Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
Perq Pericardial Drg W/Insj Ndwellg Cath W/CT
Low
$76
Average
$980
Median
$672
High
$4.3k
Each hospital's average Medicaid rate, under the methodology and billing class chosen below.
45 hospitals; the 90th percentile is 16.0× the 10th. Each bar is a price range and its height is how many hospitals fall in it. Hover a bar, or a row in the ladder, for details.
Filter by billing methodology
Filter by billing class
51 hospital rates
iThe hospitals that file a Medicaid rate for this code, one row per hospital and set of terms (billing class, payment method, setting). Rates under different terms are never blended, so the terms are shown under each hospital’s name. Figures are the hospital’s averages across its plans.| # | Plans | |||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Allina Health Systems MN; 1175 Nininger Road. Hastings, MN facility · fee schedule · outpatient | 1 | $121 | $121 | — | — | — | $121 – $121 |
| 2 | Allina Health Systems MN 55443; 550 Osborne Road NE. Fridley, MN facility · fee schedule · outpatient | 1 | $121 | $121 | — | — | — | $121 – $121 |
| 3 | Allina Health Systems Minneapolis, MN facility · fee schedule · outpatient | 1 | $121 | $121 | — | — | — | $121 – $121 |
| 4 | BAPTIST HOSPITAL OF MIAMI PLANTATION, FL fee schedule · both | 2 | $672 | $672 | $32 | 5% | — | $640 – $704 |
| 5 | BETHESDA HOSPITAL BOYNTON BEACH, FL fee schedule · both | 2 | $672 | $672 | $32 | 5% | — | $640 – $704 |
| 6 | CATHOLIC HEALTH INITIATIVES COLORADO Salt Lake City, UT fee schedule · outpatient | 1 | $166 | $166 | — | — | — | $166 – $166 |
| 7 | Childrens Hospital of Los Angeles Angeles, CA facility · other · outpatient | 2 | $183 | $183 | — | — | — | $183 – $183 |
| 8 | Childrens Hospital of Los Angeles Angeles, CA professional · fee schedule · outpatient | 2 | $27 | $27 | — | — | — | $27 – $27 |
| 9 | Chilton Medical Center Pompton Plains, NJ percent of total billed charges · bothfrom % of charges | 1 | $1.1k | $1.1k | — | — | — | $1.1k – $1.1k |
| 10 | Cleveland Clinic Weston Hospital Nonprofit Corporation Weston, FL facility · case rate · outpatient | 1 | $631 | $631 | — | — | — | $631 – $631 |
| 11 | Cleveland Clinic Weston Hospital Nonprofit Corporation Weston, FL professional · fee schedule · outpatient | 1 | $157 | $157 | — | — | — | $157 – $157 |
| 12 | DOCTORS HOSPITAL CORAL GABLES, FL fee schedule · both | 2 | $652 | $652 | $31 | 5% | — | $621 – $683 |
| 13 | Eisenhower Medical Center Rancho Mirage, CA fee schedule · both | 3 | $193 | $193 | — | — | — | $193 – $193 |
| 14 | FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH CROWN POINT CROWN POINT, IN per diem · both | 14 | $1.9k | $1.9k | $157 | 8% | — | $1.9k – $2.2k |
| 15 | FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH DYER DYER, IN per diem · both | 14 | $1.9k | $1.9k | $161 | 8% | — | $1.9k – $2.2k |
| 16 | FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH MICHIGAN CITY CITY, IN per diem · both | 2 | $2.0k | $2.0k | $185 | 9% | — | $1.9k – $2.2k |
| 17 | FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH MICHIGAN CITY LAPORTE PORTE, IN per diem · both | 2 | $2.0k | $2.0k | $185 | 9% | — | $1.9k – $2.2k |
| 18 | FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH MUNSTER MUNSTER, IN per diem · both | 2 | $2.0k | $2.0k | $185 | 9% | — | $1.9k – $2.2k |
| 19 | Fairview Maple Grove Surgery Center Maple Grove, MN fee schedule · both | 1 | $137 | $137 | — | — | — | $137 – $137 |
| 20 | HOMESTEAD HOSPITAL Homestead, FL fee schedule · both | 2 | $652 | $652 | $31 | 5% | — | $621 – $683 |
| 21 | Hackettstown Medical Center Hackettstown, NJ percent of total billed charges · bothfrom % of charges | 1 | $762 | $762 | — | — | — | $762 – $762 |
| 22 | INDIAN RIVER MEMORIAL HOSPITAL INC Vero Beach, FL facility · case rate · outpatient | 1 | $631 | $631 | — | — | — | $631 – $631 |
| 23 | INDIAN RIVER MEMORIAL HOSPITAL INC Vero Beach, FL professional · fee schedule · outpatient | 1 | $157 | $157 | — | — | — | $157 – $157 |
| 24 | MELROSEWAKEFIELD HEALTHCARE Medford, MA percent of total billed charges · bothfrom % of charges | 1 | $4.2k | $4.2k | — | — | — | $4.2k – $4.2k |
| 25 | Mercy Hospital Southeast Girardeau, MO professional · fee schedule · inpatient | 1 | $161 | $161 | — | — | — | $161 – $161 |
← Payers reporting CPT 33019 · Snapshot 20261113T090226Z-3ce6c0b8