| Acute myocardial infarction, discharged alive, with MCCMS-DRG 280 | $22,773 | $9,134 | 249% | — | 13 |
| Bariatric (obesity) surgery, no CC/MCCMS-DRG 621 | $21,415 | $8,272 | 259% | — | 13 |
| Basic metabolic panelCPT 80048 | $41 | $8 | 489% | ~$26 | 10 |
| COPD with MCCMS-DRG 190 | $15,726 | $6,173 | 255% | — | 13 |
| CT abdomen and pelvis with contrastCPT 74177 | $153 | $364 | 42% | ~$30 | 10 |
| CT head without contrastCPT 70450 | $108 | $109 | 99% | ~$30 | 10 |
| CT pelvis with contrastCPT 72193 | $144 | $183 | 78% | ~$30 | 10 |
| Cardiac arrhythmia, no CC/MCCMS-DRG 310 | $8,037 | $2,297 | 350% | — | 13 |
| Cardiac stress testCPT 93017 | $118 | $225 | 52% | $41 | 10 |
| Cardiac valve surgery with cardiac cath, with MCCMS-DRG 216 | $138,886 | — | — | — | 13 |
| Cataract surgery with IOL insertionCPT 66984 | $4,080 | $2,410 | 169% | — | 9 |
| Cellulitis, no MCCMS-DRG 603 | $12,364 | $4,341 | 285% | — | 13 |
| Cervical spinal fusion, no CC/MCCMS-DRG 473 | $34,659 | $16,343 | 212% | — | 13 |
| Cesarean section, no CC/MCCMS-DRG 788 | $12,935 | — | — | — | 13 |
| Cesarean section, with CCMS-DRG 787 | $14,899 | — | — | — | 13 |
| Chest painMS-DRG 313 | $10,222 | — | — | — | 13 |
| Colonoscopy with biopsyCPT 45380 | $2,452 | $1,250 | 196% | — | 10 |
| Colonoscopy with endoscopic ultrasoundCPT 45391 | $2,330 | $1,250 | 186% | — | 9 |
| Colonoscopy with polyp removalCPT 45385 | $2,452 | $1,250 | 196% | — | 10 |
| Colonoscopy, diagnosticCPT 45378 | $2,444 | $971 | 252% | — | 10 |
| Complete blood count with differentialCPT 85025 | $42 | $8 | 535% | ~$26 | 10 |
| Complete blood count, automatedCPT 85027 | $42 | $6 | 648% | ~$26 | 10 |
| Comprehensive metabolic panelCPT 80053 | $41 | $11 | 391% | ~$26 | 10 |
| Coronary bypass without cardiac cath, no MCCMS-DRG 236 | $59,468 | $29,950 | 199% | — | 13 |
| Diagnostic mammography, both breastsCPT 77066 | $232 | — | — | ~$34 | 10 |
| Diagnostic mammography, one breastCPT 77065 | $199 | — | — | ~$34 | 10 |
| ED visit, level 3CPT 99283 | $1,190 | $285 | 417% | $38 | 15 |
| ED visit, level 4CPT 99284 | $1,828 | $436 | 420% | $38 | 15 |
| ED visit, level 5CPT 99285 | $1,828 | $622 | 294% | $38 | 15 |
| Echocardiogram, completeCPT 93306 | $118 | $571 | 21% | $41 | 10 |
| Epidural injection, lumbar/sacral, no imagingCPT 62322 | $1,885 | $924 | 204% | $31 | 15 |
| Esophagitis/GI disorders, no MCCMS-DRG 392 | $11,068 | $3,879 | 285% | — | 13 |
| Heart failure and shock, with CCMS-DRG 292 | $12,053 | $5,927 | 203% | — | 13 |
| Heart failure with MCCMS-DRG 291 | $18,226 | $7,344 | 248% | — | 13 |
| Hip and femur procedures except major joint, with CCMS-DRG 481 | $29,736 | $11,813 | 252% | — | 13 |
| Hysterectomy, no CC/MCCMS-DRG 743 | $17,614 | $10,098 | 174% | — | 13 |
| Kidney and urinary tract infections, no MCCMS-DRG 690 | $11,492 | $3,949 | 291% | — | 13 |
| Kidney function panelCPT 80069 | $41 | $9 | 475% | ~$26 | 10 |
| Knee arthroscopy with meniscectomyCPT 29881 | $10,460 | $3,417 | 306% | — | 10 |
| Laparoscopic cholecystectomy, no CC/MCCMS-DRG 419 | $19,390 | $8,977 | 216% | — | 13 |
| Laparoscopic radical prostatectomyCPT 55866 | $11,712 | $11,101 | 106% | — | 9 |
| Left heart catheterization, diagnosticCPT 93452 | $2,348 | $3,385 | 69% | $41 | 10 |
