| Acute myocardial infarction, discharged alive, with MCCMS-DRG 280 | $25,539 | $10,209 | 250% | $11,802 | 20 |
| Bariatric (obesity) surgery, no CC/MCCMS-DRG 621 | $24,015 | $8,272 | 290% | $19,152 | 20 |
| Basic metabolic panelCPT 80048 | $125 | $8 | 1473% | ~$45 | 49 |
| COPD with MCCMS-DRG 190 | $17,636 | $7,377 | 239% | $8,503 | 20 |
| CT abdomen and pelvis with contrastCPT 74177 | $1,916 | $369 | 519% | ~$1,203 | 49 |
| CT head without contrastCPT 70450 | $1,833 | $111 | 1657% | ~$661 | 49 |
| CT pelvis with contrastCPT 72193 | $1,916 | $186 | 1032% | ~$782 | 48 |
| Cardiac arrhythmia, no CC/MCCMS-DRG 310 | $9,013 | $3,047 | 296% | $6,315 | 20 |
| Cardiac stress testCPT 93017 | $1,167 | $228 | 511% | $421 | 46 |
| Cardiac valve surgery with cardiac cath, with MCCMS-DRG 216 | $269,027 | — | — | $113,972 | 2 |
| Cellulitis, no MCCMS-DRG 603 | $14,634 | $5,175 | 283% | $6,318 | 12 |
| Cesarean section, no CC/MCCMS-DRG 788 | $15,265 | — | — | $7,493 | 20 |
| Cesarean section, with CCMS-DRG 787 | $17,781 | — | — | $7,363 | 20 |
| Chest painMS-DRG 313 | $11,463 | — | — | $8,666 | 20 |
| Colonoscopy with biopsyCPT 45380 | $4,326 | $1,266 | 342% | $2,070 | 12 |
| Colonoscopy with polyp removalCPT 45385 | $4,357 | $1,266 | 344% | $1,800 | 12 |
| Colonoscopy, diagnosticCPT 45378 | $3,393 | $984 | 345% | $1,509 | 14 |
| Complete blood count with differentialCPT 85025 | $125 | $8 | 1603% | ~$45 | 50 |
| Complete blood count, automatedCPT 85027 | $75 | $6 | 1157% | ~$27 | 50 |
| Comprehensive metabolic panelCPT 80053 | $298 | $11 | 2819% | ~$108 | 49 |
| Coronary bypass without cardiac cath, no MCCMS-DRG 236 | $115,192 | $29,950 | 385% | $67,598 | 2 |
| Diagnostic mammography, both breastsCPT 77066 | $374 | — | — | ~$135 | 48 |
| Diagnostic mammography, one breastCPT 77065 | $282 | — | — | ~$102 | 49 |
| ED visit, level 3CPT 99283 | $1,167 | $289 | 404% | $421 | 46 |
| ED visit, level 4CPT 99284 | $1,667 | $441 | 378% | $602 | 46 |
| ED visit, level 5CPT 99285 | $2,560 | $630 | 406% | $902 | 46 |
| Echocardiogram, completeCPT 93306 | $2,401 | $578 | 415% | $872 | 49 |
| Epidural injection, lumbar/sacral, no imagingCPT 62322 | $46,841 | $936 | 5006% | $16,017 | 10 |
| Esophagitis/GI disorders, no MCCMS-DRG 392 | $12,412 | $4,971 | 250% | $6,367 | 20 |
| Excision of breast lesionCPT 19120 | $14,285 | $4,143 | 345% | $5,769 | 10 |
| Family psychotherapy, with patientCPT 90847 | $391 | $188 | 208% | $126 | 28 |
| Group psychotherapyCPT 90853 | $2,062 | $107 | 1919% | $692 | 29 |
| Heart failure and shock, with CCMS-DRG 292 | $13,517 | $5,927 | 228% | $5,719 | 20 |
| Heart failure with MCCMS-DRG 291 | $20,439 | $8,171 | 250% | $8,958 | 20 |
| Hip and femur procedures except major joint, with CCMS-DRG 481 | $35,194 | $13,438 | 262% | $19,586 | 12 |
| Hysterectomy, no CC/MCCMS-DRG 743 | $19,753 | $10,098 | 196% | $9,980 | 20 |
| Inguinal hernia repair, age 5+CPT 49505 | $13,063 | $3,788 | 345% | $5,856 | 10 |
| Kidney and urinary tract infections, no MCCMS-DRG 690 | $12,888 | $4,581 | 281% | $7,050 | 20 |
| Kidney function panelCPT 80069 | $248 | $9 | 2857% | ~$90 | 50 |
| Knee arthroscopy with meniscectomyCPT 29881 | $11,938 | $3,462 | 345% | $5,033 | 10 |
| Laparoscopic cholecystectomyCPT 47562 | $22,057 | $6,396 | 345% | $12,093 | 11 |
| Laparoscopic cholecystectomy, no CC/MCCMS-DRG 419 | $21,745 | $8,977 | 242% | $17,173 | 20 |
| Laparoscopic radical prostatectomyCPT 55866 | $38,782 | $11,246 | 345% | $22,784 | 10 |
| Left heart catheterization, diagnosticCPT 93452 | $6,181 | $3,430 | 180% | $1,925 | 35 |
| Lipid panelCPT 80061 | $298 | $13 | 2223% | ~$108 | 49 |
