▸ Hospital · TX · CCN 670067
Baylor Scott And White Orthopedic And Spine Hospi
707 HIGHLANDER BOULEVARD, ARLINGTON, TX, 76015
24 bedsAcute Care Hospitals5
Compliance grade
A
97/100
Procedures tracked
201
of 209 target codes
Payers
7
with negotiated rates
Rates published
5,348
last crawl 2026-05-23
Procedures & rates
| Procedure | Type | Code | Payers | Gross | Cash | Neg min | Neg median | Neg max |
|---|---|---|---|---|---|---|---|---|
| behavioral | ||||||||
| Psychoses | MS-DRG | 885 | 2 | — | — | $274 | $1,875 | $8,779.37 |
| Psychiatric diagnostic evaluation | CPT | 90791 | 1 | — | — | $3,986 | $7,584 | $8,427 |
| Psychiatric eval with medical services | CPT | 90792 | 1 | — | — | $3,986 | $7,584 | $8,427 |
| Psychotherapy 30 minutes | CPT | 90832 | 1 | — | — | $3,986 | $7,584 | $8,427 |
| Psychotherapy 45 minutes | CPT | 90834 | 1 | — | — | $3,986 | $7,584 | $8,427 |
| Psychotherapy 60 minutes | CPT | 90837 | 1 | — | — | $3,986 | $7,584 | $8,427 |
| Crisis psychotherapy 60 minutes | CPT | 90839 | 1 | — | — | $3,986 | $7,584 | $8,427 |
| emergency | ||||||||
| ED visit level 1 | CPT | 99281 | 3 | $467 | $280.2 | $202 | $1,403 | $8,427 |
| ED visit level 2 | CPT | 99282 | 3 | $819 | $491.4 | $432 | $1,403 | $8,427 |
| ED visit level 3 | CPT | 99283 | 3 | $1,747 | $1,048.2 | $917 | $2,509 | $8,427 |
| ED visit level 4 | CPT | 99284 | 3 | $3,452 | $2,071.2 | $1,820 | $3,840 | $8,427 |
| ED visit level 5 | CPT | 99285 | 3 | $7,303 | $4,381.8 | $2,457 | $5,646 | $8,427 |
| Critical care, first hour | CPT | 99291 | 2 | $5,001 | $3,000.6 | $3,840 | $7,320 | $8,427 |
| imaging | ||||||||
| CT head without contrast | CPT | 70450 | 2 | $2,857 | $1,714.2 | $1,191.4 | $2,392.88 | $8,427 |
| CT head with contrast | CPT | 70460 | 2 | $3,141 | $1,884.6 | $1,312.97 | $2,637.02 | $8,427 |
| CT head with and without contrast | CPT | 70470 | 2 | $3,686 | $2,211.6 | $1,594.23 | $3,201.94 | $8,427 |
| CT neck with contrast | CPT | 70491 | 2 | $3,141 | $1,884.6 | $1,329.17 | $2,669.55 | $8,427 |
| MRI brain without contrast | CPT | 70551 | 2 | $4,760 | $2,856 | $1,626.68 | $3,267.14 | $8,427 |
| MRI brain with contrast | CPT | 70552 | 2 | $5,712 | $3,427.2 | $1,882.66 | $3,781.25 | $8,427 |
| MRI brain with and without contrast | CPT | 70553 | 2 | $6,155 | $3,693 | $2,301.25 | $4,378.73 | $8,427 |
| Chest X-ray single view | CPT | 71045 | 3 | $369 | $221.4 | $114.11 | $229.18 | $8,427 |
| Chest X-ray 2 views | CPT | 71046 | 3 | $421 | $252.6 | $153.2 | $307.71 | $8,427 |
| Chest X-ray 3 views | CPT | 71047 | 3 | $319 | $191.4 | $149.93 | $377.64 | $8,427 |
| CT chest without contrast | CPT | 71250 | 2 | $3,368 | $2,020.8 | $1,286.25 | $2,583.35 | $8,427 |
| CT chest with contrast | CPT | 71260 | 2 | $3,259 | $1,955.4 | $1,531.73 | $3,081.24 | $8,427 |
