| Acute myocardial infarction, discharged alive, with MCCMS-DRG 280 | $33,750 | $11,217 | 301% | — | 43 |
| Bariatric (obesity) surgery, no CC/MCCMS-DRG 621 | $31,737 | $8,272 | 384% | — | 43 |
| Basic metabolic panelCPT 80048 | $146 | $8 | 1731% | ~$42 | 53 |
| COPD with MCCMS-DRG 190 | $23,306 | $6,934 | 336% | — | 43 |
| CT abdomen and pelvis with contrastCPT 74177 | $3,136 | $372 | 843% | ~$1,391 | 53 |
| CT head without contrastCPT 70450 | $1,368 | $112 | 1226% | ~$389 | 53 |
| CT pelvis with contrastCPT 72193 | $1,449 | $187 | 774% | ~$418 | 53 |
| Cardiac arrhythmia, no CC/MCCMS-DRG 310 | $11,911 | $3,269 | 364% | — | 43 |
| Cardiac stress testCPT 93017 | $1,302 | $230 | 566% | $375 | 53 |
| Cardiac valve surgery with cardiac cath, with MCCMS-DRG 216 | $205,830 | — | — | — | 43 |
| Cataract surgery with IOL insertionCPT 66984 | $8,381 | $2,462 | 340% | — | 39 |
| Cellulitis, no MCCMS-DRG 603 | $18,324 | $5,675 | 323% | — | 43 |
| Cervical spinal fusion, no CC/MCCMS-DRG 473 | $51,365 | $16,343 | 314% | — | 43 |
| Cesarean section, no CC/MCCMS-DRG 788 | $18,708 | — | — | — | 16 |
| Cesarean section, with CCMS-DRG 787 | $21,791 | — | — | — | 16 |
| Chest painMS-DRG 313 | $15,149 | — | — | — | 43 |
| Colonoscopy with biopsyCPT 45380 | $4,533 | $1,276 | 355% | — | 41 |
| Colonoscopy with endoscopic ultrasoundCPT 45391 | $4,533 | $1,276 | 355% | — | 39 |
| Colonoscopy with polyp removalCPT 45385 | $4,533 | $1,276 | 355% | — | 41 |
| Colonoscopy, diagnosticCPT 45378 | $4,533 | $992 | 457% | — | 41 |
| Complete blood count with differentialCPT 85025 | $48 | $8 | 624% | ~$25 | 53 |
| Complete blood count, automatedCPT 85027 | $47 | $6 | 728% | ~$25 | 53 |
| Comprehensive metabolic panelCPT 80053 | $98 | $11 | 927% | ~$53 | 53 |
| Coronary bypass without cardiac cath, no MCCMS-DRG 236 | $88,132 | $29,950 | 294% | — | 43 |
| Diagnostic mammography, both breastsCPT 77066 | $353 | — | — | ~$102 | 53 |
| Diagnostic mammography, one breastCPT 77065 | $276 | — | — | ~$80 | 53 |
| ED visit, level 3CPT 99283 | $2,734 | $291 | 939% | $788 | 53 |
| ED visit, level 4CPT 99284 | $3,212 | $445 | 722% | $926 | 53 |
| ED visit, level 5CPT 99285 | $5,927 | $635 | 933% | $1,708 | 53 |
| Echocardiogram, completeCPT 93306 | $4,179 | $583 | 717% | $1,205 | 53 |
| Electrocardiogram with interpretationCPT 93000 | $52 | — | — | — | 9 |
| Epidural injection, lumbar/sacral, no imagingCPT 62322 | $3,564 | $943 | 378% | — | 39 |
| Esophagitis/GI disorders, no MCCMS-DRG 392 | $16,403 | $4,899 | 335% | — | 43 |
| Excision of breast lesionCPT 19120 | $7,200 | $4,176 | 172% | — | 39 |
| Family psychotherapy, with patientCPT 90847 | $345 | $189 | 182% | — | 6 |
| Family psychotherapy, without patientCPT 90846 | $345 | $189 | 182% | — | 6 |
| Group psychotherapyCPT 90853 | $293 | $108 | 271% | — | 6 |
| Heart failure and shock, with CCMS-DRG 292 | $17,863 | $5,927 | 301% | — | 43 |
| Heart failure with MCCMS-DRG 291 | $27,011 | $8,559 | 316% | — | 43 |
| Hip and femur procedures except major joint, with CCMS-DRG 481 | $44,068 | $12,607 | 350% | — | 43 |
| Hysterectomy, no CC/MCCMS-DRG 743 | $26,104 | $10,098 | 259% | — | 43 |
| Inguinal hernia repair, age 5+CPT 49505 | $7,617 | $3,819 | 199% | — | 39 |
| Kidney and urinary tract infections, no MCCMS-DRG 690 | $17,032 | $5,238 | 325% | — | 43 |
| Kidney function panelCPT 80069 | $80 | $9 | 927% | ~$43 | 53 |
| Knee arthroscopy with meniscectomyCPT 29881 | $7,617 | $3,490 | 218% | — | 39 |
| Laparoscopic cholecystectomyCPT 47562 | $10,318 | $6,448 | 160% | — | 41 |
| Laparoscopic cholecystectomy, no CC/MCCMS-DRG 419 | $28,736 | $8,977 | 320% | — | 43 |
| Laparoscopic radical prostatectomyCPT 55866 | $10,318 | $11,338 | 91% | — | 39 |
| Left heart catheterization, diagnosticCPT 93452 | $7,114 | $3,458 | 206% | $1,407 | 53 |
