| Acute myocardial infarction, discharged alive, with MCCMS-DRG 280 | $10,000 | $9,423 | 106% | — | 1 |
| Bariatric (obesity) surgery, no CC/MCCMS-DRG 621 | $25,416 | $8,272 | 307% | — | 2 |
| Basic metabolic panelCPT 80048 | $14 | $8 | 160% | ~$33 | 17 |
| COPD with MCCMS-DRG 190 | $10,000 | $6,774 | 148% | — | 1 |
| CT abdomen and pelvis with contrastCPT 74177 | $574 | $364 | 157% | ~$317 | 15 |
| CT head without contrastCPT 70450 | $187 | $109 | 171% | ~$309 | 15 |
| CT pelvis with contrastCPT 72193 | $313 | $183 | 171% | ~$306 | 15 |
| Cardiac arrhythmia, no CC/MCCMS-DRG 310 | $10,000 | $3,244 | 308% | — | 1 |
| Cardiac stress testCPT 93017 | $484 | $225 | 215% | $632 | 13 |
| Cardiac valve surgery with cardiac cath, with MCCMS-DRG 216 | $37,224 | — | — | — | 2 |
| Cellulitis, no MCCMS-DRG 603 | $10,000 | $5,099 | 196% | — | 1 |
| Cervical spinal fusion, no CC/MCCMS-DRG 473 | $30,597 | $16,343 | 187% | — | 2 |
| Cesarean section, no CC/MCCMS-DRG 788 | $14,634 | — | — | — | 3 |
| Cesarean section, with CCMS-DRG 787 | $14,634 | — | — | — | 3 |
| Chest painMS-DRG 313 | $10,000 | — | — | — | 1 |
| Colonoscopy with biopsyCPT 45380 | $8,385 | $1,250 | 671% | — | 1 |
| Colonoscopy with endoscopic ultrasoundCPT 45391 | $8,385 | $1,250 | 671% | — | 1 |
| Colonoscopy with polyp removalCPT 45385 | $8,385 | $1,250 | 671% | — | 1 |
| Colonoscopy, diagnosticCPT 45378 | $1,418 | $971 | 146% | — | 11 |
| Complete blood count with differentialCPT 85025 | $12 | $8 | 160% | ~$23 | 17 |
| Complete blood count, automatedCPT 85027 | $10 | $6 | 160% | ~$21 | 17 |
| Comprehensive metabolic panelCPT 80053 | $17 | $11 | 160% | ~$56 | 17 |
| Coronary bypass without cardiac cath, no MCCMS-DRG 236 | $20,862 | $29,950 | 70% | — | 2 |
| Diagnostic mammography, both breastsCPT 77066 | $164 | — | — | ~$139 | 15 |
| Diagnostic mammography, one breastCPT 77065 | $141 | — | — | ~$138 | 15 |
| ED visit, level 3CPT 99283 | $493 | $285 | 173% | $602 | 24 |
| ED visit, level 4CPT 99284 | $1,159 | $436 | 266% | $606 | 24 |
| ED visit, level 5CPT 99285 | $1,352 | $622 | 217% | $637 | 24 |
| Echocardiogram, completeCPT 93306 | $853 | $571 | 150% | $979 | 13 |
| Electrocardiogram with interpretationCPT 93000 | $34 | — | — | — | 3 |
| Epidural injection, lumbar/sacral, no imagingCPT 62322 | $1,385 | $924 | 150% | — | 10 |
| Esophagitis/GI disorders, no MCCMS-DRG 392 | $10,000 | $5,024 | 199% | — | 1 |
| Family psychotherapy, with patientCPT 90847 | $254 | $185 | 137% | — | 12 |
| Family psychotherapy, without patientCPT 90846 | $249 | $185 | 134% | — | 12 |
| Group psychotherapyCPT 90853 | $137 | $106 | 129% | — | 12 |
| Heart failure and shock, with CCMS-DRG 292 | $10,000 | $5,927 | 169% | — | 1 |
| Heart failure with MCCMS-DRG 291 | $10,000 | $8,098 | 123% | — | 1 |
| Hip and femur procedures except major joint, with CCMS-DRG 481 | $10,000 | $13,876 | 72% | — | 1 |
| Hysterectomy, no CC/MCCMS-DRG 743 | $10,000 | $10,098 | 99% | — | 1 |
| Kidney and urinary tract infections, no MCCMS-DRG 690 | $10,000 | $4,938 | 203% | — | 1 |
| Kidney function panelCPT 80069 | $14 | $9 | 160% | ~$35 | 17 |
| Knee arthroscopy with meniscectomyCPT 29881 | $27,040 | $3,417 | 791% | — | 3 |
| Laparoscopic cholecystectomy, no CC/MCCMS-DRG 419 | $10,000 | $8,977 | 111% | — | 1 |
| Left heart catheterization, diagnosticCPT 93452 | $1,719 | $3,385 | 51% | — | 3 |
| Lipid panelCPT 80061 | $21 | $13 | 160% | ~$72 | 17 |
| Liver function panelCPT 80076 | $13 | $8 | 160% | ~$23 | 17 |
