| Acute myocardial infarction, discharged alive, with MCCMS-DRG 280 | $14,592 | $9,747 | 150% | — | 3 |
| Bariatric (obesity) surgery, no CC/MCCMS-DRG 621 | $13,722 | $8,272 | 166% | — | 3 |
| Basic metabolic panelCPT 80048 | $18 | $8 | 208% | ~$12 | 6 |
| COPD with MCCMS-DRG 190 | $10,077 | $7,377 | 137% | — | 3 |
| CT abdomen and pelvis with contrastCPT 74177 | $865 | $435 | 199% | ~$762 | 6 |
| CT head without contrastCPT 70450 | $288 | $130 | 221% | ~$184 | 5 |
| CT pelvis with contrastCPT 72193 | $483 | $219 | 221% | ~$308 | 5 |
| Cardiac arrhythmia, no CC/MCCMS-DRG 310 | $5,150 | $3,269 | 158% | — | 3 |
| Cardiac stress testCPT 93017 | $595 | $270 | 221% | $538 | 5 |
| Cardiac valve surgery with cardiac cath, with MCCMS-DRG 216 | $88,994 | — | — | — | 3 |
| Cataract surgery with IOL insertionCPT 66984 | $5,083 | $2,881 | 176% | — | 3 |
| Cellulitis, no MCCMS-DRG 603 | $7,923 | $6,344 | 125% | — | 3 |
| Cervical spinal fusion, no CC/MCCMS-DRG 473 | $22,209 | $16,343 | 136% | — | 3 |
| Cesarean section, no CC/MCCMS-DRG 788 | $8,722 | — | — | — | 3 |
| Cesarean section, with CCMS-DRG 787 | $10,160 | — | — | — | 3 |
| Chest painMS-DRG 313 | $6,550 | — | — | — | 3 |
| Colonoscopy with biopsyCPT 45380 | $2,635 | $1,494 | 176% | — | 3 |
| Colonoscopy with endoscopic ultrasoundCPT 45391 | $2,635 | $1,494 | 176% | — | 3 |
| Colonoscopy with polyp removalCPT 45385 | $2,635 | $1,494 | 176% | — | 3 |
| Colonoscopy, diagnosticCPT 45378 | $2,048 | $1,161 | 176% | — | 3 |
| Complete blood count with differentialCPT 85025 | $17 | $8 | 221% | ~$11 | 5 |
| Complete blood count, automatedCPT 85027 | $13 | $6 | 199% | ~$9 | 6 |
| Comprehensive metabolic panelCPT 80053 | $21 | $11 | 202% | ~$13 | 5 |
| Coronary bypass without cardiac cath, no MCCMS-DRG 236 | $38,106 | $29,950 | 127% | — | 3 |
| Diagnostic mammography, both breastsCPT 77066 | $279 | — | — | ~$168 | 5 |
| Diagnostic mammography, one breastCPT 77065 | $214 | — | — | ~$131 | 6 |
| ED visit, level 3CPT 99283 | $652 | $341 | 191% | $423 | 6 |
| ED visit, level 4CPT 99284 | $1,034 | $521 | 199% | $975 | 6 |
| ED visit, level 5CPT 99285 | $1,476 | $743 | 199% | $1,404 | 6 |
| Echocardiogram, completeCPT 93306 | $1,355 | $682 | 199% | $922 | 6 |
| Electrocardiogram with interpretationCPT 93000 | $26 | — | — | — | 3 |
| Epidural injection, lumbar/sacral, no imagingCPT 62322 | $1,948 | $1,104 | 176% | — | 3 |
| Esophagitis/GI disorders, no MCCMS-DRG 392 | $7,092 | $4,916 | 144% | — | 3 |
| Excision of breast lesionCPT 19120 | $8,623 | $4,888 | 176% | — | 3 |
| Family psychotherapy, with patientCPT 90847 | $352 | $222 | 159% | $202 | 5 |
