| Acute myocardial infarction, discharged alive, with MCC | $5,003 | $12,554 | 40% | — | 8 |
| Bariatric (obesity) surgery, no CC/MCC | $27,875 | $8,272 | 337% | — | 19 |
| Basic metabolic panel | $269 | $8 | 3183% | ~$85 | 33 |
| COPD with MCC | $5,003 | $7,377 | 68% | — | 8 |
| CT abdomen and pelvis with contrast | $3,778 | $368 | 1027% | ~$1,326 | 26 |
| CT head without contrast | $3,263 | $110 | 2959% | ~$1,145 | 26 |
| CT pelvis with contrast | $3,778 | $185 | 2042% | ~$1,326 | 26 |
| Cardiac arrhythmia, no CC/MCC | $5,003 | $3,269 | 153% | — | 8 |
| Cardiac stress test | $3,462 | $228 | 1520% | $542 | 24 |
| 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 | $5,540 | $5,675 | 98% | — | 10 |
| 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 | $5,003 | — | — | — | 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 | $145 | $6 | 2244% | ~$44 | 31 |
| Comprehensive metabolic panel | $327 | $11 | 3098% | ~$103 | 33 |
| 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 | $2,599 | $288 | 903% | $546 | 33 |
| ED visit, level 4 | $4,356 | $440 | 990% | $915 | 33 |
| ED visit, level 5 | $10,189 | $628 | 1622% | $1,487 | 33 |
| Echocardiogram, complete | $3,911 | $576 | 678% | $612 | 24 |
| Epidural injection, lumbar/sacral, no imaging | $2,812 | $933 | 301% | — | 14 |
| Esophagitis/GI disorders, no MCC | $7,746 | $5,282 | 147% | — | 12 |
| Excision of breast lesion | $6,112 | $4,130 | 148% | — | 14 |
| Family psychotherapy, with patient | $256 | $187 | 137% | — | 2 |
| Family psychotherapy, without patient | $256 | $187 | 137% | — | 2 |
| Group psychotherapy | $143 | $107 | 133% | — | 2 |
| Heart failure and shock, with CC | $5,003 | $5,927 | 84% | — | 8 |
| Heart failure with MCC | $5,003 | $9,436 | 53% | — | 8 |
| Hip and femur procedures except major joint, with CC | $16,712 | $15,476 | 108% | — | 12 |
| Hysterectomy, no CC/MCC | $6,803 | $10,098 | 67% | — | 8 |
| Inguinal hernia repair, age 5+ | $6,084 | $3,777 | 161% | — | 14 |
| Kidney and urinary tract infections, no MCC | $5,540 | $5,779 | 96% | — | 10 |
| Kidney function panel | $343 | $9 | 3950% | ~$108 | 33 |
| Knee arthroscopy with meniscectomy | $6,084 | $3,452 | 176% | — | 14 |
| Laparoscopic cholecystectomy | $9,291 | $6,377 | 146% | — | 14 |
| Laparoscopic cholecystectomy, no CC/MCC | $6,803 | $8,977 | 76% | — | 8 |
| Laparoscopic radical prostatectomy | $11,560 | $11,213 | 103% | — | 14 |
| Left heart catheterization, diagnostic | $13,638 | $3,420 | 399% | — | 17 |
| Lipid panel | $358 | $13 | 2677% | ~$113 | 33 |
| Liver function panel | $289 | $8 | 3537% | ~$88 | 31 |
| Lumbar epidural steroid injection | $2,812 | $745 | 378% | — | 14 |
| MRI brain with and without contrast | $4,387 | $368 | 1192% | ~$1,540 | 26 |
| MRI lower extremity joint (knee) | $3,479 | $252 | 1382% | ~$1,221 | 26 |
| MRI lumbar spine without contrast | $3,495 | $252 | 1389% | ~$1,227 | 26 |
| Major joint replacement (hip/knee), no MCC | $31,000 | $14,083 | 220% | — | 15 |
