| behavioral |
| Psychoses | MS-DRG | 885 | 8 | — | — | $8,711.75 | $10,888 | 0.85× | $24,158 |
| emergency |
| ED visit level 1 | CPT | 99281 | 11 | $366 | $128.1 | $51.36 | $90.09 | 0.64× | $322 |
| ED visit level 2 | CPT | 99282 | 11 | $444 | $155.4 | $51.36 | $163.29 | 0.69× | $855 |
| ED visit level 3 | CPT | 99283 | 11 | $953 | $333.55 | $51.36 | $287.37 | 0.71× | $1,461 |
| ED visit level 4 | CPT | 99284 | 11 | $1,182 | $413.7 | $187.35 | $451.34 | 0.68× | $2,981 |
| ED visit level 5 | CPT | 99285 | 11 | $1,808 | $632.8 | $286.57 | $647.85 | 0.62× | $3,520 |
| Critical care, first hour | CPT | 99291 | 11 | $2,706 | $947.1 | $428.91 | $859.49 | 0.80× | $3,520 |
| imaging |
| CT head without contrast | CPT | 70450 | 11 | $3,156 | $1,104.6 | $109.04 | $137.97 | 0.67× | $1,578 |
| CT head with contrast | CPT | 70460 | 11 | $2,950 | $1,032.5 | $154.36 | $225.32 | 0.96× | $1,475 |
| CT head with and without contrast | CPT | 70470 | 11 | $3,626 | $1,269.1 | $178.67 | $225.32 | 0.84× | $1,813 |
| CT neck with contrast | CPT | 70491 | 11 | $3,034 | $1,061.9 | $178.67 | $230.41 | 0.84× | $1,517 |
| MRI brain without contrast | CPT | 70551 | 11 | $4,954 | $1,733.9 | $218.85 | $352.81 | 0.87× | $2,477 |
| MRI brain with contrast | CPT | 70552 | 11 | $5,023 | $1,758.05 | $252.74 | $404.38 | 0.85× | $2,511.5 |
| MRI brain with and without contrast | CPT | 70553 | 11 | $7,075 | $2,476.25 | $357.85 | $619.06 | 1.1× | $3,537.5 |
| Chest X-ray single view | CPT | 71045 | 11 | $599 | $209.65 | $20.71 | $117.71 | 1.2× | $335.44 |
| Chest X-ray 2 views | CPT | 71046 | 11 | $634 | $221.9 | $28.74 | $117.71 | 1.2× | $355.04 |
| CT chest without contrast | CPT | 71250 | 11 | $3,777 | $1,321.95 | $109.04 | $139.15 | 0.65× | $1,888.5 |
| CT chest with contrast | CPT | 71260 | 11 | $3,956 | $1,384.6 | $178.67 | $227.07 | 0.81× | $1,978 |
| CT chest with and without contrast | CPT | 71270 | 11 | $4,433 | $1,551.55 | $178.67 | $246.37 | 0.85× | $2,216.5 |
| MRI chest without contrast | CPT | 71550 | 11 | $4,001 | $1,400.35 | $230.28 | $333.91 | 0.78× | $2,000.5 |
| MRI chest with contrast | CPT | 71551 | 11 | $4,512 | $1,579.2 | $432.7 | $737.12 | 0.91× | $2,256 |
| MRI chest with and without contrast | CPT | 71552 | 11 | $5,878 | $2,057.3 | $368.36 | $506.66 | 0.84× | $2,939 |
| Lumbosacral spine X-ray | CPT | 72100 | 11 | $605 | $211.75 | $33.08 | $137.97 | 1.3× | $338.8 |
| CT cervical spine without contrast | CPT | 72125 | 11 | $4,137 | $1,447.95 | $109.04 | $158.11 | 0.78× | $2,068.5 |
| CT thoracic spine without contrast | CPT | 72128 | 11 | $3,936 | $1,377.6 | $109.04 | $158.11 | 0.79× | $1,968 |
| CT lumbar spine without contrast | CPT | 72131 | 11 | $4,201 | $1,470.35 | $109.04 | $158.11 | 0.78× | $2,100.5 |
| MRI cervical spine without contrast | CPT | 72141 | 11 | $4,436 | $1,552.6 | $212.84 | $289.46 | 0.73× | $2,218 |
