| Acute myocardial infarction, discharged alive, with MCCMS-DRG 280 | $26,653 | $12,310 | 217% | — | 2 |
| Bariatric (obesity) surgery, no CC/MCCMS-DRG 621 | $23,737 | $8,272 | 287% | — | 2 |
| Basic metabolic panelCPT 80048 | $11 | $8 | 134% | ~$7 | 21 |
| COPD with MCCMS-DRG 190 | $18,235 | $7,921 | 230% | — | 2 |
| CT abdomen and pelvis with contrastCPT 74177 | $857 | $435 | 197% | ~$543 | 19 |
| CT head without contrastCPT 70450 | $781 | $130 | 599% | ~$511 | 19 |
| CT pelvis with contrastCPT 72193 | $770 | $219 | 352% | ~$503 | 19 |
| Cardiac arrhythmia, no CC/MCCMS-DRG 310 | $9,085 | $3,269 | 278% | — | 2 |
| Cardiac stress testCPT 93017 | $430 | $270 | 159% | $236 | 17 |
| Cardiac valve surgery with cardiac cath, with MCCMS-DRG 216 | $156,715 | — | — | — | 2 |
| Cataract surgery with IOL insertionCPT 66984 | $5,112 | $2,881 | 177% | — | 5 |
| Cellulitis, no MCCMS-DRG 603 | $14,302 | $6,011 | 238% | — | 2 |
| Cervical spinal fusion, no CC/MCCMS-DRG 473 | $38,442 | $16,343 | 235% | — | 2 |
| Cesarean section, no CC/MCCMS-DRG 788 | $15,655 | — | — | — | 2 |
| Cesarean section, with CCMS-DRG 787 | $17,100 | — | — | — | 2 |
| Chest painMS-DRG 313 | $11,584 | — | — | — | 2 |
| Colonoscopy with biopsyCPT 45380 | $3,926 | $1,494 | 263% | $1,147 | 22 |
| Colonoscopy with endoscopic ultrasoundCPT 45391 | $3,926 | $1,494 | 263% | $1,205 | 22 |
| Colonoscopy with polyp removalCPT 45385 | $3,926 | $1,494 | 263% | $1,147 | 22 |
| Colonoscopy, diagnosticCPT 45378 | $2,426 | $1,161 | 209% | $1,147 | 22 |
| Complete blood count with differentialCPT 85025 | $16 | $8 | 209% | ~$15 | 21 |
| Complete blood count, automatedCPT 85027 | $9 | $6 | 136% | ~$6 | 21 |
| Comprehensive metabolic panelCPT 80053 | $14 | $11 | 136% | ~$9 | 21 |
| Coronary bypass without cardiac cath, no MCCMS-DRG 236 | $66,772 | $29,950 | 223% | — | 2 |
| Diagnostic mammography, both breastsCPT 77066 | $348 | — | — | ~$223 | 18 |
| Diagnostic mammography, one breastCPT 77065 | $298 | — | — | ~$192 | 18 |
| ED visit, level 3CPT 99283 | $1,619 | $341 | 475% | $581 | 19 |
| ED visit, level 4CPT 99284 | $1,719 | $521 | 330% | $619 | 19 |
| ED visit, level 5CPT 99285 | $1,719 | $743 | 231% | $799 | 19 |
| Echocardiogram, completeCPT 93306 | $967 | $682 | 142% | $632 | 17 |
| Electrocardiogram with interpretationCPT 93000 | $96 | — | — | — | 7 |
| Epidural injection, lumbar/sacral, no imagingCPT 62322 | $2,220 | $1,104 | 201% | $868 | 22 |
| Esophagitis/GI disorders, no MCCMS-DRG 392 | $12,671 | $5,556 | 228% | — | 2 |
| Excision of breast lesionCPT 19120 | $3,720 | $4,888 | 76% | $1,803 | 21 |
| Family psychotherapy, with patientCPT 90847 | $269 | $222 | 121% | $130 | 15 |
