Does St Luke's Sugar Land Hospital publish its standard charges and chargemaster?

Yes. St Luke's Sugar Land Hospital publishes a machine-readable file with 7,604 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 St Luke's Sugar Land Hospital charge for procedures?

St Luke's Sugar Land Hospital (Sugar Land, TX) 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 · TX · CCN 670053

St Luke's Sugar Land Hospital

Sugar Land, TX, 77478

100 bedsAcute Care Hospitals2

Compliance grade

100/100

Rates published

7,604

last crawl 2026-05-24

Procedures tracked

191

of 209 target codes

Payers

with negotiated rates

Procedures tracked

...

Payers

...

▸ Compare with other hospitals All TX 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://www.stlukeshealth.org/content/dam/stlukeshealth/documents/price-transparency-files/261947374_Sugar-Land-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	14	—	—	$7,431.68	$11,199	0.87×	$24,359
emergency
ED visit level 1	CPT	99281	19	$429	$150.15	$30.82	$109.52	0.78×	$1,240.2
ED visit level 2	CPT	99282	19	$923	$323.05	$30.82	$206.82	0.87×	$1,240.2
ED visit level 3	CPT	99283	19	$2,090	$731.5	$30.82	$447.55	1.1×	$2,073
ED visit level 4	CPT	99284	19	$3,180	$1,113	$262.22	$1,300	1.9×	$5,166
ED visit level 5	CPT	99285	19	$3,894	$1,362.9	$376.4	$1,760	1.7×	$6,582
Critical care, first hour	CPT	99291	19	$5,351	$1,872.85	$499.36	$1,438.49	1.3×	$4,548.35
imaging
CT head without contrast	CPT	70450	20	$2,859	$1,000.65	$78.56	$171.03	0.83×	$2,430.15
CT head with contrast	CPT	70460	20	$4,062	$1,421.7	$128.71	$360.67	1.5×	$3,452.7
CT head with and without contrast	CPT	70470	20	$4,214	$1,474.9	$128.71	$380.97	1.4×	$3,581.9
CT neck with contrast	CPT	70491	20	$3,880	$1,358	$128.71	$360.67	1.3×	$3,298
MRI brain without contrast	CPT	70551	20	$5,302	$1,855.7	$165.9	$717.84	1.8×	$4,506.7
MRI brain with contrast	CPT	70552	20	$5,140	$1,799	$252.74	$577.5	1.2×	$4,369
MRI brain with and without contrast	CPT	70553	20	$7,814	$2,734.9	$265.38	$685.13	1.2×	$6,641.9
Chest X-ray single view	CPT	71045	18	$641	$224.35	$20.71	$109.35	1.2×	$544.85
Chest X-ray 2 views	CPT	71046	18	$736	$257.6	$28.74	$109.35	1.1×	$625.6
Chest X-ray 3 views	CPT	71047	18	$653	$228.55	$36.75	$109.35	1.1×	$555.05
CT chest without contrast	CPT	71250	20	$3,796	$1,328.6	$78.56	$171.03	0.80×	$3,226.6
CT chest with contrast	CPT	71260	20	$4,382	$1,533.7	$128.71	$360.67	1.3×	$3,724.7
CT chest with and without contrast	CPT	71270	20	$4,695	$1,643.25	$128.71	$380.97	1.3×	$3,990.75
MRI chest without contrast	CPT	71550	20	$4,977	$1,741.95	$165.9	$717.84	1.7×	$4,230.45
