| Acute myocardial infarction, discharged alive, with MCCMS-DRG 280 | $11,308 | $11,553 | 98% | — | 18 |
| Bariatric (obesity) surgery, no CC/MCCMS-DRG 621 | $33,950 | $8,272 | 410% | — | 18 |
| Basic metabolic panelCPT 80048 | $397 | $8 | 4696% | ~$129 | 34 |
| COPD with MCCMS-DRG 190 | $10,334 | $7,551 | 137% | — | 14 |
| CT abdomen and pelvis with contrastCPT 74177 | $4,756 | $364 | 1306% | ~$2,605 | 31 |
| CT head without contrastCPT 70450 | $2,202 | $109 | 2017% | ~$1,083 | 31 |
| CT pelvis with contrastCPT 72193 | $2,949 | $183 | 1610% | ~$1,271 | 31 |
| Cardiac arrhythmia, no CC/MCCMS-DRG 310 | $11,098 | $4,071 | 273% | — | 19 |
| Cardiac stress testCPT 93017 | $1,640 | $225 | 727% | $534 | 30 |
| Cardiac valve surgery with cardiac cath, with MCCMS-DRG 216 | $88,106 | — | — | — | 18 |
| Cataract surgery with IOL insertionCPT 66984 | $7,384 | $2,410 | 306% | — | 25 |
| Cellulitis, no MCCMS-DRG 603 | $14,013 | $6,471 | 217% | — | 23 |
| Cervical spinal fusion, no CC/MCCMS-DRG 473 | $44,520 | $16,343 | 272% | — | 25 |
| Cesarean section, no CC/MCCMS-DRG 788 | $17,410 | — | — | — | 26 |
| Cesarean section, with CCMS-DRG 787 | $18,796 | — | — | — | 26 |
| Chest painMS-DRG 313 | $11,517 | $5,614 | 205% | — | 21 |
| Colonoscopy with biopsyCPT 45380 | $5,414 | $1,250 | 433% | — | 25 |
| Colonoscopy with endoscopic ultrasoundCPT 45391 | $5,414 | $1,250 | 433% | — | 25 |
| Colonoscopy with polyp removalCPT 45385 | $5,414 | $1,250 | 433% | — | 25 |
| Colonoscopy, diagnosticCPT 45378 | $4,739 | $971 | 488% | — | 25 |
| Complete blood count with differentialCPT 85025 | $10 | $8 | 134% | — | 10 |
| Complete blood count, automatedCPT 85027 | $152 | $6 | 2343% | ~$49 | 34 |
| Comprehensive metabolic panelCPT 80053 | $883 | $11 | 8364% | ~$294 | 35 |
| Coronary bypass without cardiac cath, no MCCMS-DRG 236 | $80,765 | $29,950 | 270% | — | 18 |
| Diagnostic mammography, both breastsCPT 77066 | $175 | — | — | ~$46 | 26 |
| Diagnostic mammography, one breastCPT 77065 | $210 | — | — | ~$58 | 26 |
| ED visit, level 3CPT 99283 | $2,227 | $285 | 781% | $264 | 36 |
| ED visit, level 4CPT 99284 | $2,704 | $436 | 621% | $340 | 36 |
| ED visit, level 5CPT 99285 | $3,222 | $622 | 518% | $493 | 36 |
| Echocardiogram, completeCPT 93306 | $1,257 | $571 | 220% | $409 | 30 |
| Electrocardiogram with interpretationCPT 93000 | $208 | — | — | — | 4 |
| Epidural injection, lumbar/sacral, no imagingCPT 62322 | $5,086 | $924 | 551% | — | 25 |
| Esophagitis/GI disorders, no MCCMS-DRG 392 | $14,013 | $5,705 | 246% | — | 23 |
| Excision of breast lesionCPT 19120 | $13,617 | $4,089 | 333% | — | 31 |
| Family psychotherapy, with patientCPT 90847 | $179 | $185 | 97% | — | 3 |
