| Basic metabolic panelCPT 80048 | $140 | $8 | 1660% | — | 25 |
| COPD with MCCMS-DRG 190 | $11,249 | $7,377 | 152% | — | 2 |
| CT abdomen and pelvis with contrastCPT 74177 | $2,232 | $356 | 626% | — | 25 |
| CT head without contrastCPT 70450 | $1,490 | $107 | 1395% | — | 25 |
| CT pelvis with contrastCPT 72193 | $2,241 | $179 | 1250% | — | 25 |
| Cardiac stress testCPT 93017 | $597 | $221 | 270% | — | 25 |
| Cellulitis, no MCCMS-DRG 603 | $8,844 | $5,675 | 156% | — | 2 |
| Cesarean section, no CC/MCCMS-DRG 788 | $8,314 | — | — | — | 2 |
| Cesarean section, with CCMS-DRG 787 | $8,951 | — | — | — | 2 |
| Colonoscopy with biopsyCPT 45380 | $406 | $1,223 | 33% | — | 24 |
| Colonoscopy with polyp removalCPT 45385 | $463 | $1,223 | 38% | — | 24 |
| Colonoscopy, diagnosticCPT 45378 | $1,648 | $950 | 173% | — | 25 |
| Complete blood count with differentialCPT 85025 | $52 | $8 | 672% | — | 25 |
| Complete blood count, automatedCPT 85027 | $44 | $6 | 682% | — | 25 |
| Comprehensive metabolic panelCPT 80053 | $148 | $11 | 1398% | — | 25 |
| Diagnostic mammography, both breastsCPT 77066 | $397 | — | — | — | 25 |
| Diagnostic mammography, one breastCPT 77065 | $397 | — | — | — | 25 |
| ED visit, level 3CPT 99283 | $440 | $279 | 158% | — | 25 |
| ED visit, level 4CPT 99284 | $866 | $426 | 203% | — | 25 |
| ED visit, level 5CPT 99285 | $1,528 | $608 | 251% | — | 25 |
| Echocardiogram, completeCPT 93306 | $1,388 | $558 | 249% | — | 25 |
| Electrocardiogram with interpretationCPT 93000 | $49 | — | — | — | 24 |
| Epidural injection, lumbar/sacral, no imagingCPT 62322 | $1,652 | $904 | 183% | — | 25 |
| Esophagitis/GI disorders, no MCCMS-DRG 392 | $7,917 | $4,899 | 162% | — | 2 |
| Excision of breast lesionCPT 19120 | $728 | $4,000 | 18% | — | 24 |
| Family psychotherapy, with patientCPT 90847 | $183 | $181 | 101% | — | 24 |
| Family psychotherapy, without patientCPT 90846 | $176 | $181 | 97% | — | 24 |
| Heart failure and shock, with CCMS-DRG 292 | $7,858 | $5,927 | 133% | — | 2 |
| Heart failure with MCCMS-DRG 291 | $11,756 | $8,962 | 131% | — | 2 |
| Hip and femur procedures except major joint, with CCMS-DRG 481 | $21,270 | $13,876 | 153% | — | 2 |
| Inguinal hernia repair, age 5+CPT 49505 | $5,908 | $3,658 | 162% | — | 25 |
| Kidney and urinary tract infections, no MCCMS-DRG 690 | $7,461 | $5,238 | 142% | — | 2 |
| Kidney function panelCPT 80069 | $144 | $9 | 1659% | — | 25 |
| Knee arthroscopy with meniscectomyCPT 29881 | $949 | $3,343 | 28% | — | 24 |
| Laparoscopic cholecystectomyCPT 47562 | $1,153 | $6,176 | 19% | — | 24 |
| Laparoscopic cholecystectomy, no CC/MCCMS-DRG 419 | $13,870 | $8,977 | 155% | — | 2 |
| Laparoscopic radical prostatectomyCPT 55866 | $2,505 | $10,860 | 23% | — | 24 |
| Lipid panelCPT 80061 | $58 | $13 | 437% | — | 25 |
| Liver function panelCPT 80076 | $140 | $8 | 1707% | — | 25 |
| Lumbar epidural steroid injectionCPT 62323 | $1,056 | $721 | 146% | — | 25 |
| MRI brain with and without contrastCPT 70553 | $3,272 | $356 | 918% | — | 25 |
