Does Baylor Scott And White Orthopedic And Spine Hospi publish its standard charges and chargemaster?

Yes. Baylor Scott And White Orthopedic And Spine Hospi publishes a machine-readable file with 5,348 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 Baylor Scott And White Orthopedic And Spine Hospi charge for procedures?

Baylor Scott And White Orthopedic And Spine Hospi (Arlington, 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 670067

Baylor Scott And White Orthopedic And Spine Hospi

Arlington, TX, 76015

24 bedsAcute Care Hospitals5

Compliance grade

97/100

Rates published

5,348

last crawl 2026-05-23

Procedures tracked

201

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://mrfs.hyvehealthcare.com/USPI/261578178_baylor-orthopedic-and-spine-hospital-at-arlington_standardcharges.json · JSON

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	2	—	—	$274	$1,875	0.15×	$8,779.37
Psychiatric diagnostic evaluation	CPT	90791	1	—	—	$3,986	$7,584	42.8×	$8,427
Psychiatric eval with medical services	CPT	90792	1	—	—	$3,986	$7,584	43.8×	$8,427
Psychotherapy 30 minutes	CPT	90832	1	—	—	$3,986	$7,584	51.0×	$8,427
Psychotherapy 45 minutes	CPT	90834	1	—	—	$3,986	$7,584	47.2×	$8,427
Psychotherapy 60 minutes	CPT	90837	1	—	—	$3,986	$7,584	39.9×	$8,427
Crisis psychotherapy 60 minutes	CPT	90839	1	—	—	$3,986	$7,584	47.7×	$8,427
emergency
ED visit level 1	CPT	99281	3	$467	$280.2	$202	$1,403	10.0×	$8,427
ED visit level 2	CPT	99282	3	$819	$491.4	$432	$1,403	5.9×	$8,427
ED visit level 3	CPT	99283	3	$1,747	$1,048.2	$917	$2,509	6.2×	$8,427
ED visit level 4	CPT	99284	3	$3,452	$2,071.2	$1,820	$3,840	5.8×	$8,427
ED visit level 5	CPT	99285	3	$7,303	$4,381.8	$2,457	$5,646	5.4×	$8,427
Critical care, first hour	CPT	99291	2	$5,001	$3,000.6	$3,840	$7,320	6.8×	$8,427
imaging
CT head without contrast	CPT	70450	2	$2,857	$1,714.2	$1,191.4	$2,392.88	11.6×	$8,427
CT head with contrast	CPT	70460	2	$3,141	$1,884.6	$1,312.97	$2,637.02	11.3×	$8,427
CT head with and without contrast	CPT	70470	2	$3,686	$2,211.6	$1,594.23	$3,201.94	12.0×	$8,427
CT neck with contrast	CPT	70491	2	$3,141	$1,884.6	$1,329.17	$2,669.55	9.8×	$8,427
MRI brain without contrast	CPT	70551	2	$4,760	$2,856	$1,626.68	$3,267.14	8.1×	$8,427
MRI brain with contrast	CPT	70552	2	$5,712	$3,427.2	$1,882.66	$3,781.25	7.9×	$8,427
MRI brain with and without contrast	CPT	70553	2	$6,155	$3,693	$2,301.25	$4,378.73	7.4×	$8,427
Chest X-ray single view	CPT	71045	3	$369	$221.4	$114.11	$229.18	2.4×	$8,427
Chest X-ray 2 views	CPT	71046	3	$421	$252.6	$153.2	$307.71	3.1×	$8,427
Chest X-ray 3 views	CPT	71047	3	$319	$191.4	$149.93	$377.64	3.9×	$8,427
CT chest without contrast	CPT	71250	2	$3,368	$2,020.8	$1,286.25	$2,583.35	12.0×	$8,427
CT chest with contrast	CPT	71260	2	$3,259	$1,955.4	$1,531.73	$3,081.24	10.9×	$8,427
CT chest with and without contrast	CPT	71270	2	$4,072	$2,443.2	$1,736.91	$3,488.5	12.0×	$8,427
