▸ Hospital · TX · CCN 454000
BIG SPRING STATE HOSPITAL
1901 NORTH US HIGHWAY 87, BIG SPRINGS, TX, 79721-0231
144 bedsPsychiatric10
Compliance grade
A
100/100
Procedures tracked
203
of 209 target codes
Payers
22
with negotiated rates
Rates published
39,997
last crawl 2026-05-24
Procedures & rates
| Procedure | Type | Code | Payers | Gross | Cash | Neg min | Neg median | Neg max |
|---|---|---|---|---|---|---|---|---|
| behavioral | ||||||||
| Psychoses | MS-DRG | 885 | 14 | — | — | $7,463.83 | $14,472 | $27,102 |
| Psychiatric diagnostic evaluation | CPT | 90791 | 21 | $455 | $227.5 | $63.25 | $325.98 | $404.95 |
| Psychiatric eval with medical services | CPT | 90792 | 21 | $455 | $227.5 | $63.25 | $325.98 | $404.95 |
| Psychotherapy 30 minutes | CPT | 90832 | 12 | — | — | $150.87 | $245.91 | $377.16 |
| Psychotherapy 45 minutes | CPT | 90834 | 12 | — | — | $150.87 | $245.91 | $377.16 |
| Psychotherapy 60 minutes | CPT | 90837 | 12 | — | — | $150.87 | $245.91 | $377.16 |
| Crisis psychotherapy 60 minutes | CPT | 90839 | 12 | — | — | $150.87 | $245.91 | $377.16 |
| emergency | ||||||||
| ED visit level 1 | CPT | 99281 | 21 | $502 | $251 | $43.51 | $234.75 | $446.78 |
| ED visit level 2 | CPT | 99282 | 21 | $980 | $490 | $136.22 | $598.85 | $872.2 |
| ED visit level 3 | CPT | 99283 | 21 | $1,550 | $775 | $215.45 | $1,023 | $1,379.5 |
| ED visit level 4 | CPT | 99284 | 21 | $2,468 | $1,234 | $343.05 | $1,628.88 | $2,196.52 |
| ED visit level 5 | CPT | 99285 | 21 | $4,579 | $2,289.5 | $230.32 | $1,325.6 | $4,075.31 |
| Critical care, first hour | CPT | 99291 | 21 | $1,571 | $785.5 | $218.37 | $1,201.82 | $3,119.97 |
| imaging | ||||||||
| CT head without contrast | CPT | 70450 | 22 | $3,931 | $1,965.5 | $99.85 | $505.77 | $3,498.59 |
| CT head with contrast | CPT | 70460 | 22 | $4,260 | $2,130 | $161.03 | $756.21 | $3,791.4 |
| CT head with and without contrast | CPT | 70470 | 22 | $5,493 | $2,746.5 | $167.16 | $759.87 | $4,888.77 |
| CT neck with contrast | CPT | 70491 | 22 | $5,524 | $2,762 | $167.16 | $762.03 | $4,916.36 |
| MRI brain without contrast | CPT | 70551 | 22 | $5,564 | $2,782 | $214.36 | $1,735.46 | $4,951.96 |
| MRI brain with contrast | CPT | 70552 | 22 | $6,816 | $3,408 | $296.81 | $2,325.94 | $6,066.24 |
| MRI brain with and without contrast | CPT | 70553 | 22 | $9,597 | $4,798.5 | $335.34 | $3,112.5 | $8,541.33 |
| Chest X-ray single view | CPT | 71045 | 22 | $597 | $298.5 | $27.36 | $256.19 | $531.33 |
| Chest X-ray 2 views | CPT | 71046 | 22 | $740 | $370 | $35.44 | $256.19 | $658.6 |
| Chest X-ray 3 views | CPT | 71047 | 22 | $770 | $385 | $44.56 | $256.19 | $685.3 |
| CT chest without contrast | CPT | 71250 | 22 | $5,129 | $2,564.5 | $99.85 | $1,510.49 | $4,564.81 |
| CT chest with contrast | CPT | 71260 | 22 | $5,492 | $2,746 | $167.16 | $1,617.4 | $4,887.88 |
| CT chest with and without contrast | CPT | 71270 | 22 | $6,860 | $3,430 | $167.16 | $2,020.27 | $6,105.4 |
