| Acute myocardial infarction, discharged alive, with MCC | $6,000 | $11,217 | 53% | — | 7 |
| Bariatric (obesity) surgery, no CC/MCC | $24,345 | $8,272 | 294% | — | 18 |
| Basic metabolic panel | $410 | $8 | 4841% | ~$141 | 34 |
| COPD with MCC | $6,000 | $7,377 | 81% | — | 7 |
| CT abdomen and pelvis with contrast | $5,623 | $368 | 1528% | ~$1,686 | 28 |
| CT head without contrast | $2,624 | $110 | 2380% | ~$787 | 28 |
| CT pelvis with contrast | $3,094 | $185 | 1672% | ~$928 | 28 |
| Cardiac arrhythmia, no CC/MCC | $6,000 | $3,269 | 184% | — | 7 |
| Cardiac stress test | $2,047 | $228 | 899% | $346 | 25 |
| Cardiac valve surgery with cardiac cath, with MCC | $149,922 | — | — | — | 9 |
| Cataract surgery with IOL insertion | $6,719 | $2,434 | 276% | — | 14 |
| Cellulitis, no MCC | $6,572 | $5,675 | 116% | — | 9 |
| Cervical spinal fusion, no CC/MCC | $27,142 | $16,343 | 166% | — | 11 |
| Cesarean section, no CC/MCC | $14,198 | — | — | — | 18 |
| Cesarean section, with CC | $14,198 | — | — | — | 18 |
| Chest pain | $6,000 | — | — | — | 7 |
| Colonoscopy with biopsy | $4,442 | $1,262 | 352% | — | 14 |
| Colonoscopy with endoscopic ultrasound | $4,442 | $1,262 | 352% | — | 14 |
| Colonoscopy with polyp removal | $4,442 | $1,262 | 352% | — | 14 |
| Colonoscopy, diagnostic | $3,755 | $981 | 383% | — | 14 |
| Complete blood count with differential | $8 | $8 | 100% | — | 13 |
| Complete blood count, automated | $247 | $6 | 3822% | ~$76 | 32 |
| Comprehensive metabolic panel | $569 | $11 | 5390% | ~$195 | 34 |
| Coronary bypass without cardiac cath, no MCC | $40,053 | $29,950 | 134% | — | 9 |
| Diagnostic mammography, both breasts | $658 | — | — | ~$202 | 32 |
| Diagnostic mammography, one breast | $457 | — | — | ~$134 | 32 |
| ED visit, level 3 | $2,567 | $288 | 891% | $498 | 32 |
| ED visit, level 4 | $4,366 | $440 | 992% | $918 | 32 |
| ED visit, level 5 | $10,298 | $628 | 1639% | $1,873 | 32 |
| Echocardiogram, complete | $4,171 | $576 | 724% | $704 | 23 |
| Epidural injection, lumbar/sacral, no imaging | $2,812 | $933 | 301% | — | 14 |
| Esophagitis/GI disorders, no MCC | $9,422 | $4,990 | 189% | — | 11 |
| Excision of breast lesion | $6,112 | $4,130 | 148% | — | 14 |
| Family psychotherapy, with patient | $478 | $187 | 255% | $57 | 20 |
| Family psychotherapy, without patient | $256 | $187 | 137% | — | 2 |
| Group psychotherapy | $227 | $107 | 211% | $27 | 20 |
| Heart failure and shock, with CC | $6,000 | $5,927 | 101% | — | 7 |
| Heart failure with MCC | $6,000 | $9,582 | 63% | — | 7 |
| Hip and femur procedures except major joint, with CC | $18,915 | $13,876 | 136% | — | 11 |
| Hysterectomy, no CC/MCC | $6,966 | $10,098 | 69% | — | 7 |
| Inguinal hernia repair, age 5+ | $6,159 | $3,777 | 163% | — | 14 |
| Kidney and urinary tract infections, no MCC | $6,572 | $4,939 | 133% | — | 9 |
| Kidney function panel | $457 | $9 | 5264% | ~$157 | 34 |
| Knee arthroscopy with meniscectomy | $6,159 | $3,452 | 178% | — | 14 |
| Laparoscopic cholecystectomy | $9,291 | $6,377 | 146% | — | 14 |
| Laparoscopic cholecystectomy, no CC/MCC | $6,966 | $8,977 | 78% | — | 7 |
| Laparoscopic radical prostatectomy | $11,568 | $11,213 | 103% | — | 14 |
| Left heart catheterization, diagnostic | $14,950 | $3,420 | 437% | — | 16 |
| Lipid panel | $225 | $13 | 1682% | ~$77 | 34 |
| Liver function panel | $499 | $8 | 6104% | ~$153 | 32 |
| Lumbar epidural steroid injection | $2,812 | $745 | 378% | — | 14 |
