| Bariatric (obesity) surgery, no CC/MCCMS-DRG 621 | $30,965 | $8,272 | 374% | — | 1 |
| Basic metabolic panelCPT 80048 | $13 | $8 | 150% | ~$32 | 6 |
| CT abdomen and pelvis with contrastCPT 74177 | $786 | $364 | 216% | ~$1,537 | 6 |
| CT head without contrastCPT 70450 | $236 | $109 | 216% | ~$1,340 | 6 |
| CT pelvis with contrastCPT 72193 | $394 | $183 | 215% | ~$1,455 | 6 |
| Cardiac stress testCPT 93017 | $536 | $225 | 238% | $1,529 | 3 |
| Cardiac valve surgery with cardiac cath, with MCCMS-DRG 216 | $132,821 | — | — | — | 1 |
| Cervical spinal fusion, no CC/MCCMS-DRG 473 | $45,309 | $16,343 | 277% | — | 1 |
| Cesarean section, no CC/MCCMS-DRG 788 | $12,746 | — | — | — | 3 |
| Cesarean section, with CCMS-DRG 787 | $12,746 | — | — | — | 3 |
| Colonoscopy with biopsyCPT 45380 | $4,496 | $1,250 | 360% | — | 1 |
| Colonoscopy with endoscopic ultrasoundCPT 45391 | $4,496 | $1,250 | 360% | — | 1 |
| Colonoscopy with polyp removalCPT 45385 | $4,496 | $1,250 | 360% | — | 1 |
| Colonoscopy, diagnosticCPT 45378 | $1,568 | $971 | 161% | — | 3 |
| Complete blood count with differentialCPT 85025 | $12 | $8 | 150% | ~$71 | 6 |
| Complete blood count, automatedCPT 85027 | $10 | $6 | 150% | ~$23 | 6 |
| Comprehensive metabolic panelCPT 80053 | $16 | $11 | 150% | ~$46 | 6 |
| Coronary bypass without cardiac cath, no MCCMS-DRG 236 | $82,608 | $29,950 | 276% | — | 1 |
| Diagnostic mammography, both breastsCPT 77066 | $248 | — | — | ~$536 | 6 |
| Diagnostic mammography, one breastCPT 77065 | $193 | — | — | ~$364 | 6 |
| ED visit, level 3CPT 99283 | $674 | $285 | 236% | $791 | 13 |
| ED visit, level 4CPT 99284 | $1,958 | $436 | 449% | $1,459 | 13 |
| ED visit, level 5CPT 99285 | $1,958 | $622 | 315% | $1,871 | 13 |
| Echocardiogram, completeCPT 93306 | $943 | $571 | 165% | $2,601 | 3 |
| Electrocardiogram with interpretationCPT 93000 | $1,678 | — | — | — | 1 |
| Epidural injection, lumbar/sacral, no imagingCPT 62322 | $1,436 | $924 | 155% | — | 2 |
| Family psychotherapy, with patientCPT 90847 | $242 | $185 | 130% | — | 3 |
| Family psychotherapy, without patientCPT 90846 | $276 | $185 | 149% | — | 3 |
| Group psychotherapyCPT 90853 | $139 | $106 | 131% | — | 3 |
| Hip and femur procedures except major joint, with CCMS-DRG 481 | $40,585 | $13,876 | 292% | — | 1 |
| Kidney function panelCPT 80069 | $13 | $9 | 150% | ~$24 | 6 |
| Knee arthroscopy with meniscectomyCPT 29881 | $17,619 | $3,417 | 516% | — | 1 |
| Left heart catheterization, diagnosticCPT 93452 | $13,181 | $3,385 | 389% | — | 1 |
| Lipid panelCPT 80061 | $20 | $13 | 150% | ~$23 | 6 |
| Liver function panelCPT 80076 | $12 | $8 | 150% | ~$48 | 6 |
| Lumbar epidural steroid injectionCPT 62323 | $1,117 | $737 | 151% | — | 2 |
| MRI brain with and without contrastCPT 70553 | $824 | $364 | 226% | ~$1,063 | 6 |
