| Acute myocardial infarction, discharged alive, with MCCMS-DRG 280 | $26,392 | $11,217 | 235% | — | 4 |
| Bariatric (obesity) surgery, no CC/MCCMS-DRG 621 | $24,818 | $8,272 | 300% | — | 4 |
| Basic metabolic panelCPT 80048 | $8 | $8 | 100% | ~$8 | 16 |
| COPD with MCCMS-DRG 190 | $18,225 | $7,377 | 247% | — | 4 |
| CT abdomen and pelvis with contrastCPT 74177 | $502 | $435 | 115% | ~$422 | 10 |
| CT head without contrastCPT 70450 | $178 | $130 | 136% | ~$124 | 10 |
| CT pelvis with contrastCPT 72193 | $289 | $219 | 132% | ~$201 | 10 |
| Cardiac arrhythmia, no CC/MCCMS-DRG 310 | $9,314 | $3,269 | 285% | — | 4 |
| Cardiac stress testCPT 93017 | $380 | $270 | 141% | $280 | 15 |
| Cardiac valve surgery with cardiac cath, with MCCMS-DRG 216 | $160,957 | — | — | — | 4 |
| Cataract surgery with IOL insertionCPT 66984 | $1,951 | $2,881 | 68% | $2,235 | 15 |
| Cellulitis, no MCCMS-DRG 603 | $14,329 | $18,855 | 76% | — | 4 |
| Cervical spinal fusion, no CC/MCCMS-DRG 473 | $40,167 | $16,343 | 246% | — | 4 |
| Cesarean section, no CC/MCCMS-DRG 788 | $15,775 | — | — | — | 4 |
| Cesarean section, with CCMS-DRG 787 | $18,375 | — | — | — | 4 |
| Chest painMS-DRG 313 | $11,846 | $13,970 | 85% | — | 4 |
| Colonoscopy with endoscopic ultrasoundCPT 45391 | $1,441 | $1,494 | 96% | $1,110 | 15 |
| Colonoscopy, diagnosticCPT 45378 | $1,114 | $1,161 | 96% | $844 | 15 |
| Complete blood count with differentialCPT 85025 | $8 | $8 | 100% | ~$7 | 16 |
| Complete blood count, automatedCPT 85027 | $6 | $6 | 100% | ~$6 | 16 |
| Comprehensive metabolic panelCPT 80053 | $11 | $11 | 100% | ~$9 | 16 |
| Coronary bypass without cardiac cath, no MCCMS-DRG 236 | $68,918 | $29,950 | 230% | — | 4 |
| Diagnostic mammography, both breastsCPT 77066 | $264 | — | — | ~$183 | 10 |
| Diagnostic mammography, one breastCPT 77065 | $209 | — | — | ~$146 | 10 |
| ED visit, level 3CPT 99283 | $338 | $341 | 99% | $455 | 15 |
| ED visit, level 4CPT 99284 | $520 | $521 | 100% | $688 | 15 |
| ED visit, level 5CPT 99285 | $667 | $743 | 90% | $1,270 | 15 |
| Echocardiogram, completeCPT 93306 | $729 | $682 | 107% | $532 | 9 |
| Electrocardiogram with interpretationCPT 93000 | $80 | — | — | $53 | 9 |
| Epidural injection, lumbar/sacral, no imagingCPT 62322 | $1,088 | $1,104 | 99% | $691 | 15 |
| Esophagitis/GI disorders, no MCCMS-DRG 392 | $12,827 | $4,899 | 262% | — | 4 |
| Excision of breast lesionCPT 19120 | $4,164 | $4,888 | 85% | $3,349 | 15 |
| Family psychotherapy, with patientCPT 90847 | $318 | $222 | 143% | $145 | 23 |
| Family psychotherapy, without patientCPT 90846 | $196 | $222 | 89% | $145 | 14 |
| Group psychotherapyCPT 90853 | $167 | $127 | 132% | $86 | 23 |
| Heart failure and shock, with CCMS-DRG 292 | $13,969 | $5,927 | 236% | — | 4 |
| Heart failure with MCCMS-DRG 291 | $21,122 | $22,859 | 92% | — | 4 |
| Hip and femur procedures except major joint, with CCMS-DRG 481 | $34,461 | $13,876 | 248% | — | 4 |
| Hysterectomy, no CC/MCCMS-DRG 743 | $20,413 | $10,098 | 202% | — | 4 |
| Kidney and urinary tract infections, no MCCMS-DRG 690 | $13,319 | $16,605 | 80% | — | 4 |
| Kidney function panelCPT 80069 | $9 | $9 | 100% | ~$28 | 16 |
| Laparoscopic cholecystectomy, no CC/MCCMS-DRG 419 | $22,472 | $8,977 | 250% | — | 4 |
| Left heart catheterization, diagnosticCPT 93452 | $3,930 | $4,047 | 97% | $3,150 | 15 |
| Lipid panelCPT 80061 | $13 | $13 | 100% | ~$12 | 16 |
| Liver function panelCPT 80076 | $8 | $8 | 100% | ~$7 | 16 |
| Lumbar epidural steroid injectionCPT 62323 | $946 | $881 | 107% | $691 | 9 |
| MRI brain with and without contrastCPT 70553 | $607 | $435 | 139% | ~$422 | 10 |
