| Acute myocardial infarction, discharged alive, with MCCMS-DRG 280 | $32,800 | $10,690 | 307% | — | 20 |
| Bariatric (obesity) surgery, no CC/MCCMS-DRG 621 | $30,843 | $8,272 | 373% | — | 20 |
| Basic metabolic panelCPT 80048 | $20 | $8 | 240% | ~$10 | 44 |
| COPD with MCCMS-DRG 190 | $22,650 | $6,754 | 335% | — | 20 |
| CT abdomen and pelvis with contrastCPT 74177 | $725 | $369 | 196% | ~$414 | 44 |
| CT head without contrastCPT 70450 | $725 | $111 | 655% | ~$170 | 44 |
| CT pelvis with contrastCPT 72193 | $725 | $186 | 391% | ~$217 | 44 |
| Cardiac arrhythmia, no CC/MCCMS-DRG 310 | $11,575 | $3,174 | 365% | — | 20 |
| Cardiac stress testCPT 93017 | $820 | $228 | 359% | $227 | 44 |
| Cardiac valve surgery with cardiac cath, with MCCMS-DRG 216 | $199,569 | — | — | — | 20 |
| Cataract surgery with IOL insertionCPT 66984 | $6,133 | $2,442 | 251% | — | 26 |
| Cellulitis, no MCCMS-DRG 603 | $17,808 | $5,651 | 315% | — | 20 |
| Cervical spinal fusion, no CC/MCCMS-DRG 473 | $49,918 | $16,343 | 305% | — | 20 |
| Cesarean section, no CC/MCCMS-DRG 788 | $14,776 | — | — | — | 20 |
| Cesarean section, with CCMS-DRG 787 | $22,783 | — | — | — | 20 |
| Chest painMS-DRG 313 | $14,722 | — | — | — | 20 |
| Colonoscopy with biopsyCPT 45380 | $5,000 | $1,266 | 395% | — | 26 |
| Colonoscopy with endoscopic ultrasoundCPT 45391 | $3,050 | $1,266 | 241% | — | 12 |
| Colonoscopy with polyp removalCPT 45385 | $2,510 | $1,266 | 198% | $354 | 44 |
| Colonoscopy, diagnosticCPT 45378 | $4,603 | $984 | 468% | $1,412 | 44 |
| Complete blood count with differentialCPT 85025 | $17 | $8 | 222% | ~$9 | 44 |
| Complete blood count, automatedCPT 85027 | $16 | $6 | 250% | ~$7 | 44 |
| Comprehensive metabolic panelCPT 80053 | $26 | $11 | 250% | ~$11 | 44 |
| Coronary bypass without cardiac cath, no MCCMS-DRG 236 | $85,650 | $29,950 | 286% | — | 20 |
| Diagnostic mammography, both breastsCPT 77066 | $209 | — | — | ~$139 | 44 |
| Diagnostic mammography, one breastCPT 77065 | $175 | — | — | ~$110 | 44 |
| ED visit, level 3CPT 99283 | $1,318 | $289 | 456% | $353 | 44 |
| ED visit, level 4CPT 99284 | $13,687 | $441 | 3100% | $3,890 | 44 |
| ED visit, level 5CPT 99285 | $14,478 | $630 | 2298% | $4,115 | 44 |
| Echocardiogram, completeCPT 93306 | $2,107 | $578 | 364% | $591 | 44 |
| Epidural injection, lumbar/sacral, no imagingCPT 62322 | $1,875 | $936 | 200% | $439 | 44 |
| Esophagitis/GI disorders, no MCCMS-DRG 392 | $15,941 | $4,766 | 334% | — | 20 |
| Excision of breast lesionCPT 19120 | $7,458 | $4,143 | 180% | $1,211 | 44 |
| Family psychotherapy, with patientCPT 90847 | $251 | $188 | 134% | $86 | 44 |
| Family psychotherapy, without patientCPT 90846 | $248 | $188 | 132% | $85 | 44 |
| Group psychotherapyCPT 90853 | $202 | $107 | 188% | $50 | 44 |
| Heart failure and shock, with CCMS-DRG 292 | $17,360 | $5,908 | 294% | — | 20 |
| Heart failure with MCCMS-DRG 291 | $26,250 | $8,216 | 320% | — | 20 |
| Hip and femur procedures except major joint, with CCMS-DRG 481 | $42,827 | $13,556 | 316% | — | 20 |
| Hysterectomy, no CC/MCCMS-DRG 743 | $25,369 | $10,098 | 251% | — | 20 |
| Inguinal hernia repair, age 5+CPT 49505 | $9,794 | $3,788 | 259% | — | 25 |
| Kidney and urinary tract infections, no MCCMS-DRG 690 | $16,552 | $4,917 | 337% | — | 20 |
| Kidney function panelCPT 80069 | $22 | $9 | 250% | ~$10 | 44 |
| Knee arthroscopy with meniscectomyCPT 29881 | $8,085 | $3,462 | 234% | — | 26 |
| Laparoscopic cholecystectomyCPT 47562 | $15,510 | $6,396 | 242% | — | 26 |
| Laparoscopic cholecystectomy, no CC/MCCMS-DRG 419 | $27,927 | $8,977 | 311% | — | 20 |
| Laparoscopic radical prostatectomyCPT 55866 | $30,000 | $11,246 | 267% | — | 26 |
| Left heart catheterization, diagnosticCPT 93452 | $17,990 | $3,430 | 524% | $5,319 | 44 |
| Lipid panelCPT 80061 | $33 | $13 | 250% | ~$15 | 44 |
