| Acute myocardial infarction, discharged alive, with MCCMS-DRG 280 | $49,743 | $13,508 | 368% | — | 16 |
| Bariatric (obesity) surgery, no CC/MCCMS-DRG 621 | $28,826 | $8,272 | 348% | — | 18 |
| Basic metabolic panelCPT 80048 | $101 | $8 | 1199% | ~$33 | 24 |
| COPD with MCCMS-DRG 190 | $23,029 | $8,183 | 281% | — | 16 |
| CT abdomen and pelvis with contrastCPT 74177 | $1,594 | $435 | 366% | ~$1,972 | 24 |
| CT head without contrastCPT 70450 | $1,120 | $130 | 859% | ~$618 | 24 |
| CT pelvis with contrastCPT 72193 | $1,357 | $219 | 620% | ~$986 | 24 |
| Cardiac stress testCPT 93017 | $695 | $270 | 258% | $388 | 24 |
| Cataract surgery with IOL insertionCPT 66984 | $5,190 | $2,881 | 180% | $1,157 | 24 |
| Cellulitis, no MCCMS-DRG 603 | $18,226 | $5,699 | 320% | — | 16 |
| Cesarean section, no CC/MCCMS-DRG 788 | $17,115 | — | — | — | 16 |
| Cesarean section, with CCMS-DRG 787 | $18,448 | — | — | — | 16 |
| Chest painMS-DRG 313 | $13,774 | $5,429 | 254% | — | 16 |
| Colonoscopy with biopsyCPT 45380 | $3,463 | $1,494 | 232% | $1,179 | 24 |
| Colonoscopy with polyp removalCPT 45385 | $3,600 | $1,494 | 241% | $1,226 | 24 |
| Colonoscopy, diagnosticCPT 45378 | $3,350 | $1,161 | 289% | $1,140 | 24 |
| Complete blood count with differentialCPT 85025 | $85 | $8 | 1098% | ~$29 | 24 |
| Complete blood count, automatedCPT 85027 | $68 | $6 | 1049% | ~$22 | 24 |
| Comprehensive metabolic panelCPT 80053 | $101 | $11 | 953% | ~$33 | 24 |
| Diagnostic mammography, both breastsCPT 77066 | $593 | — | — | ~$409 | 24 |
| Diagnostic mammography, one breastCPT 77065 | $456 | — | — | ~$204 | 24 |
| ED visit, level 3CPT 99283 | $2,027 | $341 | 595% | $668 | 12 |
| ED visit, level 4CPT 99284 | $2,208 | $521 | 424% | $751 | 12 |
| ED visit, level 5CPT 99285 | $2,546 | $743 | 343% | $912 | 12 |
| Echocardiogram, completeCPT 93306 | $1,430 | $682 | 210% | $1,547 | 24 |
| Epidural injection, lumbar/sacral, no imagingCPT 62322 | $2,193 | $1,104 | 199% | $747 | 24 |
| Esophagitis/GI disorders, no MCCMS-DRG 392 | $15,896 | $5,653 | 281% | — | 16 |
| Excision of breast lesionCPT 19120 | $4,488 | $4,888 | 92% | $1,349 | 24 |
| Heart failure with MCCMS-DRG 291 | $35,188 | $10,362 | 340% | — | 16 |
| Hip and femur procedures except major joint, with CCMS-DRG 481 | $45,131 | $15,965 | 283% | — | 16 |
| Inguinal hernia repair, age 5+CPT 49505 | $5,994 | $4,469 | 134% | $1,865 | 24 |
| Kidney and urinary tract infections, no MCCMS-DRG 690 | $17,441 | $5,997 | 291% | — | 16 |
| Kidney function panelCPT 80069 | $88 | $9 | 1013% | ~$28 | 24 |
| Knee arthroscopy with meniscectomyCPT 29881 | $4,970 | $4,084 | 122% | $1,433 | 24 |
| Laparoscopic cholecystectomyCPT 47562 | $6,458 | $7,547 | 86% | $1,775 | 24 |
| Laparoscopic cholecystectomy, no CC/MCCMS-DRG 419 | $24,441 | $8,977 | 272% | — | 16 |
