| Acute myocardial infarction, discharged alive, with MCCMS-DRG 280 | $19,110 | $11,563 | 165% | — | 10 |
| Bariatric (obesity) surgery, no CC/MCCMS-DRG 621 | $34,122 | $8,272 | 412% | — | 10 |
| Basic metabolic panelCPT 80048 | $771 | $8 | 9119% | ~$200 | 31 |
| COPD with MCCMS-DRG 190 | $13,736 | $8,006 | 172% | — | 6 |
| CT abdomen and pelvis with contrastCPT 74177 | $11,367 | $364 | 3120% | ~$3,129 | 28 |
| CT head without contrastCPT 70450 | $4,170 | $109 | 3820% | ~$1,148 | 28 |
| CT pelvis with contrastCPT 72193 | $5,916 | $183 | 3230% | ~$1,628 | 28 |
| Cardiac arrhythmia, no CC/MCCMS-DRG 310 | $13,736 | $4,013 | 342% | — | 14 |
| Cardiac stress testCPT 93017 | $1,542 | $225 | 684% | $413 | 30 |
| Cardiac valve surgery with cardiac cath, with MCCMS-DRG 216 | $112,591 | — | — | — | 11 |
| Cataract surgery with IOL insertionCPT 66984 | $5,950 | $2,410 | 247% | — | 23 |
| Cellulitis, no MCCMS-DRG 603 | $18,939 | $6,373 | 297% | — | 17 |
| Cervical spinal fusion, no CC/MCCMS-DRG 473 | $44,793 | $16,343 | 274% | — | 19 |
| Cesarean section, no CC/MCCMS-DRG 788 | $16,500 | — | — | — | 22 |
| Cesarean section, with CCMS-DRG 787 | $19,718 | — | — | — | 22 |
| Chest painMS-DRG 313 | $13,736 | $5,544 | 248% | — | 16 |
| Colonoscopy with biopsyCPT 45380 | $3,813 | $1,250 | 305% | — | 23 |
| Colonoscopy with endoscopic ultrasoundCPT 45391 | $3,813 | $1,250 | 305% | — | 23 |
| Colonoscopy with polyp removalCPT 45385 | $3,813 | $1,250 | 305% | — | 23 |
| Colonoscopy, diagnosticCPT 45378 | $3,003 | $971 | 309% | — | 23 |
| Complete blood count with differentialCPT 85025 | $12 | $8 | 154% | — | 7 |
| Complete blood count, automatedCPT 85027 | $260 | $6 | 4020% | ~$72 | 33 |
| Comprehensive metabolic panelCPT 80053 | $443 | $11 | 4195% | ~$115 | 33 |
| Coronary bypass without cardiac cath, no MCCMS-DRG 236 | $93,081 | $29,950 | 311% | — | 11 |
| Diagnostic mammography, both breastsCPT 77066 | $147 | — | — | ~$35 | 26 |
| Diagnostic mammography, one breastCPT 77065 | $125 | — | — | ~$29 | 25 |
| ED visit, level 3CPT 99283 | $2,340 | $285 | 821% | $286 | 36 |
| ED visit, level 4CPT 99284 | $3,258 | $436 | 748% | $337 | 36 |
| ED visit, level 5CPT 99285 | $3,330 | $622 | 535% | $442 | 36 |
| Echocardiogram, completeCPT 93306 | $3,092 | $571 | 542% | $859 | 31 |
| Electrocardiogram with interpretationCPT 93000 | $199 | — | — | — | 3 |
| Epidural injection, lumbar/sacral, no imagingCPT 62322 | $3,003 | $924 | 325% | — | 23 |
| Esophagitis/GI disorders, no MCCMS-DRG 392 | $18,939 | $5,810 | 326% | — | 17 |
| Excision of breast lesionCPT 19120 | $9,559 | $4,089 | 234% | — | 27 |
| Family psychotherapy, with patientCPT 90847 | $170 | $185 | 92% | — | 3 |
| Family psychotherapy, without patientCPT 90846 | $168 | $185 | 91% | — | 3 |
| Group psychotherapyCPT 90853 | $129 | $106 | 122% | — | 3 |
| Heart failure and shock, with CCMS-DRG 292 | $20,320 | $5,927 | 343% | — | 9 |
| Heart failure with MCCMS-DRG 291 | $22,040 | $9,698 | 227% | — | 9 |
| Hip and femur procedures except major joint, with CCMS-DRG 481 | $42,031 | $14,594 | 288% | — | 10 |
| Hysterectomy, no CC/MCCMS-DRG 743 | $22,523 | $10,098 | 223% | — | 18 |
| Inguinal hernia repair, age 5+CPT 49505 | $9,019 | $3,739 | 241% | — | 23 |
| Kidney and urinary tract infections, no MCCMS-DRG 690 | $18,939 | $5,923 | 320% | — | 17 |
| Kidney function panelCPT 80069 | $585 | $9 | 6740% | ~$157 | 30 |
| Knee arthroscopy with meniscectomyCPT 29881 | $10,272 | $3,417 | 301% | — | 27 |
| Laparoscopic cholecystectomyCPT 47562 | $10,970 | $6,313 | 174% | — | 26 |
| Laparoscopic cholecystectomy, no CC/MCCMS-DRG 419 | $22,388 | $8,977 | 249% | — | 18 |
| Laparoscopic radical prostatectomyCPT 55866 | $10,871 | $11,101 | 98% | — | 24 |
| Left heart catheterization, diagnosticCPT 93452 | $12,101 | $3,385 | 357% | — | 17 |
| Lipid panelCPT 80061 | $392 | $13 | 2930% | ~$105 | 30 |
| Liver function panelCPT 80076 | $254 | $8 | 3105% | ~$62 | 30 |
