| Acute myocardial infarction, discharged alive, with MCCMS-DRG 280 | $18,317 | $16,673 | 110% | — | 28 |
| Bariatric (obesity) surgery, no CC/MCCMS-DRG 621 | $17,224 | $8,272 | 208% | — | 25 |
| Basic metabolic panelCPT 80048 | $103 | $8 | 1219% | ~$33 | 50 |
| COPD with MCCMS-DRG 190 | $12,648 | $12,293 | 103% | — | 25 |
| CT abdomen and pelvis with contrastCPT 74177 | $1,719 | $364 | 472% | ~$1,747 | 50 |
| CT head without contrastCPT 70450 | $1,719 | $109 | 1574% | ~$764 | 50 |
| CT pelvis with contrastCPT 72193 | $1,719 | $183 | 938% | ~$898 | 50 |
| Cardiac arrhythmia, no CC/MCCMS-DRG 310 | $6,464 | $7,674 | 84% | — | 25 |
| Cardiac stress testCPT 93017 | $1,055 | $225 | 468% | $308 | 50 |
| Cardiac valve surgery with cardiac cath, with MCCMS-DRG 216 | $111,707 | — | — | — | 28 |
| Cataract surgery with IOL insertionCPT 66984 | $3,800 | $2,410 | 158% | — | 21 |
| Cellulitis, no MCCMS-DRG 603 | $9,945 | $9,812 | 101% | — | 25 |
| Cervical spinal fusion, no CC/MCCMS-DRG 473 | $35,546 | $16,343 | 218% | — | 25 |
| Cesarean section, no CC/MCCMS-DRG 788 | $13,960 | — | — | — | 25 |
| Cesarean section, with CCMS-DRG 787 | $16,261 | — | — | — | 25 |
| Chest painMS-DRG 313 | $8,221 | $8,604 | 96% | — | 25 |
| Colonoscopy with biopsyCPT 45380 | $3,100 | $1,250 | 248% | $1,132 | 51 |
| Colonoscopy with endoscopic ultrasoundCPT 45391 | $1,035 | $1,250 | 83% | — | 8 |
| Colonoscopy with polyp removalCPT 45385 | $3,254 | $1,250 | 260% | $1,402 | 51 |
| Colonoscopy, diagnosticCPT 45378 | $3,003 | $971 | 309% | $1,045 | 51 |
| Complete blood count with differentialCPT 85025 | $109 | $8 | 1406% | ~$35 | 51 |
| Complete blood count, automatedCPT 85027 | $107 | $6 | 1661% | ~$39 | 51 |
| Comprehensive metabolic panelCPT 80053 | $160 | $11 | 1512% | ~$51 | 51 |
| Coronary bypass without cardiac cath, no MCCMS-DRG 236 | $47,831 | $29,950 | 160% | — | 25 |
| Diagnostic mammography, both breastsCPT 77066 | $353 | — | — | ~$125 | 50 |
| Diagnostic mammography, one breastCPT 77065 | $346 | — | — | ~$125 | 50 |
| ED visit, level 3CPT 99283 | $1,416 | $285 | 497% | $361 | 50 |
| ED visit, level 4CPT 99284 | $1,801 | $436 | 413% | $606 | 50 |
| ED visit, level 5CPT 99285 | $3,810 | $622 | 613% | $1,516 | 50 |
| Echocardiogram, completeCPT 93306 | $2,045 | $571 | 358% | $745 | 50 |
| Electrocardiogram with interpretationCPT 93000 | $19 | — | — | — | 4 |
| Epidural injection, lumbar/sacral, no imagingCPT 62322 | $1,634 | $924 | 177% | $429 | 52 |
| Esophagitis/GI disorders, no MCCMS-DRG 392 | $11,351 | $9,322 | 122% | — | 25 |
| Excision of breast lesionCPT 19120 | $5,361 | $4,089 | 131% | $1,715 | 52 |
