| Acute myocardial infarction, discharged alive, with MCCMS-DRG 280 | $44,374 | $18,433 | 241% | — | 2 |
| Bariatric (obesity) surgery, no CC/MCCMS-DRG 621 | $33,176 | $8,272 | 401% | — | 4 |
| Basic metabolic panelCPT 80048 | $22 | $8 | 256% | ~$38 | 6 |
| COPD with MCCMS-DRG 190 | $33,369 | $7,377 | 452% | — | 2 |
| CT abdomen and pelvis with contrastCPT 74177 | $1,121 | $368 | 305% | ~$1,683 | 6 |
| CT head without contrastCPT 70450 | $1,009 | $110 | 915% | ~$748 | 6 |
| CT pelvis with contrastCPT 72193 | $866 | $185 | 468% | ~$545 | 6 |
| Cardiac arrhythmia, no CC/MCCMS-DRG 310 | $21,361 | $3,269 | 653% | — | 2 |
| Cardiac stress testCPT 93017 | $371 | $228 | 163% | $168 | 5 |
| Cardiac valve surgery with cardiac cath, with MCCMS-DRG 216 | $225,705 | — | — | — | 2 |
| Cataract surgery with IOL insertionCPT 66984 | $6,090 | $2,434 | 250% | — | 5 |
| Cellulitis, no MCCMS-DRG 603 | $28,119 | $5,675 | 496% | — | 2 |
| Cervical spinal fusion, no CC/MCCMS-DRG 473 | $62,936 | $16,343 | 385% | — | 2 |
| Cesarean section, no CC/MCCMS-DRG 788 | $22,660 | — | — | — | 4 |
| Cesarean section, with CCMS-DRG 787 | $25,029 | — | — | — | 4 |
| Chest painMS-DRG 313 | $24,773 | — | — | — | 2 |
| Colonoscopy with biopsyCPT 45380 | $3,339 | $1,262 | 265% | $553 | 6 |
| Colonoscopy with endoscopic ultrasoundCPT 45391 | $3,339 | $1,262 | 265% | $474 | 6 |
| Colonoscopy with polyp removalCPT 45385 | $3,339 | $1,262 | 265% | $612 | 6 |
| Colonoscopy, diagnosticCPT 45378 | $3,339 | $981 | 340% | $432 | 6 |
| Complete blood count with differentialCPT 85025 | $19 | $8 | 249% | ~$18 | 6 |
| Complete blood count, automatedCPT 85027 | $17 | $6 | 256% | ~$17 | 6 |
| Comprehensive metabolic panelCPT 80053 | $27 | $11 | 256% | ~$45 | 6 |
| Coronary bypass without cardiac cath, no MCCMS-DRG 236 | $101,680 | $29,950 | 340% | — | 2 |
| Diagnostic mammography, both breastsCPT 77066 | $210 | — | — | ~$50 | 6 |
| Diagnostic mammography, one breastCPT 77065 | $166 | — | — | ~$39 | 6 |
| ED visit, level 3CPT 99283 | $1,810 | $288 | 628% | $636 | 6 |
| ED visit, level 4CPT 99284 | $3,496 | $440 | 794% | $1,067 | 6 |
| ED visit, level 5CPT 99285 | $6,127 | $628 | 975% | $1,992 | 6 |
| Echocardiogram, completeCPT 93306 | $938 | $576 | 163% | $663 | 5 |
| Electrocardiogram with interpretationCPT 93000 | $28 | — | — | — | 3 |
| Epidural injection, lumbar/sacral, no imagingCPT 62322 | $2,992 | $933 | 321% | $471 | 6 |
| Esophagitis/GI disorders, no MCCMS-DRG 392 | $26,094 | $4,899 | 533% | — | 2 |
| Excision of breast lesionCPT 19120 | $5,836 | $4,130 | 141% | $1,576 | 6 |
| Family psychotherapy, with patientCPT 90847 | $284 | $187 | 152% | $86 | 4 |
