| behavioral |
| Psychoses | MS-DRG | 885 | 16 | — | — | $7,060.38 | $11,130 | 0.87× | $31,870 |
| emergency |
| ED visit level 1 | CPT | 99281 | 21 | $429 | $150.15 | $30.82 | $116 | 0.83× | $1,240.2 |
| ED visit level 2 | CPT | 99282 | 21 | $923 | $323.05 | $30.82 | $232 | 0.98× | $1,240.2 |
| ED visit level 3 | CPT | 99283 | 21 | $2,090 | $731.5 | $30.82 | $609.5 | 1.5× | $2,073 |
| ED visit level 4 | CPT | 99284 | 21 | $3,180 | $1,113 | $262.07 | $1,240.2 | 1.9× | $5,166 |
| ED visit level 5 | CPT | 99285 | 21 | $3,894 | $1,362.9 | $376.17 | $1,752.3 | 1.7× | $6,582 |
| Critical care, first hour | CPT | 99291 | 21 | $5,351 | $1,872.85 | $499.06 | $1,811.48 | 1.7× | $4,548.35 |
| imaging |
| CT head without contrast | CPT | 70450 | 22 | $2,859 | $1,000.65 | $78.51 | $163.56 | 0.79× | $2,430.15 |
| CT head with contrast | CPT | 70460 | 22 | $4,062 | $1,421.7 | $128.64 | $308.34 | 1.3× | $3,452.7 |
| CT head with and without contrast | CPT | 70470 | 22 | $4,214 | $1,474.9 | $128.64 | $312.86 | 1.2× | $3,581.9 |
| CT neck with contrast | CPT | 70491 | 22 | $3,880 | $1,358 | $128.64 | $308.34 | 1.1× | $3,298 |
| MRI brain without contrast | CPT | 70551 | 22 | $5,302 | $1,855.7 | $165.8 | $689.96 | 1.7× | $4,506.7 |
| MRI brain with contrast | CPT | 70552 | 22 | $5,140 | $1,799 | $252.74 | $552.54 | 1.2× | $4,369 |
| MRI brain with and without contrast | CPT | 70553 | 22 | $7,814 | $2,734.9 | $265.22 | $560.37 | 0.95× | $6,641.9 |
| Chest X-ray single view | CPT | 71045 | 20 | $641 | $224.35 | $20.71 | $109.28 | 1.2× | $781 |
| Chest X-ray 2 views | CPT | 71046 | 20 | $736 | $257.6 | $28.74 | $109.28 | 1.1× | $781 |
| Chest X-ray 3 views | CPT | 71047 | 20 | $653 | $228.55 | $36.75 | $109.28 | 1.1× | $781 |
| CT chest without contrast | CPT | 71250 | 22 | $3,796 | $1,328.6 | $78.51 | $163.56 | 0.76× | $3,226.6 |
| CT chest with contrast | CPT | 71260 | 22 | $4,382 | $1,533.7 | $128.64 | $308.34 | 1.1× | $3,724.7 |
| CT chest with and without contrast | CPT | 71270 | 22 | $4,695 | $1,643.25 | $128.64 | $312.86 | 1.1× | $3,990.75 |
| MRI chest without contrast | CPT | 71550 | 22 | $4,977 | $1,741.95 | $165.8 | $689.96 | 1.6× | $4,230.45 |
| MRI chest with contrast | CPT | 71551 | 22 | $4,489 | $1,571.15 | $432.7 | $1,055 | 1.3× | $3,815.65 |
| MRI chest with and without contrast | CPT | 71552 | 22 | $6,046 | $2,116.1 | $265.22 | $560.37 | 0.93× | $5,139.1 |
| Lumbosacral spine X-ray | CPT | 72100 | 20 | $1,043 | $365.05 | $33.08 | $147.2 | 1.4× | $886.55 |
| CT cervical spine without contrast | CPT | 72125 | 22 | $2,348 | $821.8 | $78.51 | $163.56 | 0.81× | $1,995.8 |
| CT thoracic spine without contrast | CPT | 72128 | 22 | $2,348 | $821.8 | $78.51 | $163.56 | 0.82× | $1,995.8 |
| CT lumbar spine without contrast | CPT | 72131 | 22 | $2,348 | $821.8 | $78.51 | $163.56 | 0.81× | $1,995.8 |
