| Acute myocardial infarction, discharged alive, with MCC | $29,921 | $9,620 | 311% | — | 11 |
| Bariatric (obesity) surgery, no CC/MCC | $28,136 | $8,272 | 340% | — | 11 |
| Basic metabolic panel | $24 | $8 | 284% | ~$55 | 19 |
| COPD with MCC | $20,662 | $7,377 | 280% | — | 11 |
| CT abdomen and pelvis with contrast | $678 | $368 | 184% | ~$2,446 | 19 |
| CT head without contrast | $495 | $110 | 449% | ~$869 | 19 |
| CT pelvis with contrast | $678 | $185 | 366% | ~$825 | 19 |
| Cardiac arrhythmia, no CC/MCC | $10,559 | $3,269 | 323% | — | 11 |
| Cardiac stress test | $1,054 | $228 | 463% | $476 | 19 |
| Cardiac valve surgery with cardiac cath, with MCC | $182,479 | — | — | — | 11 |
| Cataract surgery with IOL insertion | $4,873 | $2,434 | 200% | — | 11 |
| Cellulitis, no MCC | $16,245 | $4,740 | 343% | — | 11 |
| Cervical spinal fusion, no CC/MCC | $45,538 | $16,343 | 279% | — | 11 |
| Cesarean section, no CC/MCC | $12,256 | — | — | — | 10 |
| Cesarean section, with CC | $12,426 | — | — | — | 10 |
| Chest pain | $13,430 | — | — | — | 11 |
| Colonoscopy with biopsy | $3,436 | $1,262 | 272% | $995 | 19 |
| Colonoscopy with endoscopic ultrasound | $4,122 | $1,262 | 327% | $1,209 | 19 |
| Colonoscopy with polyp removal | $4,182 | $1,262 | 331% | $1,254 | 19 |
| Colonoscopy, diagnostic | $2,694 | $981 | 275% | $915 | 19 |
| Complete blood count with differential | $22 | $8 | 284% | ~$41 | 19 |
| Complete blood count, automated | $18 | $6 | 284% | ~$36 | 19 |
| Comprehensive metabolic panel | $30 | $11 | 284% | ~$105 | 19 |
| Coronary bypass without cardiac cath, no MCC | $78,134 | $29,950 | 261% | — | 11 |
| Diagnostic mammography, both breasts | $239 | — | — | — | 6 |
| Diagnostic mammography, one breast | $199 | — | — | ~$63 | 19 |
| ED visit, level 3 | $1,677 | $288 | 582% | $426 | 19 |
| ED visit, level 4 | $3,267 | $440 | 742% | $984 | 19 |
| ED visit, level 5 | $4,370 | $628 | 696% | $1,509 | 19 |
| Echocardiogram, complete | $2,820 | $576 | 489% | $1,273 | 19 |
| Electrocardiogram with interpretation | $80 | — | — | — | 5 |
| Epidural injection, lumbar/sacral, no imaging | $1,774 | $933 | 190% | — | 11 |
| Esophagitis/GI disorders, no MCC | $14,542 | $4,377 | 332% | — | 11 |
| Excision of breast lesion | $6,007 | $4,130 | 145% | — | 11 |
| Family psychotherapy, with patient | $183 | $187 | 98% | — | 5 |
| Family psychotherapy, without patient | $183 | $187 | 98% | — | 5 |
| Group psychotherapy | $183 | $107 | 171% | — | 5 |
| Heart failure and shock, with CC | $15,836 | $5,927 | 267% | — | 11 |
| Heart failure with MCC | $23,947 | $8,092 | 296% | — | 11 |
| Hip and femur procedures except major joint, with CC | $39,069 | $12,615 | 310% | — | 11 |
| Hysterectomy, no CC/MCC | $23,143 | $10,098 | 229% | — | 11 |
| Inguinal hernia repair, age 5+ | $6,331 | $3,777 | 168% | — | 11 |
| Kidney and urinary tract infections, no MCC | $15,100 | $4,780 | 316% | — | 11 |
| Kidney function panel | $25 | $9 | 284% | ~$100 | 19 |
| Knee arthroscopy with meniscectomy | $6,331 | $3,452 | 183% | — | 11 |
| Laparoscopic cholecystectomy | $9,690 | $6,377 | 152% | — | 11 |
| Laparoscopic cholecystectomy, no CC/MCC | $25,476 | $8,977 | 284% | — | 11 |
| Laparoscopic radical prostatectomy | $15,426 | $11,213 | 138% | — | 9 |
