| Acute myocardial infarction, discharged alive, with MCC | $4,466 | $11,217 | 40% | — | 8 |
| Bariatric (obesity) surgery, no CC/MCC | $23,340 | $8,272 | 282% | — | 19 |
| Basic metabolic panel | $402 | $8 | 4747% | ~$150 | 38 |
| COPD with MCC | $4,466 | $7,377 | 61% | — | 8 |
| CT abdomen and pelvis with contrast | $3,842 | $368 | 1044% | ~$1,081 | 30 |
| CT head without contrast | $1,843 | $110 | 1671% | ~$519 | 30 |
| CT pelvis with contrast | $2,366 | $185 | 1279% | ~$666 | 30 |
| Cardiac arrhythmia, no CC/MCC | $4,466 | $3,269 | 137% | — | 8 |
| Cardiac stress test | $1,991 | $228 | 874% | $355 | 28 |
| Cardiac valve surgery with cardiac cath, with MCC | $149,922 | — | — | — | 9 |
| Cataract surgery with IOL insertion | $6,719 | $2,434 | 276% | — | 14 |
| Cellulitis, no MCC | $5,814 | $5,675 | 102% | — | 10 |
| Cervical spinal fusion, no CC/MCC | $27,142 | $16,343 | 166% | — | 11 |
| Cesarean section, no CC/MCC | $14,000 | — | — | — | 19 |
| Cesarean section, with CC | $14,000 | — | — | — | 19 |
| Chest pain | $4,466 | — | — | — | 8 |
| Colonoscopy with biopsy | $4,442 | $1,262 | 352% | — | 14 |
| Colonoscopy with endoscopic ultrasound | $4,442 | $1,262 | 352% | — | 14 |
| Colonoscopy with polyp removal | $4,442 | $1,262 | 352% | — | 14 |
| Colonoscopy, diagnostic | $3,755 | $981 | 383% | — | 14 |
| Complete blood count with differential | $8 | $8 | 100% | — | 14 |
| Complete blood count, automated | $164 | $6 | 2538% | ~$55 | 36 |
| Comprehensive metabolic panel | $469 | $11 | 4441% | ~$176 | 38 |
| Coronary bypass without cardiac cath, no MCC | $40,053 | $29,950 | 134% | — | 9 |
| Diagnostic mammography, both breasts | $274 | — | — | — | 12 |
| Diagnostic mammography, one breast | $214 | — | — | — | 12 |
| ED visit, level 3 | $2,567 | $288 | 891% | $676 | 36 |
| ED visit, level 4 | $4,299 | $440 | 977% | $1,132 | 36 |
| ED visit, level 5 | $7,329 | $628 | 1167% | $1,169 | 36 |
| Echocardiogram, complete | $2,380 | $576 | 413% | $491 | 26 |
| Epidural injection, lumbar/sacral, no imaging | $2,812 | $933 | 301% | — | 14 |
| Esophagitis/GI disorders, no MCC | $8,790 | $4,899 | 179% | — | 12 |
| Excision of breast lesion | $6,112 | $4,130 | 148% | — | 14 |
| Family psychotherapy, with patient | $256 | $187 | 137% | — | 2 |
| Family psychotherapy, without patient | $256 | $187 | 137% | — | 2 |
| Group psychotherapy | $143 | $107 | 133% | — | 2 |
| Heart failure and shock, with CC | $4,466 | $5,927 | 75% | — | 8 |
| Heart failure with MCC | $4,466 | $9,970 | 45% | — | 8 |
| Hip and femur procedures except major joint, with CC | $16,712 | $13,876 | 120% | — | 12 |
| Hysterectomy, no CC/MCC | $5,996 | $10,098 | 59% | — | 8 |
| Inguinal hernia repair, age 5+ | $6,159 | $3,777 | 163% | — | 14 |
| Kidney and urinary tract infections, no MCC | $5,814 | $5,238 | 111% | — | 10 |
| Kidney function panel | $573 | $9 | 6604% | ~$215 | 38 |
| Knee arthroscopy with meniscectomy | $6,159 | $3,452 | 178% | — | 14 |
| Laparoscopic cholecystectomy | $9,291 | $6,377 | 146% | — | 14 |
| Laparoscopic cholecystectomy, no CC/MCC | $5,996 | $8,977 | 67% | — | 8 |
| Laparoscopic radical prostatectomy | $11,568 | $11,213 | 103% | — | 14 |
| Left heart catheterization, diagnostic | $13,638 | $3,420 | 399% | — | 17 |
| Lipid panel | $10 | $13 | 78% | ~$1 | 38 |
| Liver function panel | $578 | $8 | 7070% | ~$193 | 36 |
| Lumbar epidural steroid injection | $2,125 | $745 | 285% | $271 | 31 |
