| Acute myocardial infarction, discharged alive, with MCC | $50,435 | $12,374 | 408% | — | 21 |
| Bariatric (obesity) surgery, no CC/MCC | $23,924 | $8,272 | 289% | — | 28 |
| Basic metabolic panel | $41 | $8 | 479% | ~$11 | 52 |
| COPD with MCC | $34,827 | $8,101 | 430% | — | 21 |
| CT abdomen and pelvis with contrast | $3,357 | $368 | 912% | ~$919 | 52 |
| CT head without contrast | $1,482 | $110 | 1344% | ~$406 | 52 |
| CT pelvis with contrast | $2,633 | $185 | 1423% | ~$720 | 52 |
| Cardiac arrhythmia, no CC/MCC | $17,799 | $3,269 | 544% | — | 21 |
| Cardiac stress test | $1,222 | $228 | 537% | $334 | 52 |
| Cardiac valve surgery with cardiac cath, with MCC | $307,581 | — | — | — | 21 |
| Cataract surgery with IOL insertion | $11,265 | $2,434 | 463% | — | 6 |
| Cellulitis, no MCC | $27,382 | $5,674 | 483% | — | 21 |
| Cervical spinal fusion, no CC/MCC | $76,757 | $16,343 | 470% | — | 21 |
| Cesarean section, no CC/MCC | $12,557 | — | — | — | 6 |
| Cesarean section, with CC | $15,276 | — | — | — | 5 |
| Chest pain | $22,638 | — | — | — | 21 |
| Colonoscopy with biopsy | $11,265 | $1,262 | 892% | — | 6 |
| Colonoscopy with endoscopic ultrasound | $11,265 | $1,262 | 892% | — | 6 |
| Colonoscopy with polyp removal | $11,265 | $1,262 | 892% | — | 6 |
| Colonoscopy, diagnostic | $8,011 | $981 | 817% | — | 7 |
| Complete blood count with differential | $40 | $8 | 509% | ~$13 | 52 |
| Complete blood count, automated | $25 | $6 | 386% | ~$8 | 52 |
| Comprehensive metabolic panel | $55 | $11 | 524% | ~$18 | 52 |
| Coronary bypass without cardiac cath, no MCC | $131,700 | $29,950 | 440% | — | 21 |
| Diagnostic mammography, both breasts | $448 | — | — | ~$123 | 52 |
| Diagnostic mammography, one breast | $320 | — | — | ~$88 | 52 |
| ED visit, level 3 | $1,387 | $288 | 482% | $379 | 52 |
| ED visit, level 4 | $2,142 | $440 | 487% | $586 | 52 |
| ED visit, level 5 | $2,871 | $628 | 457% | $785 | 52 |
| Echocardiogram, complete | $2,635 | $576 | 457% | $721 | 52 |
| Epidural injection, lumbar/sacral, no imaging | $8,011 | $933 | 859% | — | 6 |
| Esophagitis/GI disorders, no MCC | $24,511 | $5,152 | 476% | — | 21 |
| Excision of breast lesion | $15,148 | $4,130 | 367% | — | 6 |
| Family psychotherapy, with patient | $303 | $187 | 162% | — | 6 |
| Family psychotherapy, without patient | $303 | $187 | 162% | — | 6 |
| Group psychotherapy | $303 | $107 | 283% | — | 6 |
| Heart failure and shock, with CC | $26,693 | $5,927 | 450% | — | 21 |
| Heart failure with MCC | $40,364 | $9,759 | 414% | — | 21 |
| Hip and femur procedures except major joint, with CC | $65,853 | $16,121 | 409% | — | 21 |
| Hysterectomy, no CC/MCC | $39,009 | $10,098 | 386% | — | 21 |
| Inguinal hernia repair, age 5+ | $15,148 | $3,777 | 401% | — | 6 |
| Kidney and urinary tract infections, no MCC | $25,451 | $5,918 | 430% | — | 21 |
| Kidney function panel | $45 | $9 | 523% | ~$15 | 52 |
| Knee arthroscopy with meniscectomy | $15,148 | $3,452 | 439% | — | 6 |
| Laparoscopic cholecystectomy | $15,918 | $6,377 | 250% | — | 6 |
| Laparoscopic cholecystectomy, no CC/MCC | $42,942 | $8,977 | 478% | — | 21 |
| Laparoscopic radical prostatectomy | $24,412 | $11,213 | 218% | — | 6 |