| MRI chest without contrast | CPT | 71550 | 22 | $3,797 | $1,898.5 | $226.97 | $1,337.89 | $3,379.33 |
| MRI chest with contrast | CPT | 71551 | 22 | $8,547 | $4,273.5 | $412.23 | $3,335.78 | $7,606.83 |
| MRI chest with and without contrast | CPT | 71552 | 22 | $8,014 | $4,007 | $335.34 | $3,693.6 | $7,132.46 |
| Lumbosacral spine X-ray | CPT | 72100 | 22 | $963 | $481.5 | $42.11 | $359.78 | $857.07 |
| CT cervical spine without contrast | CPT | 72125 | 22 | $5,229 | $2,614.5 | $99.85 | $1,539.94 | $4,653.81 |
| CT thoracic spine without contrast | CPT | 72128 | 22 | $4,661 | $2,330.5 | $99.85 | $1,372.67 | $4,148.29 |
| CT lumbar spine without contrast | CPT | 72131 | 22 | $5,929 | $2,964.5 | $99.85 | $1,746.09 | $5,276.81 |
| MRI cervical spine without contrast | CPT | 72141 | 22 | $5,467 | $2,733.5 | $208.4 | $1,713.64 | $4,865.63 |
| MRI thoracic spine without contrast | CPT | 72146 | 22 | $5,662 | $2,831 | $208.4 | $2,738.88 | $5,039.18 |
| MRI lumbar spine without contrast | CPT | 72148 | 22 | $6,371 | $3,185.5 | $209.1 | $2,942.64 | $5,670.19 |
| MRI lumbar spine with and without contrast | CPT | 72149 | 22 | $7,603 | $3,801.5 | $296.81 | $2,503.02 | $6,766.67 |
| MRI cervical spine with and without contrast | CPT | 72156 | 22 | $7,555 | $3,777.5 | $335.34 | $2,492.22 | $6,723.95 |
| MRI lumbar spine with contrast | CPT | 72158 | 22 | $8,979 | $4,489.5 | $335.34 | $2,812.62 | $7,991.31 |
| CT pelvis without contrast | CPT | 72192 | 22 | $4,358 | $2,179 | $99.85 | $1,283.43 | $3,878.62 |
| CT pelvis with contrast | CPT | 72193 | 22 | $4,668 | $2,334 | $167.16 | $1,428.41 | $4,154.52 |
| Shoulder X-ray | CPT | 73030 | 22 | $854 | $427 | $36.49 | $384.3 | $760.06 |
| Humerus X-ray | CPT | 73060 | 22 | $784 | $392 | $34.03 | $494.34 | $697.76 |
| Hand X-ray 3 views | CPT | 73130 | 22 | $662 | $331 | $38.94 | $431.64 | $589.18 |
| MRI upper extremity joint without contrast | CPT | 73221 | 22 | $5,573 | $2,786.5 | $221.74 | $3,678.18 | $4,959.97 |
| MRI upper extremity joint with and without contrast | CPT | 73223 | 22 | $8,177 | $4,088.5 | $335.34 | $4,624.62 | $7,277.53 |
| Knee X-ray 1-2 views | CPT | 73560 | 22 | $699 | $349.5 | $36.13 | $460.68 | $622.11 |
| Ankle X-ray 3 views | CPT | 73610 | 22 | $784 | $392 | $38.94 | $516.78 | $697.76 |
| MRI lower extremity joint without contrast | CPT | 73721 | 22 | $5,951 | $2,975.5 | $221.38 | $3,927.66 | $5,296.39 |
| MRI lower extremity joint with and without contrast | CPT | 73723 | 22 | $8,731 | $4,365.5 | $335.34 | $5,762.46 | $7,770.59 |
| CT abdomen without contrast | CPT | 74150 | 22 | $4,704 | $2,352 | $99.85 | $1,385.33 | $4,186.56 |
| CT abdomen with contrast | CPT | 74160 | 22 | $5,063 | $2,531.5 | $167.16 | $1,517.28 | $4,506.07 |
| CT abdomen with and without contrast | CPT | 74170 | 22 | $6,279 | $3,139.5 | $167.16 | $1,849.17 | $5,588.31 |
| CT abdomen and pelvis without contrast | CPT | 74176 | 22 | $5,253 | $2,626.5 | $199.28 | $1,665.49 | $4,675.17 |
