| Acute myocardial infarction, discharged alive, with MCCMS-DRG 280 | $31,528 | $11,217 | 281% | — | 2 |
| Bariatric (obesity) surgery, no CC/MCCMS-DRG 621 | $28,153 | $8,272 | 340% | — | 2 |
| Basic metabolic panelCPT 80048 | $88 | $8 | 1037% | ~$32 | 14 |
| COPD with MCCMS-DRG 190 | $21,787 | $8,141 | 268% | — | 2 |
| CT abdomen and pelvis with contrastCPT 74177 | $2,740 | $369 | 742% | ~$992 | 14 |
| CT head without contrastCPT 70450 | $1,238 | $111 | 1119% | ~$448 | 14 |
| CT pelvis with contrastCPT 72193 | $1,234 | $186 | 665% | ~$447 | 14 |
| Cardiac arrhythmia, no CC/MCCMS-DRG 310 | $11,197 | $3,269 | 343% | — | 2 |
| Cardiac stress testCPT 93017 | $1,124 | $228 | 492% | $407 | 14 |
| Cardiac valve surgery with cardiac cath, with MCCMS-DRG 216 | $182,044 | — | — | — | 2 |
| Cataract surgery with IOL insertionCPT 66984 | $4,778 | $2,442 | 196% | — | 1 |
| Cellulitis, no MCCMS-DRG 603 | $14,841 | $6,199 | 239% | — | 2 |
| Cervical spinal fusion, no CC/MCCMS-DRG 473 | $45,171 | $16,343 | 276% | — | 2 |
| Cesarean section, no CC/MCCMS-DRG 788 | $17,684 | — | — | — | 2 |
| Cesarean section, with CCMS-DRG 787 | $20,637 | — | — | — | 2 |
| Chest painMS-DRG 313 | $14,089 | — | — | — | 2 |
| Colonoscopy with biopsyCPT 45380 | $2,470 | $1,266 | 195% | — | 1 |
| Colonoscopy with endoscopic ultrasoundCPT 45391 | $2,470 | $1,266 | 195% | — | 1 |
| Colonoscopy with polyp removalCPT 45385 | $2,470 | $1,266 | 195% | — | 1 |
| Colonoscopy, diagnosticCPT 45378 | $1,910 | $984 | 194% | — | 1 |
| Complete blood count with differentialCPT 85025 | $60 | $8 | 772% | ~$22 | 14 |
| Complete blood count, automatedCPT 85027 | $49 | $6 | 761% | ~$18 | 14 |
| Comprehensive metabolic panelCPT 80053 | $119 | $11 | 1127% | ~$43 | 14 |
| Coronary bypass without cardiac cath, no MCCMS-DRG 236 | $77,957 | $29,950 | 260% | — | 2 |
| Diagnostic mammography, both breastsCPT 77066 | $416 | — | — | ~$151 | 14 |
| Diagnostic mammography, one breastCPT 77065 | $261 | — | — | ~$95 | 14 |
| ED visit, level 3CPT 99283 | $725 | $289 | 251% | $262 | 14 |
| ED visit, level 4CPT 99284 | $1,206 | $441 | 273% | $436 | 14 |
| ED visit, level 5CPT 99285 | $1,608 | $630 | 255% | $582 | 14 |
| Echocardiogram, completeCPT 93306 | $2,706 | $578 | 468% | $980 | 14 |
| Epidural injection, lumbar/sacral, no imagingCPT 62322 | $1,865 | $936 | 199% | — | 1 |
| Esophagitis/GI disorders, no MCCMS-DRG 392 | $15,347 | $5,270 | 291% | — | 2 |
| Excision of breast lesionCPT 19120 | $8,023 | $4,143 | 194% | — | 1 |
| Family psychotherapy, with patientCPT 90847 | $337 | $188 | 179% | — | 1 |
| Family psychotherapy, without patientCPT 90846 | $337 | $188 | 179% | — | 1 |
| Group psychotherapyCPT 90853 | $194 | $107 | 180% | — | 1 |
| Heart failure and shock, with CCMS-DRG 292 | $16,867 | $5,927 | 285% | — | 2 |
| Heart failure with MCCMS-DRG 291 | $25,203 | $9,370 | 269% | — | 2 |
| Hip and femur procedures except major joint, with CCMS-DRG 481 | $39,674 | $15,231 | 260% | — | 2 |
| Hysterectomy, no CC/MCCMS-DRG 743 | $23,209 | $10,098 | 230% | — | 2 |
| Inguinal hernia repair, age 5+CPT 49505 | $7,394 | $3,788 | 195% | — | 1 |
| Kidney and urinary tract infections, no MCCMS-DRG 690 | $13,844 | $5,096 | 272% | — | 2 |
| Kidney function panelCPT 80069 | $205 | $9 | 2361% | ~$74 | 14 |
| Knee arthroscopy with meniscectomyCPT 29881 | $6,798 | $3,462 | 196% | — | 1 |
| Laparoscopic cholecystectomyCPT 47562 | $12,224 | $6,396 | 191% | — | 1 |
| Laparoscopic cholecystectomy, no CC/MCCMS-DRG 419 | $25,443 | $8,977 | 283% | — | 2 |
| Laparoscopic radical prostatectomyCPT 55866 | $21,813 | $11,246 | 194% | — | 1 |
