| Acute myocardial infarction, discharged alive, with MCCMS-DRG 280 | $22,608 | $9,256 | 244% | — | 19 |
| Bariatric (obesity) surgery, no CC/MCCMS-DRG 621 | $22,644 | $8,272 | 274% | — | 19 |
| Basic metabolic panelCPT 80048 | $137 | $8 | 1616% | ~$85 | 14 |
| COPD with MCCMS-DRG 190 | $15,612 | $6,001 | 260% | — | 19 |
| CT abdomen and pelvis with contrastCPT 74177 | $902 | $364 | 248% | ~$610 | 25 |
| CT head without contrastCPT 70450 | $375 | $109 | 344% | ~$182 | 25 |
| CT pelvis with contrastCPT 72193 | $527 | $183 | 288% | ~$304 | 25 |
| Cardiac arrhythmia, no CC/MCCMS-DRG 310 | $7,979 | $2,510 | 318% | — | 19 |
| Cardiac stress testCPT 93017 | $916 | $225 | 406% | $443 | 25 |
| Cardiac valve surgery with cardiac cath, with MCCMS-DRG 216 | $137,879 | — | — | — | 19 |
| Cataract surgery with IOL insertionCPT 66984 | $6,754 | $2,410 | 280% | — | 3 |
| Cellulitis, no MCCMS-DRG 603 | $12,274 | $4,539 | 270% | — | 19 |
| Cervical spinal fusion, no CC/MCCMS-DRG 473 | $34,408 | $16,343 | 211% | — | 19 |
| Cesarean section, no CC/MCCMS-DRG 788 | $13,143 | — | — | — | 19 |
| Cesarean section, with CCMS-DRG 787 | $13,625 | — | — | — | 19 |
| Chest painMS-DRG 313 | $10,148 | $3,852 | 263% | — | 19 |
| Colonoscopy with biopsyCPT 45380 | $4,025 | $1,250 | 322% | $1,342 | 25 |
| Colonoscopy with endoscopic ultrasoundCPT 45391 | $4,025 | $1,250 | 322% | $1,342 | 25 |
| Colonoscopy with polyp removalCPT 45385 | $4,025 | $1,250 | 322% | $1,342 | 25 |
| Colonoscopy, diagnosticCPT 45378 | $3,408 | $971 | 351% | $1,038 | 25 |
| Complete blood count with differentialCPT 85025 | $56 | $8 | 724% | ~$35 | 14 |
| Complete blood count, automatedCPT 85027 | $46 | $6 | 711% | ~$29 | 14 |
| Comprehensive metabolic panelCPT 80053 | $164 | $11 | 1555% | ~$102 | 14 |
| Coronary bypass without cardiac cath, no MCCMS-DRG 236 | $59,037 | $19,465 | 303% | — | 19 |
| Diagnostic mammography, both breastsCPT 77066 | $271 | — | — | ~$175 | 25 |
| Diagnostic mammography, one breastCPT 77065 | $213 | — | — | ~$139 | 25 |
| ED visit, level 3CPT 99283 | $1,756 | $285 | 616% | $473 | 24 |
| ED visit, level 4CPT 99284 | $2,250 | $436 | 516% | $727 | 24 |
| ED visit, level 5CPT 99285 | $2,418 | $622 | 389% | $1,047 | 24 |
| Echocardiogram, completeCPT 93306 | $1,230 | $571 | 215% | $780 | 25 |
| Electrocardiogram with interpretationCPT 93000 | $197 | — | — | $103 | 25 |
| Epidural injection, lumbar/sacral, no imagingCPT 62322 | $3,441 | $924 | 373% | $1,520 | 25 |
| Esophagitis/GI disorders, no MCCMS-DRG 392 | $10,988 | $4,027 | 273% | — | 19 |
| Excision of breast lesionCPT 19120 | $7,381 | $4,089 | 181% | $2,843 | 16 |
