| Acute myocardial infarction, discharged alive, with MCCMS-DRG 280 | $11,670 | $11,217 | 104% | — | 6 |
| Bariatric (obesity) surgery, no CC/MCCMS-DRG 621 | $10,974 | $8,272 | 133% | — | 6 |
| Basic metabolic panelCPT 80048 | $13 | $8 | 150% | ~$4 | 45 |
| COPD with MCCMS-DRG 190 | $8,059 | $7,665 | 105% | — | 6 |
| CT abdomen and pelvis with contrastCPT 74177 | $2,115 | $369 | 573% | ~$1,428 | 46 |
| CT head without contrastCPT 70450 | $750 | $111 | 678% | ~$516 | 46 |
| CT pelvis with contrastCPT 72193 | $1,862 | $186 | 1003% | ~$653 | 46 |
| Cardiac arrhythmia, no CC/MCCMS-DRG 310 | $4,118 | $3,269 | 126% | — | 6 |
| Cardiac stress testCPT 93017 | $494 | $228 | 216% | $274 | 46 |
| Cardiac valve surgery with cardiac cath, with MCCMS-DRG 216 | $71,170 | — | — | — | 6 |
| Cataract surgery with IOL insertionCPT 66984 | $1,390 | $2,442 | 57% | $254 | 42 |
| Cellulitis, no MCCMS-DRG 603 | $6,336 | $5,675 | 112% | — | 6 |
| Cervical spinal fusion, no CC/MCCMS-DRG 473 | $17,760 | $16,343 | 109% | — | 6 |
| Cesarean section, no CC/MCCMS-DRG 788 | $6,903 | — | — | — | 6 |
| Cesarean section, with CCMS-DRG 787 | $8,044 | — | — | — | 6 |
| Chest painMS-DRG 313 | $5,238 | — | — | — | 6 |
| Colonoscopy with biopsyCPT 45380 | $806 | $1,266 | 64% | $135 | 46 |
| Colonoscopy with endoscopic ultrasoundCPT 45391 | $566 | $1,266 | 45% | $103 | 42 |
| Colonoscopy with polyp removalCPT 45385 | $957 | $1,266 | 76% | $161 | 46 |
| Colonoscopy, diagnosticCPT 45378 | $675 | $984 | 69% | $113 | 46 |
| Complete blood count with differentialCPT 85025 | $13 | $8 | 168% | ~$4 | 45 |
| Complete blood count, automatedCPT 85027 | $10 | $6 | 152% | ~$3 | 45 |
| Comprehensive metabolic panelCPT 80053 | $13 | $11 | 125% | ~$2 | 45 |
| Coronary bypass without cardiac cath, no MCCMS-DRG 236 | $30,474 | $29,950 | 102% | — | 6 |
| Diagnostic mammography, both breastsCPT 77066 | $249 | — | — | ~$104 | 47 |
| Diagnostic mammography, one breastCPT 77065 | $197 | — | — | ~$82 | 47 |
| ED visit, level 3CPT 99283 | $156 | $289 | 54% | $26 | 46 |
| ED visit, level 4CPT 99284 | $205 | $441 | 47% | $35 | 46 |
| ED visit, level 5CPT 99285 | $295 | $630 | 47% | $51 | 46 |
| Echocardiogram, completeCPT 93306 | $328 | $578 | 57% | $55 | 46 |
| Electrocardiogram with interpretationCPT 93000 | $34 | — | — | $9 | 36 |
| Epidural injection, lumbar/sacral, no imagingCPT 62322 | $514 | $936 | 55% | $94 | 42 |
| Esophagitis/GI disorders, no MCCMS-DRG 392 | $5,672 | $4,945 | 115% | — | 6 |
| Excision of breast lesionCPT 19120 | $1,238 | $4,143 | 30% | $212 | 47 |
| Family psychotherapy, without patientCPT 90846 | $168 | $188 | 89% | $31 | 42 |
| Heart failure and shock, with CCMS-DRG 292 | $6,176 | $5,927 | 104% | — | 6 |
