| Acute myocardial infarction, discharged alive, with MCCMS-DRG 280 | $16,633 | $11,217 | 148% | — | 4 |
| Bariatric (obesity) surgery, no CC/MCCMS-DRG 621 | $16,179 | $8,272 | 196% | — | 3 |
| Basic metabolic panelCPT 80048 | $101 | $8 | 1196% | ~$42 | 7 |
| COPD with MCCMS-DRG 190 | $12,388 | $7,377 | 168% | — | 4 |
| CT abdomen and pelvis with contrastCPT 74177 | $3,343 | $321 | 1042% | ~$1,380 | 7 |
| CT head without contrastCPT 70450 | $1,816 | $96 | 1888% | ~$750 | 7 |
| CT pelvis with contrastCPT 72193 | $2,440 | $161 | 1513% | ~$1,008 | 7 |
| Cardiac arrhythmia, no CC/MCCMS-DRG 310 | $6,825 | $3,269 | 209% | — | 4 |
| Cardiac stress testCPT 93017 | $378 | $199 | 191% | $156 | 7 |
| Cardiac valve surgery with cardiac cath, with MCCMS-DRG 216 | $102,941 | — | — | — | 3 |
| Cataract surgery with IOL insertionCPT 66984 | $2,861 | $2,122 | 135% | — | 3 |
| Cellulitis, no MCCMS-DRG 603 | $10,018 | $5,675 | 177% | — | 4 |
| Cervical spinal fusion, no CC/MCCMS-DRG 473 | $25,937 | $16,343 | 159% | — | 4 |
| Cesarean section, no CC/MCCMS-DRG 788 | $10,898 | — | — | — | 4 |
| Cesarean section, with CCMS-DRG 787 | $12,480 | — | — | — | 4 |
| Chest painMS-DRG 313 | $7,723 | — | — | — | 3 |
| Colonoscopy with biopsyCPT 45380 | $1,474 | $1,100 | 134% | — | 3 |
| Colonoscopy with endoscopic ultrasoundCPT 45391 | $1,640 | $1,100 | 149% | — | 2 |
| Colonoscopy with polyp removalCPT 45385 | $1,474 | $1,100 | 134% | — | 3 |
| Colonoscopy, diagnosticCPT 45378 | $1,321 | $855 | 154% | — | 3 |
| Complete blood count with differentialCPT 85025 | $89 | $8 | 1148% | ~$37 | 7 |
| Complete blood count, automatedCPT 85027 | $70 | $6 | 1088% | ~$29 | 7 |
| Comprehensive metabolic panelCPT 80053 | $198 | $11 | 1878% | ~$82 | 7 |
| Coronary bypass without cardiac cath, no MCCMS-DRG 236 | $44,077 | $29,950 | 147% | — | 3 |
| Diagnostic mammography, both breastsCPT 77066 | $242 | — | — | ~$100 | 7 |
| Diagnostic mammography, one breastCPT 77065 | $175 | — | — | ~$72 | 7 |
| ED visit, level 3CPT 99283 | $432 | $251 | 172% | $174 | 7 |
| ED visit, level 4CPT 99284 | $638 | $384 | 166% | $249 | 7 |
| ED visit, level 5CPT 99285 | $1,137 | $548 | 208% | $469 | 7 |
| Echocardiogram, completeCPT 93306 | $1,800 | $503 | 358% | $743 | 7 |
| Electrocardiogram with interpretationCPT 93000 | $33 | — | — | $14 | 6 |
| Epidural injection, lumbar/sacral, no imagingCPT 62322 | $1,187 | $813 | 146% | $479 | 7 |
| Esophagitis/GI disorders, no MCCMS-DRG 392 | $9,104 | $4,899 | 186% | — | 4 |
| Excision of breast lesionCPT 19120 | $4,787 | $3,601 | 133% | — | 3 |
| Family psychotherapy, with patientCPT 90847 | $188 | $163 | 115% | — | 3 |
| Family psychotherapy, without patientCPT 90846 | $243 | $163 | 149% | — | 2 |
| Group psychotherapyCPT 90853 | $107 | $93 | 115% | — | 3 |
| Heart failure and shock, with CCMS-DRG 292 | $9,799 | $5,927 | 165% | — | 4 |
| Heart failure with MCCMS-DRG 291 | $14,162 | $9,724 | 146% | — | 4 |
| Hip and femur procedures except major joint, with CCMS-DRG 481 | $22,267 | $16,172 | 138% | — | 4 |
| Hysterectomy, no CC/MCCMS-DRG 743 | $13,308 | $10,098 | 132% | — | 3 |
| Inguinal hernia repair, age 5+CPT 49505 | $4,411 | $3,293 | 134% | — | 3 |
| Kidney and urinary tract infections, no MCCMS-DRG 690 | $9,403 | $5,238 | 180% | — | 4 |
| Kidney function panelCPT 80069 | $133 | $9 | 1534% | ~$55 | 7 |
| Knee arthroscopy with meniscectomyCPT 29881 | $4,056 | $3,009 | 135% | — | 3 |
| Laparoscopic cholecystectomyCPT 47562 | $7,293 | $5,560 | 131% | — | 3 |
| Laparoscopic cholecystectomy, no CC/MCCMS-DRG 419 | $14,650 | $8,977 | 163% | — | 3 |
| Laparoscopic radical prostatectomyCPT 55866 | $13,014 | $9,776 | 133% | — | 3 |
| Left heart catheterization, diagnosticCPT 93452 | $5,456 | $2,981 | 183% | — | 3 |
| Lipid panelCPT 80061 | $126 | $13 | 940% | ~$52 | 7 |
| Liver function panelCPT 80076 | $115 | $8 | 1408% | ~$47 | 7 |
