| Acute myocardial infarction, discharged alive, with MCCMS-DRG 280 | $12,177 | $14,738 | 83% | — | 5 |
| Bariatric (obesity) surgery, no CC/MCCMS-DRG 621 | $11,450 | $8,272 | 138% | — | 5 |
| Basic metabolic panelCPT 80048 | $125 | $8 | 1472% | ~$97 | 11 |
| COPD with MCCMS-DRG 190 | $8,409 | $10,957 | 77% | — | 5 |
| CT abdomen and pelvis with contrastCPT 74177 | $3,626 | $435 | 833% | ~$2,542 | 10 |
| CT head without contrastCPT 70450 | $1,218 | $130 | 933% | ~$854 | 10 |
| CT pelvis with contrastCPT 72193 | $1,950 | $219 | 891% | ~$1,367 | 10 |
| Cardiac arrhythmia, no CC/MCCMS-DRG 310 | $4,921 | $4,853 | 101% | — | 5 |
| Cardiac stress testCPT 93017 | $792 | $270 | 294% | $506 | 11 |
| Cardiac valve surgery with cardiac cath, with MCCMS-DRG 216 | $74,261 | — | — | — | 5 |
| Cataract surgery with IOL insertionCPT 66984 | $525 | $2,881 | 18% | — | 4 |
| Cellulitis, no MCCMS-DRG 603 | $6,929 | $7,986 | 87% | — | 5 |
| Cervical spinal fusion, no CC/MCCMS-DRG 473 | $18,532 | $16,343 | 113% | — | 5 |
| Cesarean section, no CC/MCCMS-DRG 788 | $7,278 | — | — | — | 5 |
| Cesarean section, with CCMS-DRG 787 | $8,478 | — | — | — | 5 |
| Chest painMS-DRG 313 | $6,258 | $6,930 | 90% | — | 5 |
| Colonoscopy with biopsyCPT 45380 | $390 | $1,494 | 26% | $206 | 11 |
| Colonoscopy with endoscopic ultrasoundCPT 45391 | $358 | $1,494 | 24% | — | 4 |
| Colonoscopy with polyp removalCPT 45385 | $2,662 | $1,494 | 178% | $1,702 | 11 |
| Colonoscopy, diagnosticCPT 45378 | $1,314 | $1,161 | 113% | $840 | 11 |
| Complete blood count with differentialCPT 85025 | $75 | $8 | 967% | ~$58 | 11 |
| Complete blood count, automatedCPT 85027 | $51 | $6 | 794% | ~$40 | 11 |
| Comprehensive metabolic panelCPT 80053 | $182 | $11 | 1723% | ~$141 | 11 |
| Coronary bypass without cardiac cath, no MCCMS-DRG 236 | $31,797 | $29,950 | 106% | — | 5 |
| Diagnostic mammography, both breastsCPT 77066 | $594 | — | — | ~$461 | 11 |
| Diagnostic mammography, one breastCPT 77065 | $422 | — | — | ~$328 | 11 |
| ED visit, level 3CPT 99283 | $525 | $341 | 154% | $271 | 9 |
| ED visit, level 4CPT 99284 | $823 | $521 | 158% | $425 | 9 |
| ED visit, level 5CPT 99285 | $1,009 | $743 | 136% | $578 | 9 |
| Echocardiogram, completeCPT 93306 | $1,454 | $682 | 213% | $930 | 11 |
| Electrocardiogram with interpretationCPT 93000 | $53 | — | — | $34 | 11 |
| Epidural injection, lumbar/sacral, no imagingCPT 62322 | $578 | $1,104 | 52% | $312 | 11 |
| Esophagitis/GI disorders, no MCCMS-DRG 392 | $6,776 | $7,364 | 92% | — | 5 |
| Excision of breast lesionCPT 19120 | $482 | $4,888 | 10% | — | 4 |
| Family psychotherapy, with patientCPT 90847 | $102 | $222 | 46% | — | 3 |