| Family psychotherapy, without patientCPT 90846 | $352 | $222 | 159% | $202 | 5 |
| Group psychotherapyCPT 90853 | $183 | $127 | 145% | $105 | 5 |
| Heart failure and shock, with CCMS-DRG 292 | $7,723 | $5,927 | 130% | — | 3 |
| Heart failure with MCCMS-DRG 291 | $11,679 | $9,911 | 118% | — | 3 |
| Hip and femur procedures except major joint, with CCMS-DRG 481 | $19,054 | $13,876 | 137% | — | 3 |
| Hysterectomy, no CC/MCCMS-DRG 743 | $11,287 | $10,098 | 112% | — | 3 |
| Inguinal hernia repair, age 5+CPT 49505 | $7,885 | $4,469 | 176% | — | 3 |
| Kidney and urinary tract infections, no MCCMS-DRG 690 | $7,364 | $5,607 | 131% | — | 3 |
| Kidney function panelCPT 80069 | $19 | $9 | 221% | ~$13 | 5 |
| Knee arthroscopy with meniscectomyCPT 29881 | $7,206 | $4,084 | 176% | — | 3 |
| Laparoscopic cholecystectomyCPT 47562 | $13,314 | $7,547 | 176% | — | 3 |
| Laparoscopic cholecystectomy, no CC/MCCMS-DRG 419 | $12,425 | $8,977 | 138% | — | 3 |
| Laparoscopic radical prostatectomyCPT 55866 | $23,411 | $13,269 | 176% | — | 3 |
| Left heart catheterization, diagnosticCPT 93452 | $7,140 | $4,047 | 176% | — | 3 |
| Lipid panelCPT 80061 | $30 | $13 | 221% | ~$18 | 5 |
| Liver function panelCPT 80076 | $18 | $8 | 221% | ~$12 | 5 |
| Lumbar epidural steroid injectionCPT 62323 | $1,945 | $881 | 221% | $1,197 | 5 |
| MRI brain with and without contrastCPT 70553 | $961 | $435 | 221% | ~$617 | 5 |
| MRI lower extremity joint (knee)CPT 73721 | $657 | $298 | 221% | ~$418 | 5 |
| MRI lumbar spine without contrastCPT 72148 | $657 | $298 | 221% | ~$418 | 5 |
| Major joint replacement (hip/knee), no MCCMS-DRG 470 | $17,547 | $13,045 | 135% | — | 3 |
| Major joint replacement (hip/knee), with MCCMS-DRG 469 | $27,593 | $22,346 | 123% | — | 3 |
| Major small and large bowel procedures, with CCMS-DRG 330 | $21,807 | $16,202 | 135% | — | 3 |
| Medical back problems, no MCCMS-DRG 552 | $8,745 | $6,142 | 142% | — | 3 |
| OB global care, VBAC deliveryCPT 59610 | $3,839 | — | — | — | 3 |
| OB global care, cesarean deliveryCPT 59510 | $4,077 | — | — | — | 3 |
| OB global care, vaginal deliveryCPT 59400 | $3,667 | — | — | — | 3 |
| OB ultrasound, 14+ weeksCPT 76805 | $288 | $130 | 221% | ~$173 | 5 |
| Obstetric blood test panelCPT 80055 | $84 | $48 | 176% | — | 3 |
| Office consultation, comprehensiveCPT 99244 | $275 | — | — | — | 3 |
| Office consultation, moderateCPT 99243 | $192 | — | — | — | 3 |
| Office visit, established patient, level 3CPT 99213 | $203 | — | — | $223 | 5 |
| Office visit, established patient, level 4CPT 99214 | $289 | — | — | $223 | 5 |
| Office visit, new patient, level 3CPT 99203 | $250 | — | — | $223 | 5 |
| Office visit, new patient, level 4CPT 99204 | $371 | — | — | $223 | 5 |
