| Acute myocardial infarction, discharged alive, with MCCMS-DRG 280 | $24,946 | $10,275 | 243% | — | 12 |
| Bariatric (obesity) surgery, no CC/MCCMS-DRG 621 | $40,558 | $8,272 | 490% | — | 13 |
| Basic metabolic panelCPT 80048 | $388 | $8 | 4586% | ~$106 | 28 |
| COPD with MCCMS-DRG 190 | $12,499 | $7,377 | 169% | — | 8 |
| CT abdomen and pelvis with contrastCPT 74177 | $4,370 | $364 | 1199% | ~$877 | 26 |
| CT head without contrastCPT 70450 | $2,635 | $109 | 2413% | ~$697 | 26 |
| CT pelvis with contrastCPT 72193 | $3,171 | $183 | 1731% | ~$839 | 26 |
| Cardiac arrhythmia, no CC/MCCMS-DRG 310 | $13,402 | $2,957 | 453% | — | 16 |
| Cardiac stress testCPT 93017 | $3,398 | $225 | 1507% | $671 | 27 |
| Cardiac valve surgery with cardiac cath, with MCCMS-DRG 216 | $125,404 | — | — | — | 12 |
| Cataract surgery with IOL insertionCPT 66984 | $5,578 | $2,410 | 231% | — | 21 |
| Cellulitis, no MCCMS-DRG 603 | $20,976 | $4,786 | 438% | — | 18 |
| Cervical spinal fusion, no CC/MCCMS-DRG 473 | $36,283 | $16,343 | 222% | — | 21 |
| Cesarean section, no CC/MCCMS-DRG 788 | $18,992 | — | — | — | 22 |
| Cesarean section, with CCMS-DRG 787 | $23,001 | — | — | — | 22 |
| Chest painMS-DRG 313 | $13,318 | $4,569 | 291% | — | 17 |
| Colonoscopy with biopsyCPT 45380 | $3,743 | $1,250 | 300% | — | 21 |
| Colonoscopy with endoscopic ultrasoundCPT 45391 | $3,743 | $1,250 | 300% | — | 21 |
| Colonoscopy with polyp removalCPT 45385 | $3,743 | $1,250 | 300% | — | 21 |
| Colonoscopy, diagnosticCPT 45378 | $3,044 | $971 | 313% | — | 21 |
| Complete blood count with differentialCPT 85025 | $11 | $8 | 145% | — | 10 |
| Complete blood count, automatedCPT 85027 | $33 | $6 | 505% | ~$7 | 30 |
| Comprehensive metabolic panelCPT 80053 | $443 | $11 | 4193% | ~$131 | 30 |
| Coronary bypass without cardiac cath, no MCCMS-DRG 236 | $105,219 | $29,950 | 351% | — | 12 |
| Diagnostic mammography, both breastsCPT 77066 | $138 | — | — | — | 5 |
| Diagnostic mammography, one breastCPT 77065 | $107 | — | — | — | 5 |
| ED visit, level 3CPT 99283 | $2,146 | $285 | 753% | $352 | 36 |
| ED visit, level 4CPT 99284 | $2,670 | $436 | 613% | $510 | 36 |
| ED visit, level 5CPT 99285 | $2,974 | $622 | 478% | $513 | 36 |
| Echocardiogram, completeCPT 93306 | $1,805 | $571 | 316% | $357 | 26 |
| Electrocardiogram with interpretationCPT 93000 | $187 | — | — | — | 3 |
| Epidural injection, lumbar/sacral, no imagingCPT 62322 | $3,078 | $924 | 333% | — | 21 |
| Esophagitis/GI disorders, no MCCMS-DRG 392 | $20,976 | $4,906 | 428% | — | 18 |
| Excision of breast lesionCPT 19120 | $13,244 | $4,089 | 324% | — | 24 |
| Family psychotherapy, with patientCPT 90847 | $186 | $185 | 100% | $60 | 37 |
| Family psychotherapy, without patientCPT 90846 | $162 | $185 | 87% | — | 3 |
| Group psychotherapyCPT 90853 | $132 | $106 | 124% | $34 | 29 |
| Heart failure and shock, with CCMS-DRG 292 | $24,928 | $5,927 | 421% | — | 9 |
| Heart failure with MCCMS-DRG 291 | $26,451 | $8,733 | 303% | — | 9 |
| Hip and femur procedures except major joint, with CCMS-DRG 481 | $43,519 | $14,773 | 295% | — | 12 |
| Hysterectomy, no CC/MCCMS-DRG 743 | $28,796 | $10,098 | 285% | — | 20 |
| Inguinal hernia repair, age 5+CPT 49505 | $17,004 | $3,739 | 455% | — | 19 |
| Kidney and urinary tract infections, no MCCMS-DRG 690 | $20,976 | $5,445 | 385% | — | 16 |
| Kidney function panelCPT 80069 | $324 | $9 | 3730% | ~$89 | 28 |
| Knee arthroscopy with meniscectomyCPT 29881 | $9,252 | $3,417 | 271% | — | 25 |
| Laparoscopic cholecystectomyCPT 47562 | $15,888 | $6,313 | 252% | — | 24 |
| Laparoscopic cholecystectomy, no CC/MCCMS-DRG 419 | $21,908 | $8,977 | 244% | — | 20 |
| Laparoscopic radical prostatectomyCPT 55866 | $19,136 | $11,101 | 172% | — | 19 |
| Left heart catheterization, diagnosticCPT 93452 | $11,555 | $3,385 | 341% | — | 17 |