| Family psychotherapy, with patientCPT 90847 | $151 | $185 | 81% | — | 8 |
| Family psychotherapy, without patientCPT 90846 | $151 | $185 | 81% | — | 8 |
| Group psychotherapyCPT 90853 | $168 | $106 | 158% | — | 8 |
| Heart failure and shock, with CCMS-DRG 292 | $9,694 | $5,927 | 164% | — | 25 |
| Heart failure with MCCMS-DRG 291 | $14,659 | $13,745 | 107% | — | 25 |
| Hip and femur procedures except major joint, with CCMS-DRG 481 | $30,497 | $21,796 | 140% | — | 25 |
| Hysterectomy, no CC/MCCMS-DRG 743 | $18,065 | $10,098 | 179% | — | 25 |
| Inguinal hernia repair, age 5+CPT 49505 | $5,924 | $3,739 | 158% | $1,949 | 51 |
| Kidney and urinary tract infections, no MCCMS-DRG 690 | $9,243 | $9,485 | 97% | — | 25 |
| Kidney function panelCPT 80069 | $91 | $9 | 1053% | ~$29 | 50 |
| Knee arthroscopy with meniscectomyCPT 29881 | $4,721 | $3,417 | 138% | — | 16 |
| Laparoscopic cholecystectomyCPT 47562 | $6,195 | $6,313 | 98% | — | 21 |
| Laparoscopic cholecystectomy, no CC/MCCMS-DRG 419 | $15,596 | $8,977 | 174% | — | 25 |
| Laparoscopic radical prostatectomyCPT 55866 | $6,195 | $11,101 | 56% | — | 17 |
| Left heart catheterization, diagnosticCPT 93452 | $2,731 | $3,385 | 81% | — | 8 |
| Lipid panelCPT 80061 | $153 | $13 | 1141% | ~$49 | 50 |
| Liver function panelCPT 80076 | $80 | $8 | 976% | ~$26 | 50 |
| Lumbar epidural steroid injectionCPT 62323 | $2,362 | $737 | 320% | $712 | 51 |
| MRI brain with and without contrastCPT 70553 | $2,176 | $364 | 597% | ~$1,117 | 50 |
| MRI lower extremity joint (knee)CPT 73721 | $2,470 | $249 | 991% | ~$1,173 | 50 |
| MRI lumbar spine without contrastCPT 72148 | $1,969 | $249 | 790% | ~$886 | 50 |
| Major joint replacement (hip/knee), no MCCMS-DRG 470 | $28,085 | $17,424 | 161% | — | 25 |
| Major joint replacement (hip/knee), with MCCMS-DRG 469 | $37,147 | $22,346 | 166% | — | 25 |
| Major small and large bowel procedures, with CCMS-DRG 330 | $27,373 | $22,526 | 122% | — | 25 |
| Medical back problems, no MCCMS-DRG 552 | $10,977 | $10,139 | 108% | — | 25 |
| OB global care, VBAC deliveryCPT 59610 | $1,758 | — | — | — | 4 |
| OB global care, cesarean deliveryCPT 59510 | $1,944 | — | — | — | 4 |
| OB global care, vaginal deliveryCPT 59400 | $1,758 | — | — | — | 4 |
| OB ultrasound, 14+ weeksCPT 76805 | $459 | $109 | 420% | ~$160 | 50 |
| Obstetric blood test panelCPT 80055 | $264 | $48 | 552% | ~$85 | 50 |
| Office consultation, comprehensiveCPT 99244 | $201 | — | — | $73 | 49 |
| Office consultation, moderateCPT 99243 | $133 | — | — | $48 | 49 |
| Office visit, established patient, level 3CPT 99213 | $292 | — | — | $85 | 50 |
| Office visit, established patient, level 4CPT 99214 | $352 | — | — | $103 | 50 |