| MRI lower extremity joint (knee)CPT 73721 | $1,490 | $244 | 611% | — | 25 |
| MRI lumbar spine without contrastCPT 72148 | $2,540 | $244 | 1042% | — | 25 |
| Major small and large bowel procedures, with CCMS-DRG 330 | $24,344 | $16,202 | 150% | — | 2 |
| Medical back problems, no MCCMS-DRG 552 | $9,762 | $6,142 | 159% | — | 2 |
| OB global care, VBAC deliveryCPT 59610 | $3,996 | — | — | — | 24 |
| OB global care, cesarean deliveryCPT 59510 | $4,228 | — | — | — | 24 |
| OB global care, vaginal deliveryCPT 59400 | $3,808 | — | — | — | 24 |
| OB ultrasound, 14+ weeksCPT 76805 | $601 | $107 | 563% | — | 25 |
| Office consultation, comprehensiveCPT 99244 | $385 | — | — | — | 20 |
| Office consultation, moderateCPT 99243 | $258 | — | — | — | 20 |
| Office visit, established patient, level 3CPT 99213 | $146 | — | — | — | 22 |
| Office visit, established patient, level 4CPT 99214 | $211 | — | — | — | 22 |
| Office visit, new patient, level 3CPT 99203 | $189 | — | — | — | 22 |
| Office visit, new patient, level 4CPT 99204 | $297 | — | — | — | 22 |
| Office visit, new patient, level 5CPT 99205 | $390 | — | — | — | 22 |
| PSA (prostate specific antigen), totalCPT 84153 | $106 | $18 | 577% | — | 25 |
| Partial thromboplastin timeCPT 85730 | $67 | $6 | 1108% | — | 25 |
| Physical therapy, therapeutic exerciseCPT 97110 | $89 | — | — | — | 25 |
| Preventive visit, new patient, 18-39CPT 99385 | $262 | — | — | — | 21 |
| Preventive visit, new patient, 40-64CPT 99386 | $303 | — | — | — | 21 |
| Prothrombin timeCPT 85610 | $42 | $4 | 986% | — | 25 |
| Psychotherapy, 30 minutesCPT 90832 | $88 | $181 | 49% | — | 24 |
| Psychotherapy, 45 minutesCPT 90834 | $154 | $181 | 85% | — | 24 |
| Psychotherapy, 60 minutesCPT 90837 | $229 | $181 | 126% | — | 24 |
| Screening mammography, bilateralCPT 77067 | $421 | — | — | — | 25 |
| Sepsis with MCCMS-DRG 871 | $16,279 | $13,837 | 118% | — | 2 |
| Shoulder arthroscopy, subacromial decompressionCPT 29826 | $347 | — | — | — | 24 |
| Sleep study (polysomnography)CPT 95810 | $4,806 | $877 | 548% | — | 25 |
| Stroke (hemorrhage/infarction), no CC/MCCMS-DRG 066 | $3,920 | $3,679 | 107% | — | 2 |
| Thyroid stimulating hormone (TSH)CPT 84443 | $122 | $17 | 729% | — | 25 |
| Transforaminal epidural, lumbar/sacralCPT 64483 | $439 | $904 | 49% | — | 24 |
| Ultrasound, abdomen, completeCPT 76700 | $526 | $107 | 493% | — | 25 |
| Ultrasound, transvaginalCPT 76830 | $614 | $107 | 575% | — | 25 |
| Upper GI endoscopy with biopsyCPT 43239 | $1,598 | $927 | 172% | — | 25 |
| Upper GI endoscopy, diagnosticCPT 43235 | $1,764 | $927 | 190% | — | 25 |
| Urinalysis, automated, with microscopyCPT 81001 | $78 | $3 | 2470% | — | 25 |
| Urinalysis, automated, without microscopyCPT 81003 | $48 | $2 | 2120% | — | 25 |
| Urinalysis, manual, without microscopyCPT 81002 | $40 | $3 | 1164% | — | 25 |
| Vaginal delivery, no sterilization, no CC/MCCMS-DRG 807 | $5,117 | — | — | — | 2 |
| Vaginal delivery, no sterilization, with CCMS-DRG 806 | $5,439 | — | — | — | 2 |
| X-ray, lower back, 4+ viewsCPT 72110 | $265 | $107 | 248% | — | 25 |