| Acute myocardial infarction, discharged alive, with MCCMS-DRG 280 | $10,162 | $11,217 | 91% | $16,684 | 5 |
| Bariatric (obesity) surgery, no CC/MCCMS-DRG 621 | $11,697 | $8,272 | 141% | $25,945 | 6 |
| Basic metabolic panelCPT 80048 | $24 | $8 | 286% | ~$15 | 22 |
| COPD with MCCMS-DRG 190 | $7,671 | $8,875 | 86% | $18,160 | 6 |
| CT abdomen and pelvis with contrastCPT 74177 | $4,090 | $435 | 939% | ~$1,895 | 20 |
| CT head without contrastCPT 70450 | $1,522 | $130 | 1166% | ~$748 | 22 |
| CT pelvis with contrastCPT 72193 | $2,248 | $219 | 1027% | ~$1,105 | 22 |
| Cardiac stress testCPT 93017 | $656 | $270 | 243% | $199 | 22 |
| Cardiac valve surgery with cardiac cath, with MCCMS-DRG 216 | $62,162 | — | — | $85,859 | 5 |
| Cataract surgery with IOL insertionCPT 66984 | $1,939 | $2,881 | 67% | $785 | 22 |
| Cervical spinal fusion, no CC/MCCMS-DRG 473 | $15,760 | $16,343 | 96% | $20,974 | 5 |
| Cesarean section, no CC/MCCMS-DRG 788 | $5,476 | — | — | $7,842 | 5 |
| Cesarean section, with CCMS-DRG 787 | $6,732 | — | — | $8,677 | 5 |
| Chest painMS-DRG 313 | $4,635 | — | — | $8,441 | 5 |
| Colonoscopy with biopsyCPT 45380 | $1,824 | $1,494 | 122% | $678 | 22 |
| Colonoscopy with polyp removalCPT 45385 | $2,084 | $1,494 | 140% | $890 | 22 |
| Colonoscopy, diagnosticCPT 45378 | $2,122 | $1,161 | 183% | $859 | 22 |
| Complete blood count with differentialCPT 85025 | $23 | $8 | 298% | ~$17 | 22 |
| Complete blood count, automatedCPT 85027 | $20 | $6 | 316% | ~$19 | 22 |
| Comprehensive metabolic panelCPT 80053 | $42 | $11 | 400% | ~$24 | 22 |
| Coronary bypass without cardiac cath, no MCCMS-DRG 236 | $25,884 | $29,950 | 86% | $57,955 | 5 |
| Diagnostic mammography, both breastsCPT 77066 | $461 | — | — | ~$229 | 22 |
| Diagnostic mammography, one breastCPT 77065 | $398 | — | — | ~$197 | 22 |
| ED visit, level 3CPT 99283 | $525 | $341 | 154% | $226 | 21 |
| ED visit, level 4CPT 99284 | $699 | $521 | 134% | $301 | 21 |
| ED visit, level 5CPT 99285 | $854 | $743 | 115% | $367 | 22 |
| Echocardiogram, completeCPT 93306 | $2,256 | $682 | 331% | $1,086 | 22 |
| Epidural injection, lumbar/sacral, no imagingCPT 62322 | $2,612 | $1,104 | 237% | $1,120 | 21 |
| Group psychotherapyCPT 90853 | $45 | $127 | 36% | $18 | 22 |
| Heart failure and shock, with CCMS-DRG 292 | $5,486 | $5,927 | 93% | $6,793 | 5 |
| Hip and femur procedures except major joint, with CCMS-DRG 481 | $13,290 | $13,876 | 96% | $31,315 | 5 |
| Hysterectomy, no CC/MCCMS-DRG 743 | $7,443 | $10,098 | 74% | $14,593 | 5 |
| Kidney and urinary tract infections, no MCCMS-DRG 690 | $5,168 | $6,259 | 83% | $7,327 | 5 |
| Kidney function panelCPT 80069 | $27 | $9 | 316% | ~$54 | 22 |
| Laparoscopic cholecystectomy, no CC/MCCMS-DRG 419 | $8,411 | $8,977 | 94% | $26,114 | 5 |
| Lipid panelCPT 80061 | $57 | $13 | 423% | ~$33 | 22 |
| Liver function panelCPT 80076 | $26 | $8 | 316% | ~$53 | 22 |
| Lumbar epidural steroid injectionCPT 62323 | $3,726 | $881 | 423% | $1,600 | 22 |
| MRI brain with and without contrastCPT 70553 | $3,710 | $435 | 852% | ~$2,127 | 22 |
| MRI lower extremity joint (knee)CPT 73721 | $2,136 | $298 | 717% | ~$1,225 | 21 |
| MRI lumbar spine without contrastCPT 72148 | $1,944 | $298 | 653% | ~$1,115 | 22 |
| Major joint replacement (hip/knee), no MCCMS-DRG 470 | $12,052 | $13,045 | 92% | $19,056 | 5 |
