| Acute myocardial infarction, discharged alive, with MCCMS-DRG 280 | $13,309 | $10,626 | 125% | — | 21 |
| Bariatric (obesity) surgery, no CC/MCCMS-DRG 621 | $11,980 | $8,272 | 145% | — | 21 |
| Basic metabolic panelCPT 80048 | $9 | $8 | 105% | ~$2 | 42 |
| COPD with MCCMS-DRG 190 | $9,472 | $7,259 | 130% | — | 21 |
| CT abdomen and pelvis with contrastCPT 74177 | $1,046 | $364 | 287% | ~$2,156 | 42 |
| CT head without contrastCPT 70450 | $974 | $109 | 892% | ~$715 | 42 |
| CT pelvis with contrastCPT 72193 | $980 | $183 | 535% | ~$939 | 42 |
| Cardiac arrhythmia, no CC/MCCMS-DRG 310 | $5,301 | $3,679 | 144% | — | 21 |
| Cardiac stress testCPT 93017 | $1,180 | $225 | 523% | $770 | 42 |
| Cardiac valve surgery with cardiac cath, with MCCMS-DRG 216 | $72,595 | — | — | — | 22 |
| Cataract surgery with IOL insertionCPT 66984 | $1,810 | $2,410 | 75% | — | 18 |
| Cellulitis, no MCCMS-DRG 603 | $7,680 | $5,665 | 136% | — | 21 |
| Cervical spinal fusion, no CC/MCCMS-DRG 473 | $18,683 | $16,343 | 114% | — | 21 |
| Cesarean section, no CC/MCCMS-DRG 788 | $7,857 | — | — | — | 22 |
| Cesarean section, with CCMS-DRG 787 | $8,667 | — | — | — | 22 |
| Chest painMS-DRG 313 | $6,441 | $4,676 | 138% | — | 21 |
| Colonoscopy with biopsyCPT 45380 | $976 | $1,250 | 78% | — | 18 |
| Colonoscopy with endoscopic ultrasoundCPT 45391 | $976 | $1,250 | 78% | — | 18 |
| Colonoscopy with polyp removalCPT 45385 | $1,184 | $1,250 | 95% | — | 19 |
| Colonoscopy, diagnosticCPT 45378 | $842 | $971 | 87% | — | 18 |
| Complete blood count with differentialCPT 85025 | $31 | $8 | 397% | ~$12 | 42 |
| Complete blood count, automatedCPT 85027 | $65 | $6 | 1010% | ~$30 | 42 |
| Comprehensive metabolic panelCPT 80053 | $52 | $11 | 495% | ~$21 | 42 |
| Coronary bypass without cardiac cath, no MCCMS-DRG 236 | $31,676 | $25,050 | 126% | — | 22 |
| Diagnostic mammography, both breastsCPT 77066 | $268 | — | — | ~$164 | 42 |
| Diagnostic mammography, one breastCPT 77065 | $233 | — | — | ~$106 | 42 |
| ED visit, level 3CPT 99283 | $1,110 | $285 | 389% | $570 | 33 |
| ED visit, level 4CPT 99284 | $1,898 | $436 | 436% | $847 | 33 |
| ED visit, level 5CPT 99285 | $1,898 | $622 | 305% | $970 | 33 |
| Echocardiogram, completeCPT 93306 | $1,269 | $571 | 222% | $1,232 | 41 |
| Electrocardiogram with interpretationCPT 93000 | $18 | — | — | — | 10 |
| Epidural injection, lumbar/sacral, no imagingCPT 62322 | $741 | $924 | 80% | — | 18 |
| Esophagitis/GI disorders, no MCCMS-DRG 392 | $6,936 | $5,426 | 128% | — | 21 |
| Excision of breast lesionCPT 19120 | $2,571 | $4,089 | 63% | $556 | 41 |
| Family psychotherapy, with patientCPT 90847 | $140 | $185 | 76% | — | 18 |
| Family psychotherapy, without patientCPT 90846 | $140 | $185 | 76% | — | 18 |
| Group psychotherapyCPT 90853 | $150 | $106 | 142% | — | 18 |
| Heart failure and shock, with CCMS-DRG 292 | $7,535 | $5,391 | 140% | — | 21 |
| Heart failure with MCCMS-DRG 291 | $10,818 | $8,882 | 122% | — | 21 |
| Hip and femur procedures except major joint, with CCMS-DRG 481 | $16,518 | $14,082 | 117% | — | 21 |
| Hysterectomy, no CC/MCCMS-DRG 743 | $10,033 | $10,098 | 99% | — | 21 |
| Inguinal hernia repair, age 5+CPT 49505 | $3,542 | $3,739 | 95% | — | 19 |
| Kidney and urinary tract infections, no MCCMS-DRG 690 | $7,101 | $5,549 | 128% | — | 21 |
| Kidney function panelCPT 80069 | $130 | $9 | 1500% | ~$52 | 42 |
| Knee arthroscopy with meniscectomyCPT 29881 | $3,257 | $3,417 | 95% | — | 19 |
| Laparoscopic cholecystectomyCPT 47562 | $4,329 | $6,313 | 69% | — | 18 |
| Laparoscopic cholecystectomy, no CC/MCCMS-DRG 419 | $10,913 | $8,977 | 122% | — | 21 |
| Laparoscopic radical prostatectomyCPT 55866 | $6,967 | $11,101 | 63% | — | 18 |
| Left heart catheterization, diagnosticCPT 93452 | $6,893 | $3,385 | 204% | $3,539 | 41 |
| Lipid panelCPT 80061 | $14 | $13 | 101% | ~$3 | 42 |
