| Acute myocardial infarction, discharged alive, with MCCMS-DRG 280 | $11,790 | $11,217 | 105% | — | 2 |
| Basic metabolic panelCPT 80048 | $58 | $8 | 680% | — | 42 |
| COPD with MCCMS-DRG 190 | $8,142 | $7,377 | 110% | — | 2 |
| CT abdomen and pelvis with contrastCPT 74177 | $1,168 | $356 | 328% | — | 41 |
| CT head without contrastCPT 70450 | $599 | $107 | 561% | — | 42 |
| CT pelvis with contrastCPT 72193 | $719 | $179 | 401% | — | 41 |
| Cardiac arrhythmia, no CC/MCCMS-DRG 310 | $4,161 | $3,269 | 127% | — | 2 |
| Cardiac stress testCPT 93017 | $509 | $221 | 231% | — | 39 |
| Cellulitis, no MCCMS-DRG 603 | $6,401 | $5,675 | 113% | — | 2 |
| Cesarean section, no CC/MCCMS-DRG 788 | $7,047 | — | — | — | 3 |
| Cesarean section, with CCMS-DRG 787 | $8,208 | — | — | — | 3 |
| Chest painMS-DRG 313 | $5,292 | — | — | — | 2 |
| Colonoscopy with biopsyCPT 45380 | $209 | $1,223 | 17% | — | 40 |
| Colonoscopy with polyp removalCPT 45385 | $278 | $1,223 | 23% | — | 40 |
| Colonoscopy, diagnosticCPT 45378 | $203 | $950 | 21% | — | 40 |
| Complete blood count with differentialCPT 85025 | $33 | $8 | 423% | — | 42 |
| Complete blood count, automatedCPT 85027 | $27 | $6 | 410% | — | 42 |
| Comprehensive metabolic panelCPT 80053 | $88 | $11 | 835% | — | 42 |
| Diagnostic mammography, both breastsCPT 77066 | $128 | — | — | — | 45 |
| Diagnostic mammography, one breastCPT 77065 | $90 | — | — | — | 44 |
| ED visit, level 3CPT 99283 | $65 | $279 | 23% | — | 44 |
| ED visit, level 4CPT 99284 | $111 | $426 | 26% | — | 44 |
| ED visit, level 5CPT 99285 | $162 | $608 | 27% | — | 44 |
| Echocardiogram, completeCPT 93306 | $1,923 | $558 | 344% | — | 40 |
| Electrocardiogram with interpretationCPT 93000 | $14 | — | — | — | 40 |
| Epidural injection, lumbar/sacral, no imagingCPT 62322 | $92 | $904 | 10% | — | 40 |
| Esophagitis/GI disorders, no MCCMS-DRG 392 | $5,730 | $4,899 | 117% | — | 2 |
| Excision of breast lesionCPT 19120 | $435 | $4,000 | 11% | — | 40 |
| Family psychotherapy, with patientCPT 90847 | $102 | $181 | 56% | — | 40 |
| Family psychotherapy, without patientCPT 90846 | $98 | $181 | 54% | — | 40 |
| Group psychotherapyCPT 90853 | $27 | $104 | 26% | — | 40 |
| Heart failure and shock, with CCMS-DRG 292 | $6,240 | $5,927 | 105% | — | 2 |
| Heart failure with MCCMS-DRG 291 | $9,436 | $8,962 | 105% | — | 2 |
| Hip and femur procedures except major joint, with CCMS-DRG 481 | $15,395 | $13,876 | 111% | — | 2 |
| Hysterectomy, no CC/MCCMS-DRG 743 | $9,119 | $10,098 | 90% | — | 2 |
| Inguinal hernia repair, age 5+CPT 49505 | $474 | $3,658 | 13% | — | 40 |
| Kidney and urinary tract infections, no MCCMS-DRG 690 | $5,950 | $5,238 | 114% | — | 2 |
| Kidney function panelCPT 80069 | $72 | $9 | 829% | — | 41 |
| Knee arthroscopy with meniscectomyCPT 29881 | $498 | $3,343 | 15% | — | 40 |
| Laparoscopic cholecystectomyCPT 47562 | $600 | $6,176 | 10% | — | 40 |
| Laparoscopic cholecystectomy, no CC/MCCMS-DRG 419 | $10,039 | $8,977 | 112% | — | 2 |
| Laparoscopic radical prostatectomyCPT 55866 | $1,167 | $10,860 | 11% | — | 40 |
| Lipid panelCPT 80061 | $87 | $13 | 650% | — | 41 |
| Liver function panelCPT 80076 | $63 | $8 | 766% | — | 42 |
| Lumbar epidural steroid injectionCPT 62323 | $96 | $721 | 13% | — | 40 |
| MRI brain with and without contrastCPT 70553 | $1,356 | $356 | 380% | — | 41 |
| MRI lower extremity joint (knee)CPT 73721 | $996 | $244 | 409% | — | 45 |
| MRI lumbar spine without contrastCPT 72148 | $936 | $244 | 384% | — | 41 |
