| Acute myocardial infarction, discharged alive, with MCCMS-DRG 280 | $34,026 | $13,385 | 254% | — | 44 |
| Bariatric (obesity) surgery, no CC/MCCMS-DRG 621 | $31,996 | $8,272 | 387% | — | 44 |
| Basic metabolic panelCPT 80048 | $146 | $8 | 1731% | ~$42 | 55 |
| COPD with MCCMS-DRG 190 | $23,497 | $9,630 | 244% | — | 44 |
| CT abdomen and pelvis with contrastCPT 74177 | $3,136 | $368 | 852% | ~$1,400 | 55 |
| CT head without contrastCPT 70450 | $1,368 | $110 | 1240% | ~$391 | 55 |
| CT pelvis with contrastCPT 72193 | $1,449 | $185 | 783% | ~$421 | 55 |
| Cardiac arrhythmia, no CC/MCCMS-DRG 310 | $12,008 | $3,269 | 367% | — | 44 |
| Cardiac stress testCPT 93017 | $1,302 | $228 | 572% | $378 | 55 |
| Cardiac valve surgery with cardiac cath, with MCCMS-DRG 216 | $207,513 | — | — | — | 44 |
| Cataract surgery with IOL insertionCPT 66984 | $8,381 | $2,434 | 344% | — | 40 |
| Cellulitis, no MCCMS-DRG 603 | $18,474 | $5,675 | 326% | — | 44 |
| Cervical spinal fusion, no CC/MCCMS-DRG 473 | $51,785 | $16,343 | 317% | — | 44 |
| Cesarean section, no CC/MCCMS-DRG 788 | $18,804 | — | — | — | 16 |
| Cesarean section, with CCMS-DRG 787 | $21,903 | — | — | — | 16 |
| Chest painMS-DRG 313 | $15,273 | — | — | — | 44 |
| Colonoscopy with biopsyCPT 45380 | $4,533 | $1,262 | 359% | — | 42 |
| Colonoscopy with endoscopic ultrasoundCPT 45391 | $4,533 | $1,262 | 359% | — | 40 |
| Colonoscopy with polyp removalCPT 45385 | $4,533 | $1,262 | 359% | — | 42 |
| Colonoscopy, diagnosticCPT 45378 | $4,533 | $981 | 462% | — | 42 |
| Complete blood count with differentialCPT 85025 | $48 | $8 | 624% | ~$26 | 55 |
| Complete blood count, automatedCPT 85027 | $47 | $6 | 728% | ~$25 | 55 |
| Comprehensive metabolic panelCPT 80053 | $98 | $11 | 927% | ~$53 | 55 |
| Coronary bypass without cardiac cath, no MCCMS-DRG 236 | $88,853 | $29,950 | 297% | — | 44 |
| Diagnostic mammography, both breastsCPT 77066 | $353 | — | — | ~$102 | 55 |
| Diagnostic mammography, one breastCPT 77065 | $276 | — | — | ~$80 | 55 |
| ED visit, level 3CPT 99283 | $2,734 | $288 | 949% | $793 | 55 |
| ED visit, level 4CPT 99284 | $3,212 | $440 | 730% | $931 | 55 |
| ED visit, level 5CPT 99285 | $5,927 | $628 | 943% | $1,719 | 55 |
| Echocardiogram, completeCPT 93306 | $4,179 | $576 | 725% | $1,212 | 55 |
| Electrocardiogram with interpretationCPT 93000 | $52 | — | — | — | 10 |
| Epidural injection, lumbar/sacral, no imagingCPT 62322 | $3,564 | $933 | 382% | — | 40 |
| Esophagitis/GI disorders, no MCCMS-DRG 392 | $16,537 | $4,899 | 338% | — | 44 |
| Excision of breast lesionCPT 19120 | $7,200 | $4,130 | 174% | — | 40 |
| Family psychotherapy, with patientCPT 90847 | $345 | $187 | 184% | — | 6 |
| Family psychotherapy, without patientCPT 90846 | $345 | $187 | 184% | — | 6 |
| Group psychotherapyCPT 90853 | $293 | $107 | 274% | — | 6 |
| Heart failure and shock, with CCMS-DRG 292 | $18,009 | $5,927 | 304% | — | 44 |
| Heart failure with MCCMS-DRG 291 | $27,232 | $10,249 | 266% | — | 44 |
| Hip and femur procedures except major joint, with CCMS-DRG 481 | $44,429 | $13,876 | 320% | — | 44 |
| Hysterectomy, no CC/MCCMS-DRG 743 | $26,318 | $10,098 | 261% | — | 44 |
| Inguinal hernia repair, age 5+CPT 49505 | $7,617 | $3,777 | 202% | — | 40 |
| Kidney and urinary tract infections, no MCCMS-DRG 690 | $17,171 | $5,238 | 328% | — | 44 |
| Kidney function panelCPT 80069 | $80 | $9 | 927% | ~$44 | 55 |
| Knee arthroscopy with meniscectomyCPT 29881 | $7,617 | $3,452 | 221% | — | 40 |
| Laparoscopic cholecystectomyCPT 47562 | $10,318 | $6,377 | 162% | — | 42 |
| Laparoscopic cholecystectomy, no CC/MCCMS-DRG 419 | $28,971 | $8,977 | 323% | — | 44 |
| Laparoscopic radical prostatectomyCPT 55866 | $10,318 | $11,213 | 92% | — | 40 |
| Left heart catheterization, diagnosticCPT 93452 | $7,114 | $3,420 | 208% | $1,415 | 55 |
| Lipid panelCPT 80061 | $201 | $13 | 1501% | ~$63 | 55 |
| Liver function panelCPT 80076 | $76 | $8 | 927% | ~$41 | 55 |