| Lumbar epidural steroid injectionCPT 62323 | $1,187 | $649 | 183% | $479 | 7 |
| MRI brain with and without contrastCPT 70553 | $3,498 | $321 | 1090% | ~$1,445 | 7 |
| MRI lower extremity joint (knee)CPT 73721 | $1,690 | $219 | 770% | ~$682 | 7 |
| MRI lumbar spine without contrastCPT 72148 | $2,862 | $219 | 1304% | ~$1,182 | 7 |
| Major joint replacement (hip/knee), no MCCMS-DRG 470 | $21,421 | $13,045 | 164% | — | 4 |
| Major joint replacement (hip/knee), with MCCMS-DRG 469 | $31,917 | $22,346 | 143% | — | 3 |
| Major small and large bowel procedures, with CCMS-DRG 330 | $25,606 | $16,202 | 158% | — | 4 |
| Medical back problems, no MCCMS-DRG 552 | $10,923 | $6,142 | 178% | — | 4 |
| OB ultrasound, 14+ weeksCPT 76805 | $285 | $96 | 297% | ~$118 | 7 |
| Obstetric blood test panelCPT 80055 | $375 | $48 | 785% | ~$155 | 7 |
| Office consultation, comprehensiveCPT 99244 | $161 | — | — | — | 1 |
| Office visit, established patient, level 3CPT 99213 | $178 | — | — | $74 | 7 |
| Office visit, established patient, level 4CPT 99214 | $189 | — | — | $78 | 7 |
| Office visit, new patient, level 3CPT 99203 | $184 | — | — | $76 | 7 |
| Office visit, new patient, level 4CPT 99204 | $282 | — | — | $117 | 7 |
| Office visit, new patient, level 5CPT 99205 | $352 | — | — | $145 | 7 |
| PSA (prostate specific antigen), totalCPT 84153 | $180 | $18 | 980% | ~$74 | 7 |
| Partial thromboplastin timeCPT 85730 | $64 | $6 | 1066% | ~$26 | 7 |
| Physical therapy, therapeutic exerciseCPT 97110 | $107 | — | — | $44 | 7 |
| Preventive visit, new patient, 18-39CPT 99385 | $146 | — | — | — | 1 |
| Preventive visit, new patient, 40-64CPT 99386 | $176 | — | — | — | 1 |
| Prostate biopsyCPT 55700 | $2,561 | — | — | — | 1 |
| Prothrombin timeCPT 85610 | $53 | $4 | 1242% | ~$22 | 7 |
| Psychotherapy, 30 minutesCPT 90832 | $188 | $163 | 115% | — | 3 |
| Psychotherapy, 45 minutesCPT 90834 | $188 | $163 | 115% | — | 3 |
| Psychotherapy, 60 minutesCPT 90837 | $188 | $163 | 115% | — | 3 |
| Renal failure, with CCMS-DRG 683 | $10,242 | $5,892 | 174% | — | 4 |
| Screening mammography, bilateralCPT 77067 | $182 | — | — | ~$74 | 7 |
| Sepsis with MCCMS-DRG 871 | $20,746 | $15,220 | 136% | — | 4 |
| Shoulder arthroscopy, subacromial decompressionCPT 29826 | $4,056 | — | — | — | 1 |
| Simple pneumonia and pleurisy, with CCMS-DRG 194 | $9,588 | $5,177 | 185% | — | 4 |
| Sleep study (polysomnography)CPT 95810 | $1,490 | $790 | 189% | $1,163 | 7 |
| Stroke (hemorrhage/infarction), no CC/MCCMS-DRG 066 | $8,031 | $3,679 | 218% | — | 3 |
| Stroke (hemorrhage/infarction), with CC or tPAMS-DRG 065 | $11,636 | $6,559 | 177% | — | 4 |
| Thyroid stimulating hormone (TSH)CPT 84443 | $149 | $17 | 885% | ~$61 | 7 |
| Tonsillectomy and adenoidectomy, under age 12CPT 42820 | $7,395 | $5,444 | 136% | — | 3 |
| Transforaminal epidural, lumbar/sacralCPT 64483 | $1,033 | $813 | 127% | $333 | 7 |
| Ultrasound, abdomen, completeCPT 76700 | $422 | $96 | 439% | ~$174 | 7 |
| Ultrasound, transvaginalCPT 76830 | $267 | $96 | 278% | ~$110 | 7 |
| Upper GI endoscopy with biopsyCPT 43239 | $1,172 | $834 | 141% | — | 3 |
| Upper GI endoscopy, diagnosticCPT 43235 | $1,162 | $834 | 139% | $453 | 6 |
| Urinalysis, automated, with microscopyCPT 81001 | $69 | $3 | 2189% | ~$29 | 7 |
| Urinalysis, automated, without microscopyCPT 81003 | $29 | $2 | 1268% | ~$12 | 7 |
| Urinalysis, manual, with microscopyCPT 81000 | $7 | $4 | 183% | — | 3 |
| Urinalysis, manual, without microscopyCPT 81002 | $25 | $3 | 712% | ~$10 | 7 |
| Vaginal delivery, no sterilization, no CC/MCCMS-DRG 807 | $7,753 | — | — | — | 4 |
| Vaginal delivery, no sterilization, with CCMS-DRG 806 | $8,050 | — | — | — | 4 |
| X-ray, lower back, 4+ viewsCPT 72110 | $475 | $96 | 494% | ~$196 | 7 |
| YAG laser capsulotomy (secondary cataract)CPT 66821 | $910 | $506 | 180% | — | 3 |