| MRI brain with and without contrast | CPT | 70553 | 6 | $462.17 |
| MRI lumbar spine without contrast | CPT | 72148 | 6 | $316.09 |
| MRI lower extremity joint without contrast | CPT | 73721 | 6 | $316.09 |
| Complete blood count with automated differential | CPT | 85025 | 6 | $8 |
| MRI chest without contrast | CPT | 71550 | 6 | $316.09 |
| MRI chest with contrast | CPT | 71551 | 6 | $1,038.5 |
| MRI chest with and without contrast | CPT | 71552 | 6 | $462.17 |
| MRI cervical spine without contrast | CPT | 72141 | 6 | $316.09 |
| MRI thoracic spine without contrast | CPT | 72146 | 6 | $316.09 |
| MRI lumbar spine with and without contrast | CPT | 72149 | 6 | $462.17 |
| MRI cervical spine with and without contrast | CPT | 72156 | 6 | $462.17 |
| MRI lumbar spine with contrast | CPT | 72158 | 6 | $462.17 |
| MRI upper extremity joint without contrast | CPT | 73221 | 6 | $316.09 |
| MRI upper extremity joint with and without contrast | CPT | 73223 | 6 | $462.17 |
| MRI lower extremity joint with and without contrast | CPT | 73723 | 6 | $462.17 |
| MRI abdomen without contrast | CPT | 74181 | 6 | $316.09 |
| MRI abdomen with and without contrast | CPT | 74183 | 6 | $462.17 |
| Complete blood count without differential | CPT | 85027 | 6 | $6.66 |
| Heart failure & shock w MCC | MS-DRG | 291 | 6 | $13,099 |
| Heart failure & shock w CC | MS-DRG | 292 | 6 | $8,797.75 |
| Heart failure & shock w/o CC/MCC | MS-DRG | 293 | 6 | $5,998.01 |
| Cardiac arrhythmia w MCC | MS-DRG | 308 | 6 | $12,310 |
| Cardiac arrhythmia w CC | MS-DRG | 309 | 6 | $7,676.86 |
| Cardiac arrhythmia w/o CC/MCC | MS-DRG | 310 | 6 | $5,999 |
| AMI discharged alive w MCC | MS-DRG | 280 | 6 | $16,268 |
| AMI discharged alive w CC | MS-DRG | 281 | 6 | $9,491.24 |
| Major small/large bowel procedures w MCC | MS-DRG | 329 | 6 | $45,872 |
| Major small/large bowel procedures w CC | MS-DRG | 330 | 6 | $24,114 |
| Major small/large bowel procedures w/o CC/MCC | MS-DRG | 331 | 6 | $17,048 |
| Laparoscopic cholecystectomy w/o CDE w CC | MS-DRG | 419 | 5 | $13,704 |