| Acute myocardial infarction, discharged alive, with MCCMS-DRG 280 | $19,916 | $18,411 | 108% | — | 9 |
| Bariatric (obesity) surgery, no CC/MCCMS-DRG 621 | $17,735 | $8,272 | 214% | — | 9 |
| Basic metabolic panelCPT 80048 | $12 | $8 | 141% | ~$31 | 12 |
| COPD with MCCMS-DRG 190 | $13,629 | $12,969 | 105% | — | 9 |
| CT abdomen and pelvis with contrastCPT 74177 | $720 | $435 | 165% | ~$418 | 12 |
| CT head without contrastCPT 70450 | $433 | $130 | 332% | ~$271 | 12 |
| CT pelvis with contrastCPT 72193 | $720 | $219 | 329% | ~$388 | 12 |
| Cardiac arrhythmia, no CC/MCCMS-DRG 310 | $6,788 | $3,269 | 208% | — | 9 |
| Cardiac stress testCPT 93017 | $135 | $270 | 50% | $318 | 10 |
| Cardiac valve surgery with cardiac cath, with MCCMS-DRG 216 | $117,089 | — | — | — | 9 |
| Cataract surgery with IOL insertionCPT 66984 | $2,023 | $2,881 | 70% | — | 4 |
| Cellulitis, no MCCMS-DRG 603 | $10,688 | $10,727 | 100% | — | 9 |
| Cervical spinal fusion, no CC/MCCMS-DRG 473 | $28,721 | $16,343 | 176% | — | 9 |
| Cesarean section, no CC/MCCMS-DRG 788 | $9,664 | — | — | — | 10 |
| Cesarean section, with CCMS-DRG 787 | $9,664 | — | — | — | 10 |
| Chest painMS-DRG 313 | $8,654 | $9,617 | 90% | — | 9 |
| Colonoscopy with biopsyCPT 45380 | $1,060 | $1,494 | 71% | — | 4 |
| Colonoscopy with endoscopic ultrasoundCPT 45391 | $2,250 | $1,494 | 151% | $933 | 10 |
| Colonoscopy with polyp removalCPT 45385 | $1,123 | $1,494 | 75% | — | 4 |
| Colonoscopy, diagnosticCPT 45378 | $2,250 | $1,161 | 194% | $942 | 10 |
| Complete blood count with differentialCPT 85025 | $7 | $8 | 87% | ~$37 | 12 |
| Complete blood count, automatedCPT 85027 | $6 | $6 | 92% | ~$12 | 12 |
| Comprehensive metabolic panelCPT 80053 | $16 | $11 | 155% | ~$81 | 12 |
| Coronary bypass without cardiac cath, no MCCMS-DRG 236 | $49,889 | $29,950 | 167% | — | 9 |
| Diagnostic mammography, both breastsCPT 77066 | $214 | — | — | ~$195 | 12 |
| Diagnostic mammography, one breastCPT 77065 | $190 | — | — | ~$198 | 12 |
| ED visit, level 3CPT 99283 | $945 | $341 | 277% | $551 | 10 |
| ED visit, level 4CPT 99284 | $945 | $521 | 181% | $595 | 10 |
| ED visit, level 5CPT 99285 | $945 | $743 | 127% | $661 | 10 |
| Echocardiogram, completeCPT 93306 | $214 | $682 | 31% | $570 | 10 |
| Electrocardiogram with interpretationCPT 93000 | $54 | — | — | $23 | 10 |
| Epidural injection, lumbar/sacral, no imagingCPT 62322 | $705 | $1,104 | 64% | — | 4 |
| Esophagitis/GI disorders, no MCCMS-DRG 392 | $9,467 | $9,638 | 98% | — | 9 |
| Excision of breast lesionCPT 19120 | $1,565 | $4,888 | 32% | — | 4 |
| Family psychotherapy, with patientCPT 90847 | $251 | $222 | 113% | $165 | 8 |
| Family psychotherapy, without patientCPT 90846 | $245 | $222 | 111% | $165 | 8 |
