| Acute myocardial infarction, discharged alive, with MCCMS-DRG 280 | $29,043 | $11,217 | 259% | — | 4 |
| Bariatric (obesity) surgery, no CC/MCCMS-DRG 621 | $25,865 | $8,272 | 313% | — | 4 |
| Basic metabolic panelCPT 80048 | $18 | $8 | 216% | ~$23 | 19 |
| COPD with MCCMS-DRG 190 | $19,870 | $9,021 | 220% | — | 4 |
| CT abdomen and pelvis with contrastCPT 74177 | $653 | $435 | 150% | ~$866 | 20 |
| CT head without contrastCPT 70450 | $217 | $130 | 166% | ~$706 | 20 |
| CT pelvis with contrastCPT 72193 | $497 | $219 | 227% | ~$810 | 20 |
| Cardiac arrhythmia, no CC/MCCMS-DRG 310 | $9,900 | $3,269 | 303% | — | 4 |
| Cardiac stress testCPT 93017 | $266 | $270 | 99% | $371 | 20 |
| Cardiac valve surgery with cardiac cath, with MCCMS-DRG 216 | $170,767 | — | — | — | 4 |
| Cataract surgery with IOL insertionCPT 66984 | $4,791 | $2,881 | 166% | — | 12 |
| Cellulitis, no MCCMS-DRG 603 | $15,585 | $6,363 | 245% | — | 4 |
| Cervical spinal fusion, no CC/MCCMS-DRG 473 | $41,889 | $16,343 | 256% | — | 4 |
| Cesarean section, no CC/MCCMS-DRG 788 | $14,217 | — | — | — | 4 |
| Cesarean section, with CCMS-DRG 787 | $16,686 | — | — | — | 4 |
| Chest painMS-DRG 313 | $12,623 | — | — | — | 4 |
| Colonoscopy with biopsyCPT 45380 | $2,814 | $1,494 | 188% | $1,420 | 20 |
| Colonoscopy with endoscopic ultrasoundCPT 45391 | $2,018 | $1,494 | 135% | — | 6 |
| Colonoscopy with polyp removalCPT 45385 | $2,740 | $1,494 | 183% | $536 | 20 |
| Colonoscopy, diagnosticCPT 45378 | $2,157 | $1,161 | 186% | $411 | 20 |
| Complete blood count with differentialCPT 85025 | $17 | $8 | 216% | ~$25 | 19 |
| Complete blood count, automatedCPT 85027 | $14 | $6 | 216% | ~$21 | 19 |
| Comprehensive metabolic panelCPT 80053 | $23 | $11 | 216% | ~$32 | 19 |
| Coronary bypass without cardiac cath, no MCCMS-DRG 236 | $72,759 | $29,950 | 243% | — | 4 |
| Diagnostic mammography, both breastsCPT 77066 | $288 | — | — | ~$338 | 17 |
| Diagnostic mammography, one breastCPT 77065 | $288 | — | — | ~$266 | 17 |
| ED visit, level 3CPT 99283 | $1,217 | $341 | 357% | $331 | 16 |
| ED visit, level 4CPT 99284 | $1,242 | $521 | 238% | $413 | 16 |
| ED visit, level 5CPT 99285 | $1,272 | $743 | 171% | $538 | 16 |
| Echocardiogram, completeCPT 93306 | $660 | $682 | 97% | $1,075 | 20 |
| Electrocardiogram with interpretationCPT 93000 | $62 | — | — | $83 | 19 |
| Epidural injection, lumbar/sacral, no imagingCPT 62322 | $1,797 | $1,104 | 163% | $123 | 20 |
| Esophagitis/GI disorders, no MCCMS-DRG 392 | $13,807 | $5,807 | 238% | — | 4 |
| Excision of breast lesionCPT 19120 | $3,464 | $4,888 | 71% | $1,410 | 20 |
| Family psychotherapy, with patientCPT 90847 | $269 | $222 | 121% | $67 | 19 |
