| Bariatric (obesity) surgery, no CC/MCCMS-DRG 621 | $14,500 | $8,272 | 175% | — | 1 |
| Basic metabolic panelCPT 80048 | $3 | $8 | 41% | ~$75 | 20 |
| CT abdomen and pelvis with contrastCPT 74177 | $444 | $369 | 120% | ~$199 | 20 |
| CT head without contrastCPT 70450 | $164 | $111 | 148% | ~$199 | 20 |
| CT pelvis with contrastCPT 72193 | $222 | $186 | 120% | ~$199 | 20 |
| Cardiac stress testCPT 93017 | $81 | $228 | 35% | $519 | 16 |
| Cataract surgery with IOL insertionCPT 66984 | $766 | $2,442 | 31% | — | 16 |
| Colonoscopy with biopsyCPT 45380 | $359 | $1,266 | 28% | — | 16 |
| Colonoscopy with endoscopic ultrasoundCPT 45391 | $351 | $1,266 | 28% | — | 16 |
| Colonoscopy with polyp removalCPT 45385 | $426 | $1,266 | 34% | — | 16 |
| Colonoscopy, diagnosticCPT 45378 | $298 | $984 | 30% | — | 16 |
| Complete blood count with differentialCPT 85025 | $4 | $8 | 47% | ~$32 | 20 |
| Complete blood count, automatedCPT 85027 | $3 | $6 | 47% | ~$45 | 20 |
| Comprehensive metabolic panelCPT 80053 | $5 | $11 | 47% | ~$58 | 20 |
| Diagnostic mammography, both breastsCPT 77066 | $103 | — | — | ~$139 | 16 |
| Diagnostic mammography, one breastCPT 77065 | $85 | — | — | ~$101 | 16 |
| ED visit, level 3CPT 99283 | $103 | $289 | 36% | $325 | 16 |
| ED visit, level 4CPT 99284 | $174 | $441 | 39% | $680 | 16 |
| ED visit, level 5CPT 99285 | $253 | $630 | 40% | $1,071 | 16 |
| Echocardiogram, completeCPT 93306 | $262 | $578 | 45% | $889 | 16 |
| Electrocardiogram with interpretationCPT 93000 | $24 | — | — | — | 16 |
| Epidural injection, lumbar/sacral, no imagingCPT 62322 | $85 | $936 | 9% | — | 16 |
| Excision of breast lesionCPT 19120 | $506 | $4,143 | 12% | — | 16 |
| Family psychotherapy, with patientCPT 90847 | $96 | $188 | 51% | $113 | 16 |
| Family psychotherapy, without patientCPT 90846 | $89 | $188 | 47% | $113 | 16 |
| Group psychotherapyCPT 90853 | $29 | $107 | 27% | $96 | 16 |
| Inguinal hernia repair, age 5+CPT 49505 | $557 | $3,788 | 15% | — | 16 |
| Kidney function panelCPT 80069 | $4 | $9 | 47% | ~$98 | 20 |
| Knee arthroscopy with meniscectomyCPT 29881 | $792 | $3,462 | 23% | — | 16 |
| Laparoscopic cholecystectomyCPT 47562 | $892 | $6,396 | 14% | — | 16 |
| Laparoscopic radical prostatectomyCPT 55866 | $2,182 | $11,246 | 19% | — | 16 |
| Left heart catheterization, diagnosticCPT 93452 | $836 | $3,430 | 24% | $4,057 | 27 |
| Lipid panelCPT 80061 | $6 | $13 | 45% | ~$106 | 20 |
| Liver function panelCPT 80076 | $3 | $8 | 37% | ~$97 | 20 |
| Lumbar epidural steroid injectionCPT 62323 | $98 | $747 | 13% | — | 16 |
| MRI brain with and without contrastCPT 70553 | $440 | $369 | 119% | ~$214 | 20 |
| MRI lower extremity joint (knee)CPT 73721 | $311 | $252 | 123% | ~$427 | 20 |
| MRI lumbar spine without contrastCPT 72148 | $308 | $252 | 122% | ~$214 | 20 |
