| Acute myocardial infarction, discharged alive, with MCCMS-DRG 280 | $12,648 | $11,217 | 113% | — | 6 |
| Bariatric (obesity) surgery, no CC/MCCMS-DRG 621 | $12,648 | $8,272 | 153% | — | 6 |
| COPD with MCCMS-DRG 190 | $12,648 | $7,377 | 171% | — | 6 |
| CT abdomen and pelvis with contrastCPT 74177 | $2,485 | $369 | 673% | ~$1,458 | 3 |
| CT head without contrastCPT 70450 | $2,485 | $111 | 2247% | ~$565 | 3 |
| CT pelvis with contrastCPT 72193 | $2,485 | $186 | 1339% | ~$667 | 3 |
| Cardiac arrhythmia, no CC/MCCMS-DRG 310 | $12,648 | $3,269 | 387% | — | 6 |
| Cardiac valve surgery with cardiac cath, with MCCMS-DRG 216 | $12,648 | — | — | — | 6 |
| Cataract surgery with IOL insertionCPT 66984 | $6,325 | $2,442 | 259% | — | 3 |
| Cellulitis, no MCCMS-DRG 603 | $12,648 | $5,675 | 223% | — | 6 |
| Cervical spinal fusion, no CC/MCCMS-DRG 473 | $12,648 | $16,343 | 77% | — | 6 |
| Cesarean section, no CC/MCCMS-DRG 788 | $12,648 | — | — | — | 6 |
| Cesarean section, with CCMS-DRG 787 | $12,648 | — | — | — | 6 |
| Chest painMS-DRG 313 | $12,648 | — | — | — | 6 |
| Colonoscopy with biopsyCPT 45380 | $6,325 | $1,266 | 500% | — | 3 |
| Colonoscopy with endoscopic ultrasoundCPT 45391 | $6,325 | $1,266 | 500% | — | 3 |
| Colonoscopy with polyp removalCPT 45385 | $6,325 | $1,266 | 500% | — | 3 |
| Colonoscopy, diagnosticCPT 45378 | $4,500 | $984 | 457% | — | 3 |
| Coronary bypass without cardiac cath, no MCCMS-DRG 236 | $12,648 | $29,950 | 42% | — | 6 |
| ED visit, level 3CPT 99283 | $2,050 | $289 | 710% | $231 | 3 |
| ED visit, level 4CPT 99284 | $2,700 | $441 | 612% | $342 | 3 |
| ED visit, level 5CPT 99285 | $2,900 | $630 | 460% | $388 | 3 |
| Epidural injection, lumbar/sacral, no imagingCPT 62322 | $4,500 | $936 | 481% | — | 3 |
| Esophagitis/GI disorders, no MCCMS-DRG 392 | $12,648 | $4,899 | 258% | — | 6 |
| Excision of breast lesionCPT 19120 | $13,274 | $4,143 | 320% | — | 3 |
| Heart failure and shock, with CCMS-DRG 292 | $12,648 | $5,927 | 213% | — | 6 |
| Heart failure with MCCMS-DRG 291 | $12,648 | $11,234 | 113% | — | 6 |
| Hip and femur procedures except major joint, with CCMS-DRG 481 | $12,648 | $16,851 | 75% | — | 6 |
| Hysterectomy, no CC/MCCMS-DRG 743 | $12,648 | $10,098 | 125% | — | 6 |
| Inguinal hernia repair, age 5+CPT 49505 | $13,274 | $3,788 | 350% | — | 3 |
| Kidney and urinary tract infections, no MCCMS-DRG 690 | $12,648 | $5,238 | 241% | — | 6 |
| Knee arthroscopy with meniscectomyCPT 29881 | $13,274 | $3,462 | 383% | — | 3 |
| Laparoscopic cholecystectomyCPT 47562 | $21,859 | $6,396 | 342% | — | 3 |
| Laparoscopic cholecystectomy, no CC/MCCMS-DRG 419 | $12,648 | $8,977 | 141% | — | 6 |