| MRI cervical spine without contrast | CPT | 72141 | 22 | $5,612 | $1,964.2 | $165.8 | $689.96 | 1.7× | $4,770.2 |
| MRI thoracic spine without contrast | CPT | 72146 | 22 | $4,880 | $1,708 | $165.8 | $689.96 | 1.9× | $4,148 |
| MRI lumbar spine without contrast | CPT | 72148 | 22 | $5,612 | $1,964.2 | $165.8 | $689.96 | 1.8× | $4,770.2 |
| MRI lumbar spine with and without contrast | CPT | 72149 | 22 | $5,434 | $1,901.9 | $265.22 | $556.77 | 1.2× | $4,618.9 |
| MRI cervical spine with and without contrast | CPT | 72156 | 22 | $6,583 | $2,304.05 | $265.22 | $1,055 | 2.0× | $5,595.55 |
| MRI lumbar spine with contrast | CPT | 72158 | 22 | $6,892 | $2,412.2 | $265.22 | $1,055 | 1.9× | $5,858.2 |
| CT pelvis without contrast | CPT | 72192 | 22 | $1,835 | $642.25 | $78.51 | $163.56 | 0.82× | $1,698 |
| CT pelvis with contrast | CPT | 72193 | 22 | $2,314 | $809.9 | $128.64 | $308.34 | 1.1× | $1,966.9 |
| Shoulder X-ray | CPT | 73030 | 20 | $1,034 | $361.9 | $27.74 | $110.22 | 1.2× | $878.9 |
| Humerus X-ray | CPT | 73060 | 20 | $668 | $233.8 | $27.4 | $152.19 | 1.7× | $781 |
| Hand X-ray 3 views | CPT | 73130 | 20 | $772 | $270.2 | $30.08 | $109.28 | 1.2× | $781 |
| MRI upper extremity joint without contrast | CPT | 73221 | 22 | $5,058 | $1,770.3 | $165.8 | $689.96 | 1.7× | $4,299.3 |
| MRI upper extremity joint with and without contrast | CPT | 73223 | 22 | $5,904 | $2,066.4 | $265.22 | $560.37 | 0.92× | $5,018.4 |
| Knee X-ray 1-2 views | CPT | 73560 | 20 | $363 | $127.05 | $29.4 | $109.28 | 1.2× | $781 |
| Ankle X-ray 3 views | CPT | 73610 | 20 | $830 | $290.5 | $29.74 | $110.22 | 1.2× | $781 |
| MRI lower extremity joint without contrast | CPT | 73721 | 22 | $5,619 | $1,966.65 | $165.8 | $689.96 | 1.5× | $4,776.15 |
| MRI lower extremity joint with and without contrast | CPT | 73723 | 22 | $5,948 | $2,081.8 | $265.22 | $560.37 | 0.88× | $5,055.8 |
| CT abdomen without contrast | CPT | 74150 | 22 | $4,015 | $1,405.25 | $78.51 | $163.56 | 0.87× | $3,412.75 |
| CT abdomen with contrast | CPT | 74160 | 22 | $5,320 | $1,862 | $128.64 | $308.34 | 1.1× | $4,522 |
| CT abdomen with and without contrast | CPT | 74170 | 22 | $5,381 | $1,883.35 | $128.64 | $312.86 | 0.94× | $4,573.85 |
| CT abdomen and pelvis without contrast | CPT | 74176 | 22 | $9,174 | $3,210.9 | $165.8 | $345.42 | 0.95× | $7,797.9 |
| CT abdomen and pelvis with contrast | CPT | 74177 | 22 | $9,719 | $3,401.65 | $252.74 | $552.54 | 1.0× | $8,261.15 |
| CT abdomen and pelvis with and without contrast | CPT | 74178 | 22 | $9,859 | $3,450.65 | $252.74 | $552.54 | 0.96× | $8,380.15 |
| MRI abdomen without contrast | CPT | 74181 | 22 | $4,721 | $1,652.35 | $165.8 | $689.96 | 1.8× | $4,012.85 |
| MRI abdomen with and without contrast | CPT | 74183 | 22 | $5,484 | $1,919.4 | $265.22 | $560.37 | 0.99× | $4,661.4 |
| Abdominal ultrasound complete | CPT | 76700 | 20 | $2,264 | $792.4 | $78.51 | $163.56 | 1.1× | $1,924.4 |
