Does St Lukes Lakeside Hospital publish its standard charges and chargemaster?

Yes. St Lukes Lakeside Hospital publishes a machine-readable file with 8,068 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 Lukes Lakeside Hospital charge for procedures?

St Lukes Lakeside Hospital (The Woodlands, 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 670059

St Lukes Lakeside Hospital

The Woodlands, TX, 77384

30 bedsAcute Care Hospitals5

Compliance grade

100/100

Rates published

8,068

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/300427437_Lakeside-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	15	—	—	$5,458.58	$8,339.5	0.65×	$22,458
emergency
ED visit level 1	CPT	99281	20	$429	$150.15	$30.82	$109.04	0.78×	$1,240.2
ED visit level 2	CPT	99282	20	$923	$323.05	$30.82	$197.64	0.83×	$1,240.2
ED visit level 3	CPT	99283	20	$2,090	$731.5	$30.82	$347.84	0.86×	$2,073
ED visit level 4	CPT	99284	20	$3,180	$1,113	$262.22	$1,240.2	1.9×	$5,166
ED visit level 5	CPT	99285	20	$3,894	$1,362.9	$376.4	$1,240.2	1.2×	$6,582
Critical care, first hour	CPT	99291	20	$5,351	$1,872.85	$499.36	$1,140.26	1.1×	$4,548.35
imaging
CT head without contrast	CPT	70450	21	$2,859	$1,000.65	$78.56	$166.45	0.80×	$2,430.15
CT head with contrast	CPT	70460	21	$4,062	$1,421.7	$128.71	$303.93	1.3×	$3,452.7
CT head with and without contrast	CPT	70470	21	$4,214	$1,474.9	$128.71	$324.23	1.2×	$3,581.9
CT neck with contrast	CPT	70491	21	$3,880	$1,358	$128.71	$303.93	1.1×	$3,298
MRI brain without contrast	CPT	70551	21	$5,302	$1,855.7	$165.9	$657.44	1.6×	$4,506.7
MRI brain with contrast	CPT	70552	21	$5,140	$1,799	$252.74	$552.87	1.2×	$4,369
MRI brain with and without contrast	CPT	70553	21	$7,814	$2,734.9	$265.38	$617.01	1.0×	$6,641.9
Chest X-ray single view	CPT	71045	19	$641	$224.35	$20.71	$89.1	0.94×	$544.85
Chest X-ray 2 views	CPT	71046	19	$736	$257.6	$28.74	$89.1	0.91×	$625.6
Chest X-ray 3 views	CPT	71047	19	$653	$228.55	$36.75	$89.1	0.93×	$555.05
CT chest without contrast	CPT	71250	21	$3,796	$1,328.6	$78.56	$166.45	0.77×	$3,226.6
CT chest with contrast	CPT	71260	21	$4,382	$1,533.7	$128.71	$303.93	1.1×	$3,724.7
CT chest with and without contrast	CPT	71270	21	$4,695	$1,643.25	$128.71	$324.23	1.1×	$3,990.75
MRI chest without contrast	CPT	71550	21	$4,977	$1,741.95	$165.9	$657.44	1.5×	$4,230.45
MRI chest with contrast	CPT	71551	21	$4,489	$1,571.15	$432.7	$1,039.82	1.3×	$3,815.65
MRI chest with and without contrast	CPT	71552	21	$6,046	$2,116.1	$265.38	$617.01	1.0×	$5,139.1
Lumbosacral spine X-ray	CPT	72100	19	$1,043	$365.05	$33.08	$147.3	1.4×	$886.55
CT cervical spine without contrast	CPT	72125	21	$2,348	$821.8	$78.56	$166.45	0.83×	$1,995.8
