	$10,716	0.95×	$15,173
COPD w CC	MS-DRG	191	2	—	—	$6,397.51	$8,531.39	0.97×	$11,922
COPD w/o CC/MCC	MS-DRG	192	2	—	—	$5,065.16	$6,754.64	0.97×	$9,381.15
Simple pneumonia & pleurisy w CC	MS-DRG	194	2	—	—	$6,506.27	$8,676.43	1.0×	$11,651
Simple pneumonia & pleurisy w/o CC/MCC	MS-DRG	195	2	—	—	$4,949.42	$6,600.3	0.99×	$8,977.5
AMI discharged alive w MCC	MS-DRG	280	2	—	—	$11,557	$15,412	0.98×	$21,954
AMI discharged alive w CC	MS-DRG	281	2	—	—	$6,866.03	$9,156.18	0.95×	$12,583
AMI discharged alive w/o CC/MCC	MS-DRG	282	2	—	—	$5,288.96	$7,053.09	0.90×	$9,794.25
Heart failure & shock w MCC	MS-DRG	291	2	—	—	$10,290	$13,722	1.1×	$18,102
Heart failure & shock w CC	MS-DRG	292	2	—	—	$6,684.75	$8,914.45	1.00×	$12,084
Heart failure & shock w/o CC/MCC	MS-DRG	293	2	—	—	$4,696.34	$6,262.8	1.0×	$8,810.1
Cardiac arrhythmia w MCC	MS-DRG	308	2	—	—	$8,286.22	$11,050	0.91×	$16,191
Cardiac arrhythmia w CC	MS-DRG	309	2	—	—	$5,382.38	$7,177.67	0.92×	$10,117
Cardiac arrhythmia w/o CC/MCC	MS-DRG	310	2	—	—	$3,921.75	$5,229.85	0.84×	$7,538.4
GI hemorrhage w CC	MS-DRG	378	2	—	—	$6,764.93	$9,021.37	0.90×	$13,408
GI hemorrhage w/o CC/MCC	MS-DRG	379	2	—	—	$4,494.15	$5,993.17	0.88×	$8,600.85
Esophagitis/gastroenteritis w/o MCC	MS-DRG	392	2	—	—	$5,293.84	$7,059.59	0.88×	$10,319
Fractures of femur w/o MCC	MS-DRG	533	2	—	—	$10,026	$13,370	0.88×	$19,070
Kidney/UTI w MCC	MS-DRG	689	2	—	—	$7,524.88	$10,035	0.86×	$15,003
Kidney/UTI w/o MCC	MS-DRG	690	2	—	—	$5,539.25	$7,386.87	0.89×	$10,695
Septicemia or severe sepsis w MV 96+ hrs	MS-DRG	871	2	—	—	$12,709	$16,948	0.91×	$25,221
Septicemia or severe sepsis w/o MV 96+ hrs	MS-DRG	872	2	—	—	$7,352.67	$9,805.15	0.95×	$13,792
lab
Basic metabolic panel (BMP)	CPT	80048	12	$522	$182.7	$7.11	$16.69	0.51×	$469.8
General health panel	CPT	80050	7	$1,359	$475.65	$31.13	$104.98	0.98×	$1,223.1
Electrolyte panel	CPT	80051	12	$392	$137.2	$5.89	$13.83	0.58×	$352.8
Comprehensive metabolic panel	CPT	80053	12	$683	$239.05	$8.87	$20.84	0.47×	$614.7
Lipid panel	CPT	80061	12	$266	$93.1	$11.25	$26.41	0.69×	$239.4
Renal function panel	CPT	80069	12	$804	$281.4	$7.29	$17.13	0.63×	$723.6
Hepatic function panel	CPT	80076	12	$498	$174.3	$6.86	$16.12	0.61×	$448.2
Urinalysis non-automated	CPT	81002	12	$55	$19.25	$2.92	$10.66	1.5×	$49.5
Urinalysis automated	CPT	81003	12	$82	$28.7	$1.89	$7.03	0.50×	$73.8
Glucose quantitative	CPT	82947	12	$111	$38.85	$3.3	$7.76	0.44×	$99.9
Hemoglobin A1c	CPT	83036	12	$16	$5.6	$8.16	$10.12	0.38×	$31.56
Thyroid stimulating hormone (TSH)	CPT	84443	12	$44	$15.4	$14.11	$25.38	0.54×	$54.6
Complete blood count with automated differential	CPT	85025	12	$192	$67.2	$6.53	$15.32	0.58×	$172.8
