| Acute myocardial infarction, discharged alive, with MCCMS-DRG 280 | $39,461 | $13,174 | 300% | — | 20 |
| Bariatric (obesity) surgery, no CC/MCCMS-DRG 621 | $37,107 | $8,272 | 449% | — | 20 |
| Basic metabolic panelCPT 80048 | $21 | $8 | 250% | ~$10 | 47 |
| COPD with MCCMS-DRG 190 | $27,249 | $8,708 | 313% | — | 20 |
| CT abdomen and pelvis with contrastCPT 74177 | $725 | $369 | 196% | ~$436 | 47 |
| CT head without contrastCPT 70450 | $725 | $111 | 655% | ~$179 | 47 |
| CT pelvis with contrastCPT 72193 | $725 | $186 | 391% | ~$228 | 47 |
| Cardiac arrhythmia, no CC/MCCMS-DRG 310 | $13,926 | $4,558 | 306% | — | 20 |
| Cardiac stress testCPT 93017 | $831 | $228 | 364% | $239 | 47 |
| Cardiac valve surgery with cardiac cath, with MCCMS-DRG 216 | $240,657 | — | — | — | 20 |
| Cataract surgery with IOL insertionCPT 66984 | $6,133 | $2,442 | 251% | — | 27 |
| Cellulitis, no MCCMS-DRG 603 | $21,424 | $7,544 | 284% | — | 20 |
| Cervical spinal fusion, no CC/MCCMS-DRG 473 | $60,056 | $16,343 | 367% | — | 20 |
| Cesarean section, no CC/MCCMS-DRG 788 | $18,249 | — | — | — | 20 |
| Cesarean section, with CCMS-DRG 787 | $26,415 | — | — | — | 20 |
| Chest painMS-DRG 313 | $17,712 | — | — | — | 20 |
| Colonoscopy with biopsyCPT 45380 | $5,000 | $1,266 | 395% | — | 27 |
| Colonoscopy with endoscopic ultrasoundCPT 45391 | $3,177 | $1,266 | 251% | — | 12 |
| Colonoscopy with polyp removalCPT 45385 | $2,097 | $1,266 | 166% | $372 | 47 |
| Colonoscopy, diagnosticCPT 45378 | $4,603 | $984 | 468% | $1,486 | 47 |
| Complete blood count with differentialCPT 85025 | $19 | $8 | 250% | ~$9 | 47 |
| Complete blood count, automatedCPT 85027 | $16 | $6 | 250% | ~$8 | 47 |
| Comprehensive metabolic panelCPT 80053 | $26 | $11 | 250% | ~$12 | 47 |
| Coronary bypass without cardiac cath, no MCCMS-DRG 236 | $103,044 | $34,823 | 296% | — | 20 |
| Diagnostic mammography, both breastsCPT 77066 | $220 | — | — | ~$146 | 47 |
| Diagnostic mammography, one breastCPT 77065 | $175 | — | — | ~$116 | 47 |
| ED visit, level 3CPT 99283 | $1,380 | $289 | 478% | $393 | 47 |
| ED visit, level 4CPT 99284 | $13,687 | $441 | 3100% | $4,094 | 47 |
| ED visit, level 5CPT 99285 | $14,478 | $630 | 2298% | $4,330 | 47 |
| Echocardiogram, completeCPT 93306 | $2,135 | $578 | 369% | $622 | 47 |
| Epidural injection, lumbar/sacral, no imagingCPT 62322 | $1,875 | $936 | 200% | $462 | 47 |
| Esophagitis/GI disorders, no MCCMS-DRG 392 | $19,178 | $7,020 | 273% | — | 20 |
| Excision of breast lesionCPT 19120 | $6,860 | $4,143 | 166% | $1,275 | 47 |
| Family psychotherapy, with patientCPT 90847 | $254 | $188 | 135% | $91 | 47 |
| Family psychotherapy, without patientCPT 90846 | $254 | $188 | 135% | $89 | 47 |
| Group psychotherapyCPT 90853 | $202 | $107 | 188% | $52 | 47 |
| Heart failure and shock, with CCMS-DRG 292 | $20,885 | $5,927 | 352% | — | 20 |
| Heart failure with MCCMS-DRG 291 | $31,581 | $11,523 | 274% | — | 20 |
| Hip and femur procedures except major joint, with CCMS-DRG 481 | $51,525 | $17,957 | 287% | — | 20 |
| Hysterectomy, no CC/MCCMS-DRG 743 | $30,521 | $10,098 | 302% | — | 20 |
| Inguinal hernia repair, age 5+CPT 49505 | $9,794 | $3,788 | 259% | — | 26 |
| Kidney and urinary tract infections, no MCCMS-DRG 690 | $19,914 | $7,022 | 284% | — | 20 |
| Kidney function panelCPT 80069 | $22 | $9 | 250% | ~$10 | 47 |
| 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 | $33,599 | $8,977 | 374% | — | 20 |
| Laparoscopic radical prostatectomyCPT 55866 | $30,000 | $11,246 | 267% | — | 27 |
| Left heart catheterization, diagnosticCPT 93452 | $17,990 | $3,430 | 524% | $5,597 | 47 |
| Lipid panelCPT 80061 | $33 | $13 | 250% | ~$15 | 47 |
| Liver function panelCPT 80076 | $20 | $8 | 250% | ~$10 | 47 |
| Lumbar epidural steroid injectionCPT 62323 | $1,875 | $747 | 251% | $462 | 47 |