| Lipid panelCPT 80061 | $201 | $13 | 1501% | ~$62 | 53 |
| Liver function panelCPT 80076 | $76 | $8 | 927% | ~$41 | 53 |
| Lumbar epidural steroid injectionCPT 62323 | $3,564 | $753 | 473% | — | 41 |
| MRI brain with and without contrastCPT 70553 | $2,549 | $372 | 685% | ~$735 | 53 |
| MRI lower extremity joint (knee)CPT 73721 | $1,615 | $254 | 634% | ~$459 | 53 |
| MRI lumbar spine without contrastCPT 72148 | $1,827 | $254 | 718% | ~$527 | 53 |
| Major joint replacement (hip/knee), no MCCMS-DRG 470 | $40,584 | $13,045 | 311% | — | 43 |
| Major joint replacement (hip/knee), with MCCMS-DRG 469 | $63,819 | $22,346 | 286% | — | 43 |
| Major small and large bowel procedures, with CCMS-DRG 330 | $50,437 | $16,202 | 311% | — | 43 |
| Medical back problems, no MCCMS-DRG 552 | $20,226 | $5,716 | 354% | — | 43 |
| OB global care, VBAC deliveryCPT 59610 | $5,838 | — | — | — | 8 |
| OB global care, cesarean deliveryCPT 59510 | $5,838 | — | — | — | 8 |
| OB global care, vaginal deliveryCPT 59400 | $5,838 | — | — | — | 8 |
| OB ultrasound, 14+ weeksCPT 76805 | $849 | $112 | 761% | ~$245 | 53 |
| Obstetric blood test panelCPT 80055 | $717 | $48 | 1501% | ~$223 | 53 |
| PSA (prostate specific antigen), totalCPT 84153 | $156 | $18 | 849% | ~$57 | 53 |
| Partial thromboplastin timeCPT 85730 | $61 | $6 | 1014% | ~$20 | 53 |
| Physical therapy, therapeutic exerciseCPT 97110 | $116 | — | — | $34 | 53 |
| Prostate biopsyCPT 55700 | $3,615 | — | — | $795 | 53 |
| Prothrombin timeCPT 85610 | $46 | $4 | 1082% | ~$13 | 53 |
| Psychotherapy, 30 minutesCPT 90832 | $345 | $189 | 182% | — | 6 |
| Psychotherapy, 45 minutesCPT 90834 | $345 | $189 | 182% | — | 6 |
| Psychotherapy, 60 minutesCPT 90837 | $345 | $189 | 182% | — | 6 |
| Renal failure, with CCMS-DRG 683 | $18,427 | $5,892 | 313% | — | 43 |
| Screening mammography, bilateralCPT 77067 | $292 | — | — | ~$84 | 53 |
| Sepsis with MCCMS-DRG 871 | $40,870 | $11,885 | 344% | — | 43 |
| Shoulder arthroscopy, subacromial decompressionCPT 29826 | $5,880 | — | — | — | 33 |
| Simple pneumonia and pleurisy, with CCMS-DRG 194 | $16,956 | $5,177 | 328% | — | 43 |
| Sleep study (polysomnography)CPT 95810 | $5,443 | $916 | 594% | $1,569 | 53 |
| Spinal fusion except cervical, no MCCMS-DRG 460 | $83,996 | $25,413 | 331% | — | 10 |
| Spinal fusion except cervical, with MCCMS-DRG 459 | $152,298 | $51,127 | 298% | — | 10 |
| Stroke (hemorrhage/infarction), no CC/MCCMS-DRG 066 | $14,400 | $3,679 | 391% | — | 43 |
| Stroke (hemorrhage/infarction), with CC or tPAMS-DRG 065 | $21,257 | $5,611 | 379% | — | 43 |
| Thyroid stimulating hormone (TSH)CPT 84443 | $77 | $17 | 459% | ~$36 | 53 |
| Tonsillectomy and adenoidectomy, under age 12CPT 42820 | $7,200 | $6,314 | 114% | — | 39 |
| Transforaminal epidural, lumbar/sacralCPT 64483 | $2,325 | $943 | 246% | $451 | 53 |
| Ultrasound, abdomen, completeCPT 76700 | $867 | $112 | 777% | ~$250 | 53 |
| Ultrasound, transvaginalCPT 76830 | $849 | $112 | 761% | ~$245 | 53 |
| Upper GI endoscopy with biopsyCPT 43239 | $4,533 | $967 | 469% | — | 41 |
| Upper GI endoscopy, diagnosticCPT 43235 | $4,533 | $967 | 469% | — | 41 |
| Urinalysis, automated, with microscopyCPT 81001 | $24 | $3 | 764% | ~$13 | 53 |
| Urinalysis, automated, without microscopyCPT 81003 | $30 | $2 | 1326% | ~$9 | 53 |
| Urinalysis, manual, with microscopyCPT 81000 | $4 | $4 | 100% | — | 25 |
| Urinalysis, manual, without microscopyCPT 81002 | $10 | $3 | 293% | ~$7 | 53 |
| Vaginal delivery, no sterilization, no CC/MCCMS-DRG 807 | $13,155 | — | — | — | 16 |
| Vaginal delivery, no sterilization, with CCMS-DRG 806 | $14,712 | — | — | — | 16 |
| X-ray, lower back, 4+ viewsCPT 72110 | $331 | $112 | 297% | ~$95 | 53 |
| YAG laser capsulotomy (secondary cataract)CPT 66821 | $1,780 | $587 | 303% | $272 | 53 |