| Acute myocardial infarction, discharged alive, with MCCMS-DRG 280 | $29,041 | $12,325 | 236% | — | 3 |
| Bariatric (obesity) surgery, no CC/MCCMS-DRG 621 | $27,308 | $8,272 | 330% | — | 3 |
| Basic metabolic panelCPT 80048 | $15 | $8 | 179% | ~$35 | 12 |
| COPD with MCCMS-DRG 190 | $20,054 | $8,812 | 228% | — | 3 |
| CT abdomen and pelvis with contrastCPT 74177 | $847 | $389 | 218% | ~$789 | 13 |
| CT head without contrastCPT 70450 | $279 | $116 | 239% | ~$396 | 12 |
| CT pelvis with contrastCPT 72193 | $443 | $195 | 227% | ~$603 | 9 |
| Cardiac arrhythmia, no CC/MCCMS-DRG 310 | $10,249 | $3,429 | 299% | — | 3 |
| Cardiac stress testCPT 93017 | $383 | $241 | 159% | $282 | 7 |
| Cardiac valve surgery with cardiac cath, with MCCMS-DRG 216 | $177,108 | — | — | — | 3 |
| Cataract surgery with IOL insertionCPT 66984 | $6,549 | $2,572 | 255% | $995 | 8 |
| Cellulitis, no MCCMS-DRG 603 | $15,767 | $6,507 | 242% | — | 3 |
| Cervical spinal fusion, no CC/MCCMS-DRG 473 | $44,197 | $16,343 | 270% | — | 3 |
| Cesarean section, no CC/MCCMS-DRG 788 | $17,358 | — | — | — | 3 |
| Cesarean section, with CCMS-DRG 787 | $20,219 | — | — | — | 3 |
| Chest painMS-DRG 313 | $13,035 | — | — | — | 3 |
| Colonoscopy with biopsyCPT 45380 | $3,500 | $1,333 | 262% | $1,832 | 9 |
| Colonoscopy with polyp removalCPT 45385 | $3,148 | $1,333 | 236% | $1,035 | 10 |
| Colonoscopy, diagnosticCPT 45378 | $2,382 | $1,036 | 230% | $528 | 10 |
| Complete blood count with differentialCPT 85025 | $16 | $8 | 208% | ~$32 | 15 |
| Complete blood count, automatedCPT 85027 | $12 | $6 | 179% | ~$21 | 12 |
| Comprehensive metabolic panelCPT 80053 | $22 | $11 | 208% | ~$38 | 15 |
| Coronary bypass without cardiac cath, no MCCMS-DRG 236 | $75,834 | $29,950 | 253% | — | 3 |
| Diagnostic mammography, both breastsCPT 77066 | $152 | — | — | ~$202 | 9 |
| Diagnostic mammography, one breastCPT 77065 | $107 | — | — | ~$157 | 7 |
| ED visit, level 3CPT 99283 | $798 | $304 | 262% | $343 | 11 |
| ED visit, level 4CPT 99284 | $1,238 | $465 | 266% | $600 | 12 |
| ED visit, level 5CPT 99285 | $1,742 | $664 | 262% | $985 | 13 |
| Echocardiogram, completeCPT 93306 | $1,284 | $609 | 211% | $579 | 8 |
| Epidural injection, lumbar/sacral, no imagingCPT 62322 | $2,078 | $986 | 211% | $547 | 8 |
| Esophagitis/GI disorders, no MCCMS-DRG 392 | $14,114 | $6,138 | 230% | — | 3 |
| Excision of breast lesionCPT 19120 | $7,349 | $4,363 | 168% | $2,112 | 8 |
| Heart failure and shock, with CCMS-DRG 292 | $15,370 | $5,927 | 259% | — | 3 |
| Heart failure with MCCMS-DRG 291 | $23,242 | $9,900 | 235% | — | 3 |
| Hip and femur procedures except major joint, with CCMS-DRG 481 | $37,919 | $15,928 | 238% | — | 3 |
| Hysterectomy, no CC/MCCMS-DRG 743 | $22,462 | $10,098 | 222% | — | 3 |
| Inguinal hernia repair, age 5+CPT 49505 | $8,139 | $3,990 | 204% | $4,133 | 7 |
| Kidney and urinary tract infections, no MCCMS-DRG 690 | $14,655 | $5,791 | 253% | — | 3 |
| Kidney function panelCPT 80069 | $16 | $9 | 179% | ~$33 | 10 |
| Knee arthroscopy with meniscectomyCPT 29881 | $8,139 | $3,646 | 223% | $3,038 | 7 |
| Laparoscopic cholecystectomyCPT 47562 | $10,726 | $6,737 | 159% | $3,809 | 9 |
| Laparoscopic cholecystectomy, no CC/MCCMS-DRG 419 | $24,726 | $8,977 | 275% | — | 3 |