| Office visit, new patient, level 3CPT 99203 | $346 | — | — | $107 | 50 |
| Office visit, new patient, level 4CPT 99204 | $388 | — | — | $131 | 50 |
| Office visit, new patient, level 5CPT 99205 | $398 | — | — | $151 | 50 |
| PSA (prostate specific antigen), totalCPT 84153 | $117 | $18 | 634% | ~$38 | 50 |
| Partial thromboplastin timeCPT 85730 | $119 | $6 | 1980% | ~$38 | 51 |
| Physical therapy, therapeutic exerciseCPT 97110 | $179 | — | — | $65 | 50 |
| Prostate biopsyCPT 55700 | $3,661 | — | — | $1,190 | 51 |
| Prothrombin timeCPT 85610 | $79 | $4 | 1848% | ~$26 | 51 |
| Psychotherapy, 30 minutesCPT 90832 | $183 | $185 | 99% | $73 | 50 |
| Psychotherapy, 45 minutesCPT 90834 | $183 | $185 | 99% | $73 | 50 |
| Psychotherapy, 60 minutesCPT 90837 | $183 | $185 | 99% | $73 | 50 |
| Renal failure, with CCMS-DRG 683 | $10,000 | $10,409 | 96% | — | 25 |
| Screening mammography, bilateralCPT 77067 | $346 | — | — | ~$125 | 50 |
| Sepsis with MCCMS-DRG 871 | $28,283 | $19,636 | 144% | — | 25 |
| Shoulder arthroscopy, subacromial decompressionCPT 29826 | $1,656 | — | — | — | 5 |
| Simple pneumonia and pleurisy, with CCMS-DRG 194 | $9,202 | $9,974 | 92% | — | 25 |
| Sleep study (polysomnography)CPT 95810 | $3,615 | $897 | 403% | $1,316 | 50 |
| Stroke (hemorrhage/infarction), no CC/MCCMS-DRG 066 | $9,965 | $8,168 | 122% | — | 25 |
| Stroke (hemorrhage/infarction), with CC or tPAMS-DRG 065 | $14,710 | $11,194 | 131% | — | 25 |
| Thyroid stimulating hormone (TSH)CPT 84443 | $76 | $17 | 449% | ~$24 | 50 |
| Tonsillectomy and adenoidectomy, under age 12CPT 42820 | $4,097 | $6,182 | 66% | — | 8 |
| Transforaminal epidural, lumbar/sacralCPT 64483 | $1,626 | $924 | 176% | $425 | 52 |
| Ultrasound, abdomen, completeCPT 76700 | $1,606 | $109 | 1471% | ~$585 | 50 |
| Ultrasound, transvaginalCPT 76830 | $842 | $109 | 772% | ~$307 | 50 |
| Upper GI endoscopy with biopsyCPT 43239 | $3,004 | $947 | 317% | $1,065 | 51 |
| Upper GI endoscopy, diagnosticCPT 43235 | $2,564 | $947 | 271% | $865 | 51 |
| Urinalysis, automated, with microscopyCPT 81001 | $60 | $3 | 1887% | ~$19 | 51 |
| Urinalysis, automated, without microscopyCPT 81003 | $37 | $2 | 1630% | ~$12 | 51 |
| Urinalysis, manual, with microscopyCPT 81000 | $29 | $4 | 718% | ~$9 | 51 |
| Urinalysis, manual, without microscopyCPT 81002 | $45 | $3 | 1299% | ~$15 | 51 |
| Vaginal delivery, no sterilization, no CC/MCCMS-DRG 807 | $9,817 | — | — | — | 25 |
| Vaginal delivery, no sterilization, with CCMS-DRG 806 | $10,978 | — | — | — | 25 |
| X-ray, lower back, 4+ viewsCPT 72110 | $846 | $109 | 775% | ~$310 | 51 |
| YAG laser capsulotomy (secondary cataract)CPT 66821 | $525 | $574 | 91% | — | 8 |