| Acute myocardial infarction, discharged alive, with MCCMS-DRG 280 | $32,724 | $10,222 | 320% | — | 15 |
| Bariatric (obesity) surgery, no CC/MCCMS-DRG 621 | $30,771 | $8,272 | 372% | — | 15 |
| Basic metabolic panelCPT 80048 | $21 | $8 | 250% | ~$11 | 45 |
| COPD with MCCMS-DRG 190 | $22,597 | $7,098 | 318% | — | 15 |
| CT abdomen and pelvis with contrastCPT 74177 | $725 | $369 | 196% | ~$457 | 45 |
| CT head without contrastCPT 70450 | $725 | $111 | 655% | ~$188 | 45 |
| CT pelvis with contrastCPT 72193 | $725 | $186 | 391% | ~$239 | 45 |
| Cardiac arrhythmia, no CC/MCCMS-DRG 310 | $11,548 | $2,866 | 403% | — | 15 |
| Cardiac stress testCPT 93017 | $832 | $228 | 364% | $251 | 45 |
| Cardiac valve surgery with cardiac cath, with MCCMS-DRG 216 | $192,379 | — | — | — | 15 |
| Cataract surgery with IOL insertionCPT 66984 | $6,133 | $2,442 | 251% | — | 26 |
| Cellulitis, no MCCMS-DRG 603 | $17,766 | $5,411 | 328% | — | 15 |
| Cervical spinal fusion, no CC/MCCMS-DRG 473 | $49,316 | $16,343 | 302% | — | 15 |
| Cesarean section, no CC/MCCMS-DRG 788 | $13,720 | — | — | — | 15 |
| Cesarean section, with CCMS-DRG 787 | $15,381 | — | — | — | 15 |
| Chest painMS-DRG 313 | $14,688 | — | — | — | 15 |
| Colonoscopy with biopsyCPT 45380 | $5,000 | $1,266 | 395% | — | 27 |
| Colonoscopy with endoscopic ultrasoundCPT 45391 | $3,177 | $1,266 | 251% | — | 10 |
| Colonoscopy with polyp removalCPT 45385 | $2,097 | $1,266 | 166% | $391 | 45 |
| Colonoscopy, diagnosticCPT 45378 | $4,603 | $984 | 468% | $1,560 | 45 |
| Complete blood count with differentialCPT 85025 | $19 | $8 | 250% | ~$10 | 45 |
| Complete blood count, automatedCPT 85027 | $16 | $6 | 250% | ~$8 | 45 |
| Comprehensive metabolic panelCPT 80053 | $26 | $11 | 250% | ~$13 | 45 |
| Coronary bypass without cardiac cath, no MCCMS-DRG 236 | $83,369 | $29,950 | 278% | — | 15 |
| Diagnostic mammography, both breastsCPT 77066 | $198 | — | — | ~$154 | 45 |
| Diagnostic mammography, one breastCPT 77065 | $175 | — | — | ~$122 | 45 |
| ED visit, level 3CPT 99283 | $1,442 | $289 | 499% | $390 | 45 |
| ED visit, level 4CPT 99284 | $14,258 | $441 | 3230% | $4,298 | 45 |
| ED visit, level 5CPT 99285 | $15,081 | $630 | 2393% | $4,546 | 45 |
| Echocardiogram, completeCPT 93306 | $2,165 | $578 | 375% | $653 | 45 |
| Epidural injection, lumbar/sacral, no imagingCPT 62322 | $1,875 | $936 | 200% | $486 | 45 |
| Esophagitis/GI disorders, no MCCMS-DRG 392 | $15,904 | $4,751 | 335% | — | 15 |
| Excision of breast lesionCPT 19120 | $6,860 | $4,143 | 166% | $1,338 | 45 |
| Family psychotherapy, with patientCPT 90847 | $247 | $188 | 132% | $95 | 46 |
| Family psychotherapy, without patientCPT 90846 | $241 | $188 | 129% | $94 | 46 |
| Group psychotherapyCPT 90853 | $202 | $107 | 188% | $55 | 46 |
| Heart failure and shock, with CCMS-DRG 292 | $17,320 | $5,927 | 292% | — | 15 |
| Heart failure with MCCMS-DRG 291 | $26,190 | $8,389 | 312% | — | 15 |
| Hip and femur procedures except major joint, with CCMS-DRG 481 | $42,558 | $12,955 | 328% | — | 15 |
| Hysterectomy, no CC/MCCMS-DRG 743 | $25,310 | $10,098 | 251% | — | 15 |
| Inguinal hernia repair, age 5+CPT 49505 | $9,794 | $3,788 | 259% | — | 25 |
| Kidney and urinary tract infections, no MCCMS-DRG 690 | $16,514 | $4,744 | 348% | — | 15 |
| Kidney function panelCPT 80069 | $22 | $9 | 250% | ~$11 | 45 |
| Knee arthroscopy with meniscectomyCPT 29881 | $8,085 | $3,462 | 234% | — | 27 |
| Laparoscopic cholecystectomyCPT 47562 | $15,510 | $6,396 | 242% | — | 27 |
| Laparoscopic cholecystectomy, no CC/MCCMS-DRG 419 | $27,862 | $8,977 | 310% | — | 15 |
| Laparoscopic radical prostatectomyCPT 55866 | $30,000 | $11,246 | 267% | — | 27 |
| Left heart catheterization, diagnosticCPT 93452 | $17,990 | $3,430 | 524% | $5,876 | 45 |
| Lipid panelCPT 80061 | $33 | $13 | 250% | ~$16 | 45 |