| CT abdomen and pelvis with contrast | CPT | 74177 | 22 | $5,657 | $2,828.5 | $333.99 | $2,065.17 | $5,034.73 |
| CT abdomen and pelvis with and without contrast | CPT | 74178 | 22 | $6,309 | $3,154.5 | $335.34 | $2,211.87 | $5,615.01 |
| MRI abdomen without contrast | CPT | 74181 | 22 | $8,391 | $4,195.5 | $215.07 | $3,681.75 | $7,467.99 |
| MRI abdomen with and without contrast | CPT | 74183 | 22 | $8,811 | $4,405.5 | $335.34 | $2,774.82 | $7,841.79 |
| Abdominal ultrasound complete | CPT | 76700 | 22 | $1,985 | $992.5 | $99.85 | $626.52 | $1,766.65 |
| Abdominal ultrasound limited | CPT | 76705 | 22 | $1,604 | $802 | $92.98 | $540.79 | $1,427.56 |
| Retroperitoneal ultrasound complete | CPT | 76770 | 22 | $1,810 | $905 | $99.85 | $587.14 | $1,610.9 |
| Obstetric ultrasound first trimester | CPT | 76801 | 22 | $1,094 | $547 | $99.85 | $370.97 | $973.66 |
| Obstetric ultrasound after first trimester | CPT | 76805 | 22 | $2,655 | $1,327.5 | $99.85 | $781.9 | $2,362.95 |
| Obstetric ultrasound with fetal anatomy | CPT | 76811 | 22 | $2,601 | $1,300.5 | $184.89 | $868.94 | $2,314.89 |
| Transvaginal ultrasound | CPT | 76830 | 22 | $1,385 | $692.5 | $99.85 | $453.35 | $1,232.65 |
| Pelvic ultrasound complete | CPT | 76856 | 22 | $1,572 | $786 | $99.85 | $533.59 | $1,399.08 |
| Scrotal ultrasound | CPT | 76870 | 22 | $1,420 | $710 | $99.85 | $499.39 | $1,263.8 |
| Diagnostic mammography unilateral | CPT | 77065 | 21 | $769 | $384.5 | $80.39 | $346.05 | $684.41 |
| Diagnostic mammography bilateral | CPT | 77066 | 21 | $946 | $473 | $102.39 | $425.7 | $841.94 |
| Screening mammography bilateral | CPT | 77067 | 21 | $754 | $377 | $84.67 | $339.3 | $671.06 |
| EKG complete | CPT | 93000 | 1 | — | — | $55.53 | $58.13 | $58.13 |
| EKG tracing only | CPT | 93005 | 21 | $733 | $366.5 | $55.78 | $329.85 | $652.37 |
| EKG interpretation only | CPT | 93010 | 1 | — | — | $28.89 | $30.36 | $30.36 |
| Transthoracic echocardiogram complete | CPT | 93306 | 21 | $4,920 | $2,460 | $452.6 | $2,214 | $4,378.8 |
| Transthoracic echocardiogram | CPT | 93307 | 22 | $1,966 | $983 | $147.71 | $726.07 | $1,749.74 |
| Stress echocardiogram | CPT | 93350 | 22 | $3,270 | $1,635 | $197.87 | $1,379.31 | $2,910.3 |
| inpatient | ||||||||
| Intracranial hemorrhage/CVA w MCC | MS-DRG | 064 | 15 | — | — | $10,533 | $21,273 | $37,096 |
| Intracranial hemorrhage/CVA w CC | MS-DRG | 065 | 15 | — | — | $5,384.49 | $10,978 | $20,330 |
| Intracranial hemorrhage/CVA w/o CC/MCC | MS-DRG | 066 | 15 | — | — | $3,644.55 | $7,918.49 | $14,664 |
| Respiratory infections & inflammations w MCC | MS-DRG | 177 | 15 | — | — | $8,559.37 | $17,287 | $30,669 |
| COPD w MCC | MS-DRG | 190 | 15 | — | — | $5,946.29 | $12,009 | $22,160 |
| COPD w CC | MS-DRG | 191 | 15 | — | — | $4,548.93 | $9,508.87 | $17,609 |
| COPD w/o CC/MCC | MS-DRG | 192 | 15 | — | — | $3,426.92 | $7,535.77 | $13,955 |
