| Acute myocardial infarction, discharged alive, with MCCMS-DRG 280 | $18,274 | $10,474 | 174% | — | 14 |
| Bariatric (obesity) surgery, no CC/MCCMS-DRG 621 | $17,184 | $8,272 | 208% | — | 14 |
| Basic metabolic panelCPT 80048 | $6 | $8 | 75% | ~$1 | 55 |
| COPD with MCCMS-DRG 190 | $12,619 | $8,021 | 157% | — | 14 |
| CT abdomen and pelvis with contrastCPT 74177 | $2,115 | $369 | 573% | ~$1,105 | 56 |
| CT head without contrastCPT 70450 | $659 | $111 | 596% | ~$249 | 56 |
| CT pelvis with contrastCPT 72193 | $1,381 | $186 | 744% | ~$531 | 56 |
| Cardiac arrhythmia, no CC/MCCMS-DRG 310 | $5,368 | $3,269 | 164% | — | 14 |
| Cardiac stress testCPT 93017 | $520 | $228 | 228% | $265 | 56 |
| Cardiac valve surgery with cardiac cath, with MCCMS-DRG 216 | $111,446 | — | — | — | 14 |
| Cataract surgery with IOL insertionCPT 66984 | $1,233 | $2,442 | 50% | $232 | 56 |
| Cellulitis, no MCCMS-DRG 603 | $9,921 | $4,911 | 202% | — | 14 |
| Cervical spinal fusion, no CC/MCCMS-DRG 473 | $27,811 | $16,343 | 170% | — | 14 |
| Cesarean section, no CC/MCCMS-DRG 788 | $10,923 | — | — | — | 14 |
| Cesarean section, with CCMS-DRG 787 | $12,723 | — | — | — | 14 |
| Chest painMS-DRG 313 | $8,202 | $4,353 | 188% | — | 14 |
| Colonoscopy with biopsyCPT 45380 | $816 | $1,266 | 64% | $124 | 56 |
| Colonoscopy with endoscopic ultrasoundCPT 45391 | $501 | $1,266 | 40% | $94 | 56 |
| Colonoscopy with polyp removalCPT 45385 | $969 | $1,266 | 77% | $147 | 56 |
| Colonoscopy, diagnosticCPT 45378 | $683 | $984 | 69% | $104 | 56 |
| Complete blood count with differentialCPT 85025 | $6 | $8 | 75% | ~$1 | 55 |
| Complete blood count, automatedCPT 85027 | $5 | $6 | 75% | ~$1 | 55 |
| Comprehensive metabolic panelCPT 80053 | $8 | $11 | 75% | ~$1 | 55 |
| Coronary bypass without cardiac cath, no MCCMS-DRG 236 | $47,719 | $29,950 | 159% | — | 14 |
| Diagnostic mammography, both breastsCPT 77066 | $232 | — | — | ~$72 | 57 |
| Diagnostic mammography, one breastCPT 77065 | $174 | — | — | ~$54 | 57 |
| ED visit, level 3CPT 99283 | $110 | $289 | 38% | $21 | 56 |
| ED visit, level 4CPT 99284 | $168 | $441 | 38% | $32 | 56 |
| ED visit, level 5CPT 99285 | $245 | $630 | 39% | $46 | 56 |
| Echocardiogram, completeCPT 93306 | $267 | $578 | 46% | $50 | 56 |
| Electrocardiogram with interpretationCPT 93000 | $33 | — | — | $9 | 45 |
| Epidural injection, lumbar/sacral, no imagingCPT 62322 | $456 | $936 | 49% | $86 | 56 |
| Esophagitis/GI disorders, no MCCMS-DRG 392 | $8,881 | $5,042 | 176% | — | 14 |
| Excision of breast lesionCPT 19120 | $739 | $4,143 | 18% | $154 | 57 |
| Family psychotherapy, without patientCPT 90846 | $146 | $188 | 78% | $33 | 52 |
