| Acute myocardial infarction, discharged alive, with MCCMS-DRG 280 | $12,632 | $11,217 | 113% | — | 5 |
| Bariatric (obesity) surgery, no CC/MCCMS-DRG 621 | $9,575 | $8,272 | 116% | — | 5 |
| Basic metabolic panelCPT 80048 | $235 | $8 | 2775% | ~$144 | 19 |
| COPD with MCCMS-DRG 190 | $7,356 | $7,377 | 100% | — | 5 |
| CT abdomen and pelvis with contrastCPT 74177 | $4,927 | $345 | 1426% | ~$3,022 | 19 |
| CT head without contrastCPT 70450 | $2,175 | $104 | 2101% | ~$1,334 | 19 |
| CT pelvis with contrastCPT 72193 | $2,449 | $174 | 1410% | ~$1,502 | 19 |
| Cardiac arrhythmia, no CC/MCCMS-DRG 310 | $3,665 | $3,269 | 112% | — | 5 |
| Cardiac stress testCPT 93017 | $486 | $214 | 228% | $280 | 19 |
| Cardiac valve surgery with cardiac cath, with MCCMS-DRG 216 | $63,215 | — | — | — | 5 |
| Cataract surgery with IOL insertionCPT 66984 | $1,437 | $2,285 | 63% | $730 | 18 |
| Cellulitis, no MCCMS-DRG 603 | $5,769 | $5,675 | 102% | — | 5 |
| Cervical spinal fusion, no CC/MCCMS-DRG 473 | $15,506 | $16,343 | 95% | — | 5 |
| Cesarean section, no CC/MCCMS-DRG 788 | $5,926 | — | — | — | 5 |
| Cesarean section, with CCMS-DRG 787 | $6,955 | — | — | — | 5 |
| Chest painMS-DRG 313 | $4,673 | — | — | — | 5 |
| Colonoscopy with biopsyCPT 45380 | $579 | $1,185 | 49% | $294 | 18 |
| Colonoscopy with endoscopic ultrasoundCPT 45391 | $628 | $1,185 | 53% | $319 | 18 |
| Colonoscopy with polyp removalCPT 45385 | $737 | $1,185 | 62% | $374 | 18 |
| Colonoscopy, diagnosticCPT 45378 | $536 | $921 | 58% | $272 | 18 |
| Complete blood count, automatedCPT 85027 | $57 | $6 | 881% | ~$35 | 19 |
| Comprehensive metabolic panelCPT 80053 | $307 | $11 | 2905% | ~$188 | 19 |
| Coronary bypass without cardiac cath, no MCCMS-DRG 236 | $27,372 | $29,950 | 91% | — | 5 |
| Diagnostic mammography, both breastsCPT 77066 | $573 | — | — | ~$319 | 18 |
| Diagnostic mammography, one breastCPT 77065 | $447 | — | — | ~$249 | 18 |
| ED visit, level 3CPT 99283 | $453 | $270 | 167% | $279 | 18 |
| ED visit, level 4CPT 99284 | $743 | $413 | 180% | $472 | 18 |
| ED visit, level 5CPT 99285 | $1,726 | $590 | 293% | $1,095 | 18 |
| Echocardiogram, completeCPT 93306 | $2,552 | $541 | 472% | $1,565 | 19 |
| Electrocardiogram with interpretationCPT 93000 | $394 | — | — | $213 | 16 |
| Epidural injection, lumbar/sacral, no imagingCPT 62322 | $767 | $876 | 88% | $392 | 18 |
| Esophagitis/GI disorders, no MCCMS-DRG 392 | $5,111 | $4,899 | 104% | — | 5 |
| Excision of breast lesionCPT 19120 | $1,387 | $3,876 | 36% | $705 | 18 |
| Family psychotherapy, with patientCPT 90847 | $261 | $176 | 149% | $159 | 19 |
| Family psychotherapy, without patientCPT 90846 | $251 | $176 | 143% | $153 | 19 |
| Group psychotherapyCPT 90853 | $74 | $101 | 73% | $38 | 19 |
| Heart failure and shock, with CCMS-DRG 292 | $5,641 | $5,927 | 95% | — | 5 |
| Heart failure with MCCMS-DRG 291 | $8,546 | $11,321 | 75% | — | 5 |
| Hip and femur procedures except major joint, with CCMS-DRG 481 | $13,591 | $13,876 | 98% | — | 5 |
| Hysterectomy, no CC/MCCMS-DRG 743 | $7,851 | $10,098 | 78% | — | 5 |
| Inguinal hernia repair, age 5+CPT 49505 | $984 | $3,544 | 28% | $500 | 18 |
| Kidney and urinary tract infections, no MCCMS-DRG 690 | $5,257 | $5,238 | 100% | — | 5 |
| Kidney function panelCPT 80069 | $231 | $9 | 2661% | ~$142 | 19 |
| Knee arthroscopy with meniscectomyCPT 29881 | $1,002 | $3,239 | 31% | $509 | 18 |
| Laparoscopic cholecystectomyCPT 47562 | $1,906 | $5,985 | 32% | $969 | 18 |
| Laparoscopic cholecystectomy, no CC/MCCMS-DRG 419 | $8,630 | $8,977 | 96% | — | 5 |
| Laparoscopic radical prostatectomyCPT 55866 | $2,588 | $10,523 | 25% | $1,316 | 18 |
| Lipid panelCPT 80061 | $189 | $13 | 1412% | ~$116 | 19 |
| Liver function panelCPT 80076 | $225 | $8 | 2754% | ~$138 | 19 |
