Does Chi St Lukes Health Memorial San Augustine publish its standard charges and chargemaster?

Yes. Chi St Lukes Health Memorial San Augustine publishes a machine-readable file with 4,779 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 Chi St Lukes Health Memorial San Augustine charge for procedures?

Chi St Lukes Health Memorial San Augustine (San Augustine, 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 451360

Chi St Lukes Health Memorial San Augustine

San Augustine, TX, 451360

10 beds1

Compliance grade

100/100

Rates published

4,779

last crawl 2026-05-24

Procedures tracked

184

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://www.stlukeshealth.org/content/dam/stlukeshealth/documents/752663604_st-lukes-health-memorial-san-augustine_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	—	—	$8,412.28	$9,598.26	0.75×	$10,784
emergency
ED visit level 1	CPT	99281	9	$478	$167.3	$4.08	$34.15	0.24×	$430.2
ED visit level 2	CPT	99282	9	$696	$243.6	$80.95	$428	1.8×	$626.4
ED visit level 3	CPT	99283	9	$1,615	$565.25	$30.82	$236.81	0.58×	$1,485
ED visit level 4	CPT	99284	8	$2,833	$991.55	$1,160	$2,180	3.3×	$3,276
ED visit level 5	CPT	99285	8	$3,449	$1,207.15	$2,231.51	$2,880	2.8×	$4,368
Critical care, first hour	CPT	99291	8	$4,680	$1,638	$2,880	$3,276	3.1×	$4,368
imaging
CT head without contrast	CPT	70450	9	$3,735	$1,307.25	$109.6	$2,285.74	11.0×	$3,361.5
CT head with contrast	CPT	70460	9	$4,333	$1,516.55	$154.36	$2,651.94	11.3×	$3,899.7
CT head with and without contrast	CPT	70470	9	$5,110	$1,788.5	$181.1	$3,230.97	12.1×	$4,599
CT neck with contrast	CPT	70491	9	$4,580	$1,603	$192.13	$2,803.31	10.2×	$4,122
MRI brain without contrast	CPT	70551	9	$6,236	$2,182.6	$218.85	$758.5	1.9×	$5,612.4
MRI brain with contrast	CPT	70552	9	$7,027	$2,459.45	$252.74	$825.2	1.7×	$6,324.3
MRI brain with and without contrast	CPT	70553	9	$8,381.42	$2,933.5	$357.85	$4,891.4	8.3×	$7,543.28
Chest X-ray single view	CPT	71045	9	$612	$214.2	$20.71	$395.97	4.2×	$550.8
Chest X-ray 2 views	CPT	71046	9	$759	$265.65	$28.74	$491.08	5.0×	$683.1
Chest X-ray 3 views	CPT	71047	9	$760	$266	$36.75	$475.2	5.0×	$684
CT chest without contrast	CPT	71250	9	$3,403	$1,191.05	$114.46	$2,181.77	10.1×	$3,062.7
CT chest with contrast	CPT	71260	9	$4,528.44	$1,584.96	$185.78	$825.2	2.9×	$4,075.6
CT chest with and without contrast	CPT	71270	9	$5,572	$1,950.2	$222.54	$825.2	2.8×	$5,014.8
MRI chest without contrast	CPT	71550	9	$4,918	$1,721.3	$232.31	$3,067.04	7.1×	$4,426.2
MRI chest with contrast	CPT	71551	9	$5,312	$1,859.2	$432.7	$2,102.18	2.6×	$4,780.8
MRI chest with and without contrast	CPT	71552	9	$7,482.24	$2,618.79	$456.37	$4,579.41	7.6×	$6,734.02
Lumbosacral spine X-ray	CPT	72100	9	$1,004	$351.4	$33.08	$644.74	6.2×	$903.6