| Lipid panelCPT 80061 | $132 | $13 | 988% | ~$61 | 24 |
| Liver function panelCPT 80076 | $119 | $8 | 1460% | ~$42 | 24 |
| Lumbar epidural steroid injectionCPT 62323 | $2,845 | $881 | 323% | $1,091 | 24 |
| MRI brain with and without contrastCPT 70553 | $2,347 | $435 | 539% | ~$2,711 | 24 |
| MRI lower extremity joint (knee)CPT 73721 | $957 | $298 | 321% | ~$291 | 24 |
| MRI lumbar spine without contrastCPT 72148 | $1,810 | $298 | 608% | ~$1,734 | 24 |
| Major joint replacement (hip/knee), no MCCMS-DRG 470 | $39,204 | $14,060 | 279% | — | 16 |
| Major small and large bowel procedures, with CCMS-DRG 330 | $39,908 | $16,202 | 246% | — | 16 |
| Medical back problems, no MCCMS-DRG 552 | $18,267 | $7,212 | 253% | — | 16 |
| OB ultrasound, 14+ weeksCPT 76805 | $513 | $130 | 393% | ~$285 | 24 |
| Office visit, established patient, level 3CPT 99213 | $486 | — | — | $160 | 4 |
| Office visit, established patient, level 4CPT 99214 | $754 | — | — | $249 | 4 |
| Office visit, new patient, level 5CPT 99205 | $1,046 | — | — | $345 | 4 |
| PSA (prostate specific antigen), totalCPT 84153 | $108 | $18 | 588% | ~$101 | 24 |
| Partial thromboplastin timeCPT 85730 | $94 | $6 | 1557% | ~$32 | 24 |
| Physical therapy, therapeutic exerciseCPT 97110 | $215 | — | — | $54 | 24 |
| Prothrombin timeCPT 85610 | $56 | $4 | 1309% | ~$20 | 12 |
| Renal failure, with CCMS-DRG 683 | $23,475 | $6,355 | 369% | — | 16 |
| Screening mammography, bilateralCPT 77067 | $568 | — | — | ~$305 | 24 |
| Sepsis with MCCMS-DRG 871 | $52,674 | $16,718 | 315% | — | 16 |
| Simple pneumonia and pleurisy, with CCMS-DRG 194 | $18,232 | $5,919 | 308% | — | 16 |
| Sleep study (polysomnography)CPT 95810 | $3,266 | $1,072 | 305% | $1,704 | 24 |
| Stroke (hemorrhage/infarction), no CC/MCCMS-DRG 066 | $24,517 | $4,534 | 541% | — | 16 |
| Stroke (hemorrhage/infarction), with CC or tPAMS-DRG 065 | $28,133 | $7,678 | 366% | — | 16 |
| Thyroid stimulating hormone (TSH)CPT 84443 | $141 | $17 | 839% | ~$92 | 24 |
| Transforaminal epidural, lumbar/sacralCPT 64483 | $2,845 | $1,104 | 258% | $1,092 | 24 |
| Ultrasound, abdomen, completeCPT 76700 | $1,864 | $130 | 1428% | ~$1,593 | 24 |
| Ultrasound, transvaginalCPT 76830 | $630 | $130 | 483% | ~$562 | 24 |
| Upper GI endoscopy with biopsyCPT 43239 | $3,206 | $1,132 | 283% | $1,091 | 24 |
| Urinalysis, automated, with microscopyCPT 81001 | $83 | $3 | 2620% | ~$28 | 24 |
| Urinalysis, automated, without microscopyCPT 81003 | $69 | $2 | 3051% | ~$23 | 24 |
| Urinalysis, manual, without microscopyCPT 81002 | $60 | $3 | 1710% | ~$19 | 24 |
| Vaginal delivery, no sterilization, no CC/MCCMS-DRG 807 | $12,155 | — | — | — | 16 |
| Vaginal delivery, no sterilization, with CCMS-DRG 806 | $12,770 | — | — | — | 16 |
| X-ray, lower back, 4+ viewsCPT 72110 | $255 | $130 | 195% | ~$597 | 24 |