| Acute myocardial infarction, discharged alive, with MCCMS-DRG 280 | $20,738 | $11,217 | 185% | — | 5 |
| Bariatric (obesity) surgery, no CC/MCCMS-DRG 621 | $27,878 | $8,272 | 337% | — | 5 |
| Basic metabolic panelCPT 80048 | $552 | $8 | 6529% | ~$152 | 28 |
| COPD with MCCMS-DRG 190 | $20,738 | $7,377 | 281% | — | 5 |
| CT abdomen and pelvis with contrastCPT 74177 | $11,777 | $340 | 3460% | ~$3,251 | 27 |
| CT head without contrastCPT 70450 | $5,645 | $102 | 5535% | ~$1,558 | 27 |
| CT pelvis with contrastCPT 72193 | $7,707 | $171 | 4503% | ~$2,098 | 25 |
| Cardiac arrhythmia, no CC/MCCMS-DRG 310 | $20,738 | $3,269 | 634% | — | 5 |
| Cardiac stress testCPT 93017 | $1,961 | $211 | 931% | $513 | 23 |
| Cardiac valve surgery with cardiac cath, with MCCMS-DRG 216 | $108,155 | — | — | — | 5 |
| Cataract surgery with IOL insertionCPT 66984 | $9,752 | $2,252 | 433% | — | 7 |
| Cellulitis, no MCCMS-DRG 603 | $20,738 | $5,675 | 365% | — | 5 |
| Cervical spinal fusion, no CC/MCCMS-DRG 473 | $27,553 | $16,343 | 169% | — | 5 |
| Cesarean section, no CC/MCCMS-DRG 788 | $18,556 | — | — | — | 5 |
| Cesarean section, with CCMS-DRG 787 | $18,556 | — | — | — | 5 |
| Chest painMS-DRG 313 | $20,738 | — | — | — | 5 |
| Colonoscopy with biopsyCPT 45380 | $3,944 | $1,168 | 338% | — | 9 |
| Colonoscopy with endoscopic ultrasoundCPT 45391 | $4,845 | $1,168 | 415% | — | 7 |
| Colonoscopy with polyp removalCPT 45385 | $3,944 | $1,168 | 338% | — | 9 |
| Colonoscopy, diagnosticCPT 45378 | $4,845 | $907 | 534% | — | 7 |
| Complete blood count with differentialCPT 85025 | $8 | $8 | 100% | — | 8 |
| Complete blood count, automatedCPT 85027 | $156 | $6 | 2414% | ~$43 | 28 |
| Comprehensive metabolic panelCPT 80053 | $806 | $11 | 7631% | ~$222 | 28 |
| Coronary bypass without cardiac cath, no MCCMS-DRG 236 | $80,065 | $29,950 | 267% | — | 5 |
| Diagnostic mammography, both breastsCPT 77066 | $1,024 | — | — | ~$283 | 28 |
| Diagnostic mammography, one breastCPT 77065 | $884 | — | — | ~$244 | 28 |
| ED visit, level 3CPT 99283 | $1,976 | $266 | 742% | $545 | 30 |
| ED visit, level 4CPT 99284 | $3,226 | $407 | 793% | $869 | 30 |
| ED visit, level 5CPT 99285 | $5,468 | $581 | 941% | $1,410 | 30 |
| Echocardiogram, completeCPT 93306 | $2,176 | $533 | 408% | $569 | 23 |
| Electrocardiogram with interpretationCPT 93000 | $10 | — | — | — | 3 |
| Epidural injection, lumbar/sacral, no imagingCPT 62322 | $3,360 | $863 | 389% | — | 4 |
| Esophagitis/GI disorders, no MCCMS-DRG 392 | $20,738 | $4,899 | 423% | — | 5 |
| Excision of breast lesionCPT 19120 | $6,914 | $3,820 | 181% | — | 8 |
| Family psychotherapy, with patientCPT 90847 | $735 | $173 | 424% | $192 | 23 |
| Group psychotherapyCPT 90853 | $1,382 | $99 | 1394% | $361 | 23 |
| Heart failure and shock, with CCMS-DRG 292 | $20,738 | $5,927 | 350% | — | 5 |
| Heart failure with MCCMS-DRG 291 | $20,738 | $9,423 | 220% | — | 5 |
| Hip and femur procedures except major joint, with CCMS-DRG 481 | $92,229 | $13,876 | 665% | — | 5 |
| Hysterectomy, no CC/MCCMS-DRG 743 | $21,242 | $10,098 | 210% | — | 8 |
| Inguinal hernia repair, age 5+CPT 49505 | $8,061 | $3,493 | 231% | — | 7 |
| Kidney and urinary tract infections, no MCCMS-DRG 690 | $20,738 | $5,238 | 396% | — | 5 |
| Kidney function panelCPT 80069 | $591 | $9 | 6806% | ~$163 | 28 |
| Knee arthroscopy with meniscectomyCPT 29881 | $8,061 | $3,192 | 253% | — | 8 |
| Laparoscopic cholecystectomyCPT 47562 | $12,199 | $5,899 | 207% | — | 8 |
| Laparoscopic cholecystectomy, no CC/MCCMS-DRG 419 | $27,878 | $8,977 | 311% | — | 5 |
| Laparoscopic radical prostatectomyCPT 55866 | $14,968 | $10,371 | 144% | — | 7 |
| Left heart catheterization, diagnosticCPT 93452 | $12,502 | $3,163 | 395% | — | 8 |
| Lipid panelCPT 80061 | $349 | $13 | 2609% | ~$96 | 28 |
| Liver function panelCPT 80076 | $407 | $8 | 4980% | ~$112 | 28 |
