Does Ivinson Memorial Hospital publish its standard charges and chargemaster?

Yes. Ivinson Memorial Hospital publishes a machine-readable file with 17,033 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 Ivinson Memorial Hospital charge for procedures?

Ivinson Memorial Hospital (Laramie, WY) 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 · WY · CCN 530025

Ivinson Memorial Hospital

Laramie, WY, 82072-

76 bedsAcute Care Hospitals11

Compliance grade

100/100

Rates published

17,033

last crawl 2026-05-24

Procedures tracked

197

of 209 target codes

Payers

with negotiated rates

Procedures tracked

...

Payers

...

▸ Compare with other hospitals All WY 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/8078/300975387_ivinson-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	1	—	—	$13,898	$13,898	1.1×	$13,898
Psychiatric diagnostic evaluation	CPT	90791	1	—	—	$160.67	$160.67	0.91×	$160.67
Psychiatric eval with medical services	CPT	90792	1	—	—	$160.67	$160.67	0.93×	$160.67
Psychotherapy 30 minutes	CPT	90832	1	—	—	$160.67	$160.67	1.1×	$160.67
Psychotherapy 45 minutes	CPT	90834	1	—	—	$160.67	$160.67	1.00×	$160.67
Psychotherapy 60 minutes	CPT	90837	1	—	—	$160.67	$160.67	0.84×	$160.67
Crisis psychotherapy 60 minutes	CPT	90839	1	—	—	$160.67	$160.67	1.0×	$160.67
emergency
ED visit level 1	CPT	99281	15	$177	$177	$88.05	$168.15	1.2×	$169.92
ED visit level 2	CPT	99282	15	$356	$356	$158.36	$338.2	1.4×	$341.76
ED visit level 3	CPT	99283	15	$630	$630	$276.89	$598.5	1.5×	$604.8
ED visit level 4	CPT	99284	15	$1,027	$1,027	$425.82	$975.65	1.5×	$985.92
ED visit level 5	CPT	99285	15	$1,305	$1,305	$613.1	$1,239.75	1.2×	$1,252.8
Critical care, first hour	CPT	99291	15	$2,602	$2,602	$842.61	$2,471.9	2.3×	$2,497.92
imaging
CT head without contrast	CPT	70450	15	$1,827	$1,827	$106.34	$1,735.65	8.4×	$1,753.92
CT head with contrast	CPT	70460	15	$1,941	$1,941	$178.02	$1,843.95	7.9×	$1,863.36
CT head with and without contrast	CPT	70470	15	$2,829	$2,829	$178.02	$2,687.55	10.1×	$2,715.84
CT neck with contrast	CPT	70491	15	$3,010	$3,010	$178.02	$2,859.5	10.5×	$2,889.6
MRI brain without contrast	CPT	70551	15	$2,749	$2,749	$241.72	$2,611.55	6.5×	$2,639.04
MRI brain with contrast	CPT	70552	15	$4,236	$4,236	$357.13	$4,024.2	8.4×	$4,066.56
MRI brain with and without contrast	CPT	70553	15	$3,998	$3,998	$357.13	$3,798.1	6.4×	$3,838.08
Chest X-ray single view	CPT	71045	15	$251	$251	$88.05	$238.45	2.5×	$240.96
Chest X-ray 2 views	CPT	71046	15	$345	$345	$88.05	$327.75	3.3×	$331.2
Chest X-ray 3 views	CPT	71047	15	$456	$456	$88.05	$433.2	4.5×	$437.76
CT chest without contrast	CPT	71250	15	$1,693	$1,693	$106.34	$1,608.35	7.5×	$1,625.28
CT chest with contrast	CPT	71260	15	$2,052	$2,052	$178.02	$1,949.4	6.9×	$1,969.92
CT chest with and without contrast	CPT	71270	15	$2,330	$2,330	$178.02	$2,213.5	7.6×	$2,236.8