| MRI thoracic spine without contrast | CPT | 72146 | 11 | $3,737 | $1,307.95 | $213.18 | $289.46 | 0.78× | $1,868.5 |
| MRI lumbar spine without contrast | CPT | 72148 | 11 | $4,389 | $1,536.15 | $212.84 | $289.46 | 0.77× | $2,194.5 |
| MRI lumbar spine with and without contrast | CPT | 72149 | 11 | $5,374 | $1,880.9 | $305.06 | $467.79 | 1.0× | $2,687 |
| MRI cervical spine with and without contrast | CPT | 72156 | 11 | $5,080 | $1,778 | $359.86 | $467.79 | 0.87× | $2,540 |
| MRI lumbar spine with contrast | CPT | 72158 | 11 | $4,884 | $1,709.4 | $359.19 | $467.79 | 0.85× | $2,442 |
| CT pelvis without contrast | CPT | 72192 | 11 | $3,311 | $1,158.85 | $109.04 | $158.11 | 0.79× | $1,655.5 |
| CT pelvis with contrast | CPT | 72193 | 11 | $3,727 | $1,304.45 | $178.67 | $241.63 | 0.86× | $1,863.5 |
| Shoulder X-ray | CPT | 73030 | 11 | $710 | $248.5 | $27.74 | $118.03 | 1.3× | $397.6 |
| Humerus X-ray | CPT | 73060 | 11 | $505 | $176.75 | $27.4 | $151.84 | 1.7× | $282.8 |
| Hand X-ray 3 views | CPT | 73130 | 11 | $490 | $171.5 | $30.08 | $118.03 | 1.3× | $274.4 |
| MRI upper extremity joint without contrast | CPT | 73221 | 11 | $4,436 | $1,552.6 | $224.88 | $333.91 | 0.80× | $2,218 |
| MRI upper extremity joint with and without contrast | CPT | 73223 | 11 | $5,779 | $2,022.65 | $368.36 | $730.19 | 1.2× | $2,889.5 |
| Knee X-ray 1-2 views | CPT | 73560 | 11 | $505 | $176.75 | $29.4 | $100.65 | 1.1× | $282.8 |
| Ankle X-ray 3 views | CPT | 73610 | 11 | $561 | $196.35 | $29.74 | $151.84 | 1.6× | $314.16 |
| MRI lower extremity joint without contrast | CPT | 73721 | 11 | $5,211 | $1,823.85 | $224.88 | $352.81 | 0.75× | $2,605.5 |
| MRI lower extremity joint with and without contrast | CPT | 73723 | 11 | $5,749 | $2,012.15 | $368.36 | $534.12 | 0.84× | $2,874.5 |
| CT abdomen without contrast | CPT | 74150 | 11 | $3,928 | $1,374.8 | $109.04 | $158.11 | 0.84× | $1,964 |
| CT abdomen with contrast | CPT | 74160 | 11 | $4,735 | $1,657.25 | $178.67 | $259.07 | 0.90× | $2,367.5 |
| CT abdomen with and without contrast | CPT | 74170 | 11 | $4,951 | $1,732.85 | $178.67 | $296.34 | 0.89× | $2,475.5 |
| CT abdomen and pelvis without contrast | CPT | 74176 | 11 | $7,369 | $2,579.15 | $189.79 | $288.5 | 0.79× | $3,684.5 |
| CT abdomen and pelvis with contrast | CPT | 74177 | 11 | $8,996 | $3,148.6 | $252.74 | $391.89 | 0.71× | $4,498 |
| CT abdomen and pelvis with and without contrast | CPT | 74178 | 11 | $9,561 | $3,346.35 | $252.74 | $391.89 | 0.68× | $4,780.5 |
| MRI abdomen without contrast | CPT | 74181 | 11 | $4,169 | $1,459.15 | $230.28 | $289.46 | 0.74× | $2,084.5 |
| MRI abdomen with and without contrast | CPT | 74183 | 11 | $6,267 | $2,193.45 | $368.36 | $479.32 | 0.85× | $3,133.5 |
| Abdominal ultrasound complete | CPT | 76700 | 11 | $2,043 | $715.05 | $109.04 | $139.15 | 0.93× | $1,144.08 |
