| Acute myocardial infarction, discharged alive, with MCCMS-DRG 280 | $32,949 | $11,217 | 294% | — | 2 |
| Bariatric (obesity) surgery, no CC/MCCMS-DRG 621 | $30,983 | $8,272 | 375% | — | 2 |
| Basic metabolic panelCPT 80048 | $26 | $8 | 310% | — | 38 |
| COPD with MCCMS-DRG 190 | $22,753 | $7,377 | 308% | — | 2 |
| CT abdomen and pelvis with contrastCPT 74177 | $1,268 | $356 | 356% | — | 38 |
| CT head without contrastCPT 70450 | $725 | $107 | 679% | — | 38 |
| CT pelvis with contrastCPT 72193 | $725 | $179 | 405% | — | 38 |
| Cardiac arrhythmia, no CC/MCCMS-DRG 310 | $11,628 | $3,269 | 356% | — | 2 |
| Cardiac stress testCPT 93017 | $1,046 | $221 | 474% | — | 38 |
| Cardiac valve surgery with cardiac cath, with MCCMS-DRG 216 | $200,944 | — | — | — | 2 |
| Cataract surgery with IOL insertionCPT 66984 | $6,133 | $2,358 | 260% | — | 19 |
| Cellulitis, no MCCMS-DRG 603 | $17,889 | $5,675 | 315% | — | 2 |
| Cervical spinal fusion, no CC/MCCMS-DRG 473 | $50,146 | $16,343 | 307% | — | 2 |
| Cesarean section, no CC/MCCMS-DRG 788 | $16,688 | — | — | — | 2 |
| Cesarean section, with CCMS-DRG 787 | $18,307 | — | — | — | 2 |
| Chest painMS-DRG 313 | $14,789 | — | — | — | 2 |
| Colonoscopy with biopsyCPT 45380 | $5,000 | $1,223 | 409% | — | 19 |
| Colonoscopy with endoscopic ultrasoundCPT 45391 | $9,660 | $1,223 | 790% | — | 4 |
| Colonoscopy with polyp removalCPT 45385 | $3,004 | $1,223 | 246% | — | 38 |
| Colonoscopy, diagnosticCPT 45378 | $4,603 | $950 | 484% | — | 38 |
| Complete blood count with differentialCPT 85025 | $25 | $8 | 318% | — | 38 |
| Complete blood count, automatedCPT 85027 | $20 | $6 | 317% | — | 38 |
| Comprehensive metabolic panelCPT 80053 | $32 | $11 | 298% | — | 38 |
| Coronary bypass without cardiac cath, no MCCMS-DRG 236 | $86,040 | $29,950 | 287% | — | 2 |
| Diagnostic mammography, both breastsCPT 77066 | $426 | — | — | — | 38 |
| Diagnostic mammography, one breastCPT 77065 | $337 | — | — | — | 38 |
| ED visit, level 3CPT 99283 | $1,165 | $279 | 418% | — | 38 |
| ED visit, level 4CPT 99284 | $17,926 | $426 | 4205% | — | 38 |
| ED visit, level 5CPT 99285 | $18,961 | $608 | 3116% | — | 38 |
| Echocardiogram, completeCPT 93306 | $2,723 | $558 | 488% | — | 38 |
| Epidural injection, lumbar/sacral, no imagingCPT 62322 | $1,875 | $904 | 208% | — | 38 |
| Esophagitis/GI disorders, no MCCMS-DRG 392 | $16,013 | $4,899 | 327% | — | 2 |
| Excision of breast lesionCPT 19120 | $7,040 | $4,000 | 176% | — | 38 |
| Family psychotherapy, with patientCPT 90847 | $272 | $181 | 150% | — | 38 |
| Family psychotherapy, without patientCPT 90846 | $269 | $181 | 148% | — | 38 |
| Group psychotherapyCPT 90853 | $202 | $104 | 195% | — | 38 |
| Heart failure and shock, with CCMS-DRG 292 | $17,439 | $5,927 | 294% | — | 2 |
| Heart failure with MCCMS-DRG 291 | $26,370 | $8,962 | 294% | — | 2 |
| Hip and femur procedures except major joint, with CCMS-DRG 481 | $43,022 | $13,876 | 310% | — | 2 |
| Hysterectomy, no CC/MCCMS-DRG 743 | $25,485 | $10,098 | 252% | — | 2 |
| Inguinal hernia repair, age 5+CPT 49505 | $9,794 | $3,658 | 268% | — | 18 |
| Kidney and urinary tract infections, no MCCMS-DRG 690 | $16,628 | $5,238 | 317% | — | 2 |
| Kidney function panelCPT 80069 | $27 | $9 | 309% | — | 38 |
| Knee arthroscopy with meniscectomyCPT 29881 | $8,085 | $3,343 | 242% | — | 19 |
| Laparoscopic cholecystectomyCPT 47562 | $15,510 | $6,176 | 251% | — | 19 |
| Laparoscopic cholecystectomy, no CC/MCCMS-DRG 419 | $28,054 | $8,977 | 313% | — | 2 |
| Laparoscopic radical prostatectomyCPT 55866 | $30,000 | $10,860 | 276% | — | 19 |
| Left heart catheterization, diagnosticCPT 93452 | $17,990 | $3,312 | 543% | — | 38 |
| Lipid panelCPT 80061 | $40 | $13 | 302% | — | 39 |
