| Acute myocardial infarction, discharged alive, with MCCMS-DRG 280 | $7,821 | $11,217 | 70% | $4,539 | 2 |
| Basic metabolic panelCPT 80048 | $248 | $8 | 2936% | ~$145 | 6 |
| CT abdomen and pelvis with contrastCPT 74177 | $2,509 | $435 | 576% | ~$1,360 | 6 |
| CT head without contrastCPT 70450 | $1,409 | $130 | 1080% | ~$764 | 6 |
| CT pelvis with contrastCPT 72193 | $1,796 | $219 | 820% | ~$974 | 6 |
| Cardiac stress testCPT 93017 | $775 | $270 | 288% | $420 | 6 |
| Cellulitis, no MCCMS-DRG 603 | $4,480 | $5,675 | 79% | $2,337 | 2 |
| Chest painMS-DRG 313 | $3,792 | — | — | $5,205 | 2 |
| Colonoscopy with biopsyCPT 45380 | $899 | $1,494 | 60% | $444 | 5 |
| Colonoscopy with polyp removalCPT 45385 | $961 | $1,494 | 64% | $475 | 5 |
| Colonoscopy, diagnosticCPT 45378 | $844 | $1,161 | 73% | $417 | 5 |
| Complete blood count with differentialCPT 85025 | $96 | $8 | 1232% | ~$56 | 6 |
| Complete blood count, automatedCPT 85027 | $73 | $6 | 1135% | ~$43 | 6 |
| Comprehensive metabolic panelCPT 80053 | $295 | $11 | 2795% | ~$172 | 6 |
| Diagnostic mammography, both breastsCPT 77066 | $577 | — | — | ~$341 | 6 |
| Diagnostic mammography, one breastCPT 77065 | $334 | — | — | ~$197 | 6 |
| ED visit, level 3CPT 99283 | $444 | $341 | 130% | $226 | 6 |
| ED visit, level 4CPT 99284 | $541 | $521 | 104% | $265 | 6 |
| ED visit, level 5CPT 99285 | $717 | $743 | 96% | $323 | 6 |
| Echocardiogram, completeCPT 93306 | $1,394 | $682 | 204% | $732 | 6 |
| Epidural injection, lumbar/sacral, no imagingCPT 62322 | $843 | $1,104 | 76% | $417 | 5 |
| Excision of breast lesionCPT 19120 | $845 | $4,888 | 17% | $417 | 5 |
| Family psychotherapy, with patientCPT 90847 | $240 | $222 | 108% | $126 | 5 |
| Family psychotherapy, without patientCPT 90846 | $299 | $222 | 135% | $157 | 5 |
| Group psychotherapyCPT 90853 | $70 | $127 | 55% | $34 | 5 |
| Inguinal hernia repair, age 5+CPT 49505 | $1,218 | $4,469 | 27% | $602 | 5 |
| Kidney function panelCPT 80069 | $126 | $9 | 1452% | ~$74 | 6 |
| Knee arthroscopy with meniscectomyCPT 29881 | $1,263 | $4,084 | 31% | $624 | 5 |
| Laparoscopic cholecystectomyCPT 47562 | $2,243 | $7,547 | 30% | $1,108 | 5 |
| Laparoscopic radical prostatectomyCPT 55866 | $3,347 | $13,269 | 25% | $1,654 | 5 |
| Lipid panelCPT 80061 | $34 | $13 | 253% | ~$20 | 6 |
| Liver function panelCPT 80076 | $126 | $8 | 1542% | ~$74 | 6 |
| Lumbar epidural steroid injectionCPT 62323 | $343 | $881 | 39% | $169 | 5 |
| MRI brain with and without contrastCPT 70553 | $3,602 | $435 | 827% | ~$1,952 | 6 |
| MRI lower extremity joint (knee)CPT 73721 | $2,773 | $298 | 931% | ~$1,503 | 6 |
| MRI lumbar spine without contrastCPT 72148 | $2,920 | $298 | 980% | ~$1,583 | 6 |
| Major joint replacement (hip/knee), with MCCMS-DRG 469 | $14,333 | $22,346 | 64% | $13,871 | 2 |
| OB global care, VBAC deliveryCPT 59610 | $7,180 | — | — | $3,770 | 3 |
