| Acute myocardial infarction, discharged alive, with MCCMS-DRG 280 | $14,812 | $9,919 | 149% | — | 5 |
| Bariatric (obesity) surgery, no CC/MCCMS-DRG 621 | $13,928 | $8,272 | 168% | — | 5 |
| Basic metabolic panelCPT 80048 | $40 | $8 | 467% | ~$14 | 8 |
| COPD with MCCMS-DRG 190 | $10,228 | $6,367 | 161% | — | 5 |
| CT abdomen and pelvis with contrastCPT 74177 | $1,380 | $364 | 379% | ~$484 | 8 |
| CT head without contrastCPT 70450 | $1,516 | $109 | 1388% | ~$532 | 8 |
| CT pelvis with contrastCPT 72193 | $1,333 | $183 | 728% | ~$468 | 8 |
| Cardiac arrhythmia, no CC/MCCMS-DRG 310 | $5,227 | $2,658 | 197% | — | 5 |
| Cardiac stress testCPT 93017 | $912 | $225 | 404% | $320 | 8 |
| Cardiac valve surgery with cardiac cath, with MCCMS-DRG 216 | $90,332 | — | — | — | 5 |
| Cataract surgery with IOL insertionCPT 66984 | $1,316 | $2,410 | 55% | — | 1 |
| Cellulitis, no MCCMS-DRG 603 | $8,042 | $4,804 | 167% | — | 5 |
| Cervical spinal fusion, no CC/MCCMS-DRG 473 | $16,997 | $16,343 | 104% | — | 5 |
| Cesarean section, no CC/MCCMS-DRG 788 | $10,786 | — | — | — | 5 |
| Cesarean section, with CCMS-DRG 787 | $10,926 | — | — | — | 5 |
| Chest painMS-DRG 313 | $6,648 | $3,856 | 172% | — | 5 |
| Colonoscopy with biopsyCPT 45380 | $1,850 | $1,250 | 148% | $861 | 8 |
| Colonoscopy with endoscopic ultrasoundCPT 45391 | $1,865 | $1,250 | 149% | $916 | 8 |
| Colonoscopy with polyp removalCPT 45385 | $1,865 | $1,250 | 149% | $894 | 8 |
| Colonoscopy, diagnosticCPT 45378 | $1,865 | $971 | 192% | $921 | 8 |
| Complete blood count with differentialCPT 85025 | $28 | $8 | 363% | ~$10 | 8 |
| Complete blood count, automatedCPT 85027 | $20 | $6 | 314% | ~$7 | 8 |
| Comprehensive metabolic panelCPT 80053 | $53 | $11 | 501% | ~$19 | 8 |
| Coronary bypass without cardiac cath, no MCCMS-DRG 236 | $38,678 | $26,337 | 147% | — | 5 |
| Diagnostic mammography, both breastsCPT 77066 | $507 | — | — | ~$178 | 8 |
| Diagnostic mammography, one breastCPT 77065 | $253 | — | — | ~$89 | 8 |
| ED visit, level 3CPT 99283 | $1,767 | $285 | 620% | $619 | 7 |
| ED visit, level 4CPT 99284 | $2,235 | $436 | 513% | $783 | 7 |
| ED visit, level 5CPT 99285 | $2,646 | $622 | 425% | $927 | 7 |
| Echocardiogram, completeCPT 93306 | $1,614 | $571 | 283% | $567 | 8 |
| Electrocardiogram with interpretationCPT 93000 | $20 | — | — | — | 1 |
| Epidural injection, lumbar/sacral, no imagingCPT 62322 | $1,326 | $924 | 144% | $549 | 8 |
| Esophagitis/GI disorders, no MCCMS-DRG 392 | $7,822 | $4,224 | 185% | — | 5 |
| Excision of breast lesionCPT 19120 | $1,026 | $4,089 | 25% | — | 1 |
| Family psychotherapy, with patientCPT 90847 | $380 | $185 | 205% | $133 | 8 |
| Family psychotherapy, without patientCPT 90846 | $274 | $185 | 148% | $96 | 8 |
| Group psychotherapyCPT 90853 | $241 | $106 | 227% | $85 | 8 |
| Heart failure and shock, with CCMS-DRG 292 | $7,839 | $4,769 | 164% | — | 5 |
| Heart failure with MCCMS-DRG 291 | $11,854 | $7,587 | 156% | — | 5 |
| Hip and femur procedures except major joint, with CCMS-DRG 481 | $19,340 | $12,470 | 155% | — | 5 |
| Hysterectomy, no CC/MCCMS-DRG 743 | $11,456 | $10,098 | 113% | — | 5 |
| Inguinal hernia repair, age 5+CPT 49505 | $2,719 | $3,739 | 73% | — | 2 |
| Kidney and urinary tract infections, no MCCMS-DRG 690 | $7,475 | $4,349 | 172% | — | 5 |
| Kidney function panelCPT 80069 | $31 | $9 | 361% | ~$11 | 8 |
| Knee arthroscopy with meniscectomyCPT 29881 | $3,393 | $3,417 | 99% | — | 3 |
| Laparoscopic cholecystectomyCPT 47562 | $5,090 | $6,313 | 81% | — | 3 |
| Laparoscopic cholecystectomy, no CC/MCCMS-DRG 419 | $12,611 | $8,977 | 140% | — | 5 |
| Laparoscopic radical prostatectomyCPT 55866 | $3,394 | $11,101 | 31% | — | 1 |
| Left heart catheterization, diagnosticCPT 93452 | $6,799 | $3,385 | 201% | $2,388 | 8 |
| Lipid panelCPT 80061 | $41 | $13 | 304% | ~$14 | 8 |
| Liver function panelCPT 80076 | $26 | $8 | 313% | ~$9 | 8 |
