| Acute myocardial infarction, discharged alive, with MCC | $47,173 | $11,217 | 421% | — | 9 |
| Bariatric (obesity) surgery, no CC/MCC | $40,362 | $8,272 | 488% | — | 10 |
| Basic metabolic panel | $53 | $8 | 625% | ~$62 | 17 |
| COPD with MCC | $32,575 | $7,377 | 442% | — | 9 |
| CT abdomen and pelvis with contrast | $776 | $369 | 210% | ~$1,562 | 18 |
| CT head without contrast | $470 | $110 | 426% | ~$663 | 18 |
| CT pelvis with contrast | $776 | $185 | 419% | ~$568 | 18 |
| Cardiac arrhythmia, no CC/MCC | $16,648 | $3,269 | 509% | — | 9 |
| Cardiac stress test | $557 | $228 | 244% | $236 | 18 |
| Cardiac valve surgery with cardiac cath, with MCC | $287,693 | — | — | — | 9 |
| Cataract surgery with IOL insertion | $6,796 | $2,438 | 279% | — | 8 |
| Cellulitis, no MCC | $25,611 | $5,519 | 464% | — | 9 |
| Cervical spinal fusion, no CC/MCC | $71,794 | $16,343 | 439% | — | 9 |
| Cesarean section, no CC/MCC | $14,565 | — | — | — | 9 |
| Cesarean section, with CC | $14,565 | — | — | — | 9 |
| Chest pain | $21,174 | — | — | — | 9 |
| Colonoscopy with biopsy | $2,762 | $1,264 | 218% | $1,124 | 18 |
| Colonoscopy with endoscopic ultrasound | $2,020 | $1,264 | 160% | $822 | 18 |
| Colonoscopy with polyp removal | $2,762 | $1,264 | 218% | $1,124 | 18 |
| Colonoscopy, diagnostic | $1,455 | $982 | 148% | $592 | 18 |
| Complete blood count with differential | $49 | $8 | 625% | ~$67 | 17 |
| Complete blood count, automated | $40 | $6 | 625% | ~$36 | 17 |
| Comprehensive metabolic panel | $66 | $11 | 625% | ~$77 | 17 |
| Coronary bypass without cardiac cath, no MCC | $123,184 | $29,950 | 411% | — | 9 |
| Diagnostic mammography, both breasts | $409 | — | — | ~$166 | 17 |
| Diagnostic mammography, one breast | $336 | — | — | ~$136 | 17 |
| ED visit, level 3 | $1,091 | $288 | 378% | $296 | 18 |
| ED visit, level 4 | $2,004 | $441 | 455% | $427 | 18 |
| ED visit, level 5 | $3,287 | $629 | 523% | $835 | 18 |
| Echocardiogram, complete | $2,125 | $577 | 368% | $900 | 18 |
| Electrocardiogram with interpretation | $90 | — | — | — | 5 |
| Epidural injection, lumbar/sacral, no imaging | $1,234 | $934 | 132% | $522 | 18 |
| Esophagitis/GI disorders, no MCC | $22,926 | $4,899 | 468% | — | 9 |
| Excision of breast lesion | $6,612 | $4,136 | 160% | — | 8 |
| Family psychotherapy, with patient | $342 | $187 | 182% | $145 | 18 |
| Family psychotherapy, without patient | $222 | $187 | 118% | $76 | 18 |
| Group psychotherapy | $256 | $107 | 238% | $98 | 18 |
| Heart failure and shock, with CC | $24,967 | $5,927 | 421% | — | 9 |
| Heart failure with MCC | $37,754 | $8,495 | 444% | — | 9 |
| Hip and femur procedures except major joint, with CC | $61,595 | $13,876 | 444% | — | 9 |
| Hysterectomy, no CC/MCC | $36,487 | $10,098 | 361% | — | 9 |
| Inguinal hernia repair, age 5+ | $7,016 | $3,782 | 186% | — | 8 |
| Kidney and urinary tract infections, no MCC | $23,806 | $4,891 | 487% | — | 9 |
| Kidney function panel | $54 | $9 | 625% | ~$42 | 17 |
| Knee arthroscopy with meniscectomy | $7,016 | $3,456 | 203% | — | 8 |
| Laparoscopic cholecystectomy | $13,698 | $6,386 | 215% | — | 8 |
| Laparoscopic cholecystectomy, no CC/MCC | $40,165 | $8,977 | 447% | — | 9 |
| Laparoscopic radical prostatectomy | $16,804 | $11,228 | 150% | — | 6 |
| Left heart catheterization, diagnostic | $7,123 | $3,424 | 208% | $2,701 | 18 |
| Lipid panel | $84 | $13 | 625% | ~$73 | 17 |
| Liver function panel | $51 | $8 | 625% | ~$64 | 17 |
