| Acute myocardial infarction, discharged alive, with MCC | $67,841 | $14,188 | 478% | — | 5 |
| Bariatric (obesity) surgery, no CC/MCC | $54,830 | $8,272 | 663% | — | 6 |
| Basic metabolic panel | $88 | $8 | 1046% | ~$28 | 19 |
| COPD with MCC | $26,063 | $7,377 | 353% | — | 2 |
| CT abdomen and pelvis with contrast | $4,275 | $368 | 1162% | ~$1,375 | 19 |
| CT head without contrast | $1,935 | $110 | 1754% | ~$622 | 19 |
| CT pelvis with contrast | $4,193 | $185 | 2266% | ~$1,348 | 19 |
| Cardiac arrhythmia, no CC/MCC | $23,868 | $3,269 | 730% | — | 2 |
| Cardiac stress test | $1,131 | $228 | 497% | $364 | 19 |
| Cardiac valve surgery with cardiac cath, with MCC | $259,321 | — | — | — | 5 |
| Cataract surgery with IOL insertion | $5,027 | $2,434 | 206% | — | 1 |
| Cellulitis, no MCC | $25,194 | $5,675 | 444% | — | 2 |
| Cervical spinal fusion, no CC/MCC | $64,712 | $16,343 | 396% | — | 5 |
| Cesarean section, no CC/MCC | $27,566 | — | — | — | 5 |
| Cesarean section, with CC | $27,566 | — | — | — | 5 |
| Chest pain | $24,550 | — | — | — | 2 |
| Colonoscopy with biopsy | $1,828 | $1,262 | 145% | — | 1 |
| Colonoscopy with endoscopic ultrasound | $2,336 | $1,262 | 185% | — | 1 |
| Colonoscopy with polyp removal | $2,304 | $1,262 | 183% | — | 1 |
| Colonoscopy, diagnostic | $1,721 | $981 | 175% | — | 1 |
| Complete blood count with differential | $69 | $8 | 883% | ~$22 | 19 |
| Complete blood count, automated | $51 | $6 | 789% | ~$16 | 19 |
| Comprehensive metabolic panel | $126 | $11 | 1191% | ~$40 | 19 |
| Coronary bypass without cardiac cath, no MCC | $146,006 | $29,950 | 488% | — | 5 |
| Diagnostic mammography, both breasts | $487 | — | — | ~$157 | 19 |
| Diagnostic mammography, one breast | $438 | — | — | ~$141 | 19 |
| ED visit, level 3 | $1,529 | $288 | 531% | $390 | 19 |
| ED visit, level 4 | $3,282 | $440 | 746% | $836 | 19 |
| ED visit, level 5 | $6,897 | $628 | 1098% | $1,758 | 19 |
| Echocardiogram, complete | $2,095 | $576 | 364% | $674 | 19 |
| Electrocardiogram with interpretation | $134 | — | — | — | 1 |
| Epidural injection, lumbar/sacral, no imaging | $717 | $933 | 77% | — | 1 |
| Esophagitis/GI disorders, no MCC | $24,798 | $4,899 | 506% | — | 2 |
| Excision of breast lesion | $3,905 | $4,130 | 95% | — | 1 |
| Family psychotherapy, with patient | $974 | $187 | 520% | — | 1 |
| Family psychotherapy, without patient | $933 | $187 | 499% | — | 1 |
| Group psychotherapy | $230 | $107 | 215% | — | 1 |
| Heart failure and shock, with CC | $43,089 | $5,927 | 727% | — | 5 |
| Heart failure with MCC | $58,665 | $10,932 | 537% | — | 5 |
| Hip and femur procedures except major joint, with CC | $75,772 | $18,637 | 407% | — | 5 |
| Hysterectomy, no CC/MCC | $26,303 | $10,098 | 260% | — | 2 |
| Inguinal hernia repair, age 5+ | $4,859 | $3,777 | 129% | — | 1 |
| Kidney and urinary tract infections, no MCC | $24,883 | $6,720 | 370% | — | 2 |
| Kidney function panel | $94 | $9 | 1088% | ~$30 | 19 |
| Knee arthroscopy with meniscectomy | $5,137 | $3,452 | 149% | — | 1 |
| Laparoscopic cholecystectomy | $6,101 | $6,377 | 96% | — | 1 |
| Laparoscopic cholecystectomy, no CC/MCC | $26,908 | $8,977 | 300% | — | 2 |
| Laparoscopic radical prostatectomy | $10,956 | $11,213 | 98% | — | 1 |
| Left heart catheterization, diagnostic | $9,674 | $3,420 | 283% | $2,466 | 19 |
| Lipid panel | $141 | $13 | 1051% | ~$45 | 19 |
| Liver function panel | $90 | $8 | 1107% | ~$29 | 19 |
| Lumbar epidural steroid injection | $2,797 | $745 | 376% | $717 | 19 |
