| Acute myocardial infarction, discharged alive, with MCCMS-DRG 280 | $16,843 | $13,768 | 122% | $18,885 | 1 |
| Basic metabolic panelCPT 80048 | $9 | $8 | 105% | ~$139 | 15 |
| COPD with MCCMS-DRG 190 | $11,631 | $9,056 | 128% | $15,498 | 1 |
| CT abdomen and pelvis with contrastCPT 74177 | $453 | $435 | 104% | ~$3,543 | 15 |
| CT head without contrastCPT 70450 | $135 | $130 | 103% | ~$1,859 | 15 |
| CT pelvis with contrastCPT 72193 | $226 | $219 | 103% | ~$2,380 | 15 |
| Cardiac arrhythmia, no CC/MCCMS-DRG 310 | $5,944 | $3,269 | 182% | $7,784 | 1 |
| Cardiac stress testCPT 93017 | $395 | $270 | 146% | $707 | 14 |
| Cellulitis, no MCCMS-DRG 603 | $9,144 | $7,296 | 125% | $11,746 | 1 |
| Chest painMS-DRG 313 | $7,560 | — | — | $12,144 | 1 |
| Complete blood count with differentialCPT 85025 | $8 | $8 | 100% | ~$93 | 15 |
| Complete blood count, automatedCPT 85027 | $7 | $6 | 105% | ~$64 | 15 |
| Comprehensive metabolic panelCPT 80053 | $11 | $11 | 105% | ~$218 | 15 |
| Diagnostic mammography, both breastsCPT 77066 | $297 | — | — | ~$419 | 15 |
| Diagnostic mammography, one breastCPT 77065 | $233 | — | — | ~$333 | 15 |
| ED visit, level 3CPT 99283 | $351 | $341 | 103% | $427 | 14 |
| ED visit, level 4CPT 99284 | $540 | $521 | 104% | $615 | 14 |
| ED visit, level 5CPT 99285 | $777 | $743 | 105% | $932 | 14 |
| Echocardiogram, completeCPT 93306 | $848 | $682 | 124% | $1,545 | 14 |
| Esophagitis/GI disorders, no MCCMS-DRG 392 | $8,186 | $6,303 | 130% | $11,260 | 1 |
| Family psychotherapy, with patientCPT 90847 | $204 | $222 | 92% | $96 | 14 |
| Family psychotherapy, without patientCPT 90846 | $204 | $222 | 92% | $11 | 14 |
| Heart failure with MCCMS-DRG 291 | $13,480 | $11,139 | 121% | $18,859 | 1 |
| Kidney and urinary tract infections, no MCCMS-DRG 690 | $8,500 | $6,791 | 125% | $17,686 | 1 |
| Kidney function panelCPT 80069 | $9 | $9 | 105% | ~$167 | 15 |
| Lipid panelCPT 80061 | $14 | $13 | 103% | ~$202 | 15 |
| Liver function panelCPT 80076 | $9 | $8 | 105% | ~$124 | 15 |
| MRI brain with and without contrastCPT 70553 | $453 | $435 | 104% | ~$3,328 | 15 |
| MRI lower extremity joint (knee)CPT 73721 | $306 | $298 | 103% | ~$2,856 | 15 |
| MRI lumbar spine without contrastCPT 72148 | $306 | $298 | 103% | ~$3,040 | 15 |
| Major joint replacement (hip/knee), no MCCMS-DRG 470 | $20,253 | $13,045 | 155% | $27,310 | 1 |
| Major joint replacement (hip/knee), with MCCMS-DRG 469 | $31,849 | $22,346 | 143% | $21,774 | 1 |
| Major small and large bowel procedures, with CCMS-DRG 330 | $25,171 | $16,202 | 155% | $21,002 | 1 |
| Medical back problems, no MCCMS-DRG 552 | $10,094 | $6,142 | 164% | $20,129 | 1 |
| OB ultrasound, 14+ weeksCPT 76805 | $135 | $130 | 103% | ~$762 | 15 |
| Office visit, established patient, level 3CPT 99213 | $163 | — | — | $83 | 14 |
| Office visit, established patient, level 4CPT 99214 | $163 | — | — | $86 | 14 |
| Office visit, new patient, level 3CPT 99203 | $173 | — | — | $123 | 14 |
| PSA (prostate specific antigen), totalCPT 84153 | $19 | $18 | 105% | ~$112 | 15 |
| Partial thromboplastin timeCPT 85730 | $6 | $6 | 105% | ~$67 | 15 |
| Physical therapy, therapeutic exerciseCPT 97110 | $80 | — | — | $67 | 14 |
| Preventive visit, new patient, 18-39CPT 99385 | $94 | — | — | $72 | 10 |
| Preventive visit, new patient, 40-64CPT 99386 | $94 | — | — | $72 | 10 |
| Prostate biopsyCPT 55700 | $2,596 | — | — | $1,307 | 14 |
| Prothrombin timeCPT 85610 | $4 | $4 | 105% | ~$54 | 15 |
| Psychotherapy, 30 minutesCPT 90832 | $204 | $222 | 92% | $148 | 14 |
| Psychotherapy, 45 minutesCPT 90834 | $204 | $222 | 92% | $162 | 14 |
| Psychotherapy, 60 minutesCPT 90837 | $204 | $222 | 92% | $150 | 14 |
| Renal failure, with CCMS-DRG 683 | $9,196 | $7,820 | 118% | $17,556 | 1 |
| Screening mammography, bilateralCPT 77067 | $245 | — | — | ~$372 | 15 |
| Simple pneumonia and pleurisy, with CCMS-DRG 194 | $8,462 | $6,729 | 126% | $14,187 | 1 |
| Sleep study (polysomnography)CPT 95810 | $1,289 | $1,072 | 120% | $1,644 | 14 |
| Stroke (hemorrhage/infarction), no CC/MCCMS-DRG 066 | $7,186 | $3,679 | 195% | $19,005 | 1 |
| Stroke (hemorrhage/infarction), with CC or tPAMS-DRG 065 | $10,608 | $6,559 | 162% | $22,549 | 1 |
| Thyroid stimulating hormone (TSH)CPT 84443 | $18 | $17 | 105% | ~$164 | 15 |
| Ultrasound, abdomen, completeCPT 76700 | $135 | $130 | 103% | ~$954 | 15 |
| Ultrasound, transvaginalCPT 76830 | $135 | $130 | 103% | ~$602 | 15 |
| Upper GI endoscopy with biopsyCPT 43239 | $1,074 | $1,132 | 95% | $625 | 14 |
| Urinalysis, automated, with microscopyCPT 81001 | $3 | $3 | 105% | ~$61 | 15 |
| Urinalysis, automated, without microscopyCPT 81003 | $2 | $2 | 105% | ~$41 | 15 |
| Urinalysis, manual, with microscopyCPT 81000 | $4 | $4 | 105% | ~$20 | 15 |
| Urinalysis, manual, without microscopyCPT 81002 | $4 | $3 | 105% | ~$16 | 15 |
| X-ray, lower back, 4+ viewsCPT 72110 | $135 | $130 | 103% | ~$522 | 15 |