| Abdominal ultrasound limited | CPT | 76705 | 11 | $1,465 | $512.75 | $87.21 | $137.97 | 0.94× | $820.4 |
| Retroperitoneal ultrasound complete | CPT | 76770 | 11 | $2,004 | $701.4 | $107.93 | $137.97 | 0.96× | $1,122.24 |
| Obstetric ultrasound first trimester | CPT | 76801 | 11 | $1,395 | $488.25 | $109.04 | $131.69 | 0.93× | $781.2 |
| Obstetric ultrasound after first trimester | CPT | 76805 | 11 | $1,448 | $506.8 | $109.04 | $139.15 | 0.91× | $810.88 |
| Transvaginal ultrasound | CPT | 76830 | 11 | $817 | $285.95 | $109.04 | $139.15 | 0.94× | $457.52 |
| Pelvic ultrasound complete | CPT | 76856 | 11 | $1,444 | $505.4 | $96.28 | $137.97 | 0.96× | $808.64 |
| Scrotal ultrasound | CPT | 76870 | 11 | $1,223 | $428.05 | $64.49 | $137.97 | 1.1× | $684.88 |
| Diagnostic mammography unilateral | CPT | 77065 | 4 | $444 | $155.4 | $182.06 | $241.36 | 1.6× | $256.78 |
| Diagnostic mammography bilateral | CPT | 77066 | 4 | $779 | $272.65 | $232.52 | $391.3 | 2.1× | $436.24 |
| Screening mammography bilateral | CPT | 77067 | 4 | $574 | $200.9 | $192.3 | $256.06 | 1.6× | $321.44 |
| EKG tracing only | CPT | 93005 | 10 | $468 | $163.8 | $55.08 | $132.49 | 1.1× | $262.08 |
| Transthoracic echocardiogram complete | CPT | 93306 | 10 | $4,374 | $1,530.9 | $288.14 | $497.71 | 0.83× | $2,449.44 |
| Transthoracic echocardiogram | CPT | 93307 | 11 | $1,915 | $670.25 | $132.65 | $241.1 | 0.97× | $1,100.8 |
| Stress echocardiogram | CPT | 93350 | 11 | $3,138 | $1,098.3 | $177.43 | $490.46 | 0.97× | $1,757.28 |
| inpatient |
| Intracranial hemorrhage/CVA w MCC | MS-DRG | 064 | 8 | — | — | $10,257 | $15,105 | 0.75× | $36,411 |
| Intracranial hemorrhage/CVA w CC | MS-DRG | 065 | 8 | — | — | $5,980.38 | $9,296.75 | 0.87× | $20,822 |
| Intracranial hemorrhage/CVA w/o CC/MCC | MS-DRG | 066 | 8 | — | — | $4,330.28 | $7,041.04 | 0.92× | $16,133 |
| Respiratory infections & inflammations w MCC | MS-DRG | 177 | 8 | — | — | $10,734 | $14,660 | 0.95× | $35,087 |
| COPD w MCC | MS-DRG | 190 | 8 | — | — | $6,685.09 | $9,784.99 | 0.87× | $22,420 |
| COPD w CC | MS-DRG | 191 | 8 | — | — | $5,322.09 | $8,187.06 | 0.93× | $18,759 |
| COPD w/o CC/MCC | MS-DRG | 192 | 8 | — | — | $4,213.71 | $6,934.86 | 0.99× | $15,890 |
| Simple pneumonia & pleurisy w CC | MS-DRG | 194 | 8 | — | — | $5,412.57 | $8,051.69 | 0.95× | $18,449 |
| Simple pneumonia & pleurisy w/o CC/MCC | MS-DRG | 195 | 8 | — | — | $4,117.42 | $6,737.11 | 1.0× | $15,436 |
| AMI discharged alive w MCC | MS-DRG | 280 | 8 | — | — | $9,614.67 | $13,164 | 0.84× | $30,491 |
| AMI discharged alive w CC | MS-DRG | 281 | 8 | — | — | $5,711.84 | $8,677.43 | 0.90× | $19,463 |
| AMI discharged alive w/o CC/MCC | MS-DRG | 282 | 8 | — | — | $4,399.88 | $7,137.26 | 0.92× | $16,353 |
| Heart failure & shock w MCC | MS-DRG | 291 | 8 | — | — | $8,560.22 | $11,140 | 0.87× | $24,597 |
