| Acute myocardial infarction, discharged alive, with MCCMS-DRG 280 | $18,478 | $10,602 | 174% | — | 16 |
| Bariatric (obesity) surgery, no CC/MCCMS-DRG 621 | $17,401 | $8,272 | 210% | — | 17 |
| Basic metabolic panelCPT 80048 | $197 | $8 | 2332% | ~$96 | 13 |
| COPD with MCCMS-DRG 190 | $12,760 | $7,126 | 179% | — | 16 |
| CT abdomen and pelvis with contrastCPT 74177 | $2,396 | $364 | 658% | ~$1,340 | 13 |
| CT head without contrastCPT 70450 | $1,119 | $109 | 1025% | ~$582 | 13 |
| CT pelvis with contrastCPT 72193 | $979 | $183 | 534% | ~$477 | 13 |
| Cardiac arrhythmia, no CC/MCCMS-DRG 310 | $6,521 | $2,842 | 229% | — | 16 |
| Cardiac stress testCPT 93017 | $1,366 | $225 | 606% | $355 | 11 |
| Cardiac valve surgery with cardiac cath, with MCCMS-DRG 216 | $112,693 | — | — | — | 16 |
| Cataract surgery with IOL insertionCPT 66984 | $3,452 | $2,410 | 143% | — | 11 |
| Cellulitis, no MCCMS-DRG 603 | $10,032 | $5,428 | 185% | — | 16 |
| Cervical spinal fusion, no CC/MCCMS-DRG 473 | $28,123 | $16,343 | 172% | — | 16 |
| Cesarean section, no CC/MCCMS-DRG 788 | $11,029 | — | — | — | 17 |
| Cesarean section, with CCMS-DRG 787 | $12,140 | — | — | — | 17 |
| Chest painMS-DRG 313 | $8,294 | $4,603 | 180% | — | 16 |
| Colonoscopy with biopsyCPT 45380 | $4,974 | $1,250 | 398% | — | 10 |
| Colonoscopy with endoscopic ultrasoundCPT 45391 | $4,974 | $1,250 | 398% | — | 10 |
| Colonoscopy with polyp removalCPT 45385 | $4,974 | $1,250 | 398% | — | 10 |
| Colonoscopy, diagnosticCPT 45378 | $4,407 | $971 | 454% | — | 10 |
| Complete blood count with differentialCPT 85025 | $94 | $8 | 1213% | ~$46 | 13 |
| Complete blood count, automatedCPT 85027 | $94 | $6 | 1457% | ~$46 | 13 |
| Comprehensive metabolic panelCPT 80053 | $348 | $11 | 3300% | ~$170 | 13 |
| Coronary bypass without cardiac cath, no MCCMS-DRG 236 | $48,253 | $29,950 | 161% | — | 16 |
| Diagnostic mammography, both breastsCPT 77066 | $367 | — | — | ~$123 | 13 |
| Diagnostic mammography, one breastCPT 77065 | $287 | — | — | ~$94 | 13 |
| ED visit, level 3CPT 99283 | $1,206 | $285 | 423% | $256 | 18 |
| ED visit, level 4CPT 99284 | $1,272 | $436 | 292% | $347 | 18 |
| ED visit, level 5CPT 99285 | $1,272 | $622 | 205% | $459 | 18 |
| Echocardiogram, completeCPT 93306 | $2,104 | $571 | 369% | $882 | 11 |
| Epidural injection, lumbar/sacral, no imagingCPT 62322 | $1,834 | $924 | 199% | $258 | 18 |
| Esophagitis/GI disorders, no MCCMS-DRG 392 | $8,981 | $4,750 | 189% | — | 16 |
| Heart failure and shock, with CCMS-DRG 292 | $9,780 | $5,927 | 165% | — | 16 |
| Heart failure with MCCMS-DRG 291 | $14,789 | $8,366 | 177% | — | 16 |
| Hip and femur procedures except major joint, with CCMS-DRG 481 | $24,128 | $14,088 | 171% | — | 16 |
| Hysterectomy, no CC/MCCMS-DRG 743 | $14,292 | $10,098 | 142% | — | 16 |
| Kidney and urinary tract infections, no MCCMS-DRG 690 | $9,325 | $5,030 | 185% | — | 16 |
| Kidney function panelCPT 80069 | $143 | $9 | 1650% | ~$70 | 13 |
| Knee arthroscopy with meniscectomyCPT 29881 | $6,763 | $3,417 | 198% | — | 13 |
| Laparoscopic cholecystectomy, no CC/MCCMS-DRG 419 | $15,733 | $8,977 | 175% | — | 16 |
| Laparoscopic radical prostatectomyCPT 55866 | $7,391 | $11,101 | 67% | — | 14 |
