| Acute myocardial infarction, discharged alive, with MCCMS-DRG 280 | $23,294 | $11,217 | 208% | — | 12 |
| Bariatric (obesity) surgery, no CC/MCCMS-DRG 621 | $28,427 | $8,272 | 344% | — | 12 |
| Basic metabolic panelCPT 80048 | $25 | $8 | 294% | ~$15 | 21 |
| COPD with MCCMS-DRG 190 | $14,181 | $6,821 | 208% | — | 12 |
| CT abdomen and pelvis with contrastCPT 74177 | $1,386 | $364 | 380% | ~$1,835 | 21 |
| CT head without contrastCPT 70450 | $1,386 | $109 | 1270% | ~$1,172 | 21 |
| CT pelvis with contrastCPT 72193 | $1,386 | $183 | 757% | ~$962 | 21 |
| Cardiac arrhythmia, no CC/MCCMS-DRG 310 | $11,311 | $3,269 | 346% | — | 5 |
| Cardiac stress testCPT 93017 | $1,951 | $225 | 865% | $590 | 21 |
| Cardiac valve surgery with cardiac cath, with MCCMS-DRG 216 | $113,091 | — | — | — | 12 |
| Cellulitis, no MCCMS-DRG 603 | $9,985 | $5,611 | 178% | — | 12 |
| Cervical spinal fusion, no CC/MCCMS-DRG 473 | $21,945 | $16,343 | 134% | — | 12 |
| Cesarean section, no CC/MCCMS-DRG 788 | $20,139 | — | — | — | 4 |
| Cesarean section, with CCMS-DRG 787 | $23,457 | — | — | — | 4 |
| Chest painMS-DRG 313 | $8,176 | — | — | — | 12 |
| Colonoscopy with biopsyCPT 45380 | $4,130 | $1,250 | 330% | $2,642 | 21 |
| Colonoscopy with polyp removalCPT 45385 | $4,130 | $1,250 | 330% | $2,722 | 21 |
| Colonoscopy, diagnosticCPT 45378 | $2,927 | $971 | 301% | $2,200 | 21 |
| Complete blood count with differentialCPT 85025 | $84 | $8 | 1079% | ~$50 | 21 |
| Complete blood count, automatedCPT 85027 | $49 | $6 | 758% | ~$29 | 21 |
| Comprehensive metabolic panelCPT 80053 | $46 | $11 | 434% | ~$27 | 21 |
| Coronary bypass without cardiac cath, no MCCMS-DRG 236 | $55,889 | $29,950 | 187% | — | 12 |
| Diagnostic mammography, both breastsCPT 77066 | $320 | — | — | ~$156 | 21 |
| Diagnostic mammography, one breastCPT 77065 | $309 | — | — | ~$159 | 21 |
| ED visit, level 3CPT 99283 | $925 | $285 | 324% | $469 | 21 |
| ED visit, level 4CPT 99284 | $2,199 | $436 | 505% | $711 | 21 |
| ED visit, level 5CPT 99285 | $2,199 | $622 | 354% | $710 | 21 |
| Echocardiogram, completeCPT 93306 | $1,951 | $571 | 342% | $882 | 21 |
| Epidural injection, lumbar/sacral, no imagingCPT 62322 | $2,313 | $924 | 250% | $994 | 21 |
| Esophagitis/GI disorders, no MCCMS-DRG 392 | $7,656 | $4,764 | 161% | — | 12 |
| Excision of breast lesionCPT 19120 | $13,734 | $4,089 | 336% | $4,208 | 21 |
| Heart failure and shock, with CCMS-DRG 292 | $13,299 | $5,927 | 224% | — | 12 |
| Heart failure with MCCMS-DRG 291 | $13,299 | $8,748 | 152% | — | 12 |
| Hip and femur procedures except major joint, with CCMS-DRG 481 | $31,410 | $12,772 | 246% | — | 12 |
| Hysterectomy, no CC/MCCMS-DRG 743 | $14,628 | $10,098 | 145% | — | 12 |
| Inguinal hernia repair, age 5+CPT 49505 | $14,876 | $3,739 | 398% | $7,593 | 21 |
| Kidney and urinary tract infections, no MCCMS-DRG 690 | $9,214 | $5,176 | 178% | — | 12 |
| Kidney function panelCPT 80069 | $9 | $9 | 100% | ~$1 | 21 |
| Knee arthroscopy with meniscectomyCPT 29881 | $16,396 | $3,417 | 480% | $6,193 | 21 |
| Laparoscopic cholecystectomyCPT 47562 | $18,850 | $6,313 | 299% | $9,675 | 21 |
| Laparoscopic cholecystectomy, no CC/MCCMS-DRG 419 | $12,728 | $8,977 | 142% | — | 12 |
| Left heart catheterization, diagnosticCPT 93452 | $12,256 | $3,385 | 362% | $3,101 | 21 |
