| Acute myocardial infarction, discharged alive, with MCCMS-DRG 280 | $23,270 | $10,057 | 231% | — | 4 |
| Bariatric (obesity) surgery, no CC/MCCMS-DRG 621 | $22,054 | $8,272 | 267% | — | 4 |
| Basic metabolic panelCPT 80048 | $60 | $8 | 704% | — | 2 |
| COPD with MCCMS-DRG 190 | $18,032 | $7,377 | 244% | — | 4 |
| CT abdomen and pelvis with contrastCPT 74177 | $1,530 | $345 | 443% | — | 2 |
| CT head without contrastCPT 70450 | $1,190 | $104 | 1150% | — | 2 |
| CT pelvis with contrastCPT 72193 | $1,542 | $174 | 888% | — | 2 |
| Cardiac arrhythmia, no CC/MCCMS-DRG 310 | $8,984 | $3,269 | 275% | — | 4 |
| Cardiac stress testCPT 93017 | $1,642 | $214 | 768% | — | 1 |
| Cardiac valve surgery with cardiac cath, with MCCMS-DRG 216 | $124,248 | $58,414 | 213% | — | 4 |
| Cellulitis, no MCCMS-DRG 603 | $14,143 | $5,675 | 249% | — | 4 |
| Cervical spinal fusion, no CC/MCCMS-DRG 473 | $30,478 | $16,343 | 186% | — | 4 |
| Cesarean section, no CC/MCCMS-DRG 788 | $14,978 | — | — | — | 4 |
| Cesarean section, with CCMS-DRG 787 | $16,436 | — | — | — | 4 |
| Chest painMS-DRG 313 | $11,455 | — | — | — | 4 |
| Colonoscopy with biopsyCPT 45380 | $4,235 | $1,185 | 357% | — | 1 |
| Colonoscopy with polyp removalCPT 45385 | $4,235 | $1,185 | 357% | — | 1 |
| Colonoscopy, diagnosticCPT 45378 | $4,235 | $921 | 460% | — | 1 |
| Complete blood count with differentialCPT 85025 | $57 | $8 | 729% | — | 2 |
| Complete blood count, automatedCPT 85027 | $51 | $6 | 792% | — | 2 |
| Comprehensive metabolic panelCPT 80053 | $68 | $11 | 646% | — | 2 |
| Coronary bypass without cardiac cath, no MCCMS-DRG 236 | $52,939 | $29,950 | 177% | — | 4 |
| Diagnostic mammography, both breastsCPT 77066 | $1,094 | — | — | — | 1 |
| Diagnostic mammography, one breastCPT 77065 | $867 | — | — | — | 1 |
| ED visit, level 3CPT 99283 | $2,757 | $270 | 1020% | — | 2 |
| ED visit, level 4CPT 99284 | $4,580 | $413 | 1109% | — | 2 |
| ED visit, level 5CPT 99285 | $5,270 | $590 | 894% | — | 2 |
| Echocardiogram, completeCPT 93306 | $3,112 | $541 | 575% | — | 1 |
| Esophagitis/GI disorders, no MCCMS-DRG 392 | $12,529 | $4,536 | 276% | — | 4 |
| Excision of breast lesionCPT 19120 | $11,512 | $3,876 | 297% | — | 1 |
| Family psychotherapy, with patientCPT 90847 | $1,028 | $176 | 585% | — | 1 |
| Group psychotherapyCPT 90853 | $414 | $101 | 412% | — | 1 |
| Heart failure and shock, with CCMS-DRG 292 | $13,828 | $5,927 | 233% | — | 4 |
| Heart failure with MCCMS-DRG 291 | $20,951 | $7,687 | 273% | — | 4 |
| Hip and femur procedures except major joint, with CCMS-DRG 481 | $26,712 | $14,135 | 189% | — | 4 |
| Inguinal hernia repair, age 5+CPT 49505 | $14,868 | $3,544 | 419% | — | 1 |
| Kidney and urinary tract infections, no MCCMS-DRG 690 | $12,887 | $4,639 | 278% | — | 4 |
| Kidney function panelCPT 80069 | $60 | $9 | 696% | — | 2 |
| Knee arthroscopy with meniscectomyCPT 29881 | $13,916 | $3,239 | 430% | — | 1 |
| Laparoscopic cholecystectomyCPT 47562 | $21,785 | $5,985 | 364% | — | 1 |
| Laparoscopic cholecystectomy, no CC/MCCMS-DRG 419 | $21,077 | $8,977 | 235% | — | 4 |
| Left heart catheterization, diagnosticCPT 93452 | $18,414 | $3,209 | 574% | — | 1 |
