| Critical care, first hour | CPT 99291 | — |
| Chest X-ray single view | CPT 71045 | — |
| Chest X-ray 2 views | CPT 71046 | — |
| Chest X-ray 3 views | CPT 71047 | — |
| Lumbosacral spine X-ray | CPT 72100 | $124.68 |
| Shoulder X-ray | CPT 73030 | $103.78 |
| Humerus X-ray | CPT 73060 | — |
| Hand X-ray 3 views | CPT 73130 | $103.78 |
| Knee X-ray 1-2 views | CPT 73560 | $103.78 |
| Ankle X-ray 3 views | CPT 73610 | $64.18 |
| Abdominal ultrasound complete | CPT 76700 | — |
| Abdominal ultrasound limited | CPT 76705 | — |
| Retroperitoneal ultrasound complete | CPT 76770 | — |
| Obstetric ultrasound first trimester | CPT 76801 | — |
| Obstetric ultrasound after first trimester | CPT 76805 | — |
| Pelvic ultrasound complete | CPT 76856 | — |
| Scrotal ultrasound | CPT 76870 | — |
| EKG tracing only | CPT 93005 | — |
| Transthoracic echocardiogram complete | CPT 93306 | — |
| Respiratory infections & inflammations w MCC | MS-DRG 177 | $39,933 |
| COPD w MCC | MS-DRG 190 | $33,188 |
| Simple pneumonia & pleurisy w CC | MS-DRG 194 | $26,805 |
| AMI discharged alive w MCC | MS-DRG 280 | $1,422.66 |
| Heart failure & shock w MCC | MS-DRG 291 | $1,422.66 |
| Heart failure & shock w CC | MS-DRG 292 | $38,622 |
| Cardiac arrhythmia w MCC | MS-DRG 308 | $41,107 |
| Cardiac arrhythmia w CC | MS-DRG 309 | $36,019 |
| GI hemorrhage w CC | MS-DRG 378 | $26,566 |
| Kidney/UTI w/o MCC | MS-DRG 690 | $23,837 |
| Septicemia or severe sepsis w MV 96+ hrs | MS-DRG 871 | $1,536.33 |
| Septicemia or severe sepsis w/o MV 96+ hrs | MS-DRG 872 | $1,422.66 |
| Initial hospital care, low complexity | CPT 99221 | — |
| Initial hospital care, moderate complexity | CPT 99222 | — |
| Initial hospital care, high complexity | CPT 99223 | — |
| Hospital discharge, <30 min | CPT 99238 | — |
| Hospital discharge, >30 min | CPT 99239 | — |
| Basic metabolic panel (BMP) | CPT 80048 | — |
| Electrolyte panel | CPT 80051 | — |
| Comprehensive metabolic panel | CPT 80053 | — |
| Lipid panel | CPT 80061 | — |
| Renal function panel | CPT 80069 | — |
| Hepatic function panel | CPT 80076 | — |
| Urinalysis automated | CPT 81003 | — |
| Glucose quantitative | CPT 82947 | — |
| Hemoglobin A1c | CPT 83036 | — |
| Thyroid stimulating hormone (TSH) | CPT 84443 | — |
| Complete blood count with automated differential | CPT 85025 | — |
| Complete blood count without differential | CPT 85027 | — |
| Urine culture bacterial | CPT 87086 | — |
| Tissue exam by pathologist level IV | CPT 88305 | — |
| Office visit, new patient, 15-29 min | CPT 99202 | — |
| Office visit, new patient, 30-44 minutes | CPT 99203 | $121.61 |
| Office visit, new patient, 45-59 min | CPT 99204 | $137.88 |
| Office visit, new patient, 60-74 min | CPT 99205 | $147.68 |
| Office visit, established patient, 5 min | CPT 99211 | — |
| Office visit, established patient, 10-19 min | CPT 99212 | — |
| Office visit, established patient, 20-29 minutes | CPT 99213 | $78.35 |
| Office visit, established patient, 30-39 minutes | CPT 99214 | $108.23 |
| Office visit, established patient, 40-54 min | CPT 99215 | $152.79 |