| Laparoscopic radical prostatectomyCPT 55866 | $16,207 | $11,845 | 137% | $21,383 | 8 |
| Left heart catheterization, diagnosticCPT 93452 | $9,481 | $3,613 | 262% | $3,559 | 7 |
| Lipid panelCPT 80061 | $26 | $13 | 197% | ~$67 | 11 |
| Liver function panelCPT 80076 | $15 | $8 | 178% | ~$25 | 10 |
| Lumbar epidural steroid injectionCPT 62323 | $2,064 | $787 | 262% | $1,043 | 9 |
| MRI brain with and without contrastCPT 70553 | $863 | $389 | 222% | ~$1,352 | 12 |
| MRI lower extremity joint (knee)CPT 73721 | $572 | $266 | 215% | ~$738 | 10 |
| MRI lumbar spine without contrastCPT 72148 | $654 | $266 | 246% | ~$703 | 11 |
| Major joint replacement (hip/knee), no MCCMS-DRG 470 | $34,921 | $14,059 | 248% | — | 3 |
| Major joint replacement (hip/knee), with MCCMS-DRG 469 | $54,913 | $22,346 | 246% | — | 3 |
| Major small and large bowel procedures, with CCMS-DRG 330 | $43,399 | $18,698 | 232% | — | 3 |
| Medical back problems, no MCCMS-DRG 552 | $17,403 | $7,561 | 230% | — | 3 |
| OB ultrasound, 14+ weeksCPT 76805 | $267 | $116 | 229% | ~$196 | 10 |
| Office visit, established patient, level 3CPT 99213 | $123 | — | — | $68 | 6 |
| Office visit, established patient, level 4CPT 99214 | $180 | — | — | $68 | 6 |
| Office visit, new patient, level 3CPT 99203 | $152 | — | — | $78 | 6 |
| PSA (prostate specific antigen), totalCPT 84153 | $33 | $18 | 179% | ~$64 | 10 |
| Partial thromboplastin timeCPT 85730 | $11 | $6 | 179% | ~$25 | 10 |
| Physical therapy, therapeutic exerciseCPT 97110 | $59 | — | — | $40 | 11 |
| Prostate biopsyCPT 55700 | $2,996 | — | — | $2,868 | 2 |
| Prothrombin timeCPT 85610 | $9 | $4 | 202% | ~$22 | 12 |
| Renal failure, with CCMS-DRG 683 | $15,855 | $7,517 | 211% | — | 3 |
| Screening mammography, bilateralCPT 77067 | $109 | — | — | ~$167 | 10 |
| Sepsis with MCCMS-DRG 871 | $35,167 | $15,227 | 231% | — | 3 |
| Shoulder arthroscopy, subacromial decompressionCPT 29826 | $385 | — | — | $1,401 | 7 |
| Simple pneumonia and pleurisy, with CCMS-DRG 194 | $14,590 | $5,219 | 280% | — | 3 |
| Stroke (hemorrhage/infarction), no CC/MCCMS-DRG 066 | $12,390 | $3,679 | 337% | — | 3 |
| Stroke (hemorrhage/infarction), with CC or tPAMS-DRG 065 | $18,290 | $7,389 | 248% | — | 3 |
| Thyroid stimulating hormone (TSH)CPT 84443 | $34 | $17 | 202% | ~$61 | 12 |
| Tonsillectomy and adenoidectomy, under age 12CPT 42820 | $9,128 | $6,597 | 138% | $2,681 | 8 |
| Transforaminal epidural, lumbar/sacralCPT 64483 | $2,587 | $986 | 262% | $744 | 9 |
| Ultrasound, abdomen, completeCPT 76700 | $262 | $116 | 225% | ~$176 | 10 |
| Ultrasound, transvaginalCPT 76830 | $288 | $116 | 247% | ~$163 | 13 |
| Upper GI endoscopy with biopsyCPT 43239 | $1,609 | $1,011 | 159% | $703 | 11 |
| Upper GI endoscopy, diagnosticCPT 43235 | $2,131 | $1,011 | 211% | $1,990 | 8 |
| Urinalysis, automated, with microscopyCPT 81001 | $6 | $3 | 203% | ~$24 | 12 |
| Urinalysis, automated, without microscopyCPT 81003 | $4 | $2 | 197% | ~$16 | 13 |
| Urinalysis, manual, without microscopyCPT 81002 | $6 | $3 | 178% | ~$7 | 10 |
| Vaginal delivery, no sterilization, no CC/MCCMS-DRG 807 | $12,206 | — | — | — | 3 |
| Vaginal delivery, no sterilization, with CCMS-DRG 806 | $13,650 | — | — | — | 3 |
| X-ray, lower back, 4+ viewsCPT 72110 | $185 | $116 | 159% | ~$147 | 9 |