▸ Hospital · TX · CCN 670031
St Luke's Patients Medical Center
4600 EAST SAM HOUSTON PARKWAY SOUTH, PASADENA, TX, 77505
46 bedsAcute Care Hospitals5
Compliance grade
A
100/100
Procedures tracked
191
of 209 target codes
Payers
14
with negotiated rates
Rates published
5,132
last crawl 2026-05-24
Procedures & rates
| Procedure | Type | Code | Payers | Gross | Cash | Neg min | Neg median | Neg max |
|---|---|---|---|---|---|---|---|---|
| behavioral | ||||||||
| Psychoses | MS-DRG | 885 | 8 | — | — | $7,944.15 | $8,142.75 | $22,902 |
| emergency | ||||||||
| ED visit level 1 | CPT | 99281 | 12 | $429 | $150.15 | $48.79 | $112 | $973 |
| ED visit level 2 | CPT | 99282 | 12 | $923 | $323.05 | $48.79 | $220 | $1,081 |
| ED visit level 3 | CPT | 99283 | 12 | $2,107 | $737.45 | $48.79 | $630 | $2,073 |
| ED visit level 4 | CPT | 99284 | 12 | $3,180 | $1,113 | $227.79 | $1,320 | $5,166 |
| ED visit level 5 | CPT | 99285 | 12 | $3,938 | $1,378.3 | $282.08 | $1,800 | $6,582 |
| Critical care, first hour | CPT | 99291 | 12 | $4,954 | $1,733.9 | $354.86 | $1,399.86 | $4,210.9 |
| imaging | ||||||||
| CT head without contrast | CPT | 70450 | 12 | $2,859 | $1,000.65 | $104.12 | $170.89 | $2,430.15 |
| CT head with contrast | CPT | 70460 | 12 | $4,062 | $1,421.7 | $146.64 | $278.87 | $3,452.7 |
| CT head with and without contrast | CPT | 70470 | 12 | $4,214 | $1,474.9 | $172.04 | $278.87 | $3,581.9 |
| CT neck with contrast | CPT | 70491 | 12 | $3,880 | $1,358 | $178.67 | $278.87 | $3,298 |
| MRI brain without contrast | CPT | 70551 | 12 | $5,302 | $1,855.7 | $207.91 | $357.98 | $4,506.7 |
| MRI brain with contrast | CPT | 70552 | 12 | $5,140 | $1,799 | $240.1 | $579.84 | $4,369 |
| MRI brain with and without contrast | CPT | 70553 | 12 | $7,814 | $2,734.9 | $339.96 | $579.84 | $6,641.9 |
| Chest X-ray single view | CPT | 71045 | 12 | $641 | $224.35 | $19.67 | $121.43 | $544.85 |
| Chest X-ray 2 views | CPT | 71046 | 12 | $736 | $257.6 | $27.3 | $121.43 | $625.6 |
| Chest X-ray 3 views | CPT | 71047 | 12 | $715 | $250.25 | $34.91 | $104.55 | $607.75 |
| CT chest without contrast | CPT | 71250 | 12 | $3,796 | $1,328.6 | $108.74 | $170.89 | $3,226.6 |
| CT chest with contrast | CPT | 71260 | 12 | $4,382 | $1,533.7 | $176.49 | $278.87 | $3,724.7 |
| CT chest with and without contrast | CPT | 71270 | 12 | $4,388 | $1,535.8 | $178.67 | $278.87 | $3,729.8 |
| MRI chest without contrast | CPT | 71550 | 12 | $5,451 | $1,907.85 | $220.69 | $357.98 | $4,633.35 |
| MRI chest with contrast | CPT | 71551 | 12 | $4,247 | $1,486.45 | $411.06 | $1,004.98 | $3,609.95 |
| MRI chest with and without contrast | CPT | 71552 | 12 | $6,046 | $2,116.1 | $368.36 | $579.84 | $5,139.1 |
| Lumbosacral spine X-ray | CPT | 72100 | 12 | $1,043 | $365.05 | $31.43 | $146.82 | $886.55 |
| CT cervical spine without contrast | CPT | 72125 | 12 | $2,348 | $821.8 | $108.74 | $170.89 | $2,019 |
