▸ Hospital · TX · CCN 670076
Baylor Scott And White Surgical Hospital At Sherma
3601 CALAIS DRIVE, SHERMAN, TX, 75090
12 bedsAcute Care Hospitals4
Compliance grade
A
93/100
Procedures tracked
198
of 209 target codes
Payers
2
with negotiated rates
Rates published
5,060
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 | — | — | $9,264.72 | $12,675 | $16,085 |
| Psychiatric diagnostic evaluation | CPT | 90791 | 2 | — | — | $145.26 | $200.12 | $254.98 |
| Psychiatric eval with medical services | CPT | 90792 | 2 | — | — | $145.26 | $200.12 | $254.98 |
| Psychotherapy 30 minutes | CPT | 90832 | 2 | — | — | $145.26 | $200.12 | $254.98 |
| Psychotherapy 45 minutes | CPT | 90834 | 2 | — | — | $145.26 | $200.12 | $254.98 |
| Psychotherapy 60 minutes | CPT | 90837 | 2 | — | — | $145.26 | $200.12 | $254.98 |
| Crisis psychotherapy 60 minutes | CPT | 90839 | 2 | — | — | $145.26 | $200.12 | $254.98 |
| emergency | ||||||||
| ED visit level 1 | CPT | 99281 | 2 | $217 | $130.2 | $80.89 | $261 | $390 |
| ED visit level 2 | CPT | 99282 | 2 | $398 | $238.8 | $149.01 | $496 | $741 |
| ED visit level 3 | CPT | 99283 | 2 | $688 | $412.8 | $259.94 | $1,887 | $2,816 |
| ED visit level 4 | CPT | 99284 | 2 | $1,160 | $696 | $403.52 | $3,146 | $4,696 |
| ED visit level 5 | CPT | 99285 | 2 | $1,715 | $1,029 | $585.19 | $6,854 | $10,230 |
| Critical care, first hour | CPT | 99291 | 2 | $615 | $369 | $808.45 | $6,263 | $9,348 |
| imaging | ||||||||
| CT head without contrast | CPT | 70450 | 2 | $2,445 | $1,467 | $100.16 | $1,374.02 | $2,050.77 |
| CT head with contrast | CPT | 70460 | 2 | $2,849 | $1,709.4 | $167.39 | $1,514.2 | $2,260.01 |
| CT head with and without contrast | CPT | 70470 | 2 | $3,641 | $2,184.6 | $167.39 | $1,838.57 | $2,744.14 |
| CT neck with contrast | CPT | 70491 | 2 | $2,877 | $1,726.2 | $167.39 | $1,532.88 | $2,287.88 |
| MRI brain without contrast | CPT | 70551 | 2 | $2,843 | $1,705.8 | $223.25 | $1,876.01 | $2,800.01 |
| MRI brain with contrast | CPT | 70552 | 2 | $2,960 | $1,776 | $350.37 | $2,171.22 | $3,240.63 |
| MRI brain with and without contrast | CPT | 70553 | 2 | $3,905 | $2,343 | $350.37 | $2,653.99 | $3,961.18 |
| Chest X-ray single view | CPT | 71045 | 2 | $360 | $216 | $82.79 | $135.54 | $202.3 |
| Chest X-ray 2 views | CPT | 71046 | 2 | $487 | $292.2 | $82.79 | $181.99 | $271.62 |
| Chest X-ray 3 views | CPT | 71047 | 2 | $597 | $358.2 | $82.79 | $223.35 | $333.36 |
| CT chest without contrast | CPT | 71250 | 2 | $3,475 | $2,085 | $100.16 | $1,483.38 | $2,214.01 |
| CT chest with contrast | CPT | 71260 | 2 | $3,892 | $2,335.2 | $167.39 | $1,769.26 | $2,640.68 |
| CT chest with and without contrast | CPT | 71270 | 2 | $4,934 | $2,960.4 | $167.39 | $2,003.13 | $2,989.75 |
| MRI chest without contrast | CPT | 71550 | 2 | $2,839 | $1,703.4 | $223.25 | $1,358.97 | $2,028.32 |
