| behavioral |
| Psychoses | MS-DRG | 885 | 12 | — | — | $1,519 | $10,352 | 0.81× | $17,080 |
| Psychiatric diagnostic evaluation | CPT | 90791 | 16 | $198 | $61.38 | $94.84 | $148.34 | 0.84× | $252.18 |
| Psychiatric eval with medical services | CPT | 90792 | 16 | $198 | $61.38 | $102.49 | $155.76 | 0.90× | $264.46 |
| Psychotherapy 30 minutes | CPT | 90832 | 16 | $198 | $61.38 | $46.94 | $148.34 | 1.00× | $252.18 |
| Psychotherapy 45 minutes | CPT | 90834 | 16 | $198 | $61.38 | $62.66 | $148.34 | 0.92× | $252.18 |
| Psychotherapy 60 minutes | CPT | 90837 | 16 | $266 | $82.46 | $93.67 | $148.34 | 0.78× | $253.37 |
| Crisis psychotherapy 60 minutes | CPT | 90839 | 11 | — | — | $128.09 | $148.34 | 0.93× | $252.18 |
| emergency |
| ED visit level 1 | CPT | 99281 | 14 | $233 | $72.23 | $10.67 | $115.85 | 0.83× | $700 |
| ED visit level 2 | CPT | 99282 | 16 | $411.66 | $127.62 | $24.71 | $146.21 | 0.62× | $700 |
| ED visit level 3 | CPT | 99283 | 16 | $671.95 | $208.31 | $47.4 | $255.64 | 0.63× | $700 |
| ED visit level 4 | CPT | 99284 | 16 | $1,236.39 | $383.29 | $74.05 | $393.14 | 0.59× | $1,177.66 |
| ED visit level 5 | CPT | 99285 | 16 | $1,840.33 | $570.51 | $116.04 | $566.05 | 0.54× | $1,752.91 |
| Critical care, first hour | CPT | 99291 | 16 | $2,562.71 | $794.45 | $157.68 | $754.16 | 0.70× | $2,440.98 |
| imaging |
| CT head without contrast | CPT | 70450 | 16 | $2,249.64 | $697.39 | $37.47 | $146.95 | 0.71× | $2,142.78 |
| CT head with contrast | CPT | 70460 | 14 | $2,515.74 | $779.88 | $49.66 | $164.36 | 0.70× | $2,396.24 |
| CT head with and without contrast | CPT | 70470 | 14 | $3,388.72 | $1,050.51 | $55.9 | $164.36 | 0.62× | $3,227.76 |
| CT neck with contrast | CPT | 70491 | 14 | $2,493.67 | $773.04 | $60.59 | $164.44 | 0.60× | $2,375.22 |
| MRI brain without contrast | CPT | 70551 | 14 | $3,399 | $1,053.69 | $64.98 | $223.17 | 0.55× | $3,237.55 |
| MRI brain with contrast | CPT | 70552 | 14 | $3,183.06 | $986.75 | $78.38 | $329.72 | 0.69× | $3,031.86 |
| MRI brain with and without contrast | CPT | 70553 | 14 | $5,851.94 | $1,814.11 | $101.17 | $329.72 | 0.56× | $5,573.97 |
| Chest X-ray single view | CPT | 71045 | 16 | $239.18 | $74.15 | $8.1 | $36.21 | 0.38× | $227.82 |
| Chest X-ray 2 views | CPT | 71046 | 16 | $239.18 | $74.15 | $9.68 | $46.99 | 0.48× | $227.82 |
| Chest X-ray 3 views | CPT | 71047 | 14 | $382.75 | $118.66 | $12.15 | $81.29 | 0.85× | $364.57 |
| CT chest without contrast | CPT | 71250 | 16 | $2,249.64 | $697.39 | $47.47 | $154.64 | 0.72× | $2,142.78 |
| CT chest with contrast | CPT | 71260 | 14 | $3,134.48 | $971.69 | $51.2 | $164.36 | 0.58× | $2,985.59 |
