| Acute myocardial infarction, discharged alive, with MCCMS-DRG 280 | $9,340 | $11,217 | 83% | — | 8 |
| Bariatric (obesity) surgery, no CC/MCCMS-DRG 621 | $8,318 | $8,272 | 101% | — | 8 |
| Basic metabolic panelCPT 80048 | $138 | $8 | 1630% | ~$180 | 11 |
| COPD with MCCMS-DRG 190 | $6,390 | $7,377 | 87% | — | 8 |
| CT abdomen and pelvis with contrastCPT 74177 | $747 | $364 | 205% | ~$1,741 | 11 |
| CT head without contrastCPT 70450 | $747 | $109 | 684% | ~$736 | 11 |
| CT pelvis with contrastCPT 72193 | $747 | $183 | 408% | ~$884 | 11 |
| Cardiac arrhythmia, no CC/MCCMS-DRG 310 | $3,184 | $3,269 | 97% | — | 8 |
| Cardiac stress testCPT 93017 | $603 | $225 | 267% | $416 | 11 |
| Cardiac valve surgery with cardiac cath, with MCCMS-DRG 216 | $54,918 | — | — | — | 8 |
| Cataract surgery with IOL insertionCPT 66984 | $2,404 | $2,410 | 100% | — | 3 |
| Cellulitis, no MCCMS-DRG 603 | $5,012 | $5,675 | 88% | — | 8 |
| Cervical spinal fusion, no CC/MCCMS-DRG 473 | $13,471 | $16,343 | 82% | — | 8 |
| Cesarean section, no CC/MCCMS-DRG 788 | $5,148 | — | — | — | 8 |
| Cesarean section, with CCMS-DRG 787 | $6,042 | — | — | — | 8 |
| Chest painMS-DRG 313 | $4,059 | — | — | — | 8 |
| Colonoscopy with biopsyCPT 45380 | $1,866 | $1,250 | 149% | $1,268 | 11 |
| Colonoscopy with endoscopic ultrasoundCPT 45391 | $1,243 | $1,250 | 99% | — | 3 |
| Colonoscopy with polyp removalCPT 45385 | $1,866 | $1,250 | 149% | $1,268 | 11 |
| Colonoscopy, diagnosticCPT 45378 | $1,378 | $971 | 142% | $1,334 | 11 |
| Complete blood count with differentialCPT 85025 | $121 | $8 | 1555% | ~$81 | 11 |
| Complete blood count, automatedCPT 85027 | $82 | $6 | 1261% | ~$55 | 11 |
| Comprehensive metabolic panelCPT 80053 | $138 | $11 | 1306% | ~$242 | 11 |
| Coronary bypass without cardiac cath, no MCCMS-DRG 236 | $23,399 | $29,950 | 78% | — | 8 |
| Diagnostic mammography, both breastsCPT 77066 | $173 | — | — | ~$90 | 11 |
| Diagnostic mammography, one breastCPT 77065 | $173 | — | — | ~$79 | 11 |
| ED visit, level 3CPT 99283 | $379 | $285 | 133% | $272 | 11 |
| ED visit, level 4CPT 99284 | $469 | $436 | 108% | $479 | 11 |
| ED visit, level 5CPT 99285 | $647 | $622 | 104% | $744 | 11 |
| Echocardiogram, completeCPT 93306 | $645 | $571 | 113% | $1,167 | 11 |
| Electrocardiogram with interpretationCPT 93000 | $14 | — | — | — | 1 |
| Epidural injection, lumbar/sacral, no imagingCPT 62322 | $938 | $924 | 102% | — | 3 |
| Esophagitis/GI disorders, no MCCMS-DRG 392 | $4,440 | $4,899 | 91% | — | 8 |
| Excision of breast lesionCPT 19120 | $4,036 | $4,089 | 99% | — | 3 |
| Family psychotherapy, with patientCPT 90847 | $169 | $185 | 91% | — | 3 |
| Family psychotherapy, without patientCPT 90846 | $169 | $185 | 91% | — | 3 |
| Group psychotherapyCPT 90853 | $97 | $106 | 92% | — | 3 |
| Heart failure and shock, with CCMS-DRG 292 | $4,900 | $5,927 | 83% | — | 8 |
| Heart failure with MCCMS-DRG 291 | $7,425 | $8,962 | 83% | — | 8 |
| Hip and femur procedures except major joint, with CCMS-DRG 481 | $11,807 | $13,876 | 85% | — | 8 |
| Hysterectomy, no CC/MCCMS-DRG 743 | $6,821 | $10,098 | 68% | — | 8 |
| Inguinal hernia repair, age 5+CPT 49505 | $3,720 | $3,739 | 99% | — | 3 |
| Kidney and urinary tract infections, no MCCMS-DRG 690 | $4,567 | $5,238 | 87% | — | 8 |
| Kidney function panelCPT 80069 | $138 | $9 | 1589% | ~$101 | 11 |
| Knee arthroscopy with meniscectomyCPT 29881 | $3,420 | $3,417 | 100% | — | 3 |
| Laparoscopic cholecystectomyCPT 47562 | $3,929 | $6,313 | 62% | $6,902 | 11 |
| Laparoscopic cholecystectomy, no CC/MCCMS-DRG 419 | $7,498 | $8,977 | 84% | — | 8 |
| Laparoscopic radical prostatectomyCPT 55866 | $10,973 | $11,101 | 99% | — | 3 |
| Left heart catheterization, diagnosticCPT 93452 | $3,390 | $3,385 | 100% | $1,209 | 11 |
| Lipid panelCPT 80061 | $44 | $13 | 329% | ~$29 | 11 |
| Liver function panelCPT 80076 | $138 | $8 | 1688% | ~$174 | 11 |
