| Acute myocardial infarction, discharged alive, with MCCMS-DRG 280 | $12,754 | $11,217 | 114% | — | 2 |
| Basic metabolic panelCPT 80048 | $111 | $8 | 1316% | — | 6 |
| CT abdomen and pelvis with contrastCPT 74177 | $2,500 | $356 | 701% | — | 6 |
| CT head without contrastCPT 70450 | $2,500 | $107 | 2340% | — | 6 |
| CT pelvis with contrastCPT 72193 | $2,500 | $179 | 1395% | — | 6 |
| Cardiac arrhythmia, no CC/MCCMS-DRG 310 | $4,363 | $3,269 | 133% | — | 2 |
| Cardiac stress testCPT 93017 | $1,012 | $221 | 459% | — | 6 |
| Cellulitis, no MCCMS-DRG 603 | $6,673 | $5,675 | 118% | — | 2 |
| Colonoscopy with biopsyCPT 45380 | $183 | $1,223 | 15% | — | 1 |
| Colonoscopy with endoscopic ultrasoundCPT 45391 | $234 | $1,223 | 19% | — | 1 |
| Colonoscopy with polyp removalCPT 45385 | $230 | $1,223 | 19% | — | 1 |
| Colonoscopy, diagnosticCPT 45378 | $169 | $950 | 18% | — | 1 |
| Complete blood count with differentialCPT 85025 | $18 | $8 | 238% | — | 6 |
| Complete blood count, automatedCPT 85027 | $86 | $6 | 1330% | — | 6 |
| Comprehensive metabolic panelCPT 80053 | $190 | $11 | 1798% | — | 6 |
| Diagnostic mammography, both breastsCPT 77066 | $681 | — | — | — | 6 |
| Diagnostic mammography, one breastCPT 77065 | $546 | — | — | — | 6 |
| ED visit, level 3CPT 99283 | $759 | $279 | 272% | — | 6 |
| ED visit, level 4CPT 99284 | $1,269 | $426 | 298% | — | 6 |
| ED visit, level 5CPT 99285 | $1,780 | $608 | 293% | — | 6 |
| Echocardiogram, completeCPT 93306 | $1,510 | $558 | 271% | — | 6 |
| Electrocardiogram with interpretationCPT 93000 | $16 | — | — | — | 1 |
| Epidural injection, lumbar/sacral, no imagingCPT 62322 | $1,352 | $904 | 150% | — | 6 |
| Esophagitis/GI disorders, no MCCMS-DRG 392 | $5,971 | $4,899 | 122% | — | 2 |
| Excision of breast lesionCPT 19120 | $3,543 | $4,000 | 89% | — | 6 |
| Family psychotherapy, with patientCPT 90847 | $250 | $181 | 138% | — | 6 |
| Family psychotherapy, without patientCPT 90846 | $478 | $181 | 264% | — | 6 |
| Group psychotherapyCPT 90853 | $728 | $104 | 701% | — | 6 |
| Heart failure and shock, with CCMS-DRG 292 | $6,345 | $5,927 | 107% | — | 2 |
| Heart failure with MCCMS-DRG 291 | $10,666 | $8,962 | 119% | — | 2 |
| Hysterectomy, no CC/MCCMS-DRG 743 | $8,962 | $10,098 | 89% | — | 2 |
| Inguinal hernia repair, age 5+CPT 49505 | $502 | $3,658 | 14% | — | 1 |
| Kidney and urinary tract infections, no MCCMS-DRG 690 | $6,224 | $5,238 | 119% | — | 2 |
| Kidney function panelCPT 80069 | $72 | $9 | 824% | — | 6 |
| Knee arthroscopy with meniscectomyCPT 29881 | $516 | $3,343 | 15% | — | 1 |
| Laparoscopic cholecystectomyCPT 47562 | $625 | $6,176 | 10% | — | 1 |
| Left heart catheterization, diagnosticCPT 93452 | $15,083 | $3,312 | 455% | — | 6 |
| Lipid panelCPT 80061 | $167 | $13 | 1247% | — | 6 |
| Liver function panelCPT 80076 | $132 | $8 | 1617% | — | 6 |
| Lumbar epidural steroid injectionCPT 62323 | $1,476 | $721 | 205% | — | 6 |
| MRI brain with and without contrastCPT 70553 | $5,233 | $356 | 1468% | — | 6 |
