| Acute myocardial infarction, discharged alive, with MCC | $44,236 | $11,827 | 374% | — | 10 |
| Bariatric (obesity) surgery, no CC/MCC | $30,140 | $8,272 | 364% | — | 11 |
| Basic metabolic panel | $17 | $8 | 196% | ~$65 | 18 |
| COPD with MCC | $15,149 | $7,377 | 205% | — | 5 |
| CT abdomen and pelvis with contrast | $636 | $372 | 171% | ~$3,415 | 18 |
| CT head without contrast | $421 | $112 | 378% | ~$1,500 | 18 |
| CT pelvis with contrast | $421 | $187 | 225% | ~$1,611 | 18 |
| Cardiac arrhythmia, no CC/MCC | $9,365 | $3,269 | 286% | — | 5 |
| Cardiac stress test | $564 | $230 | 245% | $1,325 | 18 |
| Cardiac valve surgery with cardiac cath, with MCC | $149,684 | — | — | — | 10 |
| Cataract surgery with IOL insertion | $3,524 | $2,462 | 143% | — | 1 |
| Cellulitis, no MCC | $12,881 | $5,675 | 227% | — | 6 |
| Cervical spinal fusion, no CC/MCC | $41,084 | $16,343 | 251% | — | 10 |
| Cesarean section, no CC/MCC | $16,648 | — | — | — | 11 |
| Cesarean section, with CC | $16,648 | — | — | — | 11 |
| Chest pain | $9,624 | — | — | — | 5 |
| Colonoscopy with biopsy | $1,281 | $1,276 | 100% | — | 1 |
| Colonoscopy with endoscopic ultrasound | $1,638 | $1,276 | 128% | — | 1 |
| Colonoscopy with polyp removal | $1,615 | $1,276 | 127% | — | 1 |
| Colonoscopy, diagnostic | $1,206 | $992 | 122% | — | 1 |
| Complete blood count with differential | $15 | $8 | 196% | ~$75 | 18 |
| Complete blood count, automated | $13 | $6 | 196% | ~$45 | 18 |
| Comprehensive metabolic panel | $21 | $11 | 196% | ~$71 | 18 |
| Coronary bypass without cardiac cath, no MCC | $71,397 | $29,950 | 238% | — | 10 |
| Diagnostic mammography, both breasts | $217 | — | — | ~$241 | 18 |
| Diagnostic mammography, one breast | $198 | — | — | ~$97 | 18 |
| ED visit, level 3 | $3,474 | $291 | 1193% | $993 | 18 |
| ED visit, level 4 | $5,311 | $445 | 1193% | $2,131 | 18 |
| ED visit, level 5 | $11,373 | $635 | 1791% | $4,479 | 18 |
| Echocardiogram, complete | $986 | $583 | 169% | $1,196 | 18 |
| Electrocardiogram with interpretation | $94 | — | — | — | 1 |
| Epidural injection, lumbar/sacral, no imaging | $1,601 | $943 | 170% | $490 | 18 |
| Esophagitis/GI disorders, no MCC | $11,411 | $4,899 | 233% | — | 6 |
| Excision of breast lesion | $2,737 | $4,176 | 66% | — | 1 |
| Family psychotherapy, with patient | $226 | $189 | 119% | $119 | 18 |
| Family psychotherapy, without patient | $654 | $189 | 346% | — | 1 |
| Group psychotherapy | $232 | $108 | 215% | $119 | 18 |
| Heart failure and shock, with CC | $23,130 | $5,927 | 390% | — | 10 |
| Heart failure with MCC | $31,738 | $9,471 | 335% | — | 10 |
| Hip and femur procedures except major joint, with CC | $32,696 | $14,663 | 223% | — | 9 |
| Hysterectomy, no CC/MCC | $17,530 | $10,098 | 174% | — | 6 |
| Inguinal hernia repair, age 5+ | $3,406 | $3,819 | 89% | — | 1 |
| Kidney and urinary tract infections, no MCC | $11,737 | $5,238 | 224% | — | 6 |
| Kidney function panel | $17 | $9 | 196% | ~$81 | 18 |
| Knee arthroscopy with meniscectomy | $3,601 | $3,490 | 103% | — | 1 |
| Laparoscopic cholecystectomy | $4,276 | $6,448 | 66% | — | 1 |
| Laparoscopic cholecystectomy, no CC/MCC | $19,269 | $8,977 | 215% | — | 6 |
| Laparoscopic radical prostatectomy | $7,680 | $11,338 | 68% | — | 1 |
| Left heart catheterization, diagnostic | $11,605 | $3,458 | 336% | $5,420 | 18 |
| Lipid panel | $26 | $13 | 196% | ~$125 | 18 |
| Liver function panel | $16 | $8 | 195% | ~$64 | 18 |
| Lumbar epidural steroid injection | $1,798 | $753 | 239% | $693 | 18 |
