| Acute myocardial infarction, discharged alive, with MCCMS-DRG 280 | $57,843 | $16,268 | 356% | — | 18 |
| Bariatric (obesity) surgery, no CC/MCCMS-DRG 621 | $39,588 | $8,272 | 479% | — | 18 |
| Basic metabolic panelCPT 80048 | $91 | $8 | 1073% | ~$19 | 25 |
| COPD with MCCMS-DRG 190 | $36,006 | $10,830 | 332% | — | 18 |
| CT abdomen and pelvis with contrastCPT 74177 | $1,641 | $435 | 377% | ~$1,129 | 25 |
| CT head without contrastCPT 70450 | $1,274 | $130 | 976% | ~$460 | 25 |
| CT pelvis with contrastCPT 72193 | $1,641 | $219 | 749% | ~$724 | 25 |
| Cardiac arrhythmia, no CC/MCCMS-DRG 310 | $17,625 | $3,269 | 539% | — | 18 |
| Cardiac stress testCPT 93017 | $741 | $270 | 275% | $313 | 25 |
| Cardiac valve surgery with cardiac cath, with MCCMS-DRG 216 | $254,658 | — | — | — | 18 |
| Cataract surgery with IOL insertionCPT 66984 | $6,607 | $2,881 | 229% | — | 18 |
| Cellulitis, no MCCMS-DRG 603 | $25,092 | $9,009 | 279% | — | 18 |
| Cervical spinal fusion, no CC/MCCMS-DRG 473 | $55,927 | $16,343 | 342% | — | 18 |
| Cesarean section, no CC/MCCMS-DRG 788 | $26,641 | — | — | — | 18 |
| Cesarean section, with CCMS-DRG 787 | $30,723 | — | — | — | 18 |
| Chest painMS-DRG 313 | $21,056 | $7,124 | 296% | — | 18 |
| Colonoscopy with biopsyCPT 45380 | $3,512 | $1,494 | 235% | — | 19 |
| Colonoscopy with polyp removalCPT 45385 | $3,570 | $1,494 | 239% | — | 18 |
| Colonoscopy, diagnosticCPT 45378 | $3,570 | $1,161 | 308% | — | 18 |
| Complete blood count with differentialCPT 85025 | $48 | $8 | 624% | ~$10 | 25 |
| Complete blood count, automatedCPT 85027 | $34 | $6 | 529% | ~$7 | 25 |
| Comprehensive metabolic panelCPT 80053 | $114 | $11 | 1080% | ~$26 | 25 |
| Diagnostic mammography, both breastsCPT 77066 | $625 | — | — | ~$230 | 25 |
| Diagnostic mammography, one breastCPT 77065 | $567 | — | — | ~$192 | 25 |
| ED visit, level 3CPT 99283 | $2,106 | $341 | 618% | $405 | 15 |
| ED visit, level 4CPT 99284 | $3,379 | $521 | 649% | $1,625 | 15 |
| ED visit, level 5CPT 99285 | $3,379 | $743 | 455% | $1,674 | 15 |
| Echocardiogram, completeCPT 93306 | $1,661 | $682 | 244% | $582 | 25 |
| Electrocardiogram with interpretationCPT 93000 | $118 | — | — | $23 | 21 |
| Epidural injection, lumbar/sacral, no imagingCPT 62322 | $1,993 | $1,104 | 180% | $503 | 20 |
| Esophagitis/GI disorders, no MCCMS-DRG 392 | $23,736 | $7,619 | 312% | — | 18 |
| Excision of breast lesionCPT 19120 | $6,468 | $4,888 | 132% | — | 18 |
| Family psychotherapy, without patientCPT 90846 | $161 | $222 | 72% | $30 | 22 |
| Heart failure with MCCMS-DRG 291 | $45,617 | $13,011 | 351% | — | 18 |
| Hip and femur procedures except major joint, with CCMS-DRG 481 | $62,259 | $19,962 | 312% | — | 18 |
| Hysterectomy, no CC/MCCMS-DRG 743 | $33,813 | $10,098 | 335% | — | 18 |
| Inguinal hernia repair, age 5+CPT 49505 | $7,612 | $4,469 | 170% | — | 18 |
| Kidney and urinary tract infections, no MCCMS-DRG 690 | $23,541 | $7,753 | 304% | — | 18 |
| Kidney function panelCPT 80069 | $51 | $9 | 591% | ~$10 | 25 |
| Knee arthroscopy with meniscectomyCPT 29881 | $6,729 | $4,084 | 165% | — | 18 |
| Laparoscopic cholecystectomyCPT 47562 | $8,810 | $7,547 | 117% | — | 18 |
| Laparoscopic cholecystectomy, no CC/MCCMS-DRG 419 | $35,652 | $8,977 | 397% | — | 18 |
| Laparoscopic radical prostatectomyCPT 55866 | $10,249 | $13,269 | 77% | — | 18 |
| Left heart catheterization, diagnosticCPT 93452 | $7,797 | $4,047 | 193% | — | 18 |
| Lipid panelCPT 80061 | $146 | $13 | 1092% | ~$41 | 25 |
