Does Brattleboro Memorial Hospital publish its standard charges and chargemaster?

Yes. Brattleboro Memorial Hospital publishes a machine-readable file with 97,248 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 Brattleboro Memorial Hospital charge for procedures?

Brattleboro Memorial Hospital (Brattleboro, VT) 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 · VT · CCN 470011

Brattleboro Memorial Hospital

Brattleboro, VT, 05301

47 bedsAcute Care Hospitals2

Compliance grade

100/100

Rates published

97,248

last crawl 2026-05-24

Procedures tracked

199

of 209 target codes

Payers

with negotiated rates

Procedures tracked

...

Payers

...

▸ Compare with other hospitals All VT 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/10714/030107300_brattleboro-memorial-hospital_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	12	—	—	$11,746	$15,808	1.2×	$22,132
Psychiatric diagnostic evaluation	CPT	90791	17	$336.2	$235.34	$123.51	$154.12	0.87×	$326.11
Psychiatric eval with medical services	CPT	90792	17	$374.1	$261.87	$124.2	$161.01	0.93×	$362.88
Psychotherapy 30 minutes	CPT	90832	17	$139.7	$97.79	$59.63	$129.86	0.87×	$215.77
Psychotherapy 45 minutes	CPT	90834	17	$186	$130.2	$78.7	$140.09	0.87×	$215.77
Psychotherapy 60 minutes	CPT	90837	17	$279.4	$195.58	$116.43	$154.12	0.81×	$273.74
Crisis psychotherapy 60 minutes	CPT	90839	17	$291.2	$203.84	$112.53	$154.12	0.97×	$285.93
emergency
ED visit level 1	CPT	99281	18	$361.6	$253.12	$9.22	$86.15	0.62×	$350.75
ED visit level 2	CPT	99282	18	$632.9	$443.03	$34.03	$154.95	0.65×	$613.91
ED visit level 3	CPT	99283	18	$1,082.4	$757.68	$57.55	$270.92	0.67×	$1,049.93
ED visit level 4	CPT	99284	18	$1,804.5	$1,263.15	$97.95	$420.01	0.63×	$1,750.37
ED visit level 5	CPT	99285	18	$2,707.3	$1,895.11	$141.88	$609.65	0.58×	$2,626.08
Critical care, first hour	CPT	99291	18	$4,210.7	$2,947.49	$174.24	$816.37	0.76×	$4,084.38
imaging
CT head without contrast	CPT	70450	18	$1,720.2	$1,204.14	$33.47	$103.81	0.50×	$1,668.59
CT head with contrast	CPT	70460	18	$3,085.1	$2,159.57	$44.38	$172.48	0.74×	$2,992.55
CT head with and without contrast	CPT	70470	18	$3,085.1	$2,159.57	$49.91	$175.61	0.66×	$2,992.55
CT neck with contrast	CPT	70491	18	$3,085.1	$2,159.57	$54.16	$179.14	0.65×	$2,992.55
MRI brain without contrast	CPT	70551	18	$3,377.3	$2,364.11	$58	$231.87	0.57×	$3,275.98
MRI brain with contrast	CPT	70552	18	$5,653.6	$3,957.52	$70.05	$342.58	0.72×	$5,483.99
MRI brain with and without contrast	CPT	70553	18	$5,653.6	$3,957.52	$90.06	$343.47	0.58×	$5,483.99
Chest X-ray single view	CPT	71045	18	$526.3	$368.41	$7.23	$47.62	0.50×	$510.51
Chest X-ray 2 views	CPT	71046	18	$526.3	$368.41	$8.65	$68.06	0.69×	$510.51
