| Acute myocardial infarction, discharged alive, with MCCMS-DRG 280 | $33,598 | $11,217 | 300% | — | 3 |
| Bariatric (obesity) surgery, no CC/MCCMS-DRG 621 | $31,593 | $8,272 | 382% | — | 3 |
| Basic metabolic panelCPT 80048 | $166 | $8 | 1965% | ~$234 | 24 |
| COPD with MCCMS-DRG 190 | $23,201 | $7,377 | 314% | — | 3 |
| CT abdomen and pelvis with contrastCPT 74177 | $247 | $435 | 57% | ~$2,385 | 24 |
| CT head without contrastCPT 70450 | $166 | $130 | 127% | ~$1,461 | 24 |
| CT pelvis with contrastCPT 72193 | $166 | $219 | 76% | ~$1,427 | 24 |
| Cardiac arrhythmia, no CC/MCCMS-DRG 310 | $11,857 | $3,269 | 363% | — | 3 |
| Cardiac stress testCPT 93017 | $166 | $270 | 62% | $643 | 24 |
| Cardiac valve surgery with cardiac cath, with MCCMS-DRG 216 | $204,901 | — | — | — | 3 |
| Cellulitis, no MCCMS-DRG 603 | $18,241 | $5,675 | 321% | — | 3 |
| Cervical spinal fusion, no CC/MCCMS-DRG 473 | $51,133 | $16,343 | 313% | — | 3 |
| Cesarean section, no CC/MCCMS-DRG 788 | $16,490 | — | — | — | 3 |
| Cesarean section, with CCMS-DRG 787 | $19,208 | — | — | — | 3 |
| Chest painMS-DRG 313 | $15,080 | — | — | — | 3 |
| Complete blood count with differentialCPT 85025 | $149 | $8 | 1916% | ~$55 | 24 |
| Complete blood count, automatedCPT 85027 | $166 | $6 | 2570% | ~$118 | 24 |
| Comprehensive metabolic panelCPT 80053 | $166 | $11 | 1575% | ~$304 | 24 |
| Coronary bypass without cardiac cath, no MCCMS-DRG 236 | $87,734 | $29,950 | 293% | — | 3 |
| Diagnostic mammography, both breastsCPT 77066 | $195 | — | — | ~$306 | 24 |
| Diagnostic mammography, one breastCPT 77065 | $239 | — | — | ~$297 | 24 |
| ED visit, level 3CPT 99283 | $211 | $341 | 62% | $366 | 24 |
| ED visit, level 4CPT 99284 | $279 | $521 | 54% | $431 | 24 |
| ED visit, level 5CPT 99285 | $363 | $743 | 49% | $495 | 24 |
| Echocardiogram, completeCPT 93306 | $166 | $682 | 24% | $62 | 24 |
| Epidural injection, lumbar/sacral, no imagingCPT 62322 | $166 | $1,104 | 15% | $53 | 24 |
| Esophagitis/GI disorders, no MCCMS-DRG 392 | $16,329 | $4,899 | 333% | — | 3 |
| Excision of breast lesionCPT 19120 | $385 | $4,888 | 8% | $265 | 24 |
| Heart failure and shock, with CCMS-DRG 292 | $17,782 | $5,927 | 300% | — | 3 |
| Heart failure with MCCMS-DRG 291 | $26,889 | $10,318 | 261% | — | 3 |
| Hip and femur procedures except major joint, with CCMS-DRG 481 | $43,869 | $13,876 | 316% | — | 3 |
| Hysterectomy, no CC/MCCMS-DRG 743 | $25,986 | $10,098 | 257% | — | 3 |
| Kidney and urinary tract infections, no MCCMS-DRG 690 | $16,955 | $5,238 | 324% | — | 3 |
| Kidney function panelCPT 80069 | $166 | $9 | 1916% | ~$131 | 24 |
| Laparoscopic cholecystectomy, no CC/MCCMS-DRG 419 | $28,607 | $8,977 | 319% | — | 3 |
| Lipid panelCPT 80061 | $166 | $13 | 1242% | ~$80 | 24 |
| Liver function panelCPT 80076 | $166 | $8 | 2035% | ~$173 | 24 |
| MRI brain with and without contrastCPT 70553 | $247 | $435 | 57% | ~$2,819 | 24 |
| MRI lower extremity joint (knee)CPT 73721 | $195 | $298 | 66% | ~$1,602 | 24 |
| MRI lumbar spine without contrastCPT 72148 | $195 | $298 | 66% | ~$1,602 | 24 |
| Major joint replacement (hip/knee), no MCCMS-DRG 470 | $40,401 | $13,045 | 310% | — | 3 |
| Major joint replacement (hip/knee), with MCCMS-DRG 469 | $63,530 | $22,346 | 284% | — | 3 |
| Major small and large bowel procedures, with CCMS-DRG 330 | $50,209 | $16,202 | 310% | — | 3 |
| Medical back problems, no MCCMS-DRG 552 | $20,134 | $6,142 | 328% | — | 3 |
| OB ultrasound, 14+ weeksCPT 76805 | $166 | $130 | 127% | ~$673 | 24 |
| Obstetric blood test panelCPT 80055 | $166 | $48 | 348% | ~$219 | 20 |
| Office consultation, moderateCPT 99243 | $166 | — | — | $566 | 22 |
| PSA (prostate specific antigen), totalCPT 84153 | $166 | $18 | 904% | ~$90 | 24 |
| Partial thromboplastin timeCPT 85730 | $166 | $6 | 2767% | ~$76 | 24 |
| Physical therapy, therapeutic exerciseCPT 97110 | $166 | — | — | $68 | 24 |
| Prothrombin timeCPT 85610 | $144 | $4 | 3359% | ~$23 | 24 |
| Renal failure, with CCMS-DRG 683 | $18,344 | $5,892 | 311% | — | 3 |
| Screening mammography, bilateralCPT 77067 | $166 | — | — | ~$308 | 24 |
| Sepsis with MCCMS-DRG 871 | $40,686 | $15,753 | 258% | — | 3 |
| Simple pneumonia and pleurisy, with CCMS-DRG 194 | $16,880 | $6,381 | 265% | — | 3 |
| Sleep study (polysomnography)CPT 95810 | $288 | $1,072 | 27% | $1,078 | 24 |
| Stroke (hemorrhage/infarction), no CC/MCCMS-DRG 066 | $14,335 | $3,679 | 390% | — | 3 |
| Stroke (hemorrhage/infarction), with CC or tPAMS-DRG 065 | $21,161 | $6,559 | 323% | — | 3 |
| Thyroid stimulating hormone (TSH)CPT 84443 | $136 | $17 | 811% | ~$63 | 24 |
| Ultrasound, abdomen, completeCPT 76700 | $166 | $130 | 127% | ~$753 | 24 |
| Ultrasound, transvaginalCPT 76830 | $166 | $130 | 127% | ~$673 | 24 |
| Urinalysis, automated, with microscopyCPT 81001 | $166 | $3 | 5245% | ~$65 | 24 |
| Urinalysis, automated, without microscopyCPT 81003 | $139 | $2 | 6192% | ~$43 | 24 |
| Urinalysis, manual, without microscopyCPT 81002 | $122 | $3 | 3520% | ~$21 | 24 |
| Vaginal delivery, no sterilization, no CC/MCCMS-DRG 807 | $10,807 | — | — | — | 3 |
| Vaginal delivery, no sterilization, with CCMS-DRG 806 | $12,086 | — | — | — | 3 |
| X-ray, lower back, 4+ viewsCPT 72110 | $166 | $130 | 127% | ~$515 | 24 |