| Acute myocardial infarction, discharged alive, with MCCMS-DRG 280 | $25,168 | $11,217 | 224% | — | 8 |
| Bariatric (obesity) surgery, no CC/MCCMS-DRG 621 | $23,667 | $8,272 | 286% | — | 8 |
| Basic metabolic panelCPT 80048 | $315 | $8 | 3720% | ~$94 | 26 |
| COPD with MCCMS-DRG 190 | $17,380 | $8,265 | 210% | — | 8 |
| CT abdomen and pelvis with contrastCPT 74177 | $5,613 | $364 | 1541% | ~$1,679 | 26 |
| CT head without contrastCPT 70450 | $2,188 | $109 | 2004% | ~$682 | 27 |
| CT pelvis with contrastCPT 72193 | $2,637 | $183 | 1440% | ~$789 | 26 |
| Cardiac arrhythmia, no CC/MCCMS-DRG 310 | $8,882 | $4,649 | 191% | — | 8 |
| Cardiac stress testCPT 93017 | $1,433 | $225 | 636% | $429 | 26 |
| Cardiac valve surgery with cardiac cath, with MCCMS-DRG 216 | $153,492 | — | — | — | 8 |
| Cataract surgery with IOL insertionCPT 66984 | $3,728 | $2,410 | 155% | — | 4 |
| Cellulitis, no MCCMS-DRG 603 | $13,664 | $6,861 | 199% | — | 8 |
| Cervical spinal fusion, no CC/MCCMS-DRG 473 | $38,304 | $16,343 | 234% | — | 8 |
| Cesarean section, no CC/MCCMS-DRG 788 | $15,044 | — | — | — | 8 |
| Cesarean section, with CCMS-DRG 787 | $17,523 | — | — | — | 8 |
| Chest painMS-DRG 313 | $11,297 | — | — | — | 8 |
| Colonoscopy with biopsyCPT 45380 | $1,694 | $1,250 | 136% | — | 4 |
| Colonoscopy with endoscopic ultrasoundCPT 45391 | $1,694 | $1,250 | 136% | — | 4 |
| Colonoscopy with polyp removalCPT 45385 | $1,694 | $1,250 | 136% | — | 4 |
| Colonoscopy, diagnosticCPT 45378 | $1,543 | $971 | 159% | — | 4 |
| Complete blood count with differentialCPT 85025 | $175 | $8 | 2253% | ~$52 | 26 |
| Complete blood count, automatedCPT 85027 | $158 | $6 | 2439% | ~$47 | 26 |
| Comprehensive metabolic panelCPT 80053 | $550 | $11 | 5207% | ~$165 | 26 |
| Coronary bypass without cardiac cath, no MCCMS-DRG 236 | $65,722 | $29,950 | 219% | — | 8 |
| Diagnostic mammography, both breastsCPT 77066 | $713 | — | — | ~$213 | 26 |
| Diagnostic mammography, one breastCPT 77065 | $308 | — | — | ~$92 | 26 |
| ED visit, level 3CPT 99283 | $1,794 | $285 | 629% | $479 | 28 |
| ED visit, level 4CPT 99284 | $2,018 | $436 | 463% | $539 | 28 |
| ED visit, level 5CPT 99285 | $2,242 | $622 | 361% | $599 | 27 |
| Echocardiogram, completeCPT 93306 | $1,477 | $571 | 259% | $442 | 26 |
| Electrocardiogram with interpretationCPT 93000 | $17 | — | — | — | 2 |
| Epidural injection, lumbar/sacral, no imagingCPT 62322 | $1,177 | $924 | 127% | — | 4 |
| Esophagitis/GI disorders, no MCCMS-DRG 392 | $12,232 | $5,814 | 210% | — | 8 |
| Excision of breast lesionCPT 19120 | $4,634 | $4,089 | 113% | — | 4 |
| Family psychotherapy, with patientCPT 90847 | $459 | $185 | 247% | $127 | 24 |
