| Acute myocardial infarction, discharged alive, with MCCMS-DRG 280 | $11,229 | $11,217 | 100% | — | 3 |
| Basic metabolic panelCPT 80048 | $254 | $8 | 3003% | — | 15 |
| COPD with MCCMS-DRG 190 | $7,754 | $7,377 | 105% | — | 3 |
| CT abdomen and pelvis with contrastCPT 74177 | $6,563 | $356 | 1841% | — | 15 |
| CT head without contrastCPT 70450 | $2,740 | $107 | 2566% | — | 15 |
| CT pelvis with contrastCPT 72193 | $3,192 | $179 | 1781% | — | 15 |
| Cardiac arrhythmia, no CC/MCCMS-DRG 310 | $3,963 | $3,269 | 121% | — | 3 |
| Cardiac stress testCPT 93017 | $1,523 | $221 | 690% | — | 15 |
| Cellulitis, no MCCMS-DRG 603 | $6,096 | $5,675 | 107% | — | 3 |
| Cervical spinal fusion, no CC/MCCMS-DRG 473 | $17,089 | $16,343 | 105% | — | 3 |
| Cesarean section, no CC/MCCMS-DRG 788 | $6,712 | — | — | — | 5 |
| Cesarean section, with CCMS-DRG 787 | $7,818 | — | — | — | 5 |
| Chest painMS-DRG 313 | $5,040 | — | — | — | 3 |
| Colonoscopy with biopsyCPT 45380 | $1,027 | $1,223 | 84% | — | 14 |
| Colonoscopy with polyp removalCPT 45385 | $1,220 | $1,223 | 100% | — | 14 |
| Colonoscopy, diagnosticCPT 45378 | $895 | $950 | 94% | — | 14 |
| Complete blood count with differentialCPT 85025 | $173 | $8 | 2227% | — | 15 |
| Complete blood count, automatedCPT 85027 | $127 | $6 | 1963% | — | 15 |
| Comprehensive metabolic panelCPT 80053 | $387 | $11 | 3664% | — | 15 |
| Diagnostic mammography, both breastsCPT 77066 | $775 | — | — | — | 15 |
| Diagnostic mammography, one breastCPT 77065 | $582 | — | — | — | 15 |
| ED visit, level 3CPT 99283 | $1,201 | $279 | 431% | — | 15 |
| ED visit, level 4CPT 99284 | $2,237 | $426 | 525% | — | 15 |
| ED visit, level 5CPT 99285 | $3,219 | $608 | 529% | — | 15 |
| Echocardiogram, completeCPT 93306 | $3,557 | $558 | 637% | — | 15 |
| Electrocardiogram with interpretationCPT 93000 | $70 | — | — | — | 15 |
| Epidural injection, lumbar/sacral, no imagingCPT 62322 | $1,916 | $904 | 212% | — | 15 |
| Esophagitis/GI disorders, no MCCMS-DRG 392 | $5,457 | $4,899 | 111% | — | 3 |
| Excision of breast lesionCPT 19120 | $723 | $4,000 | 18% | — | 15 |
| Family psychotherapy, with patientCPT 90847 | $160 | $181 | 88% | — | 15 |
| Family psychotherapy, without patientCPT 90846 | $155 | $181 | 85% | — | 15 |
| Heart failure and shock, with CCMS-DRG 292 | $5,943 | $5,927 | 100% | — | 3 |
| Heart failure with MCCMS-DRG 291 | $8,987 | $8,962 | 100% | — | 3 |
| Hip and femur procedures except major joint, with CCMS-DRG 481 | $14,662 | $13,876 | 106% | — | 3 |
| Hysterectomy, no CC/MCCMS-DRG 743 | $8,685 | $10,098 | 86% | — | 3 |
| Inguinal hernia repair, age 5+CPT 49505 | $1,437 | $3,658 | 39% | — | 14 |
| Kidney and urinary tract infections, no MCCMS-DRG 690 | $5,666 | $5,238 | 108% | — | 3 |
| Kidney function panelCPT 80069 | $231 | $9 | 2666% | — | 15 |
| Knee arthroscopy with meniscectomyCPT 29881 | $5,102 | $3,343 | 153% | — | 15 |
| Laparoscopic cholecystectomyCPT 47562 | $2,146 | $6,176 | 35% | — | 14 |
| Laparoscopic cholecystectomy, no CC/MCCMS-DRG 419 | $9,561 | $8,977 | 107% | — | 3 |
| Left heart catheterization, diagnosticCPT 93452 | $459 | $3,312 | 14% | — | 14 |
| Lipid panelCPT 80061 | $300 | $13 | 2241% | — | 15 |
| Liver function panelCPT 80076 | $245 | $8 | 2993% | — | 15 |
| Lumbar epidural steroid injectionCPT 62323 | $1,916 | $721 | 266% | — | 15 |
| MRI brain with and without contrastCPT 70553 | $6,196 | $356 | 1738% | — | 15 |
| MRI lower extremity joint (knee)CPT 73721 | $3,684 | $244 | 1511% | — | 15 |
