| Acute myocardial infarction, discharged alive, with MCCMS-DRG 280 | $39,707 | $11,217 | 354% | — | 5 |
| Bariatric (obesity) surgery, no CC/MCCMS-DRG 621 | $36,941 | $8,272 | 447% | — | 5 |
| Basic metabolic panelCPT 80048 | $22 | $8 | 255% | ~$9 | 16 |
| COPD with MCCMS-DRG 190 | $27,166 | $7,377 | 368% | — | 5 |
| CT abdomen and pelvis with contrastCPT 74177 | $910 | $368 | 247% | ~$461 | 16 |
| CT head without contrastCPT 70450 | $840 | $110 | 762% | ~$384 | 16 |
| CT pelvis with contrastCPT 72193 | $850 | $185 | 460% | ~$435 | 16 |
| Cardiac arrhythmia, no CC/MCCMS-DRG 310 | $13,535 | $3,269 | 414% | — | 5 |
| Cardiac stress testCPT 93017 | $630 | $228 | 277% | $253 | 16 |
| Cardiac valve surgery with cardiac cath, with MCCMS-DRG 216 | $243,893 | — | — | — | 5 |
| Cellulitis, no MCCMS-DRG 603 | $21,307 | $5,675 | 375% | — | 5 |
| Cervical spinal fusion, no CC/MCCMS-DRG 473 | $59,827 | $16,343 | 366% | — | 5 |
| Cesarean section, no CC/MCCMS-DRG 788 | $12,199 | — | — | — | 4 |
| Cesarean section, with CCMS-DRG 787 | $12,199 | — | — | — | 4 |
| Chest painMS-DRG 313 | $17,258 | — | — | — | 5 |
| Colonoscopy with biopsyCPT 45380 | $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 | 256% | ~$8 | 16 |
| Complete blood count, automatedCPT 85027 | $17 | $6 | 256% | ~$7 | 16 |
| Comprehensive metabolic panelCPT 80053 | $27 | $11 | 251% | ~$11 | 16 |
| Coronary bypass without cardiac cath, no MCCMS-DRG 236 | $103,917 | $29,950 | 347% | — | 5 |
| Diagnostic mammography, both breastsCPT 77066 | $586 | — | — | ~$240 | 15 |
| Diagnostic mammography, one breastCPT 77065 | $264 | — | — | ~$106 | 15 |
| ED visit, level 3CPT 99283 | $1,492 | $288 | 518% | $569 | 16 |
| ED visit, level 4CPT 99284 | $2,001 | $440 | 455% | $742 | 16 |
| ED visit, level 5CPT 99285 | $2,461 | $628 | 392% | $912 | 16 |
| Echocardiogram, completeCPT 93306 | $1,611 | $576 | 280% | $655 | 16 |
| Epidural injection, lumbar/sacral, no imagingCPT 62322 | $1,756 | $933 | 188% | $705 | 13 |
| Esophagitis/GI disorders, no MCCMS-DRG 392 | $18,876 | $4,899 | 385% | — | 5 |
| Excision of breast lesionCPT 19120 | $17,518 | $4,130 | 424% | — | 2 |
| Heart failure and shock, with CCMS-DRG 292 | $20,833 | $5,927 | 352% | — | 5 |
| Heart failure with MCCMS-DRG 291 | $31,564 | $8,962 | 352% | — | 5 |
| Hip and femur procedures except major joint, with CCMS-DRG 481 | $52,435 | $13,876 | 378% | — | 5 |
| Hysterectomy, no CC/MCCMS-DRG 743 | $30,292 | $10,098 | 300% | — | 5 |
| Inguinal hernia repair, age 5+CPT 49505 | $21,038 | $3,777 | 557% | — | 2 |
| Kidney and urinary tract infections, no MCCMS-DRG 690 | $19,416 | $5,238 | 371% | — | 5 |
| Kidney function panelCPT 80069 | $22 | $9 | 258% | ~$9 | 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 | $33,297 | $8,977 | 371% | — | 5 |
| Left heart catheterization, diagnosticCPT 93452 | $9,880 | $3,420 | 289% | $3,850 | 16 |
| Lipid panelCPT 80061 | $51 | $13 | 381% | ~$21 | 16 |
| Liver function panelCPT 80076 | $21 | $8 | 254% | ~$9 | 16 |