MRI chest with contrast	CPT	71551	20	$4,489	$1,571.15	$432.7	$1,052.5	1.3×	$3,815.65
MRI chest with and without contrast	CPT	71552	20	$6,046	$2,116.1	$265.38	$685.13	1.1×	$5,139.1
Lumbosacral spine X-ray	CPT	72100	18	$1,043	$365.05	$33.08	$153.38	1.5×	$886.55
CT cervical spine without contrast	CPT	72125	20	$2,348	$821.8	$78.56	$171.03	0.85×	$1,995.8
CT thoracic spine without contrast	CPT	72128	20	$2,348	$821.8	$78.56	$171.03	0.86×	$1,995.8
CT lumbar spine without contrast	CPT	72131	20	$2,348	$821.8	$78.56	$171.03	0.84×	$1,995.8
MRI cervical spine without contrast	CPT	72141	20	$5,612	$1,964.2	$165.9	$717.84	1.8×	$4,770.2
MRI thoracic spine without contrast	CPT	72146	20	$4,880	$1,708	$165.9	$717.84	1.9×	$4,148
MRI lumbar spine without contrast	CPT	72148	20	$5,612	$1,964.2	$165.9	$717.84	1.9×	$4,770.2
MRI lumbar spine with and without contrast	CPT	72149	20	$5,434	$1,901.9	$265.38	$645.63	1.4×	$4,618.9
MRI cervical spine with and without contrast	CPT	72156	20	$6,583	$2,304.05	$265.38	$1,050	1.9×	$5,595.55
MRI lumbar spine with contrast	CPT	72158	20	$6,892	$2,412.2	$265.38	$1,050	1.9×	$5,858.2
CT pelvis without contrast	CPT	72192	20	$1,835	$642.25	$78.56	$171.03	0.86×	$1,937
CT pelvis with contrast	CPT	72193	20	$2,314	$809.9	$128.71	$360.67	1.3×	$1,966.9
Shoulder X-ray	CPT	73030	18	$1,034	$361.9	$27.74	$121.5	1.3×	$878.9
Humerus X-ray	CPT	73060	18	$668	$233.8	$27.4	$133.43	1.5×	$567.8
Hand X-ray 3 views	CPT	73130	18	$772	$270.2	$30.08	$109.35	1.2×	$656.2
MRI upper extremity joint without contrast	CPT	73221	20	$5,058	$1,770.3	$165.9	$717.84	1.7×	$4,299.3
MRI upper extremity joint with and without contrast	CPT	73223	20	$5,904	$2,066.4	$265.38	$685.13	1.1×	$5,018.4
Knee X-ray 1-2 views	CPT	73560	18	$363	$127.05	$29.4	$109.35	1.2×	$308.55
Ankle X-ray 3 views	CPT	73610	18	$830	$290.5	$29.74	$121.5	1.3×	$705.5
MRI lower extremity joint without contrast	CPT	73721	20	$5,619	$1,966.65	$165.9	$717.84	1.5×	$4,776.15
MRI lower extremity joint with and without contrast	CPT	73723	20	$5,948	$2,081.8	$265.38	$685.13	1.1×	$5,055.8
CT abdomen without contrast	CPT	74150	20	$4,015	$1,405.25	$78.56	$171.03	0.91×	$3,412.75
CT abdomen with contrast	CPT	74160	20	$5,320	$1,862	$128.71	$360.67	1.3×	$4,522
CT abdomen with and without contrast	CPT	74170	20	$5,381	$1,883.35	$128.71	$380.97	1.1×	$4,573.85
CT abdomen and pelvis without contrast	CPT	74176	20	$9,174	$3,210.9	$165.9	$348.21	0.96×	$7,797.9
CT abdomen and pelvis with contrast	CPT	74177	20	$9,719	$3,401.65	$252.74	$552.87	1.0×	$8,261.15
