| Acute myocardial infarction, discharged alive, with MCCMS-DRG 280 | $23,961 | $11,217 | 214% | — | 1 |
| Bariatric (obesity) surgery, no CC/MCCMS-DRG 621 | $21,339 | $8,272 | 258% | — | 1 |
| Basic metabolic panelCPT 80048 | $12 | $8 | 137% | ~$36 | 2 |
| COPD with MCCMS-DRG 190 | $16,394 | $7,377 | 222% | — | 1 |
| CT abdomen and pelvis with contrastCPT 74177 | $641 | $368 | 174% | ~$1,098 | 3 |
| CT head without contrastCPT 70450 | $192 | $110 | 174% | ~$732 | 3 |
| CT pelvis with contrastCPT 72193 | $322 | $185 | 174% | ~$1,032 | 3 |
| Cardiac arrhythmia, no CC/MCCMS-DRG 310 | $8,168 | $3,269 | 250% | — | 1 |
| Cardiac valve surgery with cardiac cath, with MCCMS-DRG 216 | $140,887 | — | — | — | 1 |
| Cataract surgery with IOL insertionCPT 66984 | $4,239 | $2,434 | 174% | $1,816 | 3 |
| Cellulitis, no MCCMS-DRG 603 | $12,858 | $5,675 | 227% | — | 1 |
| Cervical spinal fusion, no CC/MCCMS-DRG 473 | $34,559 | $16,343 | 211% | — | 1 |
| Cesarean section, no CC/MCCMS-DRG 788 | $13,207 | — | — | — | 1 |
| Cesarean section, with CCMS-DRG 787 | $15,500 | — | — | — | 1 |
| Chest painMS-DRG 313 | $10,414 | — | — | — | 1 |
| Complete blood count with differentialCPT 85025 | $11 | $8 | 137% | ~$29 | 2 |
| Complete blood count, automatedCPT 85027 | $9 | $6 | 137% | ~$21 | 2 |
| Comprehensive metabolic panelCPT 80053 | $15 | $11 | 138% | ~$43 | 2 |
| Coronary bypass without cardiac cath, no MCCMS-DRG 236 | $60,028 | $29,950 | 200% | — | 1 |
| ED visit, level 3CPT 99283 | $410 | $288 | 142% | $232 | 3 |
| ED visit, level 4CPT 99284 | $650 | $440 | 148% | $388 | 3 |
| ED visit, level 5CPT 99285 | $920 | $628 | 146% | $585 | 3 |
| Epidural injection, lumbar/sacral, no imagingCPT 62322 | $1,277 | $933 | 137% | $752 | 2 |
| Esophagitis/GI disorders, no MCCMS-DRG 392 | $11,391 | $4,899 | 233% | — | 1 |
| Heart failure and shock, with CCMS-DRG 292 | $12,572 | $5,927 | 212% | — | 1 |
| Heart failure with MCCMS-DRG 291 | $19,047 | $8,962 | 213% | — | 1 |
| Hip and femur procedures except major joint, with CCMS-DRG 481 | $30,289 | $13,876 | 218% | — | 1 |
| Hysterectomy, no CC/MCCMS-DRG 743 | $17,499 | $10,098 | 173% | — | 1 |
| Inguinal hernia repair, age 5+CPT 49505 | $6,130 | $3,777 | 162% | $4,152 | 3 |
| Kidney and urinary tract infections, no MCCMS-DRG 690 | $11,716 | $5,238 | 224% | — | 1 |
| Knee arthroscopy with meniscectomyCPT 29881 | $6,070 | $3,452 | 176% | $2,181 | 4 |
| Laparoscopic cholecystectomyCPT 47562 | $11,106 | $6,377 | 174% | $4,828 | 3 |
| Laparoscopic cholecystectomy, no CC/MCCMS-DRG 419 | $19,234 | $8,977 | 214% | — | 1 |
| Lipid panelCPT 80061 | $18 | $13 | 137% | ~$45 | 2 |
| Liver function panelCPT 80076 | $11 | $8 | 137% | ~$35 | 2 |
| Lumbar epidural steroid injectionCPT 62323 | $1,019 | $745 | 137% | $911 | 2 |