| Lumbar epidural steroid injectionCPT 62323 | $2,230 | $745 | 299% | $894 | 13 |
| MRI brain with and without contrastCPT 70553 | $1,244 | $368 | 338% | ~$780 | 16 |
| MRI lower extremity joint (knee)CPT 73721 | $907 | $252 | 360% | ~$364 | 15 |
| MRI lumbar spine without contrastCPT 72148 | $904 | $252 | 359% | ~$364 | 16 |
| Major joint replacement (hip/knee), no MCCMS-DRG 470 | $47,648 | $13,045 | 365% | — | 5 |
| Major joint replacement (hip/knee), with MCCMS-DRG 469 | $82,603 | $22,346 | 370% | — | 5 |
| Major small and large bowel procedures, with CCMS-DRG 330 | $59,733 | $16,202 | 369% | — | 5 |
| Medical back problems, no MCCMS-DRG 552 | $23,315 | $6,142 | 380% | — | 5 |
| OB ultrasound, 14+ weeksCPT 76805 | $448 | $110 | 406% | ~$192 | 16 |
| Office visit, established patient, level 3CPT 99213 | $333 | — | — | $135 | 15 |
| Office visit, established patient, level 4CPT 99214 | $495 | — | — | $200 | 15 |
| Office visit, new patient, level 3CPT 99203 | $512 | — | — | $210 | 15 |
| Office visit, new patient, level 4CPT 99204 | $650 | — | — | $262 | 15 |
| Office visit, new patient, level 5CPT 99205 | $871 | — | — | $352 | 15 |
| PSA (prostate specific antigen), totalCPT 84153 | $46 | $18 | 253% | ~$19 | 16 |
| Partial thromboplastin timeCPT 85730 | $30 | $6 | 504% | ~$12 | 16 |
| Physical therapy, therapeutic exerciseCPT 97110 | $120 | — | — | $45 | 15 |
| Prostate biopsyCPT 55700 | $2,864 | — | — | $1,085 | 13 |
| Prothrombin timeCPT 85610 | $11 | $4 | 252% | ~$4 | 16 |
| Renal failure, with CCMS-DRG 683 | $21,503 | $5,892 | 365% | — | 5 |
| Screening mammography, bilateralCPT 77067 | $285 | — | — | ~$115 | 12 |
| Sepsis with MCCMS-DRG 871 | $47,465 | $12,934 | 367% | — | 5 |
| Shoulder arthroscopy, subacromial decompressionCPT 29826 | $22,491 | — | — | — | 1 |
| Simple pneumonia and pleurisy, with CCMS-DRG 194 | $19,837 | $5,177 | 383% | — | 5 |
| Stroke (hemorrhage/infarction), no CC/MCCMS-DRG 066 | $16,651 | $3,679 | 453% | — | 5 |
| Stroke (hemorrhage/infarction), with CC or tPAMS-DRG 065 | $24,600 | $6,559 | 375% | — | 5 |
| Thyroid stimulating hormone (TSH)CPT 84443 | $44 | $17 | 259% | ~$18 | 16 |
| Tonsillectomy and adenoidectomy, under age 12CPT 42820 | $20,370 | $6,245 | 326% | — | 2 |
| Transforaminal epidural, lumbar/sacralCPT 64483 | $1,279 | $933 | 137% | $513 | 12 |
| Ultrasound, abdomen, completeCPT 76700 | $346 | $110 | 314% | ~$141 | 16 |
| Ultrasound, transvaginalCPT 76830 | $383 | $110 | 348% | ~$156 | 16 |
| 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 | 262% | ~$3 | 16 |
| Urinalysis, automated, without microscopyCPT 81003 | $6 | $2 | 258% | ~$2 | 16 |
| Urinalysis, manual, without microscopyCPT 81002 | $9 | $3 | 262% | ~$4 | 16 |
| Vaginal delivery, no sterilization, no CC/MCCMS-DRG 807 | $6,040 | — | — | — | 4 |
| Vaginal delivery, no sterilization, with CCMS-DRG 806 | $6,040 | — | — | — | 4 |
| X-ray, lower back, 4+ viewsCPT 72110 | $177 | $110 | 161% | ~$71 | 16 |