CT thoracic spine without contrast	CPT	72128	21	$2,348	$821.8	$78.56	$166.45	0.84×	$1,995.8
CT lumbar spine without contrast	CPT	72131	21	$2,348	$821.8	$78.56	$166.45	0.82×	$1,995.8
MRI cervical spine without contrast	CPT	72141	21	$5,612	$1,964.2	$165.9	$657.44	1.7×	$4,770.2
MRI thoracic spine without contrast	CPT	72146	21	$4,880	$1,708	$165.9	$657.44	1.8×	$4,148
MRI lumbar spine without contrast	CPT	72148	21	$5,612	$1,964.2	$165.9	$657.44	1.7×	$4,770.2
MRI lumbar spine with and without contrast	CPT	72149	21	$5,434	$1,901.9	$265.38	$577.5	1.3×	$4,618.9
MRI cervical spine with and without contrast	CPT	72156	21	$6,583	$2,304.05	$265.38	$950	1.8×	$5,595.55
MRI lumbar spine with contrast	CPT	72158	21	$6,892	$2,412.2	$265.38	$950	1.7×	$5,858.2
CT pelvis without contrast	CPT	72192	21	$1,835	$642.25	$78.56	$166.45	0.83×	$1,937
CT pelvis with contrast	CPT	72193	21	$2,314	$809.9	$128.71	$303.93	1.1×	$1,966.9
Shoulder X-ray	CPT	73030	19	$1,034	$361.9	$27.74	$109.35	1.2×	$878.9
Humerus X-ray	CPT	73060	19	$668	$233.8	$27.4	$121.5	1.4×	$567.8
Hand X-ray 3 views	CPT	73130	19	$772	$270.2	$30.08	$89.1	0.96×	$656.2
MRI upper extremity joint without contrast	CPT	73221	21	$5,058	$1,770.3	$165.9	$657.44	1.6×	$4,299.3
MRI upper extremity joint with and without contrast	CPT	73223	21	$5,904	$2,066.4	$265.38	$617.01	1.0×	$5,018.4
Knee X-ray 1-2 views	CPT	73560	19	$363	$127.05	$29.4	$89.1	0.96×	$308.55
Ankle X-ray 3 views	CPT	73610	19	$830	$290.5	$29.74	$109.35	1.2×	$705.5
MRI lower extremity joint without contrast	CPT	73721	21	$5,619	$1,966.65	$165.9	$657.44	1.4×	$4,776.15
MRI lower extremity joint with and without contrast	CPT	73723	21	$5,948	$2,081.8	$265.38	$617.01	0.97×	$5,055.8
CT abdomen without contrast	CPT	74150	21	$4,015	$1,405.25	$78.56	$166.45	0.88×	$3,412.75
CT abdomen with contrast	CPT	74160	21	$5,320	$1,862	$128.71	$303.93	1.1×	$4,522
CT abdomen with and without contrast	CPT	74170	21	$5,381	$1,883.35	$128.71	$324.23	0.97×	$4,573.85
CT abdomen and pelvis without contrast	CPT	74176	21	$9,174	$3,210.9	$165.9	$345.63	0.95×	$7,797.9
CT abdomen and pelvis with contrast	CPT	74177	21	$9,719	$3,401.65	$252.74	$552.44	1.0×	$8,261.15
CT abdomen and pelvis with and without contrast	CPT	74178	21	$9,859	$3,450.65	$252.74	$552.44	0.96×	$8,380.15
MRI abdomen without contrast	CPT	74181	21	$4,721	$1,652.35	$165.9	$657.44	1.7×	$4,012.85
MRI abdomen with and without contrast	CPT	74183	21	$5,484	$1,919.4	$265.38	$617.01	1.1×	$4,661.4
Abdominal ultrasound complete	CPT	76700	19	$2,264	$792.4	$78.56	$158.52	1.1×	$1,924.4
Abdominal ultrasound limited	CPT	76705	19	$1,309	$458.15	$78.56	$158.52	1.1×	$1,112.65
