| Acute myocardial infarction, discharged alive, with MCCMS-DRG 280 | $33,583 | $11,217 | 299% | — | 15 |
| Bariatric (obesity) surgery, no CC/MCCMS-DRG 621 | $30,397 | $8,272 | 367% | — | 17 |
| Basic metabolic panelCPT 80048 | $126 | $8 | 1494% | ~$64 | 26 |
| COPD with MCCMS-DRG 190 | $22,977 | $7,377 | 311% | — | 17 |
| CT abdomen and pelvis with contrastCPT 74177 | $3,713 | $364 | 1019% | ~$1,888 | 26 |
| CT head without contrastCPT 70450 | $2,176 | $109 | 1993% | ~$1,106 | 26 |
| CT pelvis with contrastCPT 72193 | $3,869 | $183 | 2112% | ~$1,968 | 26 |
| Cardiac arrhythmia, no CC/MCCMS-DRG 310 | $11,447 | $3,269 | 350% | — | 17 |
| Cardiac stress testCPT 93017 | $1,287 | $225 | 571% | $627 | 26 |
| Cardiac valve surgery with cardiac cath, with MCCMS-DRG 216 | $197,462 | — | — | — | 15 |
| Cataract surgery with IOL insertionCPT 66984 | $6,390 | $2,410 | 265% | — | 10 |
| Cellulitis, no MCCMS-DRG 603 | $18,021 | $5,573 | 323% | — | 17 |
| Cervical spinal fusion, no CC/MCCMS-DRG 473 | $48,437 | $16,343 | 296% | — | 17 |
| Cesarean section, no CC/MCCMS-DRG 788 | $17,076 | — | — | — | 17 |
| Cesarean section, with CCMS-DRG 787 | $20,041 | — | — | — | 17 |
| Chest painMS-DRG 313 | $14,596 | — | — | — | 17 |
| Colonoscopy with biopsyCPT 45380 | $2,016 | $1,250 | 161% | — | 4 |
| Colonoscopy with endoscopic ultrasoundCPT 45391 | $2,663 | $1,250 | 213% | — | 4 |
| Colonoscopy with polyp removalCPT 45385 | $2,016 | $1,250 | 161% | — | 4 |
| Colonoscopy, diagnosticCPT 45378 | $1,715 | $971 | 177% | — | 4 |
| Complete blood count with differentialCPT 85025 | $58 | $8 | 744% | ~$29 | 26 |
| Complete blood count, automatedCPT 85027 | $41 | $6 | 631% | ~$21 | 26 |
| Comprehensive metabolic panelCPT 80053 | $159 | $11 | 1504% | ~$81 | 26 |
| Coronary bypass without cardiac cath, no MCCMS-DRG 236 | $84,134 | $29,950 | 281% | — | 15 |
| Diagnostic mammography, both breastsCPT 77066 | $253 | — | — | ~$123 | 26 |
| Diagnostic mammography, one breastCPT 77065 | $174 | — | — | ~$82 | 26 |
| ED visit, level 3CPT 99283 | $1,470 | $285 | 516% | $694 | 26 |
| ED visit, level 4CPT 99284 | $2,415 | $436 | 554% | $1,140 | 26 |
| ED visit, level 5CPT 99285 | $3,500 | $622 | 563% | $1,652 | 26 |
| Echocardiogram, completeCPT 93306 | $1,675 | $571 | 294% | $816 | 26 |
| Electrocardiogram with interpretationCPT 93000 | $13 | — | — | — | 1 |
| Epidural injection, lumbar/sacral, no imagingCPT 62322 | $896 | $924 | 97% | $406 | 26 |
| Esophagitis/GI disorders, no MCCMS-DRG 392 | $15,965 | $5,067 | 315% | — | 17 |
| Excision of breast lesionCPT 19120 | $8,648 | $4,089 | 212% | — | 4 |
| Family psychotherapy, with patientCPT 90847 | $363 | $185 | 196% | — | 3 |
| Family psychotherapy, without patientCPT 90846 | $363 | $185 | 196% | — | 3 |
