| Acute myocardial infarction, discharged alive, with MCCMS-DRG 280 | $27,754 | $11,829 | 235% | — | 16 |
| Bariatric (obesity) surgery, no CC/MCCMS-DRG 621 | $26,098 | $8,272 | 315% | — | 16 |
| Basic metabolic panelCPT 80048 | $92 | $8 | 1085% | ~$42 | 44 |
| COPD with MCCMS-DRG 190 | $19,165 | $7,155 | 268% | — | 16 |
| CT abdomen and pelvis with contrastCPT 74177 | $2,124 | $364 | 583% | ~$960 | 44 |
| CT head without contrastCPT 70450 | $767 | $109 | 703% | ~$347 | 44 |
| CT pelvis with contrastCPT 72193 | $1,203 | $183 | 657% | ~$544 | 44 |
| Cardiac arrhythmia, no CC/MCCMS-DRG 310 | $9,795 | $3,215 | 305% | — | 16 |
| Cardiac stress testCPT 93017 | $1,562 | $225 | 693% | $706 | 44 |
| Cardiac valve surgery with cardiac cath, with MCCMS-DRG 216 | $169,262 | — | — | — | 16 |
| Cataract surgery with IOL insertionCPT 66984 | $2,748 | $2,410 | 114% | — | 4 |
| Cellulitis, no MCCMS-DRG 603 | $15,068 | $5,713 | 264% | — | 16 |
| Cervical spinal fusion, no CC/MCCMS-DRG 473 | $42,239 | $16,343 | 258% | — | 16 |
| Cesarean section, no CC/MCCMS-DRG 788 | $16,589 | — | — | — | 16 |
| Cesarean section, with CCMS-DRG 787 | $19,323 | — | — | — | 16 |
| Chest painMS-DRG 313 | $12,457 | — | — | — | 16 |
| Colonoscopy with biopsyCPT 45380 | $1,802 | $1,250 | 144% | — | 4 |
| Colonoscopy with endoscopic ultrasoundCPT 45391 | $1,337 | $1,250 | 107% | — | 4 |
| Colonoscopy with polyp removalCPT 45385 | $1,337 | $1,250 | 107% | — | 4 |
| Colonoscopy, diagnosticCPT 45378 | $1,015 | $971 | 104% | — | 4 |
| Complete blood count with differentialCPT 85025 | $59 | $8 | 765% | ~$27 | 44 |
| Complete blood count, automatedCPT 85027 | $78 | $6 | 1207% | ~$35 | 44 |
| Comprehensive metabolic panelCPT 80053 | $5 | $11 | 52% | — | 3 |
| Coronary bypass without cardiac cath, no MCCMS-DRG 236 | $72,475 | $29,950 | 242% | — | 16 |
| Diagnostic mammography, both breastsCPT 77066 | $650 | — | — | ~$294 | 44 |
| Diagnostic mammography, one breastCPT 77065 | $409 | — | — | ~$185 | 44 |
| ED visit, level 3CPT 99283 | $1,291 | $285 | 453% | $584 | 43 |
| ED visit, level 4CPT 99284 | $2,264 | $436 | 519% | $1,023 | 42 |
| ED visit, level 5CPT 99285 | $2,313 | $622 | 372% | $1,046 | 42 |
| Echocardiogram, completeCPT 93306 | $2,651 | $571 | 465% | $1,199 | 44 |
| Electrocardiogram with interpretationCPT 93000 | $20 | — | — | — | 3 |
| Epidural injection, lumbar/sacral, no imagingCPT 62322 | $1,662 | $924 | 180% | $745 | 44 |
| Esophagitis/GI disorders, no MCCMS-DRG 392 | $13,489 | $4,680 | 288% | — | 16 |
| Excision of breast lesionCPT 19120 | $2,349 | $4,089 | 57% | $1,052 | 44 |
| Family psychotherapy, with patientCPT 90847 | $203 | $185 | 109% | $92 | 45 |
| Family psychotherapy, without patientCPT 90846 | $124 | $185 | 67% | — | 4 |
| Group psychotherapyCPT 90853 | $173 | $106 | 163% | $75 | 45 |
| Heart failure and shock, with CCMS-DRG 292 | $14,689 | $5,927 | 248% | — | 16 |
| Heart failure with MCCMS-DRG 291 | $22,212 | $8,483 | 262% | — | 16 |
| Hip and femur procedures except major joint, with CCMS-DRG 481 | $36,239 | $14,040 | 258% | — | 16 |
| Hysterectomy, no CC/MCCMS-DRG 743 | $21,467 | $10,098 | 213% | — | 16 |
| Inguinal hernia repair, age 5+CPT 49505 | $5,752 | $3,739 | 154% | — | 4 |
| Kidney and urinary tract infections, no MCCMS-DRG 690 | $14,006 | $4,687 | 299% | — | 16 |
| Kidney function panelCPT 80069 | $96 | $9 | 1109% | ~$44 | 44 |
| Knee arthroscopy with meniscectomyCPT 29881 | $2,382 | $3,417 | 70% | — | 4 |
| Laparoscopic cholecystectomyCPT 47562 | $2,880 | $6,313 | 46% | — | 4 |
| Laparoscopic cholecystectomy, no CC/MCCMS-DRG 419 | $23,631 | $8,977 | 263% | — | 16 |
| Laparoscopic radical prostatectomyCPT 55866 | $3,649 | $11,101 | 33% | — | 3 |
| Left heart catheterization, diagnosticCPT 93452 | $1,911 | $3,385 | 56% | — | 4 |
| Lipid panelCPT 80061 | $193 | $13 | 1441% | ~$87 | 44 |
| Liver function panelCPT 80076 | $70 | $8 | 853% | ~$32 | 44 |
