▸ Hospital · WY · CCN 530025
Ivinson Memorial Hospital
255 N. 30TH ST., LARAMIE, WY, 82072-
76 bedsAcute Care Hospitals11
Compliance grade
A
100/100
Procedures tracked
197
of 209 target codes
Payers
15
with negotiated rates
Rates published
17,033
last crawl 2026-05-24
Procedures & rates
| Procedure | Type | Code | Payers | Gross | Cash | Neg min | Neg median | Neg max |
|---|---|---|---|---|---|---|---|---|
| behavioral | ||||||||
| Psychoses | MS-DRG | 885 | 1 | — | — | $13,898 | $13,898 | $13,898 |
| Psychiatric diagnostic evaluation | CPT | 90791 | 1 | — | — | $160.67 | $160.67 | $160.67 |
| Psychiatric eval with medical services | CPT | 90792 | 1 | — | — | $160.67 | $160.67 | $160.67 |
| Psychotherapy 30 minutes | CPT | 90832 | 1 | — | — | $160.67 | $160.67 | $160.67 |
| Psychotherapy 45 minutes | CPT | 90834 | 1 | — | — | $160.67 | $160.67 | $160.67 |
| Psychotherapy 60 minutes | CPT | 90837 | 1 | — | — | $160.67 | $160.67 | $160.67 |
| Crisis psychotherapy 60 minutes | CPT | 90839 | 1 | — | — | $160.67 | $160.67 | $160.67 |
| emergency | ||||||||
| ED visit level 1 | CPT | 99281 | 15 | $177 | $177 | $88.05 | $168.15 | $169.92 |
| ED visit level 2 | CPT | 99282 | 15 | $356 | $356 | $158.36 | $338.2 | $341.76 |
| ED visit level 3 | CPT | 99283 | 15 | $630 | $630 | $276.89 | $598.5 | $604.8 |
| ED visit level 4 | CPT | 99284 | 15 | $1,027 | $1,027 | $425.82 | $975.65 | $985.92 |
| ED visit level 5 | CPT | 99285 | 15 | $1,305 | $1,305 | $613.1 | $1,239.75 | $1,252.8 |
| Critical care, first hour | CPT | 99291 | 15 | $2,602 | $2,602 | $842.61 | $2,471.9 | $2,497.92 |
| imaging | ||||||||
| CT head without contrast | CPT | 70450 | 15 | $1,827 | $1,827 | $106.34 | $1,735.65 | $1,753.92 |
| CT head with contrast | CPT | 70460 | 15 | $1,941 | $1,941 | $178.02 | $1,843.95 | $1,863.36 |
| CT head with and without contrast | CPT | 70470 | 15 | $2,829 | $2,829 | $178.02 | $2,687.55 | $2,715.84 |
| CT neck with contrast | CPT | 70491 | 15 | $3,010 | $3,010 | $178.02 | $2,859.5 | $2,889.6 |
| MRI brain without contrast | CPT | 70551 | 15 | $2,749 | $2,749 | $241.72 | $2,611.55 | $2,639.04 |
| MRI brain with contrast | CPT | 70552 | 15 | $4,236 | $4,236 | $357.13 | $4,024.2 | $4,066.56 |
| MRI brain with and without contrast | CPT | 70553 | 15 | $3,998 | $3,998 | $357.13 | $3,798.1 | $3,838.08 |
| Chest X-ray single view | CPT | 71045 | 15 | $251 | $251 | $88.05 | $238.45 | $240.96 |
| Chest X-ray 2 views | CPT | 71046 | 15 | $345 | $345 | $88.05 | $327.75 | $331.2 |
| Chest X-ray 3 views | CPT | 71047 | 15 | $456 | $456 | $88.05 | $433.2 | $437.76 |
| CT chest without contrast | CPT | 71250 | 15 | $1,693 | $1,693 | $106.34 | $1,608.35 | $1,625.28 |
| CT chest with contrast | CPT | 71260 | 15 | $2,052 | $2,052 | $178.02 | $1,949.4 | $1,969.92 |
| CT chest with and without contrast | CPT | 71270 | 15 | $2,330 | $2,330 | $178.02 | $2,213.5 | $2,236.8 |
