| Acute myocardial infarction, discharged alive, with MCCMS-DRG 280 | $22,563 | $10,435 | 216% | — | 7 |
| Bariatric (obesity) surgery, no CC/MCCMS-DRG 621 | $27,878 | $8,272 | 337% | — | 7 |
| Basic metabolic panelCPT 80048 | $300 | $8 | 3550% | ~$55 | 29 |
| COPD with MCCMS-DRG 190 | $20,738 | $7,377 | 281% | — | 7 |
| CT abdomen and pelvis with contrastCPT 74177 | $5,010 | $340 | 1472% | ~$910 | 28 |
| CT head without contrastCPT 70450 | $2,437 | $102 | 2389% | ~$428 | 28 |
| CT pelvis with contrastCPT 72193 | $3,685 | $171 | 2153% | ~$647 | 26 |
| Cardiac arrhythmia, no CC/MCCMS-DRG 310 | $20,738 | $3,269 | 634% | — | 7 |
| Cardiac stress testCPT 93017 | $2,703 | $211 | 1283% | $474 | 24 |
| Cardiac valve surgery with cardiac cath, with MCCMS-DRG 216 | $108,155 | — | — | — | 7 |
| Cataract surgery with IOL insertionCPT 66984 | $10,007 | $2,252 | 444% | — | 7 |
| Cellulitis, no MCCMS-DRG 603 | $20,738 | $6,117 | 339% | — | 7 |
| Cervical spinal fusion, no CC/MCCMS-DRG 473 | $34,109 | $16,343 | 209% | — | 10 |
| Cesarean section, no CC/MCCMS-DRG 788 | $14,147 | — | — | — | 10 |
| Cesarean section, with CCMS-DRG 787 | $14,147 | — | — | — | 10 |
| Chest painMS-DRG 313 | $20,331 | — | — | — | 7 |
| Colonoscopy with biopsyCPT 45380 | $4,184 | $1,168 | 358% | — | 9 |
| Colonoscopy with endoscopic ultrasoundCPT 45391 | $4,845 | $1,168 | 415% | — | 7 |
| Colonoscopy with polyp removalCPT 45385 | $4,184 | $1,168 | 358% | — | 9 |
| Colonoscopy, diagnosticCPT 45378 | $4,845 | $907 | 534% | — | 7 |
| Complete blood count with differentialCPT 85025 | $8 | $8 | 100% | — | 8 |
| Complete blood count, automatedCPT 85027 | $199 | $6 | 3073% | ~$36 | 29 |
| Comprehensive metabolic panelCPT 80053 | $611 | $11 | 5782% | ~$111 | 29 |
| Coronary bypass without cardiac cath, no MCCMS-DRG 236 | $80,065 | $29,950 | 267% | — | 7 |
| Diagnostic mammography, both breastsCPT 77066 | $839 | — | — | ~$152 | 29 |
| Diagnostic mammography, one breastCPT 77065 | $728 | — | — | ~$132 | 29 |
| ED visit, level 3CPT 99283 | $1,654 | $266 | 621% | $296 | 31 |
| ED visit, level 4CPT 99284 | $2,508 | $407 | 616% | $404 | 31 |
| ED visit, level 5CPT 99285 | $4,007 | $581 | 690% | $671 | 31 |
| Echocardiogram, completeCPT 93306 | $2,292 | $533 | 430% | $411 | 25 |
| Electrocardiogram with interpretationCPT 93000 | $10 | — | — | — | 3 |
| Epidural injection, lumbar/sacral, no imagingCPT 62322 | $2,905 | $863 | 337% | — | 4 |
| Esophagitis/GI disorders, no MCCMS-DRG 392 | $20,738 | $5,220 | 397% | — | 7 |
| Excision of breast lesionCPT 19120 | $7,142 | $3,820 | 187% | — | 9 |
| Heart failure and shock, with CCMS-DRG 292 | $24,464 | $5,927 | 413% | — | 7 |
| Heart failure with MCCMS-DRG 291 | $24,464 | $9,547 | 256% | — | 7 |
| Hip and femur procedures except major joint, with CCMS-DRG 481 | $44,255 | $15,155 | 292% | — | 10 |
| Hysterectomy, no CC/MCCMS-DRG 743 | $27,878 | $10,098 | 276% | — | 7 |
| Inguinal hernia repair, age 5+CPT 49505 | $8,061 | $3,493 | 231% | — | 7 |
| Kidney and urinary tract infections, no MCCMS-DRG 690 | $20,738 | $5,718 | 363% | — | 7 |
| Kidney function panelCPT 80069 | $550 | $9 | 6331% | ~$100 | 28 |
| Knee arthroscopy with meniscectomyCPT 29881 | $8,061 | $3,192 | 253% | — | 9 |
| Laparoscopic cholecystectomyCPT 47562 | $12,199 | $5,899 | 207% | — | 9 |
| Laparoscopic cholecystectomy, no CC/MCCMS-DRG 419 | $27,878 | $8,977 | 311% | — | 7 |
| Laparoscopic radical prostatectomyCPT 55866 | $20,510 | $10,371 | 198% | — | 7 |
| Left heart catheterization, diagnosticCPT 93452 | $12,924 | $3,163 | 409% | — | 9 |
| Lipid panelCPT 80061 | $376 | $13 | 2805% | ~$68 | 29 |
| Liver function panelCPT 80076 | $494 | $8 | 6048% | ~$90 | 28 |
