| Acute myocardial infarction, discharged alive, with MCCMS-DRG 280 | $26,654 | $7,733 | 345% | — | 20 |
| Bariatric (obesity) surgery, no CC/MCCMS-DRG 621 | $25,064 | $8,272 | 303% | — | 20 |
| Basic metabolic panelCPT 80048 | $79 | $8 | 928% | ~$27 | 45 |
| COPD with MCCMS-DRG 190 | $18,406 | $6,515 | 282% | — | 20 |
| CT abdomen and pelvis with contrastCPT 74177 | $1,730 | $364 | 475% | ~$618 | 45 |
| CT head without contrastCPT 70450 | $669 | $109 | 613% | ~$223 | 45 |
| CT pelvis with contrastCPT 72193 | $1,029 | $183 | 562% | ~$350 | 45 |
| Cardiac arrhythmia, no CC/MCCMS-DRG 310 | $9,406 | $2,327 | 404% | — | 20 |
| Cardiac stress testCPT 93017 | $1,750 | $225 | 776% | $455 | 45 |
| Cardiac valve surgery with cardiac cath, with MCCMS-DRG 216 | $162,551 | — | — | — | 20 |
| Cataract surgery with IOL insertionCPT 66984 | $2,748 | $2,410 | 114% | — | 4 |
| Cellulitis, no MCCMS-DRG 603 | $14,471 | $4,996 | 290% | — | 20 |
| Cervical spinal fusion, no CC/MCCMS-DRG 473 | $40,565 | $16,343 | 248% | — | 20 |
| Cesarean section, no CC/MCCMS-DRG 788 | $15,931 | — | — | — | 20 |
| Cesarean section, with CCMS-DRG 787 | $18,557 | — | — | — | 20 |
| Chest painMS-DRG 313 | $11,964 | — | — | — | 20 |
| Colonoscopy with biopsyCPT 45380 | $1,802 | $1,250 | 144% | — | 4 |
| Colonoscopy with endoscopic ultrasoundCPT 45391 | $1,337 | $1,250 | 107% | — | 4 |
| Colonoscopy with polyp removalCPT 45385 | $1,337 | $1,250 | 107% | — | 4 |
| Colonoscopy, diagnosticCPT 45378 | $1,015 | $971 | 104% | — | 4 |
| Complete blood count with differentialCPT 85025 | $51 | $8 | 654% | ~$17 | 45 |
| Complete blood count, automatedCPT 85027 | $67 | $6 | 1032% | ~$23 | 45 |
| Comprehensive metabolic panelCPT 80053 | $5 | $11 | 52% | — | 3 |
| Coronary bypass without cardiac cath, no MCCMS-DRG 236 | $69,601 | $29,950 | 232% | — | 20 |
| Diagnostic mammography, both breastsCPT 77066 | $728 | — | — | ~$189 | 45 |
| Diagnostic mammography, one breastCPT 77065 | $468 | — | — | ~$119 | 45 |
| ED visit, level 3CPT 99283 | $1,591 | $285 | 558% | $376 | 44 |
| ED visit, level 4CPT 99284 | $2,812 | $436 | 645% | $659 | 43 |
| ED visit, level 5CPT 99285 | $2,873 | $622 | 462% | $674 | 43 |
| Echocardiogram, completeCPT 93306 | $2,970 | $571 | 520% | $772 | 45 |
| Electrocardiogram with interpretationCPT 93000 | $20 | — | — | — | 3 |
| Epidural injection, lumbar/sacral, no imagingCPT 62322 | $2,013 | $924 | 218% | $480 | 45 |
| Esophagitis/GI disorders, no MCCMS-DRG 392 | $12,954 | $3,747 | 346% | — | 20 |
| Excision of breast lesionCPT 19120 | $2,845 | $4,089 | 70% | $678 | 45 |
| Family psychotherapy, with patientCPT 90847 | $173 | $185 | 94% | $59 | 45 |
| Family psychotherapy, without patientCPT 90846 | $124 | $185 | 67% | — | 4 |
| Group psychotherapyCPT 90853 | $156 | $106 | 147% | $48 | 45 |
| Heart failure and shock, with CCMS-DRG 292 | $14,107 | $5,927 | 238% | — | 20 |
| Heart failure with MCCMS-DRG 291 | $21,332 | $7,596 | 281% | — | 20 |
| Hip and femur procedures except major joint, with CCMS-DRG 481 | $34,802 | $12,093 | 288% | — | 20 |
| Hysterectomy, no CC/MCCMS-DRG 743 | $20,615 | $10,098 | 204% | — | 20 |
| Inguinal hernia repair, age 5+CPT 49505 | $5,752 | $3,739 | 154% | — | 4 |
| Kidney and urinary tract infections, no MCCMS-DRG 690 | $13,451 | $4,539 | 296% | — | 20 |
| Kidney function panelCPT 80069 | $82 | $9 | 948% | ~$28 | 45 |
| Knee arthroscopy with meniscectomyCPT 29881 | $2,382 | $3,417 | 70% | — | 4 |
| Laparoscopic cholecystectomyCPT 47562 | $2,880 | $6,313 | 46% | — | 4 |
| Laparoscopic cholecystectomy, no CC/MCCMS-DRG 419 | $22,694 | $8,977 | 253% | — | 20 |
| Laparoscopic radical prostatectomyCPT 55866 | $3,649 | $11,101 | 33% | — | 3 |
| Left heart catheterization, diagnosticCPT 93452 | $1,911 | $3,385 | 56% | — | 4 |
| Lipid panelCPT 80061 | $165 | $13 | 1233% | ~$56 | 45 |
| Liver function panelCPT 80076 | $60 | $8 | 730% | ~$20 | 45 |
