| behavioral |
| Psychoses | MS-DRG | 885 | 7 | $43,849 | $14,470 | $936 | $11,225 | 0.88× | $20,233 |
| Psychiatric diagnostic evaluation | CPT | 90791 | 6 | $455 | $118.3 | $52.81 | $200.12 | 1.1× | $709.63 |
| Psychiatric eval with medical services | CPT | 90792 | 4 | $385.95 | $100.35 | $113.86 | $187.19 | 1.1× | $641.72 |
| Psychotherapy 30 minutes | CPT | 90832 | 5 | $242 | $62.92 | $41.01 | $148.01 | 1.00× | $321.99 |
| Psychotherapy 45 minutes | CPT | 90834 | 6 | $368 | $95.68 | $59.7 | $211.22 | 1.3× | $425.34 |
| Psychotherapy 60 minutes | CPT | 90837 | 5 | $368 | $95.68 | $21.32 | $76.18 | 0.40× | $626.86 |
| emergency |
| ED visit level 1 | CPT | 99281 | 7 | $263 | $68.38 | $30.39 | $94.41 | 0.67× | $367 |
| ED visit level 2 | CPT | 99282 | 7 | $421 | $109.46 | $55.46 | $169.81 | 0.72× | $468 |
| ED visit level 3 | CPT | 99283 | 7 | $710 | $184.6 | $90.27 | $284.39 | 0.70× | $965 |
| ED visit level 4 | CPT | 99284 | 7 | $1,152 | $299.52 | $164.32 | $456.6 | 0.68× | $1,417 |
| ED visit level 5 | CPT | 99285 | 7 | $13,952 | $3,627.52 | $240.48 | $664 | 0.64× | $10,464 |
| Critical care, first hour | CPT | 99291 | 7 | $15,882 | $4,129.32 | $332.23 | $1,003 | 0.94× | $11,912 |
| imaging |
| CT head without contrast | CPT | 70450 | 7 | $1,645 | $427.7 | $41.17 | $115.1 | 0.56× | $1,327 |
| CT head with contrast | CPT | 70460 | 7 | $2,249 | $584.74 | $68.79 | $192.69 | 0.82× | $1,799.2 |
| CT head with and without contrast | CPT | 70470 | 7 | $2,249 | $584.74 | $68.79 | $192.69 | 0.72× | $1,799.2 |
| CT neck with contrast | CPT | 70491 | 7 | $2,249 | $584.74 | $68.79 | $192.69 | 0.70× | $1,799.2 |
| MRI brain without contrast | CPT | 70551 | 7 | $2,895 | $752.7 | $91.74 | $261.64 | 0.65× | $2,338 |
| MRI brain with contrast | CPT | 70552 | 7 | $2,895 | $752.7 | $143.99 | $436.46 | 0.91× | $2,338 |
| MRI brain with and without contrast | CPT | 70553 | 7 | $4,078 | $1,060.28 | $143.99 | $386.55 | 0.66× | $3,058.5 |
| Chest X-ray single view | CPT | 71045 | 7 | $508 | $132.08 | $31.62 | $94.41 | 1.00× | $406.4 |
| Chest X-ray 2 views | CPT | 71046 | 7 | $508 | $132.08 | $34.02 | $94.41 | 0.96× | $406.4 |
| Chest X-ray 3 views | CPT | 71047 | 6 | $508 | $132.08 | $34.02 | $94.41 | 0.99× | $406.4 |
| CT chest without contrast | CPT | 71250 | 7 | $1,645 | $427.7 | $41.17 | $115.1 | 0.54× | $1,327 |
| CT chest with contrast | CPT | 71260 | 7 | $2,249 | $584.74 | $68.79 | $192.69 | 0.68× | $1,799.2 |
| CT chest with and without contrast | CPT | 71270 | 7 | $2,499 | $649.74 | $68.79 | $192.69 | 0.66× | $1,999.2 |
| MRI chest without contrast | CPT | 71550 | 7 | $2,895 | $752.7 | $91.74 | $261.64 | 0.61× | $2,338 |
| MRI chest with and without contrast | CPT | 71552 | 7 | $4,078 | $1,060.28 | $143.99 | $386.55 | 0.64× | $3,058.5 |
| Lumbosacral spine X-ray | CPT | 72100 | 7 | $508 | $132.08 | $41.17 | $114.03 | 1.1× | $406.4 |
