| behavioral |
| Psychoses | MS-DRG | 885 | 19 | — | — | $57 | $96 | 0.01× | $12,198 |
| Psychotherapy 30 minutes | CPT | 90832 | 19 | $347 | $170.03 | $121.45 | $333.12 | 2.2× | $340.06 |
| Psychotherapy 45 minutes | CPT | 90834 | 19 | $347 | $170.03 | $121.45 | $333.12 | 2.1× | $340.06 |
| Psychotherapy 60 minutes | CPT | 90837 | 19 | $347 | $170.03 | $121.45 | $333.12 | 1.8× | $340.06 |
| emergency |
| ED visit level 1 | CPT | 99281 | 19 | $256 | $125.44 | $15.25 | $74.69 | 0.53× | $250.88 |
| ED visit level 2 | CPT | 99282 | 19 | $450 | $220.5 | $29.75 | $137.06 | 0.58× | $441 |
| ED visit level 3 | CPT | 99283 | 19 | $750 | $367.5 | $50.5 | $230.23 | 0.57× | $735 |
| ED visit level 4 | CPT | 99284 | 19 | $1,176 | $576.24 | $85.5 | $373.38 | 0.56× | $1,152.48 |
| ED visit level 5 | CPT | 99285 | 19 | $1,664 | $815.36 | $124 | $534.24 | 0.51× | $1,630.72 |
| Critical care, first hour | CPT | 99291 | 19 | $4,605 | $2,256.45 | $190.05 | $752.64 | 0.70× | $4,512.9 |
| imaging |
| CT head without contrast | CPT | 70450 | 19 | $2,560 | $1,254.4 | $896 | $2,457.6 | 11.9× | $2,508.8 |
| CT head with contrast | CPT | 70460 | 19 | $3,123 | $1,530.27 | $1,093.05 | $2,998.08 | 12.8× | $3,060.54 |
| CT head with and without contrast | CPT | 70470 | 19 | $3,814 | $1,868.86 | $1,334.9 | $3,661.44 | 13.7× | $3,737.72 |
| CT neck with contrast | CPT | 70491 | 19 | $3,327 | $1,630.23 | $1,164.45 | $3,193.92 | 11.7× | $3,260.46 |
| MRI brain without contrast | CPT | 70551 | 19 | $5,725 | $2,805.25 | $2,003.75 | $5,496 | 13.6× | $5,610.5 |
| MRI brain with contrast | CPT | 70552 | 19 | $5,991 | $2,935.59 | $2,096.85 | $5,751.36 | 12.0× | $5,871.18 |
| MRI brain with and without contrast | CPT | 70553 | 19 | $5,301 | $2,597.49 | $1,855.35 | $5,088.96 | 8.6× | $5,194.98 |
| Chest X-ray single view | CPT | 71045 | 19 | $301 | $147.49 | $16.45 | $75.71 | 0.80× | $294.98 |
| Chest X-ray 2 views | CPT | 71046 | 19 | $454 | $222.46 | $20.65 | $158.9 | 1.6× | $444.92 |
| Chest X-ray 3 views | CPT | 71047 | 19 | $370 | $181.3 | $129.5 | $355.2 | 3.7× | $362.6 |
| CT chest without contrast | CPT | 71250 | 19 | $3,179 | $1,557.71 | $1,112.65 | $3,051.84 | 14.2× | $3,115.42 |
| CT chest with contrast | CPT | 71260 | 19 | $3,572 | $1,750.28 | $1,250.2 | $3,429.12 | 12.2× | $3,500.56 |
| CT chest with and without contrast | CPT | 71270 | 19 | $4,215 | $2,065.35 | $1,475.25 | $4,046.4 | 13.9× | $4,130.7 |
| MRI chest without contrast | CPT | 71550 | 19 | $2,786 | $1,365.14 | $975.1 | $2,674.56 | 6.2× | $2,730.28 |
| MRI chest with contrast | CPT | 71551 | 19 | $3,730 | $1,827.7 | $1,305.5 | $3,580.8 | 4.4× | $3,655.4 |
| MRI chest with and without contrast | CPT | 71552 | 19 | $4,276 | $2,095.24 | $1,496.6 | $4,104.96 | 6.8× | $4,190.48 |
| Lumbosacral spine X-ray | CPT | 72100 | 19 | $505 | $247.45 | $26.25 | $125.13 | 1.2× | $494.9 |
| CT cervical spine without contrast | CPT | 72125 | 19 | $3,092 | $1,515.08 | $1,082.2 | $2,968.32 | 14.7× | $3,030.16 |
