Does SAN ANTONIO-AMG SPECIALTY HOSPITAL publish its standard charges and chargemaster?

Yes. SAN ANTONIO-AMG SPECIALTY HOSPITAL publishes a machine-readable file with 19,996 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 ANTONIO-AMG SPECIALTY HOSPITAL charge for procedures?

SAN ANTONIO-AMG SPECIALTY HOSPITAL (San Antonio, 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 452040

SAN ANTONIO-AMG SPECIALTY HOSPITAL

San Antonio, TX, 78212

30 beds15

Compliance grade

100/100

Rates published

19,996

last crawl 2026-05-24

Procedures tracked

196

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/11035/842809028_pam-specialty-hospital-of-san-antonio-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
Psychiatric diagnostic evaluation	CPT	90791	1	—	—	$180	$180	1.0×	$180
Psychiatric eval with medical services	CPT	90792	1	—	—	$180	$180	1.0×	$180
Psychotherapy 30 minutes	CPT	90832	1	—	—	$75	$75	0.50×	$75
Psychotherapy 45 minutes	CPT	90834	1	—	—	$106.46	$106.46	0.66×	$106.46
Psychotherapy 60 minutes	CPT	90837	1	—	—	$150	$150	0.79×	$150
Crisis psychotherapy 60 minutes	CPT	90839	1	—	—	$177.44	$177.44	1.1×	$177.44
emergency
ED visit level 1	CPT	99281	1	—	—	$17.01	$17.01	0.12×	$17.01
ED visit level 2	CPT	99282	1	—	—	$32.92	$32.92	0.14×	$32.92
ED visit level 3	CPT	99283	1	—	—	$55.93	$55.93	0.14×	$55.93
ED visit level 4	CPT	99284	1	—	—	$94.66	$94.66	0.14×	$94.66
ED visit level 5	CPT	99285	1	—	—	$137.36	$137.36	0.13×	$137.36
Critical care, first hour	CPT	99291	11	$4,466.63	$4,466.63	$168.75	$3,349.97	3.1×	$4,019.97
imaging
CT head without contrast	CPT	70450	13	$4,224.96	$4,224.96	$91.94	$3,168.72	15.3×	$3,802.46
CT head with contrast	CPT	70460	13	$4,458.24	$4,458.24	$133.13	$3,343.68	14.3×	$4,012.42
CT head with and without contrast	CPT	70470	13	$6,791.04	$6,791.04	$159.7	$5,093.28	19.1×	$6,111.94
CT neck with contrast	CPT	70491	13	$6,485.4	$6,485.4	$168.11	$4,864.05	17.8×	$5,836.86
MRI brain without contrast	CPT	70551	13	$1,720.44	$1,720.44	$202.56	$1,290.33	3.2×	$1,548.4
MRI brain with contrast	CPT	70552	13	$4,673.35	$4,673.35	$299.51	$3,505.01	7.3×	$4,206.02
MRI brain with and without contrast	CPT	70553	13	$8,538.48	$8,538.48	$340.31	$6,403.86	10.9×	$7,684.63
Chest X-ray single view	CPT	71045	11	$730.08	$730.08	$14.05	$547.56	5.8×	$657.07
Chest X-ray 2 views	CPT	71046	11	$818.64	$818.64	$19.05	$613.98	6.2×	$736.78
Chest X-ray 3 views	CPT	71047	11	$929.88	$929.88	$24.32	$697.41	7.3×	$836.89
CT chest without contrast	CPT	71250	13	$6,723	$6,723	$114.53	$5,042.25	23.5×	$6,050.7
