Does Children's Medical Center Dallas publish its standard charges and chargemaster?

Yes. Children's Medical Center Dallas publishes a machine-readable file with 56,032 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 Children's Medical Center Dallas charge for procedures?

Children's Medical Center Dallas 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 · · CCN 459814

Children's Medical Center Dallas

Compliance grade

100/100

Rates published

56,032

last crawl 2026-05-24

Procedures tracked

197

of 209 target codes

Payers

with negotiated rates

Procedures tracked

...

Payers

...

▸ Compare with other 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/10174/750800628-1194743013_childrens-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	4	—	—	$2,142.99	$2,142.99	0.17×	$2,142.99
Psychiatric diagnostic evaluation	CPT	90791	31	$626	$469.5	$131.46	$438.2	2.5×	$607.22
Psychiatric eval with medical services	CPT	90792	4	—	—	$170.14	$170.14	0.98×	$170.14
Psychotherapy 30 minutes	CPT	90832	31	$471	$353.25	$71.89	$329.7	2.2×	$456.87
Psychotherapy 45 minutes	CPT	90834	31	$735	$551.25	$94.86	$459	2.9×	$712.95
Psychotherapy 60 minutes	CPT	90837	31	$920	$690	$140.51	$599.25	3.2×	$892.4
Crisis psychotherapy 60 minutes	CPT	90839	29	$458	$343.5	$96.18	$320.6	2.0×	$444.26
emergency
ED visit level 1	CPT	99281	31	$431	$323.25	$9.93	$301.7	2.2×	$418.07
ED visit level 2	CPT	99282	31	$911	$683.25	$36.56	$637.7	2.7×	$883.67
ED visit level 3	CPT	99283	31	$1,635	$1,226.25	$61.84	$1,144.5	2.8×	$1,585.95
ED visit level 4	CPT	99284	31	$2,618	$1,963.5	$105.51	$1,832.6	2.7×	$2,539.46
ED visit level 5	CPT	99285	31	$3,908	$2,931	$153.05	$2,735.6	2.6×	$3,790.76
Critical care, first hour	CPT	99291	31	$5,605	$4,203.75	$235.36	$3,923.5	3.7×	$5,436.85
imaging
CT head without contrast	CPT	70450	31	$3,977	$2,982.75	$90.39	$2,783.9	13.4×	$3,857.69
CT head with contrast	CPT	70460	31	$4,060	$3,045	$125.54	$2,842	12.1×	$3,938.2
CT head with and without contrast	CPT	70470	31	$4,237	$3,177.75	$146.48	$2,965.9	11.1×	$4,109.89
CT neck with contrast	CPT	70491	31	$3,375	$2,531.25	$155.48	$2,362.5	8.6×	$3,273.75
MRI brain without contrast	CPT	70551	31	$4,073	$3,054.75	$166.04	$2,851.1	7.1×	$3,950.81
MRI brain with contrast	CPT	70552	31	$5,069	$3,801.75	$227.97	$3,548.3	7.4×	$4,916.93
MRI brain with and without contrast	CPT	70553	31	$5,718	$4,288.5	$269.2	$4,002.6	6.8×	$5,546.46
Chest X-ray single view	CPT	71045	31	$685	$513.75	$21.6	$479.5	5.1×	$664.45
Chest X-ray 2 views	CPT	71046	31	$689	$516.75	$27.93	$482.3	4.9×	$668.33
Chest X-ray 3 views	CPT	71047	31	$911	$683.25	$34.84	$637.7	6.7×	$883.67