| CT cervical spine without contrast | CPT | 72125 | 7 | $1,645 | $427.7 | $41.17 | $115.1 | 0.57× | $1,327 |
| CT thoracic spine without contrast | CPT | 72128 | 7 | $1,645 | $427.7 | $41.17 | $115.1 | 0.58× | $1,327 |
| CT lumbar spine without contrast | CPT | 72131 | 7 | $1,645 | $427.7 | $41.17 | $115.1 | 0.57× | $1,327 |
| MRI cervical spine without contrast | CPT | 72141 | 7 | $2,895 | $752.7 | $91.74 | $261.64 | 0.66× | $2,338 |
| MRI thoracic spine without contrast | CPT | 72146 | 7 | $2,895 | $752.7 | $91.74 | $261.64 | 0.70× | $2,338 |
| MRI lumbar spine without contrast | CPT | 72148 | 7 | $2,895 | $752.7 | $91.74 | $261.64 | 0.69× | $2,338 |
| MRI lumbar spine with and without contrast | CPT | 72149 | 6 | $2,895 | $752.7 | $143.99 | $384.75 | 0.85× | $2,338 |
| MRI cervical spine with and without contrast | CPT | 72156 | 7 | $4,078 | $1,060.28 | $143.99 | $386.55 | 0.72× | $3,058.5 |
| MRI lumbar spine with contrast | CPT | 72158 | 7 | $4,078 | $1,060.28 | $143.99 | $386.55 | 0.71× | $3,058.5 |
| CT pelvis without contrast | CPT | 72192 | 7 | $1,645 | $427.7 | $41.17 | $115.1 | 0.58× | $1,327 |
| CT pelvis with contrast | CPT | 72193 | 7 | $2,499 | $649.74 | $68.79 | $192.69 | 0.68× | $1,999.2 |
| Shoulder X-ray | CPT | 73030 | 7 | $508 | $132.08 | $34.02 | $94.41 | 1.0× | $406.4 |
| Humerus X-ray | CPT | 73060 | 7 | $508 | $132.08 | $34.02 | $94.41 | 1.1× | $406.4 |
| Hand X-ray 3 views | CPT | 73130 | 7 | $508 | $132.08 | $34.02 | $94.41 | 1.0× | $406.4 |
| MRI upper extremity joint without contrast | CPT | 73221 | 6 | $2,895 | $752.7 | $91.74 | $260.42 | 0.63× | $2,338 |
| MRI upper extremity joint with and without contrast | CPT | 73223 | 7 | $4,078 | $1,060.28 | $143.99 | $386.55 | 0.63× | $3,058.5 |
| Knee X-ray 1-2 views | CPT | 73560 | 7 | $508 | $132.08 | $34.02 | $94.41 | 1.0× | $406.4 |
| Ankle X-ray 3 views | CPT | 73610 | 7 | $508 | $132.08 | $34.02 | $94.41 | 1.0× | $406.4 |
| MRI lower extremity joint without contrast | CPT | 73721 | 7 | $2,895 | $752.7 | $91.74 | $261.64 | 0.56× | $2,338 |
| MRI lower extremity joint with and without contrast | CPT | 73723 | 7 | $4,078 | $1,060.28 | $143.99 | $386.55 | 0.61× | $3,058.5 |
| CT abdomen without contrast | CPT | 74150 | 7 | $1,645 | $427.7 | $41.17 | $115.1 | 0.61× | $1,327 |
| CT abdomen with contrast | CPT | 74160 | 7 | $2,249 | $584.74 | $68.79 | $192.69 | 0.67× | $1,799.2 |
| CT abdomen with and without contrast | CPT | 74170 | 7 | $2,499 | $649.74 | $68.79 | $192.69 | 0.58× | $1,999.2 |
| CT abdomen and pelvis without contrast | CPT | 74176 | 7 | $1,183 | $307.58 | $91.74 | $261.64 | 0.72× | $1,327 |
| CT abdomen and pelvis with contrast | CPT | 74177 | 7 | $1,974 | $513.24 | $143.99 | $375.72 | 0.68× | $1,579.2 |
| CT abdomen and pelvis with and without contrast | CPT | 74178 | 7 | $1,974 | $513.24 | $143.99 | $375.72 | 0.65× | $1,579.2 |
