| Acute myocardial infarction, discharged alive, with MCCMS-DRG 280 | $19,110 | $12,290 | 155% | — | 10 |
| Bariatric (obesity) surgery, no CC/MCCMS-DRG 621 | $34,122 | $8,272 | 412% | — | 10 |
| Basic metabolic panelCPT 80048 | $179 | $8 | 2112% | ~$35 | 30 |
| COPD with MCCMS-DRG 190 | $13,736 | $7,963 | 173% | — | 6 |
| CT abdomen and pelvis with contrastCPT 74177 | $12,132 | $364 | 3330% | ~$2,538 | 28 |
| CT head without contrastCPT 70450 | $4,522 | $109 | 4142% | ~$946 | 28 |
| CT pelvis with contrastCPT 72193 | $5,514 | $183 | 3010% | ~$1,153 | 28 |
| Cardiac arrhythmia, no CC/MCCMS-DRG 310 | $13,736 | $3,097 | 444% | — | 14 |
| Cardiac stress testCPT 93017 | $1,790 | $225 | 794% | $378 | 29 |
| Cardiac valve surgery with cardiac cath, with MCCMS-DRG 216 | $123,452 | — | — | — | 10 |
| Cataract surgery with IOL insertionCPT 66984 | $5,153 | $2,410 | 214% | — | 23 |
| Cellulitis, no MCCMS-DRG 603 | $15,224 | $6,093 | 250% | — | 17 |
| Cervical spinal fusion, no CC/MCCMS-DRG 473 | $44,008 | $16,343 | 269% | — | 19 |
| Cesarean section, no CC/MCCMS-DRG 788 | $15,369 | — | — | — | 21 |
| Cesarean section, with CCMS-DRG 787 | $19,539 | — | — | — | 21 |
| Chest painMS-DRG 313 | $13,736 | $4,652 | 295% | — | 16 |
| Colonoscopy with biopsyCPT 45380 | $3,813 | $1,250 | 305% | — | 23 |
| Colonoscopy with endoscopic ultrasoundCPT 45391 | $3,813 | $1,250 | 305% | — | 23 |
| Colonoscopy with polyp removalCPT 45385 | $3,813 | $1,250 | 305% | — | 23 |
| Colonoscopy, diagnosticCPT 45378 | $2,762 | $971 | 284% | — | 23 |
| Complete blood count with differentialCPT 85025 | $10 | $8 | 131% | — | 8 |
| Complete blood count, automatedCPT 85027 | $195 | $6 | 3008% | ~$41 | 33 |
| Comprehensive metabolic panelCPT 80053 | $255 | $11 | 2411% | ~$48 | 33 |
| Coronary bypass without cardiac cath, no MCCMS-DRG 236 | $98,523 | $29,950 | 329% | — | 10 |
| Diagnostic mammography, both breastsCPT 77066 | $286 | — | — | ~$55 | 24 |
| Diagnostic mammography, one breastCPT 77065 | $207 | — | — | ~$40 | 24 |
| ED visit, level 3CPT 99283 | $2,796 | $285 | 981% | $319 | 36 |
| ED visit, level 4CPT 99284 | $3,732 | $436 | 856% | $354 | 36 |
| ED visit, level 5CPT 99285 | $4,177 | $622 | 672% | $515 | 36 |
| Echocardiogram, completeCPT 93306 | $3,832 | $571 | 672% | $809 | 29 |
| Electrocardiogram with interpretationCPT 93000 | $199 | — | — | — | 3 |
| Epidural injection, lumbar/sacral, no imagingCPT 62322 | $2,849 | $924 | 308% | — | 23 |
| Esophagitis/GI disorders, no MCCMS-DRG 392 | $15,224 | $5,295 | 288% | — | 17 |
| Excision of breast lesionCPT 19120 | $11,211 | $4,089 | 274% | — | 27 |
| Family psychotherapy, with patientCPT 90847 | $170 | $185 | 92% | — | 3 |
| Family psychotherapy, without patientCPT 90846 | $168 | $185 | 91% | — | 3 |
| Group psychotherapyCPT 90853 | $129 | $106 | 122% | — | 3 |
| Heart failure and shock, with CCMS-DRG 292 | $21,777 | $5,927 | 367% | — | 8 |
| Heart failure with MCCMS-DRG 291 | $22,637 | $9,095 | 249% | — | 8 |
| Hip and femur procedures except major joint, with CCMS-DRG 481 | $42,031 | $14,607 | 288% | — | 10 |
| Hysterectomy, no CC/MCCMS-DRG 743 | $22,523 | $10,098 | 223% | — | 18 |
| Inguinal hernia repair, age 5+CPT 49505 | $9,467 | $3,739 | 253% | — | 23 |
| Kidney and urinary tract infections, no MCCMS-DRG 690 | $15,224 | $5,357 | 284% | — | 17 |
| Kidney function panelCPT 80069 | $388 | $9 | 4474% | ~$84 | 30 |
| Knee arthroscopy with meniscectomyCPT 29881 | $11,211 | $3,417 | 328% | — | 27 |
| Laparoscopic cholecystectomyCPT 47562 | $13,279 | $6,313 | 210% | — | 26 |
| Laparoscopic cholecystectomy, no CC/MCCMS-DRG 419 | $22,128 | $8,977 | 247% | — | 18 |
| Laparoscopic radical prostatectomyCPT 55866 | $13,617 | $11,101 | 123% | — | 24 |
| Left heart catheterization, diagnosticCPT 93452 | $12,101 | $3,385 | 357% | — | 17 |
| Lipid panelCPT 80061 | $367 | $13 | 2740% | ~$80 | 30 |
| Liver function panelCPT 80076 | $266 | $8 | 3260% | ~$57 | 30 |
