| Basic metabolic panelCPT 80048 | $22 | $8 | 257% | — | 3 |
| COPD with MCCMS-DRG 190 | $11,492 | $7,377 | 156% | — | 1 |
| CT abdomen and pelvis with contrastCPT 74177 | $2,314 | $356 | 649% | — | 3 |
| CT head without contrastCPT 70450 | $744 | $107 | 697% | — | 3 |
| CT pelvis with contrastCPT 72193 | $1,184 | $179 | 660% | — | 3 |
| Cardiac arrhythmia, no CC/MCCMS-DRG 310 | $5,410 | $3,269 | 166% | — | 1 |
| Cardiac stress testCPT 93017 | $587 | $221 | 266% | — | 3 |
| Cataract surgery with IOL insertionCPT 66984 | $2,016 | $2,358 | 86% | — | 3 |
| Cellulitis, no MCCMS-DRG 603 | $8,234 | $5,675 | 145% | — | 1 |
| Cesarean section, no CC/MCCMS-DRG 788 | $8,167 | — | — | — | 1 |
| Chest painMS-DRG 313 | $6,799 | — | — | — | 1 |
| Colonoscopy with biopsyCPT 45380 | $528 | $1,223 | 43% | — | 3 |
| Colonoscopy with polyp removalCPT 45385 | $553 | $1,223 | 45% | — | 3 |
| Colonoscopy, diagnosticCPT 45378 | $413 | $950 | 43% | — | 3 |
| Complete blood count with differentialCPT 85025 | $21 | $8 | 275% | — | 3 |
| Complete blood count, automatedCPT 85027 | $16 | $6 | 255% | — | 3 |
| Comprehensive metabolic panelCPT 80053 | $62 | $11 | 586% | — | 3 |
| Diagnostic mammography, both breastsCPT 77066 | $189 | — | — | — | 3 |
| Diagnostic mammography, one breastCPT 77065 | $157 | — | — | — | 3 |
| ED visit, level 3CPT 99283 | $65 | $279 | 23% | — | 3 |
| ED visit, level 4CPT 99284 | $110 | $426 | 26% | — | 3 |
| ED visit, level 5CPT 99285 | $159 | $608 | 26% | — | 3 |
| Echocardiogram, completeCPT 93306 | $1,583 | $558 | 284% | — | 3 |
| Electrocardiogram with interpretationCPT 93000 | $58 | — | — | — | 2 |
| Epidural injection, lumbar/sacral, no imagingCPT 62322 | $175 | $904 | 19% | — | 3 |
| Esophagitis/GI disorders, no MCCMS-DRG 392 | $7,365 | $4,899 | 150% | — | 1 |
| Excision of breast lesionCPT 19120 | $630 | $4,000 | 16% | — | 3 |
| Heart failure and shock, with CCMS-DRG 292 | $7,664 | $5,927 | 129% | — | 1 |
| Heart failure with MCCMS-DRG 291 | $13,792 | $8,962 | 154% | — | 1 |
| Inguinal hernia repair, age 5+CPT 49505 | $765 | $3,658 | 21% | — | 3 |
| Kidney and urinary tract infections, no MCCMS-DRG 690 | $7,702 | $5,238 | 147% | — | 1 |
| Kidney function panelCPT 80069 | $20 | $9 | 233% | — | 3 |
| Knee arthroscopy with meniscectomyCPT 29881 | $687 | $3,343 | 21% | — | 3 |
| Laparoscopic cholecystectomyCPT 47562 | $786 | $6,176 | 13% | — | 3 |
| Laparoscopic cholecystectomy, no CC/MCCMS-DRG 419 | $11,809 | $8,977 | 132% | — | 1 |
| Lipid panelCPT 80061 | $68 | $13 | 504% | — | 3 |
| Liver function panelCPT 80076 | $44 | $8 | 532% | — | 3 |
| Lumbar epidural steroid injectionCPT 62323 | $409 | $721 | 57% | — | 3 |
| MRI brain with and without contrastCPT 70553 | $1,491 | $356 | 418% | — | 3 |
| MRI lower extremity joint (knee)CPT 73721 | $1,895 | $244 | 777% | — | 3 |
