| Acute myocardial infarction, discharged alive, with MCC | $30,675 | $11,217 | 273% | — | 3 |
| Bariatric (obesity) surgery, no CC/MCC | $28,546 | $8,272 | 345% | — | 6 |
| Basic metabolic panel | $108 | $8 | 1279% | ~$66 | 15 |
| COPD with MCC | $20,991 | $7,377 | 285% | — | 3 |
| CT abdomen and pelvis with contrast | $1,065 | $368 | 289% | ~$2,237 | 15 |
| CT head without contrast | $592 | $110 | 537% | ~$772 | 15 |
| CT pelvis with contrast | $681 | $185 | 368% | ~$1,219 | 15 |
| Cardiac arrhythmia, no CC/MCC | $10,455 | $3,269 | 320% | — | 3 |
| Cardiac stress test | $1,158 | $228 | 508% | $485 | 15 |
| Cardiac valve surgery with cardiac cath, with MCC | $180,337 | — | — | — | 3 |
| Cataract surgery with IOL insertion | $4,500 | $2,434 | 185% | — | 1 |
| Cellulitis, no MCC | $16,461 | $5,675 | 290% | — | 3 |
| Cervical spinal fusion, no CC/MCC | $44,102 | $16,343 | 270% | — | 4 |
| Cesarean section, no CC/MCC | $15,973 | — | — | — | 6 |
| Cesarean section, with CC | $16,632 | — | — | — | 6 |
| Chest pain | $13,329 | — | — | — | 3 |
| Colonoscopy with biopsy | $1,393 | $1,262 | 110% | — | 2 |
| Colonoscopy with endoscopic ultrasound | $2,091 | $1,262 | 166% | — | 1 |
| Colonoscopy with polyp removal | $1,607 | $1,262 | 127% | — | 2 |
| Colonoscopy, diagnostic | $1,346 | $981 | 137% | — | 2 |
| Complete blood count with differential | $67 | $8 | 859% | ~$37 | 15 |
| Complete blood count, automated | $51 | $6 | 789% | ~$29 | 15 |
| Comprehensive metabolic panel | $142 | $11 | 1349% | ~$87 | 15 |
| Coronary bypass without cardiac cath, no MCC | $76,837 | $29,950 | 257% | — | 3 |
| Diagnostic mammography, both breasts | $317 | — | — | ~$276 | 15 |
| Diagnostic mammography, one breast | $249 | — | — | ~$188 | 15 |
| ED visit, level 3 | $1,507 | $288 | 523% | $540 | 15 |
| ED visit, level 4 | $2,656 | $440 | 603% | $953 | 15 |
| ED visit, level 5 | $5,238 | $628 | 834% | $1,879 | 15 |
| Echocardiogram, complete | $2,963 | $576 | 514% | $1,241 | 15 |
| Electrocardiogram with interpretation | $120 | — | — | — | 1 |
| Epidural injection, lumbar/sacral, no imaging | $1,306 | $933 | 140% | $412 | 15 |
| Esophagitis/GI disorders, no MCC | $14,581 | $4,899 | 298% | — | 3 |
| Excision of breast lesion | $3,495 | $4,130 | 85% | — | 1 |
| Family psychotherapy, with patient | $871 | $187 | 465% | — | 1 |
| Family psychotherapy, without patient | $836 | $187 | 446% | — | 1 |
| Group psychotherapy | $206 | $107 | 192% | — | 1 |
| Heart failure and shock, with CC | $16,095 | $5,927 | 272% | — | 3 |
| Heart failure with MCC | $24,385 | $8,962 | 272% | — | 3 |
| Hip and femur procedures except major joint, with CC | $40,430 | $13,876 | 291% | — | 4 |
| Hysterectomy, no CC/MCC | $21,278 | $10,098 | 211% | — | 4 |
| Inguinal hernia repair, age 5+ | $4,349 | $3,777 | 115% | — | 1 |
| Kidney and urinary tract infections, no MCC | $14,998 | $5,238 | 286% | — | 3 |
| Kidney function panel | $104 | $9 | 1193% | ~$63 | 15 |
| Knee arthroscopy with meniscectomy | $4,598 | $3,452 | 133% | — | 1 |
| Laparoscopic cholecystectomy | $5,461 | $6,377 | 86% | — | 1 |
| Laparoscopic cholecystectomy, no CC/MCC | $24,622 | $8,977 | 274% | — | 3 |
| Laparoscopic radical prostatectomy | $9,807 | $11,213 | 87% | — | 1 |
| Left heart catheterization, diagnostic | $8,555 | $3,420 | 250% | $3,584 | 15 |
| Lipid panel | $95 | $13 | 712% | ~$52 | 15 |
| Liver function panel | $160 | $8 | 1953% | ~$97 | 15 |