| MRI abdomen without contrast | CPT | 74181 | 7 | $2,895 | $752.7 | $91.74 | $261.64 | 0.67× | $2,338 |
| MRI abdomen with and without contrast | CPT | 74183 | 7 | $4,078 | $1,060.28 | $143.99 | $386.55 | 0.68× | $3,058.5 |
| Abdominal ultrasound complete | CPT | 76700 | 7 | $761 | $197.86 | $41.17 | $115.1 | 0.77× | $608.8 |
| Abdominal ultrasound limited | CPT | 76705 | 7 | $761 | $197.86 | $39.83 | $114.03 | 0.78× | $608.8 |
| Retroperitoneal ultrasound complete | CPT | 76770 | 7 | $761 | $197.86 | $41.17 | $115.1 | 0.80× | $608.8 |
| Obstetric ultrasound first trimester | CPT | 76801 | 7 | $761 | $197.86 | $41.17 | $130.86 | 0.92× | $608.8 |
| Obstetric ultrasound after first trimester | CPT | 76805 | 7 | $761 | $197.86 | $41.17 | $139.06 | 0.91× | $608.8 |
| Obstetric ultrasound with fetal anatomy | CPT | 76811 | 6 | $418 | $108.68 | $91.74 | $259.19 | 1.1× | $740.62 |
| Transvaginal ultrasound | CPT | 76830 | 7 | $761 | $197.86 | $41.17 | $139.06 | 0.94× | $608.8 |
| Pelvic ultrasound complete | CPT | 76856 | 7 | $761 | $197.86 | $41.17 | $115.1 | 0.80× | $608.8 |
| Scrotal ultrasound | CPT | 76870 | 7 | $761 | $197.86 | $41.17 | $115.1 | 0.88× | $608.8 |
| Diagnostic mammography unilateral | CPT | 77065 | 7 | $382 | $99.32 | $88.9 | $161.06 | 1.1× | $305.6 |
| Diagnostic mammography bilateral | CPT | 77066 | 7 | $478 | $124.28 | $113.37 | $193 | 1.0× | $382.4 |
| Screening mammography bilateral | CPT | 77067 | 7 | $382 | $99.32 | $93.9 | $170.31 | 1.1× | $305.6 |
| EKG tracing only | CPT | 93005 | 7 | $169 | $43.94 | $22.91 | $62.49 | 0.53× | $135.2 |
| EKG interpretation only | CPT | 93010 | 6 | $47 | $12.22 | $7.78 | $13.76 | 0.76× | $37.6 |
| Transthoracic echocardiogram complete | CPT | 93306 | 7 | $1,727 | $449.02 | $206.54 | $587.93 | 0.98× | $1,381.6 |
| Transthoracic echocardiogram | CPT | 93307 | 6 | $1,197 | $311.22 | $91.74 | $261.64 | 1.1× | $957.6 |
| Stress echocardiogram | CPT | 93350 | 6 | $2,527 | $657.02 | $206.54 | $593.47 | 1.2× | $1,895.25 |
| inpatient |
| Respiratory infections & inflammations w MCC | MS-DRG | 177 | 7 | $35,031 | $11,560 | $936 | $12,985 | 0.84× | $25,880 |
| COPD w MCC | MS-DRG | 190 | 7 | $26,553 | $8,762.47 | $936 | $9,388.83 | 0.84× | $18,345 |
| COPD w CC | MS-DRG | 191 | 7 | $26,408 | $8,714.62 | $936 | $7,296.54 | 0.83× | $13,961 |
| COPD w/o CC/MCC | MS-DRG | 192 | 7 | $22,244 | $7,340.49 | $936 | $5,707.76 | 0.82× | $10,632 |
| Simple pneumonia & pleurisy w CC | MS-DRG | 194 | 7 | $22,568 | $7,447.51 | $936 | $7,003.29 | 0.83× | $13,347 |
| Simple pneumonia & pleurisy w/o CC/MCC | MS-DRG | 195 | 7 | $15,469 | $5,104.69 | $936 | $5,601.06 | 0.84× | $10,409 |
| AMI discharged alive w MCC | MS-DRG | 280 | 7 | $36,263 | $11,967 | $936 | $13,313 | 0.85× | $26,566 |
| AMI discharged alive w CC | MS-DRG | 281 | 7 | $35,971 | $11,870 | $936 | $7,898.06 | 0.82× | $15,221 |
| AMI discharged alive w/o CC/MCC | MS-DRG | 282 | 7 | $32,479 | $10,718 | $936 | $6,348.8 | 0.81× | $11,975 |
