| Acute myocardial infarction, discharged alive, with MCCMS-DRG 280 | $20,466 | $11,341 | 180% | — | 16 |
| Bariatric (obesity) surgery, no CC/MCCMS-DRG 621 | $20,353 | $8,272 | 246% | — | 15 |
| Basic metabolic panelCPT 80048 | $13 | $8 | 150% | ~$75 | 47 |
| COPD with MCCMS-DRG 190 | $13,846 | $7,377 | 188% | — | 16 |
| CT abdomen and pelvis with contrastCPT 74177 | $387 | $364 | 106% | ~$2,020 | 47 |
| CT head without contrastCPT 70450 | $161 | $109 | 148% | ~$1,028 | 47 |
| CT pelvis with contrastCPT 72193 | $266 | $183 | 145% | ~$916 | 47 |
| Cardiac arrhythmia, no CC/MCCMS-DRG 310 | $7,076 | $3,269 | 216% | — | 16 |
| Cardiac stress testCPT 93017 | $753 | $225 | 334% | $285 | 47 |
| Cardiac valve surgery with cardiac cath, with MCCMS-DRG 216 | $122,285 | — | — | — | 16 |
| Cataract surgery with IOL insertionCPT 66984 | $2,892 | $2,410 | 120% | — | 39 |
| Cellulitis, no MCCMS-DRG 603 | $10,886 | $5,675 | 192% | — | 16 |
| Cervical spinal fusion, no CC/MCCMS-DRG 473 | $29,406 | $16,343 | 180% | — | 17 |
| Cesarean section, no CC/MCCMS-DRG 788 | $11,229 | — | — | — | 10 |
| Cesarean section, with CCMS-DRG 787 | $13,960 | — | — | — | 10 |
| Chest painMS-DRG 313 | $9,000 | — | — | — | 16 |
| Colonoscopy with biopsyCPT 45380 | $1,500 | $1,250 | 120% | — | 39 |
| Colonoscopy with endoscopic ultrasoundCPT 45391 | $1,500 | $1,250 | 120% | — | 39 |
| Colonoscopy with polyp removalCPT 45385 | $1,500 | $1,250 | 120% | — | 39 |
| Colonoscopy, diagnosticCPT 45378 | $1,200 | $971 | 124% | — | 39 |
| Complete blood count with differentialCPT 85025 | $12 | $8 | 150% | ~$45 | 47 |
| Complete blood count, automatedCPT 85027 | $8 | $6 | 118% | ~$2 | 47 |
| Comprehensive metabolic panelCPT 80053 | $16 | $11 | 150% | ~$101 | 47 |
| Coronary bypass without cardiac cath, no MCCMS-DRG 236 | $52,360 | $29,950 | 175% | — | 16 |
| Diagnostic mammography, both breastsCPT 77066 | $145 | — | — | ~$161 | 47 |
| Diagnostic mammography, one breastCPT 77065 | $114 | — | — | ~$143 | 47 |
| ED visit, level 3CPT 99283 | $639 | $285 | 224% | $293 | 47 |
| ED visit, level 4CPT 99284 | $980 | $436 | 225% | $509 | 47 |
| ED visit, level 5CPT 99285 | $1,359 | $622 | 218% | $642 | 47 |
| Echocardiogram, completeCPT 93306 | $928 | $571 | 163% | $354 | 47 |
| Epidural injection, lumbar/sacral, no imagingCPT 62322 | $1,091 | $924 | 118% | $242 | 47 |
| Esophagitis/GI disorders, no MCCMS-DRG 392 | $9,745 | $5,225 | 187% | — | 16 |
| Excision of breast lesionCPT 19120 | $4,490 | $4,089 | 110% | — | 39 |
| Family psychotherapy, with patientCPT 90847 | $185 | $185 | 100% | $32 | 45 |
| Group psychotherapyCPT 90853 | $110 | $106 | 103% | $30 | 45 |
| Heart failure and shock, with CCMS-DRG 292 | $11,456 | $5,927 | 193% | — | 16 |
| Heart failure with MCCMS-DRG 291 | $16,048 | $9,434 | 170% | — | 16 |
| Hip and femur procedures except major joint, with CCMS-DRG 481 | $26,181 | $13,876 | 189% | — | 16 |
| Hysterectomy, no CC/MCCMS-DRG 743 | $15,509 | $10,098 | 154% | — | 17 |
| Inguinal hernia repair, age 5+CPT 49505 | $4,415 | $3,739 | 118% | — | 39 |
| Kidney and urinary tract infections, no MCCMS-DRG 690 | $10,119 | $5,829 | 174% | — | 16 |
| Kidney function panelCPT 80069 | $13 | $9 | 150% | ~$105 | 47 |
| Knee arthroscopy with meniscectomyCPT 29881 | $4,035 | $3,417 | 118% | — | 39 |
| Laparoscopic cholecystectomyCPT 47562 | $6,523 | $6,313 | 103% | — | 39 |
| Laparoscopic cholecystectomy, no CC/MCCMS-DRG 419 | $17,072 | $8,977 | 190% | — | 16 |
