| Acute myocardial infarction, discharged alive, with MCCMS-DRG 280 | $93,261 | $19,969 | 467% | — | 19 |
| Bariatric (obesity) surgery, no CC/MCCMS-DRG 621 | $53,276 | $8,272 | 644% | — | 19 |
| Basic metabolic panelCPT 80048 | $110 | $8 | 1306% | ~$25 | 28 |
| COPD with MCCMS-DRG 190 | $57,650 | $11,569 | 498% | — | 19 |
| CT abdomen and pelvis with contrastCPT 74177 | $1,910 | $435 | 439% | ~$688 | 28 |
| CT head without contrastCPT 70450 | $1,617 | $130 | 1239% | ~$506 | 28 |
| CT pelvis with contrastCPT 72193 | $1,695 | $219 | 774% | ~$459 | 28 |
| Cardiac arrhythmia, no CC/MCCMS-DRG 310 | $25,801 | $5,093 | 507% | — | 19 |
| Cardiac stress testCPT 93017 | $1,041 | $270 | 386% | $455 | 28 |
| Cardiac valve surgery with cardiac cath, with MCCMS-DRG 216 | $376,663 | $115,740 | 325% | — | 19 |
| Cataract surgery with IOL insertionCPT 66984 | $7,207 | $2,881 | 250% | — | 19 |
| Cellulitis, no MCCMS-DRG 603 | $44,479 | $9,192 | 484% | — | 19 |
| Cervical spinal fusion, no CC/MCCMS-DRG 473 | $78,663 | $27,399 | 287% | — | 19 |
| Cesarean section, no CC/MCCMS-DRG 788 | $40,345 | — | — | — | 19 |
| Cesarean section, with CCMS-DRG 787 | $47,729 | — | — | — | 19 |
| Chest painMS-DRG 313 | $32,656 | $7,539 | 433% | — | 19 |
| Colonoscopy with biopsyCPT 45380 | $4,211 | $1,494 | 282% | — | 20 |
| Colonoscopy with endoscopic ultrasoundCPT 45391 | $3,997 | $1,494 | 268% | — | 19 |
| Colonoscopy with polyp removalCPT 45385 | $3,997 | $1,494 | 268% | — | 19 |
| Colonoscopy, diagnosticCPT 45378 | $3,997 | $1,161 | 344% | — | 19 |
| Complete blood count with differentialCPT 85025 | $96 | $8 | 1236% | ~$22 | 28 |
| Complete blood count, automatedCPT 85027 | $75 | $6 | 1156% | ~$17 | 28 |
| Comprehensive metabolic panelCPT 80053 | $110 | $11 | 1038% | ~$25 | 28 |
| Coronary bypass without cardiac cath, no MCCMS-DRG 236 | $183,887 | $29,950 | 614% | — | 19 |
| Diagnostic mammography, both breastsCPT 77066 | $761 | — | — | ~$217 | 28 |
| Diagnostic mammography, one breastCPT 77065 | $639 | — | — | ~$166 | 28 |
| ED visit, level 3CPT 99283 | $2,179 | $341 | 639% | $472 | 17 |
| ED visit, level 4CPT 99284 | $2,459 | $521 | 472% | $621 | 17 |
| ED visit, level 5CPT 99285 | $3,539 | $743 | 476% | $908 | 17 |
| Echocardiogram, completeCPT 93306 | $1,699 | $682 | 249% | $454 | 28 |
| Epidural injection, lumbar/sacral, no imagingCPT 62322 | $2,571 | $1,104 | 233% | $566 | 28 |
| Esophagitis/GI disorders, no MCCMS-DRG 392 | $35,593 | $8,235 | 432% | — | 19 |
| Excision of breast lesionCPT 19120 | $7,207 | $4,888 | 147% | — | 19 |
| Family psychotherapy, with patientCPT 90847 | $492 | $222 | 222% | $113 | 28 |
| Family psychotherapy, without patientCPT 90846 | $492 | $222 | 222% | $113 | 28 |
| Group psychotherapyCPT 90853 | $366 | $127 | 288% | $113 | 28 |
| Heart failure and shock, with CCMS-DRG 292 | $38,858 | $9,194 | 423% | — | 19 |
| Heart failure with MCCMS-DRG 291 | $59,925 | $15,537 | 386% | — | 19 |
| Hip and femur procedures except major joint, with CCMS-DRG 481 | $101,049 | $22,359 | 452% | — | 19 |
| Hysterectomy, no CC/MCCMS-DRG 743 | $49,633 | $12,593 | 394% | — | 19 |
| Inguinal hernia repair, age 5+CPT 49505 | $9,121 | $4,469 | 204% | — | 19 |
| Kidney and urinary tract infections, no MCCMS-DRG 690 | $41,560 | $9,057 | 459% | — | 19 |
| Kidney function panelCPT 80069 | $92 | $9 | 1060% | ~$21 | 28 |
| Knee arthroscopy with meniscectomyCPT 29881 | $8,846 | $4,084 | 217% | — | 19 |
| Laparoscopic cholecystectomyCPT 47562 | $11,687 | $7,547 | 155% | — | 19 |
| Laparoscopic cholecystectomy, no CC/MCCMS-DRG 419 | $48,791 | $12,853 | 380% | — | 19 |
| Laparoscopic radical prostatectomyCPT 55866 | $12,701 | $13,269 | 96% | — | 19 |
| Left heart catheterization, diagnosticCPT 93452 | $10,037 | $4,047 | 248% | — | 19 |
| Lipid panelCPT 80061 | $203 | $13 | 1517% | ~$47 | 28 |
| Liver function panelCPT 80076 | $138 | $8 | 1685% | ~$32 | 28 |