Retroperitoneal ultrasound complete	CPT	76770	19	$1,731	$605.85	$78.56	$158.52	1.1×	$1,471.35
Obstetric ultrasound first trimester	CPT	76801	19	$1,574	$550.9	$78.56	$133.74	0.95×	$1,337.9
Obstetric ultrasound after first trimester	CPT	76805	19	$1,761	$616.35	$78.56	$138.81	0.91×	$1,496.85
Obstetric ultrasound with fetal anatomy	CPT	76811	19	$1,046	$366.1	$114.46	$241.94	1.0×	$889.1
Transvaginal ultrasound	CPT	76830	19	$1,510	$528.5	$78.56	$135.78	0.92×	$1,283.5
Pelvic ultrasound complete	CPT	76856	19	$1,949	$682.15	$78.56	$158.52	1.1×	$1,656.65
Scrotal ultrasound	CPT	76870	19	$1,519	$531.65	$64.49	$158.52	1.2×	$1,291.15
Diagnostic mammography unilateral	CPT	77065	19	$511	$178.85	$62.77	$195.7	1.3×	$434.35
Diagnostic mammography bilateral	CPT	77066	19	$953	$333.55	$80.28	$279.5	1.5×	$810.05
Screening mammography bilateral	CPT	77067	19	$570	$199.5	$66.37	$192.83	1.2×	$484.5
EKG tracing only	CPT	93005	19	$760	$266	$40.13	$83.6	0.71×	$646
Transthoracic echocardiogram complete	CPT	93306	19	$5,411	$1,893.85	$203.64	$517.34	0.86×	$4,599.35
Transthoracic echocardiogram	CPT	93307	19	$1,849	$647.15	$120.72	$235.03	0.95×	$1,571.65
inpatient
Intracranial hemorrhage/CVA w MCC	MS-DRG	064	15	—	—	$8,440.92	$14,304	0.71×	$34,643
Intracranial hemorrhage/CVA w CC	MS-DRG	065	15	—	—	$4,492.71	$8,339.54	0.78×	$18,990
Intracranial hemorrhage/CVA w/o CC/MCC	MS-DRG	066	15	—	—	$3,136.77	$5,955.5	0.78×	$13,249
Respiratory infections & inflammations w MCC	MS-DRG	177	15	—	—	$8,142.2	$14,968	0.97×	$34,946
COPD w MCC	MS-DRG	190	15	—	—	$4,959.09	$9,303.35	0.83×	$21,139
COPD w CC	MS-DRG	191	15	—	—	$3,896.59	$7,326.78	0.83×	$16,497
COPD w/o CC/MCC	MS-DRG	192	15	—	—	$3,066.18	$5,575.31	0.80×	$13,105
Simple pneumonia & pleurisy w CC	MS-DRG	194	15	—	—	$3,807.9	$7,039.08	0.83×	$16,420
Simple pneumonia & pleurisy w/o CC/MCC	MS-DRG	195	15	—	—	$2,934.24	$5,389.91	0.81×	$12,604
AMI discharged alive w MCC	MS-DRG	280	15	—	—	$7,175.44	$13,407	0.86×	$30,136
AMI discharged alive w CC	MS-DRG	281	15	—	—	$4,112.8	$7,832.37	0.81×	$17,900
AMI discharged alive w/o CC/MCC	MS-DRG	282	15	—	—	$3,201.19	$6,064.35	0.78×	$13,635
Heart failure & shock w MCC	MS-DRG	291	15	—	—	$5,916.59	$11,033	0.86×	$24,868
Heart failure & shock w CC	MS-DRG	292	15	—	—	$3,949.54	$7,309.64	0.82×	$16,732
Heart failure & shock w/o CC/MCC	MS-DRG	293	15	—	—	$2,879.53	$5,419.56	0.87×	$12,109
Cardiac arrhythmia w MCC	MS-DRG	308	15	—	—	$5,291.79	$9,217.42	0.76×	$21,946
Cardiac arrhythmia w CC	MS-DRG	309	15	—	—	$3,306.65	$5,969.9	0.77×	$13,975
Cardiac arrhythmia w/o CC/MCC	MS-DRG	310	15	—	—	$2,463.88	$4,430.23	0.71×	$10,335
GI hemorrhage w CC	MS-DRG	378	15	—	—	$4,382.4	$7,525.16	0.75×	$18,258
