| Acute myocardial infarction, discharged alive, with MCCMS-DRG 280 | $19,769 | $10,679 | 185% | — | 18 |
| Bariatric (obesity) surgery, no CC/MCCMS-DRG 621 | $41,547 | $8,272 | 502% | — | 18 |
| Basic metabolic panelCPT 80048 | $816 | $8 | 9645% | ~$209 | 30 |
| COPD with MCCMS-DRG 190 | $13,353 | $6,820 | 196% | — | 13 |
| CT abdomen and pelvis with contrastCPT 74177 | $4,416 | $364 | 1212% | ~$1,772 | 28 |
| CT head without contrastCPT 70450 | $3,710 | $109 | 3398% | ~$647 | 28 |
| CT pelvis with contrastCPT 72193 | $3,710 | $183 | 2025% | ~$886 | 28 |
| Cardiac arrhythmia, no CC/MCCMS-DRG 310 | $16,189 | $3,263 | 496% | — | 18 |
| Cardiac stress testCPT 93017 | $1,901 | $225 | 843% | $463 | 27 |
| Cardiac valve surgery with cardiac cath, with MCCMS-DRG 216 | $124,438 | — | — | — | 18 |
| Cataract surgery with IOL insertionCPT 66984 | $11,659 | $2,410 | 484% | — | 18 |
| Cellulitis, no MCCMS-DRG 603 | $27,683 | $5,521 | 501% | — | 21 |
| Cervical spinal fusion, no CC/MCCMS-DRG 473 | $48,404 | $16,343 | 296% | — | 24 |
| Cesarean section, no CC/MCCMS-DRG 788 | $22,108 | — | — | — | 26 |
| Cesarean section, with CCMS-DRG 787 | $22,108 | — | — | — | 26 |
| Chest painMS-DRG 313 | $16,460 | $4,448 | 370% | — | 20 |
| Colonoscopy with biopsyCPT 45380 | $7,473 | $1,250 | 598% | — | 18 |
| Colonoscopy with endoscopic ultrasoundCPT 45391 | $7,473 | $1,250 | 598% | — | 18 |
| Colonoscopy with polyp removalCPT 45385 | $7,473 | $1,250 | 598% | — | 18 |
| Colonoscopy, diagnosticCPT 45378 | $6,542 | $971 | 674% | — | 18 |
| Complete blood count with differentialCPT 85025 | $12 | $8 | 152% | — | 10 |
| Complete blood count, automatedCPT 85027 | $192 | $6 | 2975% | ~$49 | 31 |
| Comprehensive metabolic panelCPT 80053 | $864 | $11 | 8184% | ~$221 | 32 |
| Coronary bypass without cardiac cath, no MCCMS-DRG 236 | $96,446 | $29,950 | 322% | — | 18 |
| Diagnostic mammography, both breastsCPT 77066 | $253 | — | — | ~$64 | 24 |
| Diagnostic mammography, one breastCPT 77065 | $131 | — | — | ~$32 | 24 |
| ED visit, level 3CPT 99283 | $3,425 | $285 | 1202% | $185 | 35 |
| ED visit, level 4CPT 99284 | $4,679 | $436 | 1074% | $303 | 35 |
| ED visit, level 5CPT 99285 | $4,714 | $622 | 758% | $369 | 35 |
| Echocardiogram, completeCPT 93306 | $1,024 | $571 | 179% | $228 | 27 |
| Electrocardiogram with interpretationCPT 93000 | $206 | — | — | — | 4 |
| Epidural injection, lumbar/sacral, no imagingCPT 62322 | $6,542 | $924 | 708% | — | 18 |
| Esophagitis/GI disorders, no MCCMS-DRG 392 | $27,920 | $5,084 | 549% | — | 21 |
| Excision of breast lesionCPT 19120 | $17,837 | $4,089 | 436% | — | 31 |
| Family psychotherapy, with patientCPT 90847 | $188 | $185 | 102% | $48 | 39 |
