| Acute myocardial infarction, discharged alive, with MCCMS-DRG 280 | $20,738 | $11,217 | 185% | — | 6 |
| Bariatric (obesity) surgery, no CC/MCCMS-DRG 621 | $27,802 | $8,272 | 336% | — | 6 |
| Basic metabolic panelCPT 80048 | $409 | $8 | 4830% | ~$116 | 27 |
| COPD with MCCMS-DRG 190 | $20,738 | $7,377 | 281% | — | 6 |
| CT abdomen and pelvis with contrastCPT 74177 | $8,052 | $340 | 2366% | ~$1,939 | 25 |
| CT head without contrastCPT 70450 | $4,190 | $102 | 4108% | ~$1,009 | 25 |
| CT pelvis with contrastCPT 72193 | $3,816 | $171 | 2230% | ~$919 | 23 |
| Cardiac arrhythmia, no CC/MCCMS-DRG 310 | $20,738 | $3,269 | 634% | — | 6 |
| Cardiac stress testCPT 93017 | $2,297 | $211 | 1090% | $549 | 22 |
| Cardiac valve surgery with cardiac cath, with MCCMS-DRG 216 | $108,155 | — | — | — | 6 |
| Cataract surgery with IOL insertionCPT 66984 | $9,914 | $2,252 | 440% | — | 7 |
| Cellulitis, no MCCMS-DRG 603 | $20,738 | $5,675 | 365% | — | 6 |
| Cervical spinal fusion, no CC/MCCMS-DRG 473 | $27,553 | $16,343 | 169% | — | 6 |
| Cesarean section, no CC/MCCMS-DRG 788 | $16,369 | — | — | — | 6 |
| Cesarean section, with CCMS-DRG 787 | $16,369 | — | — | — | 6 |
| Chest painMS-DRG 313 | $19,808 | — | — | — | 6 |
| Colonoscopy with biopsyCPT 45380 | $4,845 | $1,168 | 415% | — | 7 |
| Colonoscopy with endoscopic ultrasoundCPT 45391 | $4,845 | $1,168 | 415% | — | 7 |
| Colonoscopy with polyp removalCPT 45385 | $4,845 | $1,168 | 415% | — | 7 |
| Colonoscopy, diagnosticCPT 45378 | $4,845 | $907 | 534% | — | 7 |
| Complete blood count with differentialCPT 85025 | $8 | $8 | 100% | — | 9 |
| Complete blood count, automatedCPT 85027 | $228 | $6 | 3524% | ~$65 | 27 |
| Comprehensive metabolic panelCPT 80053 | $750 | $11 | 7102% | ~$214 | 27 |
| Coronary bypass without cardiac cath, no MCCMS-DRG 236 | $80,065 | $29,950 | 267% | — | 6 |
| Diagnostic mammography, both breastsCPT 77066 | $702 | — | — | ~$178 | 26 |
| Diagnostic mammography, one breastCPT 77065 | $504 | — | — | ~$121 | 26 |
| ED visit, level 3CPT 99283 | $1,145 | $266 | 430% | $218 | 28 |
| ED visit, level 4CPT 99284 | $1,750 | $407 | 430% | $333 | 28 |
| ED visit, level 5CPT 99285 | $2,758 | $581 | 475% | $524 | 26 |
| Echocardiogram, completeCPT 93306 | $3,659 | $533 | 686% | $881 | 23 |
| Electrocardiogram with interpretationCPT 93000 | $10 | — | — | — | 3 |
| Epidural injection, lumbar/sacral, no imagingCPT 62322 | $2,583 | $863 | 299% | — | 4 |
| Esophagitis/GI disorders, no MCCMS-DRG 392 | $20,738 | $4,899 | 423% | — | 6 |
| Excision of breast lesionCPT 19120 | $7,258 | $3,820 | 190% | — | 8 |
| Heart failure and shock, with CCMS-DRG 292 | $20,738 | $5,927 | 350% | — | 6 |
| Heart failure with MCCMS-DRG 291 | $20,738 | $9,264 | 224% | — | 6 |
| Hip and femur procedures except major joint, with CCMS-DRG 481 | $65,842 | $13,876 | 474% | — | 6 |
| Hysterectomy, no CC/MCCMS-DRG 743 | $24,852 | $10,098 | 246% | — | 9 |
| 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% | — | 6 |
| Kidney function panelCPT 80069 | $16 | $9 | 182% | ~$4 | 27 |
| Knee arthroscopy with meniscectomyCPT 29881 | $8,061 | $3,192 | 253% | — | 8 |
| Laparoscopic cholecystectomyCPT 47562 | $12,900 | $5,899 | 219% | — | 8 |
| Laparoscopic cholecystectomy, no CC/MCCMS-DRG 419 | $24,576 | $8,977 | 274% | — | 6 |
| Laparoscopic radical prostatectomyCPT 55866 | $18,654 | $10,371 | 180% | — | 8 |
| Left heart catheterization, diagnosticCPT 93452 | $12,924 | $3,163 | 409% | — | 9 |
| Lipid panelCPT 80061 | $467 | $13 | 3486% | ~$133 | 27 |
| Liver function panelCPT 80076 | $488 | $8 | 5978% | ~$139 | 27 |