Complete blood count without differential	CPT	85027	12	$224	$78.4	$5.43	$12.76	0.59×	$201.6
Urine culture bacterial	CPT	87086	12	$150	$52.5	$6.78	$16.14	0.69×	$135
Urine culture identification	CPT	87088	12	$292	$102.2	$6.8	$15.96	0.72×	$262.8
Tissue exam by pathologist level IV	CPT	88305	7	$893	$312.55	$51	$121.58	1.2×	$803.7
maternity
Fetal non-stress test	CPT	59025	7	$1,160	$406	$13.62	$59.5	0.32×	$2,960
Routine obstetric care including vaginal delivery	CPT	59400	1	—	—	$2,817.09	$3,096.65	1.3×	$3,440.72
Vaginal delivery only	CPT	59409	6	$3,533	$1,236.55	$2,119.8	$3,091.38	1.4×	$8,788
Vaginal delivery with postpartum	CPT	59410	1	—	—	$1,407.61	$1,547.29	1.5×	$1,719.22
Routine obstetric care with C-section	CPT	59510	1	—	—	$3,124.56	$3,434.63	1.4×	$3,816.26
C-section delivery only	CPT	59514	1	—	—	$1,240.7	$1,363.82	1.4×	$1,515.36
C-section with postpartum	CPT	59515	1	—	—	$1,709.9	$1,879.59	1.5×	$2,088.43
Cesarean section w CC/MCC	MS-DRG	765	2	—	—	$7,800	$9,286.53	103.0×	$11,519
Cesarean section w/o CC/MCC	MS-DRG	766	2	—	—	$5,836.26	$7,586.59	84.2×	$8,192.7
Vaginal delivery w complicating dx	MS-DRG	774	2	—	—	$5,000	$6,551.86	71.2×	$8,127.12
Vaginal delivery w/o complicating dx	MS-DRG	775	2	—	—	$4,499.73	$5,342.34	5.7×	$6,316.53
office
Office visit, new patient, 15-29 min	CPT	99202	6	$686	$240.1	$37.2	$92.86	1.1×	$617.4
Office visit, new patient, 30-44 minutes	CPT	99203	6	$153	$53.55	$91.8	$137.07	1.1×	$173
Office visit, new patient, 45-59 min	CPT	99204	6	$233	$81.55	$139.8	$198.05	1.1×	$233
Office visit, new patient, 60-74 min	CPT	99205	6	$293	$102.55	$173	$218.29	0.99×	$293
Office visit, established patient, 5 min	CPT	99211	6	$270	$94.5	$16.42	$172.8	2.7×	$3,300
Office visit, established patient, 10-19 min	CPT	99212	5	$350	$122.5	$45	$210	2.6×	$315
Office visit, established patient, 20-29 minutes	CPT	99213	5	$385	$134.75	$45	$231	2.0×	$346.5
Office visit, established patient, 30-39 minutes	CPT	99214	5	$465	$162.75	$45	$279	1.8×	$418.5
Office visit, established patient, 40-54 min	CPT	99215	5	$511	$178.85	$45	$306.6	1.6×	$459.9
preventive
Upper GI endoscopy diagnostic	CPT	43235	7	$2,500	$875	$275.42	$1,130.11	1.2×	$4,168
Upper GI endoscopy with biopsy	CPT	43239	3	—	—	$275.42	$631.58	0.65×	$4,168
Sigmoidoscopy diagnostic	CPT	45330	7	$233	$81.55	$139.8	$215.73	0.26×	$2,960
Sigmoidoscopy with biopsy	CPT	45331	3	—	—	$275.42	$609.63	0.68×	$2,960
Colonoscopy diagnostic	CPT	45378	3	—	—	$275.42	$609.63	0.69×	$4,168
Colonoscopy with biopsy	CPT	45380	7	$618	$216.3	$368.78	$460.41	0.38×	$4,168