| Heart failure & shock w MCC | MS-DRG | 291 | 7 | $34,547 | $11,400 | $936 | $10,625 | 0.83× | $21,261 |
| Heart failure & shock w CC | MS-DRG | 292 | 7 | $24,314 | $8,023.6 | $936 | $7,343.98 | 0.82× | $14,060 |
| Heart failure & shock w/o CC/MCC | MS-DRG | 293 | 7 | $35,821 | $11,821 | $936 | $5,033.38 | 0.81× | $9,373.53 |
| Cardiac arrhythmia w MCC | MS-DRG | 308 | 7 | $33,482 | $11,049 | $936 | $10,150 | 0.84× | $19,939 |
| Cardiac arrhythmia w CC | MS-DRG | 309 | 7 | $21,080 | $6,956.55 | $936 | $6,448.41 | 0.83× | $12,184 |
| Cardiac arrhythmia w/o CC/MCC | MS-DRG | 310 | 7 | $15,610 | $5,151.23 | $936 | $5,107.81 | 0.82× | $9,375.18 |
| GI hemorrhage w CC | MS-DRG | 378 | 7 | $27,134 | $8,954.37 | $936 | $8,384.98 | 0.84× | $16,241 |
| GI hemorrhage w/o CC/MCC | MS-DRG | 379 | 7 | $22,097 | $7,292.09 | $936 | $5,616.06 | 0.82× | $10,440 |
| Esophagitis/gastroenteritis w/o MCC | MS-DRG | 392 | 7 | $20,123 | $6,640.61 | $936 | $6,795.41 | 0.84× | $12,911 |
| Kidney/UTI w MCC | MS-DRG | 689 | 7 | $29,940 | $9,880.3 | $936 | $9,804.6 | 0.84× | $19,216 |
| Kidney/UTI w/o MCC | MS-DRG | 690 | 7 | $22,865 | $7,545.28 | $936 | $7,031.74 | 0.85× | $13,406 |
| Septicemia or severe sepsis w MV 96+ hrs | MS-DRG | 871 | 7 | $51,197 | $16,895 | $936 | $15,757 | 0.84× | $32,170 |
| Septicemia or severe sepsis w/o MV 96+ hrs | MS-DRG | 872 | 7 | $30,032 | $9,910.68 | $936 | $8,721.7 | 0.84× | $16,947 |
| Initial hospital care, low complexity | CPT | 99221 | 6 | $426 | $110.76 | $78.17 | $134.72 | 1.4× | $400.27 |
| Initial hospital care, moderate complexity | CPT | 99222 | 6 | $581 | $151.06 | $124.41 | $199.08 | 1.2× | $540.64 |
| Initial hospital care, high complexity | CPT | 99223 | 6 | $856 | $222.56 | $166.07 | $276.46 | 1.2× | $793.58 |
| Hospital discharge, <30 min | CPT | 99238 | 6 | $210 | $54.6 | $61.95 | $111.2 | 1.3× | $325.44 |
| Hospital discharge, >30 min | CPT | 99239 | 6 | $282 | $73.32 | $83.19 | $157.08 | 1.3× | $459.53 |
| lab |
| Basic metabolic panel (BMP) | CPT | 80048 | 7 | $271 | $70.46 | $8.27 | $8.96 | 0.28× | $216.8 |
| Electrolyte panel | CPT | 80051 | 7 | $113 | $29.38 | $6.84 | $7.29 | 0.31× | $90.4 |
| Comprehensive metabolic panel | CPT | 80053 | 7 | $509 | $132.34 | $9.6 | $11 | 0.25× | $407.2 |
| Lipid panel | CPT | 80061 | 7 | $87 | $22.62 | $12 | $14.12 | 0.37× | $69.6 |
| Renal function panel | CPT | 80069 | 7 | $324 | $84.24 | $8.48 | $9.2 | 0.34× | $259.2 |
| Hepatic function panel | CPT | 80076 | 7 | $256 | $66.56 | $7.2 | $8.56 | 0.32× | $204.8 |
| Urinalysis non-automated | CPT | 81002 | 6 | $64 | $16.64 | $3.4 | $3.71 | 0.53× | $51.2 |
| Urinalysis automated | CPT | 81003 | 7 | $63 | $16.38 | $2.2 | $2.39 | 0.17× | $50.4 |
| Glucose quantitative | CPT | 82947 | 7 | $44 | $11.44 | $3.84 | $4.15 | 0.24× | $35.2 |
| Hemoglobin A1c | CPT | 83036 | 7 | $168 | $43.68 | $9.49 | $10.31 | 0.38× | $134.4 |
