| Acute myocardial infarction, discharged alive, with MCCMS-DRG 280 | $19,207 | $10,790 | 178% | — | 20 |
| Bariatric (obesity) surgery, no CC/MCCMS-DRG 621 | $24,039 | $8,272 | 291% | — | 20 |
| Basic metabolic panelCPT 80048 | $72 | $8 | 856% | ~$36 | 16 |
| COPD with MCCMS-DRG 190 | $12,634 | $7,377 | 171% | — | 20 |
| CT abdomen and pelvis with contrastCPT 74177 | $876 | $364 | 240% | ~$711 | 28 |
| CT head without contrastCPT 70450 | $489 | $109 | 448% | ~$212 | 28 |
| CT pelvis with contrastCPT 72193 | $582 | $183 | 318% | ~$355 | 28 |
| Cardiac arrhythmia, no CC/MCCMS-DRG 310 | $6,778 | $3,269 | 207% | — | 20 |
| Cardiac stress testCPT 93017 | $1,221 | $225 | 542% | $517 | 28 |
| Cardiac valve surgery with cardiac cath, with MCCMS-DRG 216 | $120,566 | — | — | — | 20 |
| Cataract surgery with IOL insertionCPT 66984 | $3,571 | $2,410 | 148% | — | 3 |
| Cellulitis, no MCCMS-DRG 603 | $9,933 | $4,680 | 212% | — | 20 |
| Cervical spinal fusion, no CC/MCCMS-DRG 473 | $27,058 | $16,343 | 166% | — | 20 |
| Cesarean section, no CC/MCCMS-DRG 788 | $9,113 | — | — | — | 20 |
| Cesarean section, with CCMS-DRG 787 | $10,615 | — | — | — | 20 |
| Chest painMS-DRG 313 | $8,621 | — | — | — | 20 |
| Colonoscopy with biopsyCPT 45380 | $3,017 | $1,250 | 241% | $1,566 | 28 |
| Colonoscopy with endoscopic ultrasoundCPT 45391 | $3,017 | $1,250 | 241% | $1,566 | 28 |
| Colonoscopy with polyp removalCPT 45385 | $3,017 | $1,250 | 241% | $1,566 | 28 |
| Colonoscopy, diagnosticCPT 45378 | $2,622 | $971 | 270% | $1,211 | 28 |
| Complete blood count with differentialCPT 85025 | $69 | $8 | 883% | ~$36 | 16 |
| Complete blood count, automatedCPT 85027 | $64 | $6 | 991% | ~$33 | 16 |
| Comprehensive metabolic panelCPT 80053 | $136 | $11 | 1291% | ~$71 | 16 |
| Coronary bypass without cardiac cath, no MCCMS-DRG 236 | $50,156 | $25,302 | 198% | — | 20 |
| Diagnostic mammography, both breastsCPT 77066 | $271 | — | — | ~$204 | 28 |
| Diagnostic mammography, one breastCPT 77065 | $213 | — | — | ~$163 | 28 |
| ED visit, level 3CPT 99283 | $1,176 | $285 | 413% | $552 | 28 |
| ED visit, level 4CPT 99284 | $1,748 | $436 | 401% | $848 | 28 |
| ED visit, level 5CPT 99285 | $1,764 | $622 | 284% | $1,222 | 28 |
| Echocardiogram, completeCPT 93306 | $1,438 | $571 | 252% | $910 | 28 |
| Electrocardiogram with interpretationCPT 93000 | $174 | — | — | $120 | 28 |
| Epidural injection, lumbar/sacral, no imagingCPT 62322 | $2,718 | $924 | 294% | $1,774 | 28 |
| Esophagitis/GI disorders, no MCCMS-DRG 392 | $9,335 | $4,419 | 211% | — | 20 |
| Excision of breast lesionCPT 19120 | $6,231 | $4,089 | 152% | $3,317 | 18 |
| Family psychotherapy, with patientCPT 90847 | $265 | $185 | 143% | $139 | 17 |
