| Acute myocardial infarction, discharged alive, with MCCMS-DRG 280 | $31,902 | $25,657 | 124% | — | 17 |
| Bariatric (obesity) surgery, no CC/MCCMS-DRG 621 | $30,216 | $8,272 | 365% | — | 17 |
| Basic metabolic panelCPT 80048 | $76 | $8 | 897% | ~$9 | 63 |
| COPD with MCCMS-DRG 190 | $24,981 | $19,607 | 127% | — | 17 |
| CT abdomen and pelvis with contrastCPT 74177 | $579 | $435 | 133% | ~$829 | 63 |
| CT head without contrastCPT 70450 | $463 | $130 | 355% | ~$440 | 63 |
| CT pelvis with contrastCPT 72193 | $579 | $219 | 264% | ~$575 | 63 |
| Cardiac arrhythmia, no CC/MCCMS-DRG 310 | $15,287 | $3,269 | 468% | — | 17 |
| Cardiac stress testCPT 93017 | $305 | $270 | 113% | $218 | 63 |
| Cardiac valve surgery with cardiac cath, with MCCMS-DRG 216 | $142,461 | — | — | — | 21 |
| Cataract surgery with IOL insertionCPT 66984 | $2,702 | $2,881 | 94% | $2,920 | 63 |
| Cellulitis, no MCCMS-DRG 603 | $21,388 | $16,199 | 132% | — | 17 |
| Cervical spinal fusion, no CC/MCCMS-DRG 473 | $47,915 | $16,343 | 293% | — | 17 |
| Cesarean section, no CC/MCCMS-DRG 788 | $21,213 | — | — | — | 17 |
| Cesarean section, with CCMS-DRG 787 | $22,211 | — | — | — | 17 |
| Chest painMS-DRG 313 | $18,522 | $14,815 | 125% | — | 17 |
| Colonoscopy with biopsyCPT 45380 | $2,155 | $1,494 | 144% | $1,403 | 63 |
| Colonoscopy with endoscopic ultrasoundCPT 45391 | $1,606 | $1,494 | 107% | $1,470 | 63 |
| Colonoscopy with polyp removalCPT 45385 | $2,155 | $1,494 | 144% | $1,467 | 63 |
| Colonoscopy, diagnosticCPT 45378 | $1,835 | $1,161 | 158% | $1,107 | 63 |
| Complete blood count with differentialCPT 85025 | $56 | $8 | 719% | ~$11 | 63 |
| Complete blood count, automatedCPT 85027 | $56 | $6 | 863% | ~$11 | 63 |
| Comprehensive metabolic panelCPT 80053 | $76 | $11 | 719% | ~$13 | 63 |
| Coronary bypass without cardiac cath, no MCCMS-DRG 236 | $67,189 | $29,950 | 224% | — | 21 |
| Diagnostic mammography, both breastsCPT 77066 | $233 | — | — | ~$199 | 63 |
| Diagnostic mammography, one breastCPT 77065 | $233 | — | — | ~$158 | 63 |
| ED visit, level 3CPT 99283 | $653 | $341 | 192% | $287 | 41 |
| ED visit, level 4CPT 99284 | $395 | $521 | 76% | $599 | 44 |
| ED visit, level 5CPT 99285 | $782 | $743 | 105% | $605 | 44 |
| Echocardiogram, completeCPT 93306 | $506 | $682 | 74% | $802 | 63 |
| Electrocardiogram with interpretationCPT 93000 | $139 | — | — | $70 | 60 |
| Epidural injection, lumbar/sacral, no imagingCPT 62322 | $1,073 | $1,104 | 97% | $824 | 63 |
| Esophagitis/GI disorders, no MCCMS-DRG 392 | $19,246 | $14,942 | 129% | — | 17 |
| Excision of breast lesionCPT 19120 | $3,967 | $4,888 | 81% | $1,818 | 63 |
| Family psychotherapy, with patientCPT 90847 | $254 | $222 | 115% | $400 | 62 |