| Family psychotherapy, without patientCPT 90846 | $263 | $185 | 142% | $73 | 24 |
| Group psychotherapyCPT 90853 | $459 | $106 | 432% | $127 | 24 |
| Heart failure and shock, with CCMS-DRG 292 | $13,321 | $5,927 | 225% | — | 8 |
| Heart failure with MCCMS-DRG 291 | $20,143 | $9,500 | 212% | — | 8 |
| Hip and femur procedures except major joint, with CCMS-DRG 481 | $32,863 | $14,898 | 221% | — | 8 |
| Hysterectomy, no CC/MCCMS-DRG 743 | $19,467 | $10,098 | 193% | — | 8 |
| Inguinal hernia repair, age 5+CPT 49505 | $4,875 | $3,739 | 130% | — | 4 |
| Kidney and urinary tract infections, no MCCMS-DRG 690 | $12,701 | $6,044 | 210% | — | 8 |
| Kidney function panelCPT 80069 | $153 | $9 | 1759% | ~$46 | 26 |
| Knee arthroscopy with meniscectomyCPT 29881 | $5,711 | $3,417 | 167% | — | 6 |
| Laparoscopic cholecystectomyCPT 47562 | $7,433 | $6,313 | 118% | — | 6 |
| Laparoscopic cholecystectomy, no CC/MCCMS-DRG 419 | $21,429 | $8,977 | 239% | — | 8 |
| Laparoscopic radical prostatectomyCPT 55866 | $14,731 | $11,101 | 133% | — | 4 |
| Left heart catheterization, diagnosticCPT 93452 | $9,119 | $3,385 | 269% | $2,526 | 26 |
| Lipid panelCPT 80061 | $148 | $13 | 1102% | ~$44 | 26 |
| Liver function panelCPT 80076 | $443 | $8 | 5420% | ~$132 | 26 |
| Lumbar epidural steroid injectionCPT 62323 | $1,647 | $737 | 223% | $440 | 26 |
| MRI brain with and without contrastCPT 70553 | $3,935 | $364 | 1080% | ~$1,177 | 26 |
| MRI lower extremity joint (knee)CPT 73721 | $3,227 | $249 | 1295% | ~$965 | 26 |
| MRI lumbar spine without contrastCPT 72148 | $2,948 | $249 | 1183% | ~$882 | 26 |
| Major joint replacement (hip/knee), no MCCMS-DRG 470 | $30,264 | $13,045 | 232% | — | 8 |
| Major joint replacement (hip/knee), with MCCMS-DRG 469 | $47,591 | $22,346 | 213% | — | 8 |
| Major small and large bowel procedures, with CCMS-DRG 330 | $37,612 | $14,987 | 251% | — | 8 |
| Medical back problems, no MCCMS-DRG 552 | $15,083 | $6,878 | 219% | — | 8 |
| OB global care, VBAC deliveryCPT 59610 | $2,835 | — | — | — | 2 |
| OB global care, cesarean deliveryCPT 59510 | $3,003 | — | — | — | 2 |
| OB global care, vaginal deliveryCPT 59400 | $2,658 | — | — | — | 2 |
| OB ultrasound, 14+ weeksCPT 76805 | $869 | $109 | 796% | ~$260 | 26 |
| Obstetric blood test panelCPT 80055 | $39 | $48 | 82% | — | 4 |
| Office consultation, comprehensiveCPT 99244 | $176 | — | — | — | 2 |
| Office consultation, moderateCPT 99243 | $123 | — | — | — | 2 |
| Office visit, established patient, level 3CPT 99213 | $221 | — | — | $66 | 26 |
| Office visit, established patient, level 4CPT 99214 | $287 | — | — | $86 | 26 |
| Office visit, new patient, level 3CPT 99203 | $287 | — | — | $86 | 26 |
