| Acute myocardial infarction, discharged alive, with MCCMS-DRG 280 | $33,987 | $11,093 | 306% | — | 16 |
| Bariatric (obesity) surgery, no CC/MCCMS-DRG 621 | $30,511 | $8,272 | 369% | — | 18 |
| Basic metabolic panelCPT 80048 | $135 | $8 | 1601% | ~$52 | 27 |
| COPD with MCCMS-DRG 190 | $23,255 | $7,555 | 308% | — | 18 |
| CT abdomen and pelvis with contrastCPT 74177 | $3,776 | $364 | 1037% | ~$1,541 | 27 |
| CT head without contrastCPT 70450 | $2,212 | $109 | 2027% | ~$903 | 27 |
| CT pelvis with contrastCPT 72193 | $3,935 | $183 | 2148% | ~$1,605 | 27 |
| Cardiac arrhythmia, no CC/MCCMS-DRG 310 | $11,585 | $3,232 | 358% | — | 18 |
| Cardiac stress testCPT 93017 | $1,321 | $225 | 586% | $511 | 27 |
| Cardiac valve surgery with cardiac cath, with MCCMS-DRG 216 | $199,824 | — | — | — | 16 |
| Cataract surgery with IOL insertionCPT 66984 | $6,488 | $2,410 | 269% | — | 9 |
| Cellulitis, no MCCMS-DRG 603 | $18,238 | $5,717 | 319% | — | 18 |
| Cervical spinal fusion, no CC/MCCMS-DRG 473 | $49,016 | $16,343 | 300% | — | 18 |
| Cesarean section, no CC/MCCMS-DRG 788 | $17,793 | — | — | — | 18 |
| Cesarean section, with CCMS-DRG 787 | $20,883 | — | — | — | 18 |
| Chest painMS-DRG 313 | $14,770 | — | — | — | 18 |
| Colonoscopy with biopsyCPT 45380 | $2,016 | $1,250 | 161% | — | 4 |
| Colonoscopy with endoscopic ultrasoundCPT 45391 | $2,840 | $1,250 | 227% | — | 4 |
| Colonoscopy with polyp removalCPT 45385 | $2,016 | $1,250 | 161% | — | 4 |
| Colonoscopy, diagnosticCPT 45378 | $1,715 | $971 | 177% | — | 4 |
| Complete blood count with differentialCPT 85025 | $59 | $8 | 756% | ~$24 | 27 |
| Complete blood count, automatedCPT 85027 | $42 | $6 | 641% | ~$17 | 27 |
| Comprehensive metabolic panelCPT 80053 | $162 | $11 | 1529% | ~$66 | 27 |
| Coronary bypass without cardiac cath, no MCCMS-DRG 236 | $85,140 | $26,425 | 322% | — | 16 |
| Diagnostic mammography, both breastsCPT 77066 | $261 | — | — | ~$100 | 27 |
| Diagnostic mammography, one breastCPT 77065 | $176 | — | — | ~$67 | 27 |
| ED visit, level 3CPT 99283 | $145 | $285 | 51% | $35 | 27 |
| ED visit, level 4CPT 99284 | $229 | $436 | 52% | $60 | 27 |
| ED visit, level 5CPT 99285 | $298 | $622 | 48% | $87 | 27 |
| Echocardiogram, completeCPT 93306 | $1,719 | $571 | 301% | $665 | 27 |
| Electrocardiogram with interpretationCPT 93000 | $13 | — | — | — | 1 |
| Epidural injection, lumbar/sacral, no imagingCPT 62322 | $928 | $924 | 101% | $331 | 27 |
| Esophagitis/GI disorders, no MCCMS-DRG 392 | $16,157 | $5,449 | 297% | — | 18 |
| Excision of breast lesionCPT 19120 | $8,670 | $4,089 | 212% | — | 4 |
| Family psychotherapy, with patientCPT 90847 | $144 | $185 | 78% | $51 | 27 |
| Family psychotherapy, without patientCPT 90846 | $138 | $185 | 75% | $49 | 27 |
| Group psychotherapyCPT 90853 | $34 | $106 | 32% | $12 | 27 |