| Laparoscopic radical prostatectomyCPT 55866 | $11,101 | $11,101 | 100% | — | 39 |
| Lipid panelCPT 80061 | $20 | $13 | 147% | ~$128 | 47 |
| Liver function panelCPT 80076 | $12 | $8 | 147% | ~$57 | 47 |
| Lumbar epidural steroid injectionCPT 62323 | $1,274 | $737 | 173% | $408 | 47 |
| MRI brain with and without contrastCPT 70553 | $483 | $364 | 133% | ~$1,693 | 47 |
| MRI lower extremity joint (knee)CPT 73721 | $311 | $249 | 125% | ~$694 | 47 |
| MRI lumbar spine without contrastCPT 72148 | $311 | $249 | 125% | ~$532 | 47 |
| Major joint replacement (hip/knee), no MCCMS-DRG 470 | $24,111 | $13,045 | 185% | — | 17 |
| Major joint replacement (hip/knee), with MCCMS-DRG 469 | $37,915 | $22,346 | 170% | — | 17 |
| Major small and large bowel procedures, with CCMS-DRG 330 | $32,345 | $16,202 | 200% | — | 16 |
| Medical back problems, no MCCMS-DRG 552 | $12,016 | $6,142 | 196% | — | 16 |
| OB global care, VBAC deliveryCPT 59610 | $7,499 | — | — | — | 5 |
| OB global care, cesarean deliveryCPT 59510 | $7,499 | — | — | — | 5 |
| OB global care, vaginal deliveryCPT 59400 | $7,499 | — | — | — | 5 |
| OB ultrasound, 14+ weeksCPT 76805 | $142 | $109 | 130% | ~$230 | 47 |
| PSA (prostate specific antigen), totalCPT 84153 | $27 | $18 | 147% | ~$46 | 47 |
| Partial thromboplastin timeCPT 85730 | $9 | $6 | 147% | ~$49 | 47 |
| Physical therapy, therapeutic exerciseCPT 97110 | $102 | — | — | $76 | 47 |
| Prostate biopsyCPT 55700 | $5,877 | — | — | — | 14 |
| Prothrombin timeCPT 85610 | $6 | $4 | 147% | ~$46 | 47 |
| Renal failure, with CCMS-DRG 683 | $11,817 | $6,480 | 182% | — | 16 |
| Screening mammography, bilateralCPT 77067 | $119 | — | — | ~$131 | 47 |
| Sepsis with MCCMS-DRG 871 | $24,281 | $14,132 | 172% | — | 16 |
| Shoulder arthroscopy, subacromial decompressionCPT 29826 | $1,957 | — | — | — | 11 |
| Simple pneumonia and pleurisy, with CCMS-DRG 194 | $10,874 | $5,177 | 210% | — | 16 |
| Spinal fusion except cervical, no MCCMS-DRG 460 | $79,729 | $25,413 | 314% | — | 14 |
| Spinal fusion except cervical, with MCCMS-DRG 459 | $176,974 | $51,127 | 346% | — | 14 |
| Stroke (hemorrhage/infarction), no CC/MCCMS-DRG 066 | $9,528 | $3,679 | 259% | — | 16 |
| Stroke (hemorrhage/infarction), with CC or tPAMS-DRG 065 | $13,632 | $6,559 | 208% | — | 16 |
| Thyroid stimulating hormone (TSH)CPT 84443 | $25 | $17 | 147% | ~$62 | 47 |
| Tonsillectomy and adenoidectomy, under age 12CPT 42820 | $6,238 | $6,182 | 101% | — | 39 |
| Transforaminal epidural, lumbar/sacralCPT 64483 | $1,091 | $924 | 118% | $274 | 47 |
| Ultrasound, abdomen, completeCPT 76700 | $132 | $109 | 121% | ~$344 | 47 |
| Ultrasound, transvaginalCPT 76830 | $136 | $109 | 125% | ~$185 | 47 |
| Upper GI endoscopy with biopsyCPT 43239 | $1,220 | $947 | 129% | $270 | 47 |
| Upper GI endoscopy, diagnosticCPT 43235 | $1,137 | $947 | 120% | — | 39 |
| Urinalysis, automated, with microscopyCPT 81001 | $5 | $3 | 148% | ~$49 | 47 |
| Urinalysis, automated, without microscopyCPT 81003 | $3 | $2 | 147% | ~$34 | 47 |
| Urinalysis, manual, without microscopyCPT 81002 | $5 | $3 | 147% | ~$5 | 47 |
| Vaginal delivery, no sterilization, no CC/MCCMS-DRG 807 | $5,669 | — | — | — | 10 |
| Vaginal delivery, no sterilization, with CCMS-DRG 806 | $8,018 | — | — | — | 10 |
| X-ray, lower back, 4+ viewsCPT 72110 | $129 | $109 | 118% | ~$347 | 47 |
| YAG laser capsulotomy (secondary cataract)CPT 66821 | $689 | $574 | 120% | — | 39 |