| Acute myocardial infarction, discharged alive, with MCCMS-DRG 280 | $24,946 | $10,376 | 240% | — | 12 |
| Bariatric (obesity) surgery, no CC/MCCMS-DRG 621 | $40,558 | $8,272 | 490% | — | 12 |
| Basic metabolic panelCPT 80048 | $304 | $8 | 3589% | ~$78 | 29 |
| COPD with MCCMS-DRG 190 | $12,527 | $7,377 | 170% | — | 8 |
| CT abdomen and pelvis with contrastCPT 74177 | $5,930 | $364 | 1628% | ~$1,427 | 27 |
| CT head without contrastCPT 70450 | $2,922 | $109 | 2677% | ~$703 | 27 |
| CT pelvis with contrastCPT 72193 | $4,933 | $183 | 2693% | ~$1,187 | 27 |
| Cardiac arrhythmia, no CC/MCCMS-DRG 310 | $16,395 | $3,480 | 471% | — | 13 |
| Cardiac stress testCPT 93017 | $2,405 | $225 | 1067% | $446 | 27 |
| Cardiac valve surgery with cardiac cath, with MCCMS-DRG 216 | $125,404 | — | — | — | 12 |
| Cataract surgery with IOL insertionCPT 66984 | $6,492 | $2,410 | 269% | — | 19 |
| Cellulitis, no MCCMS-DRG 603 | $20,073 | $5,176 | 388% | — | 15 |
| Cervical spinal fusion, no CC/MCCMS-DRG 473 | $53,308 | $16,343 | 326% | — | 18 |
| Cesarean section, no CC/MCCMS-DRG 788 | $18,218 | — | — | — | 19 |
| Cesarean section, with CCMS-DRG 787 | $19,588 | — | — | — | 19 |
| Chest painMS-DRG 313 | $16,318 | $4,399 | 371% | — | 14 |
| Colonoscopy with biopsyCPT 45380 | $4,475 | $1,250 | 358% | — | 19 |
| Colonoscopy with endoscopic ultrasoundCPT 45391 | $4,475 | $1,250 | 358% | — | 19 |
| Colonoscopy with polyp removalCPT 45385 | $4,475 | $1,250 | 358% | — | 19 |
| Colonoscopy, diagnosticCPT 45378 | $3,689 | $971 | 380% | — | 19 |
| Complete blood count with differentialCPT 85025 | $15 | $8 | 198% | — | 10 |
| Complete blood count, automatedCPT 85027 | $114 | $6 | 1769% | ~$25 | 31 |
| Comprehensive metabolic panelCPT 80053 | $793 | $11 | 7511% | ~$204 | 31 |
| Coronary bypass without cardiac cath, no MCCMS-DRG 236 | $105,219 | $29,950 | 351% | — | 12 |
| Diagnostic mammography, both breastsCPT 77066 | $393 | — | — | ~$64 | 24 |
| Diagnostic mammography, one breastCPT 77065 | $324 | — | — | ~$52 | 24 |
| ED visit, level 3CPT 99283 | $2,103 | $285 | 738% | $324 | 35 |
| ED visit, level 4CPT 99284 | $3,867 | $436 | 887% | $595 | 35 |
| ED visit, level 5CPT 99285 | $3,876 | $622 | 623% | $597 | 35 |
| Echocardiogram, completeCPT 93306 | $5,210 | $571 | 913% | $967 | 29 |
| Electrocardiogram with interpretationCPT 93000 | $193 | — | — | — | 3 |
| Epidural injection, lumbar/sacral, no imagingCPT 62322 | $3,917 | $924 | 424% | — | 19 |
| Esophagitis/GI disorders, no MCCMS-DRG 392 | $21,047 | $4,744 | 444% | — | 15 |
| Excision of breast lesionCPT 19120 | $12,810 | $4,089 | 313% | — | 24 |
| Family psychotherapy, with patientCPT 90847 | $214 | $185 | 116% | $64 | 38 |
| Family psychotherapy, without patientCPT 90846 | $166 | $185 | 89% | — | 3 |
| Group psychotherapyCPT 90853 | $299 | $106 | 282% | $63 | 30 |
| Heart failure and shock, with CCMS-DRG 292 | $24,928 | $5,927 | 421% | — | 9 |
| Heart failure with MCCMS-DRG 291 | $26,375 | $8,435 | 313% | — | 9 |
| Hip and femur procedures except major joint, with CCMS-DRG 481 | $44,662 | $13,350 | 335% | — | 12 |
| Hysterectomy, no CC/MCCMS-DRG 743 | $30,727 | $10,098 | 304% | — | 17 |
| Inguinal hernia repair, age 5+CPT 49505 | $17,004 | $3,739 | 455% | — | 19 |
| Kidney and urinary tract infections, no MCCMS-DRG 690 | $20,073 | $4,998 | 402% | — | 15 |
| Kidney function panelCPT 80069 | $460 | $9 | 5298% | ~$118 | 29 |
| Knee arthroscopy with meniscectomyCPT 29881 | $13,399 | $3,417 | 392% | — | 24 |
| Laparoscopic cholecystectomyCPT 47562 | $17,546 | $6,313 | 278% | — | 23 |
| Laparoscopic cholecystectomy, no CC/MCCMS-DRG 419 | $23,058 | $8,977 | 257% | — | 17 |
| Laparoscopic radical prostatectomyCPT 55866 | $21,192 | $11,101 | 191% | — | 19 |
| Left heart catheterization, diagnosticCPT 93452 | $11,555 | $3,385 | 341% | — | 17 |
| Lipid panelCPT 80061 | $364 | $13 | 2722% | ~$94 | 29 |
| Liver function panelCPT 80076 | $490 | $8 | 5993% | ~$126 | 29 |