| CT thoracic spine without contrast | CPT | 72128 | 19 | $3,053 | $1,495.97 | $1,068.55 | $2,930.88 | 14.7× | $2,991.94 |
| CT lumbar spine without contrast | CPT | 72131 | 19 | $3,142 | $1,539.58 | $1,099.7 | $3,016.32 | 14.8× | $3,079.16 |
| MRI cervical spine without contrast | CPT | 72141 | 19 | $4,737 | $2,321.13 | $1,657.95 | $4,547.52 | 11.4× | $4,642.26 |
| MRI thoracic spine without contrast | CPT | 72146 | 19 | $4,582 | $2,245.18 | $1,603.7 | $4,398.72 | 11.8× | $4,490.36 |
| MRI lumbar spine without contrast | CPT | 72148 | 19 | $4,665 | $2,285.85 | $1,632.75 | $4,478.4 | 11.9× | $4,571.7 |
| MRI lumbar spine with and without contrast | CPT | 72149 | 19 | $4,665 | $2,285.85 | $1,632.75 | $4,478.4 | 9.9× | $4,571.7 |
| MRI cervical spine with and without contrast | CPT | 72156 | 19 | $5,258 | $2,576.42 | $1,840.3 | $5,047.68 | 9.3× | $5,152.84 |
| MRI lumbar spine with contrast | CPT | 72158 | 19 | $5,178 | $2,537.22 | $1,812.3 | $4,970.88 | 9.1× | $5,074.44 |
| CT pelvis without contrast | CPT | 72192 | 19 | $3,214 | $1,574.86 | $1,124.9 | $3,085.44 | 15.4× | $3,149.72 |
| CT pelvis with contrast | CPT | 72193 | 19 | $2,957 | $1,448.93 | $1,034.95 | $2,838.72 | 10.1× | $2,897.86 |
| Shoulder X-ray | CPT | 73030 | 19 | $394 | $193.06 | $20.65 | $97.86 | 1.1× | $386.12 |
| Humerus X-ray | CPT | 73060 | 19 | $389 | $190.61 | $21.35 | $97.97 | 1.1× | $381.22 |
| Hand X-ray 3 views | CPT | 73130 | 19 | $410 | $200.9 | $21.7 | $102.13 | 1.1× | $401.8 |
| MRI upper extremity joint without contrast | CPT | 73221 | 19 | $3,473 | $1,701.77 | $1,215.55 | $3,334.08 | 8.0× | $3,403.54 |
| MRI upper extremity joint with and without contrast | CPT | 73223 | 19 | $4,307 | $2,110.43 | $1,507.45 | $4,134.72 | 6.8× | $4,220.86 |
| Hip X-ray 2 views | CPT | 73510 | 19 | $332 | $162.68 | $29.05 | $98.77 | 1.3× | $325.36 |
| Knee X-ray 1-2 views | CPT | 73560 | 19 | $296 | $145.04 | $22.05 | $82.67 | 0.89× | $290.08 |
| Ankle X-ray 3 views | CPT | 73610 | 19 | $439 | $215.11 | $23.1 | $109.83 | 1.2× | $430.22 |
| MRI lower extremity joint without contrast | CPT | 73721 | 19 | $3,490 | $1,710.1 | $1,221.5 | $3,350.4 | 7.2× | $3,420.2 |
| MRI lower extremity joint with and without contrast | CPT | 73723 | 19 | $4,327 | $2,120.23 | $1,514.45 | $4,153.92 | 6.6× | $4,240.46 |
| CT abdomen without contrast | CPT | 74150 | 19 | $3,258 | $1,596.42 | $1,140.3 | $3,127.68 | 16.6× | $3,192.84 |
| CT abdomen with contrast | CPT | 74160 | 19 | $3,521 | $1,725.29 | $1,232.35 | $3,380.16 | 11.8× | $3,450.58 |
| CT abdomen with and without contrast | CPT | 74170 | 19 | $4,368 | $2,140.32 | $1,528.8 | $4,193.28 | 12.5× | $4,280.64 |
| CT abdomen and pelvis without contrast | CPT | 74176 | 19 | $6,578 | $3,223.22 | $2,159.81 | $6,314.88 | 17.3× | $6,446.44 |
| CT abdomen and pelvis with contrast | CPT | 74177 | 19 | $6,998 | $3,429.02 | $2,449.3 | $6,718.08 | 12.2× | $6,858.04 |