CT cervical spine without contrast	CPT	72125	9	$4,074	$1,425.9	$114.46	$2,493.3	12.4×	$3,666.6
CT thoracic spine without contrast	CPT	72128	9	$4,074	$1,425.9	$114.46	$2,493.3	12.5×	$3,666.6
CT lumbar spine without contrast	CPT	72131	9	$4,074	$1,425.9	$114.46	$373.71	1.8×	$3,666.6
MRI cervical spine without contrast	CPT	72141	9	$5,496	$1,923.6	$212.84	$758.5	1.9×	$4,946.4
MRI thoracic spine without contrast	CPT	72146	9	$5,496	$1,923.6	$213.18	$758.5	2.0×	$4,946.4
MRI lumbar spine without contrast	CPT	72148	9	$5,496	$1,923.6	$212.84	$758.5	2.0×	$4,946.4
MRI lumbar spine with and without contrast	CPT	72149	9	$4,728	$1,654.8	$305.06	$1,490.05	3.3×	$4,255.2
MRI cervical spine with and without contrast	CPT	72156	9	$8,551	$2,992.85	$359.86	$1,490.05	2.8×	$7,695.9
MRI lumbar spine with contrast	CPT	72158	9	$7,828	$2,739.8	$359.19	$1,490.05	2.7×	$7,045.2
CT pelvis without contrast	CPT	72192	9	$4,000	$1,400	$114.46	$373.71	1.9×	$3,600
CT pelvis with contrast	CPT	72193	9	$4,331	$1,515.85	$213.51	$825.2	2.9×	$3,897.9
Shoulder X-ray	CPT	73030	9	$848	$296.8	$27.74	$544.46	5.9×	$763.2
Humerus X-ray	CPT	73060	9	$818	$286.3	$27.4	$154.37	1.7×	$736.2
Hand X-ray 3 views	CPT	73130	9	$794	$277.9	$30.08	$154.37	1.7×	$714.6
MRI upper extremity joint without contrast	CPT	73221	9	$5,506	$1,927.1	$224.88	$3,369.78	8.1×	$4,955.4
MRI upper extremity joint with and without contrast	CPT	73223	9	$7,953	$2,783.55	$445.4	$4,866.95	8.0×	$7,157.7
Knee X-ray 1-2 views	CPT	73560	9	$704	$246.4	$29.4	$404.78	4.3×	$633.6
Ankle X-ray 3 views	CPT	73610	9	$869	$304.15	$29.74	$154.37	1.7×	$782.1
MRI lower extremity joint without contrast	CPT	73721	9	$5,739	$2,008.65	$224.88	$3,512.56	7.5×	$5,165.1
MRI lower extremity joint with and without contrast	CPT	73723	9	$7,949	$2,782.15	$444.73	$1,490.05	2.4×	$7,154.1
CT abdomen without contrast	CPT	74150	9	$3,568	$1,248.8	$114.46	$373.71	2.0×	$3,211.2
CT abdomen with contrast	CPT	74160	9	$5,013	$1,754.55	$218.19	$825.2	2.9×	$4,511.7
CT abdomen with and without contrast	CPT	74170	9	$5,875	$2,056.25	$248.26	$825.2	2.5×	$5,287.5
CT abdomen and pelvis without contrast	CPT	74176	9	$6,938	$2,428.3	$189.79	$3,390	9.3×	$6,244.2
CT abdomen and pelvis with contrast	CPT	74177	9	$7,204	$2,521.4	$252.74	$825.2	1.5×	$6,483.6
CT abdomen and pelvis with and without contrast	CPT	74178	9	$8,393	$2,937.55	$252.74	$5,137.3	8.9×	$7,553.7
MRI abdomen without contrast	CPT	74181	9	$6,073	$2,125.55	$232.31	$758.5	1.9×	$5,465.7
MRI abdomen with and without contrast	CPT	74183	9	$7,304	$2,556.4	$404.3	$1,490.05	2.6×	$6,573.6
Abdominal ultrasound complete	CPT	76700	9	$1,797	$628.95	$114.46	$309.05	2.1×	$1,617.3
Abdominal ultrasound limited	CPT	76705	9	$1,541	$539.35	$87.21	$294.75	2.0×	$1,386.9
Retroperitoneal ultrasound complete	CPT	76770	9	$1,816	$635.6	$107.93	$309.05	2.2×	$1,634.4
