| Acute myocardial infarction, discharged alive, with MCCMS-DRG 280 | $32,724 | $11,349 | 288% | — | 20 |
| Bariatric (obesity) surgery, no CC/MCCMS-DRG 621 | $30,771 | $8,272 | 372% | — | 20 |
| Basic metabolic panelCPT 80048 | $18 | $8 | 207% | ~$9 | 44 |
| COPD with MCCMS-DRG 190 | $22,597 | $7,594 | 298% | — | 20 |
| CT abdomen and pelvis with contrastCPT 74177 | $725 | $370 | 196% | ~$401 | 44 |
| CT head without contrastCPT 70450 | $725 | $111 | 654% | ~$164 | 44 |
| CT pelvis with contrastCPT 72193 | $725 | $186 | 390% | ~$210 | 44 |
| Cardiac arrhythmia, no CC/MCCMS-DRG 310 | $11,548 | $3,858 | 299% | — | 20 |
| Cardiac stress testCPT 93017 | $715 | $229 | 312% | $220 | 44 |
| Cardiac valve surgery with cardiac cath, with MCCMS-DRG 216 | $199,569 | — | — | — | 20 |
| Cataract surgery with IOL insertionCPT 66984 | $6,133 | $2,445 | 251% | — | 27 |
| Cellulitis, no MCCMS-DRG 603 | $17,766 | $5,567 | 319% | — | 20 |
| Cervical spinal fusion, no CC/MCCMS-DRG 473 | $49,803 | $16,343 | 305% | — | 20 |
| Cesarean section, no CC/MCCMS-DRG 788 | $19,560 | — | — | — | 20 |
| Cesarean section, with CCMS-DRG 787 | $22,783 | — | — | — | 20 |
| Chest painMS-DRG 313 | $14,688 | — | — | — | 20 |
| Colonoscopy with biopsyCPT 45380 | $5,000 | $1,268 | 394% | — | 27 |
| Colonoscopy with endoscopic ultrasoundCPT 45391 | $3,052 | $1,268 | 241% | — | 12 |
| Colonoscopy with polyp removalCPT 45385 | $3,052 | $1,268 | 241% | $342 | 44 |
| Colonoscopy, diagnosticCPT 45378 | $4,603 | $985 | 467% | $1,368 | 44 |
| Complete blood count with differentialCPT 85025 | $16 | $8 | 207% | ~$9 | 44 |
| Complete blood count, automatedCPT 85027 | $13 | $6 | 208% | ~$7 | 44 |
| Comprehensive metabolic panelCPT 80053 | $22 | $11 | 207% | ~$11 | 44 |
| Coronary bypass without cardiac cath, no MCCMS-DRG 236 | $85,452 | $30,283 | 282% | — | 20 |
| Diagnostic mammography, both breastsCPT 77066 | $187 | — | — | ~$135 | 44 |
| Diagnostic mammography, one breastCPT 77065 | $175 | — | — | ~$107 | 44 |
| ED visit, level 3CPT 99283 | $1,125 | $289 | 389% | $342 | 44 |
| ED visit, level 4CPT 99284 | $12,200 | $442 | 2759% | $3,768 | 44 |
| ED visit, level 5CPT 99285 | $12,905 | $631 | 2045% | $3,986 | 44 |
| Echocardiogram, completeCPT 93306 | $1,860 | $579 | 321% | $572 | 44 |
| Epidural injection, lumbar/sacral, no imagingCPT 62322 | $1,875 | $937 | 200% | $426 | 44 |
| Esophagitis/GI disorders, no MCCMS-DRG 392 | $15,904 | $5,227 | 304% | — | 20 |
| Excision of breast lesionCPT 19120 | $7,463 | $4,149 | 180% | $1,173 | 44 |
| Family psychotherapy, with patientCPT 90847 | $247 | $188 | 131% | $83 | 44 |
| Family psychotherapy, without patientCPT 90846 | $241 | $188 | 128% | $82 | 44 |
| Group psychotherapyCPT 90853 | $202 | $108 | 188% | $48 | 44 |
| Heart failure and shock, with CCMS-DRG 292 | $17,320 | $5,984 | 289% | — | 20 |
| Heart failure with MCCMS-DRG 291 | $26,190 | $9,231 | 284% | — | 20 |
| Hip and femur procedures except major joint, with CCMS-DRG 481 | $42,728 | $14,809 | 289% | — | 20 |
| Hysterectomy, no CC/MCCMS-DRG 743 | $25,310 | $10,098 | 251% | — | 20 |
| Inguinal hernia repair, age 5+CPT 49505 | $9,794 | $3,794 | 258% | — | 26 |
| Kidney and urinary tract infections, no MCCMS-DRG 690 | $16,514 | $5,429 | 304% | — | 20 |
| Kidney function panelCPT 80069 | $18 | $9 | 207% | ~$9 | 44 |
| Knee arthroscopy with meniscectomyCPT 29881 | $8,085 | $3,467 | 233% | — | 27 |
| Laparoscopic cholecystectomyCPT 47562 | $15,510 | $6,406 | 242% | — | 27 |
| Laparoscopic cholecystectomy, no CC/MCCMS-DRG 419 | $27,862 | $8,977 | 310% | — | 20 |
| Laparoscopic radical prostatectomyCPT 55866 | $30,000 | $11,263 | 266% | — | 27 |
| Left heart catheterization, diagnosticCPT 93452 | $17,990 | $3,435 | 524% | $5,152 | 44 |
| Lipid panelCPT 80061 | $28 | $13 | 207% | ~$14 | 44 |