| Family psychotherapy, without patientCPT 90846 | $269 | $222 | 121% | $130 | 15 |
| Group psychotherapyCPT 90853 | $192 | $127 | 152% | $119 | 18 |
| Heart failure and shock, with CCMS-DRG 292 | $13,984 | $5,927 | 236% | — | 2 |
| Heart failure with MCCMS-DRG 291 | $21,187 | $9,918 | 214% | — | 2 |
| Hip and femur procedures except major joint, with CCMS-DRG 481 | $33,692 | $15,624 | 216% | — | 2 |
| Hysterectomy, no CC/MCCMS-DRG 743 | $19,464 | $10,098 | 193% | — | 2 |
| Inguinal hernia repair, age 5+CPT 49505 | $4,441 | $4,469 | 99% | $2,153 | 21 |
| Kidney and urinary tract infections, no MCCMS-DRG 690 | $13,033 | $5,506 | 237% | — | 2 |
| Kidney function panelCPT 80069 | $28 | $9 | 320% | ~$37 | 21 |
| Knee arthroscopy with meniscectomyCPT 29881 | $5,460 | $4,084 | 134% | — | 12 |
| Laparoscopic cholecystectomyCPT 47562 | $6,880 | $7,547 | 91% | $3,819 | 22 |
| Laparoscopic cholecystectomy, no CC/MCCMS-DRG 419 | $21,395 | $8,977 | 238% | — | 2 |
| Laparoscopic radical prostatectomyCPT 55866 | $7,225 | $13,269 | 54% | — | 5 |
| Left heart catheterization, diagnosticCPT 93452 | $4,841 | $4,047 | 120% | $1,321 | 22 |
| Lipid panelCPT 80061 | $18 | $13 | 136% | ~$12 | 21 |
| Liver function panelCPT 80076 | $11 | $8 | 139% | ~$7 | 21 |
| Lumbar epidural steroid injectionCPT 62323 | $1,868 | $881 | 212% | $515 | 22 |
| MRI brain with and without contrastCPT 70553 | $1,199 | $435 | 275% | ~$784 | 19 |
| MRI lower extremity joint (knee)CPT 73721 | $732 | $298 | 246% | ~$479 | 19 |
| MRI lumbar spine without contrastCPT 72148 | $748 | $298 | 251% | ~$489 | 19 |
| Major joint replacement (hip/knee), no MCCMS-DRG 470 | $30,617 | $14,523 | 211% | — | 2 |
| Major joint replacement (hip/knee), with MCCMS-DRG 469 | $53,077 | $22,346 | 238% | — | 2 |
| Major small and large bowel procedures, with CCMS-DRG 330 | $38,382 | $18,609 | 206% | — | 2 |
| Medical back problems, no MCCMS-DRG 552 | $15,650 | $6,782 | 231% | — | 2 |
| OB global care, VBAC deliveryCPT 59610 | $5,672 | — | — | — | 6 |
| OB global care, cesarean deliveryCPT 59510 | $6,294 | — | — | — | 3 |
| OB global care, vaginal deliveryCPT 59400 | $5,533 | — | — | — | 6 |
| OB ultrasound, 14+ weeksCPT 76805 | $321 | $130 | 246% | ~$156 | 19 |
| Obstetric blood test panelCPT 80055 | $61 | $48 | 128% | ~$40 | 18 |
| Office consultation, comprehensiveCPT 99244 | $182 | — | — | $91 | 12 |
| Office consultation, moderateCPT 99243 | $182 | — | — | $91 | 12 |
| Office visit, established patient, level 3CPT 99213 | $237 | — | — | $153 | 12 |
| Office visit, established patient, level 4CPT 99214 | $218 | — | — | $109 | 12 |
| Office visit, new patient, level 3CPT 99203 | $208 | — | — | $104 | 12 |
| Office visit, new patient, level 4CPT 99204 | $295 | — | — | $147 | 12 |