| Abdominal ultrasound limited | CPT | 76705 | 20 | $1,309 | $458.15 | $78.51 | $163.56 | 1.1× | $1,112.65 |
| Retroperitoneal ultrasound complete | CPT | 76770 | 20 | $1,731 | $605.85 | $78.51 | $163.56 | 1.1× | $1,471.35 |
| Obstetric ultrasound first trimester | CPT | 76801 | 20 | $1,574 | $550.9 | $78.51 | $163.56 | 1.2× | $1,337.9 |
| Obstetric ultrasound after first trimester | CPT | 76805 | 20 | $1,761 | $616.35 | $78.51 | $163.56 | 1.1× | $1,496.85 |
| Obstetric ultrasound with fetal anatomy | CPT | 76811 | 20 | $1,046 | $366.1 | $97.65 | $259.01 | 1.1× | $889.1 |
| Transvaginal ultrasound | CPT | 76830 | 20 | $1,510 | $528.5 | $78.51 | $163.56 | 1.1× | $1,283.5 |
| Pelvic ultrasound complete | CPT | 76856 | 20 | $1,949 | $682.15 | $78.51 | $163.56 | 1.1× | $1,656.65 |
| Scrotal ultrasound | CPT | 76870 | 20 | $1,519 | $531.65 | $64.49 | $163.56 | 1.2× | $1,291.15 |
| Diagnostic mammography unilateral | CPT | 77065 | 20 | $511 | $178.85 | $67.7 | $193 | 1.3× | $434.35 |
| Diagnostic mammography bilateral | CPT | 77066 | 20 | $953 | $333.55 | $86.57 | $308.62 | 1.6× | $810.05 |
| Screening mammography bilateral | CPT | 77067 | 20 | $570 | $199.5 | $60.97 | $190.83 | 1.2× | $484.5 |
| EKG tracing only | CPT | 93005 | 20 | $760 | $266 | $40.1 | $83.55 | 0.71× | $646 |
| Transthoracic echocardiogram complete | CPT | 93306 | 20 | $5,411 | $1,893.85 | $123.29 | $616.09 | 1.0× | $4,599.35 |
| Transthoracic echocardiogram | CPT | 93307 | 20 | $1,849 | $647.15 | $88.15 | $241.79 | 0.98× | $1,571.65 |
| inpatient |
| Intracranial hemorrhage/CVA w MCC | MS-DRG | 064 | 16 | — | — | $10,407 | $17,243 | 0.85× | $46,974 |
| Intracranial hemorrhage/CVA w CC | MS-DRG | 065 | 16 | — | — | $5,976.69 | $9,961.15 | 0.93× | $26,978 |
| Intracranial hemorrhage/CVA w/o CC/MCC | MS-DRG | 066 | 16 | — | — | $4,455.37 | $7,279.35 | 0.95× | $20,111 |
| Respiratory infections & inflammations w MCC | MS-DRG | 177 | 16 | — | — | $10,071 | $16,786 | 1.1× | $45,461 |
| COPD w MCC | MS-DRG | 190 | 16 | — | — | $6,499.97 | $10,833 | 0.97× | $29,340 |
| COPD w CC | MS-DRG | 191 | 16 | — | — | $5,307.86 | $8,846.44 | 1.0× | $23,959 |
| COPD w/o CC/MCC | MS-DRG | 192 | 16 | — | — | $4,376.15 | $7,083.38 | 1.0× | $19,753 |
| Simple pneumonia & pleurisy w CC | MS-DRG | 194 | 16 | — | — | $5,208.36 | $8,680.6 | 1.0× | $23,510 |
| Simple pneumonia & pleurisy w/o CC/MCC | MS-DRG | 195 | 16 | — | — | $3,730.84 | $6,921.53 | 1.0× | $19,085 |
| AMI discharged alive w MCC | MS-DRG | 280 | 16 | — | — | $8,986.68 | $14,978 | 0.96× | $40,565 |
| AMI discharged alive w CC | MS-DRG | 281 | 16 | — | — | $5,550.44 | $9,250.74 | 0.96× | $25,054 |
| AMI discharged alive w/o CC/MCC | MS-DRG | 282 | 16 | — | — | $4,527.65 | $7,546.08 | 0.97× | $20,437 |
| Heart failure & shock w MCC | MS-DRG | 291 | 16 | — | — | $7,574.26 | $12,624 | 0.99× | $34,189 |
