▸ Hospital · VT · CCN 470001
Central Vermont Medical Center
130 FISHER ROAD, BARRE, VT, 470001
Compliance grade
A
100/100
Procedures tracked
184
of 209 target codes
Payers
12
with negotiated rates
Rates published
28,094
last crawl 2026-05-24
Procedures & rates
| Procedure | Type | Code | Payers | Gross | Cash | Neg min | Neg median | Neg max |
|---|---|---|---|---|---|---|---|---|
| behavioral | ||||||||
| Psychoses | MS-DRG | 885 | 6 | — | — | $2,025 | $16,240 | $22,298 |
| Psychiatric diagnostic evaluation | CPT | 90791 | 12 | $384.92 | $384.92 | $55 | $171.88 | $400.14 |
| Psychiatric eval with medical services | CPT | 90792 | 12 | $390.56 | $390.56 | $55 | $207.15 | $452.44 |
| Psychotherapy 30 minutes | CPT | 90832 | 12 | $298.41 | $298.41 | $30 | $78.18 | $238.73 |
| Psychotherapy 45 minutes | CPT | 90834 | 12 | $311.8 | $311.8 | $55 | $103.22 | $253.01 |
| Psychotherapy 60 minutes | CPT | 90837 | 12 | $371.94 | $371.94 | $69 | $152.81 | $374.32 |
| Crisis psychotherapy 60 minutes | CPT | 90839 | 12 | $359.02 | $359.02 | $126.11 | $205.89 | $370.3 |
| emergency | ||||||||
| ED visit level 1 | CPT | 99281 | 12 | $292.48 | $292.48 | $10.31 | $87.25 | $2,282.37 |
| ED visit level 2 | CPT | 99282 | 12 | $514.37 | $514.37 | $38.04 | $156.92 | $2,282.37 |
| ED visit level 3 | CPT | 99283 | 12 | $765.57 | $765.57 | $64.37 | $274.36 | $5,601.96 |
| ED visit level 4 | CPT | 99284 | 12 | $1,324.69 | $1,324.69 | $109.56 | $421.94 | $5,601.96 |
| ED visit level 5 | CPT | 99285 | 12 | $1,711.77 | $1,711.77 | $158.73 | $607.51 | $5,601.96 |
| Critical care, first hour | CPT | 99291 | 12 | $2,448.53 | $2,448.53 | $194.57 | $834.93 | $2,465.11 |
| imaging | ||||||||
| CT head without contrast | CPT | 70450 | 12 | $2,046.69 | $2,046.69 | $37.36 | $105.37 | $2,034.41 |
| CT head with contrast | CPT | 70460 | 12 | $2,386.96 | $2,386.96 | $49.55 | $176.4 | $2,372.64 |
| CT head with and without contrast | CPT | 70470 | 12 | $2,995.17 | $2,995.17 | $55.72 | $176.4 | $2,977.2 |
| CT neck with contrast | CPT | 70491 | 12 | $3,082.26 | $3,082.26 | $60.47 | $176.4 | $3,063.77 |
| MRI brain without contrast | CPT | 70551 | 12 | $3,520.8 | $3,520.8 | $64.75 | $239.52 | $3,499.68 |
| MRI brain with contrast | CPT | 70552 | 12 | $3,935 | $3,935 | $339.72 | $3,148 | $3,911.39 |
| MRI brain with and without contrast | CPT | 70553 | 12 | $6,316.7 | $6,316.7 | $100.54 | $353.87 | $6,278.8 |
| Chest X-ray single view | CPT | 71045 | 12 | $303.78 | $303.78 | $8.08 | $56.28 | $301.96 |
| Chest X-ray 2 views | CPT | 71046 | 12 | $452.04 | $452.04 | $9.65 | $72.58 | $449.33 |
| Chest X-ray 3 views | CPT | 71047 | 12 | $475.65 | $475.65 | $39.43 | $99.21 | $472.8 |
| CT chest without contrast | CPT | 71250 | 12 | $2,213.12 | $2,213.12 | $47.33 | $124.04 | $2,199.84 |
| CT chest with contrast | CPT | 71260 | 12 | $2,714.15 | $2,714.15 | $51.13 | $176.4 | $2,697.87 |
