Cedar Park, TX, 78613
The report bundles all published codes × every payer rate + compliance grade as a downloadable PDF + CSV with a data-version manifest.
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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 | 1 | — | — | $11,501 | $11,501 | 0.90× | $11,501 |
| imaging | |||||||||
| Hand X-ray 3 views | CPT | 73130 | 1 | — | — | $85.34 | $85.34 | 0.92× | $85.34 |
| Knee X-ray 1-2 views | CPT | 73560 | 1 | — | — | $85.34 | $85.34 | 0.92× | $85.34 |
| inpatient | |||||||||
| Intracranial hemorrhage/CVA w MCC | MS-DRG | 064 | 1 | — | — | $16,231 | $16,231 | 0.80× | $16,231 |
| Intracranial hemorrhage/CVA w CC | MS-DRG | 065 | 1 | — | — | $8,297.23 | $8,297.23 | 0.77× | $8,297.23 |
| Intracranial hemorrhage/CVA w/o CC/MCC | MS-DRG | 066 | 1 | — | — | $5,616.07 | $5,616.07 | 0.74× | $5,616.07 |
| Respiratory infections & inflammations w MCC | MS-DRG | 177 | 1 | — | — | $13,190 | $13,190 | 0.85× | $13,190 |
| COPD w MCC | MS-DRG | 190 | 1 | — | — | $9,162.94 | $9,162.94 | 0.82× | $9,162.94 |
| COPD w CC | MS-DRG | 191 | 1 | — | — | $7,009.69 | $7,009.69 | 0.79× | $7,009.69 |
| COPD w/o CC/MCC | MS-DRG | 192 | 1 | — | — | $5,280.71 | $5,280.71 | 0.75× | $5,280.71 |
| Simple pneumonia & pleurisy w CC | MS-DRG | 194 | 1 | — | — | $6,690.68 | $6,690.68 | 0.79× | $6,690.68 |
| Simple pneumonia & pleurisy w/o CC/MCC | MS-DRG | 195 | 1 | — | — | $5,080.83 | $5,080.83 | 0.76× | $5,080.83 |
| AMI discharged alive w MCC | MS-DRG | 280 | 1 | — | — | $13,393 | $13,393 | 0.85× | $13,393 |
| AMI discharged alive w CC | MS-DRG | 281 | 1 | — | — | $7,521.3 | $7,521.3 | 0.78× | $7,521.3 |
| AMI discharged alive w/o CC/MCC | MS-DRG | 282 | 1 | — | — | $5,916.33 | $5,916.33 | 0.76× | $5,916.33 |
| Heart failure & shock w MCC | MS-DRG | 291 | 1 | — | — | $10,646 | $10,646 | 0.83× | $10,646 |
| Heart failure & shock w CC | MS-DRG | 292 | 1 | — | — | $7,026.84 | $7,026.84 | 0.79× | $7,026.84 |
| Heart failure & shock w/o CC/MCC | MS-DRG | 293 | 1 | — | — | $4,477.03 | $4,477.03 | 0.72× | $4,477.03 |
| Cardiac arrhythmia w MCC | MS-DRG | 308 | 1 | — | — | $9,839.34 | $9,839.34 | 0.81× | $9,839.34 |
| Cardiac arrhythmia w CC | MS-DRG | 309 | 1 | — | — | $6,032.21 | $6,032.21 | 0.78× | $6,032.21 |
| Cardiac arrhythmia w/o CC/MCC | MS-DRG | 310 | 1 | — | — | $4,565.15 | $4,565.15 | 0.74× | $4,565.15 |
| GI hemorrhage w CC | MS-DRG | 378 | 1 | — | — | $8,044.29 | $8,044.29 | 0.80× | $8,044.29 |
| GI hemorrhage w/o CC/MCC | MS-DRG | 379 | 1 | — | — | $5,195.04 | $5,195.04 | 0.76× | $5,195.04 |
| Esophagitis/gastroenteritis w/o MCC | MS-DRG | 392 | 1 | — | — | $6,366.74 | $6,366.74 | 0.79× | $6,366.74 |
| Fractures of femur w/o MCC | MS-DRG | 533 | 1 | — | — | $12,442 | $12,442 | 0.82× | $12,442 |
| Kidney/UTI w MCC | MS-DRG | 689 | 1 | — | — | $9,548.87 | $9,548.87 | 0.82× | $9,548.87 |
| Kidney/UTI w/o MCC | MS-DRG | 690 | 1 | — | — | $6,548.68 | $6,548.68 | 0.79× | $6,548.68 |
| Septicemia or severe sepsis w MV 96+ hrs | MS-DRG | 871 | 1 | — | — | $16,009 | $16,009 | 0.86× | $16,009 |
| Septicemia or severe sepsis w/o MV 96+ hrs | MS-DRG | 872 | 1 | — | — | $8,412.26 | $8,412.26 | 0.81× | $8,412.26 |
| lab | |||||||||
| Tissue exam by pathologist level IV | CPT | 88305 | 1 | — | — | $50.89 | $50.89 | 0.50× | $50.89 |
| preventive | |||||||||
| Upper GI endoscopy diagnostic | CPT | 43235 | 1 | — | — | $851.37 | $851.37 | 0.93× | $851.37 |
| Upper GI endoscopy with biopsy | CPT | 43239 | 1 | — | — | $851.37 | $851.37 | 0.88× | $851.37 |
| Sigmoidoscopy diagnostic | CPT | 45330 | 1 | — | — | $858.4 | $858.4 | 1.0× | $858.4 |
| Sigmoidoscopy with biopsy | CPT | 45331 | 1 | — | — | $858.4 | $858.4 | 0.96× | $858.4 |