Chest X-ray 3 views	CPT	71047	18	$526.3	$368.41	$10.92	$68.06	0.71×	$510.51
CT chest without contrast	CPT	71250	18	$1,720.2	$1,204.14	$42.4	$390.15	1.8×	$1,668.59
CT chest with contrast	CPT	71260	18	$3,085.1	$2,159.57	$45.8	$636.7	2.3×	$2,992.55
CT chest with and without contrast	CPT	71270	18	$3,085.1	$2,159.57	$49.06	$424.69	1.5×	$2,992.55
MRI chest without contrast	CPT	71550	18	$3,377.3	$2,364.11	$57.43	$305.22	0.71×	$3,275.98
MRI chest with contrast	CPT	71551	18	$10,134	$7,094.01	$67.78	$757.87	0.93×	$9,830.27
MRI chest with and without contrast	CPT	71552	18	$5,653.6	$3,957.52	$88.93	$455.29	0.76×	$5,483.99
Lumbosacral spine X-ray	CPT	72100	18	$948.7	$664.09	$8.94	$82.2	0.79×	$920.24
CT cervical spine without contrast	CPT	72125	18	$1,720.2	$1,204.14	$39.13	$126.65	0.63×	$1,668.59
CT thoracic spine without contrast	CPT	72128	18	$1,720.2	$1,204.14	$39.13	$123.85	0.62×	$1,668.59
CT lumbar spine without contrast	CPT	72131	18	$1,720.2	$1,204.14	$39.13	$123.38	0.61×	$1,668.59
MRI cervical spine without contrast	CPT	72141	18	$3,377.3	$2,364.11	$58.28	$231.87	0.58×	$3,275.98
MRI thoracic spine without contrast	CPT	72146	18	$3,377.3	$2,364.11	$58.28	$231.87	0.62×	$3,275.98
MRI lumbar spine without contrast	CPT	72148	18	$3,377.3	$2,364.11	$58.28	$231.87	0.62×	$3,275.98
MRI lumbar spine with and without contrast	CPT	72149	18	$5,653.6	$3,957.52	$70.35	$342.58	0.75×	$5,483.99
MRI cervical spine with and without contrast	CPT	72156	18	$5,653.6	$3,957.52	$90.35	$345.87	0.64×	$5,483.99
MRI lumbar spine with contrast	CPT	72158	18	$5,653.6	$3,957.52	$90.35	$342.58	0.63×	$5,483.99
CT pelvis without contrast	CPT	72192	18	$1,720.2	$1,204.14	$42.68	$243.78	1.2×	$1,668.59
CT pelvis with contrast	CPT	72193	18	$3,085.1	$2,159.57	$45.51	$432.11	1.5×	$2,992.55
Shoulder X-ray	CPT	73030	18	$526.3	$368.41	$7.52	$68.06	0.73×	$510.51
Humerus X-ray	CPT	73060	18	$526.3	$368.41	$6.38	$68.06	0.76×	$510.51
Hand X-ray 3 views	CPT	73130	18	$526.3	$368.41	$6.95	$68.06	0.73×	$510.51
MRI upper extremity joint without contrast	CPT	73221	18	$3,377.3	$2,364.11	$53.32	$231.87	0.56×	$3,275.98
MRI upper extremity joint with and without contrast	CPT	73223	18	$5,653.6	$3,957.52	$84.81	$373.99	0.61×	$5,483.99
Knee X-ray 1-2 views	CPT	73560	18	$526.3	$368.41	$6.67	$68.06	0.73×	$510.51
Ankle X-ray 3 views	CPT	73610	18	$526.3	$368.41	$6.95	$68.06	0.74×	$510.51
MRI lower extremity joint without contrast	CPT	73721	18	$3,377.3	$2,364.11	$53.32	$231.87	0.50×	$3,275.98
MRI lower extremity joint with and without contrast	CPT	73723	18	$5,653.6	$3,957.52	$84.81	$373.02	0.59×	$5,483.99
CT abdomen without contrast	CPT	74150	18	$1,720.2	$1,204.14	$46.65	$132.65	0.70×	$1,668.59
CT abdomen with contrast	CPT	74160	18	$3,085.1	$2,159.57	$49.91	$224.54	0.78×	$2,992.55