| Simple pneumonia & pleurisy w CC | MS-DRG | 194 | 15 | — | — | $4,341.9 | $9,144.79 | $16,935 |
| Simple pneumonia & pleurisy w/o CC/MCC | MS-DRG | 195 | 15 | — | — | $3,297.2 | $7,307.66 | $13,533 |
| AMI discharged alive w MCC | MS-DRG | 280 | 15 | — | — | $8,691.21 | $17,553 | $31,099 |
| AMI discharged alive w CC | MS-DRG | 281 | 15 | — | — | $4,880.93 | $10,093 | $18,690 |
| AMI discharged alive w/o CC/MCC | MS-DRG | 282 | 15 | — | — | $3,839.4 | $8,261.14 | $15,298 |
| Heart failure & shock w MCC | MS-DRG | 291 | 15 | — | — | $6,908.92 | $13,954 | $25,294 |
| Heart failure & shock w CC | MS-DRG | 292 | 15 | — | — | $4,560.05 | $9,528.44 | $17,645 |
| Heart failure & shock w/o CC/MCC | MS-DRG | 293 | 15 | — | — | $2,905.37 | $6,618.56 | $12,257 |
| Cardiac arrhythmia w MCC | MS-DRG | 308 | 15 | — | — | $6,385.24 | $12,896 | $23,589 |
| Cardiac arrhythmia w CC | MS-DRG | 309 | 15 | — | — | $3,914.59 | $8,393.38 | $15,543 |
| Cardiac arrhythmia w/o CC/MCC | MS-DRG | 310 | 15 | — | — | $2,962.55 | $6,569.84 | $12,443 |
| GI hemorrhage w CC | MS-DRG | 378 | 15 | — | — | $5,220.34 | $10,690 | $19,795 |
| GI hemorrhage w/o CC/MCC | MS-DRG | 379 | 15 | — | — | $3,371.33 | $7,383.99 | $13,774 |
| Esophagitis/gastroenteritis w/o MCC | MS-DRG | 392 | 15 | — | — | $4,131.69 | $8,775.09 | $16,250 |
| Fractures of femur w/o MCC | MS-DRG | 533 | 15 | — | — | $8,074.35 | $16,307 | $29,090 |
| Kidney/UTI w MCC | MS-DRG | 689 | 15 | — | — | $6,196.74 | $12,515 | $22,975 |
| Kidney/UTI w/o MCC | MS-DRG | 690 | 15 | — | — | $4,249.77 | $8,982.75 | $16,635 |
| Septicemia or severe sepsis w MV 96+ hrs | MS-DRG | 871 | 15 | — | — | $10,389 | $20,983 | $36,628 |
| Septicemia or severe sepsis w/o MV 96+ hrs | MS-DRG | 872 | 15 | — | — | $5,459.15 | $11,110 | $20,573 |
| Initial hospital care, low complexity | CPT | 99221 | 1 | — | — | $344.25 | $361.78 | $361.78 |
| Initial hospital care, moderate complexity | CPT | 99222 | 1 | — | — | $464.63 | $488.28 | $488.28 |
| Initial hospital care, high complexity | CPT | 99223 | 1 | — | — | $686.1 | $721.02 | $721.02 |
| Hospital discharge, <30 min | CPT | 99238 | 1 | — | — | $247.96 | $260.58 | $260.58 |
| Hospital discharge, >30 min | CPT | 99239 | 1 | — | — | $363.53 | $382.03 | $382.03 |
| lab | ||||||||
| Basic metabolic panel (BMP) | CPT | 80048 | 22 | $360 | $180 | $8.46 | $39.24 | $320.4 |
| General health panel | CPT | 80050 | 11 | $1,865 | $932.5 | $113.38 | $1,342.8 | $1,659.85 |
| Electrolyte panel | CPT | 80051 | 22 | $428 | $214 | $7.01 | $41.52 | $380.92 |
| Comprehensive metabolic panel | CPT | 80053 | 22 | $966 | $483 | $10.56 | $84.88 | $859.74 |
| Lipid panel | CPT | 80061 | 22 | $503 | $251.5 | $13.39 | $57.46 | $447.67 |
| Renal function panel | CPT | 80069 | 22 | $273 | $136.5 | $8.68 | $33.56 | $242.97 |
| Hepatic function panel | CPT | 80076 | 22 | $532 | $266 | $8.17 | $50.7 | $473.48 |
| Urinalysis non-automated | CPT | 81002 | 22 | $152 | $76 | $3.48 | $16.41 | $135.28 |
