| Acute myocardial infarction, discharged alive, with MCCMS-DRG 280 | $17,489 | $11,217 | 156% | — | 1 |
| Bariatric (obesity) surgery, no CC/MCCMS-DRG 621 | $15,575 | $8,272 | 188% | — | 1 |
| Basic metabolic panelCPT 80048 | $554 | $8 | 6543% | ~$16 | 2 |
| COPD with MCCMS-DRG 190 | $11,966 | $7,377 | 162% | — | 1 |
| CT abdomen and pelvis with contrastCPT 74177 | $634 | $321 | 197% | ~$584 | 2 |
| CT head without contrastCPT 70450 | $634 | $96 | 659% | ~$584 | 2 |
| CT pelvis with contrastCPT 72193 | $634 | $162 | 393% | ~$584 | 2 |
| Cardiac arrhythmia, no CC/MCCMS-DRG 310 | $5,961 | $3,269 | 182% | — | 1 |
| Cardiac stress testCPT 93017 | $554 | $199 | 278% | $378 | 2 |
| Cardiac valve surgery with cardiac cath, with MCCMS-DRG 216 | $102,832 | — | — | — | 1 |
| Cataract surgery with IOL insertionCPT 66984 | $554 | $2,127 | 26% | $1,569 | 2 |
| Cellulitis, no MCCMS-DRG 603 | $9,385 | $5,675 | 165% | — | 1 |
| Cervical spinal fusion, no CC/MCCMS-DRG 473 | $25,225 | $16,343 | 154% | — | 1 |
| Cesarean section, no CC/MCCMS-DRG 788 | $9,640 | — | — | — | 1 |
| Cesarean section, with CCMS-DRG 787 | $11,313 | — | — | — | 1 |
| Chest painMS-DRG 313 | $7,601 | — | — | — | 1 |
| Colonoscopy with biopsyCPT 45380 | $554 | $1,103 | 50% | $1,686 | 2 |
| Colonoscopy with polyp removalCPT 45385 | $554 | $1,103 | 50% | $1,404 | 2 |
| Colonoscopy, diagnosticCPT 45378 | $554 | $857 | 65% | $1,404 | 2 |
| Complete blood count with differentialCPT 85025 | $554 | $8 | 7124% | ~$9 | 2 |
| Complete blood count, automatedCPT 85027 | $554 | $6 | 8555% | ~$8 | 2 |
| Comprehensive metabolic panelCPT 80053 | $554 | $11 | 5241% | ~$20 | 2 |
| Coronary bypass without cardiac cath, no MCCMS-DRG 236 | $43,814 | $29,950 | 146% | — | 1 |
| Diagnostic mammography, both breastsCPT 77066 | $256 | — | — | ~$107 | 2 |
| Diagnostic mammography, one breastCPT 77065 | $256 | — | — | ~$107 | 2 |
| ED visit, level 3CPT 99283 | $554 | $252 | 220% | $283 | 2 |
| ED visit, level 4CPT 99284 | $554 | $385 | 144% | $424 | 2 |
| ED visit, level 5CPT 99285 | $554 | $549 | 101% | $601 | 2 |
| Echocardiogram, completeCPT 93306 | $554 | $504 | 110% | $1,308 | 2 |
| Epidural injection, lumbar/sacral, no imagingCPT 62322 | $554 | $815 | 68% | $573 | 2 |
| Esophagitis/GI disorders, no MCCMS-DRG 392 | $8,314 | $4,899 | 170% | — | 1 |
| Excision of breast lesionCPT 19120 | $554 | $3,608 | 15% | $2,685 | 2 |
| Heart failure and shock, with CCMS-DRG 292 | $9,176 | $5,927 | 155% | — | 1 |
| Heart failure with MCCMS-DRG 291 | $13,903 | $8,962 | 155% | — | 1 |
| Hip and femur procedures except major joint, with CCMS-DRG 481 | $22,108 | $13,876 | 159% | — | 1 |
| Hysterectomy, no CC/MCCMS-DRG 743 | $12,772 | $10,098 | 126% | — | 1 |
| Inguinal hernia repair, age 5+CPT 49505 | $554 | $3,299 | 17% | $4,383 | 2 |
| Kidney and urinary tract infections, no MCCMS-DRG 690 | $8,552 | $5,238 | 163% | — | 1 |
| Kidney function panelCPT 80069 | $554 | $9 | 6377% | ~$17 | 2 |
| Knee arthroscopy with meniscectomyCPT 29881 | $554 | $3,015 | 18% | $3,534 | 2 |
| Laparoscopic cholecystectomyCPT 47562 | $554 | $5,571 | 10% | $3,110 | 2 |
| Laparoscopic cholecystectomy, no CC/MCCMS-DRG 419 | $14,039 | $8,977 | 156% | — | 1 |
