| Acute myocardial infarction, discharged alive, with MCCMS-DRG 280 | $38,098 | $8,869 | 430% | — | 8 |
| Bariatric (obesity) surgery, no CC/MCCMS-DRG 621 | $34,391 | $8,272 | 416% | — | 8 |
| Basic metabolic panelCPT 80048 | $28 | $8 | 334% | ~$15 | 8 |
| COPD with MCCMS-DRG 190 | $26,187 | $6,068 | 432% | — | 8 |
| CT abdomen and pelvis with contrastCPT 74177 | $1,751 | $364 | 481% | ~$1,133 | 8 |
| CT head without contrastCPT 70450 | $3,136 | $109 | 2872% | ~$638 | 14 |
| CT pelvis with contrastCPT 72193 | $1,402 | $183 | 765% | ~$750 | 8 |
| Cardiac arrhythmia, no CC/MCCMS-DRG 310 | $13,163 | $2,373 | 555% | — | 8 |
| Cardiac stress testCPT 93017 | $1,357 | $225 | 602% | $271 | 11 |
| Cardiac valve surgery with cardiac cath, with MCCMS-DRG 216 | $227,057 | — | — | — | 8 |
| Cataract surgery with IOL insertionCPT 66984 | $5,833 | $2,410 | 242% | — | 10 |
| Cellulitis, no MCCMS-DRG 603 | $20,564 | $4,558 | 451% | — | 8 |
| Cervical spinal fusion, no CC/MCCMS-DRG 473 | $55,697 | $16,343 | 341% | — | 8 |
| Cesarean section, no CC/MCCMS-DRG 788 | $17,909 | — | — | — | 6 |
| Cesarean section, with CCMS-DRG 787 | $21,019 | — | — | — | 6 |
| Chest painMS-DRG 313 | $16,784 | $3,346 | 502% | — | 8 |
| Colonoscopy with biopsyCPT 45380 | $3,850 | $1,250 | 308% | $759 | 7 |
| Colonoscopy with endoscopic ultrasoundCPT 45391 | $4,187 | $1,250 | 335% | $740 | 8 |
| Colonoscopy with polyp removalCPT 45385 | $4,219 | $1,250 | 338% | $759 | 9 |
| Colonoscopy, diagnosticCPT 45378 | $3,683 | $971 | 379% | $706 | 15 |
| Complete blood count with differentialCPT 85025 | $26 | $8 | 334% | ~$13 | 8 |
| Complete blood count, automatedCPT 85027 | $22 | $6 | 334% | ~$12 | 8 |
| Comprehensive metabolic panelCPT 80053 | $95 | $11 | 904% | ~$19 | 14 |
| Coronary bypass without cardiac cath, no MCCMS-DRG 236 | $96,743 | $29,950 | 323% | — | 8 |
| Diagnostic mammography, both breastsCPT 77066 | $373 | — | — | ~$84 | 8 |
| Diagnostic mammography, one breastCPT 77065 | $298 | — | — | ~$67 | 8 |
| ED visit, level 3CPT 99283 | $2,000 | $285 | 702% | $366 | 17 |
| ED visit, level 4CPT 99284 | $3,137 | $436 | 720% | $565 | 17 |
| ED visit, level 5CPT 99285 | $3,813 | $622 | 613% | $724 | 17 |
| Echocardiogram, completeCPT 93306 | $2,495 | $571 | 437% | $492 | 5 |
| Electrocardiogram with interpretationCPT 93000 | $18 | — | — | — | 2 |
| Epidural injection, lumbar/sacral, no imagingCPT 62322 | $3,205 | $924 | 347% | — | 5 |
| Esophagitis/GI disorders, no MCCMS-DRG 392 | $18,314 | $4,000 | 458% | — | 8 |
| Excision of breast lesionCPT 19120 | $5,750 | $4,089 | 141% | — | 5 |
| Family psychotherapy, with patientCPT 90847 | $249 | $185 | 134% | $50 | 11 |
