| Acute myocardial infarction, discharged alive, with MCCMS-DRG 280 | $27,019 | $10,892 | 248% | — | 8 |
| Bariatric (obesity) surgery, no CC/MCCMS-DRG 621 | $24,857 | $8,272 | 300% | — | 8 |
| Basic metabolic panelCPT 80048 | $51 | $8 | 609% | ~$17 | 21 |
| COPD with MCCMS-DRG 190 | $18,658 | $7,202 | 259% | — | 8 |
| CT abdomen and pelvis with contrastCPT 74177 | $3,345 | $369 | 906% | ~$1,080 | 21 |
| CT head without contrastCPT 70450 | $906 | $111 | 819% | ~$298 | 21 |
| CT pelvis with contrastCPT 72193 | $1,791 | $186 | 965% | ~$589 | 21 |
| Cardiac arrhythmia, no CC/MCCMS-DRG 310 | $9,424 | $2,982 | 316% | — | 8 |
| Cardiac stress testCPT 93017 | $704 | $228 | 308% | $222 | 18 |
| Cardiac valve surgery with cardiac cath, with MCCMS-DRG 216 | $162,697 | — | — | — | 8 |
| Cataract surgery with IOL insertionCPT 66984 | $4,316 | $2,442 | 177% | — | 6 |
| Cellulitis, no MCCMS-DRG 603 | $14,669 | $5,265 | 279% | — | 8 |
| Cervical spinal fusion, no CC/MCCMS-DRG 473 | $40,244 | $16,343 | 246% | — | 8 |
| Cesarean section, no CC/MCCMS-DRG 788 | $15,339 | — | — | — | 8 |
| Cesarean section, with CCMS-DRG 787 | $18,226 | — | — | — | 8 |
| Chest painMS-DRG 313 | $12,001 | $4,727 | 254% | — | 8 |
| Colonoscopy with biopsyCPT 45380 | $3,122 | $1,266 | 247% | — | 7 |
| Colonoscopy with endoscopic ultrasoundCPT 45391 | $3,122 | $1,266 | 247% | — | 6 |
| Colonoscopy with polyp removalCPT 45385 | $3,122 | $1,266 | 247% | — | 6 |
| Colonoscopy, diagnosticCPT 45378 | $2,274 | $984 | 231% | — | 7 |
| Complete blood count with differentialCPT 85025 | $40 | $8 | 510% | ~$13 | 21 |
| Complete blood count, automatedCPT 85027 | $49 | $6 | 755% | ~$16 | 21 |
| Comprehensive metabolic panelCPT 80053 | $48 | $11 | 456% | ~$16 | 21 |
| Coronary bypass without cardiac cath, no MCCMS-DRG 236 | $69,487 | $28,204 | 246% | — | 8 |
| Diagnostic mammography, both breastsCPT 77066 | $490 | — | — | ~$158 | 21 |
| Diagnostic mammography, one breastCPT 77065 | $376 | — | — | ~$122 | 21 |
| ED visit, level 3CPT 99283 | $477 | $289 | 165% | $148 | 18 |
| ED visit, level 4CPT 99284 | $733 | $441 | 166% | $227 | 18 |
| ED visit, level 5CPT 99285 | $1,059 | $630 | 168% | $328 | 18 |
| Echocardiogram, completeCPT 93306 | $1,263 | $578 | 219% | $398 | 18 |
| Epidural injection, lumbar/sacral, no imagingCPT 62322 | $682 | $936 | 73% | $211 | 21 |
| Esophagitis/GI disorders, no MCCMS-DRG 392 | $13,063 | $4,756 | 275% | — | 8 |
| Excision of breast lesionCPT 19120 | $3,961 | $4,143 | 96% | — | 6 |
| Family psychotherapy, with patientCPT 90847 | $336 | $188 | 179% | $108 | 18 |
| Family psychotherapy, without patientCPT 90846 | $336 | $188 | 179% | $108 | 18 |
| Group psychotherapyCPT 90853 | $107 | $107 | 100% | $33 | 18 |
| Heart failure and shock, with CCMS-DRG 292 | $14,300 | $5,927 | 241% | — | 8 |
| Heart failure with MCCMS-DRG 291 | $21,624 | $8,477 | 255% | — | 8 |
| Hip and femur procedures except major joint, with CCMS-DRG 481 | $34,908 | $12,949 | 270% | — | 8 |
| Hysterectomy, no CC/MCCMS-DRG 743 | $20,414 | $10,098 | 202% | — | 8 |
| Inguinal hernia repair, age 5+CPT 49505 | $3,910 | $3,788 | 103% | — | 6 |
| Kidney and urinary tract infections, no MCCMS-DRG 690 | $13,497 | $5,050 | 267% | — | 8 |
| Kidney function panelCPT 80069 | $133 | $9 | 1536% | ~$44 | 21 |
| Knee arthroscopy with meniscectomyCPT 29881 | $3,686 | $3,462 | 106% | — | 6 |
| Laparoscopic cholecystectomyCPT 47562 | $6,690 | $6,396 | 105% | — | 6 |
| Laparoscopic cholecystectomy, no CC/MCCMS-DRG 419 | $22,455 | $8,977 | 250% | — | 8 |
| Laparoscopic radical prostatectomyCPT 55866 | $26,103 | $11,246 | 232% | — | 6 |
| Left heart catheterization, diagnosticCPT 93452 | $5,851 | $3,430 | 171% | $1,814 | 21 |