| Thyroid stimulating hormone (TSH) | CPT | 84443 | 7 | $207 | $53.82 | $16.42 | $17.69 | 0.37× | $165.6 |
| Complete blood count with automated differential | CPT | 85025 | 7 | $221 | $57.46 | $7.59 | $8.24 | 0.31× | $176.8 |
| Complete blood count without differential | CPT | 85027 | 7 | $130 | $33.8 | $6.32 | $6.86 | 0.32× | $104 |
| Urine culture bacterial | CPT | 87086 | 7 | $116 | $30.16 | $7.89 | $8.55 | 0.37× | $92.8 |
| Urine culture identification | CPT | 87088 | 7 | $128 | $33.28 | $7.91 | $8.58 | 0.39× | $102.4 |
| Tissue exam by pathologist level IV | CPT | 88305 | 7 | $249 | $64.74 | $20.29 | $69 | 0.67× | $199.2 |
| maternity |
| Fetal non-stress test | CPT | 59025 | 7 | $426 | $110.76 | $74.61 | $211.64 | 1.1× | $340.8 |
| Vaginal delivery only | CPT | 59409 | 6 | $4,675 | $1,215.5 | $996.51 | $3,280.42 | 1.5× | $3,953.89 |
| office |
| Office visit, new patient, 15-29 min | CPT | 99202 | 6 | $221 | $57.46 | $39.83 | $82.4 | 0.96× | $297.41 |
| Office visit, new patient, 30-44 minutes | CPT | 99203 | 7 | $333 | $86.58 | $45.14 | $122.4 | 1.00× | $453.35 |
| Office visit, new patient, 45-59 min | CPT | 99204 | 7 | $555 | $144.3 | $121.68 | $146.92 | 0.84× | $678.62 |
| Office visit, new patient, 60-74 min | CPT | 99205 | 7 | $722 | $187.72 | $80.83 | $219.2 | 0.99× | $893.31 |
| Office visit, established patient, 5 min | CPT | 99211 | 7 | $87 | $22.62 | $8.45 | $25.37 | 0.39× | $243 |
| Office visit, established patient, 10-19 min | CPT | 99212 | 7 | $135 | $35.1 | $33.9 | $61.36 | 0.77× | $243 |
| Office visit, established patient, 20-29 minutes | CPT | 99213 | 7 | $337 | $87.62 | $41.6 | $112.8 | 0.98× | $372.5 |
| Office visit, established patient, 30-39 minutes | CPT | 99214 | 7 | $338 | $87.88 | $60.48 | $164 | 1.1× | $525.13 |
| Office visit, established patient, 40-54 min | CPT | 99215 | 7 | $482 | $125.32 | $79.95 | $216.8 | 1.2× | $736.64 |
| preventive |
| Upper GI endoscopy diagnostic | CPT | 43235 | 7 | $1,876 | $487.76 | $339.39 | $1,005.32 | 1.1× | $2,445 |
| Upper GI endoscopy with biopsy | CPT | 43239 | 7 | $1,962 | $510.12 | $339.39 | $1,005.32 | 1.0× | $2,445 |
| Sigmoidoscopy diagnostic | CPT | 45330 | 7 | $1,111 | $288.86 | $163.73 | $901.42 | 1.1× | $1,869 |
| Sigmoidoscopy with biopsy | CPT | 45331 | 7 | $1,194 | $310.44 | $342.18 | $959.16 | 1.1× | $1,869 |
| Colonoscopy diagnostic | CPT | 45378 | 7 | $1,876 | $487.76 | $163.73 | $959.16 | 1.1× | $2,445 |
| Colonoscopy with biopsy | CPT | 45380 | 7 | $2,045 | $531.7 | $441.81 | $1,240.44 | 1.0× | $2,445 |
| Colonoscopy with polyp removal | CPT | 45385 | 7 | $2,264 | $588.64 | $441.81 | $1,240.44 | 1.0× | $2,445 |
| surgery |
| Total knee replacement | CPT | 27447 | 6 | $6,661 | $1,731.86 | $1,965 | $12,722 | 3.1× | $16,645 |
| Major small/large bowel procedures w MCC | MS-DRG | 329 | 7 | $105,042 | $34,664 | $936 | $36,966 | 0.86× | $76,123 |
