| Acute myocardial infarction, discharged alive, with MCCMS-DRG 280 | $6,000 | $11,217 | 53% | — | 7 |
| Bariatric (obesity) surgery, no CC/MCCMS-DRG 621 | $24,345 | $8,272 | 294% | — | 18 |
| Basic metabolic panelCPT 80048 | $459 | $8 | 5420% | ~$141 | 34 |
| COPD with MCCMS-DRG 190 | $6,000 | $7,377 | 81% | — | 7 |
| CT abdomen and pelvis with contrastCPT 74177 | $5,623 | $368 | 1528% | ~$1,686 | 28 |
| CT head without contrastCPT 70450 | $2,624 | $110 | 2380% | ~$787 | 28 |
| CT pelvis with contrastCPT 72193 | $3,094 | $185 | 1672% | ~$928 | 28 |
| Cardiac arrhythmia, no CC/MCCMS-DRG 310 | $6,000 | $3,269 | 184% | — | 7 |
| Cardiac stress testCPT 93017 | $2,047 | $228 | 899% | $346 | 25 |
| Cardiac valve surgery with cardiac cath, with MCCMS-DRG 216 | $149,922 | — | — | — | 9 |
| Cataract surgery with IOL insertionCPT 66984 | $6,719 | $2,434 | 276% | — | 14 |
| Cellulitis, no MCCMS-DRG 603 | $6,572 | $5,675 | 116% | — | 9 |
| Cervical spinal fusion, no CC/MCCMS-DRG 473 | $27,142 | $16,343 | 166% | — | 11 |
| Cesarean section, no CC/MCCMS-DRG 788 | $14,198 | — | — | — | 18 |
| Cesarean section, with CCMS-DRG 787 | $14,198 | — | — | — | 18 |
| Chest painMS-DRG 313 | $6,000 | — | — | — | 7 |
| Colonoscopy with biopsyCPT 45380 | $4,442 | $1,262 | 352% | — | 14 |
| Colonoscopy with endoscopic ultrasoundCPT 45391 | $4,442 | $1,262 | 352% | — | 14 |
| Colonoscopy with polyp removalCPT 45385 | $4,442 | $1,262 | 352% | — | 14 |
| Colonoscopy, diagnosticCPT 45378 | $3,755 | $981 | 383% | — | 14 |
| Complete blood count with differentialCPT 85025 | $13 | $8 | 171% | — | 12 |
| Complete blood count, automatedCPT 85027 | $256 | $6 | 3959% | ~$76 | 32 |
| Comprehensive metabolic panelCPT 80053 | $569 | $11 | 5390% | ~$195 | 34 |
| Coronary bypass without cardiac cath, no MCCMS-DRG 236 | $40,053 | $29,950 | 134% | — | 9 |
| Diagnostic mammography, both breastsCPT 77066 | $658 | — | — | ~$202 | 32 |
| Diagnostic mammography, one breastCPT 77065 | $457 | — | — | ~$134 | 32 |
| ED visit, level 3CPT 99283 | $2,567 | $288 | 891% | $498 | 32 |
| ED visit, level 4CPT 99284 | $4,366 | $440 | 992% | $918 | 32 |
| ED visit, level 5CPT 99285 | $10,298 | $628 | 1639% | $1,873 | 32 |
| Echocardiogram, completeCPT 93306 | $3,731 | $576 | 647% | $704 | 24 |
| Epidural injection, lumbar/sacral, no imagingCPT 62322 | $2,812 | $933 | 301% | — | 14 |
| Esophagitis/GI disorders, no MCCMS-DRG 392 | $9,422 | $4,990 | 189% | — | 11 |
| Excision of breast lesionCPT 19120 | $6,112 | $4,130 | 148% | — | 14 |
| Family psychotherapy, with patientCPT 90847 | $478 | $187 | 255% | $57 | 20 |
| Family psychotherapy, without patientCPT 90846 | $256 | $187 | 137% | — | 2 |
| Group psychotherapyCPT 90853 | $227 | $107 | 211% | $27 | 20 |
| Heart failure and shock, with CCMS-DRG 292 | $6,000 | $5,927 | 101% | — | 7 |
| Heart failure with MCCMS-DRG 291 | $6,000 | $9,582 | 63% | — | 7 |
| Hip and femur procedures except major joint, with CCMS-DRG 481 | $18,915 | $13,876 | 136% | — | 11 |
| Hysterectomy, no CC/MCCMS-DRG 743 | $6,966 | $10,098 | 69% | — | 7 |
| Inguinal hernia repair, age 5+CPT 49505 | $6,159 | $3,777 | 163% | — | 14 |
| Kidney and urinary tract infections, no MCCMS-DRG 690 | $6,572 | $4,939 | 133% | — | 9 |
| Kidney function panelCPT 80069 | $487 | $9 | 5609% | ~$157 | 33 |
| Knee arthroscopy with meniscectomyCPT 29881 | $6,159 | $3,452 | 178% | — | 14 |
| Laparoscopic cholecystectomyCPT 47562 | $9,291 | $6,377 | 146% | — | 14 |
| Laparoscopic cholecystectomy, no CC/MCCMS-DRG 419 | $6,966 | $8,977 | 78% | — | 7 |
| Laparoscopic radical prostatectomyCPT 55866 | $11,568 | $11,213 | 103% | — | 14 |
| Left heart catheterization, diagnosticCPT 93452 | $14,950 | $3,420 | 437% | — | 16 |
| Lipid panelCPT 80061 | $240 | $13 | 1792% | ~$77 | 33 |
| Liver function panelCPT 80076 | $523 | $8 | 6400% | ~$153 | 31 |
| Lumbar epidural steroid injectionCPT 62323 | $2,812 | $745 | 378% | — | 14 |
