| Acute myocardial infarction, discharged alive, with MCCMS-DRG 280 | $29,823 | $11,217 | 266% | — | 1 |
| Bariatric (obesity) surgery, no CC/MCCMS-DRG 621 | $24,558 | $8,272 | 297% | — | 2 |
| Basic metabolic panelCPT 80048 | $248 | $8 | 2930% | ~$94 | 14 |
| COPD with MCCMS-DRG 190 | $29,823 | $7,377 | 404% | — | 1 |
| CT abdomen and pelvis with contrastCPT 74177 | $10,960 | $368 | 2978% | ~$4,143 | 14 |
| CT head without contrastCPT 70450 | $4,814 | $110 | 4365% | ~$1,820 | 14 |
| CT pelvis with contrastCPT 72193 | $5,172 | $185 | 2795% | ~$1,955 | 14 |
| Cardiac arrhythmia, no CC/MCCMS-DRG 310 | $29,823 | $3,269 | 912% | — | 1 |
| Cardiac stress testCPT 93017 | $2,820 | $228 | 1238% | $1,066 | 14 |
| Cardiac valve surgery with cardiac cath, with MCCMS-DRG 216 | $29,823 | — | — | — | 1 |
| Cataract surgery with IOL insertionCPT 66984 | $3,634 | $2,434 | 149% | — | 1 |
| Cellulitis, no MCCMS-DRG 603 | $29,823 | $5,675 | 526% | — | 1 |
| Cervical spinal fusion, no CC/MCCMS-DRG 473 | $29,823 | $16,343 | 182% | — | 1 |
| Cesarean section, no CC/MCCMS-DRG 788 | $10,745 | — | — | — | 2 |
| Cesarean section, with CCMS-DRG 787 | $10,745 | — | — | — | 2 |
| Chest painMS-DRG 313 | $29,823 | — | — | — | 1 |
| Colonoscopy with biopsyCPT 45380 | $1,321 | $1,262 | 105% | — | 1 |
| Colonoscopy with endoscopic ultrasoundCPT 45391 | $1,689 | $1,262 | 134% | — | 1 |
| Colonoscopy with polyp removalCPT 45385 | $1,665 | $1,262 | 132% | — | 1 |
| Colonoscopy, diagnosticCPT 45378 | $1,244 | $981 | 127% | — | 1 |
| Complete blood count with differentialCPT 85025 | $166 | $8 | 2132% | ~$63 | 14 |
| Complete blood count, automatedCPT 85027 | $90 | $6 | 1390% | ~$34 | 14 |
| Comprehensive metabolic panelCPT 80053 | $293 | $11 | 2775% | ~$111 | 14 |
| Coronary bypass without cardiac cath, no MCCMS-DRG 236 | $29,823 | $29,950 | 100% | — | 1 |
| Diagnostic mammography, both breastsCPT 77066 | $774 | — | — | ~$293 | 14 |
| Diagnostic mammography, one breastCPT 77065 | $312 | — | — | ~$118 | 14 |
| ED visit, level 3CPT 99283 | $1,423 | $288 | 494% | $524 | 14 |
| ED visit, level 4CPT 99284 | $1,887 | $440 | 429% | $695 | 14 |
| ED visit, level 5CPT 99285 | $4,823 | $628 | 768% | $1,777 | 14 |
| Echocardiogram, completeCPT 93306 | $3,838 | $576 | 666% | $1,451 | 13 |
| Electrocardiogram with interpretationCPT 93000 | $97 | — | — | — | 1 |
| Epidural injection, lumbar/sacral, no imagingCPT 62322 | $518 | $933 | 56% | — | 1 |
| Esophagitis/GI disorders, no MCCMS-DRG 392 | $29,823 | $4,899 | 609% | — | 1 |
| Excision of breast lesionCPT 19120 | $2,822 | $4,130 | 68% | — | 1 |
| Family psychotherapy, with patientCPT 90847 | $208 | $187 | 111% | $69 | 13 |
| Family psychotherapy, without patientCPT 90846 | $206 | $187 | 110% | $68 | 13 |
| Group psychotherapyCPT 90853 | $166 | $107 | 155% | — | 1 |
| Heart failure and shock, with CCMS-DRG 292 | $29,823 | $5,927 | 503% | — | 1 |
| Heart failure with MCCMS-DRG 291 | $29,823 | $11,338 | 263% | — | 1 |
| Hip and femur procedures except major joint, with CCMS-DRG 481 | $29,823 | $13,876 | 215% | — | 1 |
| Hysterectomy, no CC/MCCMS-DRG 743 | $29,823 | $10,098 | 295% | — | 1 |
| Inguinal hernia repair, age 5+CPT 49505 | $3,512 | $3,777 | 93% | — | 1 |
| Kidney and urinary tract infections, no MCCMS-DRG 690 | $29,823 | $5,238 | 569% | — | 1 |
| Kidney function panelCPT 80069 | $296 | $9 | 3407% | ~$112 | 14 |
| Knee arthroscopy with meniscectomyCPT 29881 | $3,713 | $3,452 | 108% | — | 1 |
| Laparoscopic cholecystectomyCPT 47562 | $4,410 | $6,377 | 69% | — | 1 |
| Laparoscopic cholecystectomy, no CC/MCCMS-DRG 419 | $29,823 | $8,977 | 332% | — | 1 |
| Laparoscopic radical prostatectomyCPT 55866 | $7,919 | $11,213 | 71% | — | 1 |
| Left heart catheterization, diagnosticCPT 93452 | $4,343 | $3,420 | 127% | — | 1 |
| Lipid panelCPT 80061 | $167 | $13 | 1248% | ~$63 | 14 |
| Liver function panelCPT 80076 | $268 | $8 | 3285% | ~$101 | 14 |
