| Acute myocardial infarction, discharged alive, with MCC | $32,469 | $11,217 | 289% | — | 13 |
| Bariatric (obesity) surgery, no CC/MCC | $30,532 | $8,272 | 369% | — | 13 |
| Basic metabolic panel | $100 | $8 | 1187% | ~$23 | 32 |
| COPD with MCC | $22,421 | $7,299 | 307% | — | 13 |
| CT abdomen and pelvis with contrast | $2,943 | $372 | 791% | ~$664 | 32 |
| CT head without contrast | $2,722 | $112 | 2441% | ~$614 | 32 |
| CT pelvis with contrast | $2,943 | $187 | 1573% | ~$664 | 32 |
| Cardiac arrhythmia, no CC/MCC | $11,459 | $2,870 | 399% | — | 13 |
| Cardiac stress test | $3,018 | $230 | 1310% | $681 | 32 |
| Cardiac valve surgery with cardiac cath, with MCC | $208,468 | — | — | — | 13 |
| Cataract surgery with IOL insertion | $5,355 | $2,462 | 218% | — | 12 |
| Cellulitis, no MCC | $17,628 | $5,399 | 326% | — | 13 |
| Cervical spinal fusion, no CC/MCC | $53,030 | $16,343 | 324% | — | 13 |
| Cesarean section, no CC/MCC | $15,512 | — | — | — | 12 |
| Cesarean section, with CC | $15,915 | — | — | — | 12 |
| Chest pain | $14,574 | — | — | — | 13 |
| Colonoscopy with biopsy | $3,100 | $1,276 | 243% | $576 | 32 |
| Colonoscopy with endoscopic ultrasound | $2,783 | $1,276 | 218% | — | 12 |
| Colonoscopy with polyp removal | $2,783 | $1,276 | 218% | — | 12 |
| Colonoscopy, diagnostic | $338 | $992 | 34% | $57 | 32 |
| Complete blood count with differential | $121 | $8 | 1559% | ~$27 | 32 |
| Complete blood count, automated | $106 | $6 | 1634% | ~$24 | 32 |
| Comprehensive metabolic panel | $155 | $11 | 1468% | ~$35 | 32 |
| Coronary bypass without cardiac cath, no MCC | $90,029 | $29,950 | 301% | — | 13 |
| Diagnostic mammography, both breasts | $425 | — | — | ~$96 | 32 |
| Diagnostic mammography, one breast | $332 | — | — | ~$75 | 32 |
| ED visit, level 3 | $484 | $291 | 166% | $81 | 33 |
| ED visit, level 4 | $2,105 | $445 | 473% | $913 | 33 |
| ED visit, level 5 | $3,779 | $635 | 595% | $1,652 | 33 |
| Echocardiogram, complete | $6,747 | $583 | 1158% | $1,523 | 32 |
| Electrocardiogram with interpretation | $16 | — | — | — | 11 |
| Epidural injection, lumbar/sacral, no imaging | $2,009 | $943 | 213% | $363 | 32 |
| Esophagitis/GI disorders, no MCC | $15,780 | $4,656 | 339% | — | 13 |
| Excision of breast lesion | $784 | $4,176 | 19% | $132 | 32 |
| Family psychotherapy, with patient | $582 | $189 | 308% | $127 | 32 |
| Family psychotherapy, without patient | $787 | $189 | 416% | $200 | 32 |
| Group psychotherapy | $506 | $108 | 467% | $230 | 33 |
| Heart failure and shock, with CC | $17,185 | $5,927 | 290% | — | 13 |
| Heart failure with MCC | $25,986 | $8,483 | 306% | — | 13 |
| Hip and femur procedures except major joint, with CC | $42,396 | $13,428 | 316% | — | 13 |
| Hysterectomy, no CC/MCC | $25,113 | $10,098 | 249% | — | 13 |
| Inguinal hernia repair, age 5+ | $950 | $3,819 | 25% | $164 | 32 |
| Kidney and urinary tract infections, no MCC | $16,385 | $4,729 | 347% | — | 13 |
| Kidney function panel | $160 | $9 | 1847% | ~$36 | 32 |
| Knee arthroscopy with meniscectomy | $7,619 | $3,490 | 218% | — | 12 |
| Laparoscopic cholecystectomy | $1,193 | $6,448 | 19% | $206 | 32 |
| Laparoscopic cholecystectomy, no CC/MCC | $27,646 | $8,977 | 308% | — | 13 |
| Laparoscopic radical prostatectomy | $2,203 | $11,338 | 19% | $370 | 32 |
| Left heart catheterization, diagnostic | $11,350 | $3,458 | 328% | $2,453 | 32 |
| Lipid panel | $112 | $13 | 839% | ~$25 | 32 |
| Liver function panel | $116 | $8 | 1414% | ~$26 | 32 |
| Lumbar epidural steroid injection | $1,141 | $753 | 151% | $197 | 32 |
| MRI brain with and without contrast | $3,560 | $372 | 957% | ~$803 | 32 |
| MRI lower extremity joint (knee) | $3,560 | $254 | 1399% | ~$803 | 32 |