| CT chest with and without contrast | CPT | 71270 | 12 | $2,840.02 | $2,840.02 | $54.77 | $176.4 | $2,822.98 |
| MRI chest without contrast | CPT | 71550 | 12 | $3,414.06 | $3,414.06 | $64.11 | $239.52 | $3,393.58 |
| MRI chest with and without contrast | CPT | 71552 | 12 | $6,316.7 | $6,316.7 | $99.27 | $353.87 | $6,278.8 |
| Lumbosacral spine X-ray | CPT | 72100 | 12 | $679.22 | $679.22 | $9.97 | $105.37 | $675.14 |
| CT cervical spine without contrast | CPT | 72125 | 12 | $2,135.81 | $2,135.81 | $43.69 | $110.45 | $2,123 |
| CT thoracic spine without contrast | CPT | 72128 | 12 | $1,777.56 | $1,777.56 | $43.69 | $110.45 | $1,766.89 |
| CT lumbar spine without contrast | CPT | 72131 | 12 | $2,184.51 | $2,184.51 | $43.69 | $110.45 | $2,171.4 |
| MRI cervical spine without contrast | CPT | 72141 | 12 | $3,520.8 | $3,520.8 | $65.06 | $239.52 | $3,499.68 |
| MRI thoracic spine without contrast | CPT | 72146 | 12 | $3,520.8 | $3,520.8 | $65.06 | $239.52 | $3,499.68 |
| MRI lumbar spine without contrast | CPT | 72148 | 12 | $3,520.8 | $3,520.8 | $65.06 | $239.52 | $3,499.68 |
| MRI lumbar spine with and without contrast | CPT | 72149 | 12 | $3,935 | $3,935 | $339.72 | $3,148 | $3,911.39 |
| MRI cervical spine with and without contrast | CPT | 72156 | 12 | $6,316.7 | $6,316.7 | $100.85 | $353.87 | $6,278.8 |
| MRI lumbar spine with contrast | CPT | 72158 | 12 | $6,316.7 | $6,316.7 | $100.85 | $353.87 | $6,278.8 |
| CT pelvis without contrast | CPT | 72192 | 12 | $2,160.01 | $2,160.01 | $47.65 | $120.06 | $2,147.05 |
| CT pelvis with contrast | CPT | 72193 | 12 | $2,583.39 | $2,583.39 | $50.81 | $176.4 | $2,567.89 |
| Shoulder X-ray | CPT | 73030 | 12 | $593.01 | $593.01 | $8.39 | $87.25 | $589.45 |
| Humerus X-ray | CPT | 73060 | 12 | $539.07 | $539.07 | $7.12 | $87.25 | $535.84 |
| Hand X-ray 3 views | CPT | 73130 | 12 | $593.01 | $593.01 | $7.75 | $87.25 | $589.45 |
| MRI upper extremity joint without contrast | CPT | 73221 | 12 | $3,520.8 | $3,520.8 | $59.52 | $239.52 | $3,499.68 |
| MRI upper extremity joint with and without contrast | CPT | 73223 | 12 | $6,316.7 | $6,316.7 | $94.68 | $353.87 | $6,278.8 |
| Knee X-ray 1-2 views | CPT | 73560 | 12 | $553.31 | $553.31 | $7.44 | $87.25 | $549.99 |
| Ankle X-ray 3 views | CPT | 73610 | 12 | $552.69 | $552.69 | $7.75 | $87.25 | $549.37 |
| MRI lower extremity joint without contrast | CPT | 73721 | 12 | $3,520.8 | $3,520.8 | $59.52 | $239.52 | $3,499.68 |
| MRI lower extremity joint with and without contrast | CPT | 73723 | 12 | $6,661.88 | $6,661.88 | $94.68 | $353.87 | $6,621.91 |
| CT abdomen without contrast | CPT | 74150 | 12 | $2,452.11 | $2,452.11 | $52.08 | $131.76 | $2,437.4 |
| CT abdomen with contrast | CPT | 74160 | 12 | $2,797.38 | $2,797.38 | $55.72 | $176.4 | $2,780.6 |
