| Acute myocardial infarction, discharged alive, with MCCMS-DRG 280 | $26,985 | $9,819 | 275% | — | 27 |
| Bariatric (obesity) surgery, no CC/MCCMS-DRG 621 | $24,029 | $8,272 | 290% | — | 27 |
| Basic metabolic panelCPT 80048 | $10 | $8 | 120% | — | 20 |
| COPD with MCCMS-DRG 190 | $18,466 | $6,988 | 264% | — | 27 |
| CT abdomen and pelvis with contrastCPT 74177 | $784 | $369 | 212% | ~$714 | 32 |
| CT head without contrastCPT 70450 | $460 | $111 | 416% | ~$332 | 32 |
| CT pelvis with contrastCPT 72193 | $444 | $186 | 239% | ~$544 | 32 |
| Cardiac arrhythmia, no CC/MCCMS-DRG 310 | $9,596 | $2,700 | 355% | — | 27 |
| Cardiac stress testCPT 93017 | $611 | $228 | 268% | $224 | 33 |
| Cardiac valve surgery with cardiac cath, with MCCMS-DRG 216 | $158,643 | — | — | — | 27 |
| Cataract surgery with IOL insertionCPT 66984 | $4,606 | $2,442 | 189% | — | 19 |
| Cellulitis, no MCCMS-DRG 603 | $14,643 | $5,033 | 291% | — | 27 |
| Cervical spinal fusion, no CC/MCCMS-DRG 473 | $38,914 | $16,343 | 238% | — | 27 |
| Cesarean section, no CC/MCCMS-DRG 788 | $15,021 | — | — | — | 27 |
| Cesarean section, with CCMS-DRG 787 | $17,484 | — | — | — | 27 |
| Chest painMS-DRG 313 | $12,011 | $4,161 | 289% | — | 27 |
| Colonoscopy with biopsyCPT 45380 | $2,325 | $1,266 | 184% | — | 20 |
| Colonoscopy with endoscopic ultrasoundCPT 45391 | $2,332 | $1,266 | 184% | — | 19 |
| Colonoscopy with polyp removalCPT 45385 | $2,325 | $1,266 | 184% | — | 20 |
| Colonoscopy, diagnosticCPT 45378 | $2,000 | $984 | 203% | — | 23 |
| Complete blood count with differentialCPT 85025 | $9 | $8 | 120% | — | 20 |
| Complete blood count, automatedCPT 85027 | $8 | $6 | 120% | — | 20 |
| Comprehensive metabolic panelCPT 80053 | $13 | $11 | 120% | — | 20 |
| Coronary bypass without cardiac cath, no MCCMS-DRG 236 | $67,594 | $23,705 | 285% | — | 27 |
| Diagnostic mammography, both breastsCPT 77066 | $457 | — | — | ~$179 | 29 |
| Diagnostic mammography, one breastCPT 77065 | $361 | — | — | ~$141 | 29 |
| ED visit, level 3CPT 99283 | $704 | $289 | 244% | $325 | 36 |
| ED visit, level 4CPT 99284 | $1,113 | $441 | 252% | $514 | 36 |
| ED visit, level 5CPT 99285 | $1,665 | $630 | 264% | $769 | 36 |
| Echocardiogram, completeCPT 93306 | $1,056 | $578 | 183% | $386 | 33 |
| Epidural injection, lumbar/sacral, no imagingCPT 62322 | $1,872 | $936 | 200% | $713 | 34 |
| Esophagitis/GI disorders, no MCCMS-DRG 392 | $13,063 | $4,511 | 290% | — | 27 |
| Excision of breast lesionCPT 19120 | $7,161 | $4,143 | 173% | — | 20 |
| Family psychotherapy, with patientCPT 90847 | $313 | $188 | 167% | — | 17 |
| Family psychotherapy, without patientCPT 90846 | $313 | $188 | 167% | — | 17 |
| Group psychotherapyCPT 90853 | $171 | $107 | 159% | $62 | 34 |
| Heart failure and shock, with CCMS-DRG 292 | $14,335 | $5,300 | 270% | — | 27 |
| Heart failure with MCCMS-DRG 291 | $21,451 | $7,984 | 269% | — | 27 |
| Hip and femur procedures except major joint, with CCMS-DRG 481 | $34,109 | $12,223 | 279% | — | 27 |
| Hysterectomy, no CC/MCCMS-DRG 743 | $19,704 | $10,098 | 195% | — | 27 |
| Inguinal hernia repair, age 5+CPT 49505 | $6,838 | $3,788 | 181% | — | 19 |
| Kidney and urinary tract infections, no MCCMS-DRG 690 | $13,413 | $4,667 | 287% | — | 27 |
| Kidney function panelCPT 80069 | $10 | $9 | 120% | — | 20 |
| Knee arthroscopy with meniscectomyCPT 29881 | $6,397 | $3,462 | 185% | — | 19 |
| Laparoscopic cholecystectomyCPT 47562 | $11,404 | $6,396 | 178% | — | 19 |
| Laparoscopic cholecystectomy, no CC/MCCMS-DRG 419 | $21,660 | $8,018 | 270% | — | 27 |
| Laparoscopic radical prostatectomyCPT 55866 | $19,712 | $11,246 | 175% | — | 19 |
| Left heart catheterization, diagnosticCPT 93452 | $7,040 | $3,430 | 205% | $2,692 | 33 |
| Lipid panelCPT 80061 | $16 | $13 | 120% | — | 20 |
| Liver function panelCPT 80076 | $10 | $8 | 120% | — | 20 |