| MRI brain with and without contrast | $4,513 | $368 | 1226% | ~$1,353 | 28 |
| MRI lower extremity joint (knee) | $3,559 | $252 | 1414% | ~$1,067 | 28 |
| MRI lumbar spine without contrast | $3,260 | $252 | 1295% | ~$977 | 28 |
| Major joint replacement (hip/knee), no MCC | $31,768 | $12,581 | 253% | — | 14 |
| Major joint replacement (hip/knee), with MCC | $35,791 | $22,346 | 160% | — | 11 |
| Major small and large bowel procedures, with CC | $6,966 | $14,993 | 46% | — | 7 |
| Medical back problems, no MCC | $6,000 | $6,602 | 91% | — | 7 |
| OB global care, VBAC delivery | $5,358 | — | — | — | 8 |
| OB global care, cesarean delivery | $7,872 | — | — | — | 4 |
| OB global care, vaginal delivery | $7,872 | — | — | — | 4 |
| OB ultrasound, 14+ weeks | $811 | $110 | 735% | ~$248 | 32 |
| Obstetric blood test panel | $48 | $48 | 100% | — | 11 |
| Office visit, established patient, level 3 | $182 | — | — | $22 | 23 |
| Office visit, established patient, level 4 | $208 | — | — | $25 | 23 |
| Office visit, new patient, level 3 | $417 | — | — | $49 | 23 |
| Office visit, new patient, level 4 | $441 | — | — | $52 | 23 |
| Office visit, new patient, level 5 | $481 | — | — | $57 | 23 |
| PSA (prostate specific antigen), total | $316 | $18 | 1719% | ~$97 | 32 |
| Partial thromboplastin time | $203 | $6 | 3378% | ~$62 | 32 |
| Physical therapy, therapeutic exercise | $137 | — | — | $20 | 23 |
| Prostate biopsy | $4,821 | — | — | — | 9 |
| Prothrombin time | $166 | $4 | 3867% | ~$57 | 34 |
| Psychotherapy, 30 minutes | $17 | $187 | 9% | $3 | 28 |
| Psychotherapy, 45 minutes | $256 | $187 | 137% | — | 2 |
| Psychotherapy, 60 minutes | $159 | $187 | 85% | $5 | 28 |
| Renal failure, with CC | $6,572 | $5,590 | 118% | — | 9 |
| Screening mammography, bilateral | $481 | — | — | ~$134 | 32 |
| Sepsis with MCC | $9,422 | $13,096 | 72% | — | 13 |
| Shoulder arthroscopy, subacromial decompression | $3,431 | — | — | — | 8 |
| Simple pneumonia and pleurisy, with CC | $6,572 | $5,177 | 127% | — | 9 |
| Sleep study (polysomnography) | $3,736 | $906 | 412% | $698 | 32 |
| Spinal fusion except cervical, no MCC | $78,000 | $25,413 | 307% | — | 1 |
| Stroke (hemorrhage/infarction), no CC/MCC | $6,000 | $3,679 | 163% | — | 7 |
| Stroke (hemorrhage/infarction), with CC or tPA | $6,000 | $5,831 | 103% | — | 7 |
| Thyroid stimulating hormone (TSH) | $247 | $17 | 1470% | ~$85 | 34 |
| Tonsillectomy and adenoidectomy, under age 12 | $6,709 | $6,245 | 107% | — | 14 |
| Transforaminal epidural, lumbar/sacral | $2,812 | $933 | 301% | — | 14 |
| Ultrasound, abdomen, complete | $1,159 | $110 | 1051% | ~$355 | 32 |
| Ultrasound, transvaginal | $771 | $110 | 699% | ~$236 | 32 |
| Upper GI endoscopy with biopsy | $3,755 | $957 | 392% | — | 14 |
| Upper GI endoscopy, diagnostic | $3,318 | $957 | 347% | — | 14 |
| Urinalysis, automated, with microscopy | $148 | $3 | 4671% | ~$45 | 32 |
| Urinalysis, automated, without microscopy | $103 | $2 | 4588% | ~$35 | 34 |
| Urinalysis, manual, with microscopy | $229 | $4 | 5688% | ~$70 | 32 |
| Urinalysis, manual, without microscopy | $68 | $3 | 1945% | ~$21 | 32 |
| Vaginal delivery, no sterilization, no CC/MCC | $8,771 | — | — | — | 18 |
| Vaginal delivery, no sterilization, with CC | $8,771 | — | — | — | 18 |
| X-ray, lower back, 4+ views | $750 | $110 | 680% | ~$230 | 32 |
| YAG laser capsulotomy (secondary cataract) | $2,812 | $580 | 485% | — | 14 |