| behavioral |
| Psychoses | MS-DRG | 885 | 19 | — | — | $936 | $9,635.77 | 0.75× | $18,325 |
| Psychiatric diagnostic evaluation | CPT | 90791 | 36 | $653 | $489.75 | $148.95 | $326.5 | 1.8× | $587.7 |
| Psychiatric eval with medical services | CPT | 90792 | 17 | — | — | $148.95 | $153.42 | 0.89× | $450.48 |
| Psychotherapy 30 minutes | CPT | 90832 | 36 | $248 | $186 | $99.2 | $161.2 | 1.1× | $450.48 |
| Psychotherapy 45 minutes | CPT | 90834 | 17 | — | — | $148.95 | $153.42 | 0.95× | $450.48 |
| Psychotherapy 60 minutes | CPT | 90837 | 36 | $421 | $315.75 | $148.95 | $231.55 | 1.2× | $450.48 |
| Crisis psychotherapy 60 minutes | CPT | 90839 | 36 | $727 | $545.25 | $148.95 | $363.5 | 2.3× | $654.3 |
| emergency |
| ED visit level 1 | CPT | 99281 | 36 | $400 | $300 | $81.63 | $200 | 1.4× | $387 |
| ED visit level 2 | CPT | 99282 | 36 | $654 | $490.5 | $146.81 | $327 | 1.4× | $650 |
| ED visit level 3 | CPT | 99283 | 36 | $1,090 | $817.5 | $256.69 | $545 | 1.3× | $1,200 |
| ED visit level 4 | CPT | 99284 | 36 | $1,711 | $1,283.25 | $394.75 | $855.5 | 1.3× | $2,300 |
| ED visit level 5 | CPT | 99285 | 36 | $5,300 | $3,975 | $568.37 | $2,104.96 | 2.0× | $4,770 |
| Critical care, first hour | CPT | 99291 | 36 | $3,766 | $2,824.5 | $781.13 | $1,883 | 1.8× | $4,500 |
| imaging |
| CT head without contrast | CPT | 70450 | 36 | $1,612 | $1,209 | $98.58 | $773.76 | 3.7× | $1,450.8 |
| CT head with contrast | CPT | 70460 | 36 | $1,918 | $1,438.5 | $165.03 | $900 | 3.8× | $1,726.2 |
| CT head with and without contrast | CPT | 70470 | 36 | $2,088 | $1,566 | $165.03 | $960.48 | 3.6× | $1,879.2 |
| CT neck with contrast | CPT | 70491 | 36 | $2,218 | $1,663.5 | $165.03 | $1,020.28 | 3.7× | $1,996.2 |
| MRI brain without contrast | CPT | 70551 | 36 | $2,668 | $2,001 | $224.08 | $1,280.64 | 3.2× | $2,401.2 |
| MRI brain with contrast | CPT | 70552 | 36 | $2,837 | $2,127.75 | $331.07 | $1,351 | 2.8× | $2,553.3 |
| MRI brain with and without contrast | CPT | 70553 | 36 | $3,007 | $2,255.25 | $331.07 | $1,383.22 | 2.3× | $2,706.3 |
| Chest X-ray single view | CPT | 71045 | 36 | $375 | $281.25 | $81.63 | $187.5 | 2.0× | $337.5 |
| Chest X-ray 2 views | CPT | 71046 | 36 | $469 | $351.75 | $81.63 | $227.87 | 2.3× | $422.1 |
| Chest X-ray 3 views | CPT | 71047 | 36 | $641 | $480.75 | $81.63 | $307.68 | 3.2× | $576.9 |
| CT chest without contrast | CPT | 71250 | 36 | $1,948 | $1,461 | $98.58 | $900 | 4.2× | $1,753.2 |
| CT chest with contrast | CPT | 71260 | 36 | $2,240 | $1,680 | $165.03 | $1,030.4 | 3.7× | $2,016 |
| CT chest with and without contrast | CPT | 71270 | 36 | $2,345 | $1,758.75 | $165.03 | $1,078.7 | 3.7× | $2,110.5 |
| MRI chest without contrast | CPT | 71550 | 36 | $2,331 | $1,748.25 | $224.08 | $1,118.88 | 2.6× | $2,097.9 |
