| Acute myocardial infarction, discharged alive, with MCCMS-DRG 280 | $19,769 | $11,666 | 169% | — | 18 |
| Bariatric (obesity) surgery, no CC/MCCMS-DRG 621 | $41,547 | $8,272 | 502% | — | 18 |
| Basic metabolic panelCPT 80048 | $358 | $8 | 4226% | ~$144 | 28 |
| COPD with MCCMS-DRG 190 | $13,353 | $7,377 | 181% | — | 13 |
| CT abdomen and pelvis with contrastCPT 74177 | $4,187 | $364 | 1149% | ~$2,131 | 28 |
| CT head without contrastCPT 70450 | $3,535 | $109 | 3238% | ~$823 | 28 |
| CT pelvis with contrastCPT 72193 | $3,710 | $183 | 2025% | ~$1,066 | 28 |
| Cardiac arrhythmia, no CC/MCCMS-DRG 310 | $14,080 | $3,269 | 431% | — | 18 |
| Cardiac stress testCPT 93017 | $1,289 | $225 | 572% | $495 | 27 |
| Cardiac valve surgery with cardiac cath, with MCCMS-DRG 216 | $124,438 | — | — | — | 18 |
| Cataract surgery with IOL insertionCPT 66984 | $11,659 | $2,410 | 484% | — | 18 |
| Cellulitis, no MCCMS-DRG 603 | $27,683 | $5,675 | 488% | — | 21 |
| Cervical spinal fusion, no CC/MCCMS-DRG 473 | $48,404 | $16,343 | 296% | — | 24 |
| Cesarean section, no CC/MCCMS-DRG 788 | $22,108 | — | — | — | 26 |
| Cesarean section, with CCMS-DRG 787 | $22,108 | — | — | — | 26 |
| Chest painMS-DRG 313 | $16,460 | — | — | — | 20 |
| Colonoscopy with biopsyCPT 45380 | $7,473 | $1,250 | 598% | — | 18 |
| Colonoscopy with endoscopic ultrasoundCPT 45391 | $7,473 | $1,250 | 598% | — | 18 |
| Colonoscopy with polyp removalCPT 45385 | $7,473 | $1,250 | 598% | — | 18 |
| Colonoscopy, diagnosticCPT 45378 | $6,542 | $971 | 674% | — | 18 |
| Complete blood count with differentialCPT 85025 | $15 | $8 | 193% | — | 9 |
| Complete blood count, automatedCPT 85027 | $113 | $6 | 1746% | ~$45 | 30 |
| Comprehensive metabolic panelCPT 80053 | $197 | $11 | 1864% | ~$78 | 29 |
| Coronary bypass without cardiac cath, no MCCMS-DRG 236 | $96,446 | $29,950 | 322% | — | 18 |
| Diagnostic mammography, both breastsCPT 77066 | $378 | — | — | ~$150 | 23 |
| Diagnostic mammography, one breastCPT 77065 | $330 | — | — | ~$131 | 23 |
| ED visit, level 3CPT 99283 | $3,425 | $285 | 1202% | $209 | 35 |
| ED visit, level 4CPT 99284 | $4,679 | $436 | 1074% | $314 | 35 |
| ED visit, level 5CPT 99285 | $4,679 | $622 | 752% | $356 | 35 |
| Echocardiogram, completeCPT 93306 | $3,566 | $571 | 625% | $1,351 | 26 |
| Electrocardiogram with interpretationCPT 93000 | $187 | — | — | — | 4 |
| Epidural injection, lumbar/sacral, no imagingCPT 62322 | $6,542 | $924 | 708% | — | 18 |
| Esophagitis/GI disorders, no MCCMS-DRG 392 | $27,920 | $5,446 | 513% | — | 21 |
| Excision of breast lesionCPT 19120 | $17,837 | $4,089 | 436% | — | 31 |
| Family psychotherapy, with patientCPT 90847 | $165 | $185 | 89% | — | 3 |
