| Acute myocardial infarction, discharged alive, with MCCMS-DRG 280 | $34,467 | $12,152 | 284% | — | 20 |
| Bariatric (obesity) surgery, no CC/MCCMS-DRG 621 | $41,921 | $8,272 | 507% | — | 7 |
| Basic metabolic panelCPT 80048 | $39 | $8 | 459% | ~$32 | 131 |
| COPD with MCCMS-DRG 190 | $23,801 | $7,377 | 323% | — | 20 |
| CT abdomen and pelvis with contrastCPT 74177 | $1,027 | $435 | 236% | ~$1,085 | 119 |
| CT head without contrastCPT 70450 | $309 | $130 | 237% | ~$548 | 107 |
| CT pelvis with contrastCPT 72193 | $787 | $219 | 359% | ~$918 | 119 |
| Cardiac arrhythmia, no CC/MCCMS-DRG 310 | $12,164 | $3,397 | 358% | — | 20 |
| Cardiac stress testCPT 93017 | $162 | $270 | 60% | $769 | 118 |
| Cardiac valve surgery with cardiac cath, with MCCMS-DRG 216 | $210,203 | — | — | — | 20 |
| Cellulitis, no MCCMS-DRG 603 | $15,290 | $6,212 | 246% | — | 3 |
| Cervical spinal fusion, no CC/MCCMS-DRG 473 | $52,456 | $16,343 | 321% | — | 20 |
| Cesarean section, no CC/MCCMS-DRG 788 | $20,602 | — | — | — | 18 |
| Cesarean section, with CCMS-DRG 787 | $16,122 | — | — | — | 4 |
| Chest painMS-DRG 313 | $15,471 | — | — | — | 20 |
| Colonoscopy with biopsyCPT 45380 | $4,764 | $1,494 | 319% | — | 110 |
| Colonoscopy with endoscopic ultrasoundCPT 45391 | $4,764 | $1,494 | 319% | — | 110 |
| Colonoscopy with polyp removalCPT 45385 | $4,764 | $1,494 | 319% | — | 110 |
| Colonoscopy, diagnosticCPT 45378 | $4,764 | $1,161 | 410% | — | 110 |
| Complete blood count with differentialCPT 85025 | $36 | $8 | 459% | ~$38 | 131 |
| Complete blood count, automatedCPT 85027 | $30 | $6 | 459% | ~$24 | 131 |
| Comprehensive metabolic panelCPT 80053 | $48 | $11 | 459% | ~$67 | 131 |
| Coronary bypass without cardiac cath, no MCCMS-DRG 236 | $90,005 | $30,018 | 300% | — | 20 |
| Diagnostic mammography, both breastsCPT 77066 | $494 | — | — | ~$273 | 118 |
| Diagnostic mammography, one breastCPT 77065 | $2,576 | — | — | ~$182 | 120 |
| ED visit, level 3CPT 99283 | $2,165 | $341 | 635% | $317 | 130 |
| ED visit, level 4CPT 99284 | $2,165 | $521 | 416% | $358 | 130 |
| ED visit, level 5CPT 99285 | $2,165 | $743 | 291% | $501 | 130 |
| Echocardiogram, completeCPT 93306 | $733 | $682 | 108% | $1,068 | 130 |
| Electrocardiogram with interpretationCPT 93000 | $64 | — | — | $19 | 118 |
| Esophagitis/GI disorders, no MCCMS-DRG 392 | $16,751 | $5,059 | 331% | — | 20 |
| Excision of breast lesionCPT 19120 | $6,181 | $4,888 | 126% | $1,344 | 118 |
| Family psychotherapy, with patientCPT 90847 | $119 | $222 | 54% | $64 | 115 |
| Family psychotherapy, without patientCPT 90846 | $80 | $222 | 36% | $42 | 93 |
| Group psychotherapyCPT 90853 | $108 | $127 | 85% | $57 | 115 |
| Heart failure and shock, with CCMS-DRG 292 | $18,242 | $5,927 | 308% | — | 20 |
| Heart failure with MCCMS-DRG 291 | $27,585 | $9,740 | 283% | — | 20 |
| Hip and femur procedures except major joint, with CCMS-DRG 481 | $45,005 | $16,105 | 279% | — | 20 |
| Hysterectomy, no CC/MCCMS-DRG 743 | $26,659 | $10,098 | 264% | — | 20 |
| Inguinal hernia repair, age 5+CPT 49505 | $10,255 | $4,469 | 229% | — | 110 |
| Kidney and urinary tract infections, no MCCMS-DRG 690 | $17,394 | $5,500 | 316% | — | 20 |
| Kidney function panelCPT 80069 | $40 | $9 | 459% | ~$33 | 119 |
| Knee arthroscopy with meniscectomyCPT 29881 | $8,204 | $4,084 | 201% | — | 110 |
| Laparoscopic cholecystectomyCPT 47562 | $17,364 | $7,547 | 230% | — | 110 |
| Laparoscopic cholecystectomy, no CC/MCCMS-DRG 419 | $15,290 | $8,810 | 174% | — | 3 |
| Laparoscopic radical prostatectomyCPT 55866 | $18,891 | $13,269 | 142% | — | 99 |
| Left heart catheterization, diagnosticCPT 93452 | $11,594 | $4,047 | 286% | $2,235 | 118 |