| Family psychotherapy, without patientCPT 90846 | $271 | $187 | 144% | $77 | 4 |
| Group psychotherapyCPT 90853 | $301 | $107 | 281% | $134 | 4 |
| Heart failure and shock, with CCMS-DRG 292 | $27,633 | $5,927 | 466% | — | 2 |
| Heart failure with MCCMS-DRG 291 | $37,273 | $16,885 | 221% | — | 2 |
| Hip and femur procedures except major joint, with CCMS-DRG 481 | $55,247 | $24,022 | 230% | — | 2 |
| Hysterectomy, no CC/MCCMS-DRG 743 | $36,318 | $10,098 | 360% | — | 2 |
| Inguinal hernia repair, age 5+CPT 49505 | $6,479 | $3,777 | 172% | — | 5 |
| Kidney and urinary tract infections, no MCCMS-DRG 690 | $26,757 | $5,238 | 511% | — | 2 |
| Kidney function panelCPT 80069 | $22 | $9 | 256% | ~$31 | 6 |
| Knee arthroscopy with meniscectomyCPT 29881 | $6,479 | $3,452 | 188% | — | 5 |
| Laparoscopic cholecystectomyCPT 47562 | $12,664 | $6,377 | 199% | — | 5 |
| Laparoscopic cholecystectomy, no CC/MCCMS-DRG 419 | $39,091 | $8,977 | 435% | — | 2 |
| Laparoscopic radical prostatectomyCPT 55866 | $15,558 | $11,213 | 139% | — | 4 |
| Left heart catheterization, diagnosticCPT 93452 | $7,925 | $3,420 | 232% | $1,614 | 6 |
| Lipid panelCPT 80061 | $26 | $13 | 195% | ~$22 | 6 |
| Liver function panelCPT 80076 | $21 | $8 | 256% | ~$21 | 6 |
| Lumbar epidural steroid injectionCPT 62323 | $2,992 | $745 | 402% | $984 | 6 |
| MRI brain with and without contrastCPT 70553 | $1,565 | $368 | 425% | ~$1,294 | 6 |
| MRI lower extremity joint (knee)CPT 73721 | $1,283 | $252 | 510% | ~$893 | 6 |
| MRI lumbar spine without contrastCPT 72148 | $1,371 | $252 | 545% | ~$1,018 | 6 |
| Major joint replacement (hip/knee), no MCCMS-DRG 470 | $51,576 | $13,045 | 395% | — | 2 |
| Major joint replacement (hip/knee), with MCCMS-DRG 469 | $76,059 | $22,346 | 340% | — | 2 |
| Major small and large bowel procedures, with CCMS-DRG 330 | $61,958 | $16,202 | 382% | — | 2 |
| Medical back problems, no MCCMS-DRG 552 | $30,123 | $6,142 | 490% | — | 2 |
| OB global care, VBAC deliveryCPT 59610 | $4,040 | — | — | — | 4 |
| OB global care, cesarean deliveryCPT 59510 | $4,156 | — | — | — | 4 |
| OB global care, vaginal deliveryCPT 59400 | $3,957 | — | — | — | 4 |
| OB ultrasound, 14+ weeksCPT 76805 | $328 | $110 | 297% | ~$138 | 6 |
| Obstetric blood test panelCPT 80055 | $70 | $48 | 147% | ~$31 | 6 |
| Office consultation, comprehensiveCPT 99244 | $177 | — | — | $61 | 2 |
| Office consultation, moderateCPT 99243 | $121 | — | — | $38 | 2 |
| Office visit, established patient, level 3CPT 99213 | $109 | — | — | $41 | 2 |
| Office visit, established patient, level 4CPT 99214 | $145 | — | — | $44 | 2 |
| Office visit, new patient, level 3CPT 99203 | $139 | — | — | $57 | 2 |