CT chest without contrast	CPT	71250	31	$3,032	$2,274	$109.99	$2,122.4	9.9×	$2,941.04
CT chest with contrast	CPT	71260	31	$3,614	$2,710.5	$140.75	$2,529.8	9.0×	$3,505.58
CT chest with and without contrast	CPT	71270	31	$4,573	$3,429.75	$165.04	$3,201.1	11.0×	$4,435.81
MRI chest without contrast	CPT	71550	31	$3,522	$2,641.5	$245.14	$2,465.4	5.7×	$3,416.34
MRI chest with contrast	CPT	71551	31	$4,057	$3,042.75	$311.73	$2,839.9	3.5×	$3,935.29
MRI chest with and without contrast	CPT	71552	31	$5,718	$4,288.5	$378.9	$4,002.6	6.7×	$5,546.46
Lumbosacral spine X-ray	CPT	72100	31	$734	$550.5	$32.79	$513.8	5.0×	$711.98
CT cervical spine without contrast	CPT	72125	31	$4,645	$3,483.75	$109.99	$3,251.5	16.1×	$4,505.65
CT thoracic spine without contrast	CPT	72128	31	$4,233	$3,174.75	$109.77	$2,963.1	14.9×	$4,106.01
CT lumbar spine without contrast	CPT	72131	31	$4,221	$3,165.75	$109.5	$2,954.7	14.5×	$4,094.37
MRI cervical spine without contrast	CPT	72141	31	$4,512	$3,384	$161.19	$3,158.4	8.0×	$4,376.64
MRI thoracic spine without contrast	CPT	72146	31	$4,578	$3,433.5	$161.45	$3,204.6	8.6×	$4,440.66
MRI lumbar spine without contrast	CPT	72148	31	$4,020	$3,015	$161.72	$2,814	7.5×	$3,899.4
MRI lumbar spine with and without contrast	CPT	72149	31	$4,543	$3,407.25	$227.65	$3,180.1	7.0×	$4,406.71
MRI cervical spine with and without contrast	CPT	72156	31	$6,806	$5,104.5	$270.01	$4,764.2	8.8×	$6,601.82
MRI lumbar spine with contrast	CPT	72158	31	$5,981	$4,485.75	$269.47	$4,186.7	7.6×	$5,801.57
CT pelvis without contrast	CPT	72192	31	$3,741	$2,805.75	$109.99	$2,618.7	13.1×	$3,628.77
CT pelvis with contrast	CPT	72193	31	$4,245	$3,183.75	$183.81	$2,971.5	10.6×	$4,117.65
Shoulder X-ray	CPT	73030	31	$622	$466.5	$28.61	$435.4	4.7×	$603.34
Humerus X-ray	CPT	73060	31	$533	$399.75	$26.39	$373.1	4.2×	$517.01
Hand X-ray 3 views	CPT	73130	31	$673	$504.75	$30.74	$471.1	5.1×	$652.81
MRI upper extremity joint without contrast	CPT	73221	31	$4,700	$3,525	$171.55	$3,290	7.9×	$4,559
MRI upper extremity joint with and without contrast	CPT	73223	31	$5,042	$3,781.5	$322.47	$3,529.4	5.8×	$4,890.74
Knee X-ray 1-2 views	CPT	73560	31	$715	$536.25	$28.01	$500.5	5.4×	$693.55
Ankle X-ray 3 views	CPT	73610	31	$737	$552.75	$29.93	$515.9	5.6×	$714.89
MRI lower extremity joint without contrast	CPT	73721	31	$5,100	$3,825	$171.28	$3,570	7.6×	$4,947
MRI lower extremity joint with and without contrast	CPT	73723	31	$5,910	$4,432.5	$321.66	$4,137	6.5×	$5,732.7
CT abdomen without contrast	CPT	74150	31	$3,830	$2,872.5	$109.99	$2,681	14.2×	$3,715.1
CT abdomen with contrast	CPT	74160	31	$4,551	$3,413.25	$183.81	$3,185.7	11.1×	$4,414.47
