| Acute myocardial infarction, discharged alive, with MCC | $29,639 | $11,217 | 264% | — | 11 |
| Bariatric (obesity) surgery, no CC/MCC | $26,523 | $8,272 | 321% | — | 14 |
| Basic metabolic panel | $17 | $8 | 205% | ~$41 | 18 |
| COPD with MCC | $17,297 | $7,377 | 234% | — | 10 |
| CT abdomen and pelvis with contrast | $619 | $368 | 168% | ~$2,183 | 18 |
| CT head without contrast | $382 | $110 | 347% | ~$959 | 18 |
| CT pelvis with contrast | $411 | $185 | 222% | ~$1,030 | 18 |
| Cardiac arrhythmia, no CC/MCC | $9,734 | $3,269 | 298% | — | 10 |
| Cardiac stress test | $482 | $228 | 212% | $847 | 17 |
| Cardiac valve surgery with cardiac cath, with MCC | $145,220 | — | — | — | 11 |
| Cataract surgery with IOL insertion | $3,524 | $2,434 | 145% | — | 1 |
| Cellulitis, no MCC | $13,880 | $5,675 | 245% | — | 11 |
| Cervical spinal fusion, no CC/MCC | $36,608 | $16,343 | 224% | — | 12 |
| Cesarean section, no CC/MCC | $15,244 | — | — | — | 12 |
| Cesarean section, with CC | $15,845 | — | — | — | 12 |
| Chest pain | $10,988 | — | — | — | 10 |
| Colonoscopy with biopsy | $1,281 | $1,262 | 101% | — | 1 |
| Colonoscopy with endoscopic ultrasound | $1,638 | $1,262 | 130% | — | 1 |
| Colonoscopy with polyp removal | $1,615 | $1,262 | 128% | — | 1 |
| Colonoscopy, diagnostic | $1,206 | $981 | 123% | — | 1 |
| Complete blood count with differential | $16 | $8 | 205% | ~$48 | 18 |
| Complete blood count, automated | $13 | $6 | 205% | ~$29 | 18 |
| Comprehensive metabolic panel | $22 | $11 | 205% | ~$46 | 18 |
| Coronary bypass without cardiac cath, no MCC | $61,875 | $29,950 | 207% | — | 11 |
| Diagnostic mammography, both breasts | $204 | — | — | ~$154 | 18 |
| Diagnostic mammography, one breast | $196 | — | — | ~$62 | 18 |
| ED visit, level 3 | $2,263 | $288 | 786% | $635 | 18 |
| ED visit, level 4 | $4,475 | $440 | 1017% | $1,362 | 18 |
| ED visit, level 5 | $9,397 | $628 | 1496% | $2,863 | 18 |
| Echocardiogram, complete | $967 | $576 | 168% | $764 | 17 |
| Electrocardiogram with interpretation | $94 | — | — | — | 1 |
| Epidural injection, lumbar/sacral, no imaging | $1,737 | $933 | 186% | $313 | 18 |
| Esophagitis/GI disorders, no MCC | $12,296 | $4,899 | 251% | — | 11 |
| Excision of breast lesion | $2,737 | $4,130 | 66% | — | 1 |
| Family psychotherapy, with patient | $219 | $187 | 117% | $76 | 17 |
| Family psychotherapy, without patient | $654 | $187 | 349% | — | 1 |
| Group psychotherapy | $232 | $107 | 217% | $76 | 17 |
| Heart failure and shock, with CC | $15,551 | $5,927 | 262% | — | 11 |
| Heart failure with MCC | $23,561 | $8,962 | 263% | — | 11 |
| Hip and femur procedures except major joint, with CC | $31,221 | $13,876 | 225% | — | 11 |
| Hysterectomy, no CC/MCC | $18,463 | $10,098 | 183% | — | 12 |
| Inguinal hernia repair, age 5+ | $3,406 | $3,777 | 90% | — | 1 |
| Kidney and urinary tract infections, no MCC | $12,647 | $5,238 | 241% | — | 11 |
| Kidney function panel | $18 | $9 | 205% | ~$52 | 18 |
| Knee arthroscopy with meniscectomy | $3,601 | $3,452 | 104% | — | 1 |
| Laparoscopic cholecystectomy | $4,276 | $6,377 | 67% | — | 1 |
| Laparoscopic cholecystectomy, no CC/MCC | $20,763 | $8,977 | 231% | — | 11 |
| Laparoscopic radical prostatectomy | $7,680 | $11,213 | 68% | — | 1 |
| Left heart catheterization, diagnostic | $8,265 | $3,420 | 242% | $3,464 | 18 |
| Lipid panel | $27 | $13 | 205% | ~$80 | 18 |
| Liver function panel | $17 | $8 | 205% | ~$41 | 18 |
| Lumbar epidural steroid injection | $2,100 | $745 | 282% | $443 | 18 |