CT abdomen and pelvis with and without contrast	CPT	74178	20	$9,859	$3,450.65	$252.74	$552.87	0.96×	$8,380.15
MRI abdomen without contrast	CPT	74181	20	$4,721	$1,652.35	$165.9	$717.84	1.8×	$4,012.85
MRI abdomen with and without contrast	CPT	74183	20	$5,484	$1,919.4	$265.38	$685.13	1.2×	$4,661.4
Abdominal ultrasound complete	CPT	76700	18	$2,264	$792.4	$78.56	$163.66	1.1×	$1,924.4
Abdominal ultrasound limited	CPT	76705	18	$1,309	$458.15	$78.56	$163.66	1.1×	$1,112.65
Retroperitoneal ultrasound complete	CPT	76770	18	$1,731	$605.85	$78.56	$163.66	1.1×	$1,471.35
Obstetric ultrasound first trimester	CPT	76801	18	$1,574	$550.9	$78.56	$155.48	1.1×	$1,337.9
Obstetric ultrasound after first trimester	CPT	76805	18	$1,761	$616.35	$78.56	$155.48	1.0×	$1,496.85
Obstetric ultrasound with fetal anatomy	CPT	76811	18	$1,046	$366.1	$114.46	$247.12	1.0×	$889.1
Transvaginal ultrasound	CPT	76830	18	$1,510	$528.5	$78.56	$155.48	1.1×	$1,283.5
Pelvic ultrasound complete	CPT	76856	18	$1,949	$682.15	$78.56	$163.66	1.1×	$1,656.65
Scrotal ultrasound	CPT	76870	18	$1,519	$531.65	$64.49	$163.66	1.2×	$1,291.15
Diagnostic mammography unilateral	CPT	77065	18	$511	$178.85	$62.77	$197	1.3×	$434.35
Diagnostic mammography bilateral	CPT	77066	18	$953	$333.55	$80.28	$282.94	1.5×	$810.05
Screening mammography bilateral	CPT	77067	18	$570	$199.5	$66.37	$197	1.2×	$484.5
EKG tracing only	CPT	93005	18	$760	$266	$40.13	$83.6	0.71×	$646
Transthoracic echocardiogram complete	CPT	93306	18	$5,411	$1,893.85	$203.64	$531.85	0.89×	$4,599.35
Transthoracic echocardiogram	CPT	93307	18	$1,849	$647.15	$120.72	$237.33	0.96×	$1,571.65
inpatient
Intracranial hemorrhage/CVA w MCC	MS-DRG	064	14	—	—	$10,658	$15,821	0.78×	$34,936
Intracranial hemorrhage/CVA w CC	MS-DRG	065	14	—	—	$6,386.7	$9,491.34	0.89×	$20,934
Intracranial hemorrhage/CVA w/o CC/MCC	MS-DRG	066	14	—	—	$4,919.7	$7,037.91	0.92×	$16,126
Respiratory infections & inflammations w MCC	MS-DRG	177	14	—	—	$10,335	$15,790	1.0×	$34,946
COPD w MCC	MS-DRG	190	14	—	—	$6,891.29	$10,152	0.90×	$22,588
COPD w CC	MS-DRG	191	14	—	—	$5,741.75	$8,213.89	0.93×	$18,820
COPD w/o CC/MCC	MS-DRG	192	14	—	—	$4,843.32	$6,861.37	0.98×	$15,875
Simple pneumonia & pleurisy w CC	MS-DRG	194	14	—	—	$5,645.8	$8,083.72	0.95×	$18,506
Simple pneumonia & pleurisy w/o CC/MCC	MS-DRG	195	14	—	—	$4,418.65	$6,659.16	1.00×	$15,407
AMI discharged alive w MCC	MS-DRG	280	14	—	—	$9,289.17	$14,192	0.91×	$30,448
AMI discharged alive w CC	MS-DRG	281	14	—	—	$5,975.67	$8,730.98	0.90×	$19,587
AMI discharged alive w/o CC/MCC	MS-DRG	282	14	—	—	$4,989.4	$7,137.61	0.92×	$16,354
