| Acute myocardial infarction, discharged alive, with MCCMS-DRG 280 | $38,098 | $10,245 | 372% | — | 8 |
| Bariatric (obesity) surgery, no CC/MCCMS-DRG 621 | $34,391 | $8,272 | 416% | — | 8 |
| Basic metabolic panelCPT 80048 | $14 | $8 | 164% | ~$17 | 18 |
| COPD with MCCMS-DRG 190 | $26,187 | $6,786 | 386% | — | 8 |
| CT abdomen and pelvis with contrastCPT 74177 | $244 | $364 | 67% | ~$1,291 | 18 |
| CT head without contrastCPT 70450 | $238 | $109 | 218% | ~$727 | 24 |
| CT pelvis with contrastCPT 72193 | $196 | $183 | 107% | ~$855 | 18 |
| Cardiac arrhythmia, no CC/MCCMS-DRG 310 | $13,163 | $2,989 | 440% | — | 8 |
| Cardiac stress testCPT 93017 | $117 | $225 | 52% | $309 | 19 |
| Cardiac valve surgery with cardiac cath, with MCCMS-DRG 216 | $227,057 | $71,367 | 318% | — | 8 |
| Cataract surgery with IOL insertionCPT 66984 | $1,157 | $2,410 | 48% | — | 20 |
| Cellulitis, no MCCMS-DRG 603 | $20,564 | $5,406 | 380% | — | 8 |
| Cervical spinal fusion, no CC/MCCMS-DRG 473 | $55,697 | $16,104 | 346% | — | 8 |
| Cesarean section, no CC/MCCMS-DRG 788 | $17,909 | — | — | — | 6 |
| Cesarean section, with CCMS-DRG 787 | $21,019 | — | — | — | 6 |
| Chest painMS-DRG 313 | $16,784 | $4,265 | 394% | — | 8 |
| Colonoscopy with biopsyCPT 45380 | $511 | $1,250 | 41% | $865 | 17 |
| Colonoscopy with endoscopic ultrasoundCPT 45391 | $491 | $1,250 | 39% | $843 | 18 |
| Colonoscopy with polyp removalCPT 45385 | $637 | $1,250 | 51% | $865 | 19 |
| Colonoscopy, diagnosticCPT 45378 | $3,060 | $971 | 315% | $804 | 25 |
| Complete blood count with differentialCPT 85025 | $13 | $8 | 164% | ~$15 | 18 |
| Complete blood count, automatedCPT 85027 | $11 | $6 | 164% | ~$13 | 18 |
| Comprehensive metabolic panelCPT 80053 | $20 | $11 | 188% | ~$22 | 24 |
| Coronary bypass without cardiac cath, no MCCMS-DRG 236 | $96,743 | $25,702 | 376% | — | 8 |
| Diagnostic mammography, both breastsCPT 77066 | $126 | — | — | ~$96 | 18 |
| Diagnostic mammography, one breastCPT 77065 | $100 | — | — | ~$76 | 18 |
| ED visit, level 3CPT 99283 | $1,818 | $285 | 638% | $417 | 27 |
| ED visit, level 4CPT 99284 | $2,806 | $436 | 644% | $643 | 27 |
| ED visit, level 5CPT 99285 | $3,600 | $622 | 579% | $825 | 27 |
| Echocardiogram, completeCPT 93306 | $154 | $571 | 27% | $561 | 15 |
| Electrocardiogram with interpretationCPT 93000 | $21 | — | — | — | 12 |
| Epidural injection, lumbar/sacral, no imagingCPT 62322 | $172 | $924 | 19% | — | 15 |
| Esophagitis/GI disorders, no MCCMS-DRG 392 | $18,314 | $4,827 | 379% | — | 8 |
| Excision of breast lesionCPT 19120 | $851 | $4,089 | 21% | — | 15 |
| Family psychotherapy, with patientCPT 90847 | $172 | $185 | 93% | $57 | 21 |
| Family psychotherapy, without patientCPT 90846 | $150 | $185 | 81% | — | 10 |
