| Acute myocardial infarction, discharged alive, with MCCMS-DRG 280 | $44,919 | $14,284 | 314% | — | 25 |
| Bariatric (obesity) surgery, no CC/MCCMS-DRG 621 | $50,192 | $8,272 | 607% | — | 25 |
| Basic metabolic panelCPT 80048 | $35 | $8 | 417% | — | 38 |
| COPD with MCCMS-DRG 190 | $30,740 | $7,377 | 417% | — | 25 |
| CT abdomen and pelvis with contrastCPT 74177 | $849 | $435 | 195% | — | 38 |
| CT head without contrastCPT 70450 | $347 | $130 | 266% | — | 38 |
| CT pelvis with contrastCPT 72193 | $586 | $219 | 268% | — | 38 |
| Cardiac arrhythmia, no CC/MCCMS-DRG 310 | $15,408 | $3,269 | 471% | — | 25 |
| Cardiac stress testCPT 93017 | $503 | $270 | 187% | — | 38 |
| Cardiac valve surgery with cardiac cath, with MCCMS-DRG 216 | $287,526 | — | — | — | 25 |
| Cataract surgery with IOL insertionCPT 66984 | $5,436 | $2,881 | 189% | — | 38 |
| Cellulitis, no MCCMS-DRG 603 | $24,150 | $7,493 | 322% | — | 25 |
| Cervical spinal fusion, no CC/MCCMS-DRG 473 | $71,384 | $16,343 | 437% | — | 25 |
| Cesarean section, no CC/MCCMS-DRG 788 | $24,718 | — | — | — | 25 |
| Cesarean section, with CCMS-DRG 787 | $29,010 | — | — | — | 25 |
| Chest painMS-DRG 313 | $19,523 | $4,972 | 393% | — | 25 |
| Colonoscopy with biopsyCPT 45380 | $3,230 | $1,494 | 216% | — | 38 |
| Colonoscopy with endoscopic ultrasoundCPT 45391 | $3,752 | $1,494 | 251% | — | 38 |
| Colonoscopy with polyp removalCPT 45385 | $3,352 | $1,494 | 224% | — | 38 |
| Colonoscopy, diagnosticCPT 45378 | $3,108 | $1,161 | 268% | — | 38 |
| Complete blood count with differentialCPT 85025 | $32 | $8 | 417% | — | 38 |
| Complete blood count, automatedCPT 85027 | $27 | $6 | 417% | — | 38 |
| Comprehensive metabolic panelCPT 80053 | $44 | $11 | 417% | — | 38 |
| Coronary bypass without cardiac cath, no MCCMS-DRG 236 | $112,532 | $29,950 | 376% | — | 25 |
| Diagnostic mammography, both breastsCPT 77066 | $380 | — | — | — | 36 |
| Diagnostic mammography, one breastCPT 77065 | $298 | — | — | — | 36 |
| ED visit, level 3CPT 99283 | $2,073 | $341 | 608% | — | 38 |
| ED visit, level 4CPT 99284 | $2,164 | $521 | 415% | — | 38 |
| ED visit, level 5CPT 99285 | $2,614 | $743 | 352% | — | 38 |
| Echocardiogram, completeCPT 93306 | $2,411 | $682 | 353% | — | 38 |
| Electrocardiogram with interpretationCPT 93000 | $89 | — | — | — | 19 |
| Epidural injection, lumbar/sacral, no imagingCPT 62322 | $3,554 | $1,104 | 322% | — | 38 |
| Esophagitis/GI disorders, no MCCMS-DRG 392 | $21,354 | $6,717 | 318% | — | 25 |
| Excision of breast lesionCPT 19120 | $4,594 | $4,888 | 94% | — | 38 |
| Family psychotherapy, with patientCPT 90847 | $366 | $222 | 165% | — | 38 |
| Family psychotherapy, without patientCPT 90846 | $310 | $222 | 140% | — | 38 |
| Group psychotherapyCPT 90853 | $194 | $127 | 153% | — | 38 |
| Heart failure and shock, with CCMS-DRG 292 | $23,617 | $5,927 | 398% | — | 25 |
| Heart failure with MCCMS-DRG 291 | $39,650 | $11,162 | 355% | — | 25 |
| Hip and femur procedures except major joint, with CCMS-DRG 481 | $57,793 | $16,440 | 352% | — | 25 |
| Hysterectomy, no CC/MCCMS-DRG 743 | $28,956 | $10,098 | 287% | — | 25 |
| Inguinal hernia repair, age 5+CPT 49505 | $6,076 | $4,469 | 136% | — | 38 |
| Kidney and urinary tract infections, no MCCMS-DRG 690 | $22,022 | $7,032 | 313% | — | 25 |
| Kidney function panelCPT 80069 | $36 | $9 | 417% | — | 38 |
| Knee arthroscopy with meniscectomyCPT 29881 | $6,226 | $4,084 | 152% | — | 38 |
| Laparoscopic cholecystectomyCPT 47562 | $14,454 | $7,547 | 192% | — | 38 |
| Laparoscopic cholecystectomy, no CC/MCCMS-DRG 419 | $32,885 | $8,977 | 366% | — | 25 |
| Laparoscopic radical prostatectomyCPT 55866 | $7,219 | $13,269 | 54% | — | 38 |
| Left heart catheterization, diagnosticCPT 93452 | $7,499 | $4,047 | 185% | — | 38 |
| Lipid panelCPT 80061 | $56 | $13 | 417% | — | 38 |
| Liver function panelCPT 80076 | $34 | $8 | 417% | — | 38 |
| Lumbar epidural steroid injectionCPT 62323 | $3,376 | $881 | 383% | — | 38 |
