| Acute myocardial infarction, discharged alive, with MCCMS-DRG 280 | $33,012 | $10,052 | 328% | — | 15 |
| Bariatric (obesity) surgery, no CC/MCCMS-DRG 621 | $30,533 | $8,272 | 369% | — | 12 |
| Basic metabolic panelCPT 80048 | $54 | $8 | 633% | ~$102 | 17 |
| COPD with MCCMS-DRG 190 | $22,586 | $7,077 | 319% | — | 15 |
| CT abdomen and pelvis with contrastCPT 74177 | $1,661 | $361 | 460% | ~$722 | 17 |
| CT head without contrastCPT 70450 | $1,016 | $108 | 939% | ~$425 | 17 |
| CT pelvis with contrastCPT 72193 | $1,374 | $181 | 757% | ~$540 | 17 |
| Cardiac arrhythmia, no CC/MCCMS-DRG 310 | $11,253 | $3,269 | 344% | — | 15 |
| Cardiac stress testCPT 93017 | $1,391 | $223 | 623% | $750 | 17 |
| Cardiac valve surgery with cardiac cath, with MCCMS-DRG 216 | $194,103 | — | — | — | 15 |
| Cataract surgery with IOL insertionCPT 66984 | $7,369 | $2,388 | 309% | — | 15 |
| Cellulitis, no MCCMS-DRG 603 | $17,715 | $5,548 | 319% | — | 15 |
| Cervical spinal fusion, no CC/MCCMS-DRG 473 | $47,613 | $16,343 | 291% | — | 15 |
| Cesarean section, no CC/MCCMS-DRG 788 | $15,278 | — | — | — | 15 |
| Cesarean section, with CCMS-DRG 787 | $16,200 | — | — | — | 15 |
| Chest painMS-DRG 313 | $14,348 | — | — | — | 15 |
| Colonoscopy with biopsyCPT 45380 | $2,857 | $1,238 | 231% | — | 15 |
| Colonoscopy with endoscopic ultrasoundCPT 45391 | $2,857 | $1,238 | 231% | — | 15 |
| Colonoscopy with polyp removalCPT 45385 | $2,857 | $1,238 | 231% | — | 15 |
| Colonoscopy, diagnosticCPT 45378 | $2,455 | $962 | 255% | $979 | 17 |
| Complete blood count with differentialCPT 85025 | $49 | $8 | 633% | ~$68 | 17 |
| Complete blood count, automatedCPT 85027 | $41 | $6 | 633% | ~$56 | 17 |
| Comprehensive metabolic panelCPT 80053 | $67 | $11 | 634% | ~$132 | 17 |
| Coronary bypass without cardiac cath, no MCCMS-DRG 236 | $82,703 | $29,950 | 276% | — | 15 |
| Diagnostic mammography, both breastsCPT 77066 | $434 | — | — | ~$247 | 17 |
| Diagnostic mammography, one breastCPT 77065 | $326 | — | — | ~$183 | 17 |
| ED visit, level 3CPT 99283 | $1,497 | $282 | 530% | $623 | 17 |
| ED visit, level 4CPT 99284 | $3,193 | $432 | 740% | $989 | 17 |
| ED visit, level 5CPT 99285 | $3,193 | $616 | 518% | $1,206 | 17 |
| Echocardiogram, completeCPT 93306 | $2,805 | $565 | 496% | $1,512 | 17 |
| Epidural injection, lumbar/sacral, no imagingCPT 62322 | $2,208 | $915 | 241% | $960 | 17 |
| Esophagitis/GI disorders, no MCCMS-DRG 392 | $15,693 | $4,472 | 351% | — | 15 |
| Excision of breast lesionCPT 19120 | $7,111 | $4,051 | 176% | — | 15 |
| Family psychotherapy, with patientCPT 90847 | $441 | $184 | 240% | $238 | 17 |
| Family psychotherapy, without patientCPT 90846 | $581 | $184 | 317% | $313 | 17 |
| Group psychotherapyCPT 90853 | $183 | $105 | 175% | $96 | 17 |
| Heart failure and shock, with CCMS-DRG 292 | $17,320 | $5,927 | 292% | — | 15 |
| Heart failure with MCCMS-DRG 291 | $26,242 | $8,454 | 310% | — | 15 |
| Hip and femur procedures except major joint, with CCMS-DRG 481 | $41,730 | $13,290 | 314% | — | 15 |
| Hysterectomy, no CC/MCCMS-DRG 743 | $24,028 | $10,098 | 238% | — | 15 |
| Inguinal hernia repair, age 5+CPT 49505 | $8,619 | $3,704 | 233% | — | 15 |
| Kidney and urinary tract infections, no MCCMS-DRG 690 | $16,142 | $5,075 | 318% | — | 15 |
| Kidney function panelCPT 80069 | $55 | $9 | 633% | ~$128 | 17 |
| Knee arthroscopy with meniscectomyCPT 29881 | $9,247 | $3,385 | 273% | — | 15 |
| Laparoscopic cholecystectomyCPT 47562 | $11,070 | $6,255 | 177% | — | 15 |
| Laparoscopic cholecystectomy, no CC/MCCMS-DRG 419 | $26,500 | $8,977 | 295% | — | 15 |
| Laparoscopic radical prostatectomyCPT 55866 | $23,899 | $10,998 | 217% | — | 8 |