| CT abdomen and pelvis with and without contrast | CPT | 74178 | 19 | $9,097 | $4,457.53 | $2,965.01 | $8,733.12 | 15.2× | $8,915.06 |
| MRI abdomen without contrast | CPT | 74181 | 19 | $3,474 | $1,702.26 | $1,215.9 | $3,335.04 | 8.5× | $3,404.52 |
| MRI abdomen with and without contrast | CPT | 74183 | 19 | $5,035 | $2,467.15 | $1,762.25 | $4,833.6 | 8.5× | $4,934.3 |
| Abdominal ultrasound complete | CPT | 76700 | 19 | $1,149 | $563.01 | $402.15 | $1,103.04 | 7.4× | $1,126.02 |
| Abdominal ultrasound limited | CPT | 76705 | 19 | $609 | $298.41 | $213.15 | $584.64 | 4.0× | $596.82 |
| Retroperitoneal ultrasound complete | CPT | 76770 | 19 | $985 | $482.65 | $344.75 | $945.6 | 6.6× | $965.3 |
| Obstetric ultrasound first trimester | CPT | 76801 | 19 | $1,302 | $637.98 | $455.7 | $1,249.92 | 8.8× | $1,275.96 |
| Obstetric ultrasound after first trimester | CPT | 76805 | 19 | $1,016 | $497.84 | $351.05 | $962.88 | 6.3× | $995.68 |
| Obstetric ultrasound with fetal anatomy | CPT | 76811 | 19 | $1,478 | $724.22 | $517.3 | $1,418.88 | 6.0× | $1,448.44 |
| Transvaginal ultrasound | CPT | 76830 | 19 | $858 | $420.42 | $300.3 | $823.68 | 5.6× | $840.84 |
| Pelvic ultrasound complete | CPT | 76856 | 19 | $985 | $482.65 | $344.75 | $945.6 | 6.6× | $965.3 |
| Scrotal ultrasound | CPT | 76870 | 19 | $616 | $301.84 | $215.6 | $591.36 | 4.5× | $603.68 |
| Diagnostic mammography unilateral | CPT | 77065 | 19 | $308 | $150.92 | $78.75 | $216 | 1.4× | $301.84 |
| Diagnostic mammography bilateral | CPT | 77066 | 19 | $308 | $150.92 | $107.8 | $295.68 | 1.6× | $301.84 |
| Screening mammography bilateral | CPT | 77067 | 19 | $394 | $193.06 | $76.3 | $224.58 | 1.4× | $386.12 |
| EKG tracing only | CPT | 93005 | 19 | $309 | $151.41 | $6.3 | $63.08 | 0.53× | $302.82 |
| EKG interpretation only | CPT | 93010 | 19 | $24 | $11.76 | $8.4 | $23.04 | 1.3× | $23.52 |
| Transthoracic echocardiogram complete | CPT | 93306 | 19 | $2,676 | $1,311.24 | $70.7 | $544.32 | 0.91× | $2,622.48 |
| Transthoracic echocardiogram | CPT | 93307 | 19 | $1,680 | $823.2 | $588 | $1,612.8 | 6.5× | $1,646.4 |
| Stress echocardiogram | CPT | 93350 | 19 | $1,672 | $819.28 | $585.2 | $1,605.12 | 3.2× | $1,638.56 |
| inpatient |
| Intracranial hemorrhage/CVA w MCC | MS-DRG | 064 | 19 | — | — | $57 | $96 | 0.00× | $29,525 |
| Intracranial hemorrhage/CVA w CC | MS-DRG | 065 | 19 | — | — | $57 | $96 | 0.01× | $17,501 |
| Intracranial hemorrhage/CVA w/o CC/MCC | MS-DRG | 066 | 19 | — | — | $57 | $96 | 0.01× | $11,262 |
| Respiratory infections & inflammations w MCC | MS-DRG | 177 | 19 | — | — | $57 | $96 | 0.01× | $25,749 |
| COPD w MCC | MS-DRG | 190 | 19 | — | — | $57 | $96 | 0.01× | $16,739 |
| COPD w CC | MS-DRG | 191 | 19 | — | — | $57 | $96 | 0.01× | $13,840 |
| COPD w/o CC/MCC | MS-DRG | 192 | 19 | — | — | $57 | $96 | 0.01× | $10,918 |
| Simple pneumonia & pleurisy w CC | MS-DRG | 194 | 19 | — | — | $57 | $96 | 0.01× | $12,106 |
| Simple pneumonia & pleurisy w/o CC/MCC | MS-DRG | 195 | 19 | — | — | $57 | $96 | 0.01× | $8,391.76 |
