| Acute myocardial infarction, discharged alive, with MCCMS-DRG 280 | $50,435 | $12,374 | 408% | — | 21 |
| Bariatric (obesity) surgery, no CC/MCCMS-DRG 621 | $23,924 | $8,272 | 289% | — | 28 |
| Basic metabolic panelCPT 80048 | $41 | $8 | 479% | ~$11 | 52 |
| COPD with MCCMS-DRG 190 | $34,827 | $8,101 | 430% | — | 21 |
| CT abdomen and pelvis with contrastCPT 74177 | $3,357 | $368 | 912% | ~$919 | 52 |
| CT head without contrastCPT 70450 | $1,482 | $110 | 1344% | ~$406 | 52 |
| CT pelvis with contrastCPT 72193 | $2,633 | $185 | 1423% | ~$720 | 52 |
| Cardiac arrhythmia, no CC/MCCMS-DRG 310 | $17,799 | $3,269 | 544% | — | 21 |
| Cardiac stress testCPT 93017 | $1,222 | $228 | 537% | $334 | 52 |
| Cardiac valve surgery with cardiac cath, with MCCMS-DRG 216 | $307,581 | — | — | — | 21 |
| Cataract surgery with IOL insertionCPT 66984 | $11,265 | $2,434 | 463% | — | 6 |
| Cellulitis, no MCCMS-DRG 603 | $27,382 | $5,674 | 483% | — | 21 |
| Cervical spinal fusion, no CC/MCCMS-DRG 473 | $76,757 | $16,343 | 470% | — | 21 |
| Cesarean section, no CC/MCCMS-DRG 788 | $12,557 | — | — | — | 6 |
| Cesarean section, with CCMS-DRG 787 | $15,276 | — | — | — | 5 |
| Chest painMS-DRG 313 | $22,638 | — | — | — | 21 |
| Colonoscopy with biopsyCPT 45380 | $11,265 | $1,262 | 892% | — | 7 |
| Colonoscopy with endoscopic ultrasoundCPT 45391 | $11,265 | $1,262 | 892% | — | 6 |
| Colonoscopy with polyp removalCPT 45385 | $11,265 | $1,262 | 892% | — | 7 |
| Colonoscopy, diagnosticCPT 45378 | $7,516 | $981 | 766% | — | 8 |
| Complete blood count with differentialCPT 85025 | $40 | $8 | 509% | ~$13 | 52 |
| Complete blood count, automatedCPT 85027 | $25 | $6 | 386% | ~$8 | 52 |
| Comprehensive metabolic panelCPT 80053 | $55 | $11 | 524% | ~$18 | 52 |
| Coronary bypass without cardiac cath, no MCCMS-DRG 236 | $131,700 | $29,950 | 440% | — | 21 |
| Diagnostic mammography, both breastsCPT 77066 | $448 | — | — | ~$123 | 52 |
| Diagnostic mammography, one breastCPT 77065 | $320 | — | — | ~$88 | 52 |
| ED visit, level 3CPT 99283 | $1,387 | $288 | 482% | $379 | 52 |
| ED visit, level 4CPT 99284 | $2,142 | $440 | 487% | $586 | 52 |
| ED visit, level 5CPT 99285 | $2,871 | $628 | 457% | $785 | 52 |
| Echocardiogram, completeCPT 93306 | $2,635 | $576 | 457% | $721 | 52 |
| Epidural injection, lumbar/sacral, no imagingCPT 62322 | $8,011 | $933 | 859% | — | 6 |
| Esophagitis/GI disorders, no MCCMS-DRG 392 | $24,511 | $5,152 | 476% | — | 21 |
| Excision of breast lesionCPT 19120 | $15,148 | $4,130 | 367% | — | 6 |
| Family psychotherapy, with patientCPT 90847 | $303 | $187 | 162% | — | 6 |
| Family psychotherapy, without patientCPT 90846 | $303 | $187 | 162% | — | 6 |
| Group psychotherapyCPT 90853 | $303 | $107 | 283% | — | 6 |
| Heart failure and shock, with CCMS-DRG 292 | $26,693 | $5,927 | 450% | — | 21 |
| Heart failure with MCCMS-DRG 291 | $40,364 | $9,759 | 414% | — | 21 |
| Hip and femur procedures except major joint, with CCMS-DRG 481 | $65,853 | $16,121 | 409% | — | 21 |
| Hysterectomy, no CC/MCCMS-DRG 743 | $39,009 | $10,098 | 386% | — | 21 |
| Inguinal hernia repair, age 5+CPT 49505 | $15,148 | $3,777 | 401% | — | 6 |
| Kidney and urinary tract infections, no MCCMS-DRG 690 | $25,451 | $5,918 | 430% | — | 21 |
| Kidney function panelCPT 80069 | $45 | $9 | 523% | ~$15 | 52 |
| Knee arthroscopy with meniscectomyCPT 29881 | $15,148 | $3,452 | 439% | — | 6 |
| Laparoscopic cholecystectomyCPT 47562 | $15,918 | $6,377 | 250% | — | 7 |
| Laparoscopic cholecystectomy, no CC/MCCMS-DRG 419 | $42,942 | $8,977 | 478% | — | 21 |
| Laparoscopic radical prostatectomyCPT 55866 | $24,412 | $11,213 | 218% | — | 6 |