| Family psychotherapy, with patientCPT 90847 | $476 | $185 | 257% | — | 3 |
| Family psychotherapy, without patientCPT 90846 | $476 | $185 | 257% | — | 3 |
| Group psychotherapyCPT 90853 | $174 | $106 | 164% | $69 | 15 |
| Heart failure and shock, with CCMS-DRG 292 | $11,966 | $4,670 | 256% | — | 19 |
| Heart failure with MCCMS-DRG 291 | $18,094 | $7,266 | 249% | — | 19 |
| Hip and femur procedures except major joint, with CCMS-DRG 481 | $29,520 | $11,928 | 247% | — | 19 |
| Hysterectomy, no CC/MCCMS-DRG 743 | $17,926 | $10,098 | 178% | — | 19 |
| Inguinal hernia repair, age 5+CPT 49505 | $9,682 | $3,739 | 259% | $4,018 | 19 |
| Kidney and urinary tract infections, no MCCMS-DRG 690 | $11,409 | $4,098 | 278% | — | 19 |
| Kidney function panelCPT 80069 | $107 | $9 | 1237% | ~$67 | 14 |
| Knee arthroscopy with meniscectomyCPT 29881 | $8,800 | $3,417 | 258% | — | 6 |
| Laparoscopic cholecystectomyCPT 47562 | $14,456 | $6,313 | 229% | $6,642 | 21 |
| Laparoscopic cholecystectomy, no CC/MCCMS-DRG 419 | $19,250 | $6,306 | 305% | — | 19 |
| Laparoscopic radical prostatectomyCPT 55866 | $30,829 | $11,101 | 278% | — | 3 |
| Left heart catheterization, diagnosticCPT 93452 | $12,430 | $3,385 | 367% | $4,577 | 25 |
| Lipid panelCPT 80061 | $22 | $13 | 161% | ~$10 | 14 |
| Liver function panelCPT 80076 | $126 | $8 | 1545% | ~$78 | 14 |
| Lumbar epidural steroid injectionCPT 62323 | $3,289 | $737 | 446% | $1,183 | 25 |
| MRI brain with and without contrastCPT 70553 | $1,020 | $364 | 280% | ~$610 | 25 |
| MRI lower extremity joint (knee)CPT 73721 | $716 | $249 | 287% | ~$413 | 25 |
| MRI lumbar spine without contrastCPT 72148 | $716 | $249 | 287% | ~$413 | 25 |
| Major joint replacement (hip/knee), no MCCMS-DRG 470 | $27,441 | $10,976 | 250% | — | 19 |
| Major joint replacement (hip/knee), with MCCMS-DRG 469 | $42,750 | $22,346 | 191% | — | 19 |
| Major small and large bowel procedures, with CCMS-DRG 330 | $33,786 | $13,242 | 255% | — | 19 |
| Medical back problems, no MCCMS-DRG 552 | $13,549 | $4,759 | 285% | — | 19 |
| OB global care, VBAC deliveryCPT 59610 | $1,596 | — | — | — | 1 |
| OB global care, cesarean deliveryCPT 59510 | $1,765 | — | — | — | 1 |
| OB global care, vaginal deliveryCPT 59400 | $1,596 | — | — | — | 1 |
| OB ultrasound, 14+ weeksCPT 76805 | $286 | $109 | 262% | ~$182 | 25 |
| Obstetric blood test panelCPT 80055 | $130 | $48 | 271% | ~$80 | 14 |
| Office visit, established patient, level 3CPT 99213 | $97 | — | — | $37 | 14 |
| Office visit, established patient, level 4CPT 99214 | $119 | — | — | $46 | 14 |
| Office visit, new patient, level 3CPT 99203 | $103 | — | — | $34 | 14 |
| Office visit, new patient, level 4CPT 99204 | $128 | — | — | $43 | 14 |