| CT chest with and without contrast | CPT | 71270 | 14 | $560 | $173.6 | $54.97 | $174.42 | 0.60× | $533.4 |
| MRI chest without contrast | CPT | 71550 | 14 | $2,948.66 | $914.09 | $64.33 | $276.55 | 0.64× | $2,808.6 |
| MRI chest with contrast | CPT | 71551 | 14 | $3,179.99 | $985.8 | $75.91 | $729.43 | 0.90× | $3,028.94 |
| MRI chest with and without contrast | CPT | 71552 | 14 | $3,525.27 | $1,092.84 | $99.92 | $413.15 | 0.69× | $3,357.82 |
| Lumbosacral spine X-ray | CPT | 72100 | 16 | $283.2 | $87.8 | $9.96 | $55.35 | 0.54× | $269.75 |
| CT cervical spine without contrast | CPT | 72125 | 14 | $2,724.22 | $844.51 | $43.74 | $116.37 | 0.58× | $2,594.82 |
| CT thoracic spine without contrast | CPT | 72128 | 14 | $2,614.01 | $810.35 | $43.74 | $116.09 | 0.58× | $2,489.84 |
| CT lumbar spine without contrast | CPT | 72131 | 14 | $2,661.43 | $825.05 | $43.74 | $115.81 | 0.57× | $2,535.01 |
| MRI cervical spine without contrast | CPT | 72141 | 16 | $3,402.31 | $1,054.72 | $65.26 | $263.76 | 0.66× | $3,240.7 |
| MRI thoracic spine without contrast | CPT | 72146 | 16 | $3,349.86 | $1,038.46 | $65.26 | $263.76 | 0.71× | $3,190.74 |
| MRI lumbar spine without contrast | CPT | 72148 | 16 | $3,970.18 | $1,230.76 | $65.26 | $265.27 | 0.70× | $3,781.6 |
| MRI lumbar spine with and without contrast | CPT | 72149 | 14 | $4,176.69 | $1,294.78 | $78.97 | $329.72 | 0.73× | $3,978.3 |
| MRI cervical spine with and without contrast | CPT | 72156 | 14 | $5,694.19 | $1,765.2 | $101.46 | $329.72 | 0.61× | $5,423.72 |
| MRI lumbar spine with contrast | CPT | 72158 | 14 | $1,369.77 | $424.63 | $101.46 | $329.72 | 0.60× | $1,304.71 |
| CT pelvis without contrast | CPT | 72192 | 14 | $1,707.08 | $529.2 | $47.8 | $119.3 | 0.60× | $1,625.99 |
| CT pelvis with contrast | CPT | 72193 | 14 | $3,309.14 | $1,025.84 | $50.91 | $200.44 | 0.71× | $3,151.96 |
| Shoulder X-ray | CPT | 73030 | 16 | $295.01 | $91.46 | $8.39 | $48.31 | 0.52× | $281 |
| Humerus X-ray | CPT | 73060 | 16 | $231.66 | $71.82 | $7.17 | $44.49 | 0.50× | $220.66 |
| Hand X-ray 3 views | CPT | 73130 | 16 | $235.78 | $73.1 | $7.78 | $51.66 | 0.56× | $224.58 |
| MRI upper extremity joint without contrast | CPT | 73221 | 16 | $2,176.1 | $674.6 | $59.62 | $279.59 | 0.67× | $2,072.74 |
| MRI upper extremity joint with and without contrast | CPT | 73223 | 14 | $3,894.76 | $1,207.38 | $95.22 | $340.63 | 0.56× | $3,709.76 |
| Knee X-ray 1-2 views | CPT | 73560 | 16 | $297.89 | $92.35 | $7.46 | $47.41 | 0.51× | $283.74 |
| Ankle X-ray 3 views | CPT | 73610 | 16 | $318.75 | $98.82 | $7.78 | $50.58 | 0.55× | $303.61 |
| MRI lower extremity joint without contrast | CPT | 73721 | 16 | $2,191 | $679.21 | $59.62 | $279.59 | 0.60× | $2,086.93 |