CT abdomen with and without contrast	CPT	74170	31	$6,217	$4,662.75	$183.81	$4,351.9	13.0×	$6,030.49
CT abdomen and pelvis without contrast	CPT	74176	31	$4,710	$3,532.5	$156.35	$3,297	9.1×	$4,568.7
CT abdomen and pelvis with contrast	CPT	74177	31	$5,758	$4,318.5	$253.72	$4,030.6	7.3×	$5,585.26
CT abdomen and pelvis with and without contrast	CPT	74178	31	$6,279	$4,709.25	$284	$4,395.3	7.6×	$6,090.63
MRI abdomen without contrast	CPT	74181	31	$3,665	$2,748.75	$165.17	$2,565.5	6.6×	$3,555.05
MRI abdomen with and without contrast	CPT	74183	31	$5,718	$4,288.5	$284.31	$4,002.6	7.1×	$5,546.46
Abdominal ultrasound complete	CPT	76700	31	$1,713	$1,284.75	$95.9	$1,199.1	8.0×	$1,661.61
Abdominal ultrasound limited	CPT	76705	31	$1,233	$924.75	$72.01	$863.1	5.9×	$1,196.01
Retroperitoneal ultrasound complete	CPT	76770	31	$1,098	$823.5	$89.46	$768.6	5.4×	$1,065.06
Obstetric ultrasound first trimester	CPT	76801	5	—	—	$97.33	$97.33	0.69×	$109.99
Obstetric ultrasound after first trimester	CPT	76805	5	—	—	$109.99	$111.61	0.73×	$111.61
Obstetric ultrasound with fetal anatomy	CPT	76811	5	—	—	$149.67	$149.67	0.64×	$186.65
Transvaginal ultrasound	CPT	76830	31	$633	$474.75	$97.42	$443.1	3.0×	$614.01
Pelvic ultrasound complete	CPT	76856	31	$1,457	$1,092.75	$86.89	$1,019.9	7.1×	$1,413.29
Scrotal ultrasound	CPT	76870	31	$1,362	$1,021.5	$82.68	$953.4	7.3×	$1,321.14
Diagnostic mammography unilateral	CPT	77065	4	—	—	$104.27	$104.27	0.70×	$104.27
Diagnostic mammography bilateral	CPT	77066	4	—	—	$131.34	$131.34	0.69×	$131.34
Screening mammography bilateral	CPT	77067	4	—	—	$106.28	$106.28	0.67×	$106.28
EKG complete	CPT	93000	4	—	—	$12.12	$12.12	0.50×	$12.12
EKG tracing only	CPT	93005	31	$551	$413.25	$5.1	$385.7	3.3×	$534.47
EKG interpretation only	CPT	93010	4	—	—	$7.01	$7.01	0.39×	$7.01
Transthoracic echocardiogram complete	CPT	93306	31	$4,584	$3,438	$161.44	$3,208.8	5.4×	$4,446.48
Transthoracic echocardiogram	CPT	93307	31	$3,673	$2,754.75	$112.21	$2,571.1	10.4×	$3,562.81
Stress echocardiogram	CPT	93350	31	$2,580	$1,935	$152.28	$1,806	3.6×	$2,502.6
inpatient
Intracranial hemorrhage/CVA w MCC	MS-DRG	064	4	—	—	$12,099	$12,099	0.60×	$12,099
Intracranial hemorrhage/CVA w CC	MS-DRG	065	4	—	—	$5,149	$5,149	0.48×	$5,149
Intracranial hemorrhage/CVA w/o CC/MCC	MS-DRG	066	4	—	—	$4,432.88	$4,432.88	0.58×	$4,432.88
Respiratory infections & inflammations w MCC	MS-DRG	177	4	—	—	$6,032.66	$6,032.66	0.39×	$6,032.66
COPD w MCC	MS-DRG	190	4	—	—	$4,505.45	$4,505.45	0.40×	$4,505.45
COPD w CC	MS-DRG	191	4	—	—	$3,580.04	$3,580.04	0.41×	$3,580.04
COPD w/o CC/MCC	MS-DRG	192	4	—	—	$3,113.98	$3,113.98	0.44×	$3,113.98
