| Acute myocardial infarction, discharged alive, with MCCMS-DRG 280 | $21,021 | $13,115 | 160% | — | 16 |
| Bariatric (obesity) surgery, no CC/MCCMS-DRG 621 | $26,287 | $8,272 | 318% | — | 14 |
| Basic metabolic panelCPT 80048 | $14 | $8 | 161% | ~$138 | 46 |
| COPD with MCCMS-DRG 190 | $13,846 | $7,377 | 188% | — | 16 |
| CT abdomen and pelvis with contrastCPT 74177 | $434 | $364 | 119% | ~$3,185 | 46 |
| CT head without contrastCPT 70450 | $208 | $109 | 191% | ~$1,621 | 46 |
| CT pelvis with contrastCPT 72193 | $338 | $183 | 185% | ~$1,445 | 46 |
| Cardiac arrhythmia, no CC/MCCMS-DRG 310 | $7,248 | $3,269 | 222% | — | 16 |
| Cardiac stress testCPT 93017 | $865 | $225 | 383% | $512 | 46 |
| Cardiac valve surgery with cardiac cath, with MCCMS-DRG 216 | $122,285 | — | — | — | 16 |
| Cataract surgery with IOL insertionCPT 66984 | $4,910 | $2,410 | 204% | — | 35 |
| Cellulitis, no MCCMS-DRG 603 | $10,886 | $5,675 | 192% | — | 16 |
| Cervical spinal fusion, no CC/MCCMS-DRG 473 | $29,954 | $16,343 | 183% | — | 16 |
| Cesarean section, no CC/MCCMS-DRG 788 | $11,818 | — | — | — | 10 |
| Cesarean section, with CCMS-DRG 787 | $14,147 | — | — | — | 10 |
| Chest painMS-DRG 313 | $9,000 | $5,404 | 167% | — | 16 |
| Colonoscopy with biopsyCPT 45380 | $4,668 | $1,250 | 374% | — | 35 |
| Colonoscopy with endoscopic ultrasoundCPT 45391 | $4,668 | $1,250 | 374% | — | 35 |
| Colonoscopy with polyp removalCPT 45385 | $4,668 | $1,250 | 374% | — | 35 |
| Colonoscopy, diagnosticCPT 45378 | $4,496 | $971 | 463% | — | 35 |
| Complete blood count with differentialCPT 85025 | $12 | $8 | 161% | ~$82 | 46 |
| Complete blood count, automatedCPT 85027 | $10 | $6 | 161% | ~$36 | 46 |
| Comprehensive metabolic panelCPT 80053 | $17 | $11 | 161% | ~$223 | 46 |
| Coronary bypass without cardiac cath, no MCCMS-DRG 236 | $53,216 | $29,950 | 178% | — | 16 |
| Diagnostic mammography, both breastsCPT 77066 | $160 | — | — | ~$142 | 46 |
| Diagnostic mammography, one breastCPT 77065 | $136 | — | — | ~$145 | 46 |
| ED visit, level 3CPT 99283 | $826 | $285 | 290% | $449 | 46 |
| ED visit, level 4CPT 99284 | $1,011 | $436 | 232% | $779 | 46 |
| ED visit, level 5CPT 99285 | $1,517 | $622 | 244% | $1,004 | 46 |
| Echocardiogram, completeCPT 93306 | $1,016 | $571 | 178% | $671 | 46 |
| Epidural injection, lumbar/sacral, no imagingCPT 62322 | $2,677 | $924 | 290% | $329 | 46 |
| Esophagitis/GI disorders, no MCCMS-DRG 392 | $9,745 | $6,316 | 154% | — | 16 |
| Excision of breast lesionCPT 19120 | $5,111 | $4,089 | 125% | — | 35 |
| Family psychotherapy, with patientCPT 90847 | $185 | $185 | 100% | $50 | 44 |
| Group psychotherapyCPT 90853 | $121 | $106 | 114% | $47 | 46 |
| Heart failure and shock, with CCMS-DRG 292 | $13,215 | $5,927 | 223% | — | 16 |
| Heart failure with MCCMS-DRG 291 | $16,048 | $10,039 | 160% | — | 16 |
| Hip and femur procedures except major joint, with CCMS-DRG 481 | $26,181 | $13,876 | 189% | — | 16 |
| Hysterectomy, no CC/MCCMS-DRG 743 | $15,509 | $10,098 | 154% | — | 16 |
| Inguinal hernia repair, age 5+CPT 49505 | $4,674 | $3,739 | 125% | — | 35 |
| Kidney and urinary tract infections, no MCCMS-DRG 690 | $10,119 | $5,827 | 174% | — | 16 |
| Kidney function panelCPT 80069 | $14 | $9 | 161% | ~$82 | 46 |
| Knee arthroscopy with meniscectomyCPT 29881 | $4,271 | $3,417 | 125% | — | 35 |
| Laparoscopic cholecystectomyCPT 47562 | $7,455 | $6,313 | 118% | — | 35 |
| Laparoscopic cholecystectomy, no CC/MCCMS-DRG 419 | $17,072 | $8,977 | 190% | — | 16 |
| Laparoscopic radical prostatectomyCPT 55866 | $11,656 | $11,101 | 105% | — | 35 |
| Left heart catheterization, diagnosticCPT 93452 | $5,976 | $3,385 | 177% | $1,523 | 46 |
| Lipid panelCPT 80061 | $22 | $13 | 161% | ~$416 | 46 |