MRI chest without contrast	CPT	71550	2	$4,760	$2,856	$1,178.37	$2,475.2	5.8×	$8,427
MRI chest with contrast	CPT	71551	2	$5,712	$3,427.2	$1,213.71	$2,856	3.5×	$8,427
MRI chest with and without contrast	CPT	71552	2	$6,155	$3,693	$1,747.37	$3,509.51	5.8×	$8,427
Lumbosacral spine X-ray	CPT	72100	3	$494	$296.4	$232.18	$467.84	4.5×	$8,427
CT cervical spine without contrast	CPT	72125	2	$3,527	$2,116.2	$1,215.94	$2,442.2	12.1×	$8,427
CT thoracic spine without contrast	CPT	72128	2	$2,857	$1,714.2	$1,342.79	$2,830.12	14.2×	$8,427
CT lumbar spine without contrast	CPT	72131	2	$3,596	$2,157.6	$1,364.9	$2,741.36	13.5×	$8,427
MRI cervical spine without contrast	CPT	72141	2	$4,760	$2,856	$1,655.99	$3,325.97	8.4×	$8,427
MRI thoracic spine without contrast	CPT	72146	2	$4,760	$2,856	$1,486.7	$2,985.96	8.0×	$8,427
MRI lumbar spine without contrast	CPT	72148	2	$4,760	$2,856	$1,600.4	$3,214.32	8.5×	$8,427
MRI lumbar spine with and without contrast	CPT	72149	2	$5,712	$3,427.2	$1,667.61	$3,349.32	7.4×	$8,427
MRI cervical spine with and without contrast	CPT	72156	2	$6,155	$3,693	$2,268.7	$3,385.25	6.3×	$8,427
MRI lumbar spine with contrast	CPT	72158	2	$6,155	$3,693	$2,335.78	$4,444.41	8.1×	$8,427
CT pelvis without contrast	CPT	72192	2	$2,963	$1,777.8	$1,208.9	$2,428.04	12.1×	$8,427
CT pelvis with contrast	CPT	72193	2	$3,141	$1,884.6	$1,473.36	$2,959.18	10.5×	$8,427
Shoulder X-ray	CPT	73030	3	$948	$568.8	$223.25	$459.42	4.9×	$8,427
Humerus X-ray	CPT	73060	3	$912	$547.2	$173.43	$456	5.1×	$8,427
Hand X-ray 3 views	CPT	73130	3	$811	$486.6	$190.82	$421.72	4.5×	$8,427
MRI upper extremity joint without contrast	CPT	73221	2	$9,518	$5,710.8	$1,777.35	$3,569.74	8.6×	$8,427
MRI upper extremity joint with and without contrast	CPT	73223	2	$12,305	$7,383	$1,676.06	$3,543.44	5.8×	$8,427
Knee X-ray 1-2 views	CPT	73560	3	$811	$486.6	$190.82	$405.5	4.3×	$8,427
Ankle X-ray 3 views	CPT	73610	3	$811	$486.6	$190.82	$420.15	4.6×	$8,427
MRI lower extremity joint without contrast	CPT	73721	2	$9,518	$5,710.8	$1,829.02	$3,866.87	8.3×	$8,427
MRI lower extremity joint with and without contrast	CPT	73723	2	$12,305	$7,383	$1,704.64	$3,603.9	5.7×	$8,427
CT abdomen without contrast	CPT	74150	2	$3,384	$2,030.4	$1,240.25	$2,491.01	13.2×	$8,427
CT abdomen with contrast	CPT	74160	2	$3,986	$2,391.6	$1,564.75	$3,142.73	11.0×	$8,427
CT abdomen with and without contrast	CPT	74170	2	$4,072	$2,443.2	$1,470.63	$2,255.83	6.7×	$8,427
CT abdomen and pelvis without contrast	CPT	74176	2	$4,845	$2,907	$1,342.79	$3,469.22	9.5×	$8,427
CT abdomen and pelvis with contrast	CPT	74177	2	$2,857	$1,714.2	$1,342.79	$5,646	10.3×	$8,427
CT abdomen and pelvis with and without contrast	CPT	74178	2	$2,857	$1,714.2	$1,342.79	$5,646	9.8×	$8,427
MRI abdomen without contrast	CPT	74181	2	$4,760	$2,856	$1,555.62	$3,124.38	8.0×	$8,427
