| Acute myocardial infarction, discharged alive, with MCCMS-DRG 280 | $29,639 | $11,217 | 264% | — | 11 |
| Bariatric (obesity) surgery, no CC/MCCMS-DRG 621 | $26,523 | $8,272 | 321% | — | 14 |
| Basic metabolic panelCPT 80048 | $17 | $8 | 205% | ~$41 | 18 |
| COPD with MCCMS-DRG 190 | $17,297 | $7,377 | 234% | — | 10 |
| CT abdomen and pelvis with contrastCPT 74177 | $619 | $368 | 168% | ~$2,183 | 18 |
| CT head without contrastCPT 70450 | $382 | $110 | 347% | ~$959 | 18 |
| CT pelvis with contrastCPT 72193 | $411 | $185 | 222% | ~$1,030 | 18 |
| Cardiac arrhythmia, no CC/MCCMS-DRG 310 | $9,734 | $3,269 | 298% | — | 10 |
| Cardiac stress testCPT 93017 | $482 | $228 | 212% | $847 | 17 |
| Cardiac valve surgery with cardiac cath, with MCCMS-DRG 216 | $145,220 | — | — | — | 11 |
| Cataract surgery with IOL insertionCPT 66984 | $3,524 | $2,434 | 145% | — | 1 |
| Cellulitis, no MCCMS-DRG 603 | $13,880 | $5,675 | 245% | — | 11 |
| Cervical spinal fusion, no CC/MCCMS-DRG 473 | $36,608 | $16,343 | 224% | — | 12 |
| Cesarean section, no CC/MCCMS-DRG 788 | $15,244 | — | — | — | 12 |
| Cesarean section, with CCMS-DRG 787 | $15,845 | — | — | — | 12 |
| Chest painMS-DRG 313 | $10,988 | — | — | — | 10 |
| Colonoscopy with biopsyCPT 45380 | $1,281 | $1,262 | 101% | — | 1 |
| Colonoscopy with endoscopic ultrasoundCPT 45391 | $1,638 | $1,262 | 130% | — | 1 |
| Colonoscopy with polyp removalCPT 45385 | $1,615 | $1,262 | 128% | — | 1 |
| Colonoscopy, diagnosticCPT 45378 | $1,206 | $981 | 123% | — | 1 |
| Complete blood count with differentialCPT 85025 | $16 | $8 | 205% | ~$48 | 18 |
| Complete blood count, automatedCPT 85027 | $13 | $6 | 205% | ~$29 | 18 |
| Comprehensive metabolic panelCPT 80053 | $22 | $11 | 205% | ~$46 | 18 |
| Coronary bypass without cardiac cath, no MCCMS-DRG 236 | $61,875 | $29,950 | 207% | — | 11 |
| Diagnostic mammography, both breastsCPT 77066 | $204 | — | — | ~$154 | 18 |
| Diagnostic mammography, one breastCPT 77065 | $196 | — | — | ~$62 | 18 |
| ED visit, level 3CPT 99283 | $1,859 | $288 | 645% | $635 | 12 |
| ED visit, level 4CPT 99284 | $3,532 | $440 | 803% | $1,362 | 12 |
| ED visit, level 5CPT 99285 | $5,864 | $628 | 933% | $2,863 | 12 |
| Echocardiogram, completeCPT 93306 | $967 | $576 | 168% | $764 | 17 |
| Electrocardiogram with interpretationCPT 93000 | $94 | — | — | — | 1 |
| Epidural injection, lumbar/sacral, no imagingCPT 62322 | $1,737 | $933 | 186% | $313 | 18 |
| Esophagitis/GI disorders, no MCCMS-DRG 392 | $12,296 | $4,899 | 251% | — | 11 |
| Excision of breast lesionCPT 19120 | $2,737 | $4,130 | 66% | — | 1 |
| Family psychotherapy, with patientCPT 90847 | $219 | $187 | 117% | $76 | 17 |