| Family psychotherapy, without patientCPT 90846 | $99 | $222 | 44% | — | 3 |
| Group psychotherapyCPT 90853 | $25 | $127 | 20% | — | 3 |
| Heart failure and shock, with CCMS-DRG 292 | $6,929 | $5,927 | 117% | — | 5 |
| Heart failure with MCCMS-DRG 291 | $9,745 | $12,302 | 79% | — | 5 |
| Hip and femur procedures except major joint, with CCMS-DRG 481 | $15,899 | $21,115 | 75% | — | 5 |
| Hysterectomy, no CC/MCCMS-DRG 743 | $9,418 | $10,098 | 93% | — | 5 |
| Inguinal hernia repair, age 5+CPT 49505 | $443 | $4,469 | 10% | — | 4 |
| Kidney and urinary tract infections, no MCCMS-DRG 690 | $6,929 | $8,054 | 86% | — | 5 |
| Kidney function panelCPT 80069 | $115 | $9 | 1321% | ~$89 | 11 |
| Knee arthroscopy with meniscectomyCPT 29881 | $614 | $4,084 | 15% | — | 4 |
| Laparoscopic cholecystectomyCPT 47562 | $686 | $7,547 | 9% | — | 4 |
| Laparoscopic cholecystectomy, no CC/MCCMS-DRG 419 | $10,368 | $8,977 | 115% | — | 5 |
| Laparoscopic radical prostatectomyCPT 55866 | $1,041 | $13,269 | 8% | — | 3 |
| Left heart catheterization, diagnosticCPT 93452 | $7,364 | $4,047 | 182% | $4,708 | 11 |
| Lipid panelCPT 80061 | $175 | $13 | 1307% | ~$136 | 11 |
| Liver function panelCPT 80076 | $180 | $8 | 2202% | ~$140 | 11 |
| Lumbar epidural steroid injectionCPT 62323 | $1,205 | $881 | 137% | $845 | 10 |
| MRI brain with and without contrastCPT 70553 | $3,135 | $435 | 720% | ~$2,433 | 11 |
| MRI lower extremity joint (knee)CPT 73721 | $2,785 | $298 | 935% | ~$1,780 | 11 |
| MRI lumbar spine without contrastCPT 72148 | $2,822 | $298 | 947% | ~$1,984 | 11 |
| Major joint replacement (hip/knee), no MCCMS-DRG 470 | $14,642 | $19,000 | 77% | — | 5 |
| Major joint replacement (hip/knee), with MCCMS-DRG 469 | $23,025 | $22,346 | 103% | — | 5 |
| Major small and large bowel procedures, with CCMS-DRG 330 | $18,197 | $16,202 | 112% | — | 5 |
| Medical back problems, no MCCMS-DRG 552 | $7,297 | $6,142 | 119% | — | 5 |
| OB global care, VBAC deliveryCPT 59610 | $2,176 | — | — | — | 4 |
| OB global care, cesarean deliveryCPT 59510 | $2,311 | — | — | — | 3 |
| OB global care, vaginal deliveryCPT 59400 | $2,128 | — | — | — | 4 |
| OB ultrasound, 14+ weeksCPT 76805 | $184 | $130 | 141% | ~$118 | 11 |
| Obstetric blood test panelCPT 80055 | $22 | $48 | 45% | — | 4 |
| Office consultation, comprehensiveCPT 99244 | $131 | — | — | — | 2 |
| Office consultation, moderateCPT 99243 | $89 | — | — | — | 2 |
| Office visit, established patient, level 3CPT 99213 | $191 | — | — | $122 | 9 |
| Office visit, established patient, level 4CPT 99214 | $209 | — | — | $134 | 9 |
| Office visit, new patient, level 3CPT 99203 | $191 | — | — | $122 | 9 |
| Office visit, new patient, level 4CPT 99204 | $253 | — | — | $162 | 9 |
