| Acute myocardial infarction, discharged alive, with MCCMS-DRG 280 | $28,879 | $12,270 | 235% | — | 19 |
| Bariatric (obesity) surgery, no CC/MCCMS-DRG 621 | $26,137 | $8,272 | 316% | — | 19 |
| Basic metabolic panelCPT 80048 | $111 | $8 | 1312% | ~$45 | 39 |
| COPD with MCCMS-DRG 190 | $20,966 | $8,200 | 256% | — | 19 |
| CT abdomen and pelvis with contrastCPT 74177 | $4,768 | $364 | 1309% | ~$2,073 | 40 |
| CT head without contrastCPT 70450 | $1,841 | $109 | 1686% | ~$800 | 40 |
| CT pelvis with contrastCPT 72193 | $2,052 | $183 | 1121% | ~$892 | 40 |
| Cardiac arrhythmia, no CC/MCCMS-DRG 310 | $11,217 | $4,042 | 278% | — | 19 |
| Cardiac stress testCPT 93017 | $995 | $225 | 441% | $432 | 40 |
| Cardiac valve surgery with cardiac cath, with MCCMS-DRG 216 | $156,632 | — | — | — | 19 |
| Cataract surgery with IOL insertionCPT 66984 | $4,820 | $2,410 | 200% | — | 11 |
| Cellulitis, no MCCMS-DRG 603 | $16,976 | $6,670 | 255% | — | 19 |
| Cervical spinal fusion, no CC/MCCMS-DRG 473 | $39,961 | $16,343 | 245% | — | 19 |
| Cesarean section, no CC/MCCMS-DRG 788 | $17,633 | — | — | — | 19 |
| Cesarean section, with CCMS-DRG 787 | $20,032 | — | — | — | 19 |
| Chest painMS-DRG 313 | $14,035 | $5,251 | 267% | — | 19 |
| Colonoscopy with biopsyCPT 45380 | $2,499 | $1,250 | 200% | — | 11 |
| Colonoscopy with endoscopic ultrasoundCPT 45391 | $2,130 | $1,250 | 170% | $721 | 41 |
| Colonoscopy with polyp removalCPT 45385 | $2,499 | $1,250 | 200% | — | 11 |
| Colonoscopy, diagnosticCPT 45378 | $1,942 | $971 | 200% | — | 11 |
| Complete blood count with differentialCPT 85025 | $116 | $8 | 1493% | ~$47 | 39 |
| Complete blood count, automatedCPT 85027 | $47 | $6 | 723% | ~$16 | 39 |
| Comprehensive metabolic panelCPT 80053 | $91 | $11 | 865% | ~$34 | 39 |
| Coronary bypass without cardiac cath, no MCCMS-DRG 236 | $67,067 | $25,488 | 263% | — | 19 |
| Diagnostic mammography, both breastsCPT 77066 | $306 | — | — | — | 9 |
| Diagnostic mammography, one breastCPT 77065 | $241 | — | — | — | 9 |
| ED visit, level 3CPT 99283 | $794 | $285 | 279% | $345 | 40 |
| ED visit, level 4CPT 99284 | $1,441 | $436 | 331% | $626 | 40 |
| ED visit, level 5CPT 99285 | $2,484 | $622 | 399% | $1,080 | 40 |
| Echocardiogram, completeCPT 93306 | $1,854 | $571 | 325% | $806 | 40 |
| Epidural injection, lumbar/sacral, no imagingCPT 62322 | $948 | $924 | 103% | $321 | 41 |
| Esophagitis/GI disorders, no MCCMS-DRG 392 | $15,197 | $6,062 | 251% | — | 19 |
| Excision of breast lesionCPT 19120 | $8,178 | $4,089 | 200% | — | 11 |
| Family psychotherapy, with patientCPT 90847 | $144 | $185 | 77% | $47 | 40 |
| Family psychotherapy, without patientCPT 90846 | $155 | $185 | 84% | $52 | 40 |
| Group psychotherapyCPT 90853 | $145 | $106 | 137% | $49 | 40 |
| Heart failure and shock, with CCMS-DRG 292 | $16,550 | $6,749 | 245% | — | 19 |
| Heart failure with MCCMS-DRG 291 | $23,741 | $9,523 | 249% | — | 19 |
| Hip and femur procedures except major joint, with CCMS-DRG 481 | $35,496 | $15,354 | 231% | — | 19 |
| Hysterectomy, no CC/MCCMS-DRG 743 | $22,121 | $10,098 | 219% | — | 19 |
| Inguinal hernia repair, age 5+CPT 49505 | $7,478 | $3,739 | 200% | — | 11 |
| Kidney and urinary tract infections, no MCCMS-DRG 690 | $15,780 | $6,335 | 249% | — | 19 |
| Kidney function panelCPT 80069 | $98 | $9 | 1123% | ~$40 | 39 |
| Knee arthroscopy with meniscectomyCPT 29881 | $6,834 | $3,417 | 200% | — | 11 |
| Laparoscopic cholecystectomyCPT 47562 | $12,626 | $6,313 | 200% | — | 11 |
| Laparoscopic cholecystectomy, no CC/MCCMS-DRG 419 | $23,936 | $8,977 | 267% | — | 19 |
| Laparoscopic radical prostatectomyCPT 55866 | $22,201 | $11,101 | 200% | — | 11 |
| Left heart catheterization, diagnosticCPT 93452 | $7,887 | $3,385 | 233% | $2,668 | 40 |