| MRI brain with and without contrast | $682 | $372 | 183% | ~$2,510 | 18 |
| MRI lower extremity joint (knee) | $564 | $254 | 222% | ~$2,308 | 18 |
| MRI lumbar spine without contrast | $564 | $254 | 222% | ~$1,706 | 18 |
| Major joint replacement (hip/knee), no MCC | $42,332 | $13,045 | 325% | — | 10 |
| Major joint replacement (hip/knee), with MCC | $58,777 | $22,346 | 263% | — | 10 |
| Major small and large bowel procedures, with CC | $39,624 | $16,202 | 245% | — | 6 |
| Medical back problems, no MCC | $13,002 | $6,142 | 212% | — | 5 |
| OB global care, VBAC delivery | $16,186 | — | — | — | 1 |
| OB global care, cesarean delivery | $17,171 | — | — | — | 1 |
| OB global care, vaginal delivery | $15,506 | — | — | — | 1 |
| OB ultrasound, 14+ weeks | $244 | $112 | 219% | ~$442 | 18 |
| Obstetric blood test panel | $93 | $48 | 196% | ~$166 | 18 |
| Office visit, established patient, level 3 | $425 | — | — | — | 1 |
| Office visit, established patient, level 4 | $625 | — | — | — | 1 |
| Office visit, new patient, level 3 | $527 | — | — | — | 1 |
| Office visit, new patient, level 4 | $859 | — | — | — | 1 |
| Office visit, new patient, level 5 | $1,169 | — | — | — | 1 |
| PSA (prostate specific antigen), total | $36 | $18 | 195% | ~$68 | 18 |
| Partial thromboplastin time | $12 | $6 | 196% | ~$59 | 18 |
| Percutaneous cardiac stent, no MCC | $38,710 | — | — | — | 3 |
| Physical therapy, therapeutic exercise | $168 | — | — | $69 | 18 |
| Prostate biopsy | $1,968 | — | — | $763 | 18 |
| Prothrombin time | $8 | $4 | 196% | ~$44 | 18 |
| Psychotherapy, 30 minutes | $93 | $189 | 49% | $49 | 18 |
| Psychotherapy, 45 minutes | $122 | $189 | 64% | $64 | 18 |
| Psychotherapy, 60 minutes | $129 | $189 | 68% | $68 | 18 |
| Renal failure, with CC | $12,999 | $5,892 | 221% | — | 6 |
| Screening mammography, bilateral | $203 | — | — | ~$94 | 18 |
| Sepsis with MCC | $29,472 | $13,956 | 211% | — | 6 |
| Shoulder arthroscopy, subacromial decompression | $1,099 | — | — | — | 1 |
| Simple pneumonia and pleurisy, with CC | $11,992 | $5,177 | 232% | — | 6 |
| Sleep study (polysomnography) | $1,845 | $916 | 201% | $2,857 | 18 |
| Spinal fusion except cervical, no MCC | $86,223 | $25,413 | 339% | — | 2 |
| Spinal fusion except cervical, with MCC | $200,180 | $51,127 | 392% | — | 1 |
| Stroke (hemorrhage/infarction), no CC/MCC | $9,285 | $3,679 | 252% | — | 5 |
| Stroke (hemorrhage/infarction), with CC or tPA | $13,718 | $6,559 | 209% | — | 5 |
| Thyroid stimulating hormone (TSH) | $31 | $17 | 187% | ~$36 | 18 |
| Tonsillectomy and adenoidectomy, under age 12 | $1,926 | $6,314 | 30% | — | 1 |
| Transforaminal epidural, lumbar/sacral | $1,798 | $943 | 191% | $836 | 18 |
| Ultrasound, abdomen, complete | $244 | $112 | 219% | ~$442 | 18 |
| Ultrasound, transvaginal | $244 | $112 | 219% | ~$423 | 18 |
| Upper GI endoscopy with biopsy | $883 | $967 | 91% | — | 1 |
| Upper GI endoscopy, diagnostic | $786 | $967 | 81% | — | 1 |
| Urinalysis, automated, with microscopy | $6 | $3 | 196% | ~$51 | 18 |
| Urinalysis, automated, without microscopy | $4 | $2 | 196% | ~$30 | 18 |
| Urinalysis, manual, with microscopy | $8 | $4 | 196% | ~$30 | 18 |
| Urinalysis, manual, without microscopy | $7 | $3 | 195% | ~$21 | 18 |
| Vaginal delivery, no sterilization, no CC/MCC | $7,178 | — | — | — | 11 |
| Vaginal delivery, no sterilization, with CC | $7,178 | — | — | — | 11 |
| X-ray, lower back, 4+ views | $122 | $112 | 110% | ~$600 | 18 |
| YAG laser capsulotomy (secondary cataract) | $2,029 | $587 | 346% | — | 1 |