| Acute myocardial infarction, discharged alive, with MCC | $44,374 | $18,433 | 241% | — | 2 |
| Bariatric (obesity) surgery, no CC/MCC | $33,176 | $8,272 | 401% | — | 4 |
| Basic metabolic panel | $22 | $8 | 256% | ~$38 | 6 |
| COPD with MCC | $33,369 | $7,377 | 452% | — | 2 |
| CT abdomen and pelvis with contrast | $1,121 | $368 | 305% | ~$1,683 | 6 |
| CT head without contrast | $1,009 | $110 | 915% | ~$748 | 6 |
| CT pelvis with contrast | $866 | $185 | 468% | ~$545 | 6 |
| Cardiac arrhythmia, no CC/MCC | $21,361 | $3,269 | 653% | — | 2 |
| Cardiac stress test | $371 | $228 | 163% | $168 | 5 |
| Cardiac valve surgery with cardiac cath, with MCC | $225,705 | — | — | — | 2 |
| Cataract surgery with IOL insertion | $6,090 | $2,434 | 250% | — | 5 |
| Cellulitis, no MCC | $28,119 | $5,675 | 496% | — | 2 |
| Cervical spinal fusion, no CC/MCC | $62,936 | $16,343 | 385% | — | 2 |
| Cesarean section, no CC/MCC | $22,660 | — | — | — | 4 |
| Cesarean section, with CC | $25,029 | — | — | — | 4 |
| Chest pain | $24,773 | — | — | — | 2 |
| Colonoscopy with biopsy | $3,339 | $1,262 | 265% | $553 | 6 |
| Colonoscopy with endoscopic ultrasound | $3,339 | $1,262 | 265% | $474 | 6 |
| Colonoscopy with polyp removal | $3,339 | $1,262 | 265% | $612 | 6 |
| Colonoscopy, diagnostic | $3,339 | $981 | 340% | $432 | 6 |
| Complete blood count with differential | $19 | $8 | 249% | ~$18 | 6 |
| Complete blood count, automated | $17 | $6 | 256% | ~$17 | 6 |
| Comprehensive metabolic panel | $27 | $11 | 256% | ~$45 | 6 |
| Coronary bypass without cardiac cath, no MCC | $101,680 | $29,950 | 340% | — | 2 |
| Diagnostic mammography, both breasts | $210 | — | — | ~$50 | 6 |
| Diagnostic mammography, one breast | $166 | — | — | ~$39 | 6 |
| ED visit, level 3 | $1,810 | $288 | 628% | $636 | 6 |
| ED visit, level 4 | $3,496 | $440 | 794% | $1,067 | 6 |
| ED visit, level 5 | $6,127 | $628 | 975% | $1,992 | 6 |
| Echocardiogram, complete | $938 | $576 | 163% | $663 | 5 |
| Electrocardiogram with interpretation | $28 | — | — | — | 3 |
| Epidural injection, lumbar/sacral, no imaging | $2,992 | $933 | 321% | $471 | 6 |
| Esophagitis/GI disorders, no MCC | $26,094 | $4,899 | 533% | — | 2 |
| Excision of breast lesion | $5,836 | $4,130 | 141% | $1,576 | 6 |
| Family psychotherapy, with patient | $284 | $187 | 152% | $86 | 4 |
| Family psychotherapy, without patient | $271 | $187 | 144% | $77 | 4 |
| Group psychotherapy | $301 | $107 | 281% | $134 | 4 |
| Heart failure and shock, with CC | $27,633 | $5,927 | 466% | — | 2 |
| Heart failure with MCC | $37,273 | $16,885 | 221% | — | 2 |
| Hip and femur procedures except major joint, with CC | $55,247 | $24,022 | 230% | — | 2 |
| Hysterectomy, no CC/MCC | $36,318 | $10,098 | 360% | — | 2 |
| Inguinal hernia repair, age 5+ | $6,479 | $3,777 | 172% | — | 5 |
| Kidney and urinary tract infections, no MCC | $26,757 | $5,238 | 511% | — | 2 |
| Kidney function panel | $22 | $9 | 256% | ~$31 | 6 |
| Knee arthroscopy with meniscectomy | $6,479 | $3,452 | 188% | — | 5 |
| Laparoscopic cholecystectomy | $12,664 | $6,377 | 199% | — | 5 |
| Laparoscopic cholecystectomy, no CC/MCC | $39,091 | $8,977 | 435% | — | 2 |
| Laparoscopic radical prostatectomy | $15,558 | $11,213 | 139% | — | 4 |
| Left heart catheterization, diagnostic | $7,925 | $3,420 | 232% | $1,614 | 6 |
| Lipid panel | $26 | $13 | 195% | ~$22 | 6 |
| Liver function panel | $21 | $8 | 256% | ~$21 | 6 |
| Lumbar epidural steroid injection | $2,992 | $745 | 402% | $984 | 6 |