| Office visit, new patient, level 5CPT 99205 | $389 | — | — | $223 | 5 |
| PSA (prostate specific antigen), totalCPT 84153 | $41 | $18 | 221% | ~$27 | 5 |
| Partial thromboplastin timeCPT 85730 | $13 | $6 | 221% | ~$9 | 5 |
| Physical therapy, therapeutic exerciseCPT 97110 | $62 | — | — | $45 | 5 |
| Preventive visit, new patient, 18-39CPT 99385 | $230 | — | — | — | 3 |
| Preventive visit, new patient, 40-64CPT 99386 | $266 | — | — | — | 3 |
| Prostate biopsyCPT 55700 | $4,553 | — | — | $2,672 | 2 |
| Prothrombin timeCPT 85610 | $9 | $4 | 221% | ~$6 | 5 |
| Psychotherapy, 30 minutesCPT 90832 | $352 | $222 | 159% | $202 | 5 |
| Psychotherapy, 45 minutesCPT 90834 | $352 | $222 | 159% | $202 | 5 |
| Psychotherapy, 60 minutesCPT 90837 | $352 | $222 | 159% | $202 | 5 |
| Renal failure, with CCMS-DRG 683 | $7,967 | $5,892 | 135% | — | 3 |
| Screening mammography, bilateralCPT 77067 | $222 | — | — | ~$139 | 6 |
| Sepsis with MCCMS-DRG 871 | $17,671 | $15,180 | 116% | — | 3 |
| Shoulder arthroscopy, subacromial decompressionCPT 29826 | $248 | — | — | — | 3 |
| Simple pneumonia and pleurisy, with CCMS-DRG 194 | $7,331 | $5,177 | 142% | — | 3 |
| Sleep study (polysomnography)CPT 95810 | $2,366 | $1,072 | 221% | $1,759 | 5 |
| Stroke (hemorrhage/infarction), no CC/MCCMS-DRG 066 | $6,226 | $3,679 | 169% | — | 3 |
| Stroke (hemorrhage/infarction), with CC or tPAMS-DRG 065 | $9,191 | $6,559 | 140% | — | 3 |
| Thyroid stimulating hormone (TSH)CPT 84443 | $37 | $17 | 221% | ~$25 | 5 |
| Tonsillectomy and adenoidectomy, under age 12CPT 42820 | $13,038 | $7,390 | 176% | — | 3 |
| Transforaminal epidural, lumbar/sacralCPT 64483 | $2,437 | $1,104 | 221% | $1,539 | 5 |
| Ultrasound, abdomen, completeCPT 76700 | $288 | $130 | 221% | ~$173 | 5 |
| Ultrasound, transvaginalCPT 76830 | $259 | $130 | 199% | ~$184 | 6 |
| Upper GI endoscopy with biopsyCPT 43239 | $1,206 | $1,132 | 106% | $638 | 6 |
| Upper GI endoscopy, diagnosticCPT 43235 | $1,132 | $1,132 | 100% | $638 | 5 |
| Urinalysis, automated, with microscopyCPT 81001 | $7 | $3 | 215% | ~$5 | 6 |
| Urinalysis, automated, without microscopyCPT 81003 | $5 | $2 | 205% | ~$3 | 6 |
| Urinalysis, manual, with microscopyCPT 81000 | $9 | $4 | 221% | ~$6 | 5 |
| Urinalysis, manual, without microscopyCPT 81002 | $8 | $3 | 221% | ~$5 | 5 |
| Vaginal delivery, no sterilization, no CC/MCCMS-DRG 807 | $6,133 | — | — | — | 3 |
| Vaginal delivery, no sterilization, with CCMS-DRG 806 | $6,859 | — | — | — | 3 |
| X-ray, lower back, 4+ viewsCPT 72110 | $288 | $130 | 221% | ~$184 | 5 |
| YAG laser capsulotomy (secondary cataract)CPT 66821 | $1,211 | $687 | 176% | — | 3 |