| Acute myocardial infarction, discharged alive, with MCCMS-DRG 280 | $41,533 | $14,085 | 295% | — | 161 |
| Bariatric (obesity) surgery, no CC/MCCMS-DRG 621 | $43,756 | $8,272 | 529% | — | 161 |
| Basic metabolic panelCPT 80048 | $21 | $8 | 251% | ~$64 | 277 |
| COPD with MCCMS-DRG 190 | $28,681 | $8,856 | 324% | — | 161 |
| CT abdomen and pelvis with contrastCPT 74177 | $1,628 | $435 | 374% | ~$1,362 | 253 |
| CT head without contrastCPT 70450 | $836 | $130 | 640% | ~$604 | 254 |
| CT pelvis with contrastCPT 72193 | $1,378 | $219 | 630% | ~$671 | 254 |
| Cardiac arrhythmia, no CC/MCCMS-DRG 310 | $14,657 | $3,269 | 448% | — | 161 |
| Cardiac stress testCPT 93017 | $456 | $270 | 169% | $218 | 277 |
| Cardiac valve surgery with cardiac cath, with MCCMS-DRG 216 | $253,296 | — | — | — | 161 |
| Cataract surgery with IOL insertionCPT 66984 | $6,768 | $2,881 | 235% | — | 194 |
| Cellulitis, no MCCMS-DRG 603 | $22,549 | $6,738 | 335% | — | 161 |
| Cervical spinal fusion, no CC/MCCMS-DRG 473 | $63,210 | $16,343 | 387% | — | 161 |
| Cesarean section, no CC/MCCMS-DRG 788 | $30,373 | — | — | — | 161 |
| Cesarean section, with CCMS-DRG 787 | $30,373 | — | — | — | 161 |
| Chest painMS-DRG 313 | $18,642 | $5,075 | 367% | — | 161 |
| Colonoscopy with biopsyCPT 45380 | $2,459 | $1,494 | 165% | $274 | 278 |
| Colonoscopy with endoscopic ultrasoundCPT 45391 | $5,723 | $1,494 | 383% | — | 194 |
| Colonoscopy with polyp removalCPT 45385 | $2,459 | $1,494 | 165% | $326 | 278 |
| Colonoscopy, diagnosticCPT 45378 | $2,459 | $1,161 | 212% | $230 | 278 |
| Complete blood count with differentialCPT 85025 | $23 | $8 | 293% | ~$33 | 278 |
| Complete blood count, automatedCPT 85027 | $17 | $6 | 263% | ~$12 | 278 |
| Comprehensive metabolic panelCPT 80053 | $28 | $11 | 265% | ~$112 | 278 |
| Coronary bypass without cardiac cath, no MCCMS-DRG 236 | $108,456 | $29,950 | 362% | — | 161 |
| Diagnostic mammography, both breastsCPT 77066 | $575 | — | — | ~$213 | 278 |
| Diagnostic mammography, one breastCPT 77065 | $575 | — | — | ~$177 | 278 |
| ED visit, level 3CPT 99283 | $3,105 | $341 | 911% | $494 | 229 |
| ED visit, level 4CPT 99284 | $2,916 | $521 | 560% | $464 | 229 |
| ED visit, level 5CPT 99285 | $3,542 | $743 | 477% | $549 | 229 |
| Echocardiogram, completeCPT 93306 | $1,069 | $682 | 157% | $431 | 277 |
| Epidural injection, lumbar/sacral, no imagingCPT 62322 | $5,591 | $1,104 | 506% | $950 | 278 |
| Esophagitis/GI disorders, no MCCMS-DRG 392 | $20,185 | $6,422 | 314% | — | 161 |
| Excision of breast lesionCPT 19120 | $6,200 | $4,888 | 127% | $961 | 278 |
| Family psychotherapy, with patientCPT 90847 | $717 | $222 | 323% | $122 | 277 |
| Family psychotherapy, without patientCPT 90846 | $639 | $222 | 288% | $108 | 277 |
| Group psychotherapyCPT 90853 | $214 | $127 | 169% | $34 | 252 |
| Heart failure and shock, with CCMS-DRG 292 | $21,982 | $5,927 | 371% | — | 161 |
| Heart failure with MCCMS-DRG 291 | $33,240 | $10,574 | 314% | — | 161 |
| Hip and femur procedures except major joint, with CCMS-DRG 481 | $54,231 | $17,149 | 316% | — | 161 |
| Hysterectomy, no CC/MCCMS-DRG 743 | $32,320 | $10,098 | 320% | — | 161 |
| Inguinal hernia repair, age 5+CPT 49505 | $9,417 | $4,469 | 211% | — | 194 |
| Kidney and urinary tract infections, no MCCMS-DRG 690 | $20,960 | $6,482 | 323% | — | 161 |
| Kidney function panelCPT 80069 | $23 | $9 | 271% | ~$11 | 277 |
| Knee arthroscopy with meniscectomyCPT 29881 | $9,417 | $4,084 | 231% | — | 194 |
| Laparoscopic cholecystectomyCPT 47562 | $8,299 | $7,547 | 110% | $1,286 | 278 |
| Laparoscopic cholecystectomy, no CC/MCCMS-DRG 419 | $35,363 | $8,977 | 394% | — | 161 |
| Laparoscopic radical prostatectomyCPT 55866 | $18,765 | $13,269 | 141% | — | 194 |
| Left heart catheterization, diagnosticCPT 93452 | $21,440 | $4,047 | 530% | $3,561 | 278 |
| Lipid panelCPT 80061 | $39 | $13 | 293% | ~$24 | 277 |
| Liver function panelCPT 80076 | $21 | $8 | 251% | ~$34 | 277 |