CT chest with contrast	CPT	71260	13	$5,968.08	$5,968.08	$156.6	$4,476.06	15.9×	$5,371.27
CT chest with and without contrast	CPT	71270	13	$7,055.64	$7,055.64	$193.63	$5,291.73	18.2×	$6,350.08
MRI chest without contrast	CPT	71550	1	—	—	$340.51	$340.51	0.79×	$340.51
MRI chest with contrast	CPT	71551	1	—	—	$475.44	$475.44	0.58×	$475.44
MRI chest with and without contrast	CPT	71552	1	—	—	$545.27	$545.27	0.91×	$545.27
Lumbosacral spine X-ray	CPT	72100	11	$1,114.56	$1,114.56	$24.04	$835.92	8.1×	$1,003.1
CT cervical spine without contrast	CPT	72125	13	$4,721.76	$4,721.76	$115.86	$3,541.32	17.6×	$4,249.58
CT thoracic spine without contrast	CPT	72128	13	$6,498.36	$6,498.36	$115.41	$4,873.77	24.5×	$5,848.52
CT lumbar spine without contrast	CPT	72131	13	$6,022.08	$6,022.08	$114.97	$4,516.56	22.2×	$5,419.87
MRI cervical spine without contrast	CPT	72141	13	$7,324	$7,324	$195.02	$5,493	13.8×	$6,591.6
MRI thoracic spine without contrast	CPT	72146	13	$7,175.52	$7,175.52	$195.02	$5,381.64	14.4×	$6,457.97
MRI lumbar spine without contrast	CPT	72148	13	$7,175.52	$7,175.52	$195.52	$5,381.64	14.3×	$6,457.97
MRI lumbar spine with and without contrast	CPT	72149	13	$7,324	$7,324	$301.52	$5,493	12.1×	$6,591.6
MRI cervical spine with and without contrast	CPT	72156	13	$4,014.36	$4,014.36	$343.72	$3,010.77	5.6×	$3,612.92
MRI lumbar spine with contrast	CPT	72158	13	$9,448.92	$9,448.92	$342.21	$7,086.69	12.9×	$8,504.03
CT pelvis without contrast	CPT	72192	13	$3,805.92	$3,805.92	$114.53	$2,854.44	14.3×	$3,425.33
CT pelvis with contrast	CPT	72193	13	$4,577.04	$4,577.04	$233.21	$3,432.78	12.2×	$4,119.34
Shoulder X-ray	CPT	73030	11	$760.12	$760.12	$20.99	$331.45	3.6×	$684.11
Humerus X-ray	CPT	73060	11	$333.72	$333.72	$19.88	$250.29	2.8×	$300.35
Hand X-ray 3 views	CPT	73130	11	$787.32	$787.32	$23.21	$590.49	6.3×	$708.59
MRI upper extremity joint without contrast	CPT	73221	1	—	—	$221.14	$221.14	0.53×	$221.14
MRI upper extremity joint with and without contrast	CPT	73223	1	—	—	$466.9	$466.9	0.76×	$466.9
Knee X-ray 1-2 views	CPT	73560	11	$920.16	$920.16	$21.55	$577.42	6.2×	$828.14
Ankle X-ray 3 views	CPT	73610	11	$775.44	$775.44	$23.49	$581.58	6.3×	$697.9
MRI lower extremity joint without contrast	CPT	73721	1	—	—	$220.64	$220.64	0.47×	$220.64
MRI lower extremity joint with and without contrast	CPT	73723	13	$1,746.94	$1,746.94	$400	$1,310.21	2.1×	$1,572.25
CT abdomen without contrast	CPT	74150	13	$6,739.2	$6,739.2	$113.2	$5,054.4	26.9×	$6,065.28
CT abdomen with contrast	CPT	74160	13	$6,238.08	$6,238.08	$233.21	$4,678.56	16.3×	$5,614.27
