| Acute myocardial infarction, discharged alive, with MCCMS-DRG 280 | $11,308 | $11,204 | 101% | — | 18 |
| Bariatric (obesity) surgery, no CC/MCCMS-DRG 621 | $33,950 | $8,272 | 410% | — | 18 |
| Basic metabolic panelCPT 80048 | $336 | $8 | 3974% | ~$110 | 32 |
| COPD with MCCMS-DRG 190 | $10,334 | $7,377 | 140% | — | 14 |
| CT abdomen and pelvis with contrastCPT 74177 | $3,613 | $364 | 992% | ~$2,227 | 30 |
| CT head without contrastCPT 70450 | $2,202 | $109 | 2017% | ~$791 | 30 |
| CT pelvis with contrastCPT 72193 | $2,709 | $183 | 1479% | ~$1,113 | 30 |
| Cardiac arrhythmia, no CC/MCCMS-DRG 310 | $10,671 | $3,470 | 307% | — | 19 |
| Cardiac stress testCPT 93017 | $1,748 | $225 | 775% | $574 | 29 |
| Cardiac valve surgery with cardiac cath, with MCCMS-DRG 216 | $88,106 | — | — | — | 18 |
| Cataract surgery with IOL insertionCPT 66984 | $6,802 | $2,410 | 282% | — | 25 |
| Cellulitis, no MCCMS-DRG 603 | $11,948 | $5,675 | 211% | — | 23 |
| Cervical spinal fusion, no CC/MCCMS-DRG 473 | $44,520 | $16,343 | 272% | — | 25 |
| Cesarean section, no CC/MCCMS-DRG 788 | $15,776 | — | — | — | 26 |
| Cesarean section, with CCMS-DRG 787 | $18,656 | — | — | — | 26 |
| Chest painMS-DRG 313 | $11,517 | $5,460 | 211% | — | 21 |
| Colonoscopy with biopsyCPT 45380 | $5,376 | $1,250 | 430% | — | 25 |
| Colonoscopy with endoscopic ultrasoundCPT 45391 | $5,376 | $1,250 | 430% | — | 25 |
| Colonoscopy with polyp removalCPT 45385 | $5,376 | $1,250 | 430% | — | 25 |
| Colonoscopy, diagnosticCPT 45378 | $4,659 | $971 | 480% | — | 25 |
| Complete blood count with differentialCPT 85025 | $10 | $8 | 134% | — | 10 |
| Complete blood count, automatedCPT 85027 | $239 | $6 | 3699% | ~$77 | 34 |
| Comprehensive metabolic panelCPT 80053 | $875 | $11 | 8289% | ~$288 | 34 |
| Coronary bypass without cardiac cath, no MCCMS-DRG 236 | $80,765 | $29,950 | 270% | — | 18 |
| Diagnostic mammography, both breastsCPT 77066 | $419 | — | — | ~$120 | 26 |
| Diagnostic mammography, one breastCPT 77065 | $355 | — | — | ~$98 | 25 |
| ED visit, level 3CPT 99283 | $2,023 | $285 | 710% | $233 | 35 |
| ED visit, level 4CPT 99284 | $2,119 | $436 | 486% | $267 | 35 |
| ED visit, level 5CPT 99285 | $3,126 | $622 | 503% | $491 | 35 |
| Echocardiogram, completeCPT 93306 | $1,110 | $571 | 195% | $365 | 29 |
| Electrocardiogram with interpretationCPT 93000 | $208 | — | — | — | 4 |
| Epidural injection, lumbar/sacral, no imagingCPT 62322 | $4,659 | $924 | 504% | — | 25 |
| Esophagitis/GI disorders, no MCCMS-DRG 392 | $11,948 | $5,450 | 219% | — | 23 |
| Excision of breast lesionCPT 19120 | $13,140 | $4,089 | 321% | — | 31 |
| Family psychotherapy, with patientCPT 90847 | $179 | $185 | 97% | — | 3 |
| Family psychotherapy, without patientCPT 90846 | $177 | $185 | 95% | — | 3 |
| Group psychotherapyCPT 90853 | $136 | $106 | 128% | — | 3 |
| Heart failure and shock, with CCMS-DRG 292 | $21,496 | $5,927 | 363% | — | 16 |
| Heart failure with MCCMS-DRG 291 | $21,610 | $9,756 | 221% | — | 16 |
| Hip and femur procedures except major joint, with CCMS-DRG 481 | $42,406 | $15,310 | 277% | — | 18 |
| Hysterectomy, no CC/MCCMS-DRG 743 | $21,961 | $10,098 | 217% | — | 23 |
| Inguinal hernia repair, age 5+CPT 49505 | $8,857 | $3,739 | 237% | — | 26 |
| Kidney and urinary tract infections, no MCCMS-DRG 690 | $11,948 | $5,889 | 203% | — | 23 |
| Kidney function panelCPT 80069 | $17 | $9 | 199% | ~$5 | 31 |
| Knee arthroscopy with meniscectomyCPT 29881 | $13,140 | $3,417 | 385% | — | 31 |
| Laparoscopic cholecystectomyCPT 47562 | $13,315 | $6,313 | 211% | — | 31 |
| Laparoscopic cholecystectomy, no CC/MCCMS-DRG 419 | $16,153 | $8,977 | 180% | — | 23 |
| Laparoscopic radical prostatectomyCPT 55866 | $15,556 | $11,101 | 140% | — | 25 |
| Left heart catheterization, diagnosticCPT 93452 | $9,822 | $3,385 | 290% | — | 24 |
| Lipid panelCPT 80061 | $229 | $13 | 1707% | ~$69 | 31 |
| Liver function panelCPT 80076 | $537 | $8 | 6578% | ~$177 | 31 |
