| Basic metabolic panelCPT 80048 | $134 | $8 | 1580% | — | 24 |
| COPD with MCCMS-DRG 190 | $23,785 | $7,377 | 322% | — | 13 |
| CT abdomen and pelvis with contrastCPT 74177 | $1,658 | $356 | 465% | — | 17 |
| CT head without contrastCPT 70450 | $481 | $107 | 450% | — | 17 |
| CT pelvis with contrastCPT 72193 | $812 | $179 | 453% | — | 17 |
| Cardiac arrhythmia, no CC/MCCMS-DRG 310 | $12,155 | $3,269 | 372% | — | 13 |
| Cardiac stress testCPT 93017 | $495 | $221 | 224% | — | 24 |
| Cellulitis, no MCCMS-DRG 603 | $18,700 | $5,675 | 330% | — | 13 |
| Colonoscopy with biopsyCPT 45380 | $2,905 | $1,223 | 238% | — | 10 |
| Colonoscopy with polyp removalCPT 45385 | $2,905 | $1,223 | 238% | — | 10 |
| Colonoscopy, diagnosticCPT 45378 | $2,257 | $950 | 238% | — | 10 |
| Complete blood count with differentialCPT 85025 | $60 | $8 | 773% | — | 24 |
| Complete blood count, automatedCPT 85027 | $48 | $6 | 749% | — | 24 |
| Comprehensive metabolic panelCPT 80053 | $151 | $11 | 1434% | — | 24 |
| Diagnostic mammography, both breastsCPT 77066 | $253 | — | — | — | 24 |
| Diagnostic mammography, one breastCPT 77065 | $191 | — | — | — | 24 |
| ED visit, level 3CPT 99283 | $420 | $279 | 151% | — | 24 |
| ED visit, level 4CPT 99284 | $574 | $426 | 135% | — | 21 |
| ED visit, level 5CPT 99285 | $917 | $608 | 151% | — | 21 |
| Echocardiogram, completeCPT 93306 | $1,162 | $558 | 208% | — | 24 |
| Esophagitis/GI disorders, no MCCMS-DRG 392 | $16,740 | $4,899 | 342% | — | 13 |
| Excision of breast lesionCPT 19120 | $3,160 | $4,000 | 79% | — | 21 |
| Family psychotherapy, with patientCPT 90847 | $550 | $181 | 303% | — | 8 |
| Group psychotherapyCPT 90853 | $886 | $104 | 854% | — | 8 |
| Heart failure with MCCMS-DRG 291 | $27,566 | $8,962 | 308% | — | 13 |
| Inguinal hernia repair, age 5+CPT 49505 | $11,683 | $3,658 | 319% | — | 10 |
| Kidney and urinary tract infections, no MCCMS-DRG 690 | $17,382 | $5,238 | 332% | — | 13 |
| Kidney function panelCPT 80069 | $134 | $9 | 1547% | — | 24 |
| Knee arthroscopy with meniscectomyCPT 29881 | $7,943 | $3,343 | 238% | — | 10 |
| Laparoscopic cholecystectomyCPT 47562 | $14,675 | $6,176 | 238% | — | 10 |
| Lipid panelCPT 80061 | $95 | $13 | 710% | — | 24 |
| Liver function panelCPT 80076 | $108 | $8 | 1328% | — | 24 |
| Lumbar epidural steroid injectionCPT 62323 | $1,713 | $721 | 238% | — | 10 |
| MRI brain with and without contrastCPT 70553 | $1,519 | $356 | 426% | — | 17 |
| MRI lower extremity joint (knee)CPT 73721 | $1,051 | $244 | 431% | — | 17 |
| MRI lumbar spine without contrastCPT 72148 | $1,051 | $244 | 431% | — | 17 |
| Medical back problems, no MCCMS-DRG 552 | $20,641 | $6,142 | 336% | — | 13 |
| OB ultrasound, 14+ weeksCPT 76805 | $359 | $107 | 336% | — | 20 |
| Obstetric blood test panelCPT 80055 | $267 | $48 | 559% | — | 21 |
| Office visit, established patient, level 3CPT 99213 | $211 | — | — | — | 24 |
| Office visit, established patient, level 4CPT 99214 | $253 | — | — | — | 24 |
| Office visit, new patient, level 3CPT 99203 | $211 | — | — | — | 24 |
| Office visit, new patient, level 4CPT 99204 | $222 | — | — | — | 24 |
| Office visit, new patient, level 5CPT 99205 | $304 | — | — | — | 24 |
| PSA (prostate specific antigen), totalCPT 84153 | $130 | $18 | 707% | — | 24 |
| Partial thromboplastin timeCPT 85730 | $50 | $6 | 836% | — | 24 |
| Physical therapy, therapeutic exerciseCPT 97110 | $89 | — | — | — | 24 |
| Preventive visit, new patient, 18-39CPT 99385 | $144 | — | — | — | 24 |
| Preventive visit, new patient, 40-64CPT 99386 | $162 | — | — | — | 24 |
| Prostate biopsyCPT 55700 | $126 | — | — | — | 10 |
| Prothrombin timeCPT 85610 | $36 | $4 | 843% | — | 24 |
| Psychotherapy, 60 minutesCPT 90837 | $465 | $181 | 256% | — | 8 |
| Renal failure, with CCMS-DRG 683 | $18,805 | $5,892 | 319% | — | 13 |
| Screening mammography, bilateralCPT 77067 | $218 | — | — | — | 24 |
| Sepsis with MCCMS-DRG 871 | $30,756 | $13,837 | 222% | — | 5 |
| Shoulder arthroscopy, subacromial decompressionCPT 29826 | $17,614 | — | — | — | 10 |
| Simple pneumonia and pleurisy, with CCMS-DRG 194 | $17,304 | $5,177 | 334% | — | 13 |
| Sleep study (polysomnography)CPT 95810 | $2,711 | $877 | 309% | — | 24 |
| Stroke (hemorrhage/infarction), with CC or tPAMS-DRG 065 | $21,693 | $6,559 | 331% | — | 13 |
| Thyroid stimulating hormone (TSH)CPT 84443 | $115 | $17 | 682% | — | 24 |
| Ultrasound, abdomen, completeCPT 76700 | $508 | $107 | 475% | — | 20 |
| Ultrasound, transvaginalCPT 76830 | $280 | $107 | 262% | — | 20 |
| Upper GI endoscopy with biopsyCPT 43239 | $2,202 | $927 | 238% | — | 10 |
| Upper GI endoscopy, diagnosticCPT 43235 | $2,202 | $927 | 238% | — | 10 |
| Urinalysis, automated, with microscopyCPT 81001 | $50 | $3 | 1586% | — | 24 |
| Urinalysis, automated, without microscopyCPT 81003 | $21 | $2 | 926% | — | 24 |
| Urinalysis, manual, with microscopyCPT 81000 | $82 | $4 | 2028% | — | 24 |
| Urinalysis, manual, without microscopyCPT 81002 | $21 | $3 | 599% | — | 24 |
| X-ray, lower back, 4+ viewsCPT 72110 | $266 | $107 | 249% | — | 24 |