CT abdomen with and without contrast	CPT	74170	13	$4,227.12	$4,227.12	$233.04	$3,170.34	9.5×	$3,804.41
CT abdomen and pelvis without contrast	CPT	74176	13	$9,735.12	$9,735.12	$141.98	$7,301.34	20.0×	$8,761.61
CT abdomen and pelvis with contrast	CPT	74177	13	$14,531	$14,531	$300	$10,899	19.9×	$13,078
CT abdomen and pelvis with and without contrast	CPT	74178	13	$14,531	$14,531	$300	$10,899	19.0×	$13,078
MRI abdomen without contrast	CPT	74181	13	$7,324	$7,324	$205.26	$5,493	14.1×	$6,591.6
MRI abdomen with and without contrast	CPT	74183	1	—	—	$382.01	$382.01	0.67×	$382.01
Abdominal ultrasound complete	CPT	76700	11	$2,016.36	$2,016.36	$66.24	$1,512.27	10.1×	$1,814.72
Abdominal ultrasound limited	CPT	76705	11	$1,137.05	$1,137.05	$49.86	$820.69	5.6×	$1,023.35
Retroperitoneal ultrasound complete	CPT	76770	11	$1,664.28	$1,664.28	$61.8	$1,203.18	8.4×	$1,497.85
Obstetric ultrasound first trimester	CPT	76801	1	—	—	$59.02	$59.02	0.42×	$59.02
Obstetric ultrasound after first trimester	CPT	76805	1	—	—	$73.46	$73.46	0.48×	$73.46
Obstetric ultrasound with fetal anatomy	CPT	76811	1	—	—	$68.97	$68.97	0.29×	$68.97
Transvaginal ultrasound	CPT	76830	1	—	—	$72.9	$72.9	0.49×	$72.9
Pelvic ultrasound complete	CPT	76856	11	$1,758.24	$1,758.24	$61.24	$1,318.68	9.2×	$1,582.42
Scrotal ultrasound	CPT	76870	11	$1,058.4	$1,058.4	$59.02	$793.8	6.1×	$952.56
Diagnostic mammography unilateral	CPT	77065	1	—	—	$72.63	$72.63	0.49×	$72.63
Diagnostic mammography bilateral	CPT	77066	1	—	—	$92.61	$92.61	0.49×	$92.61
Screening mammography bilateral	CPT	77067	1	—	—	$76.51	$76.51	0.49×	$76.51
EKG complete	CPT	93000	1	—	—	$12.22	$12.22	0.50×	$12.22
EKG tracing only	CPT	93005	11	$513	$513	$5.12	$384.75	3.3×	$461.7
EKG interpretation only	CPT	93010	1	—	—	$7.1	$7.1	0.39×	$7.1
Transthoracic echocardiogram complete	CPT	93306	11	$3,128.76	$3,128.76	$112.91	$2,346.57	3.9×	$2,815.88
Transthoracic echocardiogram	CPT	93307	11	$2,000.16	$2,000.16	$82.95	$1,500.12	6.1×	$1,800.14
Stress echocardiogram	CPT	93350	11	$2,639.52	$2,639.52	$104.18	$1,979.64	3.9×	$2,375.57
inpatient
Intracranial hemorrhage/CVA w MCC	MS-DRG	064	20	—	—	$57,373	$57,373	2.8×	$86,059
Intracranial hemorrhage/CVA w CC	MS-DRG	065	20	—	—	$30,058	$30,058	2.8×	$45,087
Intracranial hemorrhage/CVA w/o CC/MCC	MS-DRG	066	20	—	—	$21,083	$21,083	2.8×	$31,624
Respiratory infections & inflammations w MCC	MS-DRG	177	20	—	—	$35,752	$35,752	2.3×	$53,628
COPD w MCC	MS-DRG	190	20	—	—	$28,823	$28,823	2.6×	$43,235
COPD w CC	MS-DRG	191	20	—	—	$28,823	$28,823	3.3×	$43,235
COPD w/o CC/MCC	MS-DRG	192	20	—	—	$28,823	$28,823	4.1×	$43,235