GI hemorrhage w/o CC/MCC	MS-DRG	379	15	—	—	$2,811.14	$5,213.53	0.76×	$11,931
Esophagitis/gastroenteritis w/o MCC	MS-DRG	392	15	—	—	$3,372.84	$5,888.76	0.73×	$14,071
Fractures of femur w/o MCC	MS-DRG	533	15	—	—	$6,232.95	$11,631	0.76×	$26,967
Kidney/UTI w MCC	MS-DRG	689	15	—	—	$4,903.5	$8,729.51	0.75×	$20,669
Kidney/UTI w/o MCC	MS-DRG	690	15	—	—	$3,495.5	$6,171.28	0.74×	$14,612
Septicemia or severe sepsis w MV 96+ hrs	MS-DRG	871	15	—	—	$8,243.24	$14,640	0.78×	$34,485
Septicemia or severe sepsis w/o MV 96+ hrs	MS-DRG	872	15	—	—	$4,507.7	$8,146.45	0.79×	$19,204
lab
Basic metabolic panel (BMP)	CPT	80048	19	$665	$232.75	$6.09	$12.06	0.37×	$565.25
Electrolyte panel	CPT	80051	19	$500	$175	$5.05	$9.99	0.42×	$425
Comprehensive metabolic panel	CPT	80053	19	$869	$304.15	$7.6	$15.05	0.34×	$738.65
Lipid panel	CPT	80061	19	$285	$99.75	$9.64	$19.08	0.50×	$242.25
Hepatic function panel	CPT	80076	19	$634	$221.9	$5.88	$11.65	0.44×	$538.9
Urinalysis non-automated	CPT	81002	19	$42	$14.7	$2.51	$4.81	0.69×	$35.7
Urinalysis automated	CPT	81003	19	$104	$36.4	$1.62	$3.21	0.23×	$88.4
Glucose quantitative	CPT	82947	19	$141	$49.35	$2.83	$5.9	0.34×	$119.85
Hemoglobin A1c	CPT	83036	19	$145	$50.75	$6.99	$13.84	0.51×	$123.25
Thyroid stimulating hormone (TSH)	CPT	84443	19	$293	$102.55	$12.1	$23.94	0.51×	$249.05
Complete blood count with automated differential	CPT	85025	19	$225	$78.75	$5.59	$11.66	0.44×	$191.25
Complete blood count without differential	CPT	85027	19	$267	$93.45	$4.66	$9.7	0.45×	$226.95
Urine culture bacterial	CPT	87086	19	$335	$117.25	$5.81	$12.1	0.52×	$284.75
Tissue exam by pathologist level IV	CPT	88305	19	$1,002	$350.7	$35.87	$69.39	0.68×	$851.7
maternity
Fetal non-stress test	CPT	59025	23	$1,209	$423.15	$13.62	$185.03	0.98×	$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	23	$4,346	$1,521.1	$447	$2,824.9	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	5	—	—	$5,727.99	$9,799.12	108.6×	$12,794
Cesarean section w/o CC/MCC	MS-DRG	766	5	—	—	$4,760.56	$7,265.61	80.6×	$12,112
Vaginal delivery w complicating dx	MS-DRG	774	5	—	—	$3,626.35	$6,289.01	68.4×	$8,743.5
Vaginal delivery w/o complicating dx	MS-DRG	775	5	—	—	$2,977.38	$5,601.75	6.0×	$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	18	—	—	$287.68	$879.52	0.96×	$4,487
Upper GI endoscopy with biopsy	CPT	43239	18	—	—	$287.68	$936.55	0.97×	$5,185
Sigmoidoscopy diagnostic	CPT	45330	14	—	—	$93.1	$808.77	0.96×	$2,468
Sigmoidoscopy with biopsy	CPT	45331	17	—	—	$287.68	$850.28	0.95×	$4,487
Colonoscopy diagnostic	CPT	45378	17	—	—	$287.68	$874.12	1.00×	$5,185
Colonoscopy with biopsy	CPT	45380	17	—	—	$385.2	$1,110.95	0.92×	$5,185