| CT thoracic spine without contrast | CPT | 72128 | 12 | $2,348 | $821.8 | $108.74 | $170.89 | $2,019 |
| CT lumbar spine without contrast | CPT | 72131 | 12 | $4,294 | $1,502.9 | $108.74 | $170.89 | $3,649.9 |
| MRI cervical spine without contrast | CPT | 72141 | 12 | $5,612 | $1,964.2 | $202.2 | $357.98 | $4,770.2 |
| MRI thoracic spine without contrast | CPT | 72146 | 12 | $4,880 | $1,708 | $202.52 | $357.98 | $4,148 |
| MRI lumbar spine without contrast | CPT | 72148 | 12 | $5,612 | $1,964.2 | $202.2 | $357.98 | $4,770.2 |
| MRI lumbar spine with and without contrast | CPT | 72149 | 12 | $5,126 | $1,794.1 | $289.81 | $579.84 | $4,357.1 |
| MRI cervical spine with and without contrast | CPT | 72156 | 12 | $6,906 | $2,417.1 | $341.87 | $579.84 | $5,870.1 |
| MRI lumbar spine with contrast | CPT | 72158 | 12 | $6,601 | $2,310.35 | $341.23 | $579.84 | $5,610.85 |
| CT pelvis without contrast | CPT | 72192 | 12 | $4,294 | $1,502.9 | $108.74 | $387.8 | $3,649.9 |
| CT pelvis with contrast | CPT | 72193 | 12 | $2,314 | $809.9 | $178.67 | $278.87 | $2,019 |
| Shoulder X-ray | CPT | 73030 | 12 | $926 | $324.1 | $26.35 | $121.43 | $787.1 |
| Humerus X-ray | CPT | 73060 | 12 | $670 | $234.5 | $26.03 | $104.55 | $569.5 |
| Hand X-ray 3 views | CPT | 73130 | 12 | $1,258 | $440.3 | $28.58 | $104.55 | $1,069.3 |
| MRI upper extremity joint without contrast | CPT | 73221 | 12 | $5,032 | $1,761.2 | $213.64 | $357.98 | $4,277.2 |
| MRI upper extremity joint with and without contrast | CPT | 73223 | 12 | $5,904 | $2,066.4 | $368.36 | $579.84 | $5,018.4 |
| Knee X-ray 1-2 views | CPT | 73560 | 12 | $728 | $254.8 | $27.93 | $104.55 | $618.8 |
| Ankle X-ray 3 views | CPT | 73610 | 12 | $1,350 | $472.5 | $28.25 | $104.55 | $1,147.5 |
| MRI lower extremity joint without contrast | CPT | 73721 | 12 | $9,132 | $3,196.2 | $213.64 | $357.98 | $7,762.2 |
| MRI lower extremity joint with and without contrast | CPT | 73723 | 12 | $6,022 | $2,107.7 | $368.36 | $579.84 | $5,118.7 |
| CT abdomen without contrast | CPT | 74150 | 12 | $4,015 | $1,405.25 | $108.74 | $170.89 | $3,412.75 |
| CT abdomen with contrast | CPT | 74160 | 12 | $5,320 | $1,862 | $178.67 | $278.87 | $4,522 |
| CT abdomen with and without contrast | CPT | 74170 | 12 | $5,029 | $1,760.15 | $178.67 | $278.87 | $4,274.65 |
| CT abdomen and pelvis without contrast | CPT | 74176 | 12 | $9,174 | $3,210.9 | $180.3 | $357.98 | $7,797.9 |
| CT abdomen and pelvis with contrast | CPT | 74177 | 12 | $9,719 | $3,401.65 | $240.1 | $552.27 | $8,261.15 |
| CT abdomen and pelvis with and without contrast | CPT | 74178 | 12 | $9,859 | $3,450.65 | $240.1 | $552.27 | $8,380.15 |
| MRI abdomen without contrast | CPT | 74181 | 12 | $4,708 | $1,647.8 | $220.69 | $357.98 | $4,001.8 |
