| Acute myocardial infarction, discharged alive, with MCCMS-DRG 280 | $11,638 | $11,217 | 104% | — | 3 |
| Bariatric (obesity) surgery, no CC/MCCMS-DRG 621 | $10,943 | $8,272 | 132% | — | 3 |
| Basic metabolic panelCPT 80048 | $10 | $8 | 112% | — | 15 |
| COPD with MCCMS-DRG 190 | $8,036 | $7,377 | 109% | — | 3 |
| CT abdomen and pelvis with contrastCPT 74177 | $582 | $435 | 134% | — | 14 |
| CT head without contrastCPT 70450 | $214 | $130 | 164% | — | 14 |
| CT pelvis with contrastCPT 72193 | $371 | $219 | 169% | — | 14 |
| Cardiac arrhythmia, no CC/MCCMS-DRG 310 | $4,107 | $3,269 | 126% | — | 3 |
| Cardiac stress testCPT 93017 | $289 | $270 | 107% | — | 13 |
| Cardiac valve surgery with cardiac cath, with MCCMS-DRG 216 | $70,974 | — | — | — | 3 |
| Cataract surgery with IOL insertionCPT 66984 | $4,587 | $2,881 | 159% | — | 11 |
| Cellulitis, no MCCMS-DRG 603 | $6,318 | $5,675 | 111% | — | 3 |
| Cervical spinal fusion, no CC/MCCMS-DRG 473 | $17,712 | $16,343 | 108% | — | 3 |
| Cesarean section, no CC/MCCMS-DRG 788 | $6,956 | — | — | — | 3 |
| Cesarean section, with CCMS-DRG 787 | $8,102 | — | — | — | 3 |
| Chest painMS-DRG 313 | $5,224 | — | — | — | 3 |
| Colonoscopy with biopsyCPT 45380 | $1,400 | $1,494 | 94% | — | 18 |
| Colonoscopy with endoscopic ultrasoundCPT 45391 | $2,378 | $1,494 | 159% | — | 11 |
| Colonoscopy with polyp removalCPT 45385 | $1,400 | $1,494 | 94% | — | 18 |
| Colonoscopy, diagnosticCPT 45378 | $1,221 | $1,161 | 105% | — | 18 |
| Complete blood count with differentialCPT 85025 | $8 | $8 | 100% | — | 15 |
| Complete blood count, automatedCPT 85027 | $7 | $6 | 111% | — | 15 |
| Comprehensive metabolic panelCPT 80053 | $12 | $11 | 112% | — | 15 |
| Coronary bypass without cardiac cath, no MCCMS-DRG 236 | $30,390 | $29,950 | 101% | — | 3 |
| Diagnostic mammography, both breastsCPT 77066 | $134 | — | — | — | 14 |
| Diagnostic mammography, one breastCPT 77065 | $104 | — | — | — | 14 |
| ED visit, level 3CPT 99283 | $365 | $341 | 107% | — | 18 |
| ED visit, level 4CPT 99284 | $558 | $521 | 107% | — | 18 |
| ED visit, level 5CPT 99285 | $796 | $743 | 107% | — | 18 |
| Echocardiogram, completeCPT 93306 | $548 | $682 | 80% | — | 19 |
| Electrocardiogram with interpretationCPT 93000 | $19 | — | — | — | 19 |
| Epidural injection, lumbar/sacral, no imagingCPT 62322 | $1,039 | $1,104 | 94% | — | 18 |
| Esophagitis/GI disorders, no MCCMS-DRG 392 | $5,656 | $4,899 | 115% | — | 3 |
| Excision of breast lesionCPT 19120 | $4,580 | $4,888 | 94% | — | 18 |
| Family psychotherapy, with patientCPT 90847 | $237 | $222 | 107% | — | 16 |
| Family psychotherapy, without patientCPT 90846 | $237 | $222 | 107% | — | 16 |
| Group psychotherapyCPT 90853 | $119 | $127 | 94% | — | 16 |
| Heart failure and shock, with CCMS-DRG 292 | $6,160 | $5,927 | 104% | — | 3 |
| Heart failure with MCCMS-DRG 291 | $9,314 | $10,825 | 86% | — | 3 |
| Hip and femur procedures except major joint, with CCMS-DRG 481 | $15,196 | $13,876 | 110% | — | 3 |
| Hysterectomy, no CC/MCCMS-DRG 743 | $9,001 | $10,098 | 89% | — | 3 |
| Inguinal hernia repair, age 5+CPT 49505 | $4,188 | $4,469 | 94% | — | 18 |
| Kidney and urinary tract infections, no MCCMS-DRG 690 | $5,873 | $5,238 | 112% | — | 3 |
| Kidney function panelCPT 80069 | $10 | $9 | 112% | — | 15 |
| Knee arthroscopy with meniscectomyCPT 29881 | $3,828 | $4,084 | 94% | — | 18 |
| Laparoscopic cholecystectomyCPT 47562 | $7,072 | $7,547 | 94% | — | 18 |
| Laparoscopic cholecystectomy, no CC/MCCMS-DRG 419 | $9,909 | $8,977 | 110% | — | 3 |
| Laparoscopic radical prostatectomyCPT 55866 | $14,211 | $13,269 | 107% | — | 13 |
| Left heart catheterization, diagnosticCPT 93452 | $6,955 | $4,047 | 172% | — | 9 |
| Lipid panelCPT 80061 | $14 | $13 | 103% | — | 15 |
| Liver function panelCPT 80076 | $9 | $8 | 112% | — | 15 |
| Lumbar epidural steroid injectionCPT 62323 | $919 | $881 | 104% | — | 18 |
