| Acute myocardial infarction, discharged alive, with MCCMS-DRG 280 | $8,661 | $11,217 | 77% | — | 9 |
| Basic metabolic panelCPT 80048 | $44 | $8 | 521% | — | 21 |
| COPD with MCCMS-DRG 190 | $5,980 | $7,377 | 81% | — | 9 |
| CT abdomen and pelvis with contrastCPT 74177 | $1,614 | $356 | 453% | — | 21 |
| CT head without contrastCPT 70450 | $1,407 | $107 | 1317% | — | 21 |
| CT pelvis with contrastCPT 72193 | $1,536 | $179 | 857% | — | 21 |
| Cardiac arrhythmia, no CC/MCCMS-DRG 310 | $3,056 | $3,269 | 93% | — | 9 |
| Cardiac stress testCPT 93017 | $1,045 | $221 | 474% | — | 21 |
| Cellulitis, no MCCMS-DRG 603 | $4,702 | $5,675 | 83% | — | 9 |
| Chest painMS-DRG 313 | $3,887 | — | — | — | 9 |
| Colonoscopy with biopsyCPT 45380 | $5,863 | $1,223 | 480% | — | 21 |
| Colonoscopy with polyp removalCPT 45385 | $5,863 | $1,223 | 480% | — | 21 |
| Complete blood count with differentialCPT 85025 | $42 | $8 | 546% | — | 21 |
| Complete blood count, automatedCPT 85027 | $13 | $6 | 199% | — | 21 |
| Comprehensive metabolic panelCPT 80053 | $126 | $11 | 1190% | — | 21 |
| Diagnostic mammography, both breastsCPT 77066 | $413 | — | — | — | 21 |
| Diagnostic mammography, one breastCPT 77065 | $381 | — | — | — | 21 |
| ED visit, level 3CPT 99283 | $619 | $279 | 222% | — | 21 |
| ED visit, level 4CPT 99284 | $1,135 | $426 | 266% | — | 21 |
| ED visit, level 5CPT 99285 | $1,475 | $608 | 242% | — | 21 |
| Echocardiogram, completeCPT 93306 | $2,146 | $558 | 384% | — | 21 |
| Epidural injection, lumbar/sacral, no imagingCPT 62322 | $1,794 | $904 | 199% | — | 21 |
| Esophagitis/GI disorders, no MCCMS-DRG 392 | $4,209 | $4,899 | 86% | — | 9 |
| Heart failure and shock, with CCMS-DRG 292 | $4,584 | $5,927 | 77% | — | 9 |
| Heart failure with MCCMS-DRG 291 | $6,931 | $8,962 | 77% | — | 9 |
| Hip and femur procedures except major joint, with CCMS-DRG 481 | $11,308 | $13,876 | 81% | — | 9 |
| Kidney and urinary tract infections, no MCCMS-DRG 690 | $4,370 | $5,238 | 83% | — | 9 |
| Kidney function panelCPT 80069 | $169 | $9 | 1943% | — | 21 |
| Lipid panelCPT 80061 | $62 | $13 | 462% | — | 21 |
| Liver function panelCPT 80076 | $121 | $8 | 1484% | — | 21 |
| Lumbar epidural steroid injectionCPT 62323 | $1,361 | $721 | 189% | — | 21 |
| MRI brain with and without contrastCPT 70553 | $2,717 | $356 | 762% | — | 21 |
| MRI lower extremity joint (knee)CPT 73721 | $2,130 | $244 | 874% | — | 21 |
| MRI lumbar spine without contrastCPT 72148 | $2,146 | $244 | 880% | — | 21 |
| Major small and large bowel procedures, with CCMS-DRG 330 | $12,942 | $16,202 | 80% | — | 9 |
| Medical back problems, no MCCMS-DRG 552 | $5,190 | $6,142 | 84% | — | 9 |
| OB ultrasound, 14+ weeksCPT 76805 | $615 | $107 | 575% | — | 21 |
| Office visit, established patient, level 3CPT 99213 | $202 | — | — | — | 21 |
| Office visit, established patient, level 4CPT 99214 | $239 | — | — | — | 21 |
| Office visit, new patient, level 3CPT 99203 | $256 | — | — | — | 21 |
| Office visit, new patient, level 4CPT 99204 | $292 | — | — | — | 21 |
| Office visit, new patient, level 5CPT 99205 | $313 | — | — | — | 21 |
| PSA (prostate specific antigen), totalCPT 84153 | $63 | $18 | 341% | — | 21 |
| Partial thromboplastin timeCPT 85730 | $76 | $6 | 1257% | — | 21 |
| Physical therapy, therapeutic exerciseCPT 97110 | $131 | — | — | — | 21 |
| Prostate biopsyCPT 55700 | $1,794 | — | — | — | 21 |
| Prothrombin timeCPT 85610 | $17 | $4 | 400% | — | 21 |
| Renal failure, with CCMS-DRG 683 | $4,728 | $5,892 | 80% | — | 9 |
| Screening mammography, bilateralCPT 77067 | $392 | — | — | — | 21 |
| Sepsis with MCCMS-DRG 871 | $10,488 | $13,837 | 76% | — | 9 |
| Simple pneumonia and pleurisy, with CCMS-DRG 194 | $4,351 | $5,177 | 84% | — | 9 |
| Sleep study (polysomnography)CPT 95810 | $3,191 | $877 | 364% | — | 21 |
| Stroke (hemorrhage/infarction), no CC/MCCMS-DRG 066 | $3,695 | $3,679 | 100% | — | 9 |
| Stroke (hemorrhage/infarction), with CC or tPAMS-DRG 065 | $5,455 | $6,559 | 83% | — | 9 |
| Thyroid stimulating hormone (TSH)CPT 84443 | $58 | $17 | 347% | — | 21 |
| Transforaminal epidural, lumbar/sacralCPT 64483 | $1,811 | $904 | 200% | — | 21 |
| Ultrasound, abdomen, completeCPT 76700 | $677 | $107 | 634% | — | 21 |
| Ultrasound, transvaginalCPT 76830 | $566 | $107 | 530% | — | 21 |
| Upper GI endoscopy with biopsyCPT 43239 | $3,938 | $927 | 425% | — | 21 |
| Upper GI endoscopy, diagnosticCPT 43235 | $3,500 | $927 | 378% | — | 21 |
| Urinalysis, automated, with microscopyCPT 81001 | $28 | $3 | 892% | — | 21 |
| Urinalysis, automated, without microscopyCPT 81003 | $33 | $2 | 1488% | — | 21 |
| Urinalysis, manual, without microscopyCPT 81002 | $24 | $3 | 691% | — | 21 |
| X-ray, lower back, 4+ viewsCPT 72110 | $409 | $107 | 382% | — | 21 |