| Acute myocardial infarction, discharged alive, with MCCMS-DRG 280 | $25,168 | $12,143 | 207% | — | 8 |
| Bariatric (obesity) surgery, no CC/MCCMS-DRG 621 | $23,667 | $8,272 | 286% | — | 8 |
| Basic metabolic panelCPT 80048 | $261 | $8 | 3087% | ~$79 | 26 |
| COPD with MCCMS-DRG 190 | $17,380 | $6,974 | 249% | — | 8 |
| CT abdomen and pelvis with contrastCPT 74177 | $5,471 | $364 | 1502% | ~$1,732 | 28 |
| CT head without contrastCPT 70450 | $2,237 | $109 | 2049% | ~$654 | 27 |
| CT pelvis with contrastCPT 72193 | $2,673 | $183 | 1459% | ~$813 | 26 |
| Cardiac arrhythmia, no CC/MCCMS-DRG 310 | $9,239 | $3,269 | 283% | — | 8 |
| Cardiac stress testCPT 93017 | $1,132 | $225 | 502% | $344 | 26 |
| Cardiac valve surgery with cardiac cath, with MCCMS-DRG 216 | $153,492 | — | — | — | 8 |
| Cataract surgery with IOL insertionCPT 66984 | $3,728 | $2,410 | 155% | — | 4 |
| Cellulitis, no MCCMS-DRG 603 | $13,664 | $7,281 | 188% | — | 8 |
| Cervical spinal fusion, no CC/MCCMS-DRG 473 | $38,304 | $16,343 | 234% | — | 8 |
| Cesarean section, no CC/MCCMS-DRG 788 | $15,044 | — | — | — | 8 |
| Cesarean section, with CCMS-DRG 787 | $17,523 | — | — | — | 8 |
| Chest painMS-DRG 313 | $11,297 | $6,210 | 182% | — | 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 | $168 | $8 | 2162% | ~$53 | 28 |
| Complete blood count, automatedCPT 85027 | $137 | $6 | 2119% | ~$42 | 26 |
| Comprehensive metabolic panelCPT 80053 | $253 | $11 | 2399% | ~$80 | 27 |
| Coronary bypass without cardiac cath, no MCCMS-DRG 236 | $65,722 | $29,950 | 219% | — | 8 |
| Diagnostic mammography, both breastsCPT 77066 | $513 | — | — | ~$156 | 26 |
| Diagnostic mammography, one breastCPT 77065 | $215 | — | — | ~$64 | 26 |
| ED visit, level 3CPT 99283 | $1,929 | $285 | 677% | $524 | 28 |
| ED visit, level 4CPT 99284 | $2,147 | $436 | 493% | $583 | 28 |
| ED visit, level 5CPT 99285 | $2,383 | $622 | 383% | $647 | 28 |
| Echocardiogram, completeCPT 93306 | $1,567 | $571 | 275% | $476 | 26 |
| 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 | $12,232 | $6,578 | 186% | — | 8 |
| Excision of breast lesionCPT 19120 | $4,634 | $4,089 | 113% | — | 4 |
| Family psychotherapy, with patientCPT 90847 | $263 | $185 | 142% | $74 | 24 |
| Family psychotherapy, without patientCPT 90846 | $263 | $185 | 142% | $74 | 24 |
| Group psychotherapyCPT 90853 | $148 | $106 | 139% | $42 | 24 |
| Heart failure and shock, with CCMS-DRG 292 | $13,321 | $5,927 | 225% | — | 8 |
| Heart failure with MCCMS-DRG 291 | $20,143 | $10,587 | 190% | — | 8 |
| Hip and femur procedures except major joint, with CCMS-DRG 481 | $32,863 | $15,003 | 219% | — | 8 |
| Hysterectomy, no CC/MCCMS-DRG 743 | $19,467 | $10,098 | 193% | — | 8 |
| Inguinal hernia repair, age 5+CPT 49505 | $4,875 | $3,739 | 130% | — | 4 |
| Kidney and urinary tract infections, no MCCMS-DRG 690 | $12,701 | $6,913 | 184% | — | 8 |
| Kidney function panelCPT 80069 | $255 | $9 | 2942% | ~$78 | 26 |
| Knee arthroscopy with meniscectomyCPT 29881 | $5,711 | $3,417 | 167% | — | 6 |
| Laparoscopic cholecystectomyCPT 47562 | $7,433 | $6,313 | 118% | — | 6 |
| Laparoscopic cholecystectomy, no CC/MCCMS-DRG 419 | $21,429 | $8,977 | 239% | — | 8 |
| Laparoscopic radical prostatectomyCPT 55866 | $14,731 | $11,101 | 133% | — | 4 |
| Left heart catheterization, diagnosticCPT 93452 | $8,089 | $3,385 | 239% | $2,277 | 26 |
| Lipid panelCPT 80061 | $446 | $13 | 3334% | ~$136 | 26 |
| Liver function panelCPT 80076 | $260 | $8 | 3176% | ~$79 | 26 |
