| Acute myocardial infarction, discharged alive, with MCCMS-DRG 280 | $19,252 | $9,490 | 203% | — | 10 |
| Bariatric (obesity) surgery, no CC/MCCMS-DRG 621 | $34,752 | $8,272 | 420% | — | 10 |
| Basic metabolic panelCPT 80048 | $664 | $8 | 7846% | ~$184 | 23 |
| COPD with MCCMS-DRG 190 | $11,663 | $7,377 | 158% | — | 6 |
| CT abdomen and pelvis with contrastCPT 74177 | $9,813 | $364 | 2693% | ~$2,804 | 22 |
| CT head without contrastCPT 70450 | $3,992 | $109 | 3657% | ~$1,141 | 22 |
| CT pelvis with contrastCPT 72193 | $4,621 | $183 | 2523% | ~$1,320 | 22 |
| Cardiac arrhythmia, no CC/MCCMS-DRG 310 | $11,906 | $3,269 | 364% | — | 7 |
| Cardiac stress testCPT 93017 | $1,651 | $225 | 732% | $459 | 23 |
| Cardiac valve surgery with cardiac cath, with MCCMS-DRG 216 | $125,952 | — | — | — | 10 |
| Cataract surgery with IOL insertionCPT 66984 | $5,993 | $2,410 | 249% | — | 13 |
| Cellulitis, no MCCMS-DRG 603 | $14,926 | $5,675 | 263% | — | 10 |
| Cervical spinal fusion, no CC/MCCMS-DRG 473 | $49,231 | $16,343 | 301% | — | 12 |
| Cesarean section, no CC/MCCMS-DRG 788 | $16,351 | — | — | — | 14 |
| Cesarean section, with CCMS-DRG 787 | $16,351 | — | — | — | 14 |
| Chest painMS-DRG 313 | $14,154 | — | — | — | 9 |
| Colonoscopy with biopsyCPT 45380 | $3,955 | $1,250 | 316% | — | 13 |
| Colonoscopy with endoscopic ultrasoundCPT 45391 | $3,955 | $1,250 | 316% | — | 13 |
| Colonoscopy with polyp removalCPT 45385 | $3,955 | $1,250 | 316% | — | 13 |
| Colonoscopy, diagnosticCPT 45378 | $3,955 | $971 | 407% | — | 13 |
| Complete blood count with differentialCPT 85025 | $9 | $8 | 114% | — | 4 |
| Complete blood count, automatedCPT 85027 | $12 | $6 | 189% | ~$3 | 23 |
| Comprehensive metabolic panelCPT 80053 | $408 | $11 | 3863% | ~$113 | 23 |
| Coronary bypass without cardiac cath, no MCCMS-DRG 236 | $100,590 | $29,950 | 336% | — | 10 |
| Diagnostic mammography, both breastsCPT 77066 | $325 | — | — | ~$86 | 20 |
| Diagnostic mammography, one breastCPT 77065 | $216 | — | — | ~$56 | 20 |
| ED visit, level 3CPT 99283 | $4,374 | $285 | 1534% | $746 | 23 |
| ED visit, level 4CPT 99284 | $4,670 | $436 | 1072% | $961 | 23 |
| ED visit, level 5CPT 99285 | $5,646 | $622 | 908% | $1,655 | 23 |
| Echocardiogram, completeCPT 93306 | $3,182 | $571 | 558% | $884 | 23 |
| Epidural injection, lumbar/sacral, no imagingCPT 62322 | $3,178 | $924 | 344% | — | 13 |
| Esophagitis/GI disorders, no MCCMS-DRG 392 | $14,926 | $4,346 | 343% | — | 10 |
| Excision of breast lesionCPT 19120 | $11,502 | $4,089 | 281% | — | 17 |
| Heart failure and shock, with CCMS-DRG 292 | $21,777 | $5,927 | 367% | — | 8 |
| Heart failure with MCCMS-DRG 291 | $22,637 | $7,755 | 292% | — | 8 |
| Hip and femur procedures except major joint, with CCMS-DRG 481 | $43,898 | $11,291 | 389% | — | 10 |
| Hysterectomy, no CC/MCCMS-DRG 743 | $23,521 | $10,098 | 233% | — | 11 |
| Inguinal hernia repair, age 5+CPT 49505 | $7,480 | $3,739 | 200% | — | 13 |
| Kidney and urinary tract infections, no MCCMS-DRG 690 | $14,926 | $4,580 | 326% | — | 10 |
| Kidney function panelCPT 80069 | $725 | $9 | 8354% | ~$201 | 23 |
| Knee arthroscopy with meniscectomyCPT 29881 | $11,502 | $3,417 | 337% | — | 17 |
| Laparoscopic cholecystectomyCPT 47562 | $13,885 | $6,313 | 220% | — | 16 |
| Laparoscopic cholecystectomy, no CC/MCCMS-DRG 419 | $24,098 | $8,977 | 268% | — | 11 |
| Laparoscopic radical prostatectomyCPT 55866 | $14,266 | $11,101 | 129% | — | 14 |
| Left heart catheterization, diagnosticCPT 93452 | $12,638 | $3,385 | 373% | — | 14 |
| Lipid panelCPT 80061 | $16 | $13 | 118% | ~$4 | 23 |
| Liver function panelCPT 80076 | $338 | $8 | 4143% | ~$94 | 23 |
