| Acute myocardial infarction, discharged alive, with MCCMS-DRG 280 | $32,244 | $11,217 | 287% | — | 24 |
| Bariatric (obesity) surgery, no CC/MCCMS-DRG 621 | $29,323 | $8,272 | 354% | — | 24 |
| Basic metabolic panelCPT 80048 | $9 | $8 | 103% | ~$18 | 31 |
| COPD with MCCMS-DRG 190 | $21,917 | $7,377 | 297% | — | 24 |
| CT abdomen and pelvis with contrastCPT 74177 | $1,263 | $405 | 312% | ~$1,500 | 31 |
| CT head without contrastCPT 70450 | $361 | $121 | 297% | ~$513 | 31 |
| CT pelvis with contrastCPT 72193 | $603 | $204 | 296% | ~$804 | 31 |
| Cardiac arrhythmia, no CC/MCCMS-DRG 310 | $11,644 | $3,269 | 356% | — | 24 |
| Cardiac stress testCPT 93017 | $853 | $251 | 340% | $686 | 31 |
| Cardiac valve surgery with cardiac cath, with MCCMS-DRG 216 | $192,715 | — | — | — | 24 |
| Cataract surgery with IOL insertionCPT 66984 | $4,237 | $2,680 | 158% | — | 28 |
| Cellulitis, no MCCMS-DRG 603 | $17,511 | $6,262 | 280% | — | 24 |
| Cervical spinal fusion, no CC/MCCMS-DRG 473 | $47,490 | $16,343 | 291% | — | 24 |
| Cesarean section, no CC/MCCMS-DRG 788 | $14,560 | — | — | — | 23 |
| Cesarean section, with CCMS-DRG 787 | $15,908 | — | — | — | 23 |
| Chest painMS-DRG 313 | $14,593 | — | — | — | 24 |
| Colonoscopy with biopsyCPT 45380 | $1,430 | $1,390 | 103% | — | 28 |
| Colonoscopy with endoscopic ultrasoundCPT 45391 | $1,430 | $1,390 | 103% | — | 28 |
| Colonoscopy with polyp removalCPT 45385 | $1,430 | $1,390 | 103% | — | 28 |
| Colonoscopy, diagnosticCPT 45378 | $1,111 | $1,080 | 103% | — | 28 |
| Complete blood count with differentialCPT 85025 | $8 | $8 | 103% | ~$20 | 31 |
| Complete blood count, automatedCPT 85027 | $7 | $6 | 103% | ~$16 | 31 |
| Comprehensive metabolic panelCPT 80053 | $11 | $11 | 103% | ~$24 | 31 |
| Coronary bypass without cardiac cath, no MCCMS-DRG 236 | $81,348 | $29,950 | 272% | — | 24 |
| Diagnostic mammography, both breastsCPT 77066 | $140 | — | — | ~$285 | 31 |
| Diagnostic mammography, one breastCPT 77065 | $109 | — | — | ~$222 | 31 |
| ED visit, level 3CPT 99283 | $554 | $317 | 175% | $651 | 31 |
| ED visit, level 4CPT 99284 | $872 | $485 | 180% | $1,023 | 31 |
| ED visit, level 5CPT 99285 | $1,251 | $692 | 181% | $1,827 | 31 |
| Echocardiogram, completeCPT 93306 | $1,623 | $635 | 256% | $1,268 | 31 |
| Electrocardiogram with interpretationCPT 93000 | $29 | — | — | — | 1 |
| Epidural injection, lumbar/sacral, no imagingCPT 62322 | $2,219 | $1,027 | 216% | $1,743 | 31 |
| Esophagitis/GI disorders, no MCCMS-DRG 392 | $15,708 | $6,211 | 253% | — | 24 |
| Excision of breast lesionCPT 19120 | $7,513 | $4,547 | 165% | $5,137 | 31 |
| Family psychotherapy, with patientCPT 90847 | $483 | $206 | 234% | $121 | 26 |