CT abdomen with and without contrast	CPT	74170	18	$3,085.1	$2,159.57	$54.73	$238.7	0.71×	$2,992.55
CT abdomen and pelvis without contrast	CPT	74176	18	$3,525.9	$2,468.13	$68.35	$356.35	0.98×	$3,420.12
CT abdomen and pelvis with contrast	CPT	74177	18	$5,901.3	$4,130.91	$71.76	$605.68	1.1×	$5,724.26
CT abdomen and pelvis with and without contrast	CPT	74178	18	$5,901.3	$4,130.91	$78.84	$350.72	0.61×	$5,724.26
MRI abdomen without contrast	CPT	74181	18	$3,377.3	$2,364.11	$57.14	$231.87	0.59×	$3,275.98
MRI abdomen with and without contrast	CPT	74183	18	$5,653.6	$3,957.52	$86.51	$350.41	0.62×	$5,483.99
Abdominal ultrasound complete	CPT	76700	18	$933.8	$653.66	$31.76	$110.4	0.74×	$905.79
Abdominal ultrasound limited	CPT	76705	18	$933.8	$653.66	$23.11	$102.01	0.70×	$905.79
Retroperitoneal ultrasound complete	CPT	76770	18	$933.8	$653.66	$28.93	$102.99	0.72×	$905.79
Obstetric ultrasound first trimester	CPT	76801	18	$933.8	$653.66	$39.14	$111.55	0.79×	$905.79
Obstetric ultrasound after first trimester	CPT	76805	18	$1,005.6	$703.92	$39.42	$265.94	1.7×	$975.43
Obstetric ultrasound with fetal anatomy	CPT	76811	15	—	—	$75.13	$170.23	0.72×	$829.94
Transvaginal ultrasound	CPT	76830	18	$933.8	$653.66	$27.37	$112.77	0.76×	$905.79
Pelvic ultrasound complete	CPT	76856	18	$933.8	$653.66	$27.08	$103.03	0.72×	$905.79
Scrotal ultrasound	CPT	76870	18	$933.8	$653.66	$25.1	$102.01	0.78×	$905.79
Diagnostic mammography unilateral	CPT	77065	18	$536.3	$375.41	$31.76	$117.16	0.78×	$821.33
Diagnostic mammography bilateral	CPT	77066	18	$678.7	$475.09	$39.13	$149.61	0.79×	$1,053.02
Screening mammography bilateral	CPT	77067	18	$550	$385	$30.07	$120.75	0.77×	$868.39
EKG complete	CPT	93000	14	$60.2	$42.14	$11.99	$14.49	0.59×	$58.39
EKG tracing only	CPT	93005	18	$240.3	$168.21	$5.33	$184.65	1.6×	$233.09
EKG interpretation only	CPT	93010	14	$39.1	$27.37	$6.67	$8.05	0.44×	$37.93
Transthoracic echocardiogram complete	CPT	93306	18	$4,124	$2,886.8	$56.69	$407	0.68×	$4,000.28
Transthoracic echocardiogram	CPT	93307	15	—	—	$35.86	$129.53	0.52×	$341.2
Stress echocardiogram	CPT	93350	17	$490.3	$343.21	$56.69	$175.11	0.35×	$736.35
inpatient
Intracranial hemorrhage/CVA w MCC	MS-DRG	064	12	—	—	$16,987	$22,225	1.1×	$31,116
Intracranial hemorrhage/CVA w CC	MS-DRG	065	12	—	—	$7,898.85	$11,461	1.1×	$16,045
Intracranial hemorrhage/CVA w/o CC/MCC	MS-DRG	066	12	—	—	$4,442.37	$7,822.39	1.0×	$10,951
Respiratory infections & inflammations w MCC	MS-DRG	177	12	—	—	$10,135	$18,099	1.2×	$25,339
COPD w MCC	MS-DRG	190	12	—	—	$6,787.63	$12,635	1.1×	$17,689
COPD w CC	MS-DRG	191	12	—	—	$4,977.93	$9,713.41	1.1×	$13,599
COPD w/o CC/MCC	MS-DRG	192	12	—	—	$4,647.07	$7,367.35	1.1×	$10,314
Simple pneumonia & pleurisy w CC	MS-DRG	194	12	—	—	$5,150.04	$9,280.53	1.1×	$12,993