| Lumbar epidural steroid injectionCPT 62323 | $661 | $745 | 89% | — | 1 |
| MRI brain with and without contrastCPT 70553 | $8,057 | $368 | 2189% | ~$3,046 | 14 |
| MRI lower extremity joint (knee)CPT 73721 | $4,938 | $252 | 1962% | ~$1,867 | 14 |
| MRI lumbar spine without contrastCPT 72148 | $5,477 | $252 | 2176% | ~$2,070 | 14 |
| Major joint replacement (hip/knee), no MCCMS-DRG 470 | $29,823 | $17,077 | 175% | — | 1 |
| Major joint replacement (hip/knee), with MCCMS-DRG 469 | $29,823 | $22,346 | 133% | — | 1 |
| Major small and large bowel procedures, with CCMS-DRG 330 | $29,823 | $16,202 | 184% | — | 1 |
| Medical back problems, no MCCMS-DRG 552 | $29,823 | $6,142 | 486% | — | 1 |
| OB global care, VBAC deliveryCPT 59610 | $16,690 | — | — | — | 1 |
| OB global care, cesarean deliveryCPT 59510 | $17,707 | — | — | — | 1 |
| OB global care, vaginal deliveryCPT 59400 | $15,990 | — | — | — | 1 |
| OB ultrasound, 14+ weeksCPT 76805 | $1,417 | $110 | 1285% | ~$536 | 14 |
| Obstetric blood test panelCPT 80055 | $964 | $48 | 2016% | ~$364 | 14 |
| Office visit, established patient, level 3CPT 99213 | $438 | — | — | — | 1 |
| Office visit, established patient, level 4CPT 99214 | $645 | — | — | — | 1 |
| Office visit, new patient, level 3CPT 99203 | $543 | — | — | — | 1 |
| Office visit, new patient, level 4CPT 99204 | $886 | — | — | — | 1 |
| Office visit, new patient, level 5CPT 99205 | $1,205 | — | — | — | 1 |
| PSA (prostate specific antigen), totalCPT 84153 | $190 | $18 | 1035% | ~$72 | 14 |
| Partial thromboplastin timeCPT 85730 | $163 | $6 | 2712% | ~$62 | 14 |
| Physical therapy, therapeutic exerciseCPT 97110 | $228 | — | — | $84 | 14 |
| Prostate biopsyCPT 55700 | $2,853 | — | — | $926 | 14 |
| Prothrombin timeCPT 85610 | $83 | $4 | 1945% | ~$32 | 14 |
| Psychotherapy, 30 minutesCPT 90832 | $152 | $187 | 81% | $50 | 13 |
| Psychotherapy, 45 minutesCPT 90834 | $624 | $187 | 333% | — | 1 |
| Psychotherapy, 60 minutesCPT 90837 | $923 | $187 | 493% | — | 1 |
| Renal failure, with CCMS-DRG 683 | $29,823 | $5,892 | 506% | — | 1 |
| Screening mammography, bilateralCPT 77067 | $303 | — | — | ~$115 | 14 |
| Sepsis with MCCMS-DRG 871 | $29,823 | $18,081 | 165% | — | 1 |
| Shoulder arthroscopy, subacromial decompressionCPT 29826 | $1,133 | — | — | — | 1 |
| Simple pneumonia and pleurisy, with CCMS-DRG 194 | $29,823 | $5,177 | 576% | — | 1 |
| Sleep study (polysomnography)CPT 95810 | $9,171 | $906 | 1012% | $3,467 | 13 |
| Stroke (hemorrhage/infarction), no CC/MCCMS-DRG 066 | $29,823 | $3,679 | 811% | — | 1 |
| Stroke (hemorrhage/infarction), with CC or tPAMS-DRG 065 | $29,823 | $6,559 | 455% | — | 1 |
| Thyroid stimulating hormone (TSH)CPT 84443 | $182 | $17 | 1084% | ~$69 | 14 |
| Tonsillectomy and adenoidectomy, under age 12CPT 42820 | $1,986 | $6,245 | 32% | — | 1 |
| Transforaminal epidural, lumbar/sacralCPT 64483 | $3,943 | $933 | 423% | $1,452 | 14 |
| Ultrasound, abdomen, completeCPT 76700 | $1,417 | $110 | 1285% | ~$536 | 14 |
| Ultrasound, transvaginalCPT 76830 | $1,358 | $110 | 1231% | ~$513 | 14 |
| Upper GI endoscopy with biopsyCPT 43239 | $911 | $957 | 95% | — | 1 |
| Upper GI endoscopy, diagnosticCPT 43235 | $811 | $957 | 85% | — | 1 |
| Urinalysis, automated, with microscopyCPT 81001 | $104 | $3 | 3291% | ~$39 | 14 |
| Urinalysis, automated, without microscopyCPT 81003 | $104 | $2 | 4636% | ~$39 | 14 |
| Urinalysis, manual, with microscopyCPT 81000 | $11 | $4 | 286% | — | 3 |
| Urinalysis, manual, without microscopyCPT 81002 | $85 | $3 | 2436% | ~$32 | 14 |
| Vaginal delivery, no sterilization, no CC/MCCMS-DRG 807 | $5,750 | — | — | — | 2 |
| Vaginal delivery, no sterilization, with CCMS-DRG 806 | $5,750 | — | — | — | 2 |
| X-ray, lower back, 4+ viewsCPT 72110 | $1,926 | $110 | 1746% | ~$728 | 14 |
| YAG laser capsulotomy (secondary cataract)CPT 66821 | $2,093 | $580 | 361% | — | 1 |