| MRI lower extremity joint with and without contrast | CPT | 73723 | 14 | $2,991 | $927.21 | $95.22 | $339.78 | 0.54× | $2,848.93 |
| CT abdomen without contrast | CPT | 74150 | 14 | $2,727.75 | $845.61 | $52.17 | $122.53 | 0.65× | $2,598.18 |
| CT abdomen with contrast | CPT | 74160 | 14 | $3,434.48 | $1,064.69 | $55.9 | $204.29 | 0.71× | $3,271.34 |
| CT abdomen with and without contrast | CPT | 74170 | 14 | $4,109.18 | $1,273.85 | $61.24 | $217.29 | 0.65× | $3,913.99 |
| CT abdomen and pelvis without contrast | CPT | 74176 | 16 | $4,568.64 | $1,416.28 | $76.52 | $223.17 | 0.61× | $4,351.63 |
| CT abdomen and pelvis with contrast | CPT | 74177 | 16 | $6,423.08 | $1,991.16 | $80.55 | $329.72 | 0.60× | $6,117.98 |
| CT abdomen and pelvis with and without contrast | CPT | 74178 | 14 | $7,316.47 | $2,268.11 | $88.39 | $329.72 | 0.57× | $6,968.94 |
| MRI abdomen without contrast | CPT | 74181 | 14 | $3,073.23 | $952.71 | $64.04 | $223.17 | 0.57× | $2,927.25 |
| MRI abdomen with and without contrast | CPT | 74183 | 14 | $4,578.8 | $1,419.43 | $97.12 | $329.72 | 0.58× | $4,361.31 |
| Abdominal ultrasound complete | CPT | 76700 | 16 | $1,615.59 | $500.84 | $35.61 | $101.45 | 0.68× | $1,538.85 |
| Abdominal ultrasound limited | CPT | 76705 | 16 | $450 | $139.5 | $25.93 | $98.18 | 0.67× | $428.63 |
| Retroperitoneal ultrasound complete | CPT | 76770 | 16 | $749.38 | $232.31 | $32.49 | $98.18 | 0.68× | $713.78 |
| Obstetric ultrasound first trimester | CPT | 76801 | 16 | $450 | $139.5 | $43.7 | $103 | 0.73× | $428.63 |
| Obstetric ultrasound after first trimester | CPT | 76805 | 16 | $1,815.64 | $562.85 | $43.98 | $118.05 | 0.77× | $1,729.4 |
| Obstetric ultrasound with fetal anatomy | CPT | 76811 | 14 | $1,965.86 | $609.42 | $75.21 | $223.17 | 0.95× | $1,872.48 |
| Transvaginal ultrasound | CPT | 76830 | 16 | $543.18 | $168.39 | $30.58 | $102.94 | 0.70× | $517.38 |
| Pelvic ultrasound complete | CPT | 76856 | 16 | $1,037.63 | $321.67 | $30.3 | $98.18 | 0.69× | $988.34 |
| Scrotal ultrasound | CPT | 76870 | 14 | $1,210.49 | $375.26 | $28.11 | $98.18 | 0.75× | $1,152.99 |
| Diagnostic mammography unilateral | CPT | 77065 | 14 | $475.33 | $147.36 | $35.61 | $110.24 | 0.74× | $452.75 |
| Diagnostic mammography bilateral | CPT | 77066 | 14 | $595.64 | $184.65 | $43.74 | $138.8 | 0.73× | $567.35 |
| Screening mammography bilateral | CPT | 77067 | 14 | $523.53 | $162.3 | $33.71 | $112.3 | 0.71× | $498.66 |
| EKG complete | CPT | 93000 | 16 | $27 | $8.37 | $11.87 | $19.35 | 0.79× | $25.72 |
| EKG tracing only | CPT | 93005 | 16 | $199.61 | $61.88 | $5.4 | $57.27 | 0.49× | $190.13 |