| Heart failure & shock w CC | MS-DRG | 292 | 8 | — | — | $5,561.05 | $8,278.94 | 0.93× | $18,442 |
| Heart failure & shock w/o CC/MCC | MS-DRG | 293 | 8 | — | — | $3,906.88 | $6,233.45 | 1.0× | $14,282 |
| Cardiac arrhythmia w MCC | MS-DRG | 308 | 8 | — | — | $6,893.3 | $10,469 | 0.87× | $23,572 |
| Cardiac arrhythmia w CC | MS-DRG | 309 | 8 | — | — | $4,477.61 | $7,299.18 | 0.94× | $16,724 |
| Cardiac arrhythmia w/o CC/MCC | MS-DRG | 310 | 8 | — | — | $3,262.5 | $6,029.72 | 0.97× | $13,816 |
| GI hemorrhage w CC | MS-DRG | 378 | 8 | — | — | $5,627.75 | $9,129.87 | 0.91× | $20,419 |
| GI hemorrhage w/o CC/MCC | MS-DRG | 379 | 8 | — | — | $3,738.68 | $6,547.32 | 0.96× | $15,002 |
| Esophagitis/gastroenteritis w/o MCC | MS-DRG | 392 | 8 | — | — | $4,403.94 | $7,400.7 | 0.92× | $16,957 |
| Fractures of femur w/o MCC | MS-DRG | 533 | 8 | — | — | $8,340.41 | $11,857 | 0.78× | $26,872 |
| Kidney/UTI w MCC | MS-DRG | 689 | 8 | — | — | $6,259.94 | $9,903.3 | 0.85× | $22,254 |
| Kidney/UTI w/o MCC | MS-DRG | 690 | 8 | — | — | $4,608.11 | $7,587.83 | 0.91× | $17,386 |
| Septicemia or severe sepsis w MV 96+ hrs | MS-DRG | 871 | 8 | — | — | $10,573 | $14,809 | 0.79× | $35,525 |
| Septicemia or severe sepsis w/o MV 96+ hrs | MS-DRG | 872 | 8 | — | — | $6,116.69 | $9,328.39 | 0.90× | $20,918 |
| lab |
| Basic metabolic panel (BMP) | CPT | 80048 | 11 | $449 | $157.15 | $7.11 | $8.88 | 0.27× | $251.44 |
| Electrolyte panel | CPT | 80051 | 11 | $227 | $79.45 | $5.89 | $7.36 | 0.31× | $127.12 |
| Comprehensive metabolic panel | CPT | 80053 | 11 | $566 | $198.1 | $8.87 | $11.09 | 0.25× | $316.96 |
| Lipid panel | CPT | 80061 | 11 | $199 | $69.65 | $11.25 | $14.06 | 0.37× | $111.44 |
| Renal function panel | CPT | 80069 | 11 | $562 | $196.7 | $7.29 | $9.11 | 0.33× | $314.72 |
| Hepatic function panel | CPT | 80076 | 11 | $399 | $139.65 | $6.86 | $8.58 | 0.32× | $223.44 |
| Urinalysis automated | CPT | 81003 | 11 | $55 | $19.25 | $1.89 | $2.36 | 0.17× | $30.8 |
| Glucose quantitative | CPT | 82947 | 11 | $56 | $19.6 | $3.3 | $5.7 | 0.32× | $31.36 |
| Hemoglobin A1c | CPT | 83036 | 11 | $86 | $30.1 | $8.16 | $10.2 | 0.38× | $48.16 |
| Thyroid stimulating hormone (TSH) | CPT | 84443 | 11 | $194 | $67.9 | $14.11 | $17.64 | 0.37× | $108.64 |
| Complete blood count with automated differential | CPT | 85025 | 11 | $152 | $53.2 | $6.53 | $11.27 | 0.43× | $85.12 |
| Complete blood count without differential | CPT | 85027 | 11 | $141 | $49.35 | $5.43 | $9.38 | 0.43× | $78.96 |
| Urine culture bacterial | CPT | 87086 | 11 | $167 | $58.45 | $6.78 | $8.47 | 0.36× | $93.52 |
| Urine culture identification | CPT | 87088 | 11 | $166 | $58.1 | $6.8 | $8.49 | 0.38× | $92.96 |
| Tissue exam by pathologist level IV | CPT | 88305 | 11 | $854 | $298.9 | $49.53 | $72.2 | 0.71× | $478.24 |
| maternity |
| Fetal non-stress test | CPT | 59025 | 9 | — | — | $15.02 | $170.43 | 0.91× | $402.21 |
