| Acute myocardial infarction, discharged alive, with MCC | $20,769 | $11,217 | 185% | — | 10 |
| Bariatric (obesity) surgery, no CC/MCC | $19,530 | $8,272 | 236% | — | 10 |
| Basic metabolic panel | $123 | $8 | 1453% | ~$91 | 20 |
| COPD with MCC | $14,342 | $7,377 | 194% | — | 10 |
| CT abdomen and pelvis with contrast | $780 | $369 | 211% | ~$4,071 | 20 |
| CT head without contrast | $512 | $111 | 462% | ~$1,447 | 20 |
| CT pelvis with contrast | $780 | $186 | 420% | ~$1,374 | 20 |
| Cardiac arrhythmia, no CC/MCC | $7,330 | $3,269 | 224% | — | 10 |
| Cardiac stress test | $1,066 | $228 | 466% | $792 | 20 |
| Cardiac valve surgery with cardiac cath, with MCC | $126,663 | — | — | — | 10 |
| Cataract surgery with IOL insertion | $3,967 | $2,442 | 162% | — | 9 |
| Cellulitis, no MCC | $11,276 | $5,675 | 199% | — | 10 |
| Cervical spinal fusion, no CC/MCC | $31,609 | $16,343 | 193% | — | 10 |
| Cesarean section, no CC/MCC | $9,492 | — | — | — | 9 |
| Cesarean section, with CC | $9,919 | — | — | — | 9 |
| Chest pain | $9,322 | — | — | — | 10 |
| Colonoscopy with biopsy | $3,372 | $1,266 | 266% | $1,657 | 20 |
| Colonoscopy with endoscopic ultrasound | $3,140 | $1,266 | 248% | $2,012 | 20 |
| Colonoscopy with polyp removal | $3,617 | $1,266 | 286% | $2,088 | 20 |
| Colonoscopy, diagnostic | $2,498 | $984 | 254% | $1,524 | 20 |
| Complete blood count with differential | $92 | $8 | 1182% | ~$68 | 20 |
| Complete blood count, automated | $81 | $6 | 1246% | ~$60 | 20 |
| Comprehensive metabolic panel | $236 | $11 | 2232% | ~$175 | 20 |
| Coronary bypass without cardiac cath, no MCC | $54,234 | $29,950 | 181% | — | 10 |
| Diagnostic mammography, both breasts | $183 | — | — | — | 6 |
| Diagnostic mammography, one breast | $156 | — | — | ~$105 | 20 |
| ED visit, level 3 | $1,536 | $289 | 532% | $710 | 20 |
| ED visit, level 4 | $3,097 | $442 | 701% | $1,638 | 20 |
| ED visit, level 5 | $3,840 | $630 | 609% | $2,512 | 20 |
| Echocardiogram, complete | $2,852 | $578 | 493% | $2,119 | 20 |
| Electrocardiogram with interpretation | $71 | — | — | — | 5 |
| Epidural injection, lumbar/sacral, no imaging | $1,906 | $936 | 204% | — | 9 |
| Esophagitis/GI disorders, no MCC | $10,094 | $4,899 | 206% | — | 10 |
| Excision of breast lesion | $4,722 | $4,144 | 114% | — | 9 |
| Family psychotherapy, with patient | $154 | $188 | 82% | — | 5 |
| Family psychotherapy, without patient | $154 | $188 | 82% | — | 5 |
| Group psychotherapy | $154 | $108 | 143% | — | 5 |
| Heart failure and shock, with CC | $10,992 | $5,927 | 185% | — | 10 |
| Heart failure with MCC | $16,622 | $8,962 | 185% | — | 10 |
| Hip and femur procedures except major joint, with CC | $27,119 | $13,876 | 195% | — | 10 |
| Hysterectomy, no CC/MCC | $16,064 | $10,098 | 159% | — | 10 |
| Inguinal hernia repair, age 5+ | $4,988 | $3,789 | 132% | — | 9 |
| Kidney and urinary tract infections, no MCC | $10,481 | $5,238 | 200% | — | 10 |
| Kidney function panel | $224 | $9 | 2586% | ~$167 | 20 |
| Knee arthroscopy with meniscectomy | $5,066 | $3,463 | 146% | — | 9 |
| Laparoscopic cholecystectomy | $8,059 | $6,398 | 126% | — | 9 |
| Laparoscopic cholecystectomy, no CC/MCC | $17,684 | $8,977 | 197% | — | 10 |
| Laparoscopic radical prostatectomy | $14,600 | $11,249 | 130% | — | 8 |
| Left heart catheterization, diagnostic | $5,821 | $3,431 | 170% | $3,421 | 20 |
| Lipid panel | $116 | $13 | 863% | ~$86 | 20 |
