| behavioral |
| Psychoses | MS-DRG | 885 | 0 | — | — | — | — | — |
| Psychiatric diagnostic evaluation | CPT | 90791 | 0 | $421.25 | $95.62 | — | — | — |
| Psychiatric eval with medical services | CPT | 90792 | 0 | $411.6 | $93.43 | — | — | — |
| Psychotherapy 30 minutes | CPT | 90832 | 0 | $253.67 | $57.58 | — | — | — |
| Psychotherapy 45 minutes | CPT | 90834 | 0 | $298.52 | $67.76 | — | — | — |
| Psychotherapy 60 minutes | CPT | 90837 | 0 | $326.07 | $74.02 | — | — | — |
| Crisis psychotherapy 60 minutes | CPT | 90839 | 0 | $413.64 | $93.9 | — | — | — |
| emergency |
| ED visit level 1 | CPT | 99281 | 0 | $386.43 | $87.72 | — | — | — |
| ED visit level 2 | CPT | 99282 | 0 | $738.12 | $167.55 | — | — | — |
| ED visit level 3 | CPT | 99283 | 0 | $1,377.54 | $312.7 | — | — | — |
| ED visit level 4 | CPT | 99284 | 0 | $2,199.76 | $499.35 | — | — | — |
| ED visit level 5 | CPT | 99285 | 0 | $3,322.48 | $754.2 | — | — | — |
| Critical care, first hour | CPT | 99291 | 0 | $4,464.23 | $1,013.38 | — | — | — |
| imaging |
| CT head without contrast | CPT | 70450 | 0 | $2,525.76 | $573.35 | — | — | — |
| CT head with contrast | CPT | 70460 | 0 | $3,025.62 | $686.82 | — | — | — |
| CT head with and without contrast | CPT | 70470 | 0 | $3,233.98 | $734.11 | — | — | — |
| CT neck with contrast | CPT | 70491 | 0 | $2,774.05 | $629.71 | — | — | — |
| MRI brain without contrast | CPT | 70551 | 0 | $3,133.04 | $711.2 | — | — | — |
| MRI brain with contrast | CPT | 70552 | 0 | $3,925.04 | $890.98 | — | — | — |
| MRI brain with and without contrast | CPT | 70553 | 0 | $4,599.5 | $1,044.09 | — | — | — |
| Chest X-ray single view | CPT | 71045 | 0 | $383.69 | $87.1 | — | — | — |
| Chest X-ray 2 views | CPT | 71046 | 0 | $467.28 | $106.07 | — | — | — |
| Chest X-ray 3 views | CPT | 71047 | 0 | $520 | $118.04 | — | — | — |
| CT chest without contrast | CPT | 71250 | 0 | $2,618.44 | $594.39 | — | — | — |
| CT chest with contrast | CPT | 71260 | 0 | $2,915.46 | $661.81 | — | — | — |
| CT chest with and without contrast | CPT | 71270 | 0 | $3,354.23 | $761.41 | — | — | — |
| MRI chest without contrast | CPT | 71550 | 0 | $3,055.32 | $693.56 | — | — | — |
| MRI chest with contrast | CPT | 71551 | 0 | $5,079.54 | $1,153.06 | — | — | — |
| MRI chest with and without contrast | CPT | 71552 | 0 | $4,998.07 | $1,134.56 | — | — | — |
| Lumbosacral spine X-ray | CPT | 72100 | 0 | $556.3 | $126.28 | — | — | — |
| CT cervical spine without contrast | CPT | 72125 | 0 | $2,868.14 | $651.07 | — | — | — |
| CT thoracic spine without contrast | CPT | 72128 | 0 | $2,903.83 | $659.17 | — | — | — |
| CT lumbar spine without contrast | CPT | 72131 | 0 | $2,815.8 | $639.19 | — | — | — |
| MRI cervical spine without contrast | CPT | 72141 | 0 | $3,488.36 | $791.86 | — | — | — |
| MRI thoracic spine without contrast | CPT | 72146 | 0 | $3,621.94 | $822.18 | — | — | — |
| MRI lumbar spine without contrast | CPT | 72148 | 0 | $3,362.38 | $763.26 | — | — | — |
| MRI lumbar spine with and without contrast | CPT | 72149 | 0 | $4,193.36 | $951.89 | — | — | — |
| MRI cervical spine with and without contrast | CPT | 72156 | 0 | $5,127.89 | $1,164.03 | — | — | — |