| Family psychotherapy, without patientCPT 90846 | $107 | $185 | 58% | — | 2 |
| Group psychotherapyCPT 90853 | $176 | $106 | 166% | $35 | 11 |
| Heart failure and shock, with CCMS-DRG 292 | $20,077 | $5,927 | 339% | — | 8 |
| Heart failure with MCCMS-DRG 291 | $30,388 | $7,103 | 428% | — | 8 |
| Hip and femur procedures except major joint, with CCMS-DRG 481 | $48,815 | $11,894 | 410% | — | 8 |
| Hysterectomy, no CC/MCCMS-DRG 743 | $28,201 | $10,098 | 279% | — | 8 |
| Inguinal hernia repair, age 5+CPT 49505 | $6,500 | $3,739 | 174% | — | 5 |
| Kidney and urinary tract infections, no MCCMS-DRG 690 | $18,882 | $4,076 | 463% | — | 8 |
| Kidney function panelCPT 80069 | $47 | $9 | 547% | ~$10 | 14 |
| Knee arthroscopy with meniscectomyCPT 29881 | $6,500 | $3,417 | 190% | — | 5 |
| Laparoscopic cholecystectomyCPT 47562 | $8,535 | $6,313 | 135% | — | 5 |
| Laparoscopic cholecystectomy, no CC/MCCMS-DRG 419 | $30,999 | $7,328 | 423% | — | 8 |
| Laparoscopic radical prostatectomyCPT 55866 | $6,325 | $11,101 | 57% | — | 4 |
| Left heart catheterization, diagnosticCPT 93452 | $16,417 | $3,385 | 485% | $3,214 | 12 |
| Lipid panelCPT 80061 | $51 | $13 | 382% | ~$10 | 14 |
| Liver function panelCPT 80076 | $79 | $8 | 962% | ~$16 | 14 |
| Lumbar epidural steroid injectionCPT 62323 | $1,982 | $737 | 269% | $350 | 8 |
| MRI brain with and without contrastCPT 70553 | $2,358 | $364 | 647% | ~$718 | 8 |
| MRI lower extremity joint (knee)CPT 73721 | $1,435 | $249 | 576% | ~$430 | 8 |
| MRI lumbar spine without contrastCPT 72148 | $2,775 | $249 | 1114% | ~$557 | 14 |
| Major joint replacement (hip/knee), no MCCMS-DRG 470 | $44,359 | $10,939 | 406% | — | 8 |
| Major joint replacement (hip/knee), with MCCMS-DRG 469 | $73,372 | $22,346 | 328% | — | 8 |
| Major small and large bowel procedures, with CCMS-DRG 330 | $55,610 | $14,646 | 380% | — | 8 |
| Medical back problems, no MCCMS-DRG 552 | $22,601 | $5,022 | 450% | — | 8 |
| OB global care, VBAC deliveryCPT 59610 | $3,680 | — | — | — | 7 |
| OB global care, cesarean deliveryCPT 59510 | $3,680 | — | — | — | 7 |
| OB global care, vaginal deliveryCPT 59400 | $3,680 | — | — | — | 7 |
| OB ultrasound, 14+ weeksCPT 76805 | $604 | $109 | 553% | ~$177 | 8 |
| Obstetric blood test panelCPT 80055 | $26 | $48 | 55% | — | 4 |
| Office visit, established patient, level 3CPT 99213 | $289 | — | — | $55 | 14 |
| Office visit, established patient, level 4CPT 99214 | $368 | — | — | $80 | 14 |
| Office visit, new patient, level 3CPT 99203 | $351 | — | — | $71 | 14 |
| Office visit, new patient, level 4CPT 99204 | $406 | — | — | $83 | 14 |
| Office visit, new patient, level 5CPT 99205 | $486 | — | — | $103 | 14 |
