▸ Hospital · WI · CCN 523025
Ascension Sacred Heart Rehabilitation Hospital
2350 N. LAKE DRIVE, MILWAUKEE, WI, 53211-
15 beds1
Compliance grade
A
100/100
Procedures tracked
197
of 209 target codes
Payers
13
with negotiated rates
Rates published
12,665
last crawl 2026-05-24
Procedures & rates
| Procedure | Type | Code | Payers | Gross | Cash | Neg min | Neg median | Neg max |
|---|---|---|---|---|---|---|---|---|
| behavioral | ||||||||
| Psychoses | MS-DRG | 885 | 12 | — | — | $1,435 | $14,865 | $21,788 |
| Psychiatric diagnostic evaluation | CPT | 90791 | 4 | — | — | $183 | $521.92 | $521.92 |
| Psychiatric eval with medical services | CPT | 90792 | 4 | — | — | $183 | $578.09 | $578.09 |
| Psychotherapy 30 minutes | CPT | 90832 | 4 | — | — | $110.7 | $254.82 | $254.82 |
| Psychotherapy 45 minutes | CPT | 90834 | 4 | — | — | $146.54 | $338.92 | $338.92 |
| Psychotherapy 60 minutes | CPT | 90837 | 4 | — | — | $215.66 | $507.97 | $507.97 |
| Crisis psychotherapy 60 minutes | CPT | 90839 | 4 | — | — | $207.3 | $530.4 | $530.4 |
| emergency | ||||||||
| ED visit level 1 | CPT | 99281 | 4 | — | — | $18.41 | $53.52 | $55.06 |
| ED visit level 2 | CPT | 99282 | 4 | — | — | $66.88 | $103.25 | $571 |
| ED visit level 3 | CPT | 99283 | 4 | — | — | $114.58 | $154.84 | $160.58 |
| ED visit level 4 | CPT | 99284 | 4 | — | — | $193.92 | $282.67 | $304.62 |
| ED visit level 5 | CPT | 99285 | 4 | — | — | $281.26 | $410.29 | $449.3 |
| Critical care, first hour | CPT | 99291 | 5 | — | — | $342.91 | $665.57 | $6,109 |
| imaging | ||||||||
| CT head without contrast | CPT | 70450 | 5 | — | — | $66.66 | $188.75 | $374.33 |
| CT head with contrast | CPT | 70460 | 5 | — | — | $88.62 | $276.91 | $523.24 |
| CT head with and without contrast | CPT | 70470 | 5 | $2,890 | $1,531.7 | $99.6 | $331.65 | $618.64 |
| CT neck with contrast | CPT | 70491 | 5 | $2,775 | $1,470.75 | $108.68 | $346.53 | $762.06 |
| MRI brain without contrast | CPT | 70551 | 5 | — | — | $116.26 | $385.82 | $745.41 |
| MRI brain with contrast | CPT | 70552 | 5 | $4,867 | $2,579.51 | $139.93 | $570.51 | $1,032.17 |
| MRI brain with and without contrast | CPT | 70553 | 5 | — | — | $179.52 | $650.32 | $1,220.37 |
| Chest X-ray single view | CPT | 71045 | 5 | — | — | $14.38 | $42.09 | $182.03 |
| Chest X-ray 2 views | CPT | 71046 | 5 | — | — | $17.24 | $55.99 | $182.03 |
| Chest X-ray 3 views | CPT | 71047 | 5 | $781 | $413.93 | $21.76 | $70.84 | $182.03 |
| CT chest without contrast | CPT | 71250 | 5 | — | — | $84.64 | $245.18 | $582.23 |
| CT chest with contrast | CPT | 71260 | 5 | $2,373 | $1,257.69 | $91.44 | $347.42 | $741.12 |
| CT chest with and without contrast | CPT | 71270 | 5 | $2,852 | $1,511.56 | $97.72 | $401.74 | $888.15 |
| MRI chest without contrast | CPT | 71550 | 5 | $3,161 | $1,675.33 | $114.56 | $517.79 | $1,335.14 |