Colonoscopy with polyp removal	CPT	45385	17	—	—	$385.2	$1,110.95	0.92×	$5,185
surgery
Total shoulder arthroplasty	CPT	23472	13	—	—	$964.81	$12,330	3.0×	$29,099
PCI w drug-eluting stent w MCC	MS-DRG	246	16	—	—	$1,808.2	$25,965	0.94×	$58,627
PCI w drug-eluting stent w/o MCC	MS-DRG	247	16	—	—	$1,808.2	$17,111	0.94×	$37,597
Hip hemiarthroplasty	CPT	27125	13	—	—	$408.78	$12,330	9.9×	$29,099
Total hip replacement	CPT	27130	13	—	—	$853.2	$12,330	2.8×	$29,099
Total knee replacement	CPT	27447	13	—	—	$851.87	$12,515	3.0×	$29,099
Knee revision arthroplasty single component	CPT	27486	13	—	—	$919.17	$12,330	7.4×	$29,099
Knee revision arthroplasty all components	CPT	27487	13	—	—	$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	17	—	—	$1,121.47	$6,335.57	1.9×	$14,804
Knee arthroscopy with meniscectomy	CPT	29881	18	—	—	$601.39	$2,876.48	1.4×	$7,089
ACL reconstruction	CPT	29888	17	—	—	$1,121.47	$6,272.84	1.9×	$14,804
Major small/large bowel procedures w MCC	MS-DRG	329	15	—	—	$21,401	$38,105	0.89×	$90,675
Major small/large bowel procedures w CC	MS-DRG	330	15	—	—	$11,203	$19,148	0.82×	$46,690
Major small/large bowel procedures w/o CC/MCC	MS-DRG	331	15	—	—	$7,545.64	$12,997	0.79×	$31,213
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	15	—	—	$7,448.57	$12,922	0.78×	$30,838
Laparoscopic cholecystectomy w/o CDE w CC	MS-DRG	419	15	—	—	$5,803.19	$10,122	0.75×	$24,147
Laparoscopic cholecystectomy w/o CDE w/o CC/MCC	MS-DRG	420	15	—	—	$15,506	$29,623	0.92×	$63,468
Open appendectomy	CPT	44950	13	—	—	$805.34	$3,251.17	2.9×	$7,522.31
Laparoscopic appendectomy	CPT	44970	13	—	—	$1,233	$5,193.49	3.3×	$11,958
Spinal fusion (non-cervical) w MCC	MS-DRG	459	15	—	—	$29,703	$47,442	0.96×	$126,611
Spinal fusion (non-cervical) w/o MCC	MS-DRG	460	15	—	—	$17,353	$31,138	0.93×	$73,180
Major joint replacement w MCC	MS-DRG	469	15	—	—	$13,610	$24,659	0.83×	$58,019
Major joint replacement w/o MCC	MS-DRG	470	15	—	—	$8,383.11	$15,951	0.84×	$36,372
Laparoscopic cholecystectomy	CPT	47562	16	—	—	$1,121.47	$5,168.16	2.9×	$11,958
Lap cholecystectomy with cholangiography	CPT	47563	16	—	—	$1,121.47	$5,168.16	2.8×	$11,958
Hip & femur procedures except major joint w MCC	MS-DRG	480	15	—	—	$13,345	$23,866	0.85×	$55,776
Hip & femur procedures except major joint w CC	MS-DRG	481	15	—	—	$9,246.18	$16,581	0.82×	$38,578
Hip & femur procedures except major joint w/o CC/MCC	MS-DRG	482	15	—	—	$7,266.33	$12,945	0.81×	$30,402
Open umbilical hernia repair	CPT	49560	17	—	—	$907.57	$3,219.29	1.7×	$7,522.31
Umbilical hernia repair age 5+	CPT	49585	17	—	—	$907.57	$3,219.29	2.4×	$7,522.31
Lap inguinal hernia repair	CPT	49650	17	—	—	$1,121.47	$5,117.49	4.5×	$11,958
