| Acute myocardial infarction, discharged alive, with MCCMS-DRG 280 | $11,999 | $11,217 | 107% | — | 2 |
| Bariatric (obesity) surgery, no CC/MCCMS-DRG 621 | $14,732 | $8,272 | 178% | — | 2 |
| Basic metabolic panelCPT 80048 | $66 | $8 | 776% | — | 18 |
| COPD with MCCMS-DRG 190 | $85 | $7,377 | 1% | — | 18 |
| CT abdomen and pelvis with contrastCPT 74177 | $1,362 | $356 | 382% | — | 18 |
| CT head without contrastCPT 70450 | $579 | $107 | 542% | — | 18 |
| CT pelvis with contrastCPT 72193 | $641 | $179 | 358% | — | 18 |
| Cardiac arrhythmia, no CC/MCCMS-DRG 310 | $4,481 | $3,269 | 137% | — | 2 |
| Cardiac valve surgery with cardiac cath, with MCCMS-DRG 216 | $69,174 | — | — | — | 2 |
| Cellulitis, no MCCMS-DRG 603 | $6,278 | $5,675 | 111% | — | 2 |
| Cervical spinal fusion, no CC/MCCMS-DRG 473 | $20,323 | $16,343 | 124% | — | 2 |
| Chest painMS-DRG 313 | $4,810 | — | — | — | 2 |
| Colonoscopy with biopsyCPT 45380 | $335 | $1,223 | 27% | — | 18 |
| Colonoscopy with polyp removalCPT 45385 | $425 | $1,223 | 35% | — | 18 |
| Colonoscopy, diagnosticCPT 45378 | $309 | $950 | 33% | — | 18 |
| Complete blood count with differentialCPT 85025 | $52 | $8 | 669% | — | 18 |
| Complete blood count, automatedCPT 85027 | $48 | $6 | 745% | — | 18 |
| Comprehensive metabolic panelCPT 80053 | $59 | $11 | 562% | — | 18 |
| Coronary bypass without cardiac cath, no MCCMS-DRG 236 | $34,116 | $29,950 | 114% | — | 2 |
| Diagnostic mammography, both breastsCPT 77066 | $442 | — | — | — | 18 |
| Diagnostic mammography, one breastCPT 77065 | $351 | — | — | — | 18 |
| ED visit, level 3CPT 99283 | $102 | $279 | 37% | — | 18 |
| ED visit, level 4CPT 99284 | $184 | $426 | 43% | — | 18 |
| ED visit, level 5CPT 99285 | $266 | $608 | 44% | — | 18 |
| Echocardiogram, completeCPT 93306 | $2,414 | $558 | 433% | — | 18 |
| Electrocardiogram with interpretationCPT 93000 | $95 | — | — | — | 18 |
| Epidural injection, lumbar/sacral, no imagingCPT 62322 | $351 | $904 | 39% | — | 18 |
| Esophagitis/GI disorders, no MCCMS-DRG 392 | $5,843 | $4,899 | 119% | — | 2 |
| Excision of breast lesionCPT 19120 | $679 | $4,000 | 17% | — | 18 |
| Family psychotherapy, with patientCPT 90847 | $157 | $181 | 87% | — | 18 |
| Family psychotherapy, without patientCPT 90846 | $151 | $181 | 84% | — | 18 |
| Heart failure and shock, with CCMS-DRG 292 | $7,168 | $5,927 | 121% | — | 2 |
| Heart failure with MCCMS-DRG 291 | $12,907 | $8,962 | 144% | — | 2 |
| Hip and femur procedures except major joint, with CCMS-DRG 481 | $16,959 | $13,876 | 122% | — | 2 |
| Hysterectomy, no CC/MCCMS-DRG 743 | $9,586 | $10,098 | 95% | — | 2 |
| Inguinal hernia repair, age 5+CPT 49505 | $853 | $3,658 | 23% | — | 18 |
| Kidney and urinary tract infections, no MCCMS-DRG 690 | $5,988 | $5,238 | 114% | — | 2 |
| Kidney function panelCPT 80069 | $85 | $9 | 981% | — | 18 |
| Knee arthroscopy with meniscectomyCPT 29881 | $973 | $3,343 | 29% | — | 18 |
| Laparoscopic cholecystectomyCPT 47562 | $1,080 | $6,176 | 17% | — | 18 |
| Laparoscopic cholecystectomy, no CC/MCCMS-DRG 419 | $10,017 | $8,977 | 112% | — | 2 |
| Laparoscopic radical prostatectomyCPT 55866 | $2,129 | $10,860 | 20% | — | 18 |
| Lipid panelCPT 80061 | $125 | $13 | 935% | — | 18 |
| Liver function panelCPT 80076 | $58 | $8 | 713% | — | 18 |
| Lumbar epidural steroid injectionCPT 62323 | $754 | $721 | 105% | — | 18 |
