| Acute myocardial infarction, discharged alive, with MCCMS-DRG 280 | $23,103 | $15,000 | 154% | — | 8 |
| Bariatric (obesity) surgery, no CC/MCCMS-DRG 621 | $21,908 | $8,272 | 265% | — | 8 |
| Basic metabolic panelCPT 80048 | $423 | $8 | 5000% | ~$133 | 27 |
| COPD with MCCMS-DRG 190 | $16,904 | $11,372 | 149% | — | 8 |
| CT abdomen and pelvis with contrastCPT 74177 | $5,526 | $364 | 1517% | ~$1,731 | 28 |
| CT head without contrastCPT 70450 | $2,389 | $109 | 2188% | ~$719 | 28 |
| CT pelvis with contrastCPT 72193 | $2,779 | $183 | 1517% | ~$836 | 26 |
| Cardiac arrhythmia, no CC/MCCMS-DRG 310 | $9,897 | $7,697 | 129% | — | 8 |
| Cardiac stress testCPT 93017 | $1,350 | $225 | 599% | $387 | 28 |
| Cardiac valve surgery with cardiac cath, with MCCMS-DRG 216 | $125,239 | — | — | — | 8 |
| Cataract surgery with IOL insertionCPT 66984 | $3,728 | $2,410 | 155% | — | 4 |
| Cellulitis, no MCCMS-DRG 603 | $13,683 | $9,095 | 150% | — | 8 |
| Cervical spinal fusion, no CC/MCCMS-DRG 473 | $33,558 | $16,343 | 205% | — | 8 |
| Cesarean section, no CC/MCCMS-DRG 788 | $15,044 | — | — | — | 8 |
| Cesarean section, with CCMS-DRG 787 | $17,018 | — | — | — | 8 |
| Chest painMS-DRG 313 | $11,814 | $8,861 | 133% | — | 8 |
| Colonoscopy with biopsyCPT 45380 | $1,694 | $1,250 | 136% | — | 4 |
| Colonoscopy with endoscopic ultrasoundCPT 45391 | $1,694 | $1,250 | 136% | — | 4 |
| Colonoscopy with polyp removalCPT 45385 | $1,694 | $1,250 | 136% | — | 4 |
| Colonoscopy, diagnosticCPT 45378 | $1,543 | $971 | 159% | — | 4 |
| Complete blood count with differentialCPT 85025 | $165 | $8 | 2128% | ~$52 | 28 |
| Complete blood count, automatedCPT 85027 | $127 | $6 | 1963% | ~$40 | 28 |
| Comprehensive metabolic panelCPT 80053 | $408 | $11 | 3865% | ~$128 | 27 |
| Coronary bypass without cardiac cath, no MCCMS-DRG 236 | $55,381 | $29,950 | 185% | — | 8 |
| Diagnostic mammography, both breastsCPT 77066 | $442 | — | — | ~$138 | 28 |
| Diagnostic mammography, one breastCPT 77065 | $213 | — | — | ~$66 | 27 |
| ED visit, level 3CPT 99283 | $1,841 | $285 | 646% | $494 | 28 |
| ED visit, level 4CPT 99284 | $2,050 | $436 | 470% | $550 | 28 |
| ED visit, level 5CPT 99285 | $2,296 | $622 | 369% | $617 | 28 |
| Echocardiogram, completeCPT 93306 | $2,458 | $571 | 431% | $685 | 28 |
| Electrocardiogram with interpretationCPT 93000 | $17 | — | — | — | 2 |
| Epidural injection, lumbar/sacral, no imagingCPT 62322 | $1,177 | $924 | 127% | — | 4 |
| Esophagitis/GI disorders, no MCCMS-DRG 392 | $12,557 | $8,904 | 141% | — | 8 |
| Excision of breast lesionCPT 19120 | $4,634 | $4,089 | 113% | — | 4 |
| Family psychotherapy, with patientCPT 90847 | $459 | $185 | 247% | $128 | 24 |
