| Acute myocardial infarction, discharged alive, with MCCMS-DRG 280 | $23,626 | $11,761 | 201% | — | 13 |
| Bariatric (obesity) surgery, no CC/MCCMS-DRG 621 | $41,649 | $8,272 | 503% | — | 14 |
| Basic metabolic panelCPT 80048 | $228 | $8 | 2693% | ~$45 | 29 |
| COPD with MCCMS-DRG 190 | $13,318 | $8,076 | 165% | — | 9 |
| CT abdomen and pelvis with contrastCPT 74177 | $8,797 | $364 | 2415% | ~$1,818 | 27 |
| CT head without contrastCPT 70450 | $4,158 | $109 | 3809% | ~$859 | 27 |
| CT pelvis with contrastCPT 72193 | $5,356 | $183 | 2924% | ~$1,107 | 27 |
| Cardiac arrhythmia, no CC/MCCMS-DRG 310 | $13,318 | $3,550 | 375% | — | 17 |
| Cardiac stress testCPT 93017 | $2,948 | $225 | 1307% | $497 | 28 |
| Cardiac valve surgery with cardiac cath, with MCCMS-DRG 216 | $123,055 | — | — | — | 13 |
| Cataract surgery with IOL insertionCPT 66984 | $6,062 | $2,410 | 252% | — | 23 |
| Cellulitis, no MCCMS-DRG 603 | $15,781 | $5,949 | 265% | — | 19 |
| Cervical spinal fusion, no CC/MCCMS-DRG 473 | $31,392 | $18,581 | 169% | — | 22 |
| Cesarean section, no CC/MCCMS-DRG 788 | $19,681 | — | — | — | 24 |
| Cesarean section, with CCMS-DRG 787 | $21,770 | — | — | — | 24 |
| Chest painMS-DRG 313 | $13,051 | $4,897 | 267% | — | 18 |
| Colonoscopy with biopsyCPT 45380 | $4,121 | $1,250 | 330% | — | 23 |
| Colonoscopy with endoscopic ultrasoundCPT 45391 | $4,121 | $1,250 | 330% | — | 23 |
| Colonoscopy with polyp removalCPT 45385 | $4,121 | $1,250 | 330% | — | 23 |
| Colonoscopy, diagnosticCPT 45378 | $3,247 | $971 | 334% | — | 23 |
| Complete blood count with differentialCPT 85025 | $10 | $8 | 124% | — | 8 |
| Complete blood count, automatedCPT 85027 | $334 | $6 | 5161% | ~$70 | 30 |
| Comprehensive metabolic panelCPT 80053 | $370 | $11 | 3499% | ~$78 | 30 |
| Coronary bypass without cardiac cath, no MCCMS-DRG 236 | $106,372 | $24,089 | 442% | — | 13 |
| Diagnostic mammography, both breastsCPT 77066 | $516 | — | — | ~$71 | 23 |
| Diagnostic mammography, one breastCPT 77065 | $210 | — | — | ~$29 | 23 |
| ED visit, level 3CPT 99283 | $3,055 | $285 | 1072% | $520 | 38 |
| ED visit, level 4CPT 99284 | $3,422 | $436 | 785% | $722 | 38 |
| ED visit, level 5CPT 99285 | $4,011 | $622 | 645% | $805 | 38 |
| Echocardiogram, completeCPT 93306 | $6,910 | $571 | 1211% | $1,164 | 28 |
| Electrocardiogram with interpretationCPT 93000 | $211 | — | — | — | 3 |
| Epidural injection, lumbar/sacral, no imagingCPT 62322 | $3,470 | $924 | 376% | — | 23 |
| Esophagitis/GI disorders, no MCCMS-DRG 392 | $15,781 | $5,353 | 295% | — | 19 |
| Excision of breast lesionCPT 19120 | $10,610 | $4,089 | 260% | — | 26 |
| Family psychotherapy, with patientCPT 90847 | $192 | $185 | 104% | $47 | 39 |