| MRI chest without contrast | CPT | 71550 | 15 | $3,886 | $3,886 | $241.72 | $3,691.7 | $3,730.56 |
| MRI chest with contrast | CPT | 71551 | 1 | — | — | $790.06 | $790.06 | $790.06 |
| MRI chest with and without contrast | CPT | 71552 | 15 | $5,227 | $5,227 | $357.13 | $4,965.65 | $5,017.92 |
| Lumbosacral spine X-ray | CPT | 72100 | 15 | $476 | $476 | $106.34 | $452.2 | $456.96 |
| CT cervical spine without contrast | CPT | 72125 | 15 | $2,822 | $2,822 | $106.34 | $2,680.9 | $2,709.12 |
| CT thoracic spine without contrast | CPT | 72128 | 15 | $2,730 | $2,730 | $106.34 | $2,593.5 | $2,620.8 |
| CT lumbar spine without contrast | CPT | 72131 | 15 | $2,352 | $2,352 | $106.34 | $2,234.4 | $2,257.92 |
| MRI cervical spine without contrast | CPT | 72141 | 15 | $3,116 | $3,116 | $241.72 | $2,960.2 | $2,991.36 |
| MRI thoracic spine without contrast | CPT | 72146 | 15 | $3,036 | $3,036 | $241.72 | $2,884.2 | $2,914.56 |
| MRI lumbar spine without contrast | CPT | 72148 | 15 | $3,163 | $3,163 | $241.72 | $3,004.85 | $3,036.48 |
| MRI lumbar spine with and without contrast | CPT | 72149 | 15 | $3,250 | $3,250 | $357.13 | $3,087.5 | $3,120 |
| MRI cervical spine with and without contrast | CPT | 72156 | 15 | $3,577 | $3,577 | $357.13 | $3,398.15 | $3,433.92 |
| MRI lumbar spine with contrast | CPT | 72158 | 15 | $3,547 | $3,547 | $357.13 | $3,369.65 | $3,405.12 |
| CT pelvis without contrast | CPT | 72192 | 15 | $1,872 | $1,872 | $106.34 | $1,778.4 | $1,797.12 |
| CT pelvis with contrast | CPT | 72193 | 15 | $2,069 | $2,069 | $178.02 | $1,965.55 | $1,986.24 |
| Shoulder X-ray | CPT | 73030 | 15 | $402 | $402 | $88.05 | $381.9 | $385.92 |
| Humerus X-ray | CPT | 73060 | 15 | $346 | $346 | $88.05 | $328.7 | $332.16 |
| Hand X-ray 3 views | CPT | 73130 | 15 | $313 | $313 | $88.05 | $297.35 | $300.48 |
| MRI upper extremity joint without contrast | CPT | 73221 | 15 | $2,540 | $2,540 | $241.72 | $2,413 | $2,438.4 |
| MRI upper extremity joint with and without contrast | CPT | 73223 | 15 | $3,656 | $3,656 | $357.13 | $3,473.2 | $3,509.76 |
| Knee X-ray 1-2 views | CPT | 73560 | 15 | $325 | $325 | $88.05 | $308.75 | $312 |
| Ankle X-ray 3 views | CPT | 73610 | 15 | $346 | $346 | $88.05 | $328.7 | $332.16 |
| MRI lower extremity joint without contrast | CPT | 73721 | 15 | $2,487 | $2,487 | $241.72 | $2,362.65 | $2,387.52 |
| MRI lower extremity joint with and without contrast | CPT | 73723 | 15 | $3,270 | $3,270 | $357.13 | $3,106.5 | $3,139.2 |
| CT abdomen without contrast | CPT | 74150 | 15 | $2,176 | $2,176 | $106.34 | $2,067.2 | $2,088.96 |
| CT abdomen with contrast | CPT | 74160 | 15 | $2,564 | $2,564 | $178.02 | $2,435.8 | $2,461.44 |
| CT abdomen with and without contrast | CPT | 74170 | 15 | $3,009 | $3,009 | $178.02 | $2,858.55 | $2,888.64 |