| Heart failure and shock, with CCMS-DRG 292 | $17,833 | $5,927 | 301% | — | 18 |
| Heart failure with MCCMS-DRG 291 | $27,018 | $8,520 | 317% | — | 18 |
| Hip and femur procedures except major joint, with CCMS-DRG 481 | $42,962 | $13,700 | 314% | — | 18 |
| Hysterectomy, no CC/MCCMS-DRG 743 | $24,819 | $10,098 | 246% | — | 18 |
| Inguinal hernia repair, age 5+CPT 49505 | $7,970 | $3,739 | 213% | $2,889 | 27 |
| Kidney and urinary tract infections, no MCCMS-DRG 690 | $16,618 | $5,443 | 305% | — | 18 |
| Kidney function panelCPT 80069 | $143 | $9 | 1647% | ~$58 | 27 |
| Knee arthroscopy with meniscectomyCPT 29881 | $7,816 | $3,417 | 229% | — | 4 |
| Laparoscopic cholecystectomyCPT 47562 | $14,055 | $6,313 | 223% | — | 4 |
| Laparoscopic cholecystectomy, no CC/MCCMS-DRG 419 | $27,282 | $8,977 | 304% | — | 18 |
| Laparoscopic radical prostatectomyCPT 55866 | $24,174 | $11,101 | 218% | — | 4 |
| Left heart catheterization, diagnosticCPT 93452 | $9,911 | $3,385 | 293% | $3,837 | 27 |
| Lipid panelCPT 80061 | $30 | $13 | 226% | ~$12 | 27 |
| Liver function panelCPT 80076 | $124 | $8 | 1512% | ~$50 | 27 |
| Lumbar epidural steroid injectionCPT 62323 | $1,246 | $737 | 169% | $473 | 27 |
| MRI brain with and without contrastCPT 70553 | $3,629 | $364 | 996% | ~$1,481 | 27 |
| MRI lower extremity joint (knee)CPT 73721 | $3,107 | $249 | 1247% | ~$1,242 | 27 |
| MRI lumbar spine without contrastCPT 72148 | $2,092 | $249 | 840% | ~$854 | 27 |
| Major joint replacement (hip/knee), no MCCMS-DRG 470 | $39,040 | $13,045 | 299% | — | 18 |
| Major joint replacement (hip/knee), with MCCMS-DRG 469 | $67,678 | $22,346 | 303% | — | 18 |
| Major small and large bowel procedures, with CCMS-DRG 330 | $48,942 | $16,202 | 302% | — | 18 |
| Medical back problems, no MCCMS-DRG 552 | $19,956 | $6,791 | 294% | — | 18 |
| OB global care, VBAC deliveryCPT 59610 | $2,517 | — | — | — | 7 |
| OB global care, cesarean deliveryCPT 59510 | $3,601 | — | — | $1,381 | 25 |
| OB global care, vaginal deliveryCPT 59400 | $3,236 | — | — | $1,234 | 24 |
| OB ultrasound, 14+ weeksCPT 76805 | $547 | $109 | 501% | ~$219 | 27 |
| Obstetric blood test panelCPT 80055 | $288 | $48 | 602% | ~$117 | 27 |
| Office consultation, comprehensiveCPT 99244 | $41 | — | — | $16 | 25 |
| Office consultation, moderateCPT 99243 | $84 | — | — | $32 | 25 |
| Office visit, established patient, level 3CPT 99213 | $84 | — | — | $32 | 25 |
| Office visit, established patient, level 4CPT 99214 | $123 | — | — | $47 | 25 |
| Office visit, new patient, level 3CPT 99203 | $105 | — | — | $40 | 25 |
| Office visit, new patient, level 4CPT 99204 | $170 | — | — | $65 | 25 |
| Office visit, new patient, level 5CPT 99205 | $231 | — | — | $89 | 25 |
| PSA (prostate specific antigen), totalCPT 84153 | $28 | $18 | 152% | ~$11 | 27 |