| MRI brain with and without contrast | $5,815 | $368 | 1580% | ~$1,870 | 19 |
| MRI lower extremity joint (knee) | $5,386 | $252 | 2140% | ~$1,732 | 19 |
| MRI lumbar spine without contrast | $4,439 | $252 | 1763% | ~$1,427 | 19 |
| Major joint replacement (hip/knee), no MCC | $62,902 | $13,045 | 482% | — | 5 |
| Major joint replacement (hip/knee), with MCC | $93,848 | $22,346 | 420% | — | 5 |
| Major small and large bowel procedures, with CC | $31,143 | $16,202 | 192% | — | 2 |
| Medical back problems, no MCC | $25,521 | $6,142 | 415% | — | 2 |
| OB global care, VBAC delivery | $23,092 | — | — | — | 1 |
| OB global care, cesarean delivery | $24,498 | — | — | — | 1 |
| OB global care, vaginal delivery | $22,123 | — | — | — | 1 |
| OB ultrasound, 14+ weeks | $659 | $110 | 598% | ~$212 | 19 |
| Obstetric blood test panel | $205 | $48 | 429% | ~$66 | 19 |
| Office visit, established patient, level 3 | $606 | — | — | — | 1 |
| Office visit, established patient, level 4 | $892 | — | — | — | 1 |
| Office visit, new patient, level 3 | $752 | — | — | — | 1 |
| Office visit, new patient, level 4 | $1,226 | — | — | — | 1 |
| Office visit, new patient, level 5 | $1,668 | — | — | — | 1 |
| PSA (prostate specific antigen), total | $193 | $18 | 1051% | ~$62 | 19 |
| Partial thromboplastin time | $62 | $6 | 1036% | ~$20 | 19 |
| Physical therapy, therapeutic exercise | $185 | — | — | $47 | 19 |
| Prostate biopsy | $1,182 | — | — | — | 1 |
| Prothrombin time | $40 | $4 | 922% | ~$13 | 19 |
| Psychotherapy, 30 minutes | $654 | $187 | 349% | — | 1 |
| Psychotherapy, 45 minutes | $863 | $187 | 461% | — | 1 |
| Psychotherapy, 60 minutes | $1,277 | $187 | 682% | — | 1 |
| Renal failure, with CC | $25,259 | $7,550 | 335% | — | 2 |
| Screening mammography, bilateral | $665 | — | — | ~$214 | 19 |
| Sepsis with MCC | $29,585 | $17,752 | 167% | — | 2 |
| Shoulder arthroscopy, subacromial decompression | $1,568 | — | — | — | 1 |
| Simple pneumonia and pleurisy, with CC | $24,944 | $5,177 | 482% | — | 2 |
| Sleep study (polysomnography) | $4,902 | $906 | 541% | $1,520 | 19 |
| Spinal fusion except cervical, no MCC | $34,265 | $25,413 | 135% | — | 1 |
| Spinal fusion except cervical, with MCC | $38,569 | $51,127 | 75% | — | 1 |
| Stroke (hemorrhage/infarction), no CC/MCC | $24,406 | $3,679 | 663% | — | 2 |
| Stroke (hemorrhage/infarction), with CC or tPA | $25,721 | $8,380 | 307% | — | 2 |
| Thyroid stimulating hormone (TSH) | $167 | $17 | 993% | ~$54 | 19 |
| Tonsillectomy and adenoidectomy, under age 12 | $2,747 | $6,245 | 44% | — | 1 |
| Transforaminal epidural, lumbar/sacral | $3,336 | $933 | 358% | $1,073 | 19 |
| Ultrasound, abdomen, complete | $1,816 | $110 | 1647% | ~$584 | 19 |
| Ultrasound, transvaginal | $984 | $110 | 893% | ~$317 | 19 |
| Upper GI endoscopy with biopsy | $1,260 | $957 | 132% | — | 1 |
| Upper GI endoscopy, diagnostic | $1,122 | $957 | 117% | — | 1 |
| Urinalysis, automated, with microscopy | $30 | $3 | 957% | ~$10 | 19 |
| Urinalysis, automated, without microscopy | $22 | $2 | 962% | ~$7 | 19 |
| Urinalysis, manual, with microscopy | $4 | $4 | 100% | — | 2 |
| Urinalysis, manual, without microscopy | $25 | $3 | 726% | ~$8 | 19 |
| Vaginal delivery, no sterilization, no CC/MCC | $10,920 | — | — | — | 5 |
| Vaginal delivery, no sterilization, with CC | $10,920 | — | — | — | 5 |
| X-ray, lower back, 4+ views | $586 | $110 | 531% | ~$188 | 19 |
| YAG laser capsulotomy (secondary cataract) | $2,895 | $580 | 499% | — | 1 |