| Acute myocardial infarction, discharged alive, with MCCMS-DRG 280 | $20,792 | $11,821 | 176% | — | 2 |
| Bariatric (obesity) surgery, no CC/MCCMS-DRG 621 | $20,995 | $8,272 | 254% | — | 4 |
| Basic metabolic panelCPT 80048 | $102 | $8 | 1211% | ~$76 | 20 |
| COPD with MCCMS-DRG 190 | $14,296 | $8,514 | 168% | — | 2 |
| CT abdomen and pelvis with contrastCPT 74177 | $980 | $435 | 225% | ~$1,899 | 20 |
| CT head without contrastCPT 70450 | $980 | $130 | 751% | ~$511 | 20 |
| CT pelvis with contrastCPT 72193 | $980 | $219 | 448% | ~$904 | 20 |
| Cardiac arrhythmia, no CC/MCCMS-DRG 310 | $7,236 | $3,269 | 221% | — | 2 |
| Cardiac stress testCPT 93017 | $873 | $270 | 324% | $589 | 18 |
| Cardiac valve surgery with cardiac cath, with MCCMS-DRG 216 | $121,154 | — | — | — | 2 |
| Cataract surgery with IOL insertionCPT 66984 | $4,644 | $2,881 | 161% | — | 11 |
| Cellulitis, no MCCMS-DRG 603 | $11,262 | $6,045 | 186% | — | 2 |
| Cervical spinal fusion, no CC/MCCMS-DRG 473 | $29,889 | $16,343 | 183% | — | 2 |
| Cesarean section, no CC/MCCMS-DRG 788 | $11,561 | — | — | — | 2 |
| Cesarean section, with CCMS-DRG 787 | $13,530 | — | — | — | 2 |
| Chest painMS-DRG 313 | $9,164 | — | — | — | 2 |
| Colonoscopy with biopsyCPT 45380 | $2,234 | $1,494 | 150% | $801 | 20 |
| Colonoscopy with endoscopic ultrasoundCPT 45391 | $1,973 | $1,494 | 132% | $665 | 20 |
| Colonoscopy with polyp removalCPT 45385 | $2,234 | $1,494 | 150% | $801 | 20 |
| Colonoscopy, diagnosticCPT 45378 | $1,841 | $1,161 | 159% | $614 | 20 |
| Complete blood count with differentialCPT 85025 | $60 | $8 | 770% | ~$50 | 20 |
| Complete blood count, automatedCPT 85027 | $52 | $6 | 805% | ~$29 | 20 |
| Comprehensive metabolic panelCPT 80053 | $89 | $11 | 844% | ~$51 | 20 |
| Coronary bypass without cardiac cath, no MCCMS-DRG 236 | $51,750 | $29,950 | 173% | — | 2 |
| Diagnostic mammography, both breastsCPT 77066 | $373 | — | — | ~$290 | 19 |
| Diagnostic mammography, one breastCPT 77065 | $317 | — | — | ~$145 | 19 |
| ED visit, level 3CPT 99283 | $1,194 | $341 | 350% | $291 | 14 |
| ED visit, level 4CPT 99284 | $1,314 | $521 | 252% | $376 | 14 |
| ED visit, level 5CPT 99285 | $1,525 | $743 | 205% | $496 | 14 |
| Echocardiogram, completeCPT 93306 | $1,838 | $682 | 269% | $1,288 | 18 |
| Electrocardiogram with interpretationCPT 93000 | $44 | — | — | $12 | 17 |
| Epidural injection, lumbar/sacral, no imagingCPT 62322 | $2,213 | $1,104 | 200% | $653 | 20 |
| Esophagitis/GI disorders, no MCCMS-DRG 392 | $10,002 | $5,624 | 178% | — | 2 |
| Excision of breast lesionCPT 19120 | $3,749 | $4,888 | 77% | $2,807 | 19 |
| Family psychotherapy, with patientCPT 90847 | $274 | $222 | 124% | $103 | 17 |
