| Acute myocardial infarction, discharged alive, with MCCMS-DRG 280 | $26,732 | $11,217 | 238% | — | 23 |
| Bariatric (obesity) surgery, no CC/MCCMS-DRG 621 | $23,804 | $8,272 | 288% | — | 23 |
| Basic metabolic panelCPT 80048 | $14 | $8 | 163% | ~$174 | 30 |
| COPD with MCCMS-DRG 190 | $18,293 | $7,377 | 248% | — | 23 |
| CT abdomen and pelvis with contrastCPT 74177 | $1,298 | $369 | 352% | ~$1,256 | 30 |
| CT head without contrastCPT 70450 | $723 | $111 | 654% | ~$667 | 30 |
| CT pelvis with contrastCPT 72193 | $752 | $186 | 405% | ~$716 | 30 |
| Cardiac arrhythmia, no CC/MCCMS-DRG 310 | $10,197 | $3,269 | 312% | — | 23 |
| Cardiac stress testCPT 93017 | $828 | $228 | 362% | $467 | 30 |
| Cardiac valve surgery with cardiac cath, with MCCMS-DRG 216 | $137,890 | — | — | — | 23 |
| Cataract surgery with IOL insertionCPT 66984 | $3,220 | $2,442 | 132% | — | 16 |
| Cellulitis, no MCCMS-DRG 603 | $14,345 | $5,675 | 253% | — | 23 |
| Cervical spinal fusion, no CC/MCCMS-DRG 473 | $38,162 | $16,343 | 234% | — | 23 |
| Cesarean section, no CC/MCCMS-DRG 788 | $16,749 | — | — | — | 19 |
| Cesarean section, with CCMS-DRG 787 | $19,651 | — | — | — | 19 |
| Chest painMS-DRG 313 | $11,890 | — | — | — | 23 |
| Colonoscopy with biopsyCPT 45380 | $1,630 | $1,266 | 129% | — | 16 |
| Colonoscopy with endoscopic ultrasoundCPT 45391 | $1,630 | $1,266 | 129% | — | 16 |
| Colonoscopy with polyp removalCPT 45385 | $1,630 | $1,266 | 129% | — | 16 |
| Colonoscopy, diagnosticCPT 45378 | $1,263 | $984 | 128% | — | 16 |
| Complete blood count with differentialCPT 85025 | $13 | $8 | 162% | ~$60 | 30 |
| Complete blood count, automatedCPT 85027 | $11 | $6 | 163% | ~$18 | 30 |
| Comprehensive metabolic panelCPT 80053 | $17 | $11 | 162% | ~$242 | 30 |
| Coronary bypass without cardiac cath, no MCCMS-DRG 236 | $63,840 | $29,950 | 213% | — | 23 |
| Diagnostic mammography, both breastsCPT 77066 | $372 | — | — | ~$190 | 20 |
| Diagnostic mammography, one breastCPT 77065 | $372 | — | — | ~$190 | 20 |
| ED visit, level 3CPT 99283 | $521 | $289 | 180% | $266 | 30 |
| ED visit, level 4CPT 99284 | $752 | $441 | 170% | $384 | 30 |
| ED visit, level 5CPT 99285 | $1,220 | $630 | 194% | $623 | 30 |
| Echocardiogram, completeCPT 93306 | $1,449 | $578 | 251% | $818 | 30 |
| Epidural injection, lumbar/sacral, no imagingCPT 62322 | $1,259 | $936 | 135% | — | 16 |
| Esophagitis/GI disorders, no MCCMS-DRG 392 | $12,707 | $4,899 | 259% | — | 23 |
| Excision of breast lesionCPT 19120 | $5,266 | $4,143 | 127% | — | 16 |
| Family psychotherapy, with patientCPT 90847 | $220 | $188 | 117% | — | 13 |
| Family psychotherapy, without patientCPT 90846 | $220 | $188 | 117% | — | 13 |
| Group psychotherapyCPT 90853 | $123 | $107 | 115% | — | 13 |
| Heart failure and shock, with CCMS-DRG 292 | $14,026 | $5,927 | 237% | — | 23 |
| Heart failure with MCCMS-DRG 291 | $21,250 | $8,962 | 237% | — | 23 |
| Hip and femur procedures except major joint, with CCMS-DRG 481 | $33,653 | $13,876 | 243% | — | 23 |
| Hysterectomy, no CC/MCCMS-DRG 743 | $19,519 | $10,098 | 193% | — | 23 |
| Inguinal hernia repair, age 5+CPT 49505 | $4,780 | $3,788 | 126% | — | 16 |
| Kidney and urinary tract infections, no MCCMS-DRG 690 | $13,070 | $5,238 | 250% | — | 23 |
| Kidney function panelCPT 80069 | $14 | $9 | 163% | ~$129 | 30 |
| Knee arthroscopy with meniscectomyCPT 29881 | $4,472 | $3,462 | 129% | — | 16 |
| Laparoscopic cholecystectomyCPT 47562 | $7,972 | $6,396 | 125% | — | 16 |
| Laparoscopic cholecystectomy, no CC/MCCMS-DRG 419 | $21,457 | $8,977 | 239% | — | 23 |
