| Acute myocardial infarction, discharged alive, with MCCMS-DRG 280 | $8,509 | $15,766 | 54% | — | 1 |
| Bariatric (obesity) surgery, no CC/MCCMS-DRG 621 | $8,509 | $8,272 | 103% | — | 1 |
| Basic metabolic panelCPT 80048 | $14 | $8 | 164% | ~$48 | 8 |
| COPD with MCCMS-DRG 190 | $8,509 | $8,923 | 95% | — | 1 |
| CT abdomen and pelvis with contrastCPT 74177 | $1,257 | $345 | 364% | ~$842 | 7 |
| CT head without contrastCPT 70450 | $560 | $104 | 541% | ~$550 | 6 |
| CT pelvis with contrastCPT 72193 | $346 | $174 | 199% | ~$829 | 3 |
| Cardiac arrhythmia, no CC/MCCMS-DRG 310 | $8,509 | $3,269 | 260% | — | 1 |
| Cardiac stress testCPT 93017 | $230 | $214 | 107% | $421 | 2 |
| Cardiac valve surgery with cardiac cath, with MCCMS-DRG 216 | $8,509 | — | — | — | 1 |
| Cataract surgery with IOL insertionCPT 66984 | $2,565 | $2,285 | 112% | $2,629 | 2 |
| Cellulitis, no MCCMS-DRG 603 | $8,509 | $8,542 | 100% | — | 1 |
| Cervical spinal fusion, no CC/MCCMS-DRG 473 | $8,509 | $16,343 | 52% | — | 1 |
| Cesarean section, no CC/MCCMS-DRG 788 | $8,509 | — | — | — | 1 |
| Cesarean section, with CCMS-DRG 787 | $8,509 | — | — | — | 1 |
| Chest painMS-DRG 313 | $8,509 | — | — | — | 1 |
| Colonoscopy with biopsyCPT 45380 | $1,385 | $1,185 | 117% | $1,105 | 2 |
| Colonoscopy with endoscopic ultrasoundCPT 45391 | $1,307 | $1,185 | 110% | $1,440 | 2 |
| Colonoscopy with polyp removalCPT 45385 | $1,517 | $1,185 | 128% | $1,105 | 4 |
| Colonoscopy, diagnosticCPT 45378 | $1,837 | $921 | 200% | $1,105 | 5 |
| Complete blood count with differentialCPT 85025 | $16 | $8 | 200% | ~$35 | 7 |
| Complete blood count, automatedCPT 85027 | $11 | $6 | 164% | ~$22 | 8 |
| Comprehensive metabolic panelCPT 80053 | $17 | $11 | 164% | ~$15 | 8 |
| Coronary bypass without cardiac cath, no MCCMS-DRG 236 | $8,509 | $29,950 | 28% | — | 1 |
| Diagnostic mammography, both breastsCPT 77066 | $125 | — | — | ~$120 | 2 |
| Diagnostic mammography, one breastCPT 77065 | $126 | — | — | ~$94 | 2 |
| ED visit, level 3CPT 99283 | $375 | $270 | 139% | $212 | 7 |
| ED visit, level 4CPT 99284 | $607 | $413 | 147% | $343 | 7 |
| ED visit, level 5CPT 99285 | $962 | $590 | 163% | $500 | 6 |
| Echocardiogram, completeCPT 93306 | $1,191 | $541 | 220% | $784 | 6 |
| Epidural injection, lumbar/sacral, no imagingCPT 62322 | $143 | $876 | 16% | $353 | 3 |
| Esophagitis/GI disorders, no MCCMS-DRG 392 | $8,509 | $7,964 | 107% | — | 1 |
| Excision of breast lesionCPT 19120 | $395 | $3,876 | 10% | $2,251 | 3 |
| Family psychotherapy, with patientCPT 90847 | $105 | $176 | 60% | $80 | 3 |
| Family psychotherapy, without patientCPT 90846 | $95 | $176 | 54% | $80 | 3 |
| Group psychotherapyCPT 90853 | $46 | $101 | 46% | $103 | 3 |
| Heart failure and shock, with CCMS-DRG 292 | $8,509 | $5,927 | 144% | — | 1 |
| Heart failure with MCCMS-DRG 291 | $8,509 | $12,898 | 66% | — | 1 |
| Hip and femur procedures except major joint, with CCMS-DRG 481 | $8,509 | $18,965 | 45% | — | 1 |
| Hysterectomy, no CC/MCCMS-DRG 743 | $8,509 | $10,098 | 84% | — | 1 |
| Inguinal hernia repair, age 5+CPT 49505 | $3,756 | $3,544 | 106% | $3,546 | 2 |
| Kidney and urinary tract infections, no MCCMS-DRG 690 | $8,509 | $8,038 | 106% | — | 1 |
| Kidney function panelCPT 80069 | $14 | $9 | 165% | ~$12 | 4 |
| Knee arthroscopy with meniscectomyCPT 29881 | $6,447 | $3,239 | 199% | $1,629 | 1 |
| Laparoscopic cholecystectomyCPT 47562 | $6,267 | $5,985 | 105% | $7,966 | 2 |
| Laparoscopic cholecystectomy, no CC/MCCMS-DRG 419 | $8,509 | $8,977 | 95% | — | 1 |
| Laparoscopic radical prostatectomyCPT 55866 | $11,134 | $10,523 | 106% | $8,329 | 2 |
