| Acute myocardial infarction, discharged alive, with MCCMS-DRG 280 | $20,738 | $10,549 | 197% | — | 5 |
| Bariatric (obesity) surgery, no CC/MCCMS-DRG 621 | $27,878 | $8,272 | 337% | — | 11 |
| Basic metabolic panelCPT 80048 | $262 | $8 | 3101% | ~$109 | 25 |
| COPD with MCCMS-DRG 190 | $20,738 | $7,377 | 281% | — | 5 |
| CT abdomen and pelvis with contrastCPT 74177 | $2,348 | $361 | 650% | ~$857 | 22 |
| CT head without contrastCPT 70450 | $1,735 | $108 | 1604% | ~$536 | 22 |
| CT pelvis with contrastCPT 72193 | $1,863 | $181 | 1026% | ~$618 | 22 |
| Cardiac arrhythmia, no CC/MCCMS-DRG 310 | $20,738 | $2,967 | 699% | — | 5 |
| Cardiac stress testCPT 93017 | $1,660 | $223 | 743% | $407 | 18 |
| Cardiac valve surgery with cardiac cath, with MCCMS-DRG 216 | $85,517 | — | — | — | 8 |
| Cataract surgery with IOL insertionCPT 66984 | $6,420 | $2,388 | 269% | — | 12 |
| Cellulitis, no MCCMS-DRG 603 | $18,520 | $4,647 | 399% | — | 8 |
| Cervical spinal fusion, no CC/MCCMS-DRG 473 | $27,553 | $16,343 | 169% | — | 12 |
| Cesarean section, no CC/MCCMS-DRG 788 | $12,107 | — | — | — | 15 |
| Cesarean section, with CCMS-DRG 787 | $12,107 | — | — | — | 15 |
| Chest painMS-DRG 313 | $20,738 | — | — | — | 5 |
| Colonoscopy with biopsyCPT 45380 | $3,166 | $1,238 | 256% | — | 12 |
| Colonoscopy with endoscopic ultrasoundCPT 45391 | $3,166 | $1,238 | 256% | — | 12 |
| Colonoscopy with polyp removalCPT 45385 | $3,166 | $1,238 | 256% | — | 12 |
| Colonoscopy, diagnosticCPT 45378 | $2,829 | $962 | 294% | — | 12 |
| Complete blood count with differentialCPT 85025 | $31 | $8 | 404% | — | 11 |
| Complete blood count, automatedCPT 85027 | $86 | $6 | 1326% | ~$36 | 25 |
| Comprehensive metabolic panelCPT 80053 | $370 | $11 | 3499% | ~$154 | 25 |
| Coronary bypass without cardiac cath, no MCCMS-DRG 236 | $69,090 | $29,950 | 231% | — | 8 |
| Diagnostic mammography, both breastsCPT 77066 | $410 | — | — | ~$100 | 24 |
| Diagnostic mammography, one breastCPT 77065 | $366 | — | — | ~$90 | 24 |
| ED visit, level 3CPT 99283 | $1,810 | $282 | 641% | $406 | 27 |
| ED visit, level 4CPT 99284 | $2,479 | $432 | 574% | $557 | 27 |
| ED visit, level 5CPT 99285 | $3,590 | $616 | 583% | $728 | 27 |
| Echocardiogram, completeCPT 93306 | $4,428 | $565 | 783% | $1,086 | 18 |
| Electrocardiogram with interpretationCPT 93000 | $11 | — | — | — | 2 |
| Epidural injection, lumbar/sacral, no imagingCPT 62322 | $2,338 | $915 | 255% | — | 9 |
| Esophagitis/GI disorders, no MCCMS-DRG 392 | $17,779 | $4,632 | 384% | — | 8 |
| Excision of breast lesionCPT 19120 | $5,871 | $4,051 | 145% | — | 13 |
| Heart failure and shock, with CCMS-DRG 292 | $20,738 | $5,927 | 350% | — | 5 |
| Heart failure with MCCMS-DRG 291 | $20,738 | $8,712 | 238% | — | 5 |
| Hip and femur procedures except major joint, with CCMS-DRG 481 | $29,312 | $13,876 | 211% | — | 12 |
| Hysterectomy, no CC/MCCMS-DRG 743 | $20,636 | $10,098 | 204% | — | 8 |
| Inguinal hernia repair, age 5+CPT 49505 | $5,978 | $3,704 | 161% | — | 12 |
| Kidney and urinary tract infections, no MCCMS-DRG 690 | $18,520 | $4,686 | 395% | — | 8 |
| Kidney function panelCPT 80069 | $273 | $9 | 3147% | ~$127 | 24 |
| Knee arthroscopy with meniscectomyCPT 29881 | $8,061 | $3,385 | 238% | — | 13 |
| Laparoscopic cholecystectomyCPT 47562 | $7,385 | $6,255 | 118% | — | 13 |
| Laparoscopic cholecystectomy, no CC/MCCMS-DRG 419 | $27,878 | $8,977 | 311% | — | 5 |
| Laparoscopic radical prostatectomyCPT 55866 | $14,569 | $10,998 | 132% | — | 12 |
