| Acute myocardial infarction, discharged alive, with MCCMS-DRG 280 | $37,471 | $12,249 | 306% | — | 20 |
| Bariatric (obesity) surgery, no CC/MCCMS-DRG 621 | $33,367 | $8,272 | 403% | — | 20 |
| Basic metabolic panelCPT 80048 | $10 | $8 | 120% | ~$43 | 27 |
| COPD with MCCMS-DRG 190 | $25,642 | $8,624 | 297% | — | 20 |
| CT abdomen and pelvis with contrastCPT 74177 | $523 | $435 | 120% | ~$1,332 | 29 |
| CT head without contrastCPT 70450 | $174 | $130 | 134% | ~$592 | 30 |
| CT pelvis with contrastCPT 72193 | $286 | $219 | 130% | ~$783 | 30 |
| Cardiac arrhythmia, no CC/MCCMS-DRG 310 | $12,772 | $3,770 | 339% | — | 20 |
| Cardiac stress testCPT 93017 | $147 | $270 | 55% | $493 | 30 |
| Cardiac valve surgery with cardiac cath, with MCCMS-DRG 216 | $220,295 | — | — | — | 20 |
| Cataract surgery with IOL insertionCPT 66984 | $3,513 | $2,881 | 122% | — | 39 |
| Cellulitis, no MCCMS-DRG 603 | $20,109 | $6,616 | 304% | — | 20 |
| Cervical spinal fusion, no CC/MCCMS-DRG 473 | $54,037 | $16,343 | 331% | — | 20 |
| Cesarean section, no CC/MCCMS-DRG 788 | $17,380 | — | — | — | 15 |
| Cesarean section, with CCMS-DRG 787 | $20,391 | — | — | — | 15 |
| Chest painMS-DRG 313 | $16,283 | — | — | — | 20 |
| Colonoscopy with biopsyCPT 45380 | $1,688 | $1,494 | 113% | — | 40 |
| Colonoscopy with endoscopic ultrasoundCPT 45391 | $1,688 | $1,494 | 113% | — | 40 |
| Colonoscopy with polyp removalCPT 45385 | $1,688 | $1,494 | 113% | — | 40 |
| Colonoscopy, diagnosticCPT 45378 | $1,497 | $1,161 | 129% | — | 40 |
| Complete blood count with differentialCPT 85025 | $9 | $8 | 120% | ~$28 | 27 |
| Complete blood count, automatedCPT 85027 | $8 | $6 | 120% | — | 25 |
| Comprehensive metabolic panelCPT 80053 | $13 | $11 | 120% | ~$35 | 27 |
| Coronary bypass without cardiac cath, no MCCMS-DRG 236 | $93,862 | $29,950 | 313% | — | 20 |
| Diagnostic mammography, both breastsCPT 77066 | $175 | — | — | ~$315 | 22 |
| Diagnostic mammography, one breastCPT 77065 | $146 | — | — | ~$226 | 22 |
| ED visit, level 3CPT 99283 | $1,164 | $341 | 342% | $368 | 23 |
| ED visit, level 4CPT 99284 | $1,453 | $521 | 279% | $479 | 23 |
| ED visit, level 5CPT 99285 | $1,562 | $743 | 210% | $590 | 23 |
| Echocardiogram, completeCPT 93306 | $508 | $682 | 74% | $720 | 30 |
| Electrocardiogram with interpretationCPT 93000 | $18 | — | — | — | 20 |
| Epidural injection, lumbar/sacral, no imagingCPT 62322 | $1,166 | $1,104 | 106% | — | 38 |
| Esophagitis/GI disorders, no MCCMS-DRG 392 | $17,812 | $5,788 | 308% | — | 20 |
| Excision of breast lesionCPT 19120 | $3,607 | $4,888 | 74% | — | 39 |
| Family psychotherapy, with patientCPT 90847 | $132 | $222 | 60% | — | 36 |