| Lumbar epidural steroid injection | $1,306 | $745 | 175% | $412 | 15 |
| MRI brain with and without contrast | $952 | $368 | 259% | ~$1,589 | 15 |
| MRI lower extremity joint (knee) | $952 | $252 | 378% | ~$1,608 | 15 |
| MRI lumbar spine without contrast | $952 | $252 | 378% | ~$1,473 | 15 |
| Major joint replacement (hip/knee), no MCC | $40,872 | $14,715 | 278% | — | 5 |
| Major joint replacement (hip/knee), with MCC | $61,350 | $22,346 | 275% | — | 5 |
| Major small and large bowel procedures, with CC | $44,170 | $16,202 | 273% | — | 3 |
| Medical back problems, no MCC | $18,011 | $6,142 | 293% | — | 3 |
| OB global care, VBAC delivery | $20,670 | — | — | — | 1 |
| OB global care, cesarean delivery | $21,928 | — | — | — | 1 |
| OB global care, vaginal delivery | $19,802 | — | — | — | 1 |
| OB ultrasound, 14+ weeks | $654 | $110 | 593% | ~$576 | 15 |
| Obstetric blood test panel | $277 | $48 | 579% | ~$152 | 15 |
| Office visit, established patient, level 3 | $543 | — | — | — | 1 |
| Office visit, established patient, level 4 | $799 | — | — | — | 1 |
| Office visit, new patient, level 3 | $673 | — | — | — | 1 |
| Office visit, new patient, level 4 | $1,097 | — | — | — | 1 |
| Office visit, new patient, level 5 | $1,493 | — | — | — | 1 |
| PSA (prostate specific antigen), total | $114 | $18 | 620% | ~$63 | 15 |
| Partial thromboplastin time | $59 | $6 | 978% | ~$32 | 15 |
| Physical therapy, therapeutic exercise | $155 | — | — | $46 | 15 |
| Prostate biopsy | $3,437 | — | — | $1,393 | 15 |
| Prothrombin time | $44 | $4 | 1033% | ~$27 | 15 |
| Psychotherapy, 30 minutes | $585 | $187 | 313% | — | 1 |
| Psychotherapy, 45 minutes | $772 | $187 | 413% | — | 1 |
| Psychotherapy, 60 minutes | $1,143 | $187 | 610% | — | 1 |
| Renal failure, with CC | $16,611 | $5,892 | 282% | — | 3 |
| Screening mammography, bilateral | $253 | — | — | ~$223 | 15 |
| Sepsis with MCC | $36,670 | $16,210 | 226% | — | 3 |
| Shoulder arthroscopy, subacromial decompression | $1,403 | — | — | — | 1 |
| Simple pneumonia and pleurisy, with CC | $15,323 | $5,177 | 296% | — | 3 |
| Sleep study (polysomnography) | $4,240 | $906 | 468% | $1,968 | 15 |
| Stroke (hemorrhage/infarction), no CC/MCC | $12,862 | $3,679 | 350% | — | 3 |
| Stroke (hemorrhage/infarction), with CC or tPA | $19,005 | $6,559 | 290% | — | 3 |
| Thyroid stimulating hormone (TSH) | $107 | $17 | 635% | ~$59 | 15 |
| Tonsillectomy and adenoidectomy, under age 12 | $2,459 | $6,245 | 39% | — | 1 |
| Transforaminal epidural, lumbar/sacral | $2,866 | $933 | 307% | $1,027 | 15 |
| Ultrasound, abdomen, complete | $706 | $110 | 640% | ~$893 | 15 |
| Ultrasound, transvaginal | $702 | $110 | 637% | ~$618 | 15 |
| Upper GI endoscopy with biopsy | $1,140 | $957 | 119% | — | 2 |
| Upper GI endoscopy, diagnostic | $1,078 | $957 | 113% | — | 2 |
| Urinalysis, automated, with microscopy | $66 | $3 | 2073% | ~$40 | 15 |
| Urinalysis, automated, without microscopy | $66 | $2 | 2914% | ~$40 | 15 |
| Urinalysis, manual, with microscopy | $48 | $4 | 1192% | ~$29 | 15 |
| Urinalysis, manual, without microscopy | $30 | $3 | 852% | ~$18 | 15 |
| Vaginal delivery, no sterilization, no CC/MCC | $8,590 | — | — | — | 6 |
| Vaginal delivery, no sterilization, with CC | $8,590 | — | — | — | 6 |
| X-ray, lower back, 4+ views | $245 | $110 | 222% | ~$408 | 15 |
| YAG laser capsulotomy (secondary cataract) | $2,591 | $580 | 447% | — | 1 |