Heart failure & shock w MCC	MS-DRG	291	14	—	—	$7,927.2	$11,955	0.94×	$25,984
Heart failure & shock w CC	MS-DRG	292	14	—	—	$5,799.04	$8,384.4	0.94×	$19,008
Heart failure & shock w/o CC/MCC	MS-DRG	293	14	—	—	$4,641.39	$6,575.3	1.1×	$15,213
Cardiac arrhythmia w MCC	MS-DRG	308	14	—	—	$7,251.23	$10,468	0.87×	$23,768
Cardiac arrhythmia w CC	MS-DRG	309	14	—	—	$5,103.49	$7,229.94	0.93×	$16,728
Cardiac arrhythmia w/o CC/MCC	MS-DRG	310	14	—	—	$4,182.19	$5,919.04	0.95×	$13,739
GI hemorrhage w CC	MS-DRG	378	14	—	—	$6,267.35	$8,965.79	0.90×	$20,543
GI hemorrhage w/o CC/MCC	MS-DRG	379	14	—	—	$4,567.39	$6,470.47	0.95×	$14,971
Esophagitis/gastroenteritis w/o MCC	MS-DRG	392	14	—	—	$5,175.1	$7,331.39	0.91×	$16,963
Fractures of femur w/o MCC	MS-DRG	533	14	—	—	$8,269.48	$12,634	0.83×	$27,106
Kidney/UTI w MCC	MS-DRG	689	14	—	—	$6,831.14	$9,772.32	0.84×	$22,391
Kidney/UTI w/o MCC	MS-DRG	690	14	—	—	$4,952.84	$7,519.4	0.91×	$17,398
Septicemia or severe sepsis w MV 96+ hrs	MS-DRG	871	14	—	—	$10,444	$15,588	0.84×	$34,485
Septicemia or severe sepsis w/o MV 96+ hrs	MS-DRG	872	14	—	—	$6,402.92	$9,288.92	0.90×	$20,987
lab
Basic metabolic panel (BMP)	CPT	80048	18	$665	$232.75	$6.09	$12.69	0.39×	$565.25
Electrolyte panel	CPT	80051	18	$500	$175	$5.05	$10.52	0.44×	$425
Comprehensive metabolic panel	CPT	80053	18	$869	$304.15	$7.6	$15.84	0.36×	$738.65
Lipid panel	CPT	80061	18	$285	$99.75	$9.64	$20.08	0.53×	$242.25
Hepatic function panel	CPT	80076	18	$634	$221.9	$5.88	$12.26	0.46×	$538.9
Urinalysis non-automated	CPT	81002	18	$42	$14.7	$2.51	$4.91	0.71×	$35.7
Urinalysis automated	CPT	81003	18	$104	$36.4	$1.62	$3.38	0.24×	$88.4
Glucose quantitative	CPT	82947	18	$141	$49.35	$2.83	$5.9	0.34×	$119.85
Hemoglobin A1c	CPT	83036	18	$145	$50.75	$6.99	$14.57	0.54×	$123.25
Thyroid stimulating hormone (TSH)	CPT	84443	18	$293	$102.55	$12.1	$25.2	0.53×	$249.05
Complete blood count with automated differential	CPT	85025	18	$225	$78.75	$5.59	$11.66	0.44×	$191.25
Complete blood count without differential	CPT	85027	18	$267	$93.45	$4.66	$9.7	0.45×	$226.95
Urine culture bacterial	CPT	87086	18	$335	$117.25	$5.81	$12.1	0.52×	$284.75
Tissue exam by pathologist level IV	CPT	88305	18	$1,002	$350.7	$35.87	$73.13	0.71×	$851.7
maternity
Fetal non-stress test	CPT	59025	22	$1,209	$423.15	$13.62	$208.9	1.1×	$2,468
Routine obstetric care including vaginal delivery	CPT	59400	3	—	—	$1,406.9	$2,430	1.1×	$3,440.72
Vaginal delivery only	CPT	59409	22	$4,346	$1,521.1	$447	$2,889.17	1.3×	$6,198.59
Vaginal delivery with postpartum	CPT	59410	4	—	—	$212.55	$942.3	0.89×	$2,430