| Lumbar epidural steroid injectionCPT 62323 | $2,091 | $737 | 284% | $945 | 44 |
| MRI brain with and without contrastCPT 70553 | $2,229 | $364 | 612% | ~$1,008 | 44 |
| MRI lower extremity joint (knee)CPT 73721 | $1,465 | $249 | 588% | ~$662 | 44 |
| MRI lumbar spine without contrastCPT 72148 | $1,468 | $249 | 589% | ~$664 | 44 |
| Major joint replacement (hip/knee), no MCCMS-DRG 470 | $33,374 | $13,045 | 256% | — | 16 |
| Major joint replacement (hip/knee), with MCCMS-DRG 469 | $52,480 | $22,346 | 235% | — | 16 |
| Major small and large bowel procedures, with CCMS-DRG 330 | $41,476 | $18,173 | 228% | — | 16 |
| Medical back problems, no MCCMS-DRG 552 | $16,632 | $6,142 | 271% | — | 16 |
| OB global care, VBAC deliveryCPT 59610 | $1,824 | — | — | — | 2 |
| OB global care, cesarean deliveryCPT 59510 | $2,017 | — | — | — | 2 |
| OB global care, vaginal deliveryCPT 59400 | $1,824 | — | — | — | 2 |
| OB ultrasound, 14+ weeksCPT 76805 | $554 | $109 | 508% | ~$251 | 44 |
| Obstetric blood test panelCPT 80055 | $5 | $48 | 11% | — | 3 |
| Office consultation, comprehensiveCPT 99244 | $173 | — | — | — | 1 |
| Office consultation, moderateCPT 99243 | $108 | — | — | — | 1 |
| Office visit, established patient, level 3CPT 99213 | $57 | — | — | — | 1 |
| Office visit, established patient, level 4CPT 99214 | $425 | — | — | $192 | 41 |
| Office visit, new patient, level 3CPT 99203 | $84 | — | — | — | 1 |
| Office visit, new patient, level 4CPT 99204 | $144 | — | — | — | 1 |
| Office visit, new patient, level 5CPT 99205 | $187 | — | — | — | 1 |
| PSA (prostate specific antigen), totalCPT 84153 | $7 | $18 | 40% | — | 3 |
| Partial thromboplastin timeCPT 85730 | $43 | $6 | 711% | ~$19 | 44 |
| Physical therapy, therapeutic exerciseCPT 97110 | $143 | — | — | $65 | 44 |
| Prostate biopsyCPT 55700 | $1,318 | — | — | — | 3 |
| Prothrombin timeCPT 85610 | $35 | $4 | 824% | ~$16 | 44 |
| Psychotherapy, 30 minutesCPT 90832 | $103 | $185 | 56% | $47 | 45 |
| Psychotherapy, 45 minutesCPT 90834 | $136 | $185 | 74% | $62 | 45 |
| Psychotherapy, 60 minutesCPT 90837 | $286 | $185 | 154% | $129 | 45 |
| Renal failure, with CCMS-DRG 683 | $15,153 | $5,593 | 271% | — | 16 |
| Screening mammography, bilateralCPT 77067 | $430 | — | — | ~$194 | 44 |
| Sepsis with MCCMS-DRG 871 | $33,609 | $12,896 | 261% | — | 16 |
| Shoulder arthroscopy, subacromial decompressionCPT 29826 | $1,656 | — | — | — | 3 |
| Simple pneumonia and pleurisy, with CCMS-DRG 194 | $13,944 | $5,488 | 254% | — | 16 |
| Sleep study (polysomnography)CPT 95810 | $4,539 | $897 | 506% | $2,052 | 44 |
| Stroke (hemorrhage/infarction), no CC/MCCMS-DRG 066 | $11,841 | $3,679 | 322% | — | 16 |
| Stroke (hemorrhage/infarction), with CC or tPAMS-DRG 065 | $17,480 | $6,189 | 282% | — | 16 |
| Thyroid stimulating hormone (TSH)CPT 84443 | $184 | $17 | 1096% | ~$83 | 44 |
| Tonsillectomy and adenoidectomy, under age 12CPT 42820 | $1,632 | $6,182 | 26% | — | 3 |
| Transforaminal epidural, lumbar/sacralCPT 64483 | $1,301 | $924 | 141% | — | 4 |
| Ultrasound, abdomen, completeCPT 76700 | $1,220 | $109 | 1118% | ~$552 | 44 |
| Ultrasound, transvaginalCPT 76830 | $884 | $109 | 810% | ~$400 | 44 |
| Upper GI endoscopy with biopsyCPT 43239 | $1,519 | $947 | 160% | — | 4 |
| Upper GI endoscopy, diagnosticCPT 43235 | $1,337 | $947 | 141% | — | 4 |
| Urinalysis, automated, with microscopyCPT 81001 | $2 | $3 | 57% | — | 3 |
| Urinalysis, automated, without microscopyCPT 81003 | $2 | $2 | 80% | — | 3 |
| Urinalysis, manual, with microscopyCPT 81000 | $2 | $4 | 45% | — | 3 |
| Urinalysis, manual, without microscopyCPT 81002 | $43 | $3 | 1228% | ~$19 | 44 |
| Vaginal delivery, no sterilization, no CC/MCCMS-DRG 807 | $11,665 | — | — | — | 16 |
| Vaginal delivery, no sterilization, with CCMS-DRG 806 | $13,046 | — | — | — | 16 |
| X-ray, lower back, 4+ viewsCPT 72110 | $790 | $109 | 723% | ~$357 | 44 |
| YAG laser capsulotomy (secondary cataract)CPT 66821 | $883 | $574 | 154% | — | 4 |