| CT abdomen with and without contrast | CPT | 74170 | 12 | $3,912.78 | $3,912.78 | $61.1 | $176.4 | $3,889.3 |
| CT abdomen and pelvis without contrast | CPT | 74176 | 12 | $3,974.84 | $3,974.84 | $76.3 | $239.52 | $3,950.99 |
| CT abdomen and pelvis with contrast | CPT | 74177 | 12 | $5,130.56 | $5,130.56 | $80.11 | $353.87 | $5,099.78 |
| CT abdomen and pelvis with and without contrast | CPT | 74178 | 12 | $5,873.1 | $5,873.1 | $88.02 | $353.87 | $5,837.86 |
| MRI abdomen without contrast | CPT | 74181 | 12 | $3,520.8 | $3,520.8 | $63.8 | $239.52 | $3,499.68 |
| MRI abdomen with and without contrast | CPT | 74183 | 12 | $6,316.7 | $6,316.7 | $96.58 | $353.87 | $6,278.8 |
| Abdominal ultrasound complete | CPT | 76700 | 12 | $911.11 | $911.11 | $101.16 | $254.93 | $905.64 |
| Abdominal ultrasound limited | CPT | 76705 | 12 | $502.3 | $502.3 | $81.37 | $191.66 | $499.29 |
| Retroperitoneal ultrasound complete | CPT | 76770 | 12 | $722.91 | $722.91 | $100.93 | $237.37 | $718.57 |
| Obstetric ultrasound first trimester | CPT | 76801 | 12 | $797.7 | $797.7 | $101.16 | $275.92 | $792.91 |
| Obstetric ultrasound after first trimester | CPT | 76805 | 12 | $915.45 | $915.45 | $101.16 | $317.09 | $909.96 |
| Obstetric ultrasound with fetal anatomy | CPT | 76811 | 12 | $722.9 | $722.9 | $166.83 | $263.7 | $578.32 |
| Transvaginal ultrasound | CPT | 76830 | 12 | $1,274.89 | $1,274.89 | $59.09 | $261.9 | $1,267.24 |
| Pelvic ultrasound complete | CPT | 76856 | 12 | $965.26 | $965.26 | $98.25 | $230.8 | $959.47 |
| Scrotal ultrasound | CPT | 76870 | 12 | $1,233.98 | $1,233.98 | $93.51 | $220.55 | $1,226.58 |
| Diagnostic mammography unilateral | CPT | 77065 | 12 | $846.64 | $846.64 | $56.7 | $344.98 | $841.56 |
| Diagnostic mammography bilateral | CPT | 77066 | 12 | $899.23 | $899.23 | $69.59 | $412.31 | $893.83 |
| Screening mammography bilateral | CPT | 77067 | 12 | $774.63 | $774.63 | $51.55 | $342.84 | $769.98 |
| EKG complete | CPT | 93000 | 12 | $78.3 | $78.3 | $13.27 | $22.73 | $62.64 |
| EKG tracing only | CPT | 93005 | 12 | $224.06 | $224.06 | $5.83 | $58.86 | $225.57 |
| EKG interpretation only | CPT | 93010 | 12 | $43.35 | $43.35 | $7.44 | $12.81 | $34.68 |
| Transthoracic echocardiogram complete | CPT | 93306 | 12 | $2,790.99 | $2,790.99 | $63.31 | $543.3 | $2,774.24 |
| Transthoracic echocardiogram | CPT | 93307 | 12 | $1,395.5 | $1,395.5 | $40.04 | $239.52 | $1,387.13 |
| Stress echocardiogram | CPT | 93350 | 12 | $469.03 | $469.03 | $63.31 | $105.68 | $375.22 |
| inpatient | ||||||||
| Intracranial hemorrhage/CVA w MCC | MS-DRG | 064 | 6 | — | — | $22,917 | $23,146 | $46,508 |
| Intracranial hemorrhage/CVA w CC | MS-DRG | 065 | 6 | — | — | $11,715 | $11,833 | $23,775 |
| Intracranial hemorrhage/CVA w/o CC/MCC | MS-DRG | 066 | 6 | — | — | $7,929.74 | $8,009.04 | $16,092 |