| MRI chest with contrast | CPT | 71551 | 36 | $2,699 | $2,024.25 | $728 | $1,349.5 | 1.7× | $2,429.1 |
| MRI chest with and without contrast | CPT | 71552 | 36 | $3,689 | $2,766.75 | $331.07 | $1,696.94 | 2.8× | $3,320.1 |
| Lumbosacral spine X-ray | CPT | 72100 | 36 | $563 | $422.25 | $98.58 | $275.23 | 2.7× | $506.7 |
| CT cervical spine without contrast | CPT | 72125 | 36 | $2,011 | $1,508.25 | $98.58 | $925.06 | 4.6× | $1,809.9 |
| CT thoracic spine without contrast | CPT | 72128 | 36 | $1,877 | $1,407.75 | $98.58 | $900 | 4.5× | $1,689.3 |
| CT lumbar spine without contrast | CPT | 72131 | 36 | $2,224 | $1,668 | $98.58 | $1,023.04 | 5.0× | $2,001.6 |
| MRI cervical spine without contrast | CPT | 72141 | 36 | $2,813 | $2,109.75 | $224.08 | $1,350.24 | 3.4× | $2,531.7 |
| MRI thoracic spine without contrast | CPT | 72146 | 36 | $2,905 | $2,178.75 | $224.08 | $1,351 | 3.6× | $2,614.5 |
| MRI lumbar spine without contrast | CPT | 72148 | 36 | $2,905 | $2,178.75 | $224.08 | $1,351 | 3.6× | $2,614.5 |
| MRI lumbar spine with and without contrast | CPT | 72149 | 36 | $3,130 | $2,347.5 | $331.07 | $1,439.8 | 3.2× | $2,817 |
| MRI cervical spine with and without contrast | CPT | 72156 | 36 | $3,321 | $2,490.75 | $331.07 | $1,527.66 | 2.8× | $2,988.9 |
| MRI lumbar spine with contrast | CPT | 72158 | 36 | $3,321 | $2,490.75 | $331.07 | $1,527.66 | 2.8× | $2,988.9 |
| CT pelvis without contrast | CPT | 72192 | 36 | $1,786 | $1,339.5 | $98.58 | $857.28 | 4.3× | $1,607.4 |
| CT pelvis with contrast | CPT | 72193 | 36 | $2,193 | $1,644.75 | $165.03 | $1,008.78 | 3.6× | $1,973.7 |
| Shoulder X-ray | CPT | 73030 | 36 | $591 | $443.25 | $81.63 | $283.68 | 3.1× | $531.9 |
| Humerus X-ray | CPT | 73060 | 36 | $466 | $349.5 | $81.63 | $227.87 | 2.5× | $419.4 |
| Hand X-ray 3 views | CPT | 73130 | 36 | $553 | $414.75 | $81.63 | $265.44 | 2.9× | $497.7 |
| MRI upper extremity joint without contrast | CPT | 73221 | 36 | $2,727 | $2,045.25 | $224.08 | $1,308.96 | 3.1× | $2,454.3 |
| MRI upper extremity joint with and without contrast | CPT | 73223 | 36 | $3,370 | $2,527.5 | $331.07 | $1,550.2 | 2.5× | $3,033 |
| Knee X-ray 1-2 views | CPT | 73560 | 36 | $363 | $272.25 | $81.63 | $181.5 | 1.9× | $326.7 |
| Ankle X-ray 3 views | CPT | 73610 | 36 | $509 | $381.75 | $81.63 | $244.32 | 2.7× | $458.1 |
| MRI lower extremity joint without contrast | CPT | 73721 | 36 | $3,370 | $2,527.5 | $224.08 | $1,550.2 | 3.3× | $3,033 |
| MRI lower extremity joint with and without contrast | CPT | 73723 | 36 | $3,370 | $2,527.5 | $331.07 | $1,550.2 | 2.4× | $3,033 |
| CT abdomen without contrast | CPT | 74150 | 36 | $2,208 | $1,656 | $98.58 | $1,015.68 | 5.4× | $1,987.2 |
| CT abdomen with contrast | CPT | 74160 | 36 | $2,516 | $1,887 | $165.03 | $1,157.36 | 4.0× | $2,264.4 |
