| Acute myocardial infarction, discharged alive, with MCCMS-DRG 280 | $45,992 | $12,612 | 365% | — | 35 |
| Bariatric (obesity) surgery, no CC/MCCMS-DRG 621 | $39,614 | $8,272 | 479% | — | 40 |
| Basic metabolic panelCPT 80048 | $16 | $8 | 195% | ~$40 | 97 |
| COPD with MCCMS-DRG 190 | $31,466 | $8,713 | 361% | — | 35 |
| CT abdomen and pelvis with contrastCPT 74177 | $828 | $435 | 190% | ~$715 | 97 |
| CT head without contrastCPT 70450 | $273 | $130 | 209% | ~$449 | 97 |
| CT pelvis with contrastCPT 72193 | $474 | $219 | 216% | ~$517 | 97 |
| Cardiac arrhythmia, no CC/MCCMS-DRG 310 | $17,517 | $3,017 | 581% | — | 35 |
| Cardiac stress testCPT 93017 | $567 | $270 | 210% | $353 | 97 |
| Cardiac valve surgery with cardiac cath, with MCCMS-DRG 216 | $229,473 | $81,746 | 281% | — | 35 |
| Cataract surgery with IOL insertionCPT 66984 | $4,405 | $2,881 | 153% | — | 77 |
| Cellulitis, no MCCMS-DRG 603 | $25,952 | $5,979 | 434% | — | 35 |
| Cervical spinal fusion, no CC/MCCMS-DRG 473 | $66,335 | $19,648 | 338% | — | 35 |
| Cesarean section, no CC/MCCMS-DRG 788 | $19,837 | — | — | — | 35 |
| Cesarean section, with CCMS-DRG 787 | $23,282 | — | — | — | 35 |
| Chest painMS-DRG 313 | $19,989 | $5,047 | 396% | — | 35 |
| Colonoscopy with biopsyCPT 45380 | $2,442 | $1,494 | 163% | — | 77 |
| Colonoscopy with endoscopic ultrasoundCPT 45391 | $2,442 | $1,494 | 163% | — | 77 |
| Colonoscopy with polyp removalCPT 45385 | $2,442 | $1,494 | 163% | — | 77 |
| Colonoscopy, diagnosticCPT 45378 | $2,259 | $1,161 | 195% | — | 77 |
| Complete blood count with differentialCPT 85025 | $11 | $8 | 140% | ~$43 | 97 |
| Complete blood count, automatedCPT 85027 | $8 | $6 | 126% | ~$26 | 97 |
| Comprehensive metabolic panelCPT 80053 | $23 | $11 | 215% | ~$109 | 97 |
| Coronary bypass without cardiac cath, no MCCMS-DRG 236 | $97,296 | $28,796 | 338% | — | 35 |
| Diagnostic mammography, both breastsCPT 77066 | $370 | — | — | ~$154 | 86 |
| Diagnostic mammography, one breastCPT 77065 | $342 | — | — | ~$154 | 86 |
| ED visit, level 3CPT 99283 | $1,623 | $341 | 476% | $433 | 81 |
| ED visit, level 4CPT 99284 | $1,843 | $521 | 354% | $492 | 81 |
| ED visit, level 5CPT 99285 | $2,134 | $743 | 287% | $570 | 81 |
| Echocardiogram, completeCPT 93306 | $1,328 | $682 | 195% | $828 | 97 |
| Electrocardiogram with interpretationCPT 93000 | $30 | — | — | — | 30 |
| Epidural injection, lumbar/sacral, no imagingCPT 62322 | $1,844 | $1,104 | 167% | — | 77 |
| Esophagitis/GI disorders, no MCCMS-DRG 392 | $24,430 | $5,191 | 471% | — | 35 |
| Excision of breast lesionCPT 19120 | $4,531 | $4,888 | 93% | — | 77 |
| Family psychotherapy, with patientCPT 90847 | $280 | $222 | 126% | $105 | 97 |