| Lipid panelCPT 80061 | $554 | $13 | 4134% | ~$41 | 2 |
| Liver function panelCPT 80076 | $554 | $8 | 6775% | ~$14 | 2 |
| Lumbar epidural steroid injectionCPT 62323 | $554 | $650 | 85% | $641 | 2 |
| MRI brain with and without contrastCPT 70553 | $554 | $321 | 172% | ~$1,508 | 2 |
| MRI lower extremity joint (knee)CPT 73721 | $1,040 | $220 | 473% | ~$988 | 2 |
| MRI lumbar spine without contrastCPT 72148 | $554 | $220 | 252% | ~$988 | 2 |
| Major joint replacement (hip/knee), no MCCMS-DRG 470 | $20,090 | $13,045 | 154% | — | 1 |
| Major joint replacement (hip/knee), with MCCMS-DRG 469 | $34,828 | $22,346 | 156% | — | 1 |
| Major small and large bowel procedures, with CCMS-DRG 330 | $25,185 | $16,202 | 155% | — | 1 |
| Medical back problems, no MCCMS-DRG 552 | $10,269 | $6,142 | 167% | — | 1 |
| OB ultrasound, 14+ weeksCPT 76805 | $554 | $96 | 575% | ~$343 | 2 |
| Office visit, established patient, level 3CPT 99213 | $554 | — | — | $62 | 2 |
| Office visit, established patient, level 4CPT 99214 | $554 | — | — | $82 | 2 |
| Office visit, new patient, level 3CPT 99203 | $554 | — | — | $71 | 2 |
| Office visit, new patient, level 4CPT 99204 | $554 | — | — | $89 | 2 |
| Office visit, new patient, level 5CPT 99205 | $554 | — | — | $96 | 2 |
| PSA (prostate specific antigen), totalCPT 84153 | $554 | $18 | 3010% | ~$62 | 2 |
| Partial thromboplastin timeCPT 85730 | $554 | $6 | 9210% | ~$22 | 2 |
| Physical therapy, therapeutic exerciseCPT 97110 | $554 | — | — | $156 | 2 |
| Prostate biopsyCPT 55700 | $554 | — | — | $1,278 | 2 |
| Prothrombin timeCPT 85610 | $554 | $4 | 12902% | ~$8 | 2 |
| Renal failure, with CCMS-DRG 683 | $9,471 | $5,892 | 161% | — | 1 |
| Screening mammography, bilateralCPT 77067 | $554 | — | — | ~$107 | 2 |
| Sepsis with MCCMS-DRG 871 | $20,906 | $14,135 | 148% | — | 1 |
| Simple pneumonia and pleurisy, with CCMS-DRG 194 | $8,737 | $5,177 | 169% | — | 1 |
| Sleep study (polysomnography)CPT 95810 | $554 | $791 | 70% | $1,590 | 2 |
| Stroke (hemorrhage/infarction), no CC/MCCMS-DRG 066 | $7,334 | $3,679 | 199% | — | 1 |
| Stroke (hemorrhage/infarction), with CC or tPAMS-DRG 065 | $10,835 | $6,559 | 165% | — | 1 |
| Thyroid stimulating hormone (TSH)CPT 84443 | $554 | $17 | 3295% | ~$32 | 2 |
| Tonsillectomy and adenoidectomy, under age 12CPT 42820 | $554 | $5,455 | 10% | $2,261 | 2 |
| Transforaminal epidural, lumbar/sacralCPT 64483 | $554 | $815 | 68% | $473 | 2 |
| Ultrasound, abdomen, completeCPT 76700 | $554 | $96 | 575% | ~$323 | 2 |
| Ultrasound, transvaginalCPT 76830 | $554 | $96 | 575% | ~$255 | 2 |
| Upper GI endoscopy with biopsyCPT 43239 | $554 | $836 | 66% | $772 | 2 |
| Upper GI endoscopy, diagnosticCPT 43235 | $554 | $836 | 66% | $1,038 | 2 |
| Urinalysis, automated, with microscopyCPT 81001 | $554 | $3 | 17461% | ~$13 | 2 |
| Urinalysis, automated, without microscopyCPT 81003 | $554 | $2 | 24600% | ~$8 | 2 |
| Vaginal delivery, no sterilization, no CC/MCCMS-DRG 807 | $6,790 | — | — | — | 1 |
| Vaginal delivery, no sterilization, with CCMS-DRG 806 | $7,710 | — | — | — | 1 |
| X-ray, lower back, 4+ viewsCPT 72110 | $554 | $96 | 575% | ~$205 | 2 |
| YAG laser capsulotomy (secondary cataract)CPT 66821 | $554 | $507 | 109% | $882 | 2 |