| Acute myocardial infarction, discharged alive, with MCCMS-DRG 280 | $39,669 | $13,473 | 294% | — | 5 |
| Bariatric (obesity) surgery, no CC/MCCMS-DRG 621 | $35,329 | $11,012 | 321% | — | 5 |
| Basic metabolic panelCPT 80048 | $109 | $8 | 1290% | ~$28 | 14 |
| COPD with MCCMS-DRG 190 | $27,141 | $8,566 | 317% | — | 5 |
| CT abdomen and pelvis with contrastCPT 74177 | $9,144 | $402 | 2276% | ~$2,400 | 15 |
| CT head without contrastCPT 70450 | $3,312 | $120 | 2751% | ~$869 | 15 |
| CT pelvis with contrastCPT 72193 | $4,080 | $202 | 2020% | ~$1,071 | 15 |
| Cardiac arrhythmia, no CC/MCCMS-DRG 310 | $13,522 | $3,374 | 401% | — | 5 |
| Cardiac stress testCPT 93017 | $1,351 | $249 | 543% | $350 | 15 |
| Cardiac valve surgery with cardiac cath, with MCCMS-DRG 216 | $233,248 | — | — | — | 5 |
| Cataract surgery with IOL insertionCPT 66984 | $7,409 | $2,658 | 279% | — | 5 |
| Cellulitis, no MCCMS-DRG 603 | $21,287 | $7,065 | 301% | — | 5 |
| Cervical spinal fusion, no CC/MCCMS-DRG 473 | $57,215 | $16,343 | 350% | — | 5 |
| Cesarean section, no CC/MCCMS-DRG 788 | $21,865 | — | — | — | 5 |
| Cesarean section, with CCMS-DRG 787 | $25,662 | — | — | — | 5 |
| Chest painMS-DRG 313 | $17,241 | — | — | — | 5 |
| Colonoscopy with biopsyCPT 45380 | $3,752 | $1,378 | 272% | — | 5 |
| Colonoscopy with endoscopic ultrasoundCPT 45391 | $3,752 | $1,378 | 272% | — | 5 |
| Colonoscopy with polyp removalCPT 45385 | $3,752 | $1,378 | 272% | — | 5 |
| Colonoscopy, diagnosticCPT 45378 | $2,906 | $1,071 | 271% | — | 5 |
| Complete blood count with differentialCPT 85025 | $115 | $8 | 1475% | ~$30 | 14 |
| Complete blood count, automatedCPT 85027 | $79 | $6 | 1223% | ~$21 | 14 |
| Comprehensive metabolic panelCPT 80053 | $92 | $11 | 868% | ~$24 | 14 |
| Coronary bypass without cardiac cath, no MCCMS-DRG 236 | $99,381 | $36,320 | 274% | — | 5 |
| Diagnostic mammography, both breastsCPT 77066 | $836 | — | — | ~$218 | 14 |
| ED visit, level 3CPT 99283 | $1,863 | $314 | 593% | $489 | 15 |
| ED visit, level 4CPT 99284 | $2,871 | $480 | 597% | $754 | 15 |
| ED visit, level 5CPT 99285 | $5,036 | $686 | 734% | $1,322 | 15 |
| Echocardiogram, completeCPT 93306 | $4,003 | $629 | 636% | $1,051 | 15 |
| Epidural injection, lumbar/sacral, no imagingCPT 62322 | $2,408 | $1,019 | 236% | $555 | 15 |
| Esophagitis/GI disorders, no MCCMS-DRG 392 | $18,858 | $5,907 | 319% | — | 5 |
| Excision of breast lesionCPT 19120 | $12,119 | $4,509 | 269% | — | 5 |
| Heart failure and shock, with CCMS-DRG 292 | $20,813 | $5,927 | 351% | — | 5 |
| Heart failure with MCCMS-DRG 291 | $31,534 | $10,577 | 298% | — | 5 |
| Hip and femur procedures except major joint, with CCMS-DRG 481 | $50,146 | $17,013 | 295% | — | 5 |
| Hysterectomy, no CC/MCCMS-DRG 743 | $26,416 | $10,098 | 262% | — | 5 |
| Inguinal hernia repair, age 5+CPT 49505 | $11,000 | $4,123 | 267% | — | 5 |
| Kidney and urinary tract infections, no MCCMS-DRG 690 | $19,397 | $5,996 | 323% | — | 5 |
| Kidney function panelCPT 80069 | $72 | $9 | 830% | ~$19 | 14 |
| Knee arthroscopy with meniscectomyCPT 29881 | $10,291 | $3,768 | 273% | — | 5 |
| Laparoscopic cholecystectomyCPT 47562 | $18,345 | $6,962 | 264% | — | 5 |
| Laparoscopic cholecystectomy, no CC/MCCMS-DRG 419 | $31,844 | $8,977 | 355% | — | 5 |
| Laparoscopic radical prostatectomyCPT 55866 | $32,728 | $12,241 | 267% | — | 5 |
| Left heart catheterization, diagnosticCPT 93452 | $23,769 | $3,733 | 637% | $6,239 | 15 |
| Lipid panelCPT 80061 | $161 | $13 | 1200% | ~$42 | 15 |