| CT abdomen with and without contrast | CPT | 74170 | 36 | $2,627 | $1,970.25 | $165.03 | $1,208.42 | 3.6× | $2,364.3 |
| CT abdomen and pelvis without contrast | CPT | 74176 | 36 | $3,101 | $2,325.75 | $224.08 | $1,426.46 | 3.9× | $2,790.9 |
| CT abdomen and pelvis with contrast | CPT | 74177 | 36 | $3,197 | $2,397.75 | $331.07 | $1,470.62 | 2.7× | $2,877.3 |
| CT abdomen and pelvis with and without contrast | CPT | 74178 | 36 | $3,340 | $2,505 | $331.07 | $1,536.4 | 2.7× | $3,006 |
| MRI abdomen without contrast | CPT | 74181 | 36 | $2,930 | $2,197.5 | $224.08 | $1,351 | 3.5× | $2,637 |
| MRI abdomen with and without contrast | CPT | 74183 | 36 | $3,371 | $2,528.25 | $331.07 | $1,550.66 | 2.7× | $3,033.9 |
| Abdominal ultrasound complete | CPT | 76700 | 36 | $1,436 | $1,077 | $98.58 | $689.28 | 4.6× | $1,292.4 |
| Abdominal ultrasound limited | CPT | 76705 | 36 | $965 | $723.75 | $98.58 | $463.2 | 3.2× | $868.5 |
| Retroperitoneal ultrasound complete | CPT | 76770 | 36 | $1,247 | $935.25 | $98.58 | $598.56 | 4.2× | $1,122.3 |
| Obstetric ultrasound first trimester | CPT | 76801 | 36 | $1,028 | $771 | $98.58 | $493.44 | 3.5× | $925.2 |
| Obstetric ultrasound after first trimester | CPT | 76805 | 36 | $1,112 | $834 | $98.58 | $533.76 | 3.5× | $1,000.8 |
| Obstetric ultrasound with fetal anatomy | CPT | 76811 | 36 | $1,174 | $880.5 | $161.25 | $587 | 2.5× | $1,056.6 |
| Transvaginal ultrasound | CPT | 76830 | 36 | $1,125 | $843.75 | $98.58 | $540 | 3.7× | $1,012.5 |
| Pelvic ultrasound complete | CPT | 76856 | 36 | $1,179 | $884.25 | $98.58 | $565.92 | 4.0× | $1,061.1 |
| Scrotal ultrasound | CPT | 76870 | 36 | $943 | $707.25 | $98.58 | $452.64 | 3.5× | $848.7 |
| Diagnostic mammography unilateral | CPT | 77065 | 36 | $644 | $483 | $42.67 | $296.24 | 2.0× | $579.6 |
| Diagnostic mammography bilateral | CPT | 77066 | 36 | $840 | $630 | $54.34 | $386.4 | 2.0× | $756 |
| Screening mammography bilateral | CPT | 77067 | 36 | $653 | $489.75 | $44.92 | $300.38 | 1.9× | $587.7 |
| EKG tracing only | CPT | 93005 | 36 | $375 | $281.25 | $55.07 | $180 | 1.5× | $337.5 |
| Transthoracic echocardiogram complete | CPT | 93306 | 36 | $2,726 | $2,044.5 | $508.3 | $1,363 | 2.3× | $2,453.4 |
| Transthoracic echocardiogram | CPT | 93307 | 36 | $1,639 | $1,229.25 | $224.08 | $786.72 | 3.2× | $1,475.1 |
| Stress echocardiogram | CPT | 93350 | 36 | $2,499 | $1,874.25 | $508.3 | $1,249.5 | 2.5× | $2,249.1 |
| inpatient |
| Intracranial hemorrhage/CVA w MCC | MS-DRG | 064 | 19 | — | — | $13,404 | $14,074 | 0.70× | $25,860 |
| Intracranial hemorrhage/CVA w CC | MS-DRG | 065 | 19 | — | — | $7,082.49 | $7,436.61 | 0.69× | $13,220 |
| Intracranial hemorrhage/CVA w/o CC/MCC | MS-DRG | 066 | 19 | — | — | $4,945.97 | $5,193.27 | 0.68× | $8,947.9 |