| MRI chest with contrast | CPT | 71551 | 5 | — | — | $135.41 | $913.92 | $1,609.16 |
| MRI chest with and without contrast | CPT | 71552 | 5 | $2,997 | $1,588.41 | $177.24 | $828.27 | $1,867.36 |
| Lumbosacral spine X-ray | CPT | 72100 | 5 | — | — | $17.78 | $69 | $245.18 |
| CT cervical spine without contrast | CPT | 72125 | 5 | — | — | $78.03 | $245.18 | $596.27 |
| CT thoracic spine without contrast | CPT | 72128 | 5 | $2,321 | $1,230.13 | $78.03 | $245.18 | $582.13 |
| CT lumbar spine without contrast | CPT | 72131 | 5 | $2,633 | $1,395.49 | $78.03 | $245.18 | $579.82 |
| MRI cervical spine without contrast | CPT | 72141 | 5 | $3,909 | $2,071.77 | $116.26 | $370.65 | $723.16 |
| MRI thoracic spine without contrast | CPT | 72146 | 5 | $3,963 | $2,100.39 | $116.26 | $370.65 | $724.3 |
| MRI lumbar spine without contrast | CPT | 72148 | 5 | $4,072 | $2,158.16 | $116.26 | $371.57 | $719.71 |
| MRI lumbar spine with and without contrast | CPT | 72149 | 5 | $4,943 | $2,619.79 | $139.93 | $575.14 | $1,035.15 |
| MRI cervical spine with and without contrast | CPT | 72156 | 5 | — | — | $179.52 | $657.74 | $1,226.1 |
| MRI lumbar spine with contrast | CPT | 72158 | 5 | — | — | $179.52 | $655.9 | $1,222.65 |
| CT pelvis without contrast | CPT | 72192 | 5 | $2,101 | $1,113.53 | $85.22 | $236.07 | $471.41 |
| CT pelvis with contrast | CPT | 72193 | 5 | $2,418 | $1,281.54 | $90.9 | $401.74 | $729.23 |
| Shoulder X-ray | CPT | 73030 | 5 | — | — | $14.93 | $60.65 | $182.03 |
| Humerus X-ray | CPT | 73060 | 5 | $478 | $253.34 | $13.23 | $58.78 | $182.03 |
| Hand X-ray 3 views | CPT | 73130 | 5 | — | — | $13.8 | $67.13 | $182.03 |
| MRI upper extremity joint without contrast | CPT | 73221 | 5 | $8,242 | $4,368.26 | $106.95 | $418.29 | $762.56 |
| MRI upper extremity joint with and without contrast | CPT | 73223 | 5 | $5,818 | $3,083.54 | $169.08 | $828.27 | $1,514.67 |
| Knee X-ray 1-2 views | CPT | 73560 | 5 | — | — | $13.23 | $64.36 | $182.03 |
| Ankle X-ray 3 views | CPT | 73610 | 5 | — | — | $13.8 | $67.13 | $182.03 |
| MRI lower extremity joint without contrast | CPT | 73721 | 5 | $6,753 | $3,579.09 | $106.4 | $418.29 | $763.7 |
| MRI lower extremity joint with and without contrast | CPT | 73723 | 5 | $12,302 | $6,520.06 | $168.54 | $828.27 | $1,518.09 |
| CT abdomen without contrast | CPT | 74150 | 5 | $2,217 | $1,175.01 | $93.18 | $232.36 | $484.11 |
| CT abdomen with contrast | CPT | 74160 | 5 | $2,786 | $1,476.58 | $99.6 | $401.74 | $744.74 |
| CT abdomen with and without contrast | CPT | 74170 | 5 | $3,392 | $1,797.76 | $109.28 | $401.74 | $846.98 |
| CT abdomen and pelvis without contrast | CPT | 74176 | 5 | $3,739 | $1,981.67 | $136.53 | $292.68 | $647.29 |
| CT abdomen and pelvis with contrast | CPT | 74177 | 5 | — | — | $142.78 | $613.19 | $1,006.51 |
