| Acute myocardial infarction, discharged alive, with MCCMS-DRG 280 | $21,439 | $11,217 | 191% | — | 1 |
| Bariatric (obesity) surgery, no CC/MCCMS-DRG 621 | $20,160 | $8,272 | 244% | — | 1 |
| Basic metabolic panelCPT 80048 | $106 | $8 | 1255% | ~$42 | 17 |
| COPD with MCCMS-DRG 190 | $14,804 | $7,377 | 201% | — | 1 |
| CT abdomen and pelvis with contrastCPT 74177 | $3,509 | $368 | 953% | ~$1,407 | 17 |
| CT head without contrastCPT 70450 | $1,969 | $110 | 1786% | ~$790 | 17 |
| CT pelvis with contrastCPT 72193 | $1,836 | $185 | 992% | ~$736 | 17 |
| Cardiac arrhythmia, no CC/MCCMS-DRG 310 | $7,566 | $3,269 | 231% | — | 1 |
| Cardiac stress testCPT 93017 | $1,044 | $228 | 458% | $419 | 17 |
| Cardiac valve surgery with cardiac cath, with MCCMS-DRG 216 | $130,747 | — | — | — | 1 |
| Cataract surgery with IOL insertionCPT 66984 | $2,989 | $2,434 | 123% | — | 2 |
| Cellulitis, no MCCMS-DRG 603 | $11,640 | $5,675 | 205% | — | 1 |
| Cervical spinal fusion, no CC/MCCMS-DRG 473 | $32,628 | $16,343 | 200% | — | 1 |
| Cesarean section, no CC/MCCMS-DRG 788 | $12,814 | — | — | — | 1 |
| Cesarean section, with CCMS-DRG 787 | $14,926 | — | — | — | 1 |
| Chest painMS-DRG 313 | $9,623 | — | — | — | 1 |
| Colonoscopy with biopsyCPT 45380 | $1,512 | $1,262 | 120% | — | 2 |
| Colonoscopy with endoscopic ultrasoundCPT 45391 | $1,538 | $1,262 | 122% | — | 2 |
| Colonoscopy with polyp removalCPT 45385 | $1,536 | $1,262 | 122% | — | 2 |
| Colonoscopy, diagnosticCPT 45378 | $1,188 | $981 | 121% | — | 2 |
| Complete blood count with differentialCPT 85025 | $68 | $8 | 869% | ~$26 | 17 |
| Complete blood count, automatedCPT 85027 | $49 | $6 | 751% | ~$19 | 17 |
| Comprehensive metabolic panelCPT 80053 | $127 | $11 | 1202% | ~$50 | 17 |
| Coronary bypass without cardiac cath, no MCCMS-DRG 236 | $55,983 | $29,950 | 187% | — | 1 |
| Diagnostic mammography, both breastsCPT 77066 | $515 | — | — | ~$206 | 17 |
| Diagnostic mammography, one breastCPT 77065 | $466 | — | — | ~$187 | 17 |
| ED visit, level 3CPT 99283 | $562 | $288 | 195% | $221 | 17 |
| ED visit, level 4CPT 99284 | $990 | $440 | 225% | $389 | 17 |
| ED visit, level 5CPT 99285 | $1,505 | $628 | 240% | $604 | 17 |
| Echocardiogram, completeCPT 93306 | $2,214 | $576 | 384% | $888 | 17 |
| Electrocardiogram with interpretationCPT 93000 | $14 | — | — | — | 1 |
| Epidural injection, lumbar/sacral, no imagingCPT 62322 | $1,011 | $933 | 108% | $396 | 17 |
| Esophagitis/GI disorders, no MCCMS-DRG 392 | $10,419 | $4,899 | 213% | — | 1 |
| Excision of breast lesionCPT 19120 | $4,838 | $4,130 | 117% | — | 2 |
| Family psychotherapy, with patientCPT 90847 | $256 | $187 | 137% | — | 2 |