| Major joint replacement (hip/knee), with MCC | $33,962 | $22,045 | 154% | — | 12 |
| Major small and large bowel procedures, with CC | $6,803 | $16,177 | 42% | — | 8 |
| Medical back problems, no MCC | $5,003 | $5,733 | 87% | — | 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 | $598 | $110 | 542% | ~$182 | 31 |
| Obstetric blood test panel | $48 | $48 | 100% | — | 11 |
| Office visit, established patient, level 3 | $272 | — | — | $29 | 22 |
| Office visit, established patient, level 4 | $313 | — | — | $34 | 22 |
| Office visit, new patient, level 3 | $726 | — | — | $78 | 22 |
| Office visit, new patient, level 4 | $762 | — | — | $82 | 22 |
| Office visit, new patient, level 5 | $818 | — | — | $88 | 22 |
| PSA (prostate specific antigen), total | $244 | $18 | 1324% | ~$74 | 31 |
| Partial thromboplastin time | $107 | $6 | 1777% | ~$32 | 31 |
| Physical therapy, therapeutic exercise | $207 | — | — | $27 | 22 |
| Prostate biopsy | $4,821 | — | — | — | 9 |
| Prothrombin time | $62 | $4 | 1449% | ~$20 | 33 |
| Psychotherapy, 30 minutes | $256 | $187 | 137% | — | 2 |
| Psychotherapy, 45 minutes | $256 | $187 | 137% | — | 2 |
| Psychotherapy, 60 minutes | $256 | $187 | 137% | — | 2 |
| Renal failure, with CC | $5,540 | $6,403 | 87% | — | 10 |
| Screening mammography, bilateral | $236 | — | — | — | 11 |
| Sepsis with MCC | $9,415 | $14,142 | 67% | — | 14 |
| Shoulder arthroscopy, subacromial decompression | $3,431 | — | — | — | 8 |
| Simple pneumonia and pleurisy, with CC | $5,540 | $6,282 | 88% | — | 10 |
| Sleep study (polysomnography) | $7,221 | $906 | 797% | $1,516 | 31 |
| Spinal fusion except cervical, no MCC | $78,000 | $28,705 | 272% | — | 1 |
| Stroke (hemorrhage/infarction), no CC/MCC | $5,003 | $3,679 | 136% | — | 8 |
| Stroke (hemorrhage/infarction), with CC or tPA | $5,003 | $6,811 | 73% | — | 8 |
| Thyroid stimulating hormone (TSH) | $283 | $17 | 1687% | ~$89 | 33 |
| Tonsillectomy and adenoidectomy, under age 12 | $6,709 | $6,245 | 107% | — | 14 |
| Transforaminal epidural, lumbar/sacral | $2,812 | $933 | 301% | — | 14 |
| Ultrasound, abdomen, complete | $1,173 | $110 | 1063% | ~$357 | 31 |
| Ultrasound, transvaginal | $1,231 | $110 | 1117% | ~$375 | 31 |
| Upper GI endoscopy with biopsy | $3,576 | $957 | 374% | — | 14 |
| Upper GI endoscopy, diagnostic | $3,140 | $957 | 328% | — | 14 |
| Urinalysis, automated, with microscopy | $190 | $3 | 5980% | ~$58 | 31 |
| Urinalysis, automated, without microscopy | $73 | $2 | 3252% | ~$23 | 33 |
| Urinalysis, manual, with microscopy | $4 | $4 | 100% | — | 11 |
| Urinalysis, manual, without microscopy | $53 | $3 | 1514% | ~$16 | 31 |
| Vaginal delivery, no sterilization, no CC/MCC | $8,569 | — | — | — | 18 |
| Vaginal delivery, no sterilization, with CC | $8,569 | — | — | — | 18 |
| X-ray, lower back, 4+ views | $1,607 | $110 | 1458% | ~$489 | 31 |
| YAG laser capsulotomy (secondary cataract) | $2,812 | $580 | 485% | — | 14 |