| CT abdomen and pelvis with and without contrast | CPT | 74178 | 5 | $5,374 | $2,848.22 | $157.01 | $695.82 | $1,139.54 |
| MRI abdomen without contrast | CPT | 74181 | 5 | $3,577 | $1,895.81 | $114.56 | $394.79 | $1,073.78 |
| MRI abdomen with and without contrast | CPT | 74183 | 5 | $3,788 | $2,007.64 | $171.96 | $732.95 | $1,634 |
| Abdominal ultrasound complete | CPT | 76700 | 5 | $1,107 | $586.71 | $63.26 | $213.79 | $399.79 |
| Abdominal ultrasound limited | CPT | 76705 | 5 | — | — | $46.21 | $160.89 | $297.04 |
| Retroperitoneal ultrasound complete | CPT | 76770 | 5 | — | — | $57.58 | $198.94 | $368.47 |
| Obstetric ultrasound first trimester | CPT | 76801 | 5 | $824 | $436.72 | $78.01 | $188.72 | $403.27 |
| Obstetric ultrasound after first trimester | CPT | 76805 | 5 | $840 | $445.2 | $78.56 | $235.15 | $462.4 |
| Obstetric ultrasound with fetal anatomy | CPT | 76811 | 5 | $709 | $375.77 | $140.28 | $254.55 | $595.6 |
| Transvaginal ultrasound | CPT | 76830 | 5 | $733 | $388.49 | $54.71 | $230.49 | $396.84 |
| Pelvic ultrasound complete | CPT | 76856 | 5 | $872 | $462.16 | $54.16 | $196.15 | $357.88 |
| Scrotal ultrasound | CPT | 76870 | 5 | $841 | $445.73 | $50.18 | $190.59 | $275.47 |
| Diagnostic mammography unilateral | CPT | 77065 | 5 | $219 | $116.07 | $63.26 | $205.7 | $432.55 |
| Diagnostic mammography bilateral | CPT | 77066 | 5 | $275 | $145.75 | $78.03 | $263 | $548.9 |
| Screening mammography bilateral | CPT | 77067 | 5 | $217 | $115.01 | $59.82 | $217.46 | $443.07 |
| EKG complete | CPT | 93000 | 4 | — | — | $23.29 | $60.31 | $60.31 |
| EKG tracing only | CPT | 93005 | 4 | $86 | $45.58 | $10.03 | $29.56 | $29.56 |
| EKG interpretation only | CPT | 93010 | 4 | — | — | $13.26 | $30.75 | $30.75 |
| Transthoracic echocardiogram complete | CPT | 93306 | 4 | $934 | $495.02 | $112.74 | $477.34 | $746.96 |
| Transthoracic echocardiogram | CPT | 93307 | 4 | $600 | $318 | $71.23 | $305.59 | $507.72 |
| Stress echocardiogram | CPT | 93350 | 4 | $823 | $436.19 | $112.74 | $421.58 | $770.09 |
| inpatient | ||||||||
| Respiratory infections & inflammations w MCC | MS-DRG | 177 | 12 | — | — | $10,022 | $15,215 | $21,788 |
| COPD w MCC | MS-DRG | 190 | 12 | — | — | $10,022 | $15,215 | $21,788 |
| COPD w CC | MS-DRG | 191 | 12 | — | — | $10,022 | $15,215 | $21,788 |
| COPD w/o CC/MCC | MS-DRG | 192 | 12 | — | — | $10,022 | $15,215 | $21,788 |
| Simple pneumonia & pleurisy w CC | MS-DRG | 194 | 12 | — | — | $10,022 | $15,215 | $21,788 |
| Simple pneumonia & pleurisy w/o CC/MCC | MS-DRG | 195 | 12 | — | — | $10,022 | $15,215 | $21,788 |
| AMI discharged alive w MCC | MS-DRG | 280 | 12 | — | — | $10,022 | $15,215 | $21,788 |
| AMI discharged alive w CC | MS-DRG | 281 | 12 | — | — | $10,022 | $15,215 | $21,788 |
