| Acute myocardial infarction, discharged alive, with MCCMS-DRG 280 | $14,656 | $11,807 | 124% | $14,138 | 2 |
| Basic metabolic panelCPT 80048 | $108 | $8 | 1281% | ~$33 | 9 |
| COPD with MCCMS-DRG 190 | $10,486 | $7,152 | 147% | $10,532 | 2 |
| CT abdomen and pelvis with contrastCPT 74177 | $2,432 | $321 | 758% | ~$751 | 9 |
| CT head without contrastCPT 70450 | $2,432 | $96 | 2530% | ~$751 | 9 |
| CT pelvis with contrastCPT 72193 | $2,432 | $161 | 1508% | ~$751 | 9 |
| Cardiac arrhythmia, no CC/MCCMS-DRG 310 | $4,889 | $3,269 | 150% | $3,903 | 2 |
| Cardiac stress testCPT 93017 | $985 | $199 | 496% | $304 | 9 |
| Cardiac valve surgery with cardiac cath, with MCCMS-DRG 216 | $60,860 | — | — | $46,042 | 2 |
| Cellulitis, no MCCMS-DRG 603 | $7,441 | $5,675 | 131% | $6,691 | 2 |
| Cervical spinal fusion, no CC/MCCMS-DRG 473 | $15,201 | $16,343 | 93% | $20,173 | 2 |
| Cesarean section, no CC/MCCMS-DRG 788 | $7,579 | — | — | $7,111 | 2 |
| Cesarean section, with CCMS-DRG 787 | $9,054 | — | — | $7,510 | 2 |
| Chest painMS-DRG 313 | $6,144 | — | — | $4,521 | 2 |
| Complete blood count with differentialCPT 85025 | $18 | $8 | 232% | ~$6 | 9 |
| Complete blood count, automatedCPT 85027 | $84 | $6 | 1294% | ~$26 | 9 |
| Comprehensive metabolic panelCPT 80053 | $185 | $11 | 1750% | ~$57 | 9 |
| Coronary bypass without cardiac cath, no MCCMS-DRG 236 | $38,983 | $29,950 | 130% | $44,881 | 2 |
| Diagnostic mammography, both breastsCPT 77066 | $663 | — | — | ~$205 | 9 |
| Diagnostic mammography, one breastCPT 77065 | $531 | — | — | ~$164 | 9 |
| ED visit, level 3CPT 99283 | $738 | $251 | 294% | $228 | 9 |
| ED visit, level 4CPT 99284 | $1,235 | $384 | 322% | $381 | 9 |
| ED visit, level 5CPT 99285 | $1,732 | $548 | 316% | $535 | 9 |
| Echocardiogram, completeCPT 93306 | $1,470 | $503 | 292% | $454 | 9 |
| Esophagitis/GI disorders, no MCCMS-DRG 392 | $6,655 | $4,538 | 147% | $5,683 | 2 |
| Family psychotherapy, with patientCPT 90847 | $346 | $163 | 212% | $107 | 9 |
| Family psychotherapy, without patientCPT 90846 | $273 | $163 | 167% | $84 | 9 |
| Group psychotherapyCPT 90853 | $358 | $93 | 384% | $111 | 9 |
| Heart failure and shock, with CCMS-DRG 292 | $6,735 | $5,927 | 114% | $7,459 | 2 |
| Heart failure with MCCMS-DRG 291 | $12,671 | $8,293 | 153% | $8,178 | 2 |
| Hip and femur procedures except major joint, with CCMS-DRG 481 | $19,368 | $13,773 | 141% | $20,230 | 2 |
| Hysterectomy, no CC/MCCMS-DRG 743 | $9,482 | $10,098 | 94% | $13,468 | 2 |
| Kidney and urinary tract infections, no MCCMS-DRG 690 | $6,960 | $4,726 | 147% | $7,291 | 2 |
| Kidney function panelCPT 80069 | $70 | $9 | 801% | ~$21 | 9 |
| Laparoscopic cholecystectomy, no CC/MCCMS-DRG 419 | $10,671 | $8,977 | 119% | $12,334 | 2 |
| Left heart catheterization, diagnosticCPT 93452 | $14,675 | $2,981 | 492% | $4,533 | 9 |
| Lipid panelCPT 80061 | $162 | $13 | 1213% | ~$50 | 9 |
| Liver function panelCPT 80076 | $129 | $8 | 1573% | ~$40 | 9 |
| Lumbar epidural steroid injectionCPT 62323 | $1,436 | $649 | 221% | $444 | 9 |
| MRI brain with and without contrastCPT 70553 | $5,092 | $321 | 1587% | ~$1,573 | 9 |
