| Acute myocardial infarction, discharged alive, with MCCMS-DRG 280 | $19,973 | $11,217 | 178% | — | 2 |
| Basic metabolic panelCPT 80048 | $107 | $8 | 1266% | ~$57 | 5 |
| COPD with MCCMS-DRG 190 | $13,792 | $7,377 | 187% | — | 2 |
| CT abdomen and pelvis with contrastCPT 74177 | $971 | $340 | 285% | ~$1,501 | 7 |
| CT head without contrastCPT 70450 | $291 | $102 | 285% | ~$753 | 7 |
| CT pelvis with contrastCPT 72193 | $156 | $171 | 91% | ~$924 | 4 |
| Cardiac arrhythmia, no CC/MCCMS-DRG 310 | $7,049 | $3,269 | 216% | — | 2 |
| Cardiac stress testCPT 93017 | $440 | $211 | 209% | $409 | 5 |
| Cataract surgery with IOL insertionCPT 66984 | $2,319 | $2,252 | 103% | $3,953 | 3 |
| Cellulitis, no MCCMS-DRG 603 | $10,844 | $5,618 | 193% | — | 2 |
| Colonoscopy with biopsyCPT 45380 | $2,088 | $1,168 | 179% | $1,360 | 7 |
| Colonoscopy with polyp removalCPT 45385 | $2,523 | $1,168 | 216% | $1,360 | 7 |
| Complete blood count with differentialCPT 85025 | $71 | $8 | 913% | ~$45 | 7 |
| Complete blood count, automatedCPT 85027 | $49 | $6 | 758% | ~$22 | 5 |
| Comprehensive metabolic panelCPT 80053 | $49 | $11 | 468% | ~$87 | 5 |
| Diagnostic mammography, both breastsCPT 77066 | $195 | — | — | ~$182 | 5 |
| Diagnostic mammography, one breastCPT 77065 | $59 | — | — | ~$133 | 5 |
| ED visit, level 3CPT 99283 | $578 | $266 | 217% | $1,254 | 7 |
| ED visit, level 4CPT 99284 | $168 | $407 | 41% | $1,883 | 7 |
| ED visit, level 5CPT 99285 | $227 | $581 | 39% | $2,153 | 7 |
| Echocardiogram, completeCPT 93306 | $339 | $533 | 64% | $805 | 7 |
| Electrocardiogram with interpretationCPT 93000 | $25 | — | — | $102 | 5 |
| Epidural injection, lumbar/sacral, no imagingCPT 62322 | $1,676 | $863 | 194% | $1,080 | 2 |
| Esophagitis/GI disorders, no MCCMS-DRG 392 | $9,707 | $5,126 | 189% | — | 2 |
| Family psychotherapy, with patientCPT 90847 | $99 | $173 | 57% | $102 | 4 |
| Family psychotherapy, without patientCPT 90846 | $102 | $173 | 59% | $102 | 5 |
| Group psychotherapyCPT 90853 | $192 | $99 | 194% | $88 | 6 |
| Heart failure and shock, with CCMS-DRG 292 | $10,571 | $5,927 | 178% | — | 2 |
| Heart failure with MCCMS-DRG 291 | $15,985 | $9,178 | 174% | — | 2 |
| Inguinal hernia repair, age 5+CPT 49505 | $3,598 | $3,493 | 103% | $3,882 | 3 |
| Kidney and urinary tract infections, no MCCMS-DRG 690 | $10,079 | $5,227 | 193% | — | 2 |
| Kidney function panelCPT 80069 | $9 | $9 | 99% | ~$25 | 2 |
| Knee arthroscopy with meniscectomyCPT 29881 | $6,199 | $3,192 | 194% | $5,226 | 2 |
| Laparoscopic cholecystectomyCPT 47562 | $1,068 | $5,899 | 18% | $7,233 | 5 |
| Laparoscopic cholecystectomy, no CC/MCCMS-DRG 419 | $17,006 | $8,977 | 189% | — | 2 |
| Laparoscopic radical prostatectomyCPT 55866 | $20,139 | $10,371 | 194% | $4,417 | 2 |
| Left heart catheterization, diagnosticCPT 93452 | $6,142 | $3,163 | 194% | $3,796 | 2 |
| Lipid panelCPT 80061 | $39 | $13 | 293% | ~$66 | 5 |
| Liver function panelCPT 80076 | $16 | $8 | 200% | ~$44 | 5 |