| Family psychotherapy, without patientCPT 90846 | $222 | $222 | 100% | $397 | 63 |
| Group psychotherapyCPT 90853 | $138 | $127 | 109% | $111 | 63 |
| Heart failure and shock, with CCMS-DRG 292 | $20,851 | $5,927 | 352% | — | 17 |
| Heart failure with MCCMS-DRG 291 | $28,100 | $21,031 | 134% | — | 21 |
| Hip and femur procedures except major joint, with CCMS-DRG 481 | $41,129 | $29,443 | 140% | — | 17 |
| Hysterectomy, no CC/MCCMS-DRG 743 | $26,718 | $10,098 | 265% | — | 17 |
| Inguinal hernia repair, age 5+CPT 49505 | $2,955 | $4,469 | 66% | $4,257 | 63 |
| Kidney and urinary tract infections, no MCCMS-DRG 690 | $19,881 | $15,717 | 126% | — | 17 |
| Kidney function panelCPT 80069 | $76 | $9 | 874% | ~$11 | 63 |
| Knee arthroscopy with meniscectomyCPT 29881 | $2,246 | $4,084 | 55% | $3,836 | 63 |
| Laparoscopic cholecystectomyCPT 47562 | $5,289 | $7,547 | 70% | $6,179 | 63 |
| Laparoscopic cholecystectomy, no CC/MCCMS-DRG 419 | $28,353 | $8,977 | 316% | — | 17 |
| Laparoscopic radical prostatectomyCPT 55866 | $5,402 | $13,269 | 41% | $7,650 | 63 |
| Left heart catheterization, diagnosticCPT 93452 | $3,990 | $4,047 | 99% | $3,856 | 63 |
| Lipid panelCPT 80061 | $76 | $13 | 567% | ~$19 | 63 |
| Liver function panelCPT 80076 | $76 | $8 | 929% | ~$9 | 63 |
| Lumbar epidural steroid injectionCPT 62323 | $881 | $881 | 100% | $842 | 63 |
| MRI brain with and without contrastCPT 70553 | $969 | $435 | 222% | ~$872 | 63 |
| MRI lower extremity joint (knee)CPT 73721 | $628 | $298 | 211% | ~$540 | 63 |
| MRI lumbar spine without contrastCPT 72148 | $586 | $298 | 197% | ~$526 | 63 |
| Major joint replacement (hip/knee), no MCCMS-DRG 470 | $37,877 | $13,045 | 290% | — | 17 |
| Major joint replacement (hip/knee), with MCCMS-DRG 469 | $56,885 | $22,346 | 255% | — | 17 |
| Major small and large bowel procedures, with CCMS-DRG 330 | $47,072 | $16,202 | 291% | — | 17 |
| Medical back problems, no MCCMS-DRG 552 | $22,607 | $17,359 | 130% | — | 17 |
| OB global care, VBAC deliveryCPT 59610 | $3,006 | — | — | $2,166 | 60 |
| OB global care, cesarean deliveryCPT 59510 | $5,364 | — | — | $2,950 | 39 |
| OB global care, vaginal deliveryCPT 59400 | $3,570 | — | — | — | 45 |
| OB ultrasound, 14+ weeksCPT 76805 | $281 | $130 | 215% | ~$295 | 63 |
| Obstetric blood test panelCPT 80055 | $90 | $48 | 187% | ~$56 | 63 |
| Office consultation, comprehensiveCPT 99244 | $247 | — | — | $102 | 35 |
| Office consultation, moderateCPT 99243 | $281 | — | — | $102 | 41 |
| Office visit, established patient, level 3CPT 99213 | $330 | — | — | $176 | 35 |
| Office visit, established patient, level 4CPT 99214 | $330 | — | — | $219 | 35 |
| Office visit, new patient, level 3CPT 99203 | $330 | — | — | $217 | 35 |
| Office visit, new patient, level 4CPT 99204 | $421 | — | — | $306 | 35 |