| CT abdomen and pelvis without contrast | CPT | 74176 | 15 | $4,441 | $4,441 | $241.72 | $4,218.95 | $4,263.36 |
| CT abdomen and pelvis with contrast | CPT | 74177 | 15 | $4,719 | $4,719 | $357.13 | $4,483.05 | $4,530.24 |
| CT abdomen and pelvis with and without contrast | CPT | 74178 | 15 | $4,996 | $4,996 | $357.13 | $4,746.2 | $4,796.16 |
| MRI abdomen without contrast | CPT | 74181 | 15 | $2,518 | $2,518 | $241.72 | $2,392.1 | $2,417.28 |
| MRI abdomen with and without contrast | CPT | 74183 | 15 | $3,407 | $3,407 | $357.13 | $3,236.65 | $3,270.72 |
| Abdominal ultrasound complete | CPT | 76700 | 15 | $1,344 | $1,344 | $106.34 | $1,276.8 | $1,290.24 |
| Abdominal ultrasound limited | CPT | 76705 | 15 | $689 | $689 | $106.34 | $654.55 | $661.44 |
| Retroperitoneal ultrasound complete | CPT | 76770 | 15 | $946 | $946 | $106.34 | $898.7 | $908.16 |
| Obstetric ultrasound first trimester | CPT | 76801 | 15 | $854 | $854 | $106.34 | $811.3 | $819.84 |
| Obstetric ultrasound after first trimester | CPT | 76805 | 15 | $972 | $972 | $106.34 | $923.4 | $933.12 |
| Obstetric ultrasound with fetal anatomy | CPT | 76811 | 15 | $1,124 | $1,124 | $241.72 | $1,067.8 | $1,079.04 |
| Transvaginal ultrasound | CPT | 76830 | 15 | $746 | $746 | $106.34 | $708.7 | $716.16 |
| Pelvic ultrasound complete | CPT | 76856 | 15 | $1,053 | $1,053 | $106.34 | $1,000.35 | $1,010.88 |
| Scrotal ultrasound | CPT | 76870 | 15 | $697 | $697 | $106.34 | $662.15 | $669.12 |
| Diagnostic mammography unilateral | CPT | 77065 | 15 | $352 | $352 | $121.95 | $334.4 | $337.92 |
| Diagnostic mammography bilateral | CPT | 77066 | 15 | $426 | $426 | $153.65 | $404.7 | $408.96 |
| Screening mammography bilateral | CPT | 77067 | 15 | $301 | $301 | $124.53 | $285.95 | $288.96 |
| EKG complete | CPT | 93000 | 1 | — | — | $13.91 | $13.91 | $13.91 |
| EKG tracing only | CPT | 93005 | 15 | $329 | $329 | $59.4 | $312.55 | $315.84 |
| EKG interpretation only | CPT | 93010 | 1 | — | — | $7.76 | $7.76 | $7.76 |
| Transthoracic echocardiogram complete | CPT | 93306 | 15 | $1,958 | $1,958 | $548.3 | $1,860.1 | $1,879.68 |
| Transthoracic echocardiogram | CPT | 93307 | 1 | — | — | $241.72 | $241.72 | $241.72 |
| Stress echocardiogram | CPT | 93350 | 15 | $1,249 | $1,249 | $548.3 | $1,186.55 | $1,199.04 |
| inpatient | ||||||||
| Intracranial hemorrhage/CVA w MCC | MS-DRG | 064 | 1 | — | — | $20,010 | $20,010 | $20,010 |
| Intracranial hemorrhage/CVA w CC | MS-DRG | 065 | 1 | — | — | $10,053 | $10,053 | $10,053 |
| Intracranial hemorrhage/CVA w/o CC/MCC | MS-DRG | 066 | 1 | — | — | $6,809.89 | $6,809.89 | $6,809.89 |
| Respiratory infections & inflammations w MCC | MS-DRG | 177 | 1 | — | — | $15,549 | $15,549 | $15,549 |
| COPD w MCC | MS-DRG | 190 | 1 | — | — | $11,022 | $11,022 | $11,022 |
| COPD w CC | MS-DRG | 191 | 1 | — | — | $8,388 | $8,388 | $8,388 |
| COPD w/o CC/MCC | MS-DRG | 192 | 1 | — | — | $6,388.01 | $6,388.01 | $6,388.01 |
