| Acute myocardial infarction, discharged alive, with MCCMS-DRG 280 | $8,468 | $11,217 | 75% | $1,128 | 4 |
| Basic metabolic panelCPT 80048 | $168 | $8 | 1986% | ~$81 | 11 |
| COPD with MCCMS-DRG 190 | $7,055 | $7,377 | 96% | $1,624 | 4 |
| CT abdomen and pelvis with contrastCPT 74177 | $2,969 | $369 | 804% | ~$1,425 | 11 |
| CT head without contrastCPT 70450 | $1,543 | $111 | 1395% | ~$741 | 11 |
| CT pelvis with contrastCPT 72193 | $1,714 | $186 | 923% | ~$823 | 11 |
| Cardiac arrhythmia, no CC/MCCMS-DRG 310 | $3,826 | $3,269 | 117% | $1,021 | 4 |
| Cardiac stress testCPT 93017 | $756 | $228 | 331% | $363 | 11 |
| Cellulitis, no MCCMS-DRG 603 | $4,367 | $5,675 | 77% | $804 | 4 |
| Cesarean section, no CC/MCCMS-DRG 788 | $6,653 | — | — | $1,811 | 4 |
| Cesarean section, with CCMS-DRG 787 | $6,594 | — | — | $1,300 | 4 |
| Chest painMS-DRG 313 | $6,057 | — | — | $2,014 | 4 |
| Colonoscopy with biopsyCPT 45380 | $1,073 | $1,266 | 85% | $462 | 3 |
| Colonoscopy with endoscopic ultrasoundCPT 45391 | $534 | $1,266 | 42% | $230 | 3 |
| Colonoscopy with polyp removalCPT 45385 | $1,128 | $1,266 | 89% | $486 | 3 |
| Colonoscopy, diagnosticCPT 45378 | $869 | $984 | 88% | $374 | 3 |
| Complete blood count with differentialCPT 85025 | $100 | $8 | 1288% | ~$48 | 11 |
| Complete blood count, automatedCPT 85027 | $88 | $6 | 1352% | ~$42 | 11 |
| Comprehensive metabolic panelCPT 80053 | $149 | $11 | 1409% | ~$71 | 11 |
| Diagnostic mammography, both breastsCPT 77066 | $428 | — | — | ~$205 | 11 |
| Diagnostic mammography, one breastCPT 77065 | $362 | — | — | ~$174 | 11 |
| ED visit, level 3CPT 99283 | $736 | $289 | 255% | $409 | 11 |
| ED visit, level 4CPT 99284 | $1,077 | $441 | 244% | $597 | 11 |
| ED visit, level 5CPT 99285 | $1,527 | $630 | 242% | $847 | 11 |
| Echocardiogram, completeCPT 93306 | $2,210 | $578 | 382% | $1,061 | 11 |
| Electrocardiogram with interpretationCPT 93000 | $35 | — | — | $15 | 3 |
| Epidural injection, lumbar/sacral, no imagingCPT 62322 | $1,553 | $936 | 166% | $713 | 11 |
| Esophagitis/GI disorders, no MCCMS-DRG 392 | $5,758 | $4,899 | 118% | $1,668 | 4 |
| Excision of breast lesionCPT 19120 | $1,022 | $4,143 | 25% | $440 | 3 |
| Family psychotherapy, with patientCPT 90847 | $186 | $188 | 99% | $84 | 10 |
| Family psychotherapy, without patientCPT 90846 | $178 | $188 | 95% | $80 | 10 |
| Group psychotherapyCPT 90853 | $46 | $107 | 42% | $20 | 10 |
| Heart failure and shock, with CCMS-DRG 292 | $5,945 | $5,927 | 100% | $1,582 | 4 |
| Heart failure with MCCMS-DRG 291 | $7,361 | $8,045 | 92% | $1,354 | 4 |
| Hip and femur procedures except major joint, with CCMS-DRG 481 | $14,580 | $13,876 | 105% | $3,908 | 4 |
| Hysterectomy, no CC/MCCMS-DRG 743 | $15,936 | $10,098 | 158% | $7,664 | 4 |
| Inguinal hernia repair, age 5+CPT 49505 | $1,206 | $3,788 | 32% | $519 | 3 |
| Kidney and urinary tract infections, no MCCMS-DRG 690 | $5,889 | $5,099 | 115% | $1,669 | 4 |
| Kidney function panelCPT 80069 | $195 | $9 | 2250% | ~$94 | 11 |
| Knee arthroscopy with meniscectomyCPT 29881 | $1,256 | $3,462 | 36% | $541 | 3 |
| Laparoscopic cholecystectomyCPT 47562 | $1,524 | $6,396 | 24% | $657 | 3 |
| Laparoscopic cholecystectomy, no CC/MCCMS-DRG 419 | $9,306 | $8,977 | 104% | $2,464 | 4 |
| Left heart catheterization, diagnosticCPT 93452 | $11,320 | $3,430 | 330% | $5,434 | 11 |
| Lipid panelCPT 80061 | $100 | $13 | 748% | ~$48 | 11 |
| Liver function panelCPT 80076 | $281 | $8 | 3436% | ~$135 | 11 |
| Lumbar epidural steroid injectionCPT 62323 | $1,687 | $747 | 226% | $792 | 11 |
| MRI brain with and without contrastCPT 70553 | $3,357 | $369 | 910% | ~$1,611 | 11 |
