| Acute myocardial infarction, discharged alive, with MCC | $39,707 | $11,217 | 354% | — | 5 |
| Bariatric (obesity) surgery, no CC/MCC | $36,941 | $8,272 | 447% | — | 5 |
| Basic metabolic panel | $22 | $8 | 255% | ~$9 | 16 |
| COPD with MCC | $27,166 | $7,377 | 368% | — | 5 |
| CT abdomen and pelvis with contrast | $910 | $368 | 247% | ~$461 | 16 |
| CT head without contrast | $840 | $110 | 762% | ~$384 | 16 |
| CT pelvis with contrast | $850 | $185 | 460% | ~$435 | 16 |
| Cardiac arrhythmia, no CC/MCC | $13,535 | $3,269 | 414% | — | 5 |
| Cardiac stress test | $630 | $228 | 277% | $253 | 16 |
| Cardiac valve surgery with cardiac cath, with MCC | $243,893 | — | — | — | 5 |
| Cellulitis, no MCC | $21,307 | $5,675 | 375% | — | 5 |
| Cervical spinal fusion, no CC/MCC | $59,827 | $16,343 | 366% | — | 5 |
| Cesarean section, no CC/MCC | $12,199 | — | — | — | 4 |
| Cesarean section, with CC | $12,199 | — | — | — | 4 |
| Chest pain | $17,258 | — | — | — | 5 |
| Colonoscopy with biopsy | $10,954 | $1,262 | 868% | — | 2 |
| Colonoscopy with polyp removal | $10,954 | $1,262 | 868% | — | 2 |
| Colonoscopy, diagnostic | $8,956 | $981 | 913% | — | 2 |
| Complete blood count with differential | $20 | $8 | 256% | ~$8 | 16 |
| Complete blood count, automated | $17 | $6 | 256% | ~$7 | 16 |
| Comprehensive metabolic panel | $27 | $11 | 251% | ~$11 | 16 |
| Coronary bypass without cardiac cath, no MCC | $103,917 | $29,950 | 347% | — | 5 |
| Diagnostic mammography, both breasts | $586 | — | — | ~$240 | 15 |
| Diagnostic mammography, one breast | $264 | — | — | ~$106 | 15 |
| ED visit, level 3 | $1,492 | $288 | 518% | $569 | 16 |
| ED visit, level 4 | $2,001 | $440 | 455% | $742 | 16 |
| ED visit, level 5 | $2,461 | $628 | 392% | $912 | 16 |
| Echocardiogram, complete | $1,611 | $576 | 280% | $655 | 16 |
| Epidural injection, lumbar/sacral, no imaging | $1,756 | $933 | 188% | $705 | 13 |
| Esophagitis/GI disorders, no MCC | $18,876 | $4,899 | 385% | — | 5 |
| Excision of breast lesion | $17,518 | $4,130 | 424% | — | 2 |
| Heart failure and shock, with CC | $20,833 | $5,927 | 352% | — | 5 |
| Heart failure with MCC | $31,564 | $8,962 | 352% | — | 5 |
| Hip and femur procedures except major joint, with CC | $52,435 | $13,876 | 378% | — | 5 |
| Hysterectomy, no CC/MCC | $30,292 | $10,098 | 300% | — | 5 |
| Inguinal hernia repair, age 5+ | $21,038 | $3,777 | 557% | — | 2 |
| Kidney and urinary tract infections, no MCC | $19,416 | $5,238 | 371% | — | 5 |
| Kidney function panel | $22 | $9 | 258% | ~$9 | 16 |
| Knee arthroscopy with meniscectomy | $25,030 | $3,452 | 725% | — | 2 |
| Laparoscopic cholecystectomy | $27,672 | $6,377 | 434% | — | 2 |
| Laparoscopic cholecystectomy, no CC/MCC | $33,297 | $8,977 | 371% | — | 5 |
| Left heart catheterization, diagnostic | $9,880 | $3,420 | 289% | $3,850 | 16 |