| Office visit, new patient, level 5CPT 99205 | $157 | — | — | $58 | 14 |
| PSA (prostate specific antigen), totalCPT 84153 | $38 | $18 | 209% | ~$21 | 14 |
| Partial thromboplastin timeCPT 85730 | $12 | $6 | 206% | ~$7 | 14 |
| Physical therapy, therapeutic exerciseCPT 97110 | $219 | — | — | $64 | 25 |
| Preventive visit, new patient, 18-39CPT 99385 | $118 | — | — | $46 | 12 |
| Preventive visit, new patient, 40-64CPT 99386 | $158 | — | — | $63 | 12 |
| Prostate biopsyCPT 55700 | $6,066 | — | — | — | 7 |
| Prothrombin timeCPT 85610 | $34 | $4 | 790% | ~$21 | 14 |
| Psychotherapy, 30 minutesCPT 90832 | $476 | $185 | 257% | — | 3 |
| Psychotherapy, 45 minutesCPT 90834 | $476 | $185 | 257% | — | 3 |
| Psychotherapy, 60 minutesCPT 90837 | $476 | $185 | 257% | — | 3 |
| Renal failure, with CCMS-DRG 683 | $12,344 | $4,679 | 264% | — | 19 |
| Screening mammography, bilateralCPT 77067 | $225 | — | — | ~$151 | 25 |
| Sepsis with MCCMS-DRG 871 | $27,378 | $11,286 | 243% | — | 19 |
| Shoulder arthroscopy, subacromial decompressionCPT 29826 | $1,449 | — | — | — | 1 |
| Simple pneumonia and pleurisy, with CCMS-DRG 194 | $11,358 | $4,231 | 268% | — | 19 |
| Sleep study (polysomnography)CPT 95810 | $1,966 | $897 | 219% | $1,737 | 25 |
| Stroke (hemorrhage/infarction), no CC/MCCMS-DRG 066 | $9,646 | $3,026 | 319% | — | 19 |
| Stroke (hemorrhage/infarction), with CC or tPAMS-DRG 065 | $14,239 | $5,122 | 278% | — | 19 |
| Thyroid stimulating hormone (TSH)CPT 84443 | $50 | $17 | 297% | ~$31 | 14 |
| Tonsillectomy and adenoidectomy, under age 12CPT 42820 | $11,242 | $6,182 | 182% | — | 4 |
| Transforaminal epidural, lumbar/sacralCPT 64483 | $3,840 | $924 | 416% | $1,520 | 25 |
| Ultrasound, abdomen, completeCPT 76700 | $286 | $109 | 262% | ~$182 | 25 |
| Ultrasound, transvaginalCPT 76830 | $286 | $109 | 262% | ~$182 | 25 |
| Upper GI endoscopy with biopsyCPT 43239 | $3,504 | $947 | 370% | $1,067 | 25 |
| Upper GI endoscopy, diagnosticCPT 43235 | $2,846 | $947 | 301% | $1,067 | 25 |
| Urinalysis, automated, with microscopyCPT 81001 | $23 | $3 | 726% | ~$14 | 14 |
| Urinalysis, automated, without microscopyCPT 81003 | $18 | $2 | 795% | ~$11 | 14 |
| Urinalysis, manual, with microscopyCPT 81000 | $9 | $4 | 229% | ~$5 | 14 |
| Urinalysis, manual, without microscopyCPT 81002 | $19 | $3 | 532% | ~$11 | 14 |
| Vaginal delivery, no sterilization, no CC/MCCMS-DRG 807 | $9,242 | — | — | — | 19 |
| Vaginal delivery, no sterilization, with CCMS-DRG 806 | $10,336 | — | — | — | 19 |
| X-ray, lower back, 4+ viewsCPT 72110 | $286 | $109 | 262% | ~$182 | 25 |
| YAG laser capsulotomy (secondary cataract)CPT 66821 | $2,120 | $574 | 369% | $625 | 21 |