| AMI discharged alive w/o CC/MCC | MS-DRG | 282 | 12 | — | — | $10,022 | $15,215 | $21,788 |
| Heart failure & shock w MCC | MS-DRG | 291 | 12 | — | — | $10,022 | $15,215 | $21,788 |
| Heart failure & shock w CC | MS-DRG | 292 | 12 | — | — | $10,022 | $15,215 | $21,788 |
| Heart failure & shock w/o CC/MCC | MS-DRG | 293 | 12 | — | — | $10,022 | $15,215 | $21,788 |
| Cardiac arrhythmia w MCC | MS-DRG | 308 | 12 | — | — | $10,022 | $15,215 | $21,788 |
| Cardiac arrhythmia w CC | MS-DRG | 309 | 12 | — | — | $10,022 | $15,215 | $21,788 |
| Cardiac arrhythmia w/o CC/MCC | MS-DRG | 310 | 12 | — | — | $10,022 | $15,215 | $21,788 |
| GI hemorrhage w CC | MS-DRG | 378 | 12 | — | — | $10,022 | $15,215 | $21,788 |
| GI hemorrhage w/o CC/MCC | MS-DRG | 379 | 12 | — | — | $10,022 | $15,215 | $21,788 |
| Esophagitis/gastroenteritis w/o MCC | MS-DRG | 392 | 12 | — | — | $10,022 | $15,215 | $21,788 |
| Fractures of femur w/o MCC | MS-DRG | 533 | 12 | — | — | $10,022 | $15,215 | $21,788 |
| Kidney/UTI w MCC | MS-DRG | 689 | 12 | — | — | $10,022 | $15,215 | $21,788 |
| Kidney/UTI w/o MCC | MS-DRG | 690 | 12 | — | — | $10,022 | $15,215 | $21,788 |
| Septicemia or severe sepsis w MV 96+ hrs | MS-DRG | 871 | 12 | — | — | $10,022 | $15,215 | $21,788 |
| Septicemia or severe sepsis w/o MV 96+ hrs | MS-DRG | 872 | 12 | — | — | $10,022 | $15,215 | $21,788 |
| Initial hospital care, low complexity | CPT | 99221 | 4 | — | — | $132.74 | $241.74 | $261.48 |
| Initial hospital care, moderate complexity | CPT | 99222 | 4 | — | — | $210.14 | $328.63 | $354.71 |
| Initial hospital care, high complexity | CPT | 99223 | 4 | — | — | $281.32 | $484.94 | $524.58 |
| Hospital discharge, <30 min | CPT | 99238 | 4 | — | — | $131.09 | $175.05 | $188.2 |
| Hospital discharge, >30 min | CPT | 99239 | 4 | — | — | $185.49 | $257.4 | $278.56 |
| lab | ||||||||
| Basic metabolic panel (BMP) | CPT | 80048 | 7 | — | — | $8.88 | $17.41 | $38.59 |
| General health panel | CPT | 80050 | 6 | — | — | $57.26 | $59.11 | $145.56 |
| Electrolyte panel | CPT | 80051 | 7 | — | — | $7.36 | $14.43 | $31.99 |
| Comprehensive metabolic panel | CPT | 80053 | 7 | — | — | $11.09 | $21.74 | $48.21 |
| Lipid panel | CPT | 80061 | 7 | — | — | $14.06 | $27.55 | $84.82 |
| Renal function panel | CPT | 80069 | 7 | $136 | $72.08 | $9.11 | $17.85 | $39.63 |
| Hepatic function panel | CPT | 80076 | 7 | — | — | $8.58 | $16.8 | $37.29 |
| Urinalysis non-automated | CPT | 81002 | 7 | — | — | $3.65 | $5.59 | $11.66 |
| Urinalysis automated | CPT | 81003 | 7 | — | — | $2.36 | $4.62 | $10.32 |
| Glucose quantitative | CPT | 82947 | 7 | $30 | $15.9 | $4.13 | $8.06 | $17.92 |
| Hemoglobin A1c | CPT | 83036 | 7 | $72 | $38.16 | $10.2 | $19.97 | $44.29 |
| Thyroid stimulating hormone (TSH) | CPT | 84443 | 7 | — | — | $17.64 | $34.56 | $76.68 |
