| Acute myocardial infarction, discharged alive, with MCCMS-DRG 280 | $38,452 | $11,217 | 343% | — | 2 |
| Bariatric (obesity) surgery, no CC/MCCMS-DRG 621 | $32,438 | $8,272 | 392% | — | 3 |
| Basic metabolic panelCPT 80048 | $159 | $8 | 1879% | — | 14 |
| COPD with MCCMS-DRG 190 | $26,313 | $7,377 | 357% | — | 2 |
| CT abdomen and pelvis with contrastCPT 74177 | $3,648 | $356 | 1023% | — | 14 |
| CT head without contrastCPT 70450 | $2,029 | $107 | 1900% | — | 14 |
| CT pelvis with contrastCPT 72193 | $2,525 | $179 | 1409% | — | 14 |
| Cardiac arrhythmia, no CC/MCCMS-DRG 310 | $13,106 | $3,269 | 401% | — | 2 |
| Cardiac stress testCPT 93017 | $1,007 | $221 | 457% | — | 14 |
| Cardiac valve surgery with cardiac cath, with MCCMS-DRG 216 | $226,061 | — | — | — | 2 |
| Cataract surgery with IOL insertionCPT 66984 | $4,500 | $2,358 | 191% | — | 1 |
| Cellulitis, no MCCMS-DRG 603 | $20,635 | $5,675 | 364% | — | 2 |
| Cervical spinal fusion, no CC/MCCMS-DRG 473 | $55,451 | $16,343 | 339% | — | 2 |
| Cesarean section, no CC/MCCMS-DRG 788 | $25,531 | — | — | — | 3 |
| Cesarean section, with CCMS-DRG 787 | $25,531 | — | — | — | 3 |
| Chest painMS-DRG 313 | $16,709 | — | — | — | 2 |
| Colonoscopy with biopsyCPT 45380 | $1,636 | $1,223 | 134% | — | 1 |
| Colonoscopy with endoscopic ultrasoundCPT 45391 | $2,091 | $1,223 | 171% | — | 1 |
| Colonoscopy with polyp removalCPT 45385 | $2,062 | $1,223 | 169% | — | 1 |
| Colonoscopy, diagnosticCPT 45378 | $1,540 | $950 | 162% | — | 1 |
| Complete blood count with differentialCPT 85025 | $86 | $8 | 1100% | — | 14 |
| Complete blood count, automatedCPT 85027 | $73 | $6 | 1135% | — | 14 |
| Comprehensive metabolic panelCPT 80053 | $144 | $11 | 1366% | — | 14 |
| Coronary bypass without cardiac cath, no MCCMS-DRG 236 | $96,319 | $29,950 | 322% | — | 2 |
| Diagnostic mammography, both breastsCPT 77066 | $734 | — | — | — | 14 |
| Diagnostic mammography, one breastCPT 77065 | $570 | — | — | — | 14 |
| ED visit, level 3CPT 99283 | $1,359 | $279 | 487% | — | 14 |
| ED visit, level 4CPT 99284 | $2,454 | $426 | 576% | — | 14 |
| ED visit, level 5CPT 99285 | $4,733 | $608 | 778% | — | 14 |
| Echocardiogram, completeCPT 93306 | $2,359 | $558 | 423% | — | 14 |
| Electrocardiogram with interpretationCPT 93000 | $120 | — | — | — | 1 |
| Epidural injection, lumbar/sacral, no imagingCPT 62322 | $1,618 | $904 | 179% | — | 14 |
| Esophagitis/GI disorders, no MCCMS-DRG 392 | $18,279 | $4,899 | 373% | — | 2 |
| Excision of breast lesionCPT 19120 | $3,495 | $4,000 | 87% | — | 1 |
| Family psychotherapy, with patientCPT 90847 | $871 | $181 | 481% | — | 1 |
| Family psychotherapy, without patientCPT 90846 | $836 | $181 | 461% | — | 1 |
| Group psychotherapyCPT 90853 | $206 | $104 | 198% | — | 1 |
| Heart failure and shock, with CCMS-DRG 292 | $20,176 | $5,927 | 340% | — | 2 |
| Heart failure with MCCMS-DRG 291 | $30,567 | $8,962 | 341% | — | 2 |
| Hip and femur procedures except major joint, with CCMS-DRG 481 | $48,605 | $13,876 | 350% | — | 2 |
| Hysterectomy, no CC/MCCMS-DRG 743 | $28,077 | $10,098 | 278% | — | 2 |
| Inguinal hernia repair, age 5+CPT 49505 | $4,349 | $3,658 | 119% | — | 1 |
| Kidney and urinary tract infections, no MCCMS-DRG 690 | $18,801 | $5,238 | 359% | — | 2 |
| Kidney function panelCPT 80069 | $146 | $9 | 1687% | — | 14 |
| Knee arthroscopy with meniscectomyCPT 29881 | $4,598 | $3,343 | 138% | — | 1 |
| Laparoscopic cholecystectomyCPT 47562 | $5,461 | $6,176 | 88% | — | 1 |
| Laparoscopic cholecystectomy, no CC/MCCMS-DRG 419 | $30,865 | $8,977 | 344% | — | 2 |
| Laparoscopic radical prostatectomyCPT 55866 | $9,807 | $10,860 | 90% | — | 1 |
| Left heart catheterization, diagnosticCPT 93452 | $5,378 | $3,312 | 162% | — | 1 |
| Lipid panelCPT 80061 | $183 | $13 | 1367% | — | 14 |
| Liver function panelCPT 80076 | $163 | $8 | 1992% | — | 14 |
| Lumbar epidural steroid injectionCPT 62323 | $1,438 | $721 | 199% | — | 14 |
