| Acute myocardial infarction, discharged alive, with MCCMS-DRG 280 | $41,641 | $34,993 | 119% | — | 17 |
| Bariatric (obesity) surgery, no CC/MCCMS-DRG 621 | $39,157 | $8,272 | 473% | — | 17 |
| Basic metabolic panelCPT 80048 | $48 | $8 | 573% | ~$11 | 63 |
| COPD with MCCMS-DRG 190 | $28,755 | $7,377 | 390% | — | 17 |
| CT abdomen and pelvis with contrastCPT 74177 | $545 | $435 | 125% | ~$990 | 63 |
| CT head without contrastCPT 70450 | $436 | $130 | 334% | ~$525 | 63 |
| CT pelvis with contrastCPT 72193 | $561 | $219 | 256% | ~$686 | 63 |
| Cardiac arrhythmia, no CC/MCCMS-DRG 310 | $14,695 | $3,269 | 450% | — | 17 |
| Cardiac stress testCPT 93017 | $284 | $270 | 106% | $260 | 63 |
| Cardiac valve surgery with cardiac cath, with MCCMS-DRG 216 | $165,522 | — | — | — | 21 |
| Cataract surgery with IOL insertionCPT 66984 | $2,699 | $2,881 | 94% | $3,487 | 63 |
| Cellulitis, no MCCMS-DRG 603 | $22,608 | $5,675 | 398% | — | 17 |
| Cervical spinal fusion, no CC/MCCMS-DRG 473 | $55,698 | $16,343 | 341% | — | 17 |
| Cesarean section, no CC/MCCMS-DRG 788 | $21,501 | — | — | — | 17 |
| Cesarean section, with CCMS-DRG 787 | $22,233 | — | — | — | 17 |
| Chest painMS-DRG 313 | $18,690 | — | — | — | 17 |
| Colonoscopy with biopsyCPT 45380 | $2,093 | $1,494 | 140% | $1,676 | 63 |
| Colonoscopy with endoscopic ultrasoundCPT 45391 | $1,620 | $1,494 | 108% | $1,755 | 63 |
| Colonoscopy with polyp removalCPT 45385 | $2,093 | $1,494 | 140% | $1,752 | 63 |
| Colonoscopy, diagnosticCPT 45378 | $1,833 | $1,161 | 158% | $1,322 | 63 |
| Complete blood count with differentialCPT 85025 | $28 | $8 | 366% | ~$13 | 63 |
| Complete blood count, automatedCPT 85027 | $28 | $6 | 439% | ~$13 | 63 |
| Comprehensive metabolic panelCPT 80053 | $48 | $11 | 459% | ~$16 | 63 |
| Coronary bypass without cardiac cath, no MCCMS-DRG 236 | $83,307 | $29,950 | 278% | — | 21 |
| Diagnostic mammography, both breastsCPT 77066 | $198 | — | — | ~$238 | 63 |
| Diagnostic mammography, one breastCPT 77065 | $214 | — | — | ~$189 | 63 |
| ED visit, level 3CPT 99283 | $653 | $341 | 192% | $343 | 41 |
| ED visit, level 4CPT 99284 | $398 | $521 | 76% | $716 | 44 |
| ED visit, level 5CPT 99285 | $782 | $743 | 105% | $722 | 44 |
| Echocardiogram, completeCPT 93306 | $511 | $682 | 75% | $958 | 63 |
| Electrocardiogram with interpretationCPT 93000 | $102 | — | — | $84 | 60 |
| Epidural injection, lumbar/sacral, no imagingCPT 62322 | $1,073 | $1,104 | 97% | $984 | 63 |
| Esophagitis/GI disorders, no MCCMS-DRG 392 | $20,238 | $4,899 | 413% | — | 17 |
| Excision of breast lesionCPT 19120 | $3,960 | $4,888 | 81% | $2,170 | 63 |
| Family psychotherapy, with patientCPT 90847 | $230 | $222 | 104% | $478 | 62 |
