| Acute myocardial infarction, discharged alive, with MCCMS-DRG 280 | $21,107 | $11,217 | 188% | — | 2 |
| Basic metabolic panelCPT 80048 | $107 | $8 | 1266% | ~$52 | 5 |
| COPD with MCCMS-DRG 190 | $14,575 | $7,185 | 203% | — | 2 |
| CT abdomen and pelvis with contrastCPT 74177 | $376 | $340 | 110% | ~$1,367 | 7 |
| CT head without contrastCPT 70450 | $113 | $102 | 110% | ~$686 | 7 |
| CT pelvis with contrastCPT 72193 | $136 | $171 | 79% | ~$842 | 5 |
| Cardiac arrhythmia, no CC/MCCMS-DRG 310 | $7,449 | $3,269 | 228% | — | 2 |
| Cardiac stress testCPT 93017 | $348 | $211 | 165% | $372 | 6 |
| Cataract surgery with IOL insertionCPT 66984 | $2,399 | $2,252 | 107% | $3,601 | 4 |
| Cellulitis, no MCCMS-DRG 603 | $11,459 | $5,541 | 207% | — | 2 |
| Cesarean section, no CC/MCCMS-DRG 788 | $12,616 | — | — | — | 2 |
| Cesarean section, with CCMS-DRG 787 | $14,695 | — | — | — | 2 |
| Colonoscopy with biopsyCPT 45380 | $1,288 | $1,168 | 110% | $1,239 | 7 |
| Colonoscopy with polyp removalCPT 45385 | $1,288 | $1,168 | 110% | $1,239 | 7 |
| Complete blood count with differentialCPT 85025 | $8 | $8 | 105% | ~$41 | 7 |
| Complete blood count, automatedCPT 85027 | $43 | $6 | 665% | ~$20 | 5 |
| Comprehensive metabolic panelCPT 80053 | $49 | $11 | 468% | ~$79 | 5 |
| Diagnostic mammography, both breastsCPT 77066 | $72 | — | — | ~$166 | 5 |
| Diagnostic mammography, one breastCPT 77065 | $58 | — | — | ~$121 | 5 |
| ED visit, level 3CPT 99283 | $462 | $266 | 173% | $1,142 | 7 |
| ED visit, level 4CPT 99284 | $168 | $407 | 41% | $1,716 | 7 |
| ED visit, level 5CPT 99285 | $227 | $581 | 39% | $1,961 | 7 |
| Echocardiogram, completeCPT 93306 | $240 | $533 | 45% | $733 | 7 |
| Electrocardiogram with interpretationCPT 93000 | $24 | — | — | $93 | 5 |
| Epidural injection, lumbar/sacral, no imagingCPT 62322 | $1,940 | $863 | 225% | $984 | 2 |
| Esophagitis/GI disorders, no MCCMS-DRG 392 | $10,258 | $4,899 | 209% | — | 2 |
| Family psychotherapy, with patientCPT 90847 | $106 | $173 | 61% | $93 | 4 |
| Family psychotherapy, without patientCPT 90846 | $102 | $173 | 59% | $93 | 6 |
| Group psychotherapyCPT 90853 | $206 | $99 | 207% | $80 | 6 |
| Heart failure and shock, with CCMS-DRG 292 | $11,171 | $5,927 | 188% | — | 2 |
| Heart failure with MCCMS-DRG 291 | $16,892 | $8,551 | 198% | — | 2 |
| Inguinal hernia repair, age 5+CPT 49505 | $2,169 | $3,493 | 62% | $3,536 | 4 |
| Kidney and urinary tract infections, no MCCMS-DRG 690 | $10,651 | $5,238 | 203% | — | 2 |
| Kidney function panelCPT 80069 | $9 | $9 | 100% | ~$23 | 3 |
| Knee arthroscopy with meniscectomyCPT 29881 | $7,175 | $3,192 | 225% | $4,760 | 2 |
| Laparoscopic cholecystectomyCPT 47562 | $1,013 | $5,899 | 17% | $6,589 | 6 |
| Laparoscopic cholecystectomy, no CC/MCCMS-DRG 419 | $17,971 | $8,977 | 200% | — | 2 |
| Laparoscopic radical prostatectomyCPT 55866 | $23,311 | $10,371 | 225% | $4,024 | 2 |
| Left heart catheterization, diagnosticCPT 93452 | $7,110 | $3,163 | 225% | $3,458 | 2 |
| Lipid panelCPT 80061 | $39 | $13 | 293% | ~$60 | 5 |
| Liver function panelCPT 80076 | $16 | $8 | 200% | ~$40 | 5 |
| Lumbar epidural steroid injectionCPT 62323 | $568 | $689 | 82% | $771 | 4 |
