| Acute myocardial infarction, discharged alive, with MCCMS-DRG 280 | $25,699 | $12,698 | 202% | — | 2 |
| Bariatric (obesity) surgery, no CC/MCCMS-DRG 621 | $24,578 | $8,272 | 297% | — | 2 |
| Basic metabolic panelCPT 80048 | $16 | $8 | 192% | ~$65 | 7 |
| COPD with MCCMS-DRG 190 | $17,851 | $7,377 | 242% | — | 2 |
| CT abdomen and pelvis with contrastCPT 74177 | $1,180 | $435 | 271% | ~$1,431 | 6 |
| CT head without contrastCPT 70450 | $709 | $130 | 543% | ~$614 | 5 |
| CT pelvis with contrastCPT 72193 | $1,190 | $219 | 543% | ~$716 | 3 |
| Cardiac arrhythmia, no CC/MCCMS-DRG 310 | $8,958 | $3,269 | 274% | — | 2 |
| Cardiac stress testCPT 93017 | $194 | $270 | 72% | $339 | 5 |
| Cardiac valve surgery with cardiac cath, with MCCMS-DRG 216 | $157,211 | — | — | — | 2 |
| Cellulitis, no MCCMS-DRG 603 | $14,331 | $6,997 | 205% | — | 2 |
| Cervical spinal fusion, no CC/MCCMS-DRG 473 | $39,858 | $16,343 | 244% | — | 2 |
| Cesarean section, no CC/MCCMS-DRG 788 | $13,850 | — | — | — | 2 |
| Cesarean section, with CCMS-DRG 787 | $17,026 | — | — | — | 2 |
| Chest painMS-DRG 313 | $11,721 | — | — | — | 2 |
| Colonoscopy with biopsyCPT 45380 | $3,400 | $1,494 | 228% | $1,736 | 5 |
| Colonoscopy with polyp removalCPT 45385 | $3,400 | $1,494 | 228% | $1,736 | 5 |
| Colonoscopy, diagnosticCPT 45378 | $3,400 | $1,161 | 293% | $1,831 | 5 |
| Complete blood count with differentialCPT 85025 | $14 | $8 | 179% | ~$12 | 7 |
| Complete blood count, automatedCPT 85027 | $12 | $6 | 179% | ~$23 | 7 |
| Comprehensive metabolic panelCPT 80053 | $20 | $11 | 192% | ~$84 | 7 |
| Coronary bypass without cardiac cath, no MCCMS-DRG 236 | $65,461 | $29,950 | 219% | — | 2 |
| Diagnostic mammography, both breastsCPT 77066 | $247 | — | — | ~$287 | 5 |
| Diagnostic mammography, one breastCPT 77065 | $156 | — | — | ~$243 | 2 |
| ED visit, level 3CPT 99283 | $1,028 | $341 | 302% | $421 | 5 |
| ED visit, level 4CPT 99284 | $1,050 | $521 | 202% | $545 | 5 |
| ED visit, level 5CPT 99285 | $1,050 | $743 | 141% | $621 | 5 |
| Echocardiogram, completeCPT 93306 | $1,636 | $682 | 240% | $914 | 6 |
| Electrocardiogram with interpretationCPT 93000 | $75 | — | — | $123 | 1 |
| Epidural injection, lumbar/sacral, no imagingCPT 62322 | $4,902 | $1,104 | 444% | $676 | 2 |
| Esophagitis/GI disorders, no MCCMS-DRG 392 | $12,726 | $6,084 | 209% | — | 2 |
| Excision of breast lesionCPT 19120 | $9,860 | $4,888 | 202% | $2,910 | 3 |
| Heart failure and shock, with CCMS-DRG 292 | $13,874 | $5,927 | 234% | — | 2 |
| Heart failure with MCCMS-DRG 291 | $20,797 | $10,501 | 198% | — | 2 |
| Hip and femur procedures except major joint, with CCMS-DRG 481 | $33,610 | $13,876 | 242% | — | 2 |
| Hysterectomy, no CC/MCCMS-DRG 743 | $18,823 | $10,098 | 186% | — | 2 |
| Inguinal hernia repair, age 5+CPT 49505 | $12,228 | $4,469 | 274% | $5,552 | 3 |
| Kidney and urinary tract infections, no MCCMS-DRG 690 | $13,071 | $6,095 | 214% | — | 2 |
| Kidney function panelCPT 80069 | $12 | $9 | 140% | ~$87 | 5 |
| Knee arthroscopy with meniscectomyCPT 29881 | $12,228 | $4,084 | 299% | $4,892 | 3 |
| Laparoscopic cholecystectomyCPT 47562 | $16,140 | $7,547 | 214% | $3,416 | 3 |
