| Acute myocardial infarction, discharged alive, with MCC | $23,961 | $11,217 | 214% | — | 1 |
| Bariatric (obesity) surgery, no CC/MCC | $21,339 | $8,272 | 258% | — | 1 |
| Basic metabolic panel | $12 | $8 | 137% | ~$36 | 2 |
| COPD with MCC | $16,394 | $7,377 | 222% | — | 1 |
| CT abdomen and pelvis with contrast | $641 | $368 | 174% | ~$1,098 | 3 |
| CT head without contrast | $192 | $110 | 174% | ~$732 | 3 |
| CT pelvis with contrast | $322 | $185 | 174% | ~$1,032 | 3 |
| Cardiac arrhythmia, no CC/MCC | $8,168 | $3,269 | 250% | — | 1 |
| Cardiac valve surgery with cardiac cath, with MCC | $140,887 | — | — | — | 1 |
| Cataract surgery with IOL insertion | $4,239 | $2,434 | 174% | $1,816 | 3 |
| Cellulitis, no MCC | $12,858 | $5,675 | 227% | — | 1 |
| Cervical spinal fusion, no CC/MCC | $34,559 | $16,343 | 211% | — | 1 |
| Cesarean section, no CC/MCC | $13,207 | — | — | — | 1 |
| Cesarean section, with CC | $15,500 | — | — | — | 1 |
| Chest pain | $10,414 | — | — | — | 1 |
| Complete blood count with differential | $11 | $8 | 137% | ~$29 | 2 |
| Complete blood count, automated | $9 | $6 | 137% | ~$21 | 2 |
| Comprehensive metabolic panel | $15 | $11 | 138% | ~$43 | 2 |
| Coronary bypass without cardiac cath, no MCC | $60,028 | $29,950 | 200% | — | 1 |
| ED visit, level 3 | $410 | $288 | 142% | $232 | 3 |
| ED visit, level 4 | $650 | $440 | 148% | $388 | 3 |
| ED visit, level 5 | $920 | $628 | 146% | $585 | 3 |
| Epidural injection, lumbar/sacral, no imaging | $1,277 | $933 | 137% | $752 | 2 |
| Esophagitis/GI disorders, no MCC | $11,391 | $4,899 | 233% | — | 1 |
| Heart failure and shock, with CC | $12,572 | $5,927 | 212% | — | 1 |
| Heart failure with MCC | $19,047 | $8,962 | 213% | — | 1 |
| Hip and femur procedures except major joint, with CC | $30,289 | $13,876 | 218% | — | 1 |
| Hysterectomy, no CC/MCC | $17,499 | $10,098 | 173% | — | 1 |
| Inguinal hernia repair, age 5+ | $6,130 | $3,777 | 162% | $4,152 | 3 |
| Kidney and urinary tract infections, no MCC | $11,716 | $5,238 | 224% | — | 1 |
| Knee arthroscopy with meniscectomy | $6,070 | $3,452 | 176% | $2,181 | 4 |
| Laparoscopic cholecystectomy | $11,106 | $6,377 | 174% | $4,828 | 3 |
| Laparoscopic cholecystectomy, no CC/MCC | $19,234 | $8,977 | 214% | — | 1 |
| Lipid panel | $18 | $13 | 137% | ~$45 | 2 |
| Liver function panel | $11 | $8 | 137% | ~$35 | 2 |
| Lumbar epidural steroid injection | $1,019 | $745 | 137% | $911 | 2 |
| MRI brain with and without contrast | $641 | $368 | 174% | ~$1,313 | 3 |
| MRI lower extremity joint (knee) | $438 | $252 | 174% | ~$961 | 3 |
| MRI lumbar spine without contrast | $438 | $252 | 174% | ~$938 | 3 |
| Major joint replacement (hip/knee), no MCC | $27,525 | $13,045 | 211% | — | 1 |
| Major joint replacement (hip/knee), with MCC | $47,716 | $22,346 | 214% | — | 1 |
| Major small and large bowel procedures, with CC | $34,505 | $16,202 | 213% | — | 1 |
| Medical back problems, no MCC | $14,070 | $6,142 | 229% | — | 1 |
| OB ultrasound, 14+ weeks | $151 | $110 | 137% | ~$202 | 2 |
| Office visit, established patient, level 3 | $80 | — | — | $78 | 2 |
| Office visit, new patient, level 3 | $99 | — | — | $141 | 2 |
| Office visit, new patient, level 4 | $162 | — | — | $44 | 2 |
| PSA (prostate specific antigen), total | $25 | $18 | 138% | ~$63 | 2 |
| Partial thromboplastin time | $8 | $6 | 138% | ~$27 | 2 |
| Physical therapy, therapeutic exercise | $41 | — | — | $93 | 2 |
| Prostate biopsy | $3,344 | — | — | $1,095 | 1 |
| Prothrombin time | $6 | $4 | 138% | ~$17 | 2 |
| Renal failure, with CC | $12,976 | $5,892 | 220% | — | 1 |
| Sepsis with MCC | $28,643 | $13,837 | 207% | — | 1 |
| Shoulder arthroscopy, subacromial decompression | $407 | — | — | $1,990 | 4 |
| Simple pneumonia and pleurisy, with CC | $11,970 | $5,177 | 231% | — | 1 |
| Stroke (hemorrhage/infarction), no CC/MCC | $10,048 | $3,679 | 273% | — | 1 |
| Stroke (hemorrhage/infarction), with CC or tPA | $14,845 | $6,559 | 226% | — | 1 |
| Thyroid stimulating hormone (TSH) | $23 | $17 | 138% | ~$67 | 2 |
| Tonsillectomy and adenoidectomy, under age 12 | $8,544 | $6,245 | 137% | $3,076 | 4 |
| Transforaminal epidural, lumbar/sacral | $1,625 | $933 | 174% | $1,233 | 3 |
| Ultrasound, abdomen, complete | $151 | $110 | 137% | ~$198 | 2 |
| Ultrasound, transvaginal | $151 | $110 | 137% | ~$198 | 2 |
| Urinalysis, automated, with microscopy | $4 | $3 | 138% | ~$11 | 2 |
| Urinalysis, automated, without microscopy | $3 | $2 | 137% | ~$14 | 2 |
| Urinalysis, manual, with microscopy | $6 | $4 | 138% | ~$11 | 2 |
| Urinalysis, manual, without microscopy | $5 | $3 | 138% | ~$14 | 2 |
| Vaginal delivery, no sterilization, no CC/MCC | $9,303 | — | — | — | 1 |
| Vaginal delivery, no sterilization, with CC | $10,563 | — | — | — | 1 |
| X-ray, lower back, 4+ views | $151 | $110 | 137% | ~$174 | 2 |
| YAG laser capsulotomy (secondary cataract) | $1,010 | $580 | 174% | $1,290 | 3 |