Lap incisional hernia repair	CPT	49652	14	—	—	$1,121.47	$5,142.83	1.9×	$11,958
Total abdominal hysterectomy	CPT	58150	5	—	—	$127.26	$2,403	2.5×	$5,416
Vaginal hysterectomy	CPT	58260	14	—	—	$1,121.47	$4,481.33	2.5×	$10,420
Lap-assisted vaginal hysterectomy	CPT	58550	17	—	—	$1,121.47	$5,168.16	3.5×	$11,958
Lap-assisted vaginal hysterectomy >250g	CPT	58552	14	—	—	$1,121.47	$8,918.88	4.0×	$21,049
Lap salpingo-oophorectomy	CPT	58661	17	—	—	$1,121.47	$5,117.49	2.5×	$11,958
OR procedure for obesity w MCC	MS-DRG	619	15	—	—	$13,507	$24,081	0.89×	$56,885
OR procedure for obesity w CC	MS-DRG	620	15	—	—	$7,770.67	$14,867	0.92×	$33,161
OR procedure for obesity w/o CC/MCC	MS-DRG	621	15	—	—	$7,043.95	$13,207	0.87×	$29,047
Complex cataract surgery	CPT	66982	18	—	—	$400.01	$2,320.48	1.0×	$8,158
Cataract surgery with lens implant	CPT	66984	18	—	—	$400.01	$2,320.48	1.1×	$8,158
Intravitreal injection	CPT	67028	14	—	—	$36.94	$317.36	0.93×	$2,468
Vitrectomy mechanical	CPT	67042	14	—	—	$1,121.47	$3,981.52	1.6×	$9,257.52
Uterine & adnexa procedures w CC/MCC	MS-DRG	743	15	—	—	$4,996.16	$8,412.8	0.69×	$21,222
Uterine & adnexa procedures w/o CC/MCC	MS-DRG	744	15	—	—	$7,915.84	$13,200	0.69×	$32,161
PCI single major coronary artery	CPT	92920	20	$11,490	$4,021.5	$3,573.42	$7,444.64	1.3×	$17,899
PCI with drug-eluting stent	CPT	92928	20	$11,361	$3,976.35	$4,410	$10,257	1.0×	$36,997
PCI bypass graft	CPT	92937	20	$11,361	$3,976.35	$4,410	$10,257	0.94×	$36,997
Left heart catheterization	CPT	93452	21	$13,086	$4,580.1	$2,089.92	$4,354	1.4×	$11,123
Coronary angiography with cath	CPT	93455	21	$15,725	$5,503.75	$2,089.92	$4,354	1.4×	$13,366
Coronary angiography with bypass cath	CPT	93458	21	$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 24)

Payer	Codes covered	Median rate
Blue Cross Blue Shield	190	$869.43
UnitedHealthcare	186	$2,034
Humana	178	$2,430
Aetna	175	$1,076
commercial \| community health choice \| exchange	167	$1,191.97
commercial \| entrust \| all plans	167	$1,875.37
commercial \| harris health \| ers	167	$1,191.97
commercial \| kelseycare \| exchange	167	$1,072.78
commercial \| renaissance \| all plans	167	$572.15
commercial \| superior health plan \| all plans	167	$1,191.97
Medicare	167	$810.62
Cigna	167	$798.63
Medicaid	121	$284.37
commercial \| healthsmart \| ppo	104	$3,891.13
Multiplan	97	$1,698
commercial \| usa health network \| all plans	97	$1,924.4
commercial \| galaxy \| all plans	97	$1,924.4
commercial \| healthsmart \| all plans	97	$1,584.8
First Health	97	$1,471.6
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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