| MRI chest with contrast | CPT | 71551 | 2 | $3,098 | $1,858.8 | $729.47 | $1,399.74 | $2,089.17 |
| MRI chest with and without contrast | CPT | 71552 | 2 | $4,307 | $2,584.2 | $350.37 | $2,015.18 | $3,007.73 |
| Lumbosacral spine X-ray | CPT | 72100 | 2 | $597 | $358.2 | $100.16 | $273.78 | $408.63 |
| CT cervical spine without contrast | CPT | 72125 | 2 | $3,128 | $1,876.8 | $100.16 | $1,402.33 | $2,093.03 |
| CT thoracic spine without contrast | CPT | 72128 | 2 | $3,128 | $1,876.8 | $100.16 | $1,625.09 | $2,425.51 |
| CT lumbar spine without contrast | CPT | 72131 | 2 | $3,112 | $1,867.2 | $100.16 | $1,574.13 | $2,349.44 |
| MRI cervical spine without contrast | CPT | 72141 | 2 | $2,839 | $1,703.4 | $223.25 | $1,909.8 | $2,850.45 |
| MRI thoracic spine without contrast | CPT | 72146 | 2 | $2,839 | $1,703.4 | $223.25 | $1,714.56 | $2,559.05 |
| MRI lumbar spine without contrast | CPT | 72148 | 2 | $2,839 | $1,703.4 | $223.25 | $1,845.69 | $2,754.77 |
| MRI lumbar spine with and without contrast | CPT | 72149 | 2 | $2,973 | $1,783.8 | $350.37 | $1,923.21 | $2,870.47 |
| MRI cervical spine with and without contrast | CPT | 72156 | 2 | $3,696 | $2,217.6 | $350.37 | $2,616.44 | $3,905.13 |
| MRI lumbar spine with contrast | CPT | 72158 | 2 | $3,863 | $2,317.8 | $350.37 | $2,693.79 | $4,020.58 |
| CT pelvis without contrast | CPT | 72192 | 2 | $2,764 | $1,658.4 | $100.16 | $1,394.21 | $2,080.91 |
| CT pelvis with contrast | CPT | 72193 | 2 | $3,224 | $1,934.4 | $167.39 | $1,699.19 | $2,536.11 |
| Shoulder X-ray | CPT | 73030 | 2 | $1,111 | $666.6 | $82.79 | $263.79 | $393.72 |
| Humerus X-ray | CPT | 73060 | 2 | $1,029 | $617.4 | $82.79 | $265.89 | $396.85 |
| Hand X-ray 3 views | CPT | 73130 | 2 | $917 | $550.2 | $82.79 | $286.19 | $427.15 |
| MRI upper extremity joint without contrast | CPT | 73221 | 2 | $5,678 | $3,406.8 | $223.25 | $2,049.78 | $3,059.38 |
| MRI upper extremity joint with and without contrast | CPT | 73223 | 2 | $6,170 | $3,702 | $350.37 | $1,932.94 | $2,884.99 |
| Knee X-ray 1-2 views | CPT | 73560 | 2 | $944 | $566.4 | $82.79 | $234.85 | $350.52 |
| Ankle X-ray 3 views | CPT | 73610 | 2 | $1,002 | $601.2 | $82.79 | $254.66 | $380.09 |
| MRI lower extremity joint without contrast | CPT | 73721 | 1 | $5,678 | $3,406.8 | $223.25 | $2,109.37 | $3,148.31 |
| MRI lower extremity joint with and without contrast | CPT | 73723 | 2 | $5,893 | $3,535.8 | $350.37 | $1,965.9 | $2,934.18 |
| CT abdomen without contrast | CPT | 74150 | 2 | $3,641 | $2,184.6 | $100.16 | $1,430.36 | $2,134.86 |
| CT abdomen with contrast | CPT | 74160 | 2 | $4,335 | $2,601 | $167.39 | $1,804.58 | $2,693.4 |
| CT abdomen with and without contrast | CPT | 74170 | 2 | $5,336 | $3,201.6 | $167.39 | $1,836.65 | $2,741.26 |
| CT abdomen and pelvis without contrast | CPT | 74176 | 2 | $944 | $566.4 | $223.25 | $2,824.55 | $4,215.75 |