| EKG interpretation only | CPT | 93010 | 16 | $16 | $4.96 | $6.9 | $9.52 | 0.53× | $15.24 |
| Transthoracic echocardiogram complete | CPT | 93306 | 16 | $1,724.7 | $534.66 | $63.16 | $498.88 | 0.83× | $1,642.78 |
| Transthoracic echocardiogram | CPT | 93307 | 11 | — | — | $40.01 | $118.61 | 0.48× | $379.39 |
| Stress echocardiogram | CPT | 93350 | 11 | — | — | $63.16 | $161.05 | 0.32× | $860.58 |
| inpatient |
| Intracranial hemorrhage/CVA w MCC | MS-DRG | 064 | 12 | — | — | $12,569 | $14,904 | 0.74× | $24,591 |
| Intracranial hemorrhage/CVA w CC | MS-DRG | 065 | 12 | — | — | $6,426.5 | $7,487.36 | 0.70× | $12,354 |
| Intracranial hemorrhage/CVA w/o CC/MCC | MS-DRG | 066 | 12 | — | — | $4,349.42 | $5,124.53 | 0.67× | $8,455.47 |
| Respiratory infections & inflammations w MCC | MS-DRG | 177 | 12 | — | — | $10,215 | $11,581 | 0.75× | $19,109 |
| COPD w MCC | MS-DRG | 190 | 12 | — | — | $7,098.22 | $8,209.18 | 0.73× | $13,545 |
| COPD w CC | MS-DRG | 191 | 12 | — | — | $5,428.72 | $6,247.48 | 0.71× | $10,308 |
| COPD w/o CC/MCC | MS-DRG | 192 | 12 | — | — | $4,089.7 | $4,840.2 | 0.69× | $7,986.33 |
| Simple pneumonia & pleurisy w CC | MS-DRG | 194 | 12 | — | — | $5,181.64 | $5,972.54 | 0.70× | $9,854.69 |
| Simple pneumonia & pleurisy w/o CC/MCC | MS-DRG | 195 | 12 | — | — | $3,935.52 | $4,749.66 | 0.71× | $7,836.94 |
| AMI discharged alive w MCC | MS-DRG | 280 | 12 | — | — | $10,373 | $11,888 | 0.76× | $19,615 |
| AMI discharged alive w CC | MS-DRG | 281 | 12 | — | — | $5,824.93 | $6,811.49 | 0.70× | $11,239 |
| AMI discharged alive w/o CC/MCC | MS-DRG | 282 | 12 | — | — | $4,581.96 | $5,384.06 | 0.69× | $8,883.7 |
| Heart failure & shock w MCC | MS-DRG | 291 | 12 | — | — | $8,245.76 | $9,514.28 | 0.74× | $15,699 |
| Heart failure & shock w CC | MS-DRG | 292 | 12 | — | — | $5,442.62 | $6,291.95 | 0.70× | $10,382 |
| Heart failure & shock w/o CC/MCC | MS-DRG | 293 | 12 | — | — | $3,469.17 | $4,330.54 | 0.70× | $7,145.39 |
| Cardiac arrhythmia w MCC | MS-DRG | 308 | 12 | — | — | $7,620.81 | $8,922.88 | 0.74× | $14,723 |
| Cardiac arrhythmia w CC | MS-DRG | 309 | 12 | — | — | $4,671.69 | $5,468.55 | 0.70× | $9,023.11 |
| Cardiac arrhythmia w/o CC/MCC | MS-DRG | 310 | 12 | — | — | $3,535.52 | $4,331.2 | 0.70× | $7,146.48 |
| GI hemorrhage w CC | MS-DRG | 378 | 12 | — | — | $6,229.98 | $7,268 | 0.73× | $11,992 |
| GI hemorrhage w/o CC/MCC | MS-DRG | 379 | 12 | — | — | $4,022.73 | $4,762.41 | 0.70× | $7,857.98 |
| Esophagitis/gastroenteritis w/o MCC | MS-DRG | 392 | 12 | — | — | $4,930.78 | $5,777.64 | 0.72× | $9,533.11 |
| Fractures of femur w/o MCC | MS-DRG | 533 | 12 | — | — | $9,635.33 | $11,618 | 0.76× | $19,170 |