| Lumbar epidural steroid injectionCPT 62323 | $3,178 | $737 | 431% | — | 13 |
| MRI brain with and without contrastCPT 70553 | $6,625 | $364 | 1818% | ~$1,893 | 22 |
| MRI lower extremity joint (knee)CPT 73721 | $3,778 | $249 | 1516% | ~$1,079 | 22 |
| MRI lumbar spine without contrastCPT 72148 | $4,834 | $249 | 1940% | ~$1,381 | 22 |
| Major joint replacement (hip/knee), no MCCMS-DRG 470 | $41,829 | $10,712 | 390% | — | 11 |
| Major joint replacement (hip/knee), with MCCMS-DRG 469 | $45,470 | $22,346 | 203% | — | 11 |
| Major small and large bowel procedures, with CCMS-DRG 330 | $20,446 | $16,202 | 126% | — | 9 |
| Medical back problems, no MCCMS-DRG 552 | $11,663 | $5,501 | 212% | — | 6 |
| OB global care, VBAC deliveryCPT 59610 | $6,300 | — | — | — | 8 |
| OB global care, cesarean deliveryCPT 59510 | $6,300 | — | — | — | 8 |
| OB global care, vaginal deliveryCPT 59400 | $6,300 | — | — | — | 8 |
| OB ultrasound, 14+ weeksCPT 76805 | $1,376 | $109 | 1261% | ~$344 | 19 |
| Obstetric blood test panelCPT 80055 | $55 | $48 | 114% | — | 4 |
| Office visit, established patient, level 3CPT 99213 | $272 | — | — | $78 | 22 |
| Office visit, established patient, level 4CPT 99214 | $338 | — | — | $97 | 22 |
| Office visit, new patient, level 3CPT 99203 | $318 | — | — | $91 | 22 |
| Office visit, new patient, level 4CPT 99204 | $470 | — | — | $134 | 22 |
| Office visit, new patient, level 5CPT 99205 | $408 | — | — | $117 | 22 |
| PSA (prostate specific antigen), totalCPT 84153 | $39 | $18 | 212% | ~$11 | 23 |
| Partial thromboplastin timeCPT 85730 | $164 | $6 | 2726% | ~$46 | 23 |
| Physical therapy, therapeutic exerciseCPT 97110 | $95 | — | — | $28 | 25 |
| Prostate biopsyCPT 55700 | $3,274 | — | — | — | 2 |
| Prothrombin timeCPT 85610 | $138 | $4 | 3222% | ~$38 | 23 |
| Renal failure, with CCMS-DRG 683 | $14,926 | $5,373 | 278% | — | 10 |
| Screening mammography, bilateralCPT 77067 | $107 | — | — | ~$20 | 20 |
| Sepsis with MCCMS-DRG 871 | $32,519 | $11,674 | 279% | — | 12 |
| Shoulder arthroscopy, subacromial decompressionCPT 29826 | $11,502 | — | — | — | 15 |
| Simple pneumonia and pleurisy, with CCMS-DRG 194 | $14,926 | $5,177 | 288% | — | 10 |
| Sleep study (polysomnography)CPT 95810 | $4,017 | $897 | 448% | $1,242 | 26 |
| Stroke (hemorrhage/infarction), no CC/MCCMS-DRG 066 | $51,125 | $3,679 | 1390% | — | 10 |
| Stroke (hemorrhage/infarction), with CC or tPAMS-DRG 065 | $51,125 | $6,559 | 779% | — | 10 |
| Thyroid stimulating hormone (TSH)CPT 84443 | $559 | $17 | 3328% | ~$155 | 23 |
| Tonsillectomy and adenoidectomy, under age 12CPT 42820 | $7,480 | $6,182 | 121% | — | 13 |
| Transforaminal epidural, lumbar/sacralCPT 64483 | $2,762 | $924 | 299% | — | 10 |
| Ultrasound, abdomen, completeCPT 76700 | $1,881 | $109 | 1723% | ~$470 | 19 |
| Ultrasound, transvaginalCPT 76830 | $1,376 | $109 | 1261% | ~$344 | 19 |
| Upper GI endoscopy with biopsyCPT 43239 | $3,955 | $947 | 418% | — | 13 |
| Upper GI endoscopy, diagnosticCPT 43235 | $3,955 | $947 | 418% | — | 13 |
| Urinalysis, automated, with microscopyCPT 81001 | $156 | $3 | 4930% | ~$43 | 23 |
| Urinalysis, automated, without microscopyCPT 81003 | $144 | $2 | 6386% | ~$40 | 23 |
| Urinalysis, manual, with microscopyCPT 81000 | $5 | $4 | 114% | — | 4 |
| Urinalysis, manual, without microscopyCPT 81002 | $60 | $3 | 1714% | ~$17 | 23 |
| Vaginal delivery, no sterilization, no CC/MCCMS-DRG 807 | $11,433 | — | — | — | 14 |
| Vaginal delivery, no sterilization, with CCMS-DRG 806 | $12,024 | — | — | — | 14 |
| X-ray, lower back, 4+ viewsCPT 72110 | $1,462 | $109 | 1340% | ~$385 | 20 |
| YAG laser capsulotomy (secondary cataract)CPT 66821 | $3,178 | $574 | 553% | — | 13 |