Simple pneumonia & pleurisy w CC	MS-DRG	194	20	—	—	$23,526	$23,526	2.8×	$35,289
Simple pneumonia & pleurisy w/o CC/MCC	MS-DRG	195	20	—	—	$21,083	$21,083	3.2×	$31,624
AMI discharged alive w MCC	MS-DRG	280	20	—	—	$36,162	$36,162	2.3×	$54,243
AMI discharged alive w CC	MS-DRG	281	20	—	—	$28,170	$28,170	2.9×	$42,255
AMI discharged alive w/o CC/MCC	MS-DRG	282	20	—	—	$21,083	$21,083	2.7×	$31,624
Heart failure & shock w MCC	MS-DRG	291	20	—	—	$33,939	$33,939	2.7×	$50,909
Heart failure & shock w CC	MS-DRG	292	20	—	—	$24,099	$24,099	2.7×	$36,149
Heart failure & shock w/o CC/MCC	MS-DRG	293	20	—	—	$21,083	$21,083	3.4×	$31,624
Cardiac arrhythmia w MCC	MS-DRG	308	20	—	—	$36,925	$36,925	3.1×	$55,388
Cardiac arrhythmia w CC	MS-DRG	309	20	—	—	$21,083	$21,083	2.7×	$31,624
Cardiac arrhythmia w/o CC/MCC	MS-DRG	310	20	—	—	$21,083	$21,083	3.4×	$31,624
GI hemorrhage w CC	MS-DRG	378	20	—	—	$28,170	$28,170	2.8×	$42,255
GI hemorrhage w/o CC/MCC	MS-DRG	379	20	—	—	$28,170	$28,170	4.1×	$42,255
Esophagitis/gastroenteritis w/o MCC	MS-DRG	392	20	—	—	$27,628	$27,628	3.4×	$41,442
Fractures of femur w/o MCC	MS-DRG	533	20	—	—	$31,994	$31,994	2.1×	$47,991
Kidney/UTI w MCC	MS-DRG	689	20	—	—	$27,866	$27,866	2.4×	$41,799
Kidney/UTI w/o MCC	MS-DRG	690	20	—	—	$20,730	$20,730	2.5×	$31,094
Septicemia or severe sepsis w MV 96+ hrs	MS-DRG	871	20	—	—	$37,441	$37,441	2.0×	$56,162
Septicemia or severe sepsis w/o MV 96+ hrs	MS-DRG	872	20	—	—	$25,087	$25,087	2.4×	$37,631
Initial hospital care, low complexity	CPT	99221	1	—	—	$77.17	$77.17	0.83×	$77.17
Initial hospital care, moderate complexity	CPT	99222	1	—	—	$104.37	$104.37	0.62×	$104.37
Initial hospital care, high complexity	CPT	99223	1	—	—	$153.33	$153.33	0.68×	$153.33
Hospital discharge, <30 min	CPT	99238	1	—	—	$55.66	$55.66	0.65×	$55.66
Hospital discharge, >30 min	CPT	99239	1	—	—	$81.51	$81.51	0.67×	$81.51
lab
Basic metabolic panel (BMP)	CPT	80048	11	$878.62	$878.62	$5.58	$658.97	20.3×	$790.76
General health panel	CPT	80050	1	—	—	$25.96	$25.96	0.24×	$25.96
Electrolyte panel	CPT	80051	11	$574.64	$574.64	$4.63	$430.98	18.1×	$517.18
Comprehensive metabolic panel	CPT	80053	11	$1,449.63	$1,449.63	$6.97	$1,087.22	24.5×	$1,304.67
Lipid panel	CPT	80061	11	$1,018.56	$1,018.56	$8.84	$763.92	20.0×	$916.7
Renal function panel	CPT	80069	11	$1,445.66	$1,445.66	$5.73	$1,084.25	39.7×	$1,301.09
Hepatic function panel	CPT	80076	11	$1,010.79	$1,010.79	$5.39	$758.09	28.5×	$909.71
Urinalysis non-automated	CPT	81002	1	—	—	$2.3	$2.3	0.33×	$2.3
Urinalysis automated	CPT	81003	11	$82.75	$82.75	$1.49	$62.06	4.5×	$74.48
