| Acute myocardial infarction, discharged alive, with MCCMS-DRG 280 | $37,713 | $13,763 | 274% | — | 9 |
| Bariatric (obesity) surgery, no CC/MCCMS-DRG 621 | $33,858 | $11,524 | 294% | — | 9 |
| Basic metabolic panelCPT 80048 | $30 | $8 | 351% | ~$18 | 10 |
| COPD with MCCMS-DRG 190 | $25,776 | $7,377 | 349% | — | 9 |
| CT abdomen and pelvis with contrastCPT 74177 | $1,918 | $405 | 473% | ~$1,149 | 10 |
| CT head without contrastCPT 70450 | $650 | $121 | 536% | ~$414 | 10 |
| CT pelvis with contrastCPT 72193 | $1,165 | $204 | 572% | ~$759 | 10 |
| Cardiac arrhythmia, no CC/MCCMS-DRG 310 | $12,959 | $3,269 | 396% | — | 9 |
| Cardiac stress testCPT 93017 | $798 | $251 | 318% | $300 | 10 |
| Cardiac valve surgery with cardiac cath, with MCCMS-DRG 216 | $225,710 | — | — | — | 9 |
| Cataract surgery with IOL insertionCPT 66984 | $5,770 | $2,680 | 215% | $1,800 | 10 |
| Cellulitis, no MCCMS-DRG 603 | $20,401 | $7,252 | 281% | — | 9 |
| Cervical spinal fusion, no CC/MCCMS-DRG 473 | $55,366 | $16,343 | 339% | — | 9 |
| Cesarean section, no CC/MCCMS-DRG 788 | $18,649 | — | — | — | 6 |
| Cesarean section, with CCMS-DRG 787 | $22,509 | — | — | — | 6 |
| Chest painMS-DRG 313 | $16,684 | — | — | — | 9 |
| Colonoscopy with biopsyCPT 45380 | $2,889 | $1,390 | 208% | $1,284 | 10 |
| Colonoscopy with endoscopic ultrasoundCPT 45391 | $3,287 | $1,390 | 237% | $1,223 | 10 |
| Colonoscopy with polyp removalCPT 45385 | $3,287 | $1,390 | 237% | $1,223 | 10 |
| Colonoscopy, diagnosticCPT 45378 | $2,646 | $1,080 | 245% | $1,163 | 10 |
| Complete blood count with differentialCPT 85025 | $43 | $8 | 557% | ~$30 | 10 |
| Complete blood count, automatedCPT 85027 | $34 | $6 | 526% | ~$24 | 10 |
| Comprehensive metabolic panelCPT 80053 | $36 | $11 | 344% | ~$22 | 10 |
| Coronary bypass without cardiac cath, no MCCMS-DRG 236 | $95,749 | $35,401 | 270% | — | 9 |
| Diagnostic mammography, both breastsCPT 77066 | $373 | — | — | ~$173 | 10 |
| Diagnostic mammography, one breastCPT 77065 | $306 | — | — | ~$142 | 10 |
| ED visit, level 3CPT 99283 | $1,020 | $317 | 322% | $495 | 10 |
| ED visit, level 4CPT 99284 | $1,606 | $485 | 331% | $792 | 10 |
| ED visit, level 5CPT 99285 | $2,262 | $692 | 327% | $1,100 | 10 |
| Echocardiogram, completeCPT 93306 | $1,524 | $635 | 240% | $470 | 10 |
| Epidural injection, lumbar/sacral, no imagingCPT 62322 | $2,188 | $1,027 | 213% | $674 | 10 |
| Esophagitis/GI disorders, no MCCMS-DRG 392 | $18,141 | $6,225 | 291% | — | 9 |
| Excision of breast lesionCPT 19120 | $9,532 | $4,547 | 210% | $3,181 | 10 |
| Family psychotherapy, with patientCPT 90847 | $118 | $206 | 57% | $50 | 10 |
| Family psychotherapy, without patientCPT 90846 | $118 | $206 | 57% | $50 | 10 |
| Group psychotherapyCPT 90853 | $68 | $118 | 58% | $29 | 10 |
| Heart failure and shock, with CCMS-DRG 292 | $19,947 | $5,927 | 337% | — | 9 |
| Heart failure with MCCMS-DRG 291 | $30,046 | $11,372 | 264% | — | 9 |
| Hip and femur procedures except major joint, with CCMS-DRG 481 | $48,526 | $18,367 | 264% | — | 9 |
| Hysterectomy, no CC/MCCMS-DRG 743 | $27,764 | $10,098 | 275% | — | 9 |
| Inguinal hernia repair, age 5+CPT 49505 | $11,070 | $4,158 | 266% | $4,805 | 10 |
| Kidney and urinary tract infections, no MCCMS-DRG 690 | $18,678 | $7,058 | 265% | — | 9 |
| Kidney function panelCPT 80069 | $29 | $9 | 334% | ~$17 | 10 |
| Knee arthroscopy with meniscectomyCPT 29881 | $7,996 | $3,800 | 210% | $2,425 | 10 |
| Laparoscopic cholecystectomyCPT 47562 | $15,703 | $7,020 | 224% | $6,035 | 10 |
| Laparoscopic cholecystectomy, no CC/MCCMS-DRG 419 | $30,637 | $10,957 | 280% | — | 9 |
| Laparoscopic radical prostatectomyCPT 55866 | $23,335 | $12,344 | 189% | $7,726 | 10 |
| Left heart catheterization, diagnosticCPT 93452 | $10,064 | $3,765 | 267% | $4,253 | 10 |
| Lipid panelCPT 80061 | $52 | $13 | 388% | ~$33 | 10 |
| Liver function panelCPT 80076 | $27 | $8 | 335% | ~$16 | 10 |