| Major joint replacement (hip/knee), with MCCMS-DRG 469 | $21,327 | $22,346 | 95% | $61,462 | 6 |
| Major small and large bowel procedures, with CCMS-DRG 330 | $15,193 | $16,202 | 94% | $40,437 | 5 |
| Medical back problems, no MCCMS-DRG 552 | $6,189 | $6,142 | 101% | $7,729 | 5 |
| OB ultrasound, 14+ weeksCPT 76805 | $672 | $130 | 515% | ~$124 | 22 |
| Office visit, established patient, level 3CPT 99213 | $392 | — | — | $168 | 21 |
| Office visit, established patient, level 4CPT 99214 | $335 | — | — | $144 | 21 |
| Office visit, new patient, level 3CPT 99203 | $443 | — | — | $190 | 21 |
| Office visit, new patient, level 4CPT 99204 | $744 | — | — | $320 | 21 |
| Office visit, new patient, level 5CPT 99205 | $642 | — | — | $288 | 21 |
| PSA (prostate specific antigen), totalCPT 84153 | $58 | $18 | 316% | ~$61 | 22 |
| Partial thromboplastin timeCPT 85730 | $50 | $6 | 839% | ~$29 | 22 |
| Percutaneous cardiac stent, no MCCMS-DRG 247 | $4,864 | — | — | $2,927 | 1 |
| Physical therapy, therapeutic exerciseCPT 97110 | $91 | — | — | $43 | 20 |
| Preventive visit, new patient, 18-39CPT 99385 | $215 | — | — | $87 | 21 |
| Preventive visit, new patient, 40-64CPT 99386 | $248 | — | — | $100 | 21 |
| Prostate biopsyCPT 55700 | $2,614 | — | — | $1,967 | 22 |
| Prothrombin timeCPT 85610 | $30 | $4 | 698% | ~$17 | 22 |
| Psychotherapy, 30 minutesCPT 90832 | $25 | $222 | 11% | $10 | 21 |
| Psychotherapy, 45 minutesCPT 90834 | $212 | $222 | 96% | $91 | 21 |
| Psychotherapy, 60 minutesCPT 90837 | $68 | $222 | 31% | $28 | 21 |
| Renal failure, with CCMS-DRG 683 | $5,770 | $5,892 | 98% | $13,228 | 5 |
| Screening mammography, bilateralCPT 77067 | $413 | — | — | ~$205 | 22 |
| Sepsis with MCCMS-DRG 871 | $12,699 | $16,597 | 77% | $11,528 | 5 |
| Simple pneumonia and pleurisy, with CCMS-DRG 194 | $6,345 | $6,323 | 100% | $11,060 | 6 |
| Sleep study (polysomnography)CPT 95810 | $6,341 | $1,072 | 592% | $2,737 | 22 |
| Spinal fusion except cervical, no MCCMS-DRG 460 | $23,429 | $25,413 | 92% | $43,548 | 3 |
| Spinal fusion except cervical, with MCCMS-DRG 459 | $42,480 | $51,127 | 83% | $57,286 | 3 |
| Stroke (hemorrhage/infarction), no CC/MCCMS-DRG 066 | $4,403 | $3,679 | 120% | $14,518 | 5 |
| Stroke (hemorrhage/infarction), with CC or tPAMS-DRG 065 | $6,510 | $6,559 | 99% | $12,511 | 5 |
| Thyroid stimulating hormone (TSH)CPT 84443 | $53 | $17 | 316% | ~$59 | 22 |
| Transforaminal epidural, lumbar/sacralCPT 64483 | $3,529 | $1,104 | 320% | $1,507 | 22 |
| Ultrasound, abdomen, completeCPT 76700 | $935 | $130 | 716% | ~$471 | 22 |
| Ultrasound, transvaginalCPT 76830 | $517 | $130 | 396% | ~$238 | 22 |
| Upper GI endoscopy with biopsyCPT 43239 | $4,001 | $1,132 | 353% | $1,304 | 22 |
| Upper GI endoscopy, diagnosticCPT 43235 | $3,041 | $1,132 | 269% | $1,304 | 22 |
| Urinalysis, automated, with microscopyCPT 81001 | $58 | $3 | 1840% | ~$36 | 18 |
| Urinalysis, automated, without microscopyCPT 81003 | $44 | $2 | 1955% | ~$25 | 22 |
| Urinalysis, manual, without microscopyCPT 81002 | $16 | $3 | 466% | ~$9 | 22 |
| Vaginal delivery, no sterilization, no CC/MCCMS-DRG 807 | $4,191 | — | — | $5,163 | 5 |
| Vaginal delivery, no sterilization, with CCMS-DRG 806 | $4,783 | — | — | $4,506 | 5 |
| X-ray, lower back, 4+ viewsCPT 72110 | $563 | $130 | 431% | ~$277 | 21 |
| YAG laser capsulotomy (secondary cataract)CPT 66821 | $429 | $687 | 63% | $174 | 22 |