| Acute myocardial infarction, discharged alive, with MCCMS-DRG 280 | $20,648 | $11,217 | 184% | — | 3 |
| Bariatric (obesity) surgery, no CC/MCCMS-DRG 621 | $19,416 | $8,272 | 235% | — | 3 |
| Basic metabolic panelCPT 80048 | $159 | $8 | 1874% | ~$72 | 12 |
| COPD with MCCMS-DRG 190 | $14,258 | $7,377 | 193% | — | 3 |
| CT abdomen and pelvis with contrastCPT 74177 | $3,897 | $321 | 1215% | ~$1,772 | 12 |
| CT head without contrastCPT 70450 | $1,627 | $96 | 1692% | ~$740 | 12 |
| CT pelvis with contrastCPT 72193 | $2,280 | $161 | 1413% | ~$1,037 | 12 |
| Cardiac arrhythmia, no CC/MCCMS-DRG 310 | $8,179 | $3,269 | 250% | — | 3 |
| Cardiac stress testCPT 93017 | $818 | $199 | 412% | $367 | 12 |
| Cardiac valve surgery with cardiac cath, with MCCMS-DRG 216 | $125,924 | — | — | — | 3 |
| Cataract surgery with IOL insertionCPT 66984 | $4,362 | $2,122 | 206% | $1,959 | 12 |
| Cellulitis, no MCCMS-DRG 603 | $11,210 | $5,675 | 198% | — | 3 |
| Cervical spinal fusion, no CC/MCCMS-DRG 473 | $31,424 | $16,343 | 192% | — | 3 |
| Cesarean section, no CC/MCCMS-DRG 788 | $12,342 | — | — | — | 3 |
| Cesarean section, with CCMS-DRG 787 | $14,375 | — | — | — | 3 |
| Chest painMS-DRG 313 | $10,402 | — | — | — | 3 |
| Colonoscopy with biopsyCPT 45380 | $3,007 | $1,100 | 273% | $1,351 | 12 |
| Colonoscopy with polyp removalCPT 45385 | $3,151 | $1,100 | 286% | $1,415 | 12 |
| Colonoscopy, diagnosticCPT 45378 | $2,444 | $855 | 286% | $1,097 | 12 |
| Complete blood count with differentialCPT 85025 | $106 | $8 | 1364% | ~$48 | 12 |
| Complete blood count, automatedCPT 85027 | $83 | $6 | 1286% | ~$38 | 12 |
| Comprehensive metabolic panelCPT 80053 | $150 | $11 | 1420% | ~$68 | 12 |
| Coronary bypass without cardiac cath, no MCCMS-DRG 236 | $53,918 | $29,950 | 180% | — | 3 |
| Diagnostic mammography, both breastsCPT 77066 | $485 | — | — | ~$221 | 12 |
| Diagnostic mammography, one breastCPT 77065 | $342 | — | — | ~$156 | 12 |
| ED visit, level 3CPT 99283 | $549 | $251 | 219% | $246 | 12 |
| ED visit, level 4CPT 99284 | $844 | $384 | 220% | $379 | 12 |
| ED visit, level 5CPT 99285 | $1,757 | $548 | 321% | $789 | 12 |
| Echocardiogram, completeCPT 93306 | $1,884 | $503 | 375% | $846 | 12 |
| Esophagitis/GI disorders, no MCCMS-DRG 392 | $11,023 | $4,899 | 225% | — | 3 |
| Excision of breast lesionCPT 19120 | $7,374 | $3,601 | 205% | $3,353 | 12 |
| Family psychotherapy, with patientCPT 90847 | $303 | $163 | 186% | $138 | 12 |
| Family psychotherapy, without patientCPT 90846 | $346 | $163 | 212% | $157 | 12 |
| Heart failure and shock, with CCMS-DRG 292 | $11,023 | $5,927 | 186% | — | 3 |
| Heart failure with MCCMS-DRG 291 | $16,525 | $11,615 | 142% | — | 3 |
| Hip and femur procedures except major joint, with CCMS-DRG 481 | $26,960 | $13,876 | 194% | — | 3 |
| Hysterectomy, no CC/MCCMS-DRG 743 | $15,970 | $10,098 | 158% | — | 3 |
| Kidney and urinary tract infections, no MCCMS-DRG 690 | $11,023 | $5,238 | 210% | — | 3 |
| Kidney function panelCPT 80069 | $130 | $9 | 1501% | ~$59 | 12 |
| Laparoscopic cholecystectomyCPT 47562 | $7,224 | $5,560 | 130% | — | 1 |
| Laparoscopic cholecystectomy, no CC/MCCMS-DRG 419 | $17,581 | $8,977 | 196% | — | 3 |
| Lipid panelCPT 80061 | $163 | $13 | 1219% | ~$74 | 12 |
| Liver function panelCPT 80076 | $93 | $8 | 1134% | ~$42 | 12 |
| Lumbar epidural steroid injectionCPT 62323 | $1,880 | $649 | 290% | $844 | 12 |
| MRI brain with and without contrastCPT 70553 | $4,130 | $321 | 1287% | ~$1,878 | 12 |
| MRI lower extremity joint (knee)CPT 73721 | $2,811 | $219 | 1281% | ~$1,278 | 12 |
| MRI lumbar spine without contrastCPT 72148 | $3,185 | $219 | 1451% | ~$1,448 | 12 |
