If so what would be the best premium card for either bitcoin, litecoin or feathercoin? I'm trying to find the best mhash to watt ratio.
That really depends on so many factors. Take a 7950, the power consumption while mining can easily vary from 180W or less to 250W+ with the core and memory overclocked like crazy. The secret of mining is to get a good ratio. There is no point pushing a card to, for example, to 1.3V if you only get 5% more hashes vs running at 1.1V or less. Because the extra voltage could use up 20% more power.
ATM, possibly the most efficient card is actually the 7790 (GCN 1.2) but while it's great to get 300MH/s with only 60-80W, that's not a great hashrate these days. Great hash/watt though.