| Acute myocardial infarction, discharged alive, with MCCMS-DRG 280 | $47,621 | $19,259 | 247% | — | 172 |
| Bariatric (obesity) surgery, no CC/MCCMS-DRG 621 | $44,546 | $16,091 | 277% | — | 172 |
| Basic metabolic panelCPT 80048 | $21 | $8 | 247% | ~$29 | 270 |
| COPD with MCCMS-DRG 190 | $32,884 | $12,379 | 266% | — | 172 |
| CT abdomen and pelvis with contrastCPT 74177 | $1,120 | $435 | 257% | ~$1,353 | 270 |
| CT head without contrastCPT 70450 | $1,115 | $130 | 855% | ~$541 | 270 |
| CT pelvis with contrastCPT 72193 | $1,954 | $219 | 893% | ~$888 | 270 |
| Cardiac arrhythmia, no CC/MCCMS-DRG 310 | $16,806 | $5,681 | 296% | — | 172 |
| Cardiac stress testCPT 93017 | $387 | $270 | 144% | $282 | 269 |
| Cardiac valve surgery with cardiac cath, with MCCMS-DRG 216 | $290,422 | $108,693 | 267% | — | 172 |
| Cataract surgery with IOL insertionCPT 66984 | $9,025 | $2,881 | 313% | — | 224 |
| Cellulitis, no MCCMS-DRG 603 | $25,854 | $9,548 | 271% | — | 172 |
| Cervical spinal fusion, no CC/MCCMS-DRG 473 | $72,475 | $24,841 | 292% | — | 172 |
| Cesarean section, no CC/MCCMS-DRG 788 | $35,733 | — | — | — | 172 |
| Cesarean section, with CCMS-DRG 787 | $35,733 | — | — | — | 172 |
| Chest painMS-DRG 313 | $21,375 | $7,414 | 288% | — | 172 |
| Colonoscopy with biopsyCPT 45380 | $6,733 | $1,494 | 451% | $362 | 270 |
| Colonoscopy with endoscopic ultrasoundCPT 45391 | $7,163 | $1,494 | 480% | — | 224 |
| Colonoscopy with polyp removalCPT 45385 | $6,733 | $1,494 | 451% | $431 | 270 |
| Colonoscopy, diagnosticCPT 45378 | $6,733 | $1,161 | 580% | $304 | 270 |
| Complete blood count with differentialCPT 85025 | $25 | $8 | 327% | ~$23 | 270 |
| Complete blood count, automatedCPT 85027 | $19 | $6 | 294% | ~$11 | 270 |
| Comprehensive metabolic panelCPT 80053 | $31 | $11 | 296% | ~$53 | 270 |
| Coronary bypass without cardiac cath, no MCCMS-DRG 236 | $124,353 | $41,603 | 299% | — | 172 |
| Diagnostic mammography, both breastsCPT 77066 | $1,117 | — | — | ~$282 | 270 |
| Diagnostic mammography, one breastCPT 77065 | $927 | — | — | ~$234 | 270 |
| ED visit, level 3CPT 99283 | $3,105 | $341 | 911% | $653 | 224 |
| ED visit, level 4CPT 99284 | $3,678 | $521 | 706% | $613 | 224 |
| ED visit, level 5CPT 99285 | $5,342 | $743 | 719% | $726 | 224 |
| Echocardiogram, completeCPT 93306 | $1,124 | $682 | 165% | $543 | 269 |
| Epidural injection, lumbar/sacral, no imagingCPT 62322 | $5,974 | $1,104 | 541% | $1,256 | 270 |
| Esophagitis/GI disorders, no MCCMS-DRG 392 | $23,144 | $8,632 | 268% | — | 172 |
| Excision of breast lesionCPT 19120 | $13,586 | $4,888 | 278% | $1,271 | 270 |
| Family psychotherapy, with patientCPT 90847 | $752 | $222 | 339% | $161 | 269 |
| Family psychotherapy, without patientCPT 90846 | $639 | $222 | 288% | $144 | 269 |
| Group psychotherapyCPT 90853 | $214 | $127 | 169% | $45 | 248 |
| Heart failure and shock, with CCMS-DRG 292 | $25,204 | $9,795 | 257% | — | 172 |
| Heart failure with MCCMS-DRG 291 | $38,112 | $14,673 | 260% | — | 172 |
| Hip and femur procedures except major joint, with CCMS-DRG 481 | $62,179 | $23,163 | 268% | — | 172 |
| Hysterectomy, no CC/MCCMS-DRG 743 | $36,833 | $11,981 | 307% | — | 172 |
| Inguinal hernia repair, age 5+CPT 49505 | $11,080 | $4,469 | 248% | — | 224 |
| Kidney and urinary tract infections, no MCCMS-DRG 690 | $24,032 | $8,843 | 272% | — | 172 |
| Kidney function panelCPT 80069 | $26 | $9 | 302% | ~$15 | 270 |
| Knee arthroscopy with meniscectomyCPT 29881 | $10,978 | $4,084 | 269% | — | 224 |
| Laparoscopic cholecystectomyCPT 47562 | $16,477 | $7,547 | 218% | $1,701 | 270 |
| Laparoscopic cholecystectomy, no CC/MCCMS-DRG 419 | $40,546 | $13,877 | 292% | — | 172 |
| Laparoscopic radical prostatectomyCPT 55866 | $20,884 | $13,269 | 157% | — | 224 |
| Left heart catheterization, diagnosticCPT 93452 | $22,401 | $4,047 | 554% | $4,710 | 270 |
| Lipid panelCPT 80061 | $44 | $13 | 327% | ~$24 | 270 |
| Liver function panelCPT 80076 | $21 | $8 | 256% | ~$12 | 270 |
