| Acute myocardial infarction, discharged alive, with MCCMS-DRG 280 | $23,739 | $10,724 | 221% | — | 13 |
| Bariatric (obesity) surgery, no CC/MCCMS-DRG 621 | $40,558 | $8,272 | 490% | — | 13 |
| Basic metabolic panelCPT 80048 | $441 | $8 | 5213% | ~$98 | 25 |
| COPD with MCCMS-DRG 190 | $12,499 | $7,448 | 168% | — | 8 |
| CT abdomen and pelvis with contrastCPT 74177 | $7,937 | $364 | 2179% | ~$1,916 | 24 |
| CT head without contrastCPT 70450 | $3,275 | $109 | 3000% | ~$791 | 24 |
| CT pelvis with contrastCPT 72193 | $3,788 | $183 | 2068% | ~$915 | 24 |
| Cardiac arrhythmia, no CC/MCCMS-DRG 310 | $13,246 | $3,149 | 421% | — | 14 |
| Cardiac stress testCPT 93017 | $2,799 | $225 | 1241% | $510 | 24 |
| Cardiac valve surgery with cardiac cath, with MCCMS-DRG 216 | $123,055 | — | — | — | 13 |
| Cataract surgery with IOL insertionCPT 66984 | $6,058 | $2,410 | 251% | — | 20 |
| Cellulitis, no MCCMS-DRG 603 | $21,012 | $5,431 | 387% | — | 16 |
| Cervical spinal fusion, no CC/MCCMS-DRG 473 | $34,603 | $16,343 | 212% | — | 20 |
| Cesarean section, no CC/MCCMS-DRG 788 | $18,397 | — | — | — | 20 |
| Cesarean section, with CCMS-DRG 787 | $20,700 | — | — | — | 20 |
| Chest painMS-DRG 313 | $13,318 | $4,359 | 306% | — | 15 |
| Colonoscopy with biopsyCPT 45380 | $3,836 | $1,250 | 307% | — | 20 |
| Colonoscopy with endoscopic ultrasoundCPT 45391 | $3,836 | $1,250 | 307% | — | 20 |
| Colonoscopy with polyp removalCPT 45385 | $3,836 | $1,250 | 307% | — | 20 |
| Colonoscopy, diagnosticCPT 45378 | $3,160 | $971 | 325% | — | 20 |
| Complete blood count with differentialCPT 85025 | $10 | $8 | 135% | — | 9 |
| Complete blood count, automatedCPT 85027 | $251 | $6 | 3875% | ~$67 | 28 |
| Comprehensive metabolic panelCPT 80053 | $477 | $11 | 4519% | ~$127 | 28 |
| Coronary bypass without cardiac cath, no MCCMS-DRG 236 | $105,219 | $29,950 | 351% | — | 13 |
| Diagnostic mammography, both breastsCPT 77066 | $361 | — | — | ~$63 | 20 |
| Diagnostic mammography, one breastCPT 77065 | $295 | — | — | ~$51 | 20 |
| ED visit, level 3CPT 99283 | $2,329 | $285 | 817% | $366 | 34 |
| ED visit, level 4CPT 99284 | $3,691 | $436 | 847% | $550 | 33 |
| ED visit, level 5CPT 99285 | $3,706 | $622 | 596% | $552 | 33 |
| Echocardiogram, completeCPT 93306 | $1,928 | $571 | 338% | $351 | 24 |
| Electrocardiogram with interpretationCPT 93000 | $188 | — | — | — | 3 |
| Epidural injection, lumbar/sacral, no imagingCPT 62322 | $3,242 | $924 | 351% | — | 19 |
| Esophagitis/GI disorders, no MCCMS-DRG 392 | $21,047 | $4,965 | 424% | — | 16 |
| Excision of breast lesionCPT 19120 | $14,695 | $4,089 | 359% | — | 25 |
| Family psychotherapy, with patientCPT 90847 | $164 | $185 | 89% | — | 3 |
| Family psychotherapy, without patientCPT 90846 | $162 | $185 | 87% | — | 3 |
| Group psychotherapyCPT 90853 | $122 | $106 | 115% | — | 3 |
| Heart failure and shock, with CCMS-DRG 292 | $21,276 | $5,927 | 359% | — | 10 |
| Heart failure with MCCMS-DRG 291 | $24,448 | $8,479 | 288% | — | 10 |
| Hip and femur procedures except major joint, with CCMS-DRG 481 | $43,519 | $13,256 | 328% | — | 13 |
| Hysterectomy, no CC/MCCMS-DRG 743 | $27,103 | $10,098 | 268% | — | 18 |
| Inguinal hernia repair, age 5+CPT 49505 | $15,850 | $3,739 | 424% | — | 20 |
| Kidney and urinary tract infections, no MCCMS-DRG 690 | $21,012 | $5,231 | 402% | — | 16 |
| Kidney function panelCPT 80069 | $257 | $9 | 2965% | ~$57 | 25 |
| Knee arthroscopy with meniscectomyCPT 29881 | $14,696 | $3,417 | 430% | — | 25 |
| Laparoscopic cholecystectomyCPT 47562 | $16,804 | $6,313 | 266% | — | 24 |
| Laparoscopic cholecystectomy, no CC/MCCMS-DRG 419 | $22,483 | $8,348 | 269% | — | 18 |
| Laparoscopic radical prostatectomyCPT 55866 | $19,136 | $11,101 | 172% | — | 20 |
| Left heart catheterization, diagnosticCPT 93452 | $11,330 | $3,385 | 335% | — | 18 |
| Lipid panelCPT 80061 | $259 | $13 | 1933% | ~$68 | 27 |
| Liver function panelCPT 80076 | $242 | $8 | 2962% | ~$51 | 25 |