| Left heart catheterization, diagnosticCPT 93452 | $9,262 | $3,354 | 276% | $3,788 | 17 |
| Lipid panelCPT 80061 | $85 | $13 | 633% | ~$98 | 17 |
| Liver function panelCPT 80076 | $52 | $8 | 633% | ~$155 | 17 |
| Lumbar epidural steroid injectionCPT 62323 | $2,190 | $730 | 300% | $1,159 | 17 |
| MRI brain with and without contrastCPT 70553 | $2,307 | $361 | 639% | ~$1,003 | 17 |
| MRI lower extremity joint (knee)CPT 73721 | $2,134 | $247 | 864% | ~$566 | 17 |
| MRI lumbar spine without contrastCPT 72148 | $2,068 | $247 | 838% | ~$566 | 17 |
| Major joint replacement (hip/knee), no MCCMS-DRG 470 | $37,921 | $12,511 | 303% | — | 15 |
| Major joint replacement (hip/knee), with MCCMS-DRG 469 | $65,740 | $22,346 | 294% | — | 15 |
| Major small and large bowel procedures, with CCMS-DRG 330 | $47,539 | $15,976 | 298% | — | 15 |
| Medical back problems, no MCCMS-DRG 552 | $19,384 | $5,788 | 335% | — | 15 |
| OB ultrasound, 14+ weeksCPT 76805 | $844 | $108 | 780% | ~$480 | 17 |
| Obstetric blood test panelCPT 80055 | $399 | $48 | 834% | ~$344 | 17 |
| Office visit, established patient, level 3CPT 99213 | $442 | — | — | $232 | 15 |
| Office visit, new patient, level 3CPT 99203 | $442 | — | — | $232 | 15 |
| Office visit, new patient, level 5CPT 99205 | $519 | — | — | $272 | 15 |
| PSA (prostate specific antigen), totalCPT 84153 | $116 | $18 | 633% | ~$96 | 17 |
| Partial thromboplastin timeCPT 85730 | $38 | $6 | 632% | ~$54 | 17 |
| Physical therapy, therapeutic exerciseCPT 97110 | $156 | — | — | $84 | 17 |
| Prostate biopsyCPT 55700 | $3,563 | — | — | — | 11 |
| Prothrombin timeCPT 85610 | $25 | $4 | 580% | ~$31 | 17 |
| Psychotherapy, 30 minutesCPT 90832 | $366 | $184 | 199% | $192 | 17 |
| Psychotherapy, 45 minutesCPT 90834 | $433 | $184 | 236% | $255 | 17 |
| Psychotherapy, 60 minutesCPT 90837 | $511 | $184 | 279% | $268 | 17 |
| Renal failure, with CCMS-DRG 683 | $17,878 | $5,378 | 332% | — | 15 |
| Screening mammography, bilateralCPT 77067 | $412 | — | — | ~$234 | 17 |
| Sepsis with MCCMS-DRG 871 | $39,462 | $12,741 | 310% | — | 15 |
| Simple pneumonia and pleurisy, with CCMS-DRG 194 | $16,492 | $5,004 | 330% | — | 15 |
| Sleep study (polysomnography)CPT 95810 | $3,943 | $888 | 444% | $2,125 | 17 |
| Stroke (hemorrhage/infarction), no CC/MCCMS-DRG 066 | $13,843 | $4,286 | 323% | — | 15 |
| Stroke (hemorrhage/infarction), with CC or tPAMS-DRG 065 | $20,452 | $5,762 | 355% | — | 15 |
| Thyroid stimulating hormone (TSH)CPT 84443 | $106 | $17 | 633% | ~$110 | 17 |
| Tonsillectomy and adenoidectomy, under age 12CPT 42820 | $5,955 | $6,125 | 97% | — | 15 |
| Transforaminal epidural, lumbar/sacralCPT 64483 | $2,942 | $915 | 321% | $1,534 | 17 |
| Ultrasound, abdomen, completeCPT 76700 | $1,033 | $108 | 955% | ~$588 | 17 |
| Ultrasound, transvaginalCPT 76830 | $686 | $108 | 634% | ~$390 | 17 |
| Upper GI endoscopy with biopsyCPT 43239 | $2,510 | $938 | 267% | $1,006 | 17 |
| Upper GI endoscopy, diagnosticCPT 43235 | $2,431 | $938 | 259% | $1,006 | 17 |
| Urinalysis, automated, with microscopyCPT 81001 | $20 | $3 | 633% | ~$30 | 17 |
| Urinalysis, automated, without microscopyCPT 81003 | $14 | $2 | 632% | ~$22 | 17 |
| Urinalysis, manual, without microscopyCPT 81002 | $16 | $3 | 465% | ~$17 | 17 |
| Vaginal delivery, no sterilization, no CC/MCCMS-DRG 807 | $9,961 | — | — | — | 15 |
| Vaginal delivery, no sterilization, with CCMS-DRG 806 | $11,371 | — | — | — | 15 |
| X-ray, lower back, 4+ viewsCPT 72110 | $686 | $108 | 634% | ~$390 | 17 |
| YAG laser capsulotomy (secondary cataract)CPT 66821 | $3,106 | $569 | 546% | — | 15 |