| MRI brain with and without contrastCPT 70553 | $171 | $340 | 50% | ~$1,862 | 7 |
| MRI lower extremity joint (knee)CPT 73721 | $242 | $233 | 104% | ~$1,202 | 6 |
| MRI lumbar spine without contrastCPT 72148 | $182 | $233 | 78% | ~$1,199 | 6 |
| Major small and large bowel procedures, with CCMS-DRG 330 | $31,543 | $16,202 | 195% | — | 2 |
| Medical back problems, no MCCMS-DRG 552 | $12,649 | $6,142 | 206% | — | 2 |
| OB ultrasound, 14+ weeksCPT 76805 | $158 | $102 | 154% | ~$486 | 7 |
| Office visit, established patient, level 3CPT 99213 | $70 | — | — | $154 | 7 |
| Office visit, established patient, level 4CPT 99214 | $99 | — | — | $176 | 7 |
| Office visit, new patient, level 3CPT 99203 | $100 | — | — | $154 | 5 |
| Office visit, new patient, level 4CPT 99204 | $153 | — | — | $176 | 7 |
| Office visit, new patient, level 5CPT 99205 | $183 | — | — | $204 | 5 |
| PSA (prostate specific antigen), totalCPT 84153 | $18 | $18 | 98% | ~$47 | 5 |
| Partial thromboplastin timeCPT 85730 | $38 | $6 | 625% | ~$18 | 5 |
| Physical therapy, therapeutic exerciseCPT 97110 | $47 | — | — | $47 | 3 |
| Prostate biopsyCPT 55700 | $99 | — | — | $1,151 | 2 |
| Prothrombin timeCPT 85610 | $27 | $4 | 631% | ~$14 | 5 |
| Psychotherapy, 30 minutesCPT 90832 | $61 | $173 | 35% | $80 | 8 |
| Psychotherapy, 45 minutesCPT 90834 | $81 | $173 | 47% | $120 | 8 |
| Psychotherapy, 60 minutesCPT 90837 | $154 | $173 | 89% | $160 | 10 |
| Renal failure, with CCMS-DRG 683 | $11,524 | $5,868 | 196% | — | 2 |
| Screening mammography, bilateralCPT 77067 | $122 | — | — | ~$157 | 5 |
| Sepsis with MCCMS-DRG 871 | $25,560 | $13,434 | 190% | — | 2 |
| Shoulder arthroscopy, subacromial decompressionCPT 29826 | $1,453 | — | — | $4,760 | 2 |
| Simple pneumonia and pleurisy, with CCMS-DRG 194 | $10,604 | $5,177 | 205% | — | 2 |
| Sleep study (polysomnography)CPT 95810 | $870 | $838 | 104% | $1,714 | 6 |
| Stroke (hemorrhage/infarction), no CC/MCCMS-DRG 066 | $9,005 | $3,679 | 245% | — | 2 |
| Stroke (hemorrhage/infarction), with CC or tPAMS-DRG 065 | $13,294 | $6,559 | 203% | — | 2 |
| Thyroid stimulating hormone (TSH)CPT 84443 | $34 | $17 | 202% | ~$42 | 5 |
| Transforaminal epidural, lumbar/sacralCPT 64483 | $774 | $863 | 90% | $984 | 4 |
| Ultrasound, abdomen, completeCPT 76700 | $56 | $102 | 55% | ~$425 | 6 |
| Ultrasound, transvaginalCPT 76830 | $113 | $102 | 110% | ~$324 | 7 |
| Upper GI endoscopy with biopsyCPT 43239 | $976 | $885 | 110% | $986 | 7 |
| Upper GI endoscopy, diagnosticCPT 43235 | $1,335 | $885 | 151% | $986 | 4 |
| Urinalysis, automated, with microscopyCPT 81001 | $37 | $3 | 1170% | ~$20 | 5 |
| Urinalysis, automated, without microscopyCPT 81003 | $2 | $2 | 105% | ~$20 | 5 |
| Urinalysis, manual, with microscopyCPT 81000 | $28 | $4 | 703% | ~$17 | 3 |
| Vaginal delivery, no sterilization, no CC/MCCMS-DRG 807 | $8,871 | — | — | — | 2 |
| Vaginal delivery, no sterilization, with CCMS-DRG 806 | $9,921 | — | — | — | 2 |
| X-ray, lower back, 4+ viewsCPT 72110 | $48 | $102 | 47% | ~$236 | 6 |
| YAG laser capsulotomy (secondary cataract)CPT 66821 | $1,206 | $537 | 225% | $1,133 | 2 |