| Acute myocardial infarction, discharged alive, with MCCMS-DRG 280 | $16,867 | $11,217 | 150% | — | 4 |
| Basic metabolic panelCPT 80048 | $32 | $8 | 376% | — | 2 |
| COPD with MCCMS-DRG 190 | $11,167 | $7,377 | 151% | — | 4 |
| CT abdomen and pelvis with contrastCPT 74177 | $571 | $364 | 157% | — | 4 |
| CT head without contrastCPT 70450 | $383 | $109 | 351% | — | 4 |
| CT pelvis with contrastCPT 72193 | $360 | $183 | 197% | — | 3 |
| Cardiac arrhythmia, no CC/MCCMS-DRG 310 | $5,749 | $3,269 | 176% | — | 4 |
| Cardiac stress testCPT 93017 | $666 | $225 | 295% | — | 3 |
| Cellulitis, no MCCMS-DRG 603 | $8,312 | $5,675 | 146% | — | 4 |
| Chest painMS-DRG 313 | $6,604 | — | — | — | 4 |
| Colonoscopy with biopsyCPT 45380 | $1,268 | $1,250 | 101% | — | 3 |
| Colonoscopy with polyp removalCPT 45385 | $1,070 | $1,250 | 86% | — | 2 |
| Colonoscopy, diagnosticCPT 45378 | $1,837 | $971 | 189% | — | 3 |
| Complete blood count with differentialCPT 85025 | $31 | $8 | 396% | — | 4 |
| Complete blood count, automatedCPT 85027 | $8 | $6 | 119% | — | 2 |
| Comprehensive metabolic panelCPT 80053 | $47 | $11 | 446% | — | 4 |
| Diagnostic mammography, both breastsCPT 77066 | $429 | — | — | — | 2 |
| Diagnostic mammography, one breastCPT 77065 | $183 | — | — | — | 1 |
| ED visit, level 3CPT 99283 | $490 | $285 | 172% | — | 4 |
| ED visit, level 4CPT 99284 | $1,134 | $436 | 260% | — | 4 |
| ED visit, level 5CPT 99285 | $1,212 | $622 | 195% | — | 4 |
| Echocardiogram, completeCPT 93306 | $589 | $571 | 103% | — | 3 |
| Epidural injection, lumbar/sacral, no imagingCPT 62322 | $653 | $924 | 71% | — | 1 |
| Esophagitis/GI disorders, no MCCMS-DRG 392 | $6,619 | $4,899 | 135% | — | 4 |
| Group psychotherapyCPT 90853 | $250 | $106 | 236% | — | 3 |
| Heart failure and shock, with CCMS-DRG 292 | $8,850 | $5,927 | 149% | — | 4 |
| Heart failure with MCCMS-DRG 291 | $11,726 | $13,034 | 90% | — | 4 |
| Inguinal hernia repair, age 5+CPT 49505 | $1,235 | $3,739 | 33% | — | 1 |
| Kidney and urinary tract infections, no MCCMS-DRG 690 | $7,619 | $5,238 | 145% | — | 4 |
| Kidney function panelCPT 80069 | $12 | $9 | 137% | — | 1 |
| Laparoscopic cholecystectomyCPT 47562 | $1,870 | $6,313 | 30% | — | 1 |
| Laparoscopic cholecystectomy, no CC/MCCMS-DRG 419 | $11,177 | $8,977 | 125% | — | 4 |
| Lipid panelCPT 80061 | $18 | $13 | 137% | — | 3 |
| Liver function panelCPT 80076 | $31 | $8 | 377% | — | 2 |
| Lumbar epidural steroid injectionCPT 62323 | $653 | $737 | 89% | — | 1 |
| MRI brain with and without contrastCPT 70553 | $530 | $364 | 145% | — | 3 |
| MRI lower extremity joint (knee)CPT 73721 | $475 | $249 | 191% | — | 3 |
| MRI lumbar spine without contrastCPT 72148 | $475 | $249 | 191% | — | 3 |
| Major small and large bowel procedures, with CCMS-DRG 330 | $24,289 | $16,202 | 150% | — | 4 |
| OB ultrasound, 14+ weeksCPT 76805 | $218 | $109 | 200% | — | 1 |
| Obstetric blood test panelCPT 80055 | $66 | $48 | 137% | — | 1 |
| Office visit, established patient, level 3CPT 99213 | $249 | — | — | — | 1 |
| Office visit, established patient, level 4CPT 99214 | $448 | — | — | — | 1 |
| PSA (prostate specific antigen), totalCPT 84153 | $22 | $18 | 119% | — | 2 |
| Partial thromboplastin timeCPT 85730 | $57 | $6 | 948% | — | 3 |
| Physical therapy, therapeutic exerciseCPT 97110 | $104 | — | — | — | 4 |
| Prostate biopsyCPT 55700 | $873 | — | — | — | 1 |
| Prothrombin timeCPT 85610 | $48 | $4 | 1115% | — | 3 |
| Psychotherapy, 30 minutesCPT 90832 | $249 | $185 | 134% | — | 3 |
| Renal failure, with CCMS-DRG 683 | $9,134 | $5,892 | 155% | — | 4 |
| Screening mammography, bilateralCPT 77067 | $193 | — | — | — | 3 |
| Sepsis with MCCMS-DRG 871 | $18,150 | $17,577 | 103% | — | 4 |
| Simple pneumonia and pleurisy, with CCMS-DRG 194 | $8,426 | $9,230 | 91% | — | 4 |
| Stroke (hemorrhage/infarction), no CC/MCCMS-DRG 066 | $7,073 | $3,679 | 192% | — | 4 |
| Stroke (hemorrhage/infarction), with CC or tPAMS-DRG 065 | $10,450 | $6,559 | 159% | — | 4 |
| Thyroid stimulating hormone (TSH)CPT 84443 | $107 | $17 | 639% | — | 3 |
| Transforaminal epidural, lumbar/sacralCPT 64483 | $653 | $924 | 71% | — | 1 |
| Ultrasound, abdomen, completeCPT 76700 | $557 | $109 | 510% | — | 2 |
| Ultrasound, transvaginalCPT 76830 | $218 | $109 | 200% | — | 1 |
| Upper GI endoscopy with biopsyCPT 43239 | $1,304 | $947 | 138% | — | 2 |
| Upper GI endoscopy, diagnosticCPT 43235 | $653 | $947 | 69% | — | 1 |
| Urinalysis, automated, with microscopyCPT 81001 | $4 | $3 | 137% | — | 1 |
| Urinalysis, automated, without microscopyCPT 81003 | $29 | $2 | 1270% | — | 4 |
| Urinalysis, manual, with microscopyCPT 81000 | $4 | $4 | 108% | — | 1 |
| Urinalysis, manual, without microscopyCPT 81002 | $4 | $3 | 101% | — | 1 |
| X-ray, lower back, 4+ viewsCPT 72110 | $218 | $109 | 200% | — | 1 |