Routine obstetric care with C-section	CPT	59510	3	—	—	$1,533.5	$2,430	0.97×	$3,816.26
C-section delivery only	CPT	59514	3	—	—	$719.8	$1,363.82	1.4×	$2,430
C-section with postpartum	CPT	59515	4	—	—	$737.94	$1,879.59	1.5×	$2,430
Cesarean section w CC/MCC	MS-DRG	765	4	—	—	$5,727.99	$10,367	114.9×	$12,794
Cesarean section w/o CC/MCC	MS-DRG	766	4	—	—	$4,760.56	$7,373.18	81.8×	$12,112
Vaginal delivery w complicating dx	MS-DRG	774	4	—	—	$3,626.35	$6,726.24	73.1×	$8,743.5
Vaginal delivery w/o complicating dx	MS-DRG	775	4	—	—	$2,977.38	$5,684.68	6.1×	$8,529.3
office
Office visit, new patient, 15-29 min	CPT	99202	9	$426	$149.1	$71.22	$176.94	2.1×	$362.1
Office visit, new patient, 30-44 minutes	CPT	99203	9	$534	$186.9	$98	$237.58	1.9×	$453.9
Office visit, new patient, 45-59 min	CPT	99204	9	$612	$214.2	$98	$321.33	1.8×	$520.2
Office visit, new patient, 60-74 min	CPT	99205	9	$719	$251.65	$98	$397.58	1.8×	$611.15
Office visit, established patient, 5 min	CPT	99211	9	$229	$80.15	$13.13	$117.48	1.8×	$194.65
Office visit, established patient, 10-19 min	CPT	99212	9	$305	$106.75	$36.36	$138.38	1.7×	$259.25
Office visit, established patient, 20-29 minutes	CPT	99213	9	$382	$133.7	$72.23	$165.68	1.4×	$324.7
Office visit, established patient, 30-39 minutes	CPT	99214	9	$433	$151.55	$98	$211.89	1.4×	$368.05
Office visit, established patient, 40-54 min	CPT	99215	9	$504	$176.4	$98	$269.89	1.4×	$428.4
preventive
Upper GI endoscopy diagnostic	CPT	43235	17	—	—	$287.68	$893.34	0.98×	$4,487
Upper GI endoscopy with biopsy	CPT	43239	17	—	—	$287.68	$1,026.02	1.1×	$5,185
Sigmoidoscopy diagnostic	CPT	45330	13	—	—	$93.1	$810.54	0.96×	$2,468
Sigmoidoscopy with biopsy	CPT	45331	16	—	—	$287.68	$874.12	0.98×	$4,487
Colonoscopy diagnostic	CPT	45378	16	—	—	$287.68	$937.17	1.1×	$5,185
Colonoscopy with biopsy	CPT	45380	16	—	—	$385.2	$1,142.1	0.94×	$5,185
Colonoscopy with polyp removal	CPT	45385	16	—	—	$385.2	$1,142.1	0.95×	$5,185
surgery
Total shoulder arthroplasty	CPT	23472	12	—	—	$964.81	$12,330	3.0×	$29,099
PCI w drug-eluting stent w MCC	MS-DRG	246	15	—	—	$1,808.2	$27,256	0.99×	$58,627
PCI w drug-eluting stent w/o MCC	MS-DRG	247	15	—	—	$1,808.2	$18,623	1.0×	$37,597
Hip hemiarthroplasty	CPT	27125	12	—	—	$408.78	$12,330	9.9×	$29,099
Total hip replacement	CPT	27130	12	—	—	$853.2	$12,330	2.8×	$29,099
Total knee replacement	CPT	27447	12	—	—	$851.87	$12,577	3.0×	$29,099
Knee revision arthroplasty single component	CPT	27486	12	—	—	$919.17	$12,330	7.4×	$29,099
Knee revision arthroplasty all components	CPT	27487	12	—	—	$1,209.34	$12,330	6.2×	$29,099
Shoulder arthroscopy with decompression	CPT	29826	7	—	—	$1,233	$2,222	6.8×	$5,252
