| Acute myocardial infarction, discharged alive, with MCC | $34,473 | $13,744 | 251% | — | 18 |
| Bariatric (obesity) surgery, no CC/MCC | $28,895 | $8,272 | 349% | — | 18 |
| Basic metabolic panel | $82 | $8 | 973% | ~$41 | 28 |
| COPD with MCC | $23,805 | $8,811 | 270% | — | 18 |
| CT abdomen and pelvis with contrast | $922 | $368 | 251% | ~$2,133 | 28 |
| CT head without contrast | $842 | $110 | 764% | ~$838 | 28 |
| CT pelvis with contrast | $922 | $185 | 498% | ~$891 | 28 |
| Cardiac arrhythmia, no CC/MCC | $12,166 | $4,599 | 265% | — | 18 |
| Cardiac stress test | $1,741 | $228 | 764% | $617 | 28 |
| Cardiac valve surgery with cardiac cath, with MCC | $210,237 | — | — | — | 18 |
| Cataract surgery with IOL insertion | $5,894 | $2,434 | 242% | — | 11 |
| Cellulitis, no MCC | $18,716 | $7,756 | 241% | — | 18 |
| Cervical spinal fusion, no CC/MCC | $52,465 | $16,343 | 321% | — | 18 |
| Cesarean section, no CC/MCC | $15,302 | — | — | — | 14 |
| Cesarean section, with CC | $15,351 | — | — | — | 14 |
| Chest pain | $15,473 | — | — | — | 18 |
| Colonoscopy with biopsy | $2,712 | $1,262 | 215% | $824 | 28 |
| Colonoscopy with endoscopic ultrasound | $3,045 | $1,262 | 241% | $1,052 | 28 |
| Colonoscopy with polyp removal | $2,972 | $1,262 | 235% | $1,038 | 28 |
| Colonoscopy, diagnostic | $2,394 | $981 | 244% | $757 | 28 |
| Complete blood count with differential | $68 | $8 | 877% | ~$34 | 28 |
| Complete blood count, automated | $40 | $6 | 614% | ~$20 | 28 |
| Comprehensive metabolic panel | $141 | $11 | 1333% | ~$71 | 28 |
| Coronary bypass without cardiac cath, no MCC | $90,019 | $36,635 | 246% | — | 18 |
| Diagnostic mammography, both breasts | $566 | — | — | ~$210 | 28 |
| Diagnostic mammography, one breast | $421 | — | — | ~$153 | 28 |
| ED visit, level 3 | $1,685 | $288 | 585% | $344 | 29 |
| ED visit, level 4 | $3,096 | $440 | 703% | $835 | 29 |
| ED visit, level 5 | $3,560 | $628 | 567% | $1,129 | 29 |
| Echocardiogram, complete | $3,194 | $576 | 554% | $1,132 | 28 |
| Electrocardiogram with interpretation | $108 | — | — | — | 5 |
| Epidural injection, lumbar/sacral, no imaging | $936 | $933 | 100% | $255 | 28 |
| Esophagitis/GI disorders, no MCC | $16,754 | $14,250 | 118% | — | 18 |
| Excision of breast lesion | $3,600 | $4,130 | 87% | $1,083 | 28 |
| Family psychotherapy, with patient | $211 | $187 | 112% | $65 | 28 |
| Family psychotherapy, without patient | $204 | $187 | 109% | $61 | 28 |
| Group psychotherapy | $87 | $107 | 81% | $24 | 28 |
| Heart failure and shock, with CC | $18,245 | $8,149 | 224% | — | 18 |
| Heart failure with MCC | $27,590 | $11,719 | 235% | — | 18 |
| Hip and femur procedures except major joint, with CC | $45,012 | $18,515 | 243% | — | 18 |
| Hysterectomy, no CC/MCC | $26,663 | $10,098 | 264% | — | 18 |
| Inguinal hernia repair, age 5+ | $7,080 | $3,777 | 187% | — | 11 |
| Kidney and urinary tract infections, no MCC | $17,397 | $7,347 | 237% | — | 18 |
| Kidney function panel | $62 | $9 | 713% | ~$31 | 28 |
| Knee arthroscopy with meniscectomy | $7,162 | $3,452 | 208% | — | 11 |
| Laparoscopic cholecystectomy | $9,094 | $6,377 | 143% | — | 11 |
| Laparoscopic cholecystectomy, no CC/MCC | $29,352 | $8,977 | 327% | — | 18 |
| Laparoscopic radical prostatectomy | $14,369 | $11,213 | 128% | — | 11 |
| Left heart catheterization, diagnostic | $10,425 | $3,420 | 305% | $3,431 | 28 |
| Lipid panel | $110 | $13 | 818% | ~$55 | 28 |
| Liver function panel | $83 | $8 | 1014% | ~$42 | 28 |