| Lumbar epidural steroid injection | $1,354 | $746 | 182% | $551 | 18 |
| MRI brain with and without contrast | $996 | $369 | 270% | ~$991 | 18 |
| MRI lower extremity joint (knee) | $996 | $252 | 395% | ~$618 | 18 |
| MRI lumbar spine without contrast | $996 | $252 | 395% | ~$724 | 18 |
| Major joint replacement (hip/knee), no MCC | $56,725 | $13,045 | 435% | — | 9 |
| Major joint replacement (hip/knee), with MCC | $89,200 | $22,346 | 399% | — | 9 |
| Major small and large bowel procedures, with CC | $70,497 | $16,202 | 435% | — | 9 |
| Medical back problems, no MCC | $28,270 | $6,142 | 460% | — | 9 |
| OB global care, VBAC delivery | $12,815 | — | — | — | 6 |
| OB global care, cesarean delivery | $13,200 | — | — | — | 6 |
| OB global care, vaginal delivery | $12,550 | — | — | — | 6 |
| OB ultrasound, 14+ weeks | $622 | $110 | 563% | ~$276 | 18 |
| Obstetric blood test panel | $90 | $48 | 187% | ~$40 | 17 |
| Office visit, established patient, level 3 | $409 | — | — | — | 5 |
| Office visit, established patient, level 4 | $602 | — | — | — | 5 |
| Office visit, new patient, level 3 | $507 | — | — | — | 5 |
| Office visit, new patient, level 4 | $826 | — | — | — | 5 |
| Office visit, new patient, level 5 | $1,125 | — | — | — | 5 |
| PSA (prostate specific antigen), total | $115 | $18 | 625% | ~$90 | 17 |
| Partial thromboplastin time | $38 | $6 | 625% | ~$28 | 17 |
| Physical therapy, therapeutic exercise | $89 | — | — | $30 | 18 |
| Prostate biopsy | $2,435 | — | — | $991 | 18 |
| Prothrombin time | $27 | $4 | 625% | ~$29 | 17 |
| Psychotherapy, 30 minutes | $243 | $187 | 130% | — | 5 |
| Psychotherapy, 45 minutes | $284 | $187 | 152% | $120 | 18 |
| Psychotherapy, 60 minutes | $340 | $187 | 181% | $144 | 18 |
| Renal failure, with CC | $25,756 | $5,653 | 456% | — | 9 |
| Screening mammography, bilateral | $300 | — | — | ~$121 | 17 |
| Sepsis with MCC | $57,125 | $13,232 | 432% | — | 9 |
| Shoulder arthroscopy, subacromial decompression | $1,109 | — | — | — | 7 |
| Simple pneumonia and pleurisy, with CC | $23,700 | $5,177 | 458% | — | 9 |
| Sleep study (polysomnography) | $4,248 | $907 | 468% | $1,885 | 18 |
| Stroke (hemorrhage/infarction), no CC/MCC | $20,127 | $3,679 | 547% | — | 9 |
| Stroke (hemorrhage/infarction), with CC or tPA | $29,711 | $6,333 | 469% | — | 9 |
| Thyroid stimulating hormone (TSH) | $105 | $17 | 625% | ~$110 | 17 |
| Tonsillectomy and adenoidectomy, under age 12 | $7,442 | $6,253 | 119% | — | 8 |
| Transforaminal epidural, lumbar/sacral | $2,143 | $934 | 229% | $872 | 18 |
| Ultrasound, abdomen, complete | $622 | $110 | 563% | ~$276 | 18 |
| Ultrasound, transvaginal | $622 | $110 | 563% | ~$276 | 18 |
| Upper GI endoscopy with biopsy | $1,879 | $958 | 196% | $765 | 18 |
| Upper GI endoscopy, diagnostic | $1,673 | $958 | 175% | $681 | 18 |
| Urinalysis, automated, with microscopy | $20 | $3 | 626% | ~$12 | 17 |
| Urinalysis, automated, without microscopy | $14 | $2 | 626% | ~$20 | 17 |
| Urinalysis, manual, with microscopy | $5 | $4 | 122% | — | 9 |
| Urinalysis, manual, without microscopy | $22 | $3 | 625% | ~$22 | 17 |
| Vaginal delivery, no sterilization, no CC/MCC | $9,061 | — | — | — | 9 |
| Vaginal delivery, no sterilization, with CC | $9,061 | — | — | — | 9 |
| X-ray, lower back, 4+ views | $464 | $110 | 421% | ~$206 | 18 |
| YAG laser capsulotomy (secondary cataract) | $3,530 | $581 | 608% | — | 8 |