Obstetric ultrasound first trimester	CPT	76801	9	$1,379.16	$482.71	$114.46	$203.5	1.4×	$1,241.25
Obstetric ultrasound after first trimester	CPT	76805	9	$1,247.4	$436.59	$114.46	$253.89	1.7×	$1,122.66
Obstetric ultrasound with fetal anatomy	CPT	76811	9	$1,984	$694.4	$114.46	$1,259.07	5.3×	$1,785.6
Transvaginal ultrasound	CPT	76830	9	$1,429	$500.15	$114.46	$906.78	6.1×	$1,286.1
Pelvic ultrasound complete	CPT	76856	9	$1,586	$555.1	$96.28	$309.05	2.2×	$1,427.4
Scrotal ultrasound	CPT	76870	9	$1,567	$548.45	$64.49	$309.05	2.4×	$1,410.3
Diagnostic mammography unilateral	CPT	77065	9	$532	$186.2	$82.82	$278.95	1.9×	$478.8
Diagnostic mammography bilateral	CPT	77066	9	$658	$230.3	$105.92	$376.6	2.0×	$592.2
Screening mammography bilateral	CPT	77067	9	$458	$160.3	$87.57	$271.43	1.7×	$412.2
EKG tracing only	CPT	93005	7	$693	$242.55	$110.8	$449.4	3.8×	$623.7
Transthoracic echocardiogram complete	CPT	93306	7	$4,833	$1,691.55	$274.29	$3,132.5	5.2×	$4,349.7
Transthoracic echocardiogram	CPT	93307	9	$1,795	$628.25	$132.65	$228.81	0.92×	$1,615.5
inpatient
Respiratory infections & inflammations w MCC	MS-DRG	177	2	—	—	$12,548	$14,664	0.95×	$16,781
COPD w MCC	MS-DRG	190	2	—	—	$7,642.52	$8,896.62	0.79×	$10,151
COPD w CC	MS-DRG	191	2	—	—	$6,005.08	$6,963.45	0.79×	$7,921.81
COPD w/o CC/MCC	MS-DRG	192	2	—	—	$4,725.32	$5,509.03	0.79×	$6,292.73
Simple pneumonia & pleurisy w CC	MS-DRG	194	2	—	—	$5,868.4	$6,876.48	0.81×	$7,884.55
Simple pneumonia & pleurisy w/o CC/MCC	MS-DRG	195	2	—	—	$4,522	$5,287.14	0.79×	$6,052.27
AMI discharged alive w MCC	MS-DRG	280	2	—	—	$11,058	$12,765	0.81×	$14,471
AMI discharged alive w CC	MS-DRG	281	2	—	—	$6,338.28	$7,466.78	0.77×	$8,595.28
AMI discharged alive w/o CC/MCC	MS-DRG	282	2	—	—	$4,933.4	$5,740.4	0.74×	$6,547.39
Heart failure & shock w MCC	MS-DRG	291	2	—	—	$9,118.12	$10,530	0.82×	$11,941
Heart failure & shock w CC	MS-DRG	292	2	—	—	$6,086.68	$7,060.59	0.79×	$8,034.5
Heart failure & shock w/o CC/MCC	MS-DRG	293	2	—	—	$4,437.68	$5,126.08	0.83×	$5,814.48
Cardiac arrhythmia w MCC	MS-DRG	308	2	—	—	$8,155.24	$9,346.85	0.77×	$10,538
Cardiac arrhythmia w CC	MS-DRG	309	2	—	—	$5,095.92	$5,903.29	0.76×	$6,710.65
Cardiac arrhythmia w/o CC/MCC	MS-DRG	310	2	—	—	$3,797.12	$4,379.9	0.71×	$4,962.67
GI hemorrhage w CC	MS-DRG	378	2	—	—	$6,753.76	$7,760.59	0.77×	$8,767.41
GI hemorrhage w/o CC/MCC	MS-DRG	379	2	—	—	$4,332.28	$5,030.79	0.74×	$5,729.3
Esophagitis/gastroenteritis w/o MCC	MS-DRG	392	2	—	—	$5,197.92	$5,977.36	0.74×	$6,756.79
Fractures of femur w/o MCC	MS-DRG	533	2	—	—	$9,605.68	$11,277	0.74×	$12,949
Kidney/UTI w MCC	MS-DRG	689	2	—	—	$7,556.84	$8,741.09	0.75×	$9,925.34
Kidney/UTI w/o MCC	MS-DRG	690	2	—	—	$5,386.96	$6,201.87	0.75×	$7,016.77
Septicemia or severe sepsis w MV 96+ hrs	MS-DRG	871	2	—	—	$12,704	$14,632	0.78×	$16,560
