| Acute myocardial infarction, discharged alive, with MCCMS-DRG 280 | $12,632 | $11,217 | 113% | — | 5 |
| Bariatric (obesity) surgery, no CC/MCCMS-DRG 621 | $9,575 | $8,272 | 116% | — | 5 |
| Basic metabolic panelCPT 80048 | $243 | $8 | 2867% | ~$144 | 18 |
| COPD with MCCMS-DRG 190 | $7,356 | $7,377 | 100% | — | 5 |
| CT abdomen and pelvis with contrastCPT 74177 | $5,091 | $345 | 1474% | ~$3,022 | 18 |
| CT head without contrastCPT 70450 | $2,247 | $104 | 2171% | ~$1,334 | 18 |
| CT pelvis with contrastCPT 72193 | $2,530 | $174 | 1457% | ~$1,502 | 18 |
| Cardiac arrhythmia, no CC/MCCMS-DRG 310 | $3,665 | $3,269 | 112% | — | 5 |
| Cardiac stress testCPT 93017 | $497 | $214 | 232% | $280 | 18 |
| Cardiac valve surgery with cardiac cath, with MCCMS-DRG 216 | $63,215 | — | — | — | 5 |
| Cataract surgery with IOL insertionCPT 66984 | $1,429 | $2,285 | 63% | $730 | 17 |
| Cellulitis, no MCCMS-DRG 603 | $5,769 | $5,675 | 102% | — | 5 |
| Cervical spinal fusion, no CC/MCCMS-DRG 473 | $15,506 | $16,343 | 95% | — | 5 |
| Cesarean section, no CC/MCCMS-DRG 788 | $5,926 | — | — | — | 5 |
| Cesarean section, with CCMS-DRG 787 | $6,955 | — | — | — | 5 |
| Chest painMS-DRG 313 | $4,673 | — | — | — | 5 |
| Colonoscopy with biopsyCPT 45380 | $576 | $1,185 | 49% | $294 | 17 |
| Colonoscopy with endoscopic ultrasoundCPT 45391 | $625 | $1,185 | 53% | $319 | 17 |
| Colonoscopy with polyp removalCPT 45385 | $733 | $1,185 | 62% | $374 | 17 |
| Colonoscopy, diagnosticCPT 45378 | $533 | $921 | 58% | $272 | 17 |
| Complete blood count, automatedCPT 85027 | $59 | $6 | 910% | ~$35 | 18 |
| Comprehensive metabolic panelCPT 80053 | $317 | $11 | 3002% | ~$188 | 18 |
| Coronary bypass without cardiac cath, no MCCMS-DRG 236 | $27,372 | $29,950 | 91% | — | 5 |
| Diagnostic mammography, both breastsCPT 77066 | $555 | — | — | ~$319 | 17 |
| Diagnostic mammography, one breastCPT 77065 | $434 | — | — | ~$249 | 17 |
| ED visit, level 3CPT 99283 | $454 | $270 | 168% | $279 | 17 |
| ED visit, level 4CPT 99284 | $769 | $413 | 186% | $472 | 17 |
| ED visit, level 5CPT 99285 | $1,785 | $590 | 303% | $1,095 | 17 |
| Echocardiogram, completeCPT 93306 | $2,637 | $541 | 487% | $1,565 | 18 |
| Electrocardiogram with interpretationCPT 93000 | $394 | — | — | $213 | 15 |
| Epidural injection, lumbar/sacral, no imagingCPT 62322 | $767 | $876 | 88% | $392 | 17 |
| Esophagitis/GI disorders, no MCCMS-DRG 392 | $5,111 | $4,899 | 104% | — | 5 |
| Excision of breast lesionCPT 19120 | $1,379 | $3,876 | 36% | $705 | 17 |
| Family psychotherapy, with patientCPT 90847 | $261 | $176 | 149% | $159 | 18 |
| Family psychotherapy, without patientCPT 90846 | $256 | $176 | 146% | $153 | 18 |
| Group psychotherapyCPT 90853 | $74 | $101 | 73% | $38 | 18 |
| Heart failure and shock, with CCMS-DRG 292 | $5,641 | $5,927 | 95% | — | 5 |
| Heart failure with MCCMS-DRG 291 | $8,546 | $11,321 | 75% | — | 5 |
| Hip and femur procedures except major joint, with CCMS-DRG 481 | $13,591 | $13,876 | 98% | — | 5 |
| Hysterectomy, no CC/MCCMS-DRG 743 | $7,851 | $10,098 | 78% | — | 5 |
| Inguinal hernia repair, age 5+CPT 49505 | $978 | $3,544 | 28% | $500 | 17 |
| Kidney and urinary tract infections, no MCCMS-DRG 690 | $5,257 | $5,238 | 100% | — | 5 |
| Kidney function panelCPT 80069 | $239 | $9 | 2750% | ~$142 | 18 |
| Knee arthroscopy with meniscectomyCPT 29881 | $996 | $3,239 | 31% | $509 | 17 |
| Laparoscopic cholecystectomyCPT 47562 | $1,895 | $5,985 | 32% | $969 | 17 |
| Laparoscopic cholecystectomy, no CC/MCCMS-DRG 419 | $8,630 | $8,977 | 96% | — | 5 |
| Laparoscopic radical prostatectomyCPT 55866 | $2,574 | $10,523 | 24% | $1,316 | 17 |
| Lipid panelCPT 80061 | $195 | $13 | 1459% | ~$116 | 18 |
| Liver function panelCPT 80076 | $232 | $8 | 2846% | ~$138 | 18 |
