| Acute myocardial infarction, discharged alive, with MCCMS-DRG 280 | $17,461 | $10,162 | 172% | — | 16 |
| Bariatric (obesity) surgery, no CC/MCCMS-DRG 621 | $19,364 | $8,272 | 234% | — | 16 |
| Basic metabolic panelCPT 80048 | $66 | $8 | 779% | ~$39 | 14 |
| COPD with MCCMS-DRG 190 | $12,057 | $6,802 | 177% | — | 16 |
| CT abdomen and pelvis with contrastCPT 74177 | $839 | $364 | 230% | ~$782 | 21 |
| CT head without contrastCPT 70450 | $482 | $109 | 442% | ~$233 | 21 |
| CT pelvis with contrastCPT 72193 | $524 | $183 | 286% | ~$390 | 21 |
| Cardiac arrhythmia, no CC/MCCMS-DRG 310 | $6,162 | $2,635 | 234% | — | 16 |
| Cardiac stress testCPT 93017 | $1,231 | $225 | 546% | $569 | 24 |
| Cardiac valve surgery with cardiac cath, with MCCMS-DRG 216 | $104,417 | — | — | — | 16 |
| Cataract surgery with IOL insertionCPT 66984 | $4,029 | $2,410 | 167% | — | 3 |
| Cellulitis, no MCCMS-DRG 603 | $9,480 | $4,927 | 192% | — | 16 |
| Cervical spinal fusion, no CC/MCCMS-DRG 473 | $26,694 | $16,343 | 163% | — | 16 |
| Cesarean section, no CC/MCCMS-DRG 788 | $9,962 | — | — | — | 16 |
| Cesarean section, with CCMS-DRG 787 | $11,440 | — | — | — | 16 |
| Chest painMS-DRG 313 | $7,837 | — | — | — | 16 |
| Colonoscopy with biopsyCPT 45380 | $3,314 | $1,250 | 265% | — | 8 |
| Colonoscopy with endoscopic ultrasoundCPT 45391 | $2,083 | $1,250 | 167% | — | 3 |
| Colonoscopy with polyp removalCPT 45385 | $2,728 | $1,250 | 218% | — | 9 |
| Colonoscopy, diagnosticCPT 45378 | $3,277 | $971 | 337% | $1,332 | 24 |
| Complete blood count with differentialCPT 85025 | $66 | $8 | 848% | ~$39 | 14 |
| Complete blood count, automatedCPT 85027 | $62 | $6 | 953% | ~$37 | 14 |
| Comprehensive metabolic panelCPT 80053 | $131 | $11 | 1240% | ~$78 | 14 |
| Coronary bypass without cardiac cath, no MCCMS-DRG 236 | $45,595 | $29,950 | 152% | — | 16 |
| Diagnostic mammography, both breastsCPT 77066 | $243 | — | — | ~$224 | 21 |
| Diagnostic mammography, one breastCPT 77065 | $191 | — | — | ~$179 | 21 |
| ED visit, level 3CPT 99283 | $1,151 | $285 | 404% | $607 | 23 |
| ED visit, level 4CPT 99284 | $1,308 | $436 | 300% | $933 | 23 |
| ED visit, level 5CPT 99285 | $1,682 | $622 | 270% | $1,343 | 23 |
| Echocardiogram, completeCPT 93306 | $1,474 | $571 | 258% | $1,001 | 24 |
| Electrocardiogram with interpretationCPT 93000 | $17 | — | — | — | 1 |
| Epidural injection, lumbar/sacral, no imagingCPT 62322 | $3,899 | $924 | 422% | $1,950 | 24 |
| Esophagitis/GI disorders, no MCCMS-DRG 392 | $8,486 | $4,520 | 188% | — | 16 |
| Excision of breast lesionCPT 19120 | $6,650 | $4,089 | 163% | — | 4 |
| Family psychotherapy, with patientCPT 90847 | $302 | $185 | 163% | $153 | 15 |
| Family psychotherapy, without patientCPT 90846 | $302 | $185 | 163% | $153 | 15 |
| Group psychotherapyCPT 90853 | $174 | $106 | 164% | $88 | 15 |
| Heart failure and shock, with CCMS-DRG 292 | $9,241 | $5,927 | 156% | — | 16 |
| Heart failure with MCCMS-DRG 291 | $13,974 | $8,067 | 173% | — | 16 |
| Hip and femur procedures except major joint, with CCMS-DRG 481 | $22,799 | $12,112 | 188% | — | 16 |
| Hysterectomy, no CC/MCCMS-DRG 743 | $12,950 | $10,098 | 128% | — | 16 |
| Inguinal hernia repair, age 5+CPT 49505 | $8,216 | $3,739 | 220% | $5,154 | 18 |
| Kidney and urinary tract infections, no MCCMS-DRG 690 | $8,811 | $4,585 | 192% | — | 16 |
| Kidney function panelCPT 80069 | $62 | $9 | 710% | ~$37 | 14 |
| Knee arthroscopy with meniscectomyCPT 29881 | $5,732 | $3,417 | 168% | — | 3 |
| Laparoscopic cholecystectomyCPT 47562 | $13,057 | $6,313 | 207% | $8,521 | 18 |
| Laparoscopic cholecystectomy, no CC/MCCMS-DRG 419 | $14,867 | $8,977 | 166% | — | 16 |
| Laparoscopic radical prostatectomyCPT 55866 | $18,393 | $11,101 | 166% | — | 3 |
| Left heart catheterization, diagnosticCPT 93452 | $7,970 | $3,385 | 235% | $5,872 | 24 |
| Lipid panelCPT 80061 | $76 | $13 | 569% | ~$45 | 14 |
| Liver function panelCPT 80076 | $62 | $8 | 754% | ~$37 | 14 |
