| Acute myocardial infarction, discharged alive, with MCCMS-DRG 280 | $11,969 | $11,217 | 107% | — | 4 |
| Bariatric (obesity) surgery, no CC/MCCMS-DRG 621 | $11,580 | $8,272 | 140% | — | 4 |
| Basic metabolic panelCPT 80048 | $12 | $8 | 146% | — | 48 |
| COPD with MCCMS-DRG 190 | $8,324 | $7,377 | 113% | — | 4 |
| CT abdomen and pelvis with contrastCPT 74177 | $3,019 | $356 | 847% | — | 49 |
| CT head without contrastCPT 70450 | $995 | $107 | 932% | — | 49 |
| CT pelvis with contrastCPT 72193 | $1,788 | $179 | 998% | — | 49 |
| Cardiac arrhythmia, no CC/MCCMS-DRG 310 | $4,194 | $3,269 | 128% | — | 4 |
| Cardiac stress testCPT 93017 | $81 | $221 | 37% | — | 49 |
| Cardiac valve surgery with cardiac cath, with MCCMS-DRG 216 | $73,900 | — | — | — | 4 |
| Cataract surgery with IOL insertionCPT 66984 | $908 | $2,358 | 39% | — | 46 |
| Cellulitis, no MCCMS-DRG 603 | $6,427 | $5,675 | 113% | — | 4 |
| Cervical spinal fusion, no CC/MCCMS-DRG 473 | $18,569 | $16,343 | 114% | — | 4 |
| Cesarean section, no CC/MCCMS-DRG 788 | $6,878 | — | — | — | 4 |
| Cesarean section, with CCMS-DRG 787 | $8,128 | — | — | — | 4 |
| Chest painMS-DRG 313 | $5,373 | — | — | — | 4 |
| Colonoscopy with biopsyCPT 45380 | $494 | $1,223 | 40% | — | 49 |
| Colonoscopy with endoscopic ultrasoundCPT 45391 | $369 | $1,223 | 30% | — | 46 |
| Colonoscopy with polyp removalCPT 45385 | $587 | $1,223 | 48% | — | 49 |
| Colonoscopy, diagnosticCPT 45378 | $414 | $950 | 44% | — | 49 |
| Complete blood count with differentialCPT 85025 | $13 | $8 | 170% | — | 48 |
| Complete blood count, automatedCPT 85027 | $62 | $6 | 965% | — | 48 |
| Comprehensive metabolic panelCPT 80053 | $17 | $11 | 164% | — | 48 |
| Coronary bypass without cardiac cath, no MCCMS-DRG 236 | $30,880 | $29,950 | 103% | — | 4 |
| Diagnostic mammography, both breastsCPT 77066 | $321 | — | — | — | 50 |
| Diagnostic mammography, one breastCPT 77065 | $235 | — | — | — | 50 |
| ED visit, level 3CPT 99283 | $96 | $279 | 34% | — | 49 |
| ED visit, level 4CPT 99284 | $126 | $426 | 30% | — | 49 |
| ED visit, level 5CPT 99285 | $184 | $608 | 30% | — | 49 |
| Echocardiogram, completeCPT 93306 | $201 | $558 | 36% | — | 49 |
| Electrocardiogram with interpretationCPT 93000 | $41 | — | — | — | 43 |
| Epidural injection, lumbar/sacral, no imagingCPT 62322 | $328 | $904 | 36% | — | 46 |
| Esophagitis/GI disorders, no MCCMS-DRG 392 | $5,760 | $4,899 | 118% | — | 4 |
| Excision of breast lesionCPT 19120 | $759 | $4,000 | 19% | — | 50 |
| Family psychotherapy, with patientCPT 90847 | $410 | $181 | 226% | — | 46 |
| Family psychotherapy, without patientCPT 90846 | $127 | $181 | 70% | — | 48 |
| Group psychotherapyCPT 90853 | $353 | $104 | 340% | — | 46 |
| Heart failure and shock, with CCMS-DRG 292 | $6,384 | $5,927 | 108% | — | 4 |
| Heart failure with MCCMS-DRG 291 | $9,512 | $8,962 | 106% | — | 4 |
| Hip and femur procedures except major joint, with CCMS-DRG 481 | $15,395 | $13,876 | 111% | — | 3 |
| Hysterectomy, no CC/MCCMS-DRG 743 | $9,119 | $10,098 | 90% | — | 3 |
| Inguinal hernia repair, age 5+CPT 49505 | $958 | $3,658 | 26% | — | 49 |
| Kidney and urinary tract infections, no MCCMS-DRG 690 | $5,976 | $5,238 | 114% | — | 4 |
| Kidney function panelCPT 80069 | $76 | $9 | 872% | — | 48 |
| Knee arthroscopy with meniscectomyCPT 29881 | $778 | $3,343 | 23% | — | 46 |
| Laparoscopic cholecystectomyCPT 47562 | $725 | $6,176 | 12% | — | 49 |
| Laparoscopic cholecystectomy, no CC/MCCMS-DRG 419 | $9,991 | $8,977 | 111% | — | 4 |
| Laparoscopic radical prostatectomyCPT 55866 | $1,717 | $10,860 | 16% | — | 46 |
| Left heart catheterization, diagnosticCPT 93452 | $1,036 | $3,312 | 31% | — | 46 |
| Lipid panelCPT 80061 | $34 | $13 | 252% | — | 48 |
| Liver function panelCPT 80076 | $25 | $8 | 311% | — | 48 |
| Lumbar epidural steroid injectionCPT 62323 | $282 | $721 | 39% | — | 46 |
| MRI brain with and without contrastCPT 70553 | $2,641 | $356 | 741% | — | 49 |
| MRI lower extremity joint (knee)CPT 73721 | $1,392 | $244 | 571% | — | 49 |
