| Acute myocardial infarction, discharged alive, with MCC | $6,174 | $11,276 | 55% | — | 8 |
| Bariatric (obesity) surgery, no CC/MCC | $27,875 | $8,272 | 337% | — | 18 |
| Basic metabolic panel | $343 | $8 | 4058% | ~$118 | 35 |
| COPD with MCC | $6,126 | $7,377 | 83% | — | 8 |
| CT abdomen and pelvis with contrast | $3,497 | $368 | 950% | ~$980 | 28 |
| CT head without contrast | $2,332 | $110 | 2114% | ~$653 | 28 |
| CT pelvis with contrast | $2,402 | $185 | 1298% | ~$673 | 28 |
| Cardiac arrhythmia, no CC/MCC | $6,126 | $3,269 | 187% | — | 8 |
| Cardiac stress test | $3,834 | $228 | 1683% | $626 | 26 |
| 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 | $6,174 | $6,494 | 95% | — | 10 |
| Cervical spinal fusion, no CC/MCC | $27,142 | $16,343 | 166% | — | 11 |
| Cesarean section, no CC/MCC | $14,000 | — | — | — | 17 |
| Cesarean section, with CC | $14,000 | — | — | — | 17 |
| Chest pain | $5,762 | — | — | — | 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 | $3,576 | $981 | 365% | — | 14 |
| Complete blood count with differential | $8 | $8 | 100% | — | 13 |
| Complete blood count, automated | $289 | $6 | 4459% | ~$68 | 33 |
| Comprehensive metabolic panel | $421 | $11 | 3987% | ~$144 | 35 |
| Coronary bypass without cardiac cath, no MCC | $40,021 | $28,706 | 139% | — | 9 |
| Diagnostic mammography, both breasts | $582 | — | — | ~$119 | 33 |
| Diagnostic mammography, one breast | $454 | — | — | ~$98 | 33 |
| ED visit, level 3 | $2,780 | $288 | 966% | $574 | 34 |
| ED visit, level 4 | $4,284 | $440 | 973% | $961 | 34 |
| ED visit, level 5 | $10,298 | $628 | 1639% | $1,924 | 34 |
| Echocardiogram, complete | $2,872 | $576 | 498% | $526 | 24 |
| Epidural injection, lumbar/sacral, no imaging | $2,812 | $933 | 301% | — | 14 |
| Esophagitis/GI disorders, no MCC | $7,794 | $5,326 | 146% | — | 12 |
| Excision of breast lesion | $6,112 | $4,130 | 148% | — | 14 |
| Family psychotherapy, with patient | $419 | $187 | 224% | $71 | 29 |
| Family psychotherapy, without patient | $419 | $187 | 224% | $71 | 29 |
| Group psychotherapy | $198 | $107 | 185% | $33 | 25 |
| Heart failure and shock, with CC | $6,174 | $5,927 | 104% | — | 8 |
| Heart failure with MCC | $6,174 | $9,549 | 65% | — | 8 |
| Hip and femur procedures except major joint, with CC | $16,712 | $15,415 | 108% | — | 12 |
| Hysterectomy, no CC/MCC | $7,899 | $10,098 | 78% | — | 8 |
| Inguinal hernia repair, age 5+ | $6,084 | $3,777 | 161% | — | 14 |
| Kidney and urinary tract infections, no MCC | $6,174 | $5,379 | 115% | — | 10 |
| Kidney function panel | $439 | $9 | 5061% | ~$151 | 35 |
| Knee arthroscopy with meniscectomy | $6,084 | $3,452 | 176% | — | 14 |
| Laparoscopic cholecystectomy | $9,291 | $6,377 | 146% | — | 14 |
| Laparoscopic cholecystectomy, no CC/MCC | $8,956 | $8,977 | 100% | — | 8 |
| Laparoscopic radical prostatectomy | $11,560 | $11,213 | 103% | — | 14 |
| Left heart catheterization, diagnostic | $13,638 | $3,420 | 399% | — | 17 |
| Lipid panel | $460 | $13 | 3433% | ~$158 | 35 |
| Liver function panel | $514 | $8 | 6291% | ~$122 | 33 |
| Lumbar epidural steroid injection | $2,812 | $745 | 378% | — | 14 |
| MRI brain with and without contrast | $3,188 | $368 | 866% | ~$893 | 28 |
| MRI lower extremity joint (knee) | $2,708 | $252 | 1076% | ~$725 | 28 |