| Family psychotherapy, without patientCPT 90846 | $176 | $185 | 95% | — | 3 |
| Group psychotherapyCPT 90853 | $247 | $106 | 233% | $51 | 29 |
| Heart failure and shock, with CCMS-DRG 292 | $24,564 | $5,927 | 414% | — | 10 |
| Heart failure with MCCMS-DRG 291 | $26,285 | $9,506 | 277% | — | 10 |
| Hip and femur procedures except major joint, with CCMS-DRG 481 | $42,786 | $15,618 | 274% | — | 13 |
| Hysterectomy, no CC/MCCMS-DRG 743 | $26,021 | $10,098 | 258% | — | 21 |
| Inguinal hernia repair, age 5+CPT 49505 | $14,644 | $3,739 | 392% | — | 21 |
| Kidney and urinary tract infections, no MCCMS-DRG 690 | $15,781 | $5,671 | 278% | — | 17 |
| Kidney function panelCPT 80069 | $882 | $9 | 10160% | ~$182 | 28 |
| Knee arthroscopy with meniscectomyCPT 29881 | $11,660 | $3,417 | 341% | — | 26 |
| Laparoscopic cholecystectomyCPT 47562 | $17,355 | $6,313 | 275% | — | 25 |
| Laparoscopic cholecystectomy, no CC/MCCMS-DRG 419 | $21,256 | $9,149 | 232% | — | 21 |
| Laparoscopic radical prostatectomyCPT 55866 | $18,340 | $11,101 | 165% | — | 21 |
| Left heart catheterization, diagnosticCPT 93452 | $11,390 | $3,385 | 336% | — | 19 |
| Lipid panelCPT 80061 | $226 | $13 | 1691% | ~$44 | 29 |
| Liver function panelCPT 80076 | $272 | $8 | 3325% | ~$39 | 28 |
| Lumbar epidural steroid injectionCPT 62323 | $3,470 | $737 | 471% | — | 23 |
| MRI brain with and without contrastCPT 70553 | $3,860 | $364 | 1059% | ~$609 | 27 |
| MRI lower extremity joint (knee)CPT 73721 | $819 | $249 | 329% | ~$60 | 27 |
| MRI lumbar spine without contrastCPT 72148 | $2,945 | $249 | 1182% | ~$406 | 27 |
| Major joint replacement (hip/knee), no MCCMS-DRG 470 | $32,845 | $13,262 | 248% | — | 21 |
| Major joint replacement (hip/knee), with MCCMS-DRG 469 | $34,635 | $22,346 | 155% | — | 21 |
| Major small and large bowel procedures, with CCMS-DRG 330 | $46,168 | $17,151 | 269% | — | 18 |
| Medical back problems, no MCCMS-DRG 552 | $13,318 | $6,815 | 195% | — | 9 |
| OB global care, VBAC deliveryCPT 59610 | $14,750 | — | — | — | 8 |
| OB global care, cesarean deliveryCPT 59510 | $14,750 | — | — | — | 8 |
| OB global care, vaginal deliveryCPT 59400 | $14,750 | — | — | — | 8 |
| OB ultrasound, 14+ weeksCPT 76805 | $786 | $109 | 720% | ~$97 | 23 |
| Obstetric blood test panelCPT 80055 | $59 | $48 | 124% | — | 8 |
| Office consultation, comprehensiveCPT 99244 | $203 | — | — | — | 3 |
| Office consultation, moderateCPT 99243 | $241 | — | — | — | 3 |
| Office visit, established patient, level 3CPT 99213 | $164 | — | — | $35 | 33 |
| Office visit, established patient, level 4CPT 99214 | $139 | — | — | $28 | 33 |
| Office visit, new patient, level 3CPT 99203 | $239 | — | — | $51 | 33 |
