| Acute myocardial infarction, discharged alive, with MCCMS-DRG 280 | $37,454 | $35,227 | 106% | — | 17 |
| Bariatric (obesity) surgery, no CC/MCCMS-DRG 621 | $36,626 | $8,272 | 443% | — | 16 |
| Basic metabolic panelCPT 80048 | $51 | $8 | 598% | ~$8 | 63 |
| COPD with MCCMS-DRG 190 | $27,932 | $28,709 | 97% | — | 17 |
| CT abdomen and pelvis with contrastCPT 74177 | $517 | $435 | 119% | ~$418 | 63 |
| CT head without contrastCPT 70450 | $438 | $130 | 336% | ~$415 | 63 |
| CT pelvis with contrastCPT 72193 | $559 | $219 | 255% | ~$238 | 63 |
| Cardiac arrhythmia, no CC/MCCMS-DRG 310 | $14,275 | $3,269 | 437% | — | 17 |
| Cardiac stress testCPT 93017 | $270 | $270 | 100% | $205 | 63 |
| Cardiac valve surgery with cardiac cath, with MCCMS-DRG 216 | $153,160 | — | — | — | 21 |
| Cataract surgery with IOL insertionCPT 66984 | $2,699 | $2,881 | 94% | $2,167 | 63 |
| Cellulitis, no MCCMS-DRG 603 | $21,961 | $26,044 | 84% | — | 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 | $18,156 | — | — | — | 17 |
| Colonoscopy with biopsyCPT 45380 | $2,098 | $1,494 | 140% | $1,098 | 63 |
| Colonoscopy with endoscopic ultrasoundCPT 45391 | $1,494 | $1,494 | 100% | $1,098 | 63 |
| Colonoscopy with polyp removalCPT 45385 | $2,098 | $1,494 | 140% | $1,098 | 63 |
| Colonoscopy, diagnosticCPT 45378 | $1,811 | $1,161 | 156% | $835 | 63 |
| Complete blood count with differentialCPT 85025 | $31 | $8 | 393% | ~$10 | 63 |
| Complete blood count, automatedCPT 85027 | $31 | $6 | 472% | ~$11 | 63 |
| Comprehensive metabolic panelCPT 80053 | $51 | $11 | 479% | ~$12 | 63 |
| Coronary bypass without cardiac cath, no MCCMS-DRG 236 | $78,557 | $29,950 | 262% | — | 21 |
| Diagnostic mammography, both breastsCPT 77066 | $201 | — | — | ~$188 | 63 |
| Diagnostic mammography, one breastCPT 77065 | $216 | — | — | ~$149 | 63 |
| ED visit, level 3CPT 99283 | $653 | $341 | 192% | $271 | 41 |
| ED visit, level 4CPT 99284 | $395 | $521 | 76% | $565 | 44 |
| ED visit, level 5CPT 99285 | $743 | $743 | 100% | $570 | 44 |
| Echocardiogram, completeCPT 93306 | $508 | $682 | 74% | $704 | 63 |
| Electrocardiogram with interpretationCPT 93000 | $105 | — | — | $66 | 60 |
| Epidural injection, lumbar/sacral, no imagingCPT 62322 | $1,061 | $1,104 | 96% | $683 | 63 |
| Esophagitis/GI disorders, no MCCMS-DRG 392 | $19,658 | $25,336 | 78% | — | 17 |
| Excision of breast lesionCPT 19120 | $3,913 | $4,888 | 80% | $1,713 | 63 |
| Family psychotherapy, with patientCPT 90847 | $224 | $222 | 101% | $377 | 62 |
| Family psychotherapy, without patientCPT 90846 | $203 | $222 | 92% | $374 | 63 |
| Group psychotherapyCPT 90853 | $119 | $127 | 94% | $80 | 63 |
| Heart failure and shock, with CCMS-DRG 292 | $21,408 | $5,927 | 361% | — | 17 |
| Heart failure with MCCMS-DRG 291 | $33,981 | $30,032 | 113% | — | 21 |
| Hip and femur procedures except major joint, with CCMS-DRG 481 | $42,854 | $36,718 | 117% | — | 17 |
| Hysterectomy, no CC/MCCMS-DRG 743 | $31,285 | $10,098 | 310% | — | 17 |
| Inguinal hernia repair, age 5+CPT 49505 | $2,931 | $4,469 | 66% | $3,400 | 63 |
| Kidney and urinary tract infections, no MCCMS-DRG 690 | $20,412 | $24,898 | 82% | — | 17 |
| Kidney function panelCPT 80069 | $51 | $9 | 582% | ~$10 | 63 |
| Knee arthroscopy with meniscectomyCPT 29881 | $2,220 | $4,084 | 54% | $2,993 | 63 |
| Laparoscopic cholecystectomyCPT 47562 | $5,217 | $7,547 | 69% | $5,079 | 63 |
| Laparoscopic cholecystectomy, no CC/MCCMS-DRG 419 | $33,420 | $8,977 | 372% | — | 17 |
| Laparoscopic radical prostatectomyCPT 55866 | $5,402 | $13,269 | 41% | $6,133 | 63 |
| Left heart catheterization, diagnosticCPT 93452 | $3,927 | $4,047 | 97% | $2,727 | 63 |
| Lipid panelCPT 80061 | $51 | $13 | 378% | ~$17 | 63 |
| Liver function panelCPT 80076 | $51 | $8 | 619% | ~$8 | 63 |