| Lumbar epidural steroid injectionCPT 62323 | $5,604 | $881 | 636% | $1,108 | 278 |
| MRI brain with and without contrastCPT 70553 | $2,179 | $435 | 500% | ~$1,555 | 277 |
| MRI lower extremity joint (knee)CPT 73721 | $1,673 | $298 | 562% | ~$784 | 277 |
| MRI lumbar spine without contrastCPT 72148 | $2,179 | $298 | 732% | ~$902 | 277 |
| Major joint replacement (hip/knee), no MCCMS-DRG 470 | $49,795 | $15,936 | 312% | — | 161 |
| Major joint replacement (hip/knee), with MCCMS-DRG 469 | $78,536 | $22,346 | 351% | — | 161 |
| Major small and large bowel procedures, with CCMS-DRG 330 | $62,068 | $16,202 | 383% | — | 161 |
| Medical back problems, no MCCMS-DRG 552 | $24,890 | $7,439 | 335% | — | 161 |
| OB ultrasound, 14+ weeksCPT 76805 | $434 | $130 | 332% | ~$412 | 277 |
| Office consultation, comprehensiveCPT 99244 | $572 | — | — | $91 | 219 |
| Office consultation, moderateCPT 99243 | $392 | — | — | $62 | 219 |
| Office visit, established patient, level 3CPT 99213 | $412 | — | — | $65 | 232 |
| Office visit, established patient, level 4CPT 99214 | $874 | — | — | $148 | 232 |
| Office visit, new patient, level 3CPT 99203 | $850 | — | — | $144 | 232 |
| Office visit, new patient, level 4CPT 99204 | $855 | — | — | $145 | 232 |
| Office visit, new patient, level 5CPT 99205 | $1,025 | — | — | $178 | 232 |
| PSA (prostate specific antigen), totalCPT 84153 | $54 | $18 | 293% | ~$26 | 277 |
| Partial thromboplastin timeCPT 85730 | $18 | $6 | 293% | ~$8 | 277 |
| Physical therapy, therapeutic exerciseCPT 97110 | $238 | — | — | $49 | 278 |
| Preventive visit, new patient, 18-39CPT 99385 | $521 | — | — | $89 | 219 |
| Preventive visit, new patient, 40-64CPT 99386 | $533 | — | — | $107 | 219 |
| Prostate biopsyCPT 55700 | $5,919 | — | — | $280 | 278 |
| Prothrombin timeCPT 85610 | $12 | $4 | 268% | ~$21 | 236 |
| Psychotherapy, 30 minutesCPT 90832 | $628 | $222 | 284% | $130 | 277 |
| Psychotherapy, 45 minutesCPT 90834 | $847 | $222 | 382% | $175 | 277 |
| Psychotherapy, 60 minutesCPT 90837 | $1,026 | $222 | 463% | $254 | 277 |
| Renal failure, with CCMS-DRG 683 | $22,676 | $7,120 | 319% | — | 161 |
| Screening mammography, bilateralCPT 77067 | $575 | — | — | ~$185 | 278 |
| Sepsis with MCCMS-DRG 871 | $50,295 | $16,671 | 302% | — | 161 |
| Shoulder arthroscopy, subacromial decompressionCPT 29826 | $6,487 | — | — | — | 190 |
| Simple pneumonia and pleurisy, with CCMS-DRG 194 | $20,866 | $5,871 | 355% | — | 161 |
| Sleep study (polysomnography)CPT 95810 | $9,679 | $1,072 | 903% | $2,143 | 277 |
| Stroke (hemorrhage/infarction), no CC/MCCMS-DRG 066 | $17,720 | $3,679 | 482% | — | 161 |
| Stroke (hemorrhage/infarction), with CC or tPAMS-DRG 065 | $26,159 | $8,354 | 313% | — | 161 |
| Thyroid stimulating hormone (TSH)CPT 84443 | $49 | $17 | 293% | ~$28 | 277 |
| Tonsillectomy and adenoidectomy, under age 12CPT 42820 | $6,768 | $7,390 | 92% | — | 194 |
| Transforaminal epidural, lumbar/sacralCPT 64483 | $4,633 | $1,104 | 420% | $787 | 278 |
| Ultrasound, abdomen, completeCPT 76700 | $772 | $130 | 591% | ~$244 | 278 |
| Ultrasound, transvaginalCPT 76830 | $331 | $130 | 253% | ~$265 | 275 |
| Upper GI endoscopy with biopsyCPT 43239 | $2,549 | $1,132 | 225% | $182 | 278 |
| Upper GI endoscopy, diagnosticCPT 43235 | $2,675 | $1,132 | 236% | $415 | 278 |
| Urinalysis, automated, with microscopyCPT 81001 | $9 | $3 | 292% | ~$4 | 278 |
| Urinalysis, automated, without microscopyCPT 81003 | $7 | $2 | 292% | ~$13 | 278 |
| Urinalysis, manual, with microscopyCPT 81000 | $9 | $4 | 231% | ~$2 | 277 |
| Urinalysis, manual, without microscopyCPT 81002 | $9 | $3 | 251% | ~$3 | 277 |
| Vaginal delivery, no sterilization, no CC/MCCMS-DRG 807 | $20,848 | — | — | — | 161 |
| Vaginal delivery, no sterilization, with CCMS-DRG 806 | $20,848 | — | — | — | 161 |
| X-ray, lower back, 4+ viewsCPT 72110 | $196 | $130 | 150% | ~$84 | 277 |
| YAG laser capsulotomy (secondary cataract)CPT 66821 | $2,746 | $687 | 400% | $426 | 278 |