| Acute myocardial infarction, discharged alive, with MCCMS-DRG 280 | $25,542 | $10,391 | 246% | — | 2 |
| Bariatric (obesity) surgery, no CC/MCCMS-DRG 621 | $24,018 | $8,272 | 290% | — | 2 |
| Basic metabolic panelCPT 80048 | $107 | $8 | 1266% | ~$47 | 9 |
| COPD with MCCMS-DRG 190 | $17,638 | $6,798 | 259% | — | 2 |
| CT abdomen and pelvis with contrastCPT 74177 | $1,374 | $341 | 403% | ~$1,249 | 11 |
| CT head without contrastCPT 70450 | $412 | $102 | 403% | ~$627 | 11 |
| CT pelvis with contrastCPT 72193 | $136 | $171 | 79% | ~$769 | 5 |
| Cardiac arrhythmia, no CC/MCCMS-DRG 310 | $9,014 | $2,570 | 351% | — | 2 |
| Cardiac stress testCPT 93017 | $440 | $211 | 209% | $340 | 7 |
| Cardiac valve surgery with cardiac cath, with MCCMS-DRG 216 | $155,771 | — | — | — | 2 |
| Cataract surgery with IOL insertionCPT 66984 | $2,401 | $2,256 | 106% | $3,290 | 4 |
| Cellulitis, no MCCMS-DRG 603 | $13,867 | $4,934 | 281% | — | 2 |
| Cervical spinal fusion, no CC/MCCMS-DRG 473 | $38,873 | $16,343 | 238% | — | 2 |
| Cesarean section, no CC/MCCMS-DRG 788 | $15,267 | — | — | — | 2 |
| Cesarean section, with CCMS-DRG 787 | $17,783 | — | — | — | 2 |
| Chest painMS-DRG 313 | $11,465 | $4,230 | 271% | — | 2 |
| Colonoscopy with biopsyCPT 45380 | $2,088 | $1,170 | 179% | $1,132 | 11 |
| Colonoscopy with polyp removalCPT 45385 | $2,523 | $1,170 | 216% | $1,132 | 11 |
| Complete blood count with differentialCPT 85025 | $71 | $8 | 913% | ~$37 | 11 |
| Complete blood count, automatedCPT 85027 | $49 | $6 | 758% | ~$18 | 9 |
| Comprehensive metabolic panelCPT 80053 | $49 | $11 | 468% | ~$72 | 9 |
| Coronary bypass without cardiac cath, no MCCMS-DRG 236 | $66,698 | $30,280 | 220% | — | 2 |
| Diagnostic mammography, both breastsCPT 77066 | $195 | — | — | ~$152 | 9 |
| Diagnostic mammography, one breastCPT 77065 | $59 | — | — | ~$111 | 9 |
| ED visit, level 3CPT 99283 | $578 | $267 | 216% | $1,043 | 11 |
| ED visit, level 4CPT 99284 | $152 | $408 | 37% | $1,567 | 11 |
| ED visit, level 5CPT 99285 | $227 | $582 | 39% | $1,792 | 11 |
| Echocardiogram, completeCPT 93306 | $339 | $534 | 63% | $670 | 11 |
| Electrocardiogram with interpretationCPT 93000 | $25 | — | — | $85 | 9 |
| Epidural injection, lumbar/sacral, no imagingCPT 62322 | $2,218 | $865 | 257% | $899 | 2 |
| Esophagitis/GI disorders, no MCCMS-DRG 392 | $12,414 | $4,200 | 296% | — | 2 |
| Family psychotherapy, with patientCPT 90847 | $106 | $174 | 61% | $85 | 4 |
| Family psychotherapy, without patientCPT 90846 | $102 | $174 | 59% | $85 | 6 |
| Group psychotherapyCPT 90853 | $206 | $99 | 207% | $73 | 6 |
| Heart failure and shock, with CCMS-DRG 292 | $13,519 | $5,063 | 267% | — | 2 |
| Heart failure with MCCMS-DRG 291 | $20,442 | $8,319 | 246% | — | 2 |
| Hip and femur procedures except major joint, with CCMS-DRG 481 | $33,351 | $13,820 | 241% | — | 2 |
| Hysterectomy, no CC/MCCMS-DRG 743 | $19,756 | $10,098 | 196% | — | 2 |
| Inguinal hernia repair, age 5+CPT 49505 | $2,172 | $3,500 | 62% | $3,230 | 4 |
| Kidney and urinary tract infections, no MCCMS-DRG 690 | $12,890 | $4,476 | 288% | — | 2 |
| Kidney function panelCPT 80069 | $9 | $9 | 99% | ~$21 | 4 |
| Knee arthroscopy with meniscectomyCPT 29881 | $8,207 | $3,199 | 257% | $4,349 | 2 |
| Laparoscopic cholecystectomyCPT 47562 | $1,068 | $5,910 | 18% | $6,019 | 7 |
| Laparoscopic cholecystectomy, no CC/MCCMS-DRG 419 | $21,748 | $8,977 | 242% | — | 2 |
| Laparoscopic radical prostatectomyCPT 55866 | $26,662 | $10,392 | 257% | $3,676 | 2 |
| Left heart catheterization, diagnosticCPT 93452 | $8,132 | $3,169 | 257% | $3,159 | 2 |