| Lumbar epidural steroid injectionCPT 62323 | $4,659 | $737 | 632% | — | 25 |
| MRI brain with and without contrastCPT 70553 | $3,113 | $364 | 855% | ~$1,379 | 30 |
| MRI lower extremity joint (knee)CPT 73721 | $2,475 | $249 | 993% | ~$1,047 | 30 |
| MRI lumbar spine without contrastCPT 72148 | $2,543 | $249 | 1020% | ~$1,047 | 30 |
| Major joint replacement (hip/knee), no MCCMS-DRG 470 | $43,527 | $13,045 | 334% | — | 23 |
| Major joint replacement (hip/knee), with MCCMS-DRG 469 | $44,350 | $22,346 | 198% | — | 23 |
| Major small and large bowel procedures, with CCMS-DRG 330 | $18,098 | $16,202 | 112% | — | 21 |
| Medical back problems, no MCCMS-DRG 552 | $10,334 | $7,176 | 144% | — | 14 |
| OB global care, VBAC deliveryCPT 59610 | $8,666 | — | — | — | 11 |
| OB global care, cesarean deliveryCPT 59510 | $8,666 | — | — | — | 11 |
| OB global care, vaginal deliveryCPT 59400 | $8,666 | — | — | — | 11 |
| OB ultrasound, 14+ weeksCPT 76805 | $1,158 | $109 | 1061% | ~$347 | 25 |
| Obstetric blood test panelCPT 80055 | $65 | $48 | 136% | — | 10 |
| Office consultation, comprehensiveCPT 99244 | $206 | — | — | — | 3 |
| Office consultation, moderateCPT 99243 | $240 | — | — | — | 3 |
| Office visit, established patient, level 3CPT 99213 | $79 | — | — | $24 | 29 |
| Office visit, established patient, level 4CPT 99214 | $104 | — | — | $31 | 29 |
| Office visit, new patient, level 3CPT 99203 | $104 | — | — | $31 | 29 |
| Office visit, new patient, level 4CPT 99204 | $137 | — | — | $41 | 29 |
| Office visit, new patient, level 5CPT 99205 | $217 | — | — | — | 3 |
| PSA (prostate specific antigen), totalCPT 84153 | $50 | $18 | 273% | ~$14 | 31 |
| Partial thromboplastin timeCPT 85730 | $221 | $6 | 3683% | ~$73 | 31 |
| Physical therapy, therapeutic exerciseCPT 97110 | $147 | — | — | $46 | 35 |
| Preventive visit, new patient, 18-39CPT 99385 | $71 | — | — | — | 1 |
| Preventive visit, new patient, 40-64CPT 99386 | $86 | — | — | — | 1 |
| Prostate biopsyCPT 55700 | $4,995 | — | — | — | 6 |
| Prothrombin timeCPT 85610 | $204 | $4 | 4758% | ~$67 | 32 |
| Psychotherapy, 30 minutesCPT 90832 | $155 | $185 | 84% | — | 3 |
| Psychotherapy, 45 minutesCPT 90834 | $167 | $185 | 90% | — | 3 |
| Psychotherapy, 60 minutesCPT 90837 | $190 | $185 | 103% | — | 3 |
| Renal failure, with CCMS-DRG 683 | $11,948 | $6,287 | 190% | — | 23 |
| Screening mammography, bilateralCPT 77067 | $360 | — | — | ~$103 | 26 |
| Sepsis with MCCMS-DRG 871 | $18,463 | $13,767 | 134% | — | 25 |
| Shoulder arthroscopy, subacromial decompressionCPT 29826 | $9,785 | — | — | — | 24 |
| Simple pneumonia and pleurisy, with CCMS-DRG 194 | $11,948 | $5,177 | 231% | — | 23 |
| Sleep study (polysomnography)CPT 95810 | $3,126 | $897 | 349% | — | 4 |
| Stroke (hemorrhage/infarction), no CC/MCCMS-DRG 066 | $35,590 | $3,679 | 967% | — | 18 |
| Stroke (hemorrhage/infarction), with CC or tPAMS-DRG 065 | $35,590 | $7,722 | 461% | — | 18 |
| Thyroid stimulating hormone (TSH)CPT 84443 | $216 | $17 | 1284% | ~$71 | 31 |
| Tonsillectomy and adenoidectomy, under age 12CPT 42820 | $8,666 | $6,182 | 140% | — | 22 |
| Transforaminal epidural, lumbar/sacralCPT 64483 | $2,894 | $924 | 313% | — | 17 |
| Ultrasound, abdomen, completeCPT 76700 | $1,466 | $109 | 1343% | ~$439 | 25 |
| Ultrasound, transvaginalCPT 76830 | $1,095 | $109 | 1003% | ~$329 | 25 |
| Upper GI endoscopy with biopsyCPT 43239 | $4,659 | $947 | 492% | — | 25 |
| Upper GI endoscopy, diagnosticCPT 43235 | $4,659 | $947 | 492% | — | 25 |
| Urinalysis, automated, with microscopyCPT 81001 | $241 | $3 | 7598% | ~$79 | 31 |
| Urinalysis, automated, without microscopyCPT 81003 | $108 | $2 | 4779% | ~$35 | 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 | $13,366 | — | — | — | 26 |
| Vaginal delivery, no sterilization, with CCMS-DRG 806 | $13,628 | — | — | — | 26 |
| X-ray, lower back, 4+ viewsCPT 72110 | $851 | $109 | 779% | ~$255 | 25 |
| YAG laser capsulotomy (secondary cataract)CPT 66821 | $3,942 | $574 | 686% | — | 25 |