Simple pneumonia & pleurisy w CC	MS-DRG	194	4	—	—	$3,466.89	$3,466.89	0.41×	$3,466.89
Simple pneumonia & pleurisy w/o CC/MCC	MS-DRG	195	4	—	—	$2,609.99	$2,609.99	0.39×	$2,609.99
AMI discharged alive w MCC	MS-DRG	280	4	—	—	$6,025.89	$6,025.89	0.38×	$6,025.89
AMI discharged alive w CC	MS-DRG	281	4	—	—	$4,494.57	$4,494.57	0.46×	$4,494.57
AMI discharged alive w/o CC/MCC	MS-DRG	282	4	—	—	$3,839.68	$3,839.68	0.49×	$3,839.68
Heart failure & shock w MCC	MS-DRG	291	4	—	—	$7,405.54	$7,405.54	0.58×	$7,405.54
Heart failure & shock w CC	MS-DRG	292	4	—	—	$3,585.33	$3,585.33	0.40×	$3,585.33
Heart failure & shock w/o CC/MCC	MS-DRG	293	4	—	—	$2,808.47	$2,808.47	0.45×	$2,808.47
Cardiac arrhythmia w MCC	MS-DRG	308	4	—	—	$5,606.47	$5,606.47	0.46×	$5,606.47
Cardiac arrhythmia w CC	MS-DRG	309	4	—	—	$3,033.88	$3,033.88	0.39×	$3,033.88
Cardiac arrhythmia w/o CC/MCC	MS-DRG	310	4	—	—	$2,721.02	$2,721.02	0.44×	$2,721.02
GI hemorrhage w CC	MS-DRG	378	4	—	—	$4,214.11	$4,214.11	0.42×	$4,214.11
GI hemorrhage w/o CC/MCC	MS-DRG	379	4	—	—	$2,763.07	$2,763.07	0.40×	$2,763.07
Esophagitis/gastroenteritis w/o MCC	MS-DRG	392	4	—	—	$2,811.94	$2,811.94	0.35×	$2,811.94
Fractures of femur w/o MCC	MS-DRG	533	4	—	—	$8,136.95	$8,136.95	0.54×	$8,136.95
Kidney/UTI w MCC	MS-DRG	689	4	—	—	$4,779.03	$4,779.03	0.41×	$4,779.03
Kidney/UTI w/o MCC	MS-DRG	690	4	—	—	$2,948.73	$2,948.73	0.35×	$2,948.73
Septicemia or severe sepsis w MV 96+ hrs	MS-DRG	871	4	—	—	$7,620.96	$7,620.96	0.41×	$7,620.96
Septicemia or severe sepsis w/o MV 96+ hrs	MS-DRG	872	4	—	—	$3,622.15	$3,622.15	0.35×	$3,622.15
Initial hospital care, low complexity	CPT	99221	4	—	—	$71.36	$71.36	0.77×	$71.36
Initial hospital care, moderate complexity	CPT	99222	4	—	—	$112.76	$112.76	0.67×	$112.76
Initial hospital care, high complexity	CPT	99223	4	—	—	$150.4	$150.4	0.67×	$150.4
Hospital discharge, <30 min	CPT	99238	4	—	—	$74.73	$74.73	0.87×	$74.73
Hospital discharge, >30 min	CPT	99239	4	—	—	$105.74	$105.74	0.87×	$105.74
lab
Basic metabolic panel (BMP)	CPT	80048	31	$356	$267	$7.11	$249.2	7.7×	$345.32
General health panel	CPT	80050	31	$601	$450.75	$31.24	$420.7	3.9×	$582.97
Electrolyte panel	CPT	80051	31	$444	$333	$6.24	$310.8	13.1×	$430.68
Comprehensive metabolic panel	CPT	80053	31	$507	$380.25	$8.87	$354.9	8.0×	$491.79
Lipid panel	CPT	80061	31	$457	$342.75	$11.91	$315.33	8.3×	$443.29
Renal function panel	CPT	80069	31	$479	$359.25	$7.72	$335.3	12.3×	$464.63
Hepatic function panel	CPT	80076	31	$324	$243	$7.27	$226.8	8.5×	$314.28
Urinalysis non-automated	CPT	81002	5	—	—	$3.1	$3.1	0.45×	$3.65
Urinalysis automated	CPT	81003	31	$134	$100.5	$1.89	$75	5.4×	$129.98
