| Acute myocardial infarction, discharged alive, with MCCMS-DRG 280 | $21,510 | $10,352 | 208% | — | 6 |
| Bariatric (obesity) surgery, no CC/MCCMS-DRG 621 | $20,572 | $8,272 | 249% | — | 8 |
| Basic metabolic panelCPT 80048 | $25 | $8 | 296% | ~$26 | 21 |
| COPD with MCCMS-DRG 190 | $6,219 | $6,577 | 95% | — | 12 |
| CT abdomen and pelvis with contrastCPT 74177 | $443 | $361 | 123% | ~$935 | 19 |
| CT head without contrastCPT 70450 | $443 | $108 | 410% | ~$620 | 19 |
| CT pelvis with contrastCPT 72193 | $443 | $181 | 244% | ~$729 | 19 |
| Cardiac arrhythmia, no CC/MCCMS-DRG 310 | $7,455 | $2,918 | 255% | — | 6 |
| Cardiac stress testCPT 93017 | $372 | $223 | 167% | $595 | 18 |
| Cardiac valve surgery with cardiac cath, with MCCMS-DRG 216 | $109,226 | — | — | — | 14 |
| Cataract surgery with IOL insertionCPT 66984 | $4,326 | $2,388 | 181% | — | 18 |
| Cellulitis, no MCCMS-DRG 603 | $11,828 | $5,405 | 219% | — | 6 |
| Cervical spinal fusion, no CC/MCCMS-DRG 473 | $30,162 | $16,343 | 185% | — | 8 |
| Cesarean section, no CC/MCCMS-DRG 788 | $10,789 | — | — | — | 7 |
| Cesarean section, with CCMS-DRG 787 | $10,789 | — | — | — | 7 |
| Chest painMS-DRG 313 | $9,624 | $4,619 | 208% | — | 6 |
| Colonoscopy with biopsyCPT 45380 | $1,980 | $1,238 | 160% | $912 | 22 |
| Colonoscopy with endoscopic ultrasoundCPT 45391 | $1,980 | $1,238 | 160% | $912 | 22 |
| Colonoscopy with polyp removalCPT 45385 | $1,980 | $1,238 | 160% | $912 | 22 |
| Colonoscopy, diagnosticCPT 45378 | $1,696 | $962 | 176% | $912 | 22 |
| Complete blood count with differentialCPT 85025 | $23 | $8 | 296% | ~$24 | 21 |
| Complete blood count, automatedCPT 85027 | $19 | $6 | 294% | ~$15 | 21 |
| Comprehensive metabolic panelCPT 80053 | $31 | $11 | 294% | ~$37 | 21 |
| Coronary bypass without cardiac cath, no MCCMS-DRG 236 | $54,638 | $24,183 | 226% | — | 8 |
| Diagnostic mammography, both breastsCPT 77066 | $86 | — | — | — | 12 |
| Diagnostic mammography, one breastCPT 77065 | $74 | — | — | — | 12 |
| ED visit, level 3CPT 99283 | $643 | $282 | 228% | $249 | 13 |
| ED visit, level 4CPT 99284 | $999 | $432 | 231% | $438 | 13 |
| ED visit, level 5CPT 99285 | $1,448 | $616 | 235% | $651 | 13 |
| Echocardiogram, completeCPT 93306 | $649 | $565 | 115% | $785 | 18 |
| Electrocardiogram with interpretationCPT 93000 | $36 | — | — | — | 8 |
| Epidural injection, lumbar/sacral, no imagingCPT 62322 | $1,880 | $915 | 205% | — | 15 |
| Esophagitis/GI disorders, no MCCMS-DRG 392 | $10,490 | $4,738 | 221% | — | 6 |
| Excision of breast lesionCPT 19120 | $3,882 | $4,051 | 96% | — | 18 |
| Family psychotherapy, with patientCPT 90847 | $263 | $184 | 143% | $132 | 13 |
| Family psychotherapy, without patientCPT 90846 | $263 | $184 | 143% | $132 | 13 |
| Group psychotherapyCPT 90853 | $348 | $105 | 331% | $132 | 13 |
| Heart failure and shock, with CCMS-DRG 292 | $11,510 | $5,927 | 194% | — | 6 |
| Heart failure with MCCMS-DRG 291 | $17,348 | $8,476 | 205% | — | 6 |
| Hip and femur procedures except major joint, with CCMS-DRG 481 | $27,183 | $13,662 | 199% | — | 7 |
| Hysterectomy, no CC/MCCMS-DRG 743 | $15,755 | $10,098 | 156% | — | 6 |
| Inguinal hernia repair, age 5+CPT 49505 | $5,059 | $3,704 | 137% | — | 18 |
| Kidney and urinary tract infections, no MCCMS-DRG 690 | $10,782 | $4,923 | 219% | — | 6 |
| Kidney function panelCPT 80069 | $25 | $9 | 288% | ~$18 | 21 |
| Knee arthroscopy with meniscectomyCPT 29881 | $4,807 | $3,385 | 142% | — | 18 |
| Laparoscopic cholecystectomyCPT 47562 | $7,369 | $6,255 | 118% | — | 17 |
| Laparoscopic cholecystectomy, no CC/MCCMS-DRG 419 | $17,626 | $8,977 | 196% | — | 6 |
| Laparoscopic radical prostatectomyCPT 55866 | $6,250 | $10,998 | 57% | — | 15 |