| Group psychotherapyCPT 90853 | $152 | $106 | 144% | $40 | 21 |
| Heart failure and shock, with CCMS-DRG 292 | $20,077 | $5,014 | 400% | — | 8 |
| Heart failure with MCCMS-DRG 291 | $30,388 | $8,300 | 366% | — | 8 |
| Hip and femur procedures except major joint, with CCMS-DRG 481 | $48,815 | $13,234 | 369% | — | 8 |
| Hysterectomy, no CC/MCCMS-DRG 743 | $28,201 | $10,098 | 279% | — | 8 |
| Inguinal hernia repair, age 5+CPT 49505 | $733 | $3,739 | 20% | — | 15 |
| Kidney and urinary tract infections, no MCCMS-DRG 690 | $18,882 | $4,982 | 379% | — | 8 |
| Kidney function panelCPT 80069 | $16 | $9 | 188% | ~$11 | 24 |
| Knee arthroscopy with meniscectomyCPT 29881 | $1,010 | $3,417 | 30% | — | 15 |
| Laparoscopic cholecystectomyCPT 47562 | $554 | $6,313 | 9% | — | 15 |
| Laparoscopic cholecystectomy, no CC/MCCMS-DRG 419 | $30,999 | $8,222 | 377% | — | 8 |
| Laparoscopic radical prostatectomyCPT 55866 | $972 | $11,101 | 9% | — | 14 |
| Left heart catheterization, diagnosticCPT 93452 | $1,657 | $3,385 | 49% | $3,661 | 22 |
| Lipid panelCPT 80061 | $25 | $13 | 188% | ~$12 | 24 |
| Liver function panelCPT 80076 | $15 | $8 | 188% | ~$18 | 24 |
| Lumbar epidural steroid injectionCPT 62323 | $322 | $737 | 44% | $399 | 18 |
| MRI brain with and without contrastCPT 70553 | $267 | $364 | 73% | ~$817 | 18 |
| MRI lower extremity joint (knee)CPT 73721 | $225 | $249 | 90% | ~$490 | 18 |
| MRI lumbar spine without contrastCPT 72148 | $373 | $249 | 150% | ~$634 | 24 |
| Major joint replacement (hip/knee), no MCCMS-DRG 470 | $44,359 | $12,326 | 360% | — | 8 |
| Major joint replacement (hip/knee), with MCCMS-DRG 469 | $72,245 | $22,346 | 323% | — | 8 |
| Major small and large bowel procedures, with CCMS-DRG 330 | $55,610 | $15,925 | 349% | — | 8 |
| Medical back problems, no MCCMS-DRG 552 | $22,601 | $5,692 | 397% | — | 8 |
| OB global care, VBAC deliveryCPT 59610 | $4,033 | — | — | — | 15 |
| OB global care, cesarean deliveryCPT 59510 | $4,247 | — | — | — | 15 |
| OB global care, vaginal deliveryCPT 59400 | $3,873 | — | — | — | 15 |
| OB ultrasound, 14+ weeksCPT 76805 | $107 | $109 | 98% | ~$202 | 18 |
| Obstetric blood test panelCPT 80055 | $72 | $48 | 150% | — | 14 |
| Office consultation, comprehensiveCPT 99244 | $155 | — | — | — | 4 |
| Office consultation, moderateCPT 99243 | $104 | — | — | — | 4 |
| Office visit, established patient, level 3CPT 99213 | $218 | — | — | $62 | 24 |
| Office visit, established patient, level 4CPT 99214 | $268 | — | — | $91 | 24 |
| Office visit, new patient, level 3CPT 99203 | $222 | — | — | $81 | 24 |
| Office visit, new patient, level 4CPT 99204 | $305 | — | — | $94 | 24 |
| Office visit, new patient, level 5CPT 99205 | $353 | — | — | $118 | 24 |
| PSA (prostate specific antigen), totalCPT 84153 | $30 | $18 | 164% | ~$12 | 18 |