| Liver function panelCPT 80076 | $13 | $8 | 161% | ~$121 | 46 |
| Lumbar epidural steroid injectionCPT 62323 | $4,467 | $737 | 606% | — | 35 |
| MRI brain with and without contrastCPT 70553 | $580 | $364 | 159% | ~$1,952 | 46 |
| MRI lower extremity joint (knee)CPT 73721 | $476 | $249 | 191% | ~$2,023 | 46 |
| MRI lumbar spine without contrastCPT 72148 | $476 | $249 | 191% | ~$1,699 | 46 |
| Major joint replacement (hip/knee), no MCCMS-DRG 470 | $25,708 | $13,045 | 197% | — | 16 |
| Major joint replacement (hip/knee), with MCCMS-DRG 469 | $37,915 | $22,346 | 170% | — | 16 |
| Major small and large bowel procedures, with CCMS-DRG 330 | $38,674 | $16,202 | 239% | — | 16 |
| Medical back problems, no MCCMS-DRG 552 | $12,016 | $7,990 | 150% | — | 16 |
| OB global care, VBAC deliveryCPT 59610 | $7,248 | — | — | — | 4 |
| OB global care, cesarean deliveryCPT 59510 | $2,650 | — | — | $1,329 | 26 |
| OB global care, vaginal deliveryCPT 59400 | $7,248 | — | — | — | 4 |
| OB ultrasound, 14+ weeksCPT 76805 | $192 | $109 | 176% | ~$278 | 46 |
| Office visit, established patient, level 3CPT 99213 | $246 | — | — | $112 | 25 |
| Office visit, established patient, level 4CPT 99214 | $868 | — | — | $396 | 25 |
| Office visit, new patient, level 3CPT 99203 | $357 | — | — | $144 | 25 |
| Office visit, new patient, level 4CPT 99204 | $1,333 | — | — | $539 | 25 |
| Office visit, new patient, level 5CPT 99205 | $249 | — | — | $100 | 25 |
| PSA (prostate specific antigen), totalCPT 84153 | $24 | $18 | 131% | ~$25 | 46 |
| Partial thromboplastin timeCPT 85730 | $10 | $6 | 161% | ~$78 | 46 |
| Physical therapy, therapeutic exerciseCPT 97110 | $145 | — | — | $151 | 46 |
| Prostate biopsyCPT 55700 | $9,425 | — | — | — | 12 |
| Prothrombin timeCPT 85610 | $7 | $4 | 161% | ~$41 | 46 |
| Renal failure, with CCMS-DRG 683 | $14,129 | $5,892 | 240% | — | 16 |
| Screening mammography, bilateralCPT 77067 | $139 | — | — | ~$128 | 46 |
| Sepsis with MCCMS-DRG 871 | $24,281 | $14,387 | 169% | — | 16 |
| Shoulder arthroscopy, subacromial decompressionCPT 29826 | $2,838 | — | — | — | 8 |
| Simple pneumonia and pleurisy, with CCMS-DRG 194 | $13,002 | $5,177 | 251% | — | 16 |
| Sleep study (polysomnography)CPT 95810 | $1,473 | $897 | 164% | $483 | 46 |
| Spinal fusion except cervical, no MCCMS-DRG 460 | $79,729 | $25,413 | 314% | — | 13 |
| Spinal fusion except cervical, with MCCMS-DRG 459 | $176,974 | $51,127 | 346% | — | 13 |
| Stroke (hemorrhage/infarction), no CC/MCCMS-DRG 066 | $11,098 | $3,679 | 302% | — | 16 |
| Stroke (hemorrhage/infarction), with CC or tPAMS-DRG 065 | $15,245 | $8,807 | 173% | — | 16 |
| Thyroid stimulating hormone (TSH)CPT 84443 | $27 | $17 | 161% | ~$56 | 46 |
| Tonsillectomy and adenoidectomy, under age 12CPT 42820 | $6,693 | $6,182 | 108% | — | 35 |
| Transforaminal epidural, lumbar/sacralCPT 64483 | $4,490 | $924 | 486% | — | 35 |
| Ultrasound, abdomen, completeCPT 76700 | $179 | $109 | 164% | ~$687 | 46 |
| Ultrasound, transvaginalCPT 76830 | $181 | $109 | 166% | ~$438 | 46 |
| Upper GI endoscopy with biopsyCPT 43239 | $4,493 | $947 | 474% | — | 35 |
| Upper GI endoscopy, diagnosticCPT 43235 | $4,493 | $947 | 474% | — | 35 |
| Urinalysis, automated, with microscopyCPT 81001 | $5 | $3 | 161% | ~$52 | 46 |
| Urinalysis, automated, without microscopyCPT 81003 | $4 | $2 | 161% | ~$13 | 46 |
| Vaginal delivery, no sterilization, no CC/MCCMS-DRG 807 | $5,918 | — | — | — | 10 |
| Vaginal delivery, no sterilization, with CCMS-DRG 806 | $8,390 | — | — | — | 10 |
| X-ray, lower back, 4+ viewsCPT 72110 | $150 | $109 | 138% | ~$546 | 46 |
| YAG laser capsulotomy (secondary cataract)CPT 66821 | $4,578 | $574 | 797% | — | 35 |