| MRI abdomen with and without contrast | CPT | 74183 | 12 | $6,307 | $2,207.45 | $368.36 | $579.84 | $5,360.95 |
| Abdominal ultrasound complete | CPT | 76700 | 12 | $2,254 | $788.9 | $108.74 | $152.43 | $1,915.9 |
| Abdominal ultrasound limited | CPT | 76705 | 12 | $1,309 | $458.15 | $82.85 | $152.43 | $1,112.65 |
| Retroperitoneal ultrasound complete | CPT | 76770 | 12 | $1,731 | $605.85 | $102.53 | $283.56 | $1,471.35 |
| Obstetric ultrasound first trimester | CPT | 76801 | 12 | $1,574 | $550.9 | $96.31 | $116.18 | $1,337.9 |
| Obstetric ultrasound after first trimester | CPT | 76805 | 12 | $1,761 | $616.35 | $108.74 | $124.5 | $1,496.85 |
| Transvaginal ultrasound | CPT | 76830 | 12 | $1,450 | $507.5 | $108.74 | $121.2 | $1,232.5 |
| Pelvic ultrasound complete | CPT | 76856 | 12 | $1,746 | $611.1 | $91.47 | $152.43 | $1,484.1 |
| Scrotal ultrasound | CPT | 76870 | 12 | $1,519 | $531.65 | $61.27 | $152.43 | $1,291.15 |
| Diagnostic mammography unilateral | CPT | 77065 | 6 | $477 | $166.95 | $123.22 | $232.99 | $405.45 |
| Diagnostic mammography bilateral | CPT | 77066 | 6 | $844 | $295.4 | $157.68 | $429.03 | $717.4 |
| Screening mammography bilateral | CPT | 77067 | 6 | $542 | $189.7 | $130.31 | $253.93 | $460.7 |
| EKG tracing only | CPT | 93005 | 11 | $760 | $266 | $55.7 | $85.24 | $646 |
| Transthoracic echocardiogram complete | CPT | 93306 | 11 | $5,411 | $1,893.85 | $191.07 | $492.87 | $4,599.35 |
| Transthoracic echocardiogram | CPT | 93307 | 12 | $1,849 | $647.15 | $126.02 | $234.89 | $1,571.65 |
| inpatient | ||||||||
| Intracranial hemorrhage/CVA w MCC | MS-DRG | 064 | 8 | — | — | $12,300 | $15,739 | $35,457 |
| Intracranial hemorrhage/CVA w CC | MS-DRG | 065 | 8 | — | — | $6,537.87 | $8,377.25 | $18,848 |
| Intracranial hemorrhage/CVA w/o CC/MCC | MS-DRG | 066 | 8 | — | — | $4,561.13 | $5,848.94 | $13,149 |
| Respiratory infections & inflammations w MCC | MS-DRG | 177 | 8 | — | — | $11,852 | $15,182 | $34,168 |
| COPD w MCC | MS-DRG | 190 | 8 | — | — | $7,211.53 | $9,246.9 | $20,790 |
| COPD w CC | MS-DRG | 191 | 8 | — | — | $5,668.08 | $7,265.72 | $16,340 |
| COPD w/o CC/MCC | MS-DRG | 192 | 8 | — | — | $4,458.57 | $5,717.3 | $12,853 |
| Simple pneumonia & pleurisy w CC | MS-DRG | 194 | 8 | — | — | $5,537.32 | $7,100.34 | $15,963 |
| Simple pneumonia & pleurisy w/o CC/MCC | MS-DRG | 195 | 8 | — | — | $4,267.57 | $5,471.3 | $12,303 |
| AMI discharged alive w MCC | MS-DRG | 280 | 8 | — | — | $10,300 | $13,380 | $29,692 |
| AMI discharged alive w CC | MS-DRG | 281 | 8 | — | — | $5,964.85 | $7,668.87 | $17,196 |
| AMI discharged alive w/o CC/MCC | MS-DRG | 282 | 8 | — | — | $4,654.07 | $5,969.07 | $13,417 |
| Heart failure & shock w MCC | MS-DRG | 291 | 8 | — | — | $8,129.39 | $11,032 | $23,436 |
| Heart failure & shock w CC | MS-DRG | 292 | 8 | — | — | $5,534.76 | $7,364.44 | $15,956 |