| Liver function panelCPT 80076 | $19 | $8 | 235% | ~$9 | 44 |
| Lumbar epidural steroid injectionCPT 62323 | $1,875 | $747 | 251% | $439 | 44 |
| MRI brain with and without contrastCPT 70553 | $925 | $369 | 251% | ~$414 | 44 |
| MRI lower extremity joint (knee)CPT 73721 | $925 | $252 | 366% | ~$248 | 44 |
| MRI lumbar spine without contrastCPT 72148 | $925 | $252 | 366% | ~$248 | 44 |
| Major joint replacement (hip/knee), no MCCMS-DRG 470 | $39,441 | $12,372 | 319% | — | 20 |
| Major joint replacement (hip/knee), with MCCMS-DRG 469 | $62,021 | $22,346 | 278% | — | 20 |
| Major small and large bowel procedures, with CCMS-DRG 330 | $49,017 | $14,735 | 333% | — | 20 |
| Medical back problems, no MCCMS-DRG 552 | $19,656 | $5,671 | 347% | — | 20 |
| OB ultrasound, 14+ weeksCPT 76805 | $350 | $111 | 316% | ~$82 | 44 |
| Obstetric blood test panelCPT 80055 | $112 | $48 | 233% | ~$52 | 44 |
| Office visit, established patient, level 3CPT 99213 | $104 | — | — | $29 | 38 |
| Office visit, established patient, level 4CPT 99214 | $139 | — | — | $38 | 38 |
| Office visit, new patient, level 3CPT 99203 | $109 | — | — | $38 | 38 |
| Office visit, new patient, level 4CPT 99204 | $150 | — | — | $52 | 38 |
| Office visit, new patient, level 5CPT 99205 | $203 | — | — | $71 | 38 |
| PSA (prostate specific antigen), totalCPT 84153 | $38 | $18 | 208% | ~$20 | 44 |
| Partial thromboplastin timeCPT 85730 | $15 | $6 | 250% | ~$7 | 44 |
| Physical therapy, therapeutic exerciseCPT 97110 | $73 | — | — | $25 | 44 |
| Preventive visit, new patient, 18-39CPT 99385 | $167 | — | — | $45 | 38 |
| Preventive visit, new patient, 40-64CPT 99386 | $177 | — | — | $48 | 38 |
| Prostate biopsyCPT 55700 | $5,308 | — | — | — | 20 |
| Prothrombin timeCPT 85610 | $10 | $4 | 235% | ~$5 | 44 |
| Psychotherapy, 30 minutesCPT 90832 | $109 | $188 | 58% | $36 | 44 |
| Psychotherapy, 45 minutesCPT 90834 | $200 | $188 | 107% | $65 | 44 |
| Psychotherapy, 60 minutesCPT 90837 | $360 | $188 | 192% | $139 | 44 |
| Renal failure, with CCMS-DRG 683 | $17,908 | $5,734 | 312% | — | 20 |
| Screening mammography, bilateralCPT 77067 | $176 | — | — | ~$112 | 44 |
| Sepsis with MCCMS-DRG 871 | $39,719 | $12,961 | 306% | — | 20 |
| Shoulder arthroscopy, subacromial decompressionCPT 29826 | $18,951 | — | — | — | 20 |
| Simple pneumonia and pleurisy, with CCMS-DRG 194 | $16,479 | $4,858 | 339% | — | 20 |
| Sleep study (polysomnography)CPT 95810 | $5,024 | $909 | 553% | $1,371 | 44 |
| Stroke (hemorrhage/infarction), no CC/MCCMS-DRG 066 | $13,994 | $3,622 | 386% | — | 20 |
| Stroke (hemorrhage/infarction), with CC or tPAMS-DRG 065 | $20,658 | $5,825 | 355% | — | 20 |
| Thyroid stimulating hormone (TSH)CPT 84443 | $35 | $17 | 207% | ~$18 | 44 |
| Tonsillectomy and adenoidectomy, under age 12CPT 42820 | $6,979 | $6,263 | 111% | — | 26 |
| Transforaminal epidural, lumbar/sacralCPT 64483 | $2,436 | $936 | 260% | $571 | 44 |
| Ultrasound, abdomen, completeCPT 76700 | $350 | $111 | 316% | ~$82 | 44 |
| Ultrasound, transvaginalCPT 76830 | $350 | $111 | 316% | ~$82 | 44 |
| Upper GI endoscopy with biopsyCPT 43239 | $4,826 | $960 | 503% | $1,130 | 44 |
| Upper GI endoscopy, diagnosticCPT 43235 | $4,007 | $960 | 418% | $1,412 | 44 |
| Urinalysis, automated, with microscopyCPT 81001 | $8 | $3 | 250% | ~$4 | 44 |
| Urinalysis, automated, without microscopyCPT 81003 | $6 | $2 | 250% | ~$3 | 44 |
| Urinalysis, manual, with microscopyCPT 81000 | $4 | $4 | 100% | — | 23 |
| Urinalysis, manual, without microscopyCPT 81002 | $7 | $3 | 207% | ~$4 | 44 |
| Vaginal delivery, no sterilization, no CC/MCCMS-DRG 807 | $13,532 | — | — | — | 20 |
| Vaginal delivery, no sterilization, with CCMS-DRG 806 | $15,382 | — | — | — | 20 |
| X-ray, lower back, 4+ viewsCPT 72110 | $200 | $111 | 181% | ~$142 | 44 |
| YAG laser capsulotomy (secondary cataract)CPT 66821 | $1,686 | $582 | 290% | — | 26 |