| Acute myocardial infarction, discharged alive, with MCCMS-DRG 280 | $14,826 | $18,758 | 79% | — | 6 |
| Bariatric (obesity) surgery, no CC/MCCMS-DRG 621 | $13,202 | $8,272 | 160% | — | 6 |
| Basic metabolic panelCPT 80048 | $13 | $8 | 154% | ~$16 | 71 |
| COPD with MCCMS-DRG 190 | $10,146 | $10,932 | 93% | — | 6 |
| CT abdomen and pelvis with contrastCPT 74177 | $393 | $435 | 90% | ~$315 | 70 |
| CT head without contrastCPT 70450 | $151 | $130 | 116% | ~$256 | 66 |
| CT pelvis with contrastCPT 72193 | $249 | $219 | 114% | ~$200 | 69 |
| Cardiac arrhythmia, no CC/MCCMS-DRG 310 | $5,053 | $5,213 | 97% | — | 6 |
| Cardiac stress testCPT 93017 | $210 | $270 | 78% | $116 | 70 |
| Cardiac valve surgery with cardiac cath, with MCCMS-DRG 216 | $87,162 | — | — | — | 6 |
| Cataract surgery with IOL insertionCPT 66984 | $2,635 | $2,881 | 91% | $1,215 | 93 |
| Cellulitis, no MCCMS-DRG 603 | $7,956 | $9,546 | 83% | — | 6 |
| Cervical spinal fusion, no CC/MCCMS-DRG 473 | $21,380 | $16,343 | 131% | — | 6 |
| Cesarean section, no CC/MCCMS-DRG 788 | $8,174 | — | — | — | 6 |
| Cesarean section, with CCMS-DRG 787 | $9,590 | — | — | — | 6 |
| Chest painMS-DRG 313 | $6,443 | $7,888 | 82% | — | 6 |
| Colonoscopy with biopsyCPT 45380 | $1,230 | $1,494 | 82% | $423 | 94 |
| Colonoscopy with endoscopic ultrasoundCPT 45391 | $1,229 | $1,494 | 82% | $486 | 94 |
| Colonoscopy with polyp removalCPT 45385 | $1,302 | $1,494 | 87% | $726 | 94 |
| Colonoscopy, diagnosticCPT 45378 | $972 | $1,161 | 84% | $293 | 95 |
| Complete blood count with differentialCPT 85025 | $11 | $8 | 144% | ~$14 | 67 |
| Complete blood count, automatedCPT 85027 | $9 | $6 | 139% | ~$12 | 65 |
| Comprehensive metabolic panelCPT 80053 | $20 | $11 | 185% | ~$40 | 71 |
| Coronary bypass without cardiac cath, no MCCMS-DRG 236 | $37,138 | $40,415 | 92% | — | 6 |
| Diagnostic mammography, both breastsCPT 77066 | $160 | — | — | ~$68 | 58 |
| Diagnostic mammography, one breastCPT 77065 | $131 | — | — | ~$107 | 58 |
| ED visit, level 3CPT 99283 | $301 | $341 | 88% | $62 | 65 |
| ED visit, level 4CPT 99284 | $491 | $521 | 94% | $95 | 65 |
| ED visit, level 5CPT 99285 | $714 | $743 | 96% | $142 | 65 |
| Echocardiogram, completeCPT 93306 | $306 | $682 | 45% | $361 | 65 |
| Electrocardiogram with interpretationCPT 93000 | $33 | — | — | $42 | 56 |
| Epidural injection, lumbar/sacral, no imagingCPT 62322 | $597 | $1,104 | 54% | $110 | 93 |
| Esophagitis/GI disorders, no MCCMS-DRG 392 | $7,048 | $8,556 | 82% | — | 6 |
| Excision of breast lesionCPT 19120 | $1,831 | $4,888 | 37% | $909 | 94 |
| Family psychotherapy, with patientCPT 90847 | $196 | $222 | 88% | $108 | 93 |