| Heart failure & shock w/o CC/MCC | MS-DRG | 293 | 8 | — | — | $3,781.07 | $5,274.57 | $10,900 |
| Cardiac arrhythmia w MCC | MS-DRG | 308 | 8 | — | — | $7,697.38 | $9,867.25 | $22,190 |
| Cardiac arrhythmia w CC | MS-DRG | 309 | 8 | — | — | $4,810.46 | $6,165.7 | $13,868 |
| Cardiac arrhythmia w/o CC/MCC | MS-DRG | 310 | 8 | — | — | $3,584.29 | $4,594.24 | $10,333 |
| GI hemorrhage w CC | MS-DRG | 378 | 8 | — | — | $6,368.02 | $8,171.56 | $18,358 |
| GI hemorrhage w/o CC/MCC | MS-DRG | 379 | 8 | — | — | $4,084.25 | $5,241.75 | $11,774 |
| Esophagitis/gastroenteritis w/o MCC | MS-DRG | 392 | 8 | — | — | $4,908.53 | $6,289.11 | $14,150 |
| Fractures of femur w/o MCC | MS-DRG | 533 | 8 | — | — | $9,077.38 | $11,622 | $26,169 |
| Kidney/UTI w MCC | MS-DRG | 689 | 8 | — | — | $7,141.66 | $9,143.23 | $20,588 |
| Kidney/UTI w/o MCC | MS-DRG | 690 | 8 | — | — | $5,089.29 | $6,517.83 | $14,672 |
| Septicemia or severe sepsis w MV 96+ hrs | MS-DRG | 871 | 8 | — | — | $12,000 | $15,371 | $34,595 |
| Septicemia or severe sepsis w/o MV 96+ hrs | MS-DRG | 872 | 8 | — | — | $6,578.25 | $8,405.22 | $18,964 |
| lab | ||||||||
| Basic metabolic panel (BMP) | CPT | 80048 | 12 | $665 | $232.75 | $6.75 | $13.79 | $565.25 |
| Electrolyte panel | CPT | 80051 | 12 | $468 | $163.8 | $5.6 | $8.55 | $397.8 |
| Comprehensive metabolic panel | CPT | 80053 | 12 | $869 | $304.15 | $8.43 | $12.89 | $738.65 |
| Lipid panel | CPT | 80061 | 12 | $285 | $99.75 | $10.69 | $16.34 | $242.25 |
| Hepatic function panel | CPT | 80076 | 12 | $634 | $221.9 | $6.52 | $9.97 | $538.9 |
| Urinalysis non-automated | CPT | 81002 | 12 | $42 | $14.7 | $2.77 | $4.25 | $35.7 |
| Urinalysis automated | CPT | 81003 | 12 | $104 | $36.4 | $1.8 | $2.75 | $88.4 |
| Glucose quantitative | CPT | 82947 | 12 | $141 | $49.35 | $3.14 | $5.72 | $119.85 |
| Hemoglobin A1c | CPT | 83036 | 12 | $145 | $50.75 | $7.75 | $11.85 | $123.25 |
| Thyroid stimulating hormone (TSH) | CPT | 84443 | 12 | $293 | $102.55 | $13.4 | $20.5 | $249.05 |
| Complete blood count with automated differential | CPT | 85025 | 12 | $215 | $75.25 | $6.2 | $11.31 | $182.75 |
| Complete blood count without differential | CPT | 85027 | 12 | $273 | $95.55 | $5.16 | $9.41 | $232.05 |
| Urine culture bacterial | CPT | 87086 | 12 | $367 | $128.45 | $6.44 | $11.74 | $311.95 |
| Urine culture identification | CPT | 87088 | 12 | $245 | $85.75 | $6.46 | $11.78 | $208.25 |
| Tissue exam by pathologist level IV | CPT | 88305 | 12 | $927 | $324.45 | $49.79 | $68.4 | $787.95 |
| maternity | ||||||||
| Fetal non-stress test | CPT | 59025 | 8 | — | — | $14.27 | $170.43 | $2,468 |
| Routine obstetric care including vaginal delivery | CPT | 59400 | 2 | — | — | $1,406.9 | $2,430 | $3,440.72 |
| Vaginal delivery only | CPT | 59409 | 14 | $4,075 | $1,426.25 | $291.9 | $2,677.44 | $4,621 |
| Vaginal delivery with postpartum | CPT | 59410 | 3 | — | — | $212.55 | $895 | $2,430 |