Septicemia or severe sepsis w/o MV 96+ hrs	MS-DRG	872	2	—	—	$6,946.88	$8,084.3	0.78×	$9,221.71
lab
Basic metabolic panel (BMP)	CPT	80048	11	$542	$189.7	$7.11	$23.2	0.72×	$487.8
Electrolyte panel	CPT	80051	11	$525	$183.75	$5.89	$13.47	0.57×	$472.5
Comprehensive metabolic panel	CPT	80053	11	$886	$310.1	$7.77	$20.65	0.46×	$797.4
Lipid panel	CPT	80061	11	$482	$168.7	$11	$20.3	0.53×	$433.8
Renal function panel	CPT	80069	11	$542	$189.7	$7.29	$24.07	0.88×	$487.8
Hepatic function panel	CPT	80076	11	$512	$179.2	$6.86	$29.49	1.1×	$460.8
Urinalysis automated	CPT	81003	11	$96	$33.6	$1.89	$9	0.65×	$86.4
Glucose quantitative	CPT	82947	11	$163	$57.05	$3.3	$11.48	0.65×	$146.7
Hemoglobin A1c	CPT	83036	11	$297	$103.95	$7.77	$15.4	0.57×	$267.3
Thyroid stimulating hormone (TSH)	CPT	84443	11	$376	$131.6	$7.77	$22.33	0.47×	$338.4
Complete blood count with automated differential	CPT	85025	11	$332	$116.2	$6.53	$19.55	0.74×	$298.8
Complete blood count without differential	CPT	85027	11	$261	$91.35	$5.43	$12.16	0.56×	$234.9
Urine culture bacterial	CPT	87086	11	$351	$122.85	$6.78	$31.48	1.3×	$315.9
Tissue exam by pathologist level IV	CPT	88305	9	$777	$271.95	$52.12	$153.33	1.5×	$699.3
maternity
Fetal non-stress test	CPT	59025	9	$628	$219.8	$13.62	$43.29	0.23×	$565.2
Routine obstetric care including vaginal delivery	CPT	59400	1	—	—	$1,354.78	$3,010.63	1.3×	$3,440.72
Vaginal delivery only	CPT	59409	2	—	—	$1,431.85	$3,090.97	1.4×	$3,636.43
Vaginal delivery with postpartum	CPT	59410	1	—	—	$676.94	$1,504.31	1.4×	$1,719.22
Routine obstetric care with C-section	CPT	59510	1	—	—	$1,502.65	$3,339.23	1.3×	$3,816.26
C-section delivery only	CPT	59514	2	—	—	$596.67	$1,363.82	1.4×	$2,826
C-section with postpartum	CPT	59515	1	—	—	$822.32	$1,827.38	1.4×	$2,088.43
office
Office visit, new patient, 15-29 min	CPT	99202	7	$410	$143.5	$47	$234.54	2.7×	$369
Office visit, new patient, 30-44 minutes	CPT	99203	7	$477	$166.95	$81.53	$273.69	2.2×	$429.3
Office visit, new patient, 45-59 min	CPT	99204	7	$631	$220.85	$47	$407.48	2.3×	$567.9
Office visit, new patient, 60-74 min	CPT	99205	7	$1,646	$576.1	$47	$617.75	2.8×	$1,481.4
Office visit, established patient, 5 min	CPT	99211	7	$265	$92.75	$18.47	$171.8	2.7×	$238.5
Office visit, established patient, 10-19 min	CPT	99212	7	$355	$124.25	$47	$224.75	2.8×	$319.5
Office visit, established patient, 20-29 minutes	CPT	99213	7	$437	$152.95	$53.06	$250.39	2.2×	$393.3
Office visit, established patient, 30-39 minutes	CPT	99214	7	$514	$179.9	$47	$325.53	2.1×	$462.6
Office visit, established patient, 40-54 min	CPT	99215	7	$1,563	$547.05	$47	$523.5	2.8×	$1,406.7
preventive
Upper GI endoscopy diagnostic	CPT	43235	9	$3,238.4	$1,133.44	$275.42	$1,130.11	1.2×	$2,914.56
