| behavioral |
| Psychiatric diagnostic evaluation | CPT | 90791 | 10 | $260 | $156 | $39 | $39.59 | 0.22× | $228.8 |
| Psychiatric eval with medical services | CPT | 90792 | 10 | $270 | $162 | $40.5 | $41.11 | 0.24× | $237.6 |
| Psychotherapy 45 minutes | CPT | 90834 | 10 | $230 | $138 | $34.5 | $35.02 | 0.22× | $202.4 |
| Psychotherapy 60 minutes | CPT | 90837 | 10 | $310 | $186 | $46.5 | $47.2 | 0.25× | $272.8 |
| emergency |
| ED visit level 1 | CPT | 99281 | 10 | $236 | $141.6 | $35.4 | $40.48 | 0.29× | $207.68 |
| ED visit level 2 | CPT | 99282 | 10 | $465 | $279 | $69.75 | $79.75 | 0.34× | $409.2 |
| ED visit level 3 | CPT | 99283 | 10 | $630 | $378 | $94.5 | $108.05 | 0.27× | $554.4 |
| ED visit level 4 | CPT | 99284 | 10 | $2,909 | $1,745.4 | $436.35 | $498.9 | 0.75× | $2,559.92 |
| ED visit level 5 | CPT | 99285 | 10 | $4,960 | $2,976 | $277.35 | $751.44 | 0.72× | $4,364.8 |
| imaging |
| CT head without contrast | CPT | 70450 | 10 | $3,011 | $1,806.6 | $451.65 | $456.17 | 2.2× | $2,649.68 |
| CT head with contrast | CPT | 70460 | 10 | $2,629 | $1,577.4 | $394.35 | $398.29 | 1.7× | $2,313.52 |
| CT head with and without contrast | CPT | 70470 | 10 | $3,734 | $2,240.4 | $542 | $565.7 | 2.1× | $3,285.92 |
| CT neck with contrast | CPT | 70491 | 10 | $3,446 | $2,067.6 | $516.9 | $522.07 | 1.9× | $3,032.48 |
| MRI brain without contrast | CPT | 70551 | 10 | $5,342 | $3,205.2 | $760 | $809.31 | 2.0× | $4,700.96 |
| MRI brain with and without contrast | CPT | 70553 | 10 | $7,671 | $4,602.6 | $760 | $1,162.16 | 2.0× | $6,750.48 |
| Chest X-ray single view | CPT | 71045 | 10 | $356 | $213.6 | $53.4 | $54.2 | 0.57× | $313.28 |
| Chest X-ray 2 views | CPT | 71046 | 10 | $419 | $251.4 | $62.85 | $63.8 | 0.65× | $368.72 |
| Chest X-ray 3 views | CPT | 71047 | 10 | $648 | $388.8 | $97.2 | $98.66 | 1.0× | $570.24 |
| CT chest without contrast | CPT | 71250 | 10 | $3,353 | $2,011.8 | $502.95 | $507.98 | 2.4× | $2,950.64 |
| CT chest with contrast | CPT | 71260 | 10 | $4,038 | $2,422.8 | $542 | $611.76 | 2.2× | $3,553.44 |
| CT chest with and without contrast | CPT | 71270 | 10 | $4,833 | $2,899.8 | $542 | $732.2 | 2.5× | $4,253.04 |
| Lumbosacral spine X-ray | CPT | 72100 | 10 | $580 | $348 | $87 | $88.31 | 0.85× | $510.4 |
| CT cervical spine without contrast | CPT | 72125 | 10 | $4,229 | $2,537.4 | $542 | $640.69 | 3.2× | $3,721.52 |
| CT thoracic spine without contrast | CPT | 72128 | 10 | $3,745 | $2,247 | $542 | $567.37 | 2.8× | $3,295.6 |
| CT lumbar spine without contrast | CPT | 72131 | 10 | $3,481 | $2,088.6 | $522.15 | $527.37 | 2.6× | $3,063.28 |
| MRI cervical spine without contrast | CPT | 72141 | 10 | $5,087 | $3,052.2 | $760 | $770.68 | 1.9× | $4,476.56 |
| MRI thoracic spine without contrast | CPT | 72146 | 10 | $5,342 | $3,205.2 | $760 | $809.31 | 2.2× | $4,700.96 |
| MRI lumbar spine without contrast | CPT | 72148 | 10 | $5,089 | $3,053.4 | $760 | $770.98 | 2.0× | $4,478.32 |
| CT pelvis without contrast | CPT | 72192 | 10 | $2,834 | $1,700.4 | $425.1 | $429.35 | 2.1× | $2,493.92 |