| MRI brain with and without contrast | $619 | $368 | 168% | ~$1,605 | 18 |
| MRI lower extremity joint (knee) | $564 | $252 | 224% | ~$1,475 | 18 |
| MRI lumbar spine without contrast | $564 | $252 | 224% | ~$1,091 | 18 |
| Major joint replacement (hip/knee), no MCC | $32,558 | $13,045 | 250% | — | 12 |
| Major joint replacement (hip/knee), with MCC | $54,104 | $22,346 | 242% | — | 12 |
| Major small and large bowel procedures, with CC | $39,624 | $16,202 | 245% | — | 11 |
| Medical back problems, no MCC | $14,845 | $6,142 | 242% | — | 10 |
| OB global care, VBAC delivery | $16,186 | — | — | — | 1 |
| OB global care, cesarean delivery | $17,171 | — | — | — | 1 |
| OB global care, vaginal delivery | $15,506 | — | — | — | 1 |
| OB ultrasound, 14+ weeks | $242 | $110 | 220% | ~$282 | 18 |
| Obstetric blood test panel | $94 | $48 | 196% | ~$106 | 18 |
| Office visit, established patient, level 3 | $425 | — | — | — | 1 |
| Office visit, established patient, level 4 | $625 | — | — | — | 1 |
| Office visit, new patient, level 3 | $527 | — | — | — | 1 |
| Office visit, new patient, level 4 | $859 | — | — | — | 1 |
| Office visit, new patient, level 5 | $1,169 | — | — | — | 1 |
| PSA (prostate specific antigen), total | $38 | $18 | 205% | ~$43 | 18 |
| Partial thromboplastin time | $12 | $6 | 204% | ~$38 | 18 |
| Percutaneous cardiac stent, no MCC | $54,930 | — | — | — | 3 |
| Physical therapy, therapeutic exercise | $138 | — | — | $44 | 18 |
| Prostate biopsy | $2,197 | — | — | $488 | 18 |
| Prothrombin time | $8 | $4 | 192% | ~$28 | 18 |
| Psychotherapy, 30 minutes | $90 | $187 | 48% | $31 | 17 |
| Psychotherapy, 45 minutes | $118 | $187 | 63% | $41 | 17 |
| Psychotherapy, 60 minutes | $125 | $187 | 67% | $43 | 17 |
| Renal failure, with CC | $14,007 | $5,892 | 238% | — | 11 |
| Screening mammography, bilateral | $196 | — | — | ~$60 | 18 |
| Sepsis with MCC | $30,140 | $13,837 | 218% | — | 11 |
| Shoulder arthroscopy, subacromial decompression | $1,099 | — | — | — | 1 |
| Simple pneumonia and pleurisy, with CC | $12,922 | $5,177 | 250% | — | 11 |
| Sleep study (polysomnography) | $1,568 | $906 | 173% | $1,826 | 17 |
| Spinal fusion except cervical, no MCC | $76,613 | $22,846 | 335% | — | 4 |
| Spinal fusion except cervical, with MCC | $137,108 | $51,127 | 268% | — | 2 |
| Stroke (hemorrhage/infarction), no CC/MCC | $10,602 | $3,679 | 288% | — | 10 |
| Stroke (hemorrhage/infarction), with CC or tPA | $15,663 | $6,559 | 239% | — | 10 |
| Thyroid stimulating hormone (TSH) | $34 | $17 | 202% | ~$23 | 18 |
| Tonsillectomy and adenoidectomy, under age 12 | $1,926 | $6,245 | 31% | — | 1 |
| Transforaminal epidural, lumbar/sacral | $2,297 | $933 | 246% | $535 | 18 |
| Ultrasound, abdomen, complete | $242 | $110 | 220% | ~$282 | 18 |
| Ultrasound, transvaginal | $242 | $110 | 220% | ~$270 | 18 |
| Upper GI endoscopy with biopsy | $883 | $957 | 92% | — | 1 |
| Upper GI endoscopy, diagnostic | $786 | $957 | 82% | — | 1 |
| Urinalysis, automated, with microscopy | $6 | $3 | 204% | ~$33 | 18 |
| Urinalysis, automated, without microscopy | $5 | $2 | 204% | ~$19 | 18 |
| Urinalysis, manual, with microscopy | $7 | $4 | 186% | ~$19 | 18 |
| Urinalysis, manual, without microscopy | $6 | $3 | 185% | ~$13 | 18 |
| Vaginal delivery, no sterilization, no CC/MCC | $7,722 | — | — | — | 12 |
| Vaginal delivery, no sterilization, with CC | $7,722 | — | — | — | 12 |
| X-ray, lower back, 4+ views | $110 | $110 | 100% | ~$384 | 18 |
| YAG laser capsulotomy (secondary cataract) | $2,029 | $580 | 350% | — | 1 |