| CT abdomen and pelvis with contrast | CPT | 74177 | 2 | $1,500 | $900 | $350.37 | $3,503.76 | $5,229.5 |
| CT abdomen and pelvis with and without contrast | CPT | 74178 | 2 | $1,500 | $900 | $350.37 | $3,683.62 | $5,497.94 |
| MRI abdomen without contrast | CPT | 74181 | 2 | $7,600 | $4,560 | $223.25 | $1,794.05 | $2,677.68 |
| MRI abdomen with and without contrast | CPT | 74183 | 2 | $3,267 | $1,960.2 | $350.37 | $2,477.52 | $3,697.79 |
| Abdominal ultrasound complete | CPT | 76700 | 2 | $543 | $325.8 | $100.16 | $639.16 | $953.98 |
| Abdominal ultrasound limited | CPT | 76705 | 2 | $543 | $325.8 | $100.16 | $459.95 | $686.5 |
| Retroperitoneal ultrasound complete | CPT | 76770 | 2 | $543 | $325.8 | $100.16 | $434.8 | $648.96 |
| Obstetric ultrasound first trimester | CPT | 76801 | 2 | $543 | $325.8 | $100.16 | $377.11 | $562.84 |
| Obstetric ultrasound after first trimester | CPT | 76805 | 2 | $543 | $325.8 | $100.16 | $298.68 | $445.78 |
| Obstetric ultrasound with fetal anatomy | CPT | 76811 | 2 | $765 | $459 | $223.25 | $411.11 | $613.6 |
| Transvaginal ultrasound | CPT | 76830 | 2 | $543 | $325.8 | $100.16 | $440.97 | $658.17 |
| Pelvic ultrasound complete | CPT | 76856 | 2 | $543 | $325.8 | $100.16 | $544.08 | $812.06 |
| Scrotal ultrasound | CPT | 76870 | 2 | $543 | $325.8 | $100.16 | $411.14 | $613.64 |
| Diagnostic mammography unilateral | CPT | 77065 | 2 | — | — | $91.46 | $129.55 | $203.47 |
| Diagnostic mammography bilateral | CPT | 77066 | 2 | — | — | $112.43 | $159.26 | $256.45 |
| Screening mammography bilateral | CPT | 77067 | 2 | — | — | $91.46 | $129.55 | $207.88 |
| EKG complete | CPT | 93000 | 1 | — | — | $22.41 | $22.41 | $22.41 |
| EKG tracing only | CPT | 93005 | 2 | $315 | $189 | $55.73 | $76.73 | $97.72 |
| EKG interpretation only | CPT | 93010 | 1 | — | — | $12.99 | $12.99 | $12.99 |
| Transthoracic echocardiogram complete | CPT | 93306 | 2 | $2,348 | $1,408.8 | $502.61 | $678.97 | $855.32 |
| Transthoracic echocardiogram | CPT | 93307 | 2 | $2,348 | $1,408.8 | $223.25 | $310.12 | $396.98 |
| Stress echocardiogram | CPT | 93350 | 2 | $2,348 | $1,408.8 | $502.61 | $678.97 | $855.32 |
| inpatient | ||||||||
| Respiratory infections & inflammations w MCC | MS-DRG | 177 | 2 | — | — | $10,487 | $11,446 | $19,970 |
| COPD w MCC | MS-DRG | 190 | 2 | — | — | $6,395.77 | $7,209.05 | $12,973 |
| COPD w CC | MS-DRG | 191 | 2 | — | — | $5,091.87 | $5,643.29 | $9,994 |
| COPD w/o CC/MCC | MS-DRG | 192 | 2 | — | — | $3,842.17 | $4,262.22 | $7,555 |
| Simple pneumonia & pleurisy w CC | MS-DRG | 194 | 2 | — | — | $4,950.46 | $5,475.64 | $9,679 |
| Simple pneumonia & pleurisy w/o CC/MCC | MS-DRG | 195 | 2 | — | — | $3,781.49 | $4,174.35 | $7,365 |
| AMI discharged alive w MCC | MS-DRG | 280 | 2 | — | — | $9,464.91 | $10,518 | $18,676 |