| Office visit, new patient, level 4CPT 99204 | $363 | — | — | $109 | 26 |
| Office visit, new patient, level 5CPT 99205 | $517 | — | — | $155 | 26 |
| PSA (prostate specific antigen), totalCPT 84153 | $154 | $18 | 838% | ~$46 | 26 |
| Partial thromboplastin timeCPT 85730 | $27 | $6 | 446% | ~$8 | 26 |
| Physical therapy, therapeutic exerciseCPT 97110 | $117 | — | — | $31 | 27 |
| Preventive visit, new patient, 18-39CPT 99385 | $147 | — | — | — | 2 |
| Preventive visit, new patient, 40-64CPT 99386 | $170 | — | — | — | 2 |
| Prostate biopsyCPT 55700 | $490 | — | — | $131 | 24 |
| Prothrombin timeCPT 85610 | $60 | $4 | 1397% | ~$18 | 26 |
| Psychotherapy, 30 minutesCPT 90832 | $153 | $185 | 83% | $41 | 24 |
| Psychotherapy, 45 minutesCPT 90834 | $263 | $185 | 142% | $73 | 24 |
| Psychotherapy, 60 minutesCPT 90837 | $263 | $185 | 142% | $73 | 24 |
| Renal failure, with CCMS-DRG 683 | $13,741 | $6,852 | 201% | — | 8 |
| Screening mammography, bilateralCPT 77067 | $278 | — | — | ~$80 | 27 |
| Sepsis with MCCMS-DRG 871 | $30,478 | $13,670 | 223% | — | 8 |
| Shoulder arthroscopy, subacromial decompressionCPT 29826 | $420 | — | — | — | 6 |
| Simple pneumonia and pleurisy, with CCMS-DRG 194 | $12,645 | $6,161 | 205% | — | 8 |
| Sleep study (polysomnography)CPT 95810 | $4,503 | $897 | 502% | $1,347 | 26 |
| Stroke (hemorrhage/infarction), no CC/MCCMS-DRG 066 | $10,738 | $3,679 | 292% | — | 8 |
| Stroke (hemorrhage/infarction), with CC or tPAMS-DRG 065 | $15,852 | $7,815 | 203% | — | 8 |
| Thyroid stimulating hormone (TSH)CPT 84443 | $145 | $17 | 861% | ~$43 | 26 |
| Tonsillectomy and adenoidectomy, under age 12CPT 42820 | $5,641 | $6,182 | 91% | — | 4 |
| Transforaminal epidural, lumbar/sacralCPT 64483 | $1,915 | $924 | 207% | $512 | 26 |
| Ultrasound, abdomen, completeCPT 76700 | $1,937 | $109 | 1774% | ~$580 | 26 |
| Ultrasound, transvaginalCPT 76830 | $727 | $109 | 666% | ~$218 | 26 |
| Upper GI endoscopy with biopsyCPT 43239 | $1,530 | $947 | 162% | — | 4 |
| Upper GI endoscopy, diagnosticCPT 43235 | $1,530 | $947 | 162% | — | 4 |
| Urinalysis, automated, with microscopyCPT 81001 | $122 | $3 | 3834% | ~$36 | 26 |
| Urinalysis, automated, without microscopyCPT 81003 | $118 | $2 | 5241% | ~$35 | 26 |
| Urinalysis, manual, with microscopyCPT 81000 | $3 | $4 | 82% | — | 4 |
| Urinalysis, manual, without microscopyCPT 81002 | $3 | $3 | 82% | — | 4 |
| Vaginal delivery, no sterilization, no CC/MCCMS-DRG 807 | $10,578 | — | — | — | 8 |
| Vaginal delivery, no sterilization, with CCMS-DRG 806 | $11,830 | — | — | — | 8 |
| X-ray, lower back, 4+ viewsCPT 72110 | $904 | $109 | 828% | ~$271 | 26 |
| YAG laser capsulotomy (secondary cataract)CPT 66821 | $989 | $574 | 172% | — | 4 |