| Acute myocardial infarction, discharged alive, with MCCMS-DRG 280 | $12,683 | $9,108 | 139% | — | 5 |
| Bariatric (obesity) surgery, no CC/MCCMS-DRG 621 | $11,464 | $8,272 | 139% | — | 5 |
| Basic metabolic panelCPT 80048 | $9 | $8 | 103% | ~$69 | 5 |
| COPD with MCCMS-DRG 190 | $11,354 | $6,270 | 181% | — | 5 |
| CT abdomen and pelvis with contrastCPT 74177 | $213 | $328 | 65% | ~$1,358 | 5 |
| CT head without contrastCPT 70450 | $86 | $98 | 87% | ~$472 | 5 |
| CT pelvis with contrastCPT 72193 | $131 | $165 | 79% | ~$753 | 5 |
| Cardiac arrhythmia, no CC/MCCMS-DRG 310 | $4,993 | $2,409 | 207% | — | 5 |
| Cardiac stress testCPT 93017 | $105 | $203 | 52% | $425 | 5 |
| Cardiac valve surgery with cardiac cath, with MCCMS-DRG 216 | $78,119 | — | — | — | 5 |
| Cellulitis, no MCCMS-DRG 603 | $8,910 | $4,322 | 206% | — | 5 |
| Cervical spinal fusion, no CC/MCCMS-DRG 473 | $22,483 | $16,343 | 138% | — | 5 |
| Cesarean section, no CC/MCCMS-DRG 788 | $7,972 | — | — | — | 5 |
| Cesarean section, with CCMS-DRG 787 | $8,371 | — | — | — | 5 |
| Chest painMS-DRG 313 | $7,042 | — | — | — | 5 |
| Complete blood count with differentialCPT 85025 | $7 | $8 | 88% | ~$41 | 5 |
| Complete blood count, automatedCPT 85027 | $7 | $6 | 103% | ~$40 | 5 |
| Comprehensive metabolic panelCPT 80053 | $11 | $11 | 103% | ~$81 | 5 |
| Coronary bypass without cardiac cath, no MCCMS-DRG 236 | $31,534 | $19,312 | 163% | — | 5 |
| ED visit, level 3CPT 99283 | $108 | $257 | 42% | $158 | 5 |
| ED visit, level 4CPT 99284 | $108 | $392 | 28% | $209 | 5 |
| ED visit, level 5CPT 99285 | $108 | $560 | 19% | $357 | 5 |
| Echocardiogram, completeCPT 93306 | $131 | $514 | 26% | $726 | 5 |
| Esophagitis/GI disorders, no MCCMS-DRG 392 | $7,755 | $4,084 | 190% | — | 5 |
| Group psychotherapyCPT 90853 | $104 | $96 | 109% | $29 | 2 |
| Heart failure and shock, with CCMS-DRG 292 | $10,415 | $5,927 | 176% | — | 5 |
| Heart failure with MCCMS-DRG 291 | $12,928 | $7,387 | 175% | — | 5 |
| Hip and femur procedures except major joint, with CCMS-DRG 481 | $18,683 | $12,240 | 153% | — | 5 |
| Hysterectomy, no CC/MCCMS-DRG 743 | $9,265 | $10,098 | 92% | — | 5 |
| Kidney and urinary tract infections, no MCCMS-DRG 690 | $8,964 | $4,357 | 206% | — | 5 |
| Kidney function panelCPT 80069 | $9 | $9 | 103% | ~$64 | 5 |
| Laparoscopic cholecystectomy, no CC/MCCMS-DRG 419 | $12,299 | $7,550 | 163% | — | 5 |
| Left heart catheterization, diagnosticCPT 93452 | $2,348 | $3,049 | 77% | $3,550 | 5 |
| Lipid panelCPT 80061 | $14 | $13 | 103% | ~$81 | 5 |
| Liver function panelCPT 80076 | $8 | $8 | 103% | ~$58 | 5 |
| MRI brain with and without contrastCPT 70553 | $296 | $328 | 90% | ~$1,143 | 5 |
