| Acute myocardial infarction, discharged alive, with MCCMS-DRG 280 | $30,675 | $11,217 | 273% | — | 3 |
| Bariatric (obesity) surgery, no CC/MCCMS-DRG 621 | $28,546 | $8,272 | 345% | — | 6 |
| Basic metabolic panelCPT 80048 | $108 | $8 | 1279% | ~$66 | 15 |
| COPD with MCCMS-DRG 190 | $20,991 | $7,377 | 285% | — | 3 |
| CT abdomen and pelvis with contrastCPT 74177 | $1,065 | $368 | 289% | ~$2,237 | 15 |
| CT head without contrastCPT 70450 | $592 | $110 | 537% | ~$772 | 15 |
| CT pelvis with contrastCPT 72193 | $681 | $185 | 368% | ~$1,219 | 15 |
| Cardiac arrhythmia, no CC/MCCMS-DRG 310 | $10,455 | $3,269 | 320% | — | 3 |
| Cardiac stress testCPT 93017 | $1,158 | $228 | 508% | $485 | 15 |
| Cardiac valve surgery with cardiac cath, with MCCMS-DRG 216 | $180,337 | — | — | — | 3 |
| Cataract surgery with IOL insertionCPT 66984 | $4,500 | $2,434 | 185% | — | 1 |
| Cellulitis, no MCCMS-DRG 603 | $16,461 | $5,675 | 290% | — | 3 |
| Cervical spinal fusion, no CC/MCCMS-DRG 473 | $44,102 | $16,343 | 270% | — | 4 |
| Cesarean section, no CC/MCCMS-DRG 788 | $15,973 | — | — | — | 6 |
| Cesarean section, with CCMS-DRG 787 | $16,632 | — | — | — | 6 |
| Chest painMS-DRG 313 | $13,329 | — | — | — | 3 |
| Colonoscopy with biopsyCPT 45380 | $1,393 | $1,262 | 110% | — | 2 |
| Colonoscopy with endoscopic ultrasoundCPT 45391 | $2,091 | $1,262 | 166% | — | 1 |
| Colonoscopy with polyp removalCPT 45385 | $1,607 | $1,262 | 127% | — | 2 |
| Colonoscopy, diagnosticCPT 45378 | $1,346 | $981 | 137% | — | 2 |
| Complete blood count with differentialCPT 85025 | $67 | $8 | 859% | ~$37 | 15 |
| Complete blood count, automatedCPT 85027 | $51 | $6 | 789% | ~$29 | 15 |
| Comprehensive metabolic panelCPT 80053 | $142 | $11 | 1349% | ~$87 | 15 |
| Coronary bypass without cardiac cath, no MCCMS-DRG 236 | $76,837 | $29,950 | 257% | — | 3 |
| Diagnostic mammography, both breastsCPT 77066 | $317 | — | — | ~$276 | 15 |
| Diagnostic mammography, one breastCPT 77065 | $249 | — | — | ~$188 | 15 |
| ED visit, level 3CPT 99283 | $1,507 | $288 | 523% | $540 | 15 |
| ED visit, level 4CPT 99284 | $2,656 | $440 | 603% | $953 | 15 |
| ED visit, level 5CPT 99285 | $5,238 | $628 | 834% | $1,879 | 15 |
| Echocardiogram, completeCPT 93306 | $2,963 | $576 | 514% | $1,241 | 15 |
| Electrocardiogram with interpretationCPT 93000 | $120 | — | — | — | 1 |
| Epidural injection, lumbar/sacral, no imagingCPT 62322 | $1,306 | $933 | 140% | $412 | 15 |
| Esophagitis/GI disorders, no MCCMS-DRG 392 | $14,581 | $4,899 | 298% | — | 3 |
| Excision of breast lesionCPT 19120 | $3,495 | $4,130 | 85% | — | 1 |
| Family psychotherapy, with patientCPT 90847 | $871 | $187 | 465% | — | 1 |
| Family psychotherapy, without patientCPT 90846 | $836 | $187 | 446% | — | 1 |
| Group psychotherapyCPT 90853 | $206 | $107 | 192% | — | 1 |
| Heart failure and shock, with CCMS-DRG 292 | $16,095 | $5,927 | 272% | — | 3 |
| Heart failure with MCCMS-DRG 291 | $24,385 | $8,962 | 272% | — | 3 |
| Hip and femur procedures except major joint, with CCMS-DRG 481 | $40,430 | $13,876 | 291% | — | 4 |
| Hysterectomy, no CC/MCCMS-DRG 743 | $21,278 | $10,098 | 211% | — | 4 |
| Inguinal hernia repair, age 5+CPT 49505 | $4,349 | $3,777 | 115% | — | 1 |
| Kidney and urinary tract infections, no MCCMS-DRG 690 | $14,998 | $5,238 | 286% | — | 3 |
| Kidney function panelCPT 80069 | $104 | $9 | 1193% | ~$63 | 15 |
| Knee arthroscopy with meniscectomyCPT 29881 | $4,598 | $3,452 | 133% | — | 1 |
| Laparoscopic cholecystectomyCPT 47562 | $5,461 | $6,377 | 86% | — | 1 |
| Laparoscopic cholecystectomy, no CC/MCCMS-DRG 419 | $24,622 | $8,977 | 274% | — | 3 |
| Laparoscopic radical prostatectomyCPT 55866 | $9,807 | $11,213 | 87% | — | 1 |
| Left heart catheterization, diagnosticCPT 93452 | $8,555 | $3,420 | 250% | $3,584 | 15 |
| Lipid panelCPT 80061 | $95 | $13 | 712% | ~$52 | 15 |
| Liver function panelCPT 80076 | $160 | $8 | 1953% | ~$97 | 15 |