| MRI lumbar spine with contrast | CPT | 72158 | 0 | $4,607.29 | $1,045.85 | — | — | — |
| CT pelvis without contrast | CPT | 72192 | 0 | $2,527.93 | $573.84 | — | — | — |
| CT pelvis with contrast | CPT | 72193 | 0 | $2,918.97 | $662.61 | — | — | — |
| Shoulder X-ray | CPT | 73030 | 0 | $487.17 | $110.59 | — | — | — |
| Humerus X-ray | CPT | 73060 | 0 | $431.45 | $97.94 | — | — | — |
| Hand X-ray 3 views | CPT | 73130 | 0 | $552.21 | $125.35 | — | — | — |
| MRI upper extremity joint without contrast | CPT | 73221 | 0 | $3,314.26 | $752.34 | — | — | — |
| MRI upper extremity joint with and without contrast | CPT | 73223 | 0 | $4,542.72 | $1,031.2 | — | — | — |
| Knee X-ray 1-2 views | CPT | 73560 | 0 | $441.95 | $100.32 | — | — | — |
| Ankle X-ray 3 views | CPT | 73610 | 0 | $512.04 | $116.23 | — | — | — |
| MRI lower extremity joint without contrast | CPT | 73721 | 0 | $3,129 | $710.28 | — | — | — |
| MRI lower extremity joint with and without contrast | CPT | 73723 | 0 | $4,356.28 | $988.88 | — | — | — |
| CT abdomen without contrast | CPT | 74150 | 0 | $2,472.31 | $561.21 | — | — | — |
| CT abdomen with contrast | CPT | 74160 | 0 | $3,102.82 | $704.34 | — | — | — |
| CT abdomen with and without contrast | CPT | 74170 | 0 | $3,674.15 | $834.03 | — | — | — |
| CT abdomen and pelvis without contrast | CPT | 74176 | 0 | $4,885.14 | $1,108.93 | — | — | — |
| CT abdomen and pelvis with contrast | CPT | 74177 | 0 | $5,695.18 | $1,292.81 | — | — | — |
| CT abdomen and pelvis with and without contrast | CPT | 74178 | 0 | $6,300 | $1,430.1 | — | — | — |
| MRI abdomen without contrast | CPT | 74181 | 0 | $3,443.92 | $781.77 | — | — | — |
| MRI abdomen with and without contrast | CPT | 74183 | 0 | $5,046.17 | $1,145.48 | — | — | — |
| Abdominal ultrasound complete | CPT | 76700 | 0 | $1,333.68 | $302.75 | — | — | — |
| Abdominal ultrasound limited | CPT | 76705 | 0 | $990.89 | $224.93 | — | — | — |
| Retroperitoneal ultrasound complete | CPT | 76770 | 0 | $1,172.4 | $266.13 | — | — | — |
| Obstetric ultrasound first trimester | CPT | 76801 | 0 | $949.82 | $215.61 | — | — | — |
| Obstetric ultrasound after first trimester | CPT | 76805 | 0 | $786.76 | $178.59 | — | — | — |
| Obstetric ultrasound with fetal anatomy | CPT | 76811 | 0 | $1,165.84 | $264.65 | — | — | — |
| Transvaginal ultrasound | CPT | 76830 | 0 | $886.4 | $201.21 | — | — | — |
| Pelvic ultrasound complete | CPT | 76856 | 0 | $1,197.39 | $271.81 | — | — | — |
| Scrotal ultrasound | CPT | 76870 | 0 | $1,150.98 | $261.27 | — | — | — |
| Diagnostic mammography unilateral | CPT | 77065 | 0 | $408.26 | $92.68 | — | — | — |
| Diagnostic mammography bilateral | CPT | 77066 | 0 | $612.39 | $139.01 | — | — | — |
| Screening mammography bilateral | CPT | 77067 | 0 | $678.66 | $154.06 | — | — | — |
| EKG tracing only | CPT | 93005 | 0 | $397.36 | $90.2 | — | — | — |
| EKG interpretation only | CPT | 93010 | 0 | $31.25 | $7.09 | — | — | — |
| Transthoracic echocardiogram complete | CPT | 93306 | 0 | $4,461.56 | $1,012.77 | — | — | — |
| Stress echocardiogram | CPT | 93350 | 0 | $3,709.89 | $842.15 | — | — | — |
| inpatient |
| Intracranial hemorrhage/CVA w MCC | MS-DRG | 064 | 0 | — | — | — | — | — |