| Partial thromboplastin timeCPT 85730 | $10 | $6 | 164% | ~$7 | 18 |
| Percutaneous cardiac stent, no MCCMS-DRG 247 | $47,501 | — | — | — | 1 |
| Physical therapy, therapeutic exerciseCPT 97110 | $63 | — | — | $37 | 19 |
| Preventive visit, new patient, 18-39CPT 99385 | $114 | — | — | — | 4 |
| Preventive visit, new patient, 40-64CPT 99386 | $140 | — | — | — | 4 |
| Prostate biopsyCPT 55700 | $295 | — | — | — | 13 |
| Prothrombin timeCPT 85610 | $8 | $4 | 188% | ~$12 | 24 |
| Psychotherapy, 30 minutesCPT 90832 | $124 | $185 | 67% | $41 | 21 |
| Psychotherapy, 45 minutesCPT 90834 | $163 | $185 | 88% | $52 | 21 |
| Psychotherapy, 60 minutesCPT 90837 | $242 | $185 | 130% | $68 | 21 |
| Renal failure, with CCMS-DRG 683 | $20,716 | $5,536 | 374% | — | 8 |
| Screening mammography, bilateralCPT 77067 | $102 | — | — | ~$76 | 18 |
| Sepsis with MCCMS-DRG 871 | $45,839 | $12,730 | 360% | — | 8 |
| Shoulder arthroscopy, subacromial decompressionCPT 29826 | $242 | — | — | — | 15 |
| Simple pneumonia and pleurisy, with CCMS-DRG 194 | $19,087 | $5,050 | 378% | — | 8 |
| Sleep study (polysomnography)CPT 95810 | $470 | $897 | 52% | — | 12 |
| Spinal fusion except cervical, no MCCMS-DRG 460 | $87,124 | $25,735 | 339% | — | 3 |
| Spinal fusion except cervical, with MCCMS-DRG 459 | $157,968 | $51,127 | 309% | — | 3 |
| Stroke (hemorrhage/infarction), no CC/MCCMS-DRG 066 | $16,116 | $3,984 | 405% | — | 8 |
| Stroke (hemorrhage/infarction), with CC or tPAMS-DRG 065 | $23,799 | $6,046 | 394% | — | 8 |
| Thyroid stimulating hormone (TSH)CPT 84443 | $32 | $17 | 188% | ~$20 | 24 |
| Tonsillectomy and adenoidectomy, under age 12CPT 42820 | $397 | $6,182 | 6% | — | 15 |
| Transforaminal epidural, lumbar/sacralCPT 64483 | $1,101 | $924 | 119% | $442 | 24 |
| Ultrasound, abdomen, completeCPT 76700 | $187 | $109 | 171% | ~$354 | 24 |
| Ultrasound, transvaginalCPT 76830 | $128 | $109 | 117% | ~$55 | 24 |
| Upper GI endoscopy with biopsyCPT 43239 | $408 | $947 | 43% | $777 | 17 |
| Upper GI endoscopy, diagnosticCPT 43235 | $675 | $947 | 71% | $764 | 22 |
| Urinalysis, automated, with microscopyCPT 81001 | $6 | $3 | 188% | ~$8 | 24 |
| Urinalysis, automated, without microscopyCPT 81003 | $4 | $2 | 188% | ~$7 | 24 |
| Urinalysis, manual, with microscopyCPT 81000 | $6 | $4 | 152% | — | 15 |
| Urinalysis, manual, without microscopyCPT 81002 | $7 | $3 | 188% | ~$6 | 24 |
| Vaginal delivery, no sterilization, no CC/MCCMS-DRG 807 | $12,616 | — | — | — | 6 |
| Vaginal delivery, no sterilization, with CCMS-DRG 806 | $14,324 | — | — | — | 6 |
| X-ray, lower back, 4+ viewsCPT 72110 | $41 | $109 | 37% | ~$186 | 18 |
| YAG laser capsulotomy (secondary cataract)CPT 66821 | $519 | $574 | 90% | — | 15 |