| Family psychotherapy, without patientCPT 90846 | $196 | $222 | 88% | $88 | 93 |
| Group psychotherapyCPT 90853 | $85 | $127 | 67% | $41 | 93 |
| Heart failure and shock, with CCMS-DRG 292 | $7,779 | $5,927 | 131% | — | 6 |
| Heart failure with MCCMS-DRG 291 | $11,786 | $15,597 | 76% | — | 6 |
| Hip and femur procedures except major joint, with CCMS-DRG 481 | $18,740 | $22,254 | 84% | — | 6 |
| Hysterectomy, no CC/MCCMS-DRG 743 | $10,826 | $10,098 | 107% | — | 6 |
| Inguinal hernia repair, age 5+CPT 49505 | $2,888 | $4,469 | 65% | $811 | 67 |
| Kidney and urinary tract infections, no MCCMS-DRG 690 | $7,249 | $8,933 | 81% | — | 6 |
| Kidney function panelCPT 80069 | $33 | $9 | 378% | ~$14 | 32 |
| Knee arthroscopy with meniscectomyCPT 29881 | $2,523 | $4,084 | 62% | $1,367 | 94 |
| Laparoscopic cholecystectomyCPT 47562 | $3,558 | $7,547 | 47% | $1,138 | 66 |
| Laparoscopic cholecystectomy, no CC/MCCMS-DRG 419 | $11,901 | $8,977 | 133% | — | 6 |
| Laparoscopic radical prostatectomyCPT 55866 | $9,172 | $13,269 | 69% | $2,923 | 65 |
| Left heart catheterization, diagnosticCPT 93452 | $2,066 | $4,047 | 51% | $477 | 91 |
| Lipid panelCPT 80061 | $19 | $13 | 144% | ~$20 | 67 |
| Liver function panelCPT 80076 | $31 | $8 | 378% | ~$19 | 32 |
| Lumbar epidural steroid injectionCPT 62323 | $701 | $881 | 80% | $269 | 94 |
| MRI brain with and without contrastCPT 70553 | $523 | $435 | 120% | ~$1,172 | 71 |
| MRI lower extremity joint (knee)CPT 73721 | $343 | $298 | 115% | ~$336 | 66 |
| MRI lumbar spine without contrastCPT 72148 | $377 | $298 | 127% | ~$412 | 66 |
| Major joint replacement (hip/knee), no MCCMS-DRG 470 | $17,030 | $20,322 | 84% | — | 6 |
| Major joint replacement (hip/knee), with MCCMS-DRG 469 | $29,521 | $22,346 | 132% | — | 6 |
| Major small and large bowel procedures, with CCMS-DRG 330 | $21,349 | $26,911 | 79% | — | 6 |
| Medical back problems, no MCCMS-DRG 552 | $8,705 | $10,265 | 85% | — | 6 |
| OB global care, VBAC deliveryCPT 59610 | $8,633 | — | — | $5,314 | 44 |
| OB global care, cesarean deliveryCPT 59510 | $8,881 | — | — | $5,314 | 44 |
| OB global care, vaginal deliveryCPT 59400 | $3,843 | — | — | $5,314 | 78 |
| OB ultrasound, 14+ weeksCPT 76805 | $164 | $130 | 126% | ~$149 | 71 |
| Obstetric blood test panelCPT 80055 | $326 | $48 | 682% | — | 16 |
| Office consultation, comprehensiveCPT 99244 | $556 | — | — | $154 | 40 |
| Office consultation, moderateCPT 99243 | $458 | — | — | $122 | 40 |
| Office visit, established patient, level 3CPT 99213 | $267 | — | — | $70 | 57 |
| Office visit, established patient, level 4CPT 99214 | $382 | — | — | $95 | 57 |
| Office visit, new patient, level 3CPT 99203 | $353 | — | — | $69 | 57 |