| Heart failure and shock, with CCMS-DRG 292 | $9,672 | $5,927 | 163% | — | 14 |
| Heart failure with MCCMS-DRG 291 | $14,625 | $8,312 | 176% | — | 14 |
| Hip and femur procedures except major joint, with CCMS-DRG 481 | $24,527 | $13,025 | 188% | — | 13 |
| Hysterectomy, no CC/MCCMS-DRG 743 | $14,480 | $10,098 | 143% | — | 13 |
| Inguinal hernia repair, age 5+CPT 49505 | $876 | $3,788 | 23% | $165 | 56 |
| Kidney and urinary tract infections, no MCCMS-DRG 690 | $9,222 | $5,182 | 178% | — | 14 |
| Kidney function panelCPT 80069 | $7 | $9 | 75% | ~$1 | 55 |
| Knee arthroscopy with meniscectomyCPT 29881 | $873 | $3,462 | 25% | $198 | 52 |
| Laparoscopic cholecystectomyCPT 47562 | $964 | $6,396 | 15% | $208 | 56 |
| Laparoscopic cholecystectomy, no CC/MCCMS-DRG 419 | $15,559 | $8,977 | 173% | — | 14 |
| Laparoscopic radical prostatectomyCPT 55866 | $1,927 | $11,246 | 17% | $438 | 52 |
| Left heart catheterization, diagnosticCPT 93452 | $1,462 | $3,430 | 43% | $275 | 56 |
| Lipid panelCPT 80061 | $10 | $13 | 75% | ~$2 | 55 |
| Liver function panelCPT 80076 | $6 | $8 | 75% | ~$1 | 55 |
| Lumbar epidural steroid injectionCPT 62323 | $2,002 | $747 | 268% | $568 | 56 |
| MRI brain with and without contrastCPT 70553 | $1,317 | $369 | 357% | ~$400 | 56 |
| MRI lower extremity joint (knee)CPT 73721 | $933 | $252 | 370% | ~$354 | 56 |
| MRI lumbar spine without contrastCPT 72148 | $758 | $252 | 300% | ~$237 | 56 |
| Major joint replacement (hip/knee), no MCCMS-DRG 470 | $21,974 | $13,045 | 168% | — | 14 |
| Major joint replacement (hip/knee), with MCCMS-DRG 469 | $34,554 | $22,346 | 155% | — | 14 |
| Major small and large bowel procedures, with CCMS-DRG 330 | $28,071 | $16,279 | 172% | — | 13 |
| Medical back problems, no MCCMS-DRG 552 | $10,951 | $5,626 | 195% | — | 14 |
| OB global care, VBAC deliveryCPT 59610 | $2,664 | — | — | $692 | 37 |
| OB global care, cesarean deliveryCPT 59510 | $2,810 | — | — | $730 | 37 |
| OB global care, vaginal deliveryCPT 59400 | $2,546 | — | — | $662 | 37 |
| OB ultrasound, 14+ weeksCPT 76805 | $243 | $111 | 220% | ~$64 | 56 |
| Obstetric blood test panelCPT 80055 | $109 | $48 | 227% | ~$35 | 55 |
| Office consultation, comprehensiveCPT 99244 | $159 | — | — | $42 | 45 |
| Office consultation, moderateCPT 99243 | $114 | — | — | $30 | 45 |
| Office visit, established patient, level 3CPT 99213 | $49 | — | — | $12 | 38 |
| Office visit, established patient, level 4CPT 99214 | $80 | — | — | $20 | 38 |
| Office visit, new patient, level 3CPT 99203 | $77 | — | — | $20 | 38 |
| Office visit, new patient, level 4CPT 99204 | $130 | — | — | $34 | 38 |
| Office visit, new patient, level 5CPT 99205 | $167 | — | — | $43 | 38 |
