| Acute myocardial infarction, discharged alive, with MCCMS-DRG 280 | $25,539 | $12,541 | 204% | — | 1 |
| Bariatric (obesity) surgery, no CC/MCCMS-DRG 621 | $17,932 | $8,272 | 217% | — | 2 |
| Basic metabolic panelCPT 80048 | $77 | $8 | 908% | ~$31 | 12 |
| COPD with MCCMS-DRG 190 | $17,636 | $7,377 | 239% | — | 1 |
| CT abdomen and pelvis with contrastCPT 74177 | $1,520 | $435 | 349% | ~$624 | 12 |
| CT head without contrastCPT 70450 | $710 | $130 | 544% | ~$354 | 12 |
| CT pelvis with contrastCPT 72193 | $1,118 | $219 | 511% | ~$448 | 12 |
| Cardiac arrhythmia, no CC/MCCMS-DRG 310 | $9,013 | $3,408 | 264% | — | 1 |
| Cardiac stress testCPT 93017 | $872 | $270 | 323% | $403 | 12 |
| Cardiac valve surgery with cardiac cath, with MCCMS-DRG 216 | $106,626 | — | — | — | 2 |
| Cataract surgery with IOL insertionCPT 66984 | $6,440 | $2,881 | 224% | — | 5 |
| Cellulitis, no MCCMS-DRG 603 | $13,866 | $5,675 | 244% | — | 1 |
| Cervical spinal fusion, no CC/MCCMS-DRG 473 | $38,868 | $16,343 | 238% | — | 1 |
| Cesarean section, no CC/MCCMS-DRG 788 | $15,265 | — | — | — | 1 |
| Cesarean section, with CCMS-DRG 787 | $17,781 | — | — | — | 1 |
| Chest painMS-DRG 313 | $11,463 | — | — | — | 1 |
| Colonoscopy with biopsyCPT 45380 | $1,557 | $1,494 | 104% | $509 | 12 |
| Colonoscopy with endoscopic ultrasoundCPT 45391 | $4,415 | $1,494 | 296% | — | 5 |
| Colonoscopy with polyp removalCPT 45385 | $766 | $1,494 | 51% | $230 | 12 |
| Colonoscopy, diagnosticCPT 45378 | $1,272 | $1,161 | 110% | $401 | 12 |
| Complete blood count with differentialCPT 85025 | $74 | $8 | 947% | ~$30 | 12 |
| Complete blood count, automatedCPT 85027 | $62 | $6 | 960% | ~$25 | 12 |
| Comprehensive metabolic panelCPT 80053 | $99 | $11 | 933% | ~$40 | 12 |
| Coronary bypass without cardiac cath, no MCCMS-DRG 236 | $66,690 | $29,950 | 223% | — | 1 |
| Diagnostic mammography, both breastsCPT 77066 | $990 | — | — | ~$465 | 12 |
| Diagnostic mammography, one breastCPT 77065 | $522 | — | — | ~$193 | 12 |
| ED visit, level 3CPT 99283 | $189 | $341 | 55% | $57 | 12 |
| ED visit, level 4CPT 99284 | $339 | $521 | 65% | $101 | 12 |
| ED visit, level 5CPT 99285 | $499 | $743 | 67% | $149 | 12 |
| Echocardiogram, completeCPT 93306 | $1,490 | $682 | 218% | $538 | 12 |
| Electrocardiogram with interpretationCPT 93000 | $126 | — | — | $41 | 9 |
| Epidural injection, lumbar/sacral, no imagingCPT 62322 | $4,435 | $1,104 | 402% | — | 4 |
| Esophagitis/GI disorders, no MCCMS-DRG 392 | $12,412 | $5,940 | 209% | — | 1 |
| Excision of breast lesionCPT 19120 | $4,050 | $4,888 | 83% | $1,263 | 12 |
| Family psychotherapy, with patientCPT 90847 | $290 | $222 | 131% | $92 | 12 |