| AMI discharged alive w CC | MS-DRG | 281 | 2 | — | — | $5,412.39 | $6,034.31 | $10,748 |
| AMI discharged alive w/o CC/MCC | MS-DRG | 282 | 2 | — | — | $4,222.8 | $4,727.58 | $8,453 |
| Heart failure & shock w MCC | MS-DRG | 291 | 2 | — | — | $7,540.58 | $8,447.39 | $15,114 |
| Heart failure & shock w CC | MS-DRG | 292 | 2 | — | — | $5,083.62 | $5,664.23 | $10,083 |
| Heart failure & shock w/o CC/MCC | MS-DRG | 293 | 2 | — | — | $3,301.29 | $3,696.28 | $6,610 |
| Cardiac arrhythmia w MCC | MS-DRG | 308 | 2 | — | — | $6,908.96 | $7,827.43 | $14,152 |
| Cardiac arrhythmia w CC | MS-DRG | 309 | 2 | — | — | $4,345.94 | $4,884.63 | $8,767 |
| Cardiac arrhythmia w/o CC/MCC | MS-DRG | 310 | 2 | — | — | $3,247.67 | $3,638.34 | $6,510 |
| GI hemorrhage w CC | MS-DRG | 378 | 2 | — | — | $5,803.62 | $6,486.79 | $11,581 |
| GI hemorrhage w/o CC/MCC | MS-DRG | 379 | 2 | — | — | $3,734.35 | $4,174.52 | $7,454 |
| Esophagitis/gastroenteritis w/o MCC | MS-DRG | 392 | 2 | — | — | $4,640.54 | $5,183.26 | $9,248 |
| Fractures of femur w/o MCC | MS-DRG | 533 | 2 | — | — | $8,403.76 | $10,094 | $19,205 |
| Kidney/UTI w MCC | MS-DRG | 689 | 2 | — | — | $6,758.71 | $7,651.59 | $13,825 |
| Kidney/UTI w/o MCC | MS-DRG | 690 | 2 | — | — | $4,687.68 | $5,281.07 | $9,499 |
| Septicemia or severe sepsis w MV 96+ hrs | MS-DRG | 871 | 2 | — | — | $11,532 | $12,983 | $23,339 |
| Septicemia or severe sepsis w/o MV 96+ hrs | MS-DRG | 872 | 2 | — | — | $6,056.98 | $6,780.65 | $12,124 |
| Initial hospital care, low complexity | CPT | 99221 | 1 | — | — | $120.4 | $120.4 | $120.4 |
| Initial hospital care, moderate complexity | CPT | 99222 | 1 | — | — | $188.99 | $188.99 | $188.99 |
| Initial hospital care, high complexity | CPT | 99223 | 1 | — | — | $252.19 | $252.19 | $252.19 |
| Hospital discharge, <30 min | CPT | 99238 | 1 | — | — | $116.78 | $116.78 | $116.78 |
| Hospital discharge, >30 min | CPT | 99239 | 1 | — | — | $165.71 | $165.71 | $165.71 |
| lab | ||||||||
| Basic metabolic panel (BMP) | CPT | 80048 | 2 | $368 | $220.8 | $10.58 | $68.78 | $102.65 |
| General health panel | CPT | 80050 | 2 | $378 | $226.8 | $59.84 | $172.21 | $257.04 |
| Electrolyte panel | CPT | 80051 | 2 | $301 | $180.6 | $8.76 | $62.52 | $93.32 |
| Comprehensive metabolic panel | CPT | 80053 | 2 | $420 | $252 | $42.24 | $101.34 | $151.26 |
| Lipid panel | CPT | 80061 | 2 | $486 | $291.6 | $16.74 | $95.19 | $142.08 |
| Renal function panel | CPT | 80069 | 2 | $448 | $268.8 | $10.85 | $154.32 | $230.33 |
| Hepatic function panel | CPT | 80076 | 2 | $381 | $228.6 | $10.21 | $113.23 | $169 |
| Urinalysis non-automated | CPT | 81002 | 2 | $92 | $55.2 | $4.35 | $21.08 | $31.46 |
| Urinalysis automated | CPT | 81003 | 2 | $120 | $72 | $2.81 | $38.22 | $57.05 |
| Glucose quantitative | CPT | 82947 | 2 | $105 | $63 | $4.91 | $28.72 | $42.86 |
