| Acute myocardial infarction, discharged alive, with MCCMS-DRG 280 | $11,969 | $11,217 | 107% | — | 10 |
| Bariatric (obesity) surgery, no CC/MCCMS-DRG 621 | $11,580 | $8,272 | 140% | — | 10 |
| Basic metabolic panelCPT 80048 | $11 | $8 | 131% | ~$5 | 58 |
| COPD with MCCMS-DRG 190 | $8,324 | $8,720 | 95% | — | 10 |
| CT abdomen and pelvis with contrastCPT 74177 | $2,232 | $369 | 605% | ~$2,570 | 58 |
| CT head without contrastCPT 70450 | $785 | $111 | 710% | ~$792 | 58 |
| CT pelvis with contrastCPT 72193 | $2,049 | $186 | 1104% | ~$1,574 | 58 |
| Cardiac arrhythmia, no CC/MCCMS-DRG 310 | $4,194 | $3,269 | 128% | — | 10 |
| Cardiac stress testCPT 93017 | $130 | $228 | 57% | $45 | 58 |
| Cardiac valve surgery with cardiac cath, with MCCMS-DRG 216 | $73,900 | — | — | — | 10 |
| Cataract surgery with IOL insertionCPT 66984 | $1,483 | $2,442 | 61% | $510 | 58 |
| Cellulitis, no MCCMS-DRG 603 | $6,427 | $5,675 | 113% | — | 10 |
| Cervical spinal fusion, no CC/MCCMS-DRG 473 | $18,569 | $16,343 | 114% | — | 10 |
| Cesarean section, no CC/MCCMS-DRG 788 | $6,975 | — | — | — | 10 |
| Cesarean section, with CCMS-DRG 787 | $8,128 | — | — | — | 10 |
| Chest painMS-DRG 313 | $5,373 | — | — | — | 10 |
| Colonoscopy with biopsyCPT 45380 | $831 | $1,266 | 66% | $272 | 58 |
| Colonoscopy with endoscopic ultrasoundCPT 45391 | $566 | $1,266 | 45% | $207 | 55 |
| Colonoscopy with polyp removalCPT 45385 | $986 | $1,266 | 78% | $323 | 58 |
| Colonoscopy, diagnosticCPT 45378 | $696 | $984 | 71% | $228 | 58 |
| Complete blood count with differentialCPT 85025 | $12 | $8 | 150% | ~$6 | 58 |
| Complete blood count, automatedCPT 85027 | $10 | $6 | 150% | ~$5 | 58 |
| Comprehensive metabolic panelCPT 80053 | $16 | $11 | 150% | ~$8 | 58 |
| Coronary bypass without cardiac cath, no MCCMS-DRG 236 | $30,880 | $29,950 | 103% | — | 10 |
| Diagnostic mammography, both breastsCPT 77066 | $363 | — | — | ~$282 | 59 |
| Diagnostic mammography, one breastCPT 77065 | $285 | — | — | ~$222 | 59 |
| ED visit, level 3CPT 99283 | $153 | $289 | 53% | $53 | 58 |
| ED visit, level 4CPT 99284 | $202 | $441 | 46% | $69 | 58 |
| ED visit, level 5CPT 99285 | $295 | $630 | 47% | $101 | 58 |
| Echocardiogram, completeCPT 93306 | $322 | $578 | 56% | $111 | 58 |
| Electrocardiogram with interpretationCPT 93000 | $37 | — | — | $19 | 45 |
| Epidural injection, lumbar/sacral, no imagingCPT 62322 | $514 | $936 | 55% | $189 | 55 |
| Esophagitis/GI disorders, no MCCMS-DRG 392 | $5,760 | $4,899 | 118% | — | 10 |
| Excision of breast lesionCPT 19120 | $1,042 | $4,143 | 25% | $382 | 56 |
| Family psychotherapy, without patientCPT 90846 | $188 | $188 | 100% | $73 | 55 |
