| Acute myocardial infarction, discharged alive, with MCCMS-DRG 280 | $32,979 | $12,232 | 270% | $5,132 | 89 |
| Bariatric (obesity) surgery, no CC/MCCMS-DRG 621 | $29,367 | $8,272 | 355% | $12,999 | 89 |
| Basic metabolic panelCPT 80048 | $10 | $8 | 120% | ~$130 | 172 |
| COPD with MCCMS-DRG 190 | $22,568 | $7,772 | 290% | $4,229 | 89 |
| CT abdomen and pelvis with contrastCPT 74177 | $828 | $369 | 224% | ~$882 | 172 |
| CT head without contrastCPT 70450 | $520 | $111 | 470% | ~$400 | 172 |
| CT pelvis with contrastCPT 72193 | $520 | $186 | 280% | ~$483 | 172 |
| Cardiac arrhythmia, no CC/MCCMS-DRG 310 | $11,241 | $3,683 | 305% | $2,238 | 89 |
| Cardiac stress testCPT 93017 | $440 | $228 | 193% | $327 | 172 |
| Cataract surgery with IOL insertionCPT 66984 | $3,225 | $2,442 | 132% | $3,802 | 172 |
| Cellulitis, no MCCMS-DRG 603 | $17,698 | $6,471 | 274% | $3,444 | 89 |
| Cervical spinal fusion, no CC/MCCMS-DRG 473 | $47,559 | $16,343 | 291% | $18,663 | 81 |
| Cesarean section, no CC/MCCMS-DRG 788 | $18,182 | — | — | $5,882 | 89 |
| Cesarean section, with CCMS-DRG 787 | $18,512 | — | — | $6,351 | 89 |
| Chest painMS-DRG 313 | $14,331 | — | — | $2,315 | 89 |
| Colonoscopy with biopsyCPT 45380 | $1,667 | $1,266 | 132% | $1,507 | 172 |
| Colonoscopy with endoscopic ultrasoundCPT 45391 | $4,549 | $1,266 | 359% | $2,109 | 172 |
| Colonoscopy with polyp removalCPT 45385 | $1,667 | $1,266 | 132% | $1,628 | 172 |
| Colonoscopy, diagnosticCPT 45378 | $1,289 | $984 | 131% | $1,258 | 172 |
| Complete blood count with differentialCPT 85025 | $9 | $8 | 120% | ~$99 | 172 |
| Complete blood count, automatedCPT 85027 | $8 | $6 | 120% | ~$104 | 172 |
| Comprehensive metabolic panelCPT 80053 | $13 | $11 | 120% | ~$104 | 172 |
| Coronary bypass without cardiac cath, no MCCMS-DRG 236 | $73,881 | $29,056 | 254% | $35,349 | 1 |
| Diagnostic mammography, both breastsCPT 77066 | $263 | — | — | ~$118 | 170 |
| Diagnostic mammography, one breastCPT 77065 | $206 | — | — | ~$106 | 170 |
| ED visit, level 3CPT 99283 | $1,481 | $289 | 513% | $404 | 142 |
| ED visit, level 4CPT 99284 | $2,084 | $441 | 472% | $569 | 144 |
| ED visit, level 5CPT 99285 | $3,540 | $630 | 562% | $913 | 172 |
| Echocardiogram, completeCPT 93306 | $775 | $578 | 134% | $565 | 172 |
| Epidural injection, lumbar/sacral, no imagingCPT 62322 | $6,500 | $936 | 695% | $1,348 | 172 |
| Esophagitis/GI disorders, no MCCMS-DRG 392 | $15,677 | $5,708 | 275% | $3,616 | 89 |
| Excision of breast lesionCPT 19120 | $5,415 | $4,143 | 131% | $4,308 | 172 |
| Family psychotherapy, with patientCPT 90847 | $127 | $188 | 68% | $42 | 144 |
| Family psychotherapy, without patientCPT 90846 | $127 | $188 | 68% | $42 | 144 |
| Group psychotherapyCPT 90853 | $267 | $107 | 249% | $84 | 169 |
| Heart failure and shock, with CCMS-DRG 292 | $17,304 | $5,927 | 292% | $3,562 | 89 |
| Heart failure with MCCMS-DRG 291 | $26,217 | $9,674 | 271% | $4,366 | 89 |
| Hip and femur procedures except major joint, with CCMS-DRG 481 | $41,687 | $15,468 | 269% | $12,453 | 89 |
| Hysterectomy, no CC/MCCMS-DRG 743 | $24,081 | $10,098 | 238% | $8,316 | 89 |
| Inguinal hernia repair, age 5+CPT 49505 | $4,991 | $3,788 | 132% | $4,094 | 172 |
| Kidney and urinary tract infections, no MCCMS-DRG 690 | $16,125 | $5,830 | 277% | $3,493 | 89 |
| Kidney function panelCPT 80069 | $10 | $9 | 120% | ~$230 | 172 |
| Knee arthroscopy with meniscectomyCPT 29881 | $4,589 | $3,462 | 133% | $5,036 | 172 |
| Laparoscopic cholecystectomyCPT 47562 | $8,251 | $6,396 | 129% | $5,838 | 172 |
| Laparoscopic cholecystectomy, no CC/MCCMS-DRG 419 | $26,472 | $8,977 | 295% | $11,033 | 89 |
| Laparoscopic radical prostatectomyCPT 55866 | $14,724 | $11,246 | 131% | $19,932 | 172 |
