| Acute myocardial infarction, discharged alive, with MCC | $38,452 | $11,217 | 343% | — | 2 |
| Bariatric (obesity) surgery, no CC/MCC | $32,438 | $8,272 | 392% | — | 3 |
| Basic metabolic panel | $159 | $8 | 1879% | — | 14 |
| COPD with MCC | $26,313 | $7,377 | 357% | — | 2 |
| CT abdomen and pelvis with contrast | $3,648 | $356 | 1023% | — | 14 |
| CT head without contrast | $2,029 | $107 | 1900% | — | 14 |
| CT pelvis with contrast | $2,525 | $179 | 1409% | — | 14 |
| Cardiac arrhythmia, no CC/MCC | $13,106 | $3,269 | 401% | — | 2 |
| Cardiac stress test | $1,007 | $221 | 457% | — | 14 |
| Cardiac valve surgery with cardiac cath, with MCC | $226,061 | — | — | — | 2 |
| Cataract surgery with IOL insertion | $4,500 | $2,358 | 191% | — | 1 |
| Cellulitis, no MCC | $20,635 | $5,675 | 364% | — | 2 |
| Cervical spinal fusion, no CC/MCC | $55,451 | $16,343 | 339% | — | 2 |
| Cesarean section, no CC/MCC | $25,531 | — | — | — | 3 |
| Cesarean section, with CC | $25,531 | — | — | — | 3 |
| Chest pain | $16,709 | — | — | — | 2 |
| Colonoscopy with biopsy | $1,636 | $1,223 | 134% | — | 1 |
| Colonoscopy with endoscopic ultrasound | $2,091 | $1,223 | 171% | — | 1 |
| Colonoscopy with polyp removal | $2,062 | $1,223 | 169% | — | 1 |
| Colonoscopy, diagnostic | $1,540 | $950 | 162% | — | 1 |
| Complete blood count with differential | $86 | $8 | 1100% | — | 14 |
| Complete blood count, automated | $73 | $6 | 1135% | — | 14 |
| Comprehensive metabolic panel | $144 | $11 | 1366% | — | 14 |
| Coronary bypass without cardiac cath, no MCC | $96,319 | $29,950 | 322% | — | 2 |
| Diagnostic mammography, both breasts | $734 | — | — | — | 14 |
| Diagnostic mammography, one breast | $570 | — | — | — | 14 |
| ED visit, level 3 | $1,359 | $279 | 487% | — | 14 |
| ED visit, level 4 | $2,454 | $426 | 576% | — | 14 |
| ED visit, level 5 | $4,733 | $608 | 778% | — | 14 |
| Echocardiogram, complete | $2,359 | $558 | 423% | — | 14 |
| Electrocardiogram with interpretation | $120 | — | — | — | 1 |
| Epidural injection, lumbar/sacral, no imaging | $1,618 | $904 | 179% | — | 14 |
| Esophagitis/GI disorders, no MCC | $18,279 | $4,899 | 373% | — | 2 |
| Excision of breast lesion | $3,495 | $4,000 | 87% | — | 1 |
| Family psychotherapy, with patient | $871 | $181 | 481% | — | 1 |
| Family psychotherapy, without patient | $836 | $181 | 461% | — | 1 |
| Group psychotherapy | $206 | $104 | 198% | — | 1 |
| Heart failure and shock, with CC | $20,176 | $5,927 | 340% | — | 2 |
| Heart failure with MCC | $30,567 | $8,962 | 341% | — | 2 |
| Hip and femur procedures except major joint, with CC | $48,605 | $13,876 | 350% | — | 2 |
| Hysterectomy, no CC/MCC | $28,077 | $10,098 | 278% | — | 2 |
| Inguinal hernia repair, age 5+ | $4,349 | $3,658 | 119% | — | 1 |
| Kidney and urinary tract infections, no MCC | $18,801 | $5,238 | 359% | — | 2 |
| Kidney function panel | $146 | $9 | 1687% | — | 14 |
| Knee arthroscopy with meniscectomy | $4,598 | $3,343 | 138% | — | 1 |
| Laparoscopic cholecystectomy | $5,461 | $6,176 | 88% | — | 1 |
| Laparoscopic cholecystectomy, no CC/MCC | $30,865 | $8,977 | 344% | — | 2 |
| Laparoscopic radical prostatectomy | $9,807 | $10,860 | 90% | — | 1 |
| Left heart catheterization, diagnostic | $5,378 | $3,312 | 162% | — | 1 |
| Lipid panel | $183 | $13 | 1367% | — | 14 |
| Liver function panel | $163 | $8 | 1992% | — | 14 |
| Lumbar epidural steroid injection | $1,438 | $721 | 199% | — | 14 |