MRI abdomen with and without contrast	CPT	74183	2	$6,155	$3,693	$2,148.26	$4,087.58	7.2×	$8,427
Abdominal ultrasound complete	CPT	76700	3	$749	$449.4	$352.03	$1,054.55	7.1×	$8,427
Abdominal ultrasound limited	CPT	76705	3	$749	$449.4	$352.03	$758.87	5.2×	$8,427
Retroperitoneal ultrasound complete	CPT	76770	3	$1,288	$772.8	$377.02	$717.37	5.0×	$8,427
Obstetric ultrasound first trimester	CPT	76801	3	—	—	$47	$622.19	4.4×	$8,427
Obstetric ultrasound after first trimester	CPT	76805	3	—	—	$47	$492.78	3.2×	$8,427
Obstetric ultrasound with fetal anatomy	CPT	76811	3	—	—	$47	$715.95	3.0×	$8,427
Transvaginal ultrasound	CPT	76830	3	$566	$339.6	$266.02	$727.55	4.9×	$8,427
Pelvic ultrasound complete	CPT	76856	3	$1,288	$772.8	$397.64	$669.76	4.7×	$8,427
Scrotal ultrasound	CPT	76870	3	$749	$449.4	$352.03	$678.31	5.2×	$8,427
Diagnostic mammography unilateral	CPT	77065	3	—	—	$47	$219.05	1.5×	$8,427
Diagnostic mammography bilateral	CPT	77066	3	—	—	$47	$269.29	1.4×	$8,427
Screening mammography bilateral	CPT	77067	3	—	—	$47	$219.05	1.4×	$8,427
EKG complete	CPT	93000	2	—	—	$47	$3,986	163.0×	$8,427
EKG tracing only	CPT	93005	2	$1,056	$633.6	$200.69	$247	2.1×	$8,427
EKG interpretation only	CPT	93010	2	—	—	$47	$3,986	220.2×	$8,427
Transthoracic echocardiogram complete	CPT	93306	2	$1,574	$944.4	$739.78	$3,986	6.7×	$8,427
Transthoracic echocardiogram	CPT	93307	2	—	—	$47	$3,986	16.1×	$8,427
Stress echocardiogram	CPT	93350	2	—	—	$47	$3,986	7.9×	$8,427
inpatient
Respiratory infections & inflammations w MCC	MS-DRG	177	2	—	—	$13,511	$15,923	1.0×	$18,334
COPD w MCC	MS-DRG	190	2	—	—	$8,739.74	$10,738	0.96×	$12,737
COPD w CC	MS-DRG	191	2	—	—	$6,708.03	$8,225.97	0.93×	$9,743.91
COPD w/o CC/MCC	MS-DRG	192	2	—	—	$5,314.89	$6,327.72	0.90×	$7,340.54
Simple pneumonia & pleurisy w CC	MS-DRG	194	2	—	—	$6,607.47	$7,953.96	0.94×	$9,300.44
Simple pneumonia & pleurisy w/o CC/MCC	MS-DRG	195	2	—	—	$5,041.11	$6,051.89	0.91×	$7,062.66
AMI discharged alive w MCC	MS-DRG	280	5	—	—	$10,955	$14,864	0.95×	$23,431
AMI discharged alive w CC	MS-DRG	281	5	—	—	$7,190.26	$14,081	1.5×	$23,431
AMI discharged alive w/o CC/MCC	MS-DRG	282	5	—	—	$5,497.66	$10,563	1.4×	$17,573
Heart failure & shock w MCC	MS-DRG	291	2	—	—	$9,875.24	$12,337	0.97×	$14,799
Heart failure & shock w CC	MS-DRG	292	2	—	—	$6,751.33	$8,259.53	0.92×	$9,767.73
Heart failure & shock w/o CC/MCC	MS-DRG	293	2	—	—	$4,885.5	$5,554.43	0.89×	$6,223.36
Cardiac arrhythmia w MCC	MS-DRG	308	2	—	—	$8,834.42	$11,256	0.93×	$13,677
Cardiac arrhythmia w CC	MS-DRG	309	2	—	—	$5,604.09	$6,994.62	0.90×	$8,385.14
Cardiac arrhythmia w/o CC/MCC	MS-DRG	310	2	—	—	$4,127.28	$5,236.57	0.84×	$6,345.85
GI hemorrhage w CC	MS-DRG	378	2	—	—	$7,268.8	$9,225.44	0.92×	$11,182
GI hemorrhage w/o CC/MCC	MS-DRG	379	2	—	—	$4,794.49	$6,007.97	0.88×	$7,221.45
Esophagitis/gastroenteritis w/o MCC	MS-DRG	392	2	—	—	$5,544.64	$7,197.4	0.89×	$8,850.16