| Simple pneumonia & pleurisy w CC | MS-DRG | 194 | 1 | — | — | $8,018.84 | $8,018.84 | $8,018.84 |
| Simple pneumonia & pleurisy w/o CC/MCC | MS-DRG | 195 | 1 | — | — | $6,253.69 | $6,253.69 | $6,253.69 |
| AMI discharged alive w MCC | MS-DRG | 280 | 1 | — | — | $15,961 | $15,961 | $15,961 |
| AMI discharged alive w CC | MS-DRG | 281 | 1 | — | — | $9,145.21 | $9,145.21 | $9,145.21 |
| AMI discharged alive w/o CC/MCC | MS-DRG | 282 | 1 | — | — | $7,194.97 | $7,194.97 | $7,194.97 |
| Heart failure & shock w MCC | MS-DRG | 291 | 1 | — | — | $12,774 | $12,774 | $12,774 |
| Heart failure & shock w CC | MS-DRG | 292 | 1 | — | — | $8,447.7 | $8,447.7 | $8,447.7 |
| Heart failure & shock w/o CC/MCC | MS-DRG | 293 | 1 | — | — | $5,631.79 | $5,631.79 | $5,631.79 |
| Cardiac arrhythmia w MCC | MS-DRG | 308 | 1 | — | — | $11,980 | $11,980 | $11,980 |
| Cardiac arrhythmia w CC | MS-DRG | 309 | 1 | — | — | $7,320.35 | $7,320.35 | $7,320.35 |
| Cardiac arrhythmia w/o CC/MCC | MS-DRG | 310 | 1 | — | — | $5,632.78 | $5,632.78 | $5,632.78 |
| GI hemorrhage w CC | MS-DRG | 378 | 1 | — | — | $9,758.13 | $9,758.13 | $9,758.13 |
| GI hemorrhage w/o CC/MCC | MS-DRG | 379 | 1 | — | — | $6,272.59 | $6,272.59 | $6,272.59 |
| Esophagitis/gastroenteritis w/o MCC | MS-DRG | 392 | 1 | — | — | $7,757.16 | $7,757.16 | $7,757.16 |
| Fractures of femur w/o MCC | MS-DRG | 533 | 1 | — | — | $15,599 | $15,599 | $15,599 |
| Kidney/UTI w MCC | MS-DRG | 689 | 1 | — | — | $11,545 | $11,545 | $11,545 |
| Kidney/UTI w/o MCC | MS-DRG | 690 | 1 | — | — | $8,054.67 | $8,054.67 | $8,054.67 |
| Septicemia or severe sepsis w MV 96+ hrs | MS-DRG | 871 | 1 | — | — | $19,328 | $19,328 | $19,328 |
| Septicemia or severe sepsis w/o MV 96+ hrs | MS-DRG | 872 | 1 | — | — | $10,182 | $10,182 | $10,182 |
| Initial hospital care, low complexity | CPT | 99221 | 1 | — | — | $79.57 | $79.57 | $79.57 |
| Initial hospital care, moderate complexity | CPT | 99222 | 1 | — | — | $125.5 | $125.5 | $125.5 |
| Initial hospital care, high complexity | CPT | 99223 | 1 | — | — | $167.23 | $167.23 | $167.23 |
| Hospital discharge, <30 min | CPT | 99238 | 1 | — | — | $78.28 | $78.28 | $78.28 |
| Hospital discharge, >30 min | CPT | 99239 | 1 | — | — | $110.63 | $110.63 | $110.63 |
| lab | ||||||||
| Basic metabolic panel (BMP) | CPT | 80048 | 15 | $114 | $114 | $8.46 | $108.3 | $109.44 |
| General health panel | CPT | 80050 | 14 | $388 | $388 | $360.84 | $368.6 | $372.48 |
| Electrolyte panel | CPT | 80051 | 15 | $98 | $98 | $7.01 | $93.1 | $94.08 |
| Comprehensive metabolic panel | CPT | 80053 | 15 | $219 | $219 | $10.56 | $208.05 | $210.24 |
| Lipid panel | CPT | 80061 | 15 | $168 | $168 | $13.39 | $109.44 | $161.28 |
| Renal function panel | CPT | 80069 | 15 | $167 | $167 | $8.68 | $158.65 | $160.32 |
| Hepatic function panel | CPT | 80076 | 15 | $110 | $110 | $8.17 | $104.5 | $105.6 |
