| Acute myocardial infarction, discharged alive, with MCCMS-DRG 280 | $18,805 | $16,008 | 117% | — | 1 |
| Bariatric (obesity) surgery, no CC/MCCMS-DRG 621 | $18,261 | $8,272 | 221% | — | 2 |
| Basic metabolic panelCPT 80048 | $88 | $8 | 1041% | ~$31 | 9 |
| COPD with MCCMS-DRG 190 | $13,455 | $7,377 | 182% | — | 1 |
| CT abdomen and pelvis with contrastCPT 74177 | $4,088 | $348 | 1176% | ~$1,446 | 9 |
| CT head without contrastCPT 70450 | $2,011 | $104 | 1930% | ~$712 | 9 |
| CT pelvis with contrastCPT 72193 | $2,099 | $175 | 1200% | ~$742 | 9 |
| Cardiac arrhythmia, no CC/MCCMS-DRG 310 | $6,335 | $3,269 | 194% | — | 1 |
| Cardiac stress testCPT 93017 | $526 | $215 | 244% | $186 | 9 |
| Cardiac valve surgery with cardiac cath, with MCCMS-DRG 216 | $55,754 | — | — | — | 2 |
| Cataract surgery with IOL insertionCPT 66984 | $3,207 | $2,300 | 139% | — | 1 |
| Cellulitis, no MCCMS-DRG 603 | $9,641 | $5,675 | 170% | — | 1 |
| Cervical spinal fusion, no CC/MCCMS-DRG 473 | $26,386 | $16,343 | 161% | — | 1 |
| Cesarean section, no CC/MCCMS-DRG 788 | $9,563 | — | — | — | 3 |
| Cesarean section, with CCMS-DRG 787 | $9,972 | — | — | — | 3 |
| Chest painMS-DRG 313 | $7,960 | — | — | — | 1 |
| Colonoscopy with biopsyCPT 45380 | $1,616 | $1,193 | 135% | — | 1 |
| Colonoscopy with polyp removalCPT 45385 | $1,762 | $1,193 | 148% | — | 1 |
| Colonoscopy, diagnosticCPT 45378 | $1,566 | $927 | 169% | — | 1 |
| Complete blood count with differentialCPT 85025 | $99 | $8 | 1278% | ~$35 | 9 |
| Complete blood count, automatedCPT 85027 | $71 | $6 | 1092% | ~$25 | 9 |
| Comprehensive metabolic panelCPT 80053 | $167 | $11 | 1584% | ~$59 | 9 |
| Coronary bypass without cardiac cath, no MCCMS-DRG 236 | $28,599 | $29,950 | 95% | — | 2 |
| Diagnostic mammography, both breastsCPT 77066 | $225 | — | — | ~$79 | 9 |
| Diagnostic mammography, one breastCPT 77065 | $226 | — | — | ~$80 | 9 |
| ED visit, level 3CPT 99283 | $1,329 | $272 | 488% | $470 | 9 |
| ED visit, level 4CPT 99284 | $1,940 | $416 | 467% | $686 | 9 |
| ED visit, level 5CPT 99285 | $2,962 | $594 | 499% | $1,048 | 9 |
| Echocardiogram, completeCPT 93306 | $2,636 | $545 | 484% | $933 | 9 |
| Epidural injection, lumbar/sacral, no imagingCPT 62322 | $698 | $882 | 79% | — | 1 |
| Esophagitis/GI disorders, no MCCMS-DRG 392 | $8,623 | $4,899 | 176% | — | 1 |
| Excision of breast lesionCPT 19120 | $4,910 | $3,902 | 126% | — | 1 |
| Family psychotherapy, with patientCPT 90847 | $151 | $177 | 85% | — | 1 |
| Group psychotherapyCPT 90853 | $35 | $101 | 35% | — | 1 |
| Heart failure and shock, with CCMS-DRG 292 | $8,974 | $5,927 | 151% | — | 1 |
| Heart failure with MCCMS-DRG 291 | $16,148 | $12,288 | 131% | — | 1 |
| Hip and femur procedures except major joint, with CCMS-DRG 481 | $24,852 | $20,948 | 119% | — | 1 |
| Hysterectomy, no CC/MCCMS-DRG 743 | $12,286 | $10,098 | 122% | — | 1 |
| Inguinal hernia repair, age 5+CPT 49505 | $4,883 | $3,568 | 137% | — | 1 |
| Kidney and urinary tract infections, no MCCMS-DRG 690 | $9,018 | $5,238 | 172% | — | 1 |
| Kidney function panelCPT 80069 | $80 | $9 | 921% | ~$28 | 9 |
| Knee arthroscopy with meniscectomyCPT 29881 | $4,261 | $3,261 | 131% | — | 1 |
| Laparoscopic cholecystectomyCPT 47562 | $8,144 | $6,025 | 135% | — | 1 |
| Laparoscopic cholecystectomy, no CC/MCCMS-DRG 419 | $13,827 | $8,977 | 154% | — | 1 |
| Laparoscopic radical prostatectomyCPT 55866 | $14,603 | $10,594 | 138% | — | 1 |
| Left heart catheterization, diagnosticCPT 93452 | $10,533 | $3,231 | 326% | $3,726 | 9 |
| Lipid panelCPT 80061 | $116 | $13 | 869% | ~$41 | 9 |
| Liver function panelCPT 80076 | $77 | $8 | 944% | ~$27 | 9 |