| Family psychotherapy, without patientCPT 90846 | $188 | $185 | 102% | $48 | 39 |
| Group psychotherapyCPT 90853 | $114 | $106 | 107% | $27 | 31 |
| Heart failure and shock, with CCMS-DRG 292 | $21,723 | $5,927 | 367% | — | 15 |
| Heart failure with MCCMS-DRG 291 | $21,723 | $8,206 | 265% | — | 15 |
| Hip and femur procedures except major joint, with CCMS-DRG 481 | $49,346 | $12,526 | 394% | — | 18 |
| Hysterectomy, no CC/MCCMS-DRG 743 | $26,739 | $10,098 | 265% | — | 23 |
| Inguinal hernia repair, age 5+CPT 49505 | $15,153 | $3,739 | 405% | — | 19 |
| Kidney and urinary tract infections, no MCCMS-DRG 690 | $27,683 | $5,015 | 552% | — | 21 |
| Kidney function panelCPT 80069 | $583 | $9 | 6714% | ~$149 | 29 |
| Knee arthroscopy with meniscectomyCPT 29881 | $17,837 | $3,417 | 522% | — | 31 |
| Laparoscopic cholecystectomyCPT 47562 | $22,257 | $6,313 | 353% | — | 31 |
| Laparoscopic cholecystectomy, no CC/MCCMS-DRG 419 | $21,515 | $8,977 | 240% | — | 23 |
| Laparoscopic radical prostatectomyCPT 55866 | $18,983 | $11,101 | 171% | — | 25 |
| Left heart catheterization, diagnosticCPT 93452 | $19,525 | $3,385 | 577% | — | 24 |
| Lipid panelCPT 80061 | $413 | $13 | 3083% | ~$106 | 30 |
| Liver function panelCPT 80076 | $722 | $8 | 8831% | ~$185 | 29 |
| Lumbar epidural steroid injectionCPT 62323 | $6,542 | $737 | 887% | — | 18 |
| MRI brain with and without contrastCPT 70553 | $3,710 | $364 | 1018% | ~$723 | 28 |
| MRI lower extremity joint (knee)CPT 73721 | $3,405 | $249 | 1366% | ~$502 | 28 |
| MRI lumbar spine without contrastCPT 72148 | $3,405 | $249 | 1366% | ~$502 | 28 |
| Major joint replacement (hip/knee), no MCCMS-DRG 470 | $54,693 | $12,440 | 440% | — | 23 |
| Major joint replacement (hip/knee), with MCCMS-DRG 469 | $54,693 | $22,346 | 245% | — | 23 |
| Major small and large bowel procedures, with CCMS-DRG 330 | $28,306 | $13,485 | 210% | — | 20 |
| Medical back problems, no MCCMS-DRG 552 | $13,353 | $6,057 | 220% | — | 13 |
| OB global care, VBAC deliveryCPT 59610 | $11,166 | — | — | — | 5 |
| OB global care, cesarean deliveryCPT 59510 | $11,166 | — | — | — | 5 |
| OB global care, vaginal deliveryCPT 59400 | $11,166 | — | — | — | 5 |
| OB ultrasound, 14+ weeksCPT 76805 | $1,102 | $109 | 1009% | ~$277 | 23 |
| Obstetric blood test panelCPT 80055 | $77 | $48 | 162% | — | 10 |
| Office consultation, comprehensiveCPT 99244 | $205 | — | — | — | 3 |
| Office consultation, moderateCPT 99243 | $238 | — | — | — | 3 |
| Office visit, established patient, level 3CPT 99213 | $386 | — | — | $101 | 31 |
| Office visit, established patient, level 4CPT 99214 | $494 | — | — | $130 | 31 |
| Office visit, new patient, level 3CPT 99203 | $439 | — | — | $115 | 31 |