| MRI lumbar spine without contrast | $3,560 | $254 | 1399% | ~$803 | 32 |
| Major joint replacement (hip/knee), no MCC | $39,044 | $12,182 | 320% | — | 13 |
| Major joint replacement (hip/knee), with MCC | $61,396 | $22,346 | 275% | — | 13 |
| Major small and large bowel procedures, with CC | $48,523 | $15,361 | 316% | — | 13 |
| Medical back problems, no MCC | $19,458 | $5,838 | 333% | — | 13 |
| OB global care, VBAC delivery | $4,115 | — | — | $788 | 32 |
| OB global care, cesarean delivery | $13,267 | — | — | $2,995 | 32 |
| OB global care, vaginal delivery | $3,939 | — | — | $754 | 32 |
| OB ultrasound, 14+ weeks | $454 | $112 | 407% | ~$99 | 32 |
| Obstetric blood test panel | $647 | $48 | 1353% | ~$146 | 32 |
| Office consultation, comprehensive | $191 | — | — | $36 | 32 |
| Office consultation, moderate | $133 | — | — | $26 | 32 |
| Office visit, established patient, level 3 | $576 | — | — | $125 | 32 |
| Office visit, established patient, level 4 | $877 | — | — | $191 | 32 |
| Office visit, new patient, level 3 | $179 | — | — | $34 | 32 |
| Office visit, new patient, level 4 | $968 | — | — | $211 | 32 |
| Office visit, new patient, level 5 | $1,446 | — | — | $315 | 32 |
| PSA (prostate specific antigen), total | $42 | $18 | 227% | ~$8 | 32 |
| Partial thromboplastin time | $60 | $6 | 1002% | ~$14 | 32 |
| Physical therapy, therapeutic exercise | $214 | — | — | $44 | 32 |
| Preventive visit, new patient, 18-39 | $302 | — | — | — | 4 |
| Preventive visit, new patient, 40-64 | $347 | — | — | — | 4 |
| Prostate biopsy | $2,572 | — | — | $444 | 32 |
| Prothrombin time | $95 | $4 | 2219% | ~$21 | 32 |
| Psychotherapy, 30 minutes | $373 | $189 | 197% | $69 | 32 |
| Psychotherapy, 45 minutes | $451 | $189 | 238% | $90 | 32 |
| Psychotherapy, 60 minutes | $787 | $189 | 416% | $200 | 32 |
| Renal failure, with CC | $17,727 | $5,684 | 312% | — | 13 |
| Screening mammography, bilateral | $351 | — | — | ~$79 | 32 |
| Sepsis with MCC | $39,319 | $12,748 | 308% | — | 13 |
| Shoulder arthroscopy, subacromial decompression | $285 | — | — | $53 | 32 |
| Simple pneumonia and pleurisy, with CC | $16,312 | $4,870 | 335% | — | 13 |
| Sleep study (polysomnography) | $5,439 | $916 | 594% | $1,228 | 32 |
| Spinal fusion except cervical, no MCC | $112,507 | $25,413 | 443% | — | 1 |
| Spinal fusion except cervical, with MCC | $185,416 | $51,127 | 363% | — | 1 |
| Stroke (hemorrhage/infarction), no CC/MCC | $13,853 | $3,679 | 377% | — | 13 |
| Stroke (hemorrhage/infarction), with CC or tPA | $20,450 | $6,177 | 331% | — | 13 |
| Thyroid stimulating hormone (TSH) | $103 | $17 | 610% | ~$23 | 32 |
| Tonsillectomy and adenoidectomy, under age 12 | $13,891 | $6,314 | 220% | — | 12 |
| Transforaminal epidural, lumbar/sacral | $1,187 | $943 | 126% | $205 | 32 |
| Ultrasound, abdomen, complete | $1,402 | $112 | 1258% | ~$317 | 32 |
| Ultrasound, transvaginal | $1,066 | $112 | 956% | ~$241 | 32 |
| Upper GI endoscopy with biopsy | $2,213 | $967 | 229% | — | 12 |
| Upper GI endoscopy, diagnostic | $227 | $967 | 23% | $38 | 32 |
| Urinalysis, automated, with microscopy | $123 | $3 | 3886% | ~$28 | 32 |
| Urinalysis, automated, without microscopy | $46 | $2 | 2022% | ~$10 | 32 |
| Urinalysis, manual, with microscopy | $4 | $4 | 111% | — | 12 |
| Urinalysis, manual, without microscopy | $99 | $3 | 2836% | ~$22 | 32 |
| Vaginal delivery, no sterilization, no CC/MCC | $9,549 | — | — | — | 12 |
| Vaginal delivery, no sterilization, with CC | $10,661 | — | — | — | 12 |
| X-ray, lower back, 4+ views | $1,995 | $112 | 1789% | ~$450 | 32 |
| YAG laser capsulotomy (secondary cataract) | $1,295 | $587 | 221% | — | 12 |