| Major small/large bowel procedures w CC | MS-DRG | 330 | 7 | $67,877 | $22,399 | $936 | $19,582 | 0.84× | $39,700 |
| Major small/large bowel procedures w/o CC/MCC | MS-DRG | 331 | 7 | $51,103 | $16,864 | $936 | $13,935 | 0.85× | $27,871 |
| Laparoscopic cholecystectomy w/o CDE w MCC | MS-DRG | 418 | 7 | $43,276 | $14,281 | $936 | $14,004 | 0.85× | $28,015 |
| Laparoscopic cholecystectomy w/o CDE w CC | MS-DRG | 419 | 7 | $42,118 | $13,899 | $936 | $11,429 | 0.84× | $22,619 |
| Laparoscopic cholecystectomy w/o CDE w/o CC/MCC | MS-DRG | 420 | 7 | $43,249 | $14,272 | $936 | $27,564 | 0.85× | $56,425 |
| Open appendectomy | CPT | 44950 | 6 | $2,615 | $679.9 | $771.43 | $6,169.35 | 5.4× | $9,568.11 |
| Major joint replacement w MCC | MS-DRG | 469 | 6 | $95,120 | $31,390 | $21,848 | $24,845 | 0.84× | $50,233 |
| Major joint replacement w/o MCC | MS-DRG | 470 | 7 | $57,910 | $19,110 | $936 | $15,880 | 0.84× | $31,945 |
| Laparoscopic cholecystectomy | CPT | 47562 | 6 | $2,926 | $760.76 | $863.17 | $5,768.54 | 3.3× | $7,297.23 |
| Lap cholecystectomy with cholangiography | CPT | 47563 | 6 | $3,144 | $817.44 | $927.48 | $5,768.54 | 3.1× | $7,297.23 |
| Hip & femur procedures except major joint w MCC | MS-DRG | 480 | 7 | $75,558 | $24,934 | $936 | $23,312 | 0.83× | $48,231 |
| Hip & femur procedures except major joint w CC | MS-DRG | 481 | 7 | $61,237 | $20,208 | $936 | $16,941 | 0.83× | $34,687 |
| Hip & femur procedures except major joint w/o CC/MCC | MS-DRG | 482 | 7 | $55,019 | $18,146 | $936 | $13,525 | 0.85× | $27,011 |
| Lap inguinal hernia repair | CPT | 49650 | 6 | $1,740 | $452.4 | $513.3 | $5,768.54 | 5.1× | $7,297.23 |
| Total abdominal hysterectomy | CPT | 58150 | 6 | $4,102 | $1,066.52 | $959.26 | $1,536.16 | 1.6× | $6,290.46 |
| Complex cataract surgery | CPT | 66982 | 7 | $4,009 | $1,042.34 | $872.49 | $2,457.11 | 1.1× | $3,019.83 |
| Cataract surgery with lens implant | CPT | 66984 | 7 | $3,025 | $786.5 | $872.49 | $2,316.79 | 1.1× | $2,947.2 |
| Uterine & adnexa procedures w CC/MCC | MS-DRG | 743 | 7 | $38,508 | $12,708 | $936 | $10,440 | 0.85× | $20,547 |
| Uterine & adnexa procedures w/o CC/MCC | MS-DRG | 744 | 6 | $113,737 | $37,533 | $14,760 | $16,992 | 0.89× | $33,935 |
| PCI single major coronary artery | CPT | 92920 | 7 | $13,803 | $3,588.78 | $2,139.94 | $5,998.25 | 1.1× | $10,352 |
| PCI with drug-eluting stent | CPT | 92928 | 6 | $23,092 | $6,003.92 | $4,118.82 | $11,759 | 1.2× | $17,319 |
| PCI bypass graft | CPT | 92937 | 6 | $30,601 | $7,956.26 | $4,118.82 | $11,759 | 1.1× | $22,951 |
| Left heart catheterization | CPT | 93452 | 6 | $10,990 | $2,857.4 | $1,220 | $3,448.88 | 1.1× | $8,882 |
| Coronary angiography with cath | CPT | 93455 | 7 | $10,990 | $2,857.4 | $1,220 | $3,448.88 | 1.1× | $8,882 |
| Coronary angiography with bypass cath | CPT | 93458 | 7 | $10,990 | $2,857.4 | $1,220 | $3,448.88 | 1.1× | $8,882 |