| Hemoglobin A1c | CPT | 83036 | 1 | $102 | $61.2 | $12.14 | $12.14 | $12.14 |
| Thyroid stimulating hormone (TSH) | CPT | 84443 | 2 | $330 | $198 | $21 | $99.93 | $149.14 |
| Complete blood count with automated differential | CPT | 85025 | 2 | $158 | $94.8 | $9.71 | $61.52 | $91.82 |
| Complete blood count without differential | CPT | 85027 | 2 | $142 | $85.2 | $8.09 | $46.07 | $68.76 |
| Urine culture bacterial | CPT | 87086 | 2 | $183 | $109.8 | $10.09 | $74.91 | $111.81 |
| Urine culture identification | CPT | 87088 | 2 | $183 | $109.8 | $10.11 | $75.89 | $113.27 |
| Tissue exam by pathologist level IV | CPT | 88305 | 2 | $460 | $276 | $49.37 | $176.07 | $262.78 |
| maternity | ||||||||
| Fetal non-stress test | CPT | 59025 | 2 | — | — | $181.55 | $263.51 | $3,193 |
| Routine obstetric care including vaginal delivery | CPT | 59400 | 2 | — | — | $3,011 | $4,265 | $6,366 |
| Vaginal delivery only | CPT | 59409 | 2 | — | — | $1,590 | $2,550.16 | $4,806.65 |
| Vaginal delivery with postpartum | CPT | 59410 | 2 | — | — | $1,590 | $2,252 | $3,361 |
| Routine obstetric care with C-section | CPT | 59510 | 2 | — | — | $3,359 | $4,758 | $7,101 |
| C-section delivery only | CPT | 59514 | 1 | — | — | $3,011 | $4,265 | $6,366 |
| C-section with postpartum | CPT | 59515 | 2 | — | — | $2,055.13 | $4,068 | $6,071 |
| office | ||||||||
| Office visit, new patient, 15-29 min | CPT | 99202 | 1 | — | — | $102.69 | $102.69 | $102.69 |
| Office visit, new patient, 30-44 minutes | CPT | 99203 | 1 | $108 | $64.8 | $159.77 | $159.77 | $159.77 |
| Office visit, new patient, 45-59 min | CPT | 99204 | 1 | $162 | $97.2 | $238.44 | $238.44 | $238.44 |
| Office visit, new patient, 60-74 min | CPT | 99205 | 1 | — | — | $315.07 | $315.07 | $315.07 |
| Office visit, established patient, 5 min | CPT | 99211 | 1 | $33 | $19.8 | $32.33 | $32.33 | $32.33 |
| Office visit, established patient, 10-19 min | CPT | 99212 | 1 | $63 | $37.8 | $80.09 | $80.09 | $80.09 |
| Office visit, established patient, 20-29 minutes | CPT | 99213 | 1 | $89 | $53.4 | $128.82 | $128.82 | $128.82 |
| Office visit, established patient, 30-39 minutes | CPT | 99214 | 1 | $125 | $75 | $182.65 | $182.65 | $182.65 |
| Office visit, established patient, 40-54 min | CPT | 99215 | 1 | $189 | $113.4 | $256.54 | $256.54 | $256.54 |
| preventive | ||||||||
| Upper GI endoscopy diagnostic | CPT | 43235 | 2 | $5,170 | $3,102 | $825.87 | $2,370 | $3,538 |
| Upper GI endoscopy with biopsy | CPT | 43239 | 2 | $3,924 | $2,354.4 | $825.87 | $2,370 | $3,538 |
| Sigmoidoscopy diagnostic | CPT | 45330 | 2 | $5,170 | $3,102 | $832.67 | $2,252 | $3,361 |
| Sigmoidoscopy with biopsy | CPT | 45331 | 2 | $1,928 | $1,156.8 | $832.67 | $2,252 | $3,361 |
| Colonoscopy diagnostic | CPT | 45378 | 2 | $1,928 | $1,156.8 | $832.67 | $2,370 | $3,538 |