MRI chest without contrast	CPT	71550	15	$3,886	$3,886	$241.72	$3,691.7	8.6×	$3,730.56
MRI chest with contrast	CPT	71551	1	—	—	$790.06	$790.06	0.97×	$790.06
MRI chest with and without contrast	CPT	71552	15	$5,227	$5,227	$357.13	$4,965.65	8.3×	$5,017.92
Lumbosacral spine X-ray	CPT	72100	15	$476	$476	$106.34	$452.2	4.4×	$456.96
CT cervical spine without contrast	CPT	72125	15	$2,822	$2,822	$106.34	$2,680.9	13.3×	$2,709.12
CT thoracic spine without contrast	CPT	72128	15	$2,730	$2,730	$106.34	$2,593.5	13.0×	$2,620.8
CT lumbar spine without contrast	CPT	72131	15	$2,352	$2,352	$106.34	$2,234.4	11.0×	$2,257.92
MRI cervical spine without contrast	CPT	72141	15	$3,116	$3,116	$241.72	$2,960.2	7.5×	$2,991.36
MRI thoracic spine without contrast	CPT	72146	15	$3,036	$3,036	$241.72	$2,884.2	7.7×	$2,914.56
MRI lumbar spine without contrast	CPT	72148	15	$3,163	$3,163	$241.72	$3,004.85	8.0×	$3,036.48
MRI lumbar spine with and without contrast	CPT	72149	15	$3,250	$3,250	$357.13	$3,087.5	6.8×	$3,120
MRI cervical spine with and without contrast	CPT	72156	15	$3,577	$3,577	$357.13	$3,398.15	6.3×	$3,433.92
MRI lumbar spine with contrast	CPT	72158	15	$3,547	$3,547	$357.13	$3,369.65	6.2×	$3,405.12
CT pelvis without contrast	CPT	72192	15	$1,872	$1,872	$106.34	$1,778.4	8.9×	$1,797.12
CT pelvis with contrast	CPT	72193	15	$2,069	$2,069	$178.02	$1,965.55	7.0×	$1,986.24
Shoulder X-ray	CPT	73030	15	$402	$402	$88.05	$381.9	4.1×	$385.92
Humerus X-ray	CPT	73060	15	$346	$346	$88.05	$328.7	3.7×	$332.16
Hand X-ray 3 views	CPT	73130	15	$313	$313	$88.05	$297.35	3.2×	$300.48
MRI upper extremity joint without contrast	CPT	73221	15	$2,540	$2,540	$241.72	$2,413	5.8×	$2,438.4
MRI upper extremity joint with and without contrast	CPT	73223	15	$3,656	$3,656	$357.13	$3,473.2	5.7×	$3,509.76
Knee X-ray 1-2 views	CPT	73560	15	$325	$325	$88.05	$308.75	3.3×	$312
Ankle X-ray 3 views	CPT	73610	15	$346	$346	$88.05	$328.7	3.6×	$332.16
MRI lower extremity joint without contrast	CPT	73721	15	$2,487	$2,487	$241.72	$2,362.65	5.1×	$2,387.52
MRI lower extremity joint with and without contrast	CPT	73723	15	$3,270	$3,270	$357.13	$3,106.5	4.9×	$3,139.2
CT abdomen without contrast	CPT	74150	15	$2,176	$2,176	$106.34	$2,067.2	11.0×	$2,088.96
CT abdomen with contrast	CPT	74160	15	$2,564	$2,564	$178.02	$2,435.8	8.5×	$2,461.44
CT abdomen with and without contrast	CPT	74170	15	$3,009	$3,009	$178.02	$2,858.55	8.5×	$2,888.64
CT abdomen and pelvis without contrast	CPT	74176	15	$4,441	$4,441	$241.72	$4,218.95	11.6×	$4,263.36
CT abdomen and pelvis with contrast	CPT	74177	15	$4,719	$4,719	$357.13	$4,483.05	8.2×	$4,530.24
CT abdomen and pelvis with and without contrast	CPT	74178	15	$4,996	$4,996	$357.13	$4,746.2	8.3×	$4,796.16
MRI abdomen without contrast	CPT	74181	15	$2,518	$2,518	$241.72	$2,392.1	6.1×	$2,417.28
MRI abdomen with and without contrast	CPT	74183	15	$3,407	$3,407	$357.13	$3,236.65	5.7×	$3,270.72