| Lipid panelCPT 80061 | $41 | $13 | 308% | ~$26 | 10 |
| Liver function panelCPT 80076 | $41 | $8 | 505% | ~$26 | 10 |
| Lumbar epidural steroid injectionCPT 62323 | $1,885 | $737 | 256% | $31 | 15 |
| MRI brain with and without contrastCPT 70553 | $267 | $364 | 73% | ~$52 | 10 |
| MRI lower extremity joint (knee)CPT 73721 | $214 | $249 | 86% | ~$52 | 10 |
| MRI lumbar spine without contrastCPT 72148 | $214 | $249 | 86% | ~$52 | 10 |
| Major joint replacement (hip/knee), no MCCMS-DRG 470 | $27,385 | $10,920 | 251% | — | 13 |
| Major joint replacement (hip/knee), with MCCMS-DRG 469 | $43,062 | $22,346 | 193% | — | 13 |
| Major small and large bowel procedures, with CCMS-DRG 330 | $34,033 | $13,555 | 251% | — | 13 |
| Medical back problems, no MCCMS-DRG 552 | $13,648 | $4,522 | 302% | — | 13 |
| OB global care, VBAC deliveryCPT 59610 | $3,145 | — | — | — | 7 |
| OB global care, cesarean deliveryCPT 59510 | $3,145 | — | — | — | 7 |
| OB global care, vaginal deliveryCPT 59400 | $3,145 | — | — | — | 7 |
| OB ultrasound, 14+ weeksCPT 76805 | $214 | $109 | 196% | ~$34 | 10 |
| Obstetric blood test panelCPT 80055 | $79 | $48 | 166% | ~$26 | 10 |
| PSA (prostate specific antigen), totalCPT 84153 | $47 | $18 | 257% | ~$26 | 10 |
| Partial thromboplastin timeCPT 85730 | $42 | $6 | 698% | ~$26 | 10 |
| Physical therapy, therapeutic exerciseCPT 97110 | $113 | — | — | $36 | 10 |
| Prostate biopsyCPT 55700 | $2,573 | — | — | $31 | 15 |
| Prothrombin timeCPT 85610 | $42 | $4 | 978% | ~$26 | 10 |
| Renal failure, with CCMS-DRG 683 | $12,434 | $4,410 | 282% | — | 13 |
| Screening mammography, bilateralCPT 77067 | $206 | — | — | ~$34 | 10 |
| Sepsis with MCCMS-DRG 871 | $27,578 | $10,993 | 251% | — | 13 |
| Shoulder arthroscopy, subacromial decompressionCPT 29826 | $1,283 | — | — | — | 10 |
| Simple pneumonia and pleurisy, with CCMS-DRG 194 | $11,441 | $4,040 | 283% | — | 13 |
| Sleep study (polysomnography)CPT 95810 | $237 | $897 | 26% | $78 | 10 |
| Stroke (hemorrhage/infarction), no CC/MCCMS-DRG 066 | $9,716 | $3,679 | 264% | — | 13 |
| Stroke (hemorrhage/infarction), with CC or tPAMS-DRG 065 | $14,343 | $4,831 | 297% | — | 13 |
| Thyroid stimulating hormone (TSH)CPT 84443 | $45 | $17 | 269% | ~$26 | 10 |
| Tonsillectomy and adenoidectomy, under age 12CPT 42820 | $10,101 | $6,182 | 163% | — | 9 |
| Transforaminal epidural, lumbar/sacralCPT 64483 | $1,754 | $924 | 190% | $31 | 15 |
| Ultrasound, abdomen, completeCPT 76700 | $198 | $109 | 182% | ~$34 | 10 |
| Ultrasound, transvaginalCPT 76830 | $197 | $109 | 181% | ~$34 | 10 |
| Upper GI endoscopy with biopsyCPT 43239 | $2,203 | $947 | 233% | $38 | 15 |
| Upper GI endoscopy, diagnosticCPT 43235 | $1,885 | $947 | 199% | $38 | 15 |
| Urinalysis, automated, with microscopyCPT 81001 | $42 | $3 | 1332% | ~$26 | 10 |
| Urinalysis, automated, without microscopyCPT 81003 | $42 | $2 | 1876% | ~$26 | 10 |
| Urinalysis, manual, with microscopyCPT 81000 | $42 | $4 | 1050% | ~$26 | 10 |
| Urinalysis, manual, without microscopyCPT 81002 | $42 | $3 | 1213% | ~$26 | 10 |
| Vaginal delivery, no sterilization, no CC/MCCMS-DRG 807 | $8,994 | — | — | — | 13 |
| Vaginal delivery, no sterilization, with CCMS-DRG 806 | $10,059 | — | — | — | 13 |
| X-ray, lower back, 4+ viewsCPT 72110 | $107 | $109 | 98% | ~$27 | 10 |