| Acute myocardial infarction, discharged alive, with MCCMS-DRG 280 | $5,744 | $11,217 | 51% | $13,586 | 4 |
| Basic metabolic panelCPT 80048 | $38 | $8 | 454% | ~$20 | 14 |
| COPD with MCCMS-DRG 190 | $5,134 | $7,377 | 70% | $9,098 | 4 |
| CT abdomen and pelvis with contrastCPT 74177 | $1,969 | $321 | 614% | ~$1,618 | 14 |
| CT head without contrastCPT 70450 | $150 | $96 | 156% | ~$123 | 14 |
| CT pelvis with contrastCPT 72193 | $1,298 | $161 | 805% | ~$1,059 | 14 |
| Cardiac arrhythmia, no CC/MCCMS-DRG 310 | $2,278 | $3,269 | 70% | $5,051 | 4 |
| Cardiac stress testCPT 93017 | $939 | $199 | 473% | $478 | 14 |
| Cellulitis, no MCCMS-DRG 603 | $4,043 | $5,675 | 71% | $7,532 | 4 |
| Cesarean section, no CC/MCCMS-DRG 788 | $3,626 | — | — | $15,121 | 4 |
| Cesarean section, with CCMS-DRG 787 | $3,786 | — | — | $13,416 | 4 |
| Colonoscopy with biopsyCPT 45380 | $1,249 | $1,100 | 113% | $601 | 14 |
| Colonoscopy with polyp removalCPT 45385 | $1,518 | $1,100 | 138% | $773 | 14 |
| Colonoscopy, diagnosticCPT 45378 | $1,074 | $855 | 126% | $547 | 14 |
| Complete blood count with differentialCPT 85025 | $109 | $8 | 1399% | ~$55 | 14 |
| Complete blood count, automatedCPT 85027 | $98 | $6 | 1520% | ~$50 | 14 |
| Comprehensive metabolic panelCPT 80053 | $57 | $11 | 539% | ~$29 | 14 |
| Diagnostic mammography, both breastsCPT 77066 | $348 | — | — | ~$250 | 14 |
| Diagnostic mammography, one breastCPT 77065 | $218 | — | — | ~$148 | 14 |
| ED visit, level 3CPT 99283 | $224 | $251 | 89% | $101 | 14 |
| ED visit, level 4CPT 99284 | $343 | $384 | 89% | $156 | 14 |
| ED visit, level 5CPT 99285 | $454 | $548 | 83% | $226 | 14 |
| Echocardiogram, completeCPT 93306 | $1,663 | $503 | 331% | $1,382 | 14 |
| Electrocardiogram with interpretationCPT 93000 | $80 | — | — | $41 | 14 |
| Epidural injection, lumbar/sacral, no imagingCPT 62322 | $931 | $813 | 114% | $452 | 14 |
| Esophagitis/GI disorders, no MCCMS-DRG 392 | $3,530 | $4,899 | 72% | $5,454 | 4 |
| Excision of breast lesionCPT 19120 | $1,067 | $3,601 | 30% | $506 | 14 |
| Family psychotherapy, without patientCPT 90846 | $401 | $163 | 246% | $204 | 14 |
| Group psychotherapyCPT 90853 | $362 | $93 | 388% | $184 | 14 |
| Heart failure and shock, with CCMS-DRG 292 | $4,717 | $5,927 | 80% | $5,997 | 4 |
| Heart failure with MCCMS-DRG 291 | $5,872 | $10,615 | 55% | $7,785 | 4 |
| Inguinal hernia repair, age 5+CPT 49505 | $1,590 | $3,293 | 48% | $755 | 14 |
| Kidney and urinary tract infections, no MCCMS-DRG 690 | $4,075 | $5,238 | 78% | $8,192 | 4 |
| Kidney function panelCPT 80069 | $113 | $9 | 1297% | ~$57 | 14 |
| Laparoscopic cholecystectomyCPT 47562 | $1,607 | $5,560 | 29% | $763 | 14 |
| Lipid panelCPT 80061 | $179 | $13 | 1340% | ~$91 | 14 |
| Liver function panelCPT 80076 | $46 | $8 | 560% | ~$23 | 14 |
| Lumbar epidural steroid injectionCPT 62323 | $1,716 | $649 | 264% | $874 | 14 |
| MRI brain with and without contrastCPT 70553 | $2,435 | $321 | 759% | ~$2,001 | 14 |
| MRI lower extremity joint (knee)CPT 73721 | $2,525 | $219 | 1150% | ~$1,285 | 14 |
| MRI lumbar spine without contrastCPT 72148 | $1,977 | $219 | 901% | ~$1,654 | 14 |
| Major small and large bowel procedures, with CCMS-DRG 330 | $8,343 | $16,202 | 51% | $23,337 | 4 |