Abdominal ultrasound complete	CPT	76700	15	$1,344	$1,344	$106.34	$1,276.8	8.6×	$1,290.24
Abdominal ultrasound limited	CPT	76705	15	$689	$689	$106.34	$654.55	4.5×	$661.44
Retroperitoneal ultrasound complete	CPT	76770	15	$946	$946	$106.34	$898.7	6.3×	$908.16
Obstetric ultrasound first trimester	CPT	76801	15	$854	$854	$106.34	$811.3	5.7×	$819.84
Obstetric ultrasound after first trimester	CPT	76805	15	$972	$972	$106.34	$923.4	6.0×	$933.12
Obstetric ultrasound with fetal anatomy	CPT	76811	15	$1,124	$1,124	$241.72	$1,067.8	4.5×	$1,079.04
Transvaginal ultrasound	CPT	76830	15	$746	$746	$106.34	$708.7	4.8×	$716.16
Pelvic ultrasound complete	CPT	76856	15	$1,053	$1,053	$106.34	$1,000.35	7.0×	$1,010.88
Scrotal ultrasound	CPT	76870	15	$697	$697	$106.34	$662.15	5.0×	$669.12
Diagnostic mammography unilateral	CPT	77065	15	$352	$352	$121.95	$334.4	2.2×	$337.92
Diagnostic mammography bilateral	CPT	77066	15	$426	$426	$153.65	$404.7	2.1×	$408.96
Screening mammography bilateral	CPT	77067	15	$301	$301	$124.53	$285.95	1.8×	$288.96
EKG complete	CPT	93000	1	—	—	$13.91	$13.91	0.57×	$13.91
EKG tracing only	CPT	93005	15	$329	$329	$59.4	$312.55	2.7×	$315.84
EKG interpretation only	CPT	93010	1	—	—	$7.76	$7.76	0.43×	$7.76
Transthoracic echocardiogram complete	CPT	93306	15	$1,958	$1,958	$548.3	$1,860.1	3.1×	$1,879.68
Transthoracic echocardiogram	CPT	93307	1	—	—	$241.72	$241.72	0.98×	$241.72
Stress echocardiogram	CPT	93350	15	$1,249	$1,249	$548.3	$1,186.55	2.3×	$1,199.04
inpatient
Intracranial hemorrhage/CVA w MCC	MS-DRG	064	1	—	—	$20,010	$20,010	0.99×	$20,010
Intracranial hemorrhage/CVA w CC	MS-DRG	065	1	—	—	$10,053	$10,053	0.94×	$10,053
Intracranial hemorrhage/CVA w/o CC/MCC	MS-DRG	066	1	—	—	$6,809.89	$6,809.89	0.89×	$6,809.89
Respiratory infections & inflammations w MCC	MS-DRG	177	1	—	—	$15,549	$15,549	1.0×	$15,549
COPD w MCC	MS-DRG	190	1	—	—	$11,022	$11,022	0.98×	$11,022
COPD w CC	MS-DRG	191	1	—	—	$8,388	$8,388	0.95×	$8,388
COPD w/o CC/MCC	MS-DRG	192	1	—	—	$6,388.01	$6,388.01	0.91×	$6,388.01
Simple pneumonia & pleurisy w CC	MS-DRG	194	1	—	—	$8,018.84	$8,018.84	0.95×	$8,018.84
Simple pneumonia & pleurisy w/o CC/MCC	MS-DRG	195	1	—	—	$6,253.69	$6,253.69	0.94×	$6,253.69
AMI discharged alive w MCC	MS-DRG	280	1	—	—	$15,961	$15,961	1.0×	$15,961
AMI discharged alive w CC	MS-DRG	281	1	—	—	$9,145.21	$9,145.21	0.95×	$9,145.21
AMI discharged alive w/o CC/MCC	MS-DRG	282	1	—	—	$7,194.97	$7,194.97	0.92×	$7,194.97
Heart failure & shock w MCC	MS-DRG	291	1	—	—	$12,774	$12,774	1.00×	$12,774
Heart failure & shock w CC	MS-DRG	292	1	—	—	$8,447.7	$8,447.7	0.94×	$8,447.7
Heart failure & shock w/o CC/MCC	MS-DRG	293	1	—	—	$5,631.79	$5,631.79	0.91×	$5,631.79
Cardiac arrhythmia w MCC	MS-DRG	308	1	—	—	$11,980	$11,980	0.99×	$11,980
Cardiac arrhythmia w CC	MS-DRG	309	1	—	—	$7,320.35	$7,320.35	0.94×	$7,320.35