| Intracranial hemorrhage/CVA w CC | MS-DRG | 065 | 0 | — | — | — | — | — |
| Intracranial hemorrhage/CVA w/o CC/MCC | MS-DRG | 066 | 0 | — | — | — | — | — |
| Respiratory infections & inflammations w MCC | MS-DRG | 177 | 0 | — | — | — | — | — |
| COPD w MCC | MS-DRG | 190 | 0 | — | — | — | — | — |
| COPD w CC | MS-DRG | 191 | 0 | — | — | — | — | — |
| COPD w/o CC/MCC | MS-DRG | 192 | 0 | — | — | — | — | — |
| Simple pneumonia & pleurisy w CC | MS-DRG | 194 | 0 | — | — | — | — | — |
| Simple pneumonia & pleurisy w/o CC/MCC | MS-DRG | 195 | 0 | — | — | — | — | — |
| AMI discharged alive w MCC | MS-DRG | 280 | 0 | — | — | — | — | — |
| AMI discharged alive w CC | MS-DRG | 281 | 0 | — | — | — | — | — |
| AMI discharged alive w/o CC/MCC | MS-DRG | 282 | 0 | — | — | — | — | — |
| Heart failure & shock w MCC | MS-DRG | 291 | 0 | — | — | — | — | — |
| Heart failure & shock w CC | MS-DRG | 292 | 0 | — | — | — | — | — |
| Heart failure & shock w/o CC/MCC | MS-DRG | 293 | 0 | — | — | — | — | — |
| Cardiac arrhythmia w MCC | MS-DRG | 308 | 0 | — | — | — | — | — |
| Cardiac arrhythmia w CC | MS-DRG | 309 | 0 | — | — | — | — | — |
| Cardiac arrhythmia w/o CC/MCC | MS-DRG | 310 | 0 | — | — | — | — | — |
| GI hemorrhage w CC | MS-DRG | 378 | 0 | — | — | — | — | — |
| GI hemorrhage w/o CC/MCC | MS-DRG | 379 | 0 | — | — | — | — | — |
| Esophagitis/gastroenteritis w/o MCC | MS-DRG | 392 | 0 | — | — | — | — | — |
| Fractures of femur w/o MCC | MS-DRG | 533 | 0 | — | — | — | — | — |
| Kidney/UTI w MCC | MS-DRG | 689 | 0 | — | — | — | — | — |
| Kidney/UTI w/o MCC | MS-DRG | 690 | 0 | — | — | — | — | — |
| Septicemia or severe sepsis w MV 96+ hrs | MS-DRG | 871 | 0 | — | — | — | — | — |
| Septicemia or severe sepsis w/o MV 96+ hrs | MS-DRG | 872 | 0 | — | — | — | — | — |
| Initial hospital care, low complexity | CPT | 99221 | 0 | $306.24 | $69.52 | — | — | — |
| Initial hospital care, moderate complexity | CPT | 99222 | 0 | $418.2 | $94.93 | — | — | — |
| Initial hospital care, high complexity | CPT | 99223 | 0 | $614.8 | $139.56 | — | — | — |
| Hospital discharge, <30 min | CPT | 99238 | 0 | $225.34 | $51.15 | — | — | — |
| Hospital discharge, >30 min | CPT | 99239 | 0 | $327.32 | $74.3 | — | — | — |
| lab |
| Basic metabolic panel (BMP) | CPT | 80048 | 0 | $222.41 | $50.49 | — | — | — |
| General health panel | CPT | 80050 | 0 | $437.58 | $99.33 | — | — | — |
| Electrolyte panel | CPT | 80051 | 0 | $214.75 | $48.75 | — | — | — |
| Comprehensive metabolic panel | CPT | 80053 | 0 | $392.5 | $89.1 | — | — | — |
| Lipid panel | CPT | 80061 | 0 | $204.4 | $46.4 | — | — | — |
| Renal function panel | CPT | 80069 | 0 | $215.77 | $48.98 | — | — | — |
| Hepatic function panel | CPT | 80076 | 0 | $222.41 | $50.49 | — | — | — |
| Urinalysis non-automated | CPT | 81002 | 0 | $46.26 | $10.5 | — | — | — |
| Urinalysis automated | CPT | 81003 | 0 | $63.27 | $14.36 | — | — | — |
| Glucose quantitative | CPT | 82947 | 0 | $78.62 | $17.85 | — | — | — |
| Hemoglobin A1c | CPT | 83036 | 0 | $111.64 | $25.34 | — | — | — |
| Thyroid stimulating hormone (TSH) | CPT | 84443 | 0 | $191.21 | $43.4 | — | — | — |
| Complete blood count with automated differential | CPT | 85025 | 0 | $145.92 | $33.12 | — | — | — |