| Routine obstetric care with C-section | CPT | 59510 | 2 | — | — | $1,533.5 | $2,430 | $3,816.26 |
| C-section delivery only | CPT | 59514 | 11 | $1,365 | $477.75 | $97.78 | $955.5 | $2,430 |
| C-section with postpartum | CPT | 59515 | 3 | — | — | $737.94 | $1,879.59 | $2,430 |
| Cesarean section w CC/MCC | MS-DRG | 765 | 1 | — | — | $10,701 | $11,295 | $11,889 |
| Cesarean section w/o CC/MCC | MS-DRG | 766 | 1 | — | — | $10,701 | $11,295 | $11,889 |
| Vaginal delivery w complicating dx | MS-DRG | 774 | 1 | — | — | $5,763 | $6,083.5 | $6,404 |
| Vaginal delivery w/o complicating dx | MS-DRG | 775 | 1 | — | — | $5,763 | $6,083.5 | $6,404 |
| office | ||||||||
| Office visit, new patient, 15-29 min | CPT | 99202 | 6 | $402 | $140.7 | $72.67 | $251.65 | $341.7 |
| Office visit, new patient, 30-44 minutes | CPT | 99203 | 6 | $534 | $186.9 | $109.25 | $255.5 | $453.9 |
| Office visit, new patient, 45-59 min | CPT | 99204 | 6 | $612 | $214.2 | $184.96 | $330.57 | $520.2 |
| Office visit, new patient, 60-74 min | CPT | 99205 | 6 | $719 | $251.65 | $241.38 | $431.4 | $611.15 |
| Office visit, established patient, 5 min | CPT | 99211 | 6 | $216 | $75.6 | $13.21 | $145.8 | $269 |
| Office visit, established patient, 10-19 min | CPT | 99212 | 6 | $305 | $106.75 | $36.59 | $205.88 | $269 |
| Office visit, established patient, 20-29 minutes | CPT | 99213 | 6 | $382 | $133.7 | $73.18 | $245.15 | $324.7 |
| Office visit, established patient, 30-39 minutes | CPT | 99214 | 6 | $433 | $151.55 | $112.81 | $255.5 | $368.05 |
| Office visit, established patient, 40-54 min | CPT | 99215 | 6 | $504 | $176.4 | $159.05 | $285.65 | $428.4 |
| preventive | ||||||||
| Upper GI endoscopy diagnostic | CPT | 43235 | 14 | $2,493 | $872.55 | $273.3 | $895 | $4,487 |
| Upper GI endoscopy with biopsy | CPT | 43239 | 14 | $2,578 | $902.3 | $273.3 | $1,076 | $5,185 |
| Sigmoidoscopy diagnostic | CPT | 45330 | 14 | $2,927 | $1,024.45 | $93.1 | $810.05 | $2,487.95 |
| Sigmoidoscopy with biopsy | CPT | 45331 | 14 | $2,451 | $857.85 | $273.3 | $895 | $4,487 |
| Colonoscopy diagnostic | CPT | 45378 | 14 | $2,927 | $1,024.45 | $273.3 | $1,076 | $5,185 |
| Colonoscopy with biopsy | CPT | 45380 | 14 | $3,190 | $1,116.5 | $365.94 | $1,195 | $5,185 |
| Colonoscopy with polyp removal | CPT | 45385 | 14 | $2,839 | $993.65 | $365.94 | $1,195 | $5,185 |
| surgery | ||||||||
| Total shoulder arthroplasty | CPT | 23472 | 7 | — | — | $964.81 | $12,323 | $18,484 |
| PCI w drug-eluting stent w MCC | MS-DRG | 246 | 8 | — | — | $20,026 | $29,360 | $57,731 |
| PCI w drug-eluting stent w/o MCC | MS-DRG | 247 | 8 | — | — | $12,648 | $18,675 | $36,461 |
| Hip hemiarthroplasty | CPT | 27125 | 7 | — | — | $408.78 | $12,323 | $18,484 |
| Total hip replacement | CPT | 27130 | 7 | — | — | $853.2 | $7,319 | $18,484 |