| Lipid panelCPT 80061 | $80 | $13 | 597% | — | 2 |
| Liver function panelCPT 80076 | $58 | $8 | 714% | — | 2 |
| MRI brain with and without contrastCPT 70553 | $2,524 | $345 | 731% | — | 2 |
| MRI lower extremity joint (knee)CPT 73721 | $1,883 | $236 | 797% | — | 2 |
| MRI lumbar spine without contrastCPT 72148 | $1,883 | $236 | 797% | — | 2 |
| Major joint replacement (hip/knee), no MCCMS-DRG 470 | $24,924 | $13,045 | 191% | — | 4 |
| Major joint replacement (hip/knee), with MCCMS-DRG 469 | $42,081 | $22,346 | 188% | — | 4 |
| Major small and large bowel procedures, with CCMS-DRG 330 | $30,430 | $16,202 | 188% | — | 4 |
| Medical back problems, no MCCMS-DRG 552 | $15,476 | $6,142 | 252% | — | 4 |
| OB ultrasound, 14+ weeksCPT 76805 | $671 | $104 | 649% | — | 1 |
| Obstetric blood test panelCPT 80055 | $222 | $48 | 465% | — | 2 |
| PSA (prostate specific antigen), totalCPT 84153 | $101 | $18 | 547% | — | 2 |
| Partial thromboplastin timeCPT 85730 | $49 | $6 | 822% | — | 2 |
| Physical therapy, therapeutic exerciseCPT 97110 | $188 | — | — | — | 1 |
| Prostate biopsyCPT 55700 | $5,782 | — | — | — | 1 |
| Prothrombin timeCPT 85610 | $42 | $4 | 985% | — | 2 |
| Psychotherapy, 30 minutesCPT 90832 | $540 | $176 | 308% | — | 1 |
| Psychotherapy, 45 minutesCPT 90834 | $718 | $176 | 409% | — | 1 |
| Renal failure, with CCMS-DRG 683 | $14,273 | $5,141 | 278% | — | 4 |
| Screening mammography, bilateralCPT 77067 | $881 | — | — | — | 1 |
| Sepsis with MCCMS-DRG 871 | $25,443 | $12,320 | 207% | — | 4 |
| Shoulder arthroscopy, subacromial decompressionCPT 29826 | $22,705 | — | — | — | 1 |
| Simple pneumonia and pleurisy, with CCMS-DRG 194 | $13,167 | $5,177 | 254% | — | 4 |
| Spinal fusion except cervical, no MCCMS-DRG 460 | $24,303 | $25,413 | 96% | — | 1 |
| Spinal fusion except cervical, with MCCMS-DRG 459 | $24,303 | $51,127 | 48% | — | 1 |
| Stroke (hemorrhage/infarction), no CC/MCCMS-DRG 066 | $11,052 | $3,679 | 300% | — | 4 |
| Stroke (hemorrhage/infarction), with CC or tPAMS-DRG 065 | $16,328 | $5,288 | 309% | — | 4 |
| Thyroid stimulating hormone (TSH)CPT 84443 | $94 | $17 | 560% | — | 2 |
| Tonsillectomy and adenoidectomy, under age 12CPT 42820 | $11,611 | $5,860 | 198% | — | 1 |
| Transforaminal epidural, lumbar/sacralCPT 64483 | $3,349 | $876 | 382% | — | 1 |
| Ultrasound, abdomen, completeCPT 76700 | $671 | $104 | 649% | — | 1 |
| Ultrasound, transvaginalCPT 76830 | $671 | $104 | 649% | — | 1 |
| Upper GI endoscopy with biopsyCPT 43239 | $4,068 | $898 | 453% | — | 1 |
| Upper GI endoscopy, diagnosticCPT 43235 | $4,068 | $898 | 453% | — | 1 |
| Urinalysis, automated, with microscopyCPT 81001 | $38 | $3 | 1186% | — | 2 |
| Urinalysis, automated, without microscopyCPT 81003 | $34 | $2 | 1503% | — | 2 |
| Urinalysis, manual, with microscopyCPT 81000 | $41 | $4 | 1023% | — | 2 |
| Urinalysis, manual, without microscopyCPT 81002 | $39 | $3 | 1118% | — | 2 |
| Vaginal delivery, no sterilization, no CC/MCCMS-DRG 807 | $9,804 | — | — | — | 4 |
| Vaginal delivery, no sterilization, with CCMS-DRG 806 | $11,131 | — | — | — | 4 |
| X-ray, lower back, 4+ viewsCPT 72110 | $655 | $104 | 633% | — | 1 |