| Acute myocardial infarction, discharged alive, with MCCMS-DRG 280 | $16,624 | $11,217 | 148% | — | 1 |
| Bariatric (obesity) surgery, no CC/MCCMS-DRG 621 | $15,685 | $8,272 | 190% | — | 1 |
| Basic metabolic panelCPT 80048 | $65 | $8 | 767% | — | 20 |
| COPD with MCCMS-DRG 190 | $11,753 | $7,377 | 159% | — | 1 |
| CT abdomen and pelvis with contrastCPT 74177 | $2,885 | $356 | 809% | — | 20 |
| CT head without contrastCPT 70450 | $995 | $107 | 932% | — | 20 |
| CT pelvis with contrastCPT 72193 | $1,107 | $179 | 618% | — | 20 |
| Cardiac arrhythmia, no CC/MCCMS-DRG 310 | $6,438 | $3,269 | 197% | — | 1 |
| Cardiac stress testCPT 93017 | $321 | $221 | 146% | — | 18 |
| Cardiac valve surgery with cardiac cath, with MCCMS-DRG 216 | $96,877 | — | — | — | 1 |
| Cataract surgery with IOL insertionCPT 66984 | $4,316 | $2,358 | 183% | — | 2 |
| Cellulitis, no MCCMS-DRG 603 | $9,429 | $5,675 | 166% | — | 1 |
| Cervical spinal fusion, no CC/MCCMS-DRG 473 | $24,839 | $16,343 | 152% | — | 1 |
| Cesarean section, no CC/MCCMS-DRG 788 | $10,292 | — | — | — | 1 |
| Cesarean section, with CCMS-DRG 787 | $11,842 | — | — | — | 1 |
| Chest painMS-DRG 313 | $7,948 | — | — | — | 1 |
| Colonoscopy with biopsyCPT 45380 | $3,122 | $1,223 | 255% | — | 2 |
| Colonoscopy with endoscopic ultrasoundCPT 45391 | $3,122 | $1,223 | 255% | — | 2 |
| Colonoscopy with polyp removalCPT 45385 | $3,122 | $1,223 | 255% | — | 2 |
| Colonoscopy, diagnosticCPT 45378 | $2,274 | $950 | 239% | — | 2 |
| Complete blood count with differentialCPT 85025 | $34 | $8 | 439% | — | 20 |
| Complete blood count, automatedCPT 85027 | $32 | $6 | 499% | — | 20 |
| Comprehensive metabolic panelCPT 80053 | $55 | $11 | 525% | — | 20 |
| Coronary bypass without cardiac cath, no MCCMS-DRG 236 | $41,986 | $29,950 | 140% | — | 1 |
| Diagnostic mammography, both breastsCPT 77066 | $354 | — | — | — | 20 |
| Diagnostic mammography, one breastCPT 77065 | $268 | — | — | — | 20 |
| ED visit, level 3CPT 99283 | $620 | $279 | 222% | — | 18 |
| ED visit, level 4CPT 99284 | $968 | $426 | 227% | — | 18 |
| ED visit, level 5CPT 99285 | $1,444 | $608 | 237% | — | 18 |
| Echocardiogram, completeCPT 93306 | $1,746 | $558 | 313% | — | 18 |
| Epidural injection, lumbar/sacral, no imagingCPT 62322 | $1,905 | $904 | 211% | — | 2 |
| Esophagitis/GI disorders, no MCCMS-DRG 392 | $8,533 | $4,899 | 174% | — | 1 |
| Excision of breast lesionCPT 19120 | $1,905 | $4,000 | 48% | — | 2 |
| Heart failure and shock, with CCMS-DRG 292 | $9,214 | $5,927 | 155% | — | 1 |
| Heart failure with MCCMS-DRG 291 | $13,481 | $8,962 | 150% | — | 1 |
| Hip and femur procedures except major joint, with CCMS-DRG 481 | $21,436 | $13,876 | 154% | — | 1 |
| Hysterectomy, no CC/MCCMS-DRG 743 | $13,058 | $10,098 | 129% | — | 1 |
| Inguinal hernia repair, age 5+CPT 49505 | $2,274 | $3,658 | 62% | — | 2 |
| Kidney and urinary tract infections, no MCCMS-DRG 690 | $8,827 | $5,238 | 169% | — | 1 |
| Kidney function panelCPT 80069 | $87 | $9 | 1006% | — | 20 |
| Knee arthroscopy with meniscectomyCPT 29881 | $2,274 | $3,343 | 68% | — | 2 |
| Laparoscopic cholecystectomyCPT 47562 | $4,211 | $6,176 | 68% | — | 2 |
| Laparoscopic cholecystectomy, no CC/MCCMS-DRG 419 | $14,285 | $8,977 | 159% | — | 1 |