| Colonoscopy with biopsy | CPT | 45380 | 2 | $5,170 | $3,102 | $1,075.12 | $2,370 | $3,538 |
| Colonoscopy with polyp removal | CPT | 45385 | 2 | $2,350 | $1,410 | $1,075.12 | $2,370 | $3,538 |
| surgery | ||||||||
| Total shoulder arthroplasty | CPT | 23472 | 2 | $13,500 | $8,100 | $7,568 | $12,559 | $22,182 |
| PCI w drug-eluting stent w MCC | MS-DRG | 246 | 1 | — | — | $17,649 | $19,168 | $28,606 |
| PCI w drug-eluting stent w/o MCC | MS-DRG | 247 | 1 | — | — | $11,251 | $12,219 | $18,236 |
| Hip hemiarthroplasty | CPT | 27125 | 1 | — | — | $7,568 | $10,719 | $15,999 |
| Total hip replacement | CPT | 27130 | 2 | $13,500 | $8,100 | $7,568 | $11,355 | $22,182 |
| Total knee replacement | CPT | 27447 | 2 | $13,500 | $8,100 | $7,568 | $11,355 | $22,182 |
| Knee revision arthroplasty single component | CPT | 27486 | 1 | $13,500 | $8,100 | $7,568 | $10,719 | $15,999 |
| Knee revision arthroplasty all components | CPT | 27487 | 1 | $46,593 | $27,956 | $7,568 | $10,719 | $15,999 |
| Shoulder arthroscopy with decompression | CPT | 29826 | 1 | $5,170 | $3,102 | $5,689 | $8,059 | $12,028 |
| Shoulder arthroscopy with rotator cuff repair | CPT | 29827 | 2 | $8,199 | $4,919.4 | $5,689 | $8,059 | $12,028 |
| Knee arthroscopy with meniscectomy | CPT | 29881 | 2 | $6,633 | $3,979.8 | $2,872 | $4,068 | $6,071 |
| ACL reconstruction | CPT | 29888 | 2 | $8,199 | $4,919.4 | $5,689 | $8,059 | $12,028 |
| Major small/large bowel procedures w MCC | MS-DRG | 329 | 2 | — | — | $27,240 | $30,105 | $53,172 |
| Major small/large bowel procedures w CC | MS-DRG | 330 | 2 | — | — | $14,467 | $15,898 | $27,924 |
| Major small/large bowel procedures w/o CC/MCC | MS-DRG | 331 | 2 | — | — | $10,068 | $11,136 | $19,683 |
| CABG single arterial graft | CPT | 33533 | 1 | — | — | $3,359 | $4,758 | $7,101 |
| CABG 2 arterial grafts | CPT | 33534 | 1 | — | — | $3,359 | $4,758 | $7,101 |
| CABG 3 arterial grafts | CPT | 33535 | 1 | — | — | $3,359 | $4,758 | $7,101 |
| CABG 4+ arterial grafts | CPT | 33536 | 1 | — | — | $3,359 | $4,758 | $7,101 |
| Laparoscopic cholecystectomy w/o CDE w MCC | MS-DRG | 418 | 2 | — | — | $9,786.61 | $10,856 | $19,244 |
| Laparoscopic cholecystectomy w/o CDE w CC | MS-DRG | 419 | 2 | — | — | $7,689.06 | $8,627.36 | $15,459 |
| Laparoscopic cholecystectomy w/o CDE w/o CC/MCC | MS-DRG | 420 | 2 | — | — | $19,215 | $21,286 | $37,680 |
| Open appendectomy | CPT | 44950 | 2 | $6,633 | $3,979.8 | $2,607 | $4,325.95 | $6,892.72 |
| Laparoscopic appendectomy | CPT | 44970 | 2 | $5,170 | $3,102 | $5,256.83 | $8,059 | $12,028 |
| Spinal fusion (non-cervical) w MCC | MS-DRG | 459 | 2 | — | — | $39,082 | $43,707 | $78,075 |
| Spinal fusion (non-cervical) w/o MCC | MS-DRG | 460 | 2 | — | — | $22,189 | $24,450 | $43,061 |
| Major joint replacement w MCC | MS-DRG | 469 | 2 | — | — | $19,039 | $21,628 | $39,198 |