| Left heart catheterization, diagnostic | $12,914 | $3,420 | 378% | $3,533 | 52 |
| Lipid panel | $49 | $13 | 363% | ~$14 | 52 |
| Liver function panel | $55 | $8 | 668% | ~$18 | 52 |
| Lumbar epidural steroid injection | $1,950 | $745 | 262% | $533 | 52 |
| MRI brain with and without contrast | $2,561 | $368 | 696% | ~$701 | 52 |
| MRI lower extremity joint (knee) | $1,922 | $252 | 764% | ~$526 | 52 |
| MRI lumbar spine without contrast | $2,537 | $252 | 1008% | ~$694 | 52 |
| Major joint replacement (hip/knee), no MCC | $60,647 | $13,045 | 465% | — | 22 |
| Major joint replacement (hip/knee), with MCC | $95,367 | $22,346 | 427% | — | 21 |
| Major small and large bowel procedures, with CC | $75,370 | $18,689 | 403% | — | 21 |
| Medical back problems, no MCC | $30,224 | $6,678 | 453% | — | 21 |
| OB global care, VBAC delivery | $15,148 | — | — | — | 5 |
| OB global care, cesarean delivery | $15,148 | — | — | — | 5 |
| OB global care, vaginal delivery | $15,148 | — | — | — | 5 |
| OB ultrasound, 14+ weeks | $591 | $110 | 536% | ~$162 | 52 |
| Obstetric blood test panel | $430 | $48 | 900% | ~$118 | 52 |
| PSA (prostate specific antigen), total | $78 | $18 | 426% | ~$21 | 52 |
| Partial thromboplastin time | $68 | $6 | 1130% | ~$19 | 52 |
| Physical therapy, therapeutic exercise | $127 | — | — | $35 | 52 |
| Prostate biopsy | $4,844 | — | — | $1,325 | 52 |
| Prothrombin time | $26 | $4 | 601% | ~$7 | 52 |
| Psychotherapy, 30 minutes | $303 | $187 | 162% | — | 6 |
| Psychotherapy, 45 minutes | $303 | $187 | 162% | — | 6 |
| Psychotherapy, 60 minutes | $303 | $187 | 162% | — | 6 |
| Renal failure, with CC | $27,536 | $5,774 | 477% | — | 21 |
| Screening mammography, bilateral | $317 | — | — | ~$87 | 52 |
| Sepsis with MCC | $61,074 | $15,513 | 394% | — | 21 |
| Simple pneumonia and pleurisy, with CC | $25,338 | $5,177 | 489% | — | 21 |
| Sleep study (polysomnography) | $8,423 | $906 | 930% | $2,305 | 52 |
| Spinal fusion except cervical, no MCC | $70,000 | $25,413 | 275% | — | 1 |
| Stroke (hemorrhage/infarction), no CC/MCC | $21,518 | $3,635 | 592% | — | 21 |
| Stroke (hemorrhage/infarction), with CC or tPA | $31,765 | $6,933 | 458% | — | 21 |
| Thyroid stimulating hormone (TSH) | $73 | $17 | 435% | ~$24 | 52 |
| Tonsillectomy and adenoidectomy, under age 12 | $15,626 | $6,245 | 250% | — | 6 |
| Transforaminal epidural, lumbar/sacral | $2,054 | $933 | 220% | $562 | 52 |
| Ultrasound, abdomen, complete | $664 | $110 | 602% | ~$182 | 52 |
| Ultrasound, transvaginal | $657 | $110 | 595% | ~$180 | 52 |
| Upper GI endoscopy with biopsy | $8,011 | $957 | 837% | — | 6 |
| Upper GI endoscopy, diagnostic | $8,011 | $957 | 837% | — | 6 |
| Urinalysis, automated, with microscopy | $34 | $3 | 1076% | ~$9 | 52 |
| Urinalysis, automated, without microscopy | $20 | $2 | 896% | ~$6 | 52 |
| Urinalysis, manual, with microscopy | $4 | $4 | 100% | — | 17 |
| Urinalysis, manual, without microscopy | $17 | $3 | 475% | ~$5 | 52 |
| Vaginal delivery, no sterilization, no CC/MCC | $7,000 | — | — | — | 11 |
| Vaginal delivery, no sterilization, with CC | $12,523 | — | — | — | 10 |
| X-ray, lower back, 4+ views | $516 | $110 | 468% | ~$141 | 52 |
| YAG laser capsulotomy (secondary cataract) | $1,378 | $580 | 237% | $377 | 52 |