| Laparoscopic radical prostatectomyCPT 55866 | $26,103 | $10,860 | 240% | — | 2 |
| Left heart catheterization, diagnosticCPT 93452 | $8,684 | $3,312 | 262% | — | 2 |
| Lipid panelCPT 80061 | $78 | $13 | 585% | — | 20 |
| Liver function panelCPT 80076 | $73 | $8 | 896% | — | 20 |
| Lumbar epidural steroid injectionCPT 62323 | $1,905 | $721 | 264% | — | 2 |
| MRI brain with and without contrastCPT 70553 | $1,842 | $356 | 517% | — | 20 |
| MRI lower extremity joint (knee)CPT 73721 | $1,473 | $244 | 604% | — | 20 |
| MRI lumbar spine without contrastCPT 72148 | $1,473 | $244 | 604% | — | 20 |
| Major joint replacement (hip/knee), no MCCMS-DRG 470 | $19,811 | $13,045 | 152% | — | 1 |
| Major joint replacement (hip/knee), with MCCMS-DRG 469 | $30,647 | $22,346 | 137% | — | 1 |
| Major small and large bowel procedures, with CCMS-DRG 330 | $24,406 | $16,202 | 151% | — | 1 |
| Medical back problems, no MCCMS-DRG 552 | $10,316 | $6,142 | 168% | — | 1 |
| OB ultrasound, 14+ weeksCPT 76805 | $447 | $107 | 419% | — | 20 |
| Obstetric blood test panelCPT 80055 | $48 | $48 | 100% | — | 2 |
| PSA (prostate specific antigen), totalCPT 84153 | $22 | $18 | 120% | — | 20 |
| Partial thromboplastin timeCPT 85730 | $23 | $6 | 386% | — | 20 |
| Physical therapy, therapeutic exerciseCPT 97110 | $136 | — | — | — | 18 |
| Prostate biopsyCPT 55700 | $1,729 | — | — | — | 2 |
| Prothrombin timeCPT 85610 | $21 | $4 | 499% | — | 20 |
| Renal failure, with CCMS-DRG 683 | $9,477 | $5,892 | 161% | — | 1 |
| Screening mammography, bilateralCPT 77067 | $145 | — | — | — | 20 |
| Sepsis with MCCMS-DRG 871 | $19,944 | $13,837 | 144% | — | 1 |
| Shoulder arthroscopy, subacromial decompressionCPT 29826 | $1,905 | — | — | — | 2 |
| Simple pneumonia and pleurisy, with CCMS-DRG 194 | $8,791 | $5,177 | 170% | — | 1 |
| Sleep study (polysomnography)CPT 95810 | $3,409 | $877 | 389% | — | 20 |
| Stroke (hemorrhage/infarction), no CC/MCCMS-DRG 066 | $7,599 | $3,679 | 207% | — | 1 |
| Stroke (hemorrhage/infarction), with CC or tPAMS-DRG 065 | $10,797 | $6,559 | 165% | — | 1 |
| Thyroid stimulating hormone (TSH)CPT 84443 | $42 | $17 | 250% | — | 20 |
| Tonsillectomy and adenoidectomy, under age 12CPT 42820 | $3,122 | $6,048 | 52% | — | 2 |
| Transforaminal epidural, lumbar/sacralCPT 64483 | $1,242 | $904 | 137% | — | 2 |
| Ultrasound, abdomen, completeCPT 76700 | $744 | $107 | 696% | — | 20 |
| Ultrasound, transvaginalCPT 76830 | $454 | $107 | 425% | — | 20 |
| Upper GI endoscopy with biopsyCPT 43239 | $2,274 | $927 | 245% | — | 2 |
| Upper GI endoscopy, diagnosticCPT 43235 | $2,274 | $927 | 245% | — | 2 |
| Urinalysis, automated, with microscopyCPT 81001 | $34 | $3 | 1063% | — | 20 |
| Urinalysis, automated, without microscopyCPT 81003 | $21 | $2 | 951% | — | 20 |
| Urinalysis, manual, with microscopyCPT 81000 | $8 | $4 | 198% | — | 20 |
| Urinalysis, manual, without microscopyCPT 81002 | $133 | $3 | 3813% | — | 20 |
| Vaginal delivery, no sterilization, no CC/MCCMS-DRG 807 | $2,310 | — | — | — | 1 |
| Vaginal delivery, no sterilization, with CCMS-DRG 806 | $8,282 | — | — | — | 1 |
| X-ray, lower back, 4+ viewsCPT 72110 | $376 | $107 | 352% | — | 20 |
| YAG laser capsulotomy (secondary cataract)CPT 66821 | $1,729 | $562 | 308% | — | 2 |