| Family psychotherapy, without patientCPT 90846 | $281 | $222 | 127% | $89 | 12 |
| Group psychotherapyCPT 90853 | $72 | $127 | 57% | $23 | 12 |
| Heart failure and shock, with CCMS-DRG 292 | $13,517 | $5,927 | 228% | — | 1 |
| Heart failure with MCCMS-DRG 291 | $20,439 | $10,613 | 193% | — | 1 |
| Hip and femur procedures except major joint, with CCMS-DRG 481 | $33,347 | $15,656 | 213% | — | 1 |
| Hysterectomy, no CC/MCCMS-DRG 743 | $19,753 | $10,098 | 196% | — | 1 |
| Inguinal hernia repair, age 5+CPT 49505 | $1,494 | $4,469 | 33% | $447 | 12 |
| Kidney and urinary tract infections, no MCCMS-DRG 690 | $12,888 | $6,563 | 196% | — | 1 |
| Kidney function panelCPT 80069 | $65 | $9 | 752% | ~$27 | 12 |
| Knee arthroscopy with meniscectomyCPT 29881 | $1,548 | $4,084 | 38% | $463 | 12 |
| Laparoscopic cholecystectomyCPT 47562 | $1,886 | $7,547 | 25% | $565 | 12 |
| Laparoscopic cholecystectomy, no CC/MCCMS-DRG 419 | $21,745 | $8,977 | 242% | — | 1 |
| Laparoscopic radical prostatectomyCPT 55866 | $4,186 | $13,269 | 32% | $1,253 | 12 |
| Left heart catheterization, diagnosticCPT 93452 | $10,357 | $4,047 | 256% | $3,557 | 12 |
| Lipid panelCPT 80061 | $81 | $13 | 602% | ~$33 | 12 |
| Liver function panelCPT 80076 | $77 | $8 | 940% | ~$31 | 12 |
| Lumbar epidural steroid injectionCPT 62323 | $277 | $881 | 31% | $86 | 12 |
| MRI brain with and without contrastCPT 70553 | $1,781 | $435 | 409% | ~$774 | 12 |
| MRI lower extremity joint (knee)CPT 73721 | $1,304 | $298 | 438% | ~$604 | 12 |
| MRI lumbar spine without contrastCPT 72148 | $856 | $298 | 287% | ~$334 | 12 |
| Major joint replacement (hip/knee), no MCCMS-DRG 470 | $30,710 | $13,045 | 235% | — | 1 |
| Major joint replacement (hip/knee), with MCCMS-DRG 469 | $48,292 | $22,346 | 216% | — | 1 |
| Major small and large bowel procedures, with CCMS-DRG 330 | $38,166 | $16,202 | 236% | — | 1 |
| Medical back problems, no MCCMS-DRG 552 | $15,305 | $6,142 | 249% | — | 1 |
| OB global care, VBAC deliveryCPT 59610 | $5,890 | — | — | $1,859 | 8 |
| OB global care, cesarean deliveryCPT 59510 | $6,213 | — | — | $1,961 | 8 |
| OB global care, vaginal deliveryCPT 59400 | $5,642 | — | — | $1,781 | 8 |
| OB ultrasound, 14+ weeksCPT 76805 | $536 | $130 | 411% | ~$208 | 12 |
| Office consultation, comprehensiveCPT 99244 | $164 | — | — | $53 | 8 |
| Office consultation, moderateCPT 99243 | $108 | — | — | $35 | 8 |
| Office visit, established patient, level 3CPT 99213 | $193 | — | — | $61 | 9 |
| Office visit, established patient, level 4CPT 99214 | $248 | — | — | $78 | 9 |
| Office visit, new patient, level 3CPT 99203 | $217 | — | — | $68 | 9 |
| Office visit, new patient, level 4CPT 99204 | $354 | — | — | $112 | 9 |
