| Acute myocardial infarction, discharged alive, with MCCMS-DRG 280 | $31,902 | $31,057 | 103% | — | 17 |
| Bariatric (obesity) surgery, no CC/MCCMS-DRG 621 | $29,999 | $8,272 | 363% | — | 16 |
| Basic metabolic panelCPT 80048 | $53 | $8 | 624% | ~$10 | 63 |
| COPD with MCCMS-DRG 190 | $22,030 | $26,484 | 83% | — | 17 |
| CT abdomen and pelvis with contrastCPT 74177 | $519 | $435 | 119% | ~$479 | 63 |
| CT head without contrastCPT 70450 | $440 | $130 | 337% | ~$476 | 63 |
| CT pelvis with contrastCPT 72193 | $563 | $219 | 257% | ~$273 | 63 |
| Cardiac arrhythmia, no CC/MCCMS-DRG 310 | $11,259 | $3,269 | 344% | — | 17 |
| Cardiac stress testCPT 93017 | $270 | $270 | 100% | $235 | 63 |
| Cardiac valve surgery with cardiac cath, with MCCMS-DRG 216 | $168,438 | — | — | — | 21 |
| Cataract surgery with IOL insertionCPT 66984 | $2,699 | $2,881 | 94% | $2,487 | 63 |
| Cellulitis, no MCCMS-DRG 603 | $17,320 | $23,468 | 74% | — | 17 |
| Cervical spinal fusion, no CC/MCCMS-DRG 473 | $48,553 | $16,343 | 297% | — | 17 |
| Cesarean section, no CC/MCCMS-DRG 788 | $20,203 | — | — | — | 17 |
| Cesarean section, with CCMS-DRG 787 | $22,211 | — | — | — | 17 |
| Chest painMS-DRG 313 | $14,319 | — | — | — | 17 |
| Colonoscopy with biopsyCPT 45380 | $2,103 | $1,494 | 141% | $1,260 | 63 |
| Colonoscopy with endoscopic ultrasoundCPT 45391 | $1,496 | $1,494 | 100% | $1,260 | 63 |
| Colonoscopy with polyp removalCPT 45385 | $2,103 | $1,494 | 141% | $1,260 | 63 |
| Colonoscopy, diagnosticCPT 45378 | $1,839 | $1,161 | 158% | $959 | 63 |
| Complete blood count with differentialCPT 85025 | $33 | $8 | 421% | ~$12 | 63 |
| Complete blood count, automatedCPT 85027 | $33 | $6 | 506% | ~$12 | 63 |
| Comprehensive metabolic panelCPT 80053 | $53 | $11 | 500% | ~$14 | 63 |
| Coronary bypass without cardiac cath, no MCCMS-DRG 236 | $80,635 | $29,950 | 269% | — | 21 |
| Diagnostic mammography, both breastsCPT 77066 | $204 | — | — | ~$215 | 63 |
| Diagnostic mammography, one breastCPT 77065 | $218 | — | — | ~$171 | 63 |
| ED visit, level 3CPT 99283 | $653 | $341 | 192% | $311 | 41 |
| ED visit, level 4CPT 99284 | $399 | $521 | 77% | $648 | 44 |
| ED visit, level 5CPT 99285 | $743 | $743 | 100% | $654 | 44 |
| Echocardiogram, completeCPT 93306 | $513 | $682 | 75% | $808 | 63 |
| Electrocardiogram with interpretationCPT 93000 | $107 | — | — | $76 | 60 |
| Epidural injection, lumbar/sacral, no imagingCPT 62322 | $1,077 | $1,104 | 98% | $785 | 63 |
| Esophagitis/GI disorders, no MCCMS-DRG 392 | $15,505 | $4,899 | 316% | — | 17 |
| Excision of breast lesionCPT 19120 | $3,970 | $4,888 | 81% | $1,966 | 63 |
| Family psychotherapy, with patientCPT 90847 | $225 | $222 | 102% | $433 | 62 |
