| Acute myocardial infarction, discharged alive, with MCCMS-DRG 280 | $53,285 | $13,197 | 404% | — | 14 |
| Bariatric (obesity) surgery, no CC/MCCMS-DRG 621 | $46,419 | $8,272 | 561% | — | 14 |
| Basic metabolic panelCPT 80048 | $83 | $8 | 979% | ~$19 | 20 |
| COPD with MCCMS-DRG 190 | $36,259 | $8,901 | 407% | — | 14 |
| CT abdomen and pelvis with contrastCPT 74177 | $2,582 | $435 | 593% | ~$1,025 | 20 |
| CT head without contrastCPT 70450 | $1,396 | $130 | 1070% | ~$301 | 20 |
| CT pelvis with contrastCPT 72193 | $2,006 | $219 | 916% | ~$489 | 20 |
| Cardiac arrhythmia, no CC/MCCMS-DRG 310 | $18,805 | $3,699 | 508% | — | 14 |
| Cardiac stress testCPT 93017 | $2,104 | $270 | 780% | $569 | 20 |
| Cardiac valve surgery with cardiac cath, with MCCMS-DRG 216 | $315,394 | — | — | — | 14 |
| Cataract surgery with IOL insertionCPT 66984 | $7,230 | $2,881 | 251% | — | 14 |
| Cellulitis, no MCCMS-DRG 603 | $28,930 | $6,751 | 429% | — | 14 |
| Cervical spinal fusion, no CC/MCCMS-DRG 473 | $81,095 | $16,343 | 496% | — | 14 |
| Cesarean section, no CC/MCCMS-DRG 788 | $21,538 | — | — | — | 17 |
| Cesarean section, with CCMS-DRG 787 | $24,102 | — | — | — | 17 |
| Chest painMS-DRG 313 | $23,917 | $5,190 | 461% | — | 14 |
| Colonoscopy with biopsyCPT 45380 | $5,228 | $1,494 | 350% | — | 14 |
| Colonoscopy with endoscopic ultrasoundCPT 45391 | $5,228 | $1,494 | 350% | — | 14 |
| Colonoscopy with polyp removalCPT 45385 | $5,228 | $1,494 | 350% | — | 14 |
| Colonoscopy, diagnosticCPT 45378 | $4,906 | $1,161 | 423% | — | 14 |
| Complete blood count with differentialCPT 85025 | $80 | $8 | 1035% | ~$18 | 20 |
| Complete blood count, automatedCPT 85027 | $63 | $6 | 981% | ~$15 | 20 |
| Comprehensive metabolic panelCPT 80053 | $104 | $11 | 984% | ~$24 | 20 |
| Coronary bypass without cardiac cath, no MCCMS-DRG 236 | $139,144 | $29,950 | 465% | — | 14 |
| Diagnostic mammography, both breastsCPT 77066 | $640 | — | — | ~$132 | 20 |
| Diagnostic mammography, one breastCPT 77065 | $509 | — | — | ~$105 | 20 |
| ED visit, level 3CPT 99283 | $2,422 | $341 | 711% | $841 | 22 |
| ED visit, level 4CPT 99284 | $2,780 | $521 | 534% | $1,010 | 22 |
| ED visit, level 5CPT 99285 | $2,780 | $743 | 374% | $1,542 | 22 |
| Echocardiogram, completeCPT 93306 | $4,148 | $682 | 608% | $1,195 | 20 |
| Epidural injection, lumbar/sacral, no imagingCPT 62322 | $4,234 | $1,104 | 384% | — | 14 |
| Esophagitis/GI disorders, no MCCMS-DRG 392 | $25,897 | $5,527 | 469% | — | 14 |
| Excision of breast lesionCPT 19120 | $7,230 | $4,888 | 148% | — | 14 |
| Family psychotherapy, with patientCPT 90847 | $460 | $222 | 208% | $98 | 22 |
| Family psychotherapy, without patientCPT 90846 | $460 | $222 | 208% | $98 | 22 |
| Group psychotherapyCPT 90853 | $560 | $127 | 442% | $161 | 22 |
| Heart failure and shock, with CCMS-DRG 292 | $28,202 | $5,927 | 476% | — | 14 |
| Heart failure with MCCMS-DRG 291 | $41,213 | $10,624 | 388% | — | 14 |
| Hip and femur procedures except major joint, with CCMS-DRG 481 | $69,575 | $17,122 | 406% | — | 14 |
| Hysterectomy, no CC/MCCMS-DRG 743 | $41,214 | $10,098 | 408% | — | 14 |
| Inguinal hernia repair, age 5+CPT 49505 | $8,740 | $4,469 | 196% | — | 14 |
| Kidney and urinary tract infections, no MCCMS-DRG 690 | $26,890 | $6,127 | 439% | — | 14 |
| Kidney function panelCPT 80069 | $86 | $9 | 992% | ~$20 | 20 |
| Knee arthroscopy with meniscectomyCPT 29881 | $8,740 | $4,084 | 214% | — | 14 |
| Laparoscopic cholecystectomyCPT 47562 | $11,880 | $7,547 | 157% | — | 14 |
| Laparoscopic cholecystectomy, no CC/MCCMS-DRG 419 | $45,369 | $8,977 | 505% | — | 14 |
| Laparoscopic radical prostatectomyCPT 55866 | $13,786 | $13,269 | 104% | — | 14 |
