| Acute myocardial infarction, discharged alive, with MCCMS-DRG 280 | $20,900 | $10,926 | 191% | — | 13 |
| Bariatric (obesity) surgery, no CC/MCCMS-DRG 621 | $35,274 | $8,272 | 426% | — | 14 |
| Basic metabolic panelCPT 80048 | $936 | $8 | 11067% | ~$242 | 32 |
| COPD with MCCMS-DRG 190 | $11,098 | $7,377 | 150% | — | 9 |
| CT abdomen and pelvis with contrastCPT 74177 | $5,688 | $364 | 1561% | ~$1,454 | 30 |
| CT head without contrastCPT 70450 | $5,427 | $109 | 4971% | ~$1,387 | 30 |
| CT pelvis with contrastCPT 72193 | $4,897 | $183 | 2674% | ~$1,252 | 30 |
| Cardiac arrhythmia, no CC/MCCMS-DRG 310 | $11,926 | $3,269 | 365% | — | 14 |
| Cardiac stress testCPT 93017 | $1,755 | $225 | 778% | $448 | 29 |
| Cardiac valve surgery with cardiac cath, with MCCMS-DRG 216 | $78,447 | — | — | — | 13 |
| Cataract surgery with IOL insertionCPT 66984 | $7,045 | $2,410 | 292% | — | 20 |
| Cellulitis, no MCCMS-DRG 603 | $20,856 | $5,726 | 364% | — | 18 |
| Cervical spinal fusion, no CC/MCCMS-DRG 473 | $33,738 | $16,343 | 206% | — | 20 |
| Cesarean section, no CC/MCCMS-DRG 788 | $15,215 | — | — | — | 21 |
| Cesarean section, with CCMS-DRG 787 | $17,721 | — | — | — | 21 |
| Chest painMS-DRG 313 | $17,028 | — | — | — | 16 |
| Colonoscopy with biopsyCPT 45380 | $4,794 | $1,250 | 384% | — | 20 |
| Colonoscopy with endoscopic ultrasoundCPT 45391 | $4,794 | $1,250 | 384% | — | 20 |
| Colonoscopy with polyp removalCPT 45385 | $4,794 | $1,250 | 384% | — | 20 |
| Colonoscopy, diagnosticCPT 45378 | $3,339 | $971 | 344% | — | 20 |
| Complete blood count with differentialCPT 85025 | $10 | $8 | 134% | — | 10 |
| Complete blood count, automatedCPT 85027 | $129 | $6 | 1989% | ~$33 | 33 |
| Comprehensive metabolic panelCPT 80053 | $995 | $11 | 9421% | ~$260 | 33 |
| Coronary bypass without cardiac cath, no MCCMS-DRG 236 | $75,364 | $29,950 | 252% | — | 13 |
| Diagnostic mammography, both breastsCPT 77066 | $435 | — | — | ~$111 | 25 |
| Diagnostic mammography, one breastCPT 77065 | $344 | — | — | ~$88 | 25 |
| ED visit, level 3CPT 99283 | $2,054 | $285 | 721% | $284 | 31 |
| ED visit, level 4CPT 99284 | $3,079 | $436 | 707% | $472 | 31 |
| ED visit, level 5CPT 99285 | $3,143 | $622 | 505% | $658 | 31 |
| Echocardiogram, completeCPT 93306 | $1,675 | $571 | 294% | $428 | 28 |
| Electrocardiogram with interpretationCPT 93000 | $217 | — | — | — | 4 |
| Epidural injection, lumbar/sacral, no imagingCPT 62322 | $4,237 | $924 | 459% | — | 20 |
| Esophagitis/GI disorders, no MCCMS-DRG 392 | $20,856 | $5,448 | 383% | — | 18 |
| Excision of breast lesionCPT 19120 | $10,822 | $4,089 | 265% | — | 26 |
| Family psychotherapy, with patientCPT 90847 | $185 | $185 | 100% | — | 3 |
