| Acute myocardial infarction, discharged alive, with MCCMS-DRG 280 | $18,274 | $11,217 | 163% | — | 14 |
| Bariatric (obesity) surgery, no CC/MCCMS-DRG 621 | $17,184 | $8,272 | 208% | — | 14 |
| Basic metabolic panelCPT 80048 | $13 | $8 | 150% | ~$5 | 54 |
| COPD with MCCMS-DRG 190 | $12,619 | $7,377 | 171% | — | 14 |
| CT abdomen and pelvis with contrastCPT 74177 | $2,115 | $369 | 573% | ~$1,353 | 55 |
| CT head without contrastCPT 70450 | $675 | $111 | 610% | ~$512 | 55 |
| CT pelvis with contrastCPT 72193 | $1,084 | $186 | 584% | ~$642 | 55 |
| Cardiac arrhythmia, no CC/MCCMS-DRG 310 | $4,793 | $3,269 | 147% | — | 14 |
| Cardiac stress testCPT 93017 | $666 | $228 | 291% | $492 | 54 |
| Cardiac valve surgery with cardiac cath, with MCCMS-DRG 216 | $111,446 | — | — | — | 14 |
| Cataract surgery with IOL insertionCPT 66984 | $1,437 | $2,442 | 59% | $326 | 54 |
| Cellulitis, no MCCMS-DRG 603 | $9,921 | $5,675 | 175% | — | 14 |
| Cervical spinal fusion, no CC/MCCMS-DRG 473 | $27,811 | $16,343 | 170% | — | 14 |
| Cesarean section, no CC/MCCMS-DRG 788 | $10,923 | — | — | — | 14 |
| Cesarean section, with CCMS-DRG 787 | $12,723 | — | — | — | 14 |
| Chest painMS-DRG 313 | $8,202 | — | — | — | 14 |
| Colonoscopy with biopsyCPT 45380 | $836 | $1,266 | 66% | $174 | 54 |
| Colonoscopy with endoscopic ultrasoundCPT 45391 | $509 | $1,266 | 40% | $133 | 50 |
| Colonoscopy with polyp removalCPT 45385 | $992 | $1,266 | 78% | $207 | 54 |
| Colonoscopy, diagnosticCPT 45378 | $700 | $984 | 71% | $146 | 54 |
| Complete blood count with differentialCPT 85025 | $13 | $8 | 168% | ~$5 | 54 |
| Complete blood count, automatedCPT 85027 | $11 | $6 | 167% | ~$4 | 54 |
| Comprehensive metabolic panelCPT 80053 | $17 | $11 | 161% | ~$7 | 54 |
| Coronary bypass without cardiac cath, no MCCMS-DRG 236 | $47,719 | $29,950 | 159% | — | 14 |
| Diagnostic mammography, both breastsCPT 77066 | $247 | — | — | ~$125 | 56 |
| Diagnostic mammography, one breastCPT 77065 | $183 | — | — | ~$88 | 56 |
| ED visit, level 3CPT 99283 | $148 | $289 | 51% | $34 | 54 |
| ED visit, level 4CPT 99284 | $195 | $441 | 44% | $44 | 54 |
| ED visit, level 5CPT 99285 | $286 | $630 | 45% | $65 | 54 |
| Echocardiogram, completeCPT 93306 | $312 | $578 | 54% | $71 | 54 |
| Electrocardiogram with interpretationCPT 93000 | $34 | — | — | $12 | 41 |
| Epidural injection, lumbar/sacral, no imagingCPT 62322 | $463 | $936 | 49% | $121 | 50 |
| Esophagitis/GI disorders, no MCCMS-DRG 392 | $8,881 | $4,899 | 181% | — | 14 |
| Excision of breast lesionCPT 19120 | $1,161 | $4,143 | 28% | $272 | 55 |
| Family psychotherapy, without patientCPT 90846 | $173 | $188 | 92% | $47 | 50 |
| Heart failure and shock, with CCMS-DRG 292 | $9,672 | $5,927 | 163% | — | 14 |