| Lumbar epidural steroid injectionCPT 62323 | $3,242 | $737 | 440% | — | 19 |
| MRI brain with and without contrastCPT 70553 | $3,566 | $364 | 979% | ~$780 | 24 |
| MRI lower extremity joint (knee)CPT 73721 | $3,096 | $249 | 1243% | ~$613 | 24 |
| MRI lumbar spine without contrastCPT 72148 | $3,752 | $249 | 1506% | ~$867 | 24 |
| Major joint replacement (hip/knee), no MCCMS-DRG 470 | $31,121 | $12,688 | 245% | — | 19 |
| Major joint replacement (hip/knee), with MCCMS-DRG 469 | $42,815 | $22,346 | 192% | — | 19 |
| Major small and large bowel procedures, with CCMS-DRG 330 | $42,239 | $16,408 | 257% | — | 15 |
| Medical back problems, no MCCMS-DRG 552 | $12,499 | $5,776 | 216% | — | 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 | $1,728 | $109 | 1582% | ~$301 | 20 |
| Obstetric blood test panelCPT 80055 | $65 | $48 | 135% | — | 9 |
| Office consultation, comprehensiveCPT 99244 | $190 | — | — | — | 3 |
| Office consultation, moderateCPT 99243 | $219 | — | — | — | 3 |
| Office visit, established patient, level 3CPT 99213 | $299 | — | — | $79 | 32 |
| Office visit, established patient, level 4CPT 99214 | $385 | — | — | $102 | 32 |
| Office visit, new patient, level 3CPT 99203 | $299 | — | — | $79 | 32 |
| Office visit, new patient, level 4CPT 99204 | $431 | — | — | $114 | 32 |
| Office visit, new patient, level 5CPT 99205 | $473 | — | — | $125 | 32 |
| PSA (prostate specific antigen), totalCPT 84153 | $142 | $18 | 770% | ~$31 | 25 |
| Partial thromboplastin timeCPT 85730 | $430 | $6 | 7158% | ~$96 | 25 |
| Percutaneous cardiac stent, no MCCMS-DRG 247 | $17,255 | — | — | — | 1 |
| Physical therapy, therapeutic exerciseCPT 97110 | $106 | — | — | $22 | 29 |
| Prostate biopsyCPT 55700 | $4,432 | — | — | — | 6 |
| Prothrombin timeCPT 85610 | $91 | $4 | 2127% | ~$18 | 25 |
| Psychotherapy, 30 minutesCPT 90832 | $141 | $185 | 76% | — | 3 |
| Psychotherapy, 45 minutesCPT 90834 | $152 | $185 | 82% | — | 3 |
| Psychotherapy, 60 minutesCPT 90837 | $175 | $185 | 95% | — | 3 |
| Renal failure, with CCMS-DRG 683 | $21,012 | $5,928 | 354% | — | 16 |
| Screening mammography, bilateralCPT 77067 | $245 | — | — | ~$51 | 21 |
| Sepsis with MCCMS-DRG 871 | $28,965 | $12,870 | 225% | — | 19 |
| Shoulder arthroscopy, subacromial decompressionCPT 29826 | $7,156 | — | — | — | 18 |
| Simple pneumonia and pleurisy, with CCMS-DRG 194 | $21,012 | $5,052 | 416% | — | 16 |
| Sleep study (polysomnography)CPT 95810 | $2,759 | $897 | 308% | — | 4 |
| Spinal fusion except cervical, no MCCMS-DRG 460 | $43,300 | $25,413 | 170% | — | 1 |
| Spinal fusion except cervical, with MCCMS-DRG 459 | $49,255 | $51,127 | 96% | — | 1 |
| 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 | $6,463 | 416% | — | 12 |
| Thyroid stimulating hormone (TSH)CPT 84443 | $239 | $17 | 1420% | ~$63 | 28 |
| Tonsillectomy and adenoidectomy, under age 12CPT 42820 | $18,413 | $6,182 | 298% | — | 17 |
| Transforaminal epidural, lumbar/sacralCPT 64483 | $3,038 | $924 | 329% | — | 18 |
| Ultrasound, abdomen, completeCPT 76700 | $2,229 | $109 | 2041% | ~$388 | 20 |
| Ultrasound, transvaginalCPT 76830 | $2,186 | $109 | 2002% | ~$380 | 20 |
| Upper GI endoscopy with biopsyCPT 43239 | $3,160 | $947 | 334% | — | 20 |
| Upper GI endoscopy, diagnosticCPT 43235 | $3,160 | $947 | 334% | — | 20 |
| Urinalysis, automated, with microscopyCPT 81001 | $140 | $3 | 4420% | ~$31 | 25 |
| Urinalysis, automated, without microscopyCPT 81003 | $130 | $2 | 5773% | ~$29 | 27 |
| Urinalysis, manual, with microscopyCPT 81000 | $5 | $4 | 135% | — | 9 |
| Urinalysis, manual, without microscopyCPT 81002 | $5 | $3 | 135% | — | 9 |
| Vaginal delivery, no sterilization, no CC/MCCMS-DRG 807 | $11,419 | — | — | — | 20 |
| Vaginal delivery, no sterilization, with CCMS-DRG 806 | $13,029 | — | — | — | 20 |
| X-ray, lower back, 4+ viewsCPT 72110 | $1,727 | $109 | 1582% | ~$301 | 20 |
| YAG laser capsulotomy (secondary cataract)CPT 66821 | $2,687 | $574 | 468% | — | 20 |