| Acute myocardial infarction, discharged alive, with MCCMS-DRG 280 | $39,610 | $11,217 | 353% | — | 5 |
| Bariatric (obesity) surgery, no CC/MCCMS-DRG 621 | $23,082 | $8,272 | 279% | — | 5 |
| Basic metabolic panelCPT 80048 | $21 | $8 | 251% | ~$10 | 16 |
| COPD with MCCMS-DRG 190 | $27,100 | $7,667 | 353% | — | 5 |
| CT abdomen and pelvis with contrastCPT 74177 | $721 | $368 | 196% | ~$496 | 16 |
| CT head without contrastCPT 70450 | $594 | $110 | 539% | ~$413 | 16 |
| CT pelvis with contrastCPT 72193 | $594 | $185 | 321% | ~$468 | 16 |
| Cardiac arrhythmia, no CC/MCCMS-DRG 310 | $13,502 | $3,269 | 413% | — | 5 |
| Cardiac valve surgery with cardiac cath, with MCCMS-DRG 216 | $152,391 | — | — | — | 5 |
| Cataract surgery with IOL insertionCPT 66984 | $19,688 | $2,434 | 809% | — | 2 |
| Cellulitis, no MCCMS-DRG 603 | $21,255 | $5,675 | 375% | — | 5 |
| Cervical spinal fusion, no CC/MCCMS-DRG 473 | $37,381 | $16,343 | 229% | — | 5 |
| Cesarean section, no CC/MCCMS-DRG 788 | $5,595 | — | — | — | 4 |
| Cesarean section, with CCMS-DRG 787 | $5,595 | — | — | — | 4 |
| Chest painMS-DRG 313 | $17,216 | — | — | — | 5 |
| Colonoscopy with biopsyCPT 45380 | $10,954 | $1,262 | 868% | — | 2 |
| Colonoscopy with endoscopic ultrasoundCPT 45391 | $10,954 | $1,262 | 868% | — | 2 |
| Colonoscopy with polyp removalCPT 45385 | $10,954 | $1,262 | 868% | — | 2 |
| Colonoscopy, diagnosticCPT 45378 | $8,956 | $981 | 913% | — | 2 |
| Complete blood count with differentialCPT 85025 | $20 | $8 | 252% | ~$9 | 16 |
| Complete blood count, automatedCPT 85027 | $16 | $6 | 252% | ~$7 | 16 |
| Comprehensive metabolic panelCPT 80053 | $26 | $11 | 247% | ~$12 | 16 |
| Coronary bypass without cardiac cath, no MCCMS-DRG 236 | $64,930 | $29,950 | 217% | — | 5 |
| Echocardiogram, completeCPT 93306 | $1,462 | $576 | 254% | $705 | 16 |
| Epidural injection, lumbar/sacral, no imagingCPT 62322 | $1,756 | $933 | 188% | $758 | 12 |
| Esophagitis/GI disorders, no MCCMS-DRG 392 | $18,830 | $4,899 | 384% | — | 5 |
| Excision of breast lesionCPT 19120 | $17,518 | $4,130 | 424% | — | 2 |
| Heart failure and shock, with CCMS-DRG 292 | $20,782 | $5,927 | 351% | — | 5 |
| Heart failure with MCCMS-DRG 291 | $31,487 | $8,748 | 360% | — | 5 |
| Hip and femur procedures except major joint, with CCMS-DRG 481 | $32,763 | $13,876 | 236% | — | 5 |
| Hysterectomy, no CC/MCCMS-DRG 743 | $18,927 | $10,098 | 187% | — | 5 |
| Inguinal hernia repair, age 5+CPT 49505 | $21,038 | $3,777 | 557% | — | 2 |
| Kidney and urinary tract infections, no MCCMS-DRG 690 | $19,368 | $5,238 | 370% | — | 5 |
| Kidney function panelCPT 80069 | $22 | $9 | 254% | ~$10 | 16 |
| Knee arthroscopy with meniscectomyCPT 29881 | $25,030 | $3,452 | 725% | — | 2 |
| Laparoscopic cholecystectomyCPT 47562 | $27,672 | $6,377 | 434% | — | 2 |
| Laparoscopic cholecystectomy, no CC/MCCMS-DRG 419 | $20,805 | $8,977 | 232% | — | 5 |