| Heart failure & shock w CC | MS-DRG | 292 | 16 | — | — | $5,367.27 | $8,945.45 | 1.0× | $24,227 |
| Heart failure & shock w/o CC/MCC | MS-DRG | 293 | 16 | — | — | $4,166.75 | $6,567.6 | 1.1× | $18,808 |
| Cardiac arrhythmia w MCC | MS-DRG | 308 | 16 | — | — | $6,873.26 | $11,455 | 0.95× | $31,025 |
| Cardiac arrhythmia w CC | MS-DRG | 309 | 16 | — | — | $4,645.97 | $7,527 | 0.97× | $20,971 |
| Cardiac arrhythmia w/o CC/MCC | MS-DRG | 310 | 16 | — | — | $3,645.6 | $5,499.2 | 0.89× | $16,703 |
| GI hemorrhage w CC | MS-DRG | 378 | 16 | — | — | $5,852.93 | $9,460.43 | 0.94× | $26,419 |
| GI hemorrhage w/o CC/MCC | MS-DRG | 379 | 16 | — | — | $4,090.01 | $6,284.85 | 0.92× | $18,462 |
| Esophagitis/gastroenteritis w/o MCC | MS-DRG | 392 | 16 | — | — | $4,485.34 | $7,403.18 | 0.92× | $21,307 |
| Fractures of femur w/o MCC | MS-DRG | 533 | 16 | — | — | $7,929.22 | $13,215 | 0.87× | $35,792 |
| Kidney/UTI w MCC | MS-DRG | 689 | 16 | — | — | $6,437.6 | $10,523 | 0.91× | $29,059 |
| Kidney/UTI w/o MCC | MS-DRG | 690 | 16 | — | — | $4,181.87 | $7,746.38 | 0.93× | $21,928 |
| Septicemia or severe sepsis w MV 96+ hrs | MS-DRG | 871 | 16 | — | — | $10,185 | $16,975 | 0.91× | $45,973 |
| Septicemia or severe sepsis w/o MV 96+ hrs | MS-DRG | 872 | 16 | — | — | $5,958.87 | $9,989.21 | 0.96× | $27,054 |
| lab |
| Basic metabolic panel (BMP) | CPT | 80048 | 20 | $665 | $232.75 | $6.09 | $12.69 | 0.39× | $565.25 |
| Electrolyte panel | CPT | 80051 | 20 | $500 | $175 | $5.05 | $10.52 | 0.44× | $425 |
| Comprehensive metabolic panel | CPT | 80053 | 20 | $869 | $304.15 | $7.6 | $15.84 | 0.36× | $738.65 |
| Lipid panel | CPT | 80061 | 20 | $285 | $99.75 | $9.64 | $20.08 | 0.53× | $242.25 |
| Hepatic function panel | CPT | 80076 | 20 | $634 | $221.9 | $5.88 | $12.26 | 0.46× | $538.9 |
| Urinalysis non-automated | CPT | 81002 | 20 | $42 | $14.7 | $2.51 | $4.6 | 0.66× | $35.7 |
| Urinalysis automated | CPT | 81003 | 20 | $104 | $36.4 | $1.62 | $3.38 | 0.24× | $88.4 |
| Glucose quantitative | CPT | 82947 | 20 | $141 | $49.35 | $2.83 | $5.9 | 0.34× | $119.85 |
| Hemoglobin A1c | CPT | 83036 | 20 | $145 | $50.75 | $6.99 | $14.57 | 0.54× | $123.25 |
| Thyroid stimulating hormone (TSH) | CPT | 84443 | 20 | $293 | $102.55 | $12.1 | $25.2 | 0.53× | $249.05 |
| Complete blood count with automated differential | CPT | 85025 | 20 | $225 | $78.75 | $5.59 | $11.66 | 0.44× | $191.25 |
| Complete blood count without differential | CPT | 85027 | 20 | $267 | $93.45 | $4.66 | $9.7 | 0.45× | $226.95 |
| Urine culture bacterial | CPT | 87086 | 20 | $335 | $117.25 | $5.81 | $12.1 | 0.52× | $284.75 |
| Tissue exam by pathologist level IV | CPT | 88305 | 20 | $1,002 | $350.7 | $35.85 | $67.14 | 0.66× | $851.7 |
| maternity |
| Fetal non-stress test | CPT | 59025 | 24 | $1,209 | $423.15 | $13.62 | $217.3 | 1.2× | $2,700 |
| Routine obstetric care including vaginal delivery | CPT | 59400 | 3 | — | — | $1,331.26 | $2,700 | 1.2× | $3,892.31 |