| Kidney/UTI w MCC | MS-DRG | 689 | 12 | — | — | $7,395.85 | $8,599 | 0.74× | $14,188 |
| Kidney/UTI w/o MCC | MS-DRG | 690 | 12 | — | — | $5,071.69 | $5,999.2 | 0.72× | $9,898.68 |
| Septicemia or severe sepsis w MV 96+ hrs | MS-DRG | 871 | 12 | — | — | $12,400 | $14,396 | 0.77× | $23,753 |
| Septicemia or severe sepsis w/o MV 96+ hrs | MS-DRG | 872 | 12 | — | — | $6,514.97 | $7,583.71 | 0.73× | $12,513 |
| Initial hospital care, low complexity | CPT | 99221 | 16 | $155 | $48.05 | $51.66 | $76.47 | 0.82× | $147.64 |
| Initial hospital care, moderate complexity | CPT | 99222 | 16 | $245 | $75.95 | $85.6 | $120.67 | 0.71× | $233.36 |
| Initial hospital care, high complexity | CPT | 99223 | 16 | $325 | $100.75 | $119.25 | $160.91 | 0.72× | $309.56 |
| Hospital discharge, <30 min | CPT | 99238 | 16 | $151 | $46.81 | $53.44 | $74.76 | 0.87× | $143.83 |
| Hospital discharge, >30 min | CPT | 99239 | 16 | $213 | $66.03 | $72.89 | $105.76 | 0.87× | $202.88 |
| lab |
| Basic metabolic panel (BMP) | CPT | 80048 | 16 | $225.58 | $69.93 | $7.78 | $156.46 | 4.8× | $214.86 |
| General health panel | CPT | 80050 | 5 | — | — | $36 | $44.93 | 0.42× | $44.93 |
| Electrolyte panel | CPT | 80051 | 16 | $189.59 | $58.78 | $6.45 | $131.5 | 5.5× | $180.58 |
| Comprehensive metabolic panel | CPT | 80053 | 16 | $242 | $75.02 | $9.72 | $167.85 | 3.8× | $230.51 |
| Lipid panel | CPT | 80061 | 16 | $183.21 | $56.8 | $12.32 | $67.07 | 1.8× | $174.51 |
| Renal function panel | CPT | 80069 | 16 | $286.59 | $88.85 | $7.99 | $198.78 | 7.3× | $272.98 |
| Hepatic function panel | CPT | 80076 | 16 | $247.53 | $76.74 | $7.52 | $171.69 | 6.5× | $235.77 |
| Urinalysis non-automated | CPT | 81002 | 16 | $50 | $15.5 | $3.2 | $34.68 | 5.0× | $47.63 |
| Urinalysis automated | CPT | 81003 | 16 | $40 | $12.4 | $2.07 | $27.74 | 2.0× | $38.1 |
| Glucose quantitative | CPT | 82947 | 16 | $84 | $26.04 | $3.62 | $8.29 | 0.47× | $80.01 |
| Hemoglobin A1c | CPT | 83036 | 16 | $344.27 | $106.73 | $8.93 | $70.84 | 2.6× | $327.92 |
| Thyroid stimulating hormone (TSH) | CPT | 84443 | 16 | $276.38 | $85.68 | $15.46 | $191.7 | 4.1× | $263.25 |
| Complete blood count with automated differential | CPT | 85025 | 16 | $75 | $23.25 | $7.15 | $16.58 | 0.63× | $71.44 |
| Complete blood count without differential | CPT | 85027 | 16 | $171.14 | $53.06 | $5.95 | $118.7 | 5.5× | $163.01 |
| Urine culture bacterial | CPT | 87086 | 16 | $61 | $18.91 | $7.42 | $17.33 | 0.74× | $58.1 |
| Urine culture identification | CPT | 87088 | 16 | $70 | $21.7 | $7.44 | $8.09 | 0.36× | $66.68 |
| Tissue exam by pathologist level IV | CPT | 88305 | 14 | $262.15 | $81.27 | $30.37 | $64 | 0.63× | $249.7 |
| maternity |
