| Acute myocardial infarction, discharged alive, with MCCMS-DRG 280 | $46,014 | $12,794 | 360% | — | 13 |
| Bariatric (obesity) surgery, no CC/MCCMS-DRG 621 | $41,932 | $8,272 | 507% | — | 13 |
| Basic metabolic panelCPT 80048 | $44 | $8 | 524% | ~$31 | 23 |
| COPD with MCCMS-DRG 190 | $31,774 | $8,993 | 353% | — | 13 |
| CT abdomen and pelvis with contrastCPT 74177 | $1,761 | $435 | 404% | ~$374 | 23 |
| CT head without contrastCPT 70450 | $1,403 | $130 | 1075% | ~$312 | 23 |
| CT pelvis with contrastCPT 72193 | $1,682 | $219 | 768% | ~$374 | 23 |
| Cardiac arrhythmia, no CC/MCCMS-DRG 310 | $16,081 | $4,037 | 398% | — | 13 |
| Cardiac stress testCPT 93017 | $668 | $270 | 248% | $142 | 23 |
| Cardiac valve surgery with cardiac cath, with MCCMS-DRG 216 | $277,900 | — | — | — | 13 |
| Cataract surgery with IOL insertionCPT 66984 | $5,917 | $2,881 | 205% | — | 17 |
| Cellulitis, no MCCMS-DRG 603 | $24,982 | $6,811 | 367% | — | 13 |
| Cervical spinal fusion, no CC/MCCMS-DRG 473 | $69,350 | $16,343 | 424% | — | 13 |
| Cesarean section, no CC/MCCMS-DRG 788 | $19,024 | — | — | — | 14 |
| Cesarean section, with CCMS-DRG 787 | $21,198 | — | — | — | 14 |
| Chest painMS-DRG 313 | $20,464 | $5,538 | 370% | — | 13 |
| Colonoscopy with biopsyCPT 45380 | $4,642 | $1,494 | 311% | — | 17 |
| Colonoscopy with endoscopic ultrasoundCPT 45391 | $4,463 | $1,494 | 299% | — | 17 |
| Colonoscopy with polyp removalCPT 45385 | $4,642 | $1,494 | 311% | — | 17 |
| Colonoscopy, diagnosticCPT 45378 | $4,642 | $1,161 | 400% | — | 17 |
| Complete blood count with differentialCPT 85025 | $54 | $8 | 694% | ~$18 | 23 |
| Complete blood count, automatedCPT 85027 | $40 | $6 | 623% | ~$15 | 23 |
| Comprehensive metabolic panelCPT 80053 | $66 | $11 | 628% | ~$36 | 23 |
| Coronary bypass without cardiac cath, no MCCMS-DRG 236 | $118,991 | $29,950 | 397% | — | 13 |
| Diagnostic mammography, both breastsCPT 77066 | $704 | — | — | ~$157 | 23 |
| Diagnostic mammography, one breastCPT 77065 | $550 | — | — | ~$122 | 23 |
| ED visit, level 3CPT 99283 | $1,882 | $341 | 552% | $359 | 23 |
| ED visit, level 4CPT 99284 | $1,962 | $521 | 377% | $468 | 23 |
| ED visit, level 5CPT 99285 | $1,882 | $743 | 253% | $349 | 23 |
| Echocardiogram, completeCPT 93306 | $1,503 | $682 | 220% | $319 | 23 |
| Epidural injection, lumbar/sacral, no imagingCPT 62322 | $2,804 | $1,104 | 254% | $377 | 23 |
| Esophagitis/GI disorders, no MCCMS-DRG 392 | $22,363 | $5,846 | 383% | — | 13 |
| Excision of breast lesionCPT 19120 | $5,187 | $4,888 | 106% | — | 17 |
| Family psychotherapy, with patientCPT 90847 | $346 | $222 | 156% | $68 | 23 |
| Family psychotherapy, without patientCPT 90846 | $346 | $222 | 156% | $68 | 23 |
| Group psychotherapyCPT 90853 | $164 | $127 | 129% | $31 | 23 |
| Heart failure and shock, with CCMS-DRG 292 | $24,354 | $6,681 | 365% | — | 13 |
| Heart failure with MCCMS-DRG 291 | $36,826 | $10,390 | 354% | — | 13 |
| Hip and femur procedures except major joint, with CCMS-DRG 481 | $59,519 | $17,057 | 349% | — | 13 |
| Hysterectomy, no CC/MCCMS-DRG 743 | $35,245 | $10,098 | 349% | — | 13 |
| Inguinal hernia repair, age 5+CPT 49505 | $5,777 | $4,469 | 129% | $1,578 | 23 |
| Kidney and urinary tract infections, no MCCMS-DRG 690 | $23,023 | $5,943 | 387% | — | 13 |
| Kidney function panelCPT 80069 | $56 | $9 | 641% | ~$13 | 23 |
| Knee arthroscopy with meniscectomyCPT 29881 | $5,519 | $4,084 | 135% | — | 17 |
| Laparoscopic cholecystectomyCPT 47562 | $7,248 | $7,547 | 96% | — | 17 |
| Laparoscopic cholecystectomy, no CC/MCCMS-DRG 419 | $38,798 | $8,977 | 432% | — | 13 |
| Laparoscopic radical prostatectomyCPT 55866 | $8,786 | $13,269 | 66% | — | 17 |
| Left heart catheterization, diagnosticCPT 93452 | $11,383 | $4,047 | 281% | $1,916 | 23 |
| Lipid panelCPT 80061 | $93 | $13 | 694% | ~$33 | 23 |
| Liver function panelCPT 80076 | $44 | $8 | 542% | ~$33 | 23 |
