| Acute myocardial infarction, discharged alive, with MCCMS-DRG 280 | $29,933 | $11,098 | 270% | — | 11 |
| Bariatric (obesity) surgery, no CC/MCCMS-DRG 621 | $28,147 | $8,272 | 340% | — | 11 |
| Basic metabolic panelCPT 80048 | $60 | $8 | 705% | ~$29 | 19 |
| COPD with MCCMS-DRG 190 | $20,670 | $7,927 | 261% | — | 11 |
| CT abdomen and pelvis with contrastCPT 74177 | $812 | $368 | 221% | ~$1,011 | 19 |
| CT head without contrastCPT 70450 | $778 | $110 | 705% | ~$394 | 19 |
| CT pelvis with contrastCPT 72193 | $812 | $185 | 439% | ~$517 | 19 |
| Cardiac arrhythmia, no CC/MCCMS-DRG 310 | $11,119 | $3,269 | 340% | — | 11 |
| Cardiac stress testCPT 93017 | $768 | $228 | 337% | $224 | 19 |
| Cardiac valve surgery with cardiac cath, with MCCMS-DRG 216 | $177,886 | — | — | — | 12 |
| Cataract surgery with IOL insertionCPT 66984 | $5,071 | $2,434 | 208% | — | 9 |
| Cellulitis, no MCCMS-DRG 603 | $17,106 | $5,952 | 287% | — | 11 |
| Cervical spinal fusion, no CC/MCCMS-DRG 473 | $45,555 | $16,343 | 279% | — | 11 |
| Cesarean section, no CC/MCCMS-DRG 788 | $10,633 | — | — | — | 11 |
| Cesarean section, with CCMS-DRG 787 | $10,633 | — | — | — | 11 |
| Chest painMS-DRG 313 | $14,142 | — | — | — | 11 |
| Colonoscopy with biopsyCPT 45380 | $3,305 | $1,262 | 262% | $508 | 19 |
| Colonoscopy with endoscopic ultrasoundCPT 45391 | $3,848 | $1,262 | 305% | — | 9 |
| Colonoscopy with polyp removalCPT 45385 | $3,642 | $1,262 | 288% | — | 11 |
| Colonoscopy, diagnosticCPT 45378 | $2,518 | $981 | 257% | — | 11 |
| Complete blood count with differentialCPT 85025 | $46 | $8 | 587% | ~$22 | 19 |
| Complete blood count, automatedCPT 85027 | $38 | $6 | 580% | ~$18 | 19 |
| Comprehensive metabolic panelCPT 80053 | $75 | $11 | 706% | ~$36 | 19 |
| Coronary bypass without cardiac cath, no MCCMS-DRG 236 | $76,167 | $29,950 | 254% | — | 12 |
| Diagnostic mammography, both breastsCPT 77066 | $304 | — | — | ~$89 | 19 |
| Diagnostic mammography, one breastCPT 77065 | $247 | — | — | ~$72 | 19 |
| ED visit, level 3CPT 99283 | $1,626 | $288 | 565% | $176 | 19 |
| ED visit, level 4CPT 99284 | $2,995 | $440 | 681% | $235 | 19 |
| ED visit, level 5CPT 99285 | $3,330 | $628 | 530% | $373 | 19 |
| Echocardiogram, completeCPT 93306 | $1,606 | $576 | 279% | $469 | 19 |
| Electrocardiogram with interpretationCPT 93000 | $109 | — | — | — | 5 |
| Epidural injection, lumbar/sacral, no imagingCPT 62322 | $1,718 | $933 | 184% | — | 9 |
| Esophagitis/GI disorders, no MCCMS-DRG 392 | $15,313 | $5,145 | 298% | — | 11 |
| Excision of breast lesionCPT 19120 | $5,721 | $4,130 | 139% | — | 9 |
| Family psychotherapy, with patientCPT 90847 | $156 | $187 | 83% | — | 5 |
| Family psychotherapy, without patientCPT 90846 | $156 | $187 | 83% | — | 5 |
| Group psychotherapyCPT 90853 | $156 | $107 | 146% | — | 5 |
| Heart failure and shock, with CCMS-DRG 292 | $16,676 | $5,927 | 281% | — | 11 |
| Heart failure with MCCMS-DRG 291 | $23,956 | $8,962 | 267% | — | 11 |
| Hip and femur procedures except major joint, with CCMS-DRG 481 | $39,083 | $14,297 | 273% | — | 11 |
| Hysterectomy, no CC/MCCMS-DRG 743 | $23,151 | $10,098 | 229% | — | 11 |
| Inguinal hernia repair, age 5+CPT 49505 | $8,761 | $3,777 | 232% | — | 11 |
| Kidney and urinary tract infections, no MCCMS-DRG 690 | $15,900 | $5,296 | 300% | — | 11 |
| Kidney function panelCPT 80069 | $81 | $9 | 936% | ~$39 | 19 |
| Knee arthroscopy with meniscectomyCPT 29881 | $7,755 | $3,452 | 225% | — | 11 |
| Laparoscopic cholecystectomyCPT 47562 | $9,769 | $6,377 | 153% | — | 11 |
| Laparoscopic cholecystectomy, no CC/MCCMS-DRG 419 | $25,486 | $8,977 | 284% | — | 11 |
| Laparoscopic radical prostatectomyCPT 55866 | $13,587 | $11,213 | 121% | — | 8 |
| Left heart catheterization, diagnosticCPT 93452 | $5,377 | $3,420 | 157% | — | 8 |
| Lipid panelCPT 80061 | $62 | $13 | 463% | ~$28 | 19 |
| Liver function panelCPT 80076 | $55 | $8 | 677% | ~$26 | 19 |