| Liver function panel | $107 | $8 | 1305% | ~$79 | 20 |
| Lumbar epidural steroid injection | $1,174 | $747 | 157% | $528 | 20 |
| MRI brain with and without contrast | $1,024 | $369 | 277% | ~$2,625 | 20 |
| MRI lower extremity joint (knee) | $1,024 | $252 | 406% | ~$1,842 | 20 |
| MRI lumbar spine without contrast | $1,024 | $252 | 406% | ~$1,869 | 20 |
| Major joint replacement (hip/knee), no MCC | $24,974 | $13,045 | 191% | — | 10 |
| Major joint replacement (hip/knee), with MCC | $39,272 | $22,346 | 176% | — | 10 |
| Major small and large bowel procedures, with CC | $31,038 | $16,202 | 192% | — | 10 |
| Medical back problems, no MCC | $12,446 | $6,142 | 203% | — | 10 |
| OB global care, VBAC delivery | $9,578 | — | — | — | 5 |
| OB global care, cesarean delivery | $9,951 | — | — | — | 5 |
| OB global care, vaginal delivery | $9,321 | — | — | — | 5 |
| OB ultrasound, 14+ weeks | $602 | $111 | 544% | ~$447 | 20 |
| Obstetric blood test panel | $286 | $48 | 599% | ~$206 | 20 |
| Office visit, established patient, level 3 | $322 | — | — | — | 5 |
| Office visit, established patient, level 4 | $474 | — | — | — | 5 |
| Office visit, new patient, level 3 | $399 | — | — | — | 5 |
| Office visit, new patient, level 4 | $650 | — | — | — | 5 |
| Office visit, new patient, level 5 | $885 | — | — | — | 5 |
| PSA (prostate specific antigen), total | $140 | $18 | 763% | ~$104 | 20 |
| Partial thromboplastin time | $37 | $6 | 610% | ~$27 | 20 |
| Physical therapy, therapeutic exercise | $148 | — | — | $75 | 20 |
| Prostate biopsy | $678 | — | — | $305 | 20 |
| Prothrombin time | $60 | $4 | 1392% | ~$44 | 20 |
| Psychotherapy, 30 minutes | $154 | $188 | 82% | — | 5 |
| Psychotherapy, 45 minutes | $154 | $188 | 82% | — | 5 |
| Psychotherapy, 60 minutes | $154 | $188 | 82% | — | 5 |
| Renal failure, with CC | $11,339 | $5,892 | 192% | — | 10 |
| Screening mammography, bilateral | $151 | — | — | — | 6 |
| Sepsis with MCC | $25,151 | $13,837 | 182% | — | 10 |
| Shoulder arthroscopy, subacromial decompression | $1,170 | — | — | — | 9 |
| Simple pneumonia and pleurisy, with CC | $10,434 | $5,177 | 202% | — | 10 |
| Sleep study (polysomnography) | $4,143 | $909 | 456% | $3,134 | 20 |
| Stroke (hemorrhage/infarction), no CC/MCC | $8,861 | $3,679 | 241% | — | 10 |
| Stroke (hemorrhage/infarction), with CC or tPA | $13,081 | $6,559 | 199% | — | 10 |
| Thyroid stimulating hormone (TSH) | $189 | $17 | 1124% | ~$140 | 20 |
| Tonsillectomy and adenoidectomy, under age 12 | $5,599 | $6,265 | 89% | — | 9 |
| Transforaminal epidural, lumbar/sacral | $1,642 | $936 | 175% | $740 | 20 |
| Ultrasound, abdomen, complete | $796 | $111 | 720% | ~$624 | 20 |
| Ultrasound, transvaginal | $462 | $111 | 418% | ~$322 | 20 |
| Upper GI endoscopy with biopsy | $1,592 | $960 | 166% | $952 | 20 |
| Upper GI endoscopy, diagnostic | $1,752 | $960 | 183% | $848 | 20 |
| Urinalysis, automated, with microscopy | $83 | $3 | 2617% | ~$62 | 20 |
| Urinalysis, automated, without microscopy | $52 | $2 | 2326% | ~$39 | 20 |
| Urinalysis, manual, with microscopy | $14 | $4 | 347% | — | 6 |
| Urinalysis, manual, without microscopy | $31 | $3 | 880% | ~$23 | 20 |
| Vaginal delivery, no sterilization, no CC/MCC | $8,179 | — | — | — | 9 |
| Vaginal delivery, no sterilization, with CC | $8,179 | — | — | — | 9 |
| X-ray, lower back, 4+ views | $596 | $111 | 539% | ~$416 | 20 |
| YAG laser capsulotomy (secondary cataract) | $2,089 | $582 | 359% | — | 9 |