| Liver function panelCPT 80076 | $26 | $8 | 315% | — | 38 |
| Lumbar epidural steroid injectionCPT 62323 | $1,875 | $721 | 260% | — | 38 |
| MRI brain with and without contrastCPT 70553 | $1,268 | $356 | 356% | — | 38 |
| MRI lower extremity joint (knee)CPT 73721 | $925 | $244 | 379% | — | 38 |
| MRI lumbar spine without contrastCPT 72148 | $925 | $244 | 379% | — | 38 |
| Major joint replacement (hip/knee), no MCCMS-DRG 470 | $39,621 | $13,045 | 304% | — | 2 |
| Major joint replacement (hip/knee), with MCCMS-DRG 469 | $62,303 | $22,346 | 279% | — | 2 |
| Major small and large bowel procedures, with CCMS-DRG 330 | $49,240 | $16,202 | 304% | — | 2 |
| Medical back problems, no MCCMS-DRG 552 | $19,746 | $6,142 | 321% | — | 2 |
| OB ultrasound, 14+ weeksCPT 76805 | $350 | $107 | 328% | — | 38 |
| Obstetric blood test panelCPT 80055 | $143 | $48 | 299% | — | 38 |
| Office visit, established patient, level 3CPT 99213 | $124 | — | — | — | 39 |
| Office visit, established patient, level 4CPT 99214 | $156 | — | — | — | 41 |
| Office visit, new patient, level 3CPT 99203 | $117 | — | — | — | 38 |
| Office visit, new patient, level 4CPT 99204 | $159 | — | — | — | 39 |
| Office visit, new patient, level 5CPT 99205 | $217 | — | — | — | 38 |
| PSA (prostate specific antigen), totalCPT 84153 | $56 | $18 | 303% | — | 38 |
| Partial thromboplastin timeCPT 85730 | $19 | $6 | 314% | — | 38 |
| Physical therapy, therapeutic exerciseCPT 97110 | $79 | — | — | — | 38 |
| Preventive visit, new patient, 18-39CPT 99385 | $209 | — | — | — | 38 |
| Preventive visit, new patient, 40-64CPT 99386 | $220 | — | — | — | 38 |
| Prostate biopsyCPT 55700 | $5,308 | — | — | — | 19 |
| Prothrombin timeCPT 85610 | $13 | $4 | 306% | — | 38 |
| Psychotherapy, 30 minutesCPT 90832 | $113 | $181 | 62% | — | 38 |
| Psychotherapy, 45 minutesCPT 90834 | $207 | $181 | 114% | — | 38 |
| Psychotherapy, 60 minutesCPT 90837 | $439 | $181 | 242% | — | 38 |
| Renal failure, with CCMS-DRG 683 | $17,989 | $5,892 | 305% | — | 2 |
| Screening mammography, bilateralCPT 77067 | $342 | — | — | — | 38 |
| Sepsis with MCCMS-DRG 871 | $39,900 | $13,837 | 288% | — | 2 |
| Shoulder arthroscopy, subacromial decompressionCPT 29826 | $18,951 | — | — | — | 19 |
| Simple pneumonia and pleurisy, with CCMS-DRG 194 | $16,554 | $5,177 | 320% | — | 2 |
| Sleep study (polysomnography)CPT 95810 | $5,124 | $877 | 584% | — | 38 |
| Stroke (hemorrhage/infarction), no CC/MCCMS-DRG 066 | $14,058 | $3,679 | 382% | — | 2 |
| Stroke (hemorrhage/infarction), with CC or tPAMS-DRG 065 | $20,752 | $6,559 | 316% | — | 2 |
| Thyroid stimulating hormone (TSH)CPT 84443 | $32 | $17 | 189% | — | 38 |
| Tonsillectomy and adenoidectomy, under age 12CPT 42820 | $6,979 | $6,048 | 115% | — | 19 |
| Transforaminal epidural, lumbar/sacralCPT 64483 | $2,436 | $904 | 270% | — | 38 |
| Ultrasound, abdomen, completeCPT 76700 | $350 | $107 | 328% | — | 38 |
| Ultrasound, transvaginalCPT 76830 | $350 | $107 | 328% | — | 38 |
| Upper GI endoscopy with biopsyCPT 43239 | $4,826 | $927 | 521% | — | 38 |
| Upper GI endoscopy, diagnosticCPT 43235 | $4,007 | $927 | 432% | — | 38 |
| Urinalysis, automated, with microscopyCPT 81001 | $10 | $3 | 315% | — | 38 |
| Urinalysis, automated, without microscopyCPT 81003 | $8 | $2 | 344% | — | 40 |
| Urinalysis, manual, with microscopyCPT 81000 | $4 | $4 | 100% | — | 18 |
| Urinalysis, manual, without microscopyCPT 81002 | $10 | $3 | 287% | — | 38 |
| Vaginal delivery, no sterilization, no CC/MCCMS-DRG 807 | $13,771 | — | — | — | 2 |
| Vaginal delivery, no sterilization, with CCMS-DRG 806 | $14,588 | — | — | — | 2 |
| X-ray, lower back, 4+ viewsCPT 72110 | $436 | $107 | 408% | — | 38 |
| YAG laser capsulotomy (secondary cataract)CPT 66821 | $1,686 | $562 | 300% | — | 19 |