| Acute myocardial infarction, discharged alive, with MCCMS-DRG 280 | $46,440 | $10,257 | 453% | — | 8 |
| Bariatric (obesity) surgery, no CC/MCCMS-DRG 621 | $43,669 | $8,272 | 528% | — | 8 |
| Basic metabolic panelCPT 80048 | $162 | $8 | 1918% | ~$58 | 23 |
| COPD with MCCMS-DRG 190 | $32,068 | $7,066 | 454% | — | 8 |
| CT abdomen and pelvis with contrastCPT 74177 | $889 | $368 | 242% | ~$1,469 | 23 |
| CT head without contrastCPT 70450 | $889 | $110 | 806% | ~$623 | 23 |
| CT pelvis with contrastCPT 72193 | $889 | $185 | 480% | ~$534 | 23 |
| Cardiac arrhythmia, no CC/MCCMS-DRG 310 | $16,389 | $3,269 | 501% | — | 8 |
| Cardiac stress testCPT 93017 | $642 | $228 | 282% | $222 | 23 |
| Cardiac valve surgery with cardiac cath, with MCCMS-DRG 216 | $283,217 | — | — | — | 8 |
| Cataract surgery with IOL insertionCPT 66984 | $5,086 | $2,434 | 209% | — | 8 |
| Cellulitis, no MCCMS-DRG 603 | $25,213 | $5,796 | 435% | — | 8 |
| Cervical spinal fusion, no CC/MCCMS-DRG 473 | $70,677 | $16,343 | 432% | — | 8 |
| Cesarean section, no CC/MCCMS-DRG 788 | $13,081 | — | — | — | 10 |
| Cesarean section, with CCMS-DRG 787 | $13,081 | — | — | — | 10 |
| Chest painMS-DRG 313 | $20,844 | — | — | — | 8 |
| Colonoscopy with biopsyCPT 45380 | $3,955 | $1,262 | 313% | $1,057 | 23 |
| Colonoscopy with endoscopic ultrasoundCPT 45391 | $2,893 | $1,262 | 229% | $773 | 23 |
| Colonoscopy with polyp removalCPT 45385 | $3,955 | $1,262 | 313% | $1,057 | 23 |
| Colonoscopy, diagnosticCPT 45378 | $1,955 | $981 | 199% | $557 | 23 |
| Complete blood count with differentialCPT 85025 | $176 | $8 | 2263% | ~$63 | 23 |
| Complete blood count, automatedCPT 85027 | $95 | $6 | 1474% | ~$34 | 23 |
| Comprehensive metabolic panelCPT 80053 | $204 | $11 | 1929% | ~$73 | 23 |
| Coronary bypass without cardiac cath, no MCCMS-DRG 236 | $121,268 | $29,950 | 405% | — | 8 |
| Diagnostic mammography, both breastsCPT 77066 | $452 | — | — | ~$156 | 23 |
| Diagnostic mammography, one breastCPT 77065 | $372 | — | — | ~$128 | 23 |
| ED visit, level 3CPT 99283 | $1,135 | $288 | 394% | $279 | 23 |
| ED visit, level 4CPT 99284 | $1,655 | $440 | 376% | $402 | 23 |
| ED visit, level 5CPT 99285 | $3,198 | $628 | 509% | $785 | 23 |
| Echocardiogram, completeCPT 93306 | $2,451 | $576 | 425% | $846 | 23 |
| Electrocardiogram with interpretationCPT 93000 | $115 | — | — | — | 5 |
| Epidural injection, lumbar/sacral, no imagingCPT 62322 | $1,423 | $933 | 152% | $491 | 23 |
| Esophagitis/GI disorders, no MCCMS-DRG 392 | $22,570 | $4,278 | 528% | — | 8 |
| Excision of breast lesionCPT 19120 | $5,558 | $4,130 | 135% | — | 8 |
| Family psychotherapy, with patientCPT 90847 | $386 | $187 | 206% | $136 | 21 |
| Family psychotherapy, without patientCPT 90846 | $248 | $187 | 133% | $72 | 21 |
| Group psychotherapyCPT 90853 | $272 | $107 | 254% | $92 | 21 |
| Heart failure and shock, with CCMS-DRG 292 | $24,579 | $5,927 | 415% | — | 8 |
| Heart failure with MCCMS-DRG 291 | $37,167 | $8,886 | 418% | — | 8 |
| Hip and femur procedures except major joint, with CCMS-DRG 481 | $60,637 | $14,551 | 417% | — | 8 |
| Hysterectomy, no CC/MCCMS-DRG 743 | $35,919 | $10,098 | 356% | — | 8 |
| Inguinal hernia repair, age 5+CPT 49505 | $5,867 | $3,777 | 155% | — | 8 |
| Kidney and urinary tract infections, no MCCMS-DRG 690 | $23,435 | $5,244 | 447% | — | 8 |
| Kidney function panelCPT 80069 | $110 | $9 | 1263% | ~$39 | 23 |
| Knee arthroscopy with meniscectomyCPT 29881 | $6,027 | $3,452 | 175% | — | 8 |
| Laparoscopic cholecystectomyCPT 47562 | $8,153 | $6,377 | 128% | — | 8 |
| Laparoscopic cholecystectomy, no CC/MCCMS-DRG 419 | $39,541 | $8,977 | 440% | — | 8 |
| Laparoscopic radical prostatectomyCPT 55866 | $9,678 | $11,213 | 86% | — | 6 |
| Left heart catheterization, diagnosticCPT 93452 | $7,366 | $3,420 | 215% | $2,540 | 23 |
| Lipid panelCPT 80061 | $192 | $13 | 1431% | ~$68 | 23 |
