| Acute myocardial infarction, discharged alive, with MCCMS-DRG 280 | $15,370 | $11,217 | 137% | — | 2 |
| Bariatric (obesity) surgery, no CC/MCCMS-DRG 621 | $14,453 | $8,272 | 175% | — | 2 |
| Basic metabolic panelCPT 80048 | $107 | $8 | 1262% | — | 5 |
| COPD with MCCMS-DRG 190 | $10,614 | $7,377 | 144% | — | 2 |
| CT abdomen and pelvis with contrastCPT 74177 | $2,199 | $356 | 617% | — | 5 |
| CT head without contrastCPT 70450 | $1,048 | $107 | 981% | — | 5 |
| CT pelvis with contrastCPT 72193 | $1,299 | $179 | 725% | — | 5 |
| Cardiac arrhythmia, no CC/MCCMS-DRG 310 | $5,424 | $3,269 | 166% | — | 2 |
| Cardiac stress testCPT 93017 | $609 | $221 | 276% | — | 5 |
| Cardiac valve surgery with cardiac cath, with MCCMS-DRG 216 | $93,739 | — | — | — | 2 |
| Cellulitis, no MCCMS-DRG 603 | $8,345 | $5,675 | 147% | — | 2 |
| Cervical spinal fusion, no CC/MCCMS-DRG 473 | $23,393 | $16,343 | 143% | — | 2 |
| Cesarean section, no CC/MCCMS-DRG 788 | $9,187 | — | — | — | 2 |
| Cesarean section, with CCMS-DRG 787 | $10,701 | — | — | — | 2 |
| Chest painMS-DRG 313 | $6,899 | — | — | — | 2 |
| Colonoscopy with biopsyCPT 45380 | $3,020 | $1,223 | 247% | — | 5 |
| Colonoscopy with polyp removalCPT 45385 | $3,009 | $1,223 | 246% | — | 5 |
| Colonoscopy, diagnosticCPT 45378 | $2,821 | $950 | 297% | — | 5 |
| Complete blood count with differentialCPT 85025 | $97 | $8 | 1251% | — | 5 |
| Complete blood count, automatedCPT 85027 | $55 | $6 | 855% | — | 5 |
| Comprehensive metabolic panelCPT 80053 | $145 | $11 | 1375% | — | 5 |
| Coronary bypass without cardiac cath, no MCCMS-DRG 236 | $40,137 | $29,950 | 134% | — | 2 |
| Diagnostic mammography, both breastsCPT 77066 | $387 | — | — | — | 5 |
| Diagnostic mammography, one breastCPT 77065 | $274 | — | — | — | 5 |
| ED visit, level 3CPT 99283 | $465 | $279 | 167% | — | 5 |
| ED visit, level 4CPT 99284 | $625 | $426 | 147% | — | 5 |
| ED visit, level 5CPT 99285 | $985 | $608 | 162% | — | 5 |
| Echocardiogram, completeCPT 93306 | $1,241 | $558 | 222% | — | 5 |
| Esophagitis/GI disorders, no MCCMS-DRG 392 | $7,470 | $4,899 | 152% | — | 2 |
| Heart failure and shock, with CCMS-DRG 292 | $8,135 | $5,927 | 137% | — | 2 |
| Heart failure with MCCMS-DRG 291 | $12,301 | $8,962 | 137% | — | 2 |
| Hip and femur procedures except major joint, with CCMS-DRG 481 | $20,070 | $13,876 | 145% | — | 2 |
| Hysterectomy, no CC/MCCMS-DRG 743 | $11,888 | $10,098 | 118% | — | 2 |
| Kidney and urinary tract infections, no MCCMS-DRG 690 | $7,757 | $5,238 | 148% | — | 2 |
| Kidney function panelCPT 80069 | $126 | $9 | 1455% | — | 5 |
| Laparoscopic cholecystectomy, no CC/MCCMS-DRG 419 | $13,087 | $8,977 | 146% | — | 2 |
| Lipid panelCPT 80061 | $110 | $13 | 822% | — | 5 |
| Liver function panelCPT 80076 | $174 | $8 | 2135% | — | 5 |
| Lumbar epidural steroid injectionCPT 62323 | $1,530 | $721 | 212% | — | 4 |