| Urinalysis automated | CPT | 81003 | 22 | $152 | $76 | $2.25 | $14.35 | $135.28 |
| Glucose quantitative | CPT | 82947 | 22 | $222 | $111 | $3.93 | $22.03 | $197.58 |
| Hemoglobin A1c | CPT | 83036 | 22 | $274 | $137 | $9.71 | $35.36 | $243.86 |
| Thyroid stimulating hormone (TSH) | CPT | 84443 | 22 | $588 | $294 | $16.8 | $69.09 | $523.32 |
| Complete blood count with automated differential | CPT | 85025 | 22 | $318 | $159 | $7.77 | $35.16 | $283.02 |
| Complete blood count without differential | CPT | 85027 | 22 | $266 | $133 | $6.47 | $29.36 | $236.74 |
| Urine culture bacterial | CPT | 87086 | 22 | $303 | $151.5 | $8.07 | $34.62 | $269.67 |
| Urine culture identification | CPT | 87088 | 22 | $102 | $51 | $8.09 | $27.18 | $90.78 |
| Tissue exam by pathologist level IV | CPT | 88305 | 21 | $845 | $422.5 | $50.17 | $273.24 | $752.05 |
| maternity | ||||||||
| Fetal non-stress test | CPT | 59025 | 22 | $573 | $286.5 | $16.57 | $378.18 | $509.97 |
| Routine obstetric care including vaginal delivery | CPT | 59400 | 1 | — | — | $5,901.95 | $6,206.84 | $6,206.84 |
| Vaginal delivery only | CPT | 59409 | 21 | $8,443 | $4,221.5 | $1,173.58 | $6,205.61 | $7,514.27 |
| Vaginal delivery with postpartum | CPT | 59410 | 1 | — | — | $2,924.12 | $3,075.18 | $3,075.18 |
| Routine obstetric care with C-section | CPT | 59510 | 1 | — | — | $6,543.62 | $6,881.67 | $6,881.67 |
| C-section delivery only | CPT | 59514 | 1 | — | — | $2,571.55 | $2,704.39 | $2,704.39 |
| C-section with postpartum | CPT | 59515 | 1 | — | — | $3,555.03 | $3,738.69 | $3,738.69 |
| office | ||||||||
| Office visit, new patient, 15-29 min | CPT | 99202 | 11 | $664 | $332 | $92.3 | $478.08 | $590.96 |
| Office visit, new patient, 30-44 minutes | CPT | 99203 | 11 | $810 | $405 | $112.59 | $583.2 | $720.9 |
| Office visit, new patient, 45-59 min | CPT | 99204 | 11 | $882 | $441 | $122.6 | $635.04 | $784.98 |
| Office visit, new patient, 60-74 min | CPT | 99205 | 11 | $1,098 | $549 | $18.21 | $329.4 | $977.22 |
| Office visit, established patient, 5 min | CPT | 99211 | 11 | $3,795 | $1,897.5 | $18.21 | $198.72 | $3,377.55 |
| Office visit, established patient, 10-19 min | CPT | 99212 | 11 | $299 | $149.5 | $41.56 | $215.28 | $266.11 |
| Office visit, established patient, 20-29 minutes | CPT | 99213 | 11 | $773 | $386.5 | $48.79 | $280.8 | $687.97 |
| Office visit, established patient, 30-39 minutes | CPT | 99214 | 11 | $351 | $175.5 | $48.79 | $263.25 | $312.39 |
| Office visit, established patient, 40-54 min | CPT | 99215 | 11 | $586 | $293 | $81.45 | $421.92 | $521.54 |
| preventive | ||||||||
| Upper GI endoscopy diagnostic | CPT | 43235 | 14 | — | — | $351.7 | $1,434.97 | $2,239.87 |
| Upper GI endoscopy with biopsy | CPT | 43239 | 14 | — | — | $351.7 | $1,434.97 | $2,239.87 |
| Sigmoidoscopy diagnostic | CPT | 45330 | 14 | — | — | $137.2 | $1,155.7 | $2,140.19 |