| Vaginal delivery only | CPT | 59409 | 24 | $4,346 | $1,521.1 | $422.96 | $2,933.55 | 1.3× | $8,531.06 |
| Vaginal delivery with postpartum | CPT | 59410 | 4 | — | — | $201.12 | $997 | 0.94× | $2,700 |
| Routine obstetric care with C-section | CPT | 59510 | 3 | — | — | $1,451.05 | $2,700 | 1.1× | $4,317.14 |
| C-section delivery only | CPT | 59514 | 3 | — | — | $786.09 | $1,572.19 | 1.6× | $2,700 |
| C-section with postpartum | CPT | 59515 | 4 | — | — | $698.26 | $2,112.3 | 1.7× | $2,700 |
| Cesarean section w CC/MCC | MS-DRG | 765 | 4 | — | — | $4,836.36 | $11,476 | 127.2× | $13,619 |
| Cesarean section w/o CC/MCC | MS-DRG | 766 | 4 | — | — | $4,019.52 | $8,900.88 | 98.8× | $12,458 |
| Vaginal delivery w complicating dx | MS-DRG | 774 | 4 | — | — | $3,061.86 | $6,838 | 74.3× | $9,608.56 |
| Vaginal delivery w/o complicating dx | MS-DRG | 775 | 4 | — | — | $2,513.92 | $6,292.65 | 6.7× | $8,529.3 |
| office |
| Office visit, new patient, 15-29 min | CPT | 99202 | 10 | $426 | $149.1 | $45.67 | $191.7 | 2.2× | $362.1 |
| Office visit, new patient, 30-44 minutes | CPT | 99203 | 10 | $534 | $186.9 | $69.31 | $240.3 | 2.0× | $453.9 |
| Office visit, new patient, 45-59 min | CPT | 99204 | 10 | $612 | $214.2 | $99 | $282.4 | 1.6× | $520.2 |
| Office visit, new patient, 60-74 min | CPT | 99205 | 10 | $719 | $251.65 | $99 | $368.83 | 1.7× | $611.15 |
| Office visit, established patient, 5 min | CPT | 99211 | 10 | $229 | $80.15 | $8.3 | $110 | 1.7× | $194.65 |
| Office visit, established patient, 10-19 min | CPT | 99212 | 10 | $305 | $106.75 | $23 | $137.25 | 1.7× | $259.25 |
| Office visit, established patient, 20-29 minutes | CPT | 99213 | 10 | $382 | $133.7 | $46.32 | $171.9 | 1.5× | $324.7 |
| Office visit, established patient, 30-39 minutes | CPT | 99214 | 10 | $433 | $151.55 | $70.91 | $194.85 | 1.3× | $368.05 |
| Office visit, established patient, 40-54 min | CPT | 99215 | 10 | $504 | $176.4 | $99 | $242.28 | 1.3× | $428.4 |
| preventive |
| Upper GI endoscopy diagnostic | CPT | 43235 | 18 | — | — | $287.68 | $942.3 | 1.0× | $4,487 |
| Upper GI endoscopy with biopsy | CPT | 43239 | 18 | — | — | $287.68 | $1,093.68 | 1.1× | $5,185 |
| Sigmoidoscopy diagnostic | CPT | 45330 | 14 | — | — | $88.1 | $810.05 | 0.96× | $2,700 |
| Sigmoidoscopy with biopsy | CPT | 45331 | 17 | — | — | $287.68 | $919.15 | 1.0× | $4,487 |
| Colonoscopy diagnostic | CPT | 45378 | 17 | — | — | $287.68 | $1,012.57 | 1.2× | $5,185 |
| Colonoscopy with biopsy | CPT | 45380 | 17 | — | — | $385.2 | $1,220.09 | 1.0× | $5,185 |
| Colonoscopy with polyp removal | CPT | 45385 | 17 | — | — | $385.2 | $1,220.09 | 1.0× | $5,185 |
| surgery |
| Total shoulder arthroplasty | CPT | 23472 | 13 | — | — | $912.94 | $12,446 | 3.0× | $40,049 |
| PCI w drug-eluting stent w MCC | MS-DRG | 246 | 18 | — | — | $1,808.2 | $31,035 | 1.1× | $74,074 |
