| Acute myocardial infarction, discharged alive, with MCC | $8,896 | $12,164 | 73% | — | 4 |
| Bariatric (obesity) surgery, no CC/MCC | $29,392 | $8,272 | 355% | — | 14 |
| Basic metabolic panel | $323 | $8 | 3820% | ~$97 | 32 |
| COPD with MCC | $7,794 | $7,377 | 106% | — | 4 |
| CT abdomen and pelvis with contrast | $5,295 | $368 | 1439% | ~$1,905 | 29 |
| CT head without contrast | $3,009 | $110 | 2729% | ~$1,083 | 29 |
| CT pelvis with contrast | $2,450 | $185 | 1324% | ~$881 | 29 |
| Cardiac arrhythmia, no CC/MCC | $7,794 | $3,269 | 238% | — | 4 |
| Cardiac stress test | $6,016 | $228 | 2641% | $909 | 23 |
| 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 | $9,415 | $5,675 | 166% | — | 6 |
| Cervical spinal fusion, no CC/MCC | $27,142 | $16,343 | 166% | — | 11 |
| Cesarean section, no CC/MCC | $13,591 | — | — | — | 14 |
| Cesarean section, with CC | $13,591 | — | — | — | 14 |
| Chest pain | $7,200 | — | — | — | 4 |
| 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 | $3,576 | $981 | 365% | — | 14 |
| Complete blood count with differential | $8 | $8 | 100% | — | 13 |
| Complete blood count, automated | $284 | $6 | 4397% | ~$60 | 30 |
| Comprehensive metabolic panel | $457 | $11 | 4328% | ~$157 | 32 |
| Coronary bypass without cardiac cath, no MCC | $40,021 | $29,950 | 134% | — | 9 |
| Diagnostic mammography, both breasts | $1,016 | — | — | ~$273 | 30 |
| Diagnostic mammography, one breast | $659 | — | — | ~$177 | 30 |
| ED visit, level 3 | $2,789 | $288 | 969% | $632 | 31 |
| ED visit, level 4 | $4,673 | $440 | 1062% | $1,059 | 31 |
| ED visit, level 5 | $10,189 | $628 | 1622% | $1,267 | 31 |
| Echocardiogram, complete | $5,163 | $576 | 896% | $989 | 21 |
| Epidural injection, lumbar/sacral, no imaging | $2,812 | $933 | 301% | — | 14 |
| Esophagitis/GI disorders, no MCC | $9,628 | $4,899 | 197% | — | 8 |
| Excision of breast lesion | $6,112 | $4,130 | 148% | — | 14 |
| Family psychotherapy, with patient | $350 | $187 | 187% | $51 | 21 |
| Family psychotherapy, without patient | $256 | $187 | 137% | — | 2 |
| Group psychotherapy | $249 | $107 | 232% | $26 | 21 |
| Heart failure and shock, with CC | $15,818 | $5,927 | 267% | — | 4 |
| Heart failure with MCC | $15,952 | $10,335 | 154% | — | 4 |
| Hip and femur procedures except major joint, with CC | $34,956 | $13,876 | 252% | — | 8 |
| Hysterectomy, no CC/MCC | $9,762 | $10,098 | 97% | — | 4 |
| Inguinal hernia repair, age 5+ | $6,084 | $3,777 | 161% | — | 14 |
| Kidney and urinary tract infections, no MCC | $9,415 | $5,238 | 180% | — | 6 |
| Kidney function panel | $371 | $9 | 4270% | ~$127 | 32 |
| Knee arthroscopy with meniscectomy | $6,084 | $3,452 | 176% | — | 14 |
| Laparoscopic cholecystectomy | $9,291 | $6,377 | 146% | — | 14 |
| Laparoscopic cholecystectomy, no CC/MCC | $12,916 | $8,977 | 144% | — | 4 |
| Laparoscopic radical prostatectomy | $11,560 | $11,213 | 103% | — | 14 |
| Left heart catheterization, diagnostic | $16,263 | $3,420 | 476% | — | 13 |
| Lipid panel | $303 | $13 | 2261% | ~$84 | 32 |
| Liver function panel | $347 | $8 | 4243% | ~$78 | 30 |
| Lumbar epidural steroid injection | $2,812 | $745 | 378% | — | 14 |
| MRI brain with and without contrast | $2,699 | $368 | 734% | ~$971 | 29 |
| MRI lower extremity joint (knee) | $2,603 | $252 | 1034% | ~$937 | 29 |