| Urinalysis non-automated | CPT | 81002 | 1 | — | — | $3.48 | $3.48 | $3.48 |
| Urinalysis automated | CPT | 81003 | 15 | $48 | $48 | $2.25 | $31.35 | $46.08 |
| Glucose quantitative | CPT | 82947 | 15 | $57 | $57 | $3.93 | $53.2 | $54.72 |
| Hemoglobin A1c | CPT | 83036 | 15 | $105 | $105 | $9.71 | $72.2 | $100.8 |
| Thyroid stimulating hormone (TSH) | CPT | 84443 | 15 | $94 | $94 | $16.8 | $89.3 | $90.24 |
| Complete blood count with automated differential | CPT | 85025 | 15 | $81 | $81 | $7.77 | $76.95 | $77.76 |
| Complete blood count without differential | CPT | 85027 | 15 | $68 | $68 | $6.47 | $64.6 | $65.28 |
| Urine culture bacterial | CPT | 87086 | 15 | $114 | $114 | $8.07 | $108.3 | $109.44 |
| Urine culture identification | CPT | 87088 | 15 | $81 | $81 | $8.09 | $76.95 | $77.76 |
| Tissue exam by pathologist level IV | CPT | 88305 | 15 | $314 | $314 | $53.43 | $261.12 | $301.44 |
| maternity | ||||||||
| Fetal non-stress test | CPT | 59025 | 15 | $502 | $502 | $201.17 | $476.9 | $481.92 |
| Routine obstetric care including vaginal delivery | CPT | 59400 | 1 | — | — | $2,355.47 | $2,355.47 | $2,355.47 |
| Vaginal delivery only | CPT | 59409 | 15 | $2,514 | $2,514 | $2,338.02 | $2,388.3 | $3,179.53 |
| Vaginal delivery with postpartum | CPT | 59410 | 1 | — | — | $1,050.94 | $1,050.94 | $1,050.94 |
| Routine obstetric care with C-section | CPT | 59510 | 1 | — | — | $2,616.51 | $2,616.51 | $2,616.51 |
| C-section delivery only | CPT | 59514 | 1 | — | — | $880.15 | $880.15 | $880.15 |
| C-section with postpartum | CPT | 59515 | 1 | — | — | $1,303.56 | $1,303.56 | $1,303.56 |
| office | ||||||||
| Office visit, new patient, 15-29 min | CPT | 99202 | 1 | — | — | $69.87 | $69.87 | $69.87 |
| Office visit, new patient, 30-44 minutes | CPT | 99203 | 1 | — | — | $109.01 | $109.01 | $109.01 |
| Office visit, new patient, 45-59 min | CPT | 99204 | 1 | — | — | $163.35 | $163.35 | $163.35 |
| Office visit, new patient, 60-74 min | CPT | 99205 | 1 | — | — | $215.75 | $215.75 | $215.75 |
| Office visit, established patient, 5 min | CPT | 99211 | 1 | — | — | $22.64 | $22.64 | $22.64 |
| Office visit, established patient, 10-19 min | CPT | 99212 | 1 | — | — | $54.99 | $54.99 | $54.99 |
| Office visit, established patient, 20-29 minutes | CPT | 99213 | 1 | — | — | $88.95 | $88.95 | $88.95 |
| Office visit, established patient, 30-39 minutes | CPT | 99214 | 1 | — | — | $125.18 | $125.18 | $125.18 |
| Office visit, established patient, 40-54 min | CPT | 99215 | 1 | — | — | $175.64 | $175.64 | $175.64 |
| preventive | ||||||||
| Upper GI endoscopy diagnostic | CPT | 43235 | 1 | — | — | $937.56 | $937.56 | $937.56 |
| Upper GI endoscopy with biopsy | CPT | 43239 | 15 | $2,909 | $2,909 | $937.56 | $2,763.55 | $2,792.64 |
| Sigmoidoscopy diagnostic | CPT | 45330 | 1 | — | — | $911.71 | $911.71 | $911.71 |