| Family psychotherapy, without patientCPT 90846 | $263 | $185 | 142% | $73 | 24 |
| Group psychotherapyCPT 90853 | $459 | $106 | 432% | $128 | 24 |
| Heart failure and shock, with CCMS-DRG 292 | $13,414 | $5,927 | 226% | — | 8 |
| Heart failure with MCCMS-DRG 291 | $19,103 | $12,592 | 152% | — | 8 |
| Hip and femur procedures except major joint, with CCMS-DRG 481 | $29,227 | $18,897 | 155% | — | 8 |
| Hysterectomy, no CC/MCCMS-DRG 743 | $18,565 | $10,098 | 184% | — | 8 |
| Inguinal hernia repair, age 5+CPT 49505 | $4,875 | $3,739 | 130% | — | 4 |
| Kidney and urinary tract infections, no MCCMS-DRG 690 | $12,927 | $9,292 | 139% | — | 8 |
| Kidney function panelCPT 80069 | $404 | $9 | 4659% | ~$122 | 26 |
| Knee arthroscopy with meniscectomyCPT 29881 | $5,711 | $3,417 | 167% | — | 6 |
| Laparoscopic cholecystectomyCPT 47562 | $7,222 | $6,313 | 114% | — | 6 |
| Laparoscopic cholecystectomy, no CC/MCCMS-DRG 419 | $20,127 | $8,977 | 224% | — | 8 |
| Laparoscopic radical prostatectomyCPT 55866 | $14,731 | $11,101 | 133% | — | 4 |
| Left heart catheterization, diagnosticCPT 93452 | $9,848 | $3,385 | 291% | $2,743 | 26 |
| Lipid panelCPT 80061 | $423 | $13 | 3156% | ~$127 | 26 |
| Liver function panelCPT 80076 | $260 | $8 | 3188% | ~$78 | 26 |
| Lumbar epidural steroid injectionCPT 62323 | $1,647 | $737 | 223% | $442 | 26 |
| MRI brain with and without contrastCPT 70553 | $4,936 | $364 | 1355% | ~$1,490 | 28 |
| MRI lower extremity joint (knee)CPT 73721 | $3,801 | $249 | 1525% | ~$1,143 | 26 |
| MRI lumbar spine without contrastCPT 72148 | $2,845 | $249 | 1142% | ~$856 | 26 |
| Major joint replacement (hip/knee), no MCCMS-DRG 470 | $27,159 | $13,045 | 208% | — | 8 |
| Major joint replacement (hip/knee), with MCCMS-DRG 469 | $40,950 | $22,346 | 183% | — | 8 |
| Major small and large bowel procedures, with CCMS-DRG 330 | $33,007 | $16,202 | 204% | — | 8 |
| Medical back problems, no MCCMS-DRG 552 | $15,076 | $10,527 | 143% | — | 8 |
| OB global care, VBAC deliveryCPT 59610 | $2,835 | — | — | — | 2 |
| OB global care, cesarean deliveryCPT 59510 | $3,003 | — | — | — | 2 |
| OB global care, vaginal deliveryCPT 59400 | $2,658 | — | — | — | 2 |
| OB ultrasound, 14+ weeksCPT 76805 | $785 | $109 | 719% | ~$236 | 26 |
| Obstetric blood test panelCPT 80055 | $39 | $48 | 82% | — | 4 |
| Office consultation, comprehensiveCPT 99244 | $176 | — | — | — | 2 |
| Office consultation, moderateCPT 99243 | $123 | — | — | — | 2 |
| Office visit, established patient, level 3CPT 99213 | $192 | — | — | $53 | 27 |
| Office visit, established patient, level 4CPT 99214 | $328 | — | — | $103 | 27 |
| Office visit, new patient, level 3CPT 99203 | $132 | — | — | $36 | 26 |