| Heart failure with MCCMS-DRG 291 | $14,625 | $8,269 | 177% | — | 14 |
| Hip and femur procedures except major joint, with CCMS-DRG 481 | $24,527 | $13,876 | 177% | — | 13 |
| Hysterectomy, no CC/MCCMS-DRG 743 | $14,529 | $10,098 | 144% | — | 13 |
| Inguinal hernia repair, age 5+CPT 49505 | $1,238 | $3,788 | 33% | $331 | 54 |
| Kidney and urinary tract infections, no MCCMS-DRG 690 | $9,222 | $5,328 | 173% | — | 14 |
| Kidney function panelCPT 80069 | $106 | $9 | 1220% | ~$49 | 54 |
| Knee arthroscopy with meniscectomyCPT 29881 | $1,230 | $3,462 | 36% | $279 | 54 |
| Laparoscopic cholecystectomyCPT 47562 | $956 | $6,396 | 15% | $217 | 54 |
| Laparoscopic cholecystectomy, no CC/MCCMS-DRG 419 | $15,559 | $8,977 | 173% | — | 14 |
| Laparoscopic radical prostatectomyCPT 55866 | $26,146 | $11,246 | 232% | $19,868 | 54 |
| Left heart catheterization, diagnosticCPT 93452 | $1,704 | $3,430 | 50% | $387 | 54 |
| Lipid panelCPT 80061 | $31 | $13 | 231% | ~$13 | 54 |
| Liver function panelCPT 80076 | $59 | $8 | 721% | ~$27 | 54 |
| Lumbar epidural steroid injectionCPT 62323 | $1,673 | $747 | 224% | $629 | 54 |
| MRI brain with and without contrastCPT 70553 | $1,574 | $369 | 426% | ~$749 | 55 |
| MRI lower extremity joint (knee)CPT 73721 | $843 | $252 | 334% | ~$484 | 55 |
| MRI lumbar spine without contrastCPT 72148 | $702 | $252 | 278% | ~$334 | 55 |
| Major joint replacement (hip/knee), no MCCMS-DRG 470 | $21,974 | $13,045 | 168% | — | 14 |
| Major joint replacement (hip/knee), with MCCMS-DRG 469 | $34,554 | $22,346 | 155% | — | 14 |
| Major small and large bowel procedures, with CCMS-DRG 330 | $28,071 | $16,623 | 169% | — | 13 |
| Medical back problems, no MCCMS-DRG 552 | $10,951 | $6,142 | 178% | — | 14 |
| OB global care, VBAC deliveryCPT 59610 | $2,769 | — | — | $975 | 34 |
| OB global care, cesarean deliveryCPT 59510 | $2,796 | — | — | $984 | 34 |
| OB global care, vaginal deliveryCPT 59400 | $2,533 | — | — | $892 | 34 |
| OB ultrasound, 14+ weeksCPT 76805 | $254 | $111 | 230% | ~$89 | 55 |
| Obstetric blood test panelCPT 80055 | $115 | $48 | 240% | ~$51 | 54 |
| Office consultation, comprehensiveCPT 99244 | $167 | — | — | $59 | 41 |
| Office consultation, moderateCPT 99243 | $110 | — | — | $39 | 41 |
| Office visit, established patient, level 3CPT 99213 | $50 | — | — | $18 | 35 |
| Office visit, established patient, level 4CPT 99214 | $78 | — | — | $28 | 35 |
| Office visit, new patient, level 3CPT 99203 | $77 | — | — | $27 | 35 |
| Office visit, new patient, level 4CPT 99204 | $130 | — | — | $46 | 35 |
| Office visit, new patient, level 5CPT 99205 | $168 | — | — | $59 | 35 |
| PSA (prostate specific antigen), totalCPT 84153 | $112 | $18 | 609% | ~$52 | 54 |