| Liver function panelCPT 80076 | $216 | $8 | 2647% | ~$79 | 50 |
| Lumbar epidural steroid injectionCPT 62323 | $2,750 | $747 | 368% | $993 | 32 |
| MRI brain with and without contrastCPT 70553 | $3,066 | $369 | 831% | ~$1,354 | 49 |
| MRI lower extremity joint (knee)CPT 73721 | $2,917 | $252 | 1156% | ~$1,053 | 48 |
| MRI lumbar spine without contrastCPT 72148 | $2,917 | $252 | 1156% | ~$1,053 | 49 |
| Major joint replacement (hip/knee), no MCCMS-DRG 470 | $32,411 | $11,437 | 283% | $20,241 | 12 |
| Major joint replacement (hip/knee), with MCCMS-DRG 469 | $50,967 | $22,346 | 228% | $16,056 | 12 |
| Major small and large bowel procedures, with CCMS-DRG 330 | $38,166 | $13,056 | 292% | $28,033 | 20 |
| Medical back problems, no MCCMS-DRG 552 | $16,153 | $5,917 | 273% | $7,810 | 12 |
| OB ultrasound, 14+ weeksCPT 76805 | $1,116 | $111 | 1009% | ~$406 | 49 |
| Obstetric blood test panelCPT 80055 | $406 | $48 | 849% | ~$148 | 50 |
| Office visit, established patient, level 3CPT 99213 | $193 | — | — | $70 | 46 |
| Office visit, established patient, level 4CPT 99214 | $259 | — | — | $93 | 45 |
| Office visit, new patient, level 3CPT 99203 | $234 | — | — | $84 | 45 |
| Office visit, new patient, level 4CPT 99204 | $309 | — | — | $112 | 46 |
| Office visit, new patient, level 5CPT 99205 | $410 | — | — | $148 | 45 |
| PSA (prostate specific antigen), totalCPT 84153 | $183 | $18 | 997% | ~$67 | 50 |
| Partial thromboplastin timeCPT 85730 | $83 | $6 | 1385% | ~$30 | 50 |
| Physical therapy, therapeutic exerciseCPT 97110 | $109 | — | — | $36 | 50 |
| Prostate biopsyCPT 55700 | $190 | — | — | $4,192 | 10 |
| Prothrombin timeCPT 85610 | $8 | $4 | 176% | ~$3 | 50 |
| Psychotherapy, 30 minutesCPT 90832 | $246 | $188 | 131% | $80 | 28 |
| Psychotherapy, 60 minutesCPT 90837 | $386 | $188 | 206% | $129 | 29 |
| Renal failure, with CCMS-DRG 683 | $14,716 | $5,450 | 270% | $7,060 | 12 |
| Screening mammography, bilateralCPT 77067 | $274 | — | — | ~$99 | 49 |
| Sepsis with MCCMS-DRG 871 | $30,927 | $12,426 | 249% | $13,645 | 20 |
| Shoulder arthroscopy, subacromial decompressionCPT 29826 | $26,474 | — | — | $13,007 | 10 |
| Simple pneumonia and pleurisy, with CCMS-DRG 194 | $13,542 | $4,970 | 272% | $7,238 | 12 |
| Sleep study (polysomnography)CPT 95810 | $4,138 | $909 | 455% | $1,504 | 49 |
| Stroke (hemorrhage/infarction), no CC/MCCMS-DRG 066 | $10,896 | $3,679 | 296% | $8,693 | 20 |
| Stroke (hemorrhage/infarction), with CC or tPAMS-DRG 065 | $16,976 | $5,935 | 286% | $11,102 | 12 |
| Thyroid stimulating hormone (TSH)CPT 84443 | $224 | $17 | 1334% | ~$82 | 50 |
| Tonsillectomy and adenoidectomy, under age 12CPT 42820 | $21,598 | $6,263 | 345% | $3,165 | 11 |
| Transforaminal epidural, lumbar/sacralCPT 64483 | $3,227 | $936 | 345% | $1,642 | 10 |
| Ultrasound, abdomen, completeCPT 76700 | $1,116 | $111 | 1009% | ~$406 | 49 |
| Ultrasound, transvaginalCPT 76830 | $826 | $111 | 747% | ~$301 | 49 |
| Upper GI endoscopy with biopsyCPT 43239 | $3,309 | $960 | 345% | $1,865 | 14 |
| Upper GI endoscopy, diagnosticCPT 43235 | $3,309 | $960 | 345% | $1,956 | 10 |
| Urinalysis, automated, with microscopyCPT 81001 | $83 | $3 | 2626% | ~$30 | 50 |
| Urinalysis, automated, without microscopyCPT 81003 | $49 | $2 | 2183% | ~$18 | 49 |
| Urinalysis, manual, with microscopyCPT 81000 | $59 | $4 | 1475% | ~$22 | 50 |
| Urinalysis, manual, without microscopyCPT 81002 | $42 | $3 | 1205% | ~$15 | 49 |
| Vaginal delivery, no sterilization, no CC/MCCMS-DRG 807 | $10,734 | — | — | $3,948 | 20 |
| Vaginal delivery, no sterilization, with CCMS-DRG 806 | $12,004 | — | — | $4,287 | 20 |
| X-ray, lower back, 4+ viewsCPT 72110 | $512 | $111 | 463% | ~$196 | 49 |