| Acute myocardial infarction, discharged alive, with MCCMS-DRG 280 | $14,812 | $9,064 | 163% | — | 5 |
| Bariatric (obesity) surgery, no CC/MCCMS-DRG 621 | $13,928 | $8,272 | 168% | — | 5 |
| Basic metabolic panelCPT 80048 | $40 | $8 | 474% | ~$12 | 9 |
| COPD with MCCMS-DRG 190 | $10,228 | $6,271 | 163% | — | 5 |
| CT abdomen and pelvis with contrastCPT 74177 | $1,401 | $364 | 385% | ~$418 | 9 |
| CT head without contrastCPT 70450 | $1,540 | $109 | 1410% | ~$459 | 9 |
| CT pelvis with contrastCPT 72193 | $1,354 | $183 | 739% | ~$404 | 9 |
| Cardiac arrhythmia, no CC/MCCMS-DRG 310 | $5,227 | $2,066 | 253% | — | 5 |
| Cardiac stress testCPT 93017 | $926 | $225 | 411% | $276 | 9 |
| Cardiac valve surgery with cardiac cath, with MCCMS-DRG 216 | $90,332 | — | — | — | 5 |
| Cataract surgery with IOL insertionCPT 66984 | $1,316 | $2,410 | 55% | — | 1 |
| Cellulitis, no MCCMS-DRG 603 | $8,042 | $4,412 | 182% | — | 5 |
| Cervical spinal fusion, no CC/MCCMS-DRG 473 | $16,997 | $16,343 | 104% | — | 5 |
| Cesarean section, no CC/MCCMS-DRG 788 | $10,786 | — | — | — | 5 |
| Cesarean section, with CCMS-DRG 787 | $10,926 | — | — | — | 5 |
| Chest painMS-DRG 313 | $6,648 | $3,460 | 192% | — | 5 |
| Colonoscopy with biopsyCPT 45380 | $1,899 | $1,250 | 152% | $743 | 9 |
| Colonoscopy with endoscopic ultrasoundCPT 45391 | $1,928 | $1,250 | 154% | $790 | 9 |
| Colonoscopy with polyp removalCPT 45385 | $1,928 | $1,250 | 154% | $771 | 9 |
| Colonoscopy, diagnosticCPT 45378 | $1,928 | $971 | 199% | $795 | 9 |
| Complete blood count with differentialCPT 85025 | $37 | $8 | 471% | ~$11 | 9 |
| Complete blood count, automatedCPT 85027 | $28 | $6 | 429% | ~$8 | 9 |
| Comprehensive metabolic panelCPT 80053 | $103 | $11 | 972% | ~$31 | 9 |
| Coronary bypass without cardiac cath, no MCCMS-DRG 236 | $38,678 | $29,950 | 129% | — | 5 |
| Diagnostic mammography, both breastsCPT 77066 | $515 | — | — | ~$153 | 9 |
| Diagnostic mammography, one breastCPT 77065 | $257 | — | — | ~$77 | 9 |
| ED visit, level 3CPT 99283 | $1,806 | $285 | 634% | $534 | 8 |
| ED visit, level 4CPT 99284 | $2,285 | $436 | 524% | $675 | 8 |
| ED visit, level 5CPT 99285 | $2,705 | $622 | 435% | $799 | 8 |
| Echocardiogram, completeCPT 93306 | $1,640 | $571 | 287% | $489 | 9 |
| Electrocardiogram with interpretationCPT 93000 | $20 | — | — | — | 1 |
| Epidural injection, lumbar/sacral, no imagingCPT 62322 | $1,341 | $924 | 145% | $474 | 9 |
| Esophagitis/GI disorders, no MCCMS-DRG 392 | $7,822 | $3,850 | 203% | — | 5 |
| Excision of breast lesionCPT 19120 | $1,359 | $4,089 | 33% | — | 2 |
| Family psychotherapy, with patientCPT 90847 | $386 | $185 | 208% | $115 | 9 |
| Family psychotherapy, without patientCPT 90846 | $278 | $185 | 150% | $83 | 9 |
| Group psychotherapyCPT 90853 | $245 | $106 | 231% | $73 | 9 |
| Heart failure and shock, with CCMS-DRG 292 | $7,839 | $4,312 | 182% | — | 5 |
| Heart failure with MCCMS-DRG 291 | $11,854 | $7,219 | 164% | — | 5 |
| Hip and femur procedures except major joint, with CCMS-DRG 481 | $19,340 | $12,123 | 160% | — | 5 |
| Hysterectomy, no CC/MCCMS-DRG 743 | $11,456 | $10,098 | 113% | — | 5 |
| Inguinal hernia repair, age 5+CPT 49505 | $2,717 | $3,739 | 73% | — | 1 |
| Kidney and urinary tract infections, no MCCMS-DRG 690 | $7,475 | $3,953 | 189% | — | 5 |
| Kidney function panelCPT 80069 | $55 | $9 | 632% | ~$16 | 9 |
| Knee arthroscopy with meniscectomyCPT 29881 | $1,649 | $3,417 | 48% | — | 1 |
| Laparoscopic cholecystectomyCPT 47562 | $5,090 | $6,313 | 81% | — | 3 |
| Laparoscopic cholecystectomy, no CC/MCCMS-DRG 419 | $12,611 | $8,977 | 140% | — | 5 |
| Laparoscopic radical prostatectomyCPT 55866 | $3,394 | $11,101 | 31% | — | 1 |
| Left heart catheterization, diagnosticCPT 93452 | $6,907 | $3,385 | 204% | $2,060 | 9 |
| Lipid panelCPT 80061 | $47 | $13 | 350% | ~$14 | 9 |
| Liver function panelCPT 80076 | $34 | $8 | 419% | ~$10 | 9 |
