| Acute myocardial infarction, discharged alive, with MCC | $37,475 | $11,217 | 334% | — | 12 |
| Bariatric (obesity) surgery, no CC/MCC | $27,548 | $8,272 | 333% | — | 15 |
| Basic metabolic panel | $15 | $8 | 175% | ~$204 | 17 |
| COPD with MCC | $15,149 | $7,377 | 205% | — | 7 |
| CT abdomen and pelvis with contrast | $619 | $368 | 168% | ~$10,753 | 17 |
| CT head without contrast | $422 | $110 | 383% | ~$4,723 | 17 |
| CT pelvis with contrast | $422 | $185 | 228% | ~$5,074 | 17 |
| Cardiac arrhythmia, no CC/MCC | $9,365 | $3,269 | 286% | — | 7 |
| Cardiac stress test | $513 | $228 | 225% | $4,171 | 17 |
| Cardiac valve surgery with cardiac cath, with MCC | $149,684 | — | — | — | 12 |
| Cataract surgery with IOL insertion | $3,203 | $2,434 | 132% | — | 1 |
| Cellulitis, no MCC | $12,881 | $5,675 | 227% | — | 8 |
| Cervical spinal fusion, no CC/MCC | $43,115 | $16,343 | 264% | — | 13 |
| Cesarean section, no CC/MCC | $15,714 | — | — | — | 11 |
| Cesarean section, with CC | $15,714 | — | — | — | 11 |
| Chest pain | $9,624 | — | — | — | 7 |
| Colonoscopy with biopsy | $1,164 | $1,262 | 92% | — | 1 |
| Colonoscopy with endoscopic ultrasound | $1,489 | $1,262 | 118% | — | 1 |
| Colonoscopy with polyp removal | $1,468 | $1,262 | 116% | — | 1 |
| Colonoscopy, diagnostic | $1,096 | $981 | 112% | — | 1 |
| Complete blood count with differential | $14 | $8 | 175% | ~$236 | 17 |
| Complete blood count, automated | $11 | $6 | 175% | ~$142 | 17 |
| Comprehensive metabolic panel | $18 | $11 | 175% | ~$225 | 17 |
| Coronary bypass without cardiac cath, no MCC | $71,397 | $29,950 | 238% | — | 12 |
| Diagnostic mammography, both breasts | $223 | — | — | ~$760 | 17 |
| Diagnostic mammography, one breast | $198 | — | — | ~$306 | 17 |
| ED visit, level 3 | $3,825 | $288 | 1328% | $3,127 | 17 |
| ED visit, level 4 | $6,518 | $440 | 1481% | $6,711 | 17 |
| ED visit, level 5 | $13,700 | $628 | 2181% | $14,104 | 17 |
| Echocardiogram, complete | $967 | $576 | 168% | $3,765 | 17 |
| Electrocardiogram with interpretation | $85 | — | — | — | 1 |
| Epidural injection, lumbar/sacral, no imaging | $1,632 | $933 | 175% | $1,542 | 17 |
| Esophagitis/GI disorders, no MCC | $11,411 | $4,899 | 233% | — | 8 |
| Excision of breast lesion | $2,488 | $4,130 | 60% | — | 1 |
| Family psychotherapy, with patient | $232 | $187 | 124% | $373 | 17 |
| Family psychotherapy, without patient | $595 | $187 | 318% | — | 1 |
| Group psychotherapy | $232 | $107 | 217% | $373 | 17 |
| Heart failure and shock, with CC | $21,070 | $5,927 | 356% | — | 12 |
| Heart failure with MCC | $29,364 | $8,962 | 328% | — | 12 |
| Hip and femur procedures except major joint, with CC | $35,884 | $13,876 | 259% | — | 12 |
| Hysterectomy, no CC/MCC | $17,568 | $10,098 | 174% | — | 9 |
| Inguinal hernia repair, age 5+ | $3,096 | $3,777 | 82% | — | 1 |
| Kidney and urinary tract infections, no MCC | $11,737 | $5,238 | 224% | — | 8 |
| Kidney function panel | $15 | $9 | 175% | ~$255 | 17 |
| Knee arthroscopy with meniscectomy | $3,273 | $3,452 | 95% | — | 1 |
| Laparoscopic cholecystectomy | $3,887 | $6,377 | 61% | — | 1 |
| Laparoscopic cholecystectomy, no CC/MCC | $19,269 | $8,977 | 215% | — | 8 |
| Laparoscopic radical prostatectomy | $6,980 | $11,213 | 62% | — | 1 |
| Left heart catheterization, diagnostic | $9,900 | $3,420 | 289% | $17,067 | 17 |
| Lipid panel | $23 | $13 | 175% | ~$394 | 17 |
| Liver function panel | $14 | $8 | 175% | ~$203 | 17 |
| Lumbar epidural steroid injection | $1,843 | $745 | 248% | $2,182 | 17 |