| CT chest with and without contrast | CPT | 71270 | 2 | $4,072 | $2,443.2 | $1,736.91 | $3,488.5 | $8,427 |
| MRI chest without contrast | CPT | 71550 | 2 | $4,760 | $2,856 | $1,178.37 | $2,475.2 | $8,427 |
| MRI chest with contrast | CPT | 71551 | 2 | $5,712 | $3,427.2 | $1,213.71 | $2,856 | $8,427 |
| MRI chest with and without contrast | CPT | 71552 | 2 | $6,155 | $3,693 | $1,747.37 | $3,509.51 | $8,427 |
| Lumbosacral spine X-ray | CPT | 72100 | 3 | $494 | $296.4 | $232.18 | $467.84 | $8,427 |
| CT cervical spine without contrast | CPT | 72125 | 2 | $3,527 | $2,116.2 | $1,215.94 | $2,442.2 | $8,427 |
| CT thoracic spine without contrast | CPT | 72128 | 2 | $2,857 | $1,714.2 | $1,342.79 | $2,830.12 | $8,427 |
| CT lumbar spine without contrast | CPT | 72131 | 2 | $3,596 | $2,157.6 | $1,364.9 | $2,741.36 | $8,427 |
| MRI cervical spine without contrast | CPT | 72141 | 2 | $4,760 | $2,856 | $1,655.99 | $3,325.97 | $8,427 |
| MRI thoracic spine without contrast | CPT | 72146 | 2 | $4,760 | $2,856 | $1,486.7 | $2,985.96 | $8,427 |
| MRI lumbar spine without contrast | CPT | 72148 | 2 | $4,760 | $2,856 | $1,600.4 | $3,214.32 | $8,427 |
| MRI lumbar spine with and without contrast | CPT | 72149 | 2 | $5,712 | $3,427.2 | $1,667.61 | $3,349.32 | $8,427 |
| MRI cervical spine with and without contrast | CPT | 72156 | 2 | $6,155 | $3,693 | $2,268.7 | $3,385.25 | $8,427 |
| MRI lumbar spine with contrast | CPT | 72158 | 2 | $6,155 | $3,693 | $2,335.78 | $4,444.41 | $8,427 |
| CT pelvis without contrast | CPT | 72192 | 2 | $2,963 | $1,777.8 | $1,208.9 | $2,428.04 | $8,427 |
| CT pelvis with contrast | CPT | 72193 | 2 | $3,141 | $1,884.6 | $1,473.36 | $2,959.18 | $8,427 |
| Shoulder X-ray | CPT | 73030 | 3 | $948 | $568.8 | $223.25 | $459.42 | $8,427 |
| Humerus X-ray | CPT | 73060 | 3 | $912 | $547.2 | $173.43 | $456 | $8,427 |
| Hand X-ray 3 views | CPT | 73130 | 3 | $811 | $486.6 | $190.82 | $421.72 | $8,427 |
| MRI upper extremity joint without contrast | CPT | 73221 | 2 | $9,518 | $5,710.8 | $1,777.35 | $3,569.74 | $8,427 |
| MRI upper extremity joint with and without contrast | CPT | 73223 | 2 | $12,305 | $7,383 | $1,676.06 | $3,543.44 | $8,427 |
| Knee X-ray 1-2 views | CPT | 73560 | 3 | $811 | $486.6 | $190.82 | $405.5 | $8,427 |
| Ankle X-ray 3 views | CPT | 73610 | 3 | $811 | $486.6 | $190.82 | $420.15 | $8,427 |
| MRI lower extremity joint without contrast | CPT | 73721 | 2 | $9,518 | $5,710.8 | $1,829.02 | $3,866.87 | $8,427 |
| MRI lower extremity joint with and without contrast | CPT | 73723 | 2 | $12,305 | $7,383 | $1,704.64 | $3,603.9 | $8,427 |
| CT abdomen without contrast | CPT | 74150 | 2 | $3,384 | $2,030.4 | $1,240.25 | $2,491.01 | $8,427 |
| CT abdomen with contrast | CPT | 74160 | 2 | $3,986 | $2,391.6 | $1,564.75 | $3,142.73 | $8,427 |