| Lumbar epidural steroid injection | $1,862 | $745 | 250% | $507 | 28 |
| MRI brain with and without contrast | $1,394 | $368 | 379% | ~$1,450 | 28 |
| MRI lower extremity joint (knee) | $1,342 | $252 | 533% | ~$653 | 28 |
| MRI lumbar spine without contrast | $1,394 | $252 | 554% | ~$1,053 | 28 |
| Major joint replacement (hip/knee), no MCC | $41,453 | $16,772 | 247% | — | 18 |
| Major joint replacement (hip/knee), with MCC | $65,185 | $84,549 | 77% | — | 18 |
| Major small and large bowel procedures, with CC | $51,517 | $20,728 | 249% | — | 18 |
| Medical back problems, no MCC | $20,659 | $8,542 | 242% | — | 18 |
| OB global care, VBAC delivery | $12,822 | — | — | — | 6 |
| OB global care, cesarean delivery | $13,352 | — | — | — | 6 |
| OB global care, vaginal delivery | $12,456 | — | — | — | 6 |
| OB ultrasound, 14+ weeks | $713 | $110 | 646% | ~$312 | 28 |
| Obstetric blood test panel | $153 | $48 | 320% | — | 13 |
| Office visit, established patient, level 3 | $489 | — | — | — | 5 |
| Office visit, established patient, level 4 | $719 | — | — | — | 5 |
| Office visit, new patient, level 3 | $606 | — | — | — | 5 |
| Office visit, new patient, level 4 | $988 | — | — | — | 5 |
| Office visit, new patient, level 5 | $1,344 | — | — | — | 5 |
| PSA (prostate specific antigen), total | $79 | $18 | 428% | ~$30 | 28 |
| Partial thromboplastin time | $27 | $6 | 443% | ~$10 | 28 |
| Physical therapy, therapeutic exercise | $226 | — | — | $60 | 28 |
| Preventive visit, new patient, 18-39 | $79 | — | — | $21 | 15 |
| Preventive visit, new patient, 40-64 | $94 | — | — | $25 | 15 |
| Prostate biopsy | $2,287 | — | — | $623 | 28 |
| Prothrombin time | $18 | $4 | 420% | ~$7 | 28 |
| Psychotherapy, 30 minutes | $192 | $187 | 102% | $55 | 28 |
| Psychotherapy, 45 minutes | $206 | $187 | 110% | $62 | 28 |
| Psychotherapy, 60 minutes | $213 | $187 | 114% | $66 | 28 |
| Renal failure, with CC | $18,821 | $8,117 | 232% | — | 18 |
| Screening mammography, bilateral | $417 | — | — | ~$150 | 28 |
| Sepsis with MCC | $41,745 | $18,177 | 230% | — | 18 |
| Shoulder arthroscopy, subacromial decompression | $1,434 | — | — | — | 10 |
| Simple pneumonia and pleurisy, with CC | $17,319 | $7,242 | 239% | — | 18 |
| Sleep study (polysomnography) | $4,355 | $906 | 481% | $1,552 | 28 |
| Stroke (hemorrhage/infarction), no CC/MCC | $14,708 | $3,679 | 400% | — | 18 |
| Stroke (hemorrhage/infarction), with CC or tPA | $21,712 | $8,651 | 251% | — | 18 |
| Thyroid stimulating hormone (TSH) | $89 | $17 | 529% | ~$42 | 28 |
| Tonsillectomy and adenoidectomy, under age 12 | $6,636 | $6,245 | 106% | — | 11 |
| Transforaminal epidural, lumbar/sacral | $2,031 | $933 | 218% | $553 | 28 |
| Ultrasound, abdomen, complete | $797 | $110 | 723% | ~$386 | 28 |
| Ultrasound, transvaginal | $732 | $110 | 664% | ~$329 | 28 |
| Upper GI endoscopy with biopsy | $1,940 | $957 | 203% | $654 | 28 |
| Upper GI endoscopy, diagnostic | $2,136 | $957 | 223% | $582 | 28 |
| Urinalysis, automated, with microscopy | $38 | $3 | 1209% | ~$19 | 28 |
| Urinalysis, automated, without microscopy | $13 | $2 | 593% | ~$7 | 28 |
| Urinalysis, manual, with microscopy | $13 | $4 | 320% | — | 13 |
| Urinalysis, manual, without microscopy | $13 | $3 | 371% | ~$4 | 28 |
| Vaginal delivery, no sterilization, no CC/MCC | $8,713 | — | — | — | 14 |
| Vaginal delivery, no sterilization, with CC | $9,595 | — | — | — | 14 |
| X-ray, lower back, 4+ views | $578 | $110 | 524% | ~$210 | 28 |
| YAG laser capsulotomy (secondary cataract) | $1,546 | $580 | 266% | $372 | 28 |