| Acute myocardial infarction, discharged alive, with MCCMS-DRG 280 | $20,769 | $11,217 | 185% | — | 10 |
| Bariatric (obesity) surgery, no CC/MCCMS-DRG 621 | $19,530 | $8,272 | 236% | — | 10 |
| Basic metabolic panelCPT 80048 | $123 | $8 | 1453% | ~$91 | 20 |
| COPD with MCCMS-DRG 190 | $14,342 | $7,377 | 194% | — | 10 |
| CT abdomen and pelvis with contrastCPT 74177 | $780 | $369 | 211% | ~$4,071 | 20 |
| CT head without contrastCPT 70450 | $512 | $111 | 462% | ~$1,447 | 20 |
| CT pelvis with contrastCPT 72193 | $780 | $186 | 420% | ~$1,374 | 20 |
| Cardiac arrhythmia, no CC/MCCMS-DRG 310 | $7,330 | $3,269 | 224% | — | 10 |
| Cardiac stress testCPT 93017 | $1,066 | $228 | 466% | $792 | 20 |
| Cardiac valve surgery with cardiac cath, with MCCMS-DRG 216 | $126,663 | — | — | — | 10 |
| Cataract surgery with IOL insertionCPT 66984 | $3,967 | $2,442 | 162% | — | 9 |
| Cellulitis, no MCCMS-DRG 603 | $11,276 | $5,675 | 199% | — | 10 |
| Cervical spinal fusion, no CC/MCCMS-DRG 473 | $31,609 | $16,343 | 193% | — | 10 |
| Cesarean section, no CC/MCCMS-DRG 788 | $9,492 | — | — | — | 9 |
| Cesarean section, with CCMS-DRG 787 | $9,919 | — | — | — | 9 |
| Chest painMS-DRG 313 | $9,322 | — | — | — | 10 |
| Colonoscopy with biopsyCPT 45380 | $3,372 | $1,266 | 266% | $1,657 | 20 |
| Colonoscopy with endoscopic ultrasoundCPT 45391 | $3,140 | $1,266 | 248% | $2,012 | 20 |
| Colonoscopy with polyp removalCPT 45385 | $3,617 | $1,266 | 286% | $2,088 | 20 |
| Colonoscopy, diagnosticCPT 45378 | $2,498 | $984 | 254% | $1,524 | 20 |
| Complete blood count with differentialCPT 85025 | $92 | $8 | 1182% | ~$68 | 20 |
| Complete blood count, automatedCPT 85027 | $81 | $6 | 1246% | ~$60 | 20 |
| Comprehensive metabolic panelCPT 80053 | $236 | $11 | 2232% | ~$175 | 20 |
| Coronary bypass without cardiac cath, no MCCMS-DRG 236 | $54,234 | $29,950 | 181% | — | 10 |
| Diagnostic mammography, both breastsCPT 77066 | $183 | — | — | — | 6 |
| Diagnostic mammography, one breastCPT 77065 | $156 | — | — | ~$105 | 20 |
| ED visit, level 3CPT 99283 | $1,536 | $289 | 532% | $710 | 20 |
| ED visit, level 4CPT 99284 | $3,097 | $442 | 701% | $1,638 | 20 |
| ED visit, level 5CPT 99285 | $3,840 | $630 | 609% | $2,512 | 20 |
| Echocardiogram, completeCPT 93306 | $2,852 | $578 | 493% | $2,119 | 20 |
| Electrocardiogram with interpretationCPT 93000 | $71 | — | — | — | 5 |
| Epidural injection, lumbar/sacral, no imagingCPT 62322 | $1,906 | $936 | 204% | — | 9 |
| Esophagitis/GI disorders, no MCCMS-DRG 392 | $10,094 | $4,899 | 206% | — | 10 |
| Excision of breast lesionCPT 19120 | $4,722 | $4,144 | 114% | — | 9 |
| Family psychotherapy, with patientCPT 90847 | $154 | $188 | 82% | — | 5 |
| Family psychotherapy, without patientCPT 90846 | $154 | $188 | 82% | — | 5 |
| Group psychotherapyCPT 90853 | $154 | $108 | 143% | — | 5 |
| Heart failure and shock, with CCMS-DRG 292 | $10,992 | $5,927 | 185% | — | 10 |
| Heart failure with MCCMS-DRG 291 | $16,622 | $8,962 | 185% | — | 10 |
| Hip and femur procedures except major joint, with CCMS-DRG 481 | $27,119 | $13,876 | 195% | — | 10 |
| Hysterectomy, no CC/MCCMS-DRG 743 | $16,064 | $10,098 | 159% | — | 10 |
| Inguinal hernia repair, age 5+CPT 49505 | $4,988 | $3,789 | 132% | — | 9 |
| Kidney and urinary tract infections, no MCCMS-DRG 690 | $10,481 | $5,238 | 200% | — | 10 |
| Kidney function panelCPT 80069 | $224 | $9 | 2586% | ~$167 | 20 |
| Knee arthroscopy with meniscectomyCPT 29881 | $5,066 | $3,463 | 146% | — | 9 |
| Laparoscopic cholecystectomyCPT 47562 | $8,059 | $6,398 | 126% | — | 9 |
| Laparoscopic cholecystectomy, no CC/MCCMS-DRG 419 | $17,684 | $8,977 | 197% | — | 10 |
| Laparoscopic radical prostatectomyCPT 55866 | $14,600 | $11,249 | 130% | — | 8 |
| Left heart catheterization, diagnosticCPT 93452 | $5,821 | $3,431 | 170% | $3,421 | 20 |
| Lipid panelCPT 80061 | $116 | $13 | 863% | ~$86 | 20 |