| Family psychotherapy, without patientCPT 90846 | $428 | $222 | 193% | $180 | 97 |
| Group psychotherapyCPT 90853 | $183 | $127 | 144% | $52 | 97 |
| Heart failure and shock, with CCMS-DRG 292 | $25,952 | $6,321 | 411% | — | 35 |
| Heart failure with MCCMS-DRG 291 | $36,560 | $9,759 | 375% | — | 35 |
| Hip and femur procedures except major joint, with CCMS-DRG 481 | $58,139 | $16,344 | 356% | — | 35 |
| Hysterectomy, no CC/MCCMS-DRG 743 | $33,588 | $10,098 | 333% | — | 35 |
| Inguinal hernia repair, age 5+CPT 49505 | $5,643 | $4,469 | 126% | $2,138 | 97 |
| Kidney and urinary tract infections, no MCCMS-DRG 690 | $25,129 | $5,522 | 455% | — | 35 |
| Kidney function panelCPT 80069 | $20 | $9 | 225% | ~$56 | 97 |
| Knee arthroscopy with meniscectomyCPT 29881 | $4,971 | $4,084 | 122% | — | 77 |
| Laparoscopic cholecystectomyCPT 47562 | $5,919 | $7,547 | 78% | — | 76 |
| Laparoscopic cholecystectomy, no CC/MCCMS-DRG 419 | $36,919 | $7,955 | 464% | — | 35 |
| Laparoscopic radical prostatectomyCPT 55866 | $6,030 | $13,269 | 45% | — | 77 |
| Left heart catheterization, diagnosticCPT 93452 | $7,969 | $4,047 | 197% | $3,293 | 97 |
| Lipid panelCPT 80061 | $19 | $13 | 140% | ~$51 | 97 |
| Liver function panelCPT 80076 | $16 | $8 | 202% | ~$42 | 97 |
| Lumbar epidural steroid injectionCPT 62323 | $2,002 | $881 | 227% | $535 | 97 |
| MRI brain with and without contrastCPT 70553 | $970 | $435 | 223% | ~$1,683 | 97 |
| MRI lower extremity joint (knee)CPT 73721 | $849 | $298 | 285% | ~$791 | 97 |
| MRI lumbar spine without contrastCPT 72148 | $849 | $298 | 285% | ~$791 | 97 |
| Major joint replacement (hip/knee), no MCCMS-DRG 470 | $52,832 | $13,995 | 377% | — | 35 |
| Major joint replacement (hip/knee), with MCCMS-DRG 469 | $91,589 | $24,516 | 374% | — | 35 |
| Major small and large bowel procedures, with CCMS-DRG 330 | $66,231 | $16,928 | 391% | — | 35 |
| Medical back problems, no MCCMS-DRG 552 | $27,006 | $6,824 | 396% | — | 35 |
| OB global care, VBAC deliveryCPT 59610 | $5,148 | — | — | — | 38 |
| OB global care, cesarean deliveryCPT 59510 | $5,148 | — | — | — | 17 |
| OB global care, vaginal deliveryCPT 59400 | $5,148 | — | — | — | 38 |
| OB ultrasound, 14+ weeksCPT 76805 | $229 | $130 | 175% | ~$165 | 97 |
| Obstetric blood test panelCPT 80055 | $67 | $48 | 140% | — | 74 |
| Office consultation, comprehensiveCPT 99244 | $240 | — | — | — | 8 |
| Office consultation, moderateCPT 99243 | $192 | — | — | — | 8 |
| Office visit, established patient, level 3CPT 99213 | $155 | — | — | $58 | 70 |
| Office visit, established patient, level 4CPT 99214 | $188 | — | — | $70 | 70 |
| Office visit, new patient, level 3CPT 99203 | $155 | — | — | $58 | 70 |