| Respiratory infections & inflammations w MCC | MS-DRG | 177 | 19 | — | — | $10,981 | $11,530 | 0.75× | $21,015 |
| COPD w MCC | MS-DRG | 190 | 19 | — | — | $7,772.33 | $8,160.95 | 0.73× | $14,599 |
| COPD w CC | MS-DRG | 191 | 19 | — | — | $6,056.49 | $6,359.31 | 0.72× | $11,168 |
| COPD w/o CC/MCC | MS-DRG | 192 | 19 | — | — | $4,678.73 | $4,912.67 | 0.70× | $8,421.71 |
| Simple pneumonia & pleurisy w CC | MS-DRG | 194 | 19 | — | — | $5,802.26 | $6,092.37 | 0.72× | $10,660 |
| Simple pneumonia & pleurisy w/o CC/MCC | MS-DRG | 195 | 19 | — | — | $4,519.45 | $4,745.42 | 0.71× | $8,135.01 |
| AMI discharged alive w MCC | MS-DRG | 280 | 19 | — | — | $11,143 | $11,700 | 0.75× | $21,338 |
| AMI discharged alive w CC | MS-DRG | 281 | 19 | — | — | $6,464.15 | $6,787.36 | 0.70× | $11,983 |
| AMI discharged alive w/o CC/MCC | MS-DRG | 282 | 19 | — | — | $5,185.23 | $5,444.49 | 0.70× | $9,426.3 |
| Heart failure & shock w MCC | MS-DRG | 291 | 19 | — | — | $8,954.36 | $9,402.08 | 0.74× | $16,962 |
| Heart failure & shock w CC | MS-DRG | 292 | 19 | — | — | $6,070.13 | $6,373.64 | 0.71× | $11,196 |
| Heart failure & shock w/o CC/MCC | MS-DRG | 293 | 19 | — | — | $4,038.31 | $4,240.23 | 0.68× | $7,268.96 |
| Cardiac arrhythmia w MCC | MS-DRG | 308 | 19 | — | — | $8,311.34 | $8,726.91 | 0.72× | $15,677 |
| Cardiac arrhythmia w CC | MS-DRG | 309 | 19 | — | — | $5,277.55 | $5,541.43 | 0.71× | $9,610.9 |
| Cardiac arrhythmia w/o CC/MCC | MS-DRG | 310 | 19 | — | — | $4,108.51 | $4,313.94 | 0.70× | $7,395.32 |
| GI hemorrhage w CC | MS-DRG | 378 | 19 | — | — | $6,880.93 | $7,224.98 | 0.72× | $12,817 |
| GI hemorrhage w/o CC/MCC | MS-DRG | 379 | 19 | — | — | $4,610.47 | $4,840.99 | 0.71× | $8,298.85 |
| Esophagitis/gastroenteritis w/o MCC | MS-DRG | 392 | 19 | — | — | $5,544.12 | $5,821.33 | 0.72× | $10,144 |
| Fractures of femur w/o MCC | MS-DRG | 533 | 19 | — | — | $10,385 | $10,905 | 0.72× | $19,824 |
| Kidney/UTI w MCC | MS-DRG | 689 | 19 | — | — | $8,079.87 | $8,483.86 | 0.73× | $15,214 |
| Kidney/UTI w/o MCC | MS-DRG | 690 | 19 | — | — | $5,689.12 | $5,973.58 | 0.72× | $10,434 |
| Septicemia or severe sepsis w MV 96+ hrs | MS-DRG | 871 | 19 | — | — | $13,228 | $13,889 | 0.74× | $25,507 |
| Septicemia or severe sepsis w/o MV 96+ hrs | MS-DRG | 872 | 19 | — | — | $7,174.15 | $7,532.86 | 0.73× | $13,403 |
| lab |
| Basic metabolic panel (BMP) | CPT | 80048 | 36 | $158 | $118.5 | $4.65 | $72.68 | 2.2× | $142.2 |
| General health panel | CPT | 80050 | 1 | — | — | $41.41 | $41.41 | 0.39× | $41.41 |
| Electrolyte panel | CPT | 80051 | 36 | $154 | $115.5 | $3.86 | $70.84 | 3.0× | $138.6 |
| Comprehensive metabolic panel | CPT | 80053 | 36 | $254 | $190.5 | $5.81 | $116.84 | 2.6× | $228.6 |
| Lipid panel | CPT | 80061 | 36 | $184 | $138 | $7.36 | $50.15 | 1.3× | $165.6 |