| Family psychotherapy, without patientCPT 90846 | $182 | $185 | 98% | — | 3 |
| Group psychotherapyCPT 90853 | $142 | $106 | 133% | — | 3 |
| Heart failure and shock, with CCMS-DRG 292 | $24,091 | $5,927 | 406% | — | 11 |
| Heart failure with MCCMS-DRG 291 | $24,091 | $9,317 | 259% | — | 11 |
| Hip and femur procedures except major joint, with CCMS-DRG 481 | $32,180 | $13,876 | 232% | — | 13 |
| Hysterectomy, no CC/MCCMS-DRG 743 | $17,832 | $10,098 | 177% | — | 18 |
| Inguinal hernia repair, age 5+CPT 49505 | $9,578 | $3,739 | 256% | — | 21 |
| Kidney and urinary tract infections, no MCCMS-DRG 690 | $20,856 | $5,817 | 359% | — | 18 |
| Kidney function panelCPT 80069 | $954 | $9 | 10990% | ~$244 | 31 |
| Knee arthroscopy with meniscectomyCPT 29881 | $11,056 | $3,417 | 324% | — | 26 |
| Laparoscopic cholecystectomyCPT 47562 | $11,406 | $6,313 | 181% | — | 26 |
| Laparoscopic cholecystectomy, no CC/MCCMS-DRG 419 | $16,428 | $8,977 | 183% | — | 18 |
| Laparoscopic radical prostatectomyCPT 55866 | $16,920 | $11,101 | 152% | — | 20 |
| Left heart catheterization, diagnosticCPT 93452 | $9,333 | $3,385 | 276% | — | 19 |
| Lipid panelCPT 80061 | $789 | $13 | 5890% | ~$204 | 32 |
| Liver function panelCPT 80076 | $946 | $8 | 11580% | ~$244 | 32 |
| Lumbar epidural steroid injectionCPT 62323 | $4,237 | $737 | 575% | — | 20 |
| MRI brain with and without contrastCPT 70553 | $5,435 | $364 | 1492% | ~$1,389 | 30 |
| MRI lower extremity joint (knee)CPT 73721 | $2,463 | $249 | 988% | ~$629 | 30 |
| MRI lumbar spine without contrastCPT 72148 | $4,879 | $249 | 1958% | ~$1,247 | 30 |
| Major joint replacement (hip/knee), no MCCMS-DRG 470 | $40,550 | $12,448 | 326% | — | 18 |
| Major joint replacement (hip/knee), with MCCMS-DRG 469 | $43,540 | $22,346 | 195% | — | 18 |
| Major small and large bowel procedures, with CCMS-DRG 330 | $35,258 | $16,202 | 218% | — | 16 |
| Medical back problems, no MCCMS-DRG 552 | $11,098 | $6,651 | 167% | — | 9 |
| OB global care, VBAC deliveryCPT 59610 | $6,802 | — | — | — | 6 |
| OB global care, cesarean deliveryCPT 59510 | $6,802 | — | — | — | 6 |
| OB global care, vaginal deliveryCPT 59400 | $6,802 | — | — | — | 6 |
| OB ultrasound, 14+ weeksCPT 76805 | $920 | $109 | 843% | ~$212 | 25 |
| Obstetric blood test panelCPT 80055 | $65 | $48 | 136% | — | 10 |
| Office consultation, comprehensiveCPT 99244 | $212 | — | — | — | 3 |
| Office consultation, moderateCPT 99243 | $248 | — | — | — | 3 |
| Office visit, established patient, level 3CPT 99213 | $373 | — | — | $126 | 33 |
| Office visit, established patient, level 4CPT 99214 | $435 | — | — | $143 | 33 |
| Office visit, new patient, level 3CPT 99203 | $362 | — | — | $119 | 33 |