| Family psychotherapy, without patientCPT 90846 | $163 | $185 | 88% | — | 3 |
| Group psychotherapyCPT 90853 | $123 | $106 | 116% | — | 3 |
| Heart failure and shock, with CCMS-DRG 292 | $21,723 | $5,927 | 367% | — | 15 |
| Heart failure with MCCMS-DRG 291 | $21,723 | $8,970 | 242% | — | 15 |
| Hip and femur procedures except major joint, with CCMS-DRG 481 | $49,346 | $13,876 | 356% | — | 18 |
| Hysterectomy, no CC/MCCMS-DRG 743 | $26,739 | $10,098 | 265% | — | 23 |
| Inguinal hernia repair, age 5+CPT 49505 | $15,153 | $3,739 | 405% | — | 19 |
| Kidney and urinary tract infections, no MCCMS-DRG 690 | $27,683 | $5,248 | 528% | — | 21 |
| Kidney function panelCPT 80069 | $364 | $9 | 4191% | ~$147 | 28 |
| Knee arthroscopy with meniscectomyCPT 29881 | $17,837 | $3,417 | 522% | — | 31 |
| Laparoscopic cholecystectomyCPT 47562 | $22,257 | $6,313 | 353% | — | 31 |
| Laparoscopic cholecystectomy, no CC/MCCMS-DRG 419 | $21,515 | $8,977 | 240% | — | 23 |
| Laparoscopic radical prostatectomyCPT 55866 | $18,983 | $11,101 | 171% | — | 25 |
| Left heart catheterization, diagnosticCPT 93452 | $19,525 | $3,385 | 577% | — | 24 |
| Lipid panelCPT 80061 | $150 | $13 | 1124% | ~$58 | 28 |
| Liver function panelCPT 80076 | $454 | $8 | 5563% | ~$184 | 28 |
| Lumbar epidural steroid injectionCPT 62323 | $6,542 | $737 | 887% | — | 18 |
| MRI brain with and without contrastCPT 70553 | $3,710 | $364 | 1018% | ~$1,400 | 28 |
| MRI lower extremity joint (knee)CPT 73721 | $3,710 | $249 | 1489% | ~$1,089 | 28 |
| MRI lumbar spine without contrastCPT 72148 | $3,710 | $249 | 1489% | ~$1,170 | 28 |
| Major joint replacement (hip/knee), no MCCMS-DRG 470 | $54,693 | $13,045 | 419% | — | 23 |
| Major joint replacement (hip/knee), with MCCMS-DRG 469 | $54,693 | $22,346 | 245% | — | 23 |
| Major small and large bowel procedures, with CCMS-DRG 330 | $28,306 | $16,202 | 175% | — | 20 |
| Medical back problems, no MCCMS-DRG 552 | $13,353 | $6,142 | 217% | — | 13 |
| OB global care, VBAC deliveryCPT 59610 | $11,166 | — | — | — | 5 |
| OB global care, cesarean deliveryCPT 59510 | $11,166 | — | — | — | 5 |
| OB global care, vaginal deliveryCPT 59400 | $11,166 | — | — | — | 5 |
| OB ultrasound, 14+ weeksCPT 76805 | $868 | $109 | 795% | ~$329 | 23 |
| Obstetric blood test panelCPT 80055 | $92 | $48 | 193% | — | 9 |
| Office consultation, comprehensiveCPT 99244 | $191 | — | — | — | 3 |
| Office consultation, moderateCPT 99243 | $221 | — | — | — | 3 |
| Office visit, established patient, level 3CPT 99213 | $361 | — | — | $151 | 28 |
| Office visit, established patient, level 4CPT 99214 | $550 | — | — | $231 | 28 |
| Office visit, new patient, level 3CPT 99203 | $361 | — | — | $151 | 28 |