| Lipid panelCPT 80061 | $29 | $13 | 215% | ~$10 | 39 |
| Liver function panelCPT 80076 | $97 | $8 | 1187% | ~$39 | 39 |
| Lumbar epidural steroid injectionCPT 62323 | $1,251 | $737 | 170% | $423 | 41 |
| MRI brain with and without contrastCPT 70553 | $3,903 | $364 | 1071% | ~$1,321 | 40 |
| MRI lower extremity joint (knee)CPT 73721 | $2,583 | $249 | 1036% | ~$1,123 | 40 |
| MRI lumbar spine without contrastCPT 72148 | $2,692 | $249 | 1080% | ~$1,135 | 40 |
| Major joint replacement (hip/knee), no MCCMS-DRG 470 | $32,605 | $14,243 | 229% | — | 19 |
| Major joint replacement (hip/knee), with MCCMS-DRG 469 | $53,718 | $22,346 | 240% | — | 19 |
| Major small and large bowel procedures, with CCMS-DRG 330 | $39,904 | $16,202 | 246% | — | 19 |
| Medical back problems, no MCCMS-DRG 552 | $18,536 | $7,206 | 257% | — | 19 |
| OB ultrasound, 14+ weeksCPT 76805 | $672 | $109 | 616% | ~$292 | 40 |
| Obstetric blood test panelCPT 80055 | $96 | $48 | 200% | — | 9 |
| Office visit, established patient, level 3CPT 99213 | $133 | — | — | $45 | 35 |
| Office visit, established patient, level 4CPT 99214 | $91 | — | — | $31 | 35 |
| Office visit, new patient, level 3CPT 99203 | $160 | — | — | $54 | 35 |
| Office visit, new patient, level 4CPT 99204 | $118 | — | — | $40 | 35 |
| Office visit, new patient, level 5CPT 99205 | $180 | — | — | $61 | 35 |
| PSA (prostate specific antigen), totalCPT 84153 | $44 | $18 | 241% | ~$15 | 39 |
| Partial thromboplastin timeCPT 85730 | $98 | $6 | 1631% | ~$40 | 39 |
| Physical therapy, therapeutic exerciseCPT 97110 | $98 | — | — | $40 | 39 |
| Prostate biopsyCPT 55700 | $1,116 | — | — | $378 | 36 |
| Prothrombin timeCPT 85610 | $76 | $4 | 1772% | ~$31 | 39 |
| Psychotherapy, 30 minutesCPT 90832 | $129 | $185 | 69% | $42 | 40 |
| Psychotherapy, 45 minutesCPT 90834 | $180 | $185 | 97% | $61 | 40 |
| Psychotherapy, 60 minutesCPT 90837 | $333 | $185 | 180% | $113 | 40 |
| Renal failure, with CCMS-DRG 683 | $17,072 | $6,611 | 258% | — | 19 |
| Screening mammography, bilateralCPT 77067 | $245 | — | — | — | 9 |
| Sepsis with MCCMS-DRG 871 | $33,774 | $13,892 | 243% | — | 19 |
| Simple pneumonia and pleurisy, with CCMS-DRG 194 | $15,709 | $6,348 | 247% | — | 19 |
| Sleep study (polysomnography)CPT 95810 | $1,569 | $897 | 175% | — | 17 |
| Stroke (hemorrhage/infarction), no CC/MCCMS-DRG 066 | $13,399 | $5,068 | 264% | — | 19 |
| Stroke (hemorrhage/infarction), with CC or tPAMS-DRG 065 | $19,346 | $7,874 | 246% | — | 19 |
| Thyroid stimulating hormone (TSH)CPT 84443 | $98 | $17 | 584% | ~$33 | 39 |
| Tonsillectomy and adenoidectomy, under age 12CPT 42820 | $12,364 | $6,182 | 200% | — | 11 |
| Transforaminal epidural, lumbar/sacralCPT 64483 | $1,608 | $924 | 174% | $544 | 41 |
| Ultrasound, abdomen, completeCPT 76700 | $1,102 | $109 | 1010% | ~$479 | 40 |
| Ultrasound, transvaginalCPT 76830 | $782 | $109 | 717% | ~$340 | 40 |
| Upper GI endoscopy with biopsyCPT 43239 | $1,894 | $947 | 200% | — | 11 |
| Upper GI endoscopy, diagnosticCPT 43235 | $1,894 | $947 | 200% | — | 11 |
| Urinalysis, automated, with microscopyCPT 81001 | $82 | $3 | 2603% | ~$34 | 39 |
| Urinalysis, automated, without microscopyCPT 81003 | $27 | $2 | 1200% | ~$11 | 39 |
| Urinalysis, manual, with microscopyCPT 81000 | $11 | $4 | 269% | ~$4 | 39 |
| Urinalysis, manual, without microscopyCPT 81002 | $20 | $3 | 569% | ~$7 | 39 |
| Vaginal delivery, no sterilization, no CC/MCCMS-DRG 807 | $13,142 | — | — | — | 19 |
| Vaginal delivery, no sterilization, with CCMS-DRG 806 | $14,698 | — | — | — | 19 |
| X-ray, lower back, 4+ viewsCPT 72110 | $642 | $109 | 588% | ~$279 | 40 |
| YAG laser capsulotomy (secondary cataract)CPT 66821 | $1,149 | $574 | 200% | $390 | 41 |