Glucose quantitative	CPT	82947	11	$157.9	$157.9	$2.59	$118.43	6.7×	$142.11
Hemoglobin A1c	CPT	83036	11	$212.25	$212.25	$6.41	$87.39	3.2×	$191.03
Thyroid stimulating hormone (TSH)	CPT	84443	11	$473.69	$473.69	$11.09	$355.27	7.5×	$426.32
Complete blood count with automated differential	CPT	85025	11	$359.7	$359.7	$5.13	$269.78	10.2×	$323.73
Complete blood count without differential	CPT	85027	11	$216.22	$216.22	$4.27	$162.17	7.5×	$194.6
Urine culture bacterial	CPT	87086	11	$159.19	$159.19	$5.33	$119.39	5.1×	$143.27
Urine culture identification	CPT	87088	1	—	—	$5.34	$5.34	0.24×	$5.34
Tissue exam by pathologist level IV	CPT	88305	11	$629.64	$629.64	$21.73	$472.23	4.6×	$566.68
maternity
Fetal non-stress test	CPT	59025	1	—	—	$15.8	$15.8	0.08×	$15.8
Routine obstetric care including vaginal delivery	CPT	59400	1	—	—	$1,800	$1,800	0.78×	$1,800
Vaginal delivery only	CPT	59409	1	—	—	$629.75	$629.75	0.28×	$629.75
Vaginal delivery with postpartum	CPT	59410	1	—	—	$833.86	$833.86	0.79×	$833.86
Routine obstetric care with C-section	CPT	59510	1	—	—	$1,800	$1,800	0.72×	$1,800
C-section delivery only	CPT	59514	1	—	—	$708.75	$708.75	0.74×	$708.75
C-section with postpartum	CPT	59515	1	—	—	$1,021.72	$1,021.72	0.81×	$1,021.72
office
Office visit, new patient, 15-29 min	CPT	99202	1	—	—	$38.04	$38.04	0.44×	$38.04
Office visit, new patient, 30-44 minutes	CPT	99203	1	—	—	$64.76	$64.76	0.53×	$64.76
Office visit, new patient, 45-59 min	CPT	99204	1	—	—	$105.21	$105.21	0.60×	$105.21
Office visit, new patient, 60-74 min	CPT	99205	1	—	—	$142.79	$142.79	0.65×	$142.79
Office visit, established patient, 5 min	CPT	99211	1	—	—	$7	$7	0.11×	$7
Office visit, established patient, 10-19 min	CPT	99212	1	—	—	$28.18	$28.18	0.35×	$28.18
Office visit, established patient, 20-29 minutes	CPT	99213	1	—	—	$52.15	$52.15	0.46×	$52.15
Office visit, established patient, 30-39 minutes	CPT	99214	1	—	—	$76.78	$76.78	0.50×	$76.78
Office visit, established patient, 40-54 min	CPT	99215	1	—	—	$113.7	$113.7	0.60×	$113.7
preventive
Upper GI endoscopy diagnostic	CPT	43235	11	$2,273.4	$2,273.4	$117.5	$1,705.05	1.9×	$2,046.06
Upper GI endoscopy with biopsy	CPT	43239	11	$2,273.4	$2,273.4	$132.44	$1,705.05	1.8×	$2,046.06
Sigmoidoscopy diagnostic	CPT	45330	11	$1,364.04	$1,364.04	$53.56	$1,023.03	1.2×	$1,227.64
Sigmoidoscopy with biopsy	CPT	45331	11	$1,364.04	$1,364.04	$68.61	$1,023.03	1.1×	$1,227.64
Colonoscopy diagnostic	CPT	45378	11	$2,364.12	$2,364.12	$176.62	$1,773.09	2.0×	$2,127.71
Colonoscopy with biopsy	CPT	45380	11	$2,364.12	$2,364.12	$192.01	$1,773.09	1.5×	$2,127.71