| Family psychotherapy, without patientCPT 90846 | $200 | $222 | 90% | $474 | 63 |
| Group psychotherapyCPT 90853 | $119 | $127 | 94% | $132 | 63 |
| Heart failure and shock, with CCMS-DRG 292 | $22,039 | $5,927 | 372% | — | 17 |
| Heart failure with MCCMS-DRG 291 | $33,981 | $34,948 | 97% | — | 21 |
| Hip and femur procedures except major joint, with CCMS-DRG 481 | $51,814 | $13,876 | 373% | — | 17 |
| Hysterectomy, no CC/MCCMS-DRG 743 | $32,207 | $10,098 | 319% | — | 17 |
| Inguinal hernia repair, age 5+CPT 49505 | $2,961 | $4,469 | 66% | $5,083 | 63 |
| Kidney and urinary tract infections, no MCCMS-DRG 690 | $21,014 | $5,238 | 401% | — | 17 |
| Kidney function panelCPT 80069 | $48 | $9 | 558% | ~$13 | 63 |
| Knee arthroscopy with meniscectomyCPT 29881 | $2,218 | $4,084 | 54% | $4,581 | 63 |
| Laparoscopic cholecystectomyCPT 47562 | $5,277 | $7,547 | 70% | $7,377 | 63 |
| Laparoscopic cholecystectomy, no CC/MCCMS-DRG 419 | $35,455 | $8,977 | 395% | — | 17 |
| Laparoscopic radical prostatectomyCPT 55866 | $5,402 | $13,269 | 41% | $9,133 | 63 |
| Left heart catheterization, diagnosticCPT 93452 | $3,927 | $4,047 | 97% | $4,604 | 63 |
| Lipid panelCPT 80061 | $48 | $13 | 362% | ~$22 | 63 |
| Liver function panelCPT 80076 | $48 | $8 | 593% | ~$11 | 63 |
| Lumbar epidural steroid injectionCPT 62323 | $881 | $881 | 100% | $1,006 | 63 |
| MRI brain with and without contrastCPT 70553 | $936 | $435 | 215% | ~$1,041 | 63 |
| MRI lower extremity joint (knee)CPT 73721 | $634 | $298 | 213% | ~$644 | 63 |
| MRI lumbar spine without contrastCPT 72148 | $562 | $298 | 189% | ~$628 | 63 |
| Major joint replacement (hip/knee), no MCCMS-DRG 470 | $49,300 | $13,045 | 378% | — | 17 |
| Major joint replacement (hip/knee), with MCCMS-DRG 469 | $68,020 | $22,346 | 304% | — | 17 |
| Major small and large bowel procedures, with CCMS-DRG 330 | $55,649 | $16,202 | 343% | — | 17 |
| Medical back problems, no MCCMS-DRG 552 | $24,954 | $6,142 | 406% | — | 17 |
| OB global care, VBAC deliveryCPT 59610 | $2,989 | — | — | $2,586 | 60 |
| OB global care, cesarean deliveryCPT 59510 | $5,364 | — | — | $3,522 | 39 |
| OB global care, vaginal deliveryCPT 59400 | $3,570 | — | — | — | 45 |
| OB ultrasound, 14+ weeksCPT 76805 | $250 | $130 | 192% | ~$352 | 63 |
| Obstetric blood test panelCPT 80055 | $62 | $48 | 129% | ~$67 | 63 |
| Office consultation, comprehensiveCPT 99244 | $247 | — | — | $122 | 35 |
| Office consultation, moderateCPT 99243 | $281 | — | — | $122 | 41 |
| Office visit, established patient, level 3CPT 99213 | $330 | — | — | $211 | 35 |
| Office visit, established patient, level 4CPT 99214 | $330 | — | — | $261 | 35 |
| Office visit, new patient, level 3CPT 99203 | $330 | — | — | $259 | 35 |
| Office visit, new patient, level 4CPT 99204 | $425 | — | — | $365 | 35 |
