| Acute myocardial infarction, discharged alive, with MCCMS-DRG 280 | $33,671 | $10,364 | 325% | — | 14 |
| Bariatric (obesity) surgery, no CC/MCCMS-DRG 621 | $28,270 | $8,272 | 342% | — | 14 |
| Basic metabolic panelCPT 80048 | $89 | $8 | 1050% | ~$52 | 22 |
| COPD with MCCMS-DRG 190 | $23,251 | $7,456 | 312% | — | 14 |
| CT abdomen and pelvis with contrastCPT 74177 | $719 | $368 | 195% | ~$1,431 | 22 |
| CT head without contrastCPT 70450 | $719 | $110 | 652% | ~$546 | 22 |
| CT pelvis with contrastCPT 72193 | $719 | $185 | 389% | ~$606 | 22 |
| Cardiac arrhythmia, no CC/MCCMS-DRG 310 | $11,883 | $3,269 | 364% | — | 14 |
| Cardiac stress testCPT 93017 | $1,103 | $228 | 484% | $464 | 22 |
| Cardiac valve surgery with cardiac cath, with MCCMS-DRG 216 | $199,740 | — | — | — | 14 |
| Cataract surgery with IOL insertionCPT 66984 | $5,402 | $2,434 | 222% | — | 9 |
| Cellulitis, no MCCMS-DRG 603 | $18,281 | $5,734 | 319% | — | 14 |
| Cervical spinal fusion, no CC/MCCMS-DRG 473 | $49,845 | $16,343 | 305% | — | 14 |
| Cesarean section, no CC/MCCMS-DRG 788 | $14,046 | — | — | — | 13 |
| Cesarean section, with CCMS-DRG 787 | $14,452 | — | — | — | 13 |
| Chest painMS-DRG 313 | $15,113 | — | — | — | 14 |
| Colonoscopy with biopsyCPT 45380 | $1,841 | $1,262 | 146% | $653 | 22 |
| Colonoscopy with endoscopic ultrasoundCPT 45391 | $2,779 | $1,262 | 220% | $823 | 22 |
| Colonoscopy with polyp removalCPT 45385 | $2,570 | $1,262 | 204% | $823 | 22 |
| Colonoscopy, diagnosticCPT 45378 | $1,875 | $981 | 191% | $600 | 22 |
| Complete blood count with differentialCPT 85025 | $71 | $8 | 920% | ~$35 | 22 |
| Complete blood count, automatedCPT 85027 | $65 | $6 | 1005% | ~$31 | 22 |
| Comprehensive metabolic panelCPT 80053 | $101 | $11 | 954% | ~$64 | 22 |
| Coronary bypass without cardiac cath, no MCCMS-DRG 236 | $85,525 | $29,021 | 295% | — | 14 |
| Diagnostic mammography, both breastsCPT 77066 | $285 | — | — | ~$120 | 22 |
| Diagnostic mammography, one breastCPT 77065 | $253 | — | — | ~$105 | 22 |
| ED visit, level 3CPT 99283 | $1,546 | $288 | 537% | $369 | 22 |
| ED visit, level 4CPT 99284 | $2,856 | $440 | 649% | $681 | 22 |
| ED visit, level 5CPT 99285 | $4,229 | $628 | 673% | $1,307 | 22 |
| Echocardiogram, completeCPT 93306 | $2,914 | $576 | 506% | $1,242 | 22 |
| Electrocardiogram with interpretationCPT 93000 | $112 | — | — | — | 5 |
| Epidural injection, lumbar/sacral, no imagingCPT 62322 | $910 | $933 | 98% | $289 | 22 |
| Esophagitis/GI disorders, no MCCMS-DRG 392 | $16,364 | $5,076 | 322% | — | 14 |
| Excision of breast lesionCPT 19120 | $6,060 | $4,130 | 147% | — | 9 |
| Family psychotherapy, with patientCPT 90847 | $259 | $187 | 139% | $108 | 22 |
| Family psychotherapy, without patientCPT 90846 | $249 | $187 | 133% | $103 | 22 |
| Group psychotherapyCPT 90853 | $191 | $107 | 178% | — | 5 |
| Heart failure and shock, with CCMS-DRG 292 | $17,821 | $5,546 | 321% | — | 14 |
| Heart failure with MCCMS-DRG 291 | $26,948 | $8,533 | 316% | — | 14 |
| Hip and femur procedures except major joint, with CCMS-DRG 481 | $42,764 | $13,876 | 308% | — | 14 |
| Hysterectomy, no CC/MCCMS-DRG 743 | $25,332 | $10,098 | 251% | — | 14 |
| Inguinal hernia repair, age 5+CPT 49505 | $6,674 | $3,777 | 177% | — | 9 |
| Kidney and urinary tract infections, no MCCMS-DRG 690 | $16,992 | $5,231 | 325% | — | 14 |
| Kidney function panelCPT 80069 | $78 | $9 | 903% | ~$40 | 22 |
| Knee arthroscopy with meniscectomyCPT 29881 | $6,795 | $3,452 | 197% | — | 9 |
| Laparoscopic cholecystectomyCPT 47562 | $10,171 | $6,377 | 159% | — | 11 |
| Laparoscopic cholecystectomy, no CC/MCCMS-DRG 419 | $27,886 | $8,977 | 311% | — | 14 |
| Laparoscopic radical prostatectomyCPT 55866 | $14,999 | $11,213 | 134% | — | 9 |
| Left heart catheterization, diagnosticCPT 93452 | $7,138 | $3,420 | 209% | $2,570 | 22 |
| Lipid panelCPT 80061 | $86 | $13 | 641% | ~$48 | 22 |