| Left heart catheterization, diagnosticCPT 93452 | $3,585 | $3,209 | 112% | $2,872 | 2 |
| Lipid panelCPT 80061 | $21 | $13 | 159% | ~$41 | 8 |
| Liver function panelCPT 80076 | $16 | $8 | 200% | ~$40 | 7 |
| Lumbar epidural steroid injectionCPT 62323 | $222 | $699 | 32% | $609 | 3 |
| MRI brain with and without contrastCPT 70553 | $1,157 | $345 | 335% | ~$1,428 | 6 |
| MRI lower extremity joint (knee)CPT 73721 | $731 | $236 | 309% | ~$561 | 4 |
| MRI lumbar spine without contrastCPT 72148 | $470 | $236 | 199% | ~$1,030 | 5 |
| Major joint replacement (hip/knee), no MCCMS-DRG 470 | $8,509 | $13,045 | 65% | — | 1 |
| Major joint replacement (hip/knee), with MCCMS-DRG 469 | $8,509 | $22,346 | 38% | — | 1 |
| Major small and large bowel procedures, with CCMS-DRG 330 | $8,509 | $20,610 | 41% | — | 1 |
| Medical back problems, no MCCMS-DRG 552 | $8,509 | $9,047 | 94% | — | 1 |
| OB ultrasound, 14+ weeksCPT 76805 | $206 | $104 | 199% | ~$199 | 3 |
| Office visit, established patient, level 3CPT 99213 | $82 | — | — | $72 | 4 |
| Office visit, established patient, level 4CPT 99214 | $112 | — | — | $82 | 4 |
| PSA (prostate specific antigen), totalCPT 84153 | $37 | $18 | 200% | ~$74 | 7 |
| Partial thromboplastin timeCPT 85730 | $23 | $6 | 386% | ~$21 | 6 |
| Physical therapy, therapeutic exerciseCPT 97110 | $79 | — | — | $87 | 7 |
| Prostate biopsyCPT 55700 | $123 | — | — | $590 | 2 |
| Prothrombin timeCPT 85610 | $8 | $4 | 185% | ~$13 | 7 |
| Psychotherapy, 30 minutesCPT 90832 | $350 | $176 | 199% | $59 | 1 |
| Psychotherapy, 45 minutesCPT 90834 | $198 | $176 | 113% | $81 | 2 |
| Psychotherapy, 60 minutesCPT 90837 | $198 | $176 | 113% | $99 | 2 |
| Renal failure, with CCMS-DRG 683 | $8,509 | $9,945 | 86% | — | 1 |
| Screening mammography, bilateralCPT 77067 | $165 | — | — | ~$99 | 6 |
| Sepsis with MCCMS-DRG 871 | $8,509 | $19,520 | 44% | — | 1 |
| Shoulder arthroscopy, subacromial decompressionCPT 29826 | $298 | — | — | $1,903 | 1 |
| Simple pneumonia and pleurisy, with CCMS-DRG 194 | $8,509 | $5,177 | 164% | — | 1 |
| Sleep study (polysomnography)CPT 95810 | $1,065 | $850 | 125% | $1,914 | 2 |
| Stroke (hemorrhage/infarction), no CC/MCCMS-DRG 066 | $8,509 | $3,679 | 231% | — | 1 |
| Stroke (hemorrhage/infarction), with CC or tPAMS-DRG 065 | $8,509 | $10,045 | 85% | — | 1 |
| Thyroid stimulating hormone (TSH)CPT 84443 | $28 | $17 | 165% | ~$56 | 8 |
| Tonsillectomy and adenoidectomy, under age 12CPT 42820 | $5,963 | $5,860 | 102% | $3,387 | 2 |
| Transforaminal epidural, lumbar/sacralCPT 64483 | $201 | $876 | 23% | $368 | 3 |
| Ultrasound, abdomen, completeCPT 76700 | $206 | $104 | 199% | ~$295 | 3 |
| Ultrasound, transvaginalCPT 76830 | $270 | $104 | 261% | ~$201 | 4 |
| Upper GI endoscopy with biopsyCPT 43239 | $1,627 | $898 | 181% | $934 | 5 |
| Upper GI endoscopy, diagnosticCPT 43235 | $1,026 | $898 | 114% | $858 | 2 |
| Urinalysis, automated, with microscopyCPT 81001 | $6 | $3 | 200% | ~$13 | 7 |
| Urinalysis, automated, without microscopyCPT 81003 | $4 | $2 | 164% | ~$10 | 2 |
| Urinalysis, manual, with microscopyCPT 81000 | $6 | $4 | 151% | ~$13 | 2 |
| Urinalysis, manual, without microscopyCPT 81002 | $9 | $3 | 264% | ~$7 | 6 |
| Vaginal delivery, no sterilization, no CC/MCCMS-DRG 807 | $8,509 | — | — | — | 1 |
| Vaginal delivery, no sterilization, with CCMS-DRG 806 | $8,509 | — | — | — | 1 |
| X-ray, lower back, 4+ viewsCPT 72110 | $206 | $104 | 199% | ~$194 | 5 |
| YAG laser capsulotomy (secondary cataract)CPT 66821 | $235 | $544 | 43% | $524 | 3 |