| Left heart catheterization, diagnostic | $6,516 | $3,420 | 191% | $2,055 | 19 |
| Lipid panel | $38 | $13 | 284% | ~$52 | 19 |
| Liver function panel | $23 | $8 | 284% | ~$48 | 19 |
| Lumbar epidural steroid injection | $1,588 | $745 | 213% | $317 | 19 |
| MRI brain with and without contrast | $913 | $368 | 248% | ~$1,577 | 19 |
| MRI lower extremity joint (knee) | $913 | $252 | 363% | ~$1,106 | 19 |
| MRI lumbar spine without contrast | $913 | $252 | 363% | ~$1,123 | 19 |
| Major joint replacement (hip/knee), no MCC | $35,980 | $13,045 | 276% | — | 11 |
| Major joint replacement (hip/knee), with MCC | $56,578 | $22,346 | 253% | — | 11 |
| Major small and large bowel procedures, with CC | $44,715 | $16,202 | 276% | — | 11 |
| Medical back problems, no MCC | $17,931 | $5,625 | 319% | — | 11 |
| OB global care, VBAC delivery | $12,107 | — | — | — | 6 |
| OB global care, cesarean delivery | $12,500 | — | — | — | 6 |
| OB global care, vaginal delivery | $11,837 | — | — | — | 6 |
| OB ultrasound, 14+ weeks | $546 | $110 | 495% | ~$268 | 19 |
| Obstetric blood test panel | $136 | $48 | 284% | ~$124 | 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 | $52 | $18 | 284% | ~$63 | 19 |
| Partial thromboplastin time | $17 | $6 | 284% | ~$16 | 19 |
| Physical therapy, therapeutic exercise | $156 | — | — | $45 | 19 |
| Prostate biopsy | $2,314 | — | — | $183 | 19 |
| Prothrombin time | $12 | $4 | 284% | ~$27 | 19 |
| Psychotherapy, 30 minutes | $183 | $187 | 98% | — | 5 |
| Psychotherapy, 45 minutes | $183 | $187 | 98% | — | 5 |
| Psychotherapy, 60 minutes | $183 | $187 | 98% | — | 5 |
| Renal failure, with CC | $16,336 | $5,046 | 324% | — | 11 |
| Screening mammography, bilateral | $198 | — | — | — | 6 |
| Sepsis with MCC | $36,233 | $12,975 | 279% | — | 11 |
| Shoulder arthroscopy, subacromial decompression | $1,131 | — | — | — | 10 |
| Simple pneumonia and pleurisy, with CC | $15,032 | $4,254 | 353% | — | 11 |
| Sleep study (polysomnography) | $3,830 | $906 | 423% | $1,883 | 19 |
| Stroke (hemorrhage/infarction), no CC/MCC | $12,766 | $3,679 | 347% | — | 11 |
| Stroke (hemorrhage/infarction), with CC or tPA | $18,845 | $6,055 | 311% | — | 11 |
| Thyroid stimulating hormone (TSH) | $48 | $17 | 284% | ~$84 | 19 |
| Tonsillectomy and adenoidectomy, under age 12 | $6,118 | $6,245 | 98% | — | 11 |
| Transforaminal epidural, lumbar/sacral | $1,773 | $933 | 190% | $444 | 19 |
| Ultrasound, abdomen, complete | $763 | $110 | 692% | ~$375 | 19 |
| Ultrasound, transvaginal | $404 | $110 | 366% | ~$194 | 19 |
| Upper GI endoscopy with biopsy | $2,202 | $957 | 230% | $572 | 19 |
| Upper GI endoscopy, diagnostic | $2,031 | $957 | 212% | $509 | 19 |
| Urinalysis, automated, with microscopy | $9 | $3 | 284% | ~$37 | 19 |
| Urinalysis, automated, without microscopy | $6 | $2 | 284% | ~$23 | 19 |
| Urinalysis, manual, with microscopy | $4 | $4 | 100% | — | 11 |
| Urinalysis, manual, without microscopy | $10 | $3 | 284% | ~$14 | 19 |
| Vaginal delivery, no sterilization, no CC/MCC | $9,249 | — | — | — | 10 |
| Vaginal delivery, no sterilization, with CC | $9,249 | — | — | — | 10 |
| X-ray, lower back, 4+ views | $554 | $110 | 502% | ~$250 | 19 |
| YAG laser capsulotomy (secondary cataract) | $2,314 | $580 | 399% | — | 11 |