| Acute myocardial infarction, discharged alive, with MCCMS-DRG 280 | $41,722 | $35,537 | 117% | — | 17 |
| Bariatric (obesity) surgery, no CC/MCCMS-DRG 621 | $39,208 | $8,272 | 474% | — | 17 |
| Basic metabolic panelCPT 80048 | $69 | $8 | 819% | ~$8 | 63 |
| COPD with MCCMS-DRG 190 | $30,964 | $7,377 | 420% | — | 17 |
| CT abdomen and pelvis with contrastCPT 74177 | $539 | $435 | 124% | ~$761 | 63 |
| CT head without contrastCPT 70450 | $457 | $130 | 350% | ~$404 | 63 |
| CT pelvis with contrastCPT 72193 | $571 | $219 | 261% | ~$528 | 63 |
| Cardiac arrhythmia, no CC/MCCMS-DRG 310 | $15,824 | $3,269 | 484% | — | 17 |
| Cardiac stress testCPT 93017 | $305 | $270 | 113% | $200 | 63 |
| Cardiac valve surgery with cardiac cath, with MCCMS-DRG 216 | $165,914 | — | — | — | 21 |
| Cataract surgery with IOL insertionCPT 66984 | $2,694 | $2,881 | 94% | $2,681 | 63 |
| Cellulitis, no MCCMS-DRG 603 | $24,344 | $5,675 | 429% | — | 17 |
| Cervical spinal fusion, no CC/MCCMS-DRG 473 | $55,010 | $16,343 | 337% | — | 17 |
| Cesarean section, no CC/MCCMS-DRG 788 | $21,605 | — | — | — | 17 |
| Cesarean section, with CCMS-DRG 787 | $22,233 | — | — | — | 17 |
| Chest painMS-DRG 313 | $20,126 | — | — | — | 17 |
| Colonoscopy with biopsyCPT 45380 | $2,140 | $1,494 | 143% | $1,289 | 63 |
| Colonoscopy with endoscopic ultrasoundCPT 45391 | $1,623 | $1,494 | 109% | $1,350 | 63 |
| Colonoscopy with polyp removalCPT 45385 | $2,140 | $1,494 | 143% | $1,347 | 63 |
| Colonoscopy, diagnosticCPT 45378 | $1,835 | $1,161 | 158% | $1,017 | 63 |
| Complete blood count with differentialCPT 85025 | $49 | $8 | 633% | ~$10 | 63 |
| Complete blood count, automatedCPT 85027 | $49 | $6 | 761% | ~$10 | 63 |
| Comprehensive metabolic panelCPT 80053 | $69 | $11 | 656% | ~$12 | 63 |
| Coronary bypass without cardiac cath, no MCCMS-DRG 236 | $82,912 | $29,950 | 277% | — | 21 |
| Diagnostic mammography, both breastsCPT 77066 | $224 | — | — | ~$183 | 63 |
| Diagnostic mammography, one breastCPT 77065 | $224 | — | — | ~$145 | 63 |
| ED visit, level 3CPT 99283 | $653 | $341 | 192% | $264 | 41 |
| ED visit, level 4CPT 99284 | $399 | $521 | 77% | $550 | 44 |
| ED visit, level 5CPT 99285 | $782 | $743 | 105% | $555 | 44 |
| Echocardiogram, completeCPT 93306 | $513 | $682 | 75% | $737 | 63 |
| Electrocardiogram with interpretationCPT 93000 | $130 | — | — | $64 | 60 |
| Epidural injection, lumbar/sacral, no imagingCPT 62322 | $1,075 | $1,104 | 97% | $757 | 63 |
| Esophagitis/GI disorders, no MCCMS-DRG 392 | $21,792 | $22,506 | 97% | — | 17 |
| Excision of breast lesionCPT 19120 | $3,967 | $4,888 | 81% | $1,669 | 63 |
| Family psychotherapy, with patientCPT 90847 | $252 | $222 | 114% | $368 | 62 |