| MRI lower extremity joint (knee)CPT 73721 | $188 | $224 | 84% | ~$676 | 5 |
| MRI lumbar spine without contrastCPT 72148 | $188 | $224 | 84% | ~$676 | 5 |
| Major joint replacement (hip/knee), no MCCMS-DRG 470 | $23,208 | $9,214 | 252% | — | 5 |
| Major joint replacement (hip/knee), with MCCMS-DRG 469 | $25,585 | $22,346 | 114% | — | 5 |
| Major small and large bowel procedures, with CCMS-DRG 330 | $18,435 | $13,474 | 137% | — | 5 |
| Medical back problems, no MCCMS-DRG 552 | $10,842 | $5,304 | 204% | — | 5 |
| OB ultrasound, 14+ weeksCPT 76805 | $78 | $98 | 79% | ~$164 | 5 |
| Obstetric blood test panelCPT 80055 | $49 | $48 | 103% | ~$137 | 5 |
| Office visit, established patient, level 3CPT 99213 | $102 | — | — | $111 | 2 |
| Office visit, established patient, level 4CPT 99214 | $121 | — | — | $145 | 2 |
| Office visit, new patient, level 3CPT 99203 | $152 | — | — | $115 | 2 |
| Office visit, new patient, level 4CPT 99204 | $152 | — | — | $141 | 2 |
| Office visit, new patient, level 5CPT 99205 | $253 | — | — | $143 | 2 |
| PSA (prostate specific antigen), totalCPT 84153 | $19 | $18 | 103% | ~$34 | 5 |
| Partial thromboplastin timeCPT 85730 | $5 | $6 | 90% | ~$52 | 5 |
| Physical therapy, therapeutic exerciseCPT 97110 | $29 | — | — | $42 | 5 |
| Prothrombin timeCPT 85610 | $4 | $4 | 103% | ~$45 | 5 |
| Psychotherapy, 30 minutesCPT 90832 | $89 | $167 | 53% | $53 | 2 |
| Psychotherapy, 45 minutesCPT 90834 | $248 | $167 | 149% | $69 | 2 |
| Renal failure, with CCMS-DRG 683 | $9,161 | $4,973 | 184% | — | 5 |
| Sepsis with MCCMS-DRG 871 | $17,701 | $11,220 | 158% | — | 5 |
| Simple pneumonia and pleurisy, with CCMS-DRG 194 | $9,358 | $4,411 | 212% | — | 5 |
| Sleep study (polysomnography)CPT 95810 | $633 | $808 | 78% | $1,293 | 5 |
| Stroke (hemorrhage/infarction), no CC/MCCMS-DRG 066 | $6,898 | $3,679 | 187% | — | 5 |
| Stroke (hemorrhage/infarction), with CC or tPAMS-DRG 065 | $13,106 | $5,347 | 245% | — | 5 |
| Thyroid stimulating hormone (TSH)CPT 84443 | $16 | $17 | 97% | ~$56 | 5 |
| Ultrasound, abdomen, completeCPT 76700 | $78 | $98 | 79% | ~$302 | 5 |
| Ultrasound, transvaginalCPT 76830 | $78 | $98 | 79% | ~$205 | 5 |
| Upper GI endoscopy, diagnosticCPT 43235 | $302 | $853 | 35% | $577 | 5 |
| Urinalysis, automated, with microscopyCPT 81001 | $3 | $3 | 103% | ~$30 | 5 |
| Urinalysis, automated, without microscopyCPT 81003 | $2 | $2 | 88% | ~$22 | 5 |
| Urinalysis, manual, without microscopyCPT 81002 | $3 | $3 | 89% | ~$14 | 5 |
| Vaginal delivery, no sterilization, no CC/MCCMS-DRG 807 | $5,938 | — | — | — | 5 |
| Vaginal delivery, no sterilization, with CCMS-DRG 806 | $6,275 | — | — | — | 5 |
| X-ray, lower back, 4+ viewsCPT 72110 | $78 | $98 | 79% | ~$209 | 5 |