| Lumbar epidural steroid injectionCPT 62323 | $709 | $689 | 103% | $847 | 3 |
| MRI brain with and without contrastCPT 70553 | $351 | $340 | 103% | ~$2,044 | 7 |
| MRI lower extremity joint (knee)CPT 73721 | $240 | $233 | 103% | ~$1,320 | 5 |
| MRI lumbar spine without contrastCPT 72148 | $240 | $233 | 103% | ~$1,316 | 5 |
| Medical back problems, no MCCMS-DRG 552 | $11,969 | $6,142 | 195% | — | 2 |
| OB ultrasound, 14+ weeksCPT 76805 | $158 | $102 | 154% | ~$533 | 7 |
| Office visit, established patient, level 3CPT 99213 | $70 | — | — | $169 | 7 |
| Office visit, established patient, level 4CPT 99214 | $99 | — | — | $194 | 7 |
| Office visit, new patient, level 3CPT 99203 | $100 | — | — | $169 | 5 |
| Office visit, new patient, level 4CPT 99204 | $153 | — | — | $194 | 7 |
| Office visit, new patient, level 5CPT 99205 | $195 | — | — | $224 | 5 |
| PSA (prostate specific antigen), totalCPT 84153 | $37 | $18 | 202% | ~$51 | 5 |
| Partial thromboplastin timeCPT 85730 | $38 | $6 | 625% | ~$20 | 5 |
| Physical therapy, therapeutic exerciseCPT 97110 | $96 | — | — | $52 | 2 |
| Prostate biopsyCPT 55700 | $99 | — | — | $1,263 | 1 |
| Prothrombin timeCPT 85610 | $27 | $4 | 631% | ~$15 | 5 |
| Psychotherapy, 30 minutesCPT 90832 | $61 | $173 | 35% | $88 | 7 |
| Psychotherapy, 45 minutesCPT 90834 | $81 | $173 | 47% | $131 | 7 |
| Psychotherapy, 60 minutesCPT 90837 | $174 | $173 | 101% | $175 | 9 |
| Renal failure, with CCMS-DRG 683 | $10,905 | $6,320 | 173% | — | 2 |
| Screening mammography, bilateralCPT 77067 | $197 | — | — | ~$173 | 5 |
| Sepsis with MCCMS-DRG 871 | $24,186 | $12,859 | 188% | — | 2 |
| Shoulder arthroscopy, subacromial decompressionCPT 29826 | $1,453 | — | — | $5,226 | 1 |
| Simple pneumonia and pleurisy, with CCMS-DRG 194 | $10,034 | $5,177 | 194% | — | 2 |
| Sleep study (polysomnography)CPT 95810 | $863 | $838 | 103% | $1,882 | 5 |
| Stroke (hemorrhage/infarction), no CC/MCCMS-DRG 066 | $8,522 | $3,679 | 232% | — | 2 |
| Stroke (hemorrhage/infarction), with CC or tPAMS-DRG 065 | $12,579 | $6,559 | 192% | — | 2 |
| Thyroid stimulating hormone (TSH)CPT 84443 | $34 | $17 | 202% | ~$46 | 5 |
| Transforaminal epidural, lumbar/sacralCPT 64483 | $889 | $863 | 103% | $1,080 | 3 |
| Ultrasound, abdomen, completeCPT 76700 | $58 | $102 | 57% | ~$467 | 5 |
| Ultrasound, transvaginalCPT 76830 | $110 | $102 | 108% | ~$356 | 7 |
| Upper GI endoscopy with biopsyCPT 43239 | $2,525 | $885 | 285% | $1,082 | 7 |
| Upper GI endoscopy, diagnosticCPT 43235 | $1,335 | $885 | 151% | $1,082 | 3 |
| Urinalysis, automated, with microscopyCPT 81001 | $43 | $3 | 1345% | ~$22 | 5 |
| Urinalysis, automated, without microscopyCPT 81003 | $2 | $2 | 105% | ~$22 | 5 |
| Urinalysis, manual, with microscopyCPT 81000 | $40 | $4 | 1001% | ~$19 | 2 |
| X-ray, lower back, 4+ viewsCPT 72110 | $57 | $102 | 56% | ~$259 | 5 |
| YAG laser capsulotomy (secondary cataract)CPT 66821 | $1,042 | $537 | 194% | $1,244 | 2 |