| Family psychotherapy, without patientCPT 90846 | $206 | $222 | 93% | $429 | 63 |
| Group psychotherapyCPT 90853 | $120 | $127 | 95% | $92 | 63 |
| Heart failure and shock, with CCMS-DRG 292 | $16,885 | $5,927 | 285% | — | 17 |
| Heart failure with MCCMS-DRG 291 | $33,981 | $29,322 | 116% | — | 21 |
| Hip and femur procedures except major joint, with CCMS-DRG 481 | $41,655 | $13,876 | 300% | — | 17 |
| Hysterectomy, no CC/MCCMS-DRG 743 | $24,675 | $10,098 | 244% | — | 17 |
| Inguinal hernia repair, age 5+CPT 49505 | $2,969 | $4,469 | 66% | $3,903 | 63 |
| Kidney and urinary tract infections, no MCCMS-DRG 690 | $16,099 | $23,034 | 70% | — | 17 |
| Kidney function panelCPT 80069 | $53 | $9 | 608% | ~$12 | 63 |
| Knee arthroscopy with meniscectomyCPT 29881 | $2,222 | $4,084 | 54% | $3,436 | 63 |
| Laparoscopic cholecystectomyCPT 47562 | $5,294 | $7,547 | 70% | $5,830 | 63 |
| Laparoscopic cholecystectomy, no CC/MCCMS-DRG 419 | $27,163 | $8,977 | 303% | — | 17 |
| Laparoscopic radical prostatectomyCPT 55866 | $5,402 | $13,269 | 41% | $7,040 | 63 |
| Left heart catheterization, diagnosticCPT 93452 | $3,946 | $4,047 | 98% | $3,130 | 63 |
| Lipid panelCPT 80061 | $53 | $13 | 394% | ~$20 | 63 |
| Liver function panelCPT 80076 | $53 | $8 | 646% | ~$10 | 63 |
| Lumbar epidural steroid injectionCPT 62323 | $881 | $881 | 100% | $785 | 63 |
| MRI brain with and without contrastCPT 70553 | $941 | $435 | 216% | ~$479 | 63 |
| MRI lower extremity joint (knee)CPT 73721 | $615 | $298 | 206% | ~$292 | 63 |
| MRI lumbar spine without contrastCPT 72148 | $564 | $298 | 189% | ~$292 | 63 |
| Major joint replacement (hip/knee), no MCCMS-DRG 470 | $38,362 | $13,045 | 294% | — | 17 |
| Major joint replacement (hip/knee), with MCCMS-DRG 469 | $60,324 | $22,346 | 270% | — | 17 |
| Major small and large bowel procedures, with CCMS-DRG 330 | $47,676 | $16,202 | 294% | — | 17 |
| Medical back problems, no MCCMS-DRG 552 | $19,118 | $6,142 | 311% | — | 17 |
| OB global care, VBAC deliveryCPT 59610 | $2,992 | — | — | $2,343 | 60 |
| OB global care, cesarean deliveryCPT 59510 | $5,364 | — | — | $3,191 | 39 |
| OB global care, vaginal deliveryCPT 59400 | $3,570 | — | — | — | 45 |
| OB ultrasound, 14+ weeksCPT 76805 | $255 | $130 | 195% | ~$141 | 63 |
| Obstetric blood test panelCPT 80055 | $66 | $48 | 138% | ~$61 | 63 |
| Office consultation, comprehensiveCPT 99244 | $178 | — | — | $75 | 35 |
| Office consultation, moderateCPT 99243 | $265 | — | — | $75 | 41 |
| Office visit, established patient, level 3CPT 99213 | $330 | — | — | $191 | 35 |
| Office visit, established patient, level 4CPT 99214 | $330 | — | — | $237 | 35 |
| Office visit, new patient, level 3CPT 99203 | $330 | — | — | $235 | 35 |
| Office visit, new patient, level 4CPT 99204 | $380 | — | — | $202 | 35 |
