| Septicemia or severe sepsis w MV 96+ hrs | MS-DRG | 871 | 26 | $20,364 |
| Esophagitis/gastroenteritis w/o MCC | MS-DRG | 392 | 25 | $9,403.36 |
| MRI lumbar spine without contrast | CPT | 72148 | 24 | $750.97 |
| MRI lower extremity joint without contrast | CPT | 73721 | 24 | $717.97 |
| Comprehensive metabolic panel | CPT | 80053 | 24 | $79.37 |
| Lipid panel | CPT | 80061 | 24 | $55.78 |
| Complete blood count with automated differential | CPT | 85025 | 24 | $75.17 |
| MRI cervical spine without contrast | CPT | 72141 | 24 | $715.79 |
| MRI thoracic spine without contrast | CPT | 72146 | 24 | $694.27 |
| MRI cervical spine with and without contrast | CPT | 72156 | 24 | $1,107.42 |
| MRI lumbar spine with contrast | CPT | 72158 | 24 | $1,012.41 |
| MRI abdomen with and without contrast | CPT | 74183 | 24 | $1,075.88 |
| CT head without contrast | CPT | 70450 | 24 | $526.88 |
| CT neck with contrast | CPT | 70491 | 24 | $568.46 |
| MRI brain without contrast | CPT | 70551 | 24 | $700.28 |
| CT chest with contrast | CPT | 71260 | 24 | $644.96 |
| CT chest with and without contrast | CPT | 71270 | 24 | $567.33 |
| CT abdomen without contrast | CPT | 74150 | 24 | $464.81 |
| CT abdomen with and without contrast | CPT | 74170 | 24 | $668.81 |
| Chest X-ray single view | CPT | 71045 | 24 | $93.47 |
| Chest X-ray 2 views | CPT | 71046 | 24 | $106.64 |
| Lumbosacral spine X-ray | CPT | 72100 | 24 | $113.89 |
| Basic metabolic panel (BMP) | CPT | 80048 | 24 | $56.5 |
| Hemoglobin A1c | CPT | 83036 | 24 | $75.29 |
| Thyroid stimulating hormone (TSH) | CPT | 84443 | 24 | $112.58 |
| Complete blood count without differential | CPT | 85027 | 24 | $61.54 |
| Psychoses | MS-DRG | 885 | 24 | $12,909 |
| CT chest without contrast | CPT | 71250 | 24 | $504.9 |
| MRI brain with and without contrast | CPT | 70553 | 24 | $1,066.21 |
| Colonoscopy with biopsy | CPT | 45380 | 23 | $341.03 |