| Acute myocardial infarction, discharged alive, with MCCMS-DRG 280 | $75,142 | $17,974 | 418% | — | 16 |
| Bariatric (obesity) surgery, no CC/MCCMS-DRG 621 | $75,998 | $8,272 | 919% | — | 13 |
| Basic metabolic panelCPT 80048 | $33 | $8 | 395% | ~$16 | 27 |
| COPD with MCCMS-DRG 190 | $51,889 | $16,325 | 318% | — | 16 |
| CT abdomen and pelvis with contrastCPT 74177 | $1,186 | $435 | 272% | ~$1,697 | 27 |
| CT head without contrastCPT 70450 | $693 | $130 | 531% | ~$356 | 27 |
| CT pelvis with contrastCPT 72193 | $1,292 | $219 | 590% | ~$578 | 27 |
| Cardiac arrhythmia, no CC/MCCMS-DRG 310 | $26,518 | $5,121 | 518% | — | 16 |
| Cardiac stress testCPT 93017 | $910 | $270 | 338% | $264 | 27 |
| Cardiac valve surgery with cardiac cath, with MCCMS-DRG 216 | $458,261 | — | — | — | 16 |
| Cataract surgery with IOL insertionCPT 66984 | $6,636 | $2,881 | 230% | — | 16 |
| Cellulitis, no MCCMS-DRG 603 | $40,796 | $8,447 | 483% | — | 16 |
| Cervical spinal fusion, no CC/MCCMS-DRG 473 | $114,359 | $16,343 | 700% | — | 16 |
| Cesarean section, no CC/MCCMS-DRG 788 | $32,956 | — | — | — | 13 |
| Cesarean section, with CCMS-DRG 787 | $32,956 | — | — | — | 13 |
| Chest painMS-DRG 313 | $33,727 | — | — | — | 16 |
| Colonoscopy with biopsyCPT 45380 | $6,166 | $1,494 | 413% | — | 18 |
| Colonoscopy with endoscopic ultrasoundCPT 45391 | $6,166 | $1,494 | 413% | — | 18 |
| Colonoscopy with polyp removalCPT 45385 | $6,166 | $1,494 | 413% | — | 18 |
| Colonoscopy, diagnosticCPT 45378 | $6,104 | $1,161 | 526% | — | 18 |
| Complete blood count with differentialCPT 85025 | $35 | $8 | 456% | ~$15 | 27 |
| Complete blood count, automatedCPT 85027 | $26 | $6 | 409% | ~$12 | 27 |
| Comprehensive metabolic panelCPT 80053 | $44 | $11 | 412% | ~$20 | 27 |
| Coronary bypass without cardiac cath, no MCCMS-DRG 236 | $196,218 | $41,674 | 471% | — | 16 |
| Diagnostic mammography, both breastsCPT 77066 | $823 | — | — | ~$264 | 27 |
| Diagnostic mammography, one breastCPT 77065 | $647 | — | — | ~$207 | 27 |
| ED visit, level 3CPT 99283 | $2,785 | $341 | 817% | $794 | 27 |
| ED visit, level 4CPT 99284 | $2,785 | $521 | 535% | $993 | 27 |
| ED visit, level 5CPT 99285 | $2,785 | $743 | 375% | $1,276 | 27 |
| Echocardiogram, completeCPT 93306 | $1,731 | $682 | 254% | $1,405 | 27 |
| Epidural injection, lumbar/sacral, no imagingCPT 62322 | $5,086 | $1,104 | 461% | — | 15 |
| Esophagitis/GI disorders, no MCCMS-DRG 392 | $36,519 | $8,240 | 443% | — | 16 |
| Excision of breast lesionCPT 19120 | $7,423 | $4,888 | 152% | — | 16 |
| Family psychotherapy, with patientCPT 90847 | $753 | $222 | 340% | $188 | 26 |
| Family psychotherapy, without patientCPT 90846 | $349 | $222 | 158% | $85 | 26 |
| Group psychotherapyCPT 90853 | $251 | $127 | 198% | $61 | 26 |
| Heart failure and shock, with CCMS-DRG 292 | $39,770 | $8,744 | 455% | — | 16 |
| Heart failure with MCCMS-DRG 291 | $60,138 | $14,014 | 429% | — | 16 |
| Hip and femur procedures except major joint, with CCMS-DRG 481 | $98,114 | $21,649 | 453% | — | 16 |
| Hysterectomy, no CC/MCCMS-DRG 743 | $58,119 | $10,098 | 576% | — | 16 |
| Inguinal hernia repair, age 5+CPT 49505 | $6,590 | $4,469 | 147% | $1,761 | 27 |
| Kidney and urinary tract infections, no MCCMS-DRG 690 | $37,920 | $8,204 | 462% | — | 16 |
| Kidney function panelCPT 80069 | $37 | $9 | 421% | ~$16 | 27 |
| Knee arthroscopy with meniscectomyCPT 29881 | $7,134 | $4,084 | 175% | — | 16 |
| Laparoscopic cholecystectomyCPT 47562 | $11,264 | $7,547 | 149% | — | 15 |
| Laparoscopic cholecystectomy, no CC/MCCMS-DRG 419 | $63,979 | $8,977 | 713% | — | 16 |
| Laparoscopic radical prostatectomyCPT 55866 | $12,445 | $13,269 | 94% | — | 15 |
| Left heart catheterization, diagnosticCPT 93452 | $2,785 | $4,047 | 69% | — | 17 |
| Lipid panelCPT 80061 | $61 | $13 | 456% | ~$25 | 27 |
| Liver function panelCPT 80076 | $32 | $8 | 396% | ~$15 | 27 |