| Sigmoidoscopy with biopsy | CPT | 45331 | 14 | — | — | $344.93 | $1,395.41 | $2,177.06 |
| Colonoscopy diagnostic | CPT | 45378 | 14 | — | — | $344.93 | $1,395.41 | $2,177.06 |
| Colonoscopy with biopsy | CPT | 45380 | 14 | — | — | $450.72 | $1,804.63 | $2,862.03 |
| Colonoscopy with polyp removal | CPT | 45385 | 14 | — | — | $450.72 | $1,804.63 | $2,862.03 |
| surgery | ||||||||
| Total shoulder arthroplasty | CPT | 23472 | 13 | — | — | $4,095.14 | $27,629 | $43,170 |
| PCI w drug-eluting stent w MCC | MS-DRG | 246 | 1 | — | — | $36,227 | $38,377 | $38,377 |
| PCI w drug-eluting stent w/o MCC | MS-DRG | 247 | 1 | — | — | $23,043 | $24,411 | $24,411 |
| Hip hemiarthroplasty | CPT | 27125 | 1 | — | — | $3,194.66 | $3,359.69 | $3,359.69 |
| Total hip replacement | CPT | 27130 | 13 | — | — | $12,082 | $24,163 | $33,917 |
| Total knee replacement | CPT | 27447 | 13 | — | — | $12,082 | $24,163 | $33,917 |
| Knee revision arthroplasty single component | CPT | 27486 | 1 | — | — | $3,959.39 | $4,163.94 | $4,163.94 |
| Knee revision arthroplasty all components | CPT | 27487 | 1 | — | — | $4,954.58 | $5,210.54 | $5,210.54 |
| Shoulder arthroscopy with rotator cuff repair | CPT | 29827 | 14 | — | — | $2,518.45 | $10,934 | $17,049 |
| Knee arthroscopy with meniscectomy | CPT | 29881 | 14 | — | — | $1,142.68 | $4,966 | $7,801.73 |
| ACL reconstruction | CPT | 29888 | 14 | — | — | $3,465.05 | $10,934 | $17,049 |
| Major small/large bowel procedures w MCC | MS-DRG | 329 | 15 | — | — | $24,314 | $49,106 | $81,975 |
| Major small/large bowel procedures w CC | MS-DRG | 330 | 15 | — | — | $12,516 | $25,277 | $43,553 |
| Major small/large bowel procedures w/o CC/MCC | MS-DRG | 331 | 15 | — | — | $8,742.05 | $17,656 | $31,264 |
| CABG single arterial graft | CPT | 33533 | 1 | — | — | $5,282.74 | $5,555.65 | $5,555.65 |
| CABG 2 arterial grafts | CPT | 33534 | 1 | — | — | $6,213.52 | $6,534.51 | $6,534.51 |
| CABG 3 arterial grafts | CPT | 33535 | 1 | — | — | $6,932.34 | $7,290.47 | $7,290.47 |
| CABG 4+ arterial grafts | CPT | 33536 | 1 | — | — | $7,433.37 | $7,817.38 | $7,817.38 |
| Laparoscopic cholecystectomy w/o CDE w MCC | MS-DRG | 418 | 15 | — | — | $8,781.23 | $17,735 | $31,392 |
| Laparoscopic cholecystectomy w/o CDE w CC | MS-DRG | 419 | 15 | — | — | $6,976.69 | $14,090 | $25,515 |
| Laparoscopic cholecystectomy w/o CDE w/o CC/MCC | MS-DRG | 420 | 15 | — | — | $18,689 | $37,744 | $63,656 |
| Open appendectomy | CPT | 44950 | 13 | — | — | $5,859 | $9,374.4 | $14,648 |
| Laparoscopic appendectomy | CPT | 44970 | 13 | — | — | $5,478.35 | $10,957 | $13,776 |
| Spinal fusion (non-cervical) w MCC | MS-DRG | 459 | 1 | — | — | $78,022 | $82,653 | $82,653 |
| Spinal fusion (non-cervical) w/o MCC | MS-DRG | 460 | 1 | — | — | $45,580 | $48,286 | $48,286 |
| Major joint replacement w MCC | MS-DRG | 469 | 15 | — | — | $17,308 | $34,955 | $59,159 |
| Major joint replacement w/o MCC | MS-DRG | 470 | 15 | — | — | $9,983.72 | $20,164 | $35,308 |