| Laparoscopic cholecystectomy, no CC/MCCMS-DRG 419 | $21,272 | $8,977 | 237% | — | 2 |
| Laparoscopic radical prostatectomyCPT 55866 | $19,320 | $13,269 | 146% | $5,132 | 3 |
| Lipid panelCPT 80061 | $24 | $13 | 179% | ~$68 | 7 |
| Liver function panelCPT 80076 | $16 | $8 | 192% | ~$40 | 7 |
| MRI brain with and without contrastCPT 70553 | $1,840 | $435 | 423% | ~$2,440 | 4 |
| MRI lower extremity joint (knee)CPT 73721 | $1,618 | $298 | 543% | ~$974 | 3 |
| MRI lumbar spine without contrastCPT 72148 | $850 | $298 | 285% | ~$1,246 | 6 |
| Major joint replacement (hip/knee), no MCCMS-DRG 470 | $30,481 | $13,045 | 234% | — | 2 |
| Major joint replacement (hip/knee), with MCCMS-DRG 469 | $53,938 | $22,346 | 241% | — | 2 |
| Major small and large bowel procedures, with CCMS-DRG 330 | $38,424 | $16,202 | 237% | — | 2 |
| Medical back problems, no MCCMS-DRG 552 | $15,653 | $6,142 | 255% | — | 2 |
| OB ultrasound, 14+ weeksCPT 76805 | $709 | $130 | 543% | ~$314 | 3 |
| Office visit, established patient, level 3CPT 99213 | $191 | — | — | $131 | 5 |
| Office visit, established patient, level 4CPT 99214 | $276 | — | — | $147 | 4 |
| Office visit, new patient, level 3CPT 99203 | $239 | — | — | $168 | 5 |
| Office visit, new patient, level 4CPT 99204 | $472 | — | — | $180 | 2 |
| Office visit, new patient, level 5CPT 99205 | $471 | — | — | $235 | 1 |
| PSA (prostate specific antigen), totalCPT 84153 | $35 | $18 | 192% | ~$65 | 7 |
| Partial thromboplastin timeCPT 85730 | $12 | $6 | 192% | ~$34 | 7 |
| Physical therapy, therapeutic exerciseCPT 97110 | $86 | — | — | $72 | 2 |
| Prostate biopsyCPT 55700 | $7,775 | — | — | $3,171 | 2 |
| Prothrombin timeCPT 85610 | $8 | $4 | 192% | ~$13 | 7 |
| Renal failure, with CCMS-DRG 683 | $14,592 | $6,332 | 230% | — | 2 |
| Screening mammography, bilateralCPT 77067 | $214 | — | — | ~$277 | 6 |
| Sepsis with MCCMS-DRG 871 | $32,115 | $16,397 | 196% | — | 2 |
| Simple pneumonia and pleurisy, with CCMS-DRG 194 | $13,318 | $5,177 | 257% | — | 2 |
| Stroke (hemorrhage/infarction), no CC/MCCMS-DRG 066 | $11,136 | $3,679 | 303% | — | 2 |
| Stroke (hemorrhage/infarction), with CC or tPAMS-DRG 065 | $16,464 | $6,559 | 251% | — | 2 |
| Thyroid stimulating hormone (TSH)CPT 84443 | $30 | $17 | 179% | ~$88 | 7 |
| Tonsillectomy and adenoidectomy, under age 12CPT 42820 | $9,860 | $7,390 | 133% | $3,859 | 3 |
| Ultrasound, abdomen, completeCPT 76700 | $551 | $130 | 423% | ~$326 | 4 |
| Ultrasound, transvaginalCPT 76830 | $394 | $130 | 302% | ~$271 | 5 |
| Upper GI endoscopy with biopsyCPT 43239 | $3,400 | $1,132 | 300% | $1,736 | 5 |
| Upper GI endoscopy, diagnosticCPT 43235 | $3,417 | $1,132 | 302% | $2,067 | 3 |
| Urinalysis, automated, with microscopyCPT 81001 | $6 | $3 | 192% | ~$29 | 7 |
| Urinalysis, automated, without microscopyCPT 81003 | $4 | $2 | 192% | ~$13 | 7 |
| Urinalysis, manual, with microscopyCPT 81000 | $6 | $4 | 160% | ~$14 | 4 |
| Urinalysis, manual, without microscopyCPT 81002 | $8 | $3 | 241% | ~$4 | 4 |
| Vaginal delivery, no sterilization, no CC/MCCMS-DRG 807 | $10,599 | — | — | — | 2 |
| Vaginal delivery, no sterilization, with CCMS-DRG 806 | $12,095 | — | — | — | 2 |
| X-ray, lower back, 4+ viewsCPT 72110 | $310 | $130 | 238% | ~$245 | 5 |