| Respiratory infections & inflammations w MCC | MS-DRG | 177 | 6 | — | — | $18,623 | $18,810 | $37,794 |
| COPD w MCC | MS-DRG | 190 | 6 | — | — | $12,938 | $13,067 | $26,256 |
| COPD w CC | MS-DRG | 191 | 6 | — | — | $9,897.51 | $9,996.49 | $20,086 |
| COPD w/o CC/MCC | MS-DRG | 192 | 6 | — | — | $7,456.23 | $7,530.79 | $15,132 |
| Simple pneumonia & pleurisy w CC | MS-DRG | 194 | 6 | — | — | $9,447.01 | $9,541.48 | $19,172 |
| Simple pneumonia & pleurisy w/o CC/MCC | MS-DRG | 195 | 6 | — | — | $7,173.99 | $7,245.73 | $14,559 |
| AMI discharged alive w MCC | MS-DRG | 280 | 6 | — | — | $18,910 | $19,099 | $38,376 |
| AMI discharged alive w CC | MS-DRG | 281 | 6 | — | — | $10,620 | $10,726 | $21,552 |
| AMI discharged alive w/o CC/MCC | MS-DRG | 282 | 6 | — | — | $8,353.71 | $8,437.25 | $16,953 |
| Heart failure & shock w MCC | MS-DRG | 291 | 6 | — | — | $15,032 | $15,183 | $30,506 |
| Heart failure & shock w CC | MS-DRG | 292 | 6 | — | — | $9,921.68 | $10,021 | $20,135 |
| Heart failure & shock w/o CC/MCC | MS-DRG | 293 | 6 | — | — | $6,321.44 | $6,384.66 | $12,829 |
| Cardiac arrhythmia w MCC | MS-DRG | 308 | 6 | — | — | $13,893 | $14,032 | $28,194 |
| Cardiac arrhythmia w CC | MS-DRG | 309 | 6 | — | — | $8,517.3 | $8,602.48 | $17,285 |
| Cardiac arrhythmia w/o CC/MCC | MS-DRG | 310 | 6 | — | — | $6,445.86 | $6,510.32 | $13,081 |
| GI hemorrhage w CC | MS-DRG | 378 | 6 | — | — | $11,358 | $11,472 | $23,050 |
| GI hemorrhage w/o CC/MCC | MS-DRG | 379 | 6 | — | — | $7,335.28 | $7,408.64 | $14,886 |
| Esophagitis/gastroenteritis w/o MCC | MS-DRG | 392 | 6 | — | — | $8,989.65 | $9,079.55 | $18,243 |
| Fractures of femur w/o MCC | MS-DRG | 533 | 6 | — | — | $17,568 | $17,744 | $35,652 |
| Kidney/UTI w MCC | MS-DRG | 689 | 6 | — | — | $13,483 | $13,618 | $27,362 |
| Kidney/UTI w/o MCC | MS-DRG | 690 | 6 | — | — | $9,246.57 | $9,339.04 | $18,765 |
| Septicemia or severe sepsis w MV 96+ hrs | MS-DRG | 871 | 6 | — | — | $22,605 | $22,831 | $45,874 |
| Septicemia or severe sepsis w/o MV 96+ hrs | MS-DRG | 872 | 6 | — | — | $11,878 | $11,997 | $24,105 |
| Initial hospital care, low complexity | CPT | 99221 | 12 | $247.27 | $247.27 | $66.38 | $121.25 | $256.57 |
| Initial hospital care, moderate complexity | CPT | 99222 | 12 | $332.95 | $332.95 | $110.2 | $169.87 | $347.98 |
| Initial hospital care, high complexity | CPT | 99223 | 12 | $491.7 | $491.7 | $153.63 | $240.89 | $512.43 |
| Hospital discharge, <30 min | CPT | 99238 | 12 | $202.51 | $202.51 | $69.29 | $102.97 | $185.39 |
| Hospital discharge, >30 min | CPT | 99239 | 12 | $295.32 | $295.32 | $94.46 | $141.97 | $272.22 |
| lab | ||||||||
| Basic metabolic panel (BMP) | CPT | 80048 | 12 | $91.92 | $91.92 | $8.12 | $73.54 | $92.54 |
| General health panel | CPT | 80050 | 11 | $251.91 | $251.91 | $102.53 | $210.35 | $250.4 |
| Electrolyte panel | CPT | 80051 | 12 | $88.36 | $88.36 | $6.73 | $70.69 | $87.83 |