| Family psychotherapy, without patientCPT 90846 | $132 | $222 | 60% | — | 36 |
| Group psychotherapyCPT 90853 | $101 | $127 | 80% | $58 | 43 |
| Heart failure and shock, with CCMS-DRG 292 | $19,661 | $5,927 | 332% | — | 20 |
| Heart failure with MCCMS-DRG 291 | $29,788 | $10,272 | 290% | — | 20 |
| Hip and femur procedures except major joint, with CCMS-DRG 481 | $47,365 | $16,626 | 285% | — | 20 |
| Hysterectomy, no CC/MCCMS-DRG 743 | $27,361 | $10,098 | 271% | — | 20 |
| Inguinal hernia repair, age 5+CPT 49505 | $6,919 | $4,469 | 155% | — | 18 |
| Kidney and urinary tract infections, no MCCMS-DRG 690 | $18,321 | $6,137 | 299% | — | 20 |
| Kidney function panelCPT 80069 | $12 | $9 | 134% | ~$27 | 27 |
| Knee arthroscopy with meniscectomyCPT 29881 | $3,929 | $4,084 | 96% | — | 39 |
| Laparoscopic cholecystectomyCPT 47562 | $10,533 | $7,547 | 140% | — | 18 |
| Laparoscopic cholecystectomy, no CC/MCCMS-DRG 419 | $30,078 | $8,977 | 335% | — | 20 |
| Laparoscopic radical prostatectomyCPT 55866 | $14,444 | $13,269 | 109% | — | 18 |
| Left heart catheterization, diagnosticCPT 93452 | $4,168 | $4,047 | 103% | — | 39 |
| Lipid panelCPT 80061 | $16 | $13 | 120% | ~$42 | 27 |
| Liver function panelCPT 80076 | $10 | $8 | 124% | ~$59 | 27 |
| Lumbar epidural steroid injectionCPT 62323 | $1,006 | $881 | 114% | — | 38 |
| MRI brain with and without contrastCPT 70553 | $606 | $435 | 139% | ~$1,255 | 31 |
| MRI lower extremity joint (knee)CPT 73721 | $581 | $298 | 195% | ~$1,001 | 31 |
| MRI lumbar spine without contrastCPT 72148 | $606 | $298 | 203% | ~$609 | 31 |
| Major joint replacement (hip/knee), no MCCMS-DRG 470 | $43,041 | $15,078 | 285% | — | 20 |
| Major joint replacement (hip/knee), with MCCMS-DRG 469 | $74,612 | $22,346 | 334% | — | 20 |
| Major small and large bowel procedures, with CCMS-DRG 330 | $53,957 | $18,444 | 293% | — | 20 |
| Medical back problems, no MCCMS-DRG 552 | $22,001 | $7,046 | 312% | — | 20 |
| OB global care, VBAC deliveryCPT 59610 | $3,062 | — | — | — | 8 |
| OB global care, cesarean deliveryCPT 59510 | $3,243 | — | — | — | 8 |
| OB global care, vaginal deliveryCPT 59400 | $2,584 | — | — | — | 29 |
| OB ultrasound, 14+ weeksCPT 76805 | $174 | $130 | 134% | ~$238 | 31 |
| Obstetric blood test panelCPT 80055 | $83 | $48 | 173% | — | 13 |
| Office consultation, comprehensiveCPT 99244 | $406 | — | — | — | 9 |
| Office consultation, moderateCPT 99243 | $406 | — | — | — | 9 |
| Office visit, established patient, level 3CPT 99213 | $348 | — | — | $144 | 14 |
| Office visit, established patient, level 4CPT 99214 | $348 | — | — | $162 | 14 |
| Office visit, new patient, level 3CPT 99203 | $348 | — | — | $207 | 14 |
| Office visit, new patient, level 4CPT 99204 | $348 | — | — | $266 | 14 |
