| Acute myocardial infarction, discharged alive, with MCCMS-DRG 280 | $18,816 | $11,217 | 168% | — | 5 |
| Bariatric (obesity) surgery, no CC/MCCMS-DRG 621 | $17,694 | $8,272 | 214% | — | 5 |
| Basic metabolic panelCPT 80048 | $83 | $8 | 978% | ~$47 | 9 |
| COPD with MCCMS-DRG 190 | $12,993 | $11,283 | 115% | — | 5 |
| CT abdomen and pelvis with contrastCPT 74177 | $2,696 | $435 | 619% | ~$1,355 | 9 |
| CT head without contrastCPT 70450 | $2,523 | $130 | 1933% | ~$1,268 | 9 |
| CT pelvis with contrastCPT 72193 | $1,016 | $219 | 464% | ~$503 | 8 |
| Cardiac arrhythmia, no CC/MCCMS-DRG 310 | $6,640 | $3,269 | 203% | — | 5 |
| Cardiac stress testCPT 93017 | $521 | $270 | 193% | $247 | 8 |
| Cardiac valve surgery with cardiac cath, with MCCMS-DRG 216 | $114,752 | — | — | — | 5 |
| Cataract surgery with IOL insertionCPT 66984 | $8,793 | $2,881 | 305% | — | 4 |
| Cellulitis, no MCCMS-DRG 603 | $10,216 | $8,709 | 117% | — | 5 |
| Cervical spinal fusion, no CC/MCCMS-DRG 473 | $28,636 | $16,343 | 175% | — | 5 |
| Cesarean section, no CC/MCCMS-DRG 788 | $9,669 | — | — | — | 5 |
| Cesarean section, with CCMS-DRG 787 | $11,887 | — | — | — | 5 |
| Chest painMS-DRG 313 | $8,446 | — | — | — | 5 |
| Colonoscopy with biopsyCPT 45380 | $3,120 | $1,494 | 209% | — | 4 |
| Colonoscopy with endoscopic ultrasoundCPT 45391 | $3,120 | $1,494 | 209% | — | 4 |
| Colonoscopy with polyp removalCPT 45385 | $3,120 | $1,494 | 209% | — | 4 |
| Colonoscopy, diagnosticCPT 45378 | $2,868 | $1,161 | 247% | — | 4 |
| Complete blood count with differentialCPT 85025 | $84 | $8 | 1079% | ~$51 | 10 |
| Complete blood count, automatedCPT 85027 | $65 | $6 | 1005% | ~$40 | 10 |
| Comprehensive metabolic panelCPT 80053 | $196 | $11 | 1859% | ~$112 | 9 |
| Coronary bypass without cardiac cath, no MCCMS-DRG 236 | $49,135 | $29,950 | 164% | — | 5 |
| Diagnostic mammography, both breastsCPT 77066 | $607 | — | — | ~$288 | 8 |
| Diagnostic mammography, one breastCPT 77065 | $388 | — | — | ~$184 | 8 |
| ED visit, level 3CPT 99283 | $698 | $341 | 205% | $342 | 9 |
| ED visit, level 4CPT 99284 | $1,108 | $521 | 213% | $550 | 10 |
| ED visit, level 5CPT 99285 | $1,665 | $743 | 224% | $816 | 9 |
| Echocardiogram, completeCPT 93306 | $1,564 | $682 | 229% | $766 | 9 |
| Electrocardiogram with interpretationCPT 93000 | $196 | — | — | $97 | 8 |
| Epidural injection, lumbar/sacral, no imagingCPT 62322 | $907 | $1,104 | 82% | $431 | 8 |
| Esophagitis/GI disorders, no MCCMS-DRG 392 | $9,145 | $7,811 | 117% | — | 5 |
| Excision of breast lesionCPT 19120 | $6,028 | $4,888 | 123% | $2,860 | 8 |
| Family psychotherapy, with patientCPT 90847 | $269 | $222 | 121% | $126 | 8 |
| Family psychotherapy, without patientCPT 90846 | $269 | $222 | 121% | $126 | 8 |