| Office visit, new patient, level 4CPT 99204 | $550 | — | — | $231 | 28 |
| Office visit, new patient, level 5CPT 99205 | $825 | — | — | $346 | 28 |
| PSA (prostate specific antigen), totalCPT 84153 | $208 | $18 | 1132% | ~$84 | 28 |
| Partial thromboplastin timeCPT 85730 | $158 | $6 | 2621% | ~$64 | 28 |
| Physical therapy, therapeutic exerciseCPT 97110 | $165 | — | — | $65 | 31 |
| Preventive visit, new patient, 18-39CPT 99385 | $70 | — | — | — | 1 |
| Preventive visit, new patient, 40-64CPT 99386 | $86 | — | — | — | 1 |
| Prostate biopsyCPT 55700 | $4,523 | — | — | — | 5 |
| Prothrombin timeCPT 85610 | $140 | $4 | 3269% | ~$57 | 28 |
| Psychotherapy, 30 minutesCPT 90832 | $142 | $185 | 77% | — | 3 |
| Psychotherapy, 45 minutesCPT 90834 | $154 | $185 | 83% | — | 3 |
| Psychotherapy, 60 minutesCPT 90837 | $176 | $185 | 95% | — | 3 |
| Renal failure, with CCMS-DRG 683 | $27,683 | $6,102 | 454% | — | 21 |
| Screening mammography, bilateralCPT 77067 | $296 | — | — | ~$120 | 25 |
| Sepsis with MCCMS-DRG 871 | $29,512 | $14,976 | 197% | — | 24 |
| Shoulder arthroscopy, subacromial decompressionCPT 29826 | $15,153 | — | — | — | 24 |
| Simple pneumonia and pleurisy, with CCMS-DRG 194 | $27,683 | $5,177 | 535% | — | 21 |
| Sleep study (polysomnography)CPT 95810 | $4,390 | $897 | 490% | $1,774 | 35 |
| Stroke (hemorrhage/infarction), no CC/MCCMS-DRG 066 | $45,342 | $3,679 | 1232% | — | 18 |
| Stroke (hemorrhage/infarction), with CC or tPAMS-DRG 065 | $45,342 | $5,881 | 771% | — | 18 |
| Thyroid stimulating hormone (TSH)CPT 84443 | $294 | $17 | 1747% | ~$119 | 28 |
| Tonsillectomy and adenoidectomy, under age 12CPT 42820 | $21,742 | $6,182 | 352% | — | 15 |
| Transforaminal epidural, lumbar/sacralCPT 64483 | $6,542 | $924 | 708% | — | 17 |
| Ultrasound, abdomen, completeCPT 76700 | $1,182 | $109 | 1083% | ~$398 | 23 |
| Ultrasound, transvaginalCPT 76830 | $893 | $109 | 818% | ~$351 | 23 |
| Upper GI endoscopy with biopsyCPT 43239 | $6,542 | $947 | 691% | — | 18 |
| Upper GI endoscopy, diagnosticCPT 43235 | $6,542 | $947 | 691% | — | 18 |
| Urinalysis, automated, with microscopyCPT 81001 | $144 | $3 | 4535% | ~$58 | 28 |
| Urinalysis, automated, without microscopyCPT 81003 | $34 | $2 | 1505% | ~$13 | 28 |
| Urinalysis, manual, with microscopyCPT 81000 | $8 | $4 | 193% | — | 9 |
| Urinalysis, manual, without microscopyCPT 81002 | $23 | $3 | 656% | ~$9 | 28 |
| Vaginal delivery, no sterilization, no CC/MCCMS-DRG 807 | $15,428 | — | — | — | 26 |
| Vaginal delivery, no sterilization, with CCMS-DRG 806 | $15,979 | — | — | — | 26 |
| X-ray, lower back, 4+ viewsCPT 72110 | $796 | $109 | 729% | ~$315 | 23 |
| YAG laser capsulotomy (secondary cataract)CPT 66821 | $4,672 | $574 | 813% | — | 18 |