| Acute myocardial infarction, discharged alive, with MCCMS-DRG 280 | $21,189 | $10,780 | 197% | $11,756 | 9 |
| Basic metabolic panelCPT 80048 | $58 | $8 | 680% | ~$21 | 15 |
| COPD with MCCMS-DRG 190 | $14,632 | $7,800 | 188% | $7,794 | 9 |
| CT abdomen and pelvis with contrastCPT 74177 | $5,356 | $369 | 1451% | ~$1,882 | 15 |
| CT head without contrastCPT 70450 | $1,870 | $111 | 1690% | ~$657 | 15 |
| CT pelvis with contrastCPT 72193 | $2,680 | $186 | 1444% | ~$941 | 15 |
| Cardiac arrhythmia, no CC/MCCMS-DRG 310 | $7,478 | $3,269 | 229% | $4,633 | 9 |
| Cardiac stress testCPT 93017 | $1,308 | $228 | 572% | $459 | 15 |
| Cellulitis, no MCCMS-DRG 603 | $11,504 | $6,519 | 176% | $4,747 | 9 |
| Cesarean section, no CC/MCCMS-DRG 788 | $12,665 | — | — | $7,015 | 9 |
| Cesarean section, with CCMS-DRG 787 | $14,752 | — | — | $7,664 | 9 |
| Chest painMS-DRG 313 | $9,510 | — | — | $9,161 | 9 |
| Colonoscopy with biopsyCPT 45380 | $1,266 | $1,266 | 100% | $402 | 15 |
| Colonoscopy with polyp removalCPT 45385 | $1,266 | $1,266 | 100% | $407 | 15 |
| Colonoscopy, diagnosticCPT 45378 | $448 | $984 | 46% | $133 | 15 |
| Complete blood count with differentialCPT 85025 | $54 | $8 | 690% | ~$20 | 15 |
| Complete blood count, automatedCPT 85027 | $140 | $6 | 2162% | ~$52 | 15 |
| Comprehensive metabolic panelCPT 80053 | $70 | $11 | 662% | ~$26 | 15 |
| Diagnostic mammography, both breastsCPT 77066 | $758 | — | — | ~$266 | 15 |
| Diagnostic mammography, one breastCPT 77065 | $524 | — | — | ~$184 | 15 |
| ED visit, level 3CPT 99283 | $536 | $289 | 186% | $202 | 15 |
| ED visit, level 4CPT 99284 | $920 | $441 | 208% | $345 | 15 |
| ED visit, level 5CPT 99285 | $1,313 | $630 | 208% | $483 | 15 |
| Echocardiogram, completeCPT 93306 | $2,472 | $578 | 428% | $868 | 15 |
| Esophagitis/GI disorders, no MCCMS-DRG 392 | $10,298 | $4,899 | 210% | $6,221 | 9 |
| Excision of breast lesionCPT 19120 | $1,074 | $4,143 | 26% | $320 | 15 |
| Heart failure and shock, with CCMS-DRG 292 | $11,214 | $5,927 | 189% | $5,874 | 9 |
| Heart failure with MCCMS-DRG 291 | $16,958 | $9,384 | 181% | $7,475 | 9 |
| Hip and femur procedures except major joint, with CCMS-DRG 481 | $27,666 | $13,876 | 199% | $18,229 | 9 |
| Hysterectomy, no CC/MCCMS-DRG 743 | $16,388 | $10,098 | 162% | $16,884 | 9 |
| Inguinal hernia repair, age 5+CPT 49505 | $504 | $3,788 | 13% | $150 | 15 |
| Kidney and urinary tract infections, no MCCMS-DRG 690 | $10,693 | $6,344 | 169% | $6,911 | 9 |
| Kidney function panelCPT 80069 | $205 | $9 | 2363% | ~$76 | 15 |
| Knee arthroscopy with meniscectomyCPT 29881 | $487 | $3,462 | 14% | $145 | 15 |
| Laparoscopic cholecystectomyCPT 47562 | $1,763 | $6,396 | 28% | $525 | 15 |
| Laparoscopic cholecystectomy, no CC/MCCMS-DRG 419 | $18,041 | $8,977 | 201% | $10,940 | 9 |
| Left heart catheterization, diagnosticCPT 93452 | $13,242 | $3,430 | 386% | $4,652 | 15 |
| Lipid panelCPT 80061 | $68 | $13 | 505% | ~$25 | 15 |
| Liver function panelCPT 80076 | $64 | $8 | 789% | ~$24 | 15 |
| Lumbar epidural steroid injectionCPT 62323 | $409 | $747 | 55% | $122 | 15 |
| MRI brain with and without contrastCPT 70553 | $3,877 | $369 | 1050% | ~$1,362 | 15 |
| MRI lower extremity joint (knee)CPT 73721 | $2,916 | $252 | 1155% | ~$1,024 | 15 |
| MRI lumbar spine without contrastCPT 72148 | $2,781 | $252 | 1102% | ~$977 | 15 |
| Major joint replacement (hip/knee), no MCCMS-DRG 470 | $25,479 | $14,331 | 178% | $21,630 | 9 |