| Renal function panel | CPT | 80069 | 36 | $241 | $180.75 | $4.77 | $110.86 | 4.1× | $216.9 |
| Hepatic function panel | CPT | 80076 | 36 | $182 | $136.5 | $4.49 | $83.72 | 3.1× | $163.8 |
| Urinalysis non-automated | CPT | 81002 | 36 | $44 | $33 | $1.91 | $20.24 | 2.9× | $39.6 |
| Urinalysis automated | CPT | 81003 | 36 | $83 | $62.25 | $1.24 | $38.18 | 2.7× | $74.7 |
| Glucose quantitative | CPT | 82947 | 36 | $58 | $43.5 | $2.16 | $26.68 | 1.5× | $52.2 |
| Hemoglobin A1c | CPT | 83036 | 36 | $147 | $110.25 | $5.34 | $73.5 | 2.7× | $132.3 |
| Thyroid stimulating hormone (TSH) | CPT | 84443 | 36 | $175 | $131.25 | $9.24 | $80.5 | 1.7× | $157.5 |
| Complete blood count with automated differential | CPT | 85025 | 36 | $134 | $100.5 | $4.27 | $61.64 | 2.3× | $120.6 |
| Complete blood count without differential | CPT | 85027 | 36 | $116 | $87 | $3.56 | $53.36 | 2.5× | $104.4 |
| Urine culture bacterial | CPT | 87086 | 36 | $162 | $121.5 | $4.44 | $74.52 | 3.2× | $145.8 |
| Urine culture identification | CPT | 87088 | 17 | — | — | $8.09 | $8.09 | 0.36× | $14.56 |
| Tissue exam by pathologist level IV | CPT | 88305 | 36 | $424 | $318 | $30.96 | $212 | 2.1× | $381.6 |
| maternity |
| Fetal non-stress test | CPT | 59025 | 36 | $613 | $459.75 | $186.49 | $331.96 | 1.8× | $564.03 |
| Vaginal delivery only | CPT | 59409 | 36 | $3,028 | $2,271 | $1,211.2 | $2,725.2 | 1.2× | $8,914.33 |
| Vaginal delivery with postpartum | CPT | 59410 | 1 | — | — | $1,910 | $1,910 | 1.8× | $1,910 |
| C-section with postpartum | CPT | 59515 | 1 | — | — | $3,679 | $3,679 | 2.9× | $3,679 |
| office |
| Office visit, established patient, 5 min | CPT | 99211 | 35 | $126 | $94.5 | $31 | $113.4 | 1.8× | $361.3 |
| Office visit, established patient, 10-19 min | CPT | 99212 | 35 | $146 | $109.5 | $31 | $119.47 | 1.5× | $361.3 |
| Office visit, established patient, 20-29 minutes | CPT | 99213 | 35 | $162 | $121.5 | $31 | $121.26 | 1.1× | $361.3 |
| Office visit, established patient, 30-39 minutes | CPT | 99214 | 35 | $189 | $141.75 | $31 | $122.95 | 0.81× | $361.3 |
| Office visit, established patient, 40-54 min | CPT | 99215 | 35 | $216 | $162 | $31 | $135.91 | 0.72× | $361.3 |
| preventive |
| Upper GI endoscopy diagnostic | CPT | 43235 | 36 | $3,224 | $2,418 | $869.16 | $1,612 | 1.8× | $2,901.6 |
| Upper GI endoscopy with biopsy | CPT | 43239 | 36 | $3,160 | $2,370 | $869.16 | $1,580 | 1.6× | $2,844 |
| Sigmoidoscopy diagnostic | CPT | 45330 | 36 | $2,261 | $1,695.75 | $845.19 | $1,243.55 | 1.5× | $2,556.13 |
| Sigmoidoscopy with biopsy | CPT | 45331 | 36 | $2,490 | $1,867.5 | $845.19 | $1,441.44 | 1.6× | $2,556.13 |
| Colonoscopy diagnostic | CPT | 45378 | 36 | $3,337 | $2,502.75 | $845.19 | $1,668.5 | 1.9× | $3,003.3 |