| Liver function panelCPT 80076 | $107 | $8 | 1305% | ~$79 | 20 |
| Lumbar epidural steroid injectionCPT 62323 | $1,174 | $747 | 157% | $528 | 20 |
| MRI brain with and without contrastCPT 70553 | $1,024 | $369 | 277% | ~$2,625 | 20 |
| MRI lower extremity joint (knee)CPT 73721 | $1,024 | $252 | 406% | ~$1,842 | 20 |
| MRI lumbar spine without contrastCPT 72148 | $1,024 | $252 | 406% | ~$1,869 | 20 |
| Major joint replacement (hip/knee), no MCCMS-DRG 470 | $24,974 | $13,045 | 191% | — | 10 |
| Major joint replacement (hip/knee), with MCCMS-DRG 469 | $39,272 | $22,346 | 176% | — | 10 |
| Major small and large bowel procedures, with CCMS-DRG 330 | $31,038 | $16,202 | 192% | — | 10 |
| Medical back problems, no MCCMS-DRG 552 | $12,446 | $6,142 | 203% | — | 10 |
| OB global care, VBAC deliveryCPT 59610 | $9,578 | — | — | — | 5 |
| OB global care, cesarean deliveryCPT 59510 | $9,951 | — | — | — | 5 |
| OB global care, vaginal deliveryCPT 59400 | $9,321 | — | — | — | 5 |
| OB ultrasound, 14+ weeksCPT 76805 | $602 | $111 | 544% | ~$447 | 20 |
| Obstetric blood test panelCPT 80055 | $286 | $48 | 599% | ~$206 | 20 |
| Office visit, established patient, level 3CPT 99213 | $322 | — | — | — | 5 |
| Office visit, established patient, level 4CPT 99214 | $474 | — | — | — | 5 |
| Office visit, new patient, level 3CPT 99203 | $399 | — | — | — | 5 |
| Office visit, new patient, level 4CPT 99204 | $650 | — | — | — | 5 |
| Office visit, new patient, level 5CPT 99205 | $885 | — | — | — | 5 |
| PSA (prostate specific antigen), totalCPT 84153 | $140 | $18 | 763% | ~$104 | 20 |
| Partial thromboplastin timeCPT 85730 | $37 | $6 | 610% | ~$27 | 20 |
| Physical therapy, therapeutic exerciseCPT 97110 | $148 | — | — | $75 | 20 |
| Prostate biopsyCPT 55700 | $678 | — | — | $305 | 20 |
| Prothrombin timeCPT 85610 | $60 | $4 | 1392% | ~$44 | 20 |
| Psychotherapy, 30 minutesCPT 90832 | $154 | $188 | 82% | — | 5 |
| Psychotherapy, 45 minutesCPT 90834 | $154 | $188 | 82% | — | 5 |
| Psychotherapy, 60 minutesCPT 90837 | $154 | $188 | 82% | — | 5 |
| Renal failure, with CCMS-DRG 683 | $11,339 | $5,892 | 192% | — | 10 |
| Screening mammography, bilateralCPT 77067 | $151 | — | — | — | 6 |
| Sepsis with MCCMS-DRG 871 | $25,151 | $13,837 | 182% | — | 10 |
| Shoulder arthroscopy, subacromial decompressionCPT 29826 | $1,170 | — | — | — | 9 |
| Simple pneumonia and pleurisy, with CCMS-DRG 194 | $10,434 | $5,177 | 202% | — | 10 |
| Sleep study (polysomnography)CPT 95810 | $4,143 | $909 | 456% | $3,134 | 20 |
| Stroke (hemorrhage/infarction), no CC/MCCMS-DRG 066 | $8,861 | $3,679 | 241% | — | 10 |
| Stroke (hemorrhage/infarction), with CC or tPAMS-DRG 065 | $13,081 | $6,559 | 199% | — | 10 |
| Thyroid stimulating hormone (TSH)CPT 84443 | $189 | $17 | 1124% | ~$140 | 20 |
| Tonsillectomy and adenoidectomy, under age 12CPT 42820 | $5,599 | $6,265 | 89% | — | 9 |
| Transforaminal epidural, lumbar/sacralCPT 64483 | $1,642 | $936 | 175% | $740 | 20 |
| Ultrasound, abdomen, completeCPT 76700 | $796 | $111 | 720% | ~$624 | 20 |
| Ultrasound, transvaginalCPT 76830 | $462 | $111 | 418% | ~$322 | 20 |
| Upper GI endoscopy with biopsyCPT 43239 | $1,592 | $960 | 166% | $952 | 20 |
| Upper GI endoscopy, diagnosticCPT 43235 | $1,752 | $960 | 183% | $848 | 20 |
| Urinalysis, automated, with microscopyCPT 81001 | $83 | $3 | 2617% | ~$62 | 20 |
| Urinalysis, automated, without microscopyCPT 81003 | $52 | $2 | 2326% | ~$39 | 20 |
| Urinalysis, manual, with microscopyCPT 81000 | $14 | $4 | 347% | — | 6 |
| Urinalysis, manual, without microscopyCPT 81002 | $31 | $3 | 880% | ~$23 | 20 |
| Vaginal delivery, no sterilization, no CC/MCCMS-DRG 807 | $8,179 | — | — | — | 9 |
| Vaginal delivery, no sterilization, with CCMS-DRG 806 | $8,179 | — | — | — | 9 |
| X-ray, lower back, 4+ viewsCPT 72110 | $596 | $111 | 539% | ~$416 | 20 |
| YAG laser capsulotomy (secondary cataract)CPT 66821 | $2,089 | $582 | 359% | — | 9 |