| Acute myocardial infarction, discharged alive, with MCCMS-DRG 280 | $19,563 | $20,289 | 96% | $33,315 | 20 |
| Bariatric (obesity) surgery, no CC/MCCMS-DRG 621 | $18,396 | $8,272 | 222% | $24,571 | 20 |
| Basic metabolic panelCPT 80048 | $11 | $8 | 130% | ~$19 | 31 |
| COPD with MCCMS-DRG 190 | $13,509 | $13,839 | 98% | $17,486 | 20 |
| CT abdomen and pelvis with contrastCPT 74177 | $566 | $435 | 130% | ~$492 | 31 |
| CT head without contrastCPT 70450 | $170 | $130 | 130% | ~$154 | 31 |
| CT pelvis with contrastCPT 72193 | $285 | $219 | 130% | ~$632 | 31 |
| Cardiac arrhythmia, no CC/MCCMS-DRG 310 | $6,904 | $3,269 | 211% | $7,700 | 20 |
| Cardiac stress testCPT 93017 | $350 | $270 | 130% | $322 | 31 |
| Cardiac valve surgery with cardiac cath, with MCCMS-DRG 216 | $119,309 | — | — | $74,463 | 20 |
| Cataract surgery with IOL insertionCPT 66984 | $2,881 | $2,881 | 100% | $3,161 | 31 |
| Cellulitis, no MCCMS-DRG 603 | $10,621 | $11,325 | 94% | $11,537 | 20 |
| Cervical spinal fusion, no CC/MCCMS-DRG 473 | $29,774 | $16,343 | 182% | $50,145 | 20 |
| Cesarean section, no CC/MCCMS-DRG 788 | $11,693 | — | — | $19,344 | 20 |
| Cesarean section, with CCMS-DRG 787 | $13,620 | — | — | $21,767 | 20 |
| Chest painMS-DRG 313 | $8,781 | $9,232 | 95% | $10,403 | 20 |
| Colonoscopy with biopsyCPT 45380 | $1,494 | $1,494 | 100% | $1,589 | 31 |
| Colonoscopy with polyp removalCPT 45385 | $1,494 | $1,494 | 100% | $1,589 | 31 |
| Colonoscopy, diagnosticCPT 45378 | $1,161 | $1,161 | 100% | $1,220 | 31 |
| Complete blood count with differentialCPT 85025 | $8 | $8 | 100% | ~$25 | 31 |
| Comprehensive metabolic panelCPT 80053 | $14 | $11 | 130% | ~$25 | 31 |
| Diagnostic mammography, both breastsCPT 77066 | $172 | — | — | ~$221 | 31 |
| Diagnostic mammography, one breastCPT 77065 | $134 | — | — | ~$175 | 31 |
| ED visit, level 3CPT 99283 | $341 | $341 | 100% | $582 | 31 |
| ED visit, level 4CPT 99284 | $521 | $521 | 100% | $631 | 31 |
| ED visit, level 5CPT 99285 | $743 | $743 | 100% | $718 | 31 |
| Echocardiogram, completeCPT 93306 | $864 | $682 | 127% | $731 | 31 |
| Epidural injection, lumbar/sacral, no imagingCPT 62322 | $1,104 | $1,104 | 100% | $763 | 31 |
| Esophagitis/GI disorders, no MCCMS-DRG 392 | $9,508 | $10,053 | 95% | $8,910 | 20 |
| Excision of breast lesionCPT 19120 | $4,888 | $4,888 | 100% | $3,588 | 31 |
| Family psychotherapy, with patientCPT 90847 | $288 | $222 | 130% | $163 | 31 |
| Family psychotherapy, without patientCPT 90846 | $288 | $222 | 130% | $163 | 31 |
| Group psychotherapyCPT 90853 | $165 | $127 | 130% | $100 | 31 |
| Heart failure and shock, with CCMS-DRG 292 | $10,354 | $5,927 | 175% | $12,879 | 20 |
| Heart failure with MCCMS-DRG 291 | $15,657 | $15,803 | 99% | $18,637 | 20 |
| Hip and femur procedures except major joint, with CCMS-DRG 481 | $25,544 | $25,929 | 99% | $52,254 | 20 |
| Hysterectomy, no CC/MCCMS-DRG 743 | $15,131 | $10,098 | 150% | $15,144 | 20 |
| Kidney and urinary tract infections, no MCCMS-DRG 690 | $9,872 | $9,972 | 99% | $11,664 | 20 |
| Kidney function panelCPT 80069 | $9 | $9 | 100% | ~$11 | 31 |
| Laparoscopic cholecystectomy, no CC/MCCMS-DRG 419 | $16,657 | $8,977 | 186% | $18,798 | 20 |
| Left heart catheterization, diagnosticCPT 93452 | $4,047 | $4,047 | 100% | $3,581 | 31 |
| Lipid panelCPT 80061 | $14 | $13 | 103% | ~$56 | 31 |
| Liver function panelCPT 80076 | $11 | $8 | 130% | ~$16 | 31 |
| Lumbar epidural steroid injectionCPT 62323 | $881 | $881 | 100% | $763 | 31 |
| MRI brain with and without contrastCPT 70553 | $566 | $435 | 130% | ~$619 | 31 |
| MRI lower extremity joint (knee)CPT 73721 | $387 | $298 | 130% | ~$367 | 31 |