| Colonoscopy with biopsy | CPT | 45380 | 36 | $3,254 | $2,440.5 | $1,093.05 | $1,857.44 | 1.5× | $3,305.75 |
| Colonoscopy with polyp removal | CPT | 45385 | 36 | $3,170 | $2,377.5 | $1,093.05 | $1,857.44 | 1.5× | $3,305.75 |
| surgery |
| Total shoulder arthroplasty | CPT | 23472 | 17 | — | — | $3,679 | $17,304 | 4.2× | $51,560 |
| PCI w drug-eluting stent w/o MCC | MS-DRG | 247 | 1 | — | — | $24,573 | $28,946 | 1.6× | $30,590 |
| Hip hemiarthroplasty | CPT | 27125 | 1 | — | — | $4,776 | $4,776 | 3.8× | $4,776 |
| Total hip replacement | CPT | 27130 | 17 | — | — | $4,776 | $12,107 | 2.8× | $36,074 |
| Total knee replacement | CPT | 27447 | 17 | — | — | $4,776 | $12,107 | 2.9× | $36,074 |
| Knee revision arthroplasty single component | CPT | 27486 | 1 | — | — | $4,776 | $4,776 | 2.9× | $4,776 |
| Knee revision arthroplasty all components | CPT | 27487 | 1 | — | — | $4,776 | $4,776 | 2.4× | $4,776 |
| Shoulder arthroscopy with decompression | CPT | 29826 | 2 | — | — | $2,453.36 | $2,712.18 | 8.3× | $2,971 |
| Shoulder arthroscopy with rotator cuff repair | CPT | 29827 | 18 | — | — | $3,679 | $6,622.52 | 2.0× | $20,029 |
| Knee arthroscopy with meniscectomy | CPT | 29881 | 18 | — | — | $2,693.6 | $3,098.12 | 1.5× | $9,096.8 |
| ACL reconstruction | CPT | 29888 | 18 | — | — | $2,453.36 | $6,622.52 | 2.0× | $20,029 |
| Major small/large bowel procedures w MCC | MS-DRG | 329 | 19 | — | — | $30,327 | $31,843 | 0.74× | $59,695 |
| Major small/large bowel procedures w CC | MS-DRG | 330 | 19 | — | — | $15,839 | $16,631 | 0.72× | $30,728 |
| Major small/large bowel procedures w/o CC/MCC | MS-DRG | 331 | 19 | — | — | $11,205 | $11,766 | 0.72× | $21,463 |
| Laparoscopic cholecystectomy w/o CDE w MCC | MS-DRG | 418 | 19 | — | — | $11,253 | $11,816 | 0.72× | $21,559 |
| Laparoscopic cholecystectomy w/o CDE w CC | MS-DRG | 419 | 19 | — | — | $9,037.58 | $9,489.46 | 0.70× | $17,129 |
| Laparoscopic cholecystectomy w/o CDE w/o CC/MCC | MS-DRG | 420 | 19 | — | — | $23,419 | $24,590 | 0.76× | $45,884 |
| Open appendectomy | CPT | 44950 | 17 | — | — | $3,234 | $5,871.27 | 5.2× | $17,494 |
| Laparoscopic appendectomy | CPT | 44970 | 17 | — | — | $2,971 | $5,489.82 | 3.5× | $16,358 |
| Spinal fusion (non-cervical) w MCC | MS-DRG | 459 | 1 | — | — | $83,618 | $83,618 | 1.7× | $83,618 |
| Spinal fusion (non-cervical) w/o MCC | MS-DRG | 460 | 1 | — | — | $61,319 | $61,319 | 1.8× | $61,319 |
| Major joint replacement w MCC | MS-DRG | 469 | 19 | — | — | $21,723 | $22,810 | 0.77× | $42,493 |
| Major joint replacement w/o MCC | MS-DRG | 470 | 19 | — | — | $12,730 | $13,367 | 0.71× | $24,512 |
| Laparoscopic cholecystectomy | CPT | 47562 | 17 | — | — | $3,679 | $5,489.82 | 3.1× | $16,358 |
| Lap cholecystectomy with cholangiography | CPT | 47563 | 17 | — | — | $3,679 | $5,489.82 | 2.9× | $16,358 |