| MRI brain with and without contrastCPT 70553 | $723 | $435 | 166% | — | 14 |
| MRI lower extremity joint (knee)CPT 73721 | $464 | $298 | 156% | — | 14 |
| MRI lumbar spine without contrastCPT 72148 | $464 | $298 | 156% | — | 14 |
| Major joint replacement (hip/knee), no MCCMS-DRG 470 | $13,994 | $13,045 | 107% | — | 3 |
| Major joint replacement (hip/knee), with MCCMS-DRG 469 | $22,006 | $22,346 | 98% | — | 3 |
| Major small and large bowel procedures, with CCMS-DRG 330 | $17,392 | $16,202 | 107% | — | 3 |
| Medical back problems, no MCCMS-DRG 552 | $6,974 | $6,142 | 114% | — | 3 |
| OB global care, VBAC deliveryCPT 59610 | $2,519 | — | — | — | 7 |
| OB global care, cesarean deliveryCPT 59510 | $2,661 | — | — | — | 7 |
| OB global care, vaginal deliveryCPT 59400 | $2,413 | — | — | — | 7 |
| OB ultrasound, 14+ weeksCPT 76805 | $172 | $130 | 132% | — | 14 |
| Obstetric blood test panelCPT 80055 | $54 | $48 | 112% | — | 12 |
| Office consultation, comprehensiveCPT 99244 | $192 | — | — | — | 5 |
| Office visit, established patient, level 3CPT 99213 | $80 | — | — | — | 19 |
| Office visit, established patient, level 4CPT 99214 | $115 | — | — | — | 18 |
| Office visit, new patient, level 3CPT 99203 | $104 | — | — | — | 18 |
| Office visit, new patient, level 4CPT 99204 | $146 | — | — | — | 18 |
| Office visit, new patient, level 5CPT 99205 | $192 | — | — | — | 17 |
| PSA (prostate specific antigen), totalCPT 84153 | $21 | $18 | 112% | — | 15 |
| Partial thromboplastin timeCPT 85730 | $7 | $6 | 112% | — | 15 |
| Physical therapy, therapeutic exerciseCPT 97110 | $42 | — | — | — | 11 |
| Preventive visit, new patient, 18-39CPT 99385 | $130 | — | — | — | 7 |
| Preventive visit, new patient, 40-64CPT 99386 | $153 | — | — | — | 7 |
| Prostate biopsyCPT 55700 | $233 | — | — | — | 6 |
| Prothrombin timeCPT 85610 | $4 | $4 | 100% | — | 21 |
| Psychotherapy, 30 minutesCPT 90832 | $208 | $222 | 94% | — | 16 |
| Psychotherapy, 45 minutesCPT 90834 | $236 | $222 | 106% | — | 16 |
| Psychotherapy, 60 minutesCPT 90837 | $237 | $222 | 107% | — | 16 |
| Renal failure, with CCMS-DRG 683 | $6,354 | $5,892 | 108% | — | 3 |
| Screening mammography, bilateralCPT 77067 | $110 | — | — | — | 14 |
| Sepsis with MCCMS-DRG 871 | $14,093 | $15,818 | 89% | — | 3 |
| Shoulder arthroscopy, subacromial decompressionCPT 29826 | $191 | — | — | — | 10 |
| Simple pneumonia and pleurisy, with CCMS-DRG 194 | $5,847 | $5,177 | 113% | — | 3 |
| Sleep study (polysomnography)CPT 95810 | $1,148 | $1,072 | 107% | — | 17 |
| Stroke (hemorrhage/infarction), no CC/MCCMS-DRG 066 | $4,965 | $3,679 | 135% | — | 3 |
| Stroke (hemorrhage/infarction), with CC or tPAMS-DRG 065 | $7,330 | $6,559 | 112% | — | 3 |
| Thyroid stimulating hormone (TSH)CPT 84443 | $17 | $17 | 100% | — | 21 |
| Tonsillectomy and adenoidectomy, under age 12CPT 42820 | $7,914 | $7,390 | 107% | — | 13 |
| Transforaminal epidural, lumbar/sacralCPT 64483 | $1,039 | $1,104 | 94% | — | 18 |
| Ultrasound, abdomen, completeCPT 76700 | $140 | $130 | 107% | — | 20 |
| Ultrasound, transvaginalCPT 76830 | $142 | $130 | 109% | — | 16 |
| Upper GI endoscopy with biopsyCPT 43239 | $1,205 | $1,132 | 106% | — | 18 |
| Upper GI endoscopy, diagnosticCPT 43235 | $1,061 | $1,132 | 94% | — | 18 |
| Urinalysis, automated, with microscopyCPT 81001 | $4 | $3 | 112% | — | 15 |
| Urinalysis, automated, without microscopyCPT 81003 | $2 | $2 | 100% | — | 21 |
| Urinalysis, manual, with microscopyCPT 81000 | $5 | $4 | 112% | — | 15 |
| Urinalysis, manual, without microscopyCPT 81002 | $3 | $3 | 100% | — | 21 |
| Vaginal delivery, no sterilization, no CC/MCCMS-DRG 807 | $4,891 | — | — | — | 3 |
| Vaginal delivery, no sterilization, with CCMS-DRG 806 | $5,470 | — | — | — | 3 |
| X-ray, lower back, 4+ viewsCPT 72110 | $122 | $130 | 94% | — | 20 |
| YAG laser capsulotomy (secondary cataract)CPT 66821 | $1,180 | $687 | 172% | — | 11 |