| Fetal non-stress test | CPT | 59025 | 14 | $511.08 | $158.44 | $17.32 | $170.87 | 0.91× | $486.8 |
| Routine obstetric care including vaginal delivery | CPT | 59400 | 14 | $4,515 | $1,399.65 | $2,046.7 | $2,280.29 | 0.99× | $4,300.54 |
| Vaginal delivery only | CPT | 59409 | 16 | $6,255.42 | $1,939.19 | $742.21 | $2,935.53 | 1.3× | $5,958.29 |
| Vaginal delivery with postpartum | CPT | 59410 | 16 | $2,031 | $629.61 | $900 | $1,002.27 | 0.94× | $1,934.53 |
| Routine obstetric care with C-section | CPT | 59510 | 14 | $5,022 | $1,556.82 | $2,274.54 | $2,534.13 | 1.0× | $4,783.46 |
| C-section delivery only | CPT | 59514 | 16 | $851 | $263.81 | $641.31 | $841.6 | 0.88× | $1,430.71 |
| C-section with postpartum | CPT | 59515 | 16 | $2,519 | $780.89 | $900 | $1,241.86 | 0.98× | $2,399.35 |
| office |
| Office visit, new patient, 15-29 min | CPT | 99202 | 16 | $133 | $41.23 | $39.73 | $65.06 | 0.75× | $126.68 |
| Office visit, new patient, 30-44 minutes | CPT | 99203 | 16 | $206 | $63.86 | $60.57 | $102.15 | 0.83× | $196.22 |
| Office visit, new patient, 45-59 min | CPT | 99204 | 16 | $310 | $96.1 | $102.79 | $153.88 | 0.88× | $295.28 |
| Office visit, new patient, 60-74 min | CPT | 99205 | 16 | $410 | $127.1 | $131.98 | $203.53 | 0.92× | $390.53 |
| Office visit, established patient, 5 min | CPT | 99211 | 16 | $42 | $13.02 | $7.48 | $20.59 | 0.32× | $40.01 |
| Office visit, established patient, 10-19 min | CPT | 99212 | 16 | $104 | $32.24 | $20.41 | $51.07 | 0.64× | $99.06 |
| Office visit, established patient, 20-29 minutes | CPT | 99213 | 16 | $168 | $52.08 | $40.36 | $83.3 | 0.73× | $160.02 |
| Office visit, established patient, 30-39 minutes | CPT | 99214 | 16 | $237 | $73.47 | $61.98 | $117.6 | 0.77× | $225.74 |
| Office visit, established patient, 40-54 min | CPT | 99215 | 16 | $335 | $103.85 | $87.17 | $165.42 | 0.88× | $319.09 |
| preventive |
| Upper GI endoscopy diagnostic | CPT | 43235 | 16 | $514 | $159.34 | $112.17 | $387.35 | 0.42× | $1,471.54 |
| Upper GI endoscopy with biopsy | CPT | 43239 | 16 | $668 | $207.08 | $126.15 | $503.4 | 0.52× | $1,471.54 |
| Sigmoidoscopy diagnostic | CPT | 45330 | 16 | $329 | $101.99 | $47.58 | $247.93 | 0.29× | $1,430.97 |
| Sigmoidoscopy with biopsy | CPT | 45331 | 16 | $503 | $155.93 | $66.28 | $379.06 | 0.42× | $1,430.97 |
| Colonoscopy diagnostic | CPT | 45378 | 16 | $613 | $190.03 | $84.75 | $177.38 | 0.20× | $1,859 |
| Colonoscopy with biopsy | CPT | 45380 | 16 | $776 | $240.56 | $183.78 | $584.79 | 0.48× | $2,326 |
| Colonoscopy with polyp removal | CPT | 45385 | 16 | $820 | $254.2 | $231.88 | $617.95 | 0.51× | $2,326 |
| surgery |
| Total shoulder arthroplasty | CPT | 23472 | 16 | $2,683 | $831.73 | $1,143.49 | $2,021.91 | 0.49× | $28,864 |