| Major joint replacement (hip/knee), no MCCMS-DRG 470 | $24,829 | $15,844 | 157% | — | 3 |
| Major joint replacement (hip/knee), with MCCMS-DRG 469 | $39,043 | $22,346 | 175% | — | 3 |
| Major small and large bowel procedures, with CCMS-DRG 330 | $30,857 | $16,202 | 190% | — | 3 |
| Medical back problems, no MCCMS-DRG 552 | $12,374 | $6,142 | 201% | — | 3 |
| OB global care, VBAC deliveryCPT 59610 | $4,328 | — | — | $1,944 | 12 |
| OB ultrasound, 14+ weeksCPT 76805 | $674 | $96 | 700% | ~$306 | 12 |
| Obstetric blood test panelCPT 80055 | $277 | $48 | 579% | ~$124 | 12 |
| Office consultation, comprehensiveCPT 99244 | $336 | — | — | $153 | 12 |
| Office consultation, moderateCPT 99243 | $92 | — | — | $42 | 12 |
| Office visit, established patient, level 3CPT 99213 | $64 | — | — | $29 | 12 |
| Office visit, established patient, level 4CPT 99214 | $66 | — | — | $30 | 12 |
| Office visit, new patient, level 3CPT 99203 | $190 | — | — | $86 | 12 |
| Office visit, new patient, level 4CPT 99204 | $297 | — | — | $135 | 12 |
| Office visit, new patient, level 5CPT 99205 | $338 | — | — | $154 | 12 |
| PSA (prostate specific antigen), totalCPT 84153 | $194 | $18 | 1054% | ~$88 | 12 |
| Partial thromboplastin timeCPT 85730 | $89 | $6 | 1489% | ~$41 | 12 |
| Physical therapy, therapeutic exerciseCPT 97110 | $129 | — | — | $58 | 12 |
| Preventive visit, new patient, 18-39CPT 99385 | $64 | — | — | $29 | 12 |
| Preventive visit, new patient, 40-64CPT 99386 | $68 | — | — | $31 | 12 |
| Prothrombin timeCPT 85610 | $53 | $4 | 1235% | ~$24 | 12 |
| Psychotherapy, 30 minutesCPT 90832 | $254 | $163 | 155% | $115 | 12 |
| Psychotherapy, 45 minutesCPT 90834 | $222 | $163 | 136% | $101 | 12 |
| Psychotherapy, 60 minutesCPT 90837 | $159 | $163 | 98% | $72 | 12 |
| Renal failure, with CCMS-DRG 683 | $11,273 | $6,099 | 185% | — | 3 |
| Screening mammography, bilateralCPT 77067 | $346 | — | — | ~$157 | 12 |
| Sepsis with MCCMS-DRG 871 | $25,004 | $17,548 | 142% | — | 3 |
| Simple pneumonia and pleurisy, with CCMS-DRG 194 | $11,023 | $5,177 | 213% | — | 3 |
| Sleep study (polysomnography)CPT 95810 | $4,412 | $790 | 559% | $2,007 | 12 |
| Stroke (hemorrhage/infarction), no CC/MCCMS-DRG 066 | $9,888 | $3,679 | 269% | — | 3 |
| Stroke (hemorrhage/infarction), with CC or tPAMS-DRG 065 | $13,005 | $6,559 | 198% | — | 3 |
| Thyroid stimulating hormone (TSH)CPT 84443 | $170 | $17 | 1014% | ~$77 | 12 |
| Tonsillectomy and adenoidectomy, under age 12CPT 42820 | $5,465 | $5,444 | 100% | — | 1 |
| Transforaminal epidural, lumbar/sacralCPT 64483 | $2,419 | $813 | 297% | $1,086 | 12 |
| Ultrasound, abdomen, completeCPT 76700 | $711 | $96 | 740% | ~$323 | 12 |
| Ultrasound, transvaginalCPT 76830 | $506 | $96 | 526% | ~$227 | 12 |
| Upper GI endoscopy with biopsyCPT 43239 | $3,291 | $834 | 394% | $1,478 | 12 |
| Upper GI endoscopy, diagnosticCPT 43235 | $2,725 | $834 | 327% | $1,239 | 12 |
| Urinalysis, automated, with microscopyCPT 81001 | $57 | $3 | 1808% | ~$26 | 12 |
| Urinalysis, automated, without microscopyCPT 81003 | $29 | $2 | 1291% | ~$13 | 12 |
| Urinalysis, manual, with microscopyCPT 81000 | $59 | $4 | 1465% | ~$27 | 12 |
| Urinalysis, manual, without microscopyCPT 81002 | $16 | $3 | 463% | — | 1 |
| Vaginal delivery, no sterilization, no CC/MCCMS-DRG 807 | $9,741 | — | — | — | 3 |
| Vaginal delivery, no sterilization, with CCMS-DRG 806 | $10,894 | — | — | — | 3 |
| X-ray, lower back, 4+ viewsCPT 72110 | $572 | $96 | 595% | ~$260 | 12 |
| YAG laser capsulotomy (secondary cataract)CPT 66821 | $2,070 | $506 | 409% | $930 | 12 |