| MRI lower extremity joint (knee)CPT 73721 | $3,623 | $244 | 1486% | — | 6 |
| MRI lumbar spine without contrastCPT 72148 | $2,444 | $244 | 1003% | — | 6 |
| Medical back problems, no MCCMS-DRG 552 | $7,051 | $6,142 | 115% | — | 2 |
| OB global care, VBAC deliveryCPT 59610 | $2,271 | — | — | — | 1 |
| OB global care, cesarean deliveryCPT 59510 | $2,413 | — | — | — | 1 |
| OB global care, vaginal deliveryCPT 59400 | $2,178 | — | — | — | 1 |
| OB ultrasound, 14+ weeksCPT 76805 | $318 | $107 | 298% | — | 6 |
| Obstetric blood test panelCPT 80055 | $231 | $48 | 484% | — | 6 |
| Office consultation, comprehensiveCPT 99244 | $324 | — | — | — | 6 |
| Office consultation, moderateCPT 99243 | $238 | — | — | — | 6 |
| Office visit, established patient, level 3CPT 99213 | $161 | — | — | — | 6 |
| Office visit, established patient, level 4CPT 99214 | $180 | — | — | — | 6 |
| Office visit, new patient, level 3CPT 99203 | $180 | — | — | — | 6 |
| Office visit, new patient, level 4CPT 99204 | $274 | — | — | — | 6 |
| Office visit, new patient, level 5CPT 99205 | $330 | — | — | — | 6 |
| PSA (prostate specific antigen), totalCPT 84153 | $167 | $18 | 907% | — | 6 |
| Partial thromboplastin timeCPT 85730 | $23 | $6 | 389% | — | 6 |
| Physical therapy, therapeutic exerciseCPT 97110 | $125 | — | — | — | 6 |
| Prothrombin timeCPT 85610 | $15 | $4 | 349% | — | 6 |
| Psychotherapy, 30 minutesCPT 90832 | $208 | $181 | 115% | — | 6 |
| Psychotherapy, 45 minutesCPT 90834 | $218 | $181 | 120% | — | 6 |
| Psychotherapy, 60 minutesCPT 90837 | $240 | $181 | 132% | — | 6 |
| Renal failure, with CCMS-DRG 683 | $7,611 | $5,892 | 129% | — | 2 |
| Screening mammography, bilateralCPT 77067 | $309 | — | — | — | 6 |
| Sepsis with MCCMS-DRG 871 | $14,572 | $13,837 | 105% | — | 2 |
| Shoulder arthroscopy, subacromial decompressionCPT 29826 | $149 | — | — | — | 1 |
| Simple pneumonia and pleurisy, with CCMS-DRG 194 | $6,969 | $5,177 | 135% | — | 2 |
| Sleep study (polysomnography)CPT 95810 | $4,781 | $877 | 545% | — | 6 |
| Stroke (hemorrhage/infarction), no CC/MCCMS-DRG 066 | $6,551 | $3,679 | 178% | — | 2 |
| Stroke (hemorrhage/infarction), with CC or tPAMS-DRG 065 | $8,687 | $6,559 | 132% | — | 2 |
| Thyroid stimulating hormone (TSH)CPT 84443 | $98 | $17 | 580% | — | 6 |
| Tonsillectomy and adenoidectomy, under age 12CPT 42820 | $265 | $6,048 | 4% | — | 1 |
| Transforaminal epidural, lumbar/sacralCPT 64483 | $1,902 | $904 | 210% | — | 6 |
| Ultrasound, abdomen, completeCPT 76700 | $1,557 | $107 | 1457% | — | 6 |
| Ultrasound, transvaginalCPT 76830 | $518 | $107 | 485% | — | 6 |
| Upper GI endoscopy with biopsyCPT 43239 | $127 | $927 | 14% | — | 1 |
| Upper GI endoscopy, diagnosticCPT 43235 | $114 | $927 | 12% | — | 1 |
| Urinalysis, automated, with microscopyCPT 81001 | $43 | $3 | 1357% | — | 6 |
| Urinalysis, automated, without microscopyCPT 81003 | $33 | $2 | 1460% | — | 6 |
| Urinalysis, manual, without microscopyCPT 81002 | $10 | $3 | 279% | — | 6 |
| X-ray, lower back, 4+ viewsCPT 72110 | $937 | $107 | 877% | — | 6 |