| Family psychotherapy, without patientCPT 90846 | $222 | $222 | 100% | $364 | 63 |
| Group psychotherapyCPT 90853 | $130 | $127 | 102% | $102 | 63 |
| Heart failure and shock, with CCMS-DRG 292 | $23,732 | $5,927 | 400% | — | 17 |
| Heart failure with MCCMS-DRG 291 | $35,886 | $31,106 | 115% | — | 21 |
| Hip and femur procedures except major joint, with CCMS-DRG 481 | $47,791 | $41,350 | 116% | — | 17 |
| Hysterectomy, no CC/MCCMS-DRG 743 | $34,681 | $10,098 | 343% | — | 17 |
| Inguinal hernia repair, age 5+CPT 49505 | $2,967 | $4,469 | 66% | $3,909 | 63 |
| Kidney and urinary tract infections, no MCCMS-DRG 690 | $22,628 | $25,217 | 90% | — | 17 |
| Kidney function panelCPT 80069 | $69 | $9 | 798% | ~$10 | 63 |
| Knee arthroscopy with meniscectomyCPT 29881 | $2,239 | $4,084 | 55% | $3,523 | 63 |
| Laparoscopic cholecystectomyCPT 47562 | $5,289 | $7,547 | 70% | $5,673 | 63 |
| Laparoscopic cholecystectomy, no CC/MCCMS-DRG 419 | $37,189 | $8,977 | 414% | — | 17 |
| Laparoscopic radical prostatectomyCPT 55866 | $5,402 | $13,269 | 41% | $7,024 | 63 |
| Left heart catheterization, diagnosticCPT 93452 | $3,927 | $4,047 | 97% | $3,540 | 63 |
| Lipid panelCPT 80061 | $69 | $13 | 517% | ~$17 | 63 |
| Liver function panelCPT 80076 | $69 | $8 | 848% | ~$8 | 63 |
| Lumbar epidural steroid injectionCPT 62323 | $881 | $881 | 100% | $773 | 63 |
| MRI brain with and without contrastCPT 70553 | $961 | $435 | 221% | ~$801 | 63 |
| MRI lower extremity joint (knee)CPT 73721 | $636 | $298 | 213% | ~$496 | 63 |
| MRI lumbar spine without contrastCPT 72148 | $564 | $298 | 189% | ~$483 | 63 |
| Major joint replacement (hip/knee), no MCCMS-DRG 470 | $45,140 | $13,045 | 346% | — | 17 |
| Major joint replacement (hip/knee), with MCCMS-DRG 469 | $66,827 | $22,346 | 299% | — | 17 |
| Major small and large bowel procedures, with CCMS-DRG 330 | $54,016 | $16,202 | 333% | — | 17 |
| Medical back problems, no MCCMS-DRG 552 | $26,871 | $26,925 | 100% | — | 17 |
| OB global care, VBAC deliveryCPT 59610 | $2,918 | — | — | $1,989 | 60 |
| OB global care, cesarean deliveryCPT 59510 | $5,364 | — | — | $2,709 | 39 |
| OB global care, vaginal deliveryCPT 59400 | $3,570 | — | — | — | 45 |
| OB ultrasound, 14+ weeksCPT 76805 | $274 | $130 | 210% | ~$271 | 63 |
| Obstetric blood test panelCPT 80055 | $76 | $48 | 159% | ~$52 | 63 |
| Office consultation, comprehensiveCPT 99244 | $247 | — | — | $94 | 35 |
| Office consultation, moderateCPT 99243 | $281 | — | — | $94 | 41 |
| Office visit, established patient, level 3CPT 99213 | $330 | — | — | $162 | 35 |
| Office visit, established patient, level 4CPT 99214 | $330 | — | — | $201 | 35 |
| Office visit, new patient, level 3CPT 99203 | $330 | — | — | $199 | 35 |
| Office visit, new patient, level 4CPT 99204 | $427 | — | — | $281 | 35 |
