| Acute myocardial infarction, discharged alive, with MCCMS-DRG 280 | $47,173 | $11,217 | 421% | — | 9 |
| Bariatric (obesity) surgery, no CC/MCCMS-DRG 621 | $40,362 | $8,272 | 488% | — | 10 |
| Basic metabolic panelCPT 80048 | $53 | $8 | 625% | ~$62 | 17 |
| COPD with MCCMS-DRG 190 | $32,575 | $7,377 | 442% | — | 9 |
| CT abdomen and pelvis with contrastCPT 74177 | $776 | $369 | 210% | ~$1,562 | 18 |
| CT head without contrastCPT 70450 | $470 | $110 | 426% | ~$663 | 18 |
| CT pelvis with contrastCPT 72193 | $776 | $185 | 419% | ~$568 | 18 |
| Cardiac arrhythmia, no CC/MCCMS-DRG 310 | $16,648 | $3,269 | 509% | — | 9 |
| Cardiac stress testCPT 93017 | $557 | $228 | 244% | $236 | 18 |
| Cardiac valve surgery with cardiac cath, with MCCMS-DRG 216 | $287,693 | — | — | — | 9 |
| Cataract surgery with IOL insertionCPT 66984 | $6,796 | $2,438 | 279% | — | 8 |
| Cellulitis, no MCCMS-DRG 603 | $25,611 | $5,519 | 464% | — | 9 |
| Cervical spinal fusion, no CC/MCCMS-DRG 473 | $71,794 | $16,343 | 439% | — | 9 |
| Cesarean section, no CC/MCCMS-DRG 788 | $14,565 | — | — | — | 9 |
| Cesarean section, with CCMS-DRG 787 | $14,565 | — | — | — | 9 |
| Chest painMS-DRG 313 | $21,174 | — | — | — | 9 |
| Colonoscopy with biopsyCPT 45380 | $2,762 | $1,264 | 218% | $1,124 | 18 |
| Colonoscopy with endoscopic ultrasoundCPT 45391 | $2,020 | $1,264 | 160% | $822 | 18 |
| Colonoscopy with polyp removalCPT 45385 | $2,762 | $1,264 | 218% | $1,124 | 18 |
| Colonoscopy, diagnosticCPT 45378 | $1,455 | $982 | 148% | $592 | 18 |
| Complete blood count with differentialCPT 85025 | $49 | $8 | 625% | ~$67 | 17 |
| Complete blood count, automatedCPT 85027 | $40 | $6 | 625% | ~$36 | 17 |
| Comprehensive metabolic panelCPT 80053 | $66 | $11 | 625% | ~$77 | 17 |
| Coronary bypass without cardiac cath, no MCCMS-DRG 236 | $123,184 | $29,950 | 411% | — | 9 |
| Diagnostic mammography, both breastsCPT 77066 | $409 | — | — | ~$166 | 17 |
| Diagnostic mammography, one breastCPT 77065 | $336 | — | — | ~$136 | 17 |
| ED visit, level 3CPT 99283 | $1,091 | $288 | 378% | $296 | 18 |
| ED visit, level 4CPT 99284 | $2,004 | $441 | 455% | $427 | 18 |
| ED visit, level 5CPT 99285 | $3,287 | $629 | 523% | $835 | 18 |
| Echocardiogram, completeCPT 93306 | $2,125 | $577 | 368% | $900 | 18 |
| Electrocardiogram with interpretationCPT 93000 | $90 | — | — | — | 5 |
| Epidural injection, lumbar/sacral, no imagingCPT 62322 | $1,234 | $934 | 132% | $522 | 18 |
| Esophagitis/GI disorders, no MCCMS-DRG 392 | $22,926 | $4,899 | 468% | — | 9 |
| Excision of breast lesionCPT 19120 | $6,612 | $4,136 | 160% | — | 8 |
| Family psychotherapy, with patientCPT 90847 | $342 | $187 | 182% | $145 | 18 |
| Family psychotherapy, without patientCPT 90846 | $222 | $187 | 118% | $76 | 18 |
| Group psychotherapyCPT 90853 | $256 | $107 | 238% | $98 | 18 |
| Heart failure and shock, with CCMS-DRG 292 | $24,967 | $5,927 | 421% | — | 9 |
| Heart failure with MCCMS-DRG 291 | $37,754 | $8,495 | 444% | — | 9 |
| Hip and femur procedures except major joint, with CCMS-DRG 481 | $61,595 | $13,876 | 444% | — | 9 |
| Hysterectomy, no CC/MCCMS-DRG 743 | $36,487 | $10,098 | 361% | — | 9 |
| Inguinal hernia repair, age 5+CPT 49505 | $7,016 | $3,782 | 186% | — | 8 |
| Kidney and urinary tract infections, no MCCMS-DRG 690 | $23,806 | $4,891 | 487% | — | 9 |
| Kidney function panelCPT 80069 | $54 | $9 | 625% | ~$42 | 17 |
| Knee arthroscopy with meniscectomyCPT 29881 | $7,016 | $3,456 | 203% | — | 8 |
| Laparoscopic cholecystectomyCPT 47562 | $13,698 | $6,386 | 215% | — | 8 |
| Laparoscopic cholecystectomy, no CC/MCCMS-DRG 419 | $40,165 | $8,977 | 447% | — | 9 |
| Laparoscopic radical prostatectomyCPT 55866 | $16,804 | $11,228 | 150% | — | 6 |
| Left heart catheterization, diagnosticCPT 93452 | $7,123 | $3,424 | 208% | $2,701 | 18 |
| Lipid panelCPT 80061 | $84 | $13 | 625% | ~$73 | 17 |