| OB global care, VBAC deliveryCPT 59610 | $2,324 | — | — | — | 16 |
| OB global care, cesarean deliveryCPT 59510 | $2,263 | — | — | — | 16 |
| OB global care, vaginal deliveryCPT 59400 | $2,263 | — | — | — | 16 |
| OB ultrasound, 14+ weeksCPT 76805 | $79 | $111 | 71% | ~$195 | 20 |
| Obstetric blood test panelCPT 80055 | $24 | $48 | 49% | ~$98 | 20 |
| Office consultation, comprehensiveCPT 99244 | $162 | — | — | — | 16 |
| Office consultation, moderateCPT 99243 | $106 | — | — | — | 16 |
| Office visit, established patient, level 3CPT 99213 | $72 | — | — | $141 | 16 |
| Office visit, established patient, level 4CPT 99214 | $106 | — | — | $173 | 16 |
| Office visit, new patient, level 3CPT 99203 | $106 | — | — | $148 | 16 |
| Office visit, new patient, level 4CPT 99204 | $162 | — | — | $178 | 16 |
| Office visit, new patient, level 5CPT 99205 | $201 | — | — | $274 | 16 |
| PSA (prostate specific antigen), totalCPT 84153 | $10 | $18 | 57% | ~$64 | 20 |
| Partial thromboplastin timeCPT 85730 | $3 | $6 | 49% | ~$44 | 20 |
| Physical therapy, therapeutic exerciseCPT 97110 | $24 | — | — | $26 | 18 |
| Preventive visit, new patient, 18-39CPT 99385 | $131 | — | — | — | 16 |
| Preventive visit, new patient, 40-64CPT 99386 | $161 | — | — | — | 16 |
| Prostate biopsyCPT 55700 | $114 | — | — | — | 16 |
| Prothrombin timeCPT 85610 | $4 | $4 | 96% | ~$31 | 20 |
| Psychotherapy, 30 minutesCPT 90832 | $67 | $188 | 36% | $82 | 16 |
| Psychotherapy, 45 minutesCPT 90834 | $82 | $188 | 44% | $108 | 16 |
| Psychotherapy, 60 minutesCPT 90837 | $124 | $188 | 66% | — | 16 |
| Screening mammography, bilateralCPT 77067 | $100 | — | — | ~$92 | 16 |
| Shoulder arthroscopy, subacromial decompressionCPT 29826 | $940 | — | — | — | 16 |
| Sleep study (polysomnography)CPT 95810 | $466 | $909 | 51% | $1,414 | 16 |
| Thyroid stimulating hormone (TSH)CPT 84443 | $8 | $17 | 47% | ~$63 | 20 |
| Tonsillectomy and adenoidectomy, under age 12CPT 42820 | $397 | $6,263 | 6% | — | 16 |
| Transforaminal epidural, lumbar/sacralCPT 64483 | $103 | $936 | 11% | — | 16 |
| Ultrasound, abdomen, completeCPT 76700 | $75 | $111 | 68% | ~$191 | 20 |
| Ultrasound, transvaginalCPT 76830 | $72 | $111 | 65% | ~$121 | 20 |
| Upper GI endoscopy with biopsyCPT 43239 | $270 | $960 | 28% | — | 16 |
| Upper GI endoscopy, diagnosticCPT 43235 | $154 | $960 | 16% | — | 16 |
| Urinalysis, automated, with microscopyCPT 81001 | $2 | $3 | 74% | ~$42 | 20 |
| Urinalysis, automated, without microscopyCPT 81003 | $2 | $2 | 105% | ~$3 | 20 |
| Urinalysis, manual, with microscopyCPT 81000 | $2 | $4 | 60% | — | 20 |
| Urinalysis, manual, without microscopyCPT 81002 | $2 | $3 | 60% | ~$17 | 20 |
| X-ray, lower back, 4+ viewsCPT 72110 | $33 | $111 | 30% | ~$127 | 20 |
| YAG laser capsulotomy (secondary cataract)CPT 66821 | $250 | $582 | 43% | — | 16 |