| Acute myocardial infarction, discharged alive, with MCCMS-DRG 280 | $40,446 | $33,483 | 121% | — | 17 |
| Bariatric (obesity) surgery, no CC/MCCMS-DRG 621 | $38,663 | $8,272 | 467% | — | 16 |
| Basic metabolic panelCPT 80048 | $65 | $8 | 770% | ~$9 | 63 |
| COPD with MCCMS-DRG 190 | $27,930 | $30,721 | 91% | — | 17 |
| CT abdomen and pelvis with contrastCPT 74177 | $566 | $435 | 130% | ~$864 | 63 |
| CT head without contrastCPT 70450 | $452 | $130 | 347% | ~$459 | 63 |
| CT pelvis with contrastCPT 72193 | $566 | $219 | 258% | ~$599 | 63 |
| Cardiac arrhythmia, no CC/MCCMS-DRG 310 | $14,274 | $3,269 | 437% | — | 17 |
| Cardiac stress testCPT 93017 | $305 | $270 | 113% | $227 | 63 |
| Cardiac valve surgery with cardiac cath, with MCCMS-DRG 216 | $156,123 | — | — | — | 21 |
| Cataract surgery with IOL insertionCPT 66984 | $2,699 | $2,881 | 94% | $3,044 | 63 |
| Cellulitis, no MCCMS-DRG 603 | $21,959 | $5,675 | 387% | — | 17 |
| Cervical spinal fusion, no CC/MCCMS-DRG 473 | $56,329 | $16,343 | 345% | — | 17 |
| Cesarean section, no CC/MCCMS-DRG 788 | $21,213 | — | — | — | 17 |
| Cesarean section, with CCMS-DRG 787 | $22,233 | — | — | — | 17 |
| Chest painMS-DRG 313 | $18,154 | — | — | — | 17 |
| Colonoscopy with biopsyCPT 45380 | $2,131 | $1,494 | 143% | $1,463 | 63 |
| Colonoscopy with endoscopic ultrasoundCPT 45391 | $1,628 | $1,494 | 109% | $1,532 | 63 |
| Colonoscopy with polyp removalCPT 45385 | $2,131 | $1,494 | 143% | $1,530 | 63 |
| Colonoscopy, diagnosticCPT 45378 | $1,840 | $1,161 | 159% | $1,154 | 63 |
| Complete blood count with differentialCPT 85025 | $45 | $8 | 580% | ~$11 | 63 |
| Complete blood count, automatedCPT 85027 | $45 | $6 | 697% | ~$12 | 63 |
| Comprehensive metabolic panelCPT 80053 | $65 | $11 | 617% | ~$14 | 63 |
| Coronary bypass without cardiac cath, no MCCMS-DRG 236 | $81,221 | $29,950 | 271% | — | 21 |
| Diagnostic mammography, both breastsCPT 77066 | $219 | — | — | ~$208 | 63 |
| Diagnostic mammography, one breastCPT 77065 | $219 | — | — | ~$165 | 63 |
| ED visit, level 3CPT 99283 | $653 | $341 | 192% | $299 | 41 |
| ED visit, level 4CPT 99284 | $401 | $521 | 77% | $625 | 44 |
| ED visit, level 5CPT 99285 | $782 | $743 | 105% | $630 | 44 |
| Echocardiogram, completeCPT 93306 | $514 | $682 | 75% | $837 | 63 |
| Electrocardiogram with interpretationCPT 93000 | $124 | — | — | $73 | 60 |
| Epidural injection, lumbar/sacral, no imagingCPT 62322 | $1,078 | $1,104 | 98% | $859 | 63 |
| Esophagitis/GI disorders, no MCCMS-DRG 392 | $19,657 | $4,899 | 401% | — | 17 |
| Excision of breast lesionCPT 19120 | $3,973 | $4,888 | 81% | $1,895 | 63 |
| Family psychotherapy, with patientCPT 90847 | $249 | $222 | 112% | $417 | 62 |