| Office visit, new patient, level 5CPT 99205 | $379 | — | — | $189 | 12 |
| PSA (prostate specific antigen), totalCPT 84153 | $25 | $18 | 136% | ~$16 | 21 |
| Partial thromboplastin timeCPT 85730 | $9 | $6 | 147% | ~$6 | 21 |
| Physical therapy, therapeutic exerciseCPT 97110 | $164 | — | — | $30 | 17 |
| Preventive visit, new patient, 18-39CPT 99385 | $82 | — | — | $41 | 12 |
| Preventive visit, new patient, 40-64CPT 99386 | $95 | — | — | $47 | 12 |
| Prostate biopsyCPT 55700 | $2,798 | — | — | $1,356 | 22 |
| Prothrombin timeCPT 85610 | $6 | $4 | 132% | ~$4 | 21 |
| Psychotherapy, 30 minutesCPT 90832 | $184 | $222 | 83% | $157 | 19 |
| Psychotherapy, 45 minutesCPT 90834 | $246 | $222 | 111% | $127 | 16 |
| Psychotherapy, 60 minutesCPT 90837 | $300 | $222 | 135% | $145 | 16 |
| Renal failure, with CCMS-DRG 683 | $14,434 | $6,616 | 218% | — | 2 |
| Screening mammography, bilateralCPT 77067 | $191 | — | — | ~$92 | 18 |
| Sepsis with MCCMS-DRG 871 | $31,861 | $14,982 | 213% | — | 2 |
| Shoulder arthroscopy, subacromial decompressionCPT 29826 | $4,905 | — | — | $211 | 21 |
| Simple pneumonia and pleurisy, with CCMS-DRG 194 | $13,315 | $5,624 | 237% | — | 2 |
| Sleep study (polysomnography)CPT 95810 | $1,742 | $1,072 | 163% | $1,257 | 20 |
| Stroke (hemorrhage/infarction), no CC/MCCMS-DRG 066 | $11,177 | $4,243 | 263% | — | 2 |
| Stroke (hemorrhage/infarction), with CC or tPAMS-DRG 065 | $16,512 | $7,084 | 233% | — | 2 |
| Thyroid stimulating hormone (TSH)CPT 84443 | $23 | $17 | 136% | ~$15 | 21 |
| Tonsillectomy and adenoidectomy, under age 12CPT 42820 | $5,582 | $7,390 | 76% | — | 13 |
| Transforaminal epidural, lumbar/sacralCPT 64483 | $1,964 | $1,104 | 178% | $637 | 22 |
| Ultrasound, abdomen, completeCPT 76700 | $365 | $130 | 280% | ~$239 | 19 |
| Ultrasound, transvaginalCPT 76830 | $271 | $130 | 207% | ~$163 | 19 |
| Upper GI endoscopy with biopsyCPT 43239 | $2,412 | $1,132 | 213% | $1,102 | 22 |
| Upper GI endoscopy, diagnosticCPT 43235 | $2,704 | $1,132 | 239% | $1,662 | 22 |
| Urinalysis, automated, with microscopyCPT 81001 | $4 | $3 | 139% | ~$3 | 21 |
| Urinalysis, automated, without microscopyCPT 81003 | $3 | $2 | 140% | ~$2 | 21 |
| Urinalysis, manual, with microscopyCPT 81000 | $28 | $4 | 686% | ~$37 | 21 |
| Urinalysis, manual, without microscopyCPT 81002 | $7 | $3 | 212% | ~$7 | 21 |
| Vaginal delivery, no sterilization, no CC/MCCMS-DRG 807 | $10,790 | — | — | — | 2 |
| Vaginal delivery, no sterilization, with CCMS-DRG 806 | $11,584 | — | — | — | 2 |
| X-ray, lower back, 4+ viewsCPT 72110 | $246 | $130 | 188% | ~$161 | 19 |
| YAG laser capsulotomy (secondary cataract)CPT 66821 | $3,055 | $687 | 445% | — | 6 |