| Liver function panelCPT 80076 | $83 | $8 | 1019% | ~$22 | 14 |
| Lumbar epidural steroid injectionCPT 62323 | $3,001 | $813 | 369% | $730 | 15 |
| MRI brain with and without contrastCPT 70553 | $4,320 | $402 | 1075% | ~$1,134 | 15 |
| MRI lumbar spine without contrastCPT 72148 | $4,924 | $275 | 1792% | ~$1,293 | 15 |
| Major joint replacement (hip/knee), no MCCMS-DRG 470 | $45,569 | $14,660 | 311% | — | 5 |
| Major joint replacement (hip/knee), with MCCMS-DRG 469 | $78,998 | $27,722 | 285% | — | 5 |
| Major small and large bowel procedures, with CCMS-DRG 330 | $57,126 | $19,751 | 289% | — | 5 |
| Medical back problems, no MCCMS-DRG 552 | $22,654 | $6,142 | 369% | — | 5 |
| OB ultrasound, 14+ weeksCPT 76805 | $1,160 | $120 | 964% | ~$305 | 15 |
| Office visit, established patient, level 3CPT 99213 | $346 | — | — | $82 | 10 |
| Office visit, established patient, level 4CPT 99214 | $414 | — | — | $98 | 10 |
| Office visit, new patient, level 3CPT 99203 | $399 | — | — | $94 | 10 |
| Office visit, new patient, level 4CPT 99204 | $492 | — | — | $116 | 10 |
| Office visit, new patient, level 5CPT 99205 | $633 | — | — | $150 | 10 |
| PSA (prostate specific antigen), totalCPT 84153 | $211 | $18 | 1148% | ~$55 | 14 |
| Partial thromboplastin timeCPT 85730 | $60 | $6 | 995% | ~$16 | 14 |
| Preventive visit, new patient, 18-39CPT 99385 | $348 | — | — | $82 | 12 |
| Preventive visit, new patient, 40-64CPT 99386 | $386 | — | — | $91 | 12 |
| Prostate biopsyCPT 55700 | $4,239 | — | — | $977 | 15 |
| Prothrombin timeCPT 85610 | $82 | $4 | 1914% | ~$21 | 14 |
| Renal failure, with CCMS-DRG 683 | $21,483 | $7,054 | 305% | — | 5 |
| Screening mammography, bilateralCPT 77067 | $714 | — | — | ~$186 | 14 |
| Sepsis with MCCMS-DRG 871 | $45,884 | $16,634 | 276% | — | 5 |
| Simple pneumonia and pleurisy, with CCMS-DRG 194 | $19,818 | $5,177 | 383% | — | 5 |
| Sleep study (polysomnography)CPT 95810 | $7,655 | $989 | 774% | $2,009 | 15 |
| Spinal fusion except cervical, no MCCMS-DRG 460 | $86,151 | $25,413 | 339% | — | 2 |
| Spinal fusion except cervical, with MCCMS-DRG 459 | $156,204 | $51,127 | 306% | — | 2 |
| Stroke (hemorrhage/infarction), no CC/MCCMS-DRG 066 | $16,635 | $3,679 | 452% | — | 5 |
| Stroke (hemorrhage/infarction), with CC or tPAMS-DRG 065 | $24,576 | $7,922 | 310% | — | 5 |
| Thyroid stimulating hormone (TSH)CPT 84443 | $174 | $17 | 1038% | ~$45 | 14 |
| Tonsillectomy and adenoidectomy, under age 12CPT 42820 | $18,619 | $6,817 | 273% | — | 5 |
| Transforaminal epidural, lumbar/sacralCPT 64483 | $2,898 | $1,019 | 285% | — | 5 |
| Ultrasound, abdomen, completeCPT 76700 | $1,468 | $120 | 1219% | ~$385 | 15 |
| Ultrasound, transvaginalCPT 76830 | $1,049 | $120 | 871% | ~$275 | 15 |
| Upper GI endoscopy with biopsyCPT 43239 | $3,386 | $1,044 | 324% | — | 6 |
| Upper GI endoscopy, diagnosticCPT 43235 | $1,663 | $1,044 | 159% | $383 | 15 |
| Urinalysis, automated, with microscopyCPT 81001 | $64 | $3 | 2026% | ~$17 | 14 |
| Urinalysis, automated, without microscopyCPT 81003 | $64 | $2 | 2855% | ~$17 | 14 |
| Urinalysis, manual, with microscopyCPT 81000 | $38 | $4 | 943% | ~$10 | 14 |
| Urinalysis, manual, without microscopyCPT 81002 | $46 | $3 | 1332% | ~$12 | 14 |
| Vaginal delivery, no sterilization, no CC/MCCMS-DRG 807 | $15,402 | — | — | — | 5 |
| Vaginal delivery, no sterilization, with CCMS-DRG 806 | $17,488 | — | — | — | 5 |
| X-ray, lower back, 4+ viewsCPT 72110 | $792 | $120 | 658% | ~$208 | 15 |
| YAG laser capsulotomy (secondary cataract)CPT 66821 | $1,848 | $633 | 292% | — | 5 |