| Lipid panelCPT 80061 | $101 | $13 | 758% | ~$33 | 21 |
| Liver function panelCPT 80076 | $35 | $8 | 428% | ~$11 | 21 |
| Lumbar epidural steroid injectionCPT 62323 | $820 | $747 | 110% | $247 | 21 |
| MRI brain with and without contrastCPT 70553 | $1,708 | $369 | 463% | ~$551 | 21 |
| MRI lower extremity joint (knee)CPT 73721 | $1,366 | $252 | 541% | ~$441 | 21 |
| MRI lumbar spine without contrastCPT 72148 | $1,366 | $252 | 541% | ~$441 | 21 |
| Major joint replacement (hip/knee), no MCCMS-DRG 470 | $30,859 | $13,045 | 237% | — | 8 |
| Major joint replacement (hip/knee), with MCCMS-DRG 469 | $48,525 | $22,346 | 217% | — | 8 |
| Major small and large bowel procedures, with CCMS-DRG 330 | $39,857 | $16,424 | 243% | — | 8 |
| Medical back problems, no MCCMS-DRG 552 | $16,122 | $5,963 | 270% | — | 8 |
| OB ultrasound, 14+ weeksCPT 76805 | $415 | $111 | 375% | ~$134 | 21 |
| Obstetric blood test panelCPT 80055 | $48 | $48 | 100% | — | 6 |
| Office visit, established patient, level 3CPT 99213 | $69 | — | — | $22 | 18 |
| Office visit, established patient, level 4CPT 99214 | $147 | — | — | $46 | 18 |
| Office visit, new patient, level 3CPT 99203 | $211 | — | — | $66 | 18 |
| Office visit, new patient, level 4CPT 99204 | $319 | — | — | $100 | 18 |
| Office visit, new patient, level 5CPT 99205 | $410 | — | — | $129 | 18 |
| PSA (prostate specific antigen), totalCPT 84153 | $87 | $18 | 475% | ~$28 | 21 |
| Partial thromboplastin timeCPT 85730 | $40 | $6 | 660% | ~$13 | 21 |
| Physical therapy, therapeutic exerciseCPT 97110 | $92 | — | — | $29 | 18 |
| Prostate biopsyCPT 55700 | $1,024 | — | — | $309 | 21 |
| Prothrombin timeCPT 85610 | $26 | $4 | 595% | ~$8 | 21 |
| Psychotherapy, 30 minutesCPT 90832 | $213 | $188 | 113% | $65 | 18 |
| Psychotherapy, 45 minutesCPT 90834 | $336 | $188 | 179% | $108 | 18 |
| Psychotherapy, 60 minutesCPT 90837 | $449 | $188 | 239% | $144 | 18 |
| Renal failure, with CCMS-DRG 683 | $14,752 | $5,986 | 246% | — | 8 |
| Screening mammography, bilateralCPT 77067 | $333 | — | — | ~$108 | 21 |
| Sepsis with MCCMS-DRG 871 | $32,704 | $13,364 | 245% | — | 8 |
| Shoulder arthroscopy, subacromial decompressionCPT 29826 | $1,905 | — | — | — | 3 |
| Simple pneumonia and pleurisy, with CCMS-DRG 194 | $13,574 | $5,154 | 263% | — | 8 |
| Sleep study (polysomnography)CPT 95810 | $3,217 | $909 | 354% | $997 | 21 |
| Stroke (hemorrhage/infarction), no CC/MCCMS-DRG 066 | $11,496 | $3,529 | 326% | — | 8 |
| Stroke (hemorrhage/infarction), with CC or tPAMS-DRG 065 | $16,978 | $6,520 | 260% | — | 8 |
| Thyroid stimulating hormone (TSH)CPT 84443 | $79 | $17 | 471% | ~$26 | 21 |
| Tonsillectomy and adenoidectomy, under age 12CPT 42820 | $6,209 | $6,263 | 99% | — | 6 |
| Transforaminal epidural, lumbar/sacralCPT 64483 | $1,242 | $936 | 133% | $380 | 21 |
| Ultrasound, abdomen, completeCPT 76700 | $677 | $111 | 612% | ~$223 | 21 |
| Ultrasound, transvaginalCPT 76830 | $413 | $111 | 374% | ~$136 | 21 |
| Upper GI endoscopy with biopsyCPT 43239 | $2,274 | $960 | 237% | — | 6 |
| Upper GI endoscopy, diagnosticCPT 43235 | $1,894 | $960 | 197% | $587 | 21 |
| Urinalysis, automated, with microscopyCPT 81001 | $13 | $3 | 403% | ~$4 | 21 |
| Urinalysis, automated, without microscopyCPT 81003 | $17 | $2 | 747% | ~$5 | 21 |
| Urinalysis, manual, with microscopyCPT 81000 | $7 | $4 | 184% | ~$2 | 21 |
| Urinalysis, manual, without microscopyCPT 81002 | $3 | $3 | 100% | — | 6 |
| Vaginal delivery, no sterilization, no CC/MCCMS-DRG 807 | $10,970 | — | — | — | 8 |
| Vaginal delivery, no sterilization, with CCMS-DRG 806 | $12,364 | — | — | — | 8 |
| X-ray, lower back, 4+ viewsCPT 72110 | $343 | $111 | 310% | ~$113 | 21 |
| YAG laser capsulotomy (secondary cataract)CPT 66821 | $1,722 | $582 | 296% | — | 6 |