| Group psychotherapyCPT 90853 | $183 | $127 | 144% | $87 | 8 |
| Heart failure and shock, with CCMS-DRG 292 | $9,959 | $5,927 | 168% | — | 5 |
| Heart failure with MCCMS-DRG 291 | $15,059 | $13,676 | 110% | — | 5 |
| Hip and femur procedures except major joint, with CCMS-DRG 481 | $24,568 | $22,429 | 110% | — | 5 |
| Hysterectomy, no CC/MCCMS-DRG 743 | $14,553 | $10,098 | 144% | — | 5 |
| Inguinal hernia repair, age 5+CPT 49505 | $8,995 | $4,469 | 201% | — | 4 |
| Kidney and urinary tract infections, no MCCMS-DRG 690 | $9,495 | $7,911 | 120% | — | 5 |
| Kidney function panelCPT 80069 | $84 | $9 | 969% | ~$48 | 8 |
| Knee arthroscopy with meniscectomyCPT 29881 | $8,703 | $4,084 | 213% | — | 4 |
| Laparoscopic cholecystectomyCPT 47562 | $12,345 | $7,547 | 164% | — | 4 |
| Laparoscopic cholecystectomy, no CC/MCCMS-DRG 419 | $16,021 | $8,977 | 178% | — | 5 |
| Laparoscopic radical prostatectomyCPT 55866 | $16,883 | $13,269 | 127% | — | 4 |
| Left heart catheterization, diagnosticCPT 93452 | $10,715 | $4,047 | 265% | — | 4 |
| Lipid panelCPT 80061 | $174 | $13 | 1299% | ~$99 | 8 |
| Liver function panelCPT 80076 | $91 | $8 | 1108% | ~$51 | 8 |
| Lumbar epidural steroid injectionCPT 62323 | $1,281 | $881 | 145% | $608 | 8 |
| MRI brain with and without contrastCPT 70553 | $5,961 | $435 | 1369% | ~$3,221 | 8 |
| MRI lower extremity joint (knee)CPT 73721 | $3,628 | $298 | 1218% | ~$1,960 | 8 |
| MRI lumbar spine without contrastCPT 72148 | $4,297 | $298 | 1443% | ~$2,322 | 8 |
| Major joint replacement (hip/knee), no MCCMS-DRG 470 | $22,626 | $13,045 | 173% | — | 5 |
| Major joint replacement (hip/knee), with MCCMS-DRG 469 | $37,657 | $22,346 | 169% | — | 5 |
| Major small and large bowel procedures, with CCMS-DRG 330 | $28,119 | $16,202 | 174% | — | 5 |
| Medical back problems, no MCCMS-DRG 552 | $11,276 | $9,985 | 113% | — | 5 |
| OB global care, VBAC deliveryCPT 59610 | $3,296 | — | — | — | 3 |
| OB global care, cesarean deliveryCPT 59510 | $3,500 | — | — | — | 3 |
| OB global care, vaginal deliveryCPT 59400 | $3,148 | — | — | — | 3 |
| OB ultrasound, 14+ weeksCPT 76805 | $540 | $130 | 414% | ~$256 | 8 |
| Obstetric blood test panelCPT 80055 | $242 | $48 | 506% | ~$137 | 8 |
| Office consultation, comprehensiveCPT 99244 | $236 | — | — | — | 3 |
| Office consultation, moderateCPT 99243 | $225 | — | — | $107 | 8 |
| Office visit, established patient, level 3CPT 99213 | $152 | — | — | $72 | 8 |
| Office visit, established patient, level 4CPT 99214 | $158 | — | — | $72 | 8 |
| Office visit, new patient, level 3CPT 99203 | $162 | — | — | $72 | 8 |
| Office visit, new patient, level 4CPT 99204 | $158 | — | — | $72 | 8 |
| Office visit, new patient, level 5CPT 99205 | $158 | — | — | $72 | 8 |
