| Acute myocardial infarction, discharged alive, with MCCMS-DRG 280 | $15,877 | $11,217 | 142% | — | 2 |
| Bariatric (obesity) surgery, no CC/MCCMS-DRG 621 | $14,930 | $8,272 | 180% | — | 2 |
| Basic metabolic panelCPT 80048 | $105 | $8 | 1241% | ~$42 | 18 |
| COPD with MCCMS-DRG 190 | $10,964 | $7,377 | 149% | — | 2 |
| CT abdomen and pelvis with contrastCPT 74177 | $3,509 | $368 | 953% | ~$1,407 | 18 |
| CT head without contrastCPT 70450 | $1,969 | $110 | 1786% | ~$790 | 18 |
| CT pelvis with contrastCPT 72193 | $1,836 | $185 | 992% | ~$736 | 18 |
| Cardiac arrhythmia, no CC/MCCMS-DRG 310 | $5,603 | $3,269 | 171% | — | 2 |
| Cardiac stress testCPT 93017 | $1,044 | $228 | 458% | $419 | 18 |
| Cardiac valve surgery with cardiac cath, with MCCMS-DRG 216 | $96,828 | — | — | — | 2 |
| Cataract surgery with IOL insertionCPT 66984 | $2,434 | $2,434 | 100% | — | 3 |
| Cellulitis, no MCCMS-DRG 603 | $8,620 | $5,675 | 152% | — | 2 |
| Cervical spinal fusion, no CC/MCCMS-DRG 473 | $24,163 | $16,343 | 148% | — | 2 |
| Cesarean section, no CC/MCCMS-DRG 788 | $9,490 | — | — | — | 2 |
| Cesarean section, with CCMS-DRG 787 | $11,054 | — | — | — | 2 |
| Chest painMS-DRG 313 | $7,126 | — | — | — | 2 |
| Colonoscopy with biopsyCPT 45380 | $1,262 | $1,262 | 100% | — | 3 |
| Colonoscopy with endoscopic ultrasoundCPT 45391 | $1,262 | $1,262 | 100% | — | 3 |
| Colonoscopy with polyp removalCPT 45385 | $1,262 | $1,262 | 100% | — | 3 |
| Colonoscopy, diagnosticCPT 45378 | $981 | $981 | 100% | — | 3 |
| Complete blood count with differentialCPT 85025 | $67 | $8 | 859% | ~$26 | 18 |
| Complete blood count, automatedCPT 85027 | $48 | $6 | 743% | ~$19 | 18 |
| Comprehensive metabolic panelCPT 80053 | $125 | $11 | 1188% | ~$50 | 18 |
| Coronary bypass without cardiac cath, no MCCMS-DRG 236 | $41,460 | $29,950 | 138% | — | 2 |
| Diagnostic mammography, both breastsCPT 77066 | $515 | — | — | ~$206 | 18 |
| Diagnostic mammography, one breastCPT 77065 | $466 | — | — | ~$187 | 18 |
| ED visit, level 3CPT 99283 | $556 | $288 | 193% | $221 | 18 |
| ED visit, level 4CPT 99284 | $980 | $440 | 223% | $389 | 18 |
| ED visit, level 5CPT 99285 | $1,505 | $628 | 240% | $604 | 18 |
| Echocardiogram, completeCPT 93306 | $2,214 | $576 | 384% | $888 | 18 |
| Electrocardiogram with interpretationCPT 93000 | $14 | — | — | — | 1 |
| Epidural injection, lumbar/sacral, no imagingCPT 62322 | $999 | $933 | 107% | $396 | 18 |
| Esophagitis/GI disorders, no MCCMS-DRG 392 | $7,716 | $4,899 | 158% | — | 2 |
| Excision of breast lesionCPT 19120 | $4,130 | $4,130 | 100% | — | 3 |
| Family psychotherapy, with patientCPT 90847 | $187 | $187 | 100% | — | 3 |
