| Acute myocardial infarction, discharged alive, with MCCMS-DRG 280 | $13,092 | $11,217 | 117% | — | 4 |
| Basic metabolic panelCPT 80048 | $46 | $8 | 546% | — | 13 |
| COPD with MCCMS-DRG 190 | $9,231 | $7,377 | 125% | — | 4 |
| CT abdomen and pelvis with contrastCPT 74177 | $1,987 | $356 | 558% | — | 13 |
| CT head without contrastCPT 70450 | $636 | $107 | 595% | — | 13 |
| CT pelvis with contrastCPT 72193 | $1,258 | $179 | 702% | — | 13 |
| Cardiac arrhythmia, no CC/MCCMS-DRG 310 | $4,498 | $3,269 | 138% | — | 4 |
| Cardiac stress testCPT 93017 | $861 | $221 | 390% | — | 13 |
| Cellulitis, no MCCMS-DRG 603 | $6,877 | $5,675 | 121% | — | 4 |
| Cesarean section, no CC/MCCMS-DRG 788 | $7,222 | — | — | — | 6 |
| Cesarean section, with CCMS-DRG 787 | $7,828 | — | — | — | 6 |
| Colonoscopy with biopsyCPT 45380 | $316 | $1,223 | 26% | — | 13 |
| Colonoscopy with polyp removalCPT 45385 | $398 | $1,223 | 33% | — | 13 |
| Colonoscopy, diagnosticCPT 45378 | $246 | $950 | 26% | — | 13 |
| Complete blood count with differentialCPT 85025 | $26 | $8 | 333% | — | 13 |
| Complete blood count, automatedCPT 85027 | $35 | $6 | 544% | — | 13 |
| Comprehensive metabolic panelCPT 80053 | $58 | $11 | 547% | — | 13 |
| Diagnostic mammography, both breastsCPT 77066 | $212 | — | — | — | 13 |
| Diagnostic mammography, one breastCPT 77065 | $167 | — | — | — | 13 |
| ED visit, level 3CPT 99283 | $334 | $279 | 120% | — | 13 |
| ED visit, level 4CPT 99284 | $491 | $426 | 115% | — | 13 |
| ED visit, level 5CPT 99285 | $751 | $608 | 124% | — | 13 |
| Echocardiogram, completeCPT 93306 | $1,656 | $558 | 297% | — | 13 |
| Electrocardiogram with interpretationCPT 93000 | $45 | — | — | — | 11 |
| Epidural injection, lumbar/sacral, no imagingCPT 62322 | $112 | $904 | 12% | — | 13 |
| Esophagitis/GI disorders, no MCCMS-DRG 392 | $6,153 | $4,899 | 126% | — | 4 |
| Excision of breast lesionCPT 19120 | $515 | $4,000 | 13% | — | 13 |
| Family psychotherapy, with patientCPT 90847 | $231 | $181 | 127% | — | 13 |
| Family psychotherapy, without patientCPT 90846 | $315 | $181 | 174% | — | 13 |
| Group psychotherapyCPT 90853 | $120 | $104 | 116% | — | 13 |
| Heart failure and shock, with CCMS-DRG 292 | $6,532 | $5,927 | 110% | — | 4 |
| Heart failure with MCCMS-DRG 291 | $10,923 | $8,962 | 122% | — | 4 |
| Hip and femur procedures except major joint, with CCMS-DRG 481 | $20,164 | $13,876 | 145% | — | 3 |
| Hysterectomy, no CC/MCCMS-DRG 743 | $9,209 | $10,098 | 91% | — | 4 |
| Inguinal hernia repair, age 5+CPT 49505 | $633 | $3,658 | 17% | — | 13 |
| Kidney and urinary tract infections, no MCCMS-DRG 690 | $6,415 | $5,238 | 122% | — | 4 |
| Kidney function panelCPT 80069 | $47 | $9 | 545% | — | 13 |
| Knee arthroscopy with meniscectomyCPT 29881 | $632 | $3,343 | 19% | — | 13 |
| Laparoscopic cholecystectomyCPT 47562 | $797 | $6,176 | 13% | — | 13 |
| Laparoscopic cholecystectomy, no CC/MCCMS-DRG 419 | $10,261 | $8,977 | 114% | — | 4 |
| Lipid panelCPT 80061 | $74 | $13 | 550% | — | 13 |
| Liver function panelCPT 80076 | $45 | $8 | 552% | — | 13 |
| Lumbar epidural steroid injectionCPT 62323 | $146 | $721 | 20% | — | 13 |
| MRI brain with and without contrastCPT 70553 | $2,483 | $356 | 697% | — | 13 |
| MRI lower extremity joint (knee)CPT 73721 | $1,592 | $244 | 653% | — | 13 |
| MRI lumbar spine without contrastCPT 72148 | $1,592 | $244 | 653% | — | 13 |