| Family psychotherapy, without patientCPT 90846 | $255 | $187 | 136% | — | 2 |
| Group psychotherapyCPT 90853 | $131 | $107 | 123% | — | 2 |
| Heart failure and shock, with CCMS-DRG 292 | $11,347 | $5,927 | 191% | — | 1 |
| Heart failure with MCCMS-DRG 291 | $17,158 | $8,962 | 191% | — | 1 |
| Hip and femur procedures except major joint, with CCMS-DRG 481 | $27,993 | $13,876 | 202% | — | 1 |
| Hysterectomy, no CC/MCCMS-DRG 743 | $16,582 | $10,098 | 164% | — | 1 |
| Inguinal hernia repair, age 5+CPT 49505 | $4,489 | $3,777 | 119% | — | 2 |
| Kidney and urinary tract infections, no MCCMS-DRG 690 | $10,819 | $5,238 | 207% | — | 1 |
| Kidney function panelCPT 80069 | $107 | $9 | 1234% | ~$42 | 17 |
| Knee arthroscopy with meniscectomyCPT 29881 | $4,136 | $3,452 | 120% | — | 2 |
| Laparoscopic cholecystectomyCPT 47562 | $7,477 | $6,377 | 117% | — | 2 |
| Laparoscopic cholecystectomy, no CC/MCCMS-DRG 419 | $18,254 | $8,977 | 203% | — | 1 |
| Laparoscopic radical prostatectomyCPT 55866 | $13,272 | $11,213 | 118% | — | 2 |
| Left heart catheterization, diagnosticCPT 93452 | $4,303 | $3,420 | 126% | — | 2 |
| Lipid panelCPT 80061 | $119 | $13 | 887% | ~$47 | 17 |
| Liver function panelCPT 80076 | $138 | $8 | 1685% | ~$54 | 17 |
| Lumbar epidural steroid injectionCPT 62323 | $2,271 | $745 | 305% | $911 | 17 |
| MRI brain with and without contrastCPT 70553 | $3,934 | $368 | 1069% | ~$1,578 | 17 |
| MRI lower extremity joint (knee)CPT 73721 | $2,352 | $252 | 934% | ~$922 | 17 |
| MRI lumbar spine without contrastCPT 72148 | $2,442 | $252 | 970% | ~$980 | 17 |
| Major joint replacement (hip/knee), no MCCMS-DRG 470 | $25,780 | $14,875 | 173% | — | 1 |
| Major joint replacement (hip/knee), with MCCMS-DRG 469 | $40,539 | $22,346 | 181% | — | 1 |
| Major small and large bowel procedures, with CCMS-DRG 330 | $32,039 | $16,202 | 198% | — | 1 |
| Medical back problems, no MCCMS-DRG 552 | $12,848 | $6,142 | 209% | — | 1 |
| OB global care, VBAC deliveryCPT 59610 | $2,266 | — | — | — | 1 |
| OB global care, cesarean deliveryCPT 59510 | $2,395 | — | — | — | 1 |
| OB global care, vaginal deliveryCPT 59400 | $2,176 | — | — | — | 1 |
| OB ultrasound, 14+ weeksCPT 76805 | $421 | $110 | 381% | ~$169 | 17 |
| Obstetric blood test panelCPT 80055 | $108 | $48 | 225% | — | 1 |
| Office consultation, comprehensiveCPT 99244 | $138 | — | — | — | 1 |
| Office consultation, moderateCPT 99243 | $86 | — | — | — | 1 |
| Office visit, established patient, level 3CPT 99213 | $60 | — | — | $23 | 16 |
| Office visit, established patient, level 4CPT 99214 | $157 | — | — | $62 | 16 |
| Office visit, new patient, level 3CPT 99203 | $60 | — | — | $23 | 16 |