| Colonoscopy diagnostic | CPT | 45378 | 1 | — | — | $858.4 | $858.4 | 0.98× | $858.4 |
| Colonoscopy with biopsy | CPT | 45380 | 1 | — | — | $1,108.33 | $1,108.33 | 0.91× | $1,108.33 |
| Colonoscopy with polyp removal | CPT | 45385 | 1 | — | — | $1,108.33 | $1,108.33 | 0.92× | $1,108.33 |
| surgery | |||||||||
| Total shoulder arthroplasty | CPT | 23472 | 1 | — | — | $17,503 | $17,503 | 4.2× | $17,503 |
| Total hip replacement | CPT | 27130 | 1 | — | — | $12,361 | $12,361 | 2.9× | $12,361 |
| Total knee replacement | CPT | 27447 | 1 | — | — | $12,361 | $12,361 | 3.0× | $12,361 |
| Shoulder arthroscopy with rotator cuff repair | CPT | 29827 | 1 | — | — | $6,719.13 | $6,719.13 | 2.0× | $6,719.13 |
| Knee arthroscopy with meniscectomy | CPT | 29881 | 1 | — | — | $3,040.05 | $3,040.05 | 1.5× | $3,040.05 |
| ACL reconstruction | CPT | 29888 | 1 | — | — | $6,719.13 | $6,719.13 | 2.0× | $6,719.13 |
| Major small/large bowel procedures w MCC | MS-DRG | 329 | 1 | — | — | $37,467 | $37,467 | 0.87× | $37,467 |
| Major small/large bowel procedures w CC | MS-DRG | 330 | 1 | — | — | $19,286 | $19,286 | 0.83× | $19,286 |
| Major small/large bowel procedures w/o CC/MCC | MS-DRG | 331 | 1 | — | — | $13,471 | $13,471 | 0.82× | $13,471 |
| Laparoscopic cholecystectomy w/o CDE w MCC | MS-DRG | 418 | 1 | — | — | $13,531 | $13,531 | 0.82× | $13,531 |
| Laparoscopic cholecystectomy w/o CDE w CC | MS-DRG | 419 | 1 | — | — | $10,751 | $10,751 | 0.79× | $10,751 |
| Laparoscopic cholecystectomy w/o CDE w/o CC/MCC | MS-DRG | 420 | 1 | — | — | $28,798 | $28,798 | 0.89× | $28,798 |
| Laparoscopic appendectomy | CPT | 44970 | 1 | — | — | $5,419.2 | $5,419.2 | 3.5× | $5,419.2 |
| Major joint replacement w MCC | MS-DRG | 469 | 1 | — | — | $26,670 | $26,670 | 0.90× | $26,670 |
| Major joint replacement w/o MCC | MS-DRG | 470 | 1 | — | — | $15,384 | $15,384 | 0.81× | $15,384 |
| Laparoscopic cholecystectomy | CPT | 47562 | 1 | — | — | $5,419.2 | $5,419.2 | 3.1× | $5,419.2 |
| Lap cholecystectomy with cholangiography | CPT | 47563 | 1 | — | — | $5,419.2 | $5,419.2 | 2.9× | $5,419.2 |
| Hip & femur procedures except major joint w MCC | MS-DRG | 480 | 1 | — | — | $23,997 | $23,997 | 0.86× | $23,997 |
| Hip & femur procedures except major joint w CC | MS-DRG | 481 | 1 | — | — | $16,930 | $16,930 | 0.83× | $16,930 |
| Hip & femur procedures except major joint w/o CC/MCC | MS-DRG | 482 | 1 | — | — | $12,944 | $12,944 | 0.81× | $12,944 |
| Lap inguinal hernia repair | CPT | 49650 | 1 | — | — | $5,419.2 | $5,419.2 | 4.8× | $5,419.2 |
| Vaginal hysterectomy | CPT | 58260 | 1 | — | — | $4,671.52 | $4,671.52 | 2.6× | $4,671.52 |
| Lap-assisted vaginal hysterectomy >250g | CPT | 58552 | 1 | — | — | $9,667.91 | $9,667.91 | 4.3× | $9,667.91 |
| Lap salpingo-oophorectomy | CPT | 58661 | 1 | — | — | $5,419.2 | $5,419.2 | 2.7× | $5,419.2 |
| OR procedure for obesity w MCC | MS-DRG | 619 | 1 | — | — | $22,246 | $22,246 | 0.82× | $22,246 |
| OR procedure for obesity w CC | MS-DRG | 620 | 1 | — | — | $13,030 | $13,030 | 0.80× | $13,030 |
| OR procedure for obesity w/o CC/MCC | MS-DRG | 621 | 1 | — | — | $11,927 | $11,927 | 0.79× | $11,927 |
| Complex cataract surgery | CPT | 66982 | 1 | — | — | $2,188.68 | $2,188.68 | 0.99× | $2,188.68 |
| Cataract surgery with lens implant | CPT | 66984 | 1 | — | — | $2,188.68 | $2,188.68 | 1.0× | $2,188.68 |
| Vitrectomy mechanical | CPT | 67042 | 1 | — | — | $3,818.66 | $3,818.66 | 1.5× | $3,818.66 |
| Uterine & adnexa procedures w CC/MCC | MS-DRG | 743 | 1 | — | — | $9,780.6 | $9,780.6 | 0.80× | $9,780.6 |
| Uterine & adnexa procedures w/o CC/MCC | MS-DRG | 744 | 1 | — | — | $15,943 | $15,943 | 0.83× | $15,943 |
| Payer | Codes covered | Median rate |
|---|---|---|
| american health plan | 69 | $7,026.84 |