| Heart failure with MCCMS-DRG 291 | $9,340 | $8,689 | 107% | — | 6 |
| Hip and femur procedures except major joint, with CCMS-DRG 481 | $15,080 | $13,876 | 109% | — | 5 |
| Hysterectomy, no CC/MCCMS-DRG 743 | $8,933 | $10,098 | 88% | — | 5 |
| Inguinal hernia repair, age 5+CPT 49505 | $1,531 | $3,788 | 40% | $257 | 46 |
| Kidney and urinary tract infections, no MCCMS-DRG 690 | $5,889 | $5,186 | 114% | — | 6 |
| Kidney function panelCPT 80069 | $18 | $9 | 207% | ~$8 | 45 |
| Knee arthroscopy with meniscectomyCPT 29881 | $1,293 | $3,462 | 37% | $217 | 46 |
| Laparoscopic cholecystectomyCPT 47562 | $1,005 | $6,396 | 16% | $169 | 46 |
| Laparoscopic cholecystectomy, no CC/MCCMS-DRG 419 | $9,889 | $8,977 | 110% | — | 6 |
| Laparoscopic radical prostatectomyCPT 55866 | $2,628 | $11,246 | 23% | $480 | 42 |
| Left heart catheterization, diagnosticCPT 93452 | $1,792 | $3,430 | 52% | $301 | 46 |
| Lipid panelCPT 80061 | $30 | $13 | 227% | ~$10 | 45 |
| Liver function panelCPT 80076 | $8 | $8 | 104% | ~$2 | 45 |
| Lumbar epidural steroid injectionCPT 62323 | $1,703 | $747 | 228% | $470 | 46 |
| MRI brain with and without contrastCPT 70553 | $1,360 | $369 | 369% | ~$460 | 46 |
| MRI lower extremity joint (knee)CPT 73721 | $944 | $252 | 374% | ~$516 | 46 |
| MRI lumbar spine without contrastCPT 72148 | $944 | $252 | 374% | ~$516 | 46 |
| Major joint replacement (hip/knee), no MCCMS-DRG 470 | $14,033 | $13,045 | 108% | — | 6 |
| Major joint replacement (hip/knee), with MCCMS-DRG 469 | $22,067 | $22,346 | 99% | — | 6 |
| Major small and large bowel procedures, with CCMS-DRG 330 | $17,260 | $16,202 | 107% | — | 5 |
| Medical back problems, no MCCMS-DRG 552 | $6,993 | $6,142 | 114% | — | 6 |
| OB global care, VBAC deliveryCPT 59610 | $3,053 | — | — | $726 | 28 |
| OB global care, cesarean deliveryCPT 59510 | $3,077 | — | — | $732 | 28 |
| OB global care, vaginal deliveryCPT 59400 | $2,787 | — | — | $663 | 28 |
| OB ultrasound, 14+ weeksCPT 76805 | $222 | $111 | 201% | ~$49 | 46 |
| Obstetric blood test panelCPT 80055 | $294 | $48 | 616% | ~$101 | 45 |
| Office consultation, comprehensiveCPT 99244 | $166 | — | — | $46 | 36 |
| Office consultation, moderateCPT 99243 | $119 | — | — | $33 | 36 |
| Office visit, established patient, level 3CPT 99213 | $62 | — | — | $14 | 29 |
| Office visit, established patient, level 4CPT 99214 | $100 | — | — | $22 | 29 |
| Office visit, new patient, level 3CPT 99203 | $99 | — | — | $22 | 29 |
| Office visit, new patient, level 4CPT 99204 | $156 | — | — | $37 | 29 |
| Office visit, new patient, level 5CPT 99205 | $197 | — | — | $47 | 29 |