| Family psychotherapy, without patientCPT 90846 | $274 | $222 | 124% | $103 | 17 |
| Group psychotherapyCPT 90853 | $153 | $127 | 121% | $66 | 17 |
| Heart failure and shock, with CCMS-DRG 292 | $11,016 | $5,927 | 186% | — | 2 |
| Heart failure with MCCMS-DRG 291 | $16,574 | $9,581 | 173% | — | 2 |
| Hip and femur procedures except major joint, with CCMS-DRG 481 | $26,224 | $16,184 | 162% | — | 2 |
| Hysterectomy, no CC/MCCMS-DRG 743 | $15,245 | $10,098 | 151% | — | 2 |
| Inguinal hernia repair, age 5+CPT 49505 | $4,779 | $4,469 | 107% | — | 8 |
| Kidney and urinary tract infections, no MCCMS-DRG 690 | $10,282 | $5,496 | 187% | — | 2 |
| Kidney function panelCPT 80069 | $102 | $9 | 1180% | ~$82 | 20 |
| Knee arthroscopy with meniscectomyCPT 29881 | $4,185 | $4,084 | 102% | — | 8 |
| Laparoscopic cholecystectomyCPT 47562 | $7,279 | $7,547 | 96% | $4,277 | 20 |
| Laparoscopic cholecystectomy, no CC/MCCMS-DRG 419 | $16,735 | $8,977 | 186% | — | 2 |
| Laparoscopic radical prostatectomyCPT 55866 | $6,410 | $13,269 | 48% | — | 11 |
| Left heart catheterization, diagnosticCPT 93452 | $8,327 | $4,047 | 206% | $2,935 | 20 |
| Lipid panelCPT 80061 | $100 | $13 | 750% | ~$58 | 20 |
| Liver function panelCPT 80076 | $102 | $8 | 1254% | ~$93 | 20 |
| Lumbar epidural steroid injectionCPT 62323 | $1,561 | $881 | 177% | $448 | 20 |
| MRI brain with and without contrastCPT 70553 | $1,785 | $435 | 410% | ~$2,285 | 20 |
| MRI lower extremity joint (knee)CPT 73721 | $1,193 | $298 | 401% | ~$854 | 20 |
| MRI lumbar spine without contrastCPT 72148 | $1,193 | $298 | 401% | ~$1,232 | 20 |
| Major joint replacement (hip/knee), no MCCMS-DRG 470 | $23,850 | $14,165 | 168% | — | 2 |
| Major joint replacement (hip/knee), with MCCMS-DRG 469 | $41,182 | $22,346 | 184% | — | 2 |
| Major small and large bowel procedures, with CCMS-DRG 330 | $29,842 | $15,884 | 188% | — | 2 |
| Medical back problems, no MCCMS-DRG 552 | $12,302 | $6,142 | 200% | — | 2 |
| OB global care, VBAC deliveryCPT 59610 | $4,764 | — | — | — | 7 |
| OB global care, cesarean deliveryCPT 59510 | $6,316 | — | — | — | 1 |
| OB global care, vaginal deliveryCPT 59400 | $4,764 | — | — | — | 7 |
| OB ultrasound, 14+ weeksCPT 76805 | $337 | $130 | 258% | ~$154 | 20 |
| Obstetric blood test panelCPT 80055 | $119 | $48 | 249% | ~$282 | 20 |
| Office consultation, comprehensiveCPT 99244 | $279 | — | — | $78 | 7 |
| Office consultation, moderateCPT 99243 | $187 | — | — | $52 | 7 |
| Office visit, established patient, level 3CPT 99213 | $404 | — | — | $131 | 10 |
| Office visit, established patient, level 4CPT 99214 | $466 | — | — | $157 | 10 |
| Office visit, new patient, level 3CPT 99203 | $365 | — | — | $108 | 7 |
| Office visit, new patient, level 4CPT 99204 | $443 | — | — | $123 | 7 |
