| Basic metabolic panelCPT 80048 | $72 | $8 | 853% | — | 13 |
| COPD with MCCMS-DRG 190 | $8,000 | $7,377 | 108% | — | 4 |
| CT abdomen and pelvis with contrastCPT 74177 | $3,104 | $356 | 871% | — | 13 |
| CT head without contrastCPT 70450 | $993 | $107 | 930% | — | 13 |
| CT pelvis with contrastCPT 72193 | $1,965 | $179 | 1097% | — | 13 |
| Cardiac arrhythmia, no CC/MCCMS-DRG 310 | $3,698 | $3,269 | 113% | — | 4 |
| Cardiac stress testCPT 93017 | $1,345 | $221 | 610% | — | 13 |
| Cellulitis, no MCCMS-DRG 603 | $5,913 | $5,675 | 104% | — | 4 |
| Cesarean section, no CC/MCCMS-DRG 788 | $5,701 | — | — | — | 4 |
| Cesarean section, with CCMS-DRG 787 | $6,756 | — | — | — | 4 |
| Chest painMS-DRG 313 | $4,802 | — | — | — | 4 |
| Colonoscopy with biopsyCPT 45380 | $460 | $1,223 | 38% | — | 13 |
| Colonoscopy with polyp removalCPT 45385 | $551 | $1,223 | 45% | — | 13 |
| Colonoscopy, diagnosticCPT 45378 | $408 | $950 | 43% | — | 13 |
| Complete blood count with differentialCPT 85025 | $40 | $8 | 520% | — | 13 |
| Complete blood count, automatedCPT 85027 | $55 | $6 | 850% | — | 13 |
| Comprehensive metabolic panelCPT 80053 | $90 | $11 | 854% | — | 13 |
| Diagnostic mammography, both breastsCPT 77066 | $332 | — | — | — | 13 |
| Diagnostic mammography, one breastCPT 77065 | $260 | — | — | — | 13 |
| ED visit, level 3CPT 99283 | $489 | $279 | 175% | — | 13 |
| ED visit, level 4CPT 99284 | $744 | $426 | 175% | — | 13 |
| ED visit, level 5CPT 99285 | $1,139 | $608 | 187% | — | 13 |
| Echocardiogram, completeCPT 93306 | $2,586 | $558 | 463% | — | 13 |
| Electrocardiogram with interpretationCPT 93000 | $75 | — | — | — | 12 |
| Epidural injection, lumbar/sacral, no imagingCPT 62322 | $125 | $904 | 14% | — | 12 |
| Esophagitis/GI disorders, no MCCMS-DRG 392 | $5,246 | $4,899 | 107% | — | 4 |
| Excision of breast lesionCPT 19120 | $562 | $4,000 | 14% | — | 13 |
| Family psychotherapy, with patientCPT 90847 | $361 | $181 | 199% | — | 13 |
| Family psychotherapy, without patientCPT 90846 | $378 | $181 | 208% | — | 13 |
| Group psychotherapyCPT 90853 | $187 | $104 | 180% | — | 13 |
| Heart failure and shock, with CCMS-DRG 292 | $5,975 | $5,927 | 101% | — | 4 |
| Heart failure with MCCMS-DRG 291 | $9,458 | $8,962 | 106% | — | 4 |
| Hysterectomy, no CC/MCCMS-DRG 743 | $7,341 | $10,098 | 73% | — | 4 |
| Inguinal hernia repair, age 5+CPT 49505 | $644 | $3,658 | 18% | — | 13 |
| Kidney and urinary tract infections, no MCCMS-DRG 690 | $5,676 | $5,238 | 108% | — | 4 |
| Kidney function panelCPT 80069 | $74 | $9 | 851% | — | 13 |
| Knee arthroscopy with meniscectomyCPT 29881 | $708 | $3,343 | 21% | — | 13 |
| Laparoscopic cholecystectomyCPT 47562 | $833 | $6,176 | 13% | — | 13 |
| Lipid panelCPT 80061 | $115 | $13 | 860% | — | 13 |
| Liver function panelCPT 80076 | $70 | $8 | 862% | — | 13 |
| Lumbar epidural steroid injectionCPT 62323 | $146 | $721 | 20% | — | 13 |
| MRI brain with and without contrastCPT 70553 | $3,878 | $356 | 1088% | — | 13 |
| MRI lower extremity joint (knee)CPT 73721 | $2,487 | $244 | 1020% | — | 13 |
| MRI lumbar spine without contrastCPT 72148 | $2,487 | $244 | 1020% | — | 13 |
| Major joint replacement (hip/knee), no MCCMS-DRG 470 | $15,732 | $13,045 | 121% | — | 4 |