| Group psychotherapyCPT 90853 | $209 | $106 | 197% | — | 3 |
| Heart failure and shock, with CCMS-DRG 292 | $17,620 | $5,927 | 297% | — | 17 |
| Heart failure with MCCMS-DRG 291 | $26,696 | $8,782 | 304% | — | 17 |
| Hip and femur procedures except major joint, with CCMS-DRG 481 | $42,452 | $13,392 | 317% | — | 17 |
| Hysterectomy, no CC/MCCMS-DRG 743 | $24,525 | $10,098 | 243% | — | 17 |
| Inguinal hernia repair, age 5+CPT 49505 | $7,732 | $3,739 | 207% | $3,540 | 26 |
| Kidney and urinary tract infections, no MCCMS-DRG 690 | $16,421 | $5,541 | 296% | — | 17 |
| Kidney function panelCPT 80069 | $141 | $9 | 1620% | ~$72 | 26 |
| Knee arthroscopy with meniscectomyCPT 29881 | $7,328 | $3,417 | 214% | — | 4 |
| Laparoscopic cholecystectomyCPT 47562 | $13,177 | $6,313 | 209% | — | 4 |
| Laparoscopic cholecystectomy, no CC/MCCMS-DRG 419 | $26,958 | $8,977 | 300% | — | 17 |
| Laparoscopic radical prostatectomyCPT 55866 | $23,514 | $11,101 | 212% | — | 4 |
| Left heart catheterization, diagnosticCPT 93452 | $9,657 | $3,385 | 285% | $4,702 | 26 |
| Lipid panelCPT 80061 | $30 | $13 | 226% | ~$14 | 26 |
| Liver function panelCPT 80076 | $121 | $8 | 1486% | ~$62 | 26 |
| Lumbar epidural steroid injectionCPT 62323 | $1,230 | $737 | 167% | $580 | 26 |
| MRI brain with and without contrastCPT 70553 | $3,568 | $364 | 979% | ~$1,814 | 26 |
| MRI lower extremity joint (knee)CPT 73721 | $3,024 | $249 | 1214% | ~$1,522 | 26 |
| MRI lumbar spine without contrastCPT 72148 | $2,058 | $249 | 826% | ~$1,046 | 26 |
| Major joint replacement (hip/knee), no MCCMS-DRG 470 | $38,577 | $13,045 | 296% | — | 17 |
| Major joint replacement (hip/knee), with MCCMS-DRG 469 | $66,878 | $22,346 | 299% | — | 17 |
| Major small and large bowel procedures, with CCMS-DRG 330 | $48,361 | $16,202 | 298% | — | 17 |
| Medical back problems, no MCCMS-DRG 552 | $19,719 | $6,052 | 326% | — | 17 |
| OB global care, VBAC deliveryCPT 59610 | $2,517 | — | — | — | 7 |
| OB global care, cesarean deliveryCPT 59510 | $2,666 | — | — | — | 7 |
| OB global care, vaginal deliveryCPT 59400 | $2,590 | — | — | — | 6 |
| OB ultrasound, 14+ weeksCPT 76805 | $533 | $109 | 488% | ~$268 | 26 |
| Obstetric blood test panelCPT 80055 | $283 | $48 | 592% | ~$144 | 26 |
| Office consultation, comprehensiveCPT 99244 | $40 | — | — | $19 | 24 |
| Office consultation, moderateCPT 99243 | $83 | — | — | — | 1 |
| Office visit, established patient, level 3CPT 99213 | $62 | — | — | — | 1 |
| Office visit, established patient, level 4CPT 99214 | $92 | — | — | — | 1 |
| Office visit, new patient, level 3CPT 99203 | $78 | — | — | — | 1 |
| Office visit, new patient, level 4CPT 99204 | $127 | — | — | — | 1 |
| Office visit, new patient, level 5CPT 99205 | $172 | — | — | — | 1 |
| PSA (prostate specific antigen), totalCPT 84153 | $27 | $18 | 149% | ~$13 | 26 |