| Lumbar epidural steroid injectionCPT 62323 | $1,969 | $820 | 240% | $774 | 10 |
| MRI brain with and without contrastCPT 70553 | $1,630 | $405 | 402% | ~$900 | 10 |
| MRI lower extremity joint (knee)CPT 73721 | $1,051 | $277 | 379% | ~$574 | 10 |
| MRI lumbar spine without contrastCPT 72148 | $1,161 | $277 | 419% | ~$670 | 10 |
| Major joint replacement (hip/knee), no MCCMS-DRG 470 | $43,672 | $15,184 | 288% | — | 9 |
| Major joint replacement (hip/knee), with MCCMS-DRG 469 | $75,132 | $22,346 | 336% | — | 9 |
| Major small and large bowel procedures, with CCMS-DRG 330 | $55,280 | $20,708 | 267% | — | 9 |
| Medical back problems, no MCCMS-DRG 552 | $22,369 | $7,974 | 281% | — | 9 |
| OB ultrasound, 14+ weeksCPT 76805 | $481 | $121 | 397% | ~$268 | 10 |
| Obstetric blood test panelCPT 80055 | $122 | $48 | 255% | ~$67 | 10 |
| Office visit, established patient, level 3CPT 99213 | $99 | — | — | $44 | 9 |
| Office visit, established patient, level 4CPT 99214 | $99 | — | — | $44 | 9 |
| Office visit, new patient, level 3CPT 99203 | $99 | — | — | $44 | 9 |
| Office visit, new patient, level 4CPT 99204 | $99 | — | — | $44 | 9 |
| Office visit, new patient, level 5CPT 99205 | $99 | — | — | $44 | 9 |
| PSA (prostate specific antigen), totalCPT 84153 | $61 | $18 | 333% | ~$36 | 10 |
| Partial thromboplastin timeCPT 85730 | $31 | $6 | 522% | ~$22 | 10 |
| Percutaneous cardiac stent, no MCCMS-DRG 247 | $36,376 | — | — | — | 4 |
| Physical therapy, therapeutic exerciseCPT 97110 | $94 | — | — | $44 | 10 |
| Prostate biopsyCPT 55700 | $5,023 | — | — | $1,632 | 10 |
| Prothrombin timeCPT 85610 | $23 | $4 | 531% | ~$16 | 10 |
| Psychotherapy, 30 minutesCPT 90832 | $118 | $206 | 57% | $50 | 10 |
| Psychotherapy, 45 minutesCPT 90834 | $118 | $206 | 57% | $50 | 10 |
| Psychotherapy, 60 minutesCPT 90837 | $118 | $206 | 57% | $50 | 10 |
| Renal failure, with CCMS-DRG 683 | $20,589 | $7,312 | 282% | — | 9 |
| Screening mammography, bilateralCPT 77067 | $312 | — | — | ~$146 | 10 |
| Sepsis with MCCMS-DRG 871 | $45,446 | $19,367 | 235% | — | 9 |
| Shoulder arthroscopy, subacromial decompressionCPT 29826 | $3,881 | — | — | $1,724 | 9 |
| Simple pneumonia and pleurisy, with CCMS-DRG 194 | $18,993 | $6,720 | 283% | — | 9 |
| Sleep study (polysomnography)CPT 95810 | $3,043 | $997 | 305% | $1,214 | 10 |
| Spinal fusion except cervical, no MCCMS-DRG 460 | $80,251 | $30,343 | 264% | — | 6 |
| Spinal fusion except cervical, with MCCMS-DRG 459 | $136,771 | $51,127 | 268% | — | 6 |
| Stroke (hemorrhage/infarction), no CC/MCCMS-DRG 066 | $15,942 | $3,679 | 433% | — | 9 |
| Stroke (hemorrhage/infarction), with CC or tPAMS-DRG 065 | $23,553 | $8,416 | 280% | — | 9 |
| Thyroid stimulating hormone (TSH)CPT 84443 | $67 | $17 | 399% | ~$43 | 10 |
| Tonsillectomy and adenoidectomy, under age 12CPT 42820 | $12,806 | $6,874 | 186% | $3,978 | 10 |
| Transforaminal epidural, lumbar/sacralCPT 64483 | $2,522 | $1,027 | 246% | $993 | 10 |
| Ultrasound, abdomen, completeCPT 76700 | $453 | $121 | 373% | ~$243 | 10 |
| Ultrasound, transvaginalCPT 76830 | $500 | $121 | 412% | ~$234 | 10 |
| Upper GI endoscopy with biopsyCPT 43239 | $2,647 | $1,053 | 251% | $1,176 | 10 |
| Upper GI endoscopy, diagnosticCPT 43235 | $2,382 | $1,053 | 226% | $1,058 | 10 |
| Urinalysis, automated, with microscopyCPT 81001 | $17 | $3 | 523% | ~$12 | 10 |
| Urinalysis, automated, without microscopyCPT 81003 | $11 | $2 | 487% | ~$7 | 10 |
| Urinalysis, manual, with microscopyCPT 81000 | $15 | $4 | 380% | ~$10 | 10 |
| Urinalysis, manual, without microscopyCPT 81002 | $14 | $3 | 413% | ~$9 | 10 |
| Vaginal delivery, no sterilization, no CC/MCCMS-DRG 807 | $13,144 | — | — | — | 6 |
| Vaginal delivery, no sterilization, with CCMS-DRG 806 | $14,795 | — | — | — | 6 |
| X-ray, lower back, 4+ viewsCPT 72110 | $390 | $121 | 321% | ~$193 | 10 |
| YAG laser capsulotomy (secondary cataract)CPT 66821 | $1,732 | $639 | 271% | $722 | 10 |