| Laparoscopic radical prostatectomyCPT 55866 | $37,366 | $11,213 | 333% | — | 2 |
| Left heart catheterization, diagnosticCPT 93452 | $9,541 | $3,420 | 279% | $4,144 | 16 |
| Lipid panelCPT 80061 | $50 | $13 | 375% | ~$23 | 16 |
| Liver function panelCPT 80076 | $20 | $8 | 250% | ~$9 | 16 |
| Lumbar epidural steroid injectionCPT 62323 | $2,230 | $745 | 299% | $963 | 12 |
| Major joint replacement (hip/knee), no MCCMS-DRG 470 | $29,772 | $13,045 | 228% | — | 5 |
| Major joint replacement (hip/knee), with MCCMS-DRG 469 | $51,613 | $22,346 | 231% | — | 5 |
| Major small and large bowel procedures, with CCMS-DRG 330 | $37,323 | $16,202 | 230% | — | 5 |
| Medical back problems, no MCCMS-DRG 552 | $23,258 | $6,142 | 379% | — | 5 |
| Office visit, established patient, level 3CPT 99213 | $144 | — | — | $62 | 14 |
| Office visit, established patient, level 4CPT 99214 | $183 | — | — | $79 | 14 |
| Office visit, new patient, level 3CPT 99203 | $259 | — | — | $112 | 14 |
| Office visit, new patient, level 4CPT 99204 | $357 | — | — | $154 | 14 |
| Office visit, new patient, level 5CPT 99205 | $484 | — | — | $209 | 14 |
| PSA (prostate specific antigen), totalCPT 84153 | $46 | $18 | 249% | ~$21 | 16 |
| Partial thromboplastin timeCPT 85730 | $30 | $6 | 496% | ~$13 | 16 |
| Physical therapy, therapeutic exerciseCPT 97110 | $113 | — | — | $49 | 15 |
| Prostate biopsyCPT 55700 | $2,848 | — | — | $1,168 | 12 |
| Prothrombin timeCPT 85610 | $26 | $4 | 609% | ~$12 | 16 |
| Renal failure, with CCMS-DRG 683 | $21,451 | $5,892 | 364% | — | 5 |
| Sepsis with MCCMS-DRG 871 | $47,349 | $11,947 | 396% | — | 5 |
| Shoulder arthroscopy, subacromial decompressionCPT 29826 | $22,491 | — | — | — | 1 |
| Simple pneumonia and pleurisy, with CCMS-DRG 194 | $19,788 | $5,177 | 382% | — | 5 |
| Stroke (hemorrhage/infarction), no CC/MCCMS-DRG 066 | $16,610 | $3,679 | 451% | — | 5 |
| Stroke (hemorrhage/infarction), with CC or tPAMS-DRG 065 | $24,540 | $6,559 | 374% | — | 5 |
| Thyroid stimulating hormone (TSH)CPT 84443 | $43 | $17 | 255% | ~$19 | 16 |
| Tonsillectomy and adenoidectomy, under age 12CPT 42820 | $20,370 | $6,245 | 326% | — | 2 |
| Transforaminal epidural, lumbar/sacralCPT 64483 | $1,279 | $933 | 137% | $552 | 11 |
| Upper GI endoscopy with biopsyCPT 43239 | $8,956 | $957 | 936% | — | 2 |
| Upper GI endoscopy, diagnosticCPT 43235 | $6,279 | $957 | 656% | — | 2 |
| Urinalysis, automated, with microscopyCPT 81001 | $8 | $3 | 257% | ~$4 | 16 |
| Urinalysis, automated, without microscopyCPT 81003 | $6 | $2 | 254% | ~$3 | 16 |
| Urinalysis, manual, without microscopyCPT 81002 | $9 | $3 | 258% | ~$4 | 16 |
| Vaginal delivery, no sterilization, no CC/MCCMS-DRG 807 | $3,500 | — | — | — | 3 |
| Vaginal delivery, no sterilization, with CCMS-DRG 806 | $3,500 | — | — | — | 3 |
| X-ray, lower back, 4+ viewsCPT 72110 | $178 | $110 | 161% | ~$77 | 13 |
| YAG laser capsulotomy (secondary cataract)CPT 66821 | $1,490 | $580 | 257% | $643 | 12 |