| Acute myocardial infarction, discharged alive, with MCCMS-DRG 280 | $18,357 | $18,083 | 102% | — | 8 |
| Bariatric (obesity) surgery, no CC/MCCMS-DRG 621 | $17,557 | $8,272 | 212% | — | 8 |
| Basic metabolic panelCPT 80048 | $8 | $8 | 100% | ~$18 | 15 |
| COPD with MCCMS-DRG 190 | $12,751 | $7,377 | 173% | — | 8 |
| CT abdomen and pelvis with contrastCPT 74177 | $433 | $435 | 100% | ~$610 | 20 |
| CT head without contrastCPT 70450 | $133 | $130 | 102% | ~$145 | 20 |
| CT pelvis with contrastCPT 72193 | $229 | $219 | 104% | ~$476 | 19 |
| Cardiac arrhythmia, no CC/MCCMS-DRG 310 | $6,399 | $3,269 | 196% | — | 8 |
| Cardiac stress testCPT 93017 | $268 | $270 | 100% | $245 | 13 |
| Cardiac valve surgery with cardiac cath, with MCCMS-DRG 216 | $112,300 | — | — | — | 8 |
| Cataract surgery with IOL insertionCPT 66984 | $2,867 | $2,881 | 100% | $1,083 | 23 |
| Cellulitis, no MCCMS-DRG 603 | $10,237 | $5,675 | 180% | — | 8 |
| Cervical spinal fusion, no CC/MCCMS-DRG 473 | $28,472 | $16,343 | 174% | — | 8 |
| Cesarean section, no CC/MCCMS-DRG 788 | $9,893 | — | — | — | 8 |
| Cesarean section, with CCMS-DRG 787 | $12,162 | — | — | — | 8 |
| Chest painMS-DRG 313 | $8,373 | $8,109 | 103% | — | 8 |
| Colonoscopy with biopsyCPT 45380 | $1,598 | $1,494 | 107% | $1,354 | 24 |
| Colonoscopy with polyp removalCPT 45385 | $1,635 | $1,494 | 109% | $948 | 23 |
| Colonoscopy, diagnosticCPT 45378 | $1,213 | $1,161 | 104% | $1,083 | 25 |
| Complete blood count with differentialCPT 85025 | $8 | $8 | 100% | ~$24 | 15 |
| Complete blood count, automatedCPT 85027 | $6 | $6 | 100% | ~$3 | 14 |
| Comprehensive metabolic panelCPT 80053 | $11 | $11 | 102% | ~$40 | 16 |
| Coronary bypass without cardiac cath, no MCCMS-DRG 236 | $46,761 | $29,950 | 156% | — | 8 |
| Diagnostic mammography, both breastsCPT 77066 | $67 | — | — | ~$111 | 20 |
| Diagnostic mammography, one breastCPT 77065 | $45 | — | — | ~$89 | 18 |
| ED visit, level 3CPT 99283 | $373 | $341 | 109% | $472 | 27 |
| ED visit, level 4CPT 99284 | $544 | $521 | 104% | $579 | 27 |
| ED visit, level 5CPT 99285 | $680 | $743 | 91% | $710 | 26 |
| Echocardiogram, completeCPT 93306 | $679 | $682 | 100% | $327 | 19 |
| Electrocardiogram with interpretationCPT 93000 | $80 | — | — | $80 | 6 |
| Epidural injection, lumbar/sacral, no imagingCPT 62322 | $1,154 | $1,104 | 104% | $423 | 19 |
| Esophagitis/GI disorders, no MCCMS-DRG 392 | $9,090 | $8,794 | 103% | — | 8 |
| Excision of breast lesionCPT 19120 | $3,389 | $4,888 | 69% | $3,249 | 23 |
| Heart failure and shock, with CCMS-DRG 292 | $9,911 | $5,927 | 167% | — | 8 |
| Heart failure with MCCMS-DRG 291 | $14,856 | $13,538 | 110% | — | 8 |
| Hip and femur procedures except major joint, with CCMS-DRG 481 | $24,009 | $13,876 | 173% | — | 8 |
| Hysterectomy, no CC/MCCMS-DRG 743 | $13,446 | $10,098 | 133% | — | 8 |
| Inguinal hernia repair, age 5+CPT 49505 | $3,389 | $4,469 | 76% | $6,498 | 23 |
| Kidney and urinary tract infections, no MCCMS-DRG 690 | $9,337 | $9,145 | 102% | — | 8 |
| Knee arthroscopy with meniscectomyCPT 29881 | $3,389 | $4,084 | 83% | $2,166 | 23 |
| Laparoscopic cholecystectomyCPT 47562 | $3,389 | $7,547 | 45% | $3,249 | 23 |
| Laparoscopic cholecystectomy, no CC/MCCMS-DRG 419 | $15,195 | $8,977 | 169% | — | 8 |
| Left heart catheterization, diagnosticCPT 93452 | $4,027 | $4,047 | 100% | $1,933 | 21 |
| Lipid panelCPT 80061 | $14 | $13 | 105% | ~$34 | 15 |
| Liver function panelCPT 80076 | $9 | $8 | 105% | ~$40 | 15 |
| MRI brain with and without contrastCPT 70553 | $433 | $435 | 100% | ~$246 | 20 |