Simple pneumonia & pleurisy w/o CC/MCC	MS-DRG	195	12	—	—	$3,381.28	$7,096.09	1.1×	$9,934.53
AMI discharged alive w MCC	MS-DRG	280	12	—	—	$9,047.66	$18,375	1.2×	$25,725
AMI discharged alive w CC	MS-DRG	281	12	—	—	$5,631.29	$10,408	1.1×	$14,571
AMI discharged alive w/o CC/MCC	MS-DRG	282	12	—	—	$4,380.54	$8,229.82	1.1×	$11,522
Heart failure & shock w MCC	MS-DRG	291	12	—	—	$9,139.57	$14,648	1.1×	$20,507
Heart failure & shock w CC	MS-DRG	292	12	—	—	$6,286.32	$9,736.67	1.1×	$13,631
Heart failure & shock w/o CC/MCC	MS-DRG	293	12	—	—	$4,902.73	$6,276.79	1.0×	$8,787.51
Cardiac arrhythmia w MCC	MS-DRG	308	12	—	—	$9,466.25	$13,553	1.1×	$18,974
Cardiac arrhythmia w CC	MS-DRG	309	12	—	—	$3,976.16	$8,387.04	1.1×	$11,742
Cardiac arrhythmia w/o CC/MCC	MS-DRG	310	12	—	—	$3,288.54	$6,396.38	1.0×	$8,954.93
GI hemorrhage w CC	MS-DRG	378	12	—	—	$6,022.31	$11,117	1.1×	$15,564
GI hemorrhage w/o CC/MCC	MS-DRG	379	12	—	—	$3,593.5	$7,251.09	1.1×	$10,152
Esophagitis/gastroenteritis w/o MCC	MS-DRG	392	12	—	—	$4,354.64	$8,840.99	1.1×	$12,377
Fractures of femur w/o MCC	MS-DRG	533	12	—	—	$12,619	$17,085	1.1×	$23,919
Kidney/UTI w MCC	MS-DRG	689	12	—	—	$8,542.18	$13,159	1.1×	$18,422
Kidney/UTI w/o MCC	MS-DRG	690	12	—	—	$4,565.19	$9,087.87	1.1×	$12,723
Septicemia or severe sepsis w MV 96+ hrs	MS-DRG	871	12	—	—	$13,502	$21,925	1.2×	$30,696
Septicemia or severe sepsis w/o MV 96+ hrs	MS-DRG	872	12	—	—	$6,343.97	$11,617	1.1×	$16,263
Initial hospital care, low complexity	CPT	99221	14	$246.9	$172.83	$67.46	$91.59	0.99×	$239.49
Initial hospital care, moderate complexity	CPT	99222	14	$332.5	$232.75	$107.05	$144.45	0.85×	$322.53
Initial hospital care, high complexity	CPT	99223	14	$474.4	$332.08	$142.8	$191.36	0.85×	$460.17
Hospital discharge, <30 min	CPT	99238	14	$178.5	$124.95	$67.07	$89.72	1.0×	$173.15
Hospital discharge, >30 min	CPT	99239	14	$261.7	$183.19	$94.9	$126.58	1.0×	$253.85
lab
Basic metabolic panel (BMP)	CPT	80048	18	$110.2	$77.14	$5.08	$64.14	2.0×	$106.89
General health panel	CPT	80050	5	—	—	$45.05	$61.35	0.57×	$330.47
Electrolyte panel	CPT	80051	18	$90.4	$63.28	$4.21	$60.66	2.5×	$87.69
Comprehensive metabolic panel	CPT	80053	18	$138.7	$97.09	$6.34	$80.72	1.8×	$134.54
Lipid panel	CPT	80061	18	$190.7	$133.49	$8.03	$126	3.3×	$184.98
Renal function panel	CPT	80069	15	—	—	$5.21	$8.9	0.33×	$58.14
Hepatic function panel	CPT	80076	18	$105.2	$73.64	$4.9	$70.59	2.7×	$102.04
Urinalysis non-automated	CPT	81002	18	$8.7	$6.09	$2.09	$6.93	1.00×	$23.31
Urinalysis automated	CPT	81003	18	$23.5	$16.45	$1.35	$14.38	1.0×	$22.8
Glucose quantitative	CPT	82947	18	$61.9	$43.33	$2.36	$47.79	2.7×	$60.04
Hemoglobin A1c	CPT	83036	18	$125.1	$87.57	$5.83	$72.07	2.7×	$121.35
Thyroid stimulating hormone (TSH)	CPT	84443	18	$215.5	$150.85	$10.08	$125.42	2.7×	$209.04