| CT abdomen with and without contrast | CPT | 74170 | 2 | $4,072 | $2,443.2 | $1,470.63 | $2,255.83 | $8,427 |
| CT abdomen and pelvis without contrast | CPT | 74176 | 2 | $4,845 | $2,907 | $1,342.79 | $3,469.22 | $8,427 |
| CT abdomen and pelvis with contrast | CPT | 74177 | 2 | $2,857 | $1,714.2 | $1,342.79 | $5,646 | $8,427 |
| CT abdomen and pelvis with and without contrast | CPT | 74178 | 2 | $2,857 | $1,714.2 | $1,342.79 | $5,646 | $8,427 |
| MRI abdomen without contrast | CPT | 74181 | 2 | $4,760 | $2,856 | $1,555.62 | $3,124.38 | $8,427 |
| MRI abdomen with and without contrast | CPT | 74183 | 2 | $6,155 | $3,693 | $2,148.26 | $4,087.58 | $8,427 |
| Abdominal ultrasound complete | CPT | 76700 | 3 | $749 | $449.4 | $352.03 | $1,054.55 | $8,427 |
| Abdominal ultrasound limited | CPT | 76705 | 3 | $749 | $449.4 | $352.03 | $758.87 | $8,427 |
| Retroperitoneal ultrasound complete | CPT | 76770 | 3 | $1,288 | $772.8 | $377.02 | $717.37 | $8,427 |
| Obstetric ultrasound first trimester | CPT | 76801 | 3 | — | — | $47 | $622.19 | $8,427 |
| Obstetric ultrasound after first trimester | CPT | 76805 | 3 | — | — | $47 | $492.78 | $8,427 |
| Obstetric ultrasound with fetal anatomy | CPT | 76811 | 3 | — | — | $47 | $715.95 | $8,427 |
| Transvaginal ultrasound | CPT | 76830 | 3 | $566 | $339.6 | $266.02 | $727.55 | $8,427 |
| Pelvic ultrasound complete | CPT | 76856 | 3 | $1,288 | $772.8 | $397.64 | $669.76 | $8,427 |
| Scrotal ultrasound | CPT | 76870 | 3 | $749 | $449.4 | $352.03 | $678.31 | $8,427 |
| Diagnostic mammography unilateral | CPT | 77065 | 3 | — | — | $47 | $219.05 | $8,427 |
| Diagnostic mammography bilateral | CPT | 77066 | 3 | — | — | $47 | $269.29 | $8,427 |
| Screening mammography bilateral | CPT | 77067 | 3 | — | — | $47 | $219.05 | $8,427 |
| EKG complete | CPT | 93000 | 2 | — | — | $47 | $3,986 | $8,427 |
| EKG tracing only | CPT | 93005 | 2 | $1,056 | $633.6 | $200.69 | $247 | $8,427 |
| EKG interpretation only | CPT | 93010 | 2 | — | — | $47 | $3,986 | $8,427 |
| Transthoracic echocardiogram complete | CPT | 93306 | 2 | $1,574 | $944.4 | $739.78 | $3,986 | $8,427 |
| Transthoracic echocardiogram | CPT | 93307 | 2 | — | — | $47 | $3,986 | $8,427 |
| Stress echocardiogram | CPT | 93350 | 2 | — | — | $47 | $3,986 | $8,427 |
| inpatient | ||||||||
| Respiratory infections & inflammations w MCC | MS-DRG | 177 | 2 | — | — | $13,511 | $15,923 | $18,334 |
| COPD w MCC | MS-DRG | 190 | 2 | — | — | $8,739.74 | $10,738 | $12,737 |
| COPD w CC | MS-DRG | 191 | 2 | — | — | $6,708.03 | $8,225.97 | $9,743.91 |
| COPD w/o CC/MCC | MS-DRG | 192 | 2 | — | — | $5,314.89 | $6,327.72 | $7,340.54 |
| Simple pneumonia & pleurisy w CC | MS-DRG | 194 | 2 | — | — | $6,607.47 | $7,953.96 | $9,300.44 |