| MRI brain with and without contrastCPT 70553 | $925 | $369 | 251% | ~$436 | 47 |
| MRI lower extremity joint (knee)CPT 73721 | $925 | $252 | 366% | ~$260 | 47 |
| MRI lumbar spine without contrastCPT 72148 | $925 | $252 | 366% | ~$260 | 47 |
| Major joint replacement (hip/knee), no MCCMS-DRG 470 | $47,451 | $15,609 | 304% | — | 20 |
| Major joint replacement (hip/knee), with MCCMS-DRG 469 | $74,617 | $22,346 | 334% | — | 20 |
| Major small and large bowel procedures, with CCMS-DRG 330 | $58,971 | $20,078 | 294% | — | 20 |
| Medical back problems, no MCCMS-DRG 552 | $23,648 | $7,972 | 297% | — | 20 |
| OB ultrasound, 14+ weeksCPT 76805 | $350 | $111 | 316% | ~$86 | 47 |
| Obstetric blood test panelCPT 80055 | $120 | $48 | 250% | ~$55 | 47 |
| Office visit, established patient, level 3CPT 99213 | $104 | — | — | $30 | 41 |
| Office visit, established patient, level 4CPT 99214 | $138 | — | — | $40 | 41 |
| Office visit, new patient, level 3CPT 99203 | $116 | — | — | $40 | 41 |
| Office visit, new patient, level 4CPT 99204 | $159 | — | — | $55 | 41 |
| Office visit, new patient, level 5CPT 99205 | $215 | — | — | $75 | 41 |
| PSA (prostate specific antigen), totalCPT 84153 | $46 | $18 | 250% | ~$21 | 47 |
| Partial thromboplastin timeCPT 85730 | $15 | $6 | 250% | ~$7 | 47 |
| Physical therapy, therapeutic exerciseCPT 97110 | $73 | — | — | $26 | 47 |
| Preventive visit, new patient, 18-39CPT 99385 | $167 | — | — | $48 | 41 |
| Preventive visit, new patient, 40-64CPT 99386 | $176 | — | — | $50 | 41 |
| Prostate biopsyCPT 55700 | $5,308 | — | — | — | 21 |
| Prothrombin timeCPT 85610 | $11 | $4 | 250% | ~$5 | 47 |
| Psychotherapy, 30 minutesCPT 90832 | $110 | $188 | 59% | $38 | 47 |
| Psychotherapy, 45 minutesCPT 90834 | $202 | $188 | 107% | $69 | 47 |
| Psychotherapy, 60 minutesCPT 90837 | $360 | $188 | 192% | $146 | 47 |
| Renal failure, with CCMS-DRG 683 | $21,545 | $7,828 | 275% | — | 20 |
| Screening mammography, bilateralCPT 77067 | $177 | — | — | ~$118 | 47 |
| Sepsis with MCCMS-DRG 871 | $47,786 | $17,032 | 281% | — | 20 |
| Shoulder arthroscopy, subacromial decompressionCPT 29826 | $18,951 | — | — | — | 21 |
| Simple pneumonia and pleurisy, with CCMS-DRG 194 | $19,825 | $7,019 | 282% | — | 20 |
| Sleep study (polysomnography)CPT 95810 | $5,081 | $909 | 559% | $1,443 | 47 |
| Stroke (hemorrhage/infarction), no CC/MCCMS-DRG 066 | $16,836 | $5,812 | 290% | — | 20 |
| Stroke (hemorrhage/infarction), with CC or tPAMS-DRG 065 | $24,853 | $8,687 | 286% | — | 20 |
| Thyroid stimulating hormone (TSH)CPT 84443 | $42 | $17 | 250% | ~$19 | 47 |
| Tonsillectomy and adenoidectomy, under age 12CPT 42820 | $6,979 | $6,263 | 111% | — | 27 |
| Transforaminal epidural, lumbar/sacralCPT 64483 | $2,436 | $936 | 260% | $601 | 47 |
| Ultrasound, abdomen, completeCPT 76700 | $350 | $111 | 316% | ~$86 | 47 |
| Ultrasound, transvaginalCPT 76830 | $350 | $111 | 316% | ~$86 | 47 |
| Upper GI endoscopy with biopsyCPT 43239 | $4,826 | $960 | 503% | $1,190 | 47 |
| Upper GI endoscopy, diagnosticCPT 43235 | $4,007 | $960 | 418% | $1,486 | 47 |
| Urinalysis, automated, with microscopyCPT 81001 | $8 | $3 | 250% | ~$4 | 47 |
| Urinalysis, automated, without microscopyCPT 81003 | $6 | $2 | 250% | ~$3 | 47 |
| Urinalysis, manual, with microscopyCPT 81000 | $4 | $4 | 100% | — | 24 |
| Urinalysis, manual, without microscopyCPT 81002 | $9 | $3 | 250% | ~$4 | 47 |
| Vaginal delivery, no sterilization, no CC/MCCMS-DRG 807 | $13,895 | — | — | — | 20 |
| Vaginal delivery, no sterilization, with CCMS-DRG 806 | $17,834 | — | — | — | 20 |
| X-ray, lower back, 4+ viewsCPT 72110 | $200 | $111 | 181% | ~$150 | 47 |
| YAG laser capsulotomy (secondary cataract)CPT 66821 | $1,686 | $582 | 290% | — | 27 |