| Family psychotherapy, without patientCPT 90846 | $177 | $185 | 95% | — | 3 |
| Group psychotherapyCPT 90853 | $136 | $106 | 128% | — | 3 |
| Heart failure and shock, with CCMS-DRG 292 | $21,496 | $5,927 | 363% | — | 16 |
| Heart failure with MCCMS-DRG 291 | $21,610 | $9,111 | 237% | — | 16 |
| Hip and femur procedures except major joint, with CCMS-DRG 481 | $42,406 | $14,953 | 284% | — | 18 |
| Hysterectomy, no CC/MCCMS-DRG 743 | $21,961 | $10,098 | 217% | — | 23 |
| Inguinal hernia repair, age 5+CPT 49505 | $8,857 | $3,739 | 237% | — | 26 |
| Kidney and urinary tract infections, no MCCMS-DRG 690 | $14,013 | $5,810 | 241% | — | 23 |
| Kidney function panelCPT 80069 | $520 | $9 | 5989% | ~$169 | 32 |
| Knee arthroscopy with meniscectomyCPT 29881 | $13,617 | $3,417 | 399% | — | 31 |
| Laparoscopic cholecystectomyCPT 47562 | $13,315 | $6,313 | 211% | — | 31 |
| Laparoscopic cholecystectomy, no CC/MCCMS-DRG 419 | $16,153 | $8,977 | 180% | — | 23 |
| Laparoscopic radical prostatectomyCPT 55866 | $15,556 | $11,101 | 140% | — | 25 |
| Left heart catheterization, diagnosticCPT 93452 | $9,822 | $3,385 | 290% | — | 24 |
| Lipid panelCPT 80061 | $151 | $13 | 1130% | ~$42 | 33 |
| Liver function panelCPT 80076 | $639 | $8 | 7827% | ~$213 | 32 |
| Lumbar epidural steroid injectionCPT 62323 | $5,111 | $737 | 693% | — | 25 |
| MRI brain with and without contrastCPT 70553 | $2,469 | $364 | 678% | ~$721 | 31 |
| MRI lower extremity joint (knee)CPT 73721 | $2,202 | $249 | 884% | ~$451 | 31 |
| MRI lumbar spine without contrastCPT 72148 | $2,202 | $249 | 884% | ~$504 | 31 |
| Major joint replacement (hip/knee), no MCCMS-DRG 470 | $44,212 | $12,757 | 347% | — | 23 |
| Major joint replacement (hip/knee), with MCCMS-DRG 469 | $44,350 | $22,346 | 198% | — | 23 |
| Major small and large bowel procedures, with CCMS-DRG 330 | $18,098 | $17,555 | 103% | — | 21 |
| Medical back problems, no MCCMS-DRG 552 | $10,334 | $6,855 | 151% | — | 14 |
| OB global care, VBAC deliveryCPT 59610 | $8,666 | — | — | — | 11 |
| OB global care, cesarean deliveryCPT 59510 | $8,666 | — | — | — | 11 |
| OB global care, vaginal deliveryCPT 59400 | $8,666 | — | — | — | 11 |
| OB ultrasound, 14+ weeksCPT 76805 | $399 | $109 | 366% | ~$86 | 26 |
| Obstetric blood test panelCPT 80055 | $65 | $48 | 136% | — | 10 |
| Office consultation, comprehensiveCPT 99244 | $206 | — | — | — | 3 |
| Office consultation, moderateCPT 99243 | $240 | — | — | — | 3 |
| Office visit, established patient, level 3CPT 99213 | $93 | — | — | $27 | 30 |
| Office visit, established patient, level 4CPT 99214 | $112 | — | — | $32 | 30 |
| Office visit, new patient, level 3CPT 99203 | $131 | — | — | $37 | 30 |