| Lumbar epidural steroid injectionCPT 62323 | $5,086 | $881 | 577% | — | 15 |
| MRI brain with and without contrastCPT 70553 | $1,864 | $435 | 428% | ~$1,156 | 27 |
| MRI lower extremity joint (knee)CPT 73721 | $1,366 | $298 | 459% | ~$740 | 27 |
| MRI lumbar spine without contrastCPT 72148 | $1,285 | $298 | 432% | ~$986 | 27 |
| Major joint replacement (hip/knee), no MCCMS-DRG 470 | $90,356 | $19,833 | 456% | — | 16 |
| Major joint replacement (hip/knee), with MCCMS-DRG 469 | $145,326 | $22,346 | 650% | — | 16 |
| Major small and large bowel procedures, with CCMS-DRG 330 | $112,293 | $26,392 | 425% | — | 16 |
| Medical back problems, no MCCMS-DRG 552 | $45,031 | $9,818 | 459% | — | 16 |
| OB global care, VBAC deliveryCPT 59610 | $10,814 | — | — | $2,379 | 23 |
| OB ultrasound, 14+ weeksCPT 76805 | $723 | $130 | 554% | ~$237 | 27 |
| Obstetric blood test panelCPT 80055 | $113 | $48 | 236% | ~$36 | 27 |
| Office visit, established patient, level 3CPT 99213 | $156 | — | — | $34 | 27 |
| Office visit, established patient, level 4CPT 99214 | $156 | — | — | $34 | 27 |
| Office visit, new patient, level 3CPT 99203 | $156 | — | — | $34 | 23 |
| Office visit, new patient, level 4CPT 99204 | $156 | — | — | $34 | 23 |
| Office visit, new patient, level 5CPT 99205 | $156 | — | — | $34 | 23 |
| PSA (prostate specific antigen), totalCPT 84153 | $84 | $18 | 456% | ~$34 | 27 |
| Partial thromboplastin timeCPT 85730 | $27 | $6 | 455% | ~$11 | 27 |
| Physical therapy, therapeutic exerciseCPT 97110 | $315 | — | — | $65 | 27 |
| Preventive visit, new patient, 18-39CPT 99385 | $188 | — | — | $39 | 19 |
| Preventive visit, new patient, 40-64CPT 99386 | $273 | — | — | $56 | 19 |
| Prostate biopsyCPT 55700 | $7,060 | — | — | — | 13 |
| Prothrombin timeCPT 85610 | $18 | $4 | 417% | ~$8 | 27 |
| Psychotherapy, 30 minutesCPT 90832 | $341 | $222 | 154% | $85 | 26 |
| Psychotherapy, 45 minutesCPT 90834 | $349 | $222 | 158% | $85 | 26 |
| Psychotherapy, 60 minutesCPT 90837 | $376 | $222 | 170% | $94 | 26 |
| Renal failure, with CCMS-DRG 683 | $41,026 | $9,264 | 443% | — | 16 |
| Screening mammography, bilateralCPT 77067 | $638 | — | — | ~$205 | 27 |
| Sepsis with MCCMS-DRG 871 | $90,993 | $23,335 | 390% | — | 16 |
| Shoulder arthroscopy, subacromial decompressionCPT 29826 | $6,379 | — | — | — | 9 |
| Simple pneumonia and pleurisy, with CCMS-DRG 194 | $37,751 | $7,705 | 490% | — | 16 |
| Sleep study (polysomnography)CPT 95810 | $5,533 | $1,072 | 516% | $1,547 | 27 |
| Stroke (hemorrhage/infarction), no CC/MCCMS-DRG 066 | $32,060 | $6,585 | 487% | — | 16 |
| Stroke (hemorrhage/infarction), with CC or tPAMS-DRG 065 | $47,326 | $10,247 | 462% | — | 16 |
| Thyroid stimulating hormone (TSH)CPT 84443 | $77 | $17 | 455% | ~$31 | 27 |
| Tonsillectomy and adenoidectomy, under age 12CPT 42820 | $8,919 | $7,390 | 121% | — | 16 |
| Transforaminal epidural, lumbar/sacralCPT 64483 | $5,428 | $1,104 | 492% | — | 16 |
| Ultrasound, abdomen, completeCPT 76700 | $633 | $130 | 485% | ~$237 | 27 |
| Ultrasound, transvaginalCPT 76830 | $648 | $130 | 497% | ~$237 | 27 |
| Upper GI endoscopy with biopsyCPT 43239 | $3,242 | $1,132 | 286% | $407 | 27 |
| Upper GI endoscopy, diagnosticCPT 43235 | $3,444 | $1,132 | 304% | $608 | 27 |
| Urinalysis, automated, with microscopyCPT 81001 | $14 | $3 | 456% | ~$9 | 27 |
| Urinalysis, automated, without microscopyCPT 81003 | $10 | $2 | 455% | ~$6 | 27 |
| Urinalysis, manual, without microscopyCPT 81002 | $14 | $3 | 395% | ~$10 | 27 |
| Vaginal delivery, no sterilization, no CC/MCCMS-DRG 807 | $22,575 | — | — | — | 13 |
| Vaginal delivery, no sterilization, with CCMS-DRG 806 | $22,575 | — | — | — | 13 |
| X-ray, lower back, 4+ viewsCPT 72110 | $195 | $130 | 149% | ~$237 | 27 |
| YAG laser capsulotomy (secondary cataract)CPT 66821 | $6,016 | $687 | 876% | — | 5 |