| Acute myocardial infarction, discharged alive, with MCCMS-DRG 280 | $23,626 | $10,493 | 225% | — | 11 |
| Bariatric (obesity) surgery, no CC/MCCMS-DRG 621 | $40,888 | $8,272 | 494% | — | 11 |
| Basic metabolic panelCPT 80048 | $83 | $8 | 981% | ~$34 | 16 |
| COPD with MCCMS-DRG 190 | $10,571 | $7,377 | 143% | — | 8 |
| CT abdomen and pelvis with contrastCPT 74177 | $1,975 | $364 | 542% | ~$2,645 | 15 |
| CT head without contrastCPT 70450 | $1,975 | $109 | 1809% | ~$1,729 | 15 |
| CT pelvis with contrastCPT 72193 | $1,975 | $183 | 1078% | ~$1,768 | 15 |
| Cardiac arrhythmia, no CC/MCCMS-DRG 310 | $11,778 | $3,269 | 360% | — | 15 |
| Cardiac stress testCPT 93017 | $2,138 | $225 | 948% | $957 | 16 |
| Cardiac valve surgery with cardiac cath, with MCCMS-DRG 216 | $118,755 | — | — | — | 11 |
| Cataract surgery with IOL insertionCPT 66984 | $6,898 | $2,410 | 286% | — | 18 |
| Cellulitis, no MCCMS-DRG 603 | $18,622 | $5,675 | 328% | — | 17 |
| Cervical spinal fusion, no CC/MCCMS-DRG 473 | $40,820 | $16,343 | 250% | — | 19 |
| Cesarean section, no CC/MCCMS-DRG 788 | $15,669 | — | — | — | 22 |
| Cesarean section, with CCMS-DRG 787 | $18,495 | — | — | — | 22 |
| Chest painMS-DRG 313 | $11,517 | — | — | — | 16 |
| Colonoscopy with biopsyCPT 45380 | $4,282 | $1,250 | 343% | — | 18 |
| Colonoscopy with endoscopic ultrasoundCPT 45391 | $4,282 | $1,250 | 343% | — | 18 |
| Colonoscopy with polyp removalCPT 45385 | $4,282 | $1,250 | 343% | — | 18 |
| Colonoscopy, diagnosticCPT 45378 | $3,442 | $971 | 354% | — | 18 |
| Complete blood count with differentialCPT 85025 | $11 | $8 | 145% | — | 5 |
| Complete blood count, automatedCPT 85027 | $89 | $6 | 1373% | ~$39 | 17 |
| Comprehensive metabolic panelCPT 80053 | $115 | $11 | 1093% | ~$47 | 16 |
| Coronary bypass without cardiac cath, no MCCMS-DRG 236 | $78,536 | $29,950 | 262% | — | 11 |
| Diagnostic mammography, both breastsCPT 77066 | $343 | — | — | ~$129 | 12 |
| Diagnostic mammography, one breastCPT 77065 | $269 | — | — | ~$101 | 12 |
| ED visit, level 3CPT 99283 | $2,360 | $285 | 828% | $603 | 26 |
| ED visit, level 4CPT 99284 | $3,437 | $436 | 789% | $987 | 26 |
| ED visit, level 5CPT 99285 | $3,637 | $622 | 585% | $1,433 | 26 |
| Echocardiogram, completeCPT 93306 | $2,547 | $571 | 446% | $1,140 | 16 |
| Electrocardiogram with interpretationCPT 93000 | $201 | — | — | — | 1 |
| Epidural injection, lumbar/sacral, no imagingCPT 62322 | $3,196 | $924 | 346% | — | 18 |
| Esophagitis/GI disorders, no MCCMS-DRG 392 | $18,622 | $5,421 | 344% | — | 17 |
| Excision of breast lesionCPT 19120 | $11,554 | $4,089 | 283% | — | 23 |
| Family psychotherapy, with patientCPT 90847 | $172 | $185 | 93% | — | 1 |
| Family psychotherapy, without patientCPT 90846 | $170 | $185 | 92% | — | 1 |
| Group psychotherapyCPT 90853 | $130 | $106 | 123% | — | 1 |
| Heart failure and shock, with CCMS-DRG 292 | $27,642 | $5,927 | 466% | — | 9 |
| Heart failure with MCCMS-DRG 291 | $27,642 | $9,151 | 302% | — | 9 |
| Hip and femur procedures except major joint, with CCMS-DRG 481 | $42,005 | $13,876 | 303% | — | 11 |
| Hysterectomy, no CC/MCCMS-DRG 743 | $19,191 | $10,098 | 190% | — | 18 |
| Inguinal hernia repair, age 5+CPT 49505 | $11,196 | $3,739 | 299% | — | 18 |
| Kidney and urinary tract infections, no MCCMS-DRG 690 | $18,622 | $5,267 | 354% | — | 17 |
| Kidney function panelCPT 80069 | $88 | $9 | 1016% | ~$36 | 16 |
| Knee arthroscopy with meniscectomyCPT 29881 | $12,883 | $3,417 | 377% | — | 23 |
| Laparoscopic cholecystectomyCPT 47562 | $14,130 | $6,313 | 224% | — | 22 |
| Laparoscopic cholecystectomy, no CC/MCCMS-DRG 419 | $21,092 | $8,977 | 235% | — | 18 |
| Laparoscopic radical prostatectomyCPT 55866 | $18,978 | $11,101 | 171% | — | 19 |
| Left heart catheterization, diagnosticCPT 93452 | $12,140 | $3,385 | 359% | — | 16 |
| Lipid panelCPT 80061 | $148 | $13 | 1103% | ~$60 | 16 |
| Liver function panelCPT 80076 | $92 | $8 | 1123% | ~$37 | 16 |