Upper GI endoscopy with biopsy	CPT	43239	4	—	—	$275.42	$378.8	0.39×	$2,007
Sigmoidoscopy diagnostic	CPT	45330	4	—	—	$87.32	$275.42	0.33×	$1,392
Sigmoidoscopy with biopsy	CPT	45331	4	—	—	$275.42	$368.24	0.41×	$1,392
Colonoscopy diagnostic	CPT	45378	4	—	—	$275.42	$368.24	0.42×	$2,007
Colonoscopy with biopsy	CPT	45380	4	—	—	$368.78	$488.58	0.40×	$2,007
Colonoscopy with polyp removal	CPT	45385	4	—	—	$368.78	$488.58	0.41×	$2,007
surgery
Total shoulder arthroplasty	CPT	23472	2	—	—	$949.84	$2,171.06	0.53×	$2,826
PCI w drug-eluting stent w MCC	MS-DRG	246	2	—	—	$21,255	$24,704	0.89×	$28,152
PCI w drug-eluting stent w/o MCC	MS-DRG	247	2	—	—	$13,520	$15,787	0.86×	$18,054
Hip hemiarthroplasty	CPT	27125	2	—	—	$739.57	$1,690.44	1.4×	$2,826
Total hip replacement	CPT	27130	2	—	—	$885.4	$2,023.78	0.47×	$2,826
Total knee replacement	CPT	27447	2	—	—	$2,826	$13,767	3.3×	$16,197
Knee revision arthroplasty single component	CPT	27486	2	—	—	$917.96	$2,098.2	1.3×	$2,826
Knee revision arthroplasty all components	CPT	27487	2	—	—	$1,148.13	$2,624.3	1.3×	$2,915.89
Shoulder arthroscopy with decompression	CPT	29826	1	—	—	$2,293	$2,293	7.0×	$2,293
Shoulder arthroscopy with rotator cuff repair	CPT	29827	4	—	—	$1,073.68	$2,329.7	0.71×	$8,970.27
Knee arthroscopy with meniscectomy	CPT	29881	4	—	—	$877.23	$1,293.79	0.63×	$4,232.37
ACL reconstruction	CPT	29888	4	—	—	$1,073.68	$1,710.18	0.51×	$8,970.27
Major small/large bowel procedures w MCC	MS-DRG	329	2	—	—	$32,982	$38,262	0.89×	$43,542
Major small/large bowel procedures w CC	MS-DRG	330	2	—	—	$17,265	$19,843	0.85×	$22,420
Major small/large bowel procedures w/o CC/MCC	MS-DRG	331	2	—	—	$11,629	$13,308	0.81×	$14,988
CABG single arterial graft	CPT	33533	2	—	—	$1,222.29	$2,793.8	1.5×	$3,104.22
CABG 2 arterial grafts	CPT	33534	2	—	—	$1,437.99	$3,104.23	1.4×	$3,652.03
CABG 3 arterial grafts	CPT	33535	2	—	—	$1,602.13	$3,458.58	1.5×	$4,068.91
CABG 4+ arterial grafts	CPT	33536	2	—	—	$1,720.84	$3,714.83	1.5×	$4,370.38
Laparoscopic cholecystectomy w/o CDE w MCC	MS-DRG	418	2	—	—	$11,479	$13,144	0.80×	$14,808
Laparoscopic cholecystectomy w/o CDE w CC	MS-DRG	419	2	—	—	$8,943.36	$10,269	0.76×	$11,595
Laparoscopic cholecystectomy w/o CDE w/o CC/MCC	MS-DRG	420	2	—	—	$23,896	$27,186	0.84×	$30,477
Open appendectomy	CPT	44950	2	—	—	$1,834.03	$3,959.18	3.5×	$4,657.86
Laparoscopic appendectomy	CPT	44970	2	—	—	$2,826	$6,104.6	3.9×	$7,181.89
Spinal fusion (non-cervical) w MCC	MS-DRG	459	2	—	—	$45,776	$53,287	1.1×	$60,798
Spinal fusion (non-cervical) w/o MCC	MS-DRG	460	2	—	—	$26,742	$30,941	0.92×	$35,141
Major joint replacement w MCC	MS-DRG	469	2	—	—	$20,974	$24,417	0.83×	$27,860
Major joint replacement w/o MCC	MS-DRG	470	2	—	—	$12,919	$15,192	0.80×	$17,466
Laparoscopic cholecystectomy	CPT	47562	4	—	—	$1,073.68	$1,977.62	1.1×	$7,181.89