| Complete blood count with automated differential | CPT | 85025 | 7 | — | — | $8.16 | $15.99 | $35.48 |
| Complete blood count without differential | CPT | 85027 | 7 | — | — | $6.79 | $13.31 | $29.51 |
| Urine culture bacterial | CPT | 87086 | 7 | — | — | $8.47 | $16.6 | $36.85 |
| Urine culture identification | CPT | 87088 | 7 | — | — | $8.49 | $16.66 | $36.95 |
| Tissue exam by pathologist level IV | CPT | 88305 | 7 | $992 | $525.76 | $37.48 | $53.12 | $239.93 |
| maternity | ||||||||
| Fetal non-stress test | CPT | 59025 | 4 | $103 | $54.59 | $32.47 | $107.67 | $185.24 |
| Routine obstetric care including vaginal delivery | CPT | 59400 | 4 | — | — | $3,679.41 | $6,106.32 | $7,260.16 |
| Vaginal delivery only | CPT | 59409 | 4 | — | — | $1,212.34 | $2,313.36 | $2,833.37 |
| Vaginal delivery with postpartum | CPT | 59410 | 4 | — | — | $1,608.9 | $2,982.98 | $3,610.59 |
| Routine obstetric care with C-section | CPT | 59510 | 4 | — | — | $4,030.28 | $6,721.64 | $8,036.76 |
| C-section delivery only | CPT | 59514 | 4 | — | — | $1,360.12 | $2,596.66 | $3,187.19 |
| C-section with postpartum | CPT | 59515 | 4 | — | — | $1,963.45 | $3,606.13 | $4,381.36 |
| office | ||||||||
| Office visit, new patient, 15-29 min | CPT | 99202 | 4 | — | — | $77.47 | $180.24 | $193.06 |
| Office visit, new patient, 30-44 minutes | CPT | 99203 | 4 | — | — | $132.46 | $255.52 | $278.13 |
| Office visit, new patient, 45-59 min | CPT | 99204 | 4 | — | — | $214.69 | $390.43 | $424.56 |
| Office visit, new patient, 60-74 min | CPT | 99205 | 4 | $286 | $151.58 | $209.02 | $493.65 | $532.53 |
| Office visit, established patient, 5 min | CPT | 99211 | 4 | $129 | $68.37 | $14.38 | $55.25 | $55.25 |
| Office visit, established patient, 10-19 min | CPT | 99212 | 4 | $110 | $58.3 | $53.91 | $107.67 | $112.52 |
| Office visit, established patient, 20-29 minutes | CPT | 99213 | 4 | $110 | $58.3 | $86.74 | $178.43 | $188.14 |
| Office visit, established patient, 30-39 minutes | CPT | 99214 | 4 | $142 | $75.26 | $122.48 | $259.52 | $277.6 |
| Office visit, established patient, 40-54 min | CPT | 99215 | 4 | — | — | $232.24 | $348.89 | $373.92 |
| preventive | ||||||||
| Upper GI endoscopy diagnostic | CPT | 43235 | 4 | $4,122 | $2,184.66 | $193.51 | $1,112.21 | $1,112.21 |
| Upper GI endoscopy with biopsy | CPT | 43239 | 4 | $4,375 | $2,318.75 | $218.45 | $1,484.73 | $1,484.73 |
| Sigmoidoscopy diagnostic | CPT | 45330 | 4 | $1,857 | $984.21 | $88.88 | $695.44 | $695.44 |
| Sigmoidoscopy with biopsy | CPT | 45331 | 4 | $1,893 | $1,003.29 | $114.17 | $1,096.05 | $1,096.05 |
| Colonoscopy diagnostic | CPT | 45378 | 4 | $3,833 | $2,031.49 | $290.63 | $1,309.34 | $1,330.6 |
| Colonoscopy with biopsy | CPT | 45380 | 4 | $4,161 | $2,205.33 | $316.47 | $1,692.15 | $1,692.15 |
| Colonoscopy with polyp removal | CPT | 45385 | 4 | $4,161 | $2,205.33 | $400.74 | $1,765.38 | $1,765.38 |