| MRI brain with and without contrastCPT 70553 | $1,004 | $435 | 231% | — | 38 |
| MRI lower extremity joint (knee)CPT 73721 | $594 | $298 | 199% | — | 38 |
| MRI lumbar spine without contrastCPT 72148 | $626 | $298 | 210% | — | 38 |
| Major joint replacement (hip/knee), no MCCMS-DRG 470 | $62,304 | $13,045 | 478% | — | 23 |
| Major joint replacement (hip/knee), with MCCMS-DRG 469 | $94,234 | $22,346 | 422% | — | 25 |
| Major small and large bowel procedures, with CCMS-DRG 330 | $71,273 | $16,202 | 440% | — | 25 |
| Medical back problems, no MCCMS-DRG 552 | $26,408 | $8,244 | 320% | — | 25 |
| OB global care, VBAC deliveryCPT 59610 | $4,191 | — | — | — | 33 |
| OB global care, cesarean deliveryCPT 59510 | $4,869 | — | — | — | 22 |
| OB global care, vaginal deliveryCPT 59400 | $4,191 | — | — | — | 33 |
| OB ultrasound, 14+ weeksCPT 76805 | $315 | $130 | 242% | — | 38 |
| Obstetric blood test panelCPT 80055 | $98 | $48 | 205% | — | 36 |
| Office consultation, comprehensiveCPT 99244 | $526 | — | — | — | 36 |
| Office consultation, moderateCPT 99243 | $437 | — | — | — | 36 |
| Office visit, established patient, level 3CPT 99213 | $270 | — | — | — | 36 |
| Office visit, established patient, level 4CPT 99214 | $354 | — | — | — | 36 |
| Office visit, new patient, level 3CPT 99203 | $368 | — | — | — | 36 |
| Office visit, new patient, level 4CPT 99204 | $454 | — | — | — | 36 |
| Office visit, new patient, level 5CPT 99205 | $543 | — | — | — | 36 |
| PSA (prostate specific antigen), totalCPT 84153 | $57 | $18 | 312% | — | 38 |
| Partial thromboplastin timeCPT 85730 | $25 | $6 | 417% | — | 38 |
| Physical therapy, therapeutic exerciseCPT 97110 | $165 | — | — | — | 36 |
| Preventive visit, new patient, 18-39CPT 99385 | $295 | — | — | — | 36 |
| Preventive visit, new patient, 40-64CPT 99386 | $295 | — | — | — | 36 |
| Prostate biopsyCPT 55700 | $4,386 | — | — | — | 38 |
| Prothrombin timeCPT 85610 | $18 | $4 | 417% | — | 38 |
| Psychotherapy, 30 minutesCPT 90832 | $276 | $222 | 125% | — | 38 |
| Psychotherapy, 45 minutesCPT 90834 | $346 | $222 | 156% | — | 38 |
| Psychotherapy, 60 minutesCPT 90837 | $408 | $222 | 184% | — | 38 |
| Renal failure, with CCMS-DRG 683 | $24,370 | $8,646 | 282% | — | 25 |
| Screening mammography, bilateralCPT 77067 | $314 | — | — | — | 36 |
| Sepsis with MCCMS-DRG 871 | $56,869 | $18,283 | 311% | — | 25 |
| Shoulder arthroscopy, subacromial decompressionCPT 29826 | $4,191 | — | — | — | 36 |
| Simple pneumonia and pleurisy, with CCMS-DRG 194 | $22,496 | $5,177 | 435% | — | 25 |
| Sleep study (polysomnography)CPT 95810 | $3,549 | $1,072 | 331% | — | 38 |
| Stroke (hemorrhage/infarction), no CC/MCCMS-DRG 066 | $18,912 | $3,679 | 514% | — | 25 |
| Stroke (hemorrhage/infarction), with CC or tPAMS-DRG 065 | $27,853 | $8,306 | 335% | — | 25 |
| Thyroid stimulating hormone (TSH)CPT 84443 | $70 | $17 | 417% | — | 38 |
| Tonsillectomy and adenoidectomy, under age 12CPT 42820 | $5,492 | $7,390 | 74% | — | 38 |
| Transforaminal epidural, lumbar/sacralCPT 64483 | $3,376 | $1,104 | 306% | — | 38 |
| Ultrasound, abdomen, completeCPT 76700 | $395 | $130 | 303% | — | 38 |
| Ultrasound, transvaginalCPT 76830 | $313 | $130 | 240% | — | 38 |
| Upper GI endoscopy with biopsyCPT 43239 | $3,118 | $1,132 | 275% | — | 38 |
| Upper GI endoscopy, diagnosticCPT 43235 | $3,108 | $1,132 | 275% | — | 38 |
| Urinalysis, automated, with microscopyCPT 81001 | $13 | $3 | 417% | — | 38 |
| Urinalysis, automated, without microscopyCPT 81003 | $9 | $2 | 417% | — | 38 |
| Urinalysis, manual, with microscopyCPT 81000 | $13 | $4 | 330% | — | 36 |
| Urinalysis, manual, without microscopyCPT 81002 | $15 | $3 | 417% | — | 38 |
| Vaginal delivery, no sterilization, no CC/MCCMS-DRG 807 | $17,412 | — | — | — | 25 |
| Vaginal delivery, no sterilization, with CCMS-DRG 806 | $19,770 | — | — | — | 25 |
| X-ray, lower back, 4+ viewsCPT 72110 | $161 | $130 | 124% | — | 38 |
| YAG laser capsulotomy (secondary cataract)CPT 66821 | $4,126 | $687 | 601% | — | 38 |