Colonoscopy with polyp removal	CPT	45385	3	—	—	$368.78	$806.95	0.67×	$4,168
surgery
Total shoulder arthroplasty	CPT	23472	2	—	—	$1,975.06	$2,291.68	0.55×	$15,273
PCI w drug-eluting stent w MCC	MS-DRG	246	2	—	—	$22,382	$29,848	1.1×	$42,197
PCI w drug-eluting stent w/o MCC	MS-DRG	247	2	—	—	$14,750	$19,670	1.1×	$26,841
Hip hemiarthroplasty	CPT	27125	2	—	—	$1,537.84	$1,784.36	1.4×	$18,403
Total hip replacement	CPT	27130	2	—	—	$1,841.07	$2,136.21	0.49×	$15,273
Total knee replacement	CPT	27447	2	—	—	$13,261	$14,925	3.6×	$16,197
Knee revision arthroplasty single component	CPT	27486	2	—	—	$1,908.77	$2,214.77	1.3×	$15,273
Knee revision arthroplasty all components	CPT	27487	2	—	—	$2,387.38	$2,770.1	1.4×	$15,273
Shoulder arthroscopy with decompression	CPT	29826	1	—	—	$2,960	$2,960	9.1×	$2,960
Shoulder arthroscopy with rotator cuff repair	CPT	29827	3	—	—	$1,073.68	$4,235.89	1.3×	$18,403
Knee arthroscopy with meniscectomy	CPT	29881	3	—	—	$877.23	$2,193.17	1.1×	$11,861
ACL reconstruction	CPT	29888	3	—	—	$1,073.68	$4,235.89	1.3×	$18,403
Major small/large bowel procedures w MCC	MS-DRG	329	2	—	—	$34,256	$45,681	1.1×	$65,479
Major small/large bowel procedures w CC	MS-DRG	330	2	—	—	$17,213	$22,955	0.99×	$34,277
Major small/large bowel procedures w/o CC/MCC	MS-DRG	331	2	—	—	$11,684	$15,581	0.95×	$23,086
CABG single arterial graft	CPT	33533	2	—	—	$2,541.58	$2,949.01	1.6×	$4,859
CABG 2 arterial grafts	CPT	33534	2	—	—	$2,990.1	$3,469.43	1.6×	$4,859
CABG 3 arterial grafts	CPT	33535	2	—	—	$3,331.42	$3,865.47	1.7×	$4,859
CABG 4+ arterial grafts	CPT	33536	2	—	—	$3,578.25	$4,151.87	1.7×	$4,859
Laparoscopic cholecystectomy w/o CDE w MCC	MS-DRG	418	2	—	—	$11,617	$15,491	0.94×	$22,789
Laparoscopic cholecystectomy w/o CDE w CC	MS-DRG	419	2	—	—	$9,099.85	$12,135	0.90×	$17,755
Laparoscopic cholecystectomy w/o CDE w/o CC/MCC	MS-DRG	420	2	—	—	$28,294	$37,732	1.2×	$47,440
Open appendectomy	CPT	44950	2	—	—	$3,813.62	$4,424.97	3.9×	$11,861
Laparoscopic appendectomy	CPT	44970	2	—	—	$5,880.17	$6,822.8	4.4×	$18,403
Spinal fusion (non-cervical) w MCC	MS-DRG	459	2	—	—	$42,098	$56,139	1.1×	$90,879
Spinal fusion (non-cervical) w/o MCC	MS-DRG	460	2	—	—	$27,992	$37,329	1.1×	$53,091
Major joint replacement w MCC	MS-DRG	469	2	—	—	$22,317	$29,761	1.0×	$41,639
Major joint replacement w/o MCC	MS-DRG	470	2	—	—	$14,323	$19,100	1.0×	$25,649
Laparoscopic cholecystectomy	CPT	47562	3	—	—	$1,073.68	$3,503.77	2.0×	$18,403
Lap cholecystectomy with cholangiography	CPT	47563	3	—	—	$1,073.68	$3,503.77	1.9×	$18,403
Hip & femur procedures except major joint w MCC	MS-DRG	480	2	—	—	$21,055	$28,078	1.0×	$40,831