| Lumbar epidural steroid injectionCPT 62323 | $1,306 | $745 | 175% | $412 | 15 |
| MRI brain with and without contrastCPT 70553 | $952 | $368 | 259% | ~$1,589 | 15 |
| MRI lower extremity joint (knee)CPT 73721 | $952 | $252 | 378% | ~$1,608 | 15 |
| MRI lumbar spine without contrastCPT 72148 | $952 | $252 | 378% | ~$1,473 | 15 |
| Major joint replacement (hip/knee), no MCCMS-DRG 470 | $40,872 | $14,715 | 278% | — | 5 |
| Major joint replacement (hip/knee), with MCCMS-DRG 469 | $61,350 | $22,346 | 275% | — | 5 |
| Major small and large bowel procedures, with CCMS-DRG 330 | $44,170 | $16,202 | 273% | — | 3 |
| Medical back problems, no MCCMS-DRG 552 | $18,011 | $6,142 | 293% | — | 3 |
| OB global care, VBAC deliveryCPT 59610 | $20,670 | — | — | — | 1 |
| OB global care, cesarean deliveryCPT 59510 | $21,928 | — | — | — | 1 |
| OB global care, vaginal deliveryCPT 59400 | $19,802 | — | — | — | 1 |
| OB ultrasound, 14+ weeksCPT 76805 | $654 | $110 | 593% | ~$576 | 15 |
| Obstetric blood test panelCPT 80055 | $277 | $48 | 579% | ~$152 | 15 |
| Office visit, established patient, level 3CPT 99213 | $543 | — | — | — | 1 |
| Office visit, established patient, level 4CPT 99214 | $799 | — | — | — | 1 |
| Office visit, new patient, level 3CPT 99203 | $673 | — | — | — | 1 |
| Office visit, new patient, level 4CPT 99204 | $1,097 | — | — | — | 1 |
| Office visit, new patient, level 5CPT 99205 | $1,493 | — | — | — | 1 |
| PSA (prostate specific antigen), totalCPT 84153 | $114 | $18 | 620% | ~$63 | 15 |
| Partial thromboplastin timeCPT 85730 | $59 | $6 | 978% | ~$32 | 15 |
| Physical therapy, therapeutic exerciseCPT 97110 | $155 | — | — | $46 | 15 |
| Prostate biopsyCPT 55700 | $3,437 | — | — | $1,393 | 15 |
| Prothrombin timeCPT 85610 | $44 | $4 | 1033% | ~$27 | 15 |
| Psychotherapy, 30 minutesCPT 90832 | $585 | $187 | 313% | — | 1 |
| Psychotherapy, 45 minutesCPT 90834 | $772 | $187 | 413% | — | 1 |
| Psychotherapy, 60 minutesCPT 90837 | $1,143 | $187 | 610% | — | 1 |
| Renal failure, with CCMS-DRG 683 | $16,611 | $5,892 | 282% | — | 3 |
| Screening mammography, bilateralCPT 77067 | $253 | — | — | ~$223 | 15 |
| Sepsis with MCCMS-DRG 871 | $36,670 | $16,210 | 226% | — | 3 |
| Shoulder arthroscopy, subacromial decompressionCPT 29826 | $1,403 | — | — | — | 1 |
| Simple pneumonia and pleurisy, with CCMS-DRG 194 | $15,323 | $5,177 | 296% | — | 3 |
| Sleep study (polysomnography)CPT 95810 | $4,240 | $906 | 468% | $1,968 | 15 |
| Stroke (hemorrhage/infarction), no CC/MCCMS-DRG 066 | $12,862 | $3,679 | 350% | — | 3 |
| Stroke (hemorrhage/infarction), with CC or tPAMS-DRG 065 | $19,005 | $6,559 | 290% | — | 3 |
| Thyroid stimulating hormone (TSH)CPT 84443 | $107 | $17 | 635% | ~$59 | 15 |
| Tonsillectomy and adenoidectomy, under age 12CPT 42820 | $2,459 | $6,245 | 39% | — | 1 |
| Transforaminal epidural, lumbar/sacralCPT 64483 | $2,866 | $933 | 307% | $1,027 | 15 |
| Ultrasound, abdomen, completeCPT 76700 | $706 | $110 | 640% | ~$893 | 15 |
| Ultrasound, transvaginalCPT 76830 | $702 | $110 | 637% | ~$618 | 15 |
| Upper GI endoscopy with biopsyCPT 43239 | $1,140 | $957 | 119% | — | 2 |
| Upper GI endoscopy, diagnosticCPT 43235 | $1,078 | $957 | 113% | — | 2 |
| Urinalysis, automated, with microscopyCPT 81001 | $66 | $3 | 2073% | ~$40 | 15 |
| Urinalysis, automated, without microscopyCPT 81003 | $66 | $2 | 2914% | ~$40 | 15 |
| Urinalysis, manual, with microscopyCPT 81000 | $48 | $4 | 1192% | ~$29 | 15 |
| Urinalysis, manual, without microscopyCPT 81002 | $30 | $3 | 852% | ~$18 | 15 |
| Vaginal delivery, no sterilization, no CC/MCCMS-DRG 807 | $8,590 | — | — | — | 6 |
| Vaginal delivery, no sterilization, with CCMS-DRG 806 | $8,590 | — | — | — | 6 |
| X-ray, lower back, 4+ viewsCPT 72110 | $245 | $110 | 222% | ~$408 | 15 |
| YAG laser capsulotomy (secondary cataract)CPT 66821 | $2,591 | $580 | 447% | — | 1 |