| Lumbar epidural steroid injectionCPT 62323 | $760 | $699 | 109% | $392 | 18 |
| MRI brain with and without contrastCPT 70553 | $4,500 | $345 | 1303% | ~$2,760 | 19 |
| MRI lower extremity joint (knee)CPT 73721 | $3,045 | $236 | 1289% | ~$1,868 | 19 |
| MRI lumbar spine without contrastCPT 72148 | $3,279 | $236 | 1388% | ~$2,011 | 19 |
| Major joint replacement (hip/knee), no MCCMS-DRG 470 | $14,188 | $13,045 | 109% | — | 5 |
| Major joint replacement (hip/knee), with MCCMS-DRG 469 | $21,410 | $22,346 | 96% | — | 5 |
| Major small and large bowel procedures, with CCMS-DRG 330 | $15,482 | $16,202 | 96% | — | 5 |
| Medical back problems, no MCCMS-DRG 552 | $6,313 | $6,142 | 103% | — | 5 |
| OB ultrasound, 14+ weeksCPT 76805 | $918 | $104 | 887% | ~$563 | 19 |
| Office consultation, comprehensiveCPT 99244 | $347 | — | — | $188 | 16 |
| Office consultation, moderateCPT 99243 | $265 | — | — | $144 | 16 |
| Office visit, established patient, level 3CPT 99213 | $222 | — | — | $120 | 15 |
| Office visit, established patient, level 4CPT 99214 | $314 | — | — | $170 | 15 |
| Office visit, new patient, level 3CPT 99203 | $277 | — | — | $150 | 15 |
| Office visit, new patient, level 4CPT 99204 | $412 | — | — | $223 | 15 |
| Office visit, new patient, level 5CPT 99205 | $545 | — | — | $295 | 15 |
| PSA (prostate specific antigen), totalCPT 84153 | $162 | $18 | 881% | ~$99 | 19 |
| Partial thromboplastin timeCPT 85730 | $112 | $6 | 1859% | ~$69 | 19 |
| Physical therapy, therapeutic exerciseCPT 97110 | $156 | — | — | $87 | 18 |
| Preventive visit, new patient, 18-39CPT 99385 | $266 | — | — | $153 | 17 |
| Preventive visit, new patient, 40-64CPT 99386 | $308 | — | — | $167 | 15 |
| Prostate biopsyCPT 55700 | $526 | — | — | $267 | 18 |
| Prothrombin timeCPT 85610 | $41 | $4 | 962% | ~$25 | 19 |
| Psychotherapy, 30 minutesCPT 90832 | $170 | $176 | 97% | $91 | 18 |
| Psychotherapy, 45 minutesCPT 90834 | $201 | $176 | 114% | $119 | 18 |
| Psychotherapy, 60 minutesCPT 90837 | $284 | $176 | 162% | $180 | 18 |
| Renal failure, with CCMS-DRG 683 | $7,200 | $5,892 | 122% | — | 5 |
| Screening mammography, bilateralCPT 77067 | $392 | — | — | ~$218 | 18 |
| Sepsis with MCCMS-DRG 871 | $12,852 | $17,958 | 72% | — | 5 |
| Shoulder arthroscopy, subacromial decompressionCPT 29826 | $486 | — | — | $254 | 17 |
| Simple pneumonia and pleurisy, with CCMS-DRG 194 | $5,371 | $5,177 | 104% | — | 5 |
| Sleep study (polysomnography)CPT 95810 | $2,913 | $850 | 343% | $1,848 | 18 |
| Stroke (hemorrhage/infarction), no CC/MCCMS-DRG 066 | $5,245 | $3,679 | 143% | — | 5 |
| Stroke (hemorrhage/infarction), with CC or tPAMS-DRG 065 | $6,801 | $6,559 | 104% | — | 5 |
| Thyroid stimulating hormone (TSH)CPT 84443 | $158 | $17 | 938% | ~$97 | 19 |
| Tonsillectomy and adenoidectomy, under age 12CPT 42820 | $679 | $5,860 | 12% | $345 | 18 |
| Transforaminal epidural, lumbar/sacralCPT 64483 | $609 | $876 | 70% | $310 | 18 |
| Ultrasound, abdomen, completeCPT 76700 | $1,165 | $104 | 1125% | ~$714 | 19 |
| Ultrasound, transvaginalCPT 76830 | $804 | $104 | 777% | ~$493 | 19 |
| Upper GI endoscopy with biopsyCPT 43239 | $400 | $898 | 45% | $203 | 18 |
| Upper GI endoscopy, diagnosticCPT 43235 | $353 | $898 | 39% | $179 | 18 |
| Urinalysis, automated, with microscopyCPT 81001 | $48 | $3 | 1514% | ~$29 | 19 |
| Urinalysis, automated, without microscopyCPT 81003 | $48 | $2 | 2133% | ~$29 | 19 |
| Urinalysis, manual, without microscopyCPT 81002 | $15 | $3 | 431% | ~$9 | 19 |
| Vaginal delivery, no sterilization, no CC/MCCMS-DRG 807 | $4,174 | — | — | — | 5 |
| Vaginal delivery, no sterilization, with CCMS-DRG 806 | $4,740 | — | — | — | 5 |
| X-ray, lower back, 4+ viewsCPT 72110 | $609 | $104 | 588% | ~$374 | 19 |