Complete blood count with automated differential	CPT	85025	18	$101.6	$71.12	$4.66	$59.13	2.2×	$98.55
Complete blood count without differential	CPT	85027	18	$81.4	$56.98	$3.88	$54.62	2.5×	$78.96
Urine culture bacterial	CPT	87086	18	$76.7	$53.69	$4.84	$56.17	2.4×	$74.4
Urine culture identification	CPT	87088	18	$49.6	$34.72	$4.85	$37.7	1.7×	$54.19
Tissue exam by pathologist level IV	CPT	88305	18	$756.7	$529.69	$30.49	$68.92	0.67×	$734
maternity
Fetal non-stress test	CPT	59025	18	$526.3	$368.41	$17.4	$202.62	1.1×	$510.51
Routine obstetric care including vaginal delivery	CPT	59400	14	$4,384.2	$3,068.94	$1,934.29	$2,324.36	1.0×	$4,653.25
Vaginal delivery only	CPT	59409	18	$4,719.7	$3,303.79	$628.47	$3,050	1.4×	$4,578.11
Vaginal delivery with postpartum	CPT	59410	14	$2,026	$1,418.2	$853.03	$993.39	0.94×	$2,290.01
Routine obstetric care with C-section	CPT	59510	14	$5,451.5	$3,816.05	$2,133.2	$2,563.62	1.0×	$5,287.96
C-section delivery only	CPT	59514	14	$2,446.4	$1,712.48	$707.8	$1,126.52	1.2×	$2,373.01
C-section with postpartum	CPT	59515	14	$2,942.8	$2,059.96	$1,051.63	$1,266.19	1.0×	$2,854.52
office
Office visit, new patient, 15-29 min	CPT	99202	18	$282.3	$197.61	$38.76	$169.12	2.0×	$273.83
Office visit, new patient, 30-44 minutes	CPT	99203	18	$408.7	$286.09	$67.33	$221.06	1.8×	$396.44
Office visit, new patient, 45-59 min	CPT	99204	18	$620.5	$434.35	$109.93	$361.13	2.1×	$601.89
Office visit, new patient, 60-74 min	CPT	99205	18	$722.1	$505.47	$123.62	$447.24	2.0×	$700.44
Office visit, established patient, 5 min	CPT	99211	18	$231.6	$162.12	$7.23	$112.02	1.7×	$224.65
Office visit, established patient, 10-19 min	CPT	99212	18	$301	$210.7	$29.1	$150.48	1.9×	$291.97
Office visit, established patient, 20-29 minutes	CPT	99213	18	$463.2	$324.24	$54.52	$186.24	1.6×	$449.3
Office visit, established patient, 30-39 minutes	CPT	99214	18	$405	$283.5	$80.22	$228.24	1.5×	$392.85
Office visit, established patient, 40-54 min	CPT	99215	18	$567	$396.9	$118.86	$397.94	2.1×	$549.99
preventive
Upper GI endoscopy diagnostic	CPT	43235	17	$643.1	$450.17	$100.04	$539.09	0.59×	$1,259.11
Upper GI endoscopy with biopsy	CPT	43239	17	$412	$288.4	$112.53	$484.77	0.50×	$1,259.11
Sigmoidoscopy diagnostic	CPT	45330	17	$278.8	$195.16	$46.9	$225.62	0.27×	$1,224.39
Sigmoidoscopy with biopsy	CPT	45331	17	$222.75	$155.93	$59.54	$304.52	0.34×	$1,224.39
Colonoscopy diagnostic	CPT	45378	17	$963.5	$674.45	$85.32	$545.35	0.62×	$1,224.39
Colonoscopy with biopsy	CPT	45380	17	$973.2	$681.24	$162.87	$787.64	0.65×	$1,583.46
Colonoscopy with polyp removal	CPT	45385	17	$1,276.4	$893.48	$205.62	$911.43	0.76×	$1,583.46
surgery
Total shoulder arthroplasty	CPT	23472	17	$3,455	$2,418.5	$1,185.32	$3,273.84	0.79×	$24,697