Fractures of femur w/o MCC	MS-DRG	533	3	—	—	$4,699	$5,390	0.35×	$17,295
Kidney/UTI w MCC	MS-DRG	689	2	—	—	$8,159.14	$10,716	0.92×	$13,274
Kidney/UTI w/o MCC	MS-DRG	690	2	—	—	$5,828.69	$7,465.89	0.90×	$9,103.09
Septicemia or severe sepsis w MV 96+ hrs	MS-DRG	871	2	—	—	$13,626	$17,940	0.96×	$22,254
Septicemia or severe sepsis w/o MV 96+ hrs	MS-DRG	872	2	—	—	$7,728.29	$9,710.95	0.94×	$11,694
Initial hospital care, low complexity	CPT	99221	1	—	—	$3,986	$7,584	81.6×	$8,427
Initial hospital care, moderate complexity	CPT	99222	1	—	—	$3,986	$7,584	44.9×	$8,427
Initial hospital care, high complexity	CPT	99223	1	—	—	$3,986	$7,584	33.7×	$8,427
Hospital discharge, <30 min	CPT	99238	1	—	—	$3,986	$7,584	88.5×	$8,427
Hospital discharge, >30 min	CPT	99239	1	—	—	$3,986	$7,584	62.5×	$8,427
lab
Basic metabolic panel (BMP)	CPT	80048	2	$36	$21.6	$21.06	$119.8	3.7×	$8,427
General health panel	CPT	80050	2	$14	$8.4	$87.42	$299.93	2.8×	$8,427
Electrolyte panel	CPT	80051	2	$32	$19.2	$17.46	$108.9	4.6×	$8,427
Comprehensive metabolic panel	CPT	80053	2	$44	$26.4	$26.27	$176.5	4.0×	$8,427
Lipid panel	CPT	80061	2	$47	$28.2	$33.31	$165.78	4.3×	$8,427
Renal function panel	CPT	80069	2	$93	$55.8	$21.6	$268.73	9.9×	$8,427
Hepatic function panel	CPT	80076	2	$76	$45.6	$20.33	$197.22	7.4×	$8,427
Urinalysis non-automated	CPT	81002	2	$41	$24.6	$8.65	$36.7	5.3×	$8,427
Urinalysis automated	CPT	81003	2	$100	$60	$5.59	$66.58	4.8×	$8,427
Glucose quantitative	CPT	82947	2	$41	$24.6	$9.76	$50	2.8×	$8,427
Hemoglobin A1c	CPT	83036	2	$96	$57.6	$24.16	$127.72	4.7×	$8,427
Thyroid stimulating hormone (TSH)	CPT	84443	2	$53	$31.8	$41.81	$174.03	3.7×	$8,427
Complete blood count with automated differential	CPT	85025	2	$14	$8.4	$19.34	$107.15	4.0×	$8,427
Complete blood count without differential	CPT	85027	2	—	—	$16.12	$80.23	3.7×	$8,427
Urine culture bacterial	CPT	87086	2	$36	$21.6	$20.1	$130.44	5.6×	$8,427
Urine culture identification	CPT	87088	2	$37	$22.2	$20.14	$132.15	5.9×	$8,427
Tissue exam by pathologist level IV	CPT	88305	2	$594	$356.4	$87.72	$306.63	3.0×	$8,427
maternity
Fetal non-stress test	CPT	59025	2	—	—	$55	$1,911	10.2×	$8,427
Routine obstetric care including vaginal delivery	CPT	59400	1	—	—	$3,574	$6,800	3.0×	$8,427
Vaginal delivery only	CPT	59409	3	—	—	$55	$3,989	1.8×	$8,427
Vaginal delivery with postpartum	CPT	59410	1	—	—	$1,887	$3,986	3.8×	$8,427
Routine obstetric care with C-section	CPT	59510	1	—	—	$3,986	$6,720	2.7×	$8,427
C-section delivery only	CPT	59514	3	—	—	$55	$5,448.5	5.7×	$8,427
C-section with postpartum	CPT	59515	2	—	—	$2,309	$5,646	4.5×	$8,427
office
Office visit, new patient, 15-29 min	CPT	99202	1	—	—	$432	$912	10.6×	$8,427
Office visit, new patient, 30-44 minutes	CPT	99203	1	—	—	$917	$1,946	15.9×	$8,427
Office visit, new patient, 45-59 min	CPT	99204	1	—	—	$1,820	$3,840	22.1×	$8,427
Office visit, new patient, 60-74 min	CPT	99205	1	—	—	$3,840	$7,320	33.1×	$8,427