| Office visit, new patient, level 5CPT 99205 | $602 | — | — | $435 | 35 |
| PSA (prostate specific antigen), totalCPT 84153 | $38 | $18 | 207% | ~$28 | 63 |
| Partial thromboplastin timeCPT 85730 | $36 | $6 | 596% | ~$9 | 63 |
| Physical therapy, therapeutic exerciseCPT 97110 | $230 | — | — | $113 | 63 |
| Preventive visit, new patient, 18-39CPT 99385 | $451 | — | — | $268 | 35 |
| Preventive visit, new patient, 40-64CPT 99386 | $529 | — | — | $375 | 35 |
| Prostate biopsyCPT 55700 | $2,425 | — | — | $2,079 | 62 |
| Prothrombin timeCPT 85610 | $36 | $4 | 834% | ~$6 | 63 |
| Psychotherapy, 30 minutesCPT 90832 | $206 | $222 | 93% | $149 | 63 |
| Psychotherapy, 45 minutesCPT 90834 | $247 | $222 | 111% | $329 | 63 |
| Psychotherapy, 60 minutesCPT 90837 | $247 | $222 | 111% | $320 | 63 |
| Renal failure, with CCMS-DRG 683 | $17,418 | $5,892 | 296% | — | 17 |
| Screening mammography, bilateralCPT 77067 | $220 | — | — | ~$175 | 63 |
| Sepsis with MCCMS-DRG 871 | $38,632 | $36,925 | 105% | — | 17 |
| Shoulder arthroscopy, subacromial decompressionCPT 29826 | $3,821 | — | — | $2,065 | 60 |
| Simple pneumonia and pleurisy, with CCMS-DRG 194 | $16,028 | $5,177 | 310% | — | 17 |
| Sleep study (polysomnography)CPT 95810 | $1,086 | $1,072 | 101% | $1,141 | 63 |
| Stroke (hemorrhage/infarction), no CC/MCCMS-DRG 066 | $13,611 | $3,679 | 370% | — | 17 |
| Stroke (hemorrhage/infarction), with CC or tPAMS-DRG 065 | $20,093 | $6,559 | 306% | — | 17 |
| Thyroid stimulating hormone (TSH)CPT 84443 | $56 | $17 | 335% | ~$25 | 63 |
| Tonsillectomy and adenoidectomy, under age 12CPT 42820 | $1,762 | $7,390 | 24% | $5,327 | 63 |
| Transforaminal epidural, lumbar/sacralCPT 64483 | $1,518 | $1,104 | 137% | $1,019 | 63 |
| Ultrasound, abdomen, completeCPT 76700 | $776 | $130 | 595% | ~$534 | 63 |
| Ultrasound, transvaginalCPT 76830 | $280 | $130 | 215% | ~$232 | 63 |
| Upper GI endoscopy with biopsyCPT 43239 | $1,839 | $1,132 | 162% | $986 | 63 |
| Upper GI endoscopy, diagnosticCPT 43235 | $1,715 | $1,132 | 151% | $986 | 63 |
| Urinalysis, automated, with microscopyCPT 81001 | $32 | $3 | 1011% | ~$5 | 63 |
| Urinalysis, automated, without microscopyCPT 81003 | $32 | $2 | 1424% | ~$3 | 63 |
| Urinalysis, manual, with microscopyCPT 81000 | $35 | $4 | 877% | ~$4 | 63 |
| Urinalysis, manual, without microscopyCPT 81002 | $32 | $3 | 921% | ~$4 | 63 |
| Vaginal delivery, no sterilization, no CC/MCCMS-DRG 807 | $14,897 | — | — | — | 17 |
| Vaginal delivery, no sterilization, with CCMS-DRG 806 | $14,996 | — | — | — | 17 |
| X-ray, lower back, 4+ viewsCPT 72110 | $112 | $130 | 86% | ~$117 | 63 |
| YAG laser capsulotomy (secondary cataract)CPT 66821 | $1,965 | $687 | 286% | $498 | 63 |