| Lumbar epidural steroid injectionCPT 62323 | $3,303 | $881 | 375% | — | 19 |
| MRI brain with and without contrastCPT 70553 | $3,291 | $435 | 756% | ~$1,580 | 28 |
| MRI lower extremity joint (knee)CPT 73721 | $2,160 | $298 | 725% | ~$879 | 28 |
| MRI lumbar spine without contrastCPT 72148 | $2,276 | $298 | 764% | ~$1,044 | 28 |
| Major joint replacement (hip/knee), no MCCMS-DRG 470 | $72,363 | $20,753 | 349% | — | 19 |
| Major joint replacement (hip/knee), with MCCMS-DRG 469 | $109,824 | $36,812 | 298% | — | 19 |
| Major small and large bowel procedures, with CCMS-DRG 330 | $107,331 | $26,008 | 413% | — | 19 |
| Medical back problems, no MCCMS-DRG 552 | $42,563 | $10,301 | 413% | — | 19 |
| OB ultrasound, 14+ weeksCPT 76805 | $663 | $130 | 508% | ~$172 | 28 |
| Office consultation, comprehensiveCPT 99244 | $622 | — | — | $139 | 11 |
| Office consultation, moderateCPT 99243 | $622 | — | — | $139 | 11 |
| Office visit, established patient, level 3CPT 99213 | $608 | — | — | $139 | 11 |
| Office visit, established patient, level 4CPT 99214 | $622 | — | — | $139 | 11 |
| Office visit, new patient, level 3CPT 99203 | $622 | — | — | $139 | 11 |
| Office visit, new patient, level 4CPT 99204 | $622 | — | — | $139 | 11 |
| Office visit, new patient, level 5CPT 99205 | $622 | — | — | $139 | 11 |
| PSA (prostate specific antigen), totalCPT 84153 | $229 | $18 | 1245% | ~$76 | 28 |
| Partial thromboplastin timeCPT 85730 | $107 | $6 | 1782% | ~$25 | 28 |
| Physical therapy, therapeutic exerciseCPT 97110 | $346 | — | — | $82 | 28 |
| Preventive visit, new patient, 18-39CPT 99385 | $622 | — | — | $139 | 11 |
| Preventive visit, new patient, 40-64CPT 99386 | $622 | — | — | $139 | 11 |
| Prostate biopsyCPT 55700 | $6,576 | — | — | — | 19 |
| Prothrombin timeCPT 85610 | $59 | $4 | 1382% | ~$15 | 17 |
| Psychotherapy, 30 minutesCPT 90832 | $645 | $222 | 291% | $451 | 28 |
| Psychotherapy, 45 minutesCPT 90834 | $419 | $222 | 189% | $94 | 28 |
| Psychotherapy, 60 minutesCPT 90837 | $528 | $222 | 238% | $117 | 28 |
| Renal failure, with CCMS-DRG 683 | $47,819 | $9,533 | 502% | — | 19 |
| Screening mammography, bilateralCPT 77067 | $656 | — | — | ~$170 | 28 |
| Sepsis with MCCMS-DRG 871 | $103,172 | $25,941 | 398% | — | 19 |
| Simple pneumonia and pleurisy, with CCMS-DRG 194 | $37,205 | $8,319 | 447% | — | 19 |
| Sleep study (polysomnography)CPT 95810 | $6,976 | $1,072 | 651% | $2,164 | 28 |
| Stroke (hemorrhage/infarction), no CC/MCCMS-DRG 066 | $35,342 | $6,707 | 527% | — | 19 |
| Stroke (hemorrhage/infarction), with CC or tPAMS-DRG 065 | $52,058 | $10,724 | 485% | — | 19 |
| Thyroid stimulating hormone (TSH)CPT 84443 | $267 | $17 | 1590% | ~$70 | 28 |
| Tonsillectomy and adenoidectomy, under age 12CPT 42820 | $7,112 | $7,390 | 96% | — | 19 |
| Transforaminal epidural, lumbar/sacralCPT 64483 | $3,303 | $1,104 | 299% | — | 19 |
| Ultrasound, abdomen, completeCPT 76700 | $1,091 | $130 | 836% | ~$250 | 28 |
| Ultrasound, transvaginalCPT 76830 | $735 | $130 | 563% | ~$191 | 28 |
| Upper GI endoscopy with biopsyCPT 43239 | $4,193 | $1,132 | 370% | — | 20 |
| Upper GI endoscopy, diagnosticCPT 43235 | $4,144 | $1,132 | 366% | — | 19 |
| Urinalysis, automated, with microscopyCPT 81001 | $94 | $3 | 2950% | ~$21 | 28 |
| Urinalysis, automated, without microscopyCPT 81003 | $77 | $2 | 3440% | ~$18 | 28 |
| Urinalysis, manual, with microscopyCPT 81000 | $95 | $4 | 2368% | ~$22 | 28 |
| Urinalysis, manual, without microscopyCPT 81002 | $64 | $3 | 1853% | ~$15 | 28 |
| Vaginal delivery, no sterilization, no CC/MCCMS-DRG 807 | $27,061 | — | — | — | 19 |
| Vaginal delivery, no sterilization, with CCMS-DRG 806 | $30,505 | — | — | — | 19 |
| X-ray, lower back, 4+ viewsCPT 72110 | $438 | $130 | 336% | ~$194 | 28 |
| YAG laser capsulotomy (secondary cataract)CPT 66821 | $3,924 | $687 | 572% | $639 | 28 |