| Lumbar epidural steroid injectionCPT 62323 | $3,003 | $737 | 407% | — | 23 |
| MRI brain with and without contrastCPT 70553 | $3,444 | $364 | 945% | ~$638 | 28 |
| MRI lower extremity joint (knee)CPT 73721 | $2,159 | $249 | 867% | ~$364 | 28 |
| MRI lumbar spine without contrastCPT 72148 | $2,529 | $249 | 1015% | ~$542 | 28 |
| Major joint replacement (hip/knee), no MCCMS-DRG 470 | $39,662 | $13,734 | 289% | — | 18 |
| Major joint replacement (hip/knee), with MCCMS-DRG 469 | $58,752 | $22,346 | 263% | — | 18 |
| Major small and large bowel procedures, with CCMS-DRG 330 | $56,348 | $16,202 | 348% | — | 16 |
| Medical back problems, no MCCMS-DRG 552 | $13,736 | $6,281 | 219% | — | 6 |
| OB global care, VBAC deliveryCPT 59610 | $6,686 | — | — | — | 8 |
| OB global care, cesarean deliveryCPT 59510 | $6,686 | — | — | — | 8 |
| OB global care, vaginal deliveryCPT 59400 | $6,686 | — | — | — | 8 |
| OB ultrasound, 14+ weeksCPT 76805 | $1,220 | $109 | 1117% | ~$310 | 26 |
| Obstetric blood test panelCPT 80055 | $74 | $48 | 154% | — | 7 |
| Office consultation, comprehensiveCPT 99244 | $195 | — | — | — | 3 |
| Office consultation, moderateCPT 99243 | $229 | — | — | — | 3 |
| Office visit, established patient, level 3CPT 99213 | $57 | — | — | $16 | 36 |
| Office visit, established patient, level 4CPT 99214 | $68 | — | — | $19 | 36 |
| Office visit, new patient, level 3CPT 99203 | $60 | — | — | $17 | 36 |
| Office visit, new patient, level 4CPT 99204 | $220 | — | — | $72 | 36 |
| Office visit, new patient, level 5CPT 99205 | $244 | — | — | $82 | 36 |
| PSA (prostate specific antigen), totalCPT 84153 | $20 | $18 | 111% | ~$3 | 30 |
| Partial thromboplastin timeCPT 85730 | $11 | $6 | 187% | ~$3 | 31 |
| Physical therapy, therapeutic exerciseCPT 97110 | $113 | — | — | $29 | 33 |
| Prostate biopsyCPT 55700 | $4,779 | — | — | — | 7 |
| Prothrombin timeCPT 85610 | $153 | $4 | 3563% | ~$40 | 32 |
| Psychotherapy, 30 minutesCPT 90832 | $148 | $185 | 80% | — | 3 |
| Psychotherapy, 45 minutesCPT 90834 | $159 | $185 | 86% | — | 3 |
| Psychotherapy, 60 minutesCPT 90837 | $181 | $185 | 98% | — | 3 |
| Renal failure, with CCMS-DRG 683 | $18,939 | $6,562 | 289% | — | 17 |
| Screening mammography, bilateralCPT 77067 | $117 | — | — | ~$29 | 27 |
| Sepsis with MCCMS-DRG 871 | $24,902 | $13,584 | 183% | — | 19 |
| Shoulder arthroscopy, subacromial decompressionCPT 29826 | $6,511 | — | — | — | 18 |
| Simple pneumonia and pleurisy, with CCMS-DRG 194 | $20,261 | $5,375 | 377% | — | 17 |
| Sleep study (polysomnography)CPT 95810 | $1,670 | $897 | 186% | $477 | 40 |
| Stroke (hemorrhage/infarction), no CC/MCCMS-DRG 066 | $49,544 | $3,679 | 1347% | — | 10 |
| Stroke (hemorrhage/infarction), with CC or tPAMS-DRG 065 | $49,544 | $7,546 | 657% | — | 10 |
| Thyroid stimulating hormone (TSH)CPT 84443 | $571 | $17 | 3402% | ~$153 | 30 |
| Tonsillectomy and adenoidectomy, under age 12CPT 42820 | $9,289 | $6,182 | 150% | — | 20 |
| Transforaminal epidural, lumbar/sacralCPT 64483 | $2,810 | $924 | 304% | — | 20 |
| Ultrasound, abdomen, completeCPT 76700 | $2,485 | $109 | 2276% | ~$632 | 26 |
| Ultrasound, transvaginalCPT 76830 | $1,208 | $109 | 1107% | ~$307 | 26 |
| Upper GI endoscopy with biopsyCPT 43239 | $3,003 | $947 | 317% | — | 23 |
| Upper GI endoscopy, diagnosticCPT 43235 | $3,003 | $947 | 317% | — | 23 |
| Urinalysis, automated, with microscopyCPT 81001 | $155 | $3 | 4899% | ~$42 | 30 |
| Urinalysis, automated, without microscopyCPT 81003 | $109 | $2 | 4865% | ~$29 | 30 |
| Urinalysis, manual, with microscopyCPT 81000 | $6 | $4 | 154% | — | 7 |
| Urinalysis, manual, without microscopyCPT 81002 | $5 | $3 | 154% | — | 7 |
| Vaginal delivery, no sterilization, no CC/MCCMS-DRG 807 | $10,628 | — | — | — | 22 |
| Vaginal delivery, no sterilization, with CCMS-DRG 806 | $11,588 | — | — | — | 22 |
| X-ray, lower back, 4+ viewsCPT 72110 | $1,191 | $109 | 1091% | ~$308 | 27 |
| YAG laser capsulotomy (secondary cataract)CPT 66821 | $2,523 | $574 | 439% | — | 23 |