| Lumbar epidural steroid injectionCPT 62323 | $6,593 | $881 | 748% | $1,465 | 270 |
| MRI brain with and without contrastCPT 70553 | $1,451 | $435 | 333% | ~$1,525 | 270 |
| MRI lower extremity joint (knee)CPT 73721 | $1,011 | $298 | 340% | ~$1,037 | 270 |
| MRI lumbar spine without contrastCPT 72148 | $1,011 | $298 | 340% | ~$979 | 270 |
| Major joint replacement (hip/knee), no MCCMS-DRG 470 | $57,263 | $21,300 | 269% | — | 172 |
| Major joint replacement (hip/knee), with MCCMS-DRG 469 | $90,047 | $34,970 | 257% | — | 172 |
| Major small and large bowel procedures, with CCMS-DRG 330 | $71,166 | $26,883 | 265% | — | 172 |
| Medical back problems, no MCCMS-DRG 552 | $28,538 | $10,548 | 271% | — | 172 |
| OB ultrasound, 14+ weeksCPT 76805 | $485 | $130 | 372% | ~$545 | 270 |
| Office consultation, comprehensiveCPT 99244 | $572 | — | — | $120 | 214 |
| Office consultation, moderateCPT 99243 | $392 | — | — | $82 | 214 |
| Office visit, established patient, level 3CPT 99213 | $524 | — | — | $87 | 227 |
| Office visit, established patient, level 4CPT 99214 | $934 | — | — | $196 | 227 |
| Office visit, new patient, level 3CPT 99203 | $908 | — | — | $191 | 227 |
| Office visit, new patient, level 4CPT 99204 | $914 | — | — | $192 | 227 |
| Office visit, new patient, level 5CPT 99205 | $1,119 | — | — | $235 | 227 |
| PSA (prostate specific antigen), totalCPT 84153 | $60 | $18 | 327% | ~$31 | 270 |
| Partial thromboplastin timeCPT 85730 | $20 | $6 | 327% | ~$10 | 270 |
| Physical therapy, therapeutic exerciseCPT 97110 | $270 | — | — | $65 | 270 |
| Preventive visit, new patient, 18-39CPT 99385 | $450 | — | — | $101 | 214 |
| Preventive visit, new patient, 40-64CPT 99386 | $450 | — | — | $101 | 214 |
| Prostate biopsyCPT 55700 | $10,351 | — | — | $370 | 270 |
| Prothrombin timeCPT 85610 | $11 | $4 | 251% | ~$28 | 232 |
| Psychotherapy, 30 minutesCPT 90832 | $628 | $222 | 284% | $172 | 269 |
| Psychotherapy, 45 minutesCPT 90834 | $847 | $222 | 382% | $232 | 269 |
| Psychotherapy, 60 minutesCPT 90837 | $1,160 | $222 | 524% | $336 | 269 |
| Renal failure, with CCMS-DRG 683 | $26,000 | $9,511 | 273% | — | 172 |
| Screening mammography, bilateralCPT 77067 | $969 | — | — | ~$244 | 270 |
| Sepsis with MCCMS-DRG 871 | $57,667 | $23,527 | 245% | — | 172 |
| Shoulder arthroscopy, subacromial decompressionCPT 29826 | $7,163 | — | — | — | 220 |
| Simple pneumonia and pleurisy, with CCMS-DRG 194 | $23,925 | $8,976 | 267% | — | 172 |
| Sleep study (polysomnography)CPT 95810 | $3,319 | $1,072 | 310% | $838 | 270 |
| Stroke (hemorrhage/infarction), no CC/MCCMS-DRG 066 | $20,318 | $7,446 | 273% | — | 172 |
| Stroke (hemorrhage/infarction), with CC or tPAMS-DRG 065 | $29,993 | $10,667 | 281% | — | 172 |
| Thyroid stimulating hormone (TSH)CPT 84443 | $55 | $17 | 327% | ~$26 | 270 |
| Tonsillectomy and adenoidectomy, under age 12CPT 42820 | $9,887 | $7,390 | 134% | — | 224 |
| Transforaminal epidural, lumbar/sacralCPT 64483 | $4,950 | $1,104 | 448% | $1,041 | 270 |
| Ultrasound, abdomen, completeCPT 76700 | $1,049 | $130 | 804% | ~$323 | 270 |
| Ultrasound, transvaginalCPT 76830 | $375 | $130 | 287% | ~$351 | 268 |
| Upper GI endoscopy with biopsyCPT 43239 | $7,163 | $1,132 | 633% | $240 | 270 |
| Upper GI endoscopy, diagnosticCPT 43235 | $6,593 | $1,132 | 582% | $548 | 270 |
| Urinalysis, automated, with microscopyCPT 81001 | $10 | $3 | 326% | ~$5 | 270 |
| Urinalysis, automated, without microscopyCPT 81003 | $7 | $2 | 327% | ~$17 | 270 |
| Urinalysis, manual, with microscopyCPT 81000 | $10 | $4 | 255% | ~$3 | 270 |
| Urinalysis, manual, without microscopyCPT 81002 | $8 | $3 | 241% | ~$3 | 270 |
| Vaginal delivery, no sterilization, no CC/MCCMS-DRG 807 | $23,975 | — | — | — | 172 |
| Vaginal delivery, no sterilization, with CCMS-DRG 806 | $23,975 | — | — | — | 172 |
| X-ray, lower back, 4+ viewsCPT 72110 | $224 | $130 | 171% | ~$77 | 270 |
| YAG laser capsulotomy (secondary cataract)CPT 66821 | $4,100 | $687 | 597% | $563 | 270 |