| Left heart catheterization, diagnosticCPT 93452 | $5,935 | $3,385 | 175% | $2,809 | 13 |
| Lipid panelCPT 80061 | $62 | $13 | 463% | ~$30 | 13 |
| Liver function panelCPT 80076 | $256 | $8 | 3139% | ~$125 | 13 |
| Lumbar epidural steroid injectionCPT 62323 | $2,004 | $737 | 272% | $398 | 18 |
| MRI brain with and without contrastCPT 70553 | $2,773 | $364 | 761% | ~$1,474 | 13 |
| MRI lower extremity joint (knee)CPT 73721 | $1,259 | $249 | 505% | ~$655 | 13 |
| MRI lumbar spine without contrastCPT 72148 | $1,351 | $249 | 542% | ~$703 | 13 |
| Major joint replacement (hip/knee), no MCCMS-DRG 470 | $22,220 | $13,045 | 170% | — | 16 |
| Major joint replacement (hip/knee), with MCCMS-DRG 469 | $34,941 | $22,346 | 156% | — | 16 |
| Major small and large bowel procedures, with CCMS-DRG 330 | $27,615 | $15,940 | 173% | — | 16 |
| Medical back problems, no MCCMS-DRG 552 | $11,074 | $5,590 | 198% | — | 16 |
| OB global care, VBAC deliveryCPT 59610 | $1,960 | — | — | — | 7 |
| OB global care, cesarean deliveryCPT 59510 | $1,960 | — | — | — | 7 |
| OB global care, vaginal deliveryCPT 59400 | $1,960 | — | — | — | 7 |
| OB ultrasound, 14+ weeksCPT 76805 | $380 | $109 | 348% | ~$198 | 13 |
| PSA (prostate specific antigen), totalCPT 84153 | $20 | $18 | 109% | ~$5 | 13 |
| Partial thromboplastin timeCPT 85730 | $23 | $6 | 381% | ~$11 | 13 |
| Physical therapy, therapeutic exerciseCPT 97110 | $198 | — | — | $48 | 11 |
| Prostate biopsyCPT 55700 | $2,591 | — | — | $123 | 18 |
| Prothrombin timeCPT 85610 | $36 | $4 | 828% | ~$17 | 13 |
| Renal failure, with CCMS-DRG 683 | $10,089 | $5,868 | 172% | — | 16 |
| Screening mammography, bilateralCPT 77067 | $303 | — | — | ~$78 | 13 |
| Sepsis with MCCMS-DRG 871 | $22,377 | $12,534 | 179% | — | 16 |
| Shoulder arthroscopy, subacromial decompressionCPT 29826 | $1,002 | — | — | — | 13 |
| Simple pneumonia and pleurisy, with CCMS-DRG 194 | $9,284 | $5,226 | 178% | — | 16 |
| Stroke (hemorrhage/infarction), no CC/MCCMS-DRG 066 | $7,884 | $3,679 | 214% | — | 16 |
| Stroke (hemorrhage/infarction), with CC or tPAMS-DRG 065 | $11,638 | $6,150 | 189% | — | 16 |
| Thyroid stimulating hormone (TSH)CPT 84443 | $138 | $17 | 820% | ~$67 | 13 |
| Tonsillectomy and adenoidectomy, under age 12CPT 42820 | $7,614 | $6,182 | 123% | — | 10 |
| Transforaminal epidural, lumbar/sacralCPT 64483 | $2,250 | $924 | 244% | $391 | 18 |
| Ultrasound, abdomen, completeCPT 76700 | $556 | $109 | 509% | ~$289 | 13 |
| Ultrasound, transvaginalCPT 76830 | $343 | $109 | 315% | ~$179 | 13 |
| Upper GI endoscopy with biopsyCPT 43239 | $2,488 | $947 | 263% | $134 | 18 |
| Upper GI endoscopy, diagnosticCPT 43235 | $2,488 | $947 | 263% | $134 | 18 |
| Urinalysis, automated, with microscopyCPT 81001 | $88 | $3 | 2776% | ~$43 | 13 |
| Urinalysis, automated, without microscopyCPT 81003 | $32 | $2 | 1422% | ~$16 | 13 |
| Urinalysis, manual, with microscopyCPT 81000 | $13 | $4 | 312% | ~$6 | 13 |
| Urinalysis, manual, without microscopyCPT 81002 | $18 | $3 | 520% | ~$9 | 13 |
| Vaginal delivery, no sterilization, no CC/MCCMS-DRG 807 | $7,755 | — | — | — | 17 |
| Vaginal delivery, no sterilization, with CCMS-DRG 806 | $8,435 | — | — | — | 16 |
| X-ray, lower back, 4+ viewsCPT 72110 | $423 | $109 | 387% | ~$220 | 13 |