| Family psychotherapy, without patientCPT 90846 | $252 | $185 | 136% | $139 | 17 |
| Group psychotherapyCPT 90853 | $145 | $106 | 137% | $80 | 17 |
| Heart failure and shock, with CCMS-DRG 292 | $10,166 | $5,206 | 195% | — | 20 |
| Heart failure with MCCMS-DRG 291 | $15,372 | $7,927 | 194% | — | 20 |
| Hip and femur procedures except major joint, with CCMS-DRG 481 | $25,813 | $13,518 | 191% | — | 20 |
| Hysterectomy, no CC/MCCMS-DRG 743 | $13,569 | $10,098 | 134% | — | 20 |
| Inguinal hernia repair, age 5+CPT 49505 | $6,040 | $3,739 | 162% | — | 5 |
| Kidney and urinary tract infections, no MCCMS-DRG 690 | $9,233 | $4,637 | 199% | — | 20 |
| Kidney function panelCPT 80069 | $64 | $9 | 739% | ~$33 | 16 |
| Knee arthroscopy with meniscectomyCPT 29881 | $4,150 | $3,417 | 121% | — | 4 |
| Laparoscopic cholecystectomyCPT 47562 | $6,465 | $6,313 | 102% | — | 7 |
| Laparoscopic cholecystectomy, no CC/MCCMS-DRG 419 | $15,577 | $8,977 | 174% | — | 20 |
| Laparoscopic radical prostatectomyCPT 55866 | $16,303 | $11,101 | 147% | — | 7 |
| Left heart catheterization, diagnosticCPT 93452 | $11,559 | $3,385 | 341% | $5,340 | 28 |
| Lipid panelCPT 80061 | $46 | $13 | 343% | ~$24 | 16 |
| Liver function panelCPT 80076 | $64 | $8 | 785% | ~$33 | 16 |
| Lumbar epidural steroid injectionCPT 62323 | $2,587 | $737 | 351% | $1,380 | 28 |
| MRI brain with and without contrastCPT 70553 | $953 | $364 | 261% | ~$711 | 28 |
| MRI lower extremity joint (knee)CPT 73721 | $760 | $249 | 305% | ~$482 | 28 |
| MRI lumbar spine without contrastCPT 72148 | $760 | $249 | 305% | ~$482 | 28 |
| Major joint replacement (hip/knee), no MCCMS-DRG 470 | $23,772 | $11,764 | 202% | — | 20 |
| Major joint replacement (hip/knee), with MCCMS-DRG 469 | $34,595 | $22,346 | 155% | — | 20 |
| Major small and large bowel procedures, with CCMS-DRG 330 | $33,931 | $14,830 | 229% | — | 20 |
| Medical back problems, no MCCMS-DRG 552 | $10,964 | $5,523 | 199% | — | 20 |
| OB global care, VBAC deliveryCPT 59610 | $2,200 | — | — | — | 1 |
| OB global care, cesarean deliveryCPT 59510 | $2,332 | — | — | — | 1 |
| OB global care, vaginal deliveryCPT 59400 | $2,094 | — | — | — | 1 |
| OB ultrasound, 14+ weeksCPT 76805 | $263 | $109 | 241% | ~$212 | 28 |
| Obstetric blood test panelCPT 80055 | $181 | $48 | 378% | ~$94 | 16 |
| Office consultation, comprehensiveCPT 99244 | $125 | — | — | — | 1 |
| Office consultation, moderateCPT 99243 | $82 | — | — | — | 1 |
| Office visit, established patient, level 3CPT 99213 | $94 | — | — | $43 | 17 |
| Office visit, established patient, level 4CPT 99214 | $119 | — | — | $54 | 17 |
| Office visit, new patient, level 3CPT 99203 | $100 | — | — | $40 | 17 |