| MRI brain with and without contrast | $648 | $368 | 176% | ~$7,906 | 16 |
| MRI lower extremity joint (knee) | $600 | $252 | 238% | ~$7,268 | 16 |
| MRI lumbar spine without contrast | $600 | $252 | 238% | ~$5,374 | 16 |
| Major joint replacement (hip/knee), no MCC | $39,170 | $10,719 | 365% | — | 13 |
| Major joint replacement (hip/knee), with MCC | $61,553 | $22,346 | 275% | — | 13 |
| Major small and large bowel procedures, with CC | $39,624 | $16,202 | 245% | — | 8 |
| Medical back problems, no MCC | $13,002 | $6,142 | 212% | — | 7 |
| OB global care, VBAC delivery | $14,712 | — | — | — | 1 |
| OB global care, cesarean delivery | $15,608 | — | — | — | 1 |
| OB global care, vaginal delivery | $14,095 | — | — | — | 1 |
| OB ultrasound, 14+ weeks | $244 | $110 | 221% | ~$1,390 | 17 |
| Obstetric blood test panel | $84 | $48 | 175% | ~$523 | 17 |
| Office visit, established patient, level 3 | $386 | — | — | — | 1 |
| Office visit, established patient, level 4 | $568 | — | — | — | 1 |
| Office visit, new patient, level 3 | $479 | — | — | — | 1 |
| Office visit, new patient, level 4 | $781 | — | — | — | 1 |
| Office visit, new patient, level 5 | $1,062 | — | — | — | 1 |
| PSA (prostate specific antigen), total | $32 | $18 | 175% | ~$213 | 17 |
| Partial thromboplastin time | $11 | $6 | 175% | ~$187 | 17 |
| Percutaneous cardiac stent, no MCC | $46,820 | — | — | — | 4 |
| Physical therapy, therapeutic exercise | $131 | — | — | $218 | 17 |
| Prostate biopsy | $2,032 | — | — | $2,403 | 17 |
| Prothrombin time | $8 | $4 | 175% | ~$139 | 17 |
| Psychotherapy, 30 minutes | $96 | $187 | 51% | $154 | 17 |
| Psychotherapy, 45 minutes | $126 | $187 | 67% | $202 | 17 |
| Psychotherapy, 60 minutes | $133 | $187 | 71% | $213 | 17 |
| Renal failure, with CC | $12,999 | $5,892 | 221% | — | 8 |
| Screening mammography, bilateral | $198 | — | — | ~$297 | 17 |
| Sepsis with MCC | $28,804 | $13,837 | 208% | — | 8 |
| Shoulder arthroscopy, subacromial decompression | $999 | — | — | — | 1 |
| Simple pneumonia and pleurisy, with CC | $11,992 | $5,177 | 232% | — | 8 |
| Sleep study (polysomnography) | $1,568 | $906 | 173% | $8,998 | 17 |
| Spinal fusion except cervical, no MCC | $103,468 | $25,413 | 407% | — | 3 |
| Spinal fusion except cervical, with MCC | $200,180 | $51,127 | 392% | — | 1 |
| Stroke (hemorrhage/infarction), no CC/MCC | $9,285 | $3,679 | 252% | — | 7 |
| Stroke (hemorrhage/infarction), with CC or tPA | $13,718 | $6,559 | 209% | — | 7 |
| Thyroid stimulating hormone (TSH) | $29 | $17 | 175% | ~$114 | 17 |
| Tonsillectomy and adenoidectomy, under age 12 | $1,750 | $6,245 | 28% | — | 1 |
| Transforaminal epidural, lumbar/sacral | $1,843 | $933 | 198% | $2,634 | 17 |
| Ultrasound, abdomen, complete | $244 | $110 | 221% | ~$1,390 | 17 |
| Ultrasound, transvaginal | $244 | $110 | 221% | ~$1,332 | 17 |
| Upper GI endoscopy with biopsy | $803 | $957 | 84% | — | 1 |
| Upper GI endoscopy, diagnostic | $715 | $957 | 75% | — | 1 |
| Urinalysis, automated, with microscopy | $6 | $3 | 175% | ~$161 | 17 |
| Urinalysis, automated, without microscopy | $4 | $2 | 175% | ~$94 | 17 |
| Urinalysis, manual, with microscopy | $7 | $4 | 175% | ~$94 | 17 |
| Urinalysis, manual, without microscopy | $6 | $3 | 175% | ~$65 | 17 |
| Vaginal delivery, no sterilization, no CC/MCC | $7,163 | — | — | — | 11 |
| Vaginal delivery, no sterilization, with CC | $7,163 | — | — | — | 11 |
| X-ray, lower back, 4+ views | $113 | $110 | 102% | ~$1,889 | 17 |
| YAG laser capsulotomy (secondary cataract) | $1,845 | $580 | 318% | — | 1 |