| Acute myocardial infarction, discharged alive, with MCCMS-DRG 280 | $12,888 | $11,217 | 115% | — | 6 |
| Basic metabolic panelCPT 80048 | $14 | $8 | 165% | — | 20 |
| COPD with MCCMS-DRG 190 | $8,900 | $7,377 | 121% | — | 6 |
| CT abdomen and pelvis with contrastCPT 74177 | $2,636 | $356 | 739% | — | 20 |
| CT head without contrastCPT 70450 | $1,788 | $107 | 1674% | — | 20 |
| CT pelvis with contrastCPT 72193 | $2,506 | $179 | 1398% | — | 20 |
| Cardiac arrhythmia, no CC/MCCMS-DRG 310 | $4,548 | $3,269 | 139% | — | 6 |
| Cardiac stress testCPT 93017 | $1,312 | $221 | 595% | — | 20 |
| Cataract surgery with IOL insertionCPT 66984 | $5,266 | $2,358 | 223% | — | 10 |
| Cellulitis, no MCCMS-DRG 603 | $6,997 | $5,675 | 123% | — | 6 |
| Cervical spinal fusion, no CC/MCCMS-DRG 473 | $20,733 | $16,343 | 127% | — | 4 |
| Cesarean section, no CC/MCCMS-DRG 788 | $9,797 | — | — | — | 2 |
| Cesarean section, with CCMS-DRG 787 | $10,508 | — | — | — | 2 |
| Chest painMS-DRG 313 | $5,785 | — | — | — | 6 |
| Colonoscopy with biopsyCPT 45380 | $5,014 | $1,223 | 410% | — | 11 |
| Colonoscopy with endoscopic ultrasoundCPT 45391 | $5,063 | $1,223 | 414% | — | 9 |
| Colonoscopy with polyp removalCPT 45385 | $5,012 | $1,223 | 410% | — | 12 |
| Colonoscopy, diagnosticCPT 45378 | $4,976 | $950 | 524% | — | 12 |
| Complete blood count with differentialCPT 85025 | $13 | $8 | 165% | — | 20 |
| Complete blood count, automatedCPT 85027 | $11 | $6 | 165% | — | 20 |
| Comprehensive metabolic panelCPT 80053 | $17 | $11 | 165% | — | 20 |
| Diagnostic mammography, both breastsCPT 77066 | $211 | — | — | — | 20 |
| Diagnostic mammography, one breastCPT 77065 | $183 | — | — | — | 20 |
| ED visit, level 3CPT 99283 | $1,231 | $279 | 442% | — | 20 |
| ED visit, level 4CPT 99284 | $1,562 | $426 | 366% | — | 20 |
| ED visit, level 5CPT 99285 | $2,207 | $608 | 363% | — | 20 |
| Echocardiogram, completeCPT 93306 | $2,817 | $558 | 505% | — | 20 |
| Electrocardiogram with interpretationCPT 93000 | $22,500 | — | — | — | 3 |
| Epidural injection, lumbar/sacral, no imagingCPT 62322 | $5,068 | $904 | 561% | — | 10 |
| Esophagitis/GI disorders, no MCCMS-DRG 392 | $6,264 | $4,899 | 128% | — | 6 |
| Excision of breast lesionCPT 19120 | $4,287 | $4,000 | 107% | — | 10 |
| Family psychotherapy, with patientCPT 90847 | $4,970 | $181 | 2741% | — | 8 |
| Family psychotherapy, without patientCPT 90846 | $4,970 | $181 | 2741% | — | 8 |
| Group psychotherapyCPT 90853 | $4,960 | $104 | 4779% | — | 8 |
| Heart failure and shock, with CCMS-DRG 292 | $6,821 | $5,927 | 115% | — | 6 |
| Heart failure with MCCMS-DRG 291 | $10,315 | $8,962 | 115% | — | 6 |
| Hip and femur procedures except major joint, with CCMS-DRG 481 | $16,471 | $13,876 | 119% | — | 8 |
| Hysterectomy, no CC/MCCMS-DRG 743 | $9,968 | $10,098 | 99% | — | 6 |
| Inguinal hernia repair, age 5+CPT 49505 | $3,920 | $3,658 | 107% | — | 10 |
| Kidney and urinary tract infections, no MCCMS-DRG 690 | $6,504 | $5,238 | 124% | — | 6 |
| Kidney function panelCPT 80069 | $14 | $9 | 165% | — | 20 |
| Knee arthroscopy with meniscectomyCPT 29881 | $3,583 | $3,343 | 107% | — | 10 |
| Laparoscopic cholecystectomyCPT 47562 | $6,603 | $6,176 | 107% | — | 12 |
| Laparoscopic cholecystectomy, no CC/MCCMS-DRG 419 | $10,974 | $8,977 | 122% | — | 6 |
| Laparoscopic radical prostatectomyCPT 55866 | $11,422 | $10,860 | 105% | — | 11 |
| Left heart catheterization, diagnosticCPT 93452 | $5,398 | $3,312 | 163% | — | 10 |
| Lipid panelCPT 80061 | $22 | $13 | 165% | — | 20 |
| Liver function panelCPT 80076 | $13 | $8 | 165% | — | 20 |
| Lumbar epidural steroid injectionCPT 62323 | $5,044 | $721 | 699% | — | 10 |
| MRI brain with and without contrastCPT 70553 | $2,649 | $356 | 743% | — | 20 |
| MRI lower extremity joint (knee)CPT 73721 | $2,569 | $244 | 1054% | — | 20 |
| MRI lumbar spine without contrastCPT 72148 | $2,544 | $244 | 1043% | — | 20 |
