| Acute myocardial infarction, discharged alive, with MCCMS-DRG 280 | $7,459 | $11,564 | 64% | — | 4 |
| Bariatric (obesity) surgery, no CC/MCCMS-DRG 621 | $7,014 | $8,272 | 85% | — | 4 |
| Basic metabolic panelCPT 80048 | $121 | $8 | 1428% | ~$30 | 17 |
| COPD with MCCMS-DRG 190 | $5,151 | $7,482 | 69% | — | 4 |
| CT abdomen and pelvis with contrastCPT 74177 | $10,343 | $345 | 2995% | ~$2,512 | 17 |
| CT head without contrastCPT 70450 | $3,460 | $104 | 3343% | ~$840 | 17 |
| CT pelvis with contrastCPT 72193 | $4,687 | $174 | 2699% | ~$1,138 | 17 |
| Cardiac arrhythmia, no CC/MCCMS-DRG 310 | $2,632 | $3,422 | 77% | — | 4 |
| Cardiac stress testCPT 93017 | $1,527 | $214 | 714% | $343 | 17 |
| Cardiac valve surgery with cardiac cath, with MCCMS-DRG 216 | $45,490 | — | — | — | 4 |
| Cellulitis, no MCCMS-DRG 603 | $4,050 | $5,393 | 75% | — | 4 |
| Cervical spinal fusion, no CC/MCCMS-DRG 473 | $11,352 | $16,343 | 69% | — | 4 |
| Cesarean section, no CC/MCCMS-DRG 788 | $4,458 | — | — | — | 3 |
| Cesarean section, with CCMS-DRG 787 | $5,193 | — | — | — | 3 |
| Chest painMS-DRG 313 | $3,348 | — | — | — | 4 |
| Colonoscopy with biopsyCPT 45380 | $6,304 | $1,185 | 532% | $1,697 | 17 |
| Colonoscopy with polyp removalCPT 45385 | $6,024 | $1,185 | 509% | $1,621 | 17 |
| Colonoscopy, diagnosticCPT 45378 | $5,175 | $921 | 562% | $1,393 | 17 |
| Complete blood count with differentialCPT 85025 | $87 | $8 | 1120% | ~$22 | 17 |
| Complete blood count, automatedCPT 85027 | $61 | $6 | 945% | ~$15 | 17 |
| Comprehensive metabolic panelCPT 80053 | $215 | $11 | 2040% | ~$54 | 17 |
| Coronary bypass without cardiac cath, no MCCMS-DRG 236 | $19,478 | $29,950 | 65% | — | 4 |
| Diagnostic mammography, both breastsCPT 77066 | $501 | — | — | ~$122 | 17 |
| Diagnostic mammography, one breastCPT 77065 | $443 | — | — | ~$100 | 17 |
| ED visit, level 3CPT 99283 | $1,057 | $270 | 391% | $238 | 17 |
| ED visit, level 4CPT 99284 | $1,483 | $413 | 359% | $334 | 17 |
| ED visit, level 5CPT 99285 | $2,377 | $590 | 403% | $535 | 17 |
| Echocardiogram, completeCPT 93306 | $3,287 | $541 | 608% | $740 | 17 |
| Epidural injection, lumbar/sacral, no imagingCPT 62322 | $1,634 | $876 | 187% | $368 | 17 |
| Esophagitis/GI disorders, no MCCMS-DRG 392 | $3,625 | $4,916 | 74% | — | 4 |
| Excision of breast lesionCPT 19120 | $18,442 | $3,876 | 476% | $4,963 | 17 |
| Heart failure and shock, with CCMS-DRG 292 | $3,948 | $5,927 | 67% | — | 4 |
| Heart failure with MCCMS-DRG 291 | $5,970 | $9,161 | 65% | — | 4 |
| Hip and femur procedures except major joint, with CCMS-DRG 481 | $9,739 | $14,356 | 68% | — | 4 |
| Hysterectomy, no CC/MCCMS-DRG 743 | $5,769 | $10,098 | 57% | — | 4 |
| Inguinal hernia repair, age 5+CPT 49505 | $30,926 | $3,544 | 872% | $8,323 | 17 |
| Kidney and urinary tract infections, no MCCMS-DRG 690 | $3,764 | $4,878 | 77% | — | 4 |
| Kidney function panelCPT 80069 | $63 | $9 | 729% | ~$16 | 17 |
| Knee arthroscopy with meniscectomyCPT 29881 | $28,830 | $3,239 | 890% | $7,759 | 17 |