Colonoscopy with polyp removal	CPT	45385	11	$2,364.12	$2,364.12	$243.93	$1,773.09	1.5×	$2,127.71
surgery
Total shoulder arthroplasty	CPT	23472	1	—	—	$1,351.78	$1,351.78	0.33×	$1,351.78
Hip hemiarthroplasty	CPT	27125	1	—	—	$1,057.88	$1,057.88	0.85×	$1,057.88
Total hip replacement	CPT	27130	1	—	—	$1,198.49	$1,198.49	0.28×	$1,198.49
Total knee replacement	CPT	27447	1	—	—	$1,197.33	$1,197.33	0.29×	$1,197.33
Knee revision arthroplasty single component	CPT	27486	1	—	—	$1,310.41	$1,310.41	0.78×	$1,310.41
Knee revision arthroplasty all components	CPT	27487	1	—	—	$1,633.89	$1,633.89	0.82×	$1,633.89
Shoulder arthroscopy with decompression	CPT	29826	1	—	—	$160.55	$160.55	0.49×	$160.55
Shoulder arthroscopy with rotator cuff repair	CPT	29827	1	—	—	$1,001.98	$1,001.98	0.30×	$1,001.98
Knee arthroscopy with meniscectomy	CPT	29881	1	—	—	$509.83	$509.83	0.25×	$509.83
ACL reconstruction	CPT	29888	1	—	—	$916.08	$916.08	0.27×	$916.08
Major small/large bowel procedures w MCC	MS-DRG	329	20	—	—	$55,675	$55,675	1.3×	$83,512
Major small/large bowel procedures w CC	MS-DRG	330	20	—	—	$28,170	$28,170	1.2×	$42,255
Major small/large bowel procedures w/o CC/MCC	MS-DRG	331	20	—	—	$28,170	$28,170	1.7×	$42,255
CABG single arterial graft	CPT	33533	1	—	—	$2,013.46	$2,013.46	1.1×	$2,013.46
CABG 2 arterial grafts	CPT	33534	1	—	—	$2,363.07	$2,363.07	1.1×	$2,363.07
CABG 3 arterial grafts	CPT	33535	1	—	—	$2,630.65	$2,630.65	1.2×	$2,630.65
CABG 4+ arterial grafts	CPT	33536	1	—	—	$2,833.82	$2,833.82	1.2×	$2,833.82
Laparoscopic cholecystectomy w/o CDE w MCC	MS-DRG	418	20	—	—	$31,994	$31,994	1.9×	$47,991
Laparoscopic cholecystectomy w/o CDE w CC	MS-DRG	419	20	—	—	$31,994	$31,994	2.4×	$47,991
Laparoscopic cholecystectomy w/o CDE w/o CC/MCC	MS-DRG	420	20	—	—	$31,716	$31,716	0.98×	$47,575
Open appendectomy	CPT	44950	1	—	—	$611.22	$611.22	0.54×	$611.22
Laparoscopic appendectomy	CPT	44970	1	—	—	$574.47	$574.47	0.37×	$574.47
Major joint replacement w MCC	MS-DRG	469	20	—	—	$55,675	$55,675	1.9×	$83,512
Major joint replacement w/o MCC	MS-DRG	470	20	—	—	$30,058	$30,058	1.6×	$45,087
Laparoscopic cholecystectomy	CPT	47562	1	—	—	$629.48	$629.48	0.35×	$629.48
Lap cholecystectomy with cholangiography	CPT	47563	1	—	—	$684.9	$684.9	0.36×	$684.9
Hip & femur procedures except major joint w MCC	MS-DRG	480	20	—	—	$30,058	$30,058	1.1×	$45,087
Hip & femur procedures except major joint w CC	MS-DRG	481	20	—	—	$30,058	$30,058	1.5×	$45,087
Hip & femur procedures except major joint w/o CC/MCC	MS-DRG	482	20	—	—	$30,058	$30,058	1.9×	$45,087
Lap inguinal hernia repair	CPT	49650	1	—	—	$413.55	$413.55	0.37×	$413.55