| Lumbar epidural steroid injectionCPT 62323 | $2,905 | $689 | 422% | — | 4 |
| MRI brain with and without contrastCPT 70553 | $5,486 | $340 | 1612% | ~$990 | 26 |
| MRI lower extremity joint (knee)CPT 73721 | $5,361 | $233 | 2303% | ~$974 | 29 |
| MRI lumbar spine without contrastCPT 72148 | $4,868 | $233 | 2091% | ~$878 | 26 |
| Major joint replacement (hip/knee), no MCCMS-DRG 470 | $35,151 | $13,752 | 256% | — | 10 |
| Major joint replacement (hip/knee), with MCCMS-DRG 469 | $43,039 | $22,346 | 193% | — | 10 |
| Major small and large bowel procedures, with CCMS-DRG 330 | $27,878 | $16,441 | 170% | — | 7 |
| Medical back problems, no MCCMS-DRG 552 | $20,738 | $6,142 | 338% | — | 7 |
| OB global care, VBAC deliveryCPT 59610 | $7,142 | — | — | — | 3 |
| OB global care, cesarean deliveryCPT 59510 | $7,142 | — | — | — | 3 |
| OB global care, vaginal deliveryCPT 59400 | $7,142 | — | — | — | 3 |
| OB ultrasound, 14+ weeksCPT 76805 | $1,341 | $102 | 1314% | ~$235 | 24 |
| Obstetric blood test panelCPT 80055 | $70 | $48 | 147% | — | 8 |
| Office visit, established patient, level 3CPT 99213 | $452 | — | — | $78 | 21 |
| Office visit, new patient, level 3CPT 99203 | $382 | — | — | $66 | 21 |
| Office visit, new patient, level 4CPT 99204 | $518 | — | — | $89 | 21 |
| PSA (prostate specific antigen), totalCPT 84153 | $300 | $18 | 1633% | ~$55 | 28 |
| Partial thromboplastin timeCPT 85730 | $209 | $6 | 3473% | ~$38 | 28 |
| Percutaneous cardiac stent, no MCCMS-DRG 247 | $55,754 | — | — | — | 1 |
| Physical therapy, therapeutic exerciseCPT 97110 | $134 | — | — | $23 | 25 |
| Preventive visit, new patient, 18-39CPT 99385 | $68 | — | — | — | 3 |
| Preventive visit, new patient, 40-64CPT 99386 | $83 | — | — | — | 3 |
| Prostate biopsyCPT 55700 | $4,514 | — | — | — | 6 |
| Prothrombin timeCPT 85610 | $135 | $4 | 3145% | ~$25 | 28 |
| Renal failure, with CCMS-DRG 683 | $20,738 | $6,168 | 336% | — | 7 |
| Screening mammography, bilateralCPT 77067 | $450 | — | — | ~$97 | 32 |
| Sepsis with MCCMS-DRG 871 | $20,738 | $13,475 | 154% | — | 7 |
| Shoulder arthroscopy, subacromial decompressionCPT 29826 | $6,914 | — | — | — | 6 |
| Simple pneumonia and pleurisy, with CCMS-DRG 194 | $20,738 | $5,177 | 401% | — | 7 |
| Sleep study (polysomnography)CPT 95810 | $2,742 | $838 | 327% | — | 4 |
| Stroke (hemorrhage/infarction), no CC/MCCMS-DRG 066 | $20,738 | $3,679 | 564% | — | 7 |
| Stroke (hemorrhage/infarction), with CC or tPAMS-DRG 065 | $20,738 | $7,197 | 288% | — | 7 |
| Thyroid stimulating hormone (TSH)CPT 84443 | $248 | $17 | 1479% | ~$45 | 29 |
| Tonsillectomy and adenoidectomy, under age 12CPT 42820 | $6,914 | $5,776 | 120% | — | 7 |
| Transforaminal epidural, lumbar/sacralCPT 64483 | $3,551 | $863 | 411% | — | 7 |
| Ultrasound, abdomen, completeCPT 76700 | $2,140 | $102 | 2098% | ~$376 | 24 |
| Ultrasound, transvaginalCPT 76830 | $2,026 | $102 | 1987% | ~$368 | 27 |
| Upper GI endoscopy with biopsyCPT 43239 | $4,845 | $885 | 548% | — | 7 |
| Upper GI endoscopy, diagnosticCPT 43235 | $3,551 | $885 | 401% | — | 7 |
| Urinalysis, automated, with microscopyCPT 81001 | $146 | $3 | 4614% | ~$27 | 29 |
| Urinalysis, automated, without microscopyCPT 81003 | $58 | $2 | 2588% | ~$11 | 29 |
| Urinalysis, manual, with microscopyCPT 81000 | $4 | $4 | 100% | — | 8 |
| Urinalysis, manual, without microscopyCPT 81002 | $92 | $3 | 2632% | ~$17 | 28 |
| Vaginal delivery, no sterilization, no CC/MCCMS-DRG 807 | $12,938 | — | — | — | 10 |
| Vaginal delivery, no sterilization, with CCMS-DRG 806 | $12,938 | — | — | — | 10 |
| X-ray, lower back, 4+ viewsCPT 72110 | $1,508 | $102 | 1479% | ~$270 | 25 |
| YAG laser capsulotomy (secondary cataract)CPT 66821 | $4,845 | $537 | 903% | — | 7 |