| Lumbar epidural steroid injectionCPT 62323 | $3,373 | $737 | 458% | $1,517 | 24 |
| MRI brain with and without contrastCPT 70553 | $955 | $364 | 262% | ~$782 | 21 |
| MRI lower extremity joint (knee)CPT 73721 | $697 | $249 | 280% | ~$530 | 21 |
| MRI lumbar spine without contrastCPT 72148 | $697 | $249 | 280% | ~$530 | 21 |
| Major joint replacement (hip/knee), no MCCMS-DRG 470 | $26,482 | $11,800 | 224% | — | 16 |
| Major joint replacement (hip/knee), with MCCMS-DRG 469 | $41,525 | $22,346 | 186% | — | 16 |
| Major small and large bowel procedures, with CCMS-DRG 330 | $25,723 | $13,992 | 184% | — | 16 |
| Medical back problems, no MCCMS-DRG 552 | $10,464 | $5,593 | 187% | — | 16 |
| OB global care, VBAC deliveryCPT 59610 | $1,520 | — | — | — | 1 |
| OB global care, cesarean deliveryCPT 59510 | $1,681 | — | — | — | 1 |
| OB global care, vaginal deliveryCPT 59400 | $1,520 | — | — | — | 1 |
| OB ultrasound, 14+ weeksCPT 76805 | $317 | $109 | 290% | ~$233 | 21 |
| Obstetric blood test panelCPT 80055 | $107 | $48 | 224% | — | 3 |
| Office visit, established patient, level 3CPT 99213 | $118 | — | — | $48 | 14 |
| Office visit, established patient, level 4CPT 99214 | $146 | — | — | $59 | 14 |
| Office visit, new patient, level 3CPT 99203 | $109 | — | — | $44 | 14 |
| Office visit, new patient, level 4CPT 99204 | $142 | — | — | $55 | 14 |
| Office visit, new patient, level 5CPT 99205 | $167 | — | — | $75 | 14 |
| PSA (prostate specific antigen), totalCPT 84153 | $48 | $18 | 264% | ~$27 | 14 |
| Partial thromboplastin timeCPT 85730 | $41 | $6 | 677% | ~$24 | 14 |
| Physical therapy, therapeutic exerciseCPT 97110 | $211 | — | — | $82 | 24 |
| Preventive visit, new patient, 18-39CPT 99385 | $150 | — | — | $58 | 13 |
| Preventive visit, new patient, 40-64CPT 99386 | $159 | — | — | $81 | 13 |
| Prostate biopsyCPT 55700 | $4,115 | — | — | — | 7 |
| Prothrombin timeCPT 85610 | $46 | $4 | 1068% | ~$27 | 14 |
| Psychotherapy, 30 minutesCPT 90832 | $302 | $185 | 163% | $153 | 15 |
| Psychotherapy, 45 minutesCPT 90834 | $302 | $185 | 163% | $153 | 15 |
| Psychotherapy, 60 minutesCPT 90837 | $302 | $185 | 163% | $153 | 15 |
| Renal failure, with CCMS-DRG 683 | $9,533 | $5,228 | 182% | — | 16 |
| Screening mammography, bilateralCPT 77067 | $201 | — | — | ~$193 | 21 |
| Sepsis with MCCMS-DRG 871 | $21,144 | $12,263 | 172% | — | 16 |
| Shoulder arthroscopy, subacromial decompressionCPT 29826 | $1,380 | — | — | — | 1 |
| Simple pneumonia and pleurisy, with CCMS-DRG 194 | $8,772 | $4,597 | 191% | — | 16 |
| Sleep study (polysomnography)CPT 95810 | $2,497 | $897 | 278% | $2,229 | 24 |
| Stroke (hemorrhage/infarction), no CC/MCCMS-DRG 066 | $7,450 | $3,812 | 195% | — | 16 |
| Stroke (hemorrhage/infarction), with CC or tPAMS-DRG 065 | $10,997 | $5,777 | 190% | — | 16 |
| Thyroid stimulating hormone (TSH)CPT 84443 | $61 | $17 | 363% | ~$36 | 14 |
| Tonsillectomy and adenoidectomy, under age 12CPT 42820 | $10,451 | $6,182 | 169% | — | 3 |
| Transforaminal epidural, lumbar/sacralCPT 64483 | $3,869 | $924 | 419% | $1,950 | 24 |
| Ultrasound, abdomen, completeCPT 76700 | $317 | $109 | 290% | ~$233 | 21 |
| Ultrasound, transvaginalCPT 76830 | $317 | $109 | 290% | ~$233 | 21 |
| Upper GI endoscopy with biopsyCPT 43239 | $2,758 | $947 | 291% | — | 10 |
| Upper GI endoscopy, diagnosticCPT 43235 | $3,147 | $947 | 332% | $1,369 | 24 |
| Urinalysis, automated, with microscopyCPT 81001 | $24 | $3 | 756% | ~$14 | 14 |
| Urinalysis, automated, without microscopyCPT 81003 | $24 | $2 | 1065% | ~$14 | 14 |
| Urinalysis, manual, with microscopyCPT 81000 | $11 | $4 | 279% | ~$7 | 14 |
| Urinalysis, manual, without microscopyCPT 81002 | $16 | $3 | 467% | ~$10 | 14 |
| Vaginal delivery, no sterilization, no CC/MCCMS-DRG 807 | $7,432 | — | — | — | 16 |
| Vaginal delivery, no sterilization, with CCMS-DRG 806 | $7,951 | — | — | — | 16 |
| X-ray, lower back, 4+ viewsCPT 72110 | $265 | $109 | 243% | ~$233 | 21 |
| YAG laser capsulotomy (secondary cataract)CPT 66821 | $969 | $574 | 169% | — | 3 |