| Liver function panelCPT 80076 | $51 | $8 | 625% | ~$64 | 17 |
| Lumbar epidural steroid injectionCPT 62323 | $1,354 | $746 | 182% | $551 | 18 |
| MRI brain with and without contrastCPT 70553 | $996 | $369 | 270% | ~$991 | 18 |
| MRI lower extremity joint (knee)CPT 73721 | $996 | $252 | 395% | ~$618 | 18 |
| MRI lumbar spine without contrastCPT 72148 | $996 | $252 | 395% | ~$724 | 18 |
| Major joint replacement (hip/knee), no MCCMS-DRG 470 | $56,725 | $13,045 | 435% | — | 9 |
| Major joint replacement (hip/knee), with MCCMS-DRG 469 | $89,200 | $22,346 | 399% | — | 9 |
| Major small and large bowel procedures, with CCMS-DRG 330 | $70,497 | $16,202 | 435% | — | 9 |
| Medical back problems, no MCCMS-DRG 552 | $28,270 | $6,142 | 460% | — | 9 |
| OB global care, VBAC deliveryCPT 59610 | $12,815 | — | — | — | 6 |
| OB global care, cesarean deliveryCPT 59510 | $13,200 | — | — | — | 6 |
| OB global care, vaginal deliveryCPT 59400 | $12,550 | — | — | — | 6 |
| OB ultrasound, 14+ weeksCPT 76805 | $622 | $110 | 563% | ~$276 | 18 |
| Obstetric blood test panelCPT 80055 | $90 | $48 | 187% | ~$40 | 17 |
| Office visit, established patient, level 3CPT 99213 | $409 | — | — | — | 5 |
| Office visit, established patient, level 4CPT 99214 | $602 | — | — | — | 5 |
| Office visit, new patient, level 3CPT 99203 | $507 | — | — | — | 5 |
| Office visit, new patient, level 4CPT 99204 | $826 | — | — | — | 5 |
| Office visit, new patient, level 5CPT 99205 | $1,125 | — | — | — | 5 |
| PSA (prostate specific antigen), totalCPT 84153 | $115 | $18 | 625% | ~$90 | 17 |
| Partial thromboplastin timeCPT 85730 | $38 | $6 | 625% | ~$28 | 17 |
| Physical therapy, therapeutic exerciseCPT 97110 | $89 | — | — | $30 | 18 |
| Prostate biopsyCPT 55700 | $2,435 | — | — | $991 | 18 |
| Prothrombin timeCPT 85610 | $27 | $4 | 625% | ~$29 | 17 |
| Psychotherapy, 30 minutesCPT 90832 | $243 | $187 | 130% | — | 5 |
| Psychotherapy, 45 minutesCPT 90834 | $284 | $187 | 152% | $120 | 18 |
| Psychotherapy, 60 minutesCPT 90837 | $340 | $187 | 181% | $144 | 18 |
| Renal failure, with CCMS-DRG 683 | $25,756 | $5,653 | 456% | — | 9 |
| Screening mammography, bilateralCPT 77067 | $300 | — | — | ~$121 | 17 |
| Sepsis with MCCMS-DRG 871 | $57,125 | $13,232 | 432% | — | 9 |
| Shoulder arthroscopy, subacromial decompressionCPT 29826 | $1,109 | — | — | — | 7 |
| Simple pneumonia and pleurisy, with CCMS-DRG 194 | $23,700 | $5,177 | 458% | — | 9 |
| Sleep study (polysomnography)CPT 95810 | $4,248 | $907 | 468% | $1,885 | 18 |
| Stroke (hemorrhage/infarction), no CC/MCCMS-DRG 066 | $20,127 | $3,679 | 547% | — | 9 |
| Stroke (hemorrhage/infarction), with CC or tPAMS-DRG 065 | $29,711 | $6,333 | 469% | — | 9 |
| Thyroid stimulating hormone (TSH)CPT 84443 | $105 | $17 | 625% | ~$110 | 17 |
| Tonsillectomy and adenoidectomy, under age 12CPT 42820 | $7,442 | $6,253 | 119% | — | 8 |
| Transforaminal epidural, lumbar/sacralCPT 64483 | $2,143 | $934 | 229% | $872 | 18 |
| Ultrasound, abdomen, completeCPT 76700 | $622 | $110 | 563% | ~$276 | 18 |
| Ultrasound, transvaginalCPT 76830 | $622 | $110 | 563% | ~$276 | 18 |
| Upper GI endoscopy with biopsyCPT 43239 | $1,879 | $958 | 196% | $765 | 18 |
| Upper GI endoscopy, diagnosticCPT 43235 | $1,673 | $958 | 175% | $681 | 18 |
| Urinalysis, automated, with microscopyCPT 81001 | $20 | $3 | 626% | ~$12 | 17 |
| Urinalysis, automated, without microscopyCPT 81003 | $14 | $2 | 626% | ~$20 | 17 |
| Urinalysis, manual, with microscopyCPT 81000 | $5 | $4 | 122% | — | 9 |
| Urinalysis, manual, without microscopyCPT 81002 | $22 | $3 | 625% | ~$22 | 17 |
| Vaginal delivery, no sterilization, no CC/MCCMS-DRG 807 | $9,061 | — | — | — | 9 |
| Vaginal delivery, no sterilization, with CCMS-DRG 806 | $9,061 | — | — | — | 9 |
| X-ray, lower back, 4+ viewsCPT 72110 | $464 | $110 | 421% | ~$206 | 18 |
| YAG laser capsulotomy (secondary cataract)CPT 66821 | $3,530 | $581 | 608% | — | 8 |