| Lumbar epidural steroid injectionCPT 62323 | $3,360 | $689 | 488% | — | 4 |
| MRI brain with and without contrastCPT 70553 | $9,523 | $340 | 2798% | ~$2,592 | 25 |
| MRI lower extremity joint (knee)CPT 73721 | $6,126 | $233 | 2631% | ~$1,668 | 25 |
| MRI lumbar spine without contrastCPT 72148 | $7,347 | $233 | 3156% | ~$2,000 | 25 |
| Major joint replacement (hip/knee), no MCCMS-DRG 470 | $34,416 | $13,045 | 264% | — | 8 |
| Major joint replacement (hip/knee), with MCCMS-DRG 469 | $32,729 | $22,346 | 146% | — | 5 |
| Major small and large bowel procedures, with CCMS-DRG 330 | $27,878 | $16,202 | 172% | — | 5 |
| Medical back problems, no MCCMS-DRG 552 | $20,738 | $6,142 | 338% | — | 5 |
| OB global care, VBAC deliveryCPT 59610 | $6,548 | — | — | — | 3 |
| OB global care, cesarean deliveryCPT 59510 | $6,548 | — | — | — | 3 |
| OB global care, vaginal deliveryCPT 59400 | $6,548 | — | — | — | 3 |
| OB ultrasound, 14+ weeksCPT 76805 | $2,852 | $102 | 2796% | ~$760 | 24 |
| Obstetric blood test panelCPT 80055 | $66 | $48 | 138% | — | 8 |
| Office visit, established patient, level 3CPT 99213 | $452 | — | — | $118 | 21 |
| Office visit, established patient, level 4CPT 99214 | $523 | — | — | $137 | 21 |
| Office visit, new patient, level 3CPT 99203 | $452 | — | — | $118 | 21 |
| Office visit, new patient, level 4CPT 99204 | $523 | — | — | $137 | 21 |
| PSA (prostate specific antigen), totalCPT 84153 | $325 | $18 | 1768% | ~$90 | 28 |
| Partial thromboplastin timeCPT 85730 | $198 | $6 | 3296% | ~$55 | 28 |
| Physical therapy, therapeutic exerciseCPT 97110 | $283 | — | — | $75 | 24 |
| Preventive visit, new patient, 18-39CPT 99385 | $64 | — | — | — | 3 |
| Preventive visit, new patient, 40-64CPT 99386 | $78 | — | — | — | 3 |
| Prostate biopsyCPT 55700 | $4,394 | — | — | — | 6 |
| Prothrombin timeCPT 85610 | $156 | $4 | 3641% | ~$43 | 28 |
| Psychotherapy, 60 minutesCPT 90837 | $708 | $173 | 409% | $185 | 23 |
| Renal failure, with CCMS-DRG 683 | $20,738 | $6,757 | 307% | — | 5 |
| Screening mammography, bilateralCPT 77067 | $635 | — | — | ~$207 | 31 |
| Sepsis with MCCMS-DRG 871 | $20,738 | $14,714 | 141% | — | 5 |
| Shoulder arthroscopy, subacromial decompressionCPT 29826 | $6,914 | — | — | — | 5 |
| Simple pneumonia and pleurisy, with CCMS-DRG 194 | $20,738 | $5,177 | 401% | — | 5 |
| Sleep study (polysomnography)CPT 95810 | $2,635 | $838 | 314% | — | 4 |
| Stroke (hemorrhage/infarction), no CC/MCCMS-DRG 066 | $20,738 | $3,679 | 564% | — | 5 |
| Stroke (hemorrhage/infarction), with CC or tPAMS-DRG 065 | $20,738 | $6,559 | 316% | — | 5 |
| Thyroid stimulating hormone (TSH)CPT 84443 | $325 | $17 | 1936% | ~$90 | 28 |
| Tonsillectomy and adenoidectomy, under age 12CPT 42820 | $9,752 | $5,776 | 169% | — | 7 |
| Transforaminal epidural, lumbar/sacralCPT 64483 | $3,382 | $863 | 392% | — | 7 |
| Ultrasound, abdomen, completeCPT 76700 | $2,809 | $102 | 2754% | ~$749 | 24 |
| Ultrasound, transvaginalCPT 76830 | $2,697 | $102 | 2644% | ~$719 | 24 |
| Upper GI endoscopy with biopsyCPT 43239 | $3,382 | $885 | 382% | — | 9 |
| Upper GI endoscopy, diagnosticCPT 43235 | $3,551 | $885 | 401% | — | 7 |
| Urinalysis, automated, with microscopyCPT 81001 | $126 | $3 | 3964% | ~$35 | 28 |
| Urinalysis, automated, without microscopyCPT 81003 | $54 | $2 | 2383% | ~$15 | 28 |
| Urinalysis, manual, with microscopyCPT 81000 | $4 | $4 | 100% | — | 8 |
| Urinalysis, manual, without microscopyCPT 81002 | $3 | $3 | 100% | — | 8 |
| Vaginal delivery, no sterilization, no CC/MCCMS-DRG 807 | $14,373 | — | — | — | 5 |
| Vaginal delivery, no sterilization, with CCMS-DRG 806 | $14,373 | — | — | — | 5 |
| X-ray, lower back, 4+ viewsCPT 72110 | $2,025 | $102 | 1985% | ~$540 | 24 |
| YAG laser capsulotomy (secondary cataract)CPT 66821 | $3,382 | $537 | 630% | — | 7 |