| Liver function panelCPT 80076 | $16 | $8 | 196% | ~$9 | 44 |
| Lumbar epidural steroid injectionCPT 62323 | $1,875 | $748 | 251% | $426 | 44 |
| MRI brain with and without contrastCPT 70553 | $925 | $370 | 250% | ~$401 | 44 |
| MRI lower extremity joint (knee)CPT 73721 | $925 | $253 | 366% | ~$240 | 44 |
| MRI lumbar spine without contrastCPT 72148 | $925 | $253 | 366% | ~$240 | 44 |
| Major joint replacement (hip/knee), no MCCMS-DRG 470 | $39,350 | $13,398 | 294% | — | 20 |
| Major joint replacement (hip/knee), with MCCMS-DRG 469 | $61,877 | $22,346 | 277% | — | 20 |
| Major small and large bowel procedures, with CCMS-DRG 330 | $48,903 | $16,169 | 302% | — | 20 |
| Medical back problems, no MCCMS-DRG 552 | $19,611 | $6,314 | 311% | — | 20 |
| OB ultrasound, 14+ weeksCPT 76805 | $350 | $111 | 316% | ~$79 | 44 |
| Obstetric blood test panelCPT 80055 | $95 | $48 | 199% | ~$50 | 44 |
| Office visit, established patient, level 3CPT 99213 | $93 | — | — | $28 | 38 |
| Office visit, established patient, level 4CPT 99214 | $124 | — | — | $37 | 38 |
| Office visit, new patient, level 3CPT 99203 | $108 | — | — | $37 | 38 |
| Office visit, new patient, level 4CPT 99204 | $148 | — | — | $51 | 38 |
| Office visit, new patient, level 5CPT 99205 | $200 | — | — | $69 | 38 |
| PSA (prostate specific antigen), totalCPT 84153 | $29 | $18 | 157% | ~$20 | 44 |
| Partial thromboplastin timeCPT 85730 | $12 | $6 | 207% | ~$7 | 44 |
| Physical therapy, therapeutic exerciseCPT 97110 | $73 | — | — | $24 | 44 |
| Preventive visit, new patient, 18-39CPT 99385 | $147 | — | — | $44 | 38 |
| Preventive visit, new patient, 40-64CPT 99386 | $155 | — | — | $46 | 38 |
| Prostate biopsyCPT 55700 | $5,308 | — | — | — | 21 |
| Prothrombin timeCPT 85610 | $9 | $4 | 204% | ~$5 | 44 |
| Psychotherapy, 30 minutesCPT 90832 | $103 | $188 | 55% | $35 | 44 |
| Psychotherapy, 45 minutesCPT 90834 | $188 | $188 | 100% | $63 | 44 |
| Psychotherapy, 60 minutesCPT 90837 | $360 | $188 | 191% | $134 | 44 |
| Renal failure, with CCMS-DRG 683 | $17,866 | $6,031 | 296% | — | 20 |
| Screening mammography, bilateralCPT 77067 | $175 | — | — | ~$108 | 44 |
| Sepsis with MCCMS-DRG 871 | $39,627 | $13,773 | 288% | — | 20 |
| Shoulder arthroscopy, subacromial decompressionCPT 29826 | $18,951 | — | — | — | 21 |
| Simple pneumonia and pleurisy, with CCMS-DRG 194 | $16,440 | $5,389 | 305% | — | 20 |
| Sleep study (polysomnography)CPT 95810 | $5,024 | $910 | 552% | $1,328 | 44 |
| Stroke (hemorrhage/infarction), no CC/MCCMS-DRG 066 | $13,962 | $3,679 | 379% | — | 20 |
| Stroke (hemorrhage/infarction), with CC or tPAMS-DRG 065 | $20,610 | $6,785 | 304% | — | 20 |
| Thyroid stimulating hormone (TSH)CPT 84443 | $35 | $17 | 207% | ~$18 | 44 |
| Tonsillectomy and adenoidectomy, under age 12CPT 42820 | $6,979 | $6,273 | 111% | — | 27 |
| Transforaminal epidural, lumbar/sacralCPT 64483 | $2,436 | $937 | 260% | $553 | 44 |
| Ultrasound, abdomen, completeCPT 76700 | $350 | $111 | 316% | ~$79 | 44 |
| Ultrasound, transvaginalCPT 76830 | $350 | $111 | 316% | ~$79 | 44 |
| Upper GI endoscopy with biopsyCPT 43239 | $4,826 | $961 | 502% | $1,095 | 44 |
| Upper GI endoscopy, diagnosticCPT 43235 | $4,007 | $961 | 417% | $1,368 | 44 |
| Urinalysis, automated, with microscopyCPT 81001 | $7 | $3 | 208% | ~$4 | 44 |
| Urinalysis, automated, without microscopyCPT 81003 | $5 | $2 | 208% | ~$3 | 44 |
| Urinalysis, manual, with microscopyCPT 81000 | $4 | $4 | 100% | — | 24 |
| Urinalysis, manual, without microscopyCPT 81002 | $5 | $3 | 157% | ~$4 | 44 |
| Vaginal delivery, no sterilization, no CC/MCCMS-DRG 807 | $13,754 | — | — | — | 20 |
| Vaginal delivery, no sterilization, with CCMS-DRG 806 | $15,382 | — | — | — | 20 |
| X-ray, lower back, 4+ viewsCPT 72110 | $200 | $111 | 181% | ~$138 | 44 |
| YAG laser capsulotomy (secondary cataract)CPT 66821 | $1,686 | $583 | 289% | — | 27 |