| Complete blood count without differential | CPT | 85027 | 0 | $132.25 | $30.02 | — | — | — |
| Urine culture bacterial | CPT | 87086 | 0 | $176.51 | $40.07 | — | — | — |
| Urine culture identification | CPT | 87088 | 0 | $135.19 | $30.69 | — | — | — |
| Tissue exam by pathologist level IV | CPT | 88305 | 0 | $481.48 | $109.3 | — | — | — |
| maternity |
| Fetal non-stress test | CPT | 59025 | 0 | $942.24 | $213.89 | — | — | — |
| office |
| Office visit, new patient, 15-29 min | CPT | 99202 | 0 | $150.53 | $34.17 | — | — | — |
| Office visit, new patient, 30-44 minutes | CPT | 99203 | 0 | $243.15 | $55.2 | — | — | — |
| Office visit, new patient, 45-59 min | CPT | 99204 | 0 | $405.52 | $92.05 | — | — | — |
| Office visit, new patient, 60-74 min | CPT | 99205 | 0 | $527.16 | $119.67 | — | — | — |
| Office visit, established patient, 5 min | CPT | 99211 | 0 | $193.22 | $43.86 | — | — | — |
| Office visit, established patient, 10-19 min | CPT | 99212 | 0 | $297.89 | $67.62 | — | — | — |
| Office visit, established patient, 20-29 minutes | CPT | 99213 | 0 | $396.09 | $89.91 | — | — | — |
| Office visit, established patient, 30-39 minutes | CPT | 99214 | 0 | $547.44 | $124.27 | — | — | — |
| Office visit, established patient, 40-54 min | CPT | 99215 | 0 | $671.4 | $152.41 | — | — | — |
| surgery |
| Major small/large bowel procedures w MCC | MS-DRG | 329 | 0 | — | — | — | — | — |
| Major small/large bowel procedures w CC | MS-DRG | 330 | 0 | — | — | — | — | — |
| Major small/large bowel procedures w/o CC/MCC | MS-DRG | 331 | 0 | — | — | — | — | — |
| Laparoscopic cholecystectomy w/o CDE w MCC | MS-DRG | 418 | 0 | — | — | — | — | — |
| Laparoscopic cholecystectomy w/o CDE w CC | MS-DRG | 419 | 0 | — | — | — | — | — |
| Laparoscopic cholecystectomy w/o CDE w/o CC/MCC | MS-DRG | 420 | 0 | — | — | — | — | — |
| Major joint replacement w MCC | MS-DRG | 469 | 0 | — | — | — | — | — |
| Major joint replacement w/o MCC | MS-DRG | 470 | 0 | — | — | — | — | — |
| Hip & femur procedures except major joint w MCC | MS-DRG | 480 | 0 | — | — | — | — | — |
| Hip & femur procedures except major joint w CC | MS-DRG | 481 | 0 | — | — | — | — | — |
| Hip & femur procedures except major joint w/o CC/MCC | MS-DRG | 482 | 0 | — | — | — | — | — |
| OR procedure for obesity w MCC | MS-DRG | 619 | 0 | — | — | — | — | — |
| OR procedure for obesity w CC | MS-DRG | 620 | 0 | — | — | — | — | — |
| OR procedure for obesity w/o CC/MCC | MS-DRG | 621 | 0 | — | — | — | — | — |
| Uterine & adnexa procedures w CC/MCC | MS-DRG | 743 | 0 | — | — | — | — | — |
| Uterine & adnexa procedures w/o CC/MCC | MS-DRG | 744 | 0 | — | — | — | — | — |
| PCI single major coronary artery | CPT | 92920 | 0 | $19,933 | $4,524.78 | — | — | — |
| PCI with drug-eluting stent | CPT | 92928 | 0 | $25,630 | $5,817.97 | — | — | — |
| PCI bypass graft | CPT | 92937 | 0 | $36,822 | $8,358.53 | — | — | — |
| Left heart catheterization | CPT | 93452 | 0 | $15,946 | $3,619.73 | — | — | — |
| Coronary angiography with cath | CPT | 93455 | 0 | $15,794 | $3,585.33 | — | — | — |
| Coronary angiography with bypass cath | CPT | 93458 | 0 | $16,185 | $3,674.11 | — | — | — |