Lap cholecystectomy with cholangiography	CPT	47563	4	—	—	$1,073.68	$1,977.62	1.1×	$7,181.89
Hip & femur procedures except major joint w MCC	MS-DRG	480	2	—	—	$20,567	$23,675	0.85×	$26,783
Hip & femur procedures except major joint w CC	MS-DRG	481	2	—	—	$14,249	$16,387	0.81×	$18,525
Hip & femur procedures except major joint w/o CC/MCC	MS-DRG	482	2	—	—	$11,198	$12,898	0.81×	$14,599
Open umbilical hernia repair	CPT	49560	4	—	—	$877.23	$1,377.56	0.72×	$4,657.86
Umbilical hernia repair age 5+	CPT	49585	4	—	—	$877.23	$1,377.56	1.0×	$4,657.86
Lap inguinal hernia repair	CPT	49650	4	—	—	$1,073.68	$1,976.68	1.8×	$7,181.89
Lap incisional hernia repair	CPT	49652	4	—	—	$1,073.68	$1,977.62	0.73×	$7,181.89
Total abdominal hysterectomy	CPT	58150	2	—	—	$654.56	$1,496.13	1.5×	$2,826
Vaginal hysterectomy	CPT	58260	4	—	—	$1,073.68	$1,858.9	1.0×	$7,043
Lap-assisted vaginal hysterectomy	CPT	58550	4	—	—	$1,073.68	$1,977.62	1.3×	$7,181.89
Lap-assisted vaginal hysterectomy >250g	CPT	58552	4	—	—	$1,073.68	$2,333.18	1.0×	$12,153
Lap salpingo-oophorectomy	CPT	58661	4	—	—	$1,073.68	$1,977.62	0.97×	$7,181.89
OR procedure for obesity w MCC	MS-DRG	619	2	—	—	$20,815	$24,066	0.89×	$27,316
OR procedure for obesity w CC	MS-DRG	620	2	—	—	$11,975	$13,949	0.86×	$15,923
OR procedure for obesity w/o CC/MCC	MS-DRG	621	2	—	—	$10,856	$12,402	0.82×	$13,948
Complex cataract surgery	CPT	66982	4	—	—	$755.85	$1,001.97	0.45×	$6,798
Cataract surgery with lens implant	CPT	66984	4	—	—	$755.85	$1,001.97	0.46×	$6,798
Intravitreal injection	CPT	67028	4	—	—	$30.62	$275.42	0.80×	$1,392
Vitrectomy mechanical	CPT	67042	4	—	—	$1,073.68	$1,701.07	0.67×	$7,043
Uterine & adnexa procedures w CC/MCC	MS-DRG	743	2	—	—	$7,699.64	$8,945.14	0.73×	$10,191
Uterine & adnexa procedures w/o CC/MCC	MS-DRG	744	2	—	—	$12,199	$13,821	0.72×	$15,443
PCI single major coronary artery	CPT	92920	7	$18,211	$6,373.85	$5,237.55	$13,658	2.4×	$17,899
PCI with drug-eluting stent	CPT	92928	7	$23,378	$8,182.3	$10,826	$17,534	1.7×	$36,997
PCI bypass graft	CPT	92937	7	$22,005	$7,701.75	$10,826	$16,504	1.5×	$36,997
Left heart catheterization	CPT	93452	7	$40,417	$14,146	$2,898.01	$26,716	8.6×	$36,375
Coronary angiography with cath	CPT	93455	7	$31,246	$10,936	$2,898.01	$20,654	6.6×	$28,121
Coronary angiography with bypass cath	CPT	93458	7	$51,699	$18,095	$2,898.01	$34,173	11.0×	$46,529

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 11)

Payer	Codes covered	Median rate
UnitedHealthcare	164	$368.78
Cigna	163	$663.07
Blue Cross Blue Shield	139	$325.07
Humana	97	$552.8
Medicaid	97	$186.16
commercial \| phcs \| all plans	97	$513
commercial \| galaxy \| all plans	97	$684
Aetna	97	$483.7
Multiplan	97	$532
Medicare	16	$8.83
commercial \| angelina county \| all plans	13	$15.69

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