Cardiac arrhythmia w/o CC/MCC	MS-DRG	310	1	—	—	$5,632.78	$5,632.78	0.91×	$5,632.78
GI hemorrhage w CC	MS-DRG	378	1	—	—	$9,758.13	$9,758.13	0.97×	$9,758.13
GI hemorrhage w/o CC/MCC	MS-DRG	379	1	—	—	$6,272.59	$6,272.59	0.92×	$6,272.59
Esophagitis/gastroenteritis w/o MCC	MS-DRG	392	1	—	—	$7,757.16	$7,757.16	0.96×	$7,757.16
Fractures of femur w/o MCC	MS-DRG	533	1	—	—	$15,599	$15,599	1.0×	$15,599
Kidney/UTI w MCC	MS-DRG	689	1	—	—	$11,545	$11,545	0.99×	$11,545
Kidney/UTI w/o MCC	MS-DRG	690	1	—	—	$8,054.67	$8,054.67	0.97×	$8,054.67
Septicemia or severe sepsis w MV 96+ hrs	MS-DRG	871	1	—	—	$19,328	$19,328	1.0×	$19,328
Septicemia or severe sepsis w/o MV 96+ hrs	MS-DRG	872	1	—	—	$10,182	$10,182	0.98×	$10,182
Initial hospital care, low complexity	CPT	99221	1	—	—	$79.57	$79.57	0.86×	$79.57
Initial hospital care, moderate complexity	CPT	99222	1	—	—	$125.5	$125.5	0.74×	$125.5
Initial hospital care, high complexity	CPT	99223	1	—	—	$167.23	$167.23	0.74×	$167.23
Hospital discharge, <30 min	CPT	99238	1	—	—	$78.28	$78.28	0.91×	$78.28
Hospital discharge, >30 min	CPT	99239	1	—	—	$110.63	$110.63	0.91×	$110.63
lab
Basic metabolic panel (BMP)	CPT	80048	15	$114	$114	$8.46	$108.3	3.3×	$109.44
General health panel	CPT	80050	14	$388	$388	$360.84	$368.6	3.4×	$372.48
Electrolyte panel	CPT	80051	15	$98	$98	$7.01	$93.1	3.9×	$94.08
Comprehensive metabolic panel	CPT	80053	15	$219	$219	$10.56	$208.05	4.7×	$210.24
Lipid panel	CPT	80061	15	$168	$168	$13.39	$109.44	2.9×	$161.28
Renal function panel	CPT	80069	15	$167	$167	$8.68	$158.65	5.8×	$160.32
Hepatic function panel	CPT	80076	15	$110	$110	$8.17	$104.5	3.9×	$105.6
Urinalysis non-automated	CPT	81002	1	—	—	$3.48	$3.48	0.50×	$3.48
Urinalysis automated	CPT	81003	15	$48	$48	$2.25	$31.35	2.3×	$46.08
Glucose quantitative	CPT	82947	15	$57	$57	$3.93	$53.2	3.0×	$54.72
Hemoglobin A1c	CPT	83036	15	$105	$105	$9.71	$72.2	2.7×	$100.8
Thyroid stimulating hormone (TSH)	CPT	84443	15	$94	$94	$16.8	$89.3	1.9×	$90.24
Complete blood count with automated differential	CPT	85025	15	$81	$81	$7.77	$76.95	2.9×	$77.76
Complete blood count without differential	CPT	85027	15	$68	$68	$6.47	$64.6	3.0×	$65.28
Urine culture bacterial	CPT	87086	15	$114	$114	$8.07	$108.3	4.6×	$109.44
Urine culture identification	CPT	87088	15	$81	$81	$8.09	$76.95	3.5×	$77.76
Tissue exam by pathologist level IV	CPT	88305	15	$314	$314	$53.43	$261.12	2.6×	$301.44
maternity
Fetal non-stress test	CPT	59025	15	$502	$502	$201.17	$476.9	2.5×	$481.92
Routine obstetric care including vaginal delivery	CPT	59400	1	—	—	$2,355.47	$2,355.47	1.0×	$2,355.47
Vaginal delivery only	CPT	59409	15	$2,514	$2,514	$2,338.02	$2,388.3	1.1×	$3,179.53
Vaginal delivery with postpartum	CPT	59410	1	—	—	$1,050.94	$1,050.94	0.99×	$1,050.94
Routine obstetric care with C-section	CPT	59510	1	—	—	$2,616.51	$2,616.51	1.0×	$2,616.51