| Left heart catheterization, diagnosticCPT 93452 | $3,420 | $3,354 | 102% | $4,207 | 19 |
| Lipid panelCPT 80061 | $38 | $13 | 284% | ~$40 | 21 |
| Liver function panelCPT 80076 | $24 | $8 | 294% | ~$38 | 21 |
| Lumbar epidural steroid injectionCPT 62323 | $1,054 | $730 | 144% | $598 | 19 |
| MRI brain with and without contrastCPT 70553 | $557 | $361 | 154% | ~$1,205 | 19 |
| MRI lower extremity joint (knee)CPT 73721 | $505 | $247 | 205% | ~$1,330 | 19 |
| MRI lumbar spine without contrastCPT 72148 | $505 | $247 | 205% | ~$1,214 | 19 |
| Major joint replacement (hip/knee), no MCCMS-DRG 470 | $23,043 | $11,803 | 195% | — | 14 |
| Major joint replacement (hip/knee), with MCCMS-DRG 469 | $43,926 | $22,346 | 197% | — | 8 |
| Major small and large bowel procedures, with CCMS-DRG 330 | $31,727 | $14,207 | 223% | — | 6 |
| Medical back problems, no MCCMS-DRG 552 | $12,930 | $5,586 | 231% | — | 6 |
| OB global care, VBAC deliveryCPT 59610 | $3,312 | — | — | — | 6 |
| OB global care, cesarean deliveryCPT 59510 | $3,663 | — | — | — | 6 |
| OB global care, vaginal deliveryCPT 59400 | $3,312 | — | — | — | 6 |
| OB ultrasound, 14+ weeksCPT 76805 | $248 | $108 | 229% | ~$299 | 21 |
| Obstetric blood test panelCPT 80055 | $48 | $48 | 100% | — | 15 |
| PSA (prostate specific antigen), totalCPT 84153 | $53 | $18 | 288% | ~$36 | 21 |
| Partial thromboplastin timeCPT 85730 | $17 | $6 | 283% | ~$25 | 21 |
| Physical therapy, therapeutic exerciseCPT 97110 | $49 | — | — | $41 | 15 |
| Prostate biopsyCPT 55700 | $2,851 | — | — | $2,036 | 21 |
| Prothrombin timeCPT 85610 | $11 | $4 | 256% | ~$12 | 21 |
| Psychotherapy, 30 minutesCPT 90832 | $329 | $184 | 179% | $132 | 15 |
| Psychotherapy, 45 minutesCPT 90834 | $329 | $184 | 179% | $132 | 15 |
| Psychotherapy, 60 minutesCPT 90837 | $329 | $184 | 179% | $132 | 15 |
| Renal failure, with CCMS-DRG 683 | $11,988 | $5,692 | 211% | — | 6 |
| Screening mammography, bilateralCPT 77067 | $77 | — | — | — | 12 |
| Sepsis with MCCMS-DRG 871 | $26,426 | $12,960 | 204% | — | 6 |
| Shoulder arthroscopy, subacromial decompressionCPT 29826 | $3,000 | — | — | — | 15 |
| Simple pneumonia and pleurisy, with CCMS-DRG 194 | $11,002 | $4,828 | 228% | — | 6 |
| Sleep study (polysomnography)CPT 95810 | $1,060 | $888 | 119% | $1,607 | 18 |
| Stroke (hemorrhage/infarction), no CC/MCCMS-DRG 066 | $9,218 | $3,995 | 231% | — | 6 |
| Stroke (hemorrhage/infarction), with CC or tPAMS-DRG 065 | $13,624 | $6,298 | 216% | — | 6 |
| Thyroid stimulating hormone (TSH)CPT 84443 | $49 | $17 | 292% | ~$52 | 21 |
| Tonsillectomy and adenoidectomy, under age 12CPT 42820 | $4,028 | $6,125 | 66% | — | 18 |
| Transforaminal epidural, lumbar/sacralCPT 64483 | $1,692 | $915 | 185% | $277 | 22 |
| Ultrasound, abdomen, completeCPT 76700 | $248 | $108 | 229% | ~$313 | 21 |
| Ultrasound, transvaginalCPT 76830 | $233 | $108 | 215% | ~$272 | 21 |
| Upper GI endoscopy with biopsyCPT 43239 | $1,683 | $938 | 179% | $903 | 22 |
| Upper GI endoscopy, diagnosticCPT 43235 | $1,683 | $938 | 179% | $903 | 22 |
| Urinalysis, automated, with microscopyCPT 81001 | $9 | $3 | 284% | ~$13 | 21 |
| Urinalysis, automated, without microscopyCPT 81003 | $7 | $2 | 311% | ~$11 | 21 |
| Urinalysis, manual, with microscopyCPT 81000 | $4 | $4 | 100% | — | 17 |
| Urinalysis, manual, without microscopyCPT 81002 | $7 | $3 | 201% | ~$4 | 21 |
| Vaginal delivery, no sterilization, no CC/MCCMS-DRG 807 | $7,974 | — | — | — | 7 |
| Vaginal delivery, no sterilization, with CCMS-DRG 806 | $7,974 | — | — | — | 7 |
| X-ray, lower back, 4+ viewsCPT 72110 | $180 | $108 | 166% | ~$259 | 21 |
| YAG laser capsulotomy (secondary cataract)CPT 66821 | $1,311 | $569 | 230% | — | 17 |