| Office visit, new patient, level 4CPT 99204 | $549 | — | — | $144 | 31 |
| Office visit, new patient, level 5CPT 99205 | $601 | — | — | $158 | 31 |
| PSA (prostate specific antigen), totalCPT 84153 | $230 | $18 | 1248% | ~$59 | 29 |
| Partial thromboplastin timeCPT 85730 | $244 | $6 | 4068% | ~$63 | 30 |
| Physical therapy, therapeutic exerciseCPT 97110 | $185 | — | — | $47 | 32 |
| Preventive visit, new patient, 18-39CPT 99385 | $71 | — | — | — | 1 |
| Preventive visit, new patient, 40-64CPT 99386 | $86 | — | — | — | 1 |
| Prostate biopsyCPT 55700 | $5,008 | — | — | — | 5 |
| Prothrombin timeCPT 85610 | $182 | $4 | 4231% | ~$46 | 30 |
| Psychotherapy, 30 minutesCPT 90832 | $105 | $185 | 57% | $27 | 39 |
| Psychotherapy, 45 minutesCPT 90834 | $188 | $185 | 102% | $48 | 39 |
| Psychotherapy, 60 minutesCPT 90837 | $188 | $185 | 102% | $48 | 39 |
| Renal failure, with CCMS-DRG 683 | $27,683 | $5,634 | 491% | — | 21 |
| Screening mammography, bilateralCPT 77067 | $198 | — | — | ~$51 | 26 |
| Sepsis with MCCMS-DRG 871 | $29,512 | $12,716 | 232% | — | 24 |
| Shoulder arthroscopy, subacromial decompressionCPT 29826 | $15,153 | — | — | — | 24 |
| Simple pneumonia and pleurisy, with CCMS-DRG 194 | $27,683 | $4,962 | 558% | — | 21 |
| Sleep study (polysomnography)CPT 95810 | $3,104 | $897 | 346% | — | 4 |
| Stroke (hemorrhage/infarction), no CC/MCCMS-DRG 066 | $45,342 | $3,679 | 1232% | — | 18 |
| Stroke (hemorrhage/infarction), with CC or tPAMS-DRG 065 | $45,342 | $5,911 | 767% | — | 18 |
| Thyroid stimulating hormone (TSH)CPT 84443 | $426 | $17 | 2533% | ~$109 | 30 |
| Tonsillectomy and adenoidectomy, under age 12CPT 42820 | $21,742 | $6,182 | 352% | — | 15 |
| Transforaminal epidural, lumbar/sacralCPT 64483 | $6,542 | $924 | 708% | — | 17 |
| Ultrasound, abdomen, completeCPT 76700 | $1,603 | $109 | 1468% | ~$402 | 23 |
| Ultrasound, transvaginalCPT 76830 | $1,236 | $109 | 1132% | ~$310 | 23 |
| Upper GI endoscopy with biopsyCPT 43239 | $6,542 | $947 | 691% | — | 18 |
| Upper GI endoscopy, diagnosticCPT 43235 | $6,542 | $947 | 691% | — | 18 |
| Urinalysis, automated, with microscopyCPT 81001 | $192 | $3 | 6073% | ~$49 | 30 |
| Urinalysis, automated, without microscopyCPT 81003 | $120 | $2 | 5311% | ~$31 | 30 |
| Urinalysis, manual, with microscopyCPT 81000 | $6 | $4 | 151% | — | 10 |
| Urinalysis, manual, without microscopyCPT 81002 | $5 | $3 | 152% | — | 10 |
| Vaginal delivery, no sterilization, no CC/MCCMS-DRG 807 | $15,428 | — | — | — | 26 |
| Vaginal delivery, no sterilization, with CCMS-DRG 806 | $15,979 | — | — | — | 26 |
| X-ray, lower back, 4+ viewsCPT 72110 | $968 | $109 | 887% | ~$243 | 23 |
| YAG laser capsulotomy (secondary cataract)CPT 66821 | $4,672 | $574 | 813% | — | 18 |