| MRI brain with and without contrast | $5,853 | $356 | 1642% | — | 14 |
| MRI lower extremity joint (knee) | $4,008 | $244 | 1644% | — | 14 |
| MRI lumbar spine without contrast | $2,955 | $244 | 1212% | — | 14 |
| Major joint replacement (hip/knee), no MCC | $44,168 | $13,045 | 339% | — | 2 |
| Major joint replacement (hip/knee), with MCC | $76,565 | $22,346 | 343% | — | 2 |
| Major small and large bowel procedures, with CC | $55,370 | $16,202 | 342% | — | 2 |
| Medical back problems, no MCC | $22,577 | $6,142 | 368% | — | 2 |
| OB global care, VBAC delivery | $20,670 | — | — | — | 1 |
| OB global care, cesarean delivery | $21,928 | — | — | — | 1 |
| OB global care, vaginal delivery | $19,802 | — | — | — | 1 |
| OB ultrasound, 14+ weeks | $1,110 | $107 | 1039% | — | 14 |
| Obstetric blood test panel | $133 | $48 | 278% | — | 2 |
| Office visit, established patient, level 3 | $543 | — | — | — | 1 |
| Office visit, established patient, level 4 | $799 | — | — | — | 1 |
| Office visit, new patient, level 3 | $673 | — | — | — | 1 |
| Office visit, new patient, level 4 | $1,097 | — | — | — | 1 |
| Office visit, new patient, level 5 | $1,493 | — | — | — | 1 |
| PSA (prostate specific antigen), total | $232 | $18 | 1263% | — | 14 |
| Partial thromboplastin time | $79 | $6 | 1311% | — | 14 |
| Physical therapy, therapeutic exercise | $116 | — | — | — | 14 |
| Preventive visit, new patient, 18-39 | $38 | — | — | — | 14 |
| Preventive visit, new patient, 40-64 | $38 | — | — | — | 14 |
| Prostate biopsy | $1,058 | — | — | — | 1 |
| Prothrombin time | $64 | $4 | 1495% | — | 14 |
| Psychotherapy, 30 minutes | $585 | $181 | 323% | — | 1 |
| Psychotherapy, 45 minutes | $772 | $181 | 426% | — | 1 |
| Psychotherapy, 60 minutes | $1,143 | $181 | 630% | — | 1 |
| Renal failure, with CC | $20,822 | $5,892 | 353% | — | 2 |
| Screening mammography, bilateral | $602 | — | — | — | 14 |
| Sepsis with MCC | $45,967 | $13,837 | 332% | — | 2 |
| Shoulder arthroscopy, subacromial decompression | $1,403 | — | — | — | 1 |
| Simple pneumonia and pleurisy, with CC | $19,209 | $5,177 | 371% | — | 2 |
| Sleep study (polysomnography) | $5,134 | $877 | 585% | — | 14 |
| Stroke (hemorrhage/infarction), no CC/MCC | $16,123 | $3,679 | 438% | — | 2 |
| Stroke (hemorrhage/infarction), with CC or tPA | $23,823 | $6,559 | 363% | — | 2 |
| Thyroid stimulating hormone (TSH) | $193 | $17 | 1148% | — | 14 |
| Tonsillectomy and adenoidectomy, under age 12 | $2,459 | $6,048 | 41% | — | 1 |
| Transforaminal epidural, lumbar/sacral | $3,624 | $904 | 401% | — | 14 |
| Ultrasound, abdomen, complete | $1,433 | $107 | 1342% | — | 14 |
| Ultrasound, transvaginal | $727 | $107 | 681% | — | 14 |
| Upper GI endoscopy with biopsy | $1,128 | $927 | 122% | — | 1 |
| Upper GI endoscopy, diagnostic | $1,004 | $927 | 108% | — | 1 |
| Urinalysis, automated, with microscopy | $95 | $3 | 2991% | — | 14 |
| Urinalysis, automated, without microscopy | $52 | $2 | 2315% | — | 14 |
| Urinalysis, manual, with microscopy | $9 | $4 | 227% | — | 2 |
| Urinalysis, manual, without microscopy | $30 | $3 | 861% | — | 14 |
| Vaginal delivery, no sterilization, no CC/MCC | $9,218 | — | — | — | 3 |
| Vaginal delivery, no sterilization, with CC | $9,218 | — | — | — | 3 |
| X-ray, lower back, 4+ views | $837 | $107 | 784% | — | 14 |
| YAG laser capsulotomy (secondary cataract) | $2,591 | $562 | 461% | — | 1 |