| MRI brain with and without contrastCPT 70553 | $2,686 | $356 | 754% | — | 5 |
| MRI lower extremity joint (knee)CPT 73721 | $803 | $244 | 330% | — | 5 |
| MRI lumbar spine without contrastCPT 72148 | $1,969 | $244 | 808% | — | 5 |
| Major joint replacement (hip/knee), no MCCMS-DRG 470 | $18,483 | $13,045 | 142% | — | 2 |
| Major joint replacement (hip/knee), with MCCMS-DRG 469 | $29,064 | $22,346 | 130% | — | 2 |
| Major small and large bowel procedures, with CCMS-DRG 330 | $22,970 | $16,202 | 142% | — | 2 |
| Medical back problems, no MCCMS-DRG 552 | $9,211 | $6,142 | 150% | — | 2 |
| OB ultrasound, 14+ weeksCPT 76805 | $514 | $107 | 481% | — | 5 |
| Obstetric blood test panelCPT 80055 | $75 | $48 | 156% | — | 1 |
| Office visit, established patient, level 3CPT 99213 | $250 | — | — | — | 4 |
| Office visit, established patient, level 4CPT 99214 | $352 | — | — | — | 4 |
| PSA (prostate specific antigen), totalCPT 84153 | $148 | $18 | 807% | — | 5 |
| Partial thromboplastin timeCPT 85730 | $52 | $6 | 867% | — | 5 |
| Physical therapy, therapeutic exerciseCPT 97110 | $87 | — | — | — | 5 |
| Preventive visit, new patient, 18-39CPT 99385 | $80 | — | — | — | 5 |
| Preventive visit, new patient, 40-64CPT 99386 | $81 | — | — | — | 5 |
| Prothrombin timeCPT 85610 | $25 | $4 | 592% | — | 5 |
| Renal failure, with CCMS-DRG 683 | $8,392 | $5,892 | 142% | — | 2 |
| Screening mammography, bilateralCPT 77067 | $343 | — | — | — | 5 |
| Sepsis with MCCMS-DRG 871 | $18,613 | $13,837 | 135% | — | 2 |
| Simple pneumonia and pleurisy, with CCMS-DRG 194 | $7,722 | $5,177 | 149% | — | 2 |
| Sleep study (polysomnography)CPT 95810 | $2,675 | $877 | 305% | — | 5 |
| Stroke (hemorrhage/infarction), no CC/MCCMS-DRG 066 | $6,558 | $3,679 | 178% | — | 2 |
| Stroke (hemorrhage/infarction), with CC or tPAMS-DRG 065 | $9,681 | $6,559 | 148% | — | 2 |
| Thyroid stimulating hormone (TSH)CPT 84443 | $182 | $17 | 1081% | — | 5 |
| Transforaminal epidural, lumbar/sacralCPT 64483 | $1,627 | $904 | 180% | — | 5 |
| Ultrasound, abdomen, completeCPT 76700 | $726 | $107 | 680% | — | 5 |
| Ultrasound, transvaginalCPT 76830 | $486 | $107 | 455% | — | 5 |
| Upper GI endoscopy with biopsyCPT 43239 | $2,813 | $927 | 304% | — | 5 |
| Upper GI endoscopy, diagnosticCPT 43235 | $2,861 | $927 | 309% | — | 5 |
| Urinalysis, automated, with microscopyCPT 81001 | $68 | $3 | 2156% | — | 5 |
| Urinalysis, automated, without microscopyCPT 81003 | $39 | $2 | 1736% | — | 5 |
| Urinalysis, manual, with microscopyCPT 81000 | $7 | $4 | 162% | — | 2 |
| Urinalysis, manual, without microscopyCPT 81002 | $39 | $3 | 1122% | — | 5 |
| Vaginal delivery, no sterilization, no CC/MCCMS-DRG 807 | $6,460 | — | — | — | 2 |
| Vaginal delivery, no sterilization, with CCMS-DRG 806 | $7,225 | — | — | — | 2 |
| X-ray, lower back, 4+ viewsCPT 72110 | $416 | $107 | 389% | — | 4 |