| Family psychotherapy, without patientCPT 90846 | $222 | $222 | 100% | $414 | 63 |
| Group psychotherapyCPT 90853 | $127 | $127 | 100% | $115 | 63 |
| Heart failure and shock, with CCMS-DRG 292 | $21,407 | $5,927 | 361% | — | 17 |
| Heart failure with MCCMS-DRG 291 | $33,981 | $33,437 | 102% | — | 21 |
| Hip and femur procedures except major joint, with CCMS-DRG 481 | $52,321 | $13,876 | 377% | — | 17 |
| Hysterectomy, no CC/MCCMS-DRG 743 | $31,283 | $10,098 | 310% | — | 17 |
| Inguinal hernia repair, age 5+CPT 49505 | $2,973 | $4,469 | 67% | $4,438 | 63 |
| Kidney and urinary tract infections, no MCCMS-DRG 690 | $20,411 | $27,635 | 74% | — | 17 |
| Kidney function panelCPT 80069 | $65 | $9 | 750% | ~$12 | 63 |
| Knee arthroscopy with meniscectomyCPT 29881 | $2,235 | $4,084 | 55% | $3,999 | 63 |
| Laparoscopic cholecystectomyCPT 47562 | $5,298 | $7,547 | 70% | $6,441 | 63 |
| Laparoscopic cholecystectomy, no CC/MCCMS-DRG 419 | $34,437 | $8,977 | 384% | — | 17 |
| Laparoscopic radical prostatectomyCPT 55866 | $5,402 | $13,269 | 41% | $7,974 | 63 |
| Left heart catheterization, diagnosticCPT 93452 | $3,927 | $4,047 | 97% | $4,020 | 63 |
| Lipid panelCPT 80061 | $65 | $13 | 486% | ~$19 | 63 |
| Liver function panelCPT 80076 | $65 | $8 | 797% | ~$9 | 63 |
| Lumbar epidural steroid injectionCPT 62323 | $881 | $881 | 100% | $878 | 63 |
| MRI brain with and without contrastCPT 70553 | $956 | $435 | 220% | ~$909 | 63 |
| MRI lower extremity joint (knee)CPT 73721 | $638 | $298 | 214% | ~$563 | 63 |
| MRI lumbar spine without contrastCPT 72148 | $575 | $298 | 193% | ~$548 | 63 |
| Major joint replacement (hip/knee), no MCCMS-DRG 470 | $48,635 | $13,045 | 373% | — | 17 |
| Major joint replacement (hip/knee), with MCCMS-DRG 469 | $65,914 | $22,346 | 295% | — | 17 |
| Major small and large bowel procedures, with CCMS-DRG 330 | $55,981 | $16,202 | 346% | — | 17 |
| Medical back problems, no MCCMS-DRG 552 | $24,238 | $6,142 | 395% | — | 17 |
| OB global care, VBAC deliveryCPT 59610 | $2,999 | — | — | $2,258 | 60 |
| OB global care, cesarean deliveryCPT 59510 | $5,364 | — | — | $3,075 | 39 |
| OB global care, vaginal deliveryCPT 59400 | $3,570 | — | — | — | 45 |
| OB ultrasound, 14+ weeksCPT 76805 | $269 | $130 | 206% | ~$307 | 63 |
| Obstetric blood test panelCPT 80055 | $77 | $48 | 161% | ~$59 | 63 |
| Office consultation, comprehensiveCPT 99244 | $247 | — | — | $106 | 35 |
| Office consultation, moderateCPT 99243 | $281 | — | — | $106 | 41 |
| Office visit, established patient, level 3CPT 99213 | $330 | — | — | $184 | 35 |
| Office visit, established patient, level 4CPT 99214 | $330 | — | — | $228 | 35 |
| Office visit, new patient, level 3CPT 99203 | $330 | — | — | $226 | 35 |
| Office visit, new patient, level 4CPT 99204 | $428 | — | — | $318 | 35 |
