| Acute myocardial infarction, discharged alive, with MCCMS-DRG 280 | $20,352 | $14,454 | 141% | — | 18 |
| Bariatric (obesity) surgery, no CC/MCCMS-DRG 621 | $19,004 | $8,272 | 230% | — | 18 |
| Basic metabolic panelCPT 80048 | $22 | $8 | 263% | ~$16 | 25 |
| COPD with MCCMS-DRG 190 | $14,485 | $9,499 | 152% | — | 18 |
| CT abdomen and pelvis with contrastCPT 74177 | $941 | $364 | 258% | ~$563 | 25 |
| CT head without contrastCPT 70450 | $946 | $109 | 866% | ~$618 | 25 |
| CT pelvis with contrastCPT 72193 | $941 | $183 | 514% | ~$544 | 25 |
| Cardiac arrhythmia, no CC/MCCMS-DRG 310 | $7,574 | $4,598 | 165% | — | 18 |
| Cardiac stress testCPT 93017 | $881 | $225 | 391% | $372 | 25 |
| Cardiac valve surgery with cardiac cath, with MCCMS-DRG 216 | $115,345 | $94,278 | 122% | — | 18 |
| Cataract surgery with IOL insertionCPT 66984 | $3,398 | $2,410 | 141% | — | 14 |
| Cellulitis, no MCCMS-DRG 603 | $11,458 | $7,715 | 149% | — | 18 |
| Cervical spinal fusion, no CC/MCCMS-DRG 473 | $31,721 | $16,343 | 194% | — | 18 |
| Cesarean section, no CC/MCCMS-DRG 788 | $14,213 | — | — | — | 18 |
| Cesarean section, with CCMS-DRG 787 | $14,936 | — | — | — | 18 |
| Chest painMS-DRG 313 | $9,472 | $5,981 | 158% | — | 18 |
| Colonoscopy with biopsyCPT 45380 | $2,110 | $1,250 | 169% | $1,000 | 25 |
| Colonoscopy with endoscopic ultrasoundCPT 45391 | $2,130 | $1,250 | 170% | $1,064 | 25 |
| Colonoscopy with polyp removalCPT 45385 | $2,130 | $1,250 | 170% | $1,039 | 25 |
| Colonoscopy, diagnosticCPT 45378 | $1,987 | $971 | 205% | $1,070 | 25 |
| Complete blood count with differentialCPT 85025 | $20 | $8 | 261% | ~$15 | 25 |
| Complete blood count, automatedCPT 85027 | $15 | $6 | 237% | ~$11 | 25 |
| Comprehensive metabolic panelCPT 80053 | $57 | $11 | 538% | ~$41 | 25 |
| Coronary bypass without cardiac cath, no MCCMS-DRG 236 | $50,298 | $29,950 | 168% | — | 18 |
| Diagnostic mammography, both breastsCPT 77066 | $436 | — | — | ~$207 | 21 |
| Diagnostic mammography, one breastCPT 77065 | $245 | — | — | ~$103 | 21 |
| ED visit, level 3CPT 99283 | $1,335 | $285 | 468% | $719 | 25 |
| ED visit, level 4CPT 99284 | $1,688 | $436 | 387% | $909 | 25 |
| ED visit, level 5CPT 99285 | $1,770 | $622 | 285% | $1,076 | 25 |
| Echocardiogram, completeCPT 93306 | $1,223 | $571 | 214% | $659 | 25 |
| Electrocardiogram with interpretationCPT 93000 | $19 | — | — | — | 1 |
| Epidural injection, lumbar/sacral, no imagingCPT 62322 | $1,609 | $924 | 174% | $638 | 25 |
| Esophagitis/GI disorders, no MCCMS-DRG 392 | $11,171 | $6,912 | 162% | — | 18 |
| Excision of breast lesionCPT 19120 | $4,805 | $4,089 | 118% | — | 10 |
| Family psychotherapy, with patientCPT 90847 | $327 | $185 | 176% | $155 | 25 |
| Family psychotherapy, without patientCPT 90846 | $252 | $185 | 136% | $112 | 25 |
| Group psychotherapyCPT 90853 | $208 | $106 | 196% | $98 | 25 |
| Heart failure and shock, with CCMS-DRG 292 | $11,169 | $8,417 | 133% | — | 18 |
| Heart failure with MCCMS-DRG 291 | $16,288 | $11,332 | 144% | — | 18 |
| Hip and femur procedures except major joint, with CCMS-DRG 481 | $28,784 | $18,429 | 156% | — | 18 |
| Hysterectomy, no CC/MCCMS-DRG 743 | $19,002 | $10,098 | 188% | — | 18 |
| Inguinal hernia repair, age 5+CPT 49505 | $4,720 | $3,739 | 126% | — | 12 |
| Kidney and urinary tract infections, no MCCMS-DRG 690 | $10,650 | $7,210 | 148% | — | 18 |
| Kidney function panelCPT 80069 | $30 | $9 | 350% | ~$22 | 25 |
| Knee arthroscopy with meniscectomyCPT 29881 | $4,629 | $3,417 | 135% | — | 14 |
| Laparoscopic cholecystectomyCPT 47562 | $6,958 | $6,313 | 110% | — | 14 |
| Laparoscopic cholecystectomy, no CC/MCCMS-DRG 419 | $17,267 | $8,977 | 192% | — | 18 |
| Laparoscopic radical prostatectomyCPT 55866 | $10,973 | $11,101 | 99% | — | 12 |
| Left heart catheterization, diagnosticCPT 93452 | $6,573 | $3,385 | 194% | $2,774 | 25 |
| Lipid panelCPT 80061 | $26 | $13 | 194% | ~$19 | 25 |
