| Acute myocardial infarction, discharged alive, with MCCMS-DRG 280 | $17,526 | $11,217 | 156% | — | 2 |
| Basic metabolic panelCPT 80048 | $11 | $8 | 135% | ~$45 | 90 |
| COPD with MCCMS-DRG 190 | $20,731 | $7,377 | 281% | — | 2 |
| Cardiac arrhythmia, no CC/MCCMS-DRG 310 | $21,184 | $3,269 | 648% | — | 2 |
| Complete blood count with differentialCPT 85025 | $10 | $8 | 135% | ~$38 | 90 |
| Complete blood count, automatedCPT 85027 | $9 | $6 | 135% | ~$44 | 90 |
| Comprehensive metabolic panelCPT 80053 | $14 | $11 | 135% | ~$58 | 90 |
| Heart failure and shock, with CCMS-DRG 292 | $19,058 | $5,927 | 322% | — | 2 |
| Heart failure with MCCMS-DRG 291 | $26,431 | $8,962 | 295% | — | 2 |
| Kidney function panelCPT 80069 | $12 | $9 | 135% | ~$58 | 90 |
| Lipid panelCPT 80061 | $18 | $13 | 135% | ~$54 | 90 |
| Liver function panelCPT 80076 | $11 | $8 | 135% | ~$51 | 90 |
| Lumbar epidural steroid injectionCPT 62323 | $93 | $881 | 11% | $1,033 | 90 |
| Medical back problems, no MCCMS-DRG 552 | $29,542 | $6,142 | 481% | — | 2 |
| PSA (prostate specific antigen), totalCPT 84153 | $25 | $18 | 135% | ~$46 | 90 |
| Partial thromboplastin timeCPT 85730 | $8 | $6 | 135% | ~$56 | 90 |
| Physical therapy, therapeutic exerciseCPT 97110 | $297 | — | — | $57 | 90 |
| Prothrombin timeCPT 85610 | $6 | $4 | 135% | ~$40 | 90 |
| Psychotherapy, 30 minutesCPT 90832 | $68 | $222 | 31% | $108 | 87 |
| Psychotherapy, 45 minutesCPT 90834 | $90 | $222 | 41% | $212 | 87 |
| Simple pneumonia and pleurisy, with CCMS-DRG 194 | $21,686 | $5,177 | 419% | — | 2 |
| Thyroid stimulating hormone (TSH)CPT 84443 | $23 | $17 | 135% | ~$74 | 83 |
| Transforaminal epidural, lumbar/sacralCPT 64483 | $104 | $1,104 | 9% | $1,231 | 90 |
| Ultrasound, abdomen, completeCPT 76700 | $71 | $130 | 54% | ~$857 | 91 |
| Ultrasound, transvaginalCPT 76830 | $78 | $130 | 60% | ~$686 | 91 |
| Urinalysis, automated, with microscopyCPT 81001 | $4 | $3 | 135% | ~$49 | 90 |
| Urinalysis, automated, without microscopyCPT 81003 | $3 | $2 | 135% | ~$4 | 90 |
| X-ray, lower back, 4+ viewsCPT 72110 | $36 | $130 | 28% | ~$432 | 91 |