| Family psychotherapy, without patientCPT 90846 | $341 | $206 | 165% | $121 | 31 |
| Group psychotherapyCPT 90853 | $293 | $118 | 248% | — | 23 |
| Heart failure and shock, with CCMS-DRG 292 | $17,128 | $5,927 | 289% | — | 24 |
| Heart failure with MCCMS-DRG 291 | $25,661 | $10,143 | 253% | — | 24 |
| Hip and femur procedures except major joint, with CCMS-DRG 481 | $41,622 | $13,876 | 300% | — | 24 |
| Hysterectomy, no CC/MCCMS-DRG 743 | $23,521 | $10,098 | 233% | — | 24 |
| Inguinal hernia repair, age 5+CPT 49505 | $6,545 | $4,158 | 157% | — | 28 |
| Kidney and urinary tract infections, no MCCMS-DRG 690 | $16,013 | $5,686 | 282% | — | 24 |
| Kidney function panelCPT 80069 | $9 | $9 | 103% | ~$13 | 31 |
| Knee arthroscopy with meniscectomyCPT 29881 | $5,753 | $3,800 | 151% | — | 28 |
| Laparoscopic cholecystectomyCPT 47562 | $10,516 | $7,020 | 150% | — | 28 |
| Laparoscopic cholecystectomy, no CC/MCCMS-DRG 419 | $26,047 | $8,977 | 290% | — | 24 |
| Laparoscopic radical prostatectomyCPT 55866 | $17,785 | $12,344 | 144% | — | 28 |
| Left heart catheterization, diagnosticCPT 93452 | $6,643 | $3,765 | 176% | $7,696 | 31 |
| Lipid panelCPT 80061 | $14 | $13 | 103% | ~$25 | 31 |
| Liver function panelCPT 80076 | $8 | $8 | 103% | ~$13 | 31 |
| Lumbar epidural steroid injectionCPT 62323 | $2,107 | $820 | 257% | $1,739 | 31 |
| MRI brain with and without contrastCPT 70553 | $1,263 | $405 | 312% | ~$1,428 | 31 |
| MRI lower extremity joint (knee)CPT 73721 | $786 | $277 | 284% | ~$1,136 | 31 |
| MRI lumbar spine without contrastCPT 72148 | $786 | $277 | 284% | ~$1,264 | 31 |
| Major joint replacement (hip/knee), no MCCMS-DRG 470 | $37,741 | $13,045 | 289% | — | 24 |
| Major joint replacement (hip/knee), with MCCMS-DRG 469 | $64,207 | $22,346 | 287% | — | 24 |
| Major small and large bowel procedures, with CCMS-DRG 330 | $47,415 | $16,202 | 293% | — | 24 |
| Medical back problems, no MCCMS-DRG 552 | $19,115 | $6,142 | 311% | — | 24 |
| OB ultrasound, 14+ weeksCPT 76805 | $361 | $121 | 297% | ~$313 | 31 |
| Obstetric blood test panelCPT 80055 | $49 | $48 | 103% | ~$72 | 31 |
| Office consultation, comprehensiveCPT 99244 | $180 | — | — | — | 5 |
| Office consultation, moderateCPT 99243 | $126 | — | — | — | 5 |
| Office visit, established patient, level 3CPT 99213 | $171 | — | — | $164 | 11 |
| Office visit, established patient, level 4CPT 99214 | $171 | — | — | $164 | 11 |
| Office visit, new patient, level 3CPT 99203 | $243 | — | — | — | 1 |
| Office visit, new patient, level 4CPT 99204 | $329 | — | — | — | 1 |
| PSA (prostate specific antigen), totalCPT 84153 | $19 | $18 | 103% | ~$29 | 31 |
| Partial thromboplastin timeCPT 85730 | $6 | $6 | 103% | ~$11 | 31 |