| MRI brain with and without contrastCPT 70553 | $641 | $368 | 174% | ~$1,313 | 3 |
| MRI lower extremity joint (knee)CPT 73721 | $438 | $252 | 174% | ~$961 | 3 |
| MRI lumbar spine without contrastCPT 72148 | $438 | $252 | 174% | ~$938 | 3 |
| Major joint replacement (hip/knee), no MCCMS-DRG 470 | $27,525 | $13,045 | 211% | — | 1 |
| Major joint replacement (hip/knee), with MCCMS-DRG 469 | $47,716 | $22,346 | 214% | — | 1 |
| Major small and large bowel procedures, with CCMS-DRG 330 | $34,505 | $16,202 | 213% | — | 1 |
| Medical back problems, no MCCMS-DRG 552 | $14,070 | $6,142 | 229% | — | 1 |
| OB ultrasound, 14+ weeksCPT 76805 | $151 | $110 | 137% | ~$202 | 2 |
| Office visit, established patient, level 3CPT 99213 | $80 | — | — | $78 | 2 |
| Office visit, new patient, level 3CPT 99203 | $99 | — | — | $141 | 2 |
| Office visit, new patient, level 4CPT 99204 | $162 | — | — | $44 | 2 |
| PSA (prostate specific antigen), totalCPT 84153 | $25 | $18 | 138% | ~$63 | 2 |
| Partial thromboplastin timeCPT 85730 | $8 | $6 | 138% | ~$27 | 2 |
| Physical therapy, therapeutic exerciseCPT 97110 | $41 | — | — | $93 | 2 |
| Prostate biopsyCPT 55700 | $3,344 | — | — | $1,095 | 1 |
| Prothrombin timeCPT 85610 | $6 | $4 | 138% | ~$17 | 2 |
| Renal failure, with CCMS-DRG 683 | $12,976 | $5,892 | 220% | — | 1 |
| Sepsis with MCCMS-DRG 871 | $28,643 | $13,837 | 207% | — | 1 |
| Shoulder arthroscopy, subacromial decompressionCPT 29826 | $407 | — | — | $1,990 | 4 |
| Simple pneumonia and pleurisy, with CCMS-DRG 194 | $11,970 | $5,177 | 231% | — | 1 |
| Stroke (hemorrhage/infarction), no CC/MCCMS-DRG 066 | $10,048 | $3,679 | 273% | — | 1 |
| Stroke (hemorrhage/infarction), with CC or tPAMS-DRG 065 | $14,845 | $6,559 | 226% | — | 1 |
| Thyroid stimulating hormone (TSH)CPT 84443 | $23 | $17 | 138% | ~$67 | 2 |
| Tonsillectomy and adenoidectomy, under age 12CPT 42820 | $8,544 | $6,245 | 137% | $3,076 | 4 |
| Transforaminal epidural, lumbar/sacralCPT 64483 | $1,625 | $933 | 174% | $1,233 | 3 |
| Ultrasound, abdomen, completeCPT 76700 | $151 | $110 | 137% | ~$198 | 2 |
| Ultrasound, transvaginalCPT 76830 | $151 | $110 | 137% | ~$198 | 2 |
| Urinalysis, automated, with microscopyCPT 81001 | $4 | $3 | 138% | ~$11 | 2 |
| Urinalysis, automated, without microscopyCPT 81003 | $3 | $2 | 137% | ~$14 | 2 |
| Urinalysis, manual, with microscopyCPT 81000 | $6 | $4 | 138% | ~$11 | 2 |
| Urinalysis, manual, without microscopyCPT 81002 | $5 | $3 | 138% | ~$14 | 2 |
| Vaginal delivery, no sterilization, no CC/MCCMS-DRG 807 | $9,303 | — | — | — | 1 |
| Vaginal delivery, no sterilization, with CCMS-DRG 806 | $10,563 | — | — | — | 1 |
| X-ray, lower back, 4+ viewsCPT 72110 | $151 | $110 | 137% | ~$174 | 2 |
| YAG laser capsulotomy (secondary cataract)CPT 66821 | $1,010 | $580 | 174% | $1,290 | 3 |