| Lipid panelCPT 80061 | $39 | $13 | 293% | ~$55 | 9 |
| Liver function panelCPT 80076 | $16 | $8 | 200% | ~$36 | 9 |
| Lumbar epidural steroid injectionCPT 62323 | $568 | $690 | 82% | $705 | 4 |
| MRI brain with and without contrastCPT 70553 | $376 | $341 | 110% | ~$1,701 | 11 |
| MRI lower extremity joint (knee)CPT 73721 | $227 | $233 | 97% | ~$1,098 | 7 |
| MRI lumbar spine without contrastCPT 72148 | $107 | $233 | 46% | ~$1,095 | 7 |
| Major joint replacement (hip/knee), no MCCMS-DRG 470 | $30,714 | $11,804 | 260% | — | 2 |
| Major joint replacement (hip/knee), with MCCMS-DRG 469 | $48,298 | $22,346 | 216% | — | 2 |
| Major small and large bowel procedures, with CCMS-DRG 330 | $38,171 | $15,736 | 243% | — | 2 |
| Medical back problems, no MCCMS-DRG 552 | $15,307 | $5,600 | 273% | — | 2 |
| OB ultrasound, 14+ weeksCPT 76805 | $158 | $102 | 154% | ~$444 | 11 |
| Office visit, established patient, level 3CPT 99213 | $57 | — | — | $141 | 11 |
| Office visit, established patient, level 4CPT 99214 | $94 | — | — | $161 | 11 |
| Office visit, new patient, level 3CPT 99203 | $100 | — | — | $141 | 9 |
| Office visit, new patient, level 4CPT 99204 | $153 | — | — | $161 | 11 |
| Office visit, new patient, level 5CPT 99205 | $195 | — | — | $186 | 9 |
| PSA (prostate specific antigen), totalCPT 84153 | $37 | $18 | 202% | ~$43 | 9 |
| Partial thromboplastin timeCPT 85730 | $38 | $6 | 625% | ~$17 | 9 |
| Physical therapy, therapeutic exerciseCPT 97110 | $96 | — | — | $43 | 4 |
| Prostate biopsyCPT 55700 | $99 | — | — | $1,051 | 2 |
| Prothrombin timeCPT 85610 | $27 | $4 | 631% | ~$12 | 9 |
| Psychotherapy, 30 minutesCPT 90832 | $61 | $174 | 35% | $73 | 9 |
| Psychotherapy, 45 minutesCPT 90834 | $81 | $174 | 46% | $109 | 9 |
| Psychotherapy, 60 minutesCPT 90837 | $133 | $174 | 77% | $146 | 11 |
| Renal failure, with CCMS-DRG 683 | $13,945 | $5,247 | 266% | — | 2 |
| Screening mammography, bilateralCPT 77067 | $197 | — | — | ~$144 | 9 |
| Sepsis with MCCMS-DRG 871 | $30,930 | $13,222 | 234% | — | 2 |
| Shoulder arthroscopy, subacromial decompressionCPT 29826 | $1,453 | — | — | $4,349 | 2 |
| Simple pneumonia and pleurisy, with CCMS-DRG 194 | $12,832 | $4,604 | 279% | — | 2 |
| Sleep study (polysomnography)CPT 95810 | $926 | $840 | 110% | $1,566 | 7 |
| Stroke (hemorrhage/infarction), no CC/MCCMS-DRG 066 | $10,898 | $3,087 | 353% | — | 2 |
| Stroke (hemorrhage/infarction), with CC or tPAMS-DRG 065 | $16,087 | $6,159 | 261% | — | 2 |
| Thyroid stimulating hormone (TSH)CPT 84443 | $34 | $17 | 202% | ~$38 | 9 |
| Transforaminal epidural, lumbar/sacralCPT 64483 | $775 | $865 | 90% | $899 | 4 |
| Ultrasound, abdomen, completeCPT 76700 | $53 | $102 | 52% | ~$389 | 7 |
| Ultrasound, transvaginalCPT 76830 | $110 | $102 | 107% | ~$296 | 11 |
| Upper GI endoscopy with biopsyCPT 43239 | $3,239 | $887 | 365% | $900 | 11 |
| Upper GI endoscopy, diagnosticCPT 43235 | $1,335 | $887 | 151% | $900 | 4 |
| Urinalysis, automated, with microscopyCPT 81001 | $43 | $3 | 1345% | ~$18 | 9 |
| Urinalysis, automated, without microscopyCPT 81003 | $2 | $2 | 105% | ~$18 | 9 |
| Urinalysis, manual, with microscopyCPT 81000 | $40 | $4 | 1001% | ~$16 | 4 |
| Vaginal delivery, no sterilization, no CC/MCCMS-DRG 807 | $10,735 | — | — | — | 2 |
| Vaginal delivery, no sterilization, with CCMS-DRG 806 | $12,006 | — | — | — | 2 |
| X-ray, lower back, 4+ viewsCPT 72110 | $38 | $102 | 38% | ~$216 | 7 |
| YAG laser capsulotomy (secondary cataract)CPT 66821 | $1,380 | $538 | 257% | $1,035 | 2 |