| Liver function panelCPT 80076 | $78 | $8 | 956% | ~$40 | 22 |
| Lumbar epidural steroid injectionCPT 62323 | $1,326 | $745 | 178% | $330 | 22 |
| MRI brain with and without contrastCPT 70553 | $914 | $368 | 248% | ~$748 | 22 |
| MRI lower extremity joint (knee)CPT 73721 | $914 | $252 | 363% | ~$662 | 22 |
| MRI lumbar spine without contrastCPT 72148 | $914 | $252 | 363% | ~$564 | 22 |
| Major joint replacement (hip/knee), no MCCMS-DRG 470 | $39,383 | $13,045 | 302% | — | 14 |
| Major joint replacement (hip/knee), with MCCMS-DRG 469 | $61,930 | $22,346 | 277% | — | 14 |
| Major small and large bowel procedures, with CCMS-DRG 330 | $48,945 | $16,129 | 303% | — | 14 |
| Medical back problems, no MCCMS-DRG 552 | $20,178 | $6,207 | 325% | — | 14 |
| OB global care, VBAC deliveryCPT 59610 | $13,038 | — | — | — | 6 |
| OB global care, cesarean deliveryCPT 59510 | $13,580 | — | — | — | 6 |
| OB global care, vaginal deliveryCPT 59400 | $12,665 | — | — | — | 6 |
| OB ultrasound, 14+ weeksCPT 76805 | $527 | $110 | 478% | ~$238 | 22 |
| Obstetric blood test panelCPT 80055 | $118 | $48 | 247% | ~$34 | 22 |
| Office visit, established patient, level 3CPT 99213 | $507 | — | — | — | 5 |
| Office visit, established patient, level 4CPT 99214 | $747 | — | — | — | 5 |
| Office visit, new patient, level 3CPT 99203 | $629 | — | — | — | 5 |
| Office visit, new patient, level 4CPT 99204 | $1,026 | — | — | — | 5 |
| Office visit, new patient, level 5CPT 99205 | $1,396 | — | — | — | 5 |
| PSA (prostate specific antigen), totalCPT 84153 | $80 | $18 | 433% | ~$36 | 22 |
| Partial thromboplastin timeCPT 85730 | $51 | $6 | 843% | ~$24 | 22 |
| Physical therapy, therapeutic exerciseCPT 97110 | $175 | — | — | $40 | 22 |
| Prostate biopsyCPT 55700 | $3,740 | — | — | — | 9 |
| Prothrombin timeCPT 85610 | $54 | $4 | 1257% | ~$26 | 22 |
| Psychotherapy, 30 minutesCPT 90832 | $191 | $187 | 102% | — | 5 |
| Psychotherapy, 45 minutesCPT 90834 | $191 | $187 | 102% | — | 5 |
| Psychotherapy, 60 minutesCPT 90837 | $191 | $187 | 102% | — | 5 |
| Renal failure, with CCMS-DRG 683 | $18,383 | $5,762 | 319% | — | 14 |
| Screening mammography, bilateralCPT 77067 | $193 | — | — | ~$80 | 22 |
| Sepsis with MCCMS-DRG 871 | $40,774 | $13,110 | 311% | — | 14 |
| Shoulder arthroscopy, subacromial decompressionCPT 29826 | $1,334 | — | — | — | 8 |
| Simple pneumonia and pleurisy, with CCMS-DRG 194 | $16,916 | $5,206 | 325% | — | 14 |
| Sleep study (polysomnography)CPT 95810 | $3,052 | $906 | 337% | $1,073 | 22 |
| Stroke (hemorrhage/infarction), no CC/MCCMS-DRG 066 | $14,366 | $3,679 | 390% | — | 14 |
| Stroke (hemorrhage/infarction), with CC or tPAMS-DRG 065 | $21,207 | $6,651 | 319% | — | 14 |
| Thyroid stimulating hormone (TSH)CPT 84443 | $88 | $17 | 526% | ~$45 | 22 |
| Tonsillectomy and adenoidectomy, under age 12CPT 42820 | $6,428 | $6,245 | 103% | — | 11 |
| Transforaminal epidural, lumbar/sacralCPT 64483 | $1,946 | $933 | 209% | $485 | 22 |
| Ultrasound, abdomen, completeCPT 76700 | $432 | $110 | 392% | ~$195 | 22 |
| Ultrasound, transvaginalCPT 76830 | $269 | $110 | 244% | ~$105 | 22 |
| Upper GI endoscopy with biopsyCPT 43239 | $1,948 | $957 | 204% | $558 | 22 |
| Upper GI endoscopy, diagnosticCPT 43235 | $1,553 | $957 | 162% | $497 | 22 |
| Urinalysis, automated, with microscopyCPT 81001 | $61 | $3 | 1924% | ~$29 | 22 |
| Urinalysis, automated, without microscopyCPT 81003 | $36 | $2 | 1588% | ~$17 | 22 |
| Urinalysis, manual, with microscopyCPT 81000 | $14 | $4 | 347% | — | 9 |
| Urinalysis, manual, without microscopyCPT 81002 | $40 | $3 | 1152% | ~$19 | 22 |
| Vaginal delivery, no sterilization, no CC/MCCMS-DRG 807 | $11,320 | — | — | — | 12 |
| Vaginal delivery, no sterilization, with CCMS-DRG 806 | $12,043 | — | — | — | 12 |
| X-ray, lower back, 4+ viewsCPT 72110 | $284 | $110 | 257% | ~$112 | 22 |
| YAG laser capsulotomy (secondary cataract)CPT 66821 | $2,640 | $580 | 455% | — | 9 |