| MRI lumbar spine without contrastCPT 72148 | $1,740 | $244 | 714% | — | 49 |
| Major joint replacement (hip/knee), no MCCMS-DRG 470 | $14,272 | $13,045 | 109% | — | 4 |
| Major joint replacement (hip/knee), with MCCMS-DRG 469 | $22,812 | $22,346 | 102% | — | 4 |
| Major small and large bowel procedures, with CCMS-DRG 330 | $17,619 | $16,202 | 109% | — | 3 |
| Medical back problems, no MCCMS-DRG 552 | $7,099 | $6,142 | 116% | — | 4 |
| OB global care, VBAC deliveryCPT 59610 | $2,636 | — | — | — | 43 |
| OB global care, cesarean deliveryCPT 59510 | $2,543 | — | — | — | 43 |
| OB global care, vaginal deliveryCPT 59400 | $2,303 | — | — | — | 43 |
| OB ultrasound, 14+ weeksCPT 76805 | $254 | $107 | 238% | — | 49 |
| Obstetric blood test panelCPT 80055 | $93 | $48 | 194% | — | 48 |
| Office consultation, comprehensiveCPT 99244 | $200 | — | — | — | 43 |
| Office consultation, moderateCPT 99243 | $144 | — | — | — | 43 |
| Office visit, established patient, level 3CPT 99213 | $49 | — | — | — | 44 |
| Office visit, established patient, level 4CPT 99214 | $79 | — | — | — | 44 |
| Office visit, new patient, level 3CPT 99203 | $76 | — | — | — | 44 |
| Office visit, new patient, level 4CPT 99204 | $128 | — | — | — | 44 |
| Office visit, new patient, level 5CPT 99205 | $165 | — | — | — | 44 |
| PSA (prostate specific antigen), totalCPT 84153 | $108 | $18 | 587% | — | 48 |
| Partial thromboplastin timeCPT 85730 | $88 | $6 | 1456% | — | 48 |
| Physical therapy, therapeutic exerciseCPT 97110 | $123 | — | — | — | 49 |
| Preventive visit, new patient, 18-39CPT 99385 | $115 | — | — | — | 44 |
| Preventive visit, new patient, 40-64CPT 99386 | $140 | — | — | — | 44 |
| Prostate biopsyCPT 55700 | $224 | — | — | — | 43 |
| Prothrombin timeCPT 85610 | $7 | $4 | 159% | — | 48 |
| Psychotherapy, 30 minutesCPT 90832 | $82 | $181 | 45% | — | 48 |
| Psychotherapy, 45 minutesCPT 90834 | $110 | $181 | 60% | — | 48 |
| Psychotherapy, 60 minutesCPT 90837 | $159 | $181 | 88% | — | 48 |
| Renal failure, with CCMS-DRG 683 | $6,542 | $5,892 | 111% | — | 4 |
| Screening mammography, bilateralCPT 77067 | $195 | — | — | — | 50 |
| Sepsis with MCCMS-DRG 871 | $14,216 | $13,837 | 103% | — | 4 |
| Shoulder arthroscopy, subacromial decompressionCPT 29826 | $307 | — | — | — | 43 |
| Simple pneumonia and pleurisy, with CCMS-DRG 194 | $5,923 | $5,177 | 114% | — | 3 |
| Sleep study (polysomnography)CPT 95810 | $176 | $877 | 20% | — | 49 |
| Spinal fusion except cervical, no MCCMS-DRG 460 | $31,892 | $25,413 | 125% | — | 3 |
| Spinal fusion except cervical, with MCCMS-DRG 459 | $70,790 | $51,127 | 138% | — | 3 |
| Stroke (hemorrhage/infarction), no CC/MCCMS-DRG 066 | $5,205 | $3,679 | 141% | — | 4 |
| Stroke (hemorrhage/infarction), with CC or tPAMS-DRG 065 | $7,568 | $6,559 | 115% | — | 4 |
| Thyroid stimulating hormone (TSH)CPT 84443 | $32 | $17 | 189% | — | 48 |
| Tonsillectomy and adenoidectomy, under age 12CPT 42820 | $366 | $6,048 | 6% | — | 46 |
| Transforaminal epidural, lumbar/sacralCPT 64483 | $337 | $904 | 37% | — | 46 |
| Ultrasound, abdomen, completeCPT 76700 | $172 | $107 | 161% | — | 49 |
| Ultrasound, transvaginalCPT 76830 | $144 | $107 | 134% | — | 49 |
| Upper GI endoscopy with biopsyCPT 43239 | $328 | $927 | 35% | — | 49 |
| Upper GI endoscopy, diagnosticCPT 43235 | $278 | $927 | 30% | — | 49 |
| Urinalysis, automated, with microscopyCPT 81001 | $8 | $3 | 244% | — | 48 |
| Urinalysis, automated, without microscopyCPT 81003 | $5 | $2 | 243% | — | 48 |
| Urinalysis, manual, with microscopyCPT 81000 | $8 | $4 | 193% | — | 48 |
| Urinalysis, manual, without microscopyCPT 81002 | $6 | $3 | 183% | — | 48 |
| Vaginal delivery, no sterilization, no CC/MCCMS-DRG 807 | $4,906 | — | — | — | 4 |
| Vaginal delivery, no sterilization, with CCMS-DRG 806 | $5,548 | — | — | — | 4 |
| X-ray, lower back, 4+ viewsCPT 72110 | $25 | $107 | 24% | — | 49 |
| YAG laser capsulotomy (secondary cataract)CPT 66821 | $386 | $562 | 69% | — | 46 |