| Left heart catheterization, diagnosticCPT 93452 | $16,805 | $3,430 | 490% | $4,587 | 172 |
| Lipid panelCPT 80061 | $137 | $13 | 1024% | ~$47 | 172 |
| Liver function panelCPT 80076 | $10 | $8 | 120% | ~$53 | 172 |
| Lumbar epidural steroid injectionCPT 62323 | $979 | $747 | 131% | $1,042 | 172 |
| MRI brain with and without contrastCPT 70553 | $2,064 | $369 | 559% | ~$955 | 172 |
| MRI lower extremity joint (knee)CPT 73721 | $1,804 | $252 | 715% | ~$761 | 172 |
| MRI lumbar spine without contrastCPT 72148 | $1,700 | $252 | 673% | ~$713 | 172 |
| Major joint replacement (hip/knee), no MCCMS-DRG 470 | $37,882 | $13,819 | 274% | $16,087 | 89 |
| Major joint replacement (hip/knee), with MCCMS-DRG 469 | $68,416 | $22,346 | 306% | $28,960 | 39 |
| Major small and large bowel procedures, with CCMS-DRG 330 | $47,489 | $16,202 | 293% | $14,449 | 89 |
| Medical back problems, no MCCMS-DRG 552 | $19,364 | $6,923 | 280% | $3,931 | 89 |
| OB ultrasound, 14+ weeksCPT 76805 | $445 | $111 | 402% | ~$144 | 172 |
| Obstetric blood test panelCPT 80055 | $66 | $48 | 138% | ~$22 | 171 |
| Office visit, established patient, level 3CPT 99213 | $173 | — | — | $318 | 172 |
| Office visit, established patient, level 4CPT 99214 | $182 | — | — | $91 | 123 |
| PSA (prostate specific antigen), totalCPT 84153 | $112 | $18 | 610% | ~$38 | 172 |
| Partial thromboplastin timeCPT 85730 | $7 | $6 | 120% | ~$113 | 172 |
| Physical therapy, therapeutic exerciseCPT 97110 | $37 | — | — | $79 | 172 |
| Prostate biopsyCPT 55700 | $5,164 | — | — | $2,547 | 172 |
| Prothrombin timeCPT 85610 | $16 | $4 | 366% | ~$11 | 172 |
| Psychotherapy, 30 minutesCPT 90832 | $129 | $188 | 69% | $42 | 144 |
| Psychotherapy, 45 minutesCPT 90834 | $151 | $188 | 81% | $49 | 144 |
| Psychotherapy, 60 minutesCPT 90837 | $316 | $188 | 168% | $103 | 144 |
| Renal failure, with CCMS-DRG 683 | $17,859 | $6,578 | 272% | $3,537 | 89 |
| Screening mammography, bilateralCPT 77067 | $217 | — | — | ~$99 | 172 |
| Sepsis with MCCMS-DRG 871 | $39,425 | $14,246 | 277% | $5,956 | 89 |
| Shoulder arthroscopy, subacromial decompressionCPT 29826 | $4,589 | — | — | $7,895 | 172 |
| Simple pneumonia and pleurisy, with CCMS-DRG 194 | $16,475 | $5,439 | 303% | $4,176 | 89 |
| Sleep study (polysomnography)CPT 95810 | $2,405 | $909 | 265% | $764 | 172 |
| Stroke (hemorrhage/infarction), no CC/MCCMS-DRG 066 | $13,829 | $3,679 | 376% | $5,205 | 89 |
| Stroke (hemorrhage/infarction), with CC or tPAMS-DRG 065 | $20,433 | $7,137 | 286% | $5,663 | 89 |
| Thyroid stimulating hormone (TSH)CPT 84443 | $20 | $17 | 120% | ~$34 | 172 |
| Tonsillectomy and adenoidectomy, under age 12CPT 42820 | $8,366 | $6,263 | 134% | $3,489 | 172 |
| Transforaminal epidural, lumbar/sacralCPT 64483 | $3,331 | $936 | 356% | $951 | 172 |
| Ultrasound, abdomen, completeCPT 76700 | $789 | $111 | 714% | ~$255 | 172 |
| Ultrasound, transvaginalCPT 76830 | $495 | $111 | 448% | ~$160 | 172 |
| Upper GI endoscopy with biopsyCPT 43239 | $1,326 | $960 | 138% | $1,513 | 172 |
| Upper GI endoscopy, diagnosticCPT 43235 | $1,326 | $960 | 138% | $1,253 | 172 |
| Urinalysis, automated, with microscopyCPT 81001 | $4 | $3 | 120% | ~$123 | 172 |
| Urinalysis, automated, without microscopyCPT 81003 | $3 | $2 | 120% | ~$15 | 172 |
| Urinalysis, manual, without microscopyCPT 81002 | $19 | $3 | 544% | ~$6 | 172 |
| Vaginal delivery, no sterilization, no CC/MCCMS-DRG 807 | $12,404 | — | — | $2,723 | 89 |
| Vaginal delivery, no sterilization, with CCMS-DRG 806 | $12,404 | — | — | $3,014 | 89 |
| X-ray, lower back, 4+ viewsCPT 72110 | $469 | $111 | 424% | ~$155 | 172 |
| YAG laser capsulotomy (secondary cataract)CPT 66821 | $776 | $582 | 133% | $748 | 172 |