| Office visit, new patient, level 5CPT 99205 | $600 | — | — | $480 | 35 |
| PSA (prostate specific antigen), totalCPT 84153 | $33 | $18 | 180% | ~$30 | 63 |
| Partial thromboplastin timeCPT 85730 | $31 | $6 | 523% | ~$10 | 63 |
| Physical therapy, therapeutic exerciseCPT 97110 | $220 | — | — | $124 | 63 |
| Preventive visit, new patient, 18-39CPT 99385 | $451 | — | — | $296 | 35 |
| Preventive visit, new patient, 40-64CPT 99386 | $529 | — | — | $414 | 35 |
| Prostate biopsyCPT 55700 | $2,513 | — | — | $2,467 | 62 |
| Prothrombin timeCPT 85610 | $31 | $4 | 733% | ~$6 | 63 |
| Psychotherapy, 30 minutesCPT 90832 | $200 | $222 | 90% | $275 | 63 |
| Psychotherapy, 45 minutesCPT 90834 | $241 | $222 | 109% | $364 | 63 |
| Psychotherapy, 60 minutesCPT 90837 | $241 | $222 | 109% | $353 | 63 |
| Renal failure, with CCMS-DRG 683 | $22,735 | $5,892 | 386% | — | 17 |
| Screening mammography, bilateralCPT 77067 | $222 | — | — | ~$193 | 63 |
| Sepsis with MCCMS-DRG 871 | $50,317 | $40,421 | 124% | — | 17 |
| Shoulder arthroscopy, subacromial decompressionCPT 29826 | $3,811 | — | — | $2,279 | 60 |
| Simple pneumonia and pleurisy, with CCMS-DRG 194 | $20,920 | $5,177 | 404% | — | 17 |
| Sleep study (polysomnography)CPT 95810 | $1,132 | $1,072 | 106% | $2,125 | 63 |
| Stroke (hemorrhage/infarction), no CC/MCCMS-DRG 066 | $17,766 | $3,679 | 483% | — | 17 |
| Stroke (hemorrhage/infarction), with CC or tPAMS-DRG 065 | $26,226 | $6,559 | 400% | — | 17 |
| Thyroid stimulating hormone (TSH)CPT 84443 | $52 | $17 | 312% | ~$28 | 63 |
| Tonsillectomy and adenoidectomy, under age 12CPT 42820 | $1,757 | $7,390 | 24% | $6,239 | 63 |
| Transforaminal epidural, lumbar/sacralCPT 64483 | $1,508 | $1,104 | 137% | $1,282 | 63 |
| Ultrasound, abdomen, completeCPT 76700 | $772 | $130 | 591% | ~$589 | 63 |
| Ultrasound, transvaginalCPT 76830 | $275 | $130 | 211% | ~$343 | 63 |
| Upper GI endoscopy with biopsyCPT 43239 | $1,833 | $1,132 | 162% | $1,285 | 63 |
| Upper GI endoscopy, diagnosticCPT 43235 | $1,715 | $1,132 | 151% | $1,263 | 63 |
| Urinalysis, automated, with microscopyCPT 81001 | $28 | $3 | 874% | ~$6 | 63 |
| Urinalysis, automated, without microscopyCPT 81003 | $28 | $2 | 1231% | ~$4 | 63 |
| Urinalysis, manual, with microscopyCPT 81000 | $30 | $4 | 758% | ~$5 | 63 |
| Urinalysis, manual, without microscopyCPT 81002 | $28 | $3 | 796% | ~$4 | 63 |
| Vaginal delivery, no sterilization, no CC/MCCMS-DRG 807 | $15,119 | — | — | — | 17 |
| Vaginal delivery, no sterilization, with CCMS-DRG 806 | $15,447 | — | — | — | 17 |
| X-ray, lower back, 4+ viewsCPT 72110 | $112 | $130 | 86% | ~$186 | 63 |
| YAG laser capsulotomy (secondary cataract)CPT 66821 | $1,961 | $687 | 286% | $891 | 63 |