| PCI w drug-eluting stent w/o MCC | MS-DRG | 247 | 18 | — | — | $1,808.2 | $20,419 | 1.1× | $48,654 |
| Hip hemiarthroplasty | CPT | 27125 | 13 | — | — | $386.8 | $12,446 | 9.9× | $40,049 |
| Total hip replacement | CPT | 27130 | 13 | — | — | $807.33 | $12,323 | 2.8× | $40,049 |
| Total knee replacement | CPT | 27447 | 13 | — | — | $806.07 | $12,569 | 3.0× | $40,049 |
| Knee revision arthroplasty single component | CPT | 27486 | 13 | — | — | $869.75 | $12,446 | 7.4× | $40,049 |
| Knee revision arthroplasty all components | CPT | 27487 | 13 | — | — | $1,144.33 | $12,446 | 6.2× | $40,049 |
| Shoulder arthroscopy with decompression | CPT | 29826 | 7 | — | — | $1,369 | $1,918 | 5.9× | $5,252 |
| Shoulder arthroscopy with rotator cuff repair | CPT | 29827 | 17 | — | — | $1,121.47 | $6,331.77 | 1.9× | $20,375 |
| Knee arthroscopy with meniscectomy | CPT | 29881 | 18 | — | — | $569.06 | $2,888.92 | 1.4× | $9,204.88 |
| ACL reconstruction | CPT | 29888 | 17 | — | — | $1,121.47 | $6,269.08 | 1.9× | $20,375 |
| Major small/large bowel procedures w MCC | MS-DRG | 329 | 16 | — | — | $23,167 | $41,580 | 0.97× | $112,613 |
| Major small/large bowel procedures w CC | MS-DRG | 330 | 16 | — | — | $11,986 | $22,509 | 0.97× | $60,963 |
| Major small/large bowel procedures w/o CC/MCC | MS-DRG | 331 | 16 | — | — | $9,139.94 | $15,670 | 0.95× | $42,440 |
| CABG single arterial graft | CPT | 33533 | 4 | — | — | $1,223.13 | $2,968.41 | 1.6× | $4,202 |
| CABG 2 arterial grafts | CPT | 33534 | 4 | — | — | $1,410.7 | $3,492.26 | 1.6× | $4,202 |
| CABG 3 arterial grafts | CPT | 33535 | 4 | — | — | $1,522.29 | $3,781 | 1.7× | $4,602.96 |
| CABG 4+ arterial grafts | CPT | 33536 | 4 | — | — | $1,597.01 | $3,781 | 1.5× | $4,944 |
| Laparoscopic cholecystectomy w/o CDE w MCC | MS-DRG | 418 | 16 | — | — | $9,293.12 | $15,489 | 0.94× | $41,948 |
| Laparoscopic cholecystectomy w/o CDE w CC | MS-DRG | 419 | 16 | — | — | $7,447.03 | $12,412 | 0.92× | $33,615 |
| Laparoscopic cholecystectomy w/o CDE w/o CC/MCC | MS-DRG | 420 | 16 | — | — | $18,333 | $32,872 | 1.0× | $82,753 |
| Open appendectomy | CPT | 44950 | 13 | — | — | $762.04 | $3,312.94 | 2.9× | $10,353 |
| Laparoscopic appendectomy | CPT | 44970 | 13 | — | — | $1,369 | $5,367.61 | 3.4× | $16,457 |
| Spinal fusion (non-cervical) w MCC | MS-DRG | 459 | 16 | — | — | $34,263 | $57,104 | 1.2× | $154,658 |
| Spinal fusion (non-cervical) w/o MCC | MS-DRG | 460 | 16 | — | — | $20,405 | $34,009 | 1.0× | $92,107 |
| Major joint replacement w MCC | MS-DRG | 469 | 16 | — | — | $16,206 | $27,009 | 0.91× | $73,151 |
| Major joint replacement w/o MCC | MS-DRG | 470 | 16 | — | — | $10,342 | $17,236 | 0.91× | $46,681 |
| Laparoscopic cholecystectomy | CPT | 47562 | 16 | — | — | $1,121.47 | $5,215.69 | 2.9× | $16,457 |
| Lap cholecystectomy with cholangiography | CPT | 47563 | 16 | — | — | $1,121.47 | $5,215.69 | 2.8× | $16,457 |