C-section delivery only	CPT	59514	1	—	—	$880.15	$880.15	0.92×	$880.15
C-section with postpartum	CPT	59515	1	—	—	$1,303.56	$1,303.56	1.0×	$1,303.56
office
Office visit, new patient, 15-29 min	CPT	99202	1	—	—	$69.87	$69.87	0.81×	$69.87
Office visit, new patient, 30-44 minutes	CPT	99203	1	—	—	$109.01	$109.01	0.89×	$109.01
Office visit, new patient, 45-59 min	CPT	99204	1	—	—	$163.35	$163.35	0.94×	$163.35
Office visit, new patient, 60-74 min	CPT	99205	1	—	—	$215.75	$215.75	0.98×	$215.75
Office visit, established patient, 5 min	CPT	99211	1	—	—	$22.64	$22.64	0.35×	$22.64
Office visit, established patient, 10-19 min	CPT	99212	1	—	—	$54.99	$54.99	0.69×	$54.99
Office visit, established patient, 20-29 minutes	CPT	99213	1	—	—	$88.95	$88.95	0.78×	$88.95
Office visit, established patient, 30-39 minutes	CPT	99214	1	—	—	$125.18	$125.18	0.82×	$125.18
Office visit, established patient, 40-54 min	CPT	99215	1	—	—	$175.64	$175.64	0.93×	$175.64
preventive
Upper GI endoscopy diagnostic	CPT	43235	1	—	—	$937.56	$937.56	1.0×	$937.56
Upper GI endoscopy with biopsy	CPT	43239	15	$2,909	$2,909	$937.56	$2,763.55	2.9×	$2,792.64
Sigmoidoscopy diagnostic	CPT	45330	1	—	—	$911.71	$911.71	1.1×	$911.71
Sigmoidoscopy with biopsy	CPT	45331	1	—	—	$911.71	$911.71	1.0×	$911.71
Colonoscopy diagnostic	CPT	45378	1	—	—	$911.71	$911.71	1.0×	$911.71
Colonoscopy with biopsy	CPT	45380	1	—	—	$1,179.08	$1,179.08	0.97×	$1,179.08
Colonoscopy with polyp removal	CPT	45385	1	—	—	$1,179.08	$1,179.08	0.98×	$1,179.08
surgery
Total shoulder arthroplasty	CPT	23472	1	—	—	$18,390	$18,390	4.4×	$18,390
Hip hemiarthroplasty	CPT	27125	1	—	—	$1,113.04	$1,113.04	0.89×	$1,113.04
Total hip replacement	CPT	27130	1	—	—	$12,867	$12,867	3.0×	$12,867
Total knee replacement	CPT	27447	1	—	—	$12,867	$12,867	3.1×	$12,867
Knee revision arthroplasty single component	CPT	27486	1	—	—	$1,377.96	$1,377.96	0.82×	$1,377.96
Knee revision arthroplasty all components	CPT	27487	1	—	—	$1,714.36	$1,714.36	0.86×	$1,714.36
Shoulder arthroscopy with decompression	CPT	29826	1	—	—	$166.58	$166.58	0.51×	$166.58
Shoulder arthroscopy with rotator cuff repair	CPT	29827	1	—	—	$7,143.73	$7,143.73	2.2×	$7,143.73
Knee arthroscopy with meniscectomy	CPT	29881	1	—	—	$3,244.61	$3,244.61	1.6×	$3,244.61
ACL reconstruction	CPT	29888	1	—	—	$7,143.73	$7,143.73	2.1×	$7,143.73
Major small/large bowel procedures w MCC	MS-DRG	329	1	—	—	$45,736	$45,736	1.1×	$45,736
Major small/large bowel procedures w CC	MS-DRG	330	1	—	—	$23,853	$23,853	1.0×	$23,853
Major small/large bowel procedures w/o CC/MCC	MS-DRG	331	1	—	—	$16,745	$16,745	1.0×	$16,745
CABG single arterial graft	CPT	33533	1	—	—	$1,789.08	$1,789.08	0.95×	$1,789.08
CABG 2 arterial grafts	CPT	33534	1	—	—	$2,101.55	$2,101.55	0.98×	$2,101.55
CABG 3 arterial grafts	CPT	33535	1	—	—	$2,334.45	$2,334.45	1.0×	$2,334.45
CABG 4+ arterial grafts	CPT	33536	1	—	—	$2,514.62	$2,514.62	1.0×	$2,514.62