| Office visit, new patient, level 4CPT 99204 | $461 | — | — | $105 | 57 |
| Office visit, new patient, level 5CPT 99205 | $618 | — | — | $151 | 57 |
| PSA (prostate specific antigen), totalCPT 84153 | $31 | $18 | 170% | ~$19 | 67 |
| Partial thromboplastin timeCPT 85730 | $37 | $6 | 615% | ~$18 | 32 |
| Physical therapy, therapeutic exerciseCPT 97110 | $92 | — | — | $54 | 54 |
| Preventive visit, new patient, 18-39CPT 99385 | $294 | — | — | $112 | 53 |
| Preventive visit, new patient, 40-64CPT 99386 | $357 | — | — | $112 | 53 |
| Prostate biopsyCPT 55700 | $2,240 | — | — | $428 | 87 |
| Prothrombin timeCPT 85610 | $8 | $4 | 187% | ~$5 | 71 |
| Psychotherapy, 30 minutesCPT 90832 | $188 | $222 | 85% | $82 | 93 |
| Psychotherapy, 45 minutesCPT 90834 | $222 | $222 | 100% | $155 | 93 |
| Psychotherapy, 60 minutesCPT 90837 | $228 | $222 | 103% | $151 | 93 |
| Renal failure, with CCMS-DRG 683 | $8,029 | $10,111 | 79% | — | 6 |
| Screening mammography, bilateralCPT 77067 | $156 | — | — | ~$125 | 62 |
| Sepsis with MCCMS-DRG 871 | $17,723 | $23,144 | 77% | — | 6 |
| Shoulder arthroscopy, subacromial decompressionCPT 29826 | $2,811 | — | — | $1,522 | 59 |
| Simple pneumonia and pleurisy, with CCMS-DRG 194 | $7,406 | $8,639 | 86% | — | 6 |
| Sleep study (polysomnography)CPT 95810 | $924 | $1,072 | 86% | $546 | 90 |
| Stroke (hemorrhage/infarction), no CC/MCCMS-DRG 066 | $6,217 | $6,833 | 91% | — | 6 |
| Stroke (hemorrhage/infarction), with CC or tPAMS-DRG 065 | $9,186 | $11,265 | 82% | — | 6 |
| Thyroid stimulating hormone (TSH)CPT 84443 | $29 | $17 | 170% | ~$33 | 71 |
| Tonsillectomy and adenoidectomy, under age 12CPT 42820 | $1,529 | $7,390 | 21% | $575 | 67 |
| Transforaminal epidural, lumbar/sacralCPT 64483 | $671 | $1,104 | 61% | $316 | 94 |
| Ultrasound, abdomen, completeCPT 76700 | $132 | $130 | 101% | ~$142 | 66 |
| Ultrasound, transvaginalCPT 76830 | $145 | $130 | 111% | ~$199 | 71 |
| Upper GI endoscopy with biopsyCPT 43239 | $999 | $1,132 | 88% | $278 | 94 |
| Upper GI endoscopy, diagnosticCPT 43235 | $919 | $1,132 | 81% | $386 | 94 |
| Urinalysis, automated, with microscopyCPT 81001 | $6 | $3 | 187% | ~$5 | 71 |
| Urinalysis, automated, without microscopyCPT 81003 | $4 | $2 | 188% | ~$3 | 71 |
| Urinalysis, manual, with microscopyCPT 81000 | $6 | $4 | 159% | ~$5 | 69 |
| Urinalysis, manual, without microscopyCPT 81002 | $5 | $3 | 144% | ~$4 | 71 |
| Vaginal delivery, no sterilization, no CC/MCCMS-DRG 807 | $5,755 | — | — | — | 6 |
| Vaginal delivery, no sterilization, with CCMS-DRG 806 | $6,535 | — | — | — | 6 |
| X-ray, lower back, 4+ viewsCPT 72110 | $52 | $130 | 40% | ~$45 | 64 |
| YAG laser capsulotomy (secondary cataract)CPT 66821 | $1,701 | $687 | 248% | $401 | 94 |