| Liver function panelCPT 80076 | $168 | $8 | 2061% | ~$60 | 23 |
| Lumbar epidural steroid injectionCPT 62323 | $1,819 | $745 | 244% | $518 | 23 |
| MRI brain with and without contrastCPT 70553 | $1,187 | $368 | 323% | ~$932 | 23 |
| MRI lower extremity joint (knee)CPT 73721 | $1,187 | $252 | 472% | ~$581 | 23 |
| MRI lumbar spine without contrastCPT 72148 | $1,187 | $252 | 472% | ~$681 | 23 |
| Major joint replacement (hip/knee), no MCCMS-DRG 470 | $55,843 | $13,329 | 419% | — | 8 |
| Major joint replacement (hip/knee), with MCCMS-DRG 469 | $87,813 | $22,346 | 393% | — | 8 |
| Major small and large bowel procedures, with CCMS-DRG 330 | $69,400 | $16,299 | 426% | — | 8 |
| Medical back problems, no MCCMS-DRG 552 | $27,830 | $5,993 | 464% | — | 8 |
| OB global care, VBAC deliveryCPT 59610 | $15,952 | — | — | — | 6 |
| OB global care, cesarean deliveryCPT 59510 | $16,923 | — | — | — | 6 |
| OB global care, vaginal deliveryCPT 59400 | $15,290 | — | — | — | 6 |
| OB ultrasound, 14+ weeksCPT 76805 | $752 | $110 | 682% | ~$260 | 23 |
| Obstetric blood test panelCPT 80055 | $106 | $48 | 221% | ~$37 | 23 |
| Office visit, established patient, level 3CPT 99213 | $522 | — | — | — | 5 |
| Office visit, established patient, level 4CPT 99214 | $768 | — | — | — | 5 |
| Office visit, new patient, level 3CPT 99203 | $647 | — | — | — | 5 |
| Office visit, new patient, level 4CPT 99204 | $1,055 | — | — | — | 5 |
| Office visit, new patient, level 5CPT 99205 | $1,435 | — | — | — | 5 |
| PSA (prostate specific antigen), totalCPT 84153 | $236 | $18 | 1283% | ~$84 | 23 |
| Partial thromboplastin timeCPT 85730 | $73 | $6 | 1218% | ~$26 | 23 |
| Physical therapy, therapeutic exerciseCPT 97110 | $102 | — | — | $28 | 23 |
| Prostate biopsyCPT 55700 | $3,161 | — | — | $932 | 23 |
| Prothrombin timeCPT 85610 | $77 | $4 | 1790% | ~$27 | 23 |
| Psychotherapy, 30 minutesCPT 90832 | $272 | $187 | 145% | — | 5 |
| Psychotherapy, 45 minutesCPT 90834 | $321 | $187 | 171% | $113 | 21 |
| Psychotherapy, 60 minutesCPT 90837 | $383 | $187 | 205% | $135 | 21 |
| Renal failure, with CCMS-DRG 683 | $25,355 | $5,960 | 425% | — | 8 |
| Screening mammography, bilateralCPT 77067 | $331 | — | — | ~$114 | 23 |
| Sepsis with MCCMS-DRG 871 | $56,236 | $13,981 | 402% | — | 8 |
| Shoulder arthroscopy, subacromial decompressionCPT 29826 | $1,364 | — | — | — | 7 |
| Simple pneumonia and pleurisy, with CCMS-DRG 194 | $23,331 | $5,283 | 442% | — | 8 |
| Sleep study (polysomnography)CPT 95810 | $5,134 | $906 | 567% | $1,773 | 23 |
| Stroke (hemorrhage/infarction), no CC/MCCMS-DRG 066 | $19,814 | $3,679 | 539% | — | 8 |
| Stroke (hemorrhage/infarction), with CC or tPAMS-DRG 065 | $29,249 | $6,616 | 442% | — | 8 |
| Thyroid stimulating hormone (TSH)CPT 84443 | $289 | $17 | 1718% | ~$103 | 23 |
| Tonsillectomy and adenoidectomy, under age 12CPT 42820 | $6,481 | $6,245 | 104% | — | 8 |
| Transforaminal epidural, lumbar/sacralCPT 64483 | $2,378 | $933 | 255% | $820 | 23 |
| Ultrasound, abdomen, completeCPT 76700 | $752 | $110 | 682% | ~$260 | 23 |
| Ultrasound, transvaginalCPT 76830 | $752 | $110 | 682% | ~$260 | 23 |
| Upper GI endoscopy with biopsyCPT 43239 | $2,691 | $957 | 281% | $719 | 23 |
| Upper GI endoscopy, diagnosticCPT 43235 | $2,396 | $957 | 250% | $640 | 23 |
| Urinalysis, automated, with microscopyCPT 81001 | $31 | $3 | 977% | ~$11 | 23 |
| Urinalysis, automated, without microscopyCPT 81003 | $51 | $2 | 2284% | ~$18 | 23 |
| Urinalysis, manual, with microscopyCPT 81000 | $5 | $4 | 127% | — | 8 |
| Urinalysis, manual, without microscopyCPT 81002 | $59 | $3 | 1690% | ~$21 | 23 |
| Vaginal delivery, no sterilization, no CC/MCCMS-DRG 807 | $8,314 | — | — | — | 10 |
| Vaginal delivery, no sterilization, with CCMS-DRG 806 | $8,314 | — | — | — | 10 |
| X-ray, lower back, 4+ viewsCPT 72110 | $561 | $110 | 509% | ~$194 | 23 |
| YAG laser capsulotomy (secondary cataract)CPT 66821 | $2,909 | $580 | 501% | — | 8 |