Hip & femur procedures except major joint w CC	MS-DRG	481	2	—	—	$14,293	$19,061	0.94×	$28,289
Hip & femur procedures except major joint w/o CC/MCC	MS-DRG	482	2	—	—	$11,638	$15,519	0.97×	$22,232
Open umbilical hernia repair	CPT	49560	3	—	—	$877.23	$2,367.36	1.2×	$11,861
Umbilical hernia repair age 5+	CPT	49585	7	$672	$235.2	$403.2	$907.93	0.69×	$11,861
Lap inguinal hernia repair	CPT	49650	3	—	—	$1,073.68	$3,503.77	3.1×	$18,403
Lap incisional hernia repair	CPT	49652	3	—	—	$1,073.68	$3,503.77	1.3×	$18,403
Total abdominal hysterectomy	CPT	58150	2	—	—	$1,361.06	$1,579.25	1.6×	$11,861
Vaginal hysterectomy	CPT	58260	3	—	—	$1,073.68	$3,256.92	1.8×	$11,861
Lap-assisted vaginal hysterectomy	CPT	58550	3	—	—	$1,073.68	$3,503.77	2.4×	$18,403
Lap-assisted vaginal hysterectomy >250g	CPT	58552	3	—	—	$1,073.68	$5,538.68	2.5×	$18,403
Lap salpingo-oophorectomy	CPT	58661	3	—	—	$1,073.68	$3,503.77	1.7×	$18,403
OR procedure for obesity w MCC	MS-DRG	619	2	—	—	$21,731	$28,979	1.1×	$41,325
OR procedure for obesity w CC	MS-DRG	620	2	—	—	$12,796	$17,065	1.1×	$23,775
OR procedure for obesity w/o CC/MCC	MS-DRG	621	2	—	—	$11,034	$14,714	0.97×	$21,551
Complex cataract surgery	CPT	66982	3	—	—	$755.85	$1,655.14	0.75×	$8,788
Cataract surgery with lens implant	CPT	66984	3	—	—	$755.85	$1,655.14	0.76×	$8,788
Intravitreal injection	CPT	67028	3	—	—	$63.67	$278.18	0.81×	$2,960
Vitrectomy mechanical	CPT	67042	3	—	—	$1,073.68	$2,928.72	1.2×	$11,958
Uterine & adnexa procedures w CC/MCC	MS-DRG	743	2	—	—	$7,491.41	$9,990.17	0.81×	$15,286
Uterine & adnexa procedures w/o CC/MCC	MS-DRG	744	2	—	—	$11,848	$15,800	0.83×	$24,219
PCI single major coronary artery	CPT	92920	6	$12,497	$4,373.95	$7,498.2	$10,935	1.9×	$17,899
PCI with drug-eluting stent	CPT	92928	6	$19,050	$6,667.5	$10,363	$15,627	1.6×	$36,997
PCI bypass graft	CPT	92937	6	$15,675	$5,486.25	$9,405	$13,716	1.3×	$36,997
Left heart catheterization	CPT	93452	6	$12,347	$4,321.45	$7,408.2	$9,411.49	3.0×	$11,958
Coronary angiography with cath	CPT	93455	6	$16,138	$5,648.3	$7,484.18	$10,116	3.2×	$14,524
Coronary angiography with bypass cath	CPT	93458	6	$19,639	$6,873.65	$7,484.18	$11,871	3.8×	$17,675

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	192	$869.43
UnitedHealthcare	185	$994.96
Aetna	109	$439.04
commercial \| firstcare \| all plans	109	$584.1
commercial \| phcs \| all plans	109	$827.48
Multiplan	109	$876.15
Medicaid	99	$196.13
Humana	51	$850
commercial \| nxhealth \| all plans	15	$26.29
Ambetter	15	$11.73
commercial \| ellwood \| all plans	15	$24.27
commercial \| entrust \| all plans	15	$16.18

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