| Acute myocardial infarction, discharged alive, with MCCMS-DRG 280 | $24,931 | $11,217 | 222% | $11,550 | 5 |
| Basic metabolic panelCPT 80048 | $76 | $8 | 904% | ~$35 | 25 |
| COPD with MCCMS-DRG 190 | $17,216 | $7,377 | 233% | $6,410 | 6 |
| CT abdomen and pelvis with contrastCPT 74177 | $1,691 | $369 | 458% | ~$967 | 18 |
| CT head without contrastCPT 70450 | $507 | $111 | 458% | ~$501 | 18 |
| CT pelvis with contrastCPT 72193 | $850 | $186 | 458% | ~$668 | 18 |
| Cardiac arrhythmia, no CC/MCCMS-DRG 310 | $8,798 | $3,269 | 269% | $7,012 | 6 |
| Cardiac stress testCPT 93017 | $1,047 | $228 | 458% | $437 | 25 |
| Cataract surgery with IOL insertionCPT 66984 | $11,185 | $2,442 | 458% | $7,254 | 11 |
| Cellulitis, no MCCMS-DRG 603 | $13,536 | $5,675 | 239% | $6,413 | 6 |
| Colonoscopy with biopsyCPT 45380 | $5,800 | $1,266 | 458% | $3,101 | 11 |
| Colonoscopy with polyp removalCPT 45385 | $5,800 | $1,266 | 458% | $2,711 | 11 |
| Colonoscopy, diagnosticCPT 45378 | $4,307 | $984 | 438% | $2,089 | 12 |
| Complete blood count with differentialCPT 85025 | $73 | $8 | 944% | ~$34 | 25 |
| Complete blood count, automatedCPT 85027 | $40 | $6 | 620% | ~$18 | 25 |
| Comprehensive metabolic panelCPT 80053 | $109 | $11 | 1033% | ~$50 | 25 |
| Diagnostic mammography, both breastsCPT 77066 | $497 | — | — | ~$228 | 25 |
| Diagnostic mammography, one breastCPT 77065 | $302 | — | — | ~$139 | 25 |
| ED visit, level 3CPT 99283 | $1,323 | $289 | 458% | $604 | 25 |
| ED visit, level 4CPT 99284 | $2,022 | $441 | 458% | $862 | 22 |
| ED visit, level 5CPT 99285 | $2,886 | $630 | 458% | $1,293 | 22 |
| Echocardiogram, completeCPT 93306 | $2,443 | $578 | 423% | $994 | 25 |
| Epidural injection, lumbar/sacral, no imagingCPT 62322 | $4,287 | $936 | 458% | $1,788 | 11 |
| Esophagitis/GI disorders, no MCCMS-DRG 392 | $12,117 | $4,899 | 247% | $6,376 | 6 |
| Family psychotherapy, with patientCPT 90847 | $592 | $188 | 315% | $202 | 8 |
| Group psychotherapyCPT 90853 | $955 | $107 | 888% | $326 | 8 |
| Heart failure and shock, with CCMS-DRG 292 | $13,195 | $5,927 | 223% | $19,699 | 6 |
| Heart failure with MCCMS-DRG 291 | $19,953 | $10,435 | 191% | $9,892 | 6 |
| Inguinal hernia repair, age 5+CPT 49505 | $17,353 | $3,788 | 458% | $11,102 | 11 |
| Kidney and urinary tract infections, no MCCMS-DRG 690 | $12,581 | $7,801 | 161% | $7,112 | 6 |
| Kidney function panelCPT 80069 | $75 | $9 | 860% | ~$34 | 25 |
| Laparoscopic cholecystectomyCPT 47562 | $29,300 | $6,396 | 458% | $24,559 | 11 |
| Lipid panelCPT 80061 | $82 | $13 | 613% | ~$38 | 25 |
| Liver function panelCPT 80076 | $59 | $8 | 721% | ~$27 | 25 |
| Lumbar epidural steroid injectionCPT 62323 | $3,421 | $747 | 458% | $1,937 | 11 |
