| Acute myocardial infarction, discharged alive, with MCCMS-DRG 280 | $24,062 | $11,217 | 215% | — | 1 |
| Bariatric (obesity) surgery, no CC/MCCMS-DRG 621 | $22,224 | $8,272 | 269% | — | 14 |
| Basic metabolic panelCPT 80048 | $358 | $8 | 4226% | ~$72 | 33 |
| COPD with MCCMS-DRG 190 | $16,616 | $7,377 | 225% | — | 1 |
| CT abdomen and pelvis with contrastCPT 74177 | $6,915 | $364 | 1898% | ~$1,383 | 33 |
| CT head without contrastCPT 70450 | $2,220 | $109 | 2034% | ~$444 | 33 |
| CT pelvis with contrastCPT 72193 | $5,480 | $183 | 2992% | ~$1,096 | 33 |
| Cardiac arrhythmia, no CC/MCCMS-DRG 310 | $8,492 | $3,269 | 260% | — | 1 |
| Cardiac stress testCPT 93017 | $1,188 | $225 | 527% | $238 | 33 |
| Cardiac valve surgery with cardiac cath, with MCCMS-DRG 216 | $75,533 | — | — | — | 28 |
| Cellulitis, no MCCMS-DRG 603 | $13,064 | $7,211 | 181% | — | 1 |
| Cervical spinal fusion, no CC/MCCMS-DRG 473 | $36,620 | $16,343 | 224% | — | 1 |
| Cesarean section, no CC/MCCMS-DRG 788 | $17,122 | — | — | — | 14 |
| Cesarean section, with CCMS-DRG 787 | $17,312 | — | — | — | 14 |
| Chest painMS-DRG 313 | $10,800 | — | — | — | 1 |
| Colonoscopy with biopsyCPT 45380 | $4,075 | $1,250 | 326% | $815 | 26 |
| Colonoscopy with endoscopic ultrasoundCPT 45391 | $3,439 | $1,250 | 275% | $688 | 26 |
| Colonoscopy with polyp removalCPT 45385 | $4,075 | $1,250 | 326% | $815 | 26 |
| Colonoscopy, diagnosticCPT 45378 | $3,335 | $971 | 343% | $667 | 26 |
| Complete blood count with differentialCPT 85025 | $228 | $8 | 2928% | ~$46 | 33 |
| Complete blood count, automatedCPT 85027 | $534 | $6 | 8248% | ~$107 | 33 |
| Comprehensive metabolic panelCPT 80053 | $255 | $11 | 2413% | ~$51 | 33 |
| Coronary bypass without cardiac cath, no MCCMS-DRG 236 | $71,498 | $29,950 | 239% | — | 28 |
| Diagnostic mammography, one breastCPT 77065 | $556 | — | — | ~$111 | 33 |
| ED visit, level 3CPT 99283 | $1,195 | $285 | 419% | $239 | 32 |
| ED visit, level 4CPT 99284 | $1,564 | $436 | 359% | $313 | 32 |
| ED visit, level 5CPT 99285 | $1,656 | $622 | 266% | $331 | 32 |
| Echocardiogram, completeCPT 93306 | $5,219 | $571 | 915% | $1,044 | 33 |
| Epidural injection, lumbar/sacral, no imagingCPT 62322 | $5,909 | $924 | 640% | $1,182 | 26 |
| Esophagitis/GI disorders, no MCCMS-DRG 392 | $11,694 | $6,850 | 171% | — | 1 |
| Excision of breast lesionCPT 19120 | $718 | $4,089 | 18% | — | 1 |
| Family psychotherapy, with patientCPT 90847 | $567 | $185 | 306% | $113 | 33 |
| Family psychotherapy, without patientCPT 90846 | $530 | $185 | 286% | $106 | 33 |
| Group psychotherapyCPT 90853 | $319 | $106 | 301% | $64 | 33 |
| Heart failure and shock, with CCMS-DRG 292 | $12,735 | $5,927 | 215% | — | 1 |
| Heart failure with MCCMS-DRG 291 | $19,257 | $11,259 | 171% | — | 1 |
| Hip and femur procedures except major joint, with CCMS-DRG 481 | $31,418 | $13,876 | 226% | — | 1 |
| Hysterectomy, no CC/MCCMS-DRG 743 | $18,610 | $10,098 | 184% | — | 1 |
| Inguinal hernia repair, age 5+CPT 49505 | $718 | $3,739 | 19% | — | 1 |
| Kidney and urinary tract infections, no MCCMS-DRG 690 | $12,142 | $7,514 | 162% | — | 1 |
| Kidney function panelCPT 80069 | $712 | $9 | 8200% | ~$142 | 33 |
| Knee arthroscopy with meniscectomyCPT 29881 | $718 | $3,417 | 21% | — | 1 |
| Laparoscopic cholecystectomyCPT 47562 | $9,873 | $6,313 | 156% | — | 7 |
| Laparoscopic cholecystectomy, no CC/MCCMS-DRG 419 | $20,487 | $8,977 | 228% | — | 1 |
| Left heart catheterization, diagnosticCPT 93452 | $11,650 | $3,385 | 344% | $1,277 | 28 |
| Lipid panelCPT 80061 | $21 | $13 | 159% | ~$4 | 33 |