| MRI lumbar spine without contrast | $2,351 | $252 | 934% | ~$772 | 29 |
| Major joint replacement (hip/knee), no MCC | $32,536 | $13,045 | 249% | — | 11 |
| Major joint replacement (hip/knee), with MCC | $41,501 | $22,346 | 186% | — | 8 |
| Major small and large bowel procedures, with CC | $12,916 | $16,202 | 80% | — | 4 |
| Medical back problems, no MCC | $9,316 | $7,479 | 125% | — | 4 |
| OB global care, VBAC delivery | $7,289 | — | — | — | 5 |
| OB global care, cesarean delivery | $7,872 | — | — | — | 4 |
| OB global care, vaginal delivery | $7,872 | — | — | — | 4 |
| OB ultrasound, 14+ weeks | $1,424 | $110 | 1291% | ~$382 | 30 |
| Obstetric blood test panel | $48 | $48 | 100% | — | 11 |
| Office visit, established patient, level 3 | $407 | — | — | $43 | 21 |
| Office visit, established patient, level 4 | $478 | — | — | $51 | 21 |
| Office visit, new patient, level 3 | $443 | — | — | $47 | 21 |
| Office visit, new patient, level 4 | $519 | — | — | $55 | 21 |
| Office visit, new patient, level 5 | $612 | — | — | $65 | 21 |
| PSA (prostate specific antigen), total | $308 | $18 | 1676% | ~$66 | 30 |
| Partial thromboplastin time | $235 | $6 | 3910% | ~$50 | 30 |
| Physical therapy, therapeutic exercise | $284 | — | — | $30 | 21 |
| Prostate biopsy | $4,821 | — | — | — | 9 |
| Prothrombin time | $139 | $4 | 3229% | ~$37 | 32 |
| Psychotherapy, 30 minutes | $256 | $187 | 137% | — | 2 |
| Psychotherapy, 45 minutes | $298 | $187 | 159% | $44 | 26 |
| Psychotherapy, 60 minutes | $350 | $187 | 187% | $44 | 21 |
| Renal failure, with CC | $9,415 | $7,409 | 127% | — | 6 |
| Screening mammography, bilateral | $528 | — | — | ~$130 | 30 |
| Sepsis with MCC | $10,920 | $14,056 | 78% | — | 10 |
| Shoulder arthroscopy, subacromial decompression | $3,431 | — | — | — | 8 |
| Simple pneumonia and pleurisy, with CC | $9,415 | $5,177 | 182% | — | 6 |
| Sleep study (polysomnography) | $5,654 | $906 | 624% | $1,146 | 30 |
| Spinal fusion except cervical, no MCC | $78,000 | $25,413 | 307% | — | 1 |
| Stroke (hemorrhage/infarction), no CC/MCC | $7,794 | $3,679 | 212% | — | 4 |
| Stroke (hemorrhage/infarction), with CC or tPA | $7,794 | $6,559 | 119% | — | 4 |
| Thyroid stimulating hormone (TSH) | $198 | $17 | 1177% | ~$53 | 32 |
| Tonsillectomy and adenoidectomy, under age 12 | $6,709 | $6,245 | 107% | — | 14 |
| Transforaminal epidural, lumbar/sacral | $2,812 | $933 | 301% | — | 14 |
| Ultrasound, abdomen, complete | $1,428 | $110 | 1295% | ~$383 | 30 |
| Ultrasound, transvaginal | $742 | $110 | 673% | ~$199 | 30 |
| Upper GI endoscopy with biopsy | $3,576 | $957 | 374% | — | 14 |
| Upper GI endoscopy, diagnostic | $3,140 | $957 | 328% | — | 14 |
| Urinalysis, automated, with microscopy | $206 | $3 | 6510% | ~$44 | 30 |
| Urinalysis, automated, without microscopy | $137 | $2 | 6106% | ~$37 | 32 |
| Urinalysis, manual, with microscopy | $4 | $4 | 100% | — | 11 |
| Urinalysis, manual, without microscopy | $51 | $3 | 1470% | ~$11 | 30 |
| Vaginal delivery, no sterilization, no CC/MCC | $7,858 | — | — | — | 14 |
| Vaginal delivery, no sterilization, with CC | $7,858 | — | — | — | 14 |
| X-ray, lower back, 4+ views | $961 | $110 | 871% | ~$258 | 30 |
| YAG laser capsulotomy (secondary cataract) | $2,812 | $580 | 485% | — | 14 |