| Acute myocardial infarction, discharged alive, with MCC | $30,244 | $11,217 | 270% | — | 12 |
| Bariatric (obesity) surgery, no CC/MCC | $28,722 | $8,272 | 347% | — | 12 |
| Basic metabolic panel | $61 | $8 | 721% | ~$52 | 19 |
| COPD with MCC | $20,885 | $7,377 | 283% | — | 12 |
| CT abdomen and pelvis with contrast | $768 | $372 | 206% | ~$2,332 | 19 |
| CT head without contrast | $495 | $112 | 444% | ~$829 | 19 |
| CT pelvis with contrast | $768 | $187 | 411% | ~$787 | 19 |
| Cardiac arrhythmia, no CC/MCC | $10,674 | $3,269 | 327% | — | 12 |
| Cardiac stress test | $1,024 | $230 | 445% | $454 | 19 |
| Cardiac valve surgery with cardiac cath, with MCC | $186,279 | — | — | — | 12 |
| Cataract surgery with IOL insertion | $4,988 | $2,462 | 203% | — | 11 |
| Cellulitis, no MCC | $16,420 | $5,446 | 302% | — | 12 |
| Cervical spinal fusion, no CC/MCC | $46,486 | $16,343 | 284% | — | 12 |
| Cesarean section, no CC/MCC | $12,894 | — | — | — | 11 |
| Cesarean section, with CC | $13,105 | — | — | — | 11 |
| Chest pain | $13,575 | — | — | — | 12 |
| Colonoscopy with biopsy | $2,405 | $1,276 | 188% | $949 | 19 |
| Colonoscopy with endoscopic ultrasound | $2,970 | $1,276 | 233% | $1,153 | 19 |
| Colonoscopy with polyp removal | $2,700 | $1,276 | 212% | $1,196 | 19 |
| Colonoscopy, diagnostic | $2,212 | $992 | 223% | $873 | 19 |
| Complete blood count with differential | $61 | $8 | 785% | ~$39 | 19 |
| Complete blood count, automated | $61 | $6 | 943% | ~$34 | 19 |
| Comprehensive metabolic panel | $61 | $11 | 578% | ~$100 | 19 |
| Coronary bypass without cardiac cath, no MCC | $79,761 | $29,950 | 266% | — | 12 |
| Diagnostic mammography, both breasts | $232 | — | — | — | 6 |
| Diagnostic mammography, one breast | $207 | — | — | ~$60 | 19 |
| ED visit, level 3 | $1,728 | $291 | 594% | $407 | 20 |
| ED visit, level 4 | $3,300 | $445 | 741% | $939 | 20 |
| ED visit, level 5 | $4,096 | $635 | 645% | $1,439 | 20 |
| Echocardiogram, complete | $2,739 | $583 | 470% | $1,214 | 19 |
| Electrocardiogram with interpretation | $80 | — | — | — | 5 |
| Epidural injection, lumbar/sacral, no imaging | $1,950 | $943 | 207% | — | 11 |
| Esophagitis/GI disorders, no MCC | $14,699 | $4,500 | 327% | — | 12 |
| Excision of breast lesion | $5,722 | $4,176 | 137% | — | 11 |
| Family psychotherapy, with patient | $183 | $189 | 97% | — | 5 |
| Family psychotherapy, without patient | $183 | $189 | 97% | — | 5 |
| Group psychotherapy | $183 | $108 | 169% | — | 5 |
| Heart failure and shock, with CC | $16,007 | $5,927 | 270% | — | 12 |
| Heart failure with MCC | $24,205 | $8,316 | 291% | — | 12 |
| Hip and femur procedures except major joint, with CC | $39,882 | $13,616 | 293% | — | 12 |
| Hysterectomy, no CC/MCC | $23,625 | $10,098 | 234% | — | 12 |
| Inguinal hernia repair, age 5+ | $6,241 | $3,819 | 163% | — | 11 |
| Kidney and urinary tract infections, no MCC | $15,263 | $5,341 | 286% | — | 12 |
| Kidney function panel | $61 | $9 | 703% | ~$96 | 19 |
| Knee arthroscopy with meniscectomy | $6,309 | $3,490 | 181% | — | 11 |
| Laparoscopic cholecystectomy | $9,284 | $6,448 | 144% | — | 11 |
| Laparoscopic cholecystectomy, no CC/MCC | $26,007 | $8,977 | 290% | — | 12 |
| Laparoscopic radical prostatectomy | $15,928 | $11,338 | 140% | — | 9 |
| Left heart catheterization, diagnostic | $6,909 | $3,458 | 200% | $1,960 | 19 |
| Lipid panel | $61 | $13 | 456% | ~$49 | 19 |
| Liver function panel | $61 | $8 | 747% | ~$45 | 19 |