| Laparoscopic radical prostatectomyCPT 55866 | $36,447 | $11,246 | 324% | — | 3 |
| Left heart catheterization, diagnosticCPT 93452 | $13,274 | $3,430 | 387% | — | 3 |
| Lumbar epidural steroid injectionCPT 62323 | $4,500 | $747 | 603% | — | 3 |
| MRI brain with and without contrastCPT 70553 | $3,042 | $369 | 824% | ~$633 | 3 |
| MRI lower extremity joint (knee)CPT 73721 | $3,042 | $252 | 1205% | ~$1,058 | 3 |
| MRI lumbar spine without contrastCPT 72148 | $3,042 | $252 | 1205% | ~$529 | 3 |
| Major joint replacement (hip/knee), no MCCMS-DRG 470 | $12,648 | $13,045 | 97% | — | 6 |
| Major joint replacement (hip/knee), with MCCMS-DRG 469 | $12,648 | $22,346 | 57% | — | 6 |
| Major small and large bowel procedures, with CCMS-DRG 330 | $12,648 | $16,202 | 78% | — | 6 |
| Medical back problems, no MCCMS-DRG 552 | $12,648 | $6,142 | 206% | — | 6 |
| OB global care, VBAC deliveryCPT 59610 | $13,274 | — | — | — | 3 |
| OB global care, cesarean deliveryCPT 59510 | $13,274 | — | — | — | 3 |
| OB global care, vaginal deliveryCPT 59400 | $13,274 | — | — | — | 3 |
| OB ultrasound, 14+ weeksCPT 76805 | $482 | $111 | 436% | ~$352 | 3 |
| Physical therapy, therapeutic exerciseCPT 97110 | $550 | — | — | $83 | 3 |
| Prostate biopsyCPT 55700 | $6,325 | — | — | — | 3 |
| Renal failure, with CCMS-DRG 683 | $12,648 | $5,892 | 215% | — | 6 |
| Sepsis with MCCMS-DRG 871 | $12,648 | $15,970 | 79% | — | 6 |
| Simple pneumonia and pleurisy, with CCMS-DRG 194 | $12,648 | $5,177 | 244% | — | 6 |
| Spinal fusion except cervical, no MCCMS-DRG 460 | $12,648 | $25,413 | 50% | — | 6 |
| Spinal fusion except cervical, with MCCMS-DRG 459 | $12,648 | $51,127 | 25% | — | 6 |
| Stroke (hemorrhage/infarction), no CC/MCCMS-DRG 066 | $12,648 | $3,679 | 344% | — | 6 |
| Stroke (hemorrhage/infarction), with CC or tPAMS-DRG 065 | $12,648 | $8,088 | 156% | — | 6 |
| Tonsillectomy and adenoidectomy, under age 12CPT 42820 | $16,338 | $6,263 | 261% | — | 3 |
| Transforaminal epidural, lumbar/sacralCPT 64483 | $4,500 | $936 | 481% | — | 3 |
| Ultrasound, abdomen, completeCPT 76700 | $482 | $111 | 436% | ~$367 | 3 |
| Ultrasound, transvaginalCPT 76830 | $482 | $111 | 436% | ~$160 | 3 |
| Upper GI endoscopy with biopsyCPT 43239 | $4,500 | $960 | 469% | — | 3 |
| Upper GI endoscopy, diagnosticCPT 43235 | $4,500 | $960 | 469% | — | 3 |
| Vaginal delivery, no sterilization, no CC/MCCMS-DRG 807 | $12,648 | — | — | — | 6 |
| Vaginal delivery, no sterilization, with CCMS-DRG 806 | $12,648 | — | — | — | 6 |
| YAG laser capsulotomy (secondary cataract)CPT 66821 | $4,500 | $582 | 773% | — | 3 |