| Lumbar epidural steroid injectionCPT 62323 | $2,849 | $737 | 386% | — | 23 |
| MRI brain with and without contrastCPT 70553 | $3,912 | $364 | 1074% | ~$809 | 28 |
| MRI lower extremity joint (knee)CPT 73721 | $3,023 | $249 | 1213% | ~$584 | 28 |
| MRI lumbar spine without contrastCPT 72148 | $3,505 | $249 | 1407% | ~$689 | 28 |
| Major joint replacement (hip/knee), no MCCMS-DRG 470 | $39,662 | $13,406 | 296% | — | 18 |
| Major joint replacement (hip/knee), with MCCMS-DRG 469 | $57,063 | $22,346 | 255% | — | 18 |
| Major small and large bowel procedures, with CCMS-DRG 330 | $52,680 | $17,884 | 295% | — | 16 |
| Medical back problems, no MCCMS-DRG 552 | $13,736 | $6,290 | 218% | — | 6 |
| OB global care, VBAC deliveryCPT 59610 | $6,802 | — | — | — | 8 |
| OB global care, cesarean deliveryCPT 59510 | $6,802 | — | — | — | 8 |
| OB global care, vaginal deliveryCPT 59400 | $6,802 | — | — | — | 8 |
| OB ultrasound, 14+ weeksCPT 76805 | $1,863 | $109 | 1707% | ~$366 | 25 |
| Obstetric blood test panelCPT 80055 | $62 | $48 | 130% | — | 8 |
| Office consultation, comprehensiveCPT 99244 | $195 | — | — | — | 3 |
| Office consultation, moderateCPT 99243 | $229 | — | — | — | 3 |
| Office visit, established patient, level 3CPT 99213 | $117 | — | — | $28 | 37 |
| Office visit, established patient, level 4CPT 99214 | $136 | — | — | $33 | 37 |
| Office visit, new patient, level 3CPT 99203 | $238 | — | — | $57 | 37 |
| Office visit, new patient, level 4CPT 99204 | $269 | — | — | $65 | 37 |
| Office visit, new patient, level 5CPT 99205 | $301 | — | — | $72 | 37 |
| PSA (prostate specific antigen), totalCPT 84153 | $17 | $18 | 93% | ~$2 | 30 |
| Partial thromboplastin timeCPT 85730 | $10 | $6 | 172% | ~$2 | 30 |
| Physical therapy, therapeutic exerciseCPT 97110 | $193 | — | — | $42 | 32 |
| Prostate biopsyCPT 55700 | $4,779 | — | — | — | 7 |
| Prothrombin timeCPT 85610 | $64 | $4 | 1503% | ~$12 | 30 |
| Psychotherapy, 30 minutesCPT 90832 | $148 | $185 | 80% | — | 3 |
| Psychotherapy, 45 minutesCPT 90834 | $159 | $185 | 86% | — | 3 |
| Psychotherapy, 60 minutesCPT 90837 | $181 | $185 | 98% | — | 3 |
| Renal failure, with CCMS-DRG 683 | $15,224 | $5,849 | 260% | — | 17 |
| Screening mammography, bilateralCPT 77067 | $148 | — | — | ~$28 | 25 |
| Sepsis with MCCMS-DRG 871 | $21,259 | $14,053 | 151% | — | 19 |
| Shoulder arthroscopy, subacromial decompressionCPT 29826 | $6,511 | — | — | — | 18 |
| Simple pneumonia and pleurisy, with CCMS-DRG 194 | $15,224 | $5,540 | 275% | — | 17 |
| Sleep study (polysomnography)CPT 95810 | $5,820 | $897 | 649% | $1,907 | 39 |
| Stroke (hemorrhage/infarction), no CC/MCCMS-DRG 066 | $49,544 | $3,679 | 1347% | — | 10 |
| Stroke (hemorrhage/infarction), with CC or tPAMS-DRG 065 | $49,544 | $7,089 | 699% | — | 10 |
| Thyroid stimulating hormone (TSH)CPT 84443 | $398 | $17 | 2370% | ~$86 | 30 |
| Tonsillectomy and adenoidectomy, under age 12CPT 42820 | $10,894 | $6,182 | 176% | — | 20 |
| Transforaminal epidural, lumbar/sacralCPT 64483 | $2,740 | $924 | 297% | — | 20 |
| Ultrasound, abdomen, completeCPT 76700 | $4,688 | $109 | 4294% | ~$921 | 25 |
| Ultrasound, transvaginalCPT 76830 | $1,908 | $109 | 1748% | ~$375 | 25 |
| Upper GI endoscopy with biopsyCPT 43239 | $2,762 | $947 | 292% | — | 23 |
| Upper GI endoscopy, diagnosticCPT 43235 | $2,762 | $947 | 292% | — | 23 |
| Urinalysis, automated, with microscopyCPT 81001 | $249 | $3 | 7847% | ~$54 | 30 |
| Urinalysis, automated, without microscopyCPT 81003 | $79 | $2 | 3510% | ~$15 | 30 |
| Urinalysis, manual, with microscopyCPT 81000 | $5 | $4 | 130% | — | 8 |
| Urinalysis, manual, without microscopyCPT 81002 | $5 | $3 | 130% | — | 8 |
| Vaginal delivery, no sterilization, no CC/MCCMS-DRG 807 | $10,693 | — | — | — | 21 |
| Vaginal delivery, no sterilization, with CCMS-DRG 806 | $11,616 | — | — | — | 21 |
| X-ray, lower back, 4+ viewsCPT 72110 | $1,324 | $109 | 1212% | ~$260 | 26 |
| YAG laser capsulotomy (secondary cataract)CPT 66821 | $2,290 | $574 | 399% | — | 23 |