| Office visit, new patient, level 4CPT 99204 | $201 | — | — | $76 | 2 |
| Office visit, new patient, level 5CPT 99205 | $270 | — | — | $103 | 2 |
| PSA (prostate specific antigen), totalCPT 84153 | $33 | $18 | 179% | ~$26 | 6 |
| Partial thromboplastin timeCPT 85730 | $15 | $6 | 256% | ~$15 | 6 |
| Physical therapy, therapeutic exerciseCPT 97110 | $68 | — | — | $28 | 6 |
| Preventive visit, new patient, 18-39CPT 99385 | $157 | — | — | $62 | 2 |
| Preventive visit, new patient, 40-64CPT 99386 | $184 | — | — | $76 | 2 |
| Prostate biopsyCPT 55700 | $3,478 | — | — | $1,053 | 5 |
| Prothrombin timeCPT 85610 | $11 | $4 | 256% | ~$14 | 6 |
| Psychotherapy, 30 minutesCPT 90832 | $358 | $187 | 191% | $134 | 4 |
| Psychotherapy, 45 minutesCPT 90834 | $358 | $187 | 191% | $141 | 4 |
| Psychotherapy, 60 minutesCPT 90837 | $358 | $187 | 191% | $148 | 4 |
| Renal failure, with CCMS-DRG 683 | $28,227 | $5,892 | 479% | — | 2 |
| Screening mammography, bilateralCPT 77067 | $169 | — | — | ~$40 | 6 |
| Sepsis with MCCMS-DRG 871 | $51,877 | $22,796 | 228% | — | 2 |
| Shoulder arthroscopy, subacromial decompressionCPT 29826 | $4,236 | — | — | — | 5 |
| Simple pneumonia and pleurisy, with CCMS-DRG 194 | $26,678 | $5,177 | 515% | — | 2 |
| Sleep study (polysomnography)CPT 95810 | $1,475 | $906 | 163% | — | 3 |
| Stroke (hemorrhage/infarction), no CC/MCCMS-DRG 066 | $23,984 | $3,679 | 652% | — | 2 |
| Stroke (hemorrhage/infarction), with CC or tPAMS-DRG 065 | $31,209 | $6,559 | 476% | — | 2 |
| Thyroid stimulating hormone (TSH)CPT 84443 | $28 | $17 | 166% | ~$20 | 6 |
| Tonsillectomy and adenoidectomy, under age 12CPT 42820 | $6,090 | $6,245 | 98% | — | 5 |
| Transforaminal epidural, lumbar/sacralCPT 64483 | $2,992 | $933 | 321% | $439 | 6 |
| Ultrasound, abdomen, completeCPT 76700 | $393 | $110 | 356% | ~$194 | 6 |
| Ultrasound, transvaginalCPT 76830 | $326 | $110 | 296% | ~$136 | 6 |
| Upper GI endoscopy with biopsyCPT 43239 | $3,339 | $957 | 349% | $393 | 6 |
| Upper GI endoscopy, diagnosticCPT 43235 | $2,992 | $957 | 313% | $393 | 6 |
| Urinalysis, automated, with microscopyCPT 81001 | $8 | $3 | 256% | ~$16 | 6 |
| Urinalysis, automated, without microscopyCPT 81003 | $6 | $2 | 256% | ~$9 | 6 |
| Urinalysis, manual, with microscopyCPT 81000 | $7 | $4 | 184% | ~$6 | 6 |
| Urinalysis, manual, without microscopyCPT 81002 | $7 | $3 | 215% | ~$7 | 6 |
| Vaginal delivery, no sterilization, no CC/MCCMS-DRG 807 | $15,882 | — | — | — | 4 |
| Vaginal delivery, no sterilization, with CCMS-DRG 806 | $17,079 | — | — | — | 4 |
| X-ray, lower back, 4+ viewsCPT 72110 | $366 | $110 | 332% | ~$136 | 6 |
| YAG laser capsulotomy (secondary cataract)CPT 66821 | $3,339 | $580 | 576% | $288 | 6 |