| PSA (prostate specific antigen), totalCPT 84153 | $46 | $18 | 248% | ~$11 | 8 |
| Partial thromboplastin timeCPT 85730 | $20 | $6 | 334% | ~$6 | 8 |
| Percutaneous cardiac stent, no MCCMS-DRG 247 | $47,501 | — | — | — | 1 |
| Physical therapy, therapeutic exerciseCPT 97110 | $171 | — | — | $33 | 12 |
| Prostate biopsyCPT 55700 | $1,186 | — | — | — | 3 |
| Prothrombin timeCPT 85610 | $54 | $4 | 1260% | ~$11 | 14 |
| Psychotherapy, 30 minutesCPT 90832 | $186 | $185 | 100% | $36 | 11 |
| Psychotherapy, 45 minutesCPT 90834 | $231 | $185 | 125% | $46 | 11 |
| Psychotherapy, 60 minutesCPT 90837 | $308 | $185 | 166% | $60 | 11 |
| Renal failure, with CCMS-DRG 683 | $20,716 | $4,720 | 439% | — | 8 |
| Screening mammography, bilateralCPT 77067 | $306 | — | — | ~$67 | 8 |
| Sepsis with MCCMS-DRG 871 | $45,839 | $11,083 | 414% | — | 8 |
| Shoulder arthroscopy, subacromial decompressionCPT 29826 | $2,244 | — | — | — | 5 |
| Simple pneumonia and pleurisy, with CCMS-DRG 194 | $19,087 | $4,004 | 477% | — | 8 |
| Sleep study (polysomnography)CPT 95810 | $497 | $897 | 55% | — | 2 |
| Spinal fusion except cervical, no MCCMS-DRG 460 | $89,842 | $25,413 | 354% | — | 3 |
| Spinal fusion except cervical, with MCCMS-DRG 459 | $162,897 | $51,127 | 319% | — | 3 |
| Stroke (hemorrhage/infarction), no CC/MCCMS-DRG 066 | $16,116 | $3,171 | 508% | — | 8 |
| Stroke (hemorrhage/infarction), with CC or tPAMS-DRG 065 | $23,799 | $5,145 | 463% | — | 8 |
| Thyroid stimulating hormone (TSH)CPT 84443 | $86 | $17 | 515% | ~$18 | 14 |
| Tonsillectomy and adenoidectomy, under age 12CPT 42820 | $5,750 | $6,182 | 93% | — | 5 |
| Transforaminal epidural, lumbar/sacralCPT 64483 | $2,031 | $924 | 220% | $388 | 14 |
| Ultrasound, abdomen, completeCPT 76700 | $1,337 | $109 | 1225% | ~$310 | 14 |
| Ultrasound, transvaginalCPT 76830 | $168 | $109 | 154% | ~$48 | 14 |
| Upper GI endoscopy with biopsyCPT 43239 | $3,789 | $947 | 400% | $682 | 7 |
| Upper GI endoscopy, diagnosticCPT 43235 | $3,428 | $947 | 362% | $671 | 12 |
| Urinalysis, automated, with microscopyCPT 81001 | $36 | $3 | 1124% | ~$7 | 14 |
| Urinalysis, automated, without microscopyCPT 81003 | $30 | $2 | 1351% | ~$6 | 14 |
| Urinalysis, manual, with microscopyCPT 81000 | $4 | $4 | 100% | — | 5 |
| Urinalysis, manual, without microscopyCPT 81002 | $24 | $3 | 688% | ~$5 | 14 |
| Vaginal delivery, no sterilization, no CC/MCCMS-DRG 807 | $12,616 | — | — | — | 6 |
| Vaginal delivery, no sterilization, with CCMS-DRG 806 | $14,324 | — | — | — | 6 |
| X-ray, lower back, 4+ viewsCPT 72110 | $348 | $109 | 319% | ~$164 | 8 |
| YAG laser capsulotomy (secondary cataract)CPT 66821 | $3,205 | $574 | 558% | — | 5 |