| Group psychotherapyCPT 90853 | $71 | $127 | 56% | $86 | 12 |
| Heart failure and shock, with CCMS-DRG 292 | $10,450 | $5,927 | 176% | — | 9 |
| Heart failure with MCCMS-DRG 291 | $15,832 | $16,053 | 99% | — | 9 |
| Hip and femur procedures except major joint, with CCMS-DRG 481 | $25,175 | $24,924 | 101% | — | 9 |
| Hysterectomy, no CC/MCCMS-DRG 743 | $14,543 | $10,098 | 144% | — | 9 |
| Inguinal hernia repair, age 5+CPT 49505 | $1,938 | $4,469 | 43% | — | 4 |
| Kidney and urinary tract infections, no MCCMS-DRG 690 | $9,738 | $10,314 | 94% | — | 9 |
| Kidney function panelCPT 80069 | $11 | $9 | 125% | ~$8 | 12 |
| Knee arthroscopy with meniscectomyCPT 29881 | $1,961 | $4,084 | 48% | — | 4 |
| Laparoscopic cholecystectomyCPT 47562 | $2,271 | $7,547 | 30% | — | 4 |
| Laparoscopic cholecystectomy, no CC/MCCMS-DRG 419 | $15,986 | $8,977 | 178% | — | 9 |
| Laparoscopic radical prostatectomyCPT 55866 | $3,015 | $13,269 | 23% | — | 4 |
| Left heart catheterization, diagnosticCPT 93452 | $4,370 | $4,047 | 108% | $3,353 | 10 |
| Lipid panelCPT 80061 | $12 | $13 | 92% | ~$13 | 12 |
| Liver function panelCPT 80076 | $12 | $8 | 146% | ~$16 | 12 |
| Lumbar epidural steroid injectionCPT 62323 | $2,250 | $881 | 255% | $557 | 10 |
| MRI brain with and without contrastCPT 70553 | $1,080 | $435 | 248% | ~$1,305 | 12 |
| MRI lower extremity joint (knee)CPT 73721 | $1,077 | $298 | 361% | ~$591 | 12 |
| MRI lumbar spine without contrastCPT 72148 | $1,077 | $298 | 361% | ~$669 | 12 |
| Major joint replacement (hip/knee), no MCCMS-DRG 470 | $22,877 | $13,045 | 175% | — | 9 |
| Major joint replacement (hip/knee), with MCCMS-DRG 469 | $39,657 | $22,346 | 177% | — | 9 |
| Major small and large bowel procedures, with CCMS-DRG 330 | $28,679 | $16,202 | 177% | — | 9 |
| Medical back problems, no MCCMS-DRG 552 | $11,694 | $11,444 | 102% | — | 9 |
| OB global care, VBAC deliveryCPT 59610 | $210 | — | — | $2,014 | 8 |
| OB global care, cesarean deliveryCPT 59510 | $8,628 | — | — | — | 3 |
| OB global care, vaginal deliveryCPT 59400 | $7,704 | — | — | — | 3 |
| OB ultrasound, 14+ weeksCPT 76805 | $175 | $130 | 134% | ~$157 | 12 |
| Obstetric blood test panelCPT 80055 | $27 | $48 | 57% | — | 6 |
| Office consultation, comprehensiveCPT 99244 | $190 | — | — | $101 | 12 |
| Office consultation, moderateCPT 99243 | $182 | — | — | $89 | 12 |
| Office visit, established patient, level 3CPT 99213 | $194 | — | — | $101 | 12 |
| Office visit, established patient, level 4CPT 99214 | $194 | — | — | $101 | 12 |
| Office visit, new patient, level 3CPT 99203 | $190 | — | — | $101 | 12 |
| Office visit, new patient, level 4CPT 99204 | $204 | — | — | $101 | 8 |
