| Acute myocardial infarction, discharged alive, with MCCMS-DRG 280 | $34,086 | $11,217 | 304% | — | 6 |
| Bariatric (obesity) surgery, no CC/MCCMS-DRG 621 | $28,697 | $8,272 | 347% | — | 7 |
| Basic metabolic panelCPT 80048 | $81 | $8 | 954% | ~$26 | 20 |
| COPD with MCCMS-DRG 190 | $23,508 | $7,377 | 319% | — | 6 |
| CT abdomen and pelvis with contrastCPT 74177 | $3,568 | $368 | 970% | ~$1,261 | 20 |
| CT head without contrastCPT 70450 | $1,620 | $110 | 1469% | ~$571 | 20 |
| CT pelvis with contrastCPT 72193 | $3,500 | $185 | 1892% | ~$1,237 | 20 |
| Cardiac arrhythmia, no CC/MCCMS-DRG 310 | $11,757 | $3,269 | 360% | — | 6 |
| Cardiac stress testCPT 93017 | $944 | $228 | 415% | $334 | 20 |
| Cardiac valve surgery with cardiac cath, with MCCMS-DRG 216 | $176,393 | — | — | — | 6 |
| Cataract surgery with IOL insertionCPT 66984 | $6,593 | $2,434 | 271% | — | 1 |
| Cellulitis, no MCCMS-DRG 603 | $18,668 | $5,675 | 329% | — | 6 |
| Cervical spinal fusion, no CC/MCCMS-DRG 473 | $51,115 | $16,343 | 313% | — | 6 |
| Cesarean section, no CC/MCCMS-DRG 788 | $19,316 | — | — | — | 6 |
| Cesarean section, with CCMS-DRG 787 | $20,248 | — | — | — | 6 |
| Chest painMS-DRG 313 | $15,200 | — | — | — | 6 |
| Colonoscopy with biopsyCPT 45380 | $2,397 | $1,262 | 190% | — | 1 |
| Colonoscopy with endoscopic ultrasoundCPT 45391 | $3,064 | $1,262 | 243% | — | 1 |
| Colonoscopy with polyp removalCPT 45385 | $3,022 | $1,262 | 239% | — | 1 |
| Colonoscopy, diagnosticCPT 45378 | $2,257 | $981 | 230% | — | 1 |
| Complete blood count with differentialCPT 85025 | $63 | $8 | 805% | ~$20 | 20 |
| Complete blood count, automatedCPT 85027 | $47 | $6 | 719% | ~$15 | 20 |
| Comprehensive metabolic panelCPT 80053 | $109 | $11 | 1034% | ~$37 | 20 |
| Coronary bypass without cardiac cath, no MCCMS-DRG 236 | $75,804 | $29,950 | 253% | — | 6 |
| Diagnostic mammography, both breastsCPT 77066 | $473 | — | — | ~$144 | 20 |
| Diagnostic mammography, one breastCPT 77065 | $400 | — | — | ~$129 | 20 |
| ED visit, level 3CPT 99283 | $2,379 | $288 | 826% | $785 | 20 |
| ED visit, level 4CPT 99284 | $5,323 | $440 | 1209% | $1,686 | 20 |
| ED visit, level 5CPT 99285 | $12,178 | $628 | 1938% | $3,543 | 20 |
| Echocardiogram, completeCPT 93306 | $1,911 | $576 | 332% | $618 | 20 |
| Electrocardiogram with interpretationCPT 93000 | $176 | — | — | — | 1 |
| Epidural injection, lumbar/sacral, no imagingCPT 62322 | $1,630 | $933 | 175% | $399 | 20 |
| Esophagitis/GI disorders, no MCCMS-DRG 392 | $16,560 | $4,899 | 338% | — | 6 |
| Excision of breast lesionCPT 19120 | $5,122 | $4,130 | 124% | — | 1 |
| Family psychotherapy, with patientCPT 90847 | $1,277 | $187 | 682% | — | 1 |
| Family psychotherapy, without patientCPT 90846 | $1,224 | $187 | 654% | — | 1 |
| Group psychotherapyCPT 90853 | $302 | $107 | 281% | — | 1 |
| Heart failure and shock, with CCMS-DRG 292 | $18,157 | $5,927 | 306% | — | 6 |
| Heart failure with MCCMS-DRG 291 | $27,353 | $8,962 | 305% | — | 6 |
| Hip and femur procedures except major joint, with CCMS-DRG 481 | $43,874 | $13,876 | 316% | — | 6 |
| Hysterectomy, no CC/MCCMS-DRG 743 | $24,931 | $10,098 | 247% | — | 6 |
| Inguinal hernia repair, age 5+CPT 49505 | $6,373 | $3,777 | 169% | — | 1 |
| Kidney and urinary tract infections, no MCCMS-DRG 690 | $17,020 | $5,238 | 325% | — | 6 |
| Kidney function panelCPT 80069 | $86 | $9 | 991% | ~$28 | 20 |
| Knee arthroscopy with meniscectomyCPT 29881 | $6,738 | $3,452 | 195% | — | 1 |
| Laparoscopic cholecystectomyCPT 47562 | $8,002 | $6,377 | 125% | — | 1 |
| Laparoscopic cholecystectomy, no CC/MCCMS-DRG 419 | $27,811 | $8,977 | 310% | — | 6 |
| Laparoscopic radical prostatectomyCPT 55866 | $14,370 | $11,213 | 128% | — | 1 |
| Left heart catheterization, diagnosticCPT 93452 | $7,880 | $3,420 | 230% | — | 1 |
| Lipid panelCPT 80061 | $128 | $13 | 959% | ~$42 | 20 |
| Liver function panelCPT 80076 | $82 | $8 | 999% | ~$27 | 20 |
| Lumbar epidural steroid injectionCPT 62323 | $673 | $745 | 90% | — | 2 |