| Lipid panelCPT 80061 | $54 | $13 | 404% | ~$32 | 21 |
| Liver function panelCPT 80076 | $31 | $8 | 378% | ~$18 | 21 |
| Lumbar epidural steroid injectionCPT 62323 | $2,313 | $737 | 314% | $727 | 21 |
| MRI brain with and without contrastCPT 70553 | $1,744 | $364 | 479% | ~$1,459 | 21 |
| MRI lower extremity joint (knee)CPT 73721 | $1,744 | $249 | 700% | ~$1,541 | 21 |
| MRI lumbar spine without contrastCPT 72148 | $1,744 | $249 | 700% | ~$1,676 | 21 |
| Major joint replacement (hip/knee), no MCCMS-DRG 470 | $38,539 | $11,495 | 335% | — | 5 |
| Major joint replacement (hip/knee), with MCCMS-DRG 469 | $60,603 | $22,346 | 271% | — | 5 |
| Major small and large bowel procedures, with CCMS-DRG 330 | $42,426 | $16,202 | 262% | — | 12 |
| Medical back problems, no MCCMS-DRG 552 | $9,008 | $6,142 | 147% | — | 12 |
| OB ultrasound, 14+ weeksCPT 76805 | $422 | $109 | 387% | ~$364 | 21 |
| Office visit, established patient, level 3CPT 99213 | $4,403 | — | — | $1,201 | 18 |
| Office visit, established patient, level 4CPT 99214 | $4,403 | — | — | $1,610 | 18 |
| Office visit, new patient, level 3CPT 99203 | $3,602 | — | — | $291 | 18 |
| Office visit, new patient, level 4CPT 99204 | $4,782 | — | — | $2,641 | 18 |
| Office visit, new patient, level 5CPT 99205 | $7,013 | — | — | $4,839 | 18 |
| PSA (prostate specific antigen), totalCPT 84153 | $49 | $18 | 264% | ~$28 | 21 |
| Partial thromboplastin timeCPT 85730 | $27 | $6 | 453% | ~$16 | 21 |
| Physical therapy, therapeutic exerciseCPT 97110 | $551 | — | — | $97 | 21 |
| Prostate biopsyCPT 55700 | $8,723 | — | — | $5,216 | 17 |
| Prothrombin timeCPT 85610 | $26 | $4 | 596% | ~$15 | 21 |
| Renal failure, with CCMS-DRG 683 | $17,329 | $5,892 | 294% | — | 12 |
| Screening mammography, bilateralCPT 77067 | $277 | — | — | ~$142 | 21 |
| Sepsis with MCCMS-DRG 871 | $21,312 | $11,718 | 182% | — | 12 |
| Simple pneumonia and pleurisy, with CCMS-DRG 194 | $15,352 | $5,177 | 297% | — | 12 |
| Sleep study (polysomnography)CPT 95810 | $2,486 | $897 | 277% | $1,074 | 21 |
| Stroke (hemorrhage/infarction), no CC/MCCMS-DRG 066 | $14,547 | $3,679 | 395% | — | 12 |
| Stroke (hemorrhage/infarction), with CC or tPAMS-DRG 065 | $17,309 | $6,559 | 264% | — | 12 |
| Thyroid stimulating hormone (TSH)CPT 84443 | $40 | $17 | 240% | ~$21 | 21 |
| Transforaminal epidural, lumbar/sacralCPT 64483 | $2,313 | $924 | 250% | $1,025 | 21 |
| Ultrasound, abdomen, completeCPT 76700 | $527 | $109 | 483% | ~$528 | 21 |
| Ultrasound, transvaginalCPT 76830 | $218 | $109 | 200% | ~$90 | 21 |
| Upper GI endoscopy with biopsyCPT 43239 | $2,855 | $947 | 301% | $2,692 | 21 |
| Upper GI endoscopy, diagnosticCPT 43235 | $2,855 | $947 | 301% | $2,193 | 21 |
| Urinalysis, automated, with microscopyCPT 81001 | $48 | $3 | 1520% | ~$29 | 21 |
| Urinalysis, automated, without microscopyCPT 81003 | $31 | $2 | 1369% | ~$18 | 21 |
| Urinalysis, manual, with microscopyCPT 81000 | $45 | $4 | 1110% | ~$27 | 21 |
| Urinalysis, manual, without microscopyCPT 81002 | $8 | $3 | 240% | ~$3 | 21 |
| Vaginal delivery, no sterilization, no CC/MCCMS-DRG 807 | $14,161 | — | — | — | 4 |
| Vaginal delivery, no sterilization, with CCMS-DRG 806 | $15,837 | — | — | — | 4 |
| X-ray, lower back, 4+ viewsCPT 72110 | $378 | $109 | 346% | ~$480 | 21 |