| Lumbar epidural steroid injection | $1,083 | $753 | 144% | $303 | 19 |
| MRI brain with and without contrast | $958 | $372 | 257% | ~$1,504 | 19 |
| MRI lower extremity joint (knee) | $958 | $254 | 376% | ~$1,055 | 19 |
| MRI lumbar spine without contrast | $958 | $254 | 376% | ~$1,071 | 19 |
| Major joint replacement (hip/knee), no MCC | $36,729 | $13,045 | 282% | — | 12 |
| Major joint replacement (hip/knee), with MCC | $57,757 | $22,346 | 258% | — | 12 |
| Major small and large bowel procedures, with CC | $45,646 | $16,202 | 282% | — | 12 |
| Medical back problems, no MCC | $18,125 | $6,142 | 295% | — | 12 |
| OB global care, VBAC delivery | $11,846 | — | — | — | 6 |
| OB global care, cesarean delivery | $12,246 | — | — | — | 6 |
| OB global care, vaginal delivery | $11,571 | — | — | — | 6 |
| OB ultrasound, 14+ weeks | $546 | $112 | 490% | ~$256 | 19 |
| Obstetric blood test panel | $191 | $48 | 400% | ~$118 | 19 |
| Office visit, established patient, level 3 | $360 | — | — | — | 5 |
| Office visit, established patient, level 4 | $530 | — | — | — | 5 |
| Office visit, new patient, level 3 | $447 | — | — | — | 5 |
| Office visit, new patient, level 4 | $729 | — | — | — | 5 |
| Office visit, new patient, level 5 | $992 | — | — | — | 5 |
| PSA (prostate specific antigen), total | $74 | $18 | 400% | ~$60 | 19 |
| Partial thromboplastin time | $33 | $6 | 546% | ~$15 | 19 |
| Physical therapy, therapeutic exercise | $182 | — | — | $43 | 19 |
| Prostate biopsy | $703 | — | — | $175 | 19 |
| Prothrombin time | $54 | $4 | 1264% | ~$25 | 19 |
| Psychotherapy, 30 minutes | $183 | $189 | 97% | — | 5 |
| Psychotherapy, 45 minutes | $183 | $189 | 97% | — | 5 |
| Psychotherapy, 60 minutes | $183 | $189 | 97% | — | 5 |
| Renal failure, with CC | $16,513 | $5,782 | 286% | — | 12 |
| Screening mammography, bilateral | $192 | — | — | — | 6 |
| Sepsis with MCC | $36,625 | $13,272 | 276% | — | 12 |
| Shoulder arthroscopy, subacromial decompression | $1,175 | — | — | — | 10 |
| Simple pneumonia and pleurisy, with CC | $15,195 | $5,177 | 294% | — | 12 |
| Sleep study (polysomnography) | $3,830 | $916 | 418% | $1,796 | 19 |
| Stroke (hemorrhage/infarction), no CC/MCC | $12,904 | $3,679 | 351% | — | 12 |
| Stroke (hemorrhage/infarction), with CC or tPA | $19,049 | $6,487 | 294% | — | 12 |
| Thyroid stimulating hormone (TSH) | $71 | $17 | 421% | ~$80 | 19 |
| Tonsillectomy and adenoidectomy, under age 12 | $6,676 | $6,314 | 106% | — | 11 |
| Transforaminal epidural, lumbar/sacral | $1,310 | $943 | 139% | $424 | 19 |
| Ultrasound, abdomen, complete | $763 | $112 | 684% | ~$358 | 19 |
| Ultrasound, transvaginal | $394 | $112 | 353% | ~$185 | 19 |
| Upper GI endoscopy with biopsy | $1,687 | $967 | 174% | $546 | 19 |
| Upper GI endoscopy, diagnostic | $1,501 | $967 | 155% | $486 | 19 |
| Urinalysis, automated, with microscopy | $61 | $3 | 1924% | ~$35 | 19 |
| Urinalysis, automated, without microscopy | $48 | $2 | 2112% | ~$22 | 19 |
| Urinalysis, manual, with microscopy | $12 | $4 | 289% | — | 9 |
| Urinalysis, manual, without microscopy | $28 | $3 | 799% | ~$13 | 19 |
| Vaginal delivery, no sterilization, no CC/MCC | $10,153 | — | — | — | 11 |
| Vaginal delivery, no sterilization, with CC | $10,583 | — | — | — | 11 |
| X-ray, lower back, 4+ views | $538 | $112 | 482% | ~$238 | 19 |
| YAG laser capsulotomy (secondary cataract) | $2,346 | $587 | 400% | — | 11 |