| Acute myocardial infarction, discharged alive, with MCCMS-DRG 280 | $14,838 | $10,275 | 144% | — | 3 |
| Bariatric (obesity) surgery, no CC/MCCMS-DRG 621 | $13,953 | $8,272 | 169% | — | 3 |
| Basic metabolic panelCPT 80048 | $22 | $8 | 261% | ~$15 | 15 |
| COPD with MCCMS-DRG 190 | $10,246 | $7,377 | 139% | — | 3 |
| CT abdomen and pelvis with contrastCPT 74177 | $593 | $435 | 136% | ~$357 | 15 |
| CT head without contrastCPT 70450 | $536 | $130 | 411% | ~$372 | 15 |
| CT pelvis with contrastCPT 72193 | $725 | $219 | 331% | ~$503 | 15 |
| Cardiac arrhythmia, no CC/MCCMS-DRG 310 | $5,236 | $3,269 | 160% | — | 3 |
| Cardiac stress testCPT 93017 | $637 | $270 | 236% | $383 | 15 |
| Cardiac valve surgery with cardiac cath, with MCCMS-DRG 216 | $90,491 | — | — | — | 3 |
| Cellulitis, no MCCMS-DRG 603 | $8,056 | $5,868 | 137% | — | 3 |
| Cervical spinal fusion, no CC/MCCMS-DRG 473 | $22,582 | $16,343 | 138% | — | 3 |
| Cesarean section, no CC/MCCMS-DRG 788 | $8,869 | — | — | — | 3 |
| Cesarean section, with CCMS-DRG 787 | $10,330 | — | — | — | 3 |
| Chest painMS-DRG 313 | $6,660 | — | — | — | 3 |
| Colonoscopy with biopsyCPT 45380 | $1,297 | $1,494 | 87% | $755 | 16 |
| Colonoscopy with polyp removalCPT 45385 | $1,297 | $1,494 | 87% | $755 | 16 |
| Colonoscopy, diagnosticCPT 45378 | $1,750 | $1,161 | 151% | $1,128 | 16 |
| Complete blood count with differentialCPT 85025 | $20 | $8 | 259% | ~$14 | 15 |
| Complete blood count, automatedCPT 85027 | $17 | $6 | 261% | ~$12 | 15 |
| Comprehensive metabolic panelCPT 80053 | $28 | $11 | 265% | ~$19 | 15 |
| Coronary bypass without cardiac cath, no MCCMS-DRG 236 | $38,746 | $29,950 | 129% | — | 3 |
| Diagnostic mammography, both breastsCPT 77066 | $282 | — | — | ~$170 | 12 |
| Diagnostic mammography, one breastCPT 77065 | $221 | — | — | ~$133 | 12 |
| ED visit, level 3CPT 99283 | $451 | $341 | 132% | $271 | 16 |
| ED visit, level 4CPT 99284 | $525 | $521 | 101% | $312 | 16 |
| ED visit, level 5CPT 99285 | $1,015 | $743 | 137% | $610 | 16 |
| Echocardiogram, completeCPT 93306 | $1,680 | $682 | 246% | $1,017 | 15 |
| Epidural injection, lumbar/sacral, no imagingCPT 62322 | $1,984 | $1,104 | 180% | $1,387 | 16 |
| Esophagitis/GI disorders, no MCCMS-DRG 392 | $7,211 | $5,393 | 134% | — | 3 |
| Excision of breast lesionCPT 19120 | $3,479 | $