| Acute myocardial infarction, discharged alive, with MCCMS-DRG 280 | $20,051 | $12,912 | 155% | — | 16 |
| Bariatric (obesity) surgery, no CC/MCCMS-DRG 621 | $21,449 | $8,272 | 259% | — | 15 |
| Basic metabolic panelCPT 80048 | $12 | $8 | 137% | ~$346 | 47 |
| COPD with MCCMS-DRG 190 | $13,846 | $9,947 | 139% | — | 16 |
| CT abdomen and pelvis with contrastCPT 74177 | $387 | $364 | 106% | ~$2,409 | 47 |
| CT head without contrastCPT 70450 | $144 | $109 | 132% | ~$1,225 | 47 |
| CT pelvis with contrastCPT 72193 | $266 | $183 | 145% | ~$1,093 | 47 |
| Cardiac arrhythmia, no CC/MCCMS-DRG 310 | $7,076 | $3,269 | 216% | — | 16 |
| Cardiac stress testCPT 93017 | $469 | $225 | 208% | $296 | 47 |
| Cardiac valve surgery with cardiac cath, with MCCMS-DRG 216 | $122,285 | — | — | — | 16 |
| Cataract surgery with IOL insertionCPT 66984 | $2,846 | $2,410 | 118% | — | 39 |
| Cellulitis, no MCCMS-DRG 603 | $10,886 | $5,675 | 192% | — | 16 |
| Cervical spinal fusion, no CC/MCCMS-DRG 473 | $25,931 | $16,343 | 159% | — | 17 |
| Cesarean section, no CC/MCCMS-DRG 788 | $11,985 | — | — | — | 10 |
| Cesarean section, with CCMS-DRG 787 | $13,960 | — | — | — | 10 |
| Chest painMS-DRG 313 | $8,989 | — | — | — | 16 |
| Colonoscopy with biopsyCPT 45380 | $1,500 | $1,250 | 120% | — | 39 |
| Colonoscopy with endoscopic ultrasoundCPT 45391 | $1,500 | $1,250 | 120% | — | 39 |
| Colonoscopy with polyp removalCPT 45385 | $1,500 | $1,250 | 120% | — | 39 |
| Colonoscopy, diagnosticCPT 45378 | $1,165 | $971 | 120% | — | 39 |
| Complete blood count with differentialCPT 85025 | $11 | $8 | 137% | ~$148 | 47 |
| Complete blood count, automatedCPT 85027 | $9 | $6 | 137% | ~$90 | 47 |
| Comprehensive metabolic panelCPT 80053 | $14 | $11 | 137% | ~$566 | 47 |
| Coronary bypass without cardiac cath, no MCCMS-DRG 236 | $52,360 | $29,950 | 175% | — | 16 |
| Diagnostic mammography, both breastsCPT 77066 | $145 | — | — | ~$149 | 47 |
| Diagnostic mammography, one breastCPT 77065 | $114 | — | — | ~$118 | 47 |
| ED visit, level 3CPT 99283 | $645 | $285 | 226% | $346 | 47 |
| ED visit, level 4CPT 99284 | $821 | $436 | 188% | $509 | 47 |
| ED visit, level 5CPT 99285 | $1,151 | $622 | 185% | $598 | 47 |
| Echocardiogram, completeCPT 93306 | $912 | $571 | 160% | $1,024 | 47 |
| Epidural injection, lumbar/sacral, no imagingCPT 62322 | $1,031 | $924 | 112% | $197 | 47 |
| Esophagitis/GI disorders, no MCCMS-DRG 392 | $9,642 | $4,899 | 197% | — | 16 |
| Excision of breast lesionCPT 19120 | $4,293 | $4,089 | 105% | — | 39 |
| Family psychotherapy, with patientCPT 90847 | $185 | $185 | 100% | $38 | 45 |
| Group psychotherapyCPT 90853 | $111 | $106 | 104% | $36 | 45 |
| Heart failure and shock, with CCMS-DRG 292 | $12,110 | $5,927 | 204% | — | 16 |
| Heart failure with MCCMS-DRG 291 | $16,048 | $11,017 | 146% | — | 16 |
| Hip and femur procedures except major joint, with CCMS-DRG 481 | $26,181 | $13,876 | 189% | — | 16 |
| Hysterectomy, no CC/MCCMS-DRG 743 | $14,139 | $10,098 | 140% | — | 17 |
| Inguinal hernia repair, age 5+CPT 49505 | $3,926 | $3,739 | 105% | — | 39 |
| Kidney and urinary tract infections, no MCCMS-DRG 690 | $9,748 | $7,737 | 126% | — | 16 |
| Kidney function panelCPT 80069 | $12 | $9 | 136% | ~$79 | 47 |
| Knee arthroscopy with meniscectomyCPT 29881 | $3,721 | $3,417 | 109% | — | 39 |
| Laparoscopic cholecystectomyCPT 47562 | $6,522 | $6,313 | 103% | — | 39 |
| Laparoscopic cholecystectomy, no CC/MCCMS-DRG 419 | $16,890 | $8,977 | 188% | — | 16 |
| Laparoscopic radical prostatectomyCPT 55866 | $11,101 | $11,101 | 100% | — | 39 |
| Lipid panelCPT 80061 | $18 | $13 | 136% | ~$315 | 47 |
| Liver function panelCPT 80076 | $11 | $8 | 137% | ~$234 | 47 |