| Comprehensive metabolic panel | CPT | 80053 | 12 | $140.02 | $140.02 | $10.14 | $112.02 | $140.97 |
| Lipid panel | CPT | 80061 | 12 | $127.38 | $127.38 | $12.85 | $70.06 | $126.62 |
| Renal function panel | CPT | 80069 | 12 | $127.57 | $127.57 | $8.33 | $102.06 | $126.8 |
| Hepatic function panel | CPT | 80076 | 12 | $136.02 | $136.02 | $7.84 | $108.82 | $136.94 |
| Urinalysis non-automated | CPT | 81002 | 12 | $38.08 | $38.08 | $3.34 | $7.48 | $37.85 |
| Urinalysis automated | CPT | 81003 | 12 | $64.95 | $64.95 | $2.16 | $4.91 | $65.39 |
| Glucose quantitative | CPT | 82947 | 12 | $61.98 | $61.98 | $3.77 | $9.41 | $61.61 |
| Hemoglobin A1c | CPT | 83036 | 12 | $163.97 | $163.97 | $9.32 | $61.83 | $162.99 |
| Thyroid stimulating hormone (TSH) | CPT | 84443 | 12 | $220.19 | $220.19 | $16.13 | $40.49 | $218.87 |
| Complete blood count with automated differential | CPT | 85025 | 12 | $67.12 | $67.12 | $7.46 | $36.92 | $67.35 |
| Complete blood count without differential | CPT | 85027 | 12 | $60.44 | $60.44 | $6.21 | $14.4 | $60.85 |
| Urine culture bacterial | CPT | 87086 | 12 | $84.2 | $84.2 | $7.75 | $67.36 | $83.69 |
| Urine culture identification | CPT | 87088 | 12 | $91.2 | $91.2 | $7.77 | $19.48 | $90.65 |
| Tissue exam by pathologist level IV | CPT | 88305 | 12 | $275.9 | $275.9 | $50.82 | $211.86 | $274.24 |
| maternity | ||||||||
| Fetal non-stress test | CPT | 59025 | 12 | $696.77 | $696.77 | $25.55 | $103.1 | $692.59 |
| Routine obstetric care including vaginal delivery | CPT | 59400 | 12 | $5,269.85 | $5,269.85 | $2,148.93 | $2,721.3 | $5,329.63 |
| Vaginal delivery only | CPT | 59409 | 12 | $10,578 | $10,578 | $700.22 | $3,150.53 | $10,514 |
| Vaginal delivery with postpartum | CPT | 59410 | 12 | $2,658.06 | $2,658.06 | $949.78 | $1,402.91 | $2,602.3 |
| Routine obstetric care with C-section | CPT | 59510 | 12 | $5,819.92 | $5,819.92 | $2,370.13 | $2,998.48 | $5,882.69 |
| C-section delivery only | CPT | 59514 | 12 | $2,806.28 | $2,806.28 | $788.57 | $1,267.71 | $2,270.91 |
| C-section with postpartum | CPT | 59515 | 12 | $3,167.05 | $3,167.05 | $1,170.62 | $1,598.27 | $3,156.14 |
| office | ||||||||
| Office visit, new patient, 15-29 min | CPT | 99202 | 12 | $287.36 | $287.36 | $43.22 | $109.63 | $229.89 |
| Office visit, new patient, 30-44 minutes | CPT | 99203 | 12 | $411.81 | $411.81 | $75.07 | $160.91 | $329.45 |
| Office visit, new patient, 45-59 min | CPT | 99204 | 12 | $625.12 | $625.12 | $121.53 | $238.88 | $500.1 |
| Office visit, new patient, 60-74 min | CPT | 99205 | 12 | $786.34 | $786.34 | $166.58 | $334.36 | $629.07 |
| Office visit, established patient, 5 min | CPT | 99211 | 12 | $209.43 | $209.43 | $8.08 | $59.37 | $184.97 |
| Office visit, established patient, 10-19 min | CPT | 99212 | 12 | $242.13 | $242.13 | $32.46 | $109.13 | $203.7 |