| Simple pneumonia & pleurisy w/o CC/MCC | MS-DRG | 195 | 2 | — | — | $5,041.11 | $6,051.89 | $7,062.66 |
| AMI discharged alive w MCC | MS-DRG | 280 | 5 | — | — | $10,955 | $14,864 | $23,431 |
| AMI discharged alive w CC | MS-DRG | 281 | 5 | — | — | $7,190.26 | $14,081 | $23,431 |
| AMI discharged alive w/o CC/MCC | MS-DRG | 282 | 5 | — | — | $5,497.66 | $10,563 | $17,573 |
| Heart failure & shock w MCC | MS-DRG | 291 | 2 | — | — | $9,875.24 | $12,337 | $14,799 |
| Heart failure & shock w CC | MS-DRG | 292 | 2 | — | — | $6,751.33 | $8,259.53 | $9,767.73 |
| Heart failure & shock w/o CC/MCC | MS-DRG | 293 | 2 | — | — | $4,885.5 | $5,554.43 | $6,223.36 |
| Cardiac arrhythmia w MCC | MS-DRG | 308 | 2 | — | — | $8,834.42 | $11,256 | $13,677 |
| Cardiac arrhythmia w CC | MS-DRG | 309 | 2 | — | — | $5,604.09 | $6,994.62 | $8,385.14 |
| Cardiac arrhythmia w/o CC/MCC | MS-DRG | 310 | 2 | — | — | $4,127.28 | $5,236.57 | $6,345.85 |
| GI hemorrhage w CC | MS-DRG | 378 | 2 | — | — | $7,268.8 | $9,225.44 | $11,182 |
| GI hemorrhage w/o CC/MCC | MS-DRG | 379 | 2 | — | — | $4,794.49 | $6,007.97 | $7,221.45 |
| Esophagitis/gastroenteritis w/o MCC | MS-DRG | 392 | 2 | — | — | $5,544.64 | $7,197.4 | $8,850.16 |
| Fractures of femur w/o MCC | MS-DRG | 533 | 3 | — | — | $4,699 | $5,390 | $17,295 |
| Kidney/UTI w MCC | MS-DRG | 689 | 2 | — | — | $8,159.14 | $10,716 | $13,274 |
| Kidney/UTI w/o MCC | MS-DRG | 690 | 2 | — | — | $5,828.69 | $7,465.89 | $9,103.09 |
| Septicemia or severe sepsis w MV 96+ hrs | MS-DRG | 871 | 2 | — | — | $13,626 | $17,940 | $22,254 |
| Septicemia or severe sepsis w/o MV 96+ hrs | MS-DRG | 872 | 2 | — | — | $7,728.29 | $9,710.95 | $11,694 |
| Initial hospital care, low complexity | CPT | 99221 | 1 | — | — | $3,986 | $7,584 | $8,427 |
| Initial hospital care, moderate complexity | CPT | 99222 | 1 | — | — | $3,986 | $7,584 | $8,427 |
| Initial hospital care, high complexity | CPT | 99223 | 1 | — | — | $3,986 | $7,584 | $8,427 |
| Hospital discharge, <30 min | CPT | 99238 | 1 | — | — | $3,986 | $7,584 | $8,427 |
| Hospital discharge, >30 min | CPT | 99239 | 1 | — | — | $3,986 | $7,584 | $8,427 |
| lab | ||||||||
| Basic metabolic panel (BMP) | CPT | 80048 | 2 | $36 | $21.6 | $21.06 | $119.8 | $8,427 |
| General health panel | CPT | 80050 | 2 | $14 | $8.4 | $87.42 | $299.93 | $8,427 |
| Electrolyte panel | CPT | 80051 | 2 | $32 | $19.2 | $17.46 | $108.9 | $8,427 |
| Comprehensive metabolic panel | CPT | 80053 | 2 | $44 | $26.4 | $26.27 | $176.5 | $8,427 |
| Lipid panel | CPT | 80061 | 2 | $47 | $28.2 | $33.31 | $165.78 | $8,427 |
| Renal function panel | CPT | 80069 | 2 | $93 | $55.8 | $21.6 | $268.73 | $8,427 |
| Hepatic function panel | CPT | 80076 | 2 | $76 | $45.6 | $20.33 | $197.22 | $8,427 |
| Urinalysis non-automated | CPT | 81002 | 2 | $41 | $24.6 | $8.65 | $36.7 | $8,427 |