| MRI lower extremity joint (knee)CPT 73721 | $370 | $298 | 124% | ~$257 | 10 |
| MRI lumbar spine without contrastCPT 72148 | $370 | $298 | 124% | ~$257 | 10 |
| Major joint replacement (hip/knee), no MCCMS-DRG 470 | $31,736 | $13,045 | 243% | — | 4 |
| Major joint replacement (hip/knee), with MCCMS-DRG 469 | $49,905 | $22,346 | 223% | — | 4 |
| Major small and large bowel procedures, with CCMS-DRG 330 | $39,441 | $16,202 | 243% | — | 4 |
| Medical back problems, no MCCMS-DRG 552 | $15,816 | $6,142 | 257% | — | 4 |
| OB global care, vaginal deliveryCPT 59400 | $1,275 | — | — | $620 | 9 |
| OB ultrasound, 14+ weeksCPT 76805 | $171 | $130 | 131% | ~$124 | 10 |
| Obstetric blood test panelCPT 80055 | $48 | $48 | 100% | ~$43 | 15 |
| Office consultation, comprehensiveCPT 99244 | $222 | — | — | $193 | 9 |
| Office consultation, moderateCPT 99243 | $222 | — | — | $175 | 9 |
| Office visit, established patient, level 3CPT 99213 | $139 | — | — | $151 | 9 |
| Office visit, established patient, level 4CPT 99214 | $153 | — | — | $159 | 9 |
| Office visit, new patient, level 3CPT 99203 | $222 | — | — | $175 | 9 |
| Office visit, new patient, level 4CPT 99204 | $222 | — | — | $184 | 9 |
| Office visit, new patient, level 5CPT 99205 | $222 | — | — | $193 | 9 |
| PSA (prostate specific antigen), totalCPT 84153 | $18 | $18 | 100% | ~$16 | 16 |
| Partial thromboplastin timeCPT 85730 | $6 | $6 | 100% | ~$5 | 16 |
| Physical therapy, therapeutic exerciseCPT 97110 | $119 | — | — | $32 | 21 |
| Preventive visit, new patient, 18-39CPT 99385 | $217 | — | — | $131 | 9 |
| Preventive visit, new patient, 40-64CPT 99386 | $197 | — | — | $131 | 9 |
| Prostate biopsyCPT 55700 | $2,629 | — | — | $1,958 | 9 |
| Prothrombin timeCPT 85610 | $4 | $4 | 100% | ~$4 | 16 |
| Psychotherapy, 30 minutesCPT 90832 | $196 | $222 | 89% | $145 | 14 |
| Psychotherapy, 45 minutesCPT 90834 | $196 | $222 | 89% | $145 | 14 |
| Psychotherapy, 60 minutesCPT 90837 | $196 | $222 | 89% | $145 | 14 |
| Renal failure, with CCMS-DRG 683 | $14,410 | $16,622 | 87% | — | 4 |
| Screening mammography, bilateralCPT 77067 | $211 | — | — | ~$147 | 10 |
| Sepsis with MCCMS-DRG 871 | $31,960 | $31,935 | 100% | — | 4 |
| Simple pneumonia and pleurisy, with CCMS-DRG 194 | $13,260 | $5,177 | 256% | — | 4 |
| Sleep study (polysomnography)CPT 95810 | $813 | $1,072 | 76% | $1,004 | 9 |
| Stroke (hemorrhage/infarction), no CC/MCCMS-DRG 066 | $11,260 | $3,679 | 306% | — | 4 |
| Stroke (hemorrhage/infarction), with CC or tPAMS-DRG 065 | $16,623 | $6,559 | 253% | — | 4 |
| Thyroid stimulating hormone (TSH)CPT 84443 | $17 | $17 | 100% | ~$15 | 16 |
| Transforaminal epidural, lumbar/sacralCPT 64483 | $1,088 | $1,104 | 99% | $898 | 15 |
| Ultrasound, abdomen, completeCPT 76700 | $169 | $130 | 130% | ~$120 | 10 |
| Ultrasound, transvaginalCPT 76830 | $171 | $130 | 131% | ~$124 | 10 |
| Upper GI endoscopy with biopsyCPT 43239 | $1,146 | $1,132 | 101% | $1,054 | 15 |
| Upper GI endoscopy, diagnosticCPT 43235 | $1,146 | $1,132 | 101% | $1,054 | 15 |
| Urinalysis, automated, with microscopyCPT 81001 | $3 | $3 | 100% | ~$4 | 16 |
| Urinalysis, automated, without microscopyCPT 81003 | $2 | $2 | 100% | ~$2 | 16 |
| Urinalysis, manual, without microscopyCPT 81002 | $3 | $3 | 100% | ~$3 | 16 |
| Vaginal delivery, no sterilization, no CC/MCCMS-DRG 807 | $11,093 | — | — | — | 4 |
| Vaginal delivery, no sterilization, with CCMS-DRG 806 | $12,406 | — | — | — | 4 |
| X-ray, lower back, 4+ viewsCPT 72110 | $137 | $130 | 105% | ~$119 | 9 |
| YAG laser capsulotomy (secondary cataract)CPT 66821 | $751 | $687 | 109% | $560 | 21 |