| Lumbar epidural steroid injectionCPT 62323 | $1,258 | $737 | 171% | $478 | 47 |
| MRI brain with and without contrastCPT 70553 | $448 | $364 | 123% | ~$900 | 47 |
| MRI lower extremity joint (knee)CPT 73721 | $299 | $249 | 120% | ~$586 | 47 |
| MRI lumbar spine without contrastCPT 72148 | $299 | $249 | 120% | ~$871 | 47 |
| Major joint replacement (hip/knee), no MCCMS-DRG 470 | $24,111 | $13,045 | 185% | — | 17 |
| Major joint replacement (hip/knee), with MCCMS-DRG 469 | $34,014 | $22,346 | 152% | — | 17 |
| Major small and large bowel procedures, with CCMS-DRG 330 | $34,800 | $16,202 | 215% | — | 16 |
| Medical back problems, no MCCMS-DRG 552 | $12,016 | $6,142 | 196% | — | 16 |
| OB global care, VBAC deliveryCPT 59610 | $6,151 | — | — | — | 4 |
| OB global care, cesarean deliveryCPT 59510 | $6,151 | — | — | — | 4 |
| OB global care, vaginal deliveryCPT 59400 | $6,151 | — | — | — | 4 |
| OB ultrasound, 14+ weeksCPT 76805 | $142 | $109 | 130% | ~$131 | 47 |
| Office visit, established patient, level 3CPT 99213 | $171 | — | — | $62 | 21 |
| Office visit, established patient, level 4CPT 99214 | $444 | — | — | $162 | 21 |
| Office visit, new patient, level 3CPT 99203 | $282 | — | — | $103 | 21 |
| Office visit, new patient, level 4CPT 99204 | $958 | — | — | $349 | 21 |
| Office visit, new patient, level 5CPT 99205 | $1,020 | — | — | $372 | 21 |
| PSA (prostate specific antigen), totalCPT 84153 | $22 | $18 | 118% | ~$14 | 47 |
| Partial thromboplastin timeCPT 85730 | $8 | $6 | 137% | ~$58 | 47 |
| Physical therapy, therapeutic exerciseCPT 97110 | $81 | — | — | $73 | 47 |
| Prostate biopsyCPT 55700 | $6,350 | — | — | — | 13 |
| Prothrombin timeCPT 85610 | $6 | $4 | 136% | ~$64 | 47 |
| Renal failure, with CCMS-DRG 683 | $12,714 | $5,892 | 216% | — | 16 |
| Screening mammography, bilateralCPT 77067 | $119 | — | — | ~$149 | 47 |
| Sepsis with MCCMS-DRG 871 | $24,281 | $15,364 | 158% | — | 16 |
| Shoulder arthroscopy, subacromial decompressionCPT 29826 | $1,954 | — | — | — | 10 |
| Simple pneumonia and pleurisy, with CCMS-DRG 194 | $11,699 | $5,177 | 226% | — | 16 |
| Sleep study (polysomnography)CPT 95810 | $1,256 | $897 | 140% | $1,623 | 47 |
| Spinal fusion except cervical, no MCCMS-DRG 460 | $79,729 | $25,413 | 314% | — | 14 |
| Spinal fusion except cervical, with MCCMS-DRG 459 | $176,974 | $51,127 | 346% | — | 14 |
| Stroke (hemorrhage/infarction), no CC/MCCMS-DRG 066 | $10,337 | $3,679 | 281% | — | 16 |
| Stroke (hemorrhage/infarction), with CC or tPAMS-DRG 065 | $14,014 | $6,559 | 214% | — | 16 |
| Thyroid stimulating hormone (TSH)CPT 84443 | $23 | $17 | 136% | ~$61 | 47 |
| Tonsillectomy and adenoidectomy, under age 12CPT 42820 | $6,182 | $6,182 | 100% | — | 39 |
| Transforaminal epidural, lumbar/sacralCPT 64483 | $1,108 | $924 | 120% | — | 39 |
| Ultrasound, abdomen, completeCPT 76700 | $132 | $109 | 121% | ~$441 | 47 |
| Ultrasound, transvaginalCPT 76830 | $136 | $109 | 125% | ~$242 | 47 |
| Upper GI endoscopy with biopsyCPT 43239 | $1,248 | $947 | 132% | $321 | 47 |
| Upper GI endoscopy, diagnosticCPT 43235 | $1,137 | $947 | 120% | — | 39 |
| Urinalysis, automated, with microscopyCPT 81001 | $4 | $3 | 137% | ~$60 | 47 |
| Urinalysis, automated, without microscopyCPT 81003 | $3 | $2 | 136% | ~$50 | 47 |
| Urinalysis, manual, without microscopyCPT 81002 | $5 | $3 | 136% | ~$26 | 47 |
| Vaginal delivery, no sterilization, no CC/MCCMS-DRG 807 | $5,485 | — | — | — | 10 |
| Vaginal delivery, no sterilization, with CCMS-DRG 806 | $8,127 | — | — | — | 10 |
| X-ray, lower back, 4+ viewsCPT 72110 | $129 | $109 | 118% | ~$398 | 47 |
| YAG laser capsulotomy (secondary cataract)CPT 66821 | $689 | $574 | 120% | — | 39 |