| Heart failure and shock, with CCMS-DRG 292 | $6,384 | $5,927 | 108% | — | 10 |
| Heart failure with MCCMS-DRG 291 | $9,512 | $8,962 | 106% | — | 10 |
| Hip and femur procedures except major joint, with CCMS-DRG 481 | $15,395 | $13,876 | 111% | — | 9 |
| Hysterectomy, no CC/MCCMS-DRG 743 | $9,119 | $10,098 | 90% | — | 9 |
| Inguinal hernia repair, age 5+CPT 49505 | $988 | $3,788 | 26% | $362 | 55 |
| Kidney and urinary tract infections, no MCCMS-DRG 690 | $5,976 | $5,238 | 114% | — | 10 |
| Kidney function panelCPT 80069 | $13 | $9 | 150% | ~$7 | 58 |
| Knee arthroscopy with meniscectomyCPT 29881 | $1,190 | $3,462 | 34% | $436 | 55 |
| Laparoscopic cholecystectomyCPT 47562 | $1,334 | $6,396 | 21% | $458 | 58 |
| Laparoscopic cholecystectomy, no CC/MCCMS-DRG 419 | $9,991 | $8,977 | 111% | — | 10 |
| Laparoscopic radical prostatectomyCPT 55866 | $2,628 | $11,246 | 23% | $964 | 55 |
| Left heart catheterization, diagnosticCPT 93452 | $1,586 | $3,430 | 46% | $581 | 55 |
| Lipid panelCPT 80061 | $20 | $13 | 150% | ~$10 | 58 |
| Liver function panelCPT 80076 | $11 | $8 | 135% | ~$5 | 58 |
| Lumbar epidural steroid injectionCPT 62323 | $443 | $747 | 59% | $163 | 55 |
| MRI brain with and without contrastCPT 70553 | $1,298 | $369 | 352% | ~$793 | 58 |
| MRI lower extremity joint (knee)CPT 73721 | $1,203 | $252 | 477% | ~$1,552 | 58 |
| MRI lumbar spine without contrastCPT 72148 | $915 | $252 | 362% | ~$761 | 58 |
| Major joint replacement (hip/knee), no MCCMS-DRG 470 | $14,272 | $13,045 | 109% | — | 10 |
| Major joint replacement (hip/knee), with MCCMS-DRG 469 | $22,812 | $22,346 | 102% | — | 10 |
| Major small and large bowel procedures, with CCMS-DRG 330 | $17,619 | $16,202 | 109% | — | 9 |
| Medical back problems, no MCCMS-DRG 552 | $7,099 | $6,142 | 116% | — | 10 |
| OB global care, VBAC deliveryCPT 59610 | $3,201 | — | — | $1,523 | 38 |
| OB global care, cesarean deliveryCPT 59510 | $3,232 | — | — | $1,538 | 38 |
| OB global care, vaginal deliveryCPT 59400 | $2,928 | — | — | $1,393 | 38 |
| OB ultrasound, 14+ weeksCPT 76805 | $196 | $111 | 177% | ~$98 | 58 |
| Obstetric blood test panelCPT 80055 | $93 | $48 | 195% | ~$56 | 58 |
| Office consultation, comprehensiveCPT 99244 | $179 | — | — | $92 | 45 |
| Office consultation, moderateCPT 99243 | $128 | — | — | $66 | 45 |
| Office visit, established patient, level 3CPT 99213 | $65 | — | — | $29 | 39 |
| Office visit, established patient, level 4CPT 99214 | $100 | — | — | $45 | 39 |
| Office visit, new patient, level 3CPT 99203 | $99 | — | — | $44 | 39 |
| Office visit, new patient, level 4CPT 99204 | $156 | — | — | $74 | 39 |
| Office visit, new patient, level 5CPT 99205 | $197 | — | — | $95 | 39 |