| Liver function panelCPT 80076 | $51 | $8 | 628% | ~$10 | 25 |
| Lumbar epidural steroid injectionCPT 62323 | $2,845 | $881 | 323% | — | 18 |
| MRI brain with and without contrastCPT 70553 | $2,844 | $435 | 653% | ~$1,582 | 25 |
| MRI lower extremity joint (knee)CPT 73721 | $1,834 | $298 | 616% | ~$682 | 25 |
| MRI lumbar spine without contrastCPT 72148 | $1,805 | $298 | 606% | ~$819 | 25 |
| Major joint replacement (hip/knee), no MCCMS-DRG 470 | $53,392 | $17,980 | 297% | — | 18 |
| Major small and large bowel procedures, with CCMS-DRG 330 | $67,643 | $20,160 | 336% | — | 18 |
| Medical back problems, no MCCMS-DRG 552 | $28,092 | $9,160 | 307% | — | 18 |
| OB ultrasound, 14+ weeksCPT 76805 | $647 | $130 | 495% | ~$234 | 25 |
| Office consultation, comprehensiveCPT 99244 | $913 | — | — | $175 | 10 |
| Office consultation, moderateCPT 99243 | $872 | — | — | $175 | 10 |
| Office visit, established patient, level 3CPT 99213 | $872 | — | — | $175 | 10 |
| Office visit, established patient, level 4CPT 99214 | $878 | — | — | $175 | 10 |
| Office visit, new patient, level 3CPT 99203 | $872 | — | — | $175 | 10 |
| Office visit, new patient, level 4CPT 99204 | $913 | — | — | $175 | 10 |
| Office visit, new patient, level 5CPT 99205 | $913 | — | — | $175 | 10 |
| PSA (prostate specific antigen), totalCPT 84153 | $100 | $18 | 544% | ~$46 | 25 |
| Partial thromboplastin timeCPT 85730 | $48 | $6 | 806% | ~$10 | 25 |
| Physical therapy, therapeutic exerciseCPT 97110 | $277 | — | — | $56 | 25 |
| Preventive visit, new patient, 18-39CPT 99385 | $872 | — | — | $175 | 10 |
| Preventive visit, new patient, 40-64CPT 99386 | $896 | — | — | $175 | 10 |
| Prostate biopsyCPT 55700 | $6,248 | — | — | — | 18 |
| Prothrombin timeCPT 85610 | $7 | $4 | 173% | ~$13 | 15 |
| Psychotherapy, 30 minutesCPT 90832 | $321 | $222 | 145% | $62 | 22 |
| Psychotherapy, 45 minutesCPT 90834 | $432 | $222 | 195% | $83 | 22 |
| Psychotherapy, 60 minutesCPT 90837 | $514 | $222 | 232% | $104 | 22 |
| Renal failure, with CCMS-DRG 683 | $31,028 | $8,648 | 359% | — | 18 |
| Screening mammography, bilateralCPT 77067 | $567 | — | — | ~$201 | 25 |
| Sepsis with MCCMS-DRG 871 | $71,061 | $20,187 | 352% | — | 18 |
| Simple pneumonia and pleurisy, with CCMS-DRG 194 | $25,491 | $7,886 | 323% | — | 18 |
| Stroke (hemorrhage/infarction), no CC/MCCMS-DRG 066 | $24,932 | $3,679 | 678% | — | 18 |
| Stroke (hemorrhage/infarction), with CC or tPAMS-DRG 065 | $36,850 | $9,887 | 373% | — | 18 |
| Thyroid stimulating hormone (TSH)CPT 84443 | $122 | $17 | 724% | ~$28 | 25 |
| Transforaminal epidural, lumbar/sacralCPT 64483 | $2,845 | $1,104 | 258% | — | 18 |
| Ultrasound, abdomen, completeCPT 76700 | $1,178 | $130 | 902% | ~$253 | 25 |
| Ultrasound, transvaginalCPT 76830 | $684 | $130 | 524% | ~$247 | 25 |
| Upper GI endoscopy with biopsyCPT 43239 | $3,637 | $1,132 | 321% | — | 18 |
| Upper GI endoscopy, diagnosticCPT 43235 | $3,637 | $1,132 | 321% | — | 18 |
| Urinalysis, automated, with microscopyCPT 81001 | $60 | $3 | 1881% | ~$13 | 25 |
| Urinalysis, automated, without microscopyCPT 81003 | $68 | $2 | 3040% | ~$16 | 25 |
| Urinalysis, manual, without microscopyCPT 81002 | $81 | $3 | 2337% | ~$19 | 25 |
| Vaginal delivery, no sterilization, no CC/MCCMS-DRG 807 | $19,684 | — | — | — | 18 |
| Vaginal delivery, no sterilization, with CCMS-DRG 806 | $21,159 | — | — | — | 18 |
| X-ray, lower back, 4+ viewsCPT 72110 | $244 | $130 | 187% | ~$190 | 25 |
| YAG laser capsulotomy (secondary cataract)CPT 66821 | $4,607 | $687 | 671% | — | 18 |