| MRI lower extremity joint (knee)CPT 73721 | $311 | $298 | 104% | ~$153 | 19 |
| MRI lumbar spine without contrastCPT 72148 | $311 | $298 | 104% | ~$590 | 19 |
| Major joint replacement (hip/knee), no MCCMS-DRG 470 | $21,773 | $13,045 | 167% | — | 8 |
| Major joint replacement (hip/knee), with MCCMS-DRG 469 | $38,529 | $22,346 | 172% | — | 8 |
| Major small and large bowel procedures, with CCMS-DRG 330 | $27,448 | $16,202 | 169% | — | 8 |
| Medical back problems, no MCCMS-DRG 552 | $11,181 | $6,142 | 182% | — | 8 |
| OB ultrasound, 14+ weeksCPT 76805 | $130 | $130 | 100% | ~$73 | 19 |
| Obstetric blood test panelCPT 80055 | $48 | $48 | 100% | ~$48 | 14 |
| Office consultation, comprehensiveCPT 99244 | $127 | — | — | $105 | 6 |
| Office consultation, moderateCPT 99243 | $105 | — | — | $105 | 6 |
| Office visit, established patient, level 3CPT 99213 | $70 | — | — | $192 | 22 |
| Office visit, established patient, level 4CPT 99214 | $100 | — | — | $192 | 21 |
| Office visit, new patient, level 3CPT 99203 | $86 | — | — | $192 | 21 |
| Office visit, new patient, level 4CPT 99204 | $140 | — | — | $192 | 20 |
| Office visit, new patient, level 5CPT 99205 | $184 | — | — | $192 | 19 |
| PSA (prostate specific antigen), totalCPT 84153 | $18 | $18 | 100% | ~$4 | 14 |
| Partial thromboplastin timeCPT 85730 | $6 | $6 | 100% | ~$19 | 15 |
| Physical therapy, therapeutic exerciseCPT 97110 | $61 | — | — | $86 | 20 |
| Preventive visit, new patient, 18-39CPT 99385 | $150 | — | — | $135 | 9 |
| Preventive visit, new patient, 40-64CPT 99386 | $150 | — | — | $95 | 9 |
| Prostate biopsyCPT 55700 | $2,440 | — | — | $1,624 | 10 |
| Prothrombin timeCPT 85610 | $4 | $4 | 105% | ~$10 | 14 |
| Renal failure, with CCMS-DRG 683 | $10,423 | $10,444 | 100% | — | 8 |
| Screening mammography, bilateralCPT 77067 | $42 | — | — | ~$91 | 20 |
| Sepsis with MCCMS-DRG 871 | $22,941 | $24,025 | 95% | — | 8 |
| Shoulder arthroscopy, subacromial decompressionCPT 29826 | $1,149 | — | — | $3,971 | 20 |
| Simple pneumonia and pleurisy, with CCMS-DRG 194 | $9,514 | $5,177 | 184% | — | 8 |
| Stroke (hemorrhage/infarction), no CC/MCCMS-DRG 066 | $7,955 | $3,679 | 216% | — | 8 |
| Stroke (hemorrhage/infarction), with CC or tPAMS-DRG 065 | $11,761 | $10,988 | 107% | — | 8 |
| Thyroid stimulating hormone (TSH)CPT 84443 | $17 | $17 | 100% | ~$1 | 14 |
| Tonsillectomy and adenoidectomy, under age 12CPT 42820 | $5,538 | $7,390 | 75% | $3,249 | 20 |
| Transforaminal epidural, lumbar/sacralCPT 64483 | $1,209 | $1,104 | 109% | $542 | 23 |
| Ultrasound, abdomen, completeCPT 76700 | $130 | $130 | 100% | ~$73 | 20 |
| Ultrasound, transvaginalCPT 76830 | $130 | $130 | 100% | ~$73 | 20 |
| Upper GI endoscopy with biopsyCPT 43239 | $1,183 | $1,132 | 104% | $1,624 | 25 |
| Upper GI endoscopy, diagnosticCPT 43235 | $908 | $1,132 | 80% | $1,083 | 24 |
| Urinalysis, automated, with microscopyCPT 81001 | $3 | $3 | 100% | ~$9 | 15 |
| Urinalysis, automated, without microscopyCPT 81003 | $2 | $2 | 100% | ~$12 | 14 |
| Urinalysis, manual, with microscopyCPT 81000 | $4 | $4 | 105% | ~$2 | 14 |
| Urinalysis, manual, without microscopyCPT 81002 | $3 | $3 | 100% | ~$5 | 14 |
| Vaginal delivery, no sterilization, no CC/MCCMS-DRG 807 | $7,571 | — | — | — | 8 |
| Vaginal delivery, no sterilization, with CCMS-DRG 806 | $8,640 | — | — | — | 8 |
| X-ray, lower back, 4+ viewsCPT 72110 | $130 | $130 | 100% | ~$104 | 16 |
| YAG laser capsulotomy (secondary cataract)CPT 66821 | $683 | $687 | 100% | $336 | 16 |