| PSA (prostate specific antigen), totalCPT 84153 | $257 | $18 | 1400% | ~$146 | 8 |
| Partial thromboplastin timeCPT 85730 | $66 | $6 | 1097% | ~$37 | 8 |
| Physical therapy, therapeutic exerciseCPT 97110 | $114 | — | — | $57 | 10 |
| Preventive visit, new patient, 18-39CPT 99385 | $214 | — | — | $97 | 8 |
| Preventive visit, new patient, 40-64CPT 99386 | $182 | — | — | $83 | 8 |
| Prostate biopsyCPT 55700 | $3,978 | — | — | — | 1 |
| Prothrombin timeCPT 85610 | $35 | $4 | 809% | ~$21 | 10 |
| Psychotherapy, 30 minutesCPT 90832 | $264 | $222 | 119% | $126 | 9 |
| Psychotherapy, 45 minutesCPT 90834 | $276 | $222 | 125% | $126 | 8 |
| Psychotherapy, 60 minutesCPT 90837 | $276 | $222 | 125% | $126 | 8 |
| Renal failure, with CCMS-DRG 683 | $10,273 | $8,840 | 116% | — | 5 |
| Screening mammography, bilateralCPT 77067 | $321 | — | — | ~$159 | 10 |
| Sepsis with MCCMS-DRG 871 | $22,786 | $21,664 | 105% | — | 5 |
| Shoulder arthroscopy, subacromial decompressionCPT 29826 | $428 | — | — | — | 4 |
| Simple pneumonia and pleurisy, with CCMS-DRG 194 | $9,453 | $8,294 | 114% | — | 5 |
| Sleep study (polysomnography)CPT 95810 | $3,788 | $1,072 | 353% | $1,798 | 8 |
| Spinal fusion except cervical, no MCCMS-DRG 460 | $41,367 | $25,413 | 163% | — | 1 |
| Spinal fusion except cervical, with MCCMS-DRG 459 | $75,005 | $51,127 | 147% | — | 1 |
| Stroke (hemorrhage/infarction), no CC/MCCMS-DRG 066 | $8,028 | $5,906 | 136% | — | 5 |
| Stroke (hemorrhage/infarction), with CC or tPAMS-DRG 065 | $11,851 | $10,555 | 112% | — | 5 |
| Thyroid stimulating hormone (TSH)CPT 84443 | $268 | $17 | 1592% | ~$152 | 8 |
| Tonsillectomy and adenoidectomy, under age 12CPT 42820 | $9,932 | $7,390 | 134% | — | 4 |
| Transforaminal epidural, lumbar/sacralCPT 64483 | $2,064 | $1,104 | 187% | $1,024 | 8 |
| Ultrasound, abdomen, completeCPT 76700 | $869 | $130 | 666% | ~$431 | 8 |
| Ultrasound, transvaginalCPT 76830 | $899 | $130 | 689% | ~$452 | 9 |
| Upper GI endoscopy with biopsyCPT 43239 | $2,846 | $1,132 | 251% | — | 4 |
| Upper GI endoscopy, diagnosticCPT 43235 | $2,387 | $1,132 | 211% | — | 4 |
| Urinalysis, automated, with microscopyCPT 81001 | $40 | $3 | 1253% | ~$24 | 10 |
| Urinalysis, automated, without microscopyCPT 81003 | $3 | $2 | 152% | — | 3 |
| Urinalysis, manual, with microscopyCPT 81000 | $48 | $4 | 1197% | ~$27 | 8 |
| Urinalysis, manual, without microscopyCPT 81002 | $18 | $3 | 503% | ~$10 | 8 |
| Vaginal delivery, no sterilization, no CC/MCCMS-DRG 807 | $7,399 | — | — | — | 5 |
| Vaginal delivery, no sterilization, with CCMS-DRG 806 | $8,444 | — | — | — | 5 |
| X-ray, lower back, 4+ viewsCPT 72110 | $541 | $130 | 415% | ~$257 | 8 |
| YAG laser capsulotomy (secondary cataract)CPT 66821 | $2,096 | $687 | 305% | — | 4 |