Glucose quantitative	CPT	82947	31	$134	$100.5	$3.5	$71.25	4.0×	$129.98
Hemoglobin A1c	CPT	83036	31	$249	$186.75	$8.16	$174.3	6.5×	$241.53
Thyroid stimulating hormone (TSH)	CPT	84443	31	$536	$402	$14.11	$375.2	7.9×	$519.92
Complete blood count with automated differential	CPT	85025	31	$236	$177	$6.53	$135	5.1×	$228.92
Complete blood count without differential	CPT	85027	31	$383	$287.25	$5.43	$268.1	12.4×	$371.51
Urine culture bacterial	CPT	87086	31	$421	$315.75	$6.78	$294.7	12.6×	$408.37
Urine culture identification	CPT	87088	31	$75	$56.25	$7.2	$52.5	2.4×	$72.75
Tissue exam by pathologist level IV	CPT	88305	31	$780	$585	$60.45	$546	5.3×	$756.6
maternity
Fetal non-stress test	CPT	59025	5	—	—	$16.57	$41.36	0.22×	$41.36
Routine obstetric care including vaginal delivery	CPT	59400	4	—	—	$2,063.41	$2,063.41	0.90×	$2,063.41
Vaginal delivery only	CPT	59409	4	—	—	$685.69	$685.69	0.31×	$685.69
Vaginal delivery with postpartum	CPT	59410	4	—	—	$926.57	$926.57	0.87×	$926.57
Routine obstetric care with C-section	CPT	59510	4	—	—	$2,289.26	$2,289.26	0.92×	$2,289.26
C-section delivery only	CPT	59514	4	—	—	$776.28	$776.28	0.81×	$776.28
C-section with postpartum	CPT	59515	4	—	—	$1,146.56	$1,146.56	0.91×	$1,146.56
office
Office visit, new patient, 15-29 min	CPT	99202	31	$463	$347.25	$61.19	$324.1	3.8×	$449.11
Office visit, new patient, 30-44 minutes	CPT	99203	31	$715	$536.25	$95.84	$500.5	4.1×	$693.55
Office visit, new patient, 45-59 min	CPT	99204	31	$916	$687	$144.29	$641.2	3.7×	$888.52
Office visit, new patient, 60-74 min	CPT	99205	31	$1,133	$849.75	$190.74	$793.1	3.6×	$1,099.01
Office visit, established patient, 5 min	CPT	99211	31	$175	$131.25	$19.46	$122.5	1.9×	$169.75
Office visit, established patient, 10-19 min	CPT	99212	31	$309	$231.75	$48.07	$216.3	2.7×	$299.73
Office visit, established patient, 20-29 minutes	CPT	99213	31	$309	$231.75	$50	$216.3	1.9×	$299.73
Office visit, established patient, 30-39 minutes	CPT	99214	31	$471	$353.25	$50	$329.7	2.2×	$456.87
Office visit, established patient, 40-54 min	CPT	99215	31	$868	$651	$50	$607.6	3.2×	$841.96
preventive
Upper GI endoscopy diagnostic	CPT	43235	31	$4,632	$3,474	$236.71	$3,242.4	3.5×	$4,493.04
Upper GI endoscopy with biopsy	CPT	43239	31	$4,766	$3,574.5	$305.12	$3,336.2	3.5×	$6,850
Sigmoidoscopy diagnostic	CPT	45330	31	$3,216	$2,412	$133.64	$2,251.2	2.7×	$3,119.52
Sigmoidoscopy with biopsy	CPT	45331	31	$3,673	$2,754.75	$230.33	$2,571.1	2.9×	$3,562.81
Colonoscopy diagnostic	CPT	45378	31	$3,570	$2,677.5	$283.1	$2,499	2.8×	$3,462.9
Colonoscopy with biopsy	CPT	45380	31	$5,794	$4,345.5	$356.59	$4,055.8	3.3×	$5,620.18