| Percutaneous cardiac stent, no MCCMS-DRG 247 | $40,271 | — | — | — | 3 |
| Physical therapy, therapeutic exerciseCPT 97110 | $35 | — | — | $49 | 31 |
| Preventive visit, new patient, 18-39CPT 99385 | $145 | — | — | — | 5 |
| Preventive visit, new patient, 40-64CPT 99386 | $167 | — | — | — | 5 |
| Prostate biopsyCPT 55700 | $5,580 | — | — | — | 19 |
| Prothrombin timeCPT 85610 | $4 | $4 | 103% | ~$8 | 31 |
| Psychotherapy, 30 minutesCPT 90832 | $483 | $206 | 234% | $185 | 26 |
| Psychotherapy, 45 minutesCPT 90834 | $531 | $206 | 258% | $286 | 26 |
| Psychotherapy, 60 minutesCPT 90837 | $531 | $206 | 258% | $286 | 26 |
| Renal failure, with CCMS-DRG 683 | $17,725 | $5,892 | 301% | — | 24 |
| Screening mammography, bilateralCPT 77067 | $115 | — | — | ~$168 | 31 |
| Sepsis with MCCMS-DRG 871 | $38,933 | $13,998 | 278% | — | 24 |
| Shoulder arthroscopy, subacromial decompressionCPT 29826 | $1,675 | — | — | — | 5 |
| Simple pneumonia and pleurisy, with CCMS-DRG 194 | $16,449 | $5,177 | 318% | — | 24 |
| Sleep study (polysomnography)CPT 95810 | $3,064 | $997 | 307% | $2,422 | 31 |
| Spinal fusion except cervical, no MCCMS-DRG 460 | $79,425 | $25,413 | 313% | — | 5 |
| Spinal fusion except cervical, with MCCMS-DRG 459 | $139,890 | $51,127 | 274% | — | 5 |
| Stroke (hemorrhage/infarction), no CC/MCCMS-DRG 066 | $14,068 | $3,679 | 382% | — | 24 |
| Stroke (hemorrhage/infarction), with CC or tPAMS-DRG 065 | $20,200 | $6,559 | 308% | — | 24 |
| Thyroid stimulating hormone (TSH)CPT 84443 | $17 | $17 | 103% | ~$31 | 31 |
| Tonsillectomy and adenoidectomy, under age 12CPT 42820 | $10,342 | $6,874 | 150% | — | 28 |
| Transforaminal epidural, lumbar/sacralCPT 64483 | $2,737 | $1,027 | 267% | $1,966 | 31 |
| Ultrasound, abdomen, completeCPT 76700 | $361 | $121 | 297% | ~$313 | 31 |
| Ultrasound, transvaginalCPT 76830 | $361 | $121 | 297% | ~$362 | 31 |
| Upper GI endoscopy with biopsyCPT 43239 | $1,973 | $1,053 | 187% | — | 28 |
| Upper GI endoscopy, diagnosticCPT 43235 | $2,649 | $1,053 | 252% | $3,792 | 31 |
| Urinalysis, automated, with microscopyCPT 81001 | $3 | $3 | 103% | ~$7 | 31 |
| Urinalysis, automated, without microscopyCPT 81003 | $2 | $2 | 103% | ~$4 | 31 |
| Urinalysis, manual, with microscopyCPT 81000 | $4 | $4 | 103% | ~$7 | 31 |
| Urinalysis, manual, without microscopyCPT 81002 | $4 | $3 | 103% | ~$5 | 31 |
| Vaginal delivery, no sterilization, no CC/MCCMS-DRG 807 | $10,123 | — | — | — | 23 |
| Vaginal delivery, no sterilization, with CCMS-DRG 806 | $10,553 | — | — | — | 23 |
| X-ray, lower back, 4+ viewsCPT 72110 | $361 | $121 | 297% | ~$270 | 31 |
| YAG laser capsulotomy (secondary cataract)CPT 66821 | $1,709 | $639 | 268% | $1,095 | 31 |