| CT pelvis with contrast | CPT | 72193 | 10 | $3,929 | $2,357.4 | $542 | $595.24 | 2.1× | $3,457.52 |
| Shoulder X-ray | CPT | 73030 | 10 | $982 | $589.2 | $73.5 | $148.77 | 1.6× | $864.16 |
| Humerus X-ray | CPT | 73060 | 10 | $982 | $589.2 | $73.5 | $148.77 | 1.7× | $864.16 |
| Hand X-ray 3 views | CPT | 73130 | 10 | $998 | $598.8 | $75.15 | $151.2 | 1.6× | $878.24 |
| MRI upper extremity joint without contrast | CPT | 73221 | 10 | $5,342 | $3,205.2 | $760 | $809.31 | 1.9× | $4,700.96 |
| MRI upper extremity joint with and without contrast | CPT | 73223 | 10 | $5,342 | $3,205.2 | $760 | $809.31 | 1.3× | $4,700.96 |
| Knee X-ray 1-2 views | CPT | 73560 | 10 | $687 | $412.2 | $51.45 | $104.08 | 1.1× | $604.56 |
| Ankle X-ray 3 views | CPT | 73610 | 10 | $1,056 | $633.6 | $79.35 | $159.98 | 1.7× | $929.28 |
| MRI lower extremity joint without contrast | CPT | 73721 | 10 | $5,342 | $3,205.2 | $760 | $809.31 | 1.7× | $4,700.96 |
| CT abdomen without contrast | CPT | 74150 | 10 | $2,555 | $1,533 | $383.25 | $387.08 | 2.1× | $2,248.4 |
| CT abdomen with contrast | CPT | 74160 | 10 | $3,154 | $1,892.4 | $473.1 | $477.83 | 1.7× | $2,775.52 |
| CT abdomen with and without contrast | CPT | 74170 | 10 | $3,761 | $2,256.6 | $542 | $569.79 | 1.7× | $3,309.68 |
| CT abdomen and pelvis without contrast | CPT | 74176 | 10 | $5,488 | $3,292.8 | $542 | $831.43 | 2.3× | $4,829.44 |
| CT abdomen and pelvis with contrast | CPT | 74177 | 10 | $7,079 | $4,247.4 | $542 | $1,072.47 | 2.0× | $6,229.52 |
| CT abdomen and pelvis with and without contrast | CPT | 74178 | 10 | $8,784 | $5,270.4 | $542 | $1,330.78 | 2.3× | $7,729.92 |
| Abdominal ultrasound complete | CPT | 76700 | 10 | $1,359 | $815.4 | $203.85 | $206.91 | 1.4× | $1,195.92 |
| Abdominal ultrasound limited | CPT | 76705 | 10 | $1,107 | $664.2 | $166.05 | $168.54 | 1.2× | $974.16 |
| Retroperitoneal ultrasound complete | CPT | 76770 | 10 | $969 | $581.4 | $145.35 | $147.53 | 1.0× | $852.72 |
| Obstetric ultrasound first trimester | CPT | 76801 | 10 | $1,349 | $809.4 | $202.35 | $205.39 | 1.5× | $1,187.12 |
| Transvaginal ultrasound | CPT | 76830 | 10 | $1,464 | $878.4 | $219.6 | $222.9 | 1.5× | $1,288.32 |
| Pelvic ultrasound complete | CPT | 76856 | 10 | $1,531 | $918.6 | $229.65 | $233.1 | 1.6× | $1,347.28 |
| Scrotal ultrasound | CPT | 76870 | 10 | $1,512 | $907.2 | $226.8 | $230.21 | 1.8× | $1,330.56 |
| Diagnostic mammography unilateral | CPT | 77065 | 10 | $799 | $479.4 | $119.85 | $121.05 | 0.81× | $703.12 |
| Diagnostic mammography bilateral | CPT | 77066 | 10 | $946 | $567.6 | $120 | $143.32 | 0.75× | $832.48 |
| Screening mammography bilateral | CPT | 77067 | 10 | $314 | $188.4 | $7.5 | $47.1 | 0.30× | $276.32 |
| EKG tracing only | CPT | 93005 | 10 | $397 | $238.2 | $59.55 | $60.45 | 0.51× | $349.36 |
| Transthoracic echocardiogram complete | CPT | 93306 | 10 | $3,961 | $2,376.6 | $594.15 | $603.06 | 1.0× | $3,485.68 |
| inpatient |
| Respiratory infections & inflammations w MCC | MS-DRG | 177 | 1 | — | — | $20,828 | $21,376 | 1.4× | $21,924 |
| COPD w MCC | MS-DRG | 190 | 1 | — | — | $14,764 | $15,152 | 1.3× | $15,541 |