| Partial thromboplastin timeCPT 85730 | $64 | $6 | 1071% | ~$30 | 54 |
| Physical therapy, therapeutic exerciseCPT 97110 | $120 | — | — | $57 | 54 |
| Preventive visit, new patient, 18-39CPT 99385 | $94 | — | — | $33 | 42 |
| Preventive visit, new patient, 40-64CPT 99386 | $107 | — | — | $39 | 42 |
| Prostate biopsyCPT 55700 | $678 | — | — | $430 | 42 |
| Prothrombin timeCPT 85610 | $7 | $4 | 157% | ~$3 | 54 |
| Psychotherapy, 30 minutesCPT 90832 | $111 | $188 | 59% | $29 | 50 |
| Psychotherapy, 45 minutesCPT 90834 | $148 | $188 | 79% | $39 | 50 |
| Psychotherapy, 60 minutesCPT 90837 | $188 | $188 | 100% | $58 | 50 |
| Renal failure, with CCMS-DRG 683 | $9,977 | $4,940 | 202% | — | 14 |
| Screening mammography, bilateralCPT 77067 | $218 | — | — | ~$120 | 56 |
| Sepsis with MCCMS-DRG 871 | $22,129 | $12,028 | 184% | — | 14 |
| Shoulder arthroscopy, subacromial decompressionCPT 29826 | $349 | — | — | $116 | 39 |
| Simple pneumonia and pleurisy, with CCMS-DRG 194 | $9,437 | $5,177 | 182% | — | 13 |
| Sleep study (polysomnography)CPT 95810 | $246 | $909 | 27% | $56 | 54 |
| Spinal fusion except cervical, no MCCMS-DRG 460 | $59,797 | $34,195 | 175% | — | 12 |
| Spinal fusion except cervical, with MCCMS-DRG 459 | $132,730 | $51,127 | 260% | — | 12 |
| Stroke (hemorrhage/infarction), no CC/MCCMS-DRG 066 | $7,797 | $3,679 | 212% | — | 14 |
| Stroke (hemorrhage/infarction), with CC or tPAMS-DRG 065 | $11,509 | $6,559 | 175% | — | 14 |
| Thyroid stimulating hormone (TSH)CPT 84443 | $27 | $17 | 163% | ~$11 | 54 |
| Tonsillectomy and adenoidectomy, under age 12CPT 42820 | $579 | $6,263 | 9% | $131 | 54 |
| Transforaminal epidural, lumbar/sacralCPT 64483 | $3,863 | $936 | 413% | $2,057 | 54 |
| Ultrasound, abdomen, completeCPT 76700 | $364 | $111 | 329% | ~$236 | 55 |
| Ultrasound, transvaginalCPT 76830 | $166 | $111 | 150% | ~$54 | 55 |
| Upper GI endoscopy with biopsyCPT 43239 | $555 | $960 | 58% | $116 | 54 |
| Upper GI endoscopy, diagnosticCPT 43235 | $470 | $960 | 49% | $98 | 54 |
| Urinalysis, automated, with microscopyCPT 81001 | $7 | $3 | 227% | ~$3 | 54 |
| Urinalysis, automated, without microscopyCPT 81003 | $4 | $2 | 180% | ~$2 | 54 |
| Urinalysis, manual, with microscopyCPT 81000 | $8 | $4 | 190% | ~$3 | 54 |
| Urinalysis, manual, without microscopyCPT 81002 | $6 | $3 | 180% | ~$2 | 54 |
| Vaginal delivery, no sterilization, no CC/MCCMS-DRG 807 | $7,680 | — | — | — | 14 |
| Vaginal delivery, no sterilization, with CCMS-DRG 806 | $8,590 | — | — | — | 14 |
| X-ray, lower back, 4+ viewsCPT 72110 | $91 | $111 | 82% | ~$18 | 55 |
| YAG laser capsulotomy (secondary cataract)CPT 66821 | $586 | $582 | 101% | $139 | 54 |