Shoulder arthroscopy with rotator cuff repair	CPT	29827	16	—	—	$1,121.47	$6,398.3	1.9×	$14,804
Knee arthroscopy with meniscectomy	CPT	29881	17	—	—	$601.39	$2,890.65	1.4×	$7,089
ACL reconstruction	CPT	29888	16	—	—	$1,121.47	$6,272.84	1.9×	$14,804
Major small/large bowel procedures w MCC	MS-DRG	329	14	—	—	$24,680	$39,680	0.92×	$90,675
Major small/large bowel procedures w CC	MS-DRG	330	14	—	—	$13,647	$20,281	0.87×	$46,690
Major small/large bowel procedures w/o CC/MCC	MS-DRG	331	14	—	—	$9,689.69	$14,400	0.88×	$31,761
CABG single arterial graft	CPT	33533	4	—	—	$1,292.63	$2,560.98	1.4×	$4,048
CABG 2 arterial grafts	CPT	33534	4	—	—	$1,490.86	$3,012.93	1.4×	$4,048
CABG 3 arterial grafts	CPT	33535	4	—	—	$1,608.79	$3,356.85	1.5×	$4,068.91
CABG 4+ arterial grafts	CPT	33536	4	—	—	$1,687.75	$3,605.57	1.5×	$4,370.38
Laparoscopic cholecystectomy w/o CDE w MCC	MS-DRG	418	14	—	—	$9,584.67	$14,244	0.86×	$31,416
Laparoscopic cholecystectomy w/o CDE w CC	MS-DRG	419	14	—	—	$7,804.51	$11,496	0.85×	$25,581
Laparoscopic cholecystectomy w/o CDE w/o CC/MCC	MS-DRG	420	14	—	—	$18,302	$32,775	1.0×	$63,468
Open appendectomy	CPT	44950	12	—	—	$805.34	$3,267.11	2.9×	$7,522.31
Laparoscopic appendectomy	CPT	44970	12	—	—	$1,233	$5,320.16	3.4×	$11,958
Spinal fusion (non-cervical) w MCC	MS-DRG	459	14	—	—	$33,662	$50,026	1.0×	$126,611
Spinal fusion (non-cervical) w/o MCC	MS-DRG	460	14	—	—	$20,300	$32,424	0.97×	$73,180
Major joint replacement w MCC	MS-DRG	469	14	—	—	$16,250	$25,851	0.87×	$58,019
Major joint replacement w/o MCC	MS-DRG	470	14	—	—	$10,596	$16,591	0.88×	$36,372
Laparoscopic cholecystectomy	CPT	47562	15	—	—	$1,121.47	$5,193.49	2.9×	$11,958
Lap cholecystectomy with cholangiography	CPT	47563	15	—	—	$1,121.47	$5,193.49	2.8×	$11,958
Hip & femur procedures except major joint w MCC	MS-DRG	480	14	—	—	$15,964	$24,390	0.87×	$55,776
Hip & femur procedures except major joint w CC	MS-DRG	481	14	—	—	$11,530	$17,134	0.84×	$38,578
Hip & femur procedures except major joint w/o CC/MCC	MS-DRG	482	14	—	—	$9,387.51	$13,951	0.87×	$30,770
Open umbilical hernia repair	CPT	49560	16	—	—	$907.57	$3,251.17	1.7×	$7,522.31
Umbilical hernia repair age 5+	CPT	49585	16	—	—	$907.57	$3,251.17	2.5×	$7,522.31
Lap inguinal hernia repair	CPT	49650	16	—	—	$1,121.47	$5,168.16	4.6×	$11,958
Lap incisional hernia repair	CPT	49652	13	—	—	$1,121.47	$5,168.16	1.9×	$11,958
Total abdominal hysterectomy	CPT	58150	5	—	—	$127.26	$2,403	2.5×	$5,416
Vaginal hysterectomy	CPT	58260	13	—	—	$1,121.47	$4,503.4	2.5×	$10,420
Lap-assisted vaginal hysterectomy	CPT	58550	16	—	—	$1,121.47	$5,168.16	3.5×	$11,958
