| Acute myocardial infarction, discharged alive, with MCCMS-DRG 280 | $13,205 | $11,217 | 118% | — | 4 |
| Bariatric (obesity) surgery, no CC/MCCMS-DRG 621 | $11,760 | $8,272 | 142% | — | 4 |
| Basic metabolic panelCPT 80048 | $89 | $8 | 1056% | — | 22 |
| COPD with MCCMS-DRG 190 | $9,035 | $7,377 | 122% | — | 4 |
| CT abdomen and pelvis with contrastCPT 74177 | $2,641 | $356 | 741% | — | 22 |
| CT head without contrastCPT 70450 | $1,403 | $107 | 1313% | — | 22 |
| CT pelvis with contrastCPT 72193 | $1,650 | $179 | 920% | — | 22 |
| Cardiac arrhythmia, no CC/MCCMS-DRG 310 | $4,501 | $3,269 | 138% | — | 4 |
| Cardiac stress testCPT 93017 | $881 | $221 | 400% | — | 22 |
| Cardiac valve surgery with cardiac cath, with MCCMS-DRG 216 | $77,643 | — | — | — | 4 |
| Cellulitis, no MCCMS-DRG 603 | $7,086 | $5,675 | 125% | — | 4 |
| Cervical spinal fusion, no CC/MCCMS-DRG 473 | $19,046 | $16,343 | 117% | — | 4 |
| Cesarean section, no CC/MCCMS-DRG 788 | $7,278 | — | — | — | 4 |
| Cesarean section, with CCMS-DRG 787 | $8,542 | — | — | — | 4 |
| Chest painMS-DRG 313 | $5,739 | — | — | — | 4 |
| Complete blood count with differentialCPT 85025 | $65 | $8 | 841% | — | 22 |
| Complete blood count, automatedCPT 85027 | $47 | $6 | 730% | — | 22 |
| Comprehensive metabolic panelCPT 80053 | $122 | $11 | 1153% | — | 22 |
| Coronary bypass without cardiac cath, no MCCMS-DRG 236 | $33,082 | $29,950 | 110% | — | 4 |
| Diagnostic mammography, both breastsCPT 77066 | $309 | — | — | — | 22 |
| Diagnostic mammography, one breastCPT 77065 | $259 | — | — | — | 22 |
| ED visit, level 3CPT 99283 | $1,188 | $279 | 426% | — | 22 |
| ED visit, level 4CPT 99284 | $1,808 | $426 | 424% | — | 22 |
| ED visit, level 5CPT 99285 | $2,789 | $608 | 458% | — | 22 |
| Echocardiogram, completeCPT 93306 | $2,691 | $558 | 482% | — | 22 |
| Esophagitis/GI disorders, no MCCMS-DRG 392 | $6,278 | $4,899 | 128% | — | 4 |
| Heart failure and shock, with CCMS-DRG 292 | $6,928 | $5,927 | 117% | — | 4 |
| Heart failure with MCCMS-DRG 291 | $10,497 | $8,962 | 117% | — | 4 |
| Hip and femur procedures except major joint, with CCMS-DRG 481 | $16,693 | $13,876 | 120% | — | 4 |
| Hysterectomy, no CC/MCCMS-DRG 743 | $9,644 | $10,098 | 95% | — | 4 |
| Kidney and urinary tract infections, no MCCMS-DRG 690 | $6,457 | $5,238 | 123% | — | 4 |
| Kidney function panelCPT 80069 | $94 | $9 | 1077% | — | 22 |
| Laparoscopic cholecystectomy, no CC/MCCMS-DRG 419 | $10,600 | $8,977 | 118% | — | 4 |
| Lipid panelCPT 80061 | $103 | $13 | 773% | — | 22 |
| Liver function panelCPT 80076 | $74 | $8 | 911% | — | 22 |
| MRI brain with and without contrastCPT 70553 | $2,145 | $356 | 602% | — | 22 |
| MRI lower extremity joint (knee)CPT 73721 | $1,705 | $244 | 699% | — | 22 |
| MRI lumbar spine without contrastCPT 72148 | $1,705 | $244 | 699% | — | 22 |
| Major joint replacement (hip/knee), no MCCMS-DRG 470 | $15,169 | $13,045 | 116% | — | 4 |
| Major joint replacement (hip/knee), with MCCMS-DRG 469 | $26,297 | $22,346 | 118% | — | 4 |
| Major small and large bowel procedures, with CCMS-DRG 330 | $19,016 | $16,202 | 117% | — | 4 |
| Medical back problems, no MCCMS-DRG 552 | $7,754 | $6,142 | 126% | — | 4 |
| OB ultrasound, 14+ weeksCPT 76805 | $830 | $107 | 777% | — | 22 |
| PSA (prostate specific antigen), totalCPT 84153 | $129 | $18 | 704% | — | 22 |
| Partial thromboplastin timeCPT 85730 | $111 | $6 | 1842% | — | 22 |
| Physical therapy, therapeutic exerciseCPT 97110 | $112 | — | — | — | 22 |
| Prothrombin timeCPT 85610 | $39 | $4 | 899% | — | 22 |
| Renal failure, with CCMS-DRG 683 | $7,151 | $5,892 | 121% | — | 4 |
| Screening mammography, bilateralCPT 77067 | $217 | — | — | — | 22 |
| Sepsis with MCCMS-DRG 871 | $15,785 | $13,837 | 114% | — | 4 |
| Simple pneumonia and pleurisy, with CCMS-DRG 194 | $6,597 | $5,177 | 127% | — | 4 |
| Sleep study (polysomnography)CPT 95810 | $4,793 | $877 | 546% | — | 22 |
| Stroke (hemorrhage/infarction), no CC/MCCMS-DRG 066 | $5,537 | $3,679 | 151% | — | 4 |
| Stroke (hemorrhage/infarction), with CC or tPAMS-DRG 065 | $8,181 | $6,559 | 125% | — | 4 |
| Thyroid stimulating hormone (TSH)CPT 84443 | $124 | $17 | 736% | — | 22 |
| Ultrasound, abdomen, completeCPT 76700 | $1,045 | $107 | 979% | — | 22 |
| Ultrasound, transvaginalCPT 76830 | $730 | $107 | 683% | — | 22 |
| Urinalysis, automated, with microscopyCPT 81001 | $58 | $3 | 1832% | — | 22 |
| Urinalysis, automated, without microscopyCPT 81003 | $46 | $2 | 2048% | — | 22 |
| Vaginal delivery, no sterilization, no CC/MCCMS-DRG 807 | $5,127 | — | — | — | 4 |
| Vaginal delivery, no sterilization, with CCMS-DRG 806 | $5,821 | — | — | — | 4 |
| X-ray, lower back, 4+ viewsCPT 72110 | $681 | $107 | 637% | — | 22 |