| Office visit, established patient, 20-29 minutes | CPT | 99213 | 12 | $284.34 | $284.34 | $51.29 | $139.76 | $227.47 |
| Office visit, established patient, 30-39 minutes | CPT | 99214 | 12 | $411.48 | $411.48 | $80.4 | $177.5 | $329.18 |
| Office visit, established patient, 40-54 min | CPT | 99215 | 12 | $563.85 | $563.85 | $117.06 | $310.12 | $560.47 |
| preventive | ||||||||
| Upper GI endoscopy diagnostic | CPT | 43235 | 12 | $3,302.88 | $3,302.88 | $111.29 | $929.01 | $3,283.06 |
| Upper GI endoscopy with biopsy | CPT | 43239 | 12 | $3,302.88 | $3,302.88 | $125.22 | $929.01 | $3,283.06 |
| Sigmoidoscopy diagnostic | CPT | 45330 | 12 | $1,346.21 | $1,346.21 | $52.06 | $800.44 | $1,338.13 |
| Sigmoidoscopy with biopsy | CPT | 45331 | 12 | $1,438.31 | $1,438.31 | $66.15 | $825.77 | $1,429.68 |
| Colonoscopy diagnostic | CPT | 45378 | 12 | $3,696.85 | $3,696.85 | $166.75 | $903.4 | $3,674.67 |
| Colonoscopy with biopsy | CPT | 45380 | 12 | $5,087.27 | $5,087.27 | $181.32 | $1,168.33 | $5,056.75 |
| Colonoscopy with polyp removal | CPT | 45385 | 12 | $5,087.27 | $5,087.27 | $228.98 | $1,168.33 | $5,056.75 |
| surgery | ||||||||
| Total shoulder arthroplasty | CPT | 23472 | 12 | $3,698.74 | $3,698.74 | $1,316.39 | $2,840.33 | $18,587 |
| Hip hemiarthroplasty | CPT | 27125 | 12 | $3,339.02 | $3,339.02 | $1,035.95 | $1,762.16 | $2,875.89 |
| Total hip replacement | CPT | 27130 | 12 | $4,603.04 | $4,603.04 | $1,169.7 | $2,861.2 | $16,504 |
| Total knee replacement | CPT | 27447 | 12 | $4,912.04 | $4,912.04 | $1,168.28 | $2,858.45 | $18,489 |
| Knee revision arthroplasty single component | CPT | 27486 | 12 | $3,576.48 | $3,576.48 | $1,280.89 | $1,817.91 | $3,571.07 |
| Knee revision arthroplasty all components | CPT | 27487 | 12 | $4,468.32 | $4,468.32 | $1,591.22 | $2,557.82 | $4,460.23 |
| Shoulder arthroscopy with decompression | CPT | 29826 | 12 | $2,049.82 | $2,049.82 | $153.89 | $308.8 | $4,723.05 |
| Shoulder arthroscopy with rotator cuff repair | CPT | 29827 | 12 | $2,699.18 | $2,699.18 | $979.91 | $2,159.34 | $7,220.15 |
| Knee arthroscopy with meniscectomy | CPT | 29881 | 12 | $1,964.54 | $1,964.54 | $504.42 | $1,213.83 | $5,458.55 |
| ACL reconstruction | CPT | 29888 | 12 | $4,033.94 | $4,033.94 | $893.81 | $2,193.98 | $8,915.49 |
| Major small/large bowel procedures w MCC | MS-DRG | 329 | 6 | — | — | $52,902 | $53,431 | $107,359 |
| Major small/large bowel procedures w CC | MS-DRG | 330 | 6 | — | — | $27,232 | $27,504 | $55,263 |
| Major small/large bowel procedures w/o CC/MCC | MS-DRG | 331 | 6 | — | — | $19,021 | $19,211 | $38,600 |
| Laparoscopic cholecystectomy w/o CDE w MCC | MS-DRG | 418 | 6 | — | — | $19,106 | $19,297 | $38,773 |
| Laparoscopic cholecystectomy w/o CDE w CC | MS-DRG | 419 | 6 | — | — | $15,180 | $15,332 | $30,805 |