| MRI lumbar spine without contrast | $2,692 | $252 | 1070% | ~$718 | 28 |
| Major joint replacement (hip/knee), no MCC | $31,000 | $12,843 | 241% | — | 15 |
| Major joint replacement (hip/knee), with MCC | $33,962 | $22,346 | 152% | — | 12 |
| Major small and large bowel procedures, with CC | $8,956 | $16,202 | 55% | — | 8 |
| Medical back problems, no MCC | $6,174 | $6,288 | 98% | — | 8 |
| OB global care, VBAC delivery | $5,680 | — | — | — | 9 |
| OB global care, cesarean delivery | $7,872 | — | — | — | 4 |
| OB global care, vaginal delivery | $7,872 | — | — | — | 4 |
| OB ultrasound, 14+ weeks | $785 | $110 | 712% | ~$186 | 33 |
| Obstetric blood test panel | $48 | $48 | 100% | — | 11 |
| Office visit, established patient, level 3 | $36 | — | — | $5 | 24 |
| Office visit, established patient, level 4 | $54 | — | — | $7 | 24 |
| Office visit, new patient, level 3 | $45 | — | — | $6 | 24 |
| Office visit, new patient, level 4 | $74 | — | — | $10 | 24 |
| Office visit, new patient, level 5 | $100 | — | — | $14 | 24 |
| PSA (prostate specific antigen), total | $434 | $18 | 2362% | ~$103 | 33 |
| Partial thromboplastin time | $186 | $6 | 3090% | ~$44 | 33 |
| Physical therapy, therapeutic exercise | $145 | — | — | $22 | 24 |
| Prostate biopsy | $4,821 | — | — | — | 9 |
| Prothrombin time | $76 | $4 | 1763% | ~$26 | 35 |
| Psychotherapy, 30 minutes | $271 | $187 | 145% | $46 | 29 |
| Psychotherapy, 45 minutes | $360 | $187 | 192% | $61 | 29 |
| Psychotherapy, 60 minutes | $360 | $187 | 192% | $61 | 29 |
| Renal failure, with CC | $6,174 | $6,656 | 93% | — | 10 |
| Screening mammography, bilateral | $466 | — | — | ~$93 | 33 |
| Sepsis with MCC | $9,415 | $14,381 | 65% | — | 14 |
| Shoulder arthroscopy, subacromial decompression | $3,431 | — | — | — | 8 |
| Simple pneumonia and pleurisy, with CC | $6,174 | $5,177 | 119% | — | 10 |
| Sleep study (polysomnography) | $6,802 | $906 | 751% | $1,360 | 33 |
| Spinal fusion except cervical, no MCC | $78,000 | $25,413 | 307% | — | 1 |
| Stroke (hemorrhage/infarction), no CC/MCC | $6,126 | $3,679 | 166% | — | 8 |
| Stroke (hemorrhage/infarction), with CC or tPA | $6,126 | $7,279 | 84% | — | 8 |
| Thyroid stimulating hormone (TSH) | $362 | $17 | 2152% | ~$124 | 35 |
| Tonsillectomy and adenoidectomy, under age 12 | $6,709 | $6,245 | 107% | — | 14 |
| Transforaminal epidural, lumbar/sacral | $2,812 | $933 | 301% | — | 14 |
| Ultrasound, abdomen, complete | $1,247 | $110 | 1131% | ~$295 | 33 |
| Ultrasound, transvaginal | $524 | $110 | 475% | ~$124 | 33 |
| Upper GI endoscopy with biopsy | $3,576 | $957 | 374% | — | 14 |
| Upper GI endoscopy, diagnostic | $3,140 | $957 | 328% | — | 14 |
| Urinalysis, automated, with microscopy | $338 | $3 | 10673% | ~$80 | 33 |
| Urinalysis, automated, without microscopy | $74 | $2 | 3268% | ~$25 | 35 |
| Urinalysis, manual, with microscopy | $4 | $4 | 100% | — | 11 |
| Urinalysis, manual, without microscopy | $107 | $3 | 3062% | ~$25 | 33 |
| Vaginal delivery, no sterilization, no CC/MCC | $8,500 | — | — | — | 17 |
| Vaginal delivery, no sterilization, with CC | $8,500 | — | — | — | 17 |
| X-ray, lower back, 4+ views | $1,919 | $110 | 1740% | ~$454 | 33 |
| YAG laser capsulotomy (secondary cataract) | $2,812 | $580 | 485% | — | 14 |