| Family psychotherapy, without patientCPT 90846 | $654 | $187 | 349% | — | 1 |
| Group psychotherapyCPT 90853 | $232 | $107 | 217% | $76 | 17 |
| Heart failure and shock, with CCMS-DRG 292 | $15,551 | $5,927 | 262% | — | 11 |
| Heart failure with MCCMS-DRG 291 | $23,561 | $8,962 | 263% | — | 11 |
| Hip and femur procedures except major joint, with CCMS-DRG 481 | $31,221 | $13,876 | 225% | — | 11 |
| Hysterectomy, no CC/MCCMS-DRG 743 | $18,463 | $10,098 | 183% | — | 12 |
| Inguinal hernia repair, age 5+CPT 49505 | $3,406 | $3,777 | 90% | — | 1 |
| Kidney and urinary tract infections, no MCCMS-DRG 690 | $12,647 | $5,238 | 241% | — | 11 |
| Kidney function panelCPT 80069 | $18 | $9 | 205% | ~$52 | 18 |
| Knee arthroscopy with meniscectomyCPT 29881 | $3,601 | $3,452 | 104% | — | 1 |
| Laparoscopic cholecystectomyCPT 47562 | $4,276 | $6,377 | 67% | — | 1 |
| Laparoscopic cholecystectomy, no CC/MCCMS-DRG 419 | $20,763 | $8,977 | 231% | — | 11 |
| Laparoscopic radical prostatectomyCPT 55866 | $7,680 | $11,213 | 68% | — | 1 |
| Left heart catheterization, diagnosticCPT 93452 | $8,265 | $3,420 | 242% | $3,464 | 18 |
| Lipid panelCPT 80061 | $27 | $13 | 205% | ~$80 | 18 |
| Liver function panelCPT 80076 | $17 | $8 | 205% | ~$41 | 18 |
| Lumbar epidural steroid injectionCPT 62323 | $2,100 | $745 | 282% | $443 | 18 |
| MRI brain with and without contrastCPT 70553 | $619 | $368 | 168% | ~$1,605 | 18 |
| MRI lower extremity joint (knee)CPT 73721 | $564 | $252 | 224% | ~$1,475 | 18 |
| MRI lumbar spine without contrastCPT 72148 | $564 | $252 | 224% | ~$1,091 | 18 |
| Major joint replacement (hip/knee), no MCCMS-DRG 470 | $32,558 | $13,045 | 250% | — | 12 |
| Major joint replacement (hip/knee), with MCCMS-DRG 469 | $54,104 | $22,346 | 242% | — | 12 |
| Major small and large bowel procedures, with CCMS-DRG 330 | $39,624 | $16,202 | 245% | — | 11 |
| Medical back problems, no MCCMS-DRG 552 | $14,845 | $6,142 | 242% | — | 10 |
| OB global care, VBAC deliveryCPT 59610 | $16,186 | — | — | — | 1 |
| OB global care, cesarean deliveryCPT 59510 | $17,171 | — | — | — | 1 |
| OB global care, vaginal deliveryCPT 59400 | $15,506 | — | — | — | 1 |
| OB ultrasound, 14+ weeksCPT 76805 | $242 | $110 | 220% | ~$282 | 18 |
| Obstetric blood test panelCPT 80055 | $94 | $48 | 196% | ~$106 | 18 |
| Office visit, established patient, level 3CPT 99213 | $425 | — | — | — | 1 |
| Office visit, established patient, level 4CPT 99214 | $625 | — | — | — | 1 |
| Office visit, new patient, level 3CPT 99203 | $527 | — | — | — | 1 |
| Office visit, new patient, level 4CPT 99204 | $859 | — | — | — | 1 |
| Office visit, new patient, level 5CPT 99205 | $1,169 | — | — | — | 1 |