| Left heart catheterization, diagnosticCPT 93452 | $12,914 | $3,420 | 378% | $3,533 | 52 |
| Lipid panelCPT 80061 | $49 | $13 | 363% | ~$14 | 52 |
| Liver function panelCPT 80076 | $55 | $8 | 668% | ~$18 | 52 |
| Lumbar epidural steroid injectionCPT 62323 | $1,950 | $745 | 262% | $533 | 52 |
| MRI brain with and without contrastCPT 70553 | $2,561 | $368 | 696% | ~$701 | 52 |
| MRI lower extremity joint (knee)CPT 73721 | $1,922 | $252 | 764% | ~$526 | 52 |
| MRI lumbar spine without contrastCPT 72148 | $2,537 | $252 | 1008% | ~$694 | 52 |
| Major joint replacement (hip/knee), no MCCMS-DRG 470 | $60,647 | $13,045 | 465% | — | 22 |
| Major joint replacement (hip/knee), with MCCMS-DRG 469 | $95,367 | $22,346 | 427% | — | 21 |
| Major small and large bowel procedures, with CCMS-DRG 330 | $75,370 | $18,689 | 403% | — | 21 |
| Medical back problems, no MCCMS-DRG 552 | $30,224 | $6,678 | 453% | — | 21 |
| OB global care, VBAC deliveryCPT 59610 | $15,148 | — | — | — | 5 |
| OB global care, cesarean deliveryCPT 59510 | $15,148 | — | — | — | 5 |
| OB global care, vaginal deliveryCPT 59400 | $15,148 | — | — | — | 5 |
| OB ultrasound, 14+ weeksCPT 76805 | $591 | $110 | 536% | ~$162 | 52 |
| Obstetric blood test panelCPT 80055 | $430 | $48 | 900% | ~$118 | 52 |
| PSA (prostate specific antigen), totalCPT 84153 | $78 | $18 | 426% | ~$21 | 52 |
| Partial thromboplastin timeCPT 85730 | $68 | $6 | 1130% | ~$19 | 52 |
| Physical therapy, therapeutic exerciseCPT 97110 | $127 | — | — | $35 | 52 |
| Prostate biopsyCPT 55700 | $4,844 | — | — | $1,325 | 52 |
| Prothrombin timeCPT 85610 | $26 | $4 | 601% | ~$7 | 52 |
| Psychotherapy, 30 minutesCPT 90832 | $303 | $187 | 162% | — | 6 |
| Psychotherapy, 45 minutesCPT 90834 | $303 | $187 | 162% | — | 6 |
| Psychotherapy, 60 minutesCPT 90837 | $303 | $187 | 162% | — | 6 |
| Renal failure, with CCMS-DRG 683 | $27,536 | $5,774 | 477% | — | 21 |
| Screening mammography, bilateralCPT 77067 | $317 | — | — | ~$87 | 52 |
| Sepsis with MCCMS-DRG 871 | $61,074 | $15,513 | 394% | — | 21 |
| Simple pneumonia and pleurisy, with CCMS-DRG 194 | $25,338 | $5,177 | 489% | — | 21 |
| Sleep study (polysomnography)CPT 95810 | $8,423 | $906 | 930% | $2,305 | 52 |
| Spinal fusion except cervical, no MCCMS-DRG 460 | $70,000 | $25,413 | 275% | — | 1 |
| Stroke (hemorrhage/infarction), no CC/MCCMS-DRG 066 | $21,518 | $3,635 | 592% | — | 21 |
| Stroke (hemorrhage/infarction), with CC or tPAMS-DRG 065 | $31,765 | $6,933 | 458% | — | 21 |
| Thyroid stimulating hormone (TSH)CPT 84443 | $73 | $17 | 435% | ~$24 | 52 |
| Tonsillectomy and adenoidectomy, under age 12CPT 42820 | $15,626 | $6,245 | 250% | — | 6 |
| Transforaminal epidural, lumbar/sacralCPT 64483 | $2,054 | $933 | 220% | $562 | 52 |
| Ultrasound, abdomen, completeCPT 76700 | $664 | $110 | 602% | ~$182 | 52 |
| Ultrasound, transvaginalCPT 76830 | $657 | $110 | 595% | ~$180 | 52 |
| Upper GI endoscopy with biopsyCPT 43239 | $8,011 | $957 | 837% | — | 7 |
| Upper GI endoscopy, diagnosticCPT 43235 | $8,011 | $957 | 837% | — | 7 |
| Urinalysis, automated, with microscopyCPT 81001 | $34 | $3 | 1076% | ~$9 | 52 |
| Urinalysis, automated, without microscopyCPT 81003 | $20 | $2 | 896% | ~$6 | 52 |
| Urinalysis, manual, with microscopyCPT 81000 | $4 | $4 | 100% | — | 17 |
| Urinalysis, manual, without microscopyCPT 81002 | $17 | $3 | 475% | ~$5 | 52 |
| Vaginal delivery, no sterilization, no CC/MCCMS-DRG 807 | $7,000 | — | — | — | 11 |
| Vaginal delivery, no sterilization, with CCMS-DRG 806 | $12,523 | — | — | — | 10 |
| X-ray, lower back, 4+ viewsCPT 72110 | $516 | $110 | 468% | ~$141 | 52 |
| YAG laser capsulotomy (secondary cataract)CPT 66821 | $1,378 | $580 | 237% | $377 | 52 |