Hip hemiarthroplasty	CPT	27125	14	$2,860.8	$2,002.56	$933.4	$1,479.93	1.2×	$2,774.98
Total hip replacement	CPT	27130	17	$3,408.6	$2,386.02	$1,053.28	$3,047.58	0.70×	$17,280
Total knee replacement	CPT	27447	17	$3,639.7	$2,547.79	$1,051.98	$3,045.37	0.73×	$17,280
Knee revision arthroplasty single component	CPT	27486	14	$3,331.6	$2,332.12	$1,153.68	$1,668.75	1.00×	$3,231.65
Knee revision arthroplasty all components	CPT	27487	14	$4,297.4	$3,008.18	$1,432.5	$2,273.17	1.1×	$4,168.48
Shoulder arthroscopy with decompression	CPT	29826	14	$1,350.9	$945.63	$138.25	$219.84	0.67×	$1,310.37
Shoulder arthroscopy with rotator cuff repair	CPT	29827	17	$2,550.3	$1,785.21	$883.04	$2,391.93	0.73×	$9,593.77
Knee arthroscopy with meniscectomy	CPT	29881	17	$1,303.3	$912.31	$455.33	$1,234.26	0.60×	$4,357.39
ACL reconstruction	CPT	29888	17	$2,349.8	$1,644.86	$805.38	$2,220.36	0.66×	$9,593.77
Major small/large bowel procedures w MCC	MS-DRG	329	12	—	—	$21,510	$51,041	1.2×	$71,458
Major small/large bowel procedures w CC	MS-DRG	330	12	—	—	$12,533	$26,372	1.1×	$36,920
Major small/large bowel procedures w/o CC/MCC	MS-DRG	331	12	—	—	$8,009.13	$18,481	1.1×	$25,873
CABG single arterial graft	CPT	33533	12	—	—	$1,460.69	$1,744.03	0.93×	$4,033.7
CABG 2 arterial grafts	CPT	33534	12	—	—	$1,714.99	$2,047.89	0.96×	$4,741.8
CABG 3 arterial grafts	CPT	33535	12	—	—	$1,904.78	$2,274.93	1.0×	$5,274.97
CABG 4+ arterial grafts	CPT	33536	12	—	—	$2,050.58	$2,449.3	1.0×	$5,656.27
Laparoscopic cholecystectomy w/o CDE w MCC	MS-DRG	418	12	—	—	$7,424.28	$18,563	1.1×	$25,988
Laparoscopic cholecystectomy w/o CDE w CC	MS-DRG	419	12	—	—	$6,696.56	$14,790	1.1×	$20,706
Laparoscopic cholecystectomy w/o CDE w/o CC/MCC	MS-DRG	420	12	—	—	$27,138	$39,279	1.2×	$54,991
Open appendectomy	CPT	44950	17	$1,500.1	$1,050.07	$516.97	$1,404.77	1.2×	$8,379.76
Laparoscopic appendectomy	CPT	44970	17	$1,413.3	$989.31	$488.72	$1,322.56	0.85×	$7,835.34
Major joint replacement w MCC	MS-DRG	469	12	—	—	$27,138	$36,392	1.2×	$50,948
Major joint replacement w/o MCC	MS-DRG	470	12	—	—	$11,826	$21,077	1.1×	$29,508
Laparoscopic cholecystectomy	CPT	47562	17	$1,976.9	$1,383.83	$534.77	$1,600.02	0.90×	$7,835.34
Lap cholecystectomy with cholangiography	CPT	47563	17	$1,929.2	$1,350.44	$580.8	$1,566.37	0.83×	$7,835.34
Hip & femur procedures except major joint w MCC	MS-DRG	480	12	—	—	$23,565	$32,763	1.2×	$45,869
Hip & femur procedures except major joint w CC	MS-DRG	481	12	—	—	$13,275	$23,174	1.1×	$32,444
Hip & femur procedures except major joint w/o CC/MCC	MS-DRG	482	12	—	—	$9,470.43	$17,766	1.1×	$24,872
Open umbilical hernia repair	CPT	49560	2	$1,726.3	$1,208.41	$1,397.19	$1,535.85	0.80×	$1,674.51
Umbilical hernia repair age 5+	CPT	49585	2	$1,052.6	$736.82	$851.95	$936.49	0.71×	$1,021.02