| Liver function panelCPT 80076 | $20 | $8 | 250% | ~$10 | 45 |
| Lumbar epidural steroid injectionCPT 62323 | $1,875 | $747 | 251% | $486 | 45 |
| MRI brain with and without contrastCPT 70553 | $925 | $369 | 251% | ~$457 | 45 |
| MRI lower extremity joint (knee)CPT 73721 | $925 | $252 | 366% | ~$273 | 45 |
| MRI lumbar spine without contrastCPT 72148 | $925 | $252 | 366% | ~$273 | 45 |
| Major joint replacement (hip/knee), no MCCMS-DRG 470 | $39,331 | $13,045 | 302% | — | 15 |
| Major joint replacement (hip/knee), with MCCMS-DRG 469 | $60,850 | $22,346 | 272% | — | 15 |
| Major small and large bowel procedures, with CCMS-DRG 330 | $48,456 | $17,600 | 275% | — | 15 |
| Medical back problems, no MCCMS-DRG 552 | $19,611 | $5,491 | 357% | — | 15 |
| OB ultrasound, 14+ weeksCPT 76805 | $350 | $111 | 316% | ~$91 | 45 |
| Obstetric blood test panelCPT 80055 | $109 | $48 | 229% | ~$57 | 45 |
| Office visit, established patient, level 3CPT 99213 | $108 | — | — | $32 | 39 |
| Office visit, established patient, level 4CPT 99214 | $144 | — | — | $42 | 39 |
| Office visit, new patient, level 3CPT 99203 | $116 | — | — | $42 | 39 |
| Office visit, new patient, level 4CPT 99204 | $159 | — | — | $58 | 39 |
| Office visit, new patient, level 5CPT 99205 | $215 | — | — | $78 | 39 |
| PSA (prostate specific antigen), totalCPT 84153 | $30 | $18 | 165% | ~$22 | 45 |
| Partial thromboplastin timeCPT 85730 | $15 | $6 | 250% | ~$8 | 45 |
| Physical therapy, therapeutic exerciseCPT 97110 | $73 | — | — | $28 | 45 |
| Preventive visit, new patient, 18-39CPT 99385 | $173 | — | — | $50 | 39 |
| Preventive visit, new patient, 40-64CPT 99386 | $183 | — | — | $53 | 39 |
| Prostate biopsyCPT 55700 | $5,308 | — | — | — | 20 |
| Prothrombin timeCPT 85610 | $10 | $4 | 243% | ~$5 | 45 |
| Psychotherapy, 30 minutesCPT 90832 | $109 | $188 | 58% | $39 | 46 |
| Psychotherapy, 45 minutesCPT 90834 | $191 | $188 | 102% | $72 | 46 |
| Psychotherapy, 60 minutesCPT 90837 | $360 | $188 | 192% | $153 | 46 |
| Renal failure, with CCMS-DRG 683 | $17,866 | $5,425 | 329% | — | 15 |
| Screening mammography, bilateralCPT 77067 | $175 | — | — | ~$123 | 45 |
| Sepsis with MCCMS-DRG 871 | $39,596 | $12,662 | 313% | — | 15 |
| Shoulder arthroscopy, subacromial decompressionCPT 29826 | $18,951 | — | — | — | 20 |
| Simple pneumonia and pleurisy, with CCMS-DRG 194 | $16,440 | $6,008 | 274% | — | 15 |
| Sleep study (polysomnography)CPT 95810 | $5,081 | $909 | 559% | $1,514 | 45 |
| Stroke (hemorrhage/infarction), no CC/MCCMS-DRG 066 | $13,962 | $3,679 | 379% | — | 15 |
| Stroke (hemorrhage/infarction), with CC or tPAMS-DRG 065 | $20,610 | $5,954 | 346% | — | 15 |
| Thyroid stimulating hormone (TSH)CPT 84443 | $42 | $17 | 250% | ~$20 | 45 |
| Tonsillectomy and adenoidectomy, under age 12CPT 42820 | $6,979 | $6,263 | 111% | — | 26 |
| Transforaminal epidural, lumbar/sacralCPT 64483 | $2,436 | $936 | 260% | $631 | 45 |
| Ultrasound, abdomen, completeCPT 76700 | $350 | $111 | 316% | ~$91 | 45 |
| Ultrasound, transvaginalCPT 76830 | $350 | $111 | 316% | ~$91 | 45 |
| Upper GI endoscopy with biopsyCPT 43239 | $4,826 | $960 | 503% | $1,249 | 45 |
| Upper GI endoscopy, diagnosticCPT 43235 | $4,007 | $960 | 418% | $1,560 | 45 |
| Urinalysis, automated, with microscopyCPT 81001 | $8 | $3 | 250% | ~$4 | 45 |
| Urinalysis, automated, without microscopyCPT 81003 | $6 | $2 | 250% | ~$3 | 45 |
| Urinalysis, manual, with microscopyCPT 81000 | $4 | $4 | 100% | — | 24 |
| Urinalysis, manual, without microscopyCPT 81002 | $6 | $3 | 165% | ~$4 | 45 |
| Vaginal delivery, no sterilization, no CC/MCCMS-DRG 807 | $10,920 | — | — | — | 15 |
| Vaginal delivery, no sterilization, with CCMS-DRG 806 | $10,920 | — | — | — | 15 |
| X-ray, lower back, 4+ viewsCPT 72110 | $200 | $111 | 181% | ~$157 | 45 |
| YAG laser capsulotomy (secondary cataract)CPT 66821 | $1,686 | $582 | 290% | — | 26 |