| Acute myocardial infarction, discharged alive, with MCCMS-DRG 280 | $19,789 | $10,620 | 186% | — | 7 |
| Bariatric (obesity) surgery, no CC/MCCMS-DRG 621 | $15,668 | $8,272 | 189% | — | 8 |
| Basic metabolic panelCPT 80048 | $215 | $8 | 2538% | ~$86 | 28 |
| COPD with MCCMS-DRG 190 | $9,404 | $7,377 | 127% | — | 4 |
| CT abdomen and pelvis with contrastCPT 74177 | $5,258 | $321 | 1635% | ~$2,115 | 26 |
| CT head without contrastCPT 70450 | $2,154 | $96 | 2236% | ~$867 | 26 |
| CT pelvis with contrastCPT 72193 | $2,848 | $162 | 1762% | ~$1,146 | 26 |
| Cardiac arrhythmia, no CC/MCCMS-DRG 310 | $9,404 | $3,049 | 308% | — | 4 |
| Cardiac stress testCPT 93017 | $871 | $199 | 438% | $322 | 22 |
| Cardiac valve surgery with cardiac cath, with MCCMS-DRG 216 | $19,789 | $69,135 | 29% | — | 7 |
| Cataract surgery with IOL insertionCPT 66984 | $3,727 | $2,127 | 175% | — | 10 |
| Cellulitis, no MCCMS-DRG 603 | $9,404 | $5,736 | 164% | — | 4 |
| Cervical spinal fusion, no CC/MCCMS-DRG 473 | $23,142 | $16,343 | 142% | — | 8 |
| Cesarean section, no CC/MCCMS-DRG 788 | $8,782 | — | — | — | 8 |
| Cesarean section, with CCMS-DRG 787 | $8,782 | — | — | — | 8 |
| Chest painMS-DRG 313 | $9,404 | $4,561 | 206% | — | 4 |
| Colonoscopy with biopsyCPT 45380 | $2,000 | $1,103 | 181% | — | 10 |
| Colonoscopy with endoscopic ultrasoundCPT 45391 | $1,854 | $1,103 | 168% | — | 8 |
| Colonoscopy with polyp removalCPT 45385 | $2,000 | $1,103 | 181% | — | 10 |
| Colonoscopy, diagnosticCPT 45378 | $1,871 | $857 | 218% | — | 10 |
| Complete blood count with differentialCPT 85025 | $12 | $8 | 155% | — | 11 |
| Complete blood count, automatedCPT 85027 | $97 | $6 | 1495% | ~$39 | 28 |
| Comprehensive metabolic panelCPT 80053 | $249 | $11 | 2355% | ~$100 | 28 |
| Coronary bypass without cardiac cath, no MCCMS-DRG 236 | $19,789 | $25,266 | 78% | — | 7 |
| Diagnostic mammography, both breastsCPT 77066 | $231 | — | — | ~$56 | 28 |
| Diagnostic mammography, one breastCPT 77065 | $186 | — | — | ~$49 | 28 |
| ED visit, level 3CPT 99283 | $1,693 | $252 | 673% | $314 | 23 |
| ED visit, level 4CPT 99284 | $2,889 | $385 | 751% | $458 | 23 |
| ED visit, level 5CPT 99285 | $4,201 | $549 | 766% | $691 | 23 |
| Echocardiogram, completeCPT 93306 | $2,388 | $504 | 474% | $657 | 18 |
| Electrocardiogram with interpretationCPT 93000 | $649 | — | — | — | 5 |
| Epidural injection, lumbar/sacral, no imagingCPT 62322 | $1,446 | $815 | 177% | — | 6 |
| Esophagitis/GI disorders, no MCCMS-DRG 392 | $9,404 | $5,125 | 184% | — | 4 |
| Excision of breast lesionCPT 19120 | $4,803 | $3,608 | 133% | — | 14 |
| Family psychotherapy, with patientCPT 90847 | $127 | $164 | 78% | — | 2 |
| Group psychotherapyCPT 90853 | $71 | $94 | 76% | — | 2 |
| Heart failure and shock, with CCMS-DRG 292 | $19,789 | $5,927 | 334% | — | 7 |
| Heart failure with MCCMS-DRG 291 | $19,789 | $8,952 | 221% | — | 7 |
| Hip and femur procedures except major joint, with CCMS-DRG 481 | $13,336 | $13,612 | 98% | — | 1 |
| Hysterectomy, no CC/MCCMS-DRG 743 | $6,754 | $10,098 | 67% | — | 1 |
| Inguinal hernia repair, age 5+CPT 49505 | $4,569 | $3,299 | 138% | — | 10 |
| Kidney and urinary tract infections, no MCCMS-DRG 690 | $9,404 | $5,272 | 178% | — | 4 |
| Kidney function panelCPT 80069 | $248 | $9 | 2857% | ~$100 | 28 |
| Knee arthroscopy with meniscectomyCPT 29881 | $5,410 | $3,015 | 179% | — | 14 |
| Laparoscopic cholecystectomyCPT 47562 | $8,887 | $5,571 | 160% | — | 13 |
| Laparoscopic cholecystectomy, no CC/MCCMS-DRG 419 | $8,022 | $8,901 | 90% | — | 1 |
| Laparoscopic radical prostatectomyCPT 55866 | $8,652 | $9,795 | 88% | — | 13 |
| Left heart catheterization, diagnosticCPT 93452 | $5,151 | $2,987 | 172% | — | 10 |
| Lipid panelCPT 80061 | $139 | $13 | 1040% | ~$56 | 28 |
| Liver function panelCPT 80076 | $211 | $8 | 2579% | ~$85 | 28 |