Lap inguinal hernia repair	CPT	49650	17	$1,093	$765.1	$354.62	$1,060.21	0.94×	$7,835.34
Total abdominal hysterectomy	CPT	58150	14	$2,457.4	$1,720.18	$832.93	$1,323.63	1.4×	$2,383.68
Vaginal hysterectomy	CPT	58260	17	$1,976.9	$1,383.83	$686.02	$1,779.14	0.98×	$6,629.47
Lap-assisted vaginal hysterectomy	CPT	58550	17	$2,110.2	$1,477.14	$721.81	$1,902.29	1.3×	$7,835.34
Lap-assisted vaginal hysterectomy >250g	CPT	58552	17	$2,343.7	$1,640.59	$802.04	$2,131.74	0.96×	$13,982
Lap salpingo-oophorectomy	CPT	58661	17	$1,531.9	$1,072.33	$532.23	$1,402.91	0.69×	$7,835.34
OR procedure for obesity w MCC	MS-DRG	619	12	—	—	$18,232	$30,388	1.1×	$42,544
OR procedure for obesity w CC	MS-DRG	620	12	—	—	$7,411.75	$17,883	1.1×	$25,036
OR procedure for obesity w/o CC/MCC	MS-DRG	621	12	—	—	$6,466.79	$16,386	1.1×	$22,941
Complex cataract surgery	CPT	66982	15	—	—	$618.44	$1,763	0.79×	$3,062.94
Cataract surgery with lens implant	CPT	66984	15	—	—	$452.03	$1,478.78	0.68×	$3,062.94
Intravitreal injection	CPT	67028	15	—	—	$76.31	$256.4	0.75×	$445.45
Vitrectomy mechanical	CPT	67042	15	—	—	$944.49	$2,652.27	1.1×	$5,402.56
Uterine & adnexa procedures w CC/MCC	MS-DRG	743	12	—	—	$6,001.42	$13,473	1.1×	$18,863
Uterine & adnexa procedures w/o CC/MCC	MS-DRG	744	12	—	—	$14,593	$21,836	1.1×	$30,570
PCI single major coronary artery	CPT	92920	15	—	—	$409.21	$1,085.02	0.19×	$7,656.94
PCI with drug-eluting stent	CPT	92928	15	—	—	$454.86	$1,205.84	0.12×	$15,230
PCI bypass graft	CPT	92937	15	—	—	$454.58	$1,204.19	0.11×	$15,230
Left heart catheterization	CPT	93452	15	—	—	$184.11	$811.85	0.26×	$4,319.52
Coronary angiography with cath	CPT	93455	15	—	—	$216.98	$911.88	0.29×	$4,319.52
Coronary angiography with bypass cath	CPT	93458	15	—	—	$229.19	$940.74	0.30×	$4,319.52

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 18)

Payer	Codes covered	Median rate
Blue Cross Blue Shield	197	$349.43
Anthem BCBS	197	$173.07
harvard pilgrim health care	197	$292.63
wellsense	196	$137.69
amerihealth-caritas	196	$124.2
Cigna	196	$238.83
martin's point	196	$148.12
mvp healthcare	196	$231.87
new hampshire healthy families	196	$124.2
WellCare	196	$155.52
UnitedHealthcare	175	$408.35
Humana	175	$342.58
vermont health plan	154	$414.56
tufts health plan	154	$380.14
First Health	138	$510.51
Aetna	138	$510.51
Multiplan	132	$482.96
health new england	90	$510.51

Related data on other Healthparse brands

Explore this hospital across cost reports, quality ratings, and non-profit filings.

HCRIS.io

Medicare cost reports, margins, utilization

Stetho.io

SNF, HHA, hospice, dialysis cost reports + ownership

990Health

IRS Form 990 financials, executive compensation

CareLens

CMS quality ratings, inspections, staffing