| Office visit, new patient, level 5CPT 99205 | $202 | — | — | $101 | 12 |
| PSA (prostate specific antigen), totalCPT 84153 | $30 | $18 | 163% | ~$30 | 12 |
| Partial thromboplastin timeCPT 85730 | $10 | $6 | 163% | ~$10 | 12 |
| Physical therapy, therapeutic exerciseCPT 97110 | $95 | — | — | $32 | 10 |
| Preventive visit, new patient, 18-39CPT 99385 | $180 | — | — | $54 | 8 |
| Preventive visit, new patient, 40-64CPT 99386 | $180 | — | — | $64 | 8 |
| Prostate biopsyCPT 55700 | $2,250 | — | — | $1,541 | 10 |
| Prothrombin timeCPT 85610 | $6 | $4 | 147% | ~$6 | 12 |
| Psychotherapy, 30 minutesCPT 90832 | $152 | $222 | 69% | $165 | 12 |
| Psychotherapy, 45 minutesCPT 90834 | $190 | $222 | 86% | $165 | 12 |
| Psychotherapy, 60 minutesCPT 90837 | $182 | $222 | 82% | $165 | 12 |
| Renal failure, with CCMS-DRG 683 | $10,785 | $11,521 | 94% | — | 9 |
| Screening mammography, bilateralCPT 77067 | $180 | — | — | ~$198 | 12 |
| Sepsis with MCCMS-DRG 871 | $23,809 | $25,415 | 94% | — | 9 |
| Shoulder arthroscopy, subacromial decompressionCPT 29826 | $1,162 | — | — | — | 4 |
| Simple pneumonia and pleurisy, with CCMS-DRG 194 | $9,949 | $10,811 | 92% | — | 9 |
| Sleep study (polysomnography)CPT 95810 | $1,594 | $1,072 | 149% | — | 3 |
| Spinal fusion except cervical, no MCCMS-DRG 460 | $44,381 | $25,413 | 175% | — | 9 |
| Stroke (hemorrhage/infarction), no CC/MCCMS-DRG 066 | $8,351 | $3,679 | 227% | — | 9 |
| Stroke (hemorrhage/infarction), with CC or tPAMS-DRG 065 | $12,339 | $12,657 | 97% | — | 9 |
| Thyroid stimulating hormone (TSH)CPT 84443 | $17 | $17 | 102% | ~$28 | 12 |
| Tonsillectomy and adenoidectomy, under age 12CPT 42820 | $1,349 | $7,390 | 18% | — | 4 |
| Transforaminal epidural, lumbar/sacralCPT 64483 | $2,250 | $1,104 | 204% | $737 | 10 |
| Ultrasound, abdomen, completeCPT 76700 | $168 | $130 | 129% | ~$140 | 12 |
| Ultrasound, transvaginalCPT 76830 | $162 | $130 | 124% | ~$121 | 12 |
| Upper GI endoscopy with biopsyCPT 43239 | $1,015 | $1,132 | 90% | — | 5 |
| Upper GI endoscopy, diagnosticCPT 43235 | $932 | $1,132 | 82% | — | 5 |
| Urinalysis, automated, with microscopyCPT 81001 | $5 | $3 | 162% | ~$14 | 12 |
| Urinalysis, automated, without microscopyCPT 81003 | $3 | $2 | 146% | ~$12 | 12 |
| Urinalysis, manual, with microscopyCPT 81000 | $5 | $4 | 128% | ~$4 | 12 |
| Urinalysis, manual, without microscopyCPT 81002 | $3 | $3 | 95% | ~$10 | 12 |
| Vaginal delivery, no sterilization, no CC/MCCMS-DRG 807 | $7,654 | — | — | — | 10 |
| Vaginal delivery, no sterilization, with CCMS-DRG 806 | $7,654 | — | — | — | 10 |
| X-ray, lower back, 4+ viewsCPT 72110 | $60 | $130 | 46% | ~$249 | 12 |
| YAG laser capsulotomy (secondary cataract)CPT 66821 | $210 | $687 | 31% | $602 | 8 |