| PSA (prostate specific antigen), totalCPT 84153 | $14 | $18 | 75% | ~$2 | 55 |
| Partial thromboplastin timeCPT 85730 | $6 | $6 | 100% | ~$1 | 55 |
| Physical therapy, therapeutic exerciseCPT 97110 | $124 | — | — | $39 | 57 |
| Preventive visit, new patient, 18-39CPT 99385 | $92 | — | — | $24 | 46 |
| Preventive visit, new patient, 40-64CPT 99386 | $109 | — | — | $29 | 46 |
| Prostate biopsyCPT 55700 | $222 | — | — | $69 | 46 |
| Prothrombin timeCPT 85610 | $4 | $4 | 94% | ~$1 | 55 |
| Psychotherapy, 30 minutesCPT 90832 | $91 | $188 | 48% | $21 | 52 |
| Psychotherapy, 45 minutesCPT 90834 | $120 | $188 | 64% | $27 | 52 |
| Psychotherapy, 60 minutesCPT 90837 | $181 | $188 | 96% | $41 | 52 |
| Renal failure, with CCMS-DRG 683 | $9,977 | $5,489 | 182% | — | 14 |
| Screening mammography, bilateralCPT 77067 | $190 | — | — | ~$60 | 57 |
| Sepsis with MCCMS-DRG 871 | $22,129 | $12,753 | 174% | — | 14 |
| Shoulder arthroscopy, subacromial decompressionCPT 29826 | $316 | — | — | $82 | 37 |
| Simple pneumonia and pleurisy, with CCMS-DRG 194 | $9,437 | $4,790 | 197% | — | 13 |
| Sleep study (polysomnography)CPT 95810 | $235 | $909 | 26% | $40 | 56 |
| Spinal fusion except cervical, no MCCMS-DRG 460 | $68,952 | $27,236 | 253% | — | 12 |
| Spinal fusion except cervical, with MCCMS-DRG 459 | $137,529 | $51,127 | 269% | — | 12 |
| Stroke (hemorrhage/infarction), no CC/MCCMS-DRG 066 | $7,797 | $3,679 | 212% | — | 14 |
| Stroke (hemorrhage/infarction), with CC or tPAMS-DRG 065 | $11,509 | $5,848 | 197% | — | 14 |
| Thyroid stimulating hormone (TSH)CPT 84443 | $13 | $17 | 75% | ~$2 | 55 |
| Tonsillectomy and adenoidectomy, under age 12CPT 42820 | $497 | $6,263 | 8% | $93 | 56 |
| Transforaminal epidural, lumbar/sacralCPT 64483 | $563 | $936 | 60% | $106 | 56 |
| Ultrasound, abdomen, completeCPT 76700 | $172 | $111 | 156% | ~$43 | 56 |
| Ultrasound, transvaginalCPT 76830 | $166 | $111 | 150% | ~$38 | 56 |
| Upper GI endoscopy with biopsyCPT 43239 | $542 | $960 | 56% | $82 | 56 |
| Upper GI endoscopy, diagnosticCPT 43235 | $459 | $960 | 48% | $70 | 56 |
| Urinalysis, automated, with microscopyCPT 81001 | $6 | $3 | 202% | ~$2 | 55 |
| Urinalysis, automated, without microscopyCPT 81003 | $4 | $2 | 180% | ~$1 | 55 |
| Urinalysis, manual, with microscopyCPT 81000 | $7 | $4 | 179% | ~$2 | 55 |
| Urinalysis, manual, without microscopyCPT 81002 | $6 | $3 | 180% | ~$2 | 55 |
| Vaginal delivery, no sterilization, no CC/MCCMS-DRG 807 | $7,680 | — | — | — | 14 |
| Vaginal delivery, no sterilization, with CCMS-DRG 806 | $8,590 | — | — | — | 14 |
| X-ray, lower back, 4+ viewsCPT 72110 | $87 | $111 | 79% | ~$13 | 56 |
| YAG laser capsulotomy (secondary cataract)CPT 66821 | $433 | $582 | 74% | $98 | 52 |