| Hip & femur procedures except major joint w MCC | MS-DRG | 480 | 16 | — | — | $15,909 | $26,515 | 0.95× | $71,812 |
| Hip & femur procedures except major joint w CC | MS-DRG | 481 | 16 | — | — | $11,310 | $18,850 | 0.93× | $51,052 |
| Hip & femur procedures except major joint w/o CC/MCC | MS-DRG | 482 | 16 | — | — | $9,088.66 | $15,148 | 0.95× | $41,025 |
| Open umbilical hernia repair | CPT | 49560 | 17 | — | — | $907.57 | $3,249.22 | 1.7× | $10,353 |
| Umbilical hernia repair age 5+ | CPT | 49585 | 17 | — | — | $907.57 | $3,249.22 | 2.5× | $10,353 |
| Lap inguinal hernia repair | CPT | 49650 | 17 | — | — | $1,121.47 | $5,165.06 | 4.6× | $16,457 |
| Lap incisional hernia repair | CPT | 49652 | 14 | — | — | $1,121.47 | $5,165.06 | 1.9× | $16,457 |
| Total abdominal hysterectomy | CPT | 58150 | 5 | — | — | $120.42 | $2,404.8 | 2.5× | $4,202 |
| Vaginal hysterectomy | CPT | 58260 | 14 | — | — | $1,121.47 | $4,412.45 | 2.4× | $14,340 |
| Lap-assisted vaginal hysterectomy | CPT | 58550 | 17 | — | — | $1,121.47 | $5,190.38 | 3.5× | $16,457 |
| Lap-assisted vaginal hysterectomy >250g | CPT | 58552 | 14 | — | — | $1,121.47 | $8,913.54 | 4.0× | $28,969 |
| Lap salpingo-oophorectomy | CPT | 58661 | 17 | — | — | $1,121.47 | $5,165.06 | 2.5× | $16,457 |
| OR procedure for obesity w MCC | MS-DRG | 619 | 16 | — | — | $2,879 | $25,247 | 0.93× | $72,630 |
| OR procedure for obesity w CC | MS-DRG | 620 | 16 | — | — | $9,654.52 | $17,999 | 1.1× | $43,579 |
| OR procedure for obesity w/o CC/MCC | MS-DRG | 621 | 16 | — | — | $8,839.14 | $16,002 | 1.1× | $39,899 |
| Complex cataract surgery | CPT | 66982 | 18 | — | — | $378.51 | $2,608 | 1.2× | $8,158 |
| Cataract surgery with lens implant | CPT | 66984 | 18 | — | — | $378.51 | $2,608 | 1.2× | $8,158 |
| Intravitreal injection | CPT | 67028 | 14 | — | — | $40.34 | $317.18 | 0.93× | $2,700 |
| Vitrectomy mechanical | CPT | 67042 | 14 | — | — | $1,121.47 | $3,998.74 | 1.6× | $12,741 |
| Uterine & adnexa procedures w CC/MCC | MS-DRG | 743 | 16 | — | — | $6,541.56 | $10,476 | 0.85× | $29,528 |
| Uterine & adnexa procedures w/o CC/MCC | MS-DRG | 744 | 16 | — | — | $8,196.46 | $16,362 | 0.86× | $44,315 |
| PCI single major coronary artery | CPT | 92920 | 22 | $11,490 | $4,021.5 | $3,571.28 | $7,440.16 | 1.3× | $18,000 |
| PCI with drug-eluting stent | CPT | 92928 | 22 | $11,361 | $3,976.35 | $4,410 | $10,351 | 1.0× | $33,213 |
| PCI bypass graft | CPT | 92937 | 22 | $11,361 | $3,976.35 | $4,410 | $10,351 | 0.95× | $33,213 |
| Left heart catheterization | CPT | 93452 | 23 | $13,086 | $4,580.1 | $2,088.67 | $4,351.39 | 1.4× | $13,195 |
| Coronary angiography with cath | CPT | 93455 | 23 | $15,725 | $5,503.75 | $2,088.67 | $4,351.39 | 1.4× | $13,366 |
| Coronary angiography with bypass cath | CPT | 93458 | 23 | $22,056 | $7,719.6 | $2,088.67 | $4,351.39 | 1.4× | $18,748 |