| MRI lumbar spine without contrastCPT 72148 | $1,930 | $244 | 792% | — | 3 |
| Major joint replacement (hip/knee), no MCCMS-DRG 470 | $22,152 | $13,045 | 170% | — | 1 |
| Medical back problems, no MCCMS-DRG 552 | $8,373 | $6,142 | 136% | — | 1 |
| OB global care, VBAC deliveryCPT 59610 | $1,817 | — | — | — | 2 |
| OB global care, cesarean deliveryCPT 59510 | $2,985 | — | — | — | 2 |
| OB global care, vaginal deliveryCPT 59400 | $2,806 | — | — | — | 2 |
| Obstetric blood test panelCPT 80055 | $129 | $48 | 271% | — | 3 |
| Office consultation, comprehensiveCPT 99244 | $212 | — | — | — | 3 |
| Office consultation, moderateCPT 99243 | $151 | — | — | — | 3 |
| Office visit, established patient, level 3CPT 99213 | $81 | — | — | — | 3 |
| Office visit, established patient, level 4CPT 99214 | $115 | — | — | — | 3 |
| Office visit, new patient, level 3CPT 99203 | $100 | — | — | — | 3 |
| Office visit, new patient, level 4CPT 99204 | $179 | — | — | — | 3 |
| Office visit, new patient, level 5CPT 99205 | $219 | — | — | — | 3 |
| PSA (prostate specific antigen), totalCPT 84153 | $112 | $18 | 608% | — | 3 |
| Partial thromboplastin timeCPT 85730 | $28 | $6 | 474% | — | 3 |
| Physical therapy, therapeutic exerciseCPT 97110 | $50 | — | — | — | 3 |
| Preventive visit, new patient, 18-39CPT 99385 | $208 | — | — | — | 2 |
| Preventive visit, new patient, 40-64CPT 99386 | $148 | — | — | — | 2 |
| Prostate biopsyCPT 55700 | $228 | — | — | — | 3 |
| Prothrombin timeCPT 85610 | $19 | $4 | 437% | — | 3 |
| Renal failure, with CCMS-DRG 683 | $9,957 | $5,892 | 169% | — | 1 |
| Screening mammography, bilateralCPT 77067 | $108 | — | — | — | 3 |
| Sepsis with MCCMS-DRG 871 | $17,657 | $13,837 | 128% | — | 1 |
| Simple pneumonia and pleurisy, with CCMS-DRG 194 | $9,086 | $5,177 | 176% | — | 1 |
| Sleep study (polysomnography)CPT 95810 | $3,069 | $877 | 350% | — | 3 |
| Stroke (hemorrhage/infarction), no CC/MCCMS-DRG 066 | $8,031 | $3,679 | 218% | — | 1 |
| Stroke (hemorrhage/infarction), with CC or tPAMS-DRG 065 | $11,282 | $6,559 | 172% | — | 1 |
| Thyroid stimulating hormone (TSH)CPT 84443 | $88 | $17 | 523% | — | 3 |
| Tonsillectomy and adenoidectomy, under age 12CPT 42820 | $395 | $6,048 | 7% | — | 3 |
| Ultrasound, abdomen, completeCPT 76700 | $389 | $107 | 365% | — | 3 |
| Ultrasound, transvaginalCPT 76830 | $389 | $107 | 365% | — | 3 |
| Upper GI endoscopy with biopsyCPT 43239 | $458 | $927 | 49% | — | 3 |
| Upper GI endoscopy, diagnosticCPT 43235 | $350 | $927 | 38% | — | 3 |
| Urinalysis, automated, with microscopyCPT 81001 | $16 | $3 | 509% | — | 3 |
| Urinalysis, automated, without microscopyCPT 81003 | $13 | $2 | 567% | — | 3 |
| Urinalysis, manual, without microscopyCPT 81002 | $10 | $3 | 302% | — | 3 |
| Vaginal delivery, no sterilization, no CC/MCCMS-DRG 807 | $5,594 | — | — | — | 1 |
| X-ray, lower back, 4+ viewsCPT 72110 | $351 | $107 | 329% | — | 3 |