| Major small and large bowel procedures, with CCMS-DRG 330 | $16,667 | $16,202 | 103% | — | 4 |
| Medical back problems, no MCCMS-DRG 552 | $6,408 | $6,142 | 104% | — | 4 |
| OB global care, cesarean deliveryCPT 59510 | $3,020 | — | — | — | 13 |
| OB global care, vaginal deliveryCPT 59400 | $3,612 | — | — | — | 12 |
| OB ultrasound, 14+ weeksCPT 76805 | $922 | $107 | 863% | — | 13 |
| Obstetric blood test panelCPT 80055 | $251 | $48 | 526% | — | 13 |
| Office consultation, comprehensiveCPT 99244 | $392 | — | — | — | 12 |
| Office consultation, moderateCPT 99243 | $259 | — | — | — | 12 |
| Office visit, established patient, level 3CPT 99213 | $233 | — | — | — | 13 |
| Office visit, established patient, level 4CPT 99214 | $268 | — | — | — | 13 |
| Office visit, new patient, level 3CPT 99203 | $262 | — | — | — | 12 |
| Office visit, new patient, level 4CPT 99204 | $270 | — | — | — | 12 |
| Office visit, new patient, level 5CPT 99205 | $333 | — | — | — | 12 |
| PSA (prostate specific antigen), totalCPT 84153 | $188 | $18 | 1021% | — | 13 |
| Partial thromboplastin timeCPT 85730 | $52 | $6 | 858% | — | 13 |
| Physical therapy, therapeutic exerciseCPT 97110 | $177 | — | — | — | 13 |
| Preventive visit, new patient, 18-39CPT 99385 | $280 | — | — | — | 12 |
| Preventive visit, new patient, 40-64CPT 99386 | $290 | — | — | — | 12 |
| Prostate biopsyCPT 55700 | $1,165 | — | — | — | 13 |
| Prothrombin timeCPT 85610 | $19 | $4 | 441% | — | 13 |
| Psychotherapy, 30 minutesCPT 90832 | $361 | $181 | 199% | — | 13 |
| Psychotherapy, 45 minutesCPT 90834 | $361 | $181 | 199% | — | 13 |
| Psychotherapy, 60 minutesCPT 90837 | $361 | $181 | 199% | — | 13 |
| Renal failure, with CCMS-DRG 683 | $6,779 | $5,892 | 115% | — | 4 |
| Screening mammography, bilateralCPT 77067 | $260 | — | — | — | 13 |
| Sepsis with MCCMS-DRG 871 | $12,358 | $13,837 | 89% | — | 4 |
| Shoulder arthroscopy, subacromial decompressionCPT 29826 | $222 | — | — | — | 13 |
| Simple pneumonia and pleurisy, with CCMS-DRG 194 | $6,412 | $5,177 | 124% | — | 4 |
| Stroke (hemorrhage/infarction), no CC/MCCMS-DRG 066 | $5,356 | $3,679 | 146% | — | 4 |
| Stroke (hemorrhage/infarction), with CC or tPAMS-DRG 065 | $8,298 | $6,559 | 127% | — | 4 |
| Thyroid stimulating hormone (TSH)CPT 84443 | $146 | $17 | 869% | — | 13 |
| Transforaminal epidural, lumbar/sacralCPT 64483 | $203 | $904 | 22% | — | 13 |
| Ultrasound, abdomen, completeCPT 76700 | $633 | $107 | 593% | — | 13 |
| Ultrasound, transvaginalCPT 76830 | $839 | $107 | 786% | — | 13 |
| Upper GI endoscopy with biopsyCPT 43239 | $317 | $927 | 34% | — | 13 |
| Upper GI endoscopy, diagnosticCPT 43235 | $280 | $927 | 30% | — | 13 |
| Urinalysis, automated, with microscopyCPT 81001 | $28 | $3 | 894% | — | 13 |
| Urinalysis, automated, without microscopyCPT 81003 | $19 | $2 | 840% | — | 13 |
| Urinalysis, manual, with microscopyCPT 81000 | $46 | $4 | 1133% | — | 13 |
| Urinalysis, manual, without microscopyCPT 81002 | $10 | $3 | 284% | — | 13 |
| Vaginal delivery, no sterilization, no CC/MCCMS-DRG 807 | $3,992 | — | — | — | 4 |
| Vaginal delivery, no sterilization, with CCMS-DRG 806 | $5,131 | — | — | — | 4 |
| X-ray, lower back, 4+ viewsCPT 72110 | $653 | $107 | 611% | — | 13 |