| Office visit, new patient, level 4CPT 99204 | $188 | — | — | $70 | 70 |
| Office visit, new patient, level 5CPT 99205 | $225 | — | — | $84 | 70 |
| PSA (prostate specific antigen), totalCPT 84153 | $41 | $18 | 225% | ~$63 | 97 |
| Partial thromboplastin timeCPT 85730 | $14 | $6 | 225% | ~$37 | 97 |
| Physical therapy, therapeutic exerciseCPT 97110 | $132 | — | — | $32 | 86 |
| Preventive visit, new patient, 18-39CPT 99385 | $139 | — | — | — | 5 |
| Preventive visit, new patient, 40-64CPT 99386 | $168 | — | — | — | 5 |
| Prostate biopsyCPT 55700 | $3,902 | — | — | — | 77 |
| Prothrombin timeCPT 85610 | $9 | $4 | 207% | ~$23 | 97 |
| Psychotherapy, 30 minutesCPT 90832 | $246 | $222 | 111% | $70 | 97 |
| Psychotherapy, 45 minutesCPT 90834 | $280 | $222 | 126% | $75 | 97 |
| Psychotherapy, 60 minutesCPT 90837 | $290 | $222 | 131% | $79 | 97 |
| Renal failure, with CCMS-DRG 683 | $25,952 | $6,410 | 405% | — | 35 |
| Screening mammography, bilateralCPT 77067 | $341 | — | — | ~$146 | 86 |
| Sepsis with MCCMS-DRG 871 | $54,978 | $15,513 | 354% | — | 35 |
| Shoulder arthroscopy, subacromial decompressionCPT 29826 | $4,194 | — | — | — | 63 |
| Simple pneumonia and pleurisy, with CCMS-DRG 194 | $25,673 | $5,367 | 478% | — | 35 |
| Sleep study (polysomnography)CPT 95810 | $3,511 | $1,072 | 328% | $2,346 | 97 |
| Stroke (hemorrhage/infarction), no CC/MCCMS-DRG 066 | $19,286 | $4,411 | 437% | — | 35 |
| Stroke (hemorrhage/infarction), with CC or tPAMS-DRG 065 | $28,494 | $6,548 | 435% | — | 35 |
| Thyroid stimulating hormone (TSH)CPT 84443 | $24 | $17 | 140% | ~$73 | 97 |
| Tonsillectomy and adenoidectomy, under age 12CPT 42820 | $4,753 | $7,390 | 64% | — | 77 |
| Transforaminal epidural, lumbar/sacralCPT 64483 | $1,786 | $1,104 | 162% | $477 | 97 |
| Ultrasound, abdomen, completeCPT 76700 | $219 | $130 | 168% | ~$250 | 97 |
| Ultrasound, transvaginalCPT 76830 | $220 | $130 | 169% | ~$229 | 97 |
| Upper GI endoscopy with biopsyCPT 43239 | $2,404 | $1,132 | 212% | $642 | 97 |
| Upper GI endoscopy, diagnosticCPT 43235 | $2,618 | $1,132 | 231% | $699 | 97 |
| Urinalysis, automated, with microscopyCPT 81001 | $7 | $3 | 225% | ~$36 | 97 |
| Urinalysis, automated, without microscopyCPT 81003 | $5 | $2 | 202% | ~$12 | 97 |
| Urinalysis, manual, with microscopyCPT 81000 | $5 | $4 | 117% | — | 74 |
| Urinalysis, manual, without microscopyCPT 81002 | $5 | $3 | 131% | ~$8 | 97 |
| Vaginal delivery, no sterilization, no CC/MCCMS-DRG 807 | $13,974 | — | — | — | 35 |
| Vaginal delivery, no sterilization, with CCMS-DRG 806 | $15,866 | — | — | — | 35 |
| X-ray, lower back, 4+ viewsCPT 72110 | $126 | $130 | 96% | ~$133 | 97 |
| YAG laser capsulotomy (secondary cataract)CPT 66821 | $3,655 | $687 | 532% | — | 77 |