| Lumbar epidural steroid injectionCPT 62323 | $3,917 | $737 | 531% | — | 19 |
| MRI brain with and without contrastCPT 70553 | $3,621 | $364 | 994% | ~$608 | 27 |
| MRI lower extremity joint (knee)CPT 73721 | $3,083 | $249 | 1237% | ~$475 | 27 |
| MRI lumbar spine without contrastCPT 72148 | $3,266 | $249 | 1311% | ~$536 | 27 |
| Major joint replacement (hip/knee), no MCCMS-DRG 470 | $43,299 | $11,934 | 363% | — | 17 |
| Major joint replacement (hip/knee), with MCCMS-DRG 469 | $46,739 | $22,346 | 209% | — | 17 |
| Major small and large bowel procedures, with CCMS-DRG 330 | $42,239 | $15,293 | 276% | — | 14 |
| Medical back problems, no MCCMS-DRG 552 | $12,527 | $6,002 | 209% | — | 8 |
| OB global care, VBAC deliveryCPT 59610 | $13,256 | — | — | — | 6 |
| OB global care, cesarean deliveryCPT 59510 | $13,256 | — | — | — | 6 |
| OB global care, vaginal deliveryCPT 59400 | $13,256 | — | — | — | 6 |
| OB ultrasound, 14+ weeksCPT 76805 | $1,547 | $109 | 1417% | ~$238 | 23 |
| Obstetric blood test panelCPT 80055 | $95 | $48 | 198% | — | 10 |
| Office consultation, comprehensiveCPT 99244 | $193 | — | — | — | 3 |
| Office consultation, moderateCPT 99243 | $224 | — | — | — | 3 |
| Office visit, established patient, level 3CPT 99213 | $94 | — | — | — | 3 |
| Office visit, established patient, level 4CPT 99214 | $130 | — | — | — | 3 |
| Office visit, new patient, level 3CPT 99203 | $166 | — | — | — | 3 |
| Office visit, new patient, level 4CPT 99204 | $204 | — | — | — | 3 |
| Office visit, new patient, level 5CPT 99205 | $203 | — | — | — | 3 |
| PSA (prostate specific antigen), totalCPT 84153 | $245 | $18 | 1331% | ~$63 | 29 |
| Partial thromboplastin timeCPT 85730 | $149 | $6 | 2476% | ~$38 | 29 |
| Physical therapy, therapeutic exerciseCPT 97110 | $81 | — | — | $17 | 32 |
| Prostate biopsyCPT 55700 | $4,525 | — | — | — | 5 |
| Prothrombin timeCPT 85610 | $101 | $4 | 2357% | ~$26 | 29 |
| Psychotherapy, 30 minutesCPT 90832 | $145 | $185 | 78% | — | 3 |
| Psychotherapy, 45 minutesCPT 90834 | $158 | $185 | 85% | $45 | 38 |
| Psychotherapy, 60 minutesCPT 90837 | $179 | $185 | 96% | — | 3 |
| Renal failure, with CCMS-DRG 683 | $20,073 | $5,615 | 357% | — | 15 |
| Screening mammography, bilateralCPT 77067 | $296 | — | — | ~$59 | 26 |
| Sepsis with MCCMS-DRG 871 | $34,859 | $12,274 | 284% | — | 18 |
| Shoulder arthroscopy, subacromial decompressionCPT 29826 | $6,673 | — | — | — | 17 |
| Simple pneumonia and pleurisy, with CCMS-DRG 194 | $20,073 | $5,084 | 395% | — | 15 |
| Sleep study (polysomnography)CPT 95810 | $2,839 | $897 | 317% | — | 4 |
| Stroke (hemorrhage/infarction), no CC/MCCMS-DRG 066 | $26,881 | $3,679 | 731% | — | 12 |
| Stroke (hemorrhage/infarction), with CC or tPAMS-DRG 065 | $26,881 | $5,864 | 458% | — | 12 |
| Thyroid stimulating hormone (TSH)CPT 84443 | $463 | $17 | 2754% | ~$119 | 29 |
| Tonsillectomy and adenoidectomy, under age 12CPT 42820 | $18,970 | $6,182 | 307% | — | 16 |
| Transforaminal epidural, lumbar/sacralCPT 64483 | $3,242 | $924 | 351% | — | 17 |
| Ultrasound, abdomen, completeCPT 76700 | $2,246 | $109 | 2058% | ~$346 | 23 |
| Ultrasound, transvaginalCPT 76830 | $1,216 | $109 | 1114% | ~$187 | 23 |
| Upper GI endoscopy with biopsyCPT 43239 | $3,689 | $947 | 389% | — | 19 |
| Upper GI endoscopy, diagnosticCPT 43235 | $3,689 | $947 | 389% | — | 19 |
| Urinalysis, automated, with microscopyCPT 81001 | $105 | $3 | 3319% | ~$17 | 29 |
| Urinalysis, automated, without microscopyCPT 81003 | $86 | $2 | 3840% | ~$22 | 30 |
| Urinalysis, manual, with microscopyCPT 81000 | $8 | $4 | 198% | — | 10 |
| Urinalysis, manual, without microscopyCPT 81002 | $7 | $3 | 198% | — | 10 |
| Vaginal delivery, no sterilization, no CC/MCCMS-DRG 807 | $12,018 | — | — | — | 19 |
| Vaginal delivery, no sterilization, with CCMS-DRG 806 | $12,556 | — | — | — | 19 |
| X-ray, lower back, 4+ viewsCPT 72110 | $2,210 | $109 | 2025% | ~$340 | 23 |
| YAG laser capsulotomy (secondary cataract)CPT 66821 | $3,220 | $574 | 561% | — | 19 |