| MRI brain with and without contrastCPT 70553 | $1,624 | $356 | 456% | — | 18 |
| MRI lower extremity joint (knee)CPT 73721 | $1,112 | $244 | 456% | — | 18 |
| MRI lumbar spine without contrastCPT 72148 | $1,118 | $244 | 459% | — | 18 |
| Major joint replacement (hip/knee), no MCCMS-DRG 470 | $17,584 | $13,045 | 135% | — | 2 |
| Major joint replacement (hip/knee), with MCCMS-DRG 469 | $24,731 | $22,346 | 111% | — | 2 |
| Major small and large bowel procedures, with CCMS-DRG 330 | $18,736 | $16,202 | 116% | — | 2 |
| Medical back problems, no MCCMS-DRG 552 | $6,864 | $6,142 | 112% | — | 2 |
| OB global care, cesarean deliveryCPT 59510 | $4,148 | — | — | — | 18 |
| OB global care, vaginal deliveryCPT 59400 | $3,781 | — | — | — | 18 |
| OB ultrasound, 14+ weeksCPT 76805 | $346 | $107 | 324% | — | 18 |
| Obstetric blood test panelCPT 80055 | $146 | $48 | 305% | — | 1 |
| Office visit, established patient, level 3CPT 99213 | $135 | — | — | — | 18 |
| Office visit, established patient, level 4CPT 99214 | $191 | — | — | — | 18 |
| Office visit, new patient, level 3CPT 99203 | $166 | — | — | — | 18 |
| Office visit, new patient, level 4CPT 99204 | $249 | — | — | — | 18 |
| Office visit, new patient, level 5CPT 99205 | $329 | — | — | — | 18 |
| PSA (prostate specific antigen), totalCPT 84153 | $48 | $18 | 259% | — | 18 |
| Partial thromboplastin timeCPT 85730 | $42 | $6 | 707% | — | 18 |
| Physical therapy, therapeutic exerciseCPT 97110 | $63 | — | — | — | 18 |
| Preventive visit, new patient, 18-39CPT 99385 | $195 | — | — | — | 18 |
| Preventive visit, new patient, 40-64CPT 99386 | $225 | — | — | — | 18 |
| Prothrombin timeCPT 85610 | $42 | $4 | 986% | — | 18 |
| Psychotherapy, 30 minutesCPT 90832 | $104 | $181 | 57% | — | 18 |
| Psychotherapy, 45 minutesCPT 90834 | $157 | $181 | 86% | — | 18 |
| Psychotherapy, 60 minutesCPT 90837 | $230 | $181 | 127% | — | 18 |
| Renal failure, with CCMS-DRG 683 | $9,083 | $5,892 | 154% | — | 2 |
| Screening mammography, bilateralCPT 77067 | $210 | — | — | — | 18 |
| Sepsis with MCCMS-DRG 871 | $15,086 | $13,837 | 109% | — | 2 |
| Shoulder arthroscopy, subacromial decompressionCPT 29826 | $317 | — | — | — | 18 |
| Simple pneumonia and pleurisy, with CCMS-DRG 194 | $6,872 | $5,177 | 133% | — | 2 |
| Sleep study (polysomnography)CPT 95810 | $2,064 | $877 | 235% | — | 18 |
| Stroke (hemorrhage/infarction), no CC/MCCMS-DRG 066 | $6,380 | $3,679 | 173% | — | 2 |
| Stroke (hemorrhage/infarction), with CC or tPAMS-DRG 065 | $8,138 | $6,559 | 124% | — | 2 |
| Thyroid stimulating hormone (TSH)CPT 84443 | $114 | $17 | 681% | — | 18 |
| Transforaminal epidural, lumbar/sacralCPT 64483 | $302 | $904 | 33% | — | 18 |
| Ultrasound, abdomen, completeCPT 76700 | $376 | $107 | 352% | — | 18 |
| Ultrasound, transvaginalCPT 76830 | $374 | $107 | 350% | — | 18 |
| Upper GI endoscopy with biopsyCPT 43239 | $231 | $927 | 25% | — | 18 |
| Upper GI endoscopy, diagnosticCPT 43235 | $205 | $927 | 22% | — | 18 |
| Urinalysis, automated, with microscopyCPT 81001 | $31 | $3 | 986% | — | 18 |
| Urinalysis, automated, without microscopyCPT 81003 | $11 | $2 | 508% | — | 18 |
| Urinalysis, manual, with microscopyCPT 81000 | $8 | $4 | 190% | — | 18 |
| Urinalysis, manual, without microscopyCPT 81002 | $8 | $3 | 221% | — | 18 |
| X-ray, lower back, 4+ viewsCPT 72110 | $232 | $107 | 217% | — | 18 |