| Office visit, new patient, level 5CPT 99205 | $276 | — | — | $176 | 9 |
| PSA (prostate specific antigen), totalCPT 84153 | $157 | $18 | 855% | ~$122 | 11 |
| Partial thromboplastin timeCPT 85730 | $60 | $6 | 1003% | ~$47 | 11 |
| Physical therapy, therapeutic exerciseCPT 97110 | $106 | — | — | $62 | 10 |
| Preventive visit, new patient, 18-39CPT 99385 | $154 | — | — | $80 | 9 |
| Preventive visit, new patient, 40-64CPT 99386 | $201 | — | — | $104 | 9 |
| Prostate biopsyCPT 55700 | $603 | — | — | $312 | 9 |
| Prothrombin timeCPT 85610 | $45 | $4 | 1060% | ~$35 | 11 |
| Psychotherapy, 30 minutesCPT 90832 | $72 | $222 | 32% | — | 3 |
| Psychotherapy, 45 minutesCPT 90834 | $95 | $222 | 43% | — | 3 |
| Psychotherapy, 60 minutesCPT 90837 | $140 | $222 | 63% | — | 3 |
| Renal failure, with CCMS-DRG 683 | $6,929 | $8,437 | 82% | — | 5 |
| Screening mammography, bilateralCPT 77067 | $372 | — | — | ~$267 | 11 |
| Sepsis with MCCMS-DRG 871 | $14,746 | $19,169 | 77% | — | 5 |
| Shoulder arthroscopy, subacromial decompressionCPT 29826 | $140 | — | — | — | 3 |
| Simple pneumonia and pleurisy, with CCMS-DRG 194 | $6,929 | $7,644 | 91% | — | 5 |
| Sleep study (polysomnography)CPT 95810 | $2,583 | $1,072 | 241% | $2,005 | 11 |
| Stroke (hemorrhage/infarction), no CC/MCCMS-DRG 066 | $5,949 | $3,679 | 162% | — | 5 |
| Stroke (hemorrhage/infarction), with CC or tPAMS-DRG 065 | $7,669 | $9,826 | 78% | — | 5 |
| Thyroid stimulating hormone (TSH)CPT 84443 | $189 | $17 | 1124% | ~$147 | 11 |
| Tonsillectomy and adenoidectomy, under age 12CPT 42820 | $472 | $7,390 | 6% | — | 4 |
| Transforaminal epidural, lumbar/sacralCPT 64483 | $842 | $1,104 | 76% | $539 | 11 |
| Ultrasound, abdomen, completeCPT 76700 | $954 | $130 | 731% | ~$610 | 11 |
| Ultrasound, transvaginalCPT 76830 | $575 | $130 | 441% | ~$368 | 11 |
| Upper GI endoscopy with biopsyCPT 43239 | $2,382 | $1,132 | 210% | $1,523 | 11 |
| Upper GI endoscopy, diagnosticCPT 43235 | $2,382 | $1,132 | 210% | $1,523 | 11 |
| Urinalysis, automated, with microscopyCPT 81001 | $39 | $3 | 1216% | ~$30 | 11 |
| Urinalysis, automated, without microscopyCPT 81003 | $25 | $2 | 1099% | ~$19 | 11 |
| Urinalysis, manual, with microscopyCPT 81000 | $4 | $4 | 100% | — | 5 |
| Urinalysis, manual, without microscopyCPT 81002 | $30 | $3 | 868% | ~$23 | 11 |
| Vaginal delivery, no sterilization, no CC/MCCMS-DRG 807 | $5,860 | — | — | — | 5 |
| Vaginal delivery, no sterilization, with CCMS-DRG 806 | $6,554 | — | — | — | 5 |
| X-ray, lower back, 4+ viewsCPT 72110 | $494 | $130 | 379% | ~$316 | 11 |
| YAG laser capsulotomy (secondary cataract)CPT 66821 | $385 | $687 | 56% | — | 4 |