| Lumbar epidural steroid injectionCPT 62323 | $1,677 | $747 | 225% | $803 | 34 |
| MRI brain with and without contrastCPT 70553 | $906 | $369 | 246% | ~$768 | 32 |
| MRI lower extremity joint (knee)CPT 73721 | $763 | $252 | 302% | ~$480 | 32 |
| MRI lumbar spine without contrastCPT 72148 | $766 | $252 | 303% | ~$481 | 32 |
| Major joint replacement (hip/knee), no MCCMS-DRG 470 | $30,996 | $11,261 | 275% | — | 27 |
| Major joint replacement (hip/knee), with MCCMS-DRG 469 | $53,731 | $22,127 | 243% | — | 27 |
| Major small and large bowel procedures, with CCMS-DRG 330 | $38,857 | $14,789 | 263% | — | 27 |
| Medical back problems, no MCCMS-DRG 552 | $15,945 | $5,670 | 281% | — | 27 |
| OB ultrasound, 14+ weeksCPT 76805 | $325 | $111 | 294% | ~$216 | 32 |
| Obstetric blood test panelCPT 80055 | $57 | $48 | 120% | — | 20 |
| Office consultation, comprehensiveCPT 99244 | $162 | — | — | — | 1 |
| Office consultation, moderateCPT 99243 | $106 | — | — | — | 1 |
| Office visit, established patient, level 3CPT 99213 | $62 | — | — | — | 3 |
| Office visit, established patient, level 4CPT 99214 | $92 | — | — | — | 3 |
| Office visit, new patient, level 3CPT 99203 | $77 | — | — | — | 3 |
| Office visit, new patient, level 4CPT 99204 | $125 | — | — | — | 3 |
| Office visit, new patient, level 5CPT 99205 | $170 | — | — | — | 3 |
| PSA (prostate specific antigen), totalCPT 84153 | $22 | $18 | 120% | — | 20 |
| Partial thromboplastin timeCPT 85730 | $7 | $6 | 120% | — | 20 |
| Physical therapy, therapeutic exerciseCPT 97110 | $118 | — | — | $47 | 29 |
| Preventive visit, new patient, 18-39CPT 99385 | $131 | — | — | — | 1 |
| Preventive visit, new patient, 40-64CPT 99386 | $161 | — | — | — | 1 |
| Prostate biopsyCPT 55700 | $3,156 | — | — | $975 | 34 |
| Prothrombin timeCPT 85610 | $5 | $4 | 120% | — | 20 |
| Psychotherapy, 30 minutesCPT 90832 | $191 | $188 | 102% | $55 | 34 |
| Psychotherapy, 45 minutesCPT 90834 | $289 | $188 | 154% | $98 | 34 |
| Psychotherapy, 60 minutesCPT 90837 | $305 | $188 | 163% | $110 | 34 |
| Renal failure, with CCMS-DRG 683 | $14,769 | $5,389 | 274% | — | 27 |
| Screening mammography, bilateralCPT 77067 | $290 | — | — | ~$128 | 28 |
| Sepsis with MCCMS-DRG 871 | $32,258 | $12,187 | 265% | — | 27 |
| Shoulder arthroscopy, subacromial decompressionCPT 29826 | $3,328 | — | — | — | 2 |
| Simple pneumonia and pleurisy, with CCMS-DRG 194 | $13,687 | $4,755 | 288% | — | 27 |
| Sleep study (polysomnography)CPT 95810 | $2,464 | $909 | 271% | $1,084 | 33 |
| Stroke (hemorrhage/infarction), no CC/MCCMS-DRG 066 | $11,618 | $3,379 | 344% | — | 27 |
| Stroke (hemorrhage/infarction), with CC or tPAMS-DRG 065 | $16,780 | $5,680 | 295% | — | 27 |
| Thyroid stimulating hormone (TSH)CPT 84443 | $20 | $17 | 120% | — | 20 |
| Tonsillectomy and adenoidectomy, under age 12CPT 42820 | $11,214 | $6,263 | 179% | — | 19 |
| Transforaminal epidural, lumbar/sacralCPT 64483 | $1,480 | $936 | 158% | $471 | 34 |
| Ultrasound, abdomen, completeCPT 76700 | $401 | $111 | 362% | ~$346 | 32 |
| Ultrasound, transvaginalCPT 76830 | $401 | $111 | 362% | ~$367 | 32 |
| Upper GI endoscopy with biopsyCPT 43239 | $1,786 | $960 | 186% | — | 20 |
| Upper GI endoscopy, diagnosticCPT 43235 | $1,786 | $960 | 186% | — | 20 |
| Urinalysis, automated, with microscopyCPT 81001 | $4 | $3 | 120% | — | 20 |
| Urinalysis, automated, without microscopyCPT 81003 | $3 | $2 | 120% | — | 20 |
| Urinalysis, manual, with microscopyCPT 81000 | $5 | $4 | 120% | — | 20 |
| Urinalysis, manual, without microscopyCPT 81002 | $4 | $3 | 120% | — | 20 |
| Vaginal delivery, no sterilization, no CC/MCCMS-DRG 807 | $10,816 | — | — | — | 27 |
| Vaginal delivery, no sterilization, with CCMS-DRG 806 | $12,171 | — | — | — | 27 |
| X-ray, lower back, 4+ viewsCPT 72110 | $283 | $111 | 256% | ~$173 | 32 |
| YAG laser capsulotomy (secondary cataract)CPT 66821 | $1,145 | $582 | 197% | — | 20 |