| Partial thromboplastin timeCPT 85730 | $54 | $6 | 890% | ~$22 | 27 |
| Percutaneous cardiac stent, no MCCMS-DRG 247 | $41,151 | — | — | — | 8 |
| Physical therapy, therapeutic exerciseCPT 97110 | $92 | — | — | $36 | 27 |
| Preventive visit, new patient, 18-39CPT 99385 | $88 | — | — | — | 1 |
| Preventive visit, new patient, 40-64CPT 99386 | $107 | — | — | — | 1 |
| Prostate biopsyCPT 55700 | $4,760 | — | — | $1,825 | 27 |
| Prothrombin timeCPT 85610 | $42 | $4 | 979% | ~$17 | 27 |
| Psychotherapy, 30 minutesCPT 90832 | $97 | $185 | 52% | $34 | 27 |
| Psychotherapy, 45 minutesCPT 90834 | $127 | $185 | 69% | $45 | 27 |
| Psychotherapy, 60 minutesCPT 90837 | $176 | $185 | 95% | $67 | 27 |
| Renal failure, with CCMS-DRG 683 | $18,405 | $6,127 | 300% | — | 18 |
| Screening mammography, bilateralCPT 77067 | $240 | — | — | ~$93 | 27 |
| Sepsis with MCCMS-DRG 871 | $40,628 | $13,924 | 292% | — | 18 |
| Shoulder arthroscopy, subacromial decompressionCPT 29826 | $1,325 | — | — | — | 2 |
| Simple pneumonia and pleurisy, with CCMS-DRG 194 | $16,979 | $5,218 | 325% | — | 18 |
| Sleep study (polysomnography)CPT 95810 | $2,316 | $897 | 258% | $888 | 27 |
| Spinal fusion except cervical, no MCCMS-DRG 460 | $76,637 | $25,413 | 302% | — | 9 |
| Spinal fusion except cervical, with MCCMS-DRG 459 | $138,758 | $51,127 | 271% | — | 9 |
| Stroke (hemorrhage/infarction), no CC/MCCMS-DRG 066 | $14,252 | $3,679 | 387% | — | 18 |
| Stroke (hemorrhage/infarction), with CC or tPAMS-DRG 065 | $21,056 | $6,584 | 320% | — | 18 |
| Thyroid stimulating hormone (TSH)CPT 84443 | $43 | $17 | 255% | ~$17 | 27 |
| Tonsillectomy and adenoidectomy, under age 12CPT 42820 | $11,026 | $6,182 | 178% | — | 4 |
| Transforaminal epidural, lumbar/sacralCPT 64483 | $1,665 | $924 | 180% | $589 | 27 |
| Ultrasound, abdomen, completeCPT 76700 | $1,070 | $109 | 980% | ~$414 | 27 |
| Ultrasound, transvaginalCPT 76830 | $662 | $109 | 606% | ~$256 | 27 |
| Upper GI endoscopy with biopsyCPT 43239 | $2,259 | $947 | 238% | — | 4 |
| Upper GI endoscopy, diagnosticCPT 43235 | $2,117 | $947 | 224% | $778 | 27 |
| Urinalysis, automated, with microscopyCPT 81001 | $35 | $3 | 1112% | ~$14 | 27 |
| Urinalysis, automated, without microscopyCPT 81003 | $50 | $2 | 2222% | ~$20 | 27 |
| Urinalysis, manual, with microscopyCPT 81000 | $5 | $4 | 122% | — | 7 |
| Urinalysis, manual, without microscopyCPT 81002 | $28 | $3 | 790% | ~$11 | 27 |
| Vaginal delivery, no sterilization, no CC/MCCMS-DRG 807 | $13,195 | — | — | — | 18 |
| Vaginal delivery, no sterilization, with CCMS-DRG 806 | $14,981 | — | — | — | 18 |
| X-ray, lower back, 4+ viewsCPT 72110 | $775 | $109 | 710% | ~$300 | 27 |
| YAG laser capsulotomy (secondary cataract)CPT 66821 | $1,322 | $574 | 230% | — | 4 |