| AMI discharged alive w MCC | MS-DRG | 280 | 19 | — | — | $57 | $96 | 0.01× | $22,801 |
| AMI discharged alive w CC | MS-DRG | 281 | 19 | — | — | $57 | $96 | 0.01× | $13,154 |
| AMI discharged alive w/o CC/MCC | MS-DRG | 282 | 19 | — | — | $57 | $96 | 0.01× | $10,854 |
| Heart failure & shock w MCC | MS-DRG | 291 | 19 | — | — | $57 | $96 | 0.01× | $20,199 |
| Heart failure & shock w CC | MS-DRG | 292 | 19 | — | — | $57 | $96 | 0.01× | $15,669 |
| Heart failure & shock w/o CC/MCC | MS-DRG | 293 | 19 | — | — | $57 | $96 | 0.02× | $11,015 |
| Cardiac arrhythmia w MCC | MS-DRG | 308 | 19 | — | — | $57 | $96 | 0.01× | $15,537 |
| Cardiac arrhythmia w CC | MS-DRG | 309 | 19 | — | — | $57 | $96 | 0.01× | $10,578 |
| Cardiac arrhythmia w/o CC/MCC | MS-DRG | 310 | 19 | — | — | $57 | $96 | 0.02× | $8,307.52 |
| GI hemorrhage w CC | MS-DRG | 378 | 19 | — | — | $57 | $96 | 0.01× | $15,841 |
| GI hemorrhage w/o CC/MCC | MS-DRG | 379 | 19 | — | — | $57 | $96 | 0.01× | $10,060 |
| Esophagitis/gastroenteritis w/o MCC | MS-DRG | 392 | 19 | — | — | $57 | $96 | 0.01× | $10,936 |
| Fractures of femur w/o MCC | MS-DRG | 533 | 19 | — | — | $57 | $96 | 0.01× | $24,204 |
| Kidney/UTI w MCC | MS-DRG | 689 | 19 | — | — | $57 | $96 | 0.01× | $15,508 |
| Kidney/UTI w/o MCC | MS-DRG | 690 | 19 | — | — | $57 | $96 | 0.01× | $10,801 |
| Septicemia or severe sepsis w MV 96+ hrs | MS-DRG | 871 | 19 | — | — | $57 | $96 | 0.01× | $24,728 |
| Septicemia or severe sepsis w/o MV 96+ hrs | MS-DRG | 872 | 19 | — | — | $57 | $96 | 0.01× | $13,642 |
| Initial hospital care, low complexity | CPT | 99221 | 19 | $278 | $136.22 | $37.25 | $143.04 | 1.5× | $272.44 |
| Initial hospital care, moderate complexity | CPT | 99222 | 19 | $378 | $185.22 | $5 | $75.95 | 0.45× | $370.44 |
| Initial hospital care, high complexity | CPT | 99223 | 19 | $557 | $272.93 | $194.95 | $534.72 | 2.4× | $545.86 |
| Hospital discharge, <30 min | CPT | 99238 | 19 | $202 | $98.98 | $50 | $176.4 | 2.1× | $197.96 |
| Hospital discharge, >30 min | CPT | 99239 | 19 | $296 | $145.04 | $103.6 | $284.16 | 2.3× | $290.08 |
| lab |
| Basic metabolic panel (BMP) | CPT | 80048 | 19 | $275 | $134.75 | $8.46 | $25.48 | 0.79× | $269.5 |
| General health panel | CPT | 80050 | 19 | $809 | $396.41 | $32.2 | $135.4 | 1.3× | $792.82 |
| Electrolyte panel | CPT | 80051 | 19 | $177 | $86.73 | $7.01 | $21.56 | 0.91× | $173.46 |
| Comprehensive metabolic panel | CPT | 80053 | 19 | $351 | $171.99 | $10.56 | $31.36 | 0.71× | $343.98 |
| Lipid panel | CPT | 80061 | 19 | $302 | $147.98 | $4.3 | $39.36 | 1.0× | $295.96 |
| Renal function panel | CPT | 80069 | 19 | $364 | $178.36 | $8.68 | $26.46 | 0.97× | $356.72 |
| Hepatic function panel | CPT | 80076 | 19 | $304 | $148.96 | $8.17 | $24.5 | 0.92× | $297.92 |
| Urinalysis non-automated | CPT | 81002 | 19 | $90 | $44.1 | $3.44 | $40.08 | 5.8× | $88.2 |
| Urinalysis automated | CPT | 81003 | 19 | $64 | $31.36 | $2.25 | $6.86 | 0.49× | $62.72 |
