| Acute myocardial infarction, discharged alive, with MCCMS-DRG 280 | $6,434 | $11,217 | 57% | — | 5 |
| Bariatric (obesity) surgery, no CC/MCCMS-DRG 621 | $5,815 | $8,272 | 70% | — | 5 |
| Basic metabolic panelCPT 80048 | $9 | $8 | 103% | ~$132 | 5 |
| COPD with MCCMS-DRG 190 | $5,760 | $7,377 | 78% | — | 5 |
| CT abdomen and pelvis with contrastCPT 74177 | $213 | $321 | 66% | ~$2,713 | 5 |
| CT head without contrastCPT 70450 | $86 | $96 | 89% | ~$1,051 | 5 |
| CT pelvis with contrastCPT 72193 | $131 | $161 | 81% | ~$949 | 5 |
| Cardiac arrhythmia, no CC/MCCMS-DRG 310 | $2,533 | $3,269 | 77% | — | 5 |
| Cardiac stress testCPT 93017 | $105 | $199 | 53% | $574 | 5 |
| Cardiac valve surgery with cardiac cath, with MCCMS-DRG 216 | $39,628 | — | — | — | 5 |
| Cellulitis, no MCCMS-DRG 603 | $4,520 | $5,675 | 80% | — | 5 |
| Cervical spinal fusion, no CC/MCCMS-DRG 473 | $11,405 | $16,343 | 70% | — | 5 |
| Cesarean section, no CC/MCCMS-DRG 788 | $4,044 | — | — | — | 5 |
| Cesarean section, with CCMS-DRG 787 | $4,246 | — | — | — | 5 |
| Chest painMS-DRG 313 | $3,572 | — | — | — | 5 |
| Complete blood count with differentialCPT 85025 | $7 | $8 | 88% | ~$98 | 5 |
| Complete blood count, automatedCPT 85027 | $7 | $6 | 103% | ~$66 | 5 |
| Comprehensive metabolic panelCPT 80053 | $11 | $11 | 103% | ~$168 | 5 |
| Coronary bypass without cardiac cath, no MCCMS-DRG 236 | $15,996 | $29,950 | 53% | — | 5 |
| Diagnostic mammography, both breastsCPT 77066 | $96 | — | — | ~$203 | 5 |
| Diagnostic mammography, one breastCPT 77065 | $76 | — | — | ~$171 | 5 |
| ED visit, level 3CPT 99283 | $108 | $251 | 43% | $354 | 5 |
| ED visit, level 4CPT 99284 | $108 | $384 | 28% | $597 | 5 |
| ED visit, level 5CPT 99285 | $108 | $548 | 20% | $919 | 5 |
| Echocardiogram, completeCPT 93306 | $131 | $503 | 26% | $1,365 | 5 |
| Esophagitis/GI disorders, no MCCMS-DRG 392 | $3,934 | $4,899 | 80% | — | 5 |
| Group psychotherapyCPT 90853 | $29 | $93 | 31% | $75 | 2 |
| Heart failure and shock, with CCMS-DRG 292 | $5,284 | $5,927 | 89% | — | 5 |
| Heart failure with MCCMS-DRG 291 | $6,558 | $5,539 | 118% | — | 5 |
| Hip and femur procedures except major joint, with CCMS-DRG 481 | $9,477 | $13,876 | 68% | — | 5 |
| Hysterectomy, no CC/MCCMS-DRG 743 | $4,700 | $10,098 | 47% | — | 5 |
| Kidney and urinary tract infections, no MCCMS-DRG 690 | $4,547 | $5,238 | 87% | — | 5 |
| Kidney function panelCPT 80069 | $9 | $9 | 103% | ~$60 | 5 |
| Laparoscopic cholecystectomy, no CC/MCCMS-DRG 419 | $6,239 | $8,977 | 70% | — | 5 |
| Left heart catheterization, diagnosticCPT 93452 | $2,348 | $2,981 | 79% | $9,289 | 5 |
| Lipid panelCPT 80061 | $14 | $13 | 103% | ~$115 | 5 |
| Liver function panelCPT 80076 | $8 | $8 | 103% | ~$177 | 5 |
