| CT abdomen and pelvis with contrastCPT 74177 | $460 | $369 | 125% | ~$596 | 9 |
| CT head without contrastCPT 70450 | $150 | $111 | 135% | ~$239 | 9 |
| CT pelvis with contrastCPT 72193 | $241 | $186 | 130% | ~$342 | 9 |
| Cellulitis, no MCCMS-DRG 603 | $4,549 | $5,675 | 80% | — | 6 |
| Cervical spinal fusion, no CC/MCCMS-DRG 473 | $12,751 | $21,392 | 60% | — | 6 |
| Colonoscopy with biopsyCPT 45380 | $899 | $1,266 | 71% | $1,085 | 9 |
| Colonoscopy with polyp removalCPT 45385 | $899 | $1,266 | 71% | $1,085 | 9 |
| Colonoscopy, diagnosticCPT 45378 | $790 | $984 | 80% | $825 | 9 |
| Diagnostic mammography, both breastsCPT 77066 | $84 | — | — | ~$80 | 1 |
| Diagnostic mammography, one breastCPT 77065 | $66 | — | — | ~$62 | 1 |
| Epidural injection, lumbar/sacral, no imagingCPT 62322 | $824 | $936 | 88% | $663 | 7 |
| Esophagitis/GI disorders, no MCCMS-DRG 392 | $4,072 | $4,899 | 83% | — | 6 |
| Excision of breast lesionCPT 19120 | $1,413 | $4,143 | 34% | $3,119 | 9 |
| Heart failure with MCCMS-DRG 291 | $6,705 | $8,962 | 75% | — | 6 |
| Inguinal hernia repair, age 5+CPT 49505 | $2,049 | $3,788 | 54% | $3,264 | 9 |
| Kidney and urinary tract infections, no MCCMS-DRG 690 | $4,228 | $5,238 | 81% | — | 6 |
| Knee arthroscopy with meniscectomyCPT 29881 | $2,049 | $3,462 | 59% | $2,905 | 9 |
| Laparoscopic cholecystectomyCPT 47562 | $2,050 | $6,396 | 32% | $5,090 | 9 |
| Left heart catheterization, diagnosticCPT 93452 | $2,554 | $3,430 | 74% | $2,837 | 9 |
| Lumbar epidural steroid injectionCPT 62323 | $721 | $747 | 97% | $663 | 7 |
| MRI brain with and without contrastCPT 70553 | $485 | $369 | 131% | ~$929 | 8 |
| MRI lower extremity joint (knee)CPT 73721 | $317 | $252 | 125% | ~$512 | 8 |
| MRI lumbar spine without contrastCPT 72148 | $317 | $252 | 125% | ~$680 | 8 |
| Major joint replacement (hip/knee), no MCCMS-DRG 470 | $10,075 | $11,014 | 91% | — | 6 |
| Major joint replacement (hip/knee), with MCCMS-DRG 469 | $15,842 | $22,346 | 71% | — | 6 |
| Major small and large bowel procedures, with CCMS-DRG 330 | $12,521 | $16,202 | 77% | — | 6 |
| Medical back problems, no MCCMS-DRG 552 | $5,021 | $6,142 | 82% | — | 6 |
| Prostate biopsyCPT 55700 | $781 | — | — | $1,927 | 6 |
| Screening mammography, bilateralCPT 77067 | $114 | — | — | ~$66 | 2 |
| Shoulder arthroscopy, subacromial decompressionCPT 29826 | $549 | — | — | $2,687 | 5 |
| Simple pneumonia and pleurisy, with CCMS-DRG 194 | $4,209 | $5,177 | 81% | — | 6 |
| Stroke (hemorrhage/infarction), no CC/MCCMS-DRG 066 | $3,575 | $3,679 | 97% | — | 6 |
| Stroke (hemorrhage/infarction), with CC or tPAMS-DRG 065 | $5,277 | $6,559 | 80% | — | 6 |
| Tonsillectomy and adenoidectomy, under age 12CPT 42820 | $1,413 | $6,263 | 23% | $4,900 | 9 |
| Transforaminal epidural, lumbar/sacralCPT 64483 | $672 | $936 | 72% | $847 | 9 |
| Ultrasound, abdomen, completeCPT 76700 | $144 | $111 | 130% | ~$146 | 8 |
| Ultrasound, transvaginalCPT 76830 | $135 | $111 | 122% | ~$146 | 7 |
| Upper GI endoscopy with biopsyCPT 43239 | $745 | $960 | 78% | $843 | 9 |
| Upper GI endoscopy, diagnosticCPT 43235 | $745 | $960 | 78% | $843 | 9 |
| X-ray, lower back, 4+ viewsCPT 72110 | $107 | $111 | 97% | ~$146 | 9 |