| Lumbar epidural steroid injectionCPT 62323 | $1,269 | $704 | 180% | $427 | 9 |
| MRI brain with and without contrastCPT 70553 | $3,267 | $348 | 940% | ~$1,156 | 9 |
| MRI lower extremity joint (knee)CPT 73721 | $3,895 | $238 | 1638% | ~$1,378 | 9 |
| MRI lumbar spine without contrastCPT 72148 | $2,597 | $238 | 1092% | ~$919 | 9 |
| Major joint replacement (hip/knee), no MCCMS-DRG 470 | $25,937 | $13,045 | 199% | — | 1 |
| Major joint replacement (hip/knee), with MCCMS-DRG 469 | $35,469 | $22,346 | 159% | — | 1 |
| Major small and large bowel procedures, with CCMS-DRG 330 | $29,856 | $20,413 | 146% | — | 1 |
| Medical back problems, no MCCMS-DRG 552 | $9,804 | $6,142 | 160% | — | 1 |
| OB ultrasound, 14+ weeksCPT 76805 | $680 | $104 | 652% | ~$240 | 9 |
| Obstetric blood test panelCPT 80055 | $173 | $48 | 363% | ~$61 | 9 |
| Office visit, established patient, level 3CPT 99213 | $158 | — | — | — | 1 |
| Office visit, established patient, level 4CPT 99214 | $223 | — | — | — | 1 |
| Office visit, new patient, level 3CPT 99203 | $120 | — | — | — | 1 |
| Office visit, new patient, level 4CPT 99204 | $120 | — | — | — | 1 |
| Office visit, new patient, level 5CPT 99205 | $200 | — | — | — | 1 |
| PSA (prostate specific antigen), totalCPT 84153 | $147 | $18 | 802% | ~$52 | 9 |
| Partial thromboplastin timeCPT 85730 | $67 | $6 | 1118% | ~$24 | 9 |
| Percutaneous cardiac stent, no MCCMS-DRG 247 | $7,178 | — | — | — | 1 |
| Physical therapy, therapeutic exerciseCPT 97110 | $139 | — | — | $49 | 9 |
| Prostate biopsyCPT 55700 | $1,372 | — | — | — | 1 |
| Prothrombin timeCPT 85610 | $61 | $4 | 1431% | ~$22 | 9 |
| Psychotherapy, 30 minutesCPT 90832 | $100 | $177 | 56% | — | 1 |
| Psychotherapy, 45 minutesCPT 90834 | $119 | $177 | 67% | — | 1 |
| Psychotherapy, 60 minutesCPT 90837 | $179 | $177 | 101% | — | 1 |
| Renal failure, with CCMS-DRG 683 | $11,659 | $8,384 | 139% | — | 1 |
| Screening mammography, bilateralCPT 77067 | $226 | — | — | ~$80 | 9 |
| Sepsis with MCCMS-DRG 871 | $20,674 | $19,350 | 107% | — | 1 |
| Shoulder arthroscopy, subacromial decompressionCPT 29826 | $4,557 | — | — | — | 1 |
| Simple pneumonia and pleurisy, with CCMS-DRG 194 | $10,638 | $5,177 | 205% | — | 1 |
| Sleep study (polysomnography)CPT 95810 | $2,340 | $856 | 273% | $828 | 9 |
| Stroke (hemorrhage/infarction), no CC/MCCMS-DRG 066 | $9,403 | $3,679 | 256% | — | 1 |
| Stroke (hemorrhage/infarction), with CC or tPAMS-DRG 065 | $13,210 | $6,559 | 201% | — | 1 |
| Thyroid stimulating hormone (TSH)CPT 84443 | $146 | $17 | 868% | ~$52 | 9 |
| Tonsillectomy and adenoidectomy, under age 12CPT 42820 | $7,568 | $5,900 | 128% | — | 1 |
| Transforaminal epidural, lumbar/sacralCPT 64483 | $3,401 | $882 | 386% | $1,203 | 9 |
| Ultrasound, abdomen, completeCPT 76700 | $945 | $104 | 907% | ~$334 | 9 |
| Ultrasound, transvaginalCPT 76830 | $511 | $104 | 491% | ~$181 | 9 |
| Upper GI endoscopy with biopsyCPT 43239 | $1,367 | $904 | 151% | — | 1 |
| Upper GI endoscopy, diagnosticCPT 43235 | $1,224 | $904 | 135% | — | 1 |
| Urinalysis, automated, with microscopyCPT 81001 | $34 | $3 | 1076% | ~$12 | 9 |
| Urinalysis, automated, without microscopyCPT 81003 | $37 | $2 | 1623% | ~$13 | 9 |
| Urinalysis, manual, with microscopyCPT 81000 | $29 | $4 | 721% | ~$10 | 9 |
| Urinalysis, manual, without microscopyCPT 81002 | $41 | $3 | 1165% | ~$14 | 9 |
| Vaginal delivery, no sterilization, no CC/MCCMS-DRG 807 | $6,550 | — | — | — | 3 |
| Vaginal delivery, no sterilization, with CCMS-DRG 806 | $7,510 | — | — | — | 3 |
| X-ray, lower back, 4+ viewsCPT 72110 | $463 | $104 | 445% | ~$164 | 9 |
| YAG laser capsulotomy (secondary cataract)CPT 66821 | $1,078 | $548 | 197% | — | 1 |