| Acute myocardial infarction, discharged alive, with MCCMS-DRG 280 | $28,066 | $24,683 | 114% | — | 17 |
| Bariatric (obesity) surgery, no CC/MCCMS-DRG 621 | $27,346 | $8,272 | 331% | — | 16 |
| Basic metabolic panelCPT 80048 | $71 | $8 | 844% | ~$8 | 62 |
| COPD with MCCMS-DRG 190 | $20,751 | $15,888 | 131% | — | 17 |
| CT abdomen and pelvis with contrastCPT 74177 | $557 | $435 | 128% | ~$405 | 62 |
| CT head without contrastCPT 70450 | $463 | $130 | 355% | ~$403 | 62 |
| CT pelvis with contrastCPT 72193 | $573 | $219 | 262% | ~$231 | 62 |
| Cardiac arrhythmia, no CC/MCCMS-DRG 310 | $11,259 | $8,639 | 130% | — | 17 |
| Cardiac stress testCPT 93017 | $298 | $270 | 111% | $199 | 62 |
| Cardiac valve surgery with cardiac cath, with MCCMS-DRG 216 | $134,300 | — | — | — | 21 |
| Cataract surgery with IOL insertionCPT 66984 | $2,744 | $2,881 | 95% | $2,104 | 62 |
| Cellulitis, no MCCMS-DRG 603 | $17,298 | $12,983 | 133% | — | 17 |
| Cervical spinal fusion, no CC/MCCMS-DRG 473 | $39,864 | $16,343 | 244% | — | 17 |
| Cesarean section, no CC/MCCMS-DRG 788 | $18,426 | — | — | — | 17 |
| Cesarean section, with CCMS-DRG 787 | $20,452 | — | — | — | 17 |
| Chest painMS-DRG 313 | $14,319 | $11,442 | 125% | — | 17 |
| Colonoscopy with biopsyCPT 45380 | $2,145 | $1,494 | 144% | $1,066 | 62 |
| Colonoscopy with endoscopic ultrasoundCPT 45391 | $1,525 | $1,494 | 102% | $1,066 | 62 |
| Colonoscopy with polyp removalCPT 45385 | $2,145 | $1,494 | 144% | $1,066 | 62 |
| Colonoscopy, diagnosticCPT 45378 | $1,830 | $1,161 | 158% | $811 | 62 |
| Complete blood count with differentialCPT 85025 | $51 | $8 | 661% | ~$10 | 62 |
| Complete blood count, automatedCPT 85027 | $51 | $6 | 794% | ~$10 | 62 |
| Comprehensive metabolic panelCPT 80053 | $71 | $11 | 676% | ~$12 | 62 |
| Coronary bypass without cardiac cath, no MCCMS-DRG 236 | $61,080 | $29,950 | 204% | — | 21 |
| Diagnostic mammography, both breastsCPT 77066 | $221 | — | — | ~$182 | 62 |
| Diagnostic mammography, one breastCPT 77065 | $236 | — | — | ~$145 | 62 |
| ED visit, level 3CPT 99283 | $653 | $341 | 192% | $263 | 40 |
| ED visit, level 4CPT 99284 | $413 | $521 | 79% | $549 | 43 |
| ED visit, level 5CPT 99285 | $743 | $743 | 100% | $553 | 43 |
| Echocardiogram, completeCPT 93306 | $511 | $682 | 75% | $684 | 62 |
| Electrocardiogram with interpretationCPT 93000 | $138 | — | — | $64 | 59 |
| Epidural injection, lumbar/sacral, no imagingCPT 62322 | $1,072 | $1,104 | 97% | $664 | 62 |
| Esophagitis/GI disorders, no MCCMS-DRG 392 | $15,505 | $11,870 | 131% | — | 17 |
| Excision of breast lesionCPT 19120 | $3,950 | $4,888 | 81% | $1,663 | 62 |
| Family psychotherapy, with patientCPT 90847 | $250 | $222 | 113% | $366 | 61 |