| Lumbar epidural steroid injectionCPT 62323 | $2,583 | $689 | 375% | — | 4 |
| MRI brain with and without contrastCPT 70553 | $12,605 | $340 | 3703% | ~$3,036 | 23 |
| MRI lower extremity joint (knee)CPT 73721 | $7,358 | $233 | 3161% | ~$1,772 | 23 |
| MRI lumbar spine without contrastCPT 72148 | $7,555 | $233 | 3245% | ~$1,820 | 23 |
| Major joint replacement (hip/knee), no MCCMS-DRG 470 | $32,729 | $13,045 | 251% | — | 9 |
| Major joint replacement (hip/knee), with MCCMS-DRG 469 | $33,426 | $22,346 | 150% | — | 6 |
| Major small and large bowel procedures, with CCMS-DRG 330 | $27,423 | $16,202 | 169% | — | 6 |
| Medical back problems, no MCCMS-DRG 552 | $20,738 | $6,142 | 338% | — | 6 |
| OB global care, VBAC deliveryCPT 59610 | $7,601 | — | — | — | 3 |
| OB global care, cesarean deliveryCPT 59510 | $7,601 | — | — | — | 3 |
| OB global care, vaginal deliveryCPT 59400 | $7,601 | — | — | — | 3 |
| OB ultrasound, 14+ weeksCPT 76805 | $1,502 | $102 | 1473% | ~$359 | 22 |
| Obstetric blood test panelCPT 80055 | $69 | $48 | 145% | — | 9 |
| Office visit, established patient, level 3CPT 99213 | $422 | — | — | $90 | 19 |
| Office visit, established patient, level 4CPT 99214 | $535 | — | — | $114 | 19 |
| Office visit, new patient, level 3CPT 99203 | $282 | — | — | $60 | 19 |
| Office visit, new patient, level 4CPT 99204 | $562 | — | — | $120 | 19 |
| PSA (prostate specific antigen), totalCPT 84153 | $206 | $18 | 1119% | ~$59 | 27 |
| Partial thromboplastin timeCPT 85730 | $133 | $6 | 2206% | ~$38 | 27 |
| Physical therapy, therapeutic exerciseCPT 97110 | $295 | — | — | $71 | 23 |
| Preventive visit, new patient, 18-39CPT 99385 | $68 | — | — | — | 3 |
| Preventive visit, new patient, 40-64CPT 99386 | $83 | — | — | — | 3 |
| Prostate biopsyCPT 55700 | $4,703 | — | — | — | 6 |
| Prothrombin timeCPT 85610 | $133 | $4 | 3091% | ~$38 | 27 |
| Renal failure, with CCMS-DRG 683 | $20,738 | $5,794 | 358% | — | 6 |
| Screening mammography, bilateralCPT 77067 | $462 | — | — | ~$110 | 27 |
| Sepsis with MCCMS-DRG 871 | $20,738 | $14,603 | 142% | — | 6 |
| Shoulder arthroscopy, subacromial decompressionCPT 29826 | $6,914 | — | — | — | 5 |
| Simple pneumonia and pleurisy, with CCMS-DRG 194 | $20,738 | $5,177 | 401% | — | 6 |
| Sleep study (polysomnography)CPT 95810 | $2,600 | $838 | 310% | — | 4 |
| Stroke (hemorrhage/infarction), no CC/MCCMS-DRG 066 | $20,738 | $3,679 | 564% | — | 6 |
| Stroke (hemorrhage/infarction), with CC or tPAMS-DRG 065 | $20,738 | $6,559 | 316% | — | 6 |
| Thyroid stimulating hormone (TSH)CPT 84443 | $331 | $17 | 1971% | ~$94 | 27 |
| Tonsillectomy and adenoidectomy, under age 12CPT 42820 | $6,914 | $5,776 | 120% | — | 7 |
| Transforaminal epidural, lumbar/sacralCPT 64483 | $3,394 | $863 | 393% | — | 7 |
| Ultrasound, abdomen, completeCPT 76700 | $2,189 | $102 | 2146% | ~$523 | 22 |
| Ultrasound, transvaginalCPT 76830 | $1,480 | $102 | 1451% | ~$354 | 22 |
| 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 | $137 | $3 | 4334% | ~$39 | 27 |
| Urinalysis, automated, without microscopyCPT 81003 | $77 | $2 | 3427% | ~$22 | 27 |
| Urinalysis, manual, with microscopyCPT 81000 | $4 | $4 | 100% | — | 9 |
| Urinalysis, manual, without microscopyCPT 81002 | $109 | $3 | 3121% | ~$31 | 27 |
| Vaginal delivery, no sterilization, no CC/MCCMS-DRG 807 | $13,634 | — | — | — | 6 |
| Vaginal delivery, no sterilization, with CCMS-DRG 806 | $13,634 | — | — | — | 6 |
| X-ray, lower back, 4+ viewsCPT 72110 | $1,224 | $102 | 1200% | ~$293 | 22 |
| YAG laser capsulotomy (secondary cataract)CPT 66821 | $3,394 | $537 | 632% | — | 7 |