| Routine obstetric care including vaginal delivery | CPT | 59400 | 1 | — | — | $2,150.45 | $3,096.65 | 1.3× | $3,182.67 |
| Vaginal delivery only | CPT | 59409 | 9 | — | — | $1,185 | $2,703.69 | 1.2× | $6,194.86 |
| Vaginal delivery with postpartum | CPT | 59410 | 2 | — | — | $1,074.51 | $1,568.78 | 1.5× | $3,348 |
| Routine obstetric care with C-section | CPT | 59510 | 1 | — | — | $2,385.16 | $3,434.63 | 1.4× | $3,530.04 |
| C-section delivery only | CPT | 59514 | 1 | — | — | $947.1 | $1,363.82 | 1.4× | $1,401.71 |
| C-section with postpartum | CPT | 59515 | 2 | — | — | $1,305.27 | $1,905.7 | 1.5× | $6,500 |
| Cesarean section w CC/MCC | MS-DRG | 765 | 1 | — | — | $6,826.61 | $7,553.41 | 83.7× | $8,280.21 |
| Cesarean section w/o CC/MCC | MS-DRG | 766 | 1 | — | — | $4,855.19 | $5,372.1 | 59.6× | $5,889 |
| Vaginal delivery w complicating dx | MS-DRG | 774 | 1 | — | — | $4,816.32 | $5,329.09 | 57.9× | $5,841.86 |
| Vaginal delivery w/o complicating dx | MS-DRG | 775 | 1 | — | — | $3,743.33 | $4,141.87 | 4.4× | $4,540.4 |
| office |
| Office visit, new patient, 15-29 min | CPT | 99202 | 2 | $402 | $140.7 | $106.75 | $137.31 | 1.6× | $201 |
| Office visit, new patient, 30-44 minutes | CPT | 99203 | 2 | $524 | $183.4 | $161.99 | $218.06 | 1.8× | $262 |
| Office visit, new patient, 45-59 min | CPT | 99204 | 2 | $636 | $222.6 | $273.21 | $318 | 1.8× | $367.78 |
| Office visit, new patient, 60-74 min | CPT | 99205 | 2 | $719 | $251.65 | $356.82 | $397.16 | 1.8× | $480.34 |
| Office visit, established patient, 5 min | CPT | 99211 | 2 | $225 | $78.75 | $19.41 | $26.12 | 0.41× | $112.5 |
| Office visit, established patient, 10-19 min | CPT | 99212 | 2 | $299 | $104.65 | $53.75 | $72.35 | 0.90× | $149.5 |
| Office visit, established patient, 20-29 minutes | CPT | 99213 | 2 | $375 | $131.25 | $108.24 | $145.71 | 1.3× | $187.5 |
| Office visit, established patient, 30-39 minutes | CPT | 99214 | 2 | $433 | $151.55 | $165.71 | $209.87 | 1.4× | $223.08 |
| Office visit, established patient, 40-54 min | CPT | 99215 | 2 | $504 | $176.4 | $234.4 | $269.26 | 1.4× | $315.53 |
| preventive |
| Upper GI endoscopy diagnostic | CPT | 43235 | 10 | — | — | $287.68 | $826.26 | 0.90× | $3,348 |
| Upper GI endoscopy with biopsy | CPT | 43239 | 10 | — | — | $287.68 | $826.26 | 0.86× | $2,431 |
| Sigmoidoscopy diagnostic | CPT | 45330 | 10 | — | — | $138.6 | $794.17 | 0.94× | $3,348 |
| Sigmoidoscopy with biopsy | CPT | 45331 | 10 | — | — | $287.68 | $803.08 | 0.90× | $3,348 |
| Colonoscopy diagnostic | CPT | 45378 | 10 | — | — | $287.68 | $803.08 | 0.92× | $2,431 |
| Colonoscopy with biopsy | CPT | 45380 | 10 | — | — | $385.2 | $1,055.76 | 0.87× | $2,448.83 |
| Colonoscopy with polyp removal | CPT | 45385 | 10 | — | — | $385.2 | $1,055.76 | 0.88× | $2,448.83 |
| surgery |
| Total shoulder arthroplasty | CPT | 23472 | 8 | — | — | $1,507.68 | $12,323 | 3.0× | $29,082 |