Laparoscopic cholecystectomy w/o CDE w MCC	MS-DRG	418	1	—	—	$16,832	$16,832	1.0×	$16,832
Laparoscopic cholecystectomy w/o CDE w CC	MS-DRG	419	1	—	—	$13,590	$13,590	1.0×	$13,590
Laparoscopic cholecystectomy w/o CDE w/o CC/MCC	MS-DRG	420	1	—	—	$33,901	$33,901	1.0×	$33,901
Open appendectomy	CPT	44950	1	—	—	$6,239.75	$6,239.75	5.5×	$6,239.75
Laparoscopic appendectomy	CPT	44970	1	—	—	$5,834.36	$5,834.36	3.7×	$5,834.36
Major joint replacement w MCC	MS-DRG	469	1	—	—	$30,181	$30,181	1.0×	$30,181
Major joint replacement w/o MCC	MS-DRG	470	1	—	—	$19,193	$19,193	1.0×	$19,193
Laparoscopic cholecystectomy	CPT	47562	1	—	—	$5,834.36	$5,834.36	3.3×	$5,834.36
Lap cholecystectomy with cholangiography	CPT	47563	1	—	—	$5,834.36	$5,834.36	3.1×	$5,834.36
Hip & femur procedures except major joint w MCC	MS-DRG	480	1	—	—	$28,978	$28,978	1.0×	$28,978
Hip & femur procedures except major joint w CC	MS-DRG	481	1	—	—	$20,841	$20,841	1.0×	$20,841
Hip & femur procedures except major joint w/o CC/MCC	MS-DRG	482	1	—	—	$16,229	$16,229	1.0×	$16,229
Lap inguinal hernia repair	CPT	49650	1	—	—	$5,834.36	$5,834.36	5.2×	$5,834.36
Total abdominal hysterectomy	CPT	58150	1	—	—	$993.04	$993.04	1.0×	$993.04
Vaginal hysterectomy	CPT	58260	1	—	—	$4,936.45	$4,936.45	2.7×	$4,936.45
Lap-assisted vaginal hysterectomy	CPT	58550	1	—	—	$5,834.36	$5,834.36	4.0×	$5,834.36
Lap-assisted vaginal hysterectomy >250g	CPT	58552	1	—	—	$10,411	$10,411	4.7×	$10,411
Lap salpingo-oophorectomy	CPT	58661	1	—	—	$5,834.36	$5,834.36	2.9×	$5,834.36
OR procedure for obesity w MCC	MS-DRG	619	1	—	—	$28,730	$28,730	1.1×	$28,730
OR procedure for obesity w CC	MS-DRG	620	1	—	—	$15,923	$15,923	0.98×	$15,923
OR procedure for obesity w/o CC/MCC	MS-DRG	621	1	—	—	$15,009	$15,009	0.99×	$15,009
Complex cataract surgery	CPT	66982	1	—	—	$2,280.73	$2,280.73	1.0×	$2,280.73
Cataract surgery with lens implant	CPT	66984	1	—	—	$2,280.73	$2,280.73	1.0×	$2,280.73
Intravitreal injection	CPT	67028	1	—	—	$331.69	$331.69	0.97×	$331.69
Vitrectomy mechanical	CPT	67042	1	—	—	$4,022.86	$4,022.86	1.6×	$4,022.86
Uterine & adnexa procedures w CC/MCC	MS-DRG	743	1	—	—	$12,345	$12,345	1.0×	$12,345
Uterine & adnexa procedures w/o CC/MCC	MS-DRG	744	1	—	—	$20,389	$20,389	1.1×	$20,389
PCI single major coronary artery	CPT	92920	1	—	—	$5,701.52	$5,701.52	1.0×	$5,701.52
PCI with drug-eluting stent	CPT	92928	1	—	—	$11,341	$11,341	1.1×	$11,341
PCI bypass graft	CPT	92937	1	—	—	$11,341	$11,341	1.0×	$11,341
Left heart catheterization	CPT	93452	1	—	—	$3,216.41	$3,216.41	1.0×	$3,216.41
Coronary angiography with cath	CPT	93455	1	—	—	$3,216.41	$3,216.41	1.0×	$3,216.41
Coronary angiography with bypass cath	CPT	93458	1	—	—	$3,216.41	$3,216.41	1.0×	$3,216.41

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 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

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