| Total knee replacement | CPT | 27447 | 7 | — | — | $851.87 | $12,323 | $18,484 |
| Knee revision arthroplasty single component | CPT | 27486 | 7 | — | — | $919.17 | $12,323 | $18,484 |
| Knee revision arthroplasty all components | CPT | 27487 | 7 | — | — | $1,209.34 | $12,323 | $18,484 |
| Shoulder arthroscopy with decompression | CPT | 29826 | 5 | — | — | $1,233 | $2,222 | $5,252 |
| Shoulder arthroscopy with rotator cuff repair | CPT | 29827 | 10 | — | — | $1,065.4 | $6,269.08 | $9,403.62 |
| Knee arthroscopy with meniscectomy | CPT | 29881 | 14 | $6,301 | $2,205.35 | $601.39 | $2,888.92 | $7,089 |
| ACL reconstruction | CPT | 29888 | 10 | — | — | $1,065.4 | $6,269.08 | $9,403.62 |
| Major small/large bowel procedures w MCC | MS-DRG | 329 | 8 | — | — | $31,319 | $39,906 | $90,287 |
| Major small/large bowel procedures w CC | MS-DRG | 330 | 8 | — | — | $16,340 | $20,890 | $47,106 |
| Major small/large bowel procedures w/o CC/MCC | MS-DRG | 331 | 8 | — | — | $10,964 | $14,070 | $31,607 |
| CABG single arterial graft | CPT | 33533 | 3 | — | — | $1,292.63 | $2,793.8 | $4,048 |
| CABG 2 arterial grafts | CPT | 33534 | 3 | — | — | $1,490.86 | $3,286.83 | $4,048 |
| CABG 3 arterial grafts | CPT | 33535 | 3 | — | — | $1,608.79 | $3,643 | $4,068.91 |
| CABG 4+ arterial grafts | CPT | 33536 | 3 | — | — | $1,687.75 | $3,643 | $4,370.38 |
| Laparoscopic cholecystectomy w/o CDE w MCC | MS-DRG | 418 | 8 | — | — | $10,826 | $13,889 | $31,209 |
| Laparoscopic cholecystectomy w/o CDE w CC | MS-DRG | 419 | 8 | — | — | $8,430.65 | $10,821 | $24,304 |
| Laparoscopic cholecystectomy w/o CDE w/o CC/MCC | MS-DRG | 420 | 8 | — | — | $22,540 | $28,912 | $64,978 |
| Open appendectomy | CPT | 44950 | 7 | — | — | $805.34 | $3,185.51 | $5,416 |
| Laparoscopic appendectomy | CPT | 44970 | 13 | $8,014 | $2,804.9 | $1,233 | $5,212.4 | $7,595.67 |
| Spinal fusion (non-cervical) w MCC | MS-DRG | 459 | 8 | — | — | $43,160 | $55,386 | $124,422 |
| Spinal fusion (non-cervical) w/o MCC | MS-DRG | 460 | 8 | — | — | $25,195 | $32,356 | $72,631 |
| Major joint replacement w MCC | MS-DRG | 469 | 8 | — | — | $19,780 | $25,377 | $57,021 |
| Major joint replacement w/o MCC | MS-DRG | 470 | 8 | — | — | $12,180 | $15,631 | $35,114 |
| Laparoscopic cholecystectomy | CPT | 47562 | 9 | — | — | $1,065.4 | $5,063.78 | $10,452 |
| Lap cholecystectomy with cholangiography | CPT | 47563 | 9 | — | — | $1,065.4 | $5,063.78 | $10,452 |
| Hip & femur procedures except major joint w MCC | MS-DRG | 480 | 8 | — | — | $19,394 | $24,884 | $55,911 |
| Hip & femur procedures except major joint w CC | MS-DRG | 481 | 8 | — | — | $13,435 | $17,241 | $38,732 |
| Hip & femur procedures except major joint w/o CC/MCC | MS-DRG | 482 | 8 | — | — | $10,549 | $13,549 | $30,411 |
| Open umbilical hernia repair | CPT | 49560 | 10 | — | — | $862.19 | $3,185.51 | $7,089 |
