| Acute myocardial infarction, discharged alive, with MCC | $30,140 | $10,012 | 301% | — | 15 |
| Bariatric (obesity) surgery, no CC/MCC | $25,913 | $8,272 | 313% | — | 18 |
| Basic metabolic panel | $15 | $8 | 175% | ~$40 | 25 |
| COPD with MCC | $14,858 | $7,377 | 201% | — | 10 |
| CT abdomen and pelvis with contrast | $619 | $368 | 168% | ~$2,116 | 25 |
| CT head without contrast | $420 | $110 | 381% | ~$929 | 25 |
| CT pelvis with contrast | $420 | $185 | 227% | ~$998 | 25 |
| Cardiac arrhythmia, no CC/MCC | $9,365 | $3,269 | 286% | — | 10 |
| Cardiac stress test | $482 | $228 | 212% | $821 | 25 |
| Cardiac valve surgery with cardiac cath, with MCC | $130,193 | — | — | — | 15 |
| Cataract surgery with IOL insertion | $3,524 | $2,434 | 145% | — | 1 |
| Cellulitis, no MCC | $11,882 | $6,130 | 194% | — | 11 |
| Cervical spinal fusion, no CC/MCC | $35,922 | $16,343 | 220% | — | 16 |
| Cesarean section, no CC/MCC | $14,773 | — | — | — | 16 |
| Cesarean section, with CC | $14,773 | — | — | — | 16 |
| Chest pain | $9,439 | — | — | — | 10 |
| Colonoscopy with biopsy | $1,281 | $1,262 | 101% | — | 1 |
| Colonoscopy with endoscopic ultrasound | $1,638 | $1,262 | 130% | — | 1 |
| Colonoscopy with polyp removal | $1,615 | $1,262 | 128% | — | 1 |
| Colonoscopy, diagnostic | $1,206 | $981 | 123% | — | 1 |
| Complete blood count with differential | $14 | $8 | 175% | ~$46 | 25 |
| Complete blood count, automated | $11 | $6 | 175% | ~$28 | 25 |
| Comprehensive metabolic panel | $18 | $11 | 175% | ~$44 | 25 |
| Coronary bypass without cardiac cath, no MCC | $55,472 | $29,950 | 185% | — | 15 |
| Diagnostic mammography, both breasts | $198 | — | — | ~$149 | 25 |
| Diagnostic mammography, one breast | $197 | — | — | ~$60 | 25 |
| ED visit, level 3 | $3,443 | $288 | 1196% | $615 | 25 |
| ED visit, level 4 | $6,518 | $440 | 1481% | $1,320 | 25 |
| ED visit, level 5 | $13,700 | $628 | 2181% | $2,775 | 25 |
| Echocardiogram, complete | $967 | $576 | 168% | $741 | 25 |
| Electrocardiogram with interpretation | $94 | — | — | — | 1 |
| Epidural injection, lumbar/sacral, no imaging | $1,754 | $933 | 188% | $303 | 25 |
| Esophagitis/GI disorders, no MCC | $10,526 | $4,904 | 215% | — | 11 |
| Excision of breast lesion | $2,737 | $4,130 | 66% | — | 1 |
| Family psychotherapy, with patient | $209 | $187 | 112% | $73 | 25 |
| Family psychotherapy, without patient | $654 | $187 | 349% | — | 1 |
| Group psychotherapy | $232 | $107 | 217% | $73 | 25 |
| Heart failure and shock, with CC | $18,197 | $5,927 | 307% | — | 15 |
| Heart failure with MCC | $27,295 | $8,962 | 305% | — | 15 |
| Hip and femur procedures except major joint, with CC | $27,990 | $13,451 | 208% | — | 15 |
| Hysterectomy, no CC/MCC | $16,170 | $10,098 | 160% | — | 12 |
| Inguinal hernia repair, age 5+ | $3,406 | $3,777 | 90% | — | 1 |
| Kidney and urinary tract infections, no MCC | $10,827 | $5,238 | 207% | — | 11 |
| Kidney function panel | $15 | $9 | 175% | ~$50 | 25 |
| Knee arthroscopy with meniscectomy | $3,601 | $3,452 | 104% | — | 1 |
| Laparoscopic cholecystectomy | $4,276 | $6,377 | 67% | — | 1 |
| Laparoscopic cholecystectomy, no CC/MCC | $17,774 | $8,977 | 198% | — | 11 |
| Laparoscopic radical prostatectomy | $7,680 | $11,213 | 68% | — | 1 |
| Left heart catheterization, diagnostic | $8,603 | $3,420 | 252% | $3,358 | 25 |
| Lipid panel | $23 | $13 | 175% | ~$78 | 25 |
| Liver function panel | $14 | $8 | 175% | ~$40 | 25 |
| Lumbar epidural steroid injection | $2,298 | $745 | 309% | $429 | 25 |