| surgery | ||||||||
| Total shoulder arthroplasty | CPT | 23472 | 4 | — | — | $2,270.62 | $5,669.44 | $5,669.44 |
| Hip hemiarthroplasty | CPT | 27125 | 5 | — | — | $3,991.96 | $4,417.71 | $28,491 |
| Total hip replacement | CPT | 27130 | 5 | — | — | $4,772.25 | $5,280.96 | $28,491 |
| Total knee replacement | CPT | 27447 | 5 | — | — | $4,771.23 | $5,275.8 | $28,491 |
| Knee revision arthroplasty single component | CPT | 27486 | 5 | — | — | $4,947.96 | $5,485.76 | $28,491 |
| Knee revision arthroplasty all components | CPT | 27487 | 5 | — | — | $6,178.69 | $6,852.86 | $28,491 |
| Shoulder arthroscopy with decompression | CPT | 29826 | 4 | — | — | $267.05 | $678.88 | $678.88 |
| Shoulder arthroscopy with rotator cuff repair | CPT | 29827 | 4 | — | — | $1,688.64 | $4,181.59 | $4,181.59 |
| Knee arthroscopy with meniscectomy | CPT | 29881 | 4 | — | — | $864.13 | $2,117.45 | $2,117.45 |
| ACL reconstruction | CPT | 29888 | 4 | — | — | $1,542.14 | $3,832.27 | $3,832.27 |
| Major small/large bowel procedures w MCC | MS-DRG | 329 | 12 | — | — | $10,022 | $15,215 | $21,788 |
| Major small/large bowel procedures w CC | MS-DRG | 330 | 12 | — | — | $10,022 | $15,215 | $21,788 |
| Major small/large bowel procedures w/o CC/MCC | MS-DRG | 331 | 12 | — | — | $10,022 | $15,215 | $21,788 |
| CABG single arterial graft | CPT | 33533 | 4 | — | — | $2,812.68 | $7,153.43 | $7,153.43 |
| CABG 2 arterial grafts | CPT | 33534 | 4 | — | — | $3,301.89 | $8,403.36 | $8,403.36 |
| CABG 3 arterial grafts | CPT | 33535 | 4 | — | — | $3,671.66 | $9,367.8 | $9,367.8 |
| CABG 4+ arterial grafts | CPT | 33536 | 4 | — | — | $3,950.85 | $10,095 | $10,095 |
| Laparoscopic cholecystectomy w/o CDE w MCC | MS-DRG | 418 | 12 | — | — | $10,022 | $15,215 | $21,788 |
| Laparoscopic cholecystectomy w/o CDE w CC | MS-DRG | 419 | 12 | — | — | $10,022 | $15,215 | $21,788 |
| Laparoscopic cholecystectomy w/o CDE w/o CC/MCC | MS-DRG | 420 | 12 | — | — | $10,022 | $15,215 | $21,788 |
| Open appendectomy | CPT | 44950 | 4 | — | — | $988.43 | $2,480.01 | $2,480.01 |
| Laparoscopic appendectomy | CPT | 44970 | 4 | — | — | $931.7 | $2,321.3 | $2,321.3 |
| Major joint replacement w MCC | MS-DRG | 469 | 12 | — | — | $10,022 | $15,215 | $21,788 |
| Major joint replacement w/o MCC | MS-DRG | 470 | 12 | — | — | $10,022 | $15,215 | $21,788 |
| Laparoscopic cholecystectomy | CPT | 47562 | 4 | — | — | $1,017.79 | $2,541.75 | $2,541.75 |
| Lap cholecystectomy with cholangiography | CPT | 47563 | 4 | — | — | $1,108.2 | $2,765.74 | $2,765.74 |
| Hip & femur procedures except major joint w MCC | MS-DRG | 480 | 12 | — | — | $10,022 | $15,215 | $21,788 |
| Hip & femur procedures except major joint w CC | MS-DRG | 481 | 12 | — | — | $10,022 | $15,215 | $21,788 |
