| Acute myocardial infarction, discharged alive, with MCCMS-DRG 280 | $5,687 | $11,217 | 51% | — | 2 |
| Basic metabolic panelCPT 80048 | $31 | $8 | 364% | — | 8 |
| COPD with MCCMS-DRG 190 | $5,083 | $7,377 | 69% | — | 2 |
| CT abdomen and pelvis with contrastCPT 74177 | $1,543 | $356 | 433% | — | 8 |
| CT head without contrastCPT 70450 | $734 | $107 | 687% | — | 8 |
| CT pelvis with contrastCPT 72193 | $776 | $179 | 433% | — | 8 |
| Cardiac arrhythmia, no CC/MCCMS-DRG 310 | $2,256 | $3,269 | 69% | — | 2 |
| Cardiac stress testCPT 93017 | $717 | $221 | 325% | — | 8 |
| Cellulitis, no MCCMS-DRG 603 | $4,003 | $5,675 | 71% | — | 2 |
| Cesarean section, no CC/MCCMS-DRG 788 | $3,590 | — | — | — | 2 |
| Cesarean section, with CCMS-DRG 787 | $3,749 | — | — | — | 2 |
| Chest painMS-DRG 313 | $3,145 | — | — | — | 2 |
| Colonoscopy with biopsyCPT 45380 | $291 | $1,223 | 24% | — | 4 |
| Colonoscopy with polyp removalCPT 45385 | $331 | $1,223 | 27% | — | 4 |
| Colonoscopy, diagnosticCPT 45378 | $242 | $950 | 25% | — | 4 |
| Complete blood count with differentialCPT 85025 | $43 | $8 | 547% | — | 8 |
| Complete blood count, automatedCPT 85027 | $24 | $6 | 371% | — | 8 |
| Comprehensive metabolic panelCPT 80053 | $46 | $11 | 434% | — | 8 |
| Diagnostic mammography, both breastsCPT 77066 | $247 | — | — | — | 8 |
| Diagnostic mammography, one breastCPT 77065 | $210 | — | — | — | 8 |
| ED visit, level 3CPT 99283 | $231 | $279 | 83% | — | 8 |
| ED visit, level 4CPT 99284 | $329 | $426 | 77% | — | 8 |
| ED visit, level 5CPT 99285 | $396 | $608 | 65% | — | 8 |
| Echocardiogram, completeCPT 93306 | $1,438 | $558 | 258% | — | 8 |
| Esophagitis/GI disorders, no MCCMS-DRG 392 | $3,495 | $4,899 | 71% | — | 2 |
| Excision of breast lesionCPT 19120 | $436 | $4,000 | 11% | — | 4 |
| Heart failure and shock, with CCMS-DRG 292 | $4,670 | $5,927 | 79% | — | 2 |
| Heart failure with MCCMS-DRG 291 | $5,814 | $8,962 | 65% | — | 2 |
| Hip and femur procedures except major joint, with CCMS-DRG 481 | $8,387 | $13,876 | 60% | — | 2 |
| Inguinal hernia repair, age 5+CPT 49505 | $435 | $3,658 | 12% | — | 4 |
| Kidney and urinary tract infections, no MCCMS-DRG 690 | $4,035 | $5,238 | 77% | — | 2 |
| Kidney function panelCPT 80069 | $35 | $9 | 401% | — | 8 |
| Laparoscopic cholecystectomyCPT 47562 | $583 | $6,176 | 9% | — | 4 |
| Laparoscopic cholecystectomy, no CC/MCCMS-DRG 419 | $5,528 | $8,977 | 62% | — | 2 |
| Lipid panelCPT 80061 | $6 | $13 | 45% | — | 8 |
| Liver function panelCPT 80076 | $39 | $8 | 479% | — | 8 |
| MRI brain with and without contrastCPT 70553 | $2,686 | $356 | 754% | — | 8 |
| MRI lower extremity joint (knee)CPT 73721 | $1,276 | $244 | 523% | — | 8 |
| MRI lumbar spine without contrastCPT 72148 | $1,695 | $244 | 695% | — | 8 |
| Major joint replacement (hip/knee), no MCCMS-DRG 470 | $10,421 | $13,045 | 80% | — | 2 |
| Medical back problems, no MCCMS-DRG 552 | $4,861 | $6,142 | 79% | — | 2 |
| OB ultrasound, 14+ weeksCPT 76805 | $528 | $107 | 494% | — | 8 |
| Obstetric blood test panelCPT 80055 | $421 | $48 | 880% | — | 8 |
| Office consultation, comprehensiveCPT 99244 | $121 | — | — | — | 3 |
| Office consultation, moderateCPT 99243 | $77 | — | — | — | 3 |
| Office visit, established patient, level 3CPT 99213 | $211 | — | — | — | 8 |
| Office visit, established patient, level 4CPT 99214 | $276 | — | — | — | 8 |
| Office visit, new patient, level 3CPT 99203 | $90 | — | — | — | 8 |
| Office visit, new patient, level 4CPT 99204 | $124 | — | — | — | 8 |
| Office visit, new patient, level 5CPT 99205 | $167 | — | — | — | 8 |
| PSA (prostate specific antigen), totalCPT 84153 | $71 | $18 | 385% | — | 8 |
| Partial thromboplastin timeCPT 85730 | $46 | $6 | 762% | — | 8 |
| Physical therapy, therapeutic exerciseCPT 97110 | $70 | — | — | — | 8 |
| Prothrombin timeCPT 85610 | $26 | $4 | 610% | — | 8 |
| Renal failure, with CCMS-DRG 683 | $4,098 | $5,892 | 70% | — | 2 |
| Screening mammography, bilateralCPT 77067 | $152 | — | — | — | 8 |
| Sepsis with MCCMS-DRG 871 | $7,942 | $13,837 | 57% | — | 2 |
| Simple pneumonia and pleurisy, with CCMS-DRG 194 | $4,194 | $5,177 | 81% | — | 2 |
| Sleep study (polysomnography)CPT 95810 | $3,021 | $877 | 344% | — | 8 |
| Stroke (hemorrhage/infarction), no CC/MCCMS-DRG 066 | $3,082 | $3,679 | 84% | — | 2 |
| Stroke (hemorrhage/infarction), with CC or tPAMS-DRG 065 | $5,877 | $6,559 | 90% | — | 2 |
| Thyroid stimulating hormone (TSH)CPT 84443 | $5 | $17 | 30% | — | 8 |
| Ultrasound, abdomen, completeCPT 76700 | $308 | $107 | 289% | — | 8 |
| Ultrasound, transvaginalCPT 76830 | $369 | $107 | 346% | — | 8 |
| Upper GI endoscopy with biopsyCPT 43239 | $1,099 | $927 | 119% | — | 8 |
| Upper GI endoscopy, diagnosticCPT 43235 | $617 | $927 | 67% | — | 8 |
| Urinalysis, automated, with microscopyCPT 81001 | $35 | $3 | 1095% | — | 8 |
| Urinalysis, automated, without microscopyCPT 81003 | $15 | $2 | 676% | — | 8 |
| Urinalysis, manual, with microscopyCPT 81000 | $15 | $4 | 380% | — | 8 |
| Urinalysis, manual, without microscopyCPT 81002 | $21 | $3 | 607% | — | 8 |
| Vaginal delivery, no sterilization, no CC/MCCMS-DRG 807 | $2,669 | — | — | — | 2 |
| Vaginal delivery, no sterilization, with CCMS-DRG 806 | $2,828 | — | — | — | 2 |
| X-ray, lower back, 4+ viewsCPT 72110 | $227 | $107 | 213% | — | 8 |