| Family psychotherapy, without patientCPT 90846 | $187 | $187 | 100% | — | 3 |
| Group psychotherapyCPT 90853 | $107 | $107 | 100% | — | 3 |
| Heart failure and shock, with CCMS-DRG 292 | $8,403 | $5,927 | 142% | — | 2 |
| Heart failure with MCCMS-DRG 291 | $12,707 | $8,962 | 142% | — | 2 |
| Hip and femur procedures except major joint, with CCMS-DRG 481 | $20,731 | $13,876 | 149% | — | 2 |
| Hysterectomy, no CC/MCCMS-DRG 743 | $12,280 | $10,098 | 122% | — | 2 |
| Inguinal hernia repair, age 5+CPT 49505 | $3,777 | $3,777 | 100% | — | 3 |
| Kidney and urinary tract infections, no MCCMS-DRG 690 | $8,012 | $5,238 | 153% | — | 2 |
| Kidney function panelCPT 80069 | $106 | $9 | 1220% | ~$42 | 18 |
| Knee arthroscopy with meniscectomyCPT 29881 | $3,452 | $3,452 | 100% | — | 3 |
| Laparoscopic cholecystectomyCPT 47562 | $6,377 | $6,377 | 100% | — | 3 |
| Laparoscopic cholecystectomy, no CC/MCCMS-DRG 419 | $13,518 | $8,977 | 151% | — | 2 |
| Laparoscopic radical prostatectomyCPT 55866 | $11,213 | $11,213 | 100% | — | 3 |
| Left heart catheterization, diagnosticCPT 93452 | $3,420 | $3,420 | 100% | — | 3 |
| Lipid panelCPT 80061 | $117 | $13 | 877% | ~$47 | 18 |
| Liver function panelCPT 80076 | $136 | $8 | 1667% | ~$54 | 18 |
| Lumbar epidural steroid injectionCPT 62323 | $2,271 | $745 | 305% | $911 | 18 |
| MRI brain with and without contrastCPT 70553 | $3,934 | $368 | 1069% | ~$1,578 | 18 |
| MRI lower extremity joint (knee)CPT 73721 | $2,326 | $252 | 924% | ~$922 | 18 |
| MRI lumbar spine without contrastCPT 72148 | $2,442 | $252 | 970% | ~$980 | 18 |
| Major joint replacement (hip/knee), no MCCMS-DRG 470 | $19,092 | $14,875 | 128% | — | 2 |
| Major joint replacement (hip/knee), with MCCMS-DRG 469 | $30,022 | $22,346 | 134% | — | 2 |
| Major small and large bowel procedures, with CCMS-DRG 330 | $23,727 | $16,202 | 146% | — | 2 |
| Medical back problems, no MCCMS-DRG 552 | $9,515 | $6,142 | 155% | — | 2 |
| OB global care, VBAC deliveryCPT 59610 | $2,266 | — | — | — | 1 |
| OB global care, cesarean deliveryCPT 59510 | $2,395 | — | — | — | 1 |
| OB global care, vaginal deliveryCPT 59400 | $2,176 | — | — | — | 1 |
| OB ultrasound, 14+ weeksCPT 76805 | $421 | $110 | 381% | ~$169 | 18 |
| Obstetric blood test panelCPT 80055 | $78 | $48 | 162% | — | 2 |
| Office consultation, comprehensiveCPT 99244 | $138 | — | — | — | 1 |
| Office consultation, moderateCPT 99243 | $86 | — | — | — | 1 |
| Office visit, established patient, level 3CPT 99213 | $60 | — | — | $23 | 16 |
| Office visit, established patient, level 4CPT 99214 | $157 | — | — | $62 | 16 |
| Office visit, new patient, level 3CPT 99203 | $60 | — | — | $23 | 16 |