| Lumbar epidural steroid injectionCPT 62323 | $2,342 | $737 | 318% | $609 | 45 |
| MRI brain with and without contrastCPT 70553 | $1,816 | $364 | 498% | ~$649 | 45 |
| MRI lower extremity joint (knee)CPT 73721 | $1,200 | $249 | 482% | ~$427 | 45 |
| MRI lumbar spine without contrastCPT 72148 | $1,200 | $249 | 482% | ~$427 | 45 |
| Major joint replacement (hip/knee), no MCCMS-DRG 470 | $32,051 | $10,898 | 294% | — | 20 |
| Major joint replacement (hip/knee), with MCCMS-DRG 469 | $50,400 | $22,346 | 226% | — | 20 |
| Major small and large bowel procedures, with CCMS-DRG 330 | $39,832 | $14,986 | 266% | — | 20 |
| Medical back problems, no MCCMS-DRG 552 | $15,973 | $5,399 | 296% | — | 20 |
| OB global care, VBAC deliveryCPT 59610 | $1,824 | — | — | — | 2 |
| OB global care, cesarean deliveryCPT 59510 | $2,017 | — | — | — | 2 |
| OB global care, vaginal deliveryCPT 59400 | $1,824 | — | — | — | 2 |
| OB ultrasound, 14+ weeksCPT 76805 | $621 | $109 | 569% | ~$161 | 45 |
| Obstetric blood test panelCPT 80055 | $5 | $48 | 11% | — | 3 |
| Office consultation, comprehensiveCPT 99244 | $173 | — | — | — | 1 |
| Office consultation, moderateCPT 99243 | $108 | — | — | — | 1 |
| Office visit, established patient, level 3CPT 99213 | $57 | — | — | — | 1 |
| Office visit, established patient, level 4CPT 99214 | $363 | — | — | $124 | 42 |
| Office visit, new patient, level 3CPT 99203 | $84 | — | — | — | 1 |
| Office visit, new patient, level 4CPT 99204 | $144 | — | — | — | 1 |
| Office visit, new patient, level 5CPT 99205 | $187 | — | — | — | 1 |
| PSA (prostate specific antigen), totalCPT 84153 | $7 | $18 | 40% | — | 3 |
| Partial thromboplastin timeCPT 85730 | $37 | $6 | 608% | ~$12 | 45 |
| Physical therapy, therapeutic exerciseCPT 97110 | $161 | — | — | $42 | 45 |
| Prostate biopsyCPT 55700 | $1,318 | — | — | — | 3 |
| Prothrombin timeCPT 85610 | $30 | $4 | 705% | ~$10 | 45 |
| Psychotherapy, 30 minutesCPT 90832 | $94 | $185 | 51% | $30 | 45 |
| Psychotherapy, 45 minutesCPT 90834 | $117 | $185 | 63% | $40 | 45 |
| Psychotherapy, 60 minutesCPT 90837 | $244 | $185 | 132% | $83 | 45 |
| Renal failure, with CCMS-DRG 683 | $14,552 | $5,191 | 280% | — | 20 |
| Screening mammography, bilateralCPT 77067 | $492 | — | — | ~$125 | 45 |
| Sepsis with MCCMS-DRG 871 | $32,277 | $12,116 | 266% | — | 20 |
| Shoulder arthroscopy, subacromial decompressionCPT 29826 | $1,656 | — | — | — | 3 |
| Simple pneumonia and pleurisy, with CCMS-DRG 194 | $13,391 | $4,449 | 301% | — | 20 |
| Sleep study (polysomnography)CPT 95810 | $4,844 | $897 | 540% | $1,322 | 45 |
| Stroke (hemorrhage/infarction), no CC/MCCMS-DRG 066 | $11,372 | $3,679 | 309% | — | 20 |
| Stroke (hemorrhage/infarction), with CC or tPAMS-DRG 065 | $16,787 | $4,983 | 337% | — | 20 |
| Thyroid stimulating hormone (TSH)CPT 84443 | $158 | $17 | 938% | ~$54 | 45 |
| Tonsillectomy and adenoidectomy, under age 12CPT 42820 | $1,632 | $6,182 | 26% | — | 3 |
| Transforaminal epidural, lumbar/sacralCPT 64483 | $1,301 | $924 | 141% | — | 4 |
| Ultrasound, abdomen, completeCPT 76700 | $1,367 | $109 | 1252% | ~$355 | 45 |
| Ultrasound, transvaginalCPT 76830 | $990 | $109 | 907% | ~$257 | 45 |
| Upper GI endoscopy with biopsyCPT 43239 | $1,519 | $947 | 160% | — | 4 |
| Upper GI endoscopy, diagnosticCPT 43235 | $1,337 | $947 | 141% | — | 4 |
| Urinalysis, automated, with microscopyCPT 81001 | $2 | $3 | 57% | — | 3 |
| Urinalysis, automated, without microscopyCPT 81003 | $2 | $2 | 80% | — | 3 |
| Urinalysis, manual, with microscopyCPT 81000 | $2 | $4 | 45% | — | 3 |
| Urinalysis, manual, without microscopyCPT 81002 | $37 | $3 | 1050% | ~$12 | 45 |
| Vaginal delivery, no sterilization, no CC/MCCMS-DRG 807 | $11,203 | — | — | — | 20 |
| Vaginal delivery, no sterilization, with CCMS-DRG 806 | $12,528 | — | — | — | 20 |
| X-ray, lower back, 4+ viewsCPT 72110 | $884 | $109 | 810% | ~$230 | 45 |
| YAG laser capsulotomy (secondary cataract)CPT 66821 | $883 | $574 | 154% | — | 4 |