Colonoscopy with polyp removal	CPT	45385	31	$4,960	$3,720	$376.98	$3,472	2.9×	$4,811.2
surgery
Total shoulder arthroplasty	CPT	23472	4	—	—	$1,243.12	$1,243.12	0.30×	$1,243.12
Hip hemiarthroplasty	CPT	27125	4	—	—	$975.49	$975.49	0.78×	$975.49
Total hip replacement	CPT	27130	4	—	—	$1,105.8	$1,105.8	0.26×	$1,105.8
Total knee replacement	CPT	27447	4	—	—	$1,104.47	$1,104.47	0.27×	$1,104.47
Knee revision arthroplasty single component	CPT	27486	4	—	—	$1,209.12	$1,209.12	0.72×	$1,209.12
Knee revision arthroplasty all components	CPT	27487	4	—	—	$1,506.65	$1,506.65	0.75×	$1,506.65
Shoulder arthroscopy with decompression	CPT	29826	4	—	—	$147.48	$147.48	0.45×	$147.48
Shoulder arthroscopy with rotator cuff repair	CPT	29827	5	—	—	$920.5	$2,518.45	0.76×	$3,153.25
Knee arthroscopy with meniscectomy	CPT	29881	5	—	—	$468.95	$1,142.68	0.56×	$1,418.32
ACL reconstruction	CPT	29888	5	—	—	$839.51	$3,465.05	1.0×	$4,156.87
Major small/large bowel procedures w MCC	MS-DRG	329	4	—	—	$22,212	$22,212	0.52×	$22,212
Major small/large bowel procedures w CC	MS-DRG	330	4	—	—	$10,415	$10,415	0.45×	$10,415
Major small/large bowel procedures w/o CC/MCC	MS-DRG	331	4	—	—	$8,102.13	$8,102.13	0.49×	$8,102.13
CABG single arterial graft	CPT	33533	4	—	—	$1,585	$1,585	0.85×	$1,585
CABG 2 arterial grafts	CPT	33534	4	—	—	$1,862.48	$1,862.48	0.87×	$1,862.48
CABG 3 arterial grafts	CPT	33535	4	—	—	$2,070.37	$2,070.37	0.91×	$2,070.37
CABG 4+ arterial grafts	CPT	33536	4	—	—	$2,230.72	$2,230.72	0.91×	$2,230.72
Laparoscopic cholecystectomy w/o CDE w MCC	MS-DRG	418	4	—	—	$7,138.73	$7,138.73	0.43×	$7,138.73
Laparoscopic cholecystectomy w/o CDE w CC	MS-DRG	419	4	—	—	$6,351.57	$6,351.57	0.47×	$6,351.57
Laparoscopic cholecystectomy w/o CDE w/o CC/MCC	MS-DRG	420	4	—	—	$14,244	$14,244	0.44×	$14,244
Open appendectomy	CPT	44950	4	—	—	$552.97	$552.97	0.49×	$552.97
Laparoscopic appendectomy	CPT	44970	8	—	—	$519.29	$5,359.65	3.4×	$12,500
Major joint replacement w MCC	MS-DRG	469	4	—	—	$13,986	$13,986	0.47×	$13,986
Major joint replacement w/o MCC	MS-DRG	470	4	—	—	$8,276.62	$8,276.62	0.44×	$8,276.62
Laparoscopic cholecystectomy	CPT	47562	5	—	—	$569.69	$1,983.29	1.1×	$2,568.98
Lap cholecystectomy with cholangiography	CPT	47563	5	—	—	$619.58	$1,983.29	1.1×	$2,568.98
Hip & femur procedures except major joint w MCC	MS-DRG	480	4	—	—	$15,425	$15,425	0.55×	$15,425
Hip & femur procedures except major joint w CC	MS-DRG	481	4	—	—	$10,813	$10,813	0.53×	$10,813
Hip & femur procedures except major joint w/o CC/MCC	MS-DRG	482	4	—	—	$10,255	$10,255	0.64×	$10,255
Lap inguinal hernia repair	CPT	49650	5	—	—	$373.98	$1,983.29	1.8×	$2,568.98
