| Acute myocardial infarction, discharged alive, with MCCMS-DRG 280 | $27,632 | $11,567 | 239% | — | 14 |
| Bariatric (obesity) surgery, no CC/MCCMS-DRG 621 | $25,984 | $8,272 | 314% | — | 14 |
| Basic metabolic panelCPT 80048 | $320 | $8 | 3777% | ~$96 | 874 |
| COPD with MCCMS-DRG 190 | $19,081 | $7,217 | 264% | — | 14 |
| CT head without contrastCPT 70450 | $1,527 | $109 | 1399% | ~$458 | 873 |
| Cardiac arrhythmia, no CC/MCCMS-DRG 310 | $9,752 | $2,467 | 395% | — | 14 |
| Cardiac stress testCPT 93017 | $1,243 | $225 | 551% | $373 | 873 |
| Cataract surgery with IOL insertionCPT 66984 | $5,243 | $2,410 | 218% | — | 19 |
| Cellulitis, no MCCMS-DRG 603 | $15,002 | $6,045 | 248% | — | 14 |
| Cervical spinal fusion, no CC/MCCMS-DRG 473 | $42,054 | $16,343 | 257% | — | 14 |
| Chest painMS-DRG 313 | $12,403 | — | — | — | 14 |
| Colonoscopy with biopsyCPT 45380 | $3,224 | $1,250 | 258% | $967 | 874 |
| Colonoscopy with endoscopic ultrasoundCPT 45391 | $2,909 | $1,250 | 233% | $873 | 873 |
| Colonoscopy with polyp removalCPT 45385 | $3,170 | $1,250 | 254% | $951 | 873 |
| Colonoscopy, diagnosticCPT 45378 | $2,999 | $971 | 309% | $900 | 874 |
| Complete blood count with differentialCPT 85025 | $91 | $8 | 1170% | ~$27 | 874 |
| Complete blood count, automatedCPT 85027 | $101 | $6 | 1558% | ~$30 | 875 |
| Comprehensive metabolic panelCPT 80053 | $490 | $11 | 4636% | ~$147 | 874 |
| ED visit, level 3CPT 99283 | $1,097 | $285 | 385% | $329 | 873 |
| ED visit, level 4CPT 99284 | $1,780 | $436 | 409% | $534 | 873 |
| ED visit, level 5CPT 99285 | $2,743 | $622 | 441% | $823 | 873 |
| Epidural injection, lumbar/sacral, no imagingCPT 62322 | $1,805 | $924 | 195% | $542 | 873 |
| Esophagitis/GI disorders, no MCCMS-DRG 392 | $13,429 | $5,197 | 258% | — | 14 |
| Excision of breast lesionCPT 19120 | $13,605 | $4,089 | 333% | — | 19 |
| Group psychotherapyCPT 90853 | $444 | $106 | 418% | $133 | 873 |
| Heart failure and shock, with CCMS-DRG 292 | $14,625 | $5,746 | 255% | — | 14 |
| Heart failure with MCCMS-DRG 291 | $22,115 | $9,817 | 225% | — | 14 |
| Hip and femur procedures except major joint, with CCMS-DRG 481 | $36,080 | $15,142 | 238% | — | 14 |
| Inguinal hernia repair, age 5+CPT 49505 | $13,605 | $3,739 | 364% | — | 19 |
| Kidney and urinary tract infections, no MCCMS-DRG 690 | $13,944 | $5,451 | 256% | — | 14 |
| Kidney function panelCPT 80069 | $188 | $9 | 2167% | ~$56 | 873 |
| Knee arthroscopy with meniscectomyCPT 29881 | $13,605 | $3,417 | 398% | — | 19 |
| Laparoscopic cholecystectomyCPT 47562 | $13,605 | $6,313 | 216% | — | 22 |
| Laparoscopic cholecystectomy, no CC/MCCMS-DRG 419 | $23,527 | $8,977 | 262% | — | 14 |
| Left heart catheterization, diagnosticCPT 93452 | $10,384 | $3,385 | 307% | $3,115 | 873 |
| Lipid panelCPT 80061 | $214 | $13 | 1600% | ~$64 | 873 |
| Liver function panelCPT 80076 | $125 | $8 | 1531% | ~$38 | 873 |
| Lumbar epidural steroid injectionCPT 62323 | $1,467 | $737 | 199% | $440 | 873 |
| Major joint replacement (hip/knee), no MCCMS-DRG 470 | $33,227 | $13,587 | 245% | — | 14 |
| Major joint replacement (hip/knee), with MCCMS-DRG 469 | $52,250 | $22,346 | 234% | — | 14 |
| Major small and large bowel procedures, with CCMS-DRG 330 | $41,294 | $17,364 | 238% | — | 14 |
| Medical back problems, no MCCMS-DRG 552 | $16,559 | $6,884 | 241% | — | 14 |
| Office consultation, comprehensiveCPT 99244 | $687 | — | — | $206 | 873 |
| Office consultation, moderateCPT 99243 | $573 | — | — | $172 | 873 |
| Office visit, established patient, level 3CPT 99213 | $225 | — | — | $68 | 873 |
| Office visit, established patient, level 4CPT 99214 | $374 | — | — | $112 | 874 |
| Office visit, new patient, level 3CPT 99203 | $329 | — | — | $99 | 873 |
| Office visit, new patient, level 4CPT 99204 | $451 | — | — | $135 | 873 |
| Office visit, new patient, level 5CPT 99205 | $585 | — | — | $176 | 873 |
| PSA (prostate specific antigen), totalCPT 84153 | $226 | $18 | 1228% | ~$68 | 873 |
| Partial thromboplastin timeCPT 85730 | $91 | $6 | 1512% | ~$27 | 873 |
| Physical therapy, therapeutic exerciseCPT 97110 | $128 | — | — | $38 | 873 |
| Prostate biopsyCPT 55700 | $5,243 | — | — | — | 22 |
| Prothrombin timeCPT 85610 | $70 | $4 | 1636% | ~$21 | 873 |
| Psychotherapy, 60 minutesCPT 90837 | $568 | $185 | 306% | $170 | 873 |
| Renal failure, with CCMS-DRG 683 | $15,087 | $6,186 | 244% | — | 14 |
| Sepsis with MCCMS-DRG 871 | $33,462 | $15,558 | 215% | — | 14 |
| Stroke (hemorrhage/infarction), no CC/MCCMS-DRG 066 | $11,789 | $3,679 | 320% | — | 14 |
| Stroke (hemorrhage/infarction), with CC or tPAMS-DRG 065 | $17,403 | $6,651 | 262% | — | 14 |
| Thyroid stimulating hormone (TSH)CPT 84443 | $254 | $17 | 1511% | ~$76 | 873 |
| Transforaminal epidural, lumbar/sacralCPT 64483 | $1,954 | $924 | 212% | $586 | 873 |
| Upper GI endoscopy with biopsyCPT 43239 | $3,193 | $947 | 337% | $958 | 874 |
| Upper GI endoscopy, diagnosticCPT 43235 | $3,193 | $947 | 337% | $958 | 873 |
| Urinalysis, automated, with microscopyCPT 81001 | $55 | $3 | 1732% | ~$16 | 873 |
| Urinalysis, automated, without microscopyCPT 81003 | $23 | $2 | 1040% | ~$7 | 873 |