| Laparoscopic cholecystectomy | CPT | 47562 | 14 | — | — | $1,983.29 | $8,929.71 | $13,776 |
| Lap cholecystectomy with cholangiography | CPT | 47563 | 14 | — | — | $1,983.29 | $8,929.71 | $13,776 |
| Hip & femur procedures except major joint w MCC | MS-DRG | 480 | 15 | — | — | $15,573 | $31,451 | $53,508 |
| Hip & femur procedures except major joint w CC | MS-DRG | 481 | 15 | — | — | $10,987 | $22,189 | $38,574 |
| Hip & femur procedures except major joint w/o CC/MCC | MS-DRG | 482 | 15 | — | — | $8,399.99 | $16,965 | $30,150 |
| Open umbilical hernia repair | CPT | 49560 | 1 | — | — | $8,426.31 | $8,861.62 | $8,861.62 |
| Umbilical hernia repair age 5+ | CPT | 49585 | 1 | — | — | $8,426.31 | $8,861.62 | $8,861.62 |
| Lap inguinal hernia repair | CPT | 49650 | 14 | — | — | $1,983.29 | $8,929.71 | $13,776 |
| Lap incisional hernia repair | CPT | 49652 | 1 | — | — | $13,099 | $13,776 | $13,776 |
| Total abdominal hysterectomy | CPT | 58150 | 1 | — | — | $2,842.09 | $2,988.91 | $2,988.91 |
| Vaginal hysterectomy | CPT | 58260 | 14 | — | — | $1,603.34 | $7,555.42 | $12,174 |
| Lap-assisted vaginal hysterectomy | CPT | 58550 | 14 | — | — | $1,983.29 | $8,929.71 | $13,776 |
| Lap-assisted vaginal hysterectomy >250g | CPT | 58552 | 14 | — | — | $3,265.51 | $15,935 | $24,440 |
| Lap salpingo-oophorectomy | CPT | 58661 | 14 | — | — | $1,983.29 | $8,929.71 | $13,776 |
| OR procedure for obesity w MCC | MS-DRG | 619 | 15 | — | — | $14,437 | $29,157 | $49,809 |
| OR procedure for obesity w CC | MS-DRG | 620 | 15 | — | — | $8,456.12 | $17,078 | $30,333 |
| OR procedure for obesity w/o CC/MCC | MS-DRG | 621 | 15 | — | — | $7,740.23 | $15,632 | $28,002 |
| Complex cataract surgery | CPT | 66982 | 14 | — | — | $892.44 | $3,490.74 | $5,762.3 |
| Cataract surgery with lens implant | CPT | 66984 | 14 | — | — | $892.44 | $3,490.74 | $5,762.3 |
| Intravitreal injection | CPT | 67028 | 14 | — | — | $50.87 | $420.46 | $778.63 |
| Vitrectomy mechanical | CPT | 67042 | 14 | — | — | $1,610.16 | $6,157.14 | $10,882 |
| Uterine & adnexa procedures w CC/MCC | MS-DRG | 743 | 15 | — | — | $6,347.12 | $12,819 | $23,465 |
| Uterine & adnexa procedures w/o CC/MCC | MS-DRG | 744 | 15 | — | — | $10,346 | $20,792 | $36,489 |
| PCI single major coronary artery | CPT | 92920 | 21 | $21,501 | $10,751 | $2,988.64 | $14,191 | $19,136 |
| PCI with drug-eluting stent | CPT | 92928 | 21 | $31,417 | $15,709 | $4,366.96 | $22,757 | $30,122 |
| PCI bypass graft | CPT | 92937 | 21 | $29,920 | $14,960 | $4,158.88 | $21,991 | $30,122 |
| Left heart catheterization | CPT | 93452 | 21 | $10,451 | $5,225.5 | $1,452.69 | $7,211.19 | $9,301.39 |
| Coronary angiography with cath | CPT | 93455 | 21 | $15,426 | $7,713 | $2,144.21 | $8,663.85 | $13,729 |
| Coronary angiography with bypass cath | CPT | 93458 | 21 | $18,690 | $9,345 | $2,597.91 | $8,663.85 | $16,634 |
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 |