| MRI brain with and without contrast | $6,462 | $368 | 1756% | ~$1,818 | 30 |
| MRI lower extremity joint (knee) | $3,185 | $252 | 1265% | ~$896 | 30 |
| MRI lumbar spine without contrast | $3,981 | $252 | 1582% | ~$1,120 | 30 |
| Major joint replacement (hip/knee), no MCC | $31,000 | $11,505 | 269% | — | 15 |
| Major joint replacement (hip/knee), with MCC | $35,590 | $22,346 | 159% | — | 12 |
| Major small and large bowel procedures, with CC | $5,996 | $16,209 | 37% | — | 8 |
| Medical back problems, no MCC | $4,466 | $6,142 | 73% | — | 8 |
| OB global care, VBAC delivery | $5,102 | — | — | — | 9 |
| OB global care, cesarean delivery | $7,872 | — | — | — | 4 |
| OB global care, vaginal delivery | $7,872 | — | — | — | 4 |
| OB ultrasound, 14+ weeks | $677 | $110 | 614% | ~$216 | 35 |
| Obstetric blood test panel | $461 | $48 | 963% | ~$154 | 36 |
| Office visit, established patient, level 3 | $249 | — | — | $40 | 26 |
| Office visit, established patient, level 4 | $348 | — | — | $56 | 26 |
| Office visit, new patient, level 3 | $398 | — | — | $64 | 26 |
| Office visit, new patient, level 4 | $443 | — | — | $71 | 26 |
| Office visit, new patient, level 5 | $476 | — | — | $76 | 26 |
| PSA (prostate specific antigen), total | $248 | $18 | 1349% | ~$83 | 36 |
| Partial thromboplastin time | $164 | $6 | 2732% | ~$55 | 36 |
| Physical therapy, therapeutic exercise | $121 | — | — | $21 | 27 |
| Prostate biopsy | $4,821 | — | — | — | 9 |
| Prothrombin time | $147 | $4 | 3418% | ~$55 | 38 |
| Psychotherapy, 30 minutes | $256 | $187 | 137% | — | 2 |
| Psychotherapy, 45 minutes | $256 | $187 | 137% | — | 2 |
| Psychotherapy, 60 minutes | $256 | $187 | 137% | — | 2 |
| Renal failure, with CC | $5,814 | $6,363 | 91% | — | 10 |
| Screening mammography, bilateral | $226 | — | — | — | 12 |
| Sepsis with MCC | $10,630 | $14,700 | 72% | — | 14 |
| Shoulder arthroscopy, subacromial decompression | $3,431 | — | — | — | 8 |
| Simple pneumonia and pleurisy, with CC | $5,814 | $5,177 | 112% | — | 10 |
| Sleep study (polysomnography) | $3,338 | $906 | 368% | $667 | 35 |
| Spinal fusion except cervical, no MCC | $78,000 | $25,413 | 307% | — | 1 |
| Stroke (hemorrhage/infarction), no CC/MCC | $4,466 | $3,679 | 121% | — | 8 |
| Stroke (hemorrhage/infarction), with CC or tPA | $4,466 | $6,559 | 68% | — | 8 |
| Thyroid stimulating hormone (TSH) | $290 | $17 | 1725% | ~$109 | 38 |
| Tonsillectomy and adenoidectomy, under age 12 | $6,709 | $6,245 | 107% | — | 14 |
| Transforaminal epidural, lumbar/sacral | $2,812 | $933 | 301% | — | 14 |
| Ultrasound, abdomen, complete | $999 | $110 | 905% | ~$319 | 35 |
| Ultrasound, transvaginal | $447 | $110 | 406% | ~$124 | 35 |
| Upper GI endoscopy with biopsy | $3,755 | $957 | 392% | — | 14 |
| Upper GI endoscopy, diagnostic | $3,318 | $957 | 347% | — | 14 |
| Urinalysis, automated, with microscopy | $278 | $3 | 8754% | ~$93 | 36 |
| Urinalysis, automated, without microscopy | $58 | $2 | 2588% | ~$22 | 38 |
| Urinalysis, manual, with microscopy | $4 | $4 | 100% | — | 12 |
| Urinalysis, manual, without microscopy | $66 | $3 | 1906% | ~$22 | 36 |
| Vaginal delivery, no sterilization, no CC/MCC | $9,142 | — | — | — | 19 |
| Vaginal delivery, no sterilization, with CC | $9,142 | — | — | — | 19 |
| X-ray, lower back, 4+ views | $325 | $110 | 294% | ~$93 | 35 |
| YAG laser capsulotomy (secondary cataract) | $2,812 | $580 | 485% | — | 14 |