| Acute myocardial infarction, discharged alive, with MCC | $4,466 | $11,158 | 40% | — | 8 |
| Bariatric (obesity) surgery, no CC/MCC | $23,340 | $8,272 | 282% | — | 19 |
| Basic metabolic panel | $188 | $8 | 2222% | ~$55 | 34 |
| COPD with MCC | $4,466 | $7,377 | 61% | — | 8 |
| CT abdomen and pelvis with contrast | $3,246 | $368 | 882% | ~$941 | 27 |
| CT head without contrast | $1,763 | $110 | 1599% | ~$444 | 27 |
| CT pelvis with contrast | $1,763 | $185 | 953% | ~$481 | 27 |
| Cardiac arrhythmia, no CC/MCC | $4,466 | $3,269 | 137% | — | 8 |
| Cardiac stress test | $1,591 | $228 | 699% | $217 | 25 |
| Cardiac valve surgery with cardiac cath, with MCC | $149,803 | — | — | — | 9 |
| Cataract surgery with IOL insertion | $6,719 | $2,434 | 276% | — | 14 |
| Cellulitis, no MCC | $5,174 | $5,626 | 92% | — | 10 |
| Cervical spinal fusion, no CC/MCC | $27,142 | $16,343 | 166% | — | 11 |
| Cesarean section, no CC/MCC | $14,000 | — | — | — | 19 |
| Cesarean section, with CC | $14,000 | — | — | — | 19 |
| Chest pain | $4,466 | — | — | — | 8 |
| 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 | $3,505 | $981 | 357% | — | 14 |
| Complete blood count with differential | $8 | $8 | 100% | — | 13 |
| Complete blood count, automated | $85 | $6 | 1309% | ~$20 | 32 |
| Comprehensive metabolic panel | $230 | $11 | 2174% | ~$68 | 34 |
| Coronary bypass without cardiac cath, no MCC | $40,021 | $29,950 | 134% | — | 9 |
| Diagnostic mammography, both breasts | $285 | — | — | — | 11 |
| Diagnostic mammography, one breast | $223 | — | — | — | 11 |
| ED visit, level 3 | $2,505 | $288 | 870% | $403 | 33 |
| ED visit, level 4 | $4,007 | $440 | 910% | $676 | 33 |
| ED visit, level 5 | $10,189 | $628 | 1622% | $1,134 | 33 |
| Echocardiogram, complete | $3,590 | $576 | 623% | $607 | 23 |
| Epidural injection, lumbar/sacral, no imaging | $2,812 | $933 | 301% | — | 14 |
| Esophagitis/GI disorders, no MCC | $7,542 | $5,023 | 150% | — | 12 |
| Excision of breast lesion | $6,112 | $4,130 | 148% | — | 14 |
| Family psychotherapy, with patient | $356 | $187 | 190% | $54 | 24 |
| Family psychotherapy, without patient | $256 | $187 | 137% | — | 2 |
| Group psychotherapy | $168 | $107 | 157% | $25 | 24 |
| Heart failure and shock, with CC | $4,466 | $5,927 | 75% | — | 8 |
| Heart failure with MCC | $4,466 | $8,883 | 50% | — | 8 |
| Hip and femur procedures except major joint, with CC | $16,712 | $13,931 | 120% | — | 12 |
| Hysterectomy, no CC/MCC | $5,996 | $10,098 | 59% | — | 8 |
| Inguinal hernia repair, age 5+ | $6,084 | $3,777 | 161% | — | 14 |
| Kidney and urinary tract infections, no MCC | $5,174 | $5,279 | 98% | — | 10 |
| Kidney function panel | $341 | $9 | 3926% | ~$100 | 34 |
| Knee arthroscopy with meniscectomy | $6,084 | $3,452 | 176% | — | 14 |
| Laparoscopic cholecystectomy | $9,291 | $6,377 | 146% | — | 14 |
| Laparoscopic cholecystectomy, no CC/MCC | $5,996 | $8,977 | 67% | — | 8 |
| Laparoscopic radical prostatectomy | $11,560 | $11,213 | 103% | — | 14 |
| Left heart catheterization, diagnostic | $13,638 | $3,420 | 399% | — | 17 |
| Lipid panel | $118 | $13 | 881% | ~$35 | 34 |
| Liver function panel | $167 | $8 | 2046% | ~$40 | 32 |
| Lumbar epidural steroid injection | $2,812 | $745 | 378% | — | 14 |