| Glucose quantitative | CPT | 82947 | 19 | $86 | $42.14 | $1.29 | $3.97 | 0.23× | $84.28 |
| Hemoglobin A1c | CPT | 83036 | 19 | $138 | $67.62 | $9.71 | $29.4 | 1.1× | $135.24 |
| Thyroid stimulating hormone (TSH) | CPT | 84443 | 19 | $176 | $86.24 | $16.8 | $49.98 | 1.1× | $172.48 |
| Complete blood count with automated differential | CPT | 85025 | 19 | $194 | $95.06 | $6.45 | $14.7 | 0.55× | $190.12 |
| Complete blood count without differential | CPT | 85027 | 19 | $141 | $69.09 | $6.47 | $19.6 | 0.91× | $138.18 |
| Urine culture bacterial | CPT | 87086 | 19 | $213 | $104.37 | $8.07 | $24.5 | 1.1× | $208.74 |
| Urine culture identification | CPT | 87088 | 19 | $126 | $61.74 | $8.09 | $24.25 | 1.1× | $123.48 |
| Tissue exam by pathologist level IV | CPT | 88305 | 19 | $402 | $196.98 | $140.7 | $385.92 | 3.8× | $393.96 |
| maternity |
| Fetal non-stress test | CPT | 59025 | 19 | $431 | $211.19 | $32.75 | $139.62 | 0.74× | $422.38 |
| Vaginal delivery only | CPT | 59409 | 19 | $2,114 | $1,035.86 | $193.55 | $534.98 | 0.24× | $2,071.72 |
| office |
| Office visit, new patient, 15-29 min | CPT | 99202 | 19 | $276 | $135.24 | $71.4 | $195.84 | 2.3× | $270.48 |
| Office visit, new patient, 30-44 minutes | CPT | 99203 | 19 | $364 | $178.36 | $109.71 | $301.44 | 2.5× | $356.72 |
| Office visit, new patient, 45-59 min | CPT | 99204 | 19 | $553 | $270.97 | $147.27 | $451.2 | 2.6× | $541.94 |
| Office visit, new patient, 60-74 min | CPT | 99205 | 19 | $685 | $335.65 | $199.65 | $597.12 | 2.7× | $671.3 |
| Office visit, established patient, 5 min | CPT | 99211 | 19 | $102 | $49.98 | $22.75 | $63.7 | 0.99× | $99.96 |
| Office visit, established patient, 10-19 min | CPT | 99212 | 19 | $158 | $77.42 | $28.7 | $87.21 | 1.1× | $154.84 |
| Office visit, established patient, 20-29 minutes | CPT | 99213 | 19 | $431 | $211.19 | $30.1 | $190.9 | 1.7× | $422.38 |
| Office visit, established patient, 30-39 minutes | CPT | 99214 | 19 | $474 | $232.26 | $33.95 | $209.94 | 1.4× | $464.52 |
| Office visit, established patient, 40-54 min | CPT | 99215 | 19 | $511 | $250.39 | $36.05 | $279.36 | 1.5× | $500.78 |
| preventive |
| Upper GI endoscopy diagnostic | CPT | 43235 | 19 | $2,433 | $1,192.17 | $300.65 | $846.69 | 0.92× | $2,384.34 |
| Upper GI endoscopy with biopsy | CPT | 43239 | 19 | $2,480 | $1,215.2 | $275 | $1,056 | 1.1× | $2,430.4 |
| Sigmoidoscopy diagnostic | CPT | 45330 | 19 | $535 | $262.15 | $53.9 | $169.09 | 0.20× | $524.3 |
| Sigmoidoscopy with biopsy | CPT | 45331 | 19 | $2,228 | $1,091.72 | $292.6 | $802.56 | 0.90× | $2,183.44 |
| Colonoscopy diagnostic | CPT | 45378 | 19 | $2,352 | $1,152.48 | $262.5 | $936.96 | 1.1× | $2,304.96 |
| Colonoscopy with biopsy | CPT | 45380 | 19 | $3,163 | $1,549.87 | $440.65 | $1,208.64 | 1.00× | $3,099.74 |
| Colonoscopy with polyp removal | CPT | 45385 | 19 | $2,281 | $1,117.69 | $458.5 | $1,257.6 | 1.0× | $2,235.38 |
| surgery |
| PCI w drug-eluting stent w MCC | MS-DRG | 246 | 19 | — | — | $57 | $96 | 0.00× | $43,882 |