| Office visit, new patient, level 4CPT 99204 | $470 | — | — | $166 | 33 |
| Office visit, new patient, level 5CPT 99205 | $536 | — | — | $186 | 33 |
| PSA (prostate specific antigen), totalCPT 84153 | $293 | $18 | 1593% | ~$75 | 31 |
| Partial thromboplastin timeCPT 85730 | $260 | $6 | 4320% | ~$67 | 32 |
| Physical therapy, therapeutic exerciseCPT 97110 | $118 | — | — | $31 | 32 |
| Preventive visit, new patient, 18-39CPT 99385 | $71 | — | — | — | 1 |
| Preventive visit, new patient, 40-64CPT 99386 | $86 | — | — | — | 1 |
| Prostate biopsyCPT 55700 | $5,230 | — | — | — | 6 |
| Prothrombin timeCPT 85610 | $259 | $4 | 6045% | ~$67 | 32 |
| Psychotherapy, 30 minutesCPT 90832 | $161 | $185 | 87% | — | 3 |
| Psychotherapy, 45 minutesCPT 90834 | $173 | $185 | 93% | — | 3 |
| Psychotherapy, 60 minutesCPT 90837 | $196 | $185 | 106% | — | 3 |
| Renal failure, with CCMS-DRG 683 | $20,856 | $6,433 | 324% | — | 18 |
| Screening mammography, bilateralCPT 77067 | $401 | — | — | ~$102 | 25 |
| Sepsis with MCCMS-DRG 871 | $27,888 | $12,812 | 218% | — | 20 |
| Shoulder arthroscopy, subacromial decompressionCPT 29826 | $6,802 | — | — | — | 19 |
| Simple pneumonia and pleurisy, with CCMS-DRG 194 | $20,040 | $5,177 | 387% | — | 18 |
| Sleep study (polysomnography)CPT 95810 | $3,656 | $897 | 408% | $1,009 | 37 |
| Stroke (hemorrhage/infarction), no CC/MCCMS-DRG 066 | $23,112 | $3,679 | 628% | — | 13 |
| Stroke (hemorrhage/infarction), with CC or tPAMS-DRG 065 | $23,112 | $6,559 | 352% | — | 13 |
| Thyroid stimulating hormone (TSH)CPT 84443 | $457 | $17 | 2718% | ~$118 | 32 |
| Tonsillectomy and adenoidectomy, under age 12CPT 42820 | $8,755 | $6,182 | 142% | — | 17 |
| Transforaminal epidural, lumbar/sacralCPT 64483 | $3,299 | $924 | 357% | — | 17 |
| Ultrasound, abdomen, completeCPT 76700 | $1,503 | $109 | 1377% | ~$370 | 25 |
| Ultrasound, transvaginalCPT 76830 | $1,329 | $109 | 1217% | ~$340 | 25 |
| Upper GI endoscopy with biopsyCPT 43239 | $3,339 | $947 | 353% | — | 20 |
| Upper GI endoscopy, diagnosticCPT 43235 | $3,339 | $947 | 353% | — | 20 |
| Urinalysis, automated, with microscopyCPT 81001 | $319 | $3 | 10055% | ~$82 | 32 |
| Urinalysis, automated, without microscopyCPT 81003 | $133 | $2 | 5928% | ~$34 | 31 |
| Urinalysis, manual, with microscopyCPT 81000 | $5 | $4 | 134% | — | 10 |
| Urinalysis, manual, without microscopyCPT 81002 | $5 | $3 | 134% | — | 10 |
| Vaginal delivery, no sterilization, no CC/MCCMS-DRG 807 | $13,087 | — | — | — | 21 |
| Vaginal delivery, no sterilization, with CCMS-DRG 806 | $13,087 | — | — | — | 21 |
| X-ray, lower back, 4+ viewsCPT 72110 | $1,152 | $109 | 1055% | ~$294 | 25 |
| YAG laser capsulotomy (secondary cataract)CPT 66821 | $2,855 | $574 | 497% | — | 20 |