| Lumbar epidural steroid injectionCPT 62323 | $1,647 | $737 | 223% | $447 | 26 |
| MRI brain with and without contrastCPT 70553 | $3,428 | $364 | 941% | ~$1,042 | 26 |
| MRI lower extremity joint (knee)CPT 73721 | $2,655 | $249 | 1066% | ~$807 | 26 |
| MRI lumbar spine without contrastCPT 72148 | $2,282 | $249 | 916% | ~$694 | 26 |
| Major joint replacement (hip/knee), no MCCMS-DRG 470 | $30,264 | $14,543 | 208% | — | 8 |
| Major joint replacement (hip/knee), with MCCMS-DRG 469 | $47,591 | $22,346 | 213% | — | 8 |
| Major small and large bowel procedures, with CCMS-DRG 330 | $37,612 | $16,202 | 232% | — | 8 |
| Medical back problems, no MCCMS-DRG 552 | $15,083 | $7,541 | 200% | — | 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 | $742 | $109 | 679% | ~$225 | 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 | $93 | — | — | $25 | 26 |
| Office visit, established patient, level 4CPT 99214 | $181 | — | — | $49 | 27 |
| Office visit, new patient, level 3CPT 99203 | $84 | — | — | $23 | 26 |
| Office visit, new patient, level 4CPT 99204 | $234 | — | — | $71 | 26 |
| Office visit, new patient, level 5CPT 99205 | $307 | — | — | $93 | 26 |
| PSA (prostate specific antigen), totalCPT 84153 | $154 | $18 | 838% | ~$47 | 26 |
| Partial thromboplastin timeCPT 85730 | $88 | $6 | 1464% | ~$27 | 26 |
| Physical therapy, therapeutic exerciseCPT 97110 | $97 | — | — | $26 | 28 |
| Preventive visit, new patient, 18-39CPT 99385 | $147 | — | — | — | 2 |
| Preventive visit, new patient, 40-64CPT 99386 | $170 | — | — | — | 2 |
| Prostate biopsyCPT 55700 | $572 | — | — | $155 | 24 |
| Prothrombin timeCPT 85610 | $88 | $4 | 2048% | ~$27 | 26 |
| Psychotherapy, 30 minutesCPT 90832 | $153 | $185 | 83% | $42 | 24 |
| Psychotherapy, 45 minutesCPT 90834 | $263 | $185 | 142% | $74 | 24 |
| Psychotherapy, 60 minutesCPT 90837 | $263 | $185 | 142% | $74 | 24 |
| Renal failure, with CCMS-DRG 683 | $13,741 | $7,292 | 188% | — | 8 |
| Screening mammography, bilateralCPT 77067 | $280 | — | — | ~$81 | 28 |
| Sepsis with MCCMS-DRG 871 | $30,478 | $14,599 | 209% | — | 8 |
| Shoulder arthroscopy, subacromial decompressionCPT 29826 | $420 | — | — | — | 6 |
| Simple pneumonia and pleurisy, with CCMS-DRG 194 | $12,645 | $7,082 | 179% | — | 8 |
| Sleep study (polysomnography)CPT 95810 | $5,154 | $897 | 575% | $1,567 | 26 |
| Stroke (hemorrhage/infarction), no CC/MCCMS-DRG 066 | $10,814 | $3,679 | 294% | — | 8 |
| Stroke (hemorrhage/infarction), with CC or tPAMS-DRG 065 | $15,852 | $7,321 | 217% | — | 8 |
| Thyroid stimulating hormone (TSH)CPT 84443 | $182 | $17 | 1085% | ~$55 | 26 |
| Tonsillectomy and adenoidectomy, under age 12CPT 42820 | $5,641 | $6,182 | 91% | — | 4 |
| Transforaminal epidural, lumbar/sacralCPT 64483 | $1,915 | $924 | 207% | $520 | 26 |
| Ultrasound, abdomen, completeCPT 76700 | $1,955 | $109 | 1791% | ~$594 | 26 |
| Ultrasound, transvaginalCPT 76830 | $659 | $109 | 604% | ~$200 | 26 |
| 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 | $77 | $3 | 2432% | ~$24 | 27 |
| Urinalysis, automated, without microscopyCPT 81003 | $96 | $2 | 4286% | ~$29 | 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 | $10,682 | — | — | — | 8 |
| Vaginal delivery, no sterilization, with CCMS-DRG 806 | $11,830 | — | — | — | 8 |
| X-ray, lower back, 4+ viewsCPT 72110 | $712 | $109 | 652% | ~$216 | 26 |
| YAG laser capsulotomy (secondary cataract)CPT 66821 | $989 | $574 | 172% | — | 4 |