| Office visit, new patient, level 4CPT 99204 | $135 | — | — | $50 | 17 |
| Office visit, new patient, level 5CPT 99205 | $155 | — | — | $68 | 17 |
| PSA (prostate specific antigen), totalCPT 84153 | $51 | $18 | 275% | ~$25 | 16 |
| Partial thromboplastin timeCPT 85730 | $16 | $6 | 261% | ~$8 | 16 |
| Physical therapy, therapeutic exerciseCPT 97110 | $220 | — | — | $75 | 28 |
| Preventive visit, new patient, 18-39CPT 99385 | $117 | — | — | $53 | 16 |
| Preventive visit, new patient, 40-64CPT 99386 | $158 | — | — | $73 | 16 |
| Prostate biopsyCPT 55700 | $3,894 | — | — | $2,242 | 27 |
| Prothrombin timeCPT 85610 | $36 | $4 | 846% | ~$19 | 16 |
| Psychotherapy, 30 minutesCPT 90832 | $265 | $185 | 143% | $139 | 17 |
| Psychotherapy, 45 minutesCPT 90834 | $265 | $185 | 143% | $139 | 17 |
| Psychotherapy, 60 minutesCPT 90837 | $302 | $185 | 163% | $139 | 20 |
| Renal failure, with CCMS-DRG 683 | $9,989 | $5,354 | 187% | — | 20 |
| Screening mammography, bilateralCPT 77067 | $225 | — | — | ~$176 | 28 |
| Sepsis with MCCMS-DRG 871 | $22,155 | $12,087 | 183% | — | 20 |
| Shoulder arthroscopy, subacromial decompressionCPT 29826 | $285 | — | — | — | 2 |
| Simple pneumonia and pleurisy, with CCMS-DRG 194 | $9,192 | $4,536 | 203% | — | 20 |
| Sleep study (polysomnography)CPT 95810 | $2,336 | $897 | 260% | $2,027 | 28 |
| Stroke (hemorrhage/infarction), no CC/MCCMS-DRG 066 | $7,806 | $3,679 | 212% | — | 20 |
| Stroke (hemorrhage/infarction), with CC or tPAMS-DRG 065 | $11,523 | $5,855 | 197% | — | 20 |
| Thyroid stimulating hormone (TSH)CPT 84443 | $73 | $17 | 436% | ~$36 | 16 |
| Tonsillectomy and adenoidectomy, under age 12CPT 42820 | $9,263 | $6,182 | 150% | — | 3 |
| Transforaminal epidural, lumbar/sacralCPT 64483 | $2,718 | $924 | 294% | $1,774 | 28 |
| Ultrasound, abdomen, completeCPT 76700 | $263 | $109 | 241% | ~$212 | 28 |
| Ultrasound, transvaginalCPT 76830 | $263 | $109 | 241% | ~$212 | 28 |
| Upper GI endoscopy with biopsyCPT 43239 | $2,468 | $947 | 261% | $1,245 | 28 |
| Upper GI endoscopy, diagnosticCPT 43235 | $2,641 | $947 | 279% | $1,245 | 28 |
| Urinalysis, automated, with microscopyCPT 81001 | $26 | $3 | 830% | ~$13 | 16 |
| Urinalysis, automated, without microscopyCPT 81003 | $26 | $2 | 1170% | ~$13 | 16 |
| Urinalysis, manual, with microscopyCPT 81000 | $12 | $4 | 288% | ~$6 | 16 |
| Urinalysis, manual, without microscopyCPT 81002 | $18 | $3 | 507% | ~$9 | 16 |
| Vaginal delivery, no sterilization, no CC/MCCMS-DRG 807 | $6,408 | — | — | — | 20 |
| Vaginal delivery, no sterilization, with CCMS-DRG 806 | $7,167 | — | — | — | 20 |
| X-ray, lower back, 4+ viewsCPT 72110 | $252 | $109 | 231% | ~$212 | 28 |
| YAG laser capsulotomy (secondary cataract)CPT 66821 | $859 | $574 | 150% | — | 3 |