| Family psychotherapy, without patientCPT 90846 | $222 | $222 | 100% | $363 | 62 |
| Group psychotherapyCPT 90853 | $131 | $127 | 103% | $78 | 62 |
| Heart failure and shock, with CCMS-DRG 292 | $16,885 | $5,927 | 285% | — | 17 |
| Heart failure with MCCMS-DRG 291 | $24,040 | $18,382 | 131% | — | 21 |
| Hip and femur procedures except major joint, with CCMS-DRG 481 | $34,677 | $27,001 | 128% | — | 17 |
| Hysterectomy, no CC/MCCMS-DRG 743 | $22,962 | $10,098 | 227% | — | 17 |
| Inguinal hernia repair, age 5+CPT 49505 | $2,956 | $4,469 | 66% | $3,301 | 62 |
| Kidney and urinary tract infections, no MCCMS-DRG 690 | $16,099 | $12,733 | 126% | — | 17 |
| Kidney function panelCPT 80069 | $71 | $9 | 823% | ~$10 | 62 |
| Knee arthroscopy with meniscectomyCPT 29881 | $2,241 | $4,084 | 55% | $2,907 | 62 |
| Laparoscopic cholecystectomyCPT 47562 | $5,268 | $7,547 | 70% | $4,932 | 62 |
| Laparoscopic cholecystectomy, no CC/MCCMS-DRG 419 | $24,853 | $8,977 | 277% | — | 17 |
| Laparoscopic radical prostatectomyCPT 55866 | $5,532 | $13,269 | 42% | $5,955 | 62 |
| Left heart catheterization, diagnosticCPT 93452 | $3,987 | $4,047 | 99% | $2,648 | 62 |
| Lipid panelCPT 80061 | $71 | $13 | 533% | ~$17 | 62 |
| Liver function panelCPT 80076 | $71 | $8 | 874% | ~$8 | 62 |
| Lumbar epidural steroid injectionCPT 62323 | $881 | $881 | 100% | $664 | 62 |
| MRI brain with and without contrastCPT 70553 | $975 | $435 | 224% | ~$405 | 62 |
| MRI lower extremity joint (knee)CPT 73721 | $615 | $298 | 206% | ~$247 | 62 |
| MRI lumbar spine without contrastCPT 72148 | $595 | $298 | 200% | ~$247 | 62 |
| Major joint replacement (hip/knee), no MCCMS-DRG 470 | $32,445 | $13,045 | 249% | — | 17 |
| Major joint replacement (hip/knee), with MCCMS-DRG 469 | $49,529 | $22,346 | 222% | — | 17 |
| Major small and large bowel procedures, with CCMS-DRG 330 | $39,144 | $16,202 | 242% | — | 17 |
| Medical back problems, no MCCMS-DRG 552 | $18,835 | $16,455 | 114% | — | 17 |
| OB global care, VBAC deliveryCPT 59610 | $3,007 | — | — | $1,982 | 59 |
| OB global care, cesarean deliveryCPT 59510 | $5,587 | — | — | $2,700 | 38 |
| OB global care, vaginal deliveryCPT 59400 | $3,570 | — | — | — | 44 |
| OB ultrasound, 14+ weeksCPT 76805 | $279 | $130 | 213% | ~$119 | 62 |
| Obstetric blood test panelCPT 80055 | $87 | $48 | 181% | ~$52 | 62 |
| Office consultation, comprehensiveCPT 99244 | $178 | — | — | $63 | 35 |
| Office consultation, moderateCPT 99243 | $265 | — | — | $63 | 40 |
| Office visit, established patient, level 3CPT 99213 | $330 | — | — | $162 | 35 |
| Office visit, established patient, level 4CPT 99214 | $330 | — | — | $200 | 35 |
| Office visit, new patient, level 3CPT 99203 | $330 | — | — | $199 | 35 |
| Office visit, new patient, level 4CPT 99204 | $380 | — | — | $171 | 35 |