| Lumbar epidural steroid injectionCPT 62323 | $1,317 | $737 | 179% | $409 | 8 |
| MRI brain with and without contrastCPT 70553 | $1,740 | $364 | 478% | ~$611 | 8 |
| MRI lower extremity joint (knee)CPT 73721 | $1,670 | $249 | 670% | ~$586 | 8 |
| MRI lumbar spine without contrastCPT 72148 | $1,697 | $249 | 681% | ~$596 | 8 |
| Major joint replacement (hip/knee), no MCCMS-DRG 470 | $21,572 | $11,309 | 191% | — | 5 |
| Major joint replacement (hip/knee), with MCCMS-DRG 469 | $28,008 | $22,346 | 125% | — | 5 |
| Major small and large bowel procedures, with CCMS-DRG 330 | $22,135 | $14,746 | 150% | — | 5 |
| Medical back problems, no MCCMS-DRG 552 | $8,876 | $5,436 | 163% | — | 5 |
| OB global care, VBAC deliveryCPT 59610 | $1,661 | — | — | — | 1 |
| OB global care, cesarean deliveryCPT 59510 | $1,995 | — | — | — | 1 |
| OB global care, vaginal deliveryCPT 59400 | $1,661 | — | — | — | 1 |
| OB ultrasound, 14+ weeksCPT 76805 | $493 | $109 | 452% | ~$173 | 8 |
| Obstetric blood test panelCPT 80055 | $200 | $48 | 419% | ~$70 | 8 |
| Office visit, established patient, level 3CPT 99213 | $248 | — | — | $87 | 7 |
| Office visit, established patient, level 4CPT 99214 | $195 | — | — | $68 | 7 |
| Office visit, new patient, level 3CPT 99203 | $195 | — | — | $68 | 7 |
| Office visit, new patient, level 4CPT 99204 | $215 | — | — | $75 | 7 |
| Office visit, new patient, level 5CPT 99205 | $291 | — | — | $102 | 7 |
| PSA (prostate specific antigen), totalCPT 84153 | $55 | $18 | 297% | ~$19 | 8 |
| Partial thromboplastin timeCPT 85730 | $19 | $6 | 319% | ~$7 | 8 |
| Physical therapy, therapeutic exerciseCPT 97110 | $100 | — | — | $35 | 8 |
| Prostate biopsyCPT 55700 | $1,865 | — | — | $1,609 | 8 |
| Prothrombin timeCPT 85610 | $15 | $4 | 339% | ~$5 | 8 |
| Psychotherapy, 30 minutesCPT 90832 | $257 | $185 | 139% | $90 | 8 |
| Psychotherapy, 45 minutesCPT 90834 | $315 | $185 | 170% | $110 | 8 |
| Psychotherapy, 60 minutesCPT 90837 | $322 | $185 | 173% | $113 | 8 |
| Renal failure, with CCMS-DRG 683 | $8,087 | $5,221 | 155% | — | 5 |
| Screening mammography, bilateralCPT 77067 | $501 | — | — | ~$176 | 8 |
| Sepsis with MCCMS-DRG 871 | $17,937 | $11,612 | 154% | — | 5 |
| Shoulder arthroscopy, subacromial decompressionCPT 29826 | $3,393 | — | — | — | 3 |
| Simple pneumonia and pleurisy, with CCMS-DRG 194 | $7,441 | $4,227 | 176% | — | 5 |
| Sleep study (polysomnography)CPT 95810 | $3,321 | $897 | 370% | $1,166 | 8 |
| Stroke (hemorrhage/infarction), no CC/MCCMS-DRG 066 | $6,320 | $3,679 | 172% | — | 5 |
| Stroke (hemorrhage/infarction), with CC or tPAMS-DRG 065 | $9,329 | $5,509 | 169% | — | 5 |
| Thyroid stimulating hormone (TSH)CPT 84443 | $50 | $17 | 297% | ~$18 | 8 |
| Tonsillectomy and adenoidectomy, under age 12CPT 42820 | $1,530 | $6,182 | 25% | — | 1 |
| Transforaminal epidural, lumbar/sacralCPT 64483 | $1,564 | $924 | 169% | $549 | 8 |
| Ultrasound, abdomen, completeCPT 76700 | $598 | $109 | 548% | ~$210 | 8 |
| Ultrasound, transvaginalCPT 76830 | $598 | $109 | 548% | ~$210 | 8 |
| Upper GI endoscopy with biopsyCPT 43239 | $1,832 | $947 | 193% | $845 | 8 |
| Upper GI endoscopy, diagnosticCPT 43235 | $1,388 | $947 | 147% | $846 | 8 |
| Urinalysis, automated, with microscopyCPT 81001 | $10 | $3 | 312% | ~$3 | 8 |
| Urinalysis, automated, without microscopyCPT 81003 | $8 | $2 | 336% | ~$3 | 8 |
| Urinalysis, manual, with microscopyCPT 81000 | $16 | $4 | 390% | ~$6 | 8 |
| Urinalysis, manual, without microscopyCPT 81002 | $12 | $3 | 342% | ~$4 | 8 |
| Vaginal delivery, no sterilization, no CC/MCCMS-DRG 807 | $6,679 | — | — | — | 5 |
| Vaginal delivery, no sterilization, with CCMS-DRG 806 | $6,679 | — | — | — | 5 |
| X-ray, lower back, 4+ viewsCPT 72110 | $173 | $109 | 158% | ~$61 | 8 |
| YAG laser capsulotomy (secondary cataract)CPT 66821 | $439 | $574 | 76% | — | 1 |