| Lipid panel | $51 | $13 | 381% | ~$21 | 16 |
| Liver function panel | $21 | $8 | 254% | ~$9 | 16 |
| Lumbar epidural steroid injection | $2,230 | $745 | 299% | $894 | 13 |
| MRI brain with and without contrast | $1,244 | $368 | 338% | ~$780 | 16 |
| MRI lower extremity joint (knee) | $907 | $252 | 360% | ~$364 | 15 |
| MRI lumbar spine without contrast | $904 | $252 | 359% | ~$364 | 16 |
| Major joint replacement (hip/knee), no MCC | $47,648 | $13,045 | 365% | — | 5 |
| Major joint replacement (hip/knee), with MCC | $82,603 | $22,346 | 370% | — | 5 |
| Major small and large bowel procedures, with CC | $59,733 | $16,202 | 369% | — | 5 |
| Medical back problems, no MCC | $23,315 | $6,142 | 380% | — | 5 |
| OB ultrasound, 14+ weeks | $448 | $110 | 406% | ~$192 | 16 |
| Office visit, established patient, level 3 | $333 | — | — | $135 | 15 |
| Office visit, established patient, level 4 | $495 | — | — | $200 | 15 |
| Office visit, new patient, level 3 | $512 | — | — | $210 | 15 |
| Office visit, new patient, level 4 | $650 | — | — | $262 | 15 |
| Office visit, new patient, level 5 | $871 | — | — | $352 | 15 |
| PSA (prostate specific antigen), total | $46 | $18 | 253% | ~$19 | 16 |
| Partial thromboplastin time | $30 | $6 | 504% | ~$12 | 16 |
| Physical therapy, therapeutic exercise | $120 | — | — | $45 | 15 |
| Prostate biopsy | $2,864 | — | — | $1,085 | 13 |
| Prothrombin time | $11 | $4 | 252% | ~$4 | 16 |
| Renal failure, with CC | $21,503 | $5,892 | 365% | — | 5 |
| Screening mammography, bilateral | $285 | — | — | ~$115 | 12 |
| Sepsis with MCC | $47,465 | $12,934 | 367% | — | 5 |
| Shoulder arthroscopy, subacromial decompression | $22,491 | — | — | — | 1 |
| Simple pneumonia and pleurisy, with CC | $19,837 | $5,177 | 383% | — | 5 |
| Stroke (hemorrhage/infarction), no CC/MCC | $16,651 | $3,679 | 453% | — | 5 |
| Stroke (hemorrhage/infarction), with CC or tPA | $24,600 | $6,559 | 375% | — | 5 |
| Thyroid stimulating hormone (TSH) | $44 | $17 | 259% | ~$18 | 16 |
| Tonsillectomy and adenoidectomy, under age 12 | $20,370 | $6,245 | 326% | — | 2 |
| Transforaminal epidural, lumbar/sacral | $1,279 | $933 | 137% | $513 | 12 |
| Ultrasound, abdomen, complete | $346 | $110 | 314% | ~$141 | 16 |
| Ultrasound, transvaginal | $383 | $110 | 348% | ~$156 | 16 |
| Upper GI endoscopy with biopsy | $8,956 | $957 | 936% | — | 2 |
| Upper GI endoscopy, diagnostic | $6,279 | $957 | 656% | — | 2 |
| Urinalysis, automated, with microscopy | $8 | $3 | 262% | ~$3 | 16 |
| Urinalysis, automated, without microscopy | $6 | $2 | 258% | ~$2 | 16 |
| Urinalysis, manual, without microscopy | $9 | $3 | 262% | ~$4 | 16 |
| Vaginal delivery, no sterilization, no CC/MCC | $6,040 | — | — | — | 4 |
| Vaginal delivery, no sterilization, with CC | $6,040 | — | — | — | 4 |
| X-ray, lower back, 4+ views | $177 | $110 | 161% | ~$71 | 16 |