| Liver function panelCPT 80076 | $46 | $8 | 569% | ~$18 | 42 |
| Lumbar epidural steroid injectionCPT 62323 | $641 | $737 | 87% | — | 18 |
| MRI brain with and without contrastCPT 70553 | $1,345 | $364 | 369% | ~$884 | 42 |
| MRI lower extremity joint (knee)CPT 73721 | $1,345 | $249 | 540% | ~$817 | 42 |
| MRI lumbar spine without contrastCPT 72148 | $1,345 | $249 | 540% | ~$942 | 42 |
| Major joint replacement (hip/knee), no MCCMS-DRG 470 | $15,116 | $12,705 | 119% | — | 21 |
| Major joint replacement (hip/knee), with MCCMS-DRG 469 | $25,354 | $22,346 | 113% | — | 21 |
| Major small and large bowel procedures, with CCMS-DRG 330 | $18,656 | $15,227 | 123% | — | 21 |
| Medical back problems, no MCCMS-DRG 552 | $8,294 | $6,645 | 125% | — | 21 |
| OB global care, VBAC deliveryCPT 59610 | $1,616 | — | — | — | 9 |
| OB global care, cesarean deliveryCPT 59510 | $1,787 | — | — | — | 9 |
| OB global care, vaginal deliveryCPT 59400 | $1,616 | — | — | — | 9 |
| OB ultrasound, 14+ weeksCPT 76805 | $92 | $109 | 85% | ~$19 | 42 |
| Obstetric blood test panelCPT 80055 | $199 | $48 | 416% | ~$88 | 42 |
| Office visit, established patient, level 3CPT 99213 | $146 | — | — | $45 | 25 |
| Office visit, established patient, level 4CPT 99214 | $174 | — | — | $54 | 25 |
| Office visit, new patient, level 3CPT 99203 | $148 | — | — | $46 | 25 |
| Office visit, new patient, level 4CPT 99204 | $238 | — | — | $77 | 25 |
| Office visit, new patient, level 5CPT 99205 | $403 | — | — | $131 | 25 |
| PSA (prostate specific antigen), totalCPT 84153 | $39 | $18 | 214% | ~$16 | 42 |
| Partial thromboplastin timeCPT 85730 | $20 | $6 | 330% | ~$8 | 42 |
| Physical therapy, therapeutic exerciseCPT 97110 | $88 | — | — | $28 | 42 |
| Prostate biopsyCPT 55700 | $1,404 | — | — | $303 | 41 |
| Prothrombin timeCPT 85610 | $5 | $4 | 114% | ~$2 | 42 |
| Psychotherapy, 30 minutesCPT 90832 | $131 | $185 | 70% | — | 18 |
| Psychotherapy, 45 minutesCPT 90834 | $137 | $185 | 74% | — | 18 |
| Psychotherapy, 60 minutesCPT 90837 | $137 | $185 | 74% | — | 18 |
| Renal failure, with CCMS-DRG 683 | $7,740 | $6,102 | 127% | — | 21 |
| Screening mammography, bilateralCPT 77067 | $236 | — | — | ~$111 | 42 |
| Sepsis with MCCMS-DRG 871 | $15,683 | $13,172 | 119% | — | 21 |
| Shoulder arthroscopy, subacromial decompressionCPT 29826 | $1,463 | — | — | — | 10 |
| Simple pneumonia and pleurisy, with CCMS-DRG 194 | $7,230 | $5,401 | 134% | — | 21 |
| Sleep study (polysomnography)CPT 95810 | $1,021 | $897 | 114% | — | 19 |
| Stroke (hemorrhage/infarction), no CC/MCCMS-DRG 066 | $6,255 | $4,563 | 137% | — | 21 |
| Stroke (hemorrhage/infarction), with CC or tPAMS-DRG 065 | $8,687 | $6,418 | 135% | — | 21 |
| Thyroid stimulating hormone (TSH)CPT 84443 | $21 | $17 | 125% | ~$7 | 42 |
| Tonsillectomy and adenoidectomy, under age 12CPT 42820 | $3,800 | $6,182 | 61% | — | 18 |
| Transforaminal epidural, lumbar/sacralCPT 64483 | $894 | $924 | 97% | — | 19 |
| Ultrasound, abdomen, completeCPT 76700 | $408 | $109 | 374% | ~$655 | 42 |
| Ultrasound, transvaginalCPT 76830 | $312 | $109 | 286% | ~$153 | 42 |
| Upper GI endoscopy with biopsyCPT 43239 | $941 | $947 | 99% | — | 19 |
| Upper GI endoscopy, diagnosticCPT 43235 | $857 | $947 | 91% | — | 18 |
| Urinalysis, automated, with microscopyCPT 81001 | $3 | $3 | 102% | ~$1 | 42 |
| Urinalysis, automated, without microscopyCPT 81003 | $2 | $2 | 108% | ~$1 | 42 |
| Urinalysis, manual, with microscopyCPT 81000 | $5 | $4 | 121% | ~$2 | 42 |
| Urinalysis, manual, without microscopyCPT 81002 | $3 | $3 | 100% | ~$1 | 42 |
| Vaginal delivery, no sterilization, no CC/MCCMS-DRG 807 | $5,552 | — | — | — | 21 |
| Vaginal delivery, no sterilization, with CCMS-DRG 806 | $5,667 | — | — | — | 21 |
| X-ray, lower back, 4+ viewsCPT 72110 | $320 | $109 | 293% | ~$342 | 42 |
| YAG laser capsulotomy (secondary cataract)CPT 66821 | $497 | $574 | 87% | — | 18 |