| MRI lumbar spine without contrastCPT 72148 | $3,835 | $244 | 1573% | — | 15 |
| Major joint replacement (hip/knee), no MCCMS-DRG 470 | $13,502 | $13,045 | 104% | — | 3 |
| Major joint replacement (hip/knee), with MCCMS-DRG 469 | $21,232 | $22,346 | 95% | — | 3 |
| Major small and large bowel procedures, with CCMS-DRG 330 | $16,780 | $16,202 | 104% | — | 3 |
| Medical back problems, no MCCMS-DRG 552 | $6,729 | $6,142 | 110% | — | 3 |
| OB global care, VBAC deliveryCPT 59610 | $3,089 | — | — | — | 14 |
| OB global care, cesarean deliveryCPT 59510 | $3,550 | — | — | — | 14 |
| OB global care, vaginal deliveryCPT 59400 | $3,200 | — | — | — | 14 |
| OB ultrasound, 14+ weeksCPT 76805 | $739 | $107 | 692% | — | 15 |
| Office consultation, comprehensiveCPT 99244 | $177 | — | — | — | 15 |
| Office consultation, moderateCPT 99243 | $123 | — | — | — | 15 |
| Office visit, established patient, level 3CPT 99213 | $130 | — | — | — | 15 |
| Office visit, established patient, level 4CPT 99214 | $131 | — | — | — | 15 |
| Office visit, new patient, level 3CPT 99203 | $156 | — | — | — | 15 |
| Office visit, new patient, level 4CPT 99204 | $192 | — | — | — | 15 |
| Office visit, new patient, level 5CPT 99205 | $234 | — | — | — | 15 |
| PSA (prostate specific antigen), totalCPT 84153 | $229 | $18 | 1246% | — | 15 |
| Partial thromboplastin timeCPT 85730 | $109 | $6 | 1810% | — | 15 |
| Physical therapy, therapeutic exerciseCPT 97110 | $210 | — | — | — | 15 |
| Preventive visit, new patient, 18-39CPT 99385 | $100 | — | — | — | 15 |
| Preventive visit, new patient, 40-64CPT 99386 | $186 | — | — | — | 14 |
| Prothrombin timeCPT 85610 | $77 | $4 | 1804% | — | 15 |
| Psychotherapy, 30 minutesCPT 90832 | $89 | $181 | 49% | — | 15 |
| Psychotherapy, 45 minutesCPT 90834 | $119 | $181 | 66% | — | 15 |
| Psychotherapy, 60 minutesCPT 90837 | $178 | $181 | 98% | — | 15 |
| Renal failure, with CCMS-DRG 683 | $6,131 | $5,892 | 104% | — | 3 |
| Screening mammography, bilateralCPT 77067 | $533 | — | — | — | 15 |
| Sepsis with MCCMS-DRG 871 | $13,598 | $13,837 | 98% | — | 3 |
| Shoulder arthroscopy, subacromial decompressionCPT 29826 | $5,267 | — | — | — | 14 |
| Simple pneumonia and pleurisy, with CCMS-DRG 194 | $5,641 | $5,177 | 109% | — | 3 |
| Sleep study (polysomnography)CPT 95810 | $3,106 | $877 | 354% | — | 15 |
| Spinal fusion except cervical, no MCCMS-DRG 460 | $25,605 | $25,413 | 101% | — | 3 |
| Stroke (hemorrhage/infarction), no CC/MCCMS-DRG 066 | $4,791 | $3,679 | 130% | — | 3 |
| Stroke (hemorrhage/infarction), with CC or tPAMS-DRG 065 | $7,072 | $6,559 | 108% | — | 3 |
| Thyroid stimulating hormone (TSH)CPT 84443 | $243 | $17 | 1447% | — | 15 |
| Transforaminal epidural, lumbar/sacralCPT 64483 | $1,916 | $904 | 212% | — | 15 |
| Ultrasound, abdomen, completeCPT 76700 | $1,708 | $107 | 1599% | — | 15 |
| Ultrasound, transvaginalCPT 76830 | $691 | $107 | 647% | — | 15 |
| Upper GI endoscopy with biopsyCPT 43239 | $790 | $927 | 85% | — | 14 |
| Upper GI endoscopy, diagnosticCPT 43235 | $2,503 | $927 | 270% | — | 15 |
| Urinalysis, automated, with microscopyCPT 81001 | $100 | $3 | 3155% | — | 15 |
| Urinalysis, automated, without microscopyCPT 81003 | $82 | $2 | 3666% | — | 15 |
| Urinalysis, manual, without microscopyCPT 81002 | $76 | $3 | 2182% | — | 15 |
| Vaginal delivery, no sterilization, no CC/MCCMS-DRG 807 | $4,357 | — | — | — | 5 |
| Vaginal delivery, no sterilization, with CCMS-DRG 806 | $4,872 | — | — | — | 5 |
| X-ray, lower back, 4+ viewsCPT 72110 | $969 | $107 | 908% | — | 15 |