| Lumbar epidural steroid injectionCPT 62323 | $3,695 | $881 | 419% | — | 17 |
| MRI brain with and without contrastCPT 70553 | $3,162 | $435 | 726% | ~$623 | 23 |
| MRI lower extremity joint (knee)CPT 73721 | $2,150 | $298 | 722% | ~$424 | 23 |
| MRI lumbar spine without contrastCPT 72148 | $2,150 | $298 | 722% | ~$424 | 23 |
| Major joint replacement (hip/knee), no MCCMS-DRG 470 | $54,794 | $15,496 | 354% | — | 13 |
| Major joint replacement (hip/knee), with MCCMS-DRG 469 | $87,007 | $22,346 | 389% | — | 13 |
| Major small and large bowel procedures, with CCMS-DRG 330 | $68,097 | $20,197 | 337% | — | 13 |
| Medical back problems, no MCCMS-DRG 552 | $27,575 | $7,166 | 385% | — | 13 |
| OB global care, VBAC deliveryCPT 59610 | $5,477 | — | — | — | 7 |
| OB ultrasound, 14+ weeksCPT 76805 | $606 | $130 | 464% | ~$121 | 23 |
| Office visit, established patient, level 3CPT 99213 | $212 | — | — | $36 | 21 |
| Office visit, established patient, level 4CPT 99214 | $279 | — | — | $47 | 21 |
| Office visit, new patient, level 3CPT 99203 | $283 | — | — | $48 | 21 |
| Office visit, new patient, level 4CPT 99204 | $372 | — | — | $63 | 21 |
| Office visit, new patient, level 5CPT 99205 | $440 | — | — | $87 | 21 |
| PSA (prostate specific antigen), totalCPT 84153 | $89 | $18 | 483% | ~$18 | 23 |
| Partial thromboplastin timeCPT 85730 | $42 | $6 | 693% | ~$23 | 23 |
| Physical therapy, therapeutic exerciseCPT 97110 | $176 | — | — | $27 | 23 |
| Preventive visit, new patient, 18-39CPT 99385 | $28,750 | — | — | — | 4 |
| Preventive visit, new patient, 40-64CPT 99386 | $28,750 | — | — | — | 4 |
| Prostate biopsyCPT 55700 | $4,463 | — | — | — | 15 |
| Prothrombin timeCPT 85610 | $27 | $4 | 635% | ~$6 | 23 |
| Psychotherapy, 30 minutesCPT 90832 | $279 | $222 | 126% | $48 | 23 |
| Psychotherapy, 45 minutesCPT 90834 | $305 | $222 | 137% | $58 | 23 |
| Psychotherapy, 60 minutesCPT 90837 | $305 | $222 | 137% | $58 | 23 |
| Renal failure, with CCMS-DRG 683 | $25,122 | $6,992 | 359% | — | 13 |
| Screening mammography, bilateralCPT 77067 | $424 | — | — | ~$90 | 23 |
| Sepsis with MCCMS-DRG 871 | $55,721 | $15,808 | 352% | — | 13 |
| Shoulder arthroscopy, subacromial decompressionCPT 29826 | $3,695 | — | — | — | 10 |
| Simple pneumonia and pleurisy, with CCMS-DRG 194 | $23,117 | $6,138 | 377% | — | 13 |
| Sleep study (polysomnography)CPT 95810 | $3,237 | $1,072 | 302% | $574 | 23 |
| Stroke (hemorrhage/infarction), no CC/MCCMS-DRG 066 | $19,632 | $5,024 | 391% | — | 13 |
| Stroke (hemorrhage/infarction), with CC or tPAMS-DRG 065 | $28,980 | $8,130 | 356% | — | 13 |
| Thyroid stimulating hormone (TSH)CPT 84443 | $117 | $17 | 694% | ~$31 | 23 |
| Tonsillectomy and adenoidectomy, under age 12CPT 42820 | $5,476 | $7,390 | 74% | — | 17 |
| Transforaminal epidural, lumbar/sacralCPT 64483 | $2,914 | $1,104 | 264% | $362 | 23 |
| Ultrasound, abdomen, completeCPT 76700 | $766 | $130 | 587% | ~$170 | 23 |
| Ultrasound, transvaginalCPT 76830 | $640 | $130 | 491% | ~$140 | 23 |
| Upper GI endoscopy with biopsyCPT 43239 | $2,985 | $1,132 | 264% | $364 | 23 |
| Upper GI endoscopy, diagnosticCPT 43235 | $2,920 | $1,132 | 258% | $424 | 23 |
| Urinalysis, automated, with microscopyCPT 81001 | $22 | $3 | 692% | ~$11 | 23 |
| Urinalysis, automated, without microscopyCPT 81003 | $16 | $2 | 692% | ~$6 | 23 |
| Urinalysis, manual, with microscopyCPT 81000 | $20 | $4 | 501% | ~$4 | 23 |
| Urinalysis, manual, without microscopyCPT 81002 | $18 | $3 | 510% | ~$5 | 23 |
| Vaginal delivery, no sterilization, no CC/MCCMS-DRG 807 | $13,362 | — | — | — | 14 |
| Vaginal delivery, no sterilization, with CCMS-DRG 806 | $13,362 | — | — | — | 14 |
| X-ray, lower back, 4+ viewsCPT 72110 | $457 | $130 | 350% | ~$102 | 23 |
| YAG laser capsulotomy (secondary cataract)CPT 66821 | $8,296 | $687 | 1208% | — | 6 |