| Major joint replacement w/o MCC | MS-DRG | 470 | 2 | — | — | $11,265 | $12,496 | $22,151 |
| Laparoscopic cholecystectomy | CPT | 47562 | 2 | $6,633 | $3,979.8 | $5,256.83 | $8,059 | $12,028 |
| Lap cholecystectomy with cholangiography | CPT | 47563 | 2 | $6,633 | $3,979.8 | $5,256.83 | $8,059 | $12,028 |
| Hip & femur procedures except major joint w MCC | MS-DRG | 480 | 2 | — | — | $17,476 | $19,487 | $34,714 |
| Hip & femur procedures except major joint w CC | MS-DRG | 481 | 2 | — | — | $12,446 | $13,793 | $24,426 |
| Hip & femur procedures except major joint w/o CC/MCC | MS-DRG | 482 | 2 | — | — | $9,698.82 | $10,652 | $18,699 |
| Lap inguinal hernia repair | CPT | 49650 | 2 | $5,170 | $3,102 | $5,256.83 | $8,059 | $12,028 |
| Total abdominal hysterectomy | CPT | 58150 | 1 | $21,763 | $13,058 | $5,689 | $8,059 | $12,028 |
| Vaginal hysterectomy | CPT | 58260 | 2 | $5,170 | $3,102 | $2,806 | $4,252.78 | $7,879.69 |
| Lap-assisted vaginal hysterectomy | CPT | 58550 | 2 | $8,199 | $4,919.4 | $5,256.83 | $8,059 | $12,028 |
| Lap-assisted vaginal hysterectomy >250g | CPT | 58552 | 2 | $8,199 | $4,919.4 | $5,689 | $8,718.62 | $15,448 |
| Lap salpingo-oophorectomy | CPT | 58661 | 2 | $5,170 | $3,102 | $5,256.83 | $8,059 | $12,028 |
| OR procedure for obesity w MCC | MS-DRG | 619 | 1 | — | — | $17,038 | $18,504 | $27,616 |
| OR procedure for obesity w CC | MS-DRG | 620 | 1 | — | — | $9,931.56 | $10,786 | $16,097 |
| OR procedure for obesity w/o CC/MCC | MS-DRG | 621 | 1 | — | — | $9,162.06 | $9,950.45 | $14,850 |
| Complex cataract surgery | CPT | 66982 | 2 | $5,170 | $3,102 | $2,123.11 | $3,974 | $5,932 |
| Cataract surgery with lens implant | CPT | 66984 | 2 | $5,170 | $3,102 | $2,123.11 | $4,617 | $6,891 |
| Intravitreal injection | CPT | 67028 | 2 | $1,189 | $713.4 | $308.55 | $2,252 | $3,361 |
| Vitrectomy mechanical | CPT | 67042 | 2 | — | — | $3,704.25 | $5,373 | $8,020 |
| Uterine & adnexa procedures w CC/MCC | MS-DRG | 743 | 2 | — | — | $6,897.18 | $7,684.74 | $13,679 |
| Uterine & adnexa procedures w/o CC/MCC | MS-DRG | 744 | 2 | — | — | $11,185 | $12,455 | $22,160 |
| PCI single major coronary artery | CPT | 92920 | 2 | $16,651 | $9,990.6 | $5,207.34 | $10,719 | $15,999 |
| PCI with drug-eluting stent | CPT | 92928 | 2 | $25,379 | $15,227 | $7,568 | $10,719 | $18,046 |
| PCI bypass graft | CPT | 92937 | 2 | $25,379 | $15,227 | $7,568 | $10,719 | $18,046 |
| Left heart catheterization | CPT | 93452 | 2 | $7,327 | $4,396.2 | $2,968.76 | $8,059 | $12,028 |
| Coronary angiography with cath | CPT | 93455 | 2 | $15,416 | $9,249.6 | $2,968.76 | $8,059 | $12,028 |
| Coronary angiography with bypass cath | CPT | 93458 | 2 | $19,424 | $11,654 | $2,968.76 | $5,373 | $8,020 |
Payer mix (top 2)
| Payer | Codes covered | Median rate |
|---|---|---|
| healthchoice | 182 | $634.47 |
| Blue Cross Blue Shield | 181 | $3,509.19 |