| OB global care, cesarean deliveryCPT 59510 | $7,576 | — | — | $3,977 | 3 |
| OB global care, vaginal deliveryCPT 59400 | $4,558 | — | — | $2,393 | 3 |
| OB ultrasound, 14+ weeksCPT 76805 | $338 | $130 | 259% | ~$197 | 6 |
| Office consultation, comprehensiveCPT 99244 | $415 | — | — | $218 | 3 |
| Office consultation, moderateCPT 99243 | $319 | — | — | $168 | 3 |
| Office visit, established patient, level 3CPT 99213 | $164 | — | — | $86 | 4 |
| Office visit, established patient, level 4CPT 99214 | $242 | — | — | $127 | 5 |
| Office visit, new patient, level 3CPT 99203 | $379 | — | — | $199 | 4 |
| Office visit, new patient, level 4CPT 99204 | $476 | — | — | $250 | 4 |
| Office visit, new patient, level 5CPT 99205 | $566 | — | — | $237 | 4 |
| PSA (prostate specific antigen), totalCPT 84153 | $49 | $18 | 266% | ~$29 | 6 |
| Partial thromboplastin timeCPT 85730 | $16 | $6 | 264% | ~$9 | 6 |
| Percutaneous cardiac stent, no MCCMS-DRG 247 | $9,213 | — | — | $6,527 | 2 |
| Physical therapy, therapeutic exerciseCPT 97110 | $75 | — | — | $39 | 6 |
| Preventive visit, new patient, 18-39CPT 99385 | $242 | — | — | $127 | 3 |
| Preventive visit, new patient, 40-64CPT 99386 | $277 | — | — | $145 | 3 |
| Prostate biopsyCPT 55700 | $119 | — | — | $59 | 5 |
| Prothrombin timeCPT 85610 | $12 | $4 | 285% | ~$7 | 6 |
| Psychotherapy, 30 minutesCPT 90832 | $153 | $222 | 69% | $76 | 5 |
| Psychotherapy, 45 minutesCPT 90834 | $203 | $222 | 92% | $100 | 5 |
| Psychotherapy, 60 minutesCPT 90837 | $285 | $222 | 129% | $150 | 5 |
| Screening mammography, bilateralCPT 77067 | $528 | — | — | ~$312 | 6 |
| Shoulder arthroscopy, subacromial decompressionCPT 29826 | $394 | — | — | $207 | 3 |
| Simple pneumonia and pleurisy, with CCMS-DRG 194 | $4,184 | $5,177 | 81% | $5,503 | 2 |
| Sleep study (polysomnography)CPT 95810 | $2,991 | $1,072 | 279% | $1,621 | 6 |
| Thyroid stimulating hormone (TSH)CPT 84443 | $63 | $17 | 377% | ~$37 | 6 |
| Transforaminal epidural, lumbar/sacralCPT 64483 | $383 | $1,104 | 35% | $189 | 5 |
| Ultrasound, abdomen, completeCPT 76700 | $895 | $130 | 686% | ~$529 | 6 |
| Ultrasound, transvaginalCPT 76830 | $510 | $130 | 391% | ~$302 | 6 |
| Upper GI endoscopy with biopsyCPT 43239 | $660 | $1,132 | 58% | $326 | 5 |
| Upper GI endoscopy, diagnosticCPT 43235 | $585 | $1,132 | 52% | $289 | 5 |
| Urinalysis, automated, with microscopyCPT 81001 | $53 | $3 | 1681% | ~$31 | 6 |
| Urinalysis, automated, without microscopyCPT 81003 | $29 | $2 | 1280% | ~$17 | 6 |
| Urinalysis, manual, with microscopyCPT 81000 | $112 | $4 | 2794% | ~$66 | 6 |
| Urinalysis, manual, without microscopyCPT 81002 | $67 | $3 | 1924% | ~$39 | 6 |
| Vaginal delivery, no sterilization, no CC/MCCMS-DRG 807 | $3,584 | — | — | $1,691 | 2 |
| X-ray, lower back, 4+ viewsCPT 72110 | $408 | $130 | 312% | ~$238 | 6 |