| Office visit, new patient, level 4CPT 99204 | $96 | — | — | $37 | 16 |
| Office visit, new patient, level 5CPT 99205 | $168 | — | — | — | 1 |
| PSA (prostate specific antigen), totalCPT 84153 | $150 | $18 | 817% | ~$59 | 17 |
| Partial thromboplastin timeCPT 85730 | $73 | $6 | 1213% | ~$29 | 17 |
| Physical therapy, therapeutic exerciseCPT 97110 | $122 | — | — | $48 | 17 |
| Preventive visit, new patient, 18-39CPT 99385 | $88 | — | — | — | 1 |
| Preventive visit, new patient, 40-64CPT 99386 | $107 | — | — | — | 1 |
| Prostate biopsyCPT 55700 | $118 | — | — | — | 1 |
| Prothrombin timeCPT 85610 | $50 | $4 | 1175% | ~$20 | 17 |
| Psychotherapy, 30 minutesCPT 90832 | $242 | $187 | 129% | — | 2 |
| Psychotherapy, 45 minutesCPT 90834 | $252 | $187 | 134% | — | 2 |
| Psychotherapy, 60 minutesCPT 90837 | $271 | $187 | 145% | — | 2 |
| Renal failure, with CCMS-DRG 683 | $11,705 | $5,892 | 199% | — | 1 |
| Screening mammography, bilateralCPT 77067 | $476 | — | — | ~$187 | 17 |
| Sepsis with MCCMS-DRG 871 | $25,962 | $16,476 | 158% | — | 1 |
| Shoulder arthroscopy, subacromial decompressionCPT 29826 | $158 | — | — | — | 1 |
| Simple pneumonia and pleurisy, with CCMS-DRG 194 | $10,771 | $5,177 | 208% | — | 1 |
| Sleep study (polysomnography)CPT 95810 | $3,045 | $906 | 336% | $1,194 | 17 |
| Stroke (hemorrhage/infarction), no CC/MCCMS-DRG 066 | $9,147 | $3,679 | 249% | — | 1 |
| Stroke (hemorrhage/infarction), with CC or tPAMS-DRG 065 | $13,503 | $6,559 | 206% | — | 1 |
| Thyroid stimulating hormone (TSH)CPT 84443 | $81 | $17 | 482% | ~$54 | 17 |
| Tonsillectomy and adenoidectomy, under age 12CPT 42820 | $7,158 | $6,245 | 115% | — | 2 |
| Transforaminal epidural, lumbar/sacralCPT 64483 | $1,101 | $933 | 118% | — | 2 |
| Ultrasound, abdomen, completeCPT 76700 | $546 | $110 | 496% | ~$219 | 17 |
| Ultrasound, transvaginalCPT 76830 | $405 | $110 | 367% | ~$162 | 17 |
| Upper GI endoscopy with biopsyCPT 43239 | $1,140 | $957 | 119% | — | 2 |
| Upper GI endoscopy, diagnosticCPT 43235 | $1,132 | $957 | 118% | — | 2 |
| Urinalysis, automated, with microscopyCPT 81001 | $62 | $3 | 1959% | ~$24 | 17 |
| Urinalysis, automated, without microscopyCPT 81003 | $32 | $2 | 1440% | ~$13 | 17 |
| Urinalysis, manual, with microscopyCPT 81000 | $9 | $4 | 225% | — | 1 |
| Urinalysis, manual, without microscopyCPT 81002 | $21 | $3 | 595% | ~$8 | 17 |
| Vaginal delivery, no sterilization, no CC/MCCMS-DRG 807 | $9,011 | — | — | — | 1 |
| Vaginal delivery, no sterilization, with CCMS-DRG 806 | $10,077 | — | — | — | 1 |
| X-ray, lower back, 4+ viewsCPT 72110 | $539 | $110 | 488% | ~$216 | 17 |
| YAG laser capsulotomy (secondary cataract)CPT 66821 | $798 | $580 | 137% | — | 2 |