| PSA (prostate specific antigen), totalCPT 84153 | $38 | $18 | 205% | ~$43 | 18 |
| Partial thromboplastin timeCPT 85730 | $12 | $6 | 204% | ~$38 | 18 |
| Percutaneous cardiac stent, no MCCMS-DRG 247 | $54,930 | — | — | — | 3 |
| Physical therapy, therapeutic exerciseCPT 97110 | $138 | — | — | $44 | 18 |
| Prostate biopsyCPT 55700 | $2,197 | — | — | $488 | 18 |
| Prothrombin timeCPT 85610 | $8 | $4 | 192% | ~$28 | 18 |
| Psychotherapy, 30 minutesCPT 90832 | $90 | $187 | 48% | $31 | 17 |
| Psychotherapy, 45 minutesCPT 90834 | $118 | $187 | 63% | $41 | 17 |
| Psychotherapy, 60 minutesCPT 90837 | $125 | $187 | 67% | $43 | 17 |
| Renal failure, with CCMS-DRG 683 | $14,007 | $5,892 | 238% | — | 11 |
| Screening mammography, bilateralCPT 77067 | $196 | — | — | ~$60 | 18 |
| Sepsis with MCCMS-DRG 871 | $30,140 | $13,837 | 218% | — | 11 |
| Shoulder arthroscopy, subacromial decompressionCPT 29826 | $1,099 | — | — | — | 1 |
| Simple pneumonia and pleurisy, with CCMS-DRG 194 | $12,922 | $5,177 | 250% | — | 11 |
| Sleep study (polysomnography)CPT 95810 | $1,568 | $906 | 173% | $1,826 | 17 |
| Spinal fusion except cervical, no MCCMS-DRG 460 | $76,613 | $22,846 | 335% | — | 4 |
| Spinal fusion except cervical, with MCCMS-DRG 459 | $137,108 | $51,127 | 268% | — | 2 |
| Stroke (hemorrhage/infarction), no CC/MCCMS-DRG 066 | $10,602 | $3,679 | 288% | — | 10 |
| Stroke (hemorrhage/infarction), with CC or tPAMS-DRG 065 | $15,663 | $6,559 | 239% | — | 10 |
| Thyroid stimulating hormone (TSH)CPT 84443 | $34 | $17 | 202% | ~$23 | 18 |
| Tonsillectomy and adenoidectomy, under age 12CPT 42820 | $1,926 | $6,245 | 31% | — | 1 |
| Transforaminal epidural, lumbar/sacralCPT 64483 | $2,297 | $933 | 246% | $535 | 18 |
| Ultrasound, abdomen, completeCPT 76700 | $242 | $110 | 220% | ~$282 | 18 |
| Ultrasound, transvaginalCPT 76830 | $242 | $110 | 220% | ~$270 | 18 |
| Upper GI endoscopy with biopsyCPT 43239 | $883 | $957 | 92% | — | 1 |
| Upper GI endoscopy, diagnosticCPT 43235 | $786 | $957 | 82% | — | 1 |
| Urinalysis, automated, with microscopyCPT 81001 | $6 | $3 | 204% | ~$33 | 18 |
| Urinalysis, automated, without microscopyCPT 81003 | $5 | $2 | 204% | ~$19 | 18 |
| Urinalysis, manual, with microscopyCPT 81000 | $7 | $4 | 186% | ~$19 | 18 |
| Urinalysis, manual, without microscopyCPT 81002 | $6 | $3 | 185% | ~$13 | 18 |
| Vaginal delivery, no sterilization, no CC/MCCMS-DRG 807 | $7,722 | — | — | — | 12 |
| Vaginal delivery, no sterilization, with CCMS-DRG 806 | $7,722 | — | — | — | 12 |
| X-ray, lower back, 4+ viewsCPT 72110 | $110 | $110 | 100% | ~$384 | 18 |
| YAG laser capsulotomy (secondary cataract)CPT 66821 | $2,029 | $580 | 350% | — | 1 |