| Liver function panelCPT 80076 | $670 | $8 | 8203% | ~$134 | 33 |
| Lumbar epidural steroid injectionCPT 62323 | $3,315 | $737 | 450% | $663 | 26 |
| MRI brain with and without contrastCPT 70553 | $8,798 | $364 | 2415% | ~$1,760 | 33 |
| MRI lower extremity joint (knee)CPT 73721 | $4,451 | $249 | 1786% | ~$890 | 33 |
| MRI lumbar spine without contrastCPT 72148 | $3,691 | $249 | 1481% | ~$738 | 33 |
| Major joint replacement (hip/knee), no MCCMS-DRG 470 | $22,608 | $13,045 | 173% | — | 12 |
| Major joint replacement (hip/knee), with MCCMS-DRG 469 | $22,608 | $22,346 | 101% | — | 12 |
| Major small and large bowel procedures, with CCMS-DRG 330 | $35,958 | $16,202 | 222% | — | 1 |
| Medical back problems, no MCCMS-DRG 552 | $9,460 | $6,142 | 154% | — | 2 |
| OB ultrasound, 14+ weeksCPT 76805 | $1,286 | $109 | 1178% | ~$257 | 33 |
| Office visit, established patient, level 3CPT 99213 | $344 | — | — | $69 | 36 |
| Office visit, established patient, level 4CPT 99214 | $482 | — | — | $100 | 36 |
| Office visit, new patient, level 3CPT 99203 | $344 | — | — | $69 | 31 |
| Office visit, new patient, level 4CPT 99204 | $482 | — | — | $100 | 36 |
| Office visit, new patient, level 5CPT 99205 | $589 | — | — | $122 | 36 |
| PSA (prostate specific antigen), totalCPT 84153 | $18 | $18 | 99% | ~$4 | 33 |
| Partial thromboplastin timeCPT 85730 | $249 | $6 | 4142% | ~$50 | 33 |
| Physical therapy, therapeutic exerciseCPT 97110 | $181 | — | — | $36 | 33 |
| Prothrombin timeCPT 85610 | $323 | $4 | 7530% | ~$65 | 33 |
| Psychotherapy, 30 minutesCPT 90832 | $530 | $185 | 286% | $106 | 33 |
| Psychotherapy, 45 minutesCPT 90834 | $549 | $185 | 296% | $110 | 33 |
| Psychotherapy, 60 minutesCPT 90837 | $829 | $185 | 447% | $166 | 33 |
| Renal failure, with CCMS-DRG 683 | $13,137 | $5,892 | 223% | — | 1 |
| Screening mammography, bilateralCPT 77067 | $747 | — | — | ~$149 | 33 |
| Sepsis with MCCMS-DRG 871 | $29,138 | $15,749 | 185% | — | 1 |
| Shoulder arthroscopy, subacromial decompressionCPT 29826 | $718 | — | — | — | 1 |
| Simple pneumonia and pleurisy, with CCMS-DRG 194 | $12,088 | $7,554 | 160% | — | 1 |
| Sleep study (polysomnography)CPT 95810 | $7,218 | $897 | 805% | $1,444 | 33 |
| Stroke (hemorrhage/infarction), no CC/MCCMS-DRG 066 | $10,266 | $3,679 | 279% | — | 1 |
| Stroke (hemorrhage/infarction), with CC or tPAMS-DRG 065 | $15,154 | $6,559 | 231% | — | 1 |
| Thyroid stimulating hormone (TSH)CPT 84443 | $23 | $17 | 139% | ~$5 | 33 |
| Tonsillectomy and adenoidectomy, under age 12CPT 42820 | $718 | $6,182 | 12% | — | 1 |
| Transforaminal epidural, lumbar/sacralCPT 64483 | $4,770 | $924 | 516% | $954 | 26 |
| Ultrasound, abdomen, completeCPT 76700 | $1,498 | $109 | 1372% | ~$300 | 33 |
| Ultrasound, transvaginalCPT 76830 | $969 | $109 | 888% | ~$194 | 33 |
| Upper GI endoscopy with biopsyCPT 43239 | $3,166 | $947 | 334% | $633 | 26 |
| Upper GI endoscopy, diagnosticCPT 43235 | $3,166 | $947 | 334% | $633 | 26 |
| Urinalysis, automated, with microscopyCPT 81001 | $172 | $3 | 5413% | ~$34 | 33 |
| Urinalysis, automated, without microscopyCPT 81003 | $124 | $2 | 5518% | ~$25 | 33 |
| Urinalysis, manual, with microscopyCPT 81000 | $166 | $4 | 4139% | ~$33 | 33 |
| Urinalysis, manual, without microscopyCPT 81002 | $25 | $3 | 728% | ~$5 | 33 |
| Vaginal delivery, no sterilization, no CC/MCCMS-DRG 807 | $10,302 | — | — | — | 14 |
| Vaginal delivery, no sterilization, with CCMS-DRG 806 | $10,845 | — | — | — | 14 |
| X-ray, lower back, 4+ viewsCPT 72110 | $846 | $109 | 775% | ~$169 | 33 |