| Office visit, new patient, level 4CPT 99204 | $210 | — | — | $41 | 35 |
| Office visit, new patient, level 5CPT 99205 | $255 | — | — | $55 | 33 |
| PSA (prostate specific antigen), totalCPT 84153 | $398 | $18 | 2163% | ~$82 | 28 |
| Partial thromboplastin timeCPT 85730 | $12 | $6 | 198% | ~$2 | 28 |
| Physical therapy, therapeutic exerciseCPT 97110 | $121 | — | — | $24 | 30 |
| Preventive visit, new patient, 40-64CPT 99386 | $134 | — | — | $27 | 30 |
| Prostate biopsyCPT 55700 | $5,078 | — | — | — | 7 |
| Prothrombin timeCPT 85610 | $32 | $4 | 737% | ~$4 | 29 |
| Psychotherapy, 30 minutesCPT 90832 | $229 | $185 | 124% | $56 | 39 |
| Psychotherapy, 45 minutesCPT 90834 | $278 | $185 | 150% | $68 | 39 |
| Psychotherapy, 60 minutesCPT 90837 | $194 | $185 | 105% | $47 | 39 |
| Renal failure, with CCMS-DRG 683 | $15,781 | $6,325 | 249% | — | 17 |
| Screening mammography, bilateralCPT 77067 | $225 | — | — | ~$32 | 24 |
| Sepsis with MCCMS-DRG 871 | $24,649 | $14,243 | 173% | — | 20 |
| Shoulder arthroscopy, subacromial decompressionCPT 29826 | $9,010 | — | — | — | 19 |
| Simple pneumonia and pleurisy, with CCMS-DRG 194 | $16,302 | $5,290 | 308% | — | 19 |
| Sleep study (polysomnography)CPT 95810 | $5,227 | $897 | 583% | $1,278 | 38 |
| Stroke (hemorrhage/infarction), no CC/MCCMS-DRG 066 | $30,306 | $4,824 | 628% | — | 13 |
| Stroke (hemorrhage/infarction), with CC or tPAMS-DRG 065 | $30,306 | $7,119 | 426% | — | 13 |
| Thyroid stimulating hormone (TSH)CPT 84443 | $223 | $17 | 1329% | ~$47 | 30 |
| Tonsillectomy and adenoidectomy, under age 12CPT 42820 | $15,548 | $6,182 | 251% | — | 18 |
| Transforaminal epidural, lumbar/sacralCPT 64483 | $3,168 | $924 | 343% | — | 20 |
| Ultrasound, abdomen, completeCPT 76700 | $2,029 | $109 | 1859% | ~$327 | 24 |
| Ultrasound, transvaginalCPT 76830 | $647 | $109 | 593% | ~$80 | 24 |
| Upper GI endoscopy with biopsyCPT 43239 | $3,247 | $947 | 343% | — | 23 |
| Upper GI endoscopy, diagnosticCPT 43235 | $3,247 | $947 | 343% | — | 23 |
| Urinalysis, automated, with microscopyCPT 81001 | $7 | $3 | 212% | ~$1 | 29 |
| Urinalysis, automated, without microscopyCPT 81003 | $239 | $2 | 10621% | ~$50 | 30 |
| Urinalysis, manual, with microscopyCPT 81000 | $5 | $4 | 123% | — | 8 |
| Urinalysis, manual, without microscopyCPT 81002 | $26 | $3 | 746% | ~$3 | 28 |
| Vaginal delivery, no sterilization, no CC/MCCMS-DRG 807 | $11,964 | — | — | — | 24 |
| Vaginal delivery, no sterilization, with CCMS-DRG 806 | $12,596 | — | — | — | 24 |
| X-ray, lower back, 4+ viewsCPT 72110 | $1,990 | $109 | 1823% | ~$320 | 24 |
| YAG laser capsulotomy (secondary cataract)CPT 66821 | $2,922 | $574 | 509% | — | 23 |