| MRI lumbar spine without contrastCPT 72148 | $387 | $298 | 130% | ~$367 | 31 |
| Major joint replacement (hip/knee), no MCCMS-DRG 470 | $23,524 | $13,045 | 180% | $42,246 | 20 |
| Major joint replacement (hip/knee), with MCCMS-DRG 469 | $36,992 | $22,346 | 166% | $63,917 | 20 |
| Major small and large bowel procedures, with CCMS-DRG 330 | $29,236 | $16,202 | 180% | $51,743 | 20 |
| Medical back problems, no MCCMS-DRG 552 | $11,724 | $11,576 | 101% | $15,125 | 20 |
| OB ultrasound, 14+ weeksCPT 76805 | $170 | $130 | 130% | ~$173 | 31 |
| Office consultation, comprehensiveCPT 99244 | $0 | — | — | $207 | 31 |
| Office consultation, moderateCPT 99243 | $0 | — | — | $190 | 31 |
| Office visit, established patient, level 3CPT 99213 | $0 | — | — | $144 | 31 |
| Office visit, established patient, level 4CPT 99214 | $0 | — | — | $150 | 31 |
| Office visit, new patient, level 3CPT 99203 | $0 | — | — | $250 | 31 |
| Office visit, new patient, level 4CPT 99204 | $0 | — | — | $268 | 31 |
| Office visit, new patient, level 5CPT 99205 | $0 | — | — | $286 | 31 |
| PSA (prostate specific antigen), totalCPT 84153 | $18 | $18 | 100% | ~$24 | 31 |
| Partial thromboplastin timeCPT 85730 | $6 | $6 | 100% | ~$29 | 31 |
| Physical therapy, therapeutic exerciseCPT 97110 | $43 | — | — | $39 | 31 |
| Preventive visit, new patient, 18-39CPT 99385 | $0 | — | — | $293 | 31 |
| Preventive visit, new patient, 40-64CPT 99386 | $0 | — | — | $301 | 31 |
| Prostate biopsyCPT 55700 | $0 | — | — | $2,217 | 31 |
| Prothrombin timeCPT 85610 | $6 | $4 | 130% | ~$13 | 31 |
| Psychotherapy, 30 minutesCPT 90832 | $288 | $222 | 130% | $168 | 31 |
| Psychotherapy, 45 minutesCPT 90834 | $288 | $222 | 130% | $168 | 31 |
| Psychotherapy, 60 minutesCPT 90837 | $288 | $222 | 130% | $163 | 31 |
| Renal failure, with CCMS-DRG 683 | $10,681 | $11,831 | 90% | $11,938 | 20 |
| Screening mammography, bilateralCPT 77067 | $142 | — | — | ~$178 | 31 |
| Sepsis with MCCMS-DRG 871 | $23,690 | $25,651 | 92% | $33,985 | 20 |
| Simple pneumonia and pleurisy, with CCMS-DRG 194 | $9,829 | $10,436 | 94% | $11,901 | 20 |
| Sleep study (polysomnography)CPT 95810 | $1,394 | $1,072 | 130% | $1,163 | 31 |
| Spinal fusion except cervical, no MCCMS-DRG 460 | $54,711 | $25,413 | 215% | $64,676 | 1 |
| Spinal fusion except cervical, with MCCMS-DRG 459 | $99,199 | $51,127 | 194% | $83,731 | 1 |
| Stroke (hemorrhage/infarction), no CC/MCCMS-DRG 066 | $8,347 | $3,679 | 227% | $12,662 | 20 |
| Stroke (hemorrhage/infarction), with CC or tPAMS-DRG 065 | $12,321 | $13,316 | 93% | $22,318 | 20 |
| Thyroid stimulating hormone (TSH)CPT 84443 | $20 | $17 | 122% | ~$52 | 31 |
| Transforaminal epidural, lumbar/sacralCPT 64483 | $1,435 | $1,104 | 130% | $1,234 | 31 |
| Ultrasound, abdomen, completeCPT 76700 | $170 | $130 | 130% | ~$173 | 31 |
| Ultrasound, transvaginalCPT 76830 | $170 | $130 | 130% | ~$173 | 31 |
| Upper GI endoscopy with biopsyCPT 43239 | $1,132 | $1,132 | 100% | $1,256 | 31 |
| Upper GI endoscopy, diagnosticCPT 43235 | $1,132 | $1,132 | 100% | $1,256 | 31 |
| Urinalysis, automated, with microscopyCPT 81001 | $3 | $3 | 100% | ~$22 | 31 |
| Urinalysis, automated, without microscopyCPT 81003 | $3 | $2 | 130% | ~$4 | 31 |
| Urinalysis, manual, without microscopyCPT 81002 | $5 | $3 | 130% | ~$14 | 31 |
| Vaginal delivery, no sterilization, no CC/MCCMS-DRG 807 | $8,222 | — | — | $11,195 | 20 |
| Vaginal delivery, no sterilization, with CCMS-DRG 806 | $9,196 | — | — | $12,839 | 20 |
| X-ray, lower back, 4+ viewsCPT 72110 | $130 | $130 | 100% | ~$146 | 31 |
| YAG laser capsulotomy (secondary cataract)CPT 66821 | $687 | $687 | 100% | $639 | 31 |