| Left heart catheterization, diagnosticCPT 93452 | $2,973 | $4,047 | 73% | — | 14 |
| Lipid panelCPT 80061 | $138 | $13 | 1031% | ~$31 | 20 |
| Liver function panelCPT 80076 | $80 | $8 | 982% | ~$19 | 20 |
| Lumbar epidural steroid injectionCPT 62323 | $4,234 | $881 | 481% | — | 14 |
| MRI brain with and without contrastCPT 70553 | $4,509 | $435 | 1035% | ~$1,025 | 20 |
| MRI lower extremity joint (knee)CPT 73721 | $2,989 | $298 | 1004% | ~$625 | 20 |
| MRI lumbar spine without contrastCPT 72148 | $2,988 | $298 | 1003% | ~$625 | 20 |
| Major joint replacement (hip/knee), no MCCMS-DRG 470 | $64,074 | $15,334 | 418% | — | 14 |
| Major joint replacement (hip/knee), with MCCMS-DRG 469 | $97,554 | $22,346 | 437% | — | 14 |
| Major small and large bowel procedures, with CCMS-DRG 330 | $79,630 | $18,701 | 426% | — | 14 |
| Medical back problems, no MCCMS-DRG 552 | $31,932 | $7,434 | 430% | — | 14 |
| OB global care, VBAC deliveryCPT 59610 | $12,497 | — | — | — | 5 |
| OB ultrasound, 14+ weeksCPT 76805 | $1,391 | $130 | 1066% | ~$301 | 20 |
| Office visit, established patient, level 3CPT 99213 | $280 | — | — | $57 | 23 |
| Office visit, established patient, level 4CPT 99214 | $431 | — | — | $89 | 23 |
| Office visit, new patient, level 3CPT 99203 | $471 | — | — | $97 | 19 |
| Office visit, new patient, level 4CPT 99204 | $596 | — | — | $133 | 19 |
| Office visit, new patient, level 5CPT 99205 | $660 | — | — | $159 | 19 |
| PSA (prostate specific antigen), totalCPT 84153 | $189 | $18 | 1029% | ~$42 | 20 |
| Partial thromboplastin timeCPT 85730 | $62 | $6 | 1030% | ~$14 | 20 |
| Physical therapy, therapeutic exerciseCPT 97110 | $328 | — | — | $91 | 20 |
| Prostate biopsyCPT 55700 | $5,738 | — | — | — | 11 |
| Prothrombin timeCPT 85610 | $42 | $4 | 987% | ~$10 | 20 |
| Psychotherapy, 30 minutesCPT 90832 | $385 | $222 | 174% | $82 | 22 |
| Psychotherapy, 45 minutesCPT 90834 | $460 | $222 | 208% | $98 | 22 |
| Psychotherapy, 60 minutesCPT 90837 | $428 | $222 | 193% | $83 | 22 |
| Renal failure, with CCMS-DRG 683 | $29,092 | $7,020 | 414% | — | 14 |
| Screening mammography, bilateralCPT 77067 | $540 | — | — | ~$111 | 20 |
| Sepsis with MCCMS-DRG 871 | $64,526 | $16,634 | 388% | — | 14 |
| Shoulder arthroscopy, subacromial decompressionCPT 29826 | $7,072 | — | — | — | 9 |
| Simple pneumonia and pleurisy, with CCMS-DRG 194 | $26,770 | $6,059 | 442% | — | 14 |
| Sleep study (polysomnography)CPT 95810 | $3,545 | $1,072 | 331% | — | 4 |
| Stroke (hemorrhage/infarction), no CC/MCCMS-DRG 066 | $22,734 | $4,637 | 490% | — | 14 |
| Stroke (hemorrhage/infarction), with CC or tPAMS-DRG 065 | $33,560 | $7,478 | 449% | — | 14 |
| Thyroid stimulating hormone (TSH)CPT 84443 | $173 | $17 | 1030% | ~$39 | 20 |
| Tonsillectomy and adenoidectomy, under age 12CPT 42820 | $7,606 | $7,390 | 103% | — | 14 |
| Transforaminal epidural, lumbar/sacralCPT 64483 | $4,212 | $1,104 | 381% | — | 14 |
| Ultrasound, abdomen, completeCPT 76700 | $1,391 | $130 | 1066% | ~$301 | 20 |
| Ultrasound, transvaginalCPT 76830 | $1,391 | $130 | 1066% | ~$301 | 20 |
| Upper GI endoscopy with biopsyCPT 43239 | $4,906 | $1,132 | 433% | — | 14 |
| Upper GI endoscopy, diagnosticCPT 43235 | $3,241 | $1,132 | 286% | $551 | 21 |
| Urinalysis, automated, with microscopyCPT 81001 | $33 | $3 | 1033% | ~$7 | 20 |
| Urinalysis, automated, without microscopyCPT 81003 | $24 | $2 | 1046% | ~$5 | 20 |
| Vaginal delivery, no sterilization, no CC/MCCMS-DRG 807 | $18,418 | — | — | — | 17 |
| Vaginal delivery, no sterilization, with CCMS-DRG 806 | $19,310 | — | — | — | 17 |
| X-ray, lower back, 4+ viewsCPT 72110 | $1,353 | $130 | 1037% | ~$301 | 20 |
| YAG laser capsulotomy (secondary cataract)CPT 66821 | $888 | $687 | 129% | — | 1 |