| Lumbar epidural steroid injectionCPT 62323 | $760 | $699 | 109% | $392 | 17 |
| MRI brain with and without contrastCPT 70553 | $4,650 | $345 | 1346% | ~$2,760 | 18 |
| MRI lower extremity joint (knee)CPT 73721 | $3,146 | $236 | 1332% | ~$1,868 | 18 |
| MRI lumbar spine without contrastCPT 72148 | $3,389 | $236 | 1435% | ~$2,011 | 18 |
| Major joint replacement (hip/knee), no MCCMS-DRG 470 | $14,188 | $13,045 | 109% | — | 5 |
| Major joint replacement (hip/knee), with MCCMS-DRG 469 | $21,410 | $22,346 | 96% | — | 5 |
| Major small and large bowel procedures, with CCMS-DRG 330 | $15,482 | $16,202 | 96% | — | 5 |
| Medical back problems, no MCCMS-DRG 552 | $6,313 | $6,142 | 103% | — | 5 |
| OB ultrasound, 14+ weeksCPT 76805 | $949 | $104 | 917% | ~$563 | 18 |
| Office consultation, comprehensiveCPT 99244 | $347 | — | — | $188 | 15 |
| Office consultation, moderateCPT 99243 | $265 | — | — | $144 | 15 |
| Office visit, established patient, level 3CPT 99213 | $215 | — | — | $120 | 14 |
| Office visit, established patient, level 4CPT 99214 | $305 | — | — | $170 | 14 |
| Office visit, new patient, level 3CPT 99203 | $269 | — | — | $150 | 14 |
| Office visit, new patient, level 4CPT 99204 | $400 | — | — | $223 | 14 |
| Office visit, new patient, level 5CPT 99205 | $529 | — | — | $295 | 14 |
| PSA (prostate specific antigen), totalCPT 84153 | $167 | $18 | 910% | ~$99 | 18 |
| Partial thromboplastin timeCPT 85730 | $115 | $6 | 1921% | ~$69 | 18 |
| Physical therapy, therapeutic exerciseCPT 97110 | $151 | — | — | $87 | 17 |
| Preventive visit, new patient, 18-39CPT 99385 | $257 | — | — | $153 | 16 |
| Preventive visit, new patient, 40-64CPT 99386 | $299 | — | — | $167 | 14 |
| Prostate biopsyCPT 55700 | $523 | — | — | $267 | 17 |
| Prothrombin timeCPT 85610 | $43 | $4 | 993% | ~$25 | 18 |
| Psychotherapy, 30 minutesCPT 90832 | $171 | $176 | 97% | $91 | 17 |
| Psychotherapy, 45 minutesCPT 90834 | $208 | $176 | 118% | $119 | 17 |
| Psychotherapy, 60 minutesCPT 90837 | $294 | $176 | 167% | $180 | 17 |
| Renal failure, with CCMS-DRG 683 | $7,200 | $5,892 | 122% | — | 5 |
| Screening mammography, bilateralCPT 77067 | $380 | — | — | ~$218 | 17 |
| Sepsis with MCCMS-DRG 871 | $12,852 | $17,958 | 72% | — | 5 |
| Shoulder arthroscopy, subacromial decompressionCPT 29826 | $483 | — | — | $254 | 16 |
| Simple pneumonia and pleurisy, with CCMS-DRG 194 | $5,371 | $5,177 | 104% | — | 5 |
| Sleep study (polysomnography)CPT 95810 | $3,013 | $850 | 354% | $1,848 | 17 |
| Stroke (hemorrhage/infarction), no CC/MCCMS-DRG 066 | $5,245 | $3,679 | 143% | — | 5 |
| Stroke (hemorrhage/infarction), with CC or tPAMS-DRG 065 | $6,801 | $6,559 | 104% | — | 5 |
| Thyroid stimulating hormone (TSH)CPT 84443 | $163 | $17 | 969% | ~$97 | 18 |
| Tonsillectomy and adenoidectomy, under age 12CPT 42820 | $675 | $5,860 | 12% | $345 | 17 |
| Transforaminal epidural, lumbar/sacralCPT 64483 | $606 | $876 | 69% | $310 | 17 |
| Ultrasound, abdomen, completeCPT 76700 | $1,204 | $104 | 1163% | ~$714 | 18 |
| Ultrasound, transvaginalCPT 76830 | $831 | $104 | 803% | ~$493 | 18 |
| Upper GI endoscopy with biopsyCPT 43239 | $398 | $898 | 44% | $203 | 17 |
| Upper GI endoscopy, diagnosticCPT 43235 | $351 | $898 | 39% | $179 | 17 |
| Urinalysis, automated, with microscopyCPT 81001 | $50 | $3 | 1565% | ~$29 | 18 |
| Urinalysis, automated, without microscopyCPT 81003 | $50 | $2 | 2204% | ~$29 | 18 |
| Urinalysis, manual, without microscopyCPT 81002 | $16 | $3 | 445% | ~$9 | 18 |
| Vaginal delivery, no sterilization, no CC/MCCMS-DRG 807 | $4,174 | — | — | — | 5 |
| Vaginal delivery, no sterilization, with CCMS-DRG 806 | $4,740 | — | — | — | 5 |
| X-ray, lower back, 4+ viewsCPT 72110 | $629 | $104 | 608% | ~$374 | 18 |