| Left heart catheterization, diagnosticCPT 93452 | $6,739 | $3,430 | 196% | — | 1 |
| Lipid panelCPT 80061 | $115 | $13 | 856% | ~$41 | 14 |
| Liver function panelCPT 80076 | $45 | $8 | 548% | ~$16 | 14 |
| Lumbar epidural steroid injectionCPT 62323 | $1,670 | $747 | 224% | $605 | 14 |
| MRI brain with and without contrastCPT 70553 | $2,616 | $369 | 709% | ~$947 | 14 |
| MRI lower extremity joint (knee)CPT 73721 | $1,950 | $252 | 773% | ~$706 | 14 |
| MRI lumbar spine without contrastCPT 72148 | $1,832 | $252 | 726% | ~$663 | 14 |
| Major joint replacement (hip/knee), no MCCMS-DRG 470 | $40,924 | $13,045 | 314% | — | 2 |
| Major joint replacement (hip/knee), with MCCMS-DRG 469 | $62,108 | $22,346 | 278% | — | 2 |
| Major small and large bowel procedures, with CCMS-DRG 330 | $45,101 | $16,202 | 278% | — | 2 |
| Medical back problems, no MCCMS-DRG 552 | $18,795 | $6,142 | 306% | — | 2 |
| OB ultrasound, 14+ weeksCPT 76805 | $1,086 | $111 | 981% | ~$393 | 14 |
| Obstetric blood test panelCPT 80055 | $96 | $48 | 200% | — | 1 |
| Office visit, established patient, level 3CPT 99213 | $142 | — | — | $52 | 14 |
| Office visit, established patient, level 4CPT 99214 | $152 | — | — | $55 | 14 |
| Office visit, new patient, level 4CPT 99204 | $461 | — | — | $167 | 14 |
| PSA (prostate specific antigen), totalCPT 84153 | $147 | $18 | 801% | ~$53 | 14 |
| Partial thromboplastin timeCPT 85730 | $54 | $6 | 894% | ~$19 | 14 |
| Physical therapy, therapeutic exerciseCPT 97110 | $181 | — | — | $65 | 14 |
| Prostate biopsyCPT 55700 | $4,292 | — | — | — | 1 |
| Prothrombin timeCPT 85610 | $54 | $4 | 1252% | ~$19 | 14 |
| Psychotherapy, 30 minutesCPT 90832 | $337 | $188 | 179% | — | 1 |
| Psychotherapy, 45 minutesCPT 90834 | $337 | $188 | 179% | — | 1 |
| Psychotherapy, 60 minutesCPT 90837 | $337 | $188 | 179% | — | 1 |
| Renal failure, with CCMS-DRG 683 | $17,387 | $6,518 | 267% | — | 2 |
| Screening mammography, bilateralCPT 77067 | $197 | — | — | ~$71 | 14 |
| Sepsis with MCCMS-DRG 871 | $37,555 | $14,611 | 257% | — | 2 |
| Simple pneumonia and pleurisy, with CCMS-DRG 194 | $16,093 | $5,460 | 295% | — | 2 |
| Sleep study (polysomnography)CPT 95810 | $5,315 | $909 | 585% | $1,924 | 14 |
| Stroke (hemorrhage/infarction), no CC/MCCMS-DRG 066 | $13,618 | $3,679 | 370% | — | 2 |
| Stroke (hemorrhage/infarction), with CC or tPAMS-DRG 065 | $19,793 | $6,559 | 302% | — | 2 |
| Thyroid stimulating hormone (TSH)CPT 84443 | $102 | $17 | 607% | ~$37 | 14 |
| Tonsillectomy and adenoidectomy, under age 12CPT 42820 | $12,394 | $6,263 | 198% | — | 1 |
| Transforaminal epidural, lumbar/sacralCPT 64483 | $1,865 | $936 | 199% | — | 1 |
| Ultrasound, abdomen, completeCPT 76700 | $1,346 | $111 | 1217% | ~$487 | 14 |
| Ultrasound, transvaginalCPT 76830 | $804 | $111 | 727% | ~$291 | 14 |
| Upper GI endoscopy with biopsyCPT 43239 | $1,964 | $960 | 205% | — | 1 |
| Upper GI endoscopy, diagnosticCPT 43235 | $1,964 | $960 | 205% | — | 1 |
| Urinalysis, automated, with microscopyCPT 81001 | $74 | $3 | 2343% | ~$27 | 14 |
| Urinalysis, automated, without microscopyCPT 81003 | $28 | $2 | 1233% | ~$10 | 14 |
| Urinalysis, manual, with microscopyCPT 81000 | $8 | $4 | 200% | — | 1 |
| Urinalysis, manual, without microscopyCPT 81002 | $7 | $3 | 200% | — | 1 |
| Vaginal delivery, no sterilization, no CC/MCCMS-DRG 807 | $12,659 | — | — | — | 2 |
| Vaginal delivery, no sterilization, with CCMS-DRG 806 | $14,281 | — | — | — | 2 |
| X-ray, lower back, 4+ viewsCPT 72110 | $638 | $111 | 577% | ~$231 | 14 |
| YAG laser capsulotomy (secondary cataract)CPT 66821 | $1,149 | $582 | 198% | — | 1 |