| Acute myocardial infarction, discharged alive, with MCCMS-DRG 280 | $12,551 | $11,217 | 112% | — | 2 |
| Bariatric (obesity) surgery, no CC/MCCMS-DRG 621 | $13,995 | $8,272 | 169% | — | 2 |
| Basic metabolic panelCPT 80048 | $12 | $8 | 142% | ~$23 | 4 |
| COPD with MCCMS-DRG 190 | $6,633 | $7,377 | 90% | — | 2 |
| CT abdomen and pelvis with contrastCPT 74177 | $431 | $321 | 134% | ~$621 | 4 |
| CT head without contrastCPT 70450 | $137 | $96 | 142% | ~$384 | 4 |
| CT pelvis with contrastCPT 72193 | $229 | $162 | 142% | ~$395 | 4 |
| Cardiac arrhythmia, no CC/MCCMS-DRG 310 | $3,223 | $3,269 | 99% | — | 2 |
| Cardiac valve surgery with cardiac cath, with MCCMS-DRG 216 | $67,783 | — | — | — | 2 |
| Cellulitis, no MCCMS-DRG 603 | $4,988 | $5,675 | 88% | — | 2 |
| Cervical spinal fusion, no CC/MCCMS-DRG 473 | $16,190 | $13,647 | 119% | — | 2 |
| Cesarean section, no CC/MCCMS-DRG 788 | $5,459 | — | — | — | 3 |
| Cesarean section, with CCMS-DRG 787 | $5,464 | — | — | — | 3 |
| Chest painMS-DRG 313 | $4,388 | — | — | — | 2 |
| Complete blood count with differentialCPT 85025 | $11 | $8 | 142% | ~$13 | 4 |
| Complete blood count, automatedCPT 85027 | $8 | $6 | 125% | ~$18 | 3 |
| Comprehensive metabolic panelCPT 80053 | $15 | $11 | 138% | ~$38 | 4 |
| Coronary bypass without cardiac cath, no MCCMS-DRG 236 | $27,818 | $29,950 | 93% | — | 2 |
| Esophagitis/GI disorders, no MCCMS-DRG 392 | $4,662 | $4,899 | 95% | — | 2 |
| Heart failure and shock, with CCMS-DRG 292 | $5,029 | $5,927 | 85% | — | 2 |
| Heart failure with MCCMS-DRG 291 | $7,418 | $8,962 | 83% | — | 2 |
| Hip and femur procedures except major joint, with CCMS-DRG 481 | $15,974 | $13,876 | 115% | — | 2 |
| Hysterectomy, no CC/MCCMS-DRG 743 | $7,287 | $10,098 | 72% | — | 2 |
| Kidney and urinary tract infections, no MCCMS-DRG 690 | $5,189 | $5,238 | 99% | — | 2 |
| Kidney function panelCPT 80069 | $11 | $9 | 125% | ~$24 | 3 |
| Knee arthroscopy with meniscectomyCPT 29881 | $3,690 | $3,015 | 122% | $1,317 | 4 |
| Laparoscopic cholecystectomy, no CC/MCCMS-DRG 419 | $7,933 | $8,977 | 88% | — | 2 |
| Lipid panelCPT 80061 | $17 | $13 | 125% | ~$36 | 3 |
| Liver function panelCPT 80076 | $10 | $8 | 125% | ~$23 | 3 |
| Lumbar epidural steroid injectionCPT 62323 | $796 | $650 | 122% | $335 | 4 |
| MRI brain with and without contrastCPT 70553 | $456 | $321 | 142% | ~$960 | 4 |
| MRI lower extremity joint (knee)CPT 73721 | $312 | $220 | 142% | ~$301 | 4 |
| MRI lumbar spine without contrastCPT 72148 | $312 | $220 | 142% | ~$733 | 4 |
| Major joint replacement (hip/knee), no MCCMS-DRG 470 | $16,271 | $9,490 | 171% | — | 2 |
| Major joint replacement (hip/knee), with MCCMS-DRG 469 | $23,420 | $22,346 | 105% | — | 2 |
| Major small and large bowel procedures, with CCMS-DRG 330 | $17,012 | $16,202 | 105% | — | 2 |
| Medical back problems, no MCCMS-DRG 552 | $5,378 | $6,142 | 88% | — | 2 |
| Office visit, established patient, level 3CPT 99213 | $68 | — | — | $46 | 4 |
| Office visit, established patient, level 4CPT 99214 | $99 | — | — | $61 | 4 |
| Office visit, new patient, level 3CPT 99203 | $84 | — | — | $57 | 4 |
| Office visit, new patient, level 4CPT 99204 | $136 | — | — | $85 | 4 |
| Office visit, new patient, level 5CPT 99205 | $186 | — | — | $106 | 4 |
| PSA (prostate specific antigen), totalCPT 84153 | $23 | $18 | 125% | ~$50 | 3 |
| Partial thromboplastin timeCPT 85730 | $8 | $6 | 125% | ~$16 | 3 |
| Physical therapy, therapeutic exerciseCPT 97110 | $38 | — | — | $20 | 4 |
| Prothrombin timeCPT 85610 | $5 | $4 | 125% | ~$11 | 3 |
| Renal failure, with CCMS-DRG 683 | $9,443 | $5,892 | 160% | — | 2 |
| Sepsis with MCCMS-DRG 871 | $12,970 | $13,837 | 94% | — | 2 |
| Shoulder arthroscopy, subacromial decompressionCPT 29826 | $193 | — | — | $611 | 4 |
| Simple pneumonia and pleurisy, with CCMS-DRG 194 | $5,877 | $5,177 | 114% | — | 2 |
| Stroke (hemorrhage/infarction), no CC/MCCMS-DRG 066 | $6,092 | $3,679 | 166% | — | 2 |
| Stroke (hemorrhage/infarction), with CC or tPAMS-DRG 065 | $7,987 | $6,559 | 122% | — | 2 |
| Thyroid stimulating hormone (TSH)CPT 84443 | $21 | $17 | 125% | ~$45 | 3 |
| Transforaminal epidural, lumbar/sacralCPT 64483 | $998 | $815 | 122% | $551 | 4 |
| Ultrasound, abdomen, completeCPT 76700 | $121 | $96 | 126% | ~$93 | 4 |
| Urinalysis, manual, with microscopyCPT 81000 | $5 | $4 | 125% | ~$8 | 3 |
| Urinalysis, manual, without microscopyCPT 81002 | $5 | $3 | 143% | ~$7 | 4 |
| Vaginal delivery, no sterilization, no CC/MCCMS-DRG 807 | $3,139 | — | — | — | 3 |
| Vaginal delivery, no sterilization, with CCMS-DRG 806 | $4,469 | — | — | — | 3 |
| X-ray, lower back, 4+ viewsCPT 72110 | $137 | $96 | 142% | ~$149 | 4 |