| PCI w drug-eluting stent w MCC | MS-DRG | 246 | 8 | — | — | $18,620 | $23,052 | 0.83× | $59,284 |
| PCI w drug-eluting stent w/o MCC | MS-DRG | 247 | 8 | — | — | $12,270 | $15,523 | 0.85× | $37,441 |
| Hip hemiarthroplasty | CPT | 27125 | 8 | — | — | $1,173.92 | $12,323 | 9.8× | $29,082 |
| Total hip replacement | CPT | 27130 | 9 | — | — | $1,405.4 | $12,323 | 2.8× | $29,082 |
| Total knee replacement | CPT | 27447 | 9 | — | — | $5,000 | $12,511 | 3.0× | $29,082 |
| Knee revision arthroplasty single component | CPT | 27486 | 8 | — | — | $1,457.08 | $12,323 | 7.4× | $29,082 |
| Knee revision arthroplasty all components | CPT | 27487 | 8 | — | — | $1,822.43 | $12,323 | 6.2× | $29,082 |
| Shoulder arthroscopy with decompression | CPT | 29826 | 2 | — | — | $191 | $2,295.5 | 7.0× | $4,400 |
| Shoulder arthroscopy with rotator cuff repair | CPT | 29827 | 10 | — | — | $1,121.47 | $6,288.96 | 1.9× | $14,795 |
| Knee arthroscopy with meniscectomy | CPT | 29881 | 10 | — | — | $907.57 | $2,877.94 | 1.4× | $6,684.16 |
| ACL reconstruction | CPT | 29888 | 10 | — | — | $1,121.47 | $6,269.08 | 1.9× | $14,795 |
| Major small/large bowel procedures w MCC | MS-DRG | 329 | 8 | — | — | $28,497 | $34,743 | 0.81× | $92,716 |
| Major small/large bowel procedures w CC | MS-DRG | 330 | 8 | — | — | $14,320 | $19,236 | 0.83× | $48,373 |
| Major small/large bowel procedures w/o CC/MCC | MS-DRG | 331 | 8 | — | — | $9,719.64 | $13,773 | 0.84× | $32,457 |
| CABG single arterial graft | CPT | 33533 | 3 | — | — | $191 | $2,793.8 | 1.5× | $2,935 |
| CABG 2 arterial grafts | CPT | 33534 | 3 | — | — | $191 | $2,935 | 1.4× | $3,378.13 |
| CABG 3 arterial grafts | CPT | 33535 | 3 | — | — | $191 | $2,935 | 1.3× | $3,763.74 |
| CABG 4+ arterial grafts | CPT | 33536 | 3 | — | — | $191 | $2,935 | 1.2× | $4,042.61 |
| Laparoscopic cholecystectomy w/o CDE w MCC | MS-DRG | 418 | 8 | — | — | $9,663.96 | $13,632 | 0.83× | $32,049 |
| Laparoscopic cholecystectomy w/o CDE w CC | MS-DRG | 419 | 8 | — | — | $7,570.17 | $11,214 | 0.83× | $25,312 |
| Laparoscopic cholecystectomy w/o CDE w/o CC/MCC | MS-DRG | 420 | 8 | — | — | $23,538 | $26,094 | 0.81× | $66,726 |
| Open appendectomy | CPT | 44950 | 9 | — | — | $1,379 | $3,281.08 | 2.9× | $7,517.8 |
| Laparoscopic appendectomy | CPT | 44970 | 9 | — | — | $3,870 | $5,148.74 | 3.3× | $11,951 |
| Spinal fusion (non-cervical) w MCC | MS-DRG | 459 | 8 | — | — | $35,021 | $47,166 | 0.95× | $127,768 |
| Spinal fusion (non-cervical) w/o MCC | MS-DRG | 460 | 8 | — | — | $23,286 | $28,403 | 0.85× | $74,585 |
| Major joint replacement w MCC | MS-DRG | 469 | 8 | — | — | $18,566 | $22,797 | 0.77× | $58,555 |
| Major joint replacement w/o MCC | MS-DRG | 470 | 8 | — | — | $11,915 | $15,002 | 0.79× | $36,058 |
| Laparoscopic cholecystectomy | CPT | 47562 | 10 | — | — | $1,121.47 | $5,081.79 | 2.9× | $11,951 |