| Office visit, new patient, level 5CPT 99205 | $602 | — | — | $369 | 35 |
| PSA (prostate specific antigen), totalCPT 84153 | $54 | $18 | 292% | ~$23 | 63 |
| Partial thromboplastin timeCPT 85730 | $52 | $6 | 869% | ~$8 | 63 |
| Physical therapy, therapeutic exerciseCPT 97110 | $237 | — | — | $96 | 63 |
| Preventive visit, new patient, 18-39CPT 99385 | $451 | — | — | $228 | 35 |
| Preventive visit, new patient, 40-64CPT 99386 | $529 | — | — | $318 | 35 |
| Prostate biopsyCPT 55700 | $2,513 | — | — | $1,898 | 62 |
| Prothrombin timeCPT 85610 | $52 | $4 | 1218% | ~$4 | 63 |
| Psychotherapy, 30 minutesCPT 90832 | $222 | $222 | 100% | $212 | 63 |
| Psychotherapy, 45 minutesCPT 90834 | $252 | $222 | 114% | $280 | 63 |
| Psychotherapy, 60 minutesCPT 90837 | $252 | $222 | 114% | $271 | 63 |
| Renal failure, with CCMS-DRG 683 | $24,481 | $27,389 | 89% | — | 17 |
| Screening mammography, bilateralCPT 77067 | $224 | — | — | ~$149 | 63 |
| Sepsis with MCCMS-DRG 871 | $46,212 | $39,811 | 116% | — | 17 |
| Shoulder arthroscopy, subacromial decompressionCPT 29826 | $3,818 | — | — | $1,753 | 60 |
| Simple pneumonia and pleurisy, with CCMS-DRG 194 | $22,527 | $27,311 | 82% | — | 17 |
| Sleep study (polysomnography)CPT 95810 | $1,103 | $1,072 | 103% | $1,634 | 63 |
| Stroke (hemorrhage/infarction), no CC/MCCMS-DRG 066 | $19,131 | $3,679 | 520% | — | 17 |
| Stroke (hemorrhage/infarction), with CC or tPAMS-DRG 065 | $28,241 | $27,655 | 102% | — | 17 |
| Thyroid stimulating hormone (TSH)CPT 84443 | $68 | $17 | 407% | ~$21 | 63 |
| Tonsillectomy and adenoidectomy, under age 12CPT 42820 | $1,778 | $7,390 | 24% | $4,798 | 63 |
| Transforaminal epidural, lumbar/sacralCPT 64483 | $1,555 | $1,104 | 141% | $986 | 63 |
| Ultrasound, abdomen, completeCPT 76700 | $792 | $130 | 607% | ~$453 | 63 |
| Ultrasound, transvaginalCPT 76830 | $297 | $130 | 227% | ~$264 | 63 |
| Upper GI endoscopy with biopsyCPT 43239 | $1,835 | $1,132 | 162% | $988 | 63 |
| Upper GI endoscopy, diagnosticCPT 43235 | $1,715 | $1,132 | 151% | $972 | 63 |
| Urinalysis, automated, with microscopyCPT 81001 | $48 | $3 | 1530% | ~$5 | 63 |
| Urinalysis, automated, without microscopyCPT 81003 | $48 | $2 | 2156% | ~$3 | 63 |
| Urinalysis, manual, with microscopyCPT 81000 | $53 | $4 | 1327% | ~$4 | 63 |
| Urinalysis, manual, without microscopyCPT 81002 | $48 | $3 | 1394% | ~$3 | 63 |
| Vaginal delivery, no sterilization, no CC/MCCMS-DRG 807 | $15,192 | — | — | — | 17 |
| Vaginal delivery, no sterilization, with CCMS-DRG 806 | $15,447 | — | — | — | 17 |
| X-ray, lower back, 4+ viewsCPT 72110 | $112 | $130 | 86% | ~$143 | 63 |
| YAG laser capsulotomy (secondary cataract)CPT 66821 | $1,982 | $687 | 289% | $685 | 63 |