| Office visit, new patient, level 4CPT 99204 | $166 | — | — | $47 | 30 |
| Office visit, new patient, level 5CPT 99205 | $219 | — | — | $67 | 30 |
| PSA (prostate specific antigen), totalCPT 84153 | $30 | $18 | 162% | ~$8 | 32 |
| Partial thromboplastin timeCPT 85730 | $92 | $6 | 1527% | ~$26 | 33 |
| Physical therapy, therapeutic exerciseCPT 97110 | $295 | — | — | $96 | 34 |
| Preventive visit, new patient, 18-39CPT 99385 | $71 | — | — | — | 1 |
| Preventive visit, new patient, 40-64CPT 99386 | $86 | — | — | — | 1 |
| Prostate biopsyCPT 55700 | $4,995 | — | — | — | 6 |
| Prothrombin timeCPT 85610 | $88 | $4 | 2048% | ~$25 | 34 |
| Psychotherapy, 30 minutesCPT 90832 | $155 | $185 | 84% | — | 3 |
| Psychotherapy, 45 minutesCPT 90834 | $167 | $185 | 90% | — | 3 |
| Psychotherapy, 60 minutesCPT 90837 | $190 | $185 | 103% | — | 3 |
| Renal failure, with CCMS-DRG 683 | $14,013 | $6,496 | 216% | — | 23 |
| Screening mammography, bilateralCPT 77067 | $165 | — | — | ~$46 | 28 |
| Sepsis with MCCMS-DRG 871 | $25,241 | $13,565 | 186% | — | 25 |
| Shoulder arthroscopy, subacromial decompressionCPT 29826 | $9,785 | — | — | — | 24 |
| Simple pneumonia and pleurisy, with CCMS-DRG 194 | $14,013 | $5,646 | 248% | — | 23 |
| Sleep study (polysomnography)CPT 95810 | $3,126 | $897 | 349% | $1,027 | 38 |
| Stroke (hemorrhage/infarction), no CC/MCCMS-DRG 066 | $35,590 | $4,852 | 734% | — | 18 |
| Stroke (hemorrhage/infarction), with CC or tPAMS-DRG 065 | $35,590 | $7,040 | 506% | — | 18 |
| Thyroid stimulating hormone (TSH)CPT 84443 | $82 | $17 | 489% | ~$23 | 32 |
| Tonsillectomy and adenoidectomy, under age 12CPT 42820 | $8,696 | $6,182 | 141% | — | 22 |
| Transforaminal epidural, lumbar/sacralCPT 64483 | $3,299 | $924 | 357% | — | 17 |
| Ultrasound, abdomen, completeCPT 76700 | $1,754 | $109 | 1607% | ~$512 | 26 |
| Ultrasound, transvaginalCPT 76830 | $997 | $109 | 913% | ~$279 | 26 |
| Upper GI endoscopy with biopsyCPT 43239 | $4,739 | $947 | 500% | — | 25 |
| Upper GI endoscopy, diagnosticCPT 43235 | $4,739 | $947 | 500% | — | 25 |
| Urinalysis, automated, with microscopyCPT 81001 | $342 | $3 | 10792% | ~$109 | 33 |
| Urinalysis, automated, without microscopyCPT 81003 | $208 | $2 | 9231% | ~$68 | 32 |
| Urinalysis, manual, with microscopyCPT 81000 | $5 | $4 | 134% | — | 10 |
| Urinalysis, manual, without microscopyCPT 81002 | $5 | $3 | 134% | — | 10 |
| Vaginal delivery, no sterilization, no CC/MCCMS-DRG 807 | $13,949 | — | — | — | 26 |
| Vaginal delivery, no sterilization, with CCMS-DRG 806 | $13,740 | — | — | — | 26 |
| X-ray, lower back, 4+ viewsCPT 72110 | $2,106 | $109 | 1929% | ~$614 | 26 |
| YAG laser capsulotomy (secondary cataract)CPT 66821 | $4,010 | $574 | 698% | — | 25 |