| MRI lower extremity joint (knee)CPT 73721 | $3,525 | $219 | 1607% | ~$1,089 | 9 |
| MRI lumbar spine without contrastCPT 72148 | $2,378 | $219 | 1084% | ~$735 | 9 |
| Major joint replacement (hip/knee), no MCCMS-DRG 470 | $21,175 | $12,238 | 173% | $17,596 | 2 |
| Major joint replacement (hip/knee), with MCCMS-DRG 469 | $27,374 | $22,346 | 122% | $21,535 | 2 |
| Major small and large bowel procedures, with CCMS-DRG 330 | $23,427 | $16,604 | 141% | $21,843 | 2 |
| Medical back problems, no MCCMS-DRG 552 | $6,114 | $6,021 | 102% | $9,180 | 2 |
| OB ultrasound, 14+ weeksCPT 76805 | $617 | $96 | 642% | ~$191 | 9 |
| Obstetric blood test panelCPT 80055 | $225 | $48 | 471% | ~$70 | 9 |
| Office visit, established patient, level 3CPT 99213 | $243 | — | — | $75 | 9 |
| Office visit, established patient, level 4CPT 99214 | $513 | — | — | $158 | 9 |
| Office visit, new patient, level 3CPT 99203 | $306 | — | — | $95 | 9 |
| Office visit, new patient, level 4CPT 99204 | $502 | — | — | $155 | 9 |
| Office visit, new patient, level 5CPT 99205 | $670 | — | — | $207 | 9 |
| PSA (prostate specific antigen), totalCPT 84153 | $162 | $18 | 882% | ~$50 | 9 |
| Partial thromboplastin timeCPT 85730 | $52 | $6 | 869% | ~$16 | 9 |
| Physical therapy, therapeutic exerciseCPT 97110 | $114 | — | — | $35 | 9 |
| Prothrombin timeCPT 85610 | $15 | $4 | 340% | ~$4 | 9 |
| Psychotherapy, 30 minutesCPT 90832 | $292 | $163 | 179% | $90 | 9 |
| Psychotherapy, 45 minutesCPT 90834 | $392 | $163 | 240% | $121 | 9 |
| Psychotherapy, 60 minutesCPT 90837 | $462 | $163 | 283% | $143 | 9 |
| Renal failure, with CCMS-DRG 683 | $9,331 | $5,130 | 182% | $7,523 | 2 |
| Screening mammography, bilateralCPT 77067 | $301 | — | — | ~$93 | 9 |
| Sepsis with MCCMS-DRG 871 | $15,956 | $13,857 | 115% | $13,967 | 2 |
| Simple pneumonia and pleurisy, with CCMS-DRG 194 | $8,514 | $4,861 | 175% | $6,846 | 2 |
| Sleep study (polysomnography)CPT 95810 | $4,652 | $790 | 589% | $1,437 | 9 |
| Spinal fusion except cervical, no MCCMS-DRG 460 | $34,788 | $25,631 | 136% | $30,168 | 2 |
| Spinal fusion except cervical, with MCCMS-DRG 459 | $42,615 | $51,127 | 83% | $46,091 | 2 |
| Stroke (hemorrhage/infarction), no CC/MCCMS-DRG 066 | $8,530 | $3,679 | 232% | $10,639 | 2 |
| Stroke (hemorrhage/infarction), with CC or tPAMS-DRG 065 | $10,573 | $6,281 | 168% | $9,235 | 2 |
| Thyroid stimulating hormone (TSH)CPT 84443 | $95 | $17 | 565% | ~$29 | 9 |
| Transforaminal epidural, lumbar/sacralCPT 64483 | $1,850 | $813 | 227% | $571 | 9 |
| Ultrasound, abdomen, completeCPT 76700 | $1,515 | $96 | 1575% | ~$468 | 9 |
| Ultrasound, transvaginalCPT 76830 | $504 | $96 | 524% | ~$156 | 9 |
| Urinalysis, automated, with microscopyCPT 81001 | $42 | $3 | 1320% | ~$13 | 9 |
| Urinalysis, automated, without microscopyCPT 81003 | $32 | $2 | 1420% | ~$10 | 9 |
| Urinalysis, manual, without microscopyCPT 81002 | $9 | $3 | 272% | ~$3 | 9 |
| Vaginal delivery, no sterilization, no CC/MCCMS-DRG 807 | $5,192 | — | — | $3,661 | 2 |
| Vaginal delivery, no sterilization, with CCMS-DRG 806 | $7,297 | — | — | $4,082 | 2 |
| X-ray, lower back, 4+ viewsCPT 72110 | $912 | $96 | 948% | ~$282 | 9 |