| Urinalysis automated | CPT | 81003 | 2 | $100 | $60 | $5.59 | $66.58 | $8,427 |
| Glucose quantitative | CPT | 82947 | 2 | $41 | $24.6 | $9.76 | $50 | $8,427 |
| Hemoglobin A1c | CPT | 83036 | 2 | $96 | $57.6 | $24.16 | $127.72 | $8,427 |
| Thyroid stimulating hormone (TSH) | CPT | 84443 | 2 | $53 | $31.8 | $41.81 | $174.03 | $8,427 |
| Complete blood count with automated differential | CPT | 85025 | 2 | $14 | $8.4 | $19.34 | $107.15 | $8,427 |
| Complete blood count without differential | CPT | 85027 | 2 | — | — | $16.12 | $80.23 | $8,427 |
| Urine culture bacterial | CPT | 87086 | 2 | $36 | $21.6 | $20.1 | $130.44 | $8,427 |
| Urine culture identification | CPT | 87088 | 2 | $37 | $22.2 | $20.14 | $132.15 | $8,427 |
| Tissue exam by pathologist level IV | CPT | 88305 | 2 | $594 | $356.4 | $87.72 | $306.63 | $8,427 |
| maternity | ||||||||
| Fetal non-stress test | CPT | 59025 | 2 | — | — | $55 | $1,911 | $8,427 |
| Routine obstetric care including vaginal delivery | CPT | 59400 | 1 | — | — | $3,574 | $6,800 | $8,427 |
| Vaginal delivery only | CPT | 59409 | 3 | — | — | $55 | $3,989 | $8,427 |
| Vaginal delivery with postpartum | CPT | 59410 | 1 | — | — | $1,887 | $3,986 | $8,427 |
| Routine obstetric care with C-section | CPT | 59510 | 1 | — | — | $3,986 | $6,720 | $8,427 |
| C-section delivery only | CPT | 59514 | 3 | — | — | $55 | $5,448.5 | $8,427 |
| C-section with postpartum | CPT | 59515 | 2 | — | — | $2,309 | $5,646 | $8,427 |
| office | ||||||||
| Office visit, new patient, 15-29 min | CPT | 99202 | 1 | — | — | $432 | $912 | $8,427 |
| Office visit, new patient, 30-44 minutes | CPT | 99203 | 1 | — | — | $917 | $1,946 | $8,427 |
| Office visit, new patient, 45-59 min | CPT | 99204 | 1 | — | — | $1,820 | $3,840 | $8,427 |
| Office visit, new patient, 60-74 min | CPT | 99205 | 1 | — | — | $3,840 | $7,320 | $8,427 |
| Office visit, established patient, 5 min | CPT | 99211 | 1 | — | — | $3,986 | $7,584 | $8,427 |
| Office visit, established patient, 10-19 min | CPT | 99212 | 1 | — | — | $3,986 | $7,584 | $8,427 |
| Office visit, established patient, 20-29 minutes | CPT | 99213 | 1 | — | — | $3,986 | $7,584 | $8,427 |
| Office visit, established patient, 30-39 minutes | CPT | 99214 | 1 | — | — | $3,986 | $7,584 | $8,427 |
| Office visit, established patient, 40-54 min | CPT | 99215 | 1 | — | — | $3,986 | $7,584 | $8,427 |
| preventive | ||||||||
| Upper GI endoscopy diagnostic | CPT | 43235 | 3 | — | — | $55 | $3,780 | $8,427 |
| Upper GI endoscopy with biopsy | CPT | 43239 | 3 | — | — | $55 | $3,886 | $8,427 |
| Sigmoidoscopy diagnostic | CPT | 45330 | 3 | — | — | $55 | $3,590 | $8,427 |
| Sigmoidoscopy with biopsy | CPT | 45331 | 3 | — | — | $55 | $3,590 | $8,427 |