| Office visit, new patient, level 5CPT 99205 | $604 | — | — | $419 | 35 |
| PSA (prostate specific antigen), totalCPT 84153 | $49 | $18 | 267% | ~$27 | 63 |
| Partial thromboplastin timeCPT 85730 | $48 | $6 | 801% | ~$9 | 63 |
| Physical therapy, therapeutic exerciseCPT 97110 | $237 | — | — | $109 | 63 |
| Preventive visit, new patient, 18-39CPT 99385 | $451 | — | — | $259 | 35 |
| Preventive visit, new patient, 40-64CPT 99386 | $529 | — | — | $361 | 35 |
| Prostate biopsyCPT 55700 | $2,513 | — | — | $2,154 | 62 |
| Prothrombin timeCPT 85610 | $48 | $4 | 1122% | ~$5 | 63 |
| Psychotherapy, 30 minutesCPT 90832 | $222 | $222 | 100% | $240 | 63 |
| Psychotherapy, 45 minutesCPT 90834 | $257 | $222 | 116% | $317 | 63 |
| Psychotherapy, 60 minutesCPT 90837 | $257 | $222 | 116% | $308 | 63 |
| Renal failure, with CCMS-DRG 683 | $22,082 | $5,892 | 375% | — | 17 |
| Screening mammography, bilateralCPT 77067 | $224 | — | — | ~$169 | 63 |
| Sepsis with MCCMS-DRG 871 | $48,978 | $38,308 | 128% | — | 17 |
| Shoulder arthroscopy, subacromial decompressionCPT 29826 | $3,824 | — | — | $1,990 | 60 |
| Simple pneumonia and pleurisy, with CCMS-DRG 194 | $20,320 | $5,177 | 393% | — | 17 |
| Sleep study (polysomnography)CPT 95810 | $1,138 | $1,072 | 106% | $1,855 | 63 |
| Stroke (hemorrhage/infarction), no CC/MCCMS-DRG 066 | $17,256 | $3,679 | 469% | — | 17 |
| Stroke (hemorrhage/infarction), with CC or tPAMS-DRG 065 | $25,474 | $6,559 | 388% | — | 17 |
| Thyroid stimulating hormone (TSH)CPT 84443 | $64 | $17 | 383% | ~$24 | 63 |
| Tonsillectomy and adenoidectomy, under age 12CPT 42820 | $1,774 | $7,390 | 24% | $5,447 | 63 |
| Transforaminal epidural, lumbar/sacralCPT 64483 | $1,545 | $1,104 | 140% | $1,119 | 63 |
| Ultrasound, abdomen, completeCPT 76700 | $788 | $130 | 604% | ~$514 | 63 |
| Ultrasound, transvaginalCPT 76830 | $294 | $130 | 225% | ~$299 | 63 |
| Upper GI endoscopy with biopsyCPT 43239 | $1,840 | $1,132 | 163% | $1,122 | 63 |
| Upper GI endoscopy, diagnosticCPT 43235 | $1,715 | $1,132 | 151% | $1,103 | 63 |
| Urinalysis, automated, with microscopyCPT 81001 | $44 | $3 | 1400% | ~$5 | 63 |
| Urinalysis, automated, without microscopyCPT 81003 | $44 | $2 | 1973% | ~$3 | 63 |
| Urinalysis, manual, with microscopyCPT 81000 | $49 | $4 | 1215% | ~$4 | 63 |
| Urinalysis, manual, without microscopyCPT 81002 | $44 | $3 | 1276% | ~$4 | 63 |
| Vaginal delivery, no sterilization, no CC/MCCMS-DRG 807 | $14,897 | — | — | — | 17 |
| Vaginal delivery, no sterilization, with CCMS-DRG 806 | $15,447 | — | — | — | 17 |
| X-ray, lower back, 4+ viewsCPT 72110 | $112 | $130 | 86% | ~$163 | 63 |
| YAG laser capsulotomy (secondary cataract)CPT 66821 | $1,978 | $687 | 288% | $778 | 63 |