| Major joint replacement (hip/knee), with MCCMS-DRG 469 | $13,704 | $22,346 | 61% | — | 2 |
| Major small and large bowel procedures, with CCMS-DRG 330 | $17,619 | $16,202 | 109% | — | 2 |
| Medical back problems, no MCCMS-DRG 552 | $7,066 | $6,142 | 115% | — | 2 |
| OB global care, VBAC deliveryCPT 59610 | $2,207 | — | — | — | 40 |
| OB global care, cesarean deliveryCPT 59510 | $2,342 | — | — | — | 40 |
| OB global care, vaginal deliveryCPT 59400 | $2,123 | — | — | — | 40 |
| OB ultrasound, 14+ weeksCPT 76805 | $60 | $107 | 56% | — | 44 |
| Obstetric blood test panelCPT 80055 | $126 | $48 | 263% | — | 41 |
| Office consultation, comprehensiveCPT 99244 | $236 | — | — | — | 26 |
| Office consultation, moderateCPT 99243 | $182 | — | — | — | 26 |
| Office visit, established patient, level 3CPT 99213 | $92 | — | — | — | 45 |
| Office visit, established patient, level 4CPT 99214 | $136 | — | — | — | 45 |
| Office visit, new patient, level 3CPT 99203 | $75 | — | — | — | 36 |
| Office visit, new patient, level 4CPT 99204 | $129 | — | — | — | 38 |
| Office visit, new patient, level 5CPT 99205 | $175 | — | — | — | 38 |
| PSA (prostate specific antigen), totalCPT 84153 | $45 | $18 | 247% | — | 42 |
| Partial thromboplastin timeCPT 85730 | $15 | $6 | 243% | — | 41 |
| Percutaneous cardiac stent, no MCCMS-DRG 247 | $14,035 | — | — | — | 2 |
| Physical therapy, therapeutic exerciseCPT 97110 | $68 | — | — | — | 40 |
| Preventive visit, new patient, 18-39CPT 99385 | $93 | — | — | — | 27 |
| Preventive visit, new patient, 40-64CPT 99386 | $112 | — | — | — | 27 |
| Prostate biopsyCPT 55700 | $154 | — | — | — | 27 |
| Prothrombin timeCPT 85610 | $11 | $4 | 255% | — | 42 |
| Psychotherapy, 30 minutesCPT 90832 | $77 | $181 | 42% | — | 40 |
| Psychotherapy, 45 minutesCPT 90834 | $95 | $181 | 52% | — | 40 |
| Psychotherapy, 60 minutesCPT 90837 | $134 | $181 | 74% | — | 40 |
| Renal failure, with CCMS-DRG 683 | $6,437 | $5,892 | 109% | — | 2 |
| Screening mammography, bilateralCPT 77067 | $146 | — | — | — | 44 |
| Sepsis with MCCMS-DRG 871 | $14,277 | $13,837 | 103% | — | 2 |
| Shoulder arthroscopy, subacromial decompressionCPT 29826 | $154 | — | — | — | 40 |
| Simple pneumonia and pleurisy, with CCMS-DRG 194 | $5,923 | $5,177 | 114% | — | 2 |
| Sleep study (polysomnography)CPT 95810 | $1,176 | $877 | 134% | — | 44 |
| Stroke (hemorrhage/infarction), no CC/MCCMS-DRG 066 | $5,030 | $3,679 | 137% | — | 2 |
| Stroke (hemorrhage/infarction), with CC or tPAMS-DRG 065 | $7,426 | $6,559 | 113% | — | 2 |
| Thyroid stimulating hormone (TSH)CPT 84443 | $42 | $17 | 249% | — | 42 |
| Transforaminal epidural, lumbar/sacralCPT 64483 | $108 | $904 | 12% | — | 40 |
| Ultrasound, abdomen, completeCPT 76700 | $352 | $107 | 329% | — | 42 |
| Ultrasound, transvaginalCPT 76830 | $191 | $107 | 179% | — | 44 |
| Upper GI endoscopy with biopsyCPT 43239 | $134 | $927 | 14% | — | 40 |
| Upper GI endoscopy, diagnosticCPT 43235 | $128 | $927 | 14% | — | 40 |
| Urinalysis, automated, with microscopyCPT 81001 | $6 | $3 | 188% | — | 46 |
| Urinalysis, automated, without microscopyCPT 81003 | $7 | $2 | 300% | — | 46 |
| Urinalysis, manual, without microscopyCPT 81002 | $3 | $3 | 100% | — | 43 |
| Vaginal delivery, no sterilization, no CC/MCCMS-DRG 807 | $4,955 | — | — | — | 3 |
| Vaginal delivery, no sterilization, with CCMS-DRG 806 | $5,542 | — | — | — | 3 |
| X-ray, lower back, 4+ viewsCPT 72110 | $219 | $107 | 205% | — | 42 |