| MRI brain with and without contrast | $619 | $368 | 168% | ~$1,556 | 25 |
| MRI lower extremity joint (knee) | $585 | $252 | 232% | ~$1,430 | 25 |
| MRI lumbar spine without contrast | $585 | $252 | 232% | ~$1,057 | 25 |
| Major joint replacement (hip/knee), no MCC | $33,180 | $13,045 | 254% | — | 16 |
| Major joint replacement (hip/knee), with MCC | $49,233 | $22,346 | 220% | — | 16 |
| Major small and large bowel procedures, with CC | $39,624 | $14,862 | 267% | — | 11 |
| Medical back problems, no MCC | $12,752 | $6,333 | 201% | — | 10 |
| OB global care, VBAC delivery | $16,186 | — | — | — | 1 |
| OB global care, cesarean delivery | $17,171 | — | — | — | 1 |
| OB global care, vaginal delivery | $15,506 | — | — | — | 1 |
| OB ultrasound, 14+ weeks | $219 | $110 | 199% | ~$274 | 25 |
| Obstetric blood test panel | $84 | $48 | 175% | ~$103 | 25 |
| Office visit, established patient, level 3 | $425 | — | — | — | 1 |
| Office visit, established patient, level 4 | $625 | — | — | — | 1 |
| Office visit, new patient, level 3 | $527 | — | — | — | 1 |
| Office visit, new patient, level 4 | $859 | — | — | — | 1 |
| Office visit, new patient, level 5 | $1,169 | — | — | — | 1 |
| PSA (prostate specific antigen), total | $32 | $18 | 175% | ~$42 | 25 |
| Partial thromboplastin time | $11 | $6 | 175% | ~$37 | 25 |
| Percutaneous cardiac stent, no MCC | $38,710 | — | — | — | 7 |
| Physical therapy, therapeutic exercise | $128 | — | — | $43 | 25 |
| Prostate biopsy | $2,298 | — | — | $473 | 25 |
| Prothrombin time | $8 | $4 | 175% | ~$27 | 25 |
| Psychotherapy, 30 minutes | $86 | $187 | 46% | $30 | 25 |
| Psychotherapy, 45 minutes | $113 | $187 | 60% | $40 | 25 |
| Psychotherapy, 60 minutes | $119 | $187 | 64% | $42 | 25 |
| Renal failure, with CC | $11,991 | $5,923 | 202% | — | 11 |
| Screening mammography, bilateral | $198 | — | — | ~$59 | 25 |
| Sepsis with MCC | $28,804 | $13,237 | 218% | — | 11 |
| Shoulder arthroscopy, subacromial decompression | $1,099 | — | — | — | 1 |
| Simple pneumonia and pleurisy, with CC | $11,062 | $4,889 | 226% | — | 11 |
| Sleep study (polysomnography) | $1,446 | $906 | 160% | $1,770 | 25 |
| Spinal fusion except cervical, no MCC | $62,899 | $27,349 | 230% | — | 5 |
| Spinal fusion except cervical, with MCC | $81,159 | $51,127 | 159% | — | 3 |
| Stroke (hemorrhage/infarction), no CC/MCC | $9,107 | $3,679 | 248% | — | 10 |
| Stroke (hemorrhage/infarction), with CC or tPA | $13,454 | $6,544 | 206% | — | 10 |
| Thyroid stimulating hormone (TSH) | $29 | $17 | 175% | ~$22 | 25 |
| Tonsillectomy and adenoidectomy, under age 12 | $1,926 | $6,245 | 31% | — | 1 |
| Transforaminal epidural, lumbar/sacral | $2,298 | $933 | 246% | $518 | 25 |
| Ultrasound, abdomen, complete | $219 | $110 | 199% | ~$274 | 25 |
| Ultrasound, transvaginal | $219 | $110 | 199% | ~$262 | 25 |
| Upper GI endoscopy with biopsy | $883 | $957 | 92% | — | 1 |
| Upper GI endoscopy, diagnostic | $786 | $957 | 82% | — | 1 |
| Urinalysis, automated, with microscopy | $6 | $3 | 175% | ~$32 | 25 |
| Urinalysis, automated, without microscopy | $4 | $2 | 175% | ~$19 | 25 |
| Urinalysis, manual, with microscopy | $7 | $4 | 175% | ~$19 | 25 |
| Urinalysis, manual, without microscopy | $6 | $3 | 175% | ~$13 | 25 |
| Vaginal delivery, no sterilization, no CC/MCC | $6,750 | — | — | — | 16 |
| Vaginal delivery, no sterilization, with CC | $6,750 | — | — | — | 16 |
| X-ray, lower back, 4+ views | $102 | $110 | 92% | ~$372 | 25 |
| YAG laser capsulotomy (secondary cataract) | $2,029 | $580 | 350% | — | 1 |