| MRI lower extremity joint (knee)CPT 73721 | $518 | $249 | 208% | ~$1,063 | 6 |
| MRI lumbar spine without contrastCPT 72148 | $489 | $249 | 196% | ~$1,063 | 6 |
| Major joint replacement (hip/knee), no MCCMS-DRG 470 | $50,085 | $13,045 | 384% | — | 1 |
| Major joint replacement (hip/knee), with MCCMS-DRG 469 | $50,085 | $22,346 | 224% | — | 1 |
| OB ultrasound, 14+ weeksCPT 76805 | $236 | $109 | 216% | ~$310 | 6 |
| Obstetric blood test panelCPT 80055 | $72 | $48 | 150% | ~$37 | 6 |
| Office consultation, comprehensiveCPT 99244 | $80 | — | — | $192 | 1 |
| Office consultation, moderateCPT 99243 | $45 | — | — | — | 1 |
| Office visit, established patient, level 3CPT 99213 | $51 | — | — | — | 1 |
| Office visit, established patient, level 4CPT 99214 | $81 | — | — | — | 1 |
| Office visit, new patient, level 3CPT 99203 | $95 | — | — | — | 1 |
| Office visit, new patient, level 4CPT 99204 | $135 | — | — | — | 1 |
| Office visit, new patient, level 5CPT 99205 | $171 | — | — | — | 1 |
| PSA (prostate specific antigen), totalCPT 84153 | $28 | $18 | 150% | ~$82 | 6 |
| Partial thromboplastin timeCPT 85730 | $9 | $6 | 150% | ~$13 | 6 |
| Physical therapy, therapeutic exerciseCPT 97110 | $45 | — | — | $80 | 3 |
| Prothrombin timeCPT 85610 | $6 | $4 | 150% | ~$35 | 6 |
| Psychotherapy, 30 minutesCPT 90832 | $242 | $185 | 130% | — | 3 |
| Psychotherapy, 45 minutesCPT 90834 | $242 | $185 | 130% | — | 3 |
| Psychotherapy, 60 minutesCPT 90837 | $242 | $185 | 130% | — | 3 |
| Screening mammography, bilateralCPT 77067 | $204 | — | — | ~$437 | 6 |
| Shoulder arthroscopy, subacromial decompressionCPT 29826 | $17,619 | — | — | — | 1 |
| Sleep study (polysomnography)CPT 95810 | $4,091 | $897 | 456% | — | 1 |
| Thyroid stimulating hormone (TSH)CPT 84443 | $25 | $17 | 150% | ~$27 | 6 |
| Transforaminal epidural, lumbar/sacralCPT 64483 | $1,436 | $924 | 155% | — | 2 |
| Ultrasound, abdomen, completeCPT 76700 | $236 | $109 | 216% | ~$784 | 6 |
| Ultrasound, transvaginalCPT 76830 | $236 | $109 | 216% | ~$414 | 6 |
| Upper GI endoscopy with biopsyCPT 43239 | $4,496 | $947 | 475% | — | 1 |
| Upper GI endoscopy, diagnosticCPT 43235 | $4,496 | $947 | 475% | — | 1 |
| Urinalysis, automated, with microscopyCPT 81001 | $5 | $3 | 150% | ~$20 | 6 |
| Urinalysis, automated, without microscopyCPT 81003 | $3 | $2 | 150% | ~$26 | 6 |
| Urinalysis, manual, with microscopyCPT 81000 | $6 | $4 | 150% | ~$5 | 6 |
| Urinalysis, manual, without microscopyCPT 81002 | $5 | $3 | 150% | ~$14 | 6 |
| Vaginal delivery, no sterilization, no CC/MCCMS-DRG 807 | $8,091 | — | — | — | 1 |
| Vaginal delivery, no sterilization, with CCMS-DRG 806 | $8,091 | — | — | — | 1 |
| X-ray, lower back, 4+ viewsCPT 72110 | $209 | $109 | 192% | ~$487 | 6 |
| YAG laser capsulotomy (secondary cataract)CPT 66821 | $885 | $574 | 154% | — | 2 |