| Colonoscopy diagnostic | CPT | 45378 | 3 | — | — | $55 | $3,886 | $8,427 |
| Colonoscopy with biopsy | CPT | 45380 | 3 | — | — | $55 | $3,886 | $8,427 |
| Colonoscopy with polyp removal | CPT | 45385 | 3 | $4,778 | $2,866.8 | $1,659 | $3,886 | $8,427 |
| surgery | ||||||||
| Total shoulder arthroplasty | CPT | 23472 | 3 | $4,760 | $2,856 | $2,618 | $8,427 | $18,989 |
| PCI w drug-eluting stent w MCC | MS-DRG | 246 | 3 | — | — | $10,955 | $19,720 | $31,533 |
| PCI w drug-eluting stent w/o MCC | MS-DRG | 247 | 3 | — | — | $10,955 | $19,172 | $23,540 |
| Hip hemiarthroplasty | CPT | 27125 | 3 | $4,760 | $2,856 | $1,483 | $8,006 | $18,989 |
| Total hip replacement | CPT | 27130 | 3 | $5,517 | $3,310.2 | $3,034.35 | $8,427 | $18,989 |
| Total knee replacement | CPT | 27447 | 3 | $5,517 | $3,310.2 | $3,034.35 | $8,427 | $18,989 |
| Knee revision arthroplasty single component | CPT | 27486 | 3 | $3,762 | $2,257.2 | $2,069.1 | $8,427 | $18,989 |
| Knee revision arthroplasty all components | CPT | 27487 | 3 | $3,762 | $2,257.2 | $2,069.1 | $8,427 | $18,989 |
| Shoulder arthroscopy with decompression | CPT | 29826 | 3 | $3,762 | $2,257.2 | $1,105 | $5,831 | $14,275 |
| Shoulder arthroscopy with rotator cuff repair | CPT | 29827 | 3 | $4,760 | $2,856 | $2,618 | $7,584 | $14,275 |
| Knee arthroscopy with meniscectomy | CPT | 29881 | 3 | $5,517 | $3,310.2 | $3,034.35 | $5,452 | $8,427 |
| ACL reconstruction | CPT | 29888 | 3 | $5,517 | $3,310.2 | $3,034.35 | $7,584 | $14,275 |
| Major small/large bowel procedures w MCC | MS-DRG | 329 | 2 | — | — | $36,646 | $44,364 | $52,081 |
| Major small/large bowel procedures w CC | MS-DRG | 330 | 2 | — | — | $18,521 | $22,665 | $26,809 |
| Major small/large bowel procedures w/o CC/MCC | MS-DRG | 331 | 2 | — | — | $12,439 | $15,582 | $18,726 |
| CABG single arterial graft | CPT | 33533 | 3 | — | — | $55 | $5,373.5 | $8,427 |
| CABG 2 arterial grafts | CPT | 33534 | 3 | — | — | $55 | $5,373.5 | $8,427 |
| CABG 3 arterial grafts | CPT | 33535 | 3 | — | — | $55 | $5,373.5 | $8,427 |
| CABG 4+ arterial grafts | CPT | 33536 | 3 | — | — | $55 | $5,373.5 | $8,427 |
| Laparoscopic cholecystectomy w/o CDE w MCC | MS-DRG | 418 | 2 | — | — | $12,215 | $15,512 | $18,810 |
| Laparoscopic cholecystectomy w/o CDE w CC | MS-DRG | 419 | 2 | — | — | $9,572.83 | $12,259 | $14,944 |
| Laparoscopic cholecystectomy w/o CDE w/o CC/MCC | MS-DRG | 420 | 2 | — | — | $25,819 | $32,925 | $40,032 |
| Open appendectomy | CPT | 44950 | 3 | — | — | $55 | $5,646 | $8,427 |
| Laparoscopic appendectomy | CPT | 44970 | 3 | — | — | $55 | $7,584 | $14,275 |
| Spinal fusion (non-cervical) w MCC | MS-DRG | 459 | 2 | — | — | $35,308 | $41,086 | $46,864 |
| Spinal fusion (non-cervical) w/o MCC | MS-DRG | 460 | 2 | — | — | $29,635 | $32,472 | $35,308 |