| Sigmoidoscopy with biopsy | CPT | 45331 | 1 | — | — | $911.71 | $911.71 | $911.71 |
| Colonoscopy diagnostic | CPT | 45378 | 1 | — | — | $911.71 | $911.71 | $911.71 |
| Colonoscopy with biopsy | CPT | 45380 | 1 | — | — | $1,179.08 | $1,179.08 | $1,179.08 |
| Colonoscopy with polyp removal | CPT | 45385 | 1 | — | — | $1,179.08 | $1,179.08 | $1,179.08 |
| surgery | ||||||||
| Total shoulder arthroplasty | CPT | 23472 | 1 | — | — | $18,390 | $18,390 | $18,390 |
| Hip hemiarthroplasty | CPT | 27125 | 1 | — | — | $1,113.04 | $1,113.04 | $1,113.04 |
| Total hip replacement | CPT | 27130 | 1 | — | — | $12,867 | $12,867 | $12,867 |
| Total knee replacement | CPT | 27447 | 1 | — | — | $12,867 | $12,867 | $12,867 |
| Knee revision arthroplasty single component | CPT | 27486 | 1 | — | — | $1,377.96 | $1,377.96 | $1,377.96 |
| Knee revision arthroplasty all components | CPT | 27487 | 1 | — | — | $1,714.36 | $1,714.36 | $1,714.36 |
| Shoulder arthroscopy with decompression | CPT | 29826 | 1 | — | — | $166.58 | $166.58 | $166.58 |
| Shoulder arthroscopy with rotator cuff repair | CPT | 29827 | 1 | — | — | $7,143.73 | $7,143.73 | $7,143.73 |
| Knee arthroscopy with meniscectomy | CPT | 29881 | 1 | — | — | $3,244.61 | $3,244.61 | $3,244.61 |
| ACL reconstruction | CPT | 29888 | 1 | — | — | $7,143.73 | $7,143.73 | $7,143.73 |
| Major small/large bowel procedures w MCC | MS-DRG | 329 | 1 | — | — | $45,736 | $45,736 | $45,736 |
| Major small/large bowel procedures w CC | MS-DRG | 330 | 1 | — | — | $23,853 | $23,853 | $23,853 |
| Major small/large bowel procedures w/o CC/MCC | MS-DRG | 331 | 1 | — | — | $16,745 | $16,745 | $16,745 |
| CABG single arterial graft | CPT | 33533 | 1 | — | — | $1,789.08 | $1,789.08 | $1,789.08 |
| CABG 2 arterial grafts | CPT | 33534 | 1 | — | — | $2,101.55 | $2,101.55 | $2,101.55 |
| CABG 3 arterial grafts | CPT | 33535 | 1 | — | — | $2,334.45 | $2,334.45 | $2,334.45 |
| CABG 4+ arterial grafts | CPT | 33536 | 1 | — | — | $2,514.62 | $2,514.62 | $2,514.62 |
| Laparoscopic cholecystectomy w/o CDE w MCC | MS-DRG | 418 | 1 | — | — | $16,832 | $16,832 | $16,832 |
| Laparoscopic cholecystectomy w/o CDE w CC | MS-DRG | 419 | 1 | — | — | $13,590 | $13,590 | $13,590 |
| Laparoscopic cholecystectomy w/o CDE w/o CC/MCC | MS-DRG | 420 | 1 | — | — | $33,901 | $33,901 | $33,901 |
| Open appendectomy | CPT | 44950 | 1 | — | — | $6,239.75 | $6,239.75 | $6,239.75 |
| Laparoscopic appendectomy | CPT | 44970 | 1 | — | — | $5,834.36 | $5,834.36 | $5,834.36 |
| Major joint replacement w MCC | MS-DRG | 469 | 1 | — | — | $30,181 | $30,181 | $30,181 |
| Major joint replacement w/o MCC | MS-DRG | 470 | 1 | — | — | $19,193 | $19,193 | $19,193 |
| Laparoscopic cholecystectomy | CPT | 47562 | 1 | — | — | $5,834.36 | $5,834.36 | $5,834.36 |
| Lap cholecystectomy with cholangiography | CPT | 47563 | 1 | — | — | $5,834.36 | $5,834.36 | $5,834.36 |