| Liver function panelCPT 80076 | $19 | $8 | 232% | ~$14 | 25 |
| Lumbar epidural steroid injectionCPT 62323 | $1,251 | $737 | 170% | $475 | 25 |
| MRI brain with and without contrastCPT 70553 | $1,312 | $364 | 360% | ~$710 | 25 |
| MRI lower extremity joint (knee)CPT 73721 | $1,265 | $249 | 508% | ~$681 | 25 |
| MRI lumbar spine without contrastCPT 72148 | $1,285 | $249 | 516% | ~$692 | 25 |
| Major joint replacement (hip/knee), no MCCMS-DRG 470 | $28,152 | $15,375 | 183% | — | 18 |
| Major joint replacement (hip/knee), with MCCMS-DRG 469 | $38,484 | $22,346 | 172% | — | 18 |
| Major small and large bowel procedures, with CCMS-DRG 330 | $29,766 | $19,425 | 153% | — | 18 |
| Medical back problems, no MCCMS-DRG 552 | $12,647 | $8,321 | 152% | — | 18 |
| OB global care, VBAC deliveryCPT 59610 | $1,770 | — | — | — | 1 |
| OB global care, cesarean deliveryCPT 59510 | $1,957 | — | — | — | 1 |
| OB global care, vaginal deliveryCPT 59400 | $1,770 | — | — | — | 1 |
| OB ultrasound, 14+ weeksCPT 76805 | $374 | $109 | 342% | ~$201 | 25 |
| Obstetric blood test panelCPT 80055 | $113 | $48 | 236% | ~$82 | 25 |
| Office visit, established patient, level 3CPT 99213 | $280 | — | — | $132 | 21 |
| Office visit, established patient, level 4CPT 99214 | $221 | — | — | $64 | 20 |
| Office visit, new patient, level 3CPT 99203 | $232 | — | — | $54 | 20 |
| Office visit, new patient, level 4CPT 99204 | $278 | — | — | $87 | 20 |
| Office visit, new patient, level 5CPT 99205 | $326 | — | — | $118 | 20 |
| PSA (prostate specific antigen), totalCPT 84153 | $35 | $18 | 188% | ~$25 | 25 |
| Partial thromboplastin timeCPT 85730 | $10 | $6 | 160% | ~$7 | 25 |
| Physical therapy, therapeutic exerciseCPT 97110 | $88 | — | — | $41 | 21 |
| Prostate biopsyCPT 55700 | $3,413 | — | — | $1,869 | 25 |
| Prothrombin timeCPT 85610 | $8 | $4 | 194% | ~$6 | 25 |
| Psychotherapy, 30 minutesCPT 90832 | $237 | $185 | 128% | $105 | 25 |
| Psychotherapy, 45 minutesCPT 90834 | $285 | $185 | 154% | $128 | 25 |
| Psychotherapy, 60 minutesCPT 90837 | $290 | $185 | 157% | $131 | 25 |
| Renal failure, with CCMS-DRG 683 | $11,522 | $7,834 | 147% | — | 18 |
| Screening mammography, bilateralCPT 77067 | $432 | — | — | ~$205 | 21 |
| Sepsis with MCCMS-DRG 871 | $26,161 | $17,438 | 150% | — | 18 |
| Shoulder arthroscopy, subacromial decompressionCPT 29826 | $1,603 | — | — | — | 1 |
| Simple pneumonia and pleurisy, with CCMS-DRG 194 | $10,602 | $6,832 | 155% | — | 18 |
| Sleep study (polysomnography)CPT 95810 | $2,737 | $897 | 305% | $1,355 | 25 |
| Stroke (hemorrhage/infarction), no CC/MCCMS-DRG 066 | $10,486 | $3,679 | 285% | — | 18 |
| Stroke (hemorrhage/infarction), with CC or tPAMS-DRG 065 | $15,474 | $8,261 | 187% | — | 18 |
| Thyroid stimulating hormone (TSH)CPT 84443 | $40 | $17 | 235% | ~$29 | 25 |
| Tonsillectomy and adenoidectomy, under age 12CPT 42820 | $6,333 | $6,182 | 102% | — | 16 |
| Transforaminal epidural, lumbar/sacralCPT 64483 | $1,483 | $924 | 161% | $638 | 25 |
| Ultrasound, abdomen, completeCPT 76700 | $392 | $109 | 359% | ~$244 | 25 |
| Ultrasound, transvaginalCPT 76830 | $392 | $109 | 359% | ~$244 | 25 |
| Upper GI endoscopy with biopsyCPT 43239 | $1,973 | $947 | 208% | $982 | 25 |
| Upper GI endoscopy, diagnosticCPT 43235 | $1,825 | $947 | 193% | $983 | 25 |
| Urinalysis, automated, with microscopyCPT 81001 | $8 | $3 | 237% | ~$5 | 25 |
| Urinalysis, automated, without microscopyCPT 81003 | $6 | $2 | 276% | ~$4 | 25 |
| Urinalysis, manual, with microscopyCPT 81000 | $7 | $4 | 179% | ~$5 | 25 |
| Urinalysis, manual, without microscopyCPT 81002 | $6 | $3 | 169% | ~$4 | 25 |
| Vaginal delivery, no sterilization, no CC/MCCMS-DRG 807 | $8,725 | — | — | — | 18 |
| Vaginal delivery, no sterilization, with CCMS-DRG 806 | $10,505 | — | — | — | 18 |
| X-ray, lower back, 4+ viewsCPT 72110 | $257 | $109 | 235% | ~$160 | 25 |
| YAG laser capsulotomy (secondary cataract)CPT 66821 | $688 | $574 | 120% | — | 9 |