| MRI brain with and without contrast | $1,565 | $368 | 425% | ~$1,294 | 6 |
| MRI lower extremity joint (knee) | $1,283 | $252 | 510% | ~$893 | 6 |
| MRI lumbar spine without contrast | $1,371 | $252 | 545% | ~$1,018 | 6 |
| Major joint replacement (hip/knee), no MCC | $51,576 | $13,045 | 395% | — | 2 |
| Major joint replacement (hip/knee), with MCC | $76,059 | $22,346 | 340% | — | 2 |
| Major small and large bowel procedures, with CC | $61,958 | $16,202 | 382% | — | 2 |
| Medical back problems, no MCC | $30,123 | $6,142 | 490% | — | 2 |
| OB global care, VBAC delivery | $4,040 | — | — | — | 4 |
| OB global care, cesarean delivery | $4,156 | — | — | — | 4 |
| OB global care, vaginal delivery | $3,957 | — | — | — | 4 |
| OB ultrasound, 14+ weeks | $328 | $110 | 297% | ~$138 | 6 |
| Obstetric blood test panel | $70 | $48 | 147% | ~$31 | 6 |
| Office consultation, comprehensive | $177 | — | — | $61 | 2 |
| Office consultation, moderate | $121 | — | — | $38 | 2 |
| Office visit, established patient, level 3 | $109 | — | — | $41 | 2 |
| Office visit, established patient, level 4 | $145 | — | — | $44 | 2 |
| Office visit, new patient, level 3 | $139 | — | — | $57 | 2 |
| Office visit, new patient, level 4 | $201 | — | — | $76 | 2 |
| Office visit, new patient, level 5 | $270 | — | — | $103 | 2 |
| PSA (prostate specific antigen), total | $33 | $18 | 179% | ~$26 | 6 |
| Partial thromboplastin time | $15 | $6 | 256% | ~$15 | 6 |
| Physical therapy, therapeutic exercise | $68 | — | — | $28 | 6 |
| Preventive visit, new patient, 18-39 | $157 | — | — | $62 | 2 |
| Preventive visit, new patient, 40-64 | $184 | — | — | $76 | 2 |
| Prostate biopsy | $3,478 | — | — | $1,053 | 5 |
| Prothrombin time | $11 | $4 | 256% | ~$14 | 6 |
| Psychotherapy, 30 minutes | $358 | $187 | 191% | $134 | 4 |
| Psychotherapy, 45 minutes | $358 | $187 | 191% | $141 | 4 |
| Psychotherapy, 60 minutes | $358 | $187 | 191% | $148 | 4 |
| Renal failure, with CC | $28,227 | $5,892 | 479% | — | 2 |
| Screening mammography, bilateral | $169 | — | — | ~$40 | 6 |
| Sepsis with MCC | $51,877 | $22,796 | 228% | — | 2 |
| Shoulder arthroscopy, subacromial decompression | $4,236 | — | — | — | 5 |
| Simple pneumonia and pleurisy, with CC | $26,678 | $5,177 | 515% | — | 2 |
| Sleep study (polysomnography) | $1,475 | $906 | 163% | — | 3 |
| Stroke (hemorrhage/infarction), no CC/MCC | $23,984 | $3,679 | 652% | — | 2 |
| Stroke (hemorrhage/infarction), with CC or tPA | $31,209 | $6,559 | 476% | — | 2 |
| Thyroid stimulating hormone (TSH) | $28 | $17 | 166% | ~$20 | 6 |
| Tonsillectomy and adenoidectomy, under age 12 | $6,090 | $6,245 | 98% | — | 5 |
| Transforaminal epidural, lumbar/sacral | $2,992 | $933 | 321% | $439 | 6 |
| Ultrasound, abdomen, complete | $393 | $110 | 356% | ~$194 | 6 |
| Ultrasound, transvaginal | $326 | $110 | 296% | ~$136 | 6 |
| Upper GI endoscopy with biopsy | $3,339 | $957 | 349% | $393 | 6 |
| Upper GI endoscopy, diagnostic | $2,992 | $957 | 313% | $393 | 6 |
| Urinalysis, automated, with microscopy | $8 | $3 | 256% | ~$16 | 6 |
| Urinalysis, automated, without microscopy | $6 | $2 | 256% | ~$9 | 6 |
| Urinalysis, manual, with microscopy | $7 | $4 | 184% | ~$6 | 6 |
| Urinalysis, manual, without microscopy | $7 | $3 | 215% | ~$7 | 6 |
| Vaginal delivery, no sterilization, no CC/MCC | $15,882 | — | — | — | 4 |
| Vaginal delivery, no sterilization, with CC | $17,079 | — | — | — | 4 |
| X-ray, lower back, 4+ views | $366 | $110 | 332% | ~$136 | 6 |
| YAG laser capsulotomy (secondary cataract) | $3,339 | $580 | 576% | $288 | 6 |