| Umbilical hernia repair age 5+ | CPT | 49585 | 10 | — | — | $862.19 | $3,185.51 | $7,089 |
| Lap inguinal hernia repair | CPT | 49650 | 10 | — | — | $1,065.4 | $5,063.78 | $7,595.67 |
| Lap incisional hernia repair | CPT | 49652 | 8 | — | — | $1,065.4 | $5,063.78 | $7,595.67 |
| Total abdominal hysterectomy | CPT | 58150 | 4 | — | — | $127.26 | $2,403 | $5,416 |
| Vaginal hysterectomy | CPT | 58260 | 8 | — | — | $1,065.4 | $4,412.45 | $6,618.67 |
| Lap-assisted vaginal hysterectomy | CPT | 58550 | 9 | — | — | $1,065.4 | $5,063.78 | $10,216 |
| Lap-assisted vaginal hysterectomy >250g | CPT | 58552 | 8 | — | — | $1,065.4 | $8,030.77 | $13,370 |
| Lap salpingo-oophorectomy | CPT | 58661 | 10 | — | — | $1,065.4 | $5,063.78 | $7,595.67 |
| OR procedure for obesity w MCC | MS-DRG | 619 | 8 | — | — | $19,625 | $23,494 | $56,574 |
| OR procedure for obesity w CC | MS-DRG | 620 | 8 | — | — | $11,298 | $16,542 | $32,571 |
| OR procedure for obesity w/o CC/MCC | MS-DRG | 621 | 8 | — | — | $10,237 | $14,995 | $29,511 |
| Complex cataract surgery | CPT | 66982 | 14 | $7,587 | $2,655.45 | $400.01 | $2,612 | $8,158 |
| Cataract surgery with lens implant | CPT | 66984 | 14 | $5,315 | $1,860.25 | $400.01 | $2,612 | $8,158 |
| Intravitreal injection | CPT | 67028 | 8 | — | — | $36.94 | $310.96 | $2,468 |
| Vitrectomy mechanical | CPT | 67042 | 8 | — | — | $1,065.4 | $3,920.33 | $6,006 |
| Uterine & adnexa procedures w CC/MCC | MS-DRG | 743 | 8 | — | — | $7,260.88 | $9,316.01 | $20,932 |
| Uterine & adnexa procedures w/o CC/MCC | MS-DRG | 744 | 8 | — | — | $11,508 | $14,760 | $33,175 |
| PCI single major coronary artery | CPT | 92920 | 12 | $10,738 | $3,758.3 | $4,410 | $7,440.16 | $17,899 |
| PCI with drug-eluting stent | CPT | 92928 | 12 | $12,156 | $4,254.6 | $4,410 | $10,251 | $36,997 |
| PCI bypass graft | CPT | 92937 | 12 | $11,361 | $3,976.35 | $4,410 | $10,050 | $36,997 |
| Left heart catheterization | CPT | 93452 | 12 | $12,230 | $4,280.5 | $2,396 | $4,351.39 | $10,396 |
| Coronary angiography with cath | CPT | 93455 | 12 | $15,725 | $5,503.75 | $2,396 | $4,351.39 | $13,366 |
| Coronary angiography with bypass cath | CPT | 93458 | 12 | $20,144 | $7,050.4 | $2,396 | $4,351.39 | $17,122 |
Payer mix (top 14)
| Payer | Codes covered | Median rate |
|---|---|---|
| UnitedHealthcare | 187 | $2,019 |
| Blue Cross Blue Shield | 186 | $1,094.94 |
| Humana | 175 | $2,430 |
| Aetna | 169 | $1,076 |
| commercial | community health choice | exchange | 164 | $1,203.23 |
| Medicare | 164 | $818 |
| Cigna | 164 | $802.15 |
| Multiplan | 108 | $1,713 |
| First Health | 108 | $1,484.6 |
| commercial | healthsmart | all plans | 108 | $1,598.8 |
| commercial | galaxy | all plans | 108 | $1,941.4 |
| Medicaid | 102 | $202.36 |
| commercial | phcs | all plans | 70 | $16,152 |
| commercial | beechstreet | all plans | 26 | $2,353 |