| Hip & femur procedures except major joint w MCC | MS-DRG | 480 | 1 | — | — | $28,978 | $28,978 | $28,978 |
| Hip & femur procedures except major joint w CC | MS-DRG | 481 | 1 | — | — | $20,841 | $20,841 | $20,841 |
| Hip & femur procedures except major joint w/o CC/MCC | MS-DRG | 482 | 1 | — | — | $16,229 | $16,229 | $16,229 |
| Lap inguinal hernia repair | CPT | 49650 | 1 | — | — | $5,834.36 | $5,834.36 | $5,834.36 |
| Total abdominal hysterectomy | CPT | 58150 | 1 | — | — | $993.04 | $993.04 | $993.04 |
| Vaginal hysterectomy | CPT | 58260 | 1 | — | — | $4,936.45 | $4,936.45 | $4,936.45 |
| Lap-assisted vaginal hysterectomy | CPT | 58550 | 1 | — | — | $5,834.36 | $5,834.36 | $5,834.36 |
| Lap-assisted vaginal hysterectomy >250g | CPT | 58552 | 1 | — | — | $10,411 | $10,411 | $10,411 |
| Lap salpingo-oophorectomy | CPT | 58661 | 1 | — | — | $5,834.36 | $5,834.36 | $5,834.36 |
| OR procedure for obesity w MCC | MS-DRG | 619 | 1 | — | — | $28,730 | $28,730 | $28,730 |
| OR procedure for obesity w CC | MS-DRG | 620 | 1 | — | — | $15,923 | $15,923 | $15,923 |
| OR procedure for obesity w/o CC/MCC | MS-DRG | 621 | 1 | — | — | $15,009 | $15,009 | $15,009 |
| Complex cataract surgery | CPT | 66982 | 1 | — | — | $2,280.73 | $2,280.73 | $2,280.73 |
| Cataract surgery with lens implant | CPT | 66984 | 1 | — | — | $2,280.73 | $2,280.73 | $2,280.73 |
| Intravitreal injection | CPT | 67028 | 1 | — | — | $331.69 | $331.69 | $331.69 |
| Vitrectomy mechanical | CPT | 67042 | 1 | — | — | $4,022.86 | $4,022.86 | $4,022.86 |
| Uterine & adnexa procedures w CC/MCC | MS-DRG | 743 | 1 | — | — | $12,345 | $12,345 | $12,345 |
| Uterine & adnexa procedures w/o CC/MCC | MS-DRG | 744 | 1 | — | — | $20,389 | $20,389 | $20,389 |
| PCI single major coronary artery | CPT | 92920 | 1 | — | — | $5,701.52 | $5,701.52 | $5,701.52 |
| PCI with drug-eluting stent | CPT | 92928 | 1 | — | — | $11,341 | $11,341 | $11,341 |
| PCI bypass graft | CPT | 92937 | 1 | — | — | $11,341 | $11,341 | $11,341 |
| Left heart catheterization | CPT | 93452 | 1 | — | — | $3,216.41 | $3,216.41 | $3,216.41 |
| Coronary angiography with cath | CPT | 93455 | 1 | — | — | $3,216.41 | $3,216.41 | $3,216.41 |
| Coronary angiography with bypass cath | CPT | 93458 | 1 | — | — | $3,216.41 | $3,216.41 | $3,216.41 |
Payer mix (top 15)
| Payer | Codes covered | Median rate |
|---|---|---|
| cms | 196 | $357.13 |
| altius | 84 | $911.05 |
| assurant | 84 | $920.64 |
| Blue Cross Blue Shield | 84 | $901.46 |
| Cigna | 84 | $901.46 |
| First Health | 84 | $911.05 |
| great west life | 84 | $901.46 |
| health information network | 84 | $920.64 |
| Meritain Health | 84 | $920.64 |
| midlands choice | 84 | $911.05 |
| rci insurance group | 84 | $920.64 |
| starmark | 84 | $920.64 |
| UnitedHealthcare | 84 | $911.05 |
| Aetna | 84 | $920.64 |
| wise networks | 84 | $891.87 |