| COPD w CC | MS-DRG | 191 | 1 | — | — | $11,236 | $11,531 | 1.3× | $11,827 |
| COPD w/o CC/MCC | MS-DRG | 192 | 1 | — | — | $8,556.72 | $8,781.9 | 1.3× | $9,007.07 |
| Simple pneumonia & pleurisy w CC | MS-DRG | 194 | 1 | — | — | $10,741 | $11,024 | 1.3× | $11,307 |
| AMI discharged alive w MCC | MS-DRG | 280 | 1 | — | — | $21,380 | $21,942 | 1.4× | $22,505 |
| AMI discharged alive w CC | MS-DRG | 281 | 1 | — | — | $12,250 | $12,572 | 1.3× | $12,895 |
| Heart failure & shock w MCC | MS-DRG | 291 | 1 | — | — | $17,111 | $17,561 | 1.4× | $18,011 |
| Heart failure & shock w CC | MS-DRG | 292 | 1 | — | — | $11,316 | $11,613 | 1.3× | $11,911 |
| Heart failure & shock w/o CC/MCC | MS-DRG | 293 | 1 | — | — | $7,543.77 | $7,742.3 | 1.2× | $7,940.82 |
| Cardiac arrhythmia w CC | MS-DRG | 309 | 1 | — | — | $9,805.57 | $10,064 | 1.3× | $10,322 |
| Cardiac arrhythmia w/o CC/MCC | MS-DRG | 310 | 1 | — | — | $7,545.11 | $7,743.67 | 1.2× | $7,942.22 |
| GI hemorrhage w CC | MS-DRG | 378 | 1 | — | — | $13,071 | $13,415 | 1.3× | $13,759 |
| GI hemorrhage w/o CC/MCC | MS-DRG | 379 | 1 | — | — | $8,402.11 | $8,623.22 | 1.3× | $8,844.33 |
| Esophagitis/gastroenteritis w/o MCC | MS-DRG | 392 | 1 | — | — | $10,391 | $10,664 | 1.3× | $10,938 |
| Kidney/UTI w MCC | MS-DRG | 689 | 1 | — | — | $15,465 | $15,872 | 1.4× | $16,279 |
| Kidney/UTI w/o MCC | MS-DRG | 690 | 1 | — | — | $10,789 | $11,073 | 1.3× | $11,357 |
| Septicemia or severe sepsis w MV 96+ hrs | MS-DRG | 871 | 1 | — | — | $25,890 | $26,571 | 1.4× | $27,253 |
| Septicemia or severe sepsis w/o MV 96+ hrs | MS-DRG | 872 | 1 | — | — | $13,639 | $13,998 | 1.3× | $14,357 |
| lab |
| Basic metabolic panel (BMP) | CPT | 80048 | 10 | $248 | $148.8 | $8.46 | $37.57 | 1.2× | $218.24 |
| Comprehensive metabolic panel | CPT | 80053 | 10 | $288 | $172.8 | $10.56 | $43.63 | 0.98× | $253.44 |
| Lipid panel | CPT | 80061 | 10 | $454 | $272.4 | $13.39 | $68.78 | 1.8× | $399.52 |
| Renal function panel | CPT | 80069 | 10 | $392 | $235.2 | $8.68 | $59.39 | 2.2× | $344.96 |
| Hepatic function panel | CPT | 80076 | 10 | $349 | $209.4 | $52.35 | $53.14 | 2.0× | $307.12 |
| Urinalysis non-automated | CPT | 81002 | 10 | $23 | $13.8 | $3.45 | $3.5 | 0.50× | $20.24 |
| Urinalysis automated | CPT | 81003 | 10 | $63 | $37.8 | $2.25 | $9.54 | 0.68× | $55.44 |
| Glucose quantitative | CPT | 82947 | 10 | $218 | $130.8 | $3.93 | $33.03 | 1.9× | $191.84 |
| Hemoglobin A1c | CPT | 83036 | 10 | $134 | $80.4 | $9.71 | $20.3 | 0.75× | $117.92 |
| Thyroid stimulating hormone (TSH) | CPT | 84443 | 10 | $307 | $184.2 | $16.8 | $46.51 | 0.98× | $270.16 |
| Complete blood count with automated differential | CPT | 85025 | 10 | $137 | $82.2 | $7.77 | $20.76 | 0.78× | $120.56 |
| Complete blood count without differential | CPT | 85027 | 10 | $107 | $64.2 | $16.05 | $16.29 | 0.75× | $94.16 |
| Urine culture bacterial | CPT | 87086 | 10 | $235 | $141 | $35.25 | $35.78 | 1.5× | $206.8 |
| office |
| Office visit, established patient, 5 min | CPT | 99211 | 10 | $689 | $413.4 | $103.35 | $104.9 | 1.6× | $606.32 |