| Hip & femur procedures except major joint w/o CC/MCC | MS-DRG | 482 | 12 | — | — | $10,022 | $15,215 | $21,788 |
| Open umbilical hernia repair | CPT | 49560 | 1 | — | — | $1,152.43 | $1,152.43 | $1,152.43 |
| Umbilical hernia repair age 5+ | CPT | 49585 | 1 | — | — | $704.07 | $704.07 | $704.07 |
| Lap inguinal hernia repair | CPT | 49650 | 4 | — | — | $672.62 | $1,663.17 | $1,663.17 |
| Lap incisional hernia repair | CPT | 49652 | 1 | — | — | $1,161.07 | $1,161.07 | $1,161.07 |
| Total abdominal hysterectomy | CPT | 58150 | 4 | — | — | $1,606.6 | $3,983.72 | $3,983.72 |
| Vaginal hysterectomy | CPT | 58260 | 4 | — | — | $1,334.89 | $3,300.87 | $3,300.87 |
| Lap-assisted vaginal hysterectomy | CPT | 58550 | 4 | — | — | $1,400.19 | $3,487.46 | $3,487.46 |
| Lap-assisted vaginal hysterectomy >250g | CPT | 58552 | 4 | — | — | $1,556.57 | $3,884.71 | $3,884.71 |
| Lap salpingo-oophorectomy | CPT | 58661 | 4 | — | — | $1,033.55 | $2,567.01 | $2,567.01 |
| OR procedure for obesity w MCC | MS-DRG | 619 | 12 | — | — | $10,022 | $15,215 | $21,788 |
| OR procedure for obesity w CC | MS-DRG | 620 | 12 | — | — | $10,022 | $15,215 | $21,788 |
| OR procedure for obesity w/o CC/MCC | MS-DRG | 621 | 12 | — | — | $10,022 | $15,215 | $21,788 |
| Complex cataract surgery | CPT | 66982 | 4 | — | — | $1,199.3 | $2,983.78 | $2,983.78 |
| Cataract surgery with lens implant | CPT | 66984 | 4 | — | — | $876.11 | $2,175.79 | $2,238.32 |
| Intravitreal injection | CPT | 67028 | 4 | — | — | $147.34 | $402.25 | $402.25 |
| Vitrectomy mechanical | CPT | 67042 | 4 | — | — | $1,835.35 | $4,577.94 | $4,577.94 |
| Uterine & adnexa procedures w CC/MCC | MS-DRG | 743 | 12 | — | — | $10,022 | $15,215 | $21,788 |
| Uterine & adnexa procedures w/o CC/MCC | MS-DRG | 744 | 12 | — | — | $10,022 | $15,215 | $21,788 |
| PCI single major coronary artery | CPT | 92920 | 5 | — | — | $791.49 | $21,870 | $48,843 |
| PCI with drug-eluting stent | CPT | 92928 | 5 | — | — | $881.3 | $22,406 | $48,843 |
| PCI bypass graft | CPT | 92937 | 5 | — | — | $880.17 | $22,406 | $48,843 |
| Left heart catheterization | CPT | 93452 | 5 | $2,813 | $1,490.89 | $359.09 | $2,411.14 | $22,129 |
| Coronary angiography with cath | CPT | 93455 | 5 | $3,363 | $1,782.39 | $421.91 | $2,712.73 | $22,129 |
| Coronary angiography with bypass cath | CPT | 93458 | 5 | $3,550 | $1,881.5 | $446.32 | $2,764.68 | $22,129 |
Payer mix (top 13)
| Payer | Codes covered | Median rate |
|---|---|---|
| network health plan | 197 | $211.06 |
| alliance | 194 | $414.8 |
| Humana | 194 | $394.79 |
| UnitedHealthcare | 194 | $419.94 |
| cchp marketplace | 114 | $517.79 |
| Anthem BCBS | 63 | $13,670 |
| sehn c89 | 57 | $13,878 |
| wps | 40 | $19,707 |
| centivo | 40 | $17,688 |
| smarthealth | 40 | $11,771 |
| arise | 40 | $17,737 |
| health payment systems | 40 | $15,215 |
| trilogy | 5 | $28,491 |