| Hip & femur procedures except major joint w MCC | MS-DRG | 480 | 19 | — | — | $19,593 | $20,572 | 0.74× | $38,233 |
| Hip & femur procedures except major joint w CC | MS-DRG | 481 | 19 | — | — | $13,961 | $14,660 | 0.72× | $26,974 |
| Hip & femur procedures except major joint w/o CC/MCC | MS-DRG | 482 | 19 | — | — | $10,785 | $11,325 | 0.71× | $20,623 |
| Open umbilical hernia repair | CPT | 49560 | 1 | — | — | $2,693.6 | $2,693.6 | 1.4× | $2,693.6 |
| Umbilical hernia repair age 5+ | CPT | 49585 | 1 | — | — | $2,693.6 | $2,693.6 | 2.0× | $2,693.6 |
| Lap inguinal hernia repair | CPT | 49650 | 18 | — | — | $2,693.6 | $5,408.69 | 4.8× | $16,358 |
| Total abdominal hysterectomy | CPT | 58150 | 1 | — | — | $7,667 | $7,667 | 7.9× | $7,667 |
| Vaginal hysterectomy | CPT | 58260 | 17 | — | — | $3,679 | $4,644.94 | 2.6× | $13,840 |
| Lap-assisted vaginal hysterectomy | CPT | 58550 | 18 | — | — | $4,776 | $5,570.95 | 3.8× | $16,358 |
| Lap-assisted vaginal hysterectomy >250g | CPT | 58552 | 17 | — | — | $7,667 | $9,796.4 | 4.4× | $29,190 |
| Lap salpingo-oophorectomy | CPT | 58661 | 18 | — | — | $3,679 | $5,408.69 | 2.7× | $16,358 |
| OR procedure for obesity w MCC | MS-DRG | 619 | 19 | — | — | $18,198 | $19,108 | 0.70× | $32,852 |
| OR procedure for obesity w CC | MS-DRG | 620 | 19 | — | — | $10,854 | $11,397 | 0.70× | $26,330 |
| OR procedure for obesity w/o CC/MCC | MS-DRG | 621 | 19 | — | — | $9,975.17 | $10,474 | 0.69× | $26,330 |
| Complex cataract surgery | CPT | 66982 | 18 | — | — | $2,114.33 | $2,220.04 | 1.0× | $6,394.4 |
| Cataract surgery with lens implant | CPT | 66984 | 18 | — | — | $2,114.33 | $2,220.04 | 1.0× | $6,394.4 |
| Intravitreal injection | CPT | 67028 | 17 | — | — | $307.49 | $319.79 | 0.93× | $1,910 |
| Vitrectomy mechanical | CPT | 67042 | 17 | — | — | $3,679 | $3,785.29 | 1.5× | $11,279 |
| Uterine & adnexa procedures w CC/MCC | MS-DRG | 743 | 19 | — | — | $8,264.52 | $8,677.75 | 0.71× | $15,583 |
| Uterine & adnexa procedures w/o CC/MCC | MS-DRG | 744 | 19 | — | — | $13,175 | $13,834 | 0.72× | $25,402 |
| PCI single major coronary artery | CPT | 92920 | 36 | $12,068 | $9,051 | $5,285.54 | $7,844.2 | 1.4× | $16,525 |
| PCI with drug-eluting stent | CPT | 92928 | 36 | $15,429 | $11,572 | $7,097.34 | $11,039 | 1.1× | $31,795 |
| PCI bypass graft | CPT | 92937 | 36 | $39,092 | $29,319 | $10,513 | $19,546 | 1.8× | $35,183 |
| Left heart catheterization | CPT | 93452 | 36 | $15,603 | $11,702 | $2,981.74 | $7,801.5 | 2.5× | $16,525 |
| Coronary angiography with cath | CPT | 93455 | 36 | $17,249 | $12,937 | $2,981.74 | $8,324.47 | 2.7× | $16,525 |
| Coronary angiography with bypass cath | CPT | 93458 | 36 | $21,371 | $16,028 | $2,981.74 | $10,258 | 3.3× | $19,234 |