| Office visit, new patient, level 5CPT 99205 | $348 | — | — | $350 | 14 |
| PSA (prostate specific antigen), totalCPT 84153 | $25 | $18 | 134% | ~$116 | 27 |
| Partial thromboplastin timeCPT 85730 | $8 | $6 | 134% | ~$33 | 27 |
| Physical therapy, therapeutic exerciseCPT 97110 | $134 | — | — | $68 | 44 |
| Preventive visit, new patient, 18-39CPT 99385 | $218 | — | — | $73 | 11 |
| Preventive visit, new patient, 40-64CPT 99386 | $110 | — | — | — | 5 |
| Prostate biopsyCPT 55700 | $2,743 | — | — | — | 33 |
| Prothrombin timeCPT 85610 | $5 | $4 | 127% | ~$33 | 27 |
| Psychotherapy, 30 minutesCPT 90832 | $132 | $222 | 60% | — | 36 |
| Psychotherapy, 45 minutesCPT 90834 | $176 | $222 | 80% | — | 36 |
| Psychotherapy, 60 minutesCPT 90837 | $176 | $222 | 80% | — | 36 |
| Renal failure, with CCMS-DRG 683 | $20,291 | $6,453 | 314% | — | 20 |
| Screening mammography, bilateralCPT 77067 | $154 | — | — | ~$260 | 22 |
| Sepsis with MCCMS-DRG 871 | $44,794 | $16,002 | 280% | — | 20 |
| Shoulder arthroscopy, subacromial decompressionCPT 29826 | $3,720 | — | — | — | 13 |
| Simple pneumonia and pleurisy, with CCMS-DRG 194 | $18,719 | $5,818 | 322% | — | 20 |
| Sleep study (polysomnography)CPT 95810 | $1,108 | $1,072 | 103% | $2,643 | 43 |
| Stroke (hemorrhage/infarction), no CC/MCCMS-DRG 066 | $15,712 | $3,679 | 427% | — | 20 |
| Stroke (hemorrhage/infarction), with CC or tPAMS-DRG 065 | $23,216 | $7,720 | 301% | — | 20 |
| Thyroid stimulating hormone (TSH)CPT 84443 | $20 | $17 | 120% | ~$78 | 27 |
| Tonsillectomy and adenoidectomy, under age 12CPT 42820 | $7,195 | $7,390 | 97% | — | 18 |
| Transforaminal epidural, lumbar/sacralCPT 64483 | $1,194 | $1,104 | 108% | — | 39 |
| Ultrasound, abdomen, completeCPT 76700 | $174 | $130 | 134% | ~$360 | 31 |
| Ultrasound, transvaginalCPT 76830 | $174 | $130 | 134% | ~$590 | 31 |
| Upper GI endoscopy with biopsyCPT 43239 | $1,757 | $1,132 | 155% | $658 | 44 |
| Upper GI endoscopy, diagnosticCPT 43235 | $1,475 | $1,132 | 130% | — | 40 |
| Urinalysis, automated, with microscopyCPT 81001 | $4 | $3 | 134% | ~$10 | 27 |
| Urinalysis, automated, without microscopyCPT 81003 | $3 | $2 | 124% | ~$26 | 27 |
| Urinalysis, manual, with microscopyCPT 81000 | $5 | $4 | 120% | — | 25 |
| Urinalysis, manual, without microscopyCPT 81002 | $4 | $3 | 115% | — | 25 |
| Vaginal delivery, no sterilization, no CC/MCCMS-DRG 807 | $12,237 | — | — | — | 15 |
| Vaginal delivery, no sterilization, with CCMS-DRG 806 | $13,894 | — | — | — | 15 |
| X-ray, lower back, 4+ viewsCPT 72110 | $165 | $130 | 127% | ~$192 | 30 |
| YAG laser capsulotomy (secondary cataract)CPT 66821 | $2,083 | $687 | 303% | — | 39 |