| PSA (prostate specific antigen), totalCPT 84153 | $30 | $18 | 164% | ~$9 | 45 |
| Partial thromboplastin timeCPT 85730 | $11 | $6 | 175% | ~$3 | 45 |
| Physical therapy, therapeutic exerciseCPT 97110 | $96 | — | — | $33 | 47 |
| Preventive visit, new patient, 18-39CPT 99385 | $102 | — | — | $26 | 37 |
| Preventive visit, new patient, 40-64CPT 99386 | $107 | — | — | $32 | 37 |
| Prostate biopsyCPT 55700 | $209 | — | — | $50 | 36 |
| Prothrombin timeCPT 85610 | $7 | $4 | 157% | ~$2 | 45 |
| Psychotherapy, 30 minutesCPT 90832 | $124 | $188 | 66% | $23 | 42 |
| Psychotherapy, 45 minutesCPT 90834 | $164 | $188 | 87% | $30 | 42 |
| Psychotherapy, 60 minutesCPT 90837 | $214 | $188 | 114% | $45 | 42 |
| Renal failure, with CCMS-DRG 683 | $6,371 | $5,892 | 108% | — | 6 |
| Screening mammography, bilateralCPT 77067 | $203 | — | — | ~$84 | 47 |
| Sepsis with MCCMS-DRG 871 | $14,070 | $12,904 | 109% | — | 6 |
| Shoulder arthroscopy, subacromial decompressionCPT 29826 | $408 | — | — | $90 | 33 |
| Simple pneumonia and pleurisy, with CCMS-DRG 194 | $5,802 | $4,695 | 124% | — | 5 |
| Sleep study (polysomnography)CPT 95810 | $268 | $909 | 29% | $43 | 46 |
| Spinal fusion except cervical, no MCCMS-DRG 460 | $33,885 | $25,413 | 133% | — | 6 |
| Spinal fusion except cervical, with MCCMS-DRG 459 | $75,214 | $51,127 | 147% | — | 6 |
| Stroke (hemorrhage/infarction), no CC/MCCMS-DRG 066 | $4,979 | $3,679 | 135% | — | 6 |
| Stroke (hemorrhage/infarction), with CC or tPAMS-DRG 065 | $7,350 | $6,083 | 121% | — | 6 |
| Thyroid stimulating hormone (TSH)CPT 84443 | $27 | $17 | 163% | ~$8 | 45 |
| Tonsillectomy and adenoidectomy, under age 12CPT 42820 | $560 | $6,263 | 9% | $102 | 42 |
| Transforaminal epidural, lumbar/sacralCPT 64483 | $689 | $936 | 74% | $116 | 46 |
| Ultrasound, abdomen, completeCPT 76700 | $213 | $111 | 193% | ~$47 | 46 |
| Ultrasound, transvaginalCPT 76830 | $192 | $111 | 173% | ~$42 | 46 |
| Upper GI endoscopy with biopsyCPT 43239 | $535 | $960 | 56% | $90 | 46 |
| Upper GI endoscopy, diagnosticCPT 43235 | $453 | $960 | 47% | $76 | 46 |
| Urinalysis, automated, with microscopyCPT 81001 | $7 | $3 | 215% | ~$2 | 45 |
| Urinalysis, automated, without microscopyCPT 81003 | $5 | $2 | 219% | ~$2 | 45 |
| Urinalysis, manual, with microscopyCPT 81000 | $7 | $4 | 175% | ~$2 | 45 |
| Urinalysis, manual, without microscopyCPT 81002 | $6 | $3 | 181% | ~$2 | 45 |
| Vaginal delivery, no sterilization, no CC/MCCMS-DRG 807 | $4,855 | — | — | — | 6 |
| Vaginal delivery, no sterilization, with CCMS-DRG 806 | $5,485 | — | — | — | 6 |
| X-ray, lower back, 4+ viewsCPT 72110 | $94 | $111 | 85% | ~$14 | 46 |
| YAG laser capsulotomy (secondary cataract)CPT 66821 | $590 | $582 | 101% | $108 | 42 |