| Acute myocardial infarction, discharged alive, with MCC | $18,373 | $11,217 | 164% | — | 6 |
| Bariatric (obesity) surgery, no CC/MCC | $17,277 | $8,272 | 209% | — | 6 |
| Basic metabolic panel | $46 | $8 | 545% | — | 16 |
| COPD with MCC | $12,688 | $7,377 | 172% | — | 6 |
| CT abdomen and pelvis with contrast | $1,575 | $356 | 442% | — | 16 |
| CT head without contrast | $892 | $107 | 835% | — | 16 |
| CT pelvis with contrast | $763 | $179 | 426% | — | 16 |
| Cardiac arrhythmia, no CC/MCC | $6,484 | $3,269 | 198% | — | 6 |
| Cardiac stress test | $943 | $221 | 428% | — | 16 |
| Cardiac valve surgery with cardiac cath, with MCC | $112,052 | — | — | — | 6 |
| Cataract surgery with IOL insertion | $3,871 | $2,358 | 164% | — | 6 |
| Cellulitis, no MCC | $9,975 | $5,675 | 176% | — | 6 |
| Cervical spinal fusion, no CC/MCC | $27,963 | $16,343 | 171% | — | 6 |
| Cesarean section, no CC/MCC | $10,080 | — | — | — | 6 |
| Cesarean section, with CC | $10,080 | — | — | — | 6 |
| Chest pain | $8,247 | — | — | — | 6 |
| Colonoscopy with biopsy | $1,591 | $1,223 | 130% | — | 16 |
| Colonoscopy with endoscopic ultrasound | $2,031 | $1,223 | 166% | — | 16 |
| Colonoscopy with polyp removal | $2,005 | $1,223 | 164% | — | 16 |
| Colonoscopy, diagnostic | $1,389 | $950 | 146% | — | 16 |
| Complete blood count with differential | $56 | $8 | 725% | — | 16 |
| Complete blood count, automated | $48 | $6 | 744% | — | 16 |
| Comprehensive metabolic panel | $103 | $11 | 976% | — | 16 |
| Coronary bypass without cardiac cath, no MCC | $47,979 | $29,950 | 160% | — | 6 |
| Diagnostic mammography, both breasts | $362 | — | — | — | 16 |
| Diagnostic mammography, one breast | $320 | — | — | — | 16 |
| ED visit, level 3 | $830 | $279 | 298% | — | 16 |
| ED visit, level 4 | $1,661 | $426 | 390% | — | 16 |
| ED visit, level 5 | $2,492 | $608 | 410% | — | 16 |
| Echocardiogram, complete | $2,068 | $558 | 370% | — | 16 |
| Electrocardiogram with interpretation | $94 | — | — | — | 4 |
| Epidural injection, lumbar/sacral, no imaging | $1,263 | $904 | 140% | — | 6 |
| Esophagitis/GI disorders, no MCC | $8,930 | $4,899 | 182% | — | 6 |
| Excision of breast lesion | $4,179 | $4,000 | 104% | — | 6 |
| Family psychotherapy, with patient | $171 | $181 | 94% | — | 4 |
| Family psychotherapy, without patient | $171 | $181 | 94% | — | 4 |
| Group psychotherapy | $171 | $104 | 165% | — | 4 |
| Heart failure and shock, with CC | $9,724 | $5,927 | 164% | — | 6 |
| Heart failure with MCC | $14,705 | $8,962 | 164% | — | 6 |
| Hip and femur procedures except major joint, with CC | $23,990 | $13,876 | 173% | — | 6 |
| Hysterectomy, no CC/MCC | $14,211 | $10,098 | 141% | — | 6 |
| Inguinal hernia repair, age 5+ | $4,985 | $3,658 | 136% | — | 6 |
| Kidney and urinary tract infections, no MCC | $9,272 | $5,238 | 177% | — | 6 |
| Kidney function panel | $77 | $9 | 888% | — | 16 |
| Knee arthroscopy with meniscectomy | $5,036 | $3,343 | 151% | — | 6 |
| Laparoscopic cholecystectomy | $7,441 | $6,176 | 120% | — | 6 |
| Laparoscopic cholecystectomy, no CC/MCC | $15,644 | $8,977 | 174% | — | 6 |
| Laparoscopic radical prostatectomy | $10,325 | $10,860 | 95% | — | 6 |
| Left heart catheterization, diagnostic | $5,907 | $3,312 | 178% | — | 6 |
| Lipid panel | $103 | $13 | 766% | — | 16 |
| Liver function panel | $98 | $8 | 1196% | — | 16 |