Office visit, established patient, 5 min	CPT	99211	1	—	—	$3,986	$7,584	117.8×	$8,427
Office visit, established patient, 10-19 min	CPT	99212	1	—	—	$3,986	$7,584	94.8×	$8,427
Office visit, established patient, 20-29 minutes	CPT	99213	1	—	—	$3,986	$7,584	66.2×	$8,427
Office visit, established patient, 30-39 minutes	CPT	99214	1	—	—	$3,986	$7,584	49.7×	$8,427
Office visit, established patient, 40-54 min	CPT	99215	1	—	—	$3,986	$7,584	40.3×	$8,427
preventive
Upper GI endoscopy diagnostic	CPT	43235	3	—	—	$55	$3,780	4.1×	$8,427
Upper GI endoscopy with biopsy	CPT	43239	3	—	—	$55	$3,886	4.0×	$8,427
Sigmoidoscopy diagnostic	CPT	45330	3	—	—	$55	$3,590	4.3×	$8,427
Sigmoidoscopy with biopsy	CPT	45331	3	—	—	$55	$3,590	4.0×	$8,427
Colonoscopy diagnostic	CPT	45378	3	—	—	$55	$3,886	4.4×	$8,427
Colonoscopy with biopsy	CPT	45380	3	—	—	$55	$3,886	3.2×	$8,427
Colonoscopy with polyp removal	CPT	45385	3	$4,778	$2,866.8	$1,659	$3,886	3.2×	$8,427
surgery
Total shoulder arthroplasty	CPT	23472	3	$4,760	$2,856	$2,618	$8,427	2.0×	$18,989
PCI w drug-eluting stent w MCC	MS-DRG	246	3	—	—	$10,955	$19,720	0.71×	$31,533
PCI w drug-eluting stent w/o MCC	MS-DRG	247	3	—	—	$10,955	$19,172	1.0×	$23,540
Hip hemiarthroplasty	CPT	27125	3	$4,760	$2,856	$1,483	$8,006	6.4×	$18,989
Total hip replacement	CPT	27130	3	$5,517	$3,310.2	$3,034.35	$8,427	1.9×	$18,989
Total knee replacement	CPT	27447	3	$5,517	$3,310.2	$3,034.35	$8,427	2.0×	$18,989
Knee revision arthroplasty single component	CPT	27486	3	$3,762	$2,257.2	$2,069.1	$8,427	5.0×	$18,989
Knee revision arthroplasty all components	CPT	27487	3	$3,762	$2,257.2	$2,069.1	$8,427	4.2×	$18,989
Shoulder arthroscopy with decompression	CPT	29826	3	$3,762	$2,257.2	$1,105	$5,831	17.8×	$14,275
Shoulder arthroscopy with rotator cuff repair	CPT	29827	3	$4,760	$2,856	$2,618	$7,584	2.3×	$14,275
Knee arthroscopy with meniscectomy	CPT	29881	3	$5,517	$3,310.2	$3,034.35	$5,452	2.7×	$8,427
ACL reconstruction	CPT	29888	3	$5,517	$3,310.2	$3,034.35	$7,584	2.3×	$14,275
Major small/large bowel procedures w MCC	MS-DRG	329	2	—	—	$36,646	$44,364	1.0×	$52,081
Major small/large bowel procedures w CC	MS-DRG	330	2	—	—	$18,521	$22,665	0.98×	$26,809
Major small/large bowel procedures w/o CC/MCC	MS-DRG	331	2	—	—	$12,439	$15,582	0.95×	$18,726
CABG single arterial graft	CPT	33533	3	—	—	$55	$5,373.5	2.9×	$8,427
CABG 2 arterial grafts	CPT	33534	3	—	—	$55	$5,373.5	2.5×	$8,427
CABG 3 arterial grafts	CPT	33535	3	—	—	$55	$5,373.5	2.4×	$8,427
CABG 4+ arterial grafts	CPT	33536	3	—	—	$55	$5,373.5	2.2×	$8,427
Laparoscopic cholecystectomy w/o CDE w MCC	MS-DRG	418	2	—	—	$12,215	$15,512	0.94×	$18,810
Laparoscopic cholecystectomy w/o CDE w CC	MS-DRG	419	2	—	—	$9,572.83	$12,259	0.91×	$14,944
Laparoscopic cholecystectomy w/o CDE w/o CC/MCC	MS-DRG	420	2	—	—	$25,819	$32,925	1.0×	$40,032
Open appendectomy	CPT	44950	3	—	—	$55	$5,646	5.0×	$8,427