| PCI w drug-eluting stent w/o MCC | MS-DRG | 247 | 19 | — | — | $57 | $96 | 0.01× | $29,031 |
| Total knee replacement | CPT | 27447 | 19 | $3,488 | $1,709.12 | $1,220.8 | $3,348.48 | 0.80× | $3,418.24 |
| Major small/large bowel procedures w MCC | MS-DRG | 329 | 19 | — | — | $57 | $96 | 0.00× | $57,803 |
| Major small/large bowel procedures w CC | MS-DRG | 330 | 19 | — | — | $57 | $96 | 0.00× | $35,249 |
| Major small/large bowel procedures w/o CC/MCC | MS-DRG | 331 | 19 | — | — | $57 | $96 | 0.01× | $25,977 |
| Laparoscopic cholecystectomy w/o CDE w MCC | MS-DRG | 418 | 19 | — | — | $57 | $96 | 0.01× | $24,255 |
| Laparoscopic cholecystectomy w/o CDE w CC | MS-DRG | 419 | 19 | — | — | $57 | $96 | 0.01× | $19,281 |
| Laparoscopic cholecystectomy w/o CDE w/o CC/MCC | MS-DRG | 420 | 19 | — | — | $57 | $96 | 0.00× | $60,210 |
| Open appendectomy | CPT | 44950 | 19 | $1,730 | $847.7 | $605.5 | $1,660.8 | 1.5× | $1,695.4 |
| Laparoscopic appendectomy | CPT | 44970 | 19 | $1,627 | $797.23 | $569.45 | $1,561.92 | 1.0× | $1,594.46 |
| Spinal fusion (non-cervical) w MCC | MS-DRG | 459 | 19 | — | — | $57 | $96 | 0.00× | $81,034 |
| Spinal fusion (non-cervical) w/o MCC | MS-DRG | 460 | 19 | — | — | $57 | $96 | 0.00× | $53,774 |
| Major joint replacement w MCC | MS-DRG | 469 | 19 | — | — | $57 | $96 | 0.00× | $44,475 |
| Major joint replacement w/o MCC | MS-DRG | 470 | 19 | — | — | $57 | $96 | 0.01× | $33,538 |
| Laparoscopic cholecystectomy | CPT | 47562 | 19 | $1,780 | $872.2 | $623 | $1,708.8 | 0.96× | $1,744.4 |
| Lap cholecystectomy with cholangiography | CPT | 47563 | 19 | $1,937 | $949.13 | $677.95 | $1,859.52 | 0.99× | $1,898.26 |
| Hip & femur procedures except major joint w MCC | MS-DRG | 480 | 19 | — | — | $57 | $96 | 0.00× | $47,799 |
| Hip & femur procedures except major joint w CC | MS-DRG | 481 | 19 | — | — | $57 | $96 | 0.00× | $34,989 |
| Hip & femur procedures except major joint w/o CC/MCC | MS-DRG | 482 | 19 | — | — | $57 | $96 | 0.01× | $24,654 |
| Open umbilical hernia repair | CPT | 49560 | 19 | $1,990 | $975.1 | $696.5 | $1,910.4 | 1.0× | $1,950.2 |
| Umbilical hernia repair age 5+ | CPT | 49585 | 19 | $1,214 | $594.86 | $424.9 | $1,165.44 | 0.89× | $1,189.72 |
| Lap inguinal hernia repair | CPT | 49650 | 19 | $1,172 | $574.28 | $410.2 | $1,125.12 | 1.0× | $1,148.56 |
| Lap-assisted vaginal hysterectomy >250g | CPT | 58552 | 19 | $2,715 | $1,330.35 | $950.25 | $2,606.4 | 1.2× | $2,660.7 |
| OR procedure for obesity w MCC | MS-DRG | 619 | 19 | — | — | $57 | $96 | 0.00× | $43,204 |
| OR procedure for obesity w CC | MS-DRG | 620 | 19 | — | — | $57 | $96 | 0.01× | $25,332 |
| OR procedure for obesity w/o CC/MCC | MS-DRG | 621 | 19 | — | — | $57 | $96 | 0.01× | $24,454 |
| Uterine & adnexa procedures w CC/MCC | MS-DRG | 743 | 19 | — | — | $57 | $96 | 0.01× | $15,158 |
| Uterine & adnexa procedures w/o CC/MCC | MS-DRG | 744 | 19 | — | — | $57 | $96 | 0.01× | $16,058 |