| Lipid panelCPT 80061 | $230 | $13 | 1721% | ~$63 | 28 |
| Liver function panelCPT 80076 | $291 | $8 | 3559% | ~$79 | 28 |
| Lumbar epidural steroid injectionCPT 62323 | $3,078 | $737 | 418% | — | 21 |
| MRI brain with and without contrastCPT 70553 | $2,637 | $364 | 724% | ~$432 | 26 |
| MRI lower extremity joint (knee)CPT 73721 | $1,934 | $249 | 776% | ~$298 | 26 |
| MRI lumbar spine without contrastCPT 72148 | $1,934 | $249 | 776% | ~$298 | 26 |
| Major joint replacement (hip/knee), no MCCMS-DRG 470 | $33,830 | $11,548 | 293% | — | 20 |
| Major joint replacement (hip/knee), with MCCMS-DRG 469 | $44,777 | $22,346 | 200% | — | 20 |
| Major small and large bowel procedures, with CCMS-DRG 330 | $44,457 | $16,202 | 274% | — | 17 |
| Medical back problems, no MCCMS-DRG 552 | $12,499 | $5,926 | 211% | — | 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 | $890 | $109 | 815% | ~$147 | 22 |
| Obstetric blood test panelCPT 80055 | $70 | $48 | 145% | — | 10 |
| Office consultation, comprehensiveCPT 99244 | $189 | — | — | — | 3 |
| Office consultation, moderateCPT 99243 | $219 | — | — | — | 3 |
| Office visit, established patient, level 3CPT 99213 | $250 | — | — | $80 | 33 |
| Office visit, established patient, level 4CPT 99214 | $374 | — | — | $120 | 33 |
| Office visit, new patient, level 3CPT 99203 | $162 | — | — | — | 3 |
| Office visit, new patient, level 4CPT 99204 | $199 | — | — | — | 3 |
| Office visit, new patient, level 5CPT 99205 | $200 | — | — | — | 3 |
| PSA (prostate specific antigen), totalCPT 84153 | $139 | $18 | 755% | ~$25 | 28 |
| Partial thromboplastin timeCPT 85730 | $12 | $6 | 205% | ~$2 | 28 |
| Physical therapy, therapeutic exerciseCPT 97110 | $117 | — | — | $30 | 31 |
| Prostate biopsyCPT 55700 | $4,472 | — | — | — | 7 |
| Prothrombin timeCPT 85610 | $93 | $4 | 2169% | ~$24 | 29 |
| Psychotherapy, 30 minutesCPT 90832 | $141 | $185 | 76% | — | 3 |
| Psychotherapy, 45 minutesCPT 90834 | $152 | $185 | 82% | — | 3 |
| Psychotherapy, 60 minutesCPT 90837 | $186 | $185 | 100% | $60 | 37 |
| Renal failure, with CCMS-DRG 683 | $20,976 | $6,252 | 336% | — | 16 |
| Screening mammography, bilateralCPT 77067 | $114 | — | — | — | 5 |
| Sepsis with MCCMS-DRG 871 | $28,965 | $12,898 | 225% | — | 19 |
| Shoulder arthroscopy, subacromial decompressionCPT 29826 | $6,442 | — | — | — | 18 |
| Simple pneumonia and pleurisy, with CCMS-DRG 194 | $21,012 | $5,233 | 402% | — | 18 |
| Sleep study (polysomnography)CPT 95810 | $2,755 | $897 | 307% | — | 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 | $6,811 | 395% | — | 12 |
| Thyroid stimulating hormone (TSH)CPT 84443 | $5 | $17 | 30% | ~$0 | 28 |
| Tonsillectomy and adenoidectomy, under age 12CPT 42820 | $18,774 | $6,182 | 304% | — | 16 |
| Transforaminal epidural, lumbar/sacralCPT 64483 | $3,029 | $924 | 328% | — | 19 |
| Ultrasound, abdomen, completeCPT 76700 | $895 | $109 | 820% | ~$147 | 22 |
| Ultrasound, transvaginalCPT 76830 | $1,102 | $109 | 1010% | ~$190 | 22 |
| Upper GI endoscopy with biopsyCPT 43239 | $3,044 | $947 | 321% | — | 21 |
| Upper GI endoscopy, diagnosticCPT 43235 | $3,044 | $947 | 321% | — | 21 |
| Urinalysis, automated, with microscopyCPT 81001 | $245 | $3 | 7729% | ~$67 | 29 |
| Urinalysis, automated, without microscopyCPT 81003 | $92 | $2 | 4080% | ~$25 | 29 |
| Urinalysis, manual, with microscopyCPT 81000 | $6 | $4 | 146% | — | 10 |
| Urinalysis, manual, without microscopyCPT 81002 | $5 | $3 | 145% | — | 10 |
| Vaginal delivery, no sterilization, no CC/MCCMS-DRG 807 | $11,419 | — | — | — | 22 |
| Vaginal delivery, no sterilization, with CCMS-DRG 806 | $13,502 | — | — | — | 22 |
| X-ray, lower back, 4+ viewsCPT 72110 | $1,852 | $109 | 1696% | ~$320 | 22 |
| YAG laser capsulotomy (secondary cataract)CPT 66821 | $2,655 | $574 | 462% | — | 21 |