| Lumbar epidural steroid injectionCPT 62323 | $881 | $881 | 100% | $683 | 63 |
| MRI brain with and without contrastCPT 70553 | $939 | $435 | 216% | ~$418 | 63 |
| MRI lower extremity joint (knee)CPT 73721 | $615 | $298 | 206% | ~$255 | 63 |
| MRI lumbar spine without contrastCPT 72148 | $559 | $298 | 188% | ~$255 | 63 |
| Major joint replacement (hip/knee), no MCCMS-DRG 470 | $40,494 | $13,045 | 310% | — | 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 | $24,240 | $26,296 | 92% | — | 17 |
| OB global care, VBAC deliveryCPT 59610 | $2,990 | — | — | $2,041 | 60 |
| OB global care, cesarean deliveryCPT 59510 | $5,364 | — | — | $2,780 | 39 |
| OB global care, vaginal deliveryCPT 59400 | $3,570 | — | — | — | 45 |
| OB ultrasound, 14+ weeksCPT 76805 | $252 | $130 | 193% | ~$123 | 63 |
| Obstetric blood test panelCPT 80055 | $63 | $48 | 132% | ~$53 | 63 |
| Office consultation, comprehensiveCPT 99244 | $178 | — | — | $65 | 35 |
| Office consultation, moderateCPT 99243 | $265 | — | — | $65 | 41 |
| Office visit, established patient, level 3CPT 99213 | $330 | — | — | $166 | 35 |
| Office visit, established patient, level 4CPT 99214 | $330 | — | — | $206 | 35 |
| Office visit, new patient, level 3CPT 99203 | $330 | — | — | $205 | 35 |
| Office visit, new patient, level 4CPT 99204 | $380 | — | — | $176 | 35 |
| Office visit, new patient, level 5CPT 99205 | $596 | — | — | $379 | 35 |
| PSA (prostate specific antigen), totalCPT 84153 | $36 | $18 | 193% | ~$24 | 63 |
| Partial thromboplastin timeCPT 85730 | $34 | $6 | 558% | ~$8 | 63 |
| Physical therapy, therapeutic exerciseCPT 97110 | $225 | — | — | $98 | 63 |
| Preventive visit, new patient, 18-39CPT 99385 | $451 | — | — | $234 | 35 |
| Preventive visit, new patient, 40-64CPT 99386 | $529 | — | — | $327 | 35 |
| Prostate biopsyCPT 55700 | $2,424 | — | — | $1,811 | 62 |
| Prothrombin timeCPT 85610 | $34 | $4 | 782% | ~$5 | 63 |
| Psychotherapy, 30 minutesCPT 90832 | $203 | $222 | 92% | $130 | 63 |
| Psychotherapy, 45 minutesCPT 90834 | $244 | $222 | 110% | $287 | 63 |
| Psychotherapy, 60 minutesCPT 90837 | $244 | $222 | 110% | $278 | 63 |
| Renal failure, with CCMS-DRG 683 | $22,084 | $24,196 | 91% | — | 17 |
| Screening mammography, bilateralCPT 77067 | $217 | — | — | ~$153 | 63 |
| Sepsis with MCCMS-DRG 871 | $41,449 | $37,178 | 111% | — | 17 |
| Shoulder arthroscopy, subacromial decompressionCPT 29826 | $3,766 | — | — | $1,799 | 60 |
| Simple pneumonia and pleurisy, with CCMS-DRG 194 | $20,322 | $25,922 | 78% | — | 17 |
| Sleep study (polysomnography)CPT 95810 | $1,083 | $1,072 | 101% | $994 | 63 |
| Stroke (hemorrhage/infarction), no CC/MCCMS-DRG 066 | $17,258 | $3,679 | 469% | — | 17 |
| Stroke (hemorrhage/infarction), with CC or tPAMS-DRG 065 | $25,476 | $27,019 | 94% | — | 17 |
| Thyroid stimulating hormone (TSH)CPT 84443 | $55 | $17 | 326% | ~$22 | 63 |
| Tonsillectomy and adenoidectomy, under age 12CPT 42820 | $1,759 | $7,390 | 24% | $4,641 | 63 |
| Transforaminal epidural, lumbar/sacralCPT 64483 | $1,513 | $1,104 | 137% | $888 | 63 |
| Ultrasound, abdomen, completeCPT 76700 | $774 | $130 | 593% | ~$465 | 63 |
| Ultrasound, transvaginalCPT 76830 | $278 | $130 | 213% | ~$202 | 63 |
| Upper GI endoscopy with biopsyCPT 43239 | $1,811 | $1,132 | 160% | $859 | 63 |
| Upper GI endoscopy, diagnosticCPT 43235 | $1,715 | $1,132 | 151% | $859 | 63 |
| Urinalysis, automated, with microscopyCPT 81001 | $30 | $3 | 940% | ~$5 | 63 |
| Urinalysis, automated, without microscopyCPT 81003 | $30 | $2 | 1325% | ~$3 | 63 |
| Urinalysis, manual, with microscopyCPT 81000 | $33 | $4 | 816% | ~$4 | 63 |
| Urinalysis, manual, without microscopyCPT 81002 | $30 | $3 | 857% | ~$3 | 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% | ~$102 | 63 |
| YAG laser capsulotomy (secondary cataract)CPT 66821 | $1,963 | $687 | 286% | $434 | 63 |