| Medical back problems, no MCCMS-DRG 552 | $4,909 | $6,142 | 80% | $9,498 | 4 |
| OB global care, VBAC deliveryCPT 59610 | $4,488 | — | — | $2,285 | 14 |
| OB global care, cesarean deliveryCPT 59510 | $7,455 | — | — | $3,794 | 14 |
| OB global care, vaginal deliveryCPT 59400 | $4,488 | — | — | $2,285 | 14 |
| OB ultrasound, 14+ weeksCPT 76805 | $256 | $96 | 266% | ~$118 | 14 |
| Obstetric blood test panelCPT 80055 | $221 | $48 | 462% | ~$112 | 14 |
| Office consultation, comprehensiveCPT 99244 | $195 | — | — | $160 | 9 |
| Office consultation, moderateCPT 99243 | $128 | — | — | $123 | 9 |
| Office visit, established patient, level 3CPT 99213 | $204 | — | — | $103 | 14 |
| Office visit, established patient, level 4CPT 99214 | $242 | — | — | $123 | 14 |
| Office visit, new patient, level 3CPT 99203 | $242 | — | — | $123 | 14 |
| Office visit, new patient, level 4CPT 99204 | $305 | — | — | $155 | 14 |
| Office visit, new patient, level 5CPT 99205 | $380 | — | — | $194 | 14 |
| PSA (prostate specific antigen), totalCPT 84153 | $155 | $18 | 844% | ~$79 | 14 |
| Partial thromboplastin timeCPT 85730 | $107 | $6 | 1780% | ~$54 | 14 |
| Physical therapy, therapeutic exerciseCPT 97110 | $94 | — | — | $48 | 14 |
| Preventive visit, new patient, 18-39CPT 99385 | $302 | — | — | $148 | 13 |
| Preventive visit, new patient, 40-64CPT 99386 | $348 | — | — | $170 | 13 |
| Prothrombin timeCPT 85610 | $28 | $4 | 643% | ~$14 | 14 |
| Psychotherapy, 30 minutesCPT 90832 | $362 | $163 | 222% | $184 | 14 |
| Psychotherapy, 45 minutesCPT 90834 | $388 | $163 | 238% | $198 | 14 |
| Psychotherapy, 60 minutesCPT 90837 | $410 | $163 | 251% | $209 | 14 |
| Renal failure, with CCMS-DRG 683 | $4,139 | $5,892 | 70% | $5,558 | 4 |
| Screening mammography, bilateralCPT 77067 | $267 | — | — | ~$190 | 14 |
| Sepsis with MCCMS-DRG 871 | $8,022 | $16,472 | 49% | $16,506 | 4 |
| Simple pneumonia and pleurisy, with CCMS-DRG 194 | $4,236 | $5,177 | 82% | $5,588 | 4 |
| Sleep study (polysomnography)CPT 95810 | $3,043 | $790 | 385% | $1,549 | 14 |
| Stroke (hemorrhage/infarction), no CC/MCCMS-DRG 066 | $3,113 | $3,679 | 85% | $7,299 | 4 |
| Stroke (hemorrhage/infarction), with CC or tPAMS-DRG 065 | $5,936 | $6,559 | 91% | $14,902 | 4 |
| Thyroid stimulating hormone (TSH)CPT 84443 | $169 | $17 | 1006% | ~$86 | 14 |
| Transforaminal epidural, lumbar/sacralCPT 64483 | $1,034 | $813 | 127% | $526 | 14 |
| Ultrasound, abdomen, completeCPT 76700 | $653 | $96 | 679% | ~$533 | 14 |
| Ultrasound, transvaginalCPT 76830 | $351 | $96 | 365% | ~$237 | 14 |
| Upper GI endoscopy with biopsyCPT 43239 | $830 | $834 | 99% | $394 | 14 |
| Upper GI endoscopy, diagnosticCPT 43235 | $845 | $834 | 101% | $401 | 14 |
| Urinalysis, automated, with microscopyCPT 81001 | $79 | $3 | 2503% | ~$40 | 14 |
| Urinalysis, automated, without microscopyCPT 81003 | $23 | $2 | 1035% | ~$12 | 14 |
| Urinalysis, manual, with microscopyCPT 81000 | $68 | $4 | 1695% | ~$35 | 14 |
| Urinalysis, manual, without microscopyCPT 81002 | $27 | $3 | 768% | ~$14 | 14 |
| Vaginal delivery, no sterilization, no CC/MCCMS-DRG 807 | $2,695 | — | — | $13,996 | 4 |
| Vaginal delivery, no sterilization, with CCMS-DRG 806 | $2,856 | — | — | $8,838 | 4 |
| X-ray, lower back, 4+ viewsCPT 72110 | $146 | $96 | 152% | ~$68 | 14 |