| Office visit, new patient, level 4CPT 99204 | $168 | — | — | $45 | 27 |
| Office visit, new patient, level 5CPT 99205 | $218 | — | — | $59 | 27 |
| PSA (prostate specific antigen), totalCPT 84153 | $154 | $18 | 838% | ~$46 | 26 |
| Partial thromboplastin timeCPT 85730 | $28 | $6 | 464% | ~$8 | 26 |
| Physical therapy, therapeutic exerciseCPT 97110 | $118 | — | — | $32 | 28 |
| Preventive visit, new patient, 18-39CPT 99385 | $147 | — | — | — | 2 |
| Preventive visit, new patient, 40-64CPT 99386 | $170 | — | — | — | 2 |
| Prostate biopsyCPT 55700 | $531 | — | — | $143 | 24 |
| Prothrombin timeCPT 85610 | $99 | $4 | 2305% | ~$30 | 26 |
| Psychotherapy, 30 minutesCPT 90832 | $153 | $185 | 83% | $41 | 24 |
| Psychotherapy, 45 minutesCPT 90834 | $263 | $185 | 142% | $73 | 24 |
| Psychotherapy, 60 minutesCPT 90837 | $263 | $185 | 142% | $73 | 24 |
| Renal failure, with CCMS-DRG 683 | $13,744 | $9,614 | 143% | — | 8 |
| Screening mammography, bilateralCPT 77067 | $280 | — | — | ~$80 | 28 |
| Sepsis with MCCMS-DRG 871 | $27,329 | $18,214 | 150% | — | 8 |
| Shoulder arthroscopy, subacromial decompressionCPT 29826 | $420 | — | — | — | 6 |
| Simple pneumonia and pleurisy, with CCMS-DRG 194 | $12,883 | $8,974 | 144% | — | 8 |
| Sleep study (polysomnography)CPT 95810 | $5,522 | $897 | 616% | $1,661 | 26 |
| Stroke (hemorrhage/infarction), no CC/MCCMS-DRG 066 | $11,370 | $3,679 | 309% | — | 8 |
| Stroke (hemorrhage/infarction), with CC or tPAMS-DRG 065 | $15,688 | $10,043 | 156% | — | 8 |
| Thyroid stimulating hormone (TSH)CPT 84443 | $195 | $17 | 1163% | ~$59 | 26 |
| Tonsillectomy and adenoidectomy, under age 12CPT 42820 | $5,641 | $6,182 | 91% | — | 4 |
| Transforaminal epidural, lumbar/sacralCPT 64483 | $1,915 | $924 | 207% | $514 | 26 |
| Ultrasound, abdomen, completeCPT 76700 | $2,031 | $109 | 1860% | ~$611 | 26 |
| Ultrasound, transvaginalCPT 76830 | $750 | $109 | 687% | ~$233 | 28 |
| Upper GI endoscopy with biopsyCPT 43239 | $1,530 | $947 | 162% | — | 4 |
| Upper GI endoscopy, diagnosticCPT 43235 | $1,530 | $947 | 162% | — | 4 |
| Urinalysis, automated, with microscopyCPT 81001 | $212 | $3 | 6683% | ~$66 | 27 |
| Urinalysis, automated, without microscopyCPT 81003 | $62 | $2 | 2774% | ~$19 | 26 |
| Urinalysis, manual, with microscopyCPT 81000 | $3 | $4 | 82% | — | 4 |
| Urinalysis, manual, without microscopyCPT 81002 | $3 | $3 | 82% | — | 4 |
| Vaginal delivery, no sterilization, no CC/MCCMS-DRG 807 | $11,243 | — | — | — | 8 |
| Vaginal delivery, no sterilization, with CCMS-DRG 806 | $12,238 | — | — | — | 8 |
| X-ray, lower back, 4+ viewsCPT 72110 | $942 | $109 | 863% | ~$283 | 26 |
| YAG laser capsulotomy (secondary cataract)CPT 66821 | $989 | $574 | 172% | — | 4 |