| Lumbar epidural steroid injectionCPT 62323 | $730 | $737 | 99% | — | 3 |
| MRI brain with and without contrastCPT 70553 | $833 | $364 | 229% | ~$2,064 | 11 |
| MRI lower extremity joint (knee)CPT 73721 | $833 | $249 | 334% | ~$1,042 | 11 |
| MRI lumbar spine without contrastCPT 72148 | $833 | $249 | 334% | ~$1,625 | 11 |
| Major joint replacement (hip/knee), no MCCMS-DRG 470 | $10,729 | $13,045 | 82% | — | 8 |
| Major joint replacement (hip/knee), with MCCMS-DRG 469 | $18,600 | $22,346 | 83% | — | 8 |
| Major small and large bowel procedures, with CCMS-DRG 330 | $13,450 | $16,202 | 83% | — | 8 |
| Medical back problems, no MCCMS-DRG 552 | $5,484 | $6,142 | 89% | — | 8 |
| OB global care, VBAC deliveryCPT 59610 | $2,500 | — | — | — | 1 |
| OB global care, cesarean deliveryCPT 59510 | $2,500 | — | — | — | 1 |
| OB global care, vaginal deliveryCPT 59400 | $2,500 | — | — | — | 1 |
| OB ultrasound, 14+ weeksCPT 76805 | $304 | $109 | 279% | ~$204 | 11 |
| Obstetric blood test panelCPT 80055 | $52 | $48 | 109% | — | 4 |
| Office visit, established patient, level 3CPT 99213 | $141 | — | — | $182 | 9 |
| Office visit, established patient, level 4CPT 99214 | $66 | — | — | — | 1 |
| Office visit, new patient, level 3CPT 99203 | $66 | — | — | — | 1 |
| Office visit, new patient, level 4CPT 99204 | $111 | — | — | — | 1 |
| Office visit, new patient, level 5CPT 99205 | $144 | — | — | — | 1 |
| PSA (prostate specific antigen), totalCPT 84153 | $36 | $18 | 196% | ~$24 | 11 |
| Partial thromboplastin timeCPT 85730 | $138 | $6 | 2295% | ~$109 | 11 |
| Physical therapy, therapeutic exerciseCPT 97110 | $80 | — | — | $42 | 11 |
| Preventive visit, new patient, 18-39CPT 99385 | $77 | — | — | — | 1 |
| Preventive visit, new patient, 40-64CPT 99386 | $94 | — | — | — | 1 |
| Prostate biopsyCPT 55700 | $2,159 | — | — | — | 3 |
| Prothrombin timeCPT 85610 | $128 | $4 | 2984% | ~$86 | 11 |
| Psychotherapy, 30 minutesCPT 90832 | $169 | $185 | 91% | — | 3 |
| Psychotherapy, 45 minutesCPT 90834 | $169 | $185 | 91% | — | 3 |
| Psychotherapy, 60 minutesCPT 90837 | $169 | $185 | 91% | — | 3 |
| Renal failure, with CCMS-DRG 683 | $5,058 | $5,892 | 86% | — | 8 |
| Screening mammography, bilateralCPT 77067 | $173 | — | — | ~$67 | 11 |
| Sepsis with MCCMS-DRG 871 | $11,165 | $13,837 | 81% | — | 8 |
| Shoulder arthroscopy, subacromial decompressionCPT 29826 | $160 | — | — | — | 1 |
| Simple pneumonia and pleurisy, with CCMS-DRG 194 | $4,666 | $5,177 | 90% | — | 8 |
| Sleep study (polysomnography)CPT 95810 | $874 | $897 | 97% | — | 4 |
| Stroke (hemorrhage/infarction), no CC/MCCMS-DRG 066 | $3,917 | $3,679 | 106% | — | 8 |
| Stroke (hemorrhage/infarction), with CC or tPAMS-DRG 065 | $5,786 | $6,559 | 88% | — | 8 |
| Thyroid stimulating hormone (TSH)CPT 84443 | $111 | $17 | 662% | ~$74 | 11 |
| Tonsillectomy and adenoidectomy, under age 12CPT 42820 | $6,235 | $6,182 | 101% | — | 3 |
| Transforaminal epidural, lumbar/sacralCPT 64483 | $938 | $924 | 102% | — | 3 |
| Ultrasound, abdomen, completeCPT 76700 | $345 | $109 | 316% | ~$559 | 11 |
| Ultrasound, transvaginalCPT 76830 | $345 | $109 | 316% | ~$736 | 11 |
| Upper GI endoscopy with biopsyCPT 43239 | $1,378 | $947 | 146% | $1,196 | 11 |
| Upper GI endoscopy, diagnosticCPT 43235 | $1,378 | $947 | 146% | $1,196 | 11 |
| Urinalysis, automated, with microscopyCPT 81001 | $103 | $3 | 3256% | ~$69 | 11 |
| Urinalysis, automated, without microscopyCPT 81003 | $138 | $2 | 6130% | ~$159 | 11 |
| Urinalysis, manual, with microscopyCPT 81000 | $4 | $4 | 107% | — | 4 |
| Urinalysis, manual, without microscopyCPT 81002 | $4 | $3 | 107% | — | 4 |
| Vaginal delivery, no sterilization, no CC/MCCMS-DRG 807 | $3,626 | — | — | — | 8 |
| Vaginal delivery, no sterilization, with CCMS-DRG 806 | $4,117 | — | — | — | 8 |
| X-ray, lower back, 4+ viewsCPT 72110 | $288 | $109 | 263% | ~$216 | 11 |
| YAG laser capsulotomy (secondary cataract)CPT 66821 | $578 | $574 | 101% | — | 3 |