| Office visit, new patient, level 5CPT 99205 | $505 | — | — | $140 | 7 |
| PSA (prostate specific antigen), totalCPT 84153 | $62 | $18 | 339% | ~$90 | 20 |
| Partial thromboplastin timeCPT 85730 | $66 | $6 | 1103% | ~$45 | 20 |
| Physical therapy, therapeutic exerciseCPT 97110 | $166 | — | — | $53 | 18 |
| Preventive visit, new patient, 18-39CPT 99385 | $465 | — | — | — | 1 |
| Preventive visit, new patient, 40-64CPT 99386 | $538 | — | — | — | 1 |
| Prostate biopsyCPT 55700 | $3,918 | — | — | $939 | 20 |
| Prothrombin timeCPT 85610 | $66 | $4 | 1545% | ~$47 | 20 |
| Psychotherapy, 30 minutesCPT 90832 | $195 | $222 | 88% | $117 | 17 |
| Psychotherapy, 45 minutesCPT 90834 | $268 | $222 | 121% | $172 | 17 |
| Psychotherapy, 60 minutesCPT 90837 | $357 | $222 | 161% | $251 | 17 |
| Renal failure, with CCMS-DRG 683 | $11,363 | $6,664 | 171% | — | 2 |
| Screening mammography, bilateralCPT 77067 | $294 | — | — | ~$124 | 19 |
| Sepsis with MCCMS-DRG 871 | $24,810 | $15,461 | 160% | — | 2 |
| Shoulder arthroscopy, subacromial decompressionCPT 29826 | $4,913 | — | — | $1,624 | 20 |
| Simple pneumonia and pleurisy, with CCMS-DRG 194 | $10,500 | $5,934 | 177% | — | 2 |
| Sleep study (polysomnography)CPT 95810 | $1,423 | $1,072 | 133% | $491 | 18 |
| Stroke (hemorrhage/infarction), no CC/MCCMS-DRG 066 | $8,850 | $3,679 | 241% | — | 2 |
| Stroke (hemorrhage/infarction), with CC or tPAMS-DRG 065 | $12,967 | $6,951 | 187% | — | 2 |
| Thyroid stimulating hormone (TSH)CPT 84443 | $101 | $17 | 600% | ~$111 | 20 |
| Tonsillectomy and adenoidectomy, under age 12CPT 42820 | $4,405 | $7,390 | 60% | — | 12 |
| Transforaminal epidural, lumbar/sacralCPT 64483 | $2,691 | $1,104 | 244% | $825 | 20 |
| Ultrasound, abdomen, completeCPT 76700 | $1,154 | $130 | 885% | ~$419 | 20 |
| Ultrasound, transvaginalCPT 76830 | $398 | $130 | 305% | ~$188 | 20 |
| Upper GI endoscopy with biopsyCPT 43239 | $1,873 | $1,132 | 165% | $610 | 20 |
| Upper GI endoscopy, diagnosticCPT 43235 | $1,410 | $1,132 | 125% | $156 | 20 |
| Urinalysis, automated, with microscopyCPT 81001 | $58 | $3 | 1840% | ~$42 | 20 |
| Urinalysis, automated, without microscopyCPT 81003 | $49 | $2 | 2171% | ~$24 | 20 |
| Urinalysis, manual, with microscopyCPT 81000 | $12 | $4 | 308% | ~$3 | 20 |
| Urinalysis, manual, without microscopyCPT 81002 | $49 | $3 | 1404% | ~$24 | 20 |
| Vaginal delivery, no sterilization, no CC/MCCMS-DRG 807 | $8,210 | — | — | — | 2 |
| Vaginal delivery, no sterilization, with CCMS-DRG 806 | $9,292 | — | — | — | 2 |
| X-ray, lower back, 4+ viewsCPT 72110 | $151 | $130 | 116% | ~$215 | 20 |
| YAG laser capsulotomy (secondary cataract)CPT 66821 | $2,845 | $687 | 414% | $402 | 20 |