Lap-assisted vaginal hysterectomy >250g	CPT	58552	13	—	—	$1,121.47	$8,918.88	4.0×	$21,049
Lap salpingo-oophorectomy	CPT	58661	16	—	—	$1,121.47	$5,168.16	2.5×	$11,958
OR procedure for obesity w MCC	MS-DRG	619	14	—	—	$16,139	$24,915	0.92×	$56,885
OR procedure for obesity w CC	MS-DRG	620	14	—	—	$9,933.16	$16,331	1.0×	$33,161
OR procedure for obesity w/o CC/MCC	MS-DRG	621	14	—	—	$9,146.91	$14,464	0.95×	$29,982
Complex cataract surgery	CPT	66982	17	—	—	$400.01	$2,443.42	1.1×	$8,158
Cataract surgery with lens implant	CPT	66984	17	—	—	$400.01	$2,443.42	1.1×	$8,158
Intravitreal injection	CPT	67028	13	—	—	$36.94	$317.36	0.93×	$2,468
Vitrectomy mechanical	CPT	67042	13	—	—	$1,121.47	$4,001.13	1.6×	$9,257.52
Uterine & adnexa procedures w CC/MCC	MS-DRG	743	14	—	—	$6,931.38	$9,915.73	0.81×	$22,720
Uterine & adnexa procedures w/o CC/MCC	MS-DRG	744	14	—	—	$9,707.56	$14,968	0.78×	$33,073
PCI single major coronary artery	CPT	92920	19	$11,490	$4,021.5	$3,573.42	$7,444.64	1.3×	$17,899
PCI with drug-eluting stent	CPT	92928	19	$11,361	$3,976.35	$4,410	$10,257	1.0×	$36,997
PCI bypass graft	CPT	92937	19	$11,361	$3,976.35	$4,410	$10,257	0.94×	$36,997
Left heart catheterization	CPT	93452	20	$13,086	$4,580.1	$2,089.92	$4,354	1.4×	$11,123
Coronary angiography with cath	CPT	93455	20	$15,725	$5,503.75	$2,089.92	$4,354	1.4×	$13,366
Coronary angiography with bypass cath	CPT	93458	20	$22,056	$7,719.6	$2,089.92	$4,354	1.4×	$18,748

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 23)

Payer	Codes covered	Median rate
Blue Cross Blue Shield	190	$869.43
UnitedHealthcare	186	$2,034
Humana	178	$2,430
Aetna	171	$1,055
commercial \| kelseycare \| exchange	167	$1,072.78
Medicare	167	$882.9
commercial \| harris health \| ers	167	$1,191.97
commercial \| community health choice \| exchange	167	$1,191.97
commercial \| superior health plan \| all plans	167	$1,191.97
commercial \| renaissance \| all plans	167	$572.15
commercial \| entrust \| all plans	167	$1,875.37
Medicaid	121	$284.37
commercial \| healthsmart \| ap3	104	$3,891.13
Multiplan	97	$1,698
commercial \| healthsmart \| ppo	97	$1,584.8
commercial \| usa health network \| all plans	97	$1,924.4
First Health	97	$1,471.6
commercial \| galaxy \| all plans	97	$1,924.4
commercial \| nppn \| all plans	97	$1,811.2
commercial \| kelseycare \| all plans	96	$1,398.6
commercial \| phcs \| all plans	68	$17,316
commercial \| independent med system \| all plans	57	$14,954
commercial \| beechstreet \| all plans	24	$2,353

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