Total abdominal hysterectomy	CPT	58150	1	—	—	$1,013.33	$1,013.33	1.0×	$1,013.33
Vaginal hysterectomy	CPT	58260	1	—	—	$843.42	$843.42	0.46×	$843.42
Lap-assisted vaginal hysterectomy	CPT	58550	1	—	—	$884.1	$884.1	0.60×	$884.1
Lap-assisted vaginal hysterectomy >250g	CPT	58552	1	—	—	$982.22	$982.22	0.44×	$982.22
Lap salpingo-oophorectomy	CPT	58661	1	—	—	$653.31	$653.31	0.32×	$653.31
OR procedure for obesity w MCC	MS-DRG	619	20	—	—	$57,673	$57,673	2.1×	$86,509
OR procedure for obesity w CC	MS-DRG	620	20	—	—	$41,843	$41,843	2.6×	$62,765
OR procedure for obesity w/o CC/MCC	MS-DRG	621	20	—	—	$30,058	$30,058	2.0×	$45,087
Complex cataract surgery	CPT	66982	1	—	—	$747.36	$747.36	0.34×	$747.36
Cataract surgery with lens implant	CPT	66984	1	—	—	$545.42	$545.42	0.25×	$545.42
Intravitreal injection	CPT	67028	1	—	—	$91.95	$91.95	0.27×	$91.95
Vitrectomy mechanical	CPT	67042	1	—	—	$1,144.89	$1,144.89	0.45×	$1,144.89
Uterine & adnexa procedures w CC/MCC	MS-DRG	743	20	—	—	$55,675	$55,675	4.5×	$83,512
Uterine & adnexa procedures w/o CC/MCC	MS-DRG	744	20	—	—	$55,675	$55,675	2.9×	$83,512
PCI single major coronary artery	CPT	92920	1	—	—	$474.72	$474.72	0.08×	$474.72
PCI with drug-eluting stent	CPT	92928	1	—	—	$528.13	$528.13	0.05×	$528.13
PCI bypass graft	CPT	92937	1	—	—	$527.49	$527.49	0.05×	$527.49
Left heart catheterization	CPT	93452	1	—	—	$611.16	$611.16	0.20×	$611.16
Coronary angiography with cath	CPT	93455	1	—	—	$668.75	$668.75	0.21×	$668.75
Coronary angiography with bypass cath	CPT	93458	1	—	—	$682.89	$682.89	0.22×	$682.89

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 30)

Payer	Codes covered	Median rate
Aetna	154	$139.67
prime health services	111	$27,407
velocity provider ppo network	111	$4,597.56
First Health	71	$21,504
america's choice	69	$1,226.82
evolutions healthcare system	69	$1,402.07
medincrease	69	$1,577.34
Multiplan	69	$1,402.07
usa mco	69	$1,314.45
provider network of america	69	$1,314.45
quik trip	69	$1,314.45
fortified provider network	69	$1,489.7
scan health plan	42	$30,058
texas independence health plan	42	$31,561
UnitedHealthcare	42	$30,058
WellCare	42	$30,058
wellmed	42	$30,058
wellpoint	42	$30,058
Ambetter	42	$30,058
amerigroup	42	$30,058
baylor scott and white health plan	42	$30,058
Blue Cross Blue Shield	42	$30,058
christus health plan	42	$30,058
Cigna	42	$30,058
ilumed aco reach	42	$30,058
integranet health	42	$30,058
ninety degree benefits	42	$45,087
provider partners health plan	42	$31,561
sana benefits	42	$45,087
oscar	29	$300

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