| Lumbar epidural steroid injection | $1,340 | $721 | 186% | — | 16 |
| MRI brain with and without contrast | $1,326 | $356 | 372% | — | 16 |
| MRI lower extremity joint (knee) | $980 | $244 | 402% | — | 16 |
| MRI lumbar spine without contrast | $1,116 | $244 | 458% | — | 16 |
| Major joint replacement (hip/knee), no MCC | $22,094 | $13,045 | 169% | — | 6 |
| Major joint replacement (hip/knee), with MCC | $34,742 | $22,346 | 155% | — | 6 |
| Major small and large bowel procedures, with CC | $27,458 | $16,202 | 169% | — | 6 |
| Medical back problems, no MCC | $11,011 | $6,142 | 179% | — | 6 |
| OB global care, VBAC delivery | $10,386 | — | — | — | 4 |
| OB global care, cesarean delivery | $10,877 | — | — | — | 4 |
| OB global care, vaginal delivery | $10,047 | — | — | — | 4 |
| OB ultrasound, 14+ weeks | $432 | $107 | 404% | — | 16 |
| Obstetric blood test panel | $191 | $48 | 400% | — | 6 |
| Office visit, established patient, level 3 | $424 | — | — | — | 4 |
| Office visit, established patient, level 4 | $623 | — | — | — | 4 |
| Office visit, new patient, level 3 | $525 | — | — | — | 4 |
| Office visit, new patient, level 4 | $856 | — | — | — | 4 |
| Office visit, new patient, level 5 | $1,165 | — | — | — | 4 |
| PSA (prostate specific antigen), total | $101 | $18 | 549% | — | 16 |
| Partial thromboplastin time | $30 | $6 | 504% | — | 16 |
| Physical therapy, therapeutic exercise | $121 | — | — | — | 16 |
| Prostate biopsy | $2,275 | — | — | — | 6 |
| Prothrombin time | $22 | $4 | 502% | — | 16 |
| Psychotherapy, 30 minutes | $171 | $181 | 94% | — | 4 |
| Psychotherapy, 45 minutes | $171 | $181 | 94% | — | 4 |
| Psychotherapy, 60 minutes | $171 | $181 | 94% | — | 4 |
| Renal failure, with CC | $10,031 | $5,892 | 170% | — | 6 |
| Screening mammography, bilateral | $316 | — | — | — | 16 |
| Sepsis with MCC | $22,249 | $13,837 | 161% | — | 6 |
| Shoulder arthroscopy, subacromial decompression | $1,046 | — | — | — | 6 |
| Simple pneumonia and pleurisy, with CC | $9,231 | $5,177 | 178% | — | 6 |
| Sleep study (polysomnography) | $3,577 | $877 | 408% | — | 16 |
| Stroke (hemorrhage/infarction), no CC/MCC | $7,839 | $3,679 | 213% | — | 6 |
| Stroke (hemorrhage/infarction), with CC or tPA | $11,572 | $6,559 | 176% | — | 6 |
| Thyroid stimulating hormone (TSH) | $85 | $17 | 504% | — | 16 |
| Tonsillectomy and adenoidectomy, under age 12 | $4,626 | $6,048 | 76% | — | 6 |
| Transforaminal epidural, lumbar/sacral | $1,801 | $904 | 199% | — | 16 |
| Ultrasound, abdomen, complete | $790 | $107 | 740% | — | 16 |
| Ultrasound, transvaginal | $564 | $107 | 528% | — | 16 |
| Upper GI endoscopy with biopsy | $1,453 | $927 | 157% | — | 16 |
| Upper GI endoscopy, diagnostic | $1,155 | $927 | 125% | — | 16 |
| Urinalysis, automated, with microscopy | $54 | $3 | 1701% | — | 16 |
| Urinalysis, automated, without microscopy | $26 | $2 | 1177% | — | 16 |
| Urinalysis, manual, with microscopy | $16 | $4 | 400% | — | 6 |
| Urinalysis, manual, without microscopy | $55 | $3 | 1591% | — | 16 |
| Vaginal delivery, no sterilization, no CC/MCC | $10,080 | — | — | — | 6 |
| Vaginal delivery, no sterilization, with CC | $10,080 | — | — | — | 6 |
| X-ray, lower back, 4+ views | $312 | $107 | 292% | — | 16 |
| YAG laser capsulotomy (secondary cataract) | $1,765 | $562 | 314% | — | 6 |