| Lumbar epidural steroid injectionCPT 62323 | $3,196 | $737 | 434% | — | 18 |
| MRI brain with and without contrastCPT 70553 | $3,623 | $364 | 994% | ~$2,576 | 15 |
| MRI lower extremity joint (knee)CPT 73721 | $3,266 | $249 | 1311% | ~$1,731 | 15 |
| MRI lumbar spine without contrastCPT 72148 | $2,049 | $249 | 822% | ~$659 | 15 |
| Major joint replacement (hip/knee), no MCCMS-DRG 470 | $33,667 | $11,948 | 282% | — | 18 |
| Major joint replacement (hip/knee), with MCCMS-DRG 469 | $51,455 | $22,346 | 230% | — | 18 |
| Major small and large bowel procedures, with CCMS-DRG 330 | $43,782 | $16,202 | 270% | — | 16 |
| Medical back problems, no MCCMS-DRG 552 | $10,587 | $6,203 | 171% | — | 7 |
| OB global care, VBAC deliveryCPT 59610 | $7,321 | — | — | — | 6 |
| OB global care, cesarean deliveryCPT 59510 | $7,321 | — | — | — | 6 |
| OB global care, vaginal deliveryCPT 59400 | $7,321 | — | — | — | 6 |
| OB ultrasound, 14+ weeksCPT 76805 | $1,169 | $109 | 1070% | ~$440 | 11 |
| Obstetric blood test panelCPT 80055 | $69 | $48 | 145% | — | 5 |
| Office consultation, comprehensiveCPT 99244 | $197 | — | — | — | 1 |
| Office consultation, moderateCPT 99243 | $231 | — | — | — | 1 |
| Office visit, established patient, level 3CPT 99213 | $221 | — | — | $122 | 22 |
| Office visit, established patient, level 4CPT 99214 | $308 | — | — | $170 | 22 |
| Office visit, new patient, level 3CPT 99203 | $222 | — | — | $122 | 22 |
| Office visit, new patient, level 4CPT 99204 | $220 | — | — | $121 | 22 |
| Office visit, new patient, level 5CPT 99205 | $359 | — | — | $198 | 22 |
| PSA (prostate specific antigen), totalCPT 84153 | $24 | $18 | 129% | ~$8 | 16 |
| Partial thromboplastin timeCPT 85730 | $53 | $6 | 886% | ~$22 | 16 |
| Physical therapy, therapeutic exerciseCPT 97110 | $68 | — | — | $31 | 17 |
| Prostate biopsyCPT 55700 | $3,445 | — | — | — | 3 |
| Prothrombin timeCPT 85610 | $65 | $4 | 1523% | ~$27 | 16 |
| Psychotherapy, 30 minutesCPT 90832 | $149 | $185 | 81% | — | 1 |
| Psychotherapy, 45 minutesCPT 90834 | $160 | $185 | 87% | — | 1 |
| Psychotherapy, 60 minutesCPT 90837 | $183 | $185 | 99% | — | 1 |
| Renal failure, with CCMS-DRG 683 | $18,622 | $6,262 | 297% | — | 17 |
| Screening mammography, bilateralCPT 77067 | $343 | — | — | ~$129 | 12 |
| Sepsis with MCCMS-DRG 871 | $30,630 | $13,490 | 227% | — | 19 |
| Shoulder arthroscopy, subacromial decompressionCPT 29826 | $8,761 | — | — | — | 15 |
| Simple pneumonia and pleurisy, with CCMS-DRG 194 | $18,622 | $5,177 | 360% | — | 17 |
| Sleep study (polysomnography)CPT 95810 | $2,603 | $897 | 290% | $1,691 | 25 |
| Stroke (hemorrhage/infarction), no CC/MCCMS-DRG 066 | $31,897 | $3,679 | 867% | — | 11 |
| Stroke (hemorrhage/infarction), with CC or tPAMS-DRG 065 | $31,897 | $6,559 | 486% | — | 11 |
| Thyroid stimulating hormone (TSH)CPT 84443 | $36 | $17 | 217% | ~$15 | 16 |
| Tonsillectomy and adenoidectomy, under age 12CPT 42820 | $9,509 | $6,182 | 154% | — | 17 |
| Transforaminal epidural, lumbar/sacralCPT 64483 | $2,761 | $924 | 299% | — | 15 |
| Ultrasound, abdomen, completeCPT 76700 | $1,678 | $109 | 1537% | ~$632 | 11 |
| Ultrasound, transvaginalCPT 76830 | $1,247 | $109 | 1142% | ~$470 | 11 |
| Upper GI endoscopy with biopsyCPT 43239 | $3,442 | $947 | 363% | — | 18 |
| Upper GI endoscopy, diagnosticCPT 43235 | $3,442 | $947 | 363% | — | 18 |
| Urinalysis, automated, with microscopyCPT 81001 | $59 | $3 | 1855% | ~$24 | 16 |
| Urinalysis, automated, without microscopyCPT 81003 | $54 | $2 | 2393% | ~$22 | 16 |
| Urinalysis, manual, with microscopyCPT 81000 | $6 | $4 | 145% | — | 5 |
| Urinalysis, manual, without microscopyCPT 81002 | $5 | $3 | 145% | — | 5 |
| Vaginal delivery, no sterilization, no CC/MCCMS-DRG 807 | $10,636 | — | — | — | 22 |
| Vaginal delivery, no sterilization, with CCMS-DRG 806 | $10,636 | — | — | — | 22 |
| X-ray, lower back, 4+ viewsCPT 72110 | $861 | $109 | 788% | ~$324 | 13 |
| YAG laser capsulotomy (secondary cataract)CPT 66821 | $2,538 | $574 | 442% | — | 18 |