| Acute myocardial infarction, discharged alive, with MCCMS-DRG 280 | $23,626 | $10,867 | 217% | — | 13 |
| Bariatric (obesity) surgery, no CC/MCCMS-DRG 621 | $36,600 | $8,272 | 442% | — | 15 |
| Basic metabolic panelCPT 80048 | $595 | $8 | 7033% | ~$184 | 29 |
| COPD with MCCMS-DRG 190 | $12,998 | $7,823 | 166% | — | 9 |
| CT abdomen and pelvis with contrastCPT 74177 | $4,366 | $364 | 1198% | ~$1,002 | 24 |
| CT head without contrastCPT 70450 | $1,962 | $109 | 1797% | ~$382 | 24 |
| CT pelvis with contrastCPT 72193 | $2,513 | $183 | 1372% | ~$521 | 24 |
| Cardiac arrhythmia, no CC/MCCMS-DRG 310 | $12,998 | $3,445 | 377% | — | 15 |
| Cardiac stress testCPT 93017 | $2,385 | $225 | 1058% | $564 | 25 |
| Cardiac valve surgery with cardiac cath, with MCCMS-DRG 216 | $123,055 | — | — | — | 13 |
| Cataract surgery with IOL insertionCPT 66984 | $5,253 | $2,410 | 218% | — | 21 |
| Cellulitis, no MCCMS-DRG 603 | $15,781 | $5,944 | 265% | — | 17 |
| Cervical spinal fusion, no CC/MCCMS-DRG 473 | $31,984 | $16,343 | 196% | — | 20 |
| Cesarean section, no CC/MCCMS-DRG 788 | $18,558 | — | — | — | 22 |
| Cesarean section, with CCMS-DRG 787 | $21,411 | — | — | — | 22 |
| Chest painMS-DRG 313 | $12,349 | $4,974 | 248% | — | 16 |
| Colonoscopy with biopsyCPT 45380 | $4,121 | $1,250 | 330% | — | 21 |
| Colonoscopy with endoscopic ultrasoundCPT 45391 | $4,121 | $1,250 | 330% | — | 21 |
| Colonoscopy with polyp removalCPT 45385 | $4,121 | $1,250 | 330% | — | 21 |
| Colonoscopy, diagnosticCPT 45378 | $3,247 | $971 | 334% | — | 21 |
| Complete blood count with differentialCPT 85025 | $19 | $8 | 240% | — | 11 |
| Complete blood count, automatedCPT 85027 | $190 | $6 | 2930% | ~$67 | 30 |
| Comprehensive metabolic panelCPT 80053 | $769 | $11 | 7281% | ~$270 | 30 |
| Coronary bypass without cardiac cath, no MCCMS-DRG 236 | $106,372 | $29,950 | 355% | — | 13 |
| Diagnostic mammography, both breastsCPT 77066 | $239 | — | — | — | 6 |
| Diagnostic mammography, one breastCPT 77065 | $186 | — | — | — | 6 |
| ED visit, level 3CPT 99283 | $2,134 | $285 | 749% | $256 | 34 |
| ED visit, level 4CPT 99284 | $2,565 | $436 | 589% | $391 | 34 |
| ED visit, level 5CPT 99285 | $2,714 | $622 | 436% | $394 | 34 |
| Echocardiogram, completeCPT 93306 | $3,457 | $571 | 606% | $818 | 24 |
| Electrocardiogram with interpretationCPT 93000 | $195 | — | — | — | 4 |
| Epidural injection, lumbar/sacral, no imagingCPT 62322 | $4,282 | $924 | 464% | — | 21 |
| Esophagitis/GI disorders, no MCCMS-DRG 392 | $15,781 | $5,240 | 301% | — | 17 |
| Excision of breast lesionCPT 19120 | $10,340 | $4,089 | 253% | — | 27 |
| Family psychotherapy, with patientCPT 90847 | $169 | $185 | 91% | — | 4 |
| Family psychotherapy, without patientCPT 90846 | $167 | $185 | 90% | — | 4 |
| Group psychotherapyCPT 90853 | $127 | $106 | 120% | — | 4 |
| Heart failure and shock, with CCMS-DRG 292 | $24,564 | $5,473 | 449% | — | 10 |
| Heart failure with MCCMS-DRG 291 | $26,285 | $9,119 | 288% | — | 10 |
| Hip and femur procedures except major joint, with CCMS-DRG 481 | $42,786 | $14,346 | 298% | — | 13 |
| Hysterectomy, no CC/MCCMS-DRG 743 | $25,261 | $10,098 | 250% | — | 19 |
| Inguinal hernia repair, age 5+CPT 49505 | $11,168 | $3,739 | 299% | — | 21 |
| Kidney and urinary tract infections, no MCCMS-DRG 690 | $15,781 | $5,447 | 290% | — | 17 |
| Kidney function panelCPT 80069 | $662 | $9 | 7627% | ~$204 | 28 |
| Knee arthroscopy with meniscectomyCPT 29881 | $10,979 | $3,417 | 321% | — | 27 |
| Laparoscopic cholecystectomyCPT 47562 | $17,355 | $6,313 | 275% | — | 26 |
| Laparoscopic cholecystectomy, no CC/MCCMS-DRG 419 | $21,256 | $8,529 | 249% | — | 19 |
| Laparoscopic radical prostatectomyCPT 55866 | $18,340 | $11,101 | 165% | — | 22 |
| Left heart catheterization, diagnosticCPT 93452 | $11,119 | $3,385 | 328% | — | 20 |
| Lipid panelCPT 80061 | $451 | $13 | 3370% | ~$139 | 28 |
| Liver function panelCPT 80076 | $648 | $8 | 7937% | ~$200 | 28 |