| MRI brain with and without contrastCPT 70553 | $296 | $321 | 92% | ~$2,338 | 5 |
| MRI lower extremity joint (knee)CPT 73721 | $188 | $219 | 86% | ~$1,247 | 5 |
| MRI lumbar spine without contrastCPT 72148 | $188 | $219 | 86% | ~$1,289 | 5 |
| Major joint replacement (hip/knee), no MCCMS-DRG 470 | $11,773 | $13,045 | 90% | — | 5 |
| Major joint replacement (hip/knee), with MCCMS-DRG 469 | $12,979 | $22,346 | 58% | — | 5 |
| Major small and large bowel procedures, with CCMS-DRG 330 | $9,352 | $16,202 | 58% | — | 5 |
| Medical back problems, no MCCMS-DRG 552 | $5,500 | $6,142 | 90% | — | 5 |
| OB ultrasound, 14+ weeksCPT 76805 | $78 | $96 | 81% | ~$488 | 5 |
| Obstetric blood test panelCPT 80055 | $49 | $48 | 103% | ~$244 | 5 |
| Office visit, established patient, level 3CPT 99213 | $130 | — | — | $215 | 2 |
| Office visit, established patient, level 4CPT 99214 | $184 | — | — | $248 | 2 |
| Office visit, new patient, level 3CPT 99203 | $98 | — | — | $126 | 2 |
| Office visit, new patient, level 4CPT 99204 | $98 | — | — | $167 | 2 |
| Office visit, new patient, level 5CPT 99205 | $164 | — | — | $246 | 2 |
| PSA (prostate specific antigen), totalCPT 84153 | $19 | $18 | 103% | ~$94 | 5 |
| Partial thromboplastin timeCPT 85730 | $5 | $6 | 90% | ~$137 | 5 |
| Physical therapy, therapeutic exerciseCPT 97110 | $29 | — | — | $110 | 5 |
| Prothrombin timeCPT 85610 | $4 | $4 | 103% | ~$117 | 5 |
| Psychotherapy, 45 minutesCPT 90834 | $98 | $163 | 60% | $181 | 2 |
| Renal failure, with CCMS-DRG 683 | $4,647 | $3,647 | 127% | — | 5 |
| Screening mammography, bilateralCPT 77067 | $90 | — | — | ~$193 | 5 |
| Sepsis with MCCMS-DRG 871 | $8,979 | $9,863 | 91% | — | 5 |
| Simple pneumonia and pleurisy, with CCMS-DRG 194 | $4,747 | $3,387 | 140% | — | 5 |
| Sleep study (polysomnography)CPT 95810 | $633 | $790 | 80% | $2,576 | 5 |
| Stroke (hemorrhage/infarction), no CC/MCCMS-DRG 066 | $3,499 | $3,679 | 95% | — | 5 |
| Stroke (hemorrhage/infarction), with CC or tPAMS-DRG 065 | $6,648 | $6,559 | 101% | — | 5 |
| Thyroid stimulating hormone (TSH)CPT 84443 | $16 | $17 | 97% | ~$134 | 5 |
| Ultrasound, abdomen, completeCPT 76700 | $78 | $96 | 81% | ~$619 | 5 |
| Ultrasound, transvaginalCPT 76830 | $78 | $96 | 81% | ~$542 | 5 |
| Upper GI endoscopy, diagnosticCPT 43235 | $302 | $834 | 36% | $1,510 | 5 |
| Urinalysis, automated, with microscopyCPT 81001 | $3 | $3 | 103% | ~$56 | 5 |
| Urinalysis, automated, without microscopyCPT 81003 | $2 | $2 | 88% | ~$14 | 5 |
| Urinalysis, manual, without microscopyCPT 81002 | $3 | $3 | 89% | ~$36 | 5 |
| Vaginal delivery, no sterilization, no CC/MCCMS-DRG 807 | $3,012 | — | — | — | 5 |
| Vaginal delivery, no sterilization, with CCMS-DRG 806 | $3,183 | — | — | — | 5 |
| X-ray, lower back, 4+ viewsCPT 72110 | $78 | $96 | 81% | ~$381 | 5 |