| Partial thromboplastin timeCPT 85730 | $53 | $6 | 875% | ~$27 | 26 |
| Percutaneous cardiac stent, no MCCMS-DRG 247 | $41,151 | — | — | — | 6 |
| Physical therapy, therapeutic exerciseCPT 97110 | $89 | — | — | $44 | 26 |
| Preventive visit, new patient, 18-39CPT 99385 | $88 | — | — | — | 1 |
| Preventive visit, new patient, 40-64CPT 99386 | $107 | — | — | — | 1 |
| Prostate biopsyCPT 55700 | $4,671 | — | — | $2,237 | 26 |
| Prothrombin timeCPT 85610 | $41 | $4 | 963% | ~$21 | 26 |
| Psychotherapy, 30 minutesCPT 90832 | $363 | $185 | 196% | — | 3 |
| Psychotherapy, 45 minutesCPT 90834 | $363 | $185 | 196% | — | 3 |
| Psychotherapy, 60 minutesCPT 90837 | $363 | $185 | 196% | — | 3 |
| Renal failure, with CCMS-DRG 683 | $18,187 | $5,947 | 306% | — | 17 |
| Screening mammography, bilateralCPT 77067 | $234 | — | — | ~$114 | 26 |
| Sepsis with MCCMS-DRG 871 | $40,145 | $12,685 | 316% | — | 17 |
| Shoulder arthroscopy, subacromial decompressionCPT 29826 | $1,325 | — | — | — | 2 |
| Simple pneumonia and pleurisy, with CCMS-DRG 194 | $16,777 | $5,298 | 317% | — | 17 |
| Sleep study (polysomnography)CPT 95810 | $2,298 | $897 | 256% | $1,088 | 26 |
| Spinal fusion except cervical, no MCCMS-DRG 460 | $75,739 | $25,413 | 298% | — | 8 |
| Spinal fusion except cervical, with MCCMS-DRG 459 | $137,228 | $51,127 | 268% | — | 8 |
| Stroke (hemorrhage/infarction), no CC/MCCMS-DRG 066 | $14,083 | $3,679 | 383% | — | 17 |
| Stroke (hemorrhage/infarction), with CC or tPAMS-DRG 065 | $20,806 | $6,559 | 317% | — | 17 |
| Thyroid stimulating hormone (TSH)CPT 84443 | $42 | $17 | 248% | ~$20 | 26 |
| Tonsillectomy and adenoidectomy, under age 12CPT 42820 | $11,026 | $6,182 | 178% | — | 4 |
| Transforaminal epidural, lumbar/sacralCPT 64483 | $1,618 | $924 | 175% | $722 | 26 |
| Ultrasound, abdomen, completeCPT 76700 | $998 | $109 | 914% | ~$508 | 26 |
| Ultrasound, transvaginalCPT 76830 | $624 | $109 | 571% | ~$314 | 26 |
| Upper GI endoscopy with biopsyCPT 43239 | $2,117 | $947 | 224% | — | 4 |
| Upper GI endoscopy, diagnosticCPT 43235 | $2,068 | $947 | 218% | $953 | 26 |
| Urinalysis, automated, with microscopyCPT 81001 | $35 | $3 | 1093% | ~$18 | 26 |
| Urinalysis, automated, without microscopyCPT 81003 | $49 | $2 | 2185% | ~$25 | 26 |
| Urinalysis, manual, with microscopyCPT 81000 | $5 | $4 | 122% | — | 7 |
| Urinalysis, manual, without microscopyCPT 81002 | $27 | $3 | 777% | ~$14 | 26 |
| Vaginal delivery, no sterilization, no CC/MCCMS-DRG 807 | $13,039 | — | — | — | 17 |
| Vaginal delivery, no sterilization, with CCMS-DRG 806 | $14,805 | — | — | — | 17 |
| X-ray, lower back, 4+ viewsCPT 72110 | $723 | $109 | 662% | ~$368 | 26 |
| YAG laser capsulotomy (secondary cataract)CPT 66821 | $1,239 | $574 | 216% | — | 4 |