| Lumbar epidural steroid injectionCPT 62323 | $1,341 | $737 | 182% | $353 | 9 |
| MRI brain with and without contrastCPT 70553 | $1,767 | $364 | 485% | ~$527 | 9 |
| MRI lower extremity joint (knee)CPT 73721 | $1,696 | $249 | 681% | ~$506 | 9 |
| MRI lumbar spine without contrastCPT 72148 | $1,724 | $249 | 692% | ~$514 | 9 |
| Major joint replacement (hip/knee), no MCCMS-DRG 470 | $21,572 | $11,089 | 195% | — | 5 |
| Major joint replacement (hip/knee), with MCCMS-DRG 469 | $28,008 | $22,346 | 125% | — | 5 |
| Major small and large bowel procedures, with CCMS-DRG 330 | $22,135 | $14,167 | 156% | — | 5 |
| Medical back problems, no MCCMS-DRG 552 | $8,876 | $5,088 | 174% | — | 5 |
| OB global care, VBAC deliveryCPT 59610 | $1,661 | — | — | — | 1 |
| OB global care, cesarean deliveryCPT 59510 | $1,995 | — | — | — | 1 |
| OB global care, vaginal deliveryCPT 59400 | $1,661 | — | — | — | 1 |
| OB ultrasound, 14+ weeksCPT 76805 | $501 | $109 | 459% | ~$149 | 9 |
| Obstetric blood test panelCPT 80055 | $204 | $48 | 426% | ~$61 | 9 |
| Office visit, established patient, level 3CPT 99213 | $333 | — | — | $98 | 8 |
| Office visit, established patient, level 4CPT 99214 | $263 | — | — | $78 | 8 |
| Office visit, new patient, level 3CPT 99203 | $277 | — | — | $82 | 8 |
| Office visit, new patient, level 4CPT 99204 | $332 | — | — | $98 | 8 |
| Office visit, new patient, level 5CPT 99205 | $389 | — | — | $115 | 8 |
| PSA (prostate specific antigen), totalCPT 84153 | $63 | $18 | 340% | ~$19 | 9 |
| Partial thromboplastin timeCPT 85730 | $17 | $6 | 285% | ~$5 | 9 |
| Physical therapy, therapeutic exerciseCPT 97110 | $102 | — | — | $30 | 9 |
| Prostate biopsyCPT 55700 | $1,928 | — | — | $1,388 | 9 |
| Prothrombin timeCPT 85610 | $15 | $4 | 351% | ~$4 | 9 |
| Psychotherapy, 30 minutesCPT 90832 | $261 | $185 | 141% | $78 | 9 |
| Psychotherapy, 45 minutesCPT 90834 | $320 | $185 | 172% | $95 | 9 |
| Psychotherapy, 60 minutesCPT 90837 | $327 | $185 | 176% | $97 | 9 |
| Renal failure, with CCMS-DRG 683 | $8,087 | $4,657 | 174% | — | 5 |
| Screening mammography, bilateralCPT 77067 | $509 | — | — | ~$152 | 9 |
| Sepsis with MCCMS-DRG 871 | $17,937 | $11,476 | 156% | — | 5 |
| Shoulder arthroscopy, subacromial decompressionCPT 29826 | $1,649 | — | — | — | 1 |
| Simple pneumonia and pleurisy, with CCMS-DRG 194 | $7,441 | $4,241 | 175% | — | 5 |
| Sleep study (polysomnography)CPT 95810 | $3,374 | $897 | 376% | $1,006 | 9 |
| Stroke (hemorrhage/infarction), no CC/MCCMS-DRG 066 | $6,320 | $3,152 | 200% | — | 5 |
| Stroke (hemorrhage/infarction), with CC or tPAMS-DRG 065 | $9,329 | $5,064 | 184% | — | 5 |
| Thyroid stimulating hormone (TSH)CPT 84443 | $71 | $17 | 425% | ~$21 | 9 |
| Tonsillectomy and adenoidectomy, under age 12CPT 42820 | $1,530 | $6,182 | 25% | — | 1 |
| Transforaminal epidural, lumbar/sacralCPT 64483 | $1,589 | $924 | 172% | $474 | 9 |
| Ultrasound, abdomen, completeCPT 76700 | $608 | $109 | 557% | ~$181 | 9 |
| Ultrasound, transvaginalCPT 76830 | $608 | $109 | 557% | ~$181 | 9 |
| Upper GI endoscopy with biopsyCPT 43239 | $1,864 | $947 | 197% | $729 | 9 |
| Upper GI endoscopy, diagnosticCPT 43235 | $1,436 | $947 | 152% | $730 | 9 |
| Urinalysis, automated, with microscopyCPT 81001 | $14 | $3 | 428% | ~$4 | 9 |
| Urinalysis, automated, without microscopyCPT 81003 | $11 | $2 | 498% | ~$3 | 9 |
| Urinalysis, manual, with microscopyCPT 81000 | $13 | $4 | 323% | ~$4 | 9 |
| Urinalysis, manual, without microscopyCPT 81002 | $11 | $3 | 305% | ~$3 | 9 |
| Vaginal delivery, no sterilization, no CC/MCCMS-DRG 807 | $6,679 | — | — | — | 5 |
| Vaginal delivery, no sterilization, with CCMS-DRG 806 | $6,679 | — | — | — | 5 |
| X-ray, lower back, 4+ viewsCPT 72110 | $398 | $109 | 364% | ~$119 | 9 |
| YAG laser capsulotomy (secondary cataract)CPT 66821 | $439 | $574 | 76% | — | 1 |