| MRI brain with and without contrast | $3,640 | $368 | 989% | ~$1,055 | 27 |
| MRI lower extremity joint (knee) | $3,020 | $252 | 1200% | ~$875 | 27 |
| MRI lumbar spine without contrast | $3,560 | $252 | 1414% | ~$1,032 | 27 |
| Major joint replacement (hip/knee), no MCC | $31,000 | $13,467 | 230% | — | 15 |
| Major joint replacement (hip/knee), with MCC | $35,590 | $22,346 | 159% | — | 12 |
| Major small and large bowel procedures, with CC | $5,996 | $16,278 | 37% | — | 8 |
| Medical back problems, no MCC | $4,466 | $6,430 | 69% | — | 8 |
| OB global care, VBAC delivery | $5,102 | — | — | — | 9 |
| OB global care, cesarean delivery | $7,872 | — | — | — | 4 |
| OB global care, vaginal delivery | $7,872 | — | — | — | 4 |
| OB ultrasound, 14+ weeks | $724 | $110 | 656% | ~$173 | 32 |
| Obstetric blood test panel | $48 | $48 | 100% | — | 11 |
| Office visit, established patient, level 3 | $881 | — | — | $100 | 23 |
| Office visit, established patient, level 4 | $1,462 | — | — | $166 | 23 |
| Office visit, new patient, level 3 | $896 | — | — | $102 | 23 |
| Office visit, new patient, level 4 | $1,462 | — | — | $166 | 23 |
| Office visit, new patient, level 5 | $2,383 | — | — | $271 | 23 |
| PSA (prostate specific antigen), total | $147 | $18 | 798% | ~$35 | 32 |
| Partial thromboplastin time | $110 | $6 | 1829% | ~$26 | 32 |
| Physical therapy, therapeutic exercise | $213 | — | — | $28 | 23 |
| Prostate biopsy | $4,821 | — | — | — | 9 |
| Prothrombin time | $78 | $4 | 1829% | ~$23 | 34 |
| Psychotherapy, 30 minutes | $256 | $187 | 137% | — | 2 |
| Psychotherapy, 45 minutes | $256 | $187 | 137% | — | 2 |
| Psychotherapy, 60 minutes | $306 | $187 | 163% | $46 | 24 |
| Renal failure, with CC | $5,174 | $6,286 | 82% | — | 10 |
| Screening mammography, bilateral | $236 | — | — | — | 11 |
| Sepsis with MCC | $9,415 | $13,803 | 68% | — | 14 |
| Shoulder arthroscopy, subacromial decompression | $3,431 | — | — | — | 8 |
| Simple pneumonia and pleurisy, with CC | $5,174 | $5,177 | 100% | — | 10 |
| Sleep study (polysomnography) | $5,774 | $906 | 637% | $1,167 | 32 |
| Spinal fusion except cervical, no MCC | $78,000 | $26,033 | 300% | — | 1 |
| Stroke (hemorrhage/infarction), no CC/MCC | $4,466 | $4,069 | 110% | — | 8 |
| Stroke (hemorrhage/infarction), with CC or tPA | $4,466 | $6,812 | 66% | — | 8 |
| Thyroid stimulating hormone (TSH) | $184 | $17 | 1092% | ~$54 | 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 | $1,018 | $110 | 923% | ~$244 | 32 |
| Ultrasound, transvaginal | $586 | $110 | 531% | ~$140 | 32 |
| Upper GI endoscopy with biopsy | $3,505 | $957 | 366% | — | 14 |
| Upper GI endoscopy, diagnostic | $3,068 | $957 | 321% | — | 14 |
| Urinalysis, automated, with microscopy | $127 | $3 | 4017% | ~$30 | 32 |
| Urinalysis, automated, without microscopy | $66 | $2 | 2944% | ~$20 | 34 |
| Urinalysis, manual, with microscopy | $4 | $4 | 100% | — | 11 |
| Urinalysis, manual, without microscopy | $29 | $3 | 826% | ~$7 | 32 |
| Vaginal delivery, no sterilization, no CC/MCC | $9,042 | — | — | — | 19 |
| Vaginal delivery, no sterilization, with CC | $9,042 | — | — | — | 19 |
| X-ray, lower back, 4+ views | $916 | $110 | 831% | ~$219 | 32 |
| YAG laser capsulotomy (secondary cataract) | $2,812 | $580 | 485% | — | 14 |