| Lumbar epidural steroid injectionCPT 62323 | $4,282 | $737 | 581% | — | 21 |
| MRI brain with and without contrastCPT 70553 | $3,608 | $364 | 990% | ~$1,274 | 24 |
| MRI lower extremity joint (knee)CPT 73721 | $3,087 | $249 | 1239% | ~$809 | 24 |
| MRI lumbar spine without contrastCPT 72148 | $2,928 | $249 | 1175% | ~$749 | 24 |
| Major joint replacement (hip/knee), no MCCMS-DRG 470 | $32,806 | $12,738 | 258% | — | 19 |
| Major joint replacement (hip/knee), with MCCMS-DRG 469 | $34,635 | $22,346 | 155% | — | 19 |
| Major small and large bowel procedures, with CCMS-DRG 330 | $44,987 | $16,777 | 268% | — | 16 |
| Medical back problems, no MCCMS-DRG 552 | $13,318 | $6,316 | 211% | — | 9 |
| OB global care, VBAC deliveryCPT 59610 | $9,042 | — | — | — | 8 |
| OB global care, cesarean deliveryCPT 59510 | $9,042 | — | — | — | 8 |
| OB global care, vaginal deliveryCPT 59400 | $9,042 | — | — | — | 8 |
| OB ultrasound, 14+ weeksCPT 76805 | $1,337 | $109 | 1225% | ~$316 | 20 |
| Obstetric blood test panelCPT 80055 | $115 | $48 | 240% | — | 11 |
| Office consultation, comprehensiveCPT 99244 | $195 | — | — | — | 4 |
| Office consultation, moderateCPT 99243 | $226 | — | — | — | 4 |
| Office visit, established patient, level 3CPT 99213 | $323 | — | — | $122 | 31 |
| Office visit, established patient, level 4CPT 99214 | $132 | — | — | — | 4 |
| Office visit, new patient, level 3CPT 99203 | $167 | — | — | — | 4 |
| Office visit, new patient, level 4CPT 99204 | $206 | — | — | — | 4 |
| Office visit, new patient, level 5CPT 99205 | $206 | — | — | — | 4 |
| PSA (prostate specific antigen), totalCPT 84153 | $237 | $18 | 1290% | ~$73 | 28 |
| Partial thromboplastin timeCPT 85730 | $187 | $6 | 3107% | ~$66 | 30 |
| Physical therapy, therapeutic exerciseCPT 97110 | $72 | — | — | $21 | 30 |
| Prostate biopsyCPT 55700 | $4,585 | — | — | — | 5 |
| Prothrombin timeCPT 85610 | $110 | $4 | 2559% | ~$34 | 30 |
| Psychotherapy, 30 minutesCPT 90832 | $146 | $185 | 79% | — | 4 |
| Psychotherapy, 45 minutesCPT 90834 | $157 | $185 | 85% | — | 4 |
| Psychotherapy, 60 minutesCPT 90837 | $181 | $185 | 97% | — | 4 |
| Renal failure, with CCMS-DRG 683 | $15,781 | $6,037 | 261% | — | 17 |
| Screening mammography, bilateralCPT 77067 | $197 | — | — | — | 6 |
| Sepsis with MCCMS-DRG 871 | $24,649 | $13,498 | 183% | — | 20 |
| Shoulder arthroscopy, subacromial decompressionCPT 29826 | $8,796 | — | — | — | 20 |
| Simple pneumonia and pleurisy, with CCMS-DRG 194 | $15,781 | $5,336 | 296% | — | 17 |
| Sleep study (polysomnography)CPT 95810 | $2,848 | $897 | 318% | — | 5 |
| Stroke (hemorrhage/infarction), no CC/MCCMS-DRG 066 | $30,306 | $4,173 | 726% | — | 13 |
| Stroke (hemorrhage/infarction), with CC or tPAMS-DRG 065 | $30,306 | $6,782 | 447% | — | 13 |
| Thyroid stimulating hormone (TSH)CPT 84443 | $258 | $17 | 1537% | ~$80 | 28 |
| Tonsillectomy and adenoidectomy, under age 12CPT 42820 | $14,857 | $6,182 | 240% | — | 17 |
| Transforaminal epidural, lumbar/sacralCPT 64483 | $3,168 | $924 | 343% | — | 18 |
| Ultrasound, abdomen, completeCPT 76700 | $1,352 | $109 | 1239% | ~$253 | 20 |
| Ultrasound, transvaginalCPT 76830 | $1,332 | $109 | 1220% | ~$315 | 20 |
| Upper GI endoscopy with biopsyCPT 43239 | $3,247 | $947 | 343% | — | 21 |
| Upper GI endoscopy, diagnosticCPT 43235 | $3,247 | $947 | 343% | — | 21 |
| Urinalysis, automated, with microscopyCPT 81001 | $195 | $3 | 6149% | ~$60 | 28 |
| Urinalysis, automated, without microscopyCPT 81003 | $115 | $2 | 5100% | ~$40 | 30 |
| Urinalysis, manual, with microscopyCPT 81000 | $10 | $4 | 240% | — | 11 |
| Urinalysis, manual, without microscopyCPT 81002 | $11 | $3 | 319% | ~$3 | 28 |
| Vaginal delivery, no sterilization, no CC/MCCMS-DRG 807 | $11,492 | — | — | — | 22 |
| Vaginal delivery, no sterilization, with CCMS-DRG 806 | $12,545 | — | — | — | 22 |
| X-ray, lower back, 4+ viewsCPT 72110 | $1,380 | $109 | 1264% | ~$353 | 22 |
| YAG laser capsulotomy (secondary cataract)CPT 66821 | $2,922 | $574 | 509% | — | 21 |