| Hip hemiarthroplasty | CPT | 27125 | 16 | $2,103 | $651.93 | $914.33 | $1,046.28 | 0.84× | $2,003.11 |
| Total hip replacement | CPT | 27130 | 16 | $2,387 | $739.97 | $1,186.99 | $1,798.84 | 0.41× | $20,195 |
| Total knee replacement | CPT | 27447 | 16 | $2,383 | $738.73 | $1,185.56 | $1,795.83 | 0.43× | $20,195 |
| Knee revision arthroplasty single component | CPT | 27486 | 16 | $2,607 | $808.17 | $1,162.27 | $1,297.51 | 0.77× | $2,483.17 |
| Knee revision arthroplasty all components | CPT | 27487 | 16 | $3,254 | $1,008.74 | $1,488.36 | $1,617.79 | 0.81× | $3,099.44 |
| Shoulder arthroscopy with decompression | CPT | 29826 | 16 | $319 | $98.89 | $146.02 | $238.08 | 0.73× | $610.22 |
| Shoulder arthroscopy with rotator cuff repair | CPT | 29827 | 16 | $1,986 | $615.66 | $787.23 | $1,496.65 | 0.45× | $11,212 |
| Knee arthroscopy with meniscectomy | CPT | 29881 | 16 | $1,008 | $312.48 | $501.63 | $759.63 | 0.37× | $5,092.55 |
| ACL reconstruction | CPT | 29888 | 16 | $1,812 | $561.72 | $899.76 | $1,365.52 | 0.41× | $11,212 |
| Major small/large bowel procedures w MCC | MS-DRG | 329 | 12 | — | — | $29,015 | $34,065 | 0.79× | $56,207 |
| Major small/large bowel procedures w CC | MS-DRG | 330 | 12 | — | — | $14,936 | $17,766 | 0.77× | $29,313 |
| Major small/large bowel procedures w/o CC/MCC | MS-DRG | 331 | 12 | — | — | $10,433 | $12,472 | 0.76× | $20,579 |
| CABG single arterial graft | CPT | 33533 | 11 | — | — | $1,575.63 | $1,712.64 | 0.91× | $2,911.5 |
| CABG 2 arterial grafts | CPT | 33534 | 11 | — | — | $1,851.74 | $2,012.76 | 0.94× | $3,421.69 |
| CABG 3 arterial grafts | CPT | 33535 | 11 | — | — | $2,058.6 | $2,237.6 | 0.98× | $3,803.93 |
| CABG 4+ arterial grafts | CPT | 33536 | 11 | — | — | $2,218.39 | $2,411.29 | 0.99× | $4,099.19 |
| Laparoscopic cholecystectomy w/o CDE w MCC | MS-DRG | 418 | 12 | — | — | $10,480 | $12,536 | 0.76× | $20,685 |
| Laparoscopic cholecystectomy w/o CDE w CC | MS-DRG | 419 | 12 | — | — | $8,326.02 | $10,122 | 0.75× | $16,701 |
| Laparoscopic cholecystectomy w/o CDE w/o CC/MCC | MS-DRG | 420 | 12 | — | — | $22,301 | $25,250 | 0.78× | $41,663 |
| Open appendectomy | CPT | 44950 | 16 | $1,202 | $372.62 | $443.78 | $905.83 | 0.80× | $9,793.55 |
| Laparoscopic appendectomy | CPT | 44970 | 16 | $1,126 | $349.06 | $395.19 | $848.55 | 0.54× | $9,157.27 |
| Major joint replacement w MCC | MS-DRG | 469 | 12 | — | — | $20,654 | $22,479 | 0.76× | $37,091 |
| Major joint replacement w/o MCC | MS-DRG | 470 | 12 | — | — | $11,915 | $14,295 | 0.76× | $23,587 |
| Laparoscopic cholecystectomy | CPT | 47562 | 16 | $1,235 | $382.85 | $522.64 | $930.7 | 0.52× | $9,157.27 |