| Laparoscopic cholecystectomyCPT 47562 | $34,939 | $5,985 | 584% | $9,403 | 17 |
| Laparoscopic cholecystectomy, no CC/MCCMS-DRG 419 | $6,351 | $8,977 | 71% | — | 4 |
| Left heart catheterization, diagnosticCPT 93452 | $14,818 | $3,209 | 462% | $3,334 | 17 |
| Lipid panelCPT 80061 | $150 | $13 | 1122% | ~$38 | 17 |
| Liver function panelCPT 80076 | $60 | $8 | 730% | ~$15 | 17 |
| Lumbar epidural steroid injectionCPT 62323 | $10,875 | $699 | 1556% | $2,447 | 17 |
| MRI brain with and without contrastCPT 70553 | $9,544 | $345 | 2764% | ~$2,318 | 17 |
| MRI lower extremity joint (knee)CPT 73721 | $5,086 | $236 | 2153% | ~$1,235 | 17 |
| MRI lumbar spine without contrastCPT 72148 | $6,325 | $236 | 2678% | ~$1,536 | 17 |
| Major joint replacement (hip/knee), no MCCMS-DRG 470 | $8,969 | $13,045 | 69% | — | 4 |
| Major joint replacement (hip/knee), with MCCMS-DRG 469 | $14,104 | $22,346 | 63% | — | 4 |
| Major small and large bowel procedures, with CCMS-DRG 330 | $11,147 | $16,202 | 69% | — | 4 |
| Medical back problems, no MCCMS-DRG 552 | $4,470 | $6,142 | 73% | — | 4 |
| OB ultrasound, 14+ weeksCPT 76805 | $1,189 | $104 | 1149% | ~$289 | 17 |
| PSA (prostate specific antigen), totalCPT 84153 | $133 | $18 | 725% | ~$34 | 17 |
| Partial thromboplastin timeCPT 85730 | $56 | $6 | 931% | ~$14 | 17 |
| Physical therapy, therapeutic exerciseCPT 97110 | $211 | — | — | $48 | 17 |
| Prothrombin timeCPT 85610 | $47 | $4 | 1085% | ~$12 | 17 |
| Renal failure, with CCMS-DRG 683 | $4,072 | $5,925 | 69% | — | 4 |
| Screening mammography, bilateralCPT 77067 | $484 | — | — | ~$109 | 17 |
| Sepsis with MCCMS-DRG 871 | $9,033 | $13,591 | 66% | — | 4 |
| Shoulder arthroscopy, subacromial decompressionCPT 29826 | $67,056 | — | — | $15,663 | 14 |
| Simple pneumonia and pleurisy, with CCMS-DRG 194 | $3,747 | $4,901 | 76% | — | 4 |
| Sleep study (polysomnography)CPT 95810 | $3,906 | $850 | 459% | $879 | 17 |
| Stroke (hemorrhage/infarction), no CC/MCCMS-DRG 066 | $3,182 | $3,679 | 87% | — | 4 |
| Stroke (hemorrhage/infarction), with CC or tPAMS-DRG 065 | $4,698 | $6,769 | 69% | — | 4 |
| Thyroid stimulating hormone (TSH)CPT 84443 | $120 | $17 | 712% | ~$30 | 17 |
| Transforaminal epidural, lumbar/sacralCPT 64483 | $1,824 | $876 | 208% | $410 | 17 |
| Ultrasound, abdomen, completeCPT 76700 | $1,189 | $104 | 1149% | ~$289 | 17 |
| Ultrasound, transvaginalCPT 76830 | $1,189 | $104 | 1149% | ~$289 | 17 |
| Upper GI endoscopy with biopsyCPT 43239 | $7,406 | $898 | 825% | $1,993 | 17 |
| Upper GI endoscopy, diagnosticCPT 43235 | $7,807 | $898 | 869% | $2,101 | 17 |
| Urinalysis, automated, with microscopyCPT 81001 | $23 | $3 | 729% | ~$6 | 17 |
| Urinalysis, automated, without microscopyCPT 81003 | $15 | $2 | 649% | ~$4 | 17 |
| Vaginal delivery, no sterilization, no CC/MCCMS-DRG 807 | $3,135 | — | — | — | 3 |
| Vaginal delivery, no sterilization, with CCMS-DRG 806 | $3,506 | — | — | — | 3 |
| X-ray, lower back, 4+ viewsCPT 72110 | $743 | $104 | 717% | ~$167 | 17 |