| Major joint replacement w MCC | MS-DRG | 469 | 5 | — | — | $17,807 | $25,433 | $37,074 |
| Major joint replacement w/o MCC | MS-DRG | 470 | 5 | — | — | $17,807 | $22,890 | $34,953 |
| Laparoscopic cholecystectomy | CPT | 47562 | 3 | — | — | $55 | $8,051 | $14,275 |
| Lap cholecystectomy with cholangiography | CPT | 47563 | 3 | — | — | $55 | $8,051 | $14,275 |
| Hip & femur procedures except major joint w MCC | MS-DRG | 480 | 5 | — | — | $3,870 | $5,528 | $33,357 |
| Hip & femur procedures except major joint w CC | MS-DRG | 481 | 5 | — | — | $3,870 | $5,528 | $23,534 |
| Hip & femur procedures except major joint w/o CC/MCC | MS-DRG | 482 | 5 | — | — | $3,870 | $5,528 | $17,993 |
| Open umbilical hernia repair | CPT | 49560 | 2 | — | — | $3,344 | $6,615 | $8,427 |
| Umbilical hernia repair age 5+ | CPT | 49585 | 2 | — | — | $3,344 | $6,615 | $8,427 |
| Lap inguinal hernia repair | CPT | 49650 | 3 | — | — | $55 | $7,584 | $14,275 |
| Lap incisional hernia repair | CPT | 49652 | 2 | — | — | $3,986 | $6,615 | $8,427 |
| Total abdominal hysterectomy | CPT | 58150 | 3 | — | — | $55 | $6,734 | $14,275 |
| Vaginal hysterectomy | CPT | 58260 | 3 | — | — | $55 | $5,646 | $10,329 |
| Lap-assisted vaginal hysterectomy | CPT | 58550 | 3 | — | — | $55 | $8,051 | $14,275 |
| Lap-assisted vaginal hysterectomy >250g | CPT | 58552 | 3 | — | — | $55 | $7,584 | $14,275 |
| Lap salpingo-oophorectomy | CPT | 58661 | 3 | — | — | $55 | $7,584 | $14,275 |
| OR procedure for obesity w MCC | MS-DRG | 619 | 5 | — | — | $11,954 | $17,075 | $30,924 |
| OR procedure for obesity w CC | MS-DRG | 620 | 5 | — | — | $11,954 | $16,221 | $28,245 |
| OR procedure for obesity w/o CC/MCC | MS-DRG | 621 | 5 | — | — | $11,585 | $16,221 | $28,245 |
| Complex cataract surgery | CPT | 66982 | 3 | — | — | $55 | $5,101 | $9,391 |
| Cataract surgery with lens implant | CPT | 66984 | 3 | — | — | $55 | $5,646 | $9,391 |
| Intravitreal injection | CPT | 67028 | 3 | — | — | $55 | $3,590 | $8,427 |
| Vitrectomy mechanical | CPT | 67042 | 3 | — | — | $55 | $6,615 | $10,329 |
| Uterine & adnexa procedures w CC/MCC | MS-DRG | 743 | 2 | — | — | $8,188.5 | $10,892 | $13,596 |
| Uterine & adnexa procedures w/o CC/MCC | MS-DRG | 744 | 2 | — | — | $12,407 | $17,285 | $22,162 |
| PCI single major coronary artery | CPT | 92920 | 3 | — | — | $55 | $8,963.5 | $18,989 |
| PCI with drug-eluting stent | CPT | 92928 | 3 | — | — | $55 | $8,963.5 | $18,989 |
| PCI bypass graft | CPT | 92937 | 3 | — | — | $55 | $8,963.5 | $18,989 |
| Left heart catheterization | CPT | 93452 | 6 | — | — | $47 | $8,928 | $15,456 |
| Coronary angiography with cath | CPT | 93455 | 6 | — | — | $47 | $8,928 | $15,456 |
| Coronary angiography with bypass cath | CPT | 93458 | 6 | — | — | $47 | $8,055 | $15,456 |
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 |