| Lap cholecystectomy with cholangiography | CPT | 47563 | 16 | $1,343 | $416.33 | $562.24 | $1,012.08 | 0.54× | $9,157.27 |
| Hip & femur procedures except major joint w MCC | MS-DRG | 480 | 12 | — | — | $18,584 | $21,583 | 0.77× | $35,612 |
| Hip & femur procedures except major joint w CC | MS-DRG | 481 | 12 | — | — | $13,111 | $15,522 | 0.76× | $25,612 |
| Hip & femur procedures except major joint w/o CC/MCC | MS-DRG | 482 | 12 | — | — | $10,025 | $12,087 | 0.76× | $19,944 |
| Lap inguinal hernia repair | CPT | 49650 | 16 | $809 | $250.79 | $302.13 | $609.66 | 0.54× | $9,157.27 |
| Total abdominal hysterectomy | CPT | 58150 | 16 | $1,905 | $590.55 | $695.52 | $943.14 | 0.97× | $1,814.51 |
| Vaginal hysterectomy | CPT | 58260 | 16 | $1,600 | $496 | $636.38 | $1,205.76 | 0.66× | $7,747.97 |
| Lap-assisted vaginal hysterectomy | CPT | 58550 | 16 | $1,883 | $583.73 | $649.94 | $1,419.03 | 0.96× | $9,157.27 |
| Lap-assisted vaginal hysterectomy >250g | CPT | 58552 | 11 | — | — | $909.38 | $9,612.26 | 4.3× | $16,341 |
| Lap salpingo-oophorectomy | CPT | 58661 | 16 | $1,225 | $379.75 | $503.77 | $923.16 | 0.45× | $9,157.27 |
| OR procedure for obesity w MCC | MS-DRG | 619 | 12 | — | — | $17,228 | $21,399 | 0.79× | $35,308 |
| OR procedure for obesity w CC | MS-DRG | 620 | 12 | — | — | $10,091 | $11,860 | 0.73× | $19,569 |
| OR procedure for obesity w/o CC/MCC | MS-DRG | 621 | 12 | — | — | $9,236.59 | $11,179 | 0.74× | $18,445 |
| Complex cataract surgery | CPT | 66982 | 11 | — | — | $668.35 | $2,105.71 | 0.95× | $3,579.7 |
| Cataract surgery with lens implant | CPT | 66984 | 11 | — | — | $487.46 | $2,105.71 | 0.96× | $3,579.7 |
| Intravitreal injection | CPT | 67028 | 11 | — | — | $83.6 | $306.24 | 0.89× | $520.6 |
| Vitrectomy mechanical | CPT | 67042 | 11 | — | — | $1,024.72 | $3,714.15 | 1.5× | $6,314.05 |
| Uterine & adnexa procedures w CC/MCC | MS-DRG | 743 | 12 | — | — | $7,574.05 | $9,194.87 | 0.75× | $15,172 |
| Uterine & adnexa procedures w/o CC/MCC | MS-DRG | 744 | 12 | — | — | $12,347 | $15,186 | 0.79× | $25,057 |
| PCI single major coronary artery | CPT | 92920 | 11 | — | — | $481.19 | $5,263.99 | 0.93× | $8,948.78 |
| PCI with drug-eluting stent | CPT | 92928 | 11 | — | — | $534.67 | $10,470 | 1.0× | $17,800 |
| PCI bypass graft | CPT | 92937 | 11 | — | — | $534.35 | $10,470 | 0.96× | $17,800 |
| Left heart catheterization | CPT | 93452 | 11 | — | — | $214.32 | $746.84 | 0.24× | $5,657 |
| Coronary angiography with cath | CPT | 93455 | 11 | — | — | $252.84 | $840.67 | 0.27× | $5,048.29 |
| Coronary angiography with bypass cath | CPT | 93458 | 11 | — | — | $266.89 | $868.06 | 0.28× | $5,657 |