| Major joint replacement (hip/knee), no MCCMS-DRG 470 | $15,891 | $13,045 | 122% | — | 6 |
| Major joint replacement (hip/knee), with MCCMS-DRG 469 | $25,759 | $22,346 | 115% | — | 4 |
| Major small and large bowel procedures, with CCMS-DRG 330 | $19,260 | $16,202 | 119% | — | 6 |
| Medical back problems, no MCCMS-DRG 552 | $7,724 | $6,142 | 126% | — | 6 |
| OB global care, VBAC deliveryCPT 59610 | $14,570 | — | — | — | 2 |
| OB global care, cesarean deliveryCPT 59510 | $14,570 | — | — | — | 2 |
| OB global care, vaginal deliveryCPT 59400 | $14,570 | — | — | — | 2 |
| OB ultrasound, 14+ weeksCPT 76805 | $1,090 | $107 | 1020% | — | 20 |
| Obstetric blood test panelCPT 80055 | $49 | $48 | 103% | — | 9 |
| Office consultation, comprehensiveCPT 99244 | $22,500 | — | — | — | 3 |
| Office consultation, moderateCPT 99243 | $22,500 | — | — | — | 3 |
| Office visit, established patient, level 3CPT 99213 | $204 | — | — | — | 13 |
| Office visit, established patient, level 4CPT 99214 | $230 | — | — | — | 13 |
| Office visit, new patient, level 3CPT 99203 | $208 | — | — | — | 13 |
| Office visit, new patient, level 4CPT 99204 | $237 | — | — | — | 13 |
| Office visit, new patient, level 5CPT 99205 | $302 | — | — | — | 13 |
| PSA (prostate specific antigen), totalCPT 84153 | $30 | $18 | 165% | — | 20 |
| Partial thromboplastin timeCPT 85730 | $10 | $6 | 165% | — | 20 |
| Physical therapy, therapeutic exerciseCPT 97110 | $102 | — | — | — | 20 |
| Preventive visit, new patient, 18-39CPT 99385 | $22,500 | — | — | — | 3 |
| Preventive visit, new patient, 40-64CPT 99386 | $22,500 | — | — | — | 3 |
| Prostate biopsyCPT 55700 | $6,160 | — | — | — | 10 |
| Prothrombin timeCPT 85610 | $7 | $4 | 154% | — | 20 |
| Psychotherapy, 30 minutesCPT 90832 | $4,970 | $181 | 2741% | — | 8 |
| Psychotherapy, 45 minutesCPT 90834 | $4,970 | $181 | 2741% | — | 8 |
| Psychotherapy, 60 minutesCPT 90837 | $4,970 | $181 | 2741% | — | 8 |
| Renal failure, with CCMS-DRG 683 | $7,037 | $5,892 | 119% | — | 6 |
| Screening mammography, bilateralCPT 77067 | $188 | — | — | — | 20 |
| Sepsis with MCCMS-DRG 871 | $15,607 | $13,837 | 113% | — | 6 |
| Shoulder arthroscopy, subacromial decompressionCPT 29826 | $6,640 | — | — | — | 3 |
| Simple pneumonia and pleurisy, with CCMS-DRG 194 | $6,475 | $5,177 | 125% | — | 6 |
| Sleep study (polysomnography)CPT 95810 | $2,763 | $877 | 315% | — | 20 |
| Spinal fusion except cervical, no MCCMS-DRG 460 | $79,729 | $25,413 | 314% | — | 1 |
| Spinal fusion except cervical, with MCCMS-DRG 459 | $176,974 | $51,127 | 346% | — | 1 |
| Stroke (hemorrhage/infarction), no CC/MCCMS-DRG 066 | $5,499 | $3,679 | 149% | — | 6 |
| Stroke (hemorrhage/infarction), with CC or tPAMS-DRG 065 | $8,117 | $6,559 | 124% | — | 6 |
| Thyroid stimulating hormone (TSH)CPT 84443 | $28 | $17 | 165% | — | 20 |
| Tonsillectomy and adenoidectomy, under age 12CPT 42820 | $6,482 | $6,048 | 107% | — | 10 |
| Transforaminal epidural, lumbar/sacralCPT 64483 | $5,068 | $904 | 561% | — | 10 |
| Ultrasound, abdomen, completeCPT 76700 | $1,562 | $107 | 1462% | — | 20 |
| Ultrasound, transvaginalCPT 76830 | $661 | $107 | 619% | — | 20 |
| Upper GI endoscopy with biopsyCPT 43239 | $1,850 | $927 | 200% | — | 20 |
| Upper GI endoscopy, diagnosticCPT 43235 | $5,022 | $927 | 542% | — | 9 |
| Urinalysis, automated, with microscopyCPT 81001 | $5 | $3 | 165% | — | 20 |
| Urinalysis, automated, without microscopyCPT 81003 | $4 | $2 | 157% | — | 20 |
| Urinalysis, manual, with microscopyCPT 81000 | $4 | $4 | 103% | — | 9 |
| Urinalysis, manual, without microscopyCPT 81002 | $5 | $3 | 145% | — | 20 |
| Vaginal delivery, no sterilization, no CC/MCCMS-DRG 807 | $5,697 | — | — | — | 4 |
| Vaginal delivery, no sterilization, with CCMS-DRG 806 | $6,371 | — | — | — | 4 |
| X-ray, lower back, 4+ viewsCPT 72110 | $763 | $107 | 714% | — | 20 |
| YAG laser capsulotomy (secondary cataract)CPT 66821 | $5,022 | $562 | 894% | — | 10 |