| MRI brain with and without contrastCPT 70553 | $4,513 | $368 | 1226% | ~$1,353 | 28 |
| MRI lower extremity joint (knee)CPT 73721 | $3,559 | $252 | 1414% | ~$1,067 | 28 |
| MRI lumbar spine without contrastCPT 72148 | $3,260 | $252 | 1295% | ~$977 | 28 |
| Major joint replacement (hip/knee), no MCCMS-DRG 470 | $31,768 | $12,581 | 253% | — | 14 |
| Major joint replacement (hip/knee), with MCCMS-DRG 469 | $35,791 | $22,346 | 160% | — | 11 |
| Major small and large bowel procedures, with CCMS-DRG 330 | $6,966 | $14,993 | 46% | — | 7 |
| Medical back problems, no MCCMS-DRG 552 | $6,000 | $6,602 | 91% | — | 7 |
| OB global care, VBAC deliveryCPT 59610 | $5,358 | — | — | — | 8 |
| OB global care, cesarean deliveryCPT 59510 | $7,872 | — | — | — | 4 |
| OB global care, vaginal deliveryCPT 59400 | $7,872 | — | — | — | 4 |
| OB ultrasound, 14+ weeksCPT 76805 | $811 | $110 | 735% | ~$248 | 32 |
| Obstetric blood test panelCPT 80055 | $48 | $48 | 100% | — | 10 |
| Office visit, established patient, level 3CPT 99213 | $166 | — | — | $22 | 22 |
| Office visit, established patient, level 4CPT 99214 | $190 | — | — | $25 | 22 |
| Office visit, new patient, level 3CPT 99203 | $380 | — | — | $49 | 22 |
| Office visit, new patient, level 4CPT 99204 | $402 | — | — | $52 | 22 |
| Office visit, new patient, level 5CPT 99205 | $439 | — | — | $57 | 22 |
| PSA (prostate specific antigen), totalCPT 84153 | $332 | $18 | 1803% | ~$97 | 31 |
| Partial thromboplastin timeCPT 85730 | $213 | $6 | 3541% | ~$62 | 31 |
| Physical therapy, therapeutic exerciseCPT 97110 | $151 | — | — | $20 | 22 |
| Prostate biopsyCPT 55700 | $4,821 | — | — | — | 9 |
| Prothrombin timeCPT 85610 | $177 | $4 | 4120% | ~$57 | 33 |
| Psychotherapy, 30 minutesCPT 90832 | $17 | $187 | 9% | $3 | 28 |
| Psychotherapy, 45 minutesCPT 90834 | $256 | $187 | 137% | — | 2 |
| Psychotherapy, 60 minutesCPT 90837 | $159 | $187 | 85% | $5 | 28 |
| Renal failure, with CCMS-DRG 683 | $6,572 | $5,590 | 118% | — | 9 |
| Screening mammography, bilateralCPT 77067 | $481 | — | — | ~$134 | 32 |
| Sepsis with MCCMS-DRG 871 | $9,422 | $13,096 | 72% | — | 13 |
| Shoulder arthroscopy, subacromial decompressionCPT 29826 | $3,431 | — | — | — | 8 |
| Simple pneumonia and pleurisy, with CCMS-DRG 194 | $6,572 | $5,177 | 127% | — | 9 |
| Sleep study (polysomnography)CPT 95810 | $3,465 | $906 | 382% | $698 | 33 |
| Spinal fusion except cervical, no MCCMS-DRG 460 | $78,000 | $25,413 | 307% | — | 1 |
| Stroke (hemorrhage/infarction), no CC/MCCMS-DRG 066 | $6,000 | $3,679 | 163% | — | 7 |
| Stroke (hemorrhage/infarction), with CC or tPAMS-DRG 065 | $6,000 | $5,831 | 103% | — | 7 |
| Thyroid stimulating hormone (TSH)CPT 84443 | $263 | $17 | 1566% | ~$85 | 33 |
| Tonsillectomy and adenoidectomy, under age 12CPT 42820 | $6,709 | $6,245 | 107% | — | 14 |
| Transforaminal epidural, lumbar/sacralCPT 64483 | $2,812 | $933 | 301% | — | 14 |
| Ultrasound, abdomen, completeCPT 76700 | $1,159 | $110 | 1051% | ~$355 | 32 |
| Ultrasound, transvaginalCPT 76830 | $734 | $110 | 665% | ~$236 | 33 |
| Upper GI endoscopy with biopsyCPT 43239 | $3,755 | $957 | 392% | — | 14 |
| Upper GI endoscopy, diagnosticCPT 43235 | $3,318 | $957 | 347% | — | 14 |
| Urinalysis, automated, with microscopyCPT 81001 | $148 | $3 | 4671% | ~$45 | 32 |
| Urinalysis, automated, without microscopyCPT 81003 | $103 | $2 | 4588% | ~$35 | 34 |
| Urinalysis, manual, with microscopyCPT 81000 | $240 | $4 | 5963% | ~$70 | 31 |
| Urinalysis, manual, without microscopyCPT 81002 | $71 | $3 | 2040% | ~$21 | 31 |
| Vaginal delivery, no sterilization, no CC/MCCMS-DRG 807 | $8,771 | — | — | — | 18 |
| Vaginal delivery, no sterilization, with CCMS-DRG 806 | $8,771 | — | — | — | 18 |
| X-ray, lower back, 4+ viewsCPT 72110 | $750 | $110 | 680% | ~$230 | 32 |
| YAG laser capsulotomy (secondary cataract)CPT 66821 | $2,812 | $580 | 485% | — | 14 |