| Lipid panelCPT 80061 | $61 | $13 | 459% | ~$55 | 131 |
| Liver function panelCPT 80076 | $37 | $8 | 459% | ~$29 | 119 |
| Lumbar epidural steroid injectionCPT 62323 | $3,142 | $881 | 357% | $576 | 118 |
| MRI brain with and without contrastCPT 70553 | $993 | $435 | 228% | ~$1,389 | 119 |
| MRI lower extremity joint (knee)CPT 73721 | $811 | $298 | 272% | ~$870 | 107 |
| MRI lumbar spine without contrastCPT 72148 | $571 | $298 | 192% | ~$919 | 107 |
| Major joint replacement (hip/knee), no MCCMS-DRG 470 | $41,446 | $14,652 | 283% | — | 20 |
| Major joint replacement (hip/knee), with MCCMS-DRG 469 | $65,174 | $22,346 | 292% | — | 20 |
| Major small and large bowel procedures, with CCMS-DRG 330 | $51,509 | $17,403 | 296% | — | 20 |
| Medical back problems, no MCCMS-DRG 552 | $20,655 | $6,836 | 302% | — | 20 |
| OB ultrasound, 14+ weeksCPT 76805 | $395 | $130 | 302% | ~$193 | 118 |
| Office consultation, comprehensiveCPT 99244 | $607 | — | — | $146 | 101 |
| Office consultation, moderateCPT 99243 | $398 | — | — | $134 | 101 |
| Office visit, established patient, level 3CPT 99213 | $295 | — | — | — | 107 |
| Office visit, established patient, level 4CPT 99214 | $436 | — | — | — | 107 |
| PSA (prostate specific antigen), totalCPT 84153 | $60 | $18 | 325% | ~$26 | 131 |
| Partial thromboplastin timeCPT 85730 | $28 | $6 | 459% | ~$31 | 131 |
| Physical therapy, therapeutic exerciseCPT 97110 | $253 | — | — | $32 | 118 |
| Preventive visit, new patient, 18-39CPT 99385 | $422 | — | — | $50 | 95 |
| Preventive visit, new patient, 40-64CPT 99386 | $512 | — | — | $50 | 82 |
| Prothrombin timeCPT 85610 | $20 | $4 | 459% | ~$14 | 131 |
| Psychotherapy, 30 minutesCPT 90832 | $107 | $222 | 48% | $39 | 115 |
| Psychotherapy, 45 minutesCPT 90834 | $148 | $222 | 67% | $57 | 115 |
| Psychotherapy, 60 minutesCPT 90837 | $123 | $222 | 56% | $105 | 102 |
| Renal failure, with CCMS-DRG 683 | $18,818 | $6,410 | 294% | — | 20 |
| Screening mammography, bilateralCPT 77067 | $501 | — | — | ~$148 | 118 |
| Sepsis with MCCMS-DRG 871 | $41,738 | $14,469 | 288% | — | 20 |
| Shoulder arthroscopy, subacromial decompressionCPT 29826 | $7,726 | — | — | — | 110 |
| Simple pneumonia and pleurisy, with CCMS-DRG 194 | $17,316 | $5,573 | 311% | — | 20 |
| Sleep study (polysomnography)CPT 95810 | $3,452 | $1,072 | 322% | $807 | 118 |
| Stroke (hemorrhage/infarction), no CC/MCCMS-DRG 066 | $14,706 | $3,679 | 400% | — | 20 |
| Stroke (hemorrhage/infarction), with CC or tPAMS-DRG 065 | $15,290 | $5,977 | 256% | — | 3 |
| Thyroid stimulating hormone (TSH)CPT 84443 | $77 | $17 | 459% | ~$58 | 119 |
| Tonsillectomy and adenoidectomy, under age 12CPT 42820 | $6,181 | $7,390 | 84% | — | 110 |
| Transforaminal epidural, lumbar/sacralCPT 64483 | $3,142 | $1,104 | 285% | $693 | 118 |
| Ultrasound, abdomen, completeCPT 76700 | $351 | $130 | 269% | ~$478 | 105 |
| Ultrasound, transvaginalCPT 76830 | $387 | $130 | 297% | ~$383 | 118 |
| Upper GI endoscopy with biopsyCPT 43239 | $4,764 | $1,132 | 421% | — | 110 |
| Upper GI endoscopy, diagnosticCPT 43235 | $3,082 | $1,132 | 272% | — | 122 |
| Urinalysis, automated, with microscopyCPT 81001 | $15 | $3 | 459% | ~$35 | 131 |
| Urinalysis, automated, without microscopyCPT 81003 | $8 | $2 | 356% | ~$2 | 132 |
| Urinalysis, manual, with microscopyCPT 81000 | $13 | $4 | 325% | ~$4 | 131 |
| Urinalysis, manual, without microscopyCPT 81002 | $12 | $3 | 345% | ~$3 | 131 |
| Vaginal delivery, no sterilization, no CC/MCCMS-DRG 807 | $14,487 | — | — | — | 20 |
| Vaginal delivery, no sterilization, with CCMS-DRG 806 | $16,201 | — | — | — | 20 |
| X-ray, lower back, 4+ viewsCPT 72110 | $173 | $130 | 132% | ~$241 | 118 |