| Lumbar epidural steroid injectionCPT 62323 | $1,894 | $745 | 254% | $553 | 19 |
| MRI brain with and without contrastCPT 70553 | $1,109 | $368 | 301% | ~$844 | 19 |
| MRI lower extremity joint (knee)CPT 73721 | $919 | $252 | 365% | ~$439 | 19 |
| MRI lumbar spine without contrastCPT 72148 | $1,109 | $252 | 441% | ~$673 | 19 |
| Major joint replacement (hip/knee), no MCCMS-DRG 470 | $35,993 | $13,045 | 276% | — | 11 |
| Major joint replacement (hip/knee), with MCCMS-DRG 469 | $56,600 | $22,346 | 253% | — | 11 |
| Major small and large bowel procedures, with CCMS-DRG 330 | $44,732 | $18,429 | 243% | — | 11 |
| Medical back problems, no MCCMS-DRG 552 | $17,938 | $6,451 | 278% | — | 11 |
| OB global care, VBAC deliveryCPT 59610 | $12,956 | — | — | — | 5 |
| OB global care, cesarean deliveryCPT 59510 | $13,526 | — | — | — | 5 |
| OB global care, vaginal deliveryCPT 59400 | $12,564 | — | — | — | 5 |
| OB ultrasound, 14+ weeksCPT 76805 | $506 | $110 | 459% | ~$148 | 19 |
| Obstetric blood test panelCPT 80055 | $183 | $48 | 383% | ~$43 | 19 |
| Office visit, established patient, level 3CPT 99213 | $491 | — | — | — | 5 |
| Office visit, established patient, level 4CPT 99214 | $723 | — | — | — | 5 |
| Office visit, new patient, level 3CPT 99203 | $609 | — | — | — | 5 |
| Office visit, new patient, level 4CPT 99204 | $993 | — | — | — | 5 |
| Office visit, new patient, level 5CPT 99205 | $1,352 | — | — | — | 5 |
| PSA (prostate specific antigen), totalCPT 84153 | $85 | $18 | 460% | ~$32 | 19 |
| Partial thromboplastin timeCPT 85730 | $50 | $6 | 825% | ~$24 | 19 |
| Percutaneous cardiac stent, no MCCMS-DRG 247 | $32,391 | — | — | — | 1 |
| Physical therapy, therapeutic exerciseCPT 97110 | $110 | — | — | $21 | 19 |
| Prostate biopsyCPT 55700 | $1,855 | — | — | $347 | 19 |
| Prothrombin timeCPT 85610 | $33 | $4 | 774% | ~$16 | 19 |
| Psychotherapy, 30 minutesCPT 90832 | $156 | $187 | 83% | — | 5 |
| Psychotherapy, 45 minutesCPT 90834 | $156 | $187 | 83% | — | 5 |
| Psychotherapy, 60 minutesCPT 90837 | $156 | $187 | 83% | — | 5 |
| Renal failure, with CCMS-DRG 683 | $17,140 | $6,315 | 271% | — | 11 |
| Screening mammography, bilateralCPT 77067 | $233 | — | — | ~$68 | 19 |
| Sepsis with MCCMS-DRG 871 | $36,247 | $13,870 | 261% | — | 11 |
| Shoulder arthroscopy, subacromial decompressionCPT 29826 | $1,426 | — | — | — | 9 |
| Simple pneumonia and pleurisy, with CCMS-DRG 194 | $15,829 | $5,177 | 306% | — | 11 |
| Sleep study (polysomnography)CPT 95810 | $2,807 | $906 | 310% | $656 | 19 |
| Stroke (hemorrhage/infarction), no CC/MCCMS-DRG 066 | $13,443 | $3,679 | 365% | — | 11 |
| Stroke (hemorrhage/infarction), with CC or tPAMS-DRG 065 | $18,852 | $6,738 | 280% | — | 11 |
| Thyroid stimulating hormone (TSH)CPT 84443 | $73 | $17 | 434% | ~$19 | 19 |
| Tonsillectomy and adenoidectomy, under age 12CPT 42820 | $6,819 | $6,245 | 109% | $1,908 | 19 |
| Transforaminal epidural, lumbar/sacralCPT 64483 | $2,625 | $933 | 281% | $633 | 19 |
| Ultrasound, abdomen, completeCPT 76700 | $529 | $110 | 480% | ~$190 | 19 |
| Ultrasound, transvaginalCPT 76830 | $506 | $110 | 459% | ~$148 | 19 |
| Upper GI endoscopy with biopsyCPT 43239 | $1,965 | $957 | 205% | $446 | 19 |
| Upper GI endoscopy, diagnosticCPT 43235 | $2,518 | $957 | 263% | — | 11 |
| Urinalysis, automated, with microscopyCPT 81001 | $32 | $3 | 1005% | ~$15 | 19 |
| Urinalysis, automated, without microscopyCPT 81003 | $21 | $2 | 936% | ~$10 | 19 |
| Urinalysis, manual, with microscopyCPT 81000 | $17 | $4 | 420% | — | 7 |
| Urinalysis, manual, without microscopyCPT 81002 | $15 | $3 | 420% | — | 7 |
| Vaginal delivery, no sterilization, no CC/MCCMS-DRG 807 | $7,153 | — | — | — | 11 |
| Vaginal delivery, no sterilization, with CCMS-DRG 806 | $7,153 | — | — | — | 11 |
| X-ray, lower back, 4+ viewsCPT 72110 | $312 | $110 | 283% | ~$122 | 19 |
| YAG laser capsulotomy (secondary cataract)CPT 66821 | $2,708 | $580 | 467% | — | 9 |