| Major joint replacement (hip/knee), no MCCMS-DRG 470 | $21,044 | $13,045 | 161% | — | 3 |
| Major joint replacement (hip/knee), with MCCMS-DRG 469 | $28,778 | $22,346 | 129% | — | 3 |
| Major small and large bowel procedures, with CCMS-DRG 330 | $20,276 | $16,202 | 125% | — | 4 |
| Medical back problems, no MCCMS-DRG 552 | $7,251 | $6,142 | 118% | — | 4 |
| OB global care, cesarean deliveryCPT 59510 | $2,940 | — | — | — | 13 |
| OB global care, vaginal deliveryCPT 59400 | $3,010 | — | — | — | 11 |
| OB ultrasound, 14+ weeksCPT 76805 | $590 | $107 | 553% | — | 13 |
| Obstetric blood test panelCPT 80055 | $161 | $48 | 336% | — | 13 |
| Office consultation, comprehensiveCPT 99244 | $252 | — | — | — | 11 |
| Office consultation, moderateCPT 99243 | $216 | — | — | — | 11 |
| Office visit, established patient, level 3CPT 99213 | $142 | — | — | — | 13 |
| Office visit, established patient, level 4CPT 99214 | $189 | — | — | — | 13 |
| Office visit, new patient, level 3CPT 99203 | $164 | — | — | — | 11 |
| Office visit, new patient, level 4CPT 99204 | $174 | — | — | — | 11 |
| Office visit, new patient, level 5CPT 99205 | $214 | — | — | — | 11 |
| PSA (prostate specific antigen), totalCPT 84153 | $120 | $18 | 653% | — | 13 |
| Partial thromboplastin timeCPT 85730 | $33 | $6 | 549% | — | 13 |
| Physical therapy, therapeutic exerciseCPT 97110 | $113 | — | — | — | 13 |
| Preventive visit, new patient, 18-39CPT 99385 | $180 | — | — | — | 11 |
| Preventive visit, new patient, 40-64CPT 99386 | $186 | — | — | — | 11 |
| Prostate biopsyCPT 55700 | $920 | — | — | — | 13 |
| Prothrombin timeCPT 85610 | $16 | $4 | 375% | — | 13 |
| Psychotherapy, 30 minutesCPT 90832 | $231 | $181 | 127% | — | 13 |
| Psychotherapy, 45 minutesCPT 90834 | $231 | $181 | 127% | — | 13 |
| Psychotherapy, 60 minutesCPT 90837 | $231 | $181 | 127% | — | 13 |
| Renal failure, with CCMS-DRG 683 | $7,712 | $5,892 | 131% | — | 4 |
| Screening mammography, bilateralCPT 77067 | $167 | — | — | — | 13 |
| Sepsis with MCCMS-DRG 871 | $15,002 | $13,837 | 108% | — | 4 |
| Shoulder arthroscopy, subacromial decompressionCPT 29826 | $216 | — | — | — | 13 |
| Simple pneumonia and pleurisy, with CCMS-DRG 194 | $7,060 | $5,177 | 136% | — | 4 |
| Stroke (hemorrhage/infarction), no CC/MCCMS-DRG 066 | $5,862 | $3,679 | 159% | — | 4 |
| Stroke (hemorrhage/infarction), with CC or tPAMS-DRG 065 | $8,993 | $6,559 | 137% | — | 4 |
| Thyroid stimulating hormone (TSH)CPT 84443 | $94 | $17 | 557% | — | 13 |
| Transforaminal epidural, lumbar/sacralCPT 64483 | $178 | $904 | 20% | — | 13 |
| Ultrasound, abdomen, completeCPT 76700 | $405 | $107 | 380% | — | 13 |
| Ultrasound, transvaginalCPT 76830 | $537 | $107 | 503% | — | 13 |
| Upper GI endoscopy with biopsyCPT 43239 | $220 | $927 | 24% | — | 13 |
| Upper GI endoscopy, diagnosticCPT 43235 | $196 | $927 | 21% | — | 13 |
| Urinalysis, automated, with microscopyCPT 81001 | $18 | $3 | 573% | — | 13 |
| Urinalysis, automated, without microscopyCPT 81003 | $12 | $2 | 538% | — | 13 |
| Urinalysis, manual, with microscopyCPT 81000 | $29 | $4 | 725% | — | 13 |
| Urinalysis, manual, without microscopyCPT 81002 | $8 | $3 | 237% | — | 13 |
| Vaginal delivery, no sterilization, no CC/MCCMS-DRG 807 | $5,170 | — | — | — | 6 |
| Vaginal delivery, no sterilization, with CCMS-DRG 806 | $5,213 | — | — | — | 6 |
| X-ray, lower back, 4+ viewsCPT 72110 | $418 | $107 | 391% | — | 13 |