| Lumbar epidural steroid injectionCPT 62323 | $1,446 | $650 | 222% | — | 6 |
| MRI brain with and without contrastCPT 70553 | $3,308 | $321 | 1029% | ~$1,331 | 26 |
| MRI lower extremity joint (knee)CPT 73721 | $3,041 | $220 | 1383% | ~$1,223 | 26 |
| MRI lumbar spine without contrastCPT 72148 | $3,204 | $220 | 1457% | ~$1,289 | 26 |
| Major joint replacement (hip/knee), no MCCMS-DRG 470 | $26,042 | $12,294 | 212% | — | 1 |
| Major joint replacement (hip/knee), with MCCMS-DRG 469 | $27,055 | $23,249 | 116% | — | 1 |
| Major small and large bowel procedures, with CCMS-DRG 330 | $8,022 | $14,923 | 54% | — | 1 |
| Medical back problems, no MCCMS-DRG 552 | $9,404 | $6,147 | 153% | — | 4 |
| OB ultrasound, 14+ weeksCPT 76805 | $712 | $96 | 739% | ~$287 | 26 |
| Obstetric blood test panelCPT 80055 | $73 | $48 | 154% | — | 11 |
| Office consultation, comprehensiveCPT 99244 | $161 | — | — | — | 2 |
| Office visit, established patient, level 3CPT 99213 | $262 | — | — | $65 | 18 |
| Office visit, established patient, level 4CPT 99214 | $280 | — | — | $70 | 18 |
| Office visit, new patient, level 3CPT 99203 | $319 | — | — | $80 | 18 |
| Office visit, new patient, level 4CPT 99204 | $372 | — | — | $93 | 18 |
| Office visit, new patient, level 5CPT 99205 | $431 | — | — | $108 | 18 |
| PSA (prostate specific antigen), totalCPT 84153 | $142 | $18 | 771% | ~$57 | 28 |
| Partial thromboplastin timeCPT 85730 | $93 | $6 | 1549% | ~$37 | 28 |
| Physical therapy, therapeutic exerciseCPT 97110 | $98 | — | — | $36 | 27 |
| Preventive visit, new patient, 18-39CPT 99385 | $146 | — | — | — | 2 |
| Preventive visit, new patient, 40-64CPT 99386 | $176 | — | — | — | 2 |
| Prostate biopsyCPT 55700 | $2,454 | — | — | — | 7 |
| Prothrombin timeCPT 85610 | $62 | $4 | 1436% | ~$25 | 28 |
| Psychotherapy, 30 minutesCPT 90832 | $127 | $164 | 78% | — | 2 |
| Psychotherapy, 45 minutesCPT 90834 | $141 | $164 | 86% | — | 2 |
| Psychotherapy, 60 minutesCPT 90837 | $127 | $164 | 78% | — | 2 |
| Renal failure, with CCMS-DRG 683 | $9,404 | $5,842 | 161% | — | 4 |
| Screening mammography, bilateralCPT 77067 | $143 | — | — | ~$25 | 28 |
| Sepsis with MCCMS-DRG 871 | $13,621 | $13,070 | 104% | — | 8 |
| Shoulder arthroscopy, subacromial decompressionCPT 29826 | $5,228 | — | — | — | 11 |
| Simple pneumonia and pleurisy, with CCMS-DRG 194 | $9,404 | $5,177 | 182% | — | 4 |
| Sleep study (polysomnography)CPT 95810 | $3,979 | $791 | 503% | $1,547 | 23 |
| Stroke (hemorrhage/infarction), no CC/MCCMS-DRG 066 | $9,404 | $4,084 | 230% | — | 4 |
| Stroke (hemorrhage/infarction), with CC or tPAMS-DRG 065 | $9,404 | $6,164 | 153% | — | 4 |
| Thyroid stimulating hormone (TSH)CPT 84443 | $167 | $17 | 991% | ~$67 | 28 |
| Tonsillectomy and adenoidectomy, under age 12CPT 42820 | $5,909 | $5,455 | 108% | — | 10 |
| Transforaminal epidural, lumbar/sacralCPT 64483 | $1,304 | $815 | 160% | — | 10 |
| Ultrasound, abdomen, completeCPT 76700 | $932 | $96 | 967% | ~$375 | 26 |
| Ultrasound, transvaginalCPT 76830 | $248 | $96 | 258% | ~$93 | 26 |
| Upper GI endoscopy with biopsyCPT 43239 | $1,765 | $836 | 211% | — | 10 |
| Upper GI endoscopy, diagnosticCPT 43235 | $1,566 | $836 | 187% | — | 10 |
| Urinalysis, automated, with microscopyCPT 81001 | $70 | $3 | 2207% | ~$28 | 28 |
| Urinalysis, automated, without microscopyCPT 81003 | $40 | $2 | 1763% | ~$16 | 28 |
| Urinalysis, manual, with microscopyCPT 81000 | $7 | $4 | 176% | — | 11 |
| Urinalysis, manual, without microscopyCPT 81002 | $6 | $3 | 164% | — | 11 |
| Vaginal delivery, no sterilization, no CC/MCCMS-DRG 807 | $7,807 | — | — | — | 8 |
| Vaginal delivery, no sterilization, with CCMS-DRG 806 | $7,807 | — | — | — | 8 |
| X-ray, lower back, 4+ viewsCPT 72110 | $723 | $96 | 751% | ~$291 | 26 |
| YAG laser capsulotomy (secondary cataract)CPT 66821 | $966 | $507 | 191% | — | 10 |