| Laparoscopic radical prostatectomyCPT 55866 | $13,993 | $11,246 | 124% | — | 16 |
| Left heart catheterization, diagnosticCPT 93452 | $4,502 | $3,430 | 131% | — | 16 |
| Lipid panelCPT 80061 | $22 | $13 | 163% | ~$137 | 30 |
| Liver function panelCPT 80076 | $13 | $8 | 163% | ~$167 | 30 |
| Lumbar epidural steroid injectionCPT 62323 | $955 | $747 | 128% | — | 16 |
| MRI brain with and without contrastCPT 70553 | $1,613 | $369 | 437% | ~$2,183 | 30 |
| MRI lower extremity joint (knee)CPT 73721 | $1,347 | $252 | 534% | ~$1,270 | 30 |
| MRI lumbar spine without contrastCPT 72148 | $1,574 | $252 | 624% | ~$1,706 | 30 |
| Major joint replacement (hip/knee), no MCCMS-DRG 470 | $30,705 | $13,045 | 235% | — | 23 |
| Major joint replacement (hip/knee), with MCCMS-DRG 469 | $50,747 | $22,346 | 227% | — | 23 |
| Major small and large bowel procedures, with CCMS-DRG 330 | $38,105 | $16,202 | 235% | — | 23 |
| Medical back problems, no MCCMS-DRG 552 | $15,695 | $6,142 | 256% | — | 23 |
| OB ultrasound, 14+ weeksCPT 76805 | $552 | $111 | 499% | ~$380 | 30 |
| Obstetric blood test panelCPT 80055 | $69 | $48 | 144% | — | 18 |
| PSA (prostate specific antigen), totalCPT 84153 | $27 | $18 | 145% | — | 18 |
| Partial thromboplastin timeCPT 85730 | $10 | $6 | 163% | ~$72 | 30 |
| Physical therapy, therapeutic exerciseCPT 97110 | $87 | — | — | $44 | 20 |
| Prostate biopsyCPT 55700 | $2,814 | — | — | — | 16 |
| Prothrombin timeCPT 85610 | $7 | $4 | 162% | ~$42 | 30 |
| Psychotherapy, 30 minutesCPT 90832 | $220 | $188 | 117% | — | 13 |
| Psychotherapy, 45 minutesCPT 90834 | $220 | $188 | 117% | — | 13 |
| Psychotherapy, 60 minutesCPT 90837 | $220 | $188 | 117% | — | 13 |
| Renal failure, with CCMS-DRG 683 | $14,476 | $5,892 | 246% | — | 23 |
| Screening mammography, bilateralCPT 77067 | $510 | — | — | ~$261 | 20 |
| Sepsis with MCCMS-DRG 871 | $31,956 | $13,837 | 231% | — | 23 |
| Shoulder arthroscopy, subacromial decompressionCPT 29826 | $3,250 | — | — | — | 2 |
| Simple pneumonia and pleurisy, with CCMS-DRG 194 | $13,354 | $5,177 | 258% | — | 23 |
| Sleep study (polysomnography)CPT 95810 | $1,445 | $909 | 159% | — | 13 |
| Stroke (hemorrhage/infarction), no CC/MCCMS-DRG 066 | $11,682 | $3,679 | 318% | — | 23 |
| Stroke (hemorrhage/infarction), with CC or tPAMS-DRG 065 | $16,562 | $6,559 | 253% | — | 23 |
| Thyroid stimulating hormone (TSH)CPT 84443 | $27 | $17 | 162% | ~$137 | 30 |
| Tonsillectomy and adenoidectomy, under age 12CPT 42820 | $7,830 | $6,263 | 125% | — | 16 |
| Transforaminal epidural, lumbar/sacralCPT 64483 | $1,259 | $936 | 135% | — | 16 |
| Ultrasound, abdomen, completeCPT 76700 | $555 | $111 | 502% | ~$382 | 30 |
| Ultrasound, transvaginalCPT 76830 | $424 | $111 | 384% | ~$286 | 30 |
| Upper GI endoscopy with biopsyCPT 43239 | $1,252 | $960 | 131% | — | 16 |
| Upper GI endoscopy, diagnosticCPT 43235 | $1,252 | $960 | 131% | — | 16 |
| Urinalysis, automated, with microscopyCPT 81001 | $5 | $3 | 162% | ~$45 | 30 |
| Urinalysis, automated, without microscopyCPT 81003 | $4 | $2 | 163% | ~$39 | 30 |
| Urinalysis, manual, with microscopyCPT 81000 | $6 | $4 | 144% | — | 18 |
| Urinalysis, manual, without microscopyCPT 81002 | $6 | $3 | 163% | ~$36 | 30 |
| Vaginal delivery, no sterilization, no CC/MCCMS-DRG 807 | $11,793 | — | — | — | 19 |
| Vaginal delivery, no sterilization, with CCMS-DRG 806 | $13,390 | — | — | — | 19 |
| X-ray, lower back, 4+ viewsCPT 72110 | $152 | $111 | 137% | — | 13 |
| YAG laser capsulotomy (secondary cataract)CPT 66821 | $803 | $582 | 138% | — | 16 |