| Lumbar epidural steroid injectionCPT 62323 | $1,905 | $745 | 256% | $345 | 55 |
| MRI brain with and without contrastCPT 70553 | $2,549 | $368 | 693% | ~$739 | 55 |
| MRI lower extremity joint (knee)CPT 73721 | $1,615 | $252 | 641% | ~$462 | 55 |
| MRI lumbar spine without contrastCPT 72148 | $1,827 | $252 | 726% | ~$530 | 55 |
| Major joint replacement (hip/knee), no MCCMS-DRG 470 | $40,916 | $13,045 | 314% | — | 44 |
| Major joint replacement (hip/knee), with MCCMS-DRG 469 | $64,340 | $22,346 | 288% | — | 44 |
| Major small and large bowel procedures, with CCMS-DRG 330 | $50,849 | $18,135 | 280% | — | 44 |
| Medical back problems, no MCCMS-DRG 552 | $20,391 | $6,142 | 332% | — | 44 |
| OB global care, VBAC deliveryCPT 59610 | $5,838 | — | — | — | 8 |
| OB global care, cesarean deliveryCPT 59510 | $5,838 | — | — | — | 8 |
| OB global care, vaginal deliveryCPT 59400 | $5,838 | — | — | — | 8 |
| OB ultrasound, 14+ weeksCPT 76805 | $849 | $110 | 770% | ~$246 | 55 |
| Obstetric blood test panelCPT 80055 | $717 | $48 | 1501% | ~$224 | 55 |
| Office visit, established patient, level 3CPT 99213 | $293 | — | — | $85 | 52 |
| Office visit, established patient, level 4CPT 99214 | $323 | — | — | $94 | 52 |
| Office visit, new patient, level 3CPT 99203 | $289 | — | — | $84 | 52 |
| PSA (prostate specific antigen), totalCPT 84153 | $154 | $18 | 840% | ~$58 | 55 |
| Partial thromboplastin timeCPT 85730 | $61 | $6 | 1014% | ~$20 | 55 |
| Physical therapy, therapeutic exerciseCPT 97110 | $116 | — | — | $34 | 55 |
| Prostate biopsyCPT 55700 | $3,664 | — | — | $800 | 55 |
| Prothrombin timeCPT 85610 | $46 | $4 | 1082% | ~$13 | 55 |
| Psychotherapy, 30 minutesCPT 90832 | $345 | $187 | 184% | — | 6 |
| Psychotherapy, 45 minutesCPT 90834 | $345 | $187 | 184% | — | 6 |
| Psychotherapy, 60 minutesCPT 90837 | $345 | $187 | 184% | — | 6 |
| Renal failure, with CCMS-DRG 683 | $18,577 | $7,929 | 234% | — | 44 |
| Screening mammography, bilateralCPT 77067 | $292 | — | — | ~$85 | 55 |
| Sepsis with MCCMS-DRG 871 | $41,204 | $16,887 | 244% | — | 44 |
| Shoulder arthroscopy, subacromial decompressionCPT 29826 | $5,880 | — | — | — | 34 |
| Simple pneumonia and pleurisy, with CCMS-DRG 194 | $17,095 | $5,177 | 330% | — | 44 |
| Sleep study (polysomnography)CPT 95810 | $2,658 | $906 | 293% | — | 22 |
| Spinal fusion except cervical, no MCCMS-DRG 460 | $83,996 | $25,413 | 331% | — | 11 |
| Spinal fusion except cervical, with MCCMS-DRG 459 | $152,298 | $51,127 | 298% | — | 11 |
| Stroke (hemorrhage/infarction), no CC/MCCMS-DRG 066 | $14,517 | $3,679 | 395% | — | 44 |
| Stroke (hemorrhage/infarction), with CC or tPAMS-DRG 065 | $21,430 | $6,559 | 327% | — | 44 |
| Thyroid stimulating hormone (TSH)CPT 84443 | $77 | $17 | 459% | ~$36 | 55 |
| Tonsillectomy and adenoidectomy, under age 12CPT 42820 | $7,200 | $6,245 | 115% | — | 40 |
| Transforaminal epidural, lumbar/sacralCPT 64483 | $2,326 | $933 | 249% | $454 | 55 |
| Ultrasound, abdomen, completeCPT 76700 | $867 | $110 | 786% | ~$251 | 55 |
| Ultrasound, transvaginalCPT 76830 | $849 | $110 | 770% | ~$246 | 55 |
| Upper GI endoscopy with biopsyCPT 43239 | $4,533 | $957 | 474% | — | 42 |
| Upper GI endoscopy, diagnosticCPT 43235 | $4,533 | $957 | 474% | — | 42 |
| Urinalysis, automated, with microscopyCPT 81001 | $24 | $3 | 764% | ~$13 | 55 |
| Urinalysis, automated, without microscopyCPT 81003 | $30 | $2 | 1326% | ~$9 | 55 |
| Urinalysis, manual, with microscopyCPT 81000 | $4 | $4 | 100% | — | 25 |
| Urinalysis, manual, without microscopyCPT 81002 | $10 | $3 | 293% | ~$7 | 55 |
| Vaginal delivery, no sterilization, no CC/MCCMS-DRG 807 | $13,223 | — | — | — | 16 |
| Vaginal delivery, no sterilization, with CCMS-DRG 806 | $14,788 | — | — | — | 16 |
| X-ray, lower back, 4+ viewsCPT 72110 | $331 | $110 | 300% | ~$96 | 55 |
| YAG laser capsulotomy (secondary cataract)CPT 66821 | $1,780 | $580 | 307% | $273 | 55 |