| Office visit, new patient, level 5CPT 99205 | $594 | — | — | $402 | 35 |
| PSA (prostate specific antigen), totalCPT 84153 | $61 | $18 | 332% | ~$25 | 63 |
| Partial thromboplastin timeCPT 85730 | $59 | $6 | 980% | ~$8 | 63 |
| Physical therapy, therapeutic exerciseCPT 97110 | $237 | — | — | $104 | 63 |
| Preventive visit, new patient, 18-39CPT 99385 | $451 | — | — | $248 | 35 |
| Preventive visit, new patient, 40-64CPT 99386 | $529 | — | — | $347 | 35 |
| Prostate biopsyCPT 55700 | $2,513 | — | — | $2,067 | 62 |
| Prothrombin timeCPT 85610 | $59 | $4 | 1373% | ~$5 | 63 |
| Psychotherapy, 30 minutesCPT 90832 | $222 | $222 | 100% | $230 | 63 |
| Psychotherapy, 45 minutesCPT 90834 | $260 | $222 | 117% | $305 | 63 |
| Psychotherapy, 60 minutesCPT 90837 | $260 | $222 | 117% | $295 | 63 |
| Renal failure, with CCMS-DRG 683 | $21,509 | $16,871 | 127% | — | 17 |
| Screening mammography, bilateralCPT 77067 | $233 | — | — | ~$162 | 63 |
| Sepsis with MCCMS-DRG 871 | $38,144 | $29,182 | 131% | — | 17 |
| Shoulder arthroscopy, subacromial decompressionCPT 29826 | $3,790 | — | — | $1,909 | 60 |
| Simple pneumonia and pleurisy, with CCMS-DRG 194 | $19,792 | $14,624 | 135% | — | 17 |
| Sleep study (polysomnography)CPT 95810 | $1,138 | $1,072 | 106% | $1,780 | 63 |
| Stroke (hemorrhage/infarction), no CC/MCCMS-DRG 066 | $18,089 | $3,679 | 492% | — | 17 |
| Stroke (hemorrhage/infarction), with CC or tPAMS-DRG 065 | $23,709 | $18,077 | 131% | — | 17 |
| Thyroid stimulating hormone (TSH)CPT 84443 | $75 | $17 | 447% | ~$23 | 63 |
| Tonsillectomy and adenoidectomy, under age 12CPT 42820 | $1,785 | $7,390 | 24% | $5,225 | 63 |
| Transforaminal epidural, lumbar/sacralCPT 64483 | $1,570 | $1,104 | 142% | $1,074 | 63 |
| Ultrasound, abdomen, completeCPT 76700 | $799 | $130 | 612% | ~$493 | 63 |
| Ultrasound, transvaginalCPT 76830 | $293 | $130 | 225% | ~$287 | 63 |
| Upper GI endoscopy with biopsyCPT 43239 | $1,835 | $1,132 | 162% | $1,076 | 63 |
| Upper GI endoscopy, diagnosticCPT 43235 | $1,715 | $1,132 | 151% | $1,058 | 63 |
| Urinalysis, automated, with microscopyCPT 81001 | $55 | $3 | 1740% | ~$5 | 63 |
| Urinalysis, automated, without microscopyCPT 81003 | $55 | $2 | 2451% | ~$3 | 63 |
| Urinalysis, manual, with microscopyCPT 81000 | $61 | $4 | 1509% | ~$4 | 63 |
| Urinalysis, manual, without microscopyCPT 81002 | $55 | $3 | 1585% | ~$4 | 63 |
| Vaginal delivery, no sterilization, no CC/MCCMS-DRG 807 | $15,447 | — | — | — | 17 |
| Vaginal delivery, no sterilization, with CCMS-DRG 806 | $15,447 | — | — | — | 17 |
| X-ray, lower back, 4+ viewsCPT 72110 | $112 | $130 | 86% | ~$156 | 63 |
| YAG laser capsulotomy (secondary cataract)CPT 66821 | $1,989 | $687 | 290% | $746 | 63 |