| Left heart catheterization, diagnosticCPT 93452 | $11,656 | $3,354 | 348% | — | 13 |
| Lipid panelCPT 80061 | $273 | $13 | 2040% | ~$127 | 24 |
| Liver function panelCPT 80076 | $206 | $8 | 2523% | ~$96 | 24 |
| Lumbar epidural steroid injectionCPT 62323 | $2,338 | $730 | 320% | — | 9 |
| MRI brain with and without contrastCPT 70553 | $4,592 | $361 | 1272% | ~$1,136 | 19 |
| MRI lower extremity joint (knee)CPT 73721 | $5,931 | $247 | 2402% | ~$1,468 | 19 |
| MRI lumbar spine without contrastCPT 72148 | $4,710 | $247 | 1908% | ~$1,166 | 19 |
| Major joint replacement (hip/knee), no MCCMS-DRG 470 | $29,075 | $13,045 | 223% | — | 12 |
| Major joint replacement (hip/knee), with MCCMS-DRG 469 | $29,732 | $22,346 | 133% | — | 12 |
| 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 | $6,170 | 336% | — | 5 |
| OB global care, VBAC deliveryCPT 59610 | $5,871 | — | — | — | 7 |
| OB global care, cesarean deliveryCPT 59510 | $5,871 | — | — | — | 7 |
| OB global care, vaginal deliveryCPT 59400 | $5,871 | — | — | — | 7 |
| OB ultrasound, 14+ weeksCPT 76805 | $814 | $108 | 753% | ~$297 | 22 |
| Obstetric blood test panelCPT 80055 | $193 | $48 | 404% | — | 11 |
| Office visit, established patient, level 3CPT 99213 | $317 | — | — | $71 | 14 |
| PSA (prostate specific antigen), totalCPT 84153 | $192 | $18 | 1041% | ~$89 | 24 |
| Partial thromboplastin timeCPT 85730 | $101 | $6 | 1673% | ~$42 | 25 |
| Physical therapy, therapeutic exerciseCPT 97110 | $112 | — | — | $25 | 17 |
| Preventive visit, new patient, 18-39CPT 99385 | $75 | — | — | — | 2 |
| Preventive visit, new patient, 40-64CPT 99386 | $91 | — | — | — | 2 |
| Prostate biopsyCPT 55700 | $3,060 | — | — | — | 11 |
| Prothrombin timeCPT 85610 | $101 | $4 | 2344% | ~$42 | 25 |
| Renal failure, with CCMS-DRG 683 | $18,520 | $5,698 | 325% | — | 8 |
| Screening mammography, bilateralCPT 77067 | $404 | — | — | ~$100 | 25 |
| Sepsis with MCCMS-DRG 871 | $20,658 | $11,967 | 173% | — | 8 |
| Shoulder arthroscopy, subacromial decompressionCPT 29826 | $4,475 | — | — | — | 9 |
| Simple pneumonia and pleurisy, with CCMS-DRG 194 | $20,658 | $5,177 | 399% | — | 8 |
| Sleep study (polysomnography)CPT 95810 | $2,735 | $888 | 308% | — | 5 |
| 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 | $5,654 | 367% | — | 5 |
| Thyroid stimulating hormone (TSH)CPT 84443 | $262 | $17 | 1561% | ~$122 | 24 |
| Tonsillectomy and adenoidectomy, under age 12CPT 42820 | $6,144 | $6,125 | 100% | — | 12 |
| Transforaminal epidural, lumbar/sacralCPT 64483 | $2,362 | $915 | 258% | — | 12 |
| Ultrasound, abdomen, completeCPT 76700 | $1,314 | $108 | 1215% | ~$426 | 21 |
| Ultrasound, transvaginalCPT 76830 | $768 | $108 | 710% | ~$245 | 22 |
| Upper GI endoscopy with biopsyCPT 43239 | $2,829 | $938 | 301% | — | 12 |
| Upper GI endoscopy, diagnosticCPT 43235 | $2,385 | $938 | 254% | — | 12 |
| Urinalysis, automated, with microscopyCPT 81001 | $94 | $3 | 2981% | ~$39 | 25 |
| Urinalysis, automated, without microscopyCPT 81003 | $46 | $2 | 2050% | ~$19 | 25 |
| Urinalysis, manual, with microscopyCPT 81000 | $16 | $4 | 404% | — | 11 |
| Urinalysis, manual, without microscopyCPT 81002 | $14 | $3 | 404% | — | 11 |
| Vaginal delivery, no sterilization, no CC/MCCMS-DRG 807 | $12,107 | — | — | — | 14 |
| Vaginal delivery, no sterilization, with CCMS-DRG 806 | $12,107 | — | — | — | 14 |
| X-ray, lower back, 4+ viewsCPT 72110 | $600 | $108 | 555% | ~$195 | 21 |
| YAG laser capsulotomy (secondary cataract)CPT 66821 | $2,385 | $569 | 419% | — | 12 |