| Office visit, new patient, level 5CPT 99205 | $460 | — | — | $145 | 9 |
| PSA (prostate specific antigen), totalCPT 84153 | $152 | $18 | 828% | ~$62 | 12 |
| Partial thromboplastin timeCPT 85730 | $58 | $6 | 969% | ~$24 | 12 |
| Physical therapy, therapeutic exerciseCPT 97110 | $135 | — | — | $45 | 12 |
| Preventive visit, new patient, 18-39CPT 99385 | $203 | — | — | $64 | 8 |
| Preventive visit, new patient, 40-64CPT 99386 | $230 | — | — | $73 | 8 |
| Prostate biopsyCPT 55700 | $2,567 | — | — | $810 | 9 |
| Prothrombin timeCPT 85610 | $30 | $4 | 701% | ~$12 | 12 |
| Psychotherapy, 30 minutesCPT 90832 | $186 | $222 | 84% | $58 | 12 |
| Psychotherapy, 45 minutesCPT 90834 | $341 | $222 | 154% | $110 | 12 |
| Psychotherapy, 60 minutesCPT 90837 | $347 | $222 | 156% | $109 | 12 |
| Renal failure, with CCMS-DRG 683 | $13,944 | $7,257 | 192% | — | 1 |
| Screening mammography, bilateralCPT 77067 | $801 | — | — | ~$372 | 12 |
| Sepsis with MCCMS-DRG 871 | $30,927 | $16,968 | 182% | — | 1 |
| Shoulder arthroscopy, subacromial decompressionCPT 29826 | $481 | — | — | $152 | 9 |
| Simple pneumonia and pleurisy, with CCMS-DRG 194 | $12,831 | $6,207 | 207% | — | 1 |
| Sleep study (polysomnography)CPT 95810 | $1,817 | $1,072 | 169% | $574 | 12 |
| Stroke (hemorrhage/infarction), no CC/MCCMS-DRG 066 | $10,896 | $4,587 | 238% | — | 1 |
| Stroke (hemorrhage/infarction), with CC or tPAMS-DRG 065 | $16,085 | $8,055 | 200% | — | 1 |
| Thyroid stimulating hormone (TSH)CPT 84443 | $157 | $17 | 933% | ~$64 | 12 |
| Tonsillectomy and adenoidectomy, under age 12CPT 42820 | $844 | $7,390 | 11% | $253 | 12 |
| Transforaminal epidural, lumbar/sacralCPT 64483 | $317 | $1,104 | 29% | $99 | 12 |
| Ultrasound, abdomen, completeCPT 76700 | $415 | $130 | 318% | ~$140 | 12 |
| Ultrasound, transvaginalCPT 76830 | $554 | $130 | 425% | ~$223 | 12 |
| Upper GI endoscopy with biopsyCPT 43239 | $2,029 | $1,132 | 179% | $652 | 12 |
| Upper GI endoscopy, diagnosticCPT 43235 | $1,270 | $1,132 | 112% | $408 | 12 |
| Urinalysis, automated, with microscopyCPT 81001 | $32 | $3 | 1009% | ~$13 | 12 |
| Urinalysis, automated, without microscopyCPT 81003 | $23 | $2 | 1024% | ~$9 | 12 |
| Urinalysis, manual, with microscopyCPT 81000 | $24 | $4 | 605% | ~$10 | 12 |
| Urinalysis, manual, without microscopyCPT 81002 | $38 | $3 | 1103% | ~$16 | 12 |
| Vaginal delivery, no sterilization, no CC/MCCMS-DRG 807 | $10,734 | — | — | — | 1 |
| Vaginal delivery, no sterilization, with CCMS-DRG 806 | $12,004 | — | — | — | 1 |
| X-ray, lower back, 4+ viewsCPT 72110 | $285 | $130 | 218% | ~$103 | 12 |
| YAG laser capsulotomy (secondary cataract)CPT 66821 | $5,138 | $687 | 748% | — | 4 |