| MRI brain with and without contrastCPT 70553 | $4,854 | $368 | 1319% | ~$1,715 | 20 |
| MRI lower extremity joint (knee)CPT 73721 | $4,496 | $252 | 1786% | ~$1,589 | 20 |
| MRI lumbar spine without contrastCPT 72148 | $3,705 | $252 | 1472% | ~$1,309 | 20 |
| Major joint replacement (hip/knee), no MCCMS-DRG 470 | $36,183 | $13,045 | 277% | — | 6 |
| Major joint replacement (hip/knee), with MCCMS-DRG 469 | $67,526 | $22,346 | 302% | — | 6 |
| Major small and large bowel procedures, with CCMS-DRG 330 | $50,075 | $16,202 | 309% | — | 6 |
| Medical back problems, no MCCMS-DRG 552 | $20,408 | $6,142 | 332% | — | 6 |
| OB global care, VBAC deliveryCPT 59610 | $30,286 | — | — | — | 1 |
| OB global care, cesarean deliveryCPT 59510 | $32,130 | — | — | — | 1 |
| OB global care, vaginal deliveryCPT 59400 | $29,015 | — | — | — | 1 |
| OB ultrasound, 14+ weeksCPT 76805 | $601 | $110 | 545% | ~$194 | 20 |
| Obstetric blood test panelCPT 80055 | $72 | $48 | 150% | — | 3 |
| Office visit, established patient, level 3CPT 99213 | $795 | — | — | — | 1 |
| Office visit, established patient, level 4CPT 99214 | $1,170 | — | — | — | 1 |
| Office visit, new patient, level 3CPT 99203 | $986 | — | — | — | 1 |
| Office visit, new patient, level 4CPT 99204 | $1,608 | — | — | — | 1 |
| Office visit, new patient, level 5CPT 99205 | $2,187 | — | — | — | 1 |
| PSA (prostate specific antigen), totalCPT 84153 | $176 | $18 | 958% | ~$57 | 20 |
| Partial thromboplastin timeCPT 85730 | $57 | $6 | 945% | ~$18 | 20 |
| Physical therapy, therapeutic exerciseCPT 97110 | $164 | — | — | $43 | 20 |
| Prostate biopsyCPT 55700 | $1,550 | — | — | — | 1 |
| Prothrombin timeCPT 85610 | $36 | $4 | 841% | ~$12 | 20 |
| Psychotherapy, 30 minutesCPT 90832 | $858 | $187 | 458% | — | 1 |
| Psychotherapy, 45 minutesCPT 90834 | $1,132 | $187 | 604% | — | 1 |
| Psychotherapy, 60 minutesCPT 90837 | $1,675 | $187 | 895% | — | 1 |
| Renal failure, with CCMS-DRG 683 | $18,930 | $5,892 | 321% | — | 6 |
| Screening mammography, bilateralCPT 77067 | $591 | — | — | ~$196 | 20 |
| Sepsis with MCCMS-DRG 871 | $41,721 | $23,132 | 180% | — | 6 |
| Shoulder arthroscopy, subacromial decompressionCPT 29826 | $2,056 | — | — | — | 1 |
| Simple pneumonia and pleurisy, with CCMS-DRG 194 | $17,364 | $5,177 | 335% | — | 6 |
| Sleep study (polysomnography)CPT 95810 | $4,934 | $906 | 545% | $1,394 | 20 |
| Spinal fusion except cervical, no MCCMS-DRG 460 | $82,884 | $25,413 | 326% | — | 1 |
| Spinal fusion except cervical, with MCCMS-DRG 459 | $150,281 | $51,127 | 294% | — | 1 |
| Stroke (hemorrhage/infarction), no CC/MCCMS-DRG 066 | $14,545 | $3,679 | 395% | — | 6 |
| Stroke (hemorrhage/infarction), with CC or tPAMS-DRG 065 | $21,497 | $6,559 | 328% | — | 6 |
| Thyroid stimulating hormone (TSH)CPT 84443 | $152 | $17 | 905% | ~$49 | 20 |
| Tonsillectomy and adenoidectomy, under age 12CPT 42820 | $3,603 | $6,245 | 58% | — | 1 |
| Transforaminal epidural, lumbar/sacralCPT 64483 | $3,432 | $933 | 368% | $1,008 | 20 |
| Ultrasound, abdomen, completeCPT 76700 | $1,516 | $110 | 1374% | ~$536 | 20 |
| Ultrasound, transvaginalCPT 76830 | $822 | $110 | 745% | ~$290 | 20 |
| Upper GI endoscopy with biopsyCPT 43239 | $1,653 | $957 | 173% | — | 1 |
| Upper GI endoscopy, diagnosticCPT 43235 | $1,471 | $957 | 154% | — | 1 |
| Urinalysis, automated, with microscopyCPT 81001 | $28 | $3 | 874% | ~$9 | 20 |
| Urinalysis, automated, without microscopyCPT 81003 | $20 | $2 | 877% | ~$6 | 20 |
| Urinalysis, manual, with microscopyCPT 81000 | $6 | $4 | 150% | — | 3 |
| Urinalysis, manual, without microscopyCPT 81002 | $23 | $3 | 662% | ~$7 | 20 |
| Vaginal delivery, no sterilization, no CC/MCCMS-DRG 807 | $9,181 | — | — | — | 6 |
| Vaginal delivery, no sterilization, with CCMS-DRG 806 | $9,181 | — | — | — | 6 |
| X-ray, lower back, 4+ viewsCPT 72110 | $489 | $110 | 443% | ~$173 | 20 |
| YAG laser capsulotomy (secondary cataract)CPT 66821 | $3,797 | $580 | 654% | — | 1 |