| MRI brain with and without contrastCPT 70553 | $1,691 | $369 | 458% | ~$801 | 18 |
| MRI lower extremity joint (knee)CPT 73721 | $1,366 | $252 | 541% | ~$715 | 18 |
| MRI lumbar spine without contrastCPT 72148 | $1,156 | $252 | 458% | ~$734 | 18 |
| OB ultrasound, 14+ weeksCPT 76805 | $507 | $111 | 458% | ~$397 | 21 |
| Obstetric blood test panelCPT 80055 | $275 | $48 | 575% | ~$154 | 22 |
| Office visit, established patient, level 3CPT 99213 | $293 | — | — | $119 | 16 |
| Office visit, established patient, level 4CPT 99214 | $343 | — | — | $139 | 16 |
| Office visit, new patient, level 3CPT 99203 | $315 | — | — | $139 | 13 |
| Office visit, new patient, level 4CPT 99204 | $380 | — | — | $159 | 16 |
| Office visit, new patient, level 5CPT 99205 | $417 | — | — | $185 | 13 |
| PSA (prostate specific antigen), totalCPT 84153 | $105 | $18 | 569% | ~$48 | 25 |
| Partial thromboplastin timeCPT 85730 | $90 | $6 | 1492% | ~$41 | 25 |
| Physical therapy, therapeutic exerciseCPT 97110 | $130 | — | — | $60 | 25 |
| Prothrombin timeCPT 85610 | $31 | $4 | 716% | ~$14 | 25 |
| Psychotherapy, 60 minutesCPT 90837 | $500 | $188 | 266% | $171 | 8 |
| Renal failure, with CCMS-DRG 683 | $13,612 | $5,892 | 231% | $7,340 | 6 |
| Screening mammography, bilateralCPT 77067 | $257 | — | — | ~$118 | 25 |
| Sepsis with MCCMS-DRG 871 | $30,190 | $15,906 | 190% | $11,043 | 6 |
| Simple pneumonia and pleurisy, with CCMS-DRG 194 | $12,525 | $5,177 | 242% | $6,897 | 6 |
| Sleep study (polysomnography)CPT 95810 | $4,324 | $909 | 476% | $1,986 | 25 |
| Stroke (hemorrhage/infarction), no CC/MCCMS-DRG 066 | $10,637 | $3,679 | 289% | $8,686 | 6 |
| Stroke (hemorrhage/infarction), with CC or tPAMS-DRG 065 | $15,702 | $6,559 | 239% | $10,284 | 6 |
| Thyroid stimulating hormone (TSH)CPT 84443 | $105 | $17 | 627% | ~$48 | 25 |
| Tonsillectomy and adenoidectomy, under age 12CPT 42820 | $28,691 | $6,263 | 458% | $5,967 | 11 |
| Transforaminal epidural, lumbar/sacralCPT 64483 | $4,287 | $936 | 458% | $2,149 | 11 |
| Ultrasound, abdomen, completeCPT 76700 | $507 | $111 | 458% | ~$291 | 21 |
| Ultrasound, transvaginalCPT 76830 | $507 | $111 | 458% | ~$335 | 21 |
| Upper GI endoscopy with biopsyCPT 43239 | $4,251 | $960 | 443% | $2,398 | 12 |
| Upper GI endoscopy, diagnosticCPT 43235 | $4,396 | $960 | 458% | $2,093 | 11 |
| Urinalysis, automated, with microscopyCPT 81001 | $44 | $3 | 1385% | ~$20 | 25 |
| Urinalysis, automated, without microscopyCPT 81003 | $34 | $2 | 1505% | ~$16 | 25 |
| Urinalysis, manual, with microscopyCPT 81000 | $83 | $4 | 2074% | ~$38 | 25 |
| Urinalysis, manual, without microscopyCPT 81002 | $82 | $3 | 2360% | ~$38 | 25 |
| X-ray, lower back, 4+ viewsCPT 72110 | $550 | $111 | 497% | ~$253 | 25 |