| Lap cholecystectomy with cholangiography | CPT | 47563 | 10 | — | — | $1,121.47 | $5,081.79 | 2.7× | $11,951 |
| Hip & femur procedures except major joint w MCC | MS-DRG | 480 | 8 | — | — | $17,515 | $22,398 | 0.80× | $57,415 |
| Hip & femur procedures except major joint w CC | MS-DRG | 481 | 8 | — | — | $11,891 | $16,269 | 0.80× | $39,774 |
| Hip & femur procedures except major joint w/o CC/MCC | MS-DRG | 482 | 8 | — | — | $9,681.37 | $13,358 | 0.84× | $31,229 |
| Open umbilical hernia repair | CPT | 49560 | 10 | — | — | $907.57 | $3,268.92 | 1.7× | $7,517.8 |
| Umbilical hernia repair age 5+ | CPT | 49585 | 10 | — | — | $907.57 | $3,268.92 | 2.5× | $7,517.8 |
| Lap inguinal hernia repair | CPT | 49650 | 10 | — | — | $1,121.47 | $5,063.78 | 4.5× | $11,951 |
| Lap incisional hernia repair | CPT | 49652 | 10 | — | — | $1,121.47 | $5,063.78 | 1.9× | $11,951 |
| Total abdominal hysterectomy | CPT | 58150 | 3 | — | — | $1,038.98 | $1,496.13 | 1.5× | $7,103 |
| Vaginal hysterectomy | CPT | 58260 | 10 | — | — | $1,121.47 | $4,490.77 | 2.5× | $10,413 |
| Lap-assisted vaginal hysterectomy | CPT | 58550 | 10 | — | — | $1,121.47 | $5,063.78 | 3.4× | $11,951 |
| Lap-assisted vaginal hysterectomy >250g | CPT | 58552 | 10 | — | — | $1,121.47 | $8,913.54 | 4.0× | $21,036 |
| Lap salpingo-oophorectomy | CPT | 58661 | 10 | — | — | $1,121.47 | $5,081.79 | 2.5× | $11,951 |
| OR procedure for obesity w MCC | MS-DRG | 619 | 8 | — | — | $18,078 | $22,636 | 0.83× | $58,096 |
| OR procedure for obesity w CC | MS-DRG | 620 | 8 | — | — | $10,645 | $14,107 | 0.87× | $33,447 |
| OR procedure for obesity w/o CC/MCC | MS-DRG | 621 | 8 | — | — | $9,179.09 | $13,037 | 0.86× | $30,305 |
| Complex cataract surgery | CPT | 66982 | 10 | — | — | $780.79 | $2,125.63 | 0.96× | $4,910.05 |
| Cataract surgery with lens implant | CPT | 66984 | 10 | — | — | $780.79 | $2,125.63 | 0.97× | $4,910.05 |
| Intravitreal injection | CPT | 67028 | 10 | — | — | $48.6 | $310.96 | 0.91× | $3,348 |
| Vitrectomy mechanical | CPT | 67042 | 10 | — | — | $1,121.47 | $4,014.3 | 1.6× | $9,251.98 |
| Uterine & adnexa procedures w CC/MCC | MS-DRG | 743 | 8 | — | — | $6,232.11 | $10,031 | 0.82× | $22,537 |
| Uterine & adnexa procedures w/o CC/MCC | MS-DRG | 744 | 8 | — | — | $9,856.52 | $14,319 | 0.75× | $34,068 |
| PCI single major coronary artery | CPT | 92920 | 10 | $9,943 | $3,480.05 | $2,935 | $5,108.91 | 0.90× | $15,916 |
| PCI with drug-eluting stent | CPT | 92928 | 10 | $15,108 | $5,287.8 | $2,935 | $10,351 | 1.0× | $32,898 |
| PCI bypass graft | CPT | 92937 | 10 | $16,333 | $5,716.55 | $2,935 | $10,351 | 0.95× | $32,898 |
| Coronary angiography with cath | CPT | 93455 | 10 | $16,977 | $5,941.95 | $2,853.54 | $3,939.04 | 1.3× | $8,806.57 |
| Coronary angiography with bypass cath | CPT | 93458 | 10 | $15,721 | $5,502.35 | $2,853.54 | $3,939.04 | 1.3× | $8,806.57 |