| PSA (prostate specific antigen), totalCPT 84153 | $28 | $18 | 150% | ~$14 | 58 |
| Partial thromboplastin timeCPT 85730 | $9 | $6 | 150% | ~$4 | 58 |
| Physical therapy, therapeutic exerciseCPT 97110 | $130 | — | — | $92 | 59 |
| Preventive visit, new patient, 18-39CPT 99385 | $103 | — | — | $53 | 46 |
| Preventive visit, new patient, 40-64CPT 99386 | $122 | — | — | $64 | 46 |
| Prostate biopsyCPT 55700 | $194 | — | — | $100 | 45 |
| Prothrombin timeCPT 85610 | $6 | $4 | 150% | ~$3 | 58 |
| Psychotherapy, 30 minutesCPT 90832 | $124 | $188 | 66% | $45 | 55 |
| Psychotherapy, 45 minutesCPT 90834 | $164 | $188 | 87% | $60 | 55 |
| Psychotherapy, 60 minutesCPT 90837 | $214 | $188 | 114% | $90 | 55 |
| Renal failure, with CCMS-DRG 683 | $6,542 | $5,892 | 111% | — | 10 |
| Screening mammography, bilateralCPT 77067 | $297 | — | — | ~$230 | 59 |
| Sepsis with MCCMS-DRG 871 | $14,216 | $15,368 | 93% | — | 10 |
| Shoulder arthroscopy, subacromial decompressionCPT 29826 | $380 | — | — | $181 | 38 |
| Simple pneumonia and pleurisy, with CCMS-DRG 194 | $5,923 | $5,716 | 104% | — | 9 |
| Sleep study (polysomnography)CPT 95810 | $254 | $909 | 28% | $87 | 58 |
| Spinal fusion except cervical, no MCCMS-DRG 460 | $35,878 | $25,413 | 141% | — | 9 |
| Spinal fusion except cervical, with MCCMS-DRG 459 | $79,638 | $51,127 | 156% | — | 9 |
| Stroke (hemorrhage/infarction), no CC/MCCMS-DRG 066 | $5,205 | $3,679 | 141% | — | 10 |
| Stroke (hemorrhage/infarction), with CC or tPAMS-DRG 065 | $7,568 | $6,559 | 115% | — | 10 |
| Thyroid stimulating hormone (TSH)CPT 84443 | $25 | $17 | 150% | ~$13 | 58 |
| Tonsillectomy and adenoidectomy, under age 12CPT 42820 | $560 | $6,263 | 9% | $205 | 55 |
| Transforaminal epidural, lumbar/sacralCPT 64483 | $529 | $936 | 57% | $194 | 55 |
| Ultrasound, abdomen, completeCPT 76700 | $196 | $111 | 177% | ~$95 | 58 |
| Ultrasound, transvaginalCPT 76830 | $190 | $111 | 172% | ~$84 | 58 |
| Upper GI endoscopy with biopsyCPT 43239 | $552 | $960 | 58% | $181 | 58 |
| Upper GI endoscopy, diagnosticCPT 43235 | $467 | $960 | 49% | $153 | 58 |
| Urinalysis, automated, with microscopyCPT 81001 | $5 | $3 | 150% | ~$2 | 58 |
| Urinalysis, automated, without microscopyCPT 81003 | $4 | $2 | 191% | ~$2 | 58 |
| Urinalysis, manual, with microscopyCPT 81000 | $8 | $4 | 195% | ~$5 | 58 |
| Urinalysis, manual, without microscopyCPT 81002 | $7 | $3 | 189% | ~$4 | 58 |
| Vaginal delivery, no sterilization, no CC/MCCMS-DRG 807 | $4,906 | — | — | — | 10 |
| Vaginal delivery, no sterilization, with CCMS-DRG 806 | $5,548 | — | — | — | 10 |
| X-ray, lower back, 4+ viewsCPT 72110 | $38 | $111 | 34% | ~$12 | 58 |
| YAG laser capsulotomy (secondary cataract)CPT 66821 | $582 | $582 | 100% | $216 | 55 |