| Office visit, new patient, level 5CPT 99205 | $600 | — | — | $368 | 35 |
| PSA (prostate specific antigen), totalCPT 84153 | $58 | $18 | 316% | ~$23 | 62 |
| Partial thromboplastin timeCPT 85730 | $54 | $6 | 905% | ~$8 | 62 |
| Physical therapy, therapeutic exerciseCPT 97110 | $239 | — | — | $95 | 62 |
| Preventive visit, new patient, 18-39CPT 99385 | $451 | — | — | $227 | 35 |
| Preventive visit, new patient, 40-64CPT 99386 | $529 | — | — | $317 | 35 |
| Prostate biopsyCPT 55700 | $2,444 | — | — | $1,759 | 61 |
| Prothrombin timeCPT 85610 | $54 | $4 | 1268% | ~$5 | 62 |
| Psychotherapy, 30 minutesCPT 90832 | $218 | $222 | 98% | $126 | 62 |
| Psychotherapy, 45 minutesCPT 90834 | $256 | $222 | 116% | $279 | 62 |
| Psychotherapy, 60 minutesCPT 90837 | $256 | $222 | 116% | $270 | 62 |
| Renal failure, with CCMS-DRG 683 | $17,361 | $12,830 | 135% | — | 17 |
| Screening mammography, bilateralCPT 77067 | $236 | — | — | ~$148 | 62 |
| Sepsis with MCCMS-DRG 871 | $32,628 | $26,973 | 121% | — | 17 |
| Shoulder arthroscopy, subacromial decompressionCPT 29826 | $3,950 | — | — | $1,747 | 59 |
| Simple pneumonia and pleurisy, with CCMS-DRG 194 | $16,028 | $12,979 | 123% | — | 17 |
| Sleep study (polysomnography)CPT 95810 | $1,121 | $1,072 | 105% | $965 | 62 |
| Stroke (hemorrhage/infarction), no CC/MCCMS-DRG 066 | $13,611 | $3,679 | 370% | — | 17 |
| Stroke (hemorrhage/infarction), with CC or tPAMS-DRG 065 | $19,476 | $14,627 | 133% | — | 17 |
| Thyroid stimulating hormone (TSH)CPT 84443 | $71 | $17 | 420% | ~$21 | 62 |
| Tonsillectomy and adenoidectomy, under age 12CPT 42820 | $1,781 | $7,390 | 24% | $4,506 | 62 |
| Transforaminal epidural, lumbar/sacralCPT 64483 | $1,559 | $1,104 | 141% | $862 | 62 |
| Ultrasound, abdomen, completeCPT 76700 | $795 | $130 | 609% | ~$452 | 62 |
| Ultrasound, transvaginalCPT 76830 | $298 | $130 | 229% | ~$196 | 62 |
| Upper GI endoscopy with biopsyCPT 43239 | $1,830 | $1,132 | 162% | $834 | 62 |
| Upper GI endoscopy, diagnosticCPT 43235 | $1,768 | $1,132 | 156% | $834 | 62 |
| Urinalysis, automated, with microscopyCPT 81001 | $51 | $3 | 1598% | ~$5 | 62 |
| Urinalysis, automated, without microscopyCPT 81003 | $51 | $2 | 2251% | ~$3 | 62 |
| Urinalysis, manual, with microscopyCPT 81000 | $58 | $4 | 1437% | ~$4 | 62 |
| Urinalysis, manual, without microscopyCPT 81002 | $51 | $3 | 1455% | ~$3 | 62 |
| Vaginal delivery, no sterilization, no CC/MCCMS-DRG 807 | $13,539 | — | — | — | 17 |
| Vaginal delivery, no sterilization, with CCMS-DRG 806 | $14,993 | — | — | — | 17 |
| X-ray, lower back, 4+ viewsCPT 72110 | $112 | $130 | 86% | ~$99 | 62 |
| YAG laser capsulotomy (secondary cataract)CPT 66821 | $2,013 | $687 | 293% | $422 | 62 |