| Family psychotherapy, without patientCPT 90846 | $134 | $222 | 60% | $56 | 17 |
| Group psychotherapyCPT 90853 | $106 | $127 | 83% | $20 | 19 |
| Heart failure and shock, with CCMS-DRG 292 | $15,238 | $5,927 | 257% | — | 4 |
| Heart failure with MCCMS-DRG 291 | $23,087 | $10,821 | 213% | — | 4 |
| Hip and femur procedures except major joint, with CCMS-DRG 481 | $36,713 | $16,636 | 221% | — | 4 |
| Hysterectomy, no CC/MCCMS-DRG 743 | $21,210 | $10,098 | 210% | — | 4 |
| Inguinal hernia repair, age 5+CPT 49505 | $4,769 | $4,469 | 107% | $535 | 20 |
| Kidney and urinary tract infections, no MCCMS-DRG 690 | $14,201 | $6,181 | 230% | — | 4 |
| Kidney function panelCPT 80069 | $19 | $9 | 216% | ~$28 | 19 |
| Knee arthroscopy with meniscectomyCPT 29881 | $4,886 | $4,084 | 120% | — | 9 |
| Laparoscopic cholecystectomyCPT 47562 | $5,654 | $7,547 | 75% | $1,554 | 20 |
| Laparoscopic cholecystectomy, no CC/MCCMS-DRG 419 | $23,314 | $8,977 | 260% | — | 4 |
| Laparoscopic radical prostatectomyCPT 55866 | $6,966 | $13,269 | 52% | — | 6 |
| Left heart catheterization, diagnosticCPT 93452 | $4,501 | $4,047 | 111% | — | 7 |
| Lipid panelCPT 80061 | $29 | $13 | 216% | ~$68 | 19 |
| Liver function panelCPT 80076 | $18 | $8 | 216% | ~$23 | 19 |
| Lumbar epidural steroid injectionCPT 62323 | $1,797 | $881 | 204% | $514 | 20 |
| MRI brain with and without contrastCPT 70553 | $779 | $435 | 179% | ~$1,459 | 20 |
| MRI lower extremity joint (knee)CPT 73721 | $498 | $298 | 167% | ~$1,082 | 20 |
| MRI lumbar spine without contrastCPT 72148 | $451 | $298 | 152% | ~$1,059 | 20 |
| Major joint replacement (hip/knee), no MCCMS-DRG 470 | $33,362 | $15,446 | 216% | — | 4 |
| Major joint replacement (hip/knee), with MCCMS-DRG 469 | $57,836 | $22,346 | 259% | — | 4 |
| Major small and large bowel procedures, with CCMS-DRG 330 | $41,823 | $16,790 | 249% | — | 4 |
| Medical back problems, no MCCMS-DRG 552 | $17,053 | $6,142 | 278% | — | 4 |
| OB global care, VBAC deliveryCPT 59610 | $4,402 | — | — | — | 7 |
| OB global care, cesarean deliveryCPT 59510 | $4,256 | — | — | — | 2 |
| OB global care, vaginal deliveryCPT 59400 | $4,402 | — | — | — | 7 |
| OB ultrasound, 14+ weeksCPT 76805 | $278 | $130 | 213% | ~$374 | 18 |
| Obstetric blood test panelCPT 80055 | $85 | $48 | 177% | ~$60 | 17 |
| Office consultation, comprehensiveCPT 99244 | $261 | — | — | $142 | 9 |
| Office consultation, moderateCPT 99243 | $182 | — | — | $99 | 9 |
| Office visit, established patient, level 3CPT 99213 | $189 | — | — | $114 | 15 |
| Office visit, established patient, level 4CPT 99214 | $261 | — | — | $135 | 12 |
| Office visit, new patient, level 3CPT 99203 | $281 | — | — | $152 | 12 |
| Office visit, new patient, level 4CPT 99204 | $309 | — | — | $152 | 12 |