| Lumbar epidural steroid injectionCPT 62323 | $1,077 | $737 | 146% | — | 10 |
| MRI brain with and without contrastCPT 70553 | $574 | $364 | 157% | ~$284 | 15 |
| MRI lower extremity joint (knee)CPT 73721 | $388 | $249 | 156% | ~$270 | 15 |
| MRI lumbar spine without contrastCPT 72148 | $414 | $249 | 166% | ~$519 | 15 |
| Major joint replacement (hip/knee), no MCCMS-DRG 470 | $37,594 | $13,045 | 288% | — | 5 |
| Major joint replacement (hip/knee), with MCCMS-DRG 469 | $32,425 | $22,346 | 145% | — | 2 |
| Major small and large bowel procedures, with CCMS-DRG 330 | $10,000 | $16,202 | 62% | — | 1 |
| Medical back problems, no MCCMS-DRG 552 | $10,000 | $6,142 | 163% | — | 1 |
| OB ultrasound, 14+ weeksCPT 76805 | $184 | $109 | 169% | ~$156 | 15 |
| Obstetric blood test panelCPT 80055 | $74 | $48 | 155% | — | 14 |
| Office consultation, comprehensiveCPT 99244 | $386 | — | — | — | 2 |
| Office consultation, moderateCPT 99243 | $271 | — | — | — | 2 |
| Office visit, established patient, level 3CPT 99213 | $220 | — | — | $70 | 2 |
| Office visit, established patient, level 4CPT 99214 | $310 | — | — | $62 | 2 |
| Office visit, new patient, level 3CPT 99203 | $271 | — | — | $62 | 2 |
| Office visit, new patient, level 4CPT 99204 | $407 | — | — | $85 | 2 |
| Office visit, new patient, level 5CPT 99205 | $538 | — | — | $143 | 2 |
| PSA (prostate specific antigen), totalCPT 84153 | $26 | $18 | 140% | ~$6 | 17 |
| Partial thromboplastin timeCPT 85730 | $10 | $6 | 160% | ~$11 | 17 |
| Physical therapy, therapeutic exerciseCPT 97110 | $45 | — | — | $15 | 13 |
| Preventive visit, new patient, 18-39CPT 99385 | $311 | — | — | — | 2 |
| Preventive visit, new patient, 40-64CPT 99386 | $359 | — | — | — | 2 |
| Prothrombin timeCPT 85610 | $7 | $4 | 160% | ~$9 | 17 |
| Psychotherapy, 30 minutesCPT 90832 | $238 | $185 | 128% | — | 12 |
| Psychotherapy, 45 minutesCPT 90834 | $254 | $185 | 137% | — | 12 |
| Psychotherapy, 60 minutesCPT 90837 | $254 | $185 | 137% | — | 12 |
| Renal failure, with CCMS-DRG 683 | $10,000 | $5,733 | 174% | — | 1 |
| Screening mammography, bilateralCPT 77067 | $139 | — | — | ~$117 | 15 |
| Sepsis with MCCMS-DRG 871 | $10,000 | $12,573 | 80% | — | 1 |
| Shoulder arthroscopy, subacromial decompressionCPT 29826 | $27,040 | — | — | — | 3 |
| Simple pneumonia and pleurisy, with CCMS-DRG 194 | $10,000 | $4,629 | 216% | — | 1 |
| Sleep study (polysomnography)CPT 95810 | $2,654 | $897 | 296% | $2,357 | 4 |
| Thyroid stimulating hormone (TSH)CPT 84443 | $26 | $17 | 155% | ~$17 | 17 |
| Transforaminal epidural, lumbar/sacralCPT 64483 | $1,385 | $924 | 150% | — | 10 |
| Ultrasound, abdomen, completeCPT 76700 | $187 | $109 | 171% | ~$410 | 15 |
| Ultrasound, transvaginalCPT 76830 | $187 | $109 | 171% | ~$324 | 15 |
| Upper GI endoscopy with biopsyCPT 43239 | $1,459 | $947 | 154% | — | 11 |
| Upper GI endoscopy, diagnosticCPT 43235 | $1,459 | $947 | 154% | — | 11 |
| Urinalysis, automated, with microscopyCPT 81001 | $5 | $3 | 160% | ~$10 | 17 |
| Urinalysis, automated, without microscopyCPT 81003 | $4 | $2 | 160% | ~$5 | 17 |
| Urinalysis, manual, with microscopyCPT 81000 | $6 | $4 | 155% | — | 14 |
| Urinalysis, manual, without microscopyCPT 81002 | $5 | $3 | 141% | ~$2 | 17 |
| Vaginal delivery, no sterilization, no CC/MCCMS-DRG 807 | $11,704 | — | — | — | 2 |
| Vaginal delivery, no sterilization, with CCMS-DRG 806 | $11,704 | — | — | — | 2 |
| X-ray, lower back, 4+ viewsCPT 72110 | $171 | $109 | 156% | ~$170 | 15 |
| YAG laser capsulotomy (secondary cataract)CPT 66821 | $854 | $574 | 149% | — | 10 |