| Office visit, new patient, level 4CPT 99204 | $96 | — | — | $37 | 16 |
| Office visit, new patient, level 5CPT 99205 | $168 | — | — | — | 1 |
| PSA (prostate specific antigen), totalCPT 84153 | $149 | $18 | 808% | ~$59 | 18 |
| Partial thromboplastin timeCPT 85730 | $72 | $6 | 1200% | ~$29 | 18 |
| Physical therapy, therapeutic exerciseCPT 97110 | $120 | — | — | $48 | 18 |
| Preventive visit, new patient, 18-39CPT 99385 | $88 | — | — | — | 1 |
| Preventive visit, new patient, 40-64CPT 99386 | $107 | — | — | — | 1 |
| Prostate biopsyCPT 55700 | $118 | — | — | — | 1 |
| Prothrombin timeCPT 85610 | $50 | $4 | 1162% | ~$20 | 18 |
| Psychotherapy, 30 minutesCPT 90832 | $187 | $187 | 100% | — | 3 |
| Psychotherapy, 45 minutesCPT 90834 | $187 | $187 | 100% | — | 3 |
| Psychotherapy, 60 minutesCPT 90837 | $187 | $187 | 100% | — | 3 |
| Renal failure, with CCMS-DRG 683 | $8,668 | $5,892 | 147% | — | 2 |
| Screening mammography, bilateralCPT 77067 | $471 | — | — | ~$187 | 18 |
| Sepsis with MCCMS-DRG 871 | $19,226 | $16,476 | 117% | — | 2 |
| Shoulder arthroscopy, subacromial decompressionCPT 29826 | $158 | — | — | — | 1 |
| Simple pneumonia and pleurisy, with CCMS-DRG 194 | $7,977 | $5,177 | 154% | — | 2 |
| Sleep study (polysomnography)CPT 95810 | $3,011 | $906 | 332% | $1,194 | 18 |
| Stroke (hemorrhage/infarction), no CC/MCCMS-DRG 066 | $6,774 | $3,679 | 184% | — | 2 |
| Stroke (hemorrhage/infarction), with CC or tPAMS-DRG 065 | $10,000 | $6,559 | 152% | — | 2 |
| Thyroid stimulating hormone (TSH)CPT 84443 | $80 | $17 | 477% | ~$54 | 18 |
| Tonsillectomy and adenoidectomy, under age 12CPT 42820 | $6,245 | $6,245 | 100% | — | 3 |
| Transforaminal epidural, lumbar/sacralCPT 64483 | $933 | $933 | 100% | — | 3 |
| Ultrasound, abdomen, completeCPT 76700 | $546 | $110 | 496% | ~$219 | 18 |
| Ultrasound, transvaginalCPT 76830 | $405 | $110 | 367% | ~$162 | 18 |
| Upper GI endoscopy with biopsyCPT 43239 | $957 | $957 | 100% | — | 3 |
| Upper GI endoscopy, diagnosticCPT 43235 | $957 | $957 | 100% | — | 3 |
| Urinalysis, automated, with microscopyCPT 81001 | $61 | $3 | 1937% | ~$24 | 18 |
| Urinalysis, automated, without microscopyCPT 81003 | $32 | $2 | 1424% | ~$13 | 18 |
| Urinalysis, manual, with microscopyCPT 81000 | $7 | $4 | 163% | — | 2 |
| Urinalysis, manual, without microscopyCPT 81002 | $20 | $3 | 588% | ~$8 | 18 |
| Vaginal delivery, no sterilization, no CC/MCCMS-DRG 807 | $6,673 | — | — | — | 2 |
| Vaginal delivery, no sterilization, with CCMS-DRG 806 | $7,463 | — | — | — | 2 |
| X-ray, lower back, 4+ viewsCPT 72110 | $539 | $110 | 488% | ~$216 | 18 |
| YAG laser capsulotomy (secondary cataract)CPT 66821 | $580 | $580 | 100% | — | 3 |