| Laparoscopic cholecystectomy w/o CDE w/o CC/MCC | MS-DRG | 420 | 6 | — | — | $40,663 | $41,069 | $82,520 |
| Open appendectomy | CPT | 44950 | 12 | $1,687.68 | $1,687.68 | $574.95 | $888 | $1,621.58 |
| Laparoscopic appendectomy | CPT | 44970 | 12 | $1,531.07 | $1,531.07 | $543.04 | $1,224.86 | $6,793.03 |
| Major joint replacement w MCC | MS-DRG | 469 | 6 | — | — | $37,658 | $38,035 | $76,422 |
| Major joint replacement w/o MCC | MS-DRG | 470 | 6 | — | — | $21,722 | $21,940 | $44,083 |
| Laparoscopic cholecystectomy | CPT | 47562 | 12 | $1,904.41 | $1,904.41 | $594.31 | $1,453.89 | $8,120.32 |
| Lap cholecystectomy with cholangiography | CPT | 47563 | 12 | $2,033.06 | $2,033.06 | $645.56 | $1,583.48 | $10,286 |
| Hip & femur procedures except major joint w MCC | MS-DRG | 480 | 6 | — | — | $33,883 | $34,221 | $68,761 |
| Hip & femur procedures except major joint w CC | MS-DRG | 481 | 6 | — | — | $23,904 | $24,143 | $48,511 |
| Hip & femur procedures except major joint w/o CC/MCC | MS-DRG | 482 | 6 | — | — | $18,277 | $18,459 | $37,090 |
| Lap inguinal hernia repair | CPT | 49650 | 12 | $1,085.83 | $1,085.83 | $393.61 | $868.66 | $5,968.91 |
| Total abdominal hysterectomy | CPT | 58150 | 12 | $3,021.61 | $3,021.61 | $926.54 | $1,432.98 | $2,575.91 |
| Vaginal hysterectomy | CPT | 58260 | 12 | $2,521.04 | $2,521.04 | $763.03 | $1,498.47 | $4,989.26 |
| Lap-assisted vaginal hysterectomy | CPT | 58550 | 12 | $2,803.48 | $2,803.48 | $803.01 | $1,677.84 | $5,896.77 |
| Lap-assisted vaginal hysterectomy >250g | CPT | 58552 | 12 | $2,803.48 | $2,803.48 | $892.39 | $1,747.19 | $10,523 |
| Lap salpingo-oophorectomy | CPT | 58661 | 12 | $1,890.43 | $1,890.43 | $592.29 | $1,160.37 | $5,896.77 |
| OR procedure for obesity w MCC | MS-DRG | 619 | 6 | — | — | $31,411 | $31,725 | $63,746 |
| OR procedure for obesity w CC | MS-DRG | 620 | 6 | — | — | $18,399 | $18,583 | $37,338 |
| OR procedure for obesity w/o CC/MCC | MS-DRG | 621 | 6 | — | — | $16,841 | $17,009 | $34,177 |
| Complex cataract surgery | CPT | 66982 | 7 | — | — | $2,169.53 | $2,259.93 | $4,392.35 |
| Cataract surgery with lens implant | CPT | 66984 | 7 | — | — | $2,169.53 | $2,259.93 | $3,504.82 |
| Uterine & adnexa procedures w CC/MCC | MS-DRG | 743 | 6 | — | — | $13,810 | $13,948 | $28,026 |
| Uterine & adnexa procedures w/o CC/MCC | MS-DRG | 744 | 6 | — | — | $22,512 | $22,737 | $45,685 |
Payer mix (top 12)
| Payer | Codes covered | Median rate |
|---|---|---|
| Aetna | 184 | $139.33 |
| Blue Cross Blue Shield | 184 | $400.96 |
| UnitedHealthcare | 184 | $238.73 |
| mvp | 184 | $280.61 |
| VA Health | 183 | $135.2 |
| Cigna | 182 | $311.31 |
| Humana | 141 | $143.65 |
| martins point | 141 | $176.4 |
| harvard pilgrim | 139 | $436.71 |
| First Health | 139 | $371.1 |
| capital district physicians' health plan | 139 | $406.67 |
| wellpath | 139 | $300.24 |