| Office visit, new patient, level 5CPT 99205 | $318 | — | — | $152 | 12 |
| PSA (prostate specific antigen), totalCPT 84153 | $40 | $18 | 216% | ~$47 | 19 |
| Partial thromboplastin timeCPT 85730 | $13 | $6 | 216% | ~$8 | 19 |
| Physical therapy, therapeutic exerciseCPT 97110 | $154 | — | — | $58 | 20 |
| Preventive visit, new patient, 18-39CPT 99385 | $220 | — | — | $120 | 9 |
| Preventive visit, new patient, 40-64CPT 99386 | $257 | — | — | $140 | 9 |
| Prostate biopsyCPT 55700 | $2,814 | — | — | $198 | 20 |
| Prothrombin timeCPT 85610 | $9 | $4 | 216% | ~$14 | 19 |
| Psychotherapy, 30 minutesCPT 90832 | $236 | $222 | 107% | $48 | 19 |
| Psychotherapy, 45 minutesCPT 90834 | $218 | $222 | 98% | $62 | 19 |
| Psychotherapy, 60 minutesCPT 90837 | $316 | $222 | 143% | $89 | 19 |
| Renal failure, with CCMS-DRG 683 | $15,728 | $5,892 | 267% | — | 4 |
| Screening mammography, bilateralCPT 77067 | $288 | — | — | ~$230 | 17 |
| Sepsis with MCCMS-DRG 871 | $34,717 | $16,061 | 216% | — | 4 |
| Shoulder arthroscopy, subacromial decompressionCPT 29826 | $4,560 | — | — | $933 | 19 |
| Simple pneumonia and pleurisy, with CCMS-DRG 194 | $14,509 | $6,234 | 233% | — | 4 |
| Sleep study (polysomnography)CPT 95810 | $1,795 | $1,072 | 167% | — | 15 |
| Stroke (hemorrhage/infarction), no CC/MCCMS-DRG 066 | $12,179 | $3,679 | 331% | — | 4 |
| Stroke (hemorrhage/infarction), with CC or tPAMS-DRG 065 | $17,993 | $6,559 | 274% | — | 4 |
| Thyroid stimulating hormone (TSH)CPT 84443 | $36 | $17 | 216% | ~$49 | 19 |
| Tonsillectomy and adenoidectomy, under age 12CPT 42820 | $3,870 | $7,390 | 52% | — | 7 |
| Transforaminal epidural, lumbar/sacralCPT 64483 | $2,362 | $1,104 | 214% | $1,560 | 20 |
| Ultrasound, abdomen, completeCPT 76700 | $250 | $130 | 192% | ~$530 | 18 |
| Ultrasound, transvaginalCPT 76830 | $258 | $130 | 198% | ~$311 | 18 |
| Upper GI endoscopy with biopsyCPT 43239 | $2,324 | $1,132 | 205% | $1,130 | 20 |
| Upper GI endoscopy, diagnosticCPT 43235 | $2,324 | $1,132 | 205% | $1,130 | 20 |
| Urinalysis, automated, with microscopyCPT 81001 | $7 | $3 | 216% | ~$17 | 19 |
| Urinalysis, automated, without microscopyCPT 81003 | $5 | $2 | 216% | ~$8 | 19 |
| Urinalysis, manual, with microscopyCPT 81000 | $9 | $4 | 216% | ~$23 | 19 |
| Urinalysis, manual, without microscopyCPT 81002 | $8 | $3 | 216% | ~$5 | 19 |
| Vaginal delivery, no sterilization, no CC/MCCMS-DRG 807 | $10,111 | — | — | — | 4 |
| Vaginal delivery, no sterilization, with CCMS-DRG 806 | $11,371 | — | — | — | 4 |
| X-ray, lower back, 4+ viewsCPT 72110 | $99 | $130 | 76% | ~$101 | 20 |
| YAG laser capsulotomy (secondary cataract)CPT 66821 | $3,791 | $687 | 552% | — | 6 |