| MRI lower extremity joint (knee)CPT 73721 | $2,841 | $252 | 1125% | ~$1,363 | 11 |
| MRI lumbar spine without contrastCPT 72148 | $3,041 | $252 | 1205% | ~$1,460 | 11 |
| Major joint replacement (hip/knee), no MCCMS-DRG 470 | $18,288 | $13,045 | 140% | $6,244 | 4 |
| Major small and large bowel procedures, with CCMS-DRG 330 | $13,433 | $16,202 | 83% | $2,210 | 4 |
| Medical back problems, no MCCMS-DRG 552 | $5,413 | $6,142 | 88% | $1,041 | 4 |
| OB global care, VBAC deliveryCPT 59610 | $4,034 | — | — | $1,738 | 3 |
| OB global care, cesarean deliveryCPT 59510 | $4,260 | — | — | $1,835 | 3 |
| OB global care, vaginal deliveryCPT 59400 | $3,845 | — | — | $1,656 | 3 |
| OB ultrasound, 14+ weeksCPT 76805 | $806 | $111 | 729% | ~$369 | 11 |
| Office consultation, comprehensiveCPT 99244 | $346 | — | — | $166 | 11 |
| Office consultation, moderateCPT 99243 | $232 | — | — | $111 | 11 |
| Office visit, established patient, level 3CPT 99213 | $258 | — | — | $128 | 11 |
| Office visit, established patient, level 4CPT 99214 | $293 | — | — | $160 | 11 |
| Office visit, new patient, level 3CPT 99203 | $260 | — | — | $137 | 11 |
| Office visit, new patient, level 4CPT 99204 | $365 | — | — | $166 | 11 |
| Office visit, new patient, level 5CPT 99205 | $402 | — | — | $193 | 11 |
| PSA (prostate specific antigen), totalCPT 84153 | $225 | $18 | 1226% | ~$108 | 11 |
| Partial thromboplastin timeCPT 85730 | $97 | $6 | 1607% | ~$46 | 11 |
| Physical therapy, therapeutic exerciseCPT 97110 | $117 | — | — | $56 | 11 |
| Preventive visit, new patient, 18-39CPT 99385 | $146 | — | — | $63 | 2 |
| Preventive visit, new patient, 40-64CPT 99386 | $186 | — | — | $80 | 2 |
| Prothrombin timeCPT 85610 | $76 | $4 | 1762% | ~$36 | 11 |
| Psychotherapy, 30 minutesCPT 90832 | $117 | $188 | 62% | $56 | 10 |
| Psychotherapy, 45 minutesCPT 90834 | $154 | $188 | 82% | $75 | 10 |
| Psychotherapy, 60 minutesCPT 90837 | $228 | $188 | 121% | $110 | 10 |
| Renal failure, with CCMS-DRG 683 | $6,024 | $5,892 | 102% | $1,560 | 4 |
| Screening mammography, bilateralCPT 77067 | $393 | — | — | ~$189 | 11 |
| Sepsis with MCCMS-DRG 871 | $10,422 | $12,301 | 85% | $1,498 | 4 |
| Shoulder arthroscopy, subacromial decompressionCPT 29826 | $1,739 | — | — | $749 | 3 |
| Simple pneumonia and pleurisy, with CCMS-DRG 194 | $5,382 | $5,098 | 106% | $1,370 | 4 |
| Sleep study (polysomnography)CPT 95810 | $1,912 | $909 | 210% | $918 | 11 |
| Stroke (hemorrhage/infarction), no CC/MCCMS-DRG 066 | $6,404 | $3,679 | 174% | $2,152 | 4 |
| Stroke (hemorrhage/infarction), with CC or tPAMS-DRG 065 | $6,966 | $6,559 | 106% | $1,839 | 4 |
| Thyroid stimulating hormone (TSH)CPT 84443 | $186 | $17 | 1106% | ~$89 | 11 |
| Transforaminal epidural, lumbar/sacralCPT 64483 | $1,677 | $936 | 179% | $931 | 11 |
| Ultrasound, abdomen, completeCPT 76700 | $1,244 | $111 | 1125% | ~$597 | 11 |
| Ultrasound, transvaginalCPT 76830 | $430 | $111 | 389% | ~$206 | 11 |
| Upper GI endoscopy with biopsyCPT 43239 | $732 | $960 | 76% | $316 | 3 |
| Upper GI endoscopy, diagnosticCPT 43235 | $711 | $960 | 74% | $306 | 3 |
| Urinalysis, automated, with microscopyCPT 81001 | $66 | $3 | 2076% | ~$32 | 11 |
| Urinalysis, automated, without microscopyCPT 81003 | $13 | $2 | 591% | ~$6 | 3 |
| Urinalysis, manual, with microscopyCPT 81000 | $13 | $4 | 335% | ~$6 | 3 |
| Urinalysis, manual, without microscopyCPT 81002 | $59 | $3 | 1700% | ~$28 | 11 |
| Vaginal delivery, no sterilization, no CC/MCCMS-DRG 807 | $4,897 | — | — | $1,380 | 4 |
| Vaginal delivery, no sterilization, with CCMS-DRG 806 | $5,583 | — | — | $1,598 | 4 |
| X-ray, lower back, 4+ viewsCPT 72110 | $464 | $111 | 420% | ~$223 | 11 |