| MRI brain with and without contrastCPT 70553 | $5,853 | $356 | 1642% | — | 14 |
| MRI lower extremity joint (knee)CPT 73721 | $4,008 | $244 | 1644% | — | 14 |
| MRI lumbar spine without contrastCPT 72148 | $2,955 | $244 | 1212% | — | 14 |
| Major joint replacement (hip/knee), no MCCMS-DRG 470 | $44,168 | $13,045 | 339% | — | 2 |
| Major joint replacement (hip/knee), with MCCMS-DRG 469 | $76,565 | $22,346 | 343% | — | 2 |
| Major small and large bowel procedures, with CCMS-DRG 330 | $55,370 | $16,202 | 342% | — | 2 |
| Medical back problems, no MCCMS-DRG 552 | $22,577 | $6,142 | 368% | — | 2 |
| OB global care, VBAC deliveryCPT 59610 | $20,670 | — | — | — | 1 |
| OB global care, cesarean deliveryCPT 59510 | $21,928 | — | — | — | 1 |
| OB global care, vaginal deliveryCPT 59400 | $19,802 | — | — | — | 1 |
| OB ultrasound, 14+ weeksCPT 76805 | $1,110 | $107 | 1039% | — | 14 |
| Obstetric blood test panelCPT 80055 | $133 | $48 | 278% | — | 2 |
| Office visit, established patient, level 3CPT 99213 | $543 | — | — | — | 1 |
| Office visit, established patient, level 4CPT 99214 | $799 | — | — | — | 1 |
| Office visit, new patient, level 3CPT 99203 | $673 | — | — | — | 1 |
| Office visit, new patient, level 4CPT 99204 | $1,097 | — | — | — | 1 |
| Office visit, new patient, level 5CPT 99205 | $1,493 | — | — | — | 1 |
| PSA (prostate specific antigen), totalCPT 84153 | $232 | $18 | 1263% | — | 14 |
| Partial thromboplastin timeCPT 85730 | $79 | $6 | 1311% | — | 14 |
| Physical therapy, therapeutic exerciseCPT 97110 | $116 | — | — | — | 14 |
| Preventive visit, new patient, 18-39CPT 99385 | $38 | — | — | — | 14 |
| Preventive visit, new patient, 40-64CPT 99386 | $38 | — | — | — | 14 |
| Prostate biopsyCPT 55700 | $1,058 | — | — | — | 1 |
| Prothrombin timeCPT 85610 | $64 | $4 | 1495% | — | 14 |
| Psychotherapy, 30 minutesCPT 90832 | $585 | $181 | 323% | — | 1 |
| Psychotherapy, 45 minutesCPT 90834 | $772 | $181 | 426% | — | 1 |
| Psychotherapy, 60 minutesCPT 90837 | $1,143 | $181 | 630% | — | 1 |
| Renal failure, with CCMS-DRG 683 | $20,822 | $5,892 | 353% | — | 2 |
| Screening mammography, bilateralCPT 77067 | $602 | — | — | — | 14 |
| Sepsis with MCCMS-DRG 871 | $45,967 | $13,837 | 332% | — | 2 |
| Shoulder arthroscopy, subacromial decompressionCPT 29826 | $1,403 | — | — | — | 1 |
| Simple pneumonia and pleurisy, with CCMS-DRG 194 | $19,209 | $5,177 | 371% | — | 2 |
| Sleep study (polysomnography)CPT 95810 | $5,134 | $877 | 585% | — | 14 |
| Stroke (hemorrhage/infarction), no CC/MCCMS-DRG 066 | $16,123 | $3,679 | 438% | — | 2 |
| Stroke (hemorrhage/infarction), with CC or tPAMS-DRG 065 | $23,823 | $6,559 | 363% | — | 2 |
| Thyroid stimulating hormone (TSH)CPT 84443 | $193 | $17 | 1148% | — | 14 |
| Tonsillectomy and adenoidectomy, under age 12CPT 42820 | $2,459 | $6,048 | 41% | — | 1 |
| Transforaminal epidural, lumbar/sacralCPT 64483 | $3,624 | $904 | 401% | — | 14 |
| Ultrasound, abdomen, completeCPT 76700 | $1,433 | $107 | 1342% | — | 14 |
| Ultrasound, transvaginalCPT 76830 | $727 | $107 | 681% | — | 14 |
| Upper GI endoscopy with biopsyCPT 43239 | $1,128 | $927 | 122% | — | 1 |
| Upper GI endoscopy, diagnosticCPT 43235 | $1,004 | $927 | 108% | — | 1 |
| Urinalysis, automated, with microscopyCPT 81001 | $95 | $3 | 2991% | — | 14 |
| Urinalysis, automated, without microscopyCPT 81003 | $52 | $2 | 2315% | — | 14 |
| Urinalysis, manual, with microscopyCPT 81000 | $9 | $4 | 227% | — | 2 |
| Urinalysis, manual, without microscopyCPT 81002 | $30 | $3 | 861% | — | 14 |
| Vaginal delivery, no sterilization, no CC/MCCMS-DRG 807 | $9,218 | — | — | — | 3 |
| Vaginal delivery, no sterilization, with CCMS-DRG 806 | $9,218 | — | — | — | 3 |
| X-ray, lower back, 4+ viewsCPT 72110 | $837 | $107 | 784% | — | 14 |
| YAG laser capsulotomy (secondary cataract)CPT 66821 | $2,591 | $562 | 461% | — | 1 |