| Major joint replacement (hip/knee), with MCCMS-DRG 469 | $40,066 | $22,346 | 179% | $25,871 | 9 |
| Major small and large bowel procedures, with CCMS-DRG 330 | $31,665 | $16,202 | 195% | $23,518 | 9 |
| Medical back problems, no MCCMS-DRG 552 | $12,698 | $6,142 | 207% | $7,286 | 9 |
| OB global care, cesarean deliveryCPT 59510 | $2,880 | — | — | $1,002 | 15 |
| OB global care, vaginal deliveryCPT 59400 | $2,470 | — | — | $859 | 15 |
| OB ultrasound, 14+ weeksCPT 76805 | $825 | $111 | 746% | ~$290 | 15 |
| Obstetric blood test panelCPT 80055 | $444 | $48 | 930% | ~$165 | 15 |
| Office visit, established patient, level 3CPT 99213 | $334 | — | — | $150 | 15 |
| Office visit, established patient, level 4CPT 99214 | $508 | — | — | $178 | 15 |
| Office visit, new patient, level 3CPT 99203 | $463 | — | — | $163 | 15 |
| Office visit, new patient, level 4CPT 99204 | $613 | — | — | $215 | 15 |
| Office visit, new patient, level 5CPT 99205 | $666 | — | — | $234 | 15 |
| PSA (prostate specific antigen), totalCPT 84153 | $160 | $18 | 868% | ~$59 | 15 |
| Partial thromboplastin timeCPT 85730 | $150 | $6 | 2495% | ~$56 | 15 |
| Percutaneous cardiac stent, no MCCMS-DRG 247 | $14,616 | — | — | $3,787 | 9 |
| Physical therapy, therapeutic exerciseCPT 97110 | $159 | — | — | $59 | 15 |
| Preventive visit, new patient, 18-39CPT 99385 | $160 | — | — | $52 | 12 |
| Preventive visit, new patient, 40-64CPT 99386 | $160 | — | — | $52 | 12 |
| Prostate biopsyCPT 55700 | $337 | — | — | $109 | 12 |
| Prothrombin timeCPT 85610 | $92 | $4 | 2155% | ~$34 | 15 |
| Renal failure, with CCMS-DRG 683 | $11,568 | $5,892 | 196% | $9,055 | 9 |
| Screening mammography, bilateralCPT 77067 | $278 | — | — | ~$98 | 15 |
| Sepsis with MCCMS-DRG 871 | $25,658 | $14,524 | 177% | $10,857 | 9 |
| Shoulder arthroscopy, subacromial decompressionCPT 29826 | $204 | — | — | $71 | 15 |
| Simple pneumonia and pleurisy, with CCMS-DRG 194 | $10,645 | $6,059 | 176% | $7,028 | 9 |
| Sleep study (polysomnography)CPT 95810 | $5,304 | $909 | 584% | $1,863 | 15 |
| Stroke (hemorrhage/infarction), no CC/MCCMS-DRG 066 | $9,040 | $3,679 | 246% | $7,852 | 9 |
| Stroke (hemorrhage/infarction), with CC or tPAMS-DRG 065 | $13,345 | $6,559 | 203% | $8,525 | 9 |
| Thyroid stimulating hormone (TSH)CPT 84443 | $84 | $17 | 500% | ~$31 | 15 |
| Tonsillectomy and adenoidectomy, under age 12CPT 42820 | $870 | $6,263 | 14% | $259 | 15 |
| Transforaminal epidural, lumbar/sacralCPT 64483 | $151 | $936 | 16% | $45 | 15 |
| Ultrasound, abdomen, completeCPT 76700 | $1,242 | $111 | 1123% | ~$436 | 15 |
| Ultrasound, transvaginalCPT 76830 | $447 | $111 | 404% | ~$157 | 15 |
| Upper GI endoscopy with biopsyCPT 43239 | $860 | $960 | 90% | $256 | 15 |
| Upper GI endoscopy, diagnosticCPT 43235 | $745 | $960 | 78% | $222 | 15 |
| Urinalysis, automated, with microscopyCPT 81001 | $124 | $3 | 3922% | ~$46 | 15 |
| Urinalysis, automated, without microscopyCPT 81003 | $127 | $2 | 5629% | ~$47 | 15 |
| Urinalysis, manual, with microscopyCPT 81000 | $9 | $4 | 232% | ~$3 | 15 |
| Urinalysis, manual, without microscopyCPT 81002 | $21 | $3 | 603% | ~$8 | 15 |
| Vaginal delivery, no sterilization, no CC/MCCMS-DRG 807 | $8,906 | — | — | $6,836 | 9 |
| Vaginal delivery, no sterilization, with CCMS-DRG 806 | $9,960 | — | — | $6,985 | 9 |
| X-ray, lower back, 4+ viewsCPT 72110 | $961 | $111 | 869% | ~$337 | 15 |