Total abdominal hysterectomy	CPT	58150	4	—	—	$878.73	$878.73	0.90×	$878.73
Vaginal hysterectomy	CPT	58260	5	—	—	$722.82	$722.82	0.40×	$1,603.34
Lap-assisted vaginal hysterectomy	CPT	58550	5	—	—	$761.74	$1,983.29	1.3×	$2,568.98
Lap-assisted vaginal hysterectomy >250g	CPT	58552	5	—	—	$847.15	$3,265.51	1.5×	$4,397.32
Lap salpingo-oophorectomy	CPT	58661	5	—	—	$563.21	$1,983.29	0.98×	$2,568.98
OR procedure for obesity w MCC	MS-DRG	619	4	—	—	$14,987	$14,987	0.55×	$14,987
OR procedure for obesity w CC	MS-DRG	620	4	—	—	$9,230.2	$9,230.2	0.57×	$9,230.2
OR procedure for obesity w/o CC/MCC	MS-DRG	621	4	—	—	$8,919.63	$8,919.63	0.59×	$8,919.63
Complex cataract surgery	CPT	66982	5	—	—	$628.07	$892.44	0.40×	$1,090.63
Cataract surgery with lens implant	CPT	66984	5	—	—	$458.23	$892.44	0.41×	$1,090.63
Intravitreal injection	CPT	67028	5	—	—	$50.87	$95.41	0.28×	$95.41
Vitrectomy mechanical	CPT	67042	5	—	—	$962.46	$1,610.16	0.64×	$1,881.01
Uterine & adnexa procedures w CC/MCC	MS-DRG	743	4	—	—	$4,976.57	$4,976.57	0.41×	$4,976.57
Uterine & adnexa procedures w/o CC/MCC	MS-DRG	744	4	—	—	$7,366.38	$7,366.38	0.39×	$7,366.38
PCI single major coronary artery	CPT	92920	31	$13,906	$10,430	$445.27	$9,734.2	1.7×	$13,489
PCI with drug-eluting stent	CPT	92928	31	$23,932	$17,949	$494.8	$16,752	1.7×	$23,214
PCI bypass graft	CPT	92937	4	—	—	$494.5	$494.5	0.05×	$494.5
Left heart catheterization	CPT	93452	31	$32,099	$24,074	$705.23	$22,469	7.3×	$31,136
Coronary angiography with cath	CPT	93455	31	$35,420	$26,565	$793.52	$24,794	7.9×	$34,357
Coronary angiography with bypass cath	CPT	93458	31	$36,926	$27,695	$819.25	$25,848	8.3×	$35,818

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	197	$563.21
Humana	197	$628.07
Medicaid	196	$284
oklahoma complete health	196	$284
superior health plan	122	$183.81
methodist	104	$1,041.25
Blue Cross Blue Shield	104	$1,079.5
Cigna	104	$1,075
UnitedHealthcare	104	$1,225
galaxy health	103	$1,661.61
healthscope benefit solutions	103	$1,284.75
healthsmart	103	$1,422.9
First Health	103	$1,370.4
imagine health	103	$1,199.1
equifax healthcare	103	$1,456.05
employers health network	103	$1,199.1
Molina	103	$328.11
Multiplan	103	$1,456.05
cookchildren's health plan	103	$582.42
parkland community	103	$604.95
phcs	103	$1,284.75
quiktrip (qt)	103	$1,284.75
scott & white	103	$1,216.23
carelon	103	$820.26
texas children's health plan	103	$654
txp emerging therapy solutions	103	$1,216.23
txp interlink	103	$1,284.75
txp optum health (transplant)	103	$1,221.24
wellpoint	103	$565.29
usa managed care	103	$1,593.09

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