Laparoscopic appendectomy	CPT	44970	3	—	—	$55	$7,584	4.9×	$14,275
Spinal fusion (non-cervical) w MCC	MS-DRG	459	2	—	—	$35,308	$41,086	0.83×	$46,864
Spinal fusion (non-cervical) w/o MCC	MS-DRG	460	2	—	—	$29,635	$32,472	0.97×	$35,308
Major joint replacement w MCC	MS-DRG	469	5	—	—	$17,807	$25,433	0.86×	$37,074
Major joint replacement w/o MCC	MS-DRG	470	5	—	—	$17,807	$22,890	1.2×	$34,953
Laparoscopic cholecystectomy	CPT	47562	3	—	—	$55	$8,051	4.5×	$14,275
Lap cholecystectomy with cholangiography	CPT	47563	3	—	—	$55	$8,051	4.3×	$14,275
Hip & femur procedures except major joint w MCC	MS-DRG	480	5	—	—	$3,870	$5,528	0.20×	$33,357
Hip & femur procedures except major joint w CC	MS-DRG	481	5	—	—	$3,870	$5,528	0.27×	$23,534
Hip & femur procedures except major joint w/o CC/MCC	MS-DRG	482	5	—	—	$3,870	$5,528	0.35×	$17,993
Open umbilical hernia repair	CPT	49560	2	—	—	$3,344	$6,615	3.5×	$8,427
Umbilical hernia repair age 5+	CPT	49585	2	—	—	$3,344	$6,615	5.0×	$8,427
Lap inguinal hernia repair	CPT	49650	3	—	—	$55	$7,584	6.7×	$14,275
Lap incisional hernia repair	CPT	49652	2	—	—	$3,986	$6,615	2.5×	$8,427
Total abdominal hysterectomy	CPT	58150	3	—	—	$55	$6,734	6.9×	$14,275
Vaginal hysterectomy	CPT	58260	3	—	—	$55	$5,646	3.1×	$10,329
Lap-assisted vaginal hysterectomy	CPT	58550	3	—	—	$55	$8,051	5.5×	$14,275
Lap-assisted vaginal hysterectomy >250g	CPT	58552	3	—	—	$55	$7,584	3.4×	$14,275
Lap salpingo-oophorectomy	CPT	58661	3	—	—	$55	$7,584	3.7×	$14,275
OR procedure for obesity w MCC	MS-DRG	619	5	—	—	$11,954	$17,075	0.63×	$30,924
OR procedure for obesity w CC	MS-DRG	620	5	—	—	$11,954	$16,221	1.0×	$28,245
OR procedure for obesity w/o CC/MCC	MS-DRG	621	5	—	—	$11,585	$16,221	1.1×	$28,245
Complex cataract surgery	CPT	66982	3	—	—	$55	$5,101	2.3×	$9,391
Cataract surgery with lens implant	CPT	66984	3	—	—	$55	$5,646	2.6×	$9,391
Intravitreal injection	CPT	67028	3	—	—	$55	$3,590	10.5×	$8,427
Vitrectomy mechanical	CPT	67042	3	—	—	$55	$6,615	2.6×	$10,329
Uterine & adnexa procedures w CC/MCC	MS-DRG	743	2	—	—	$8,188.5	$10,892	0.89×	$13,596
Uterine & adnexa procedures w/o CC/MCC	MS-DRG	744	2	—	—	$12,407	$17,285	0.90×	$22,162
PCI single major coronary artery	CPT	92920	3	—	—	$55	$8,963.5	1.6×	$18,989
PCI with drug-eluting stent	CPT	92928	3	—	—	$55	$8,963.5	0.89×	$18,989
PCI bypass graft	CPT	92937	3	—	—	$55	$8,963.5	0.82×	$18,989
Left heart catheterization	CPT	93452	6	—	—	$47	$8,928	2.9×	$15,456
Coronary angiography with cath	CPT	93455	6	—	—	$47	$8,928	2.8×	$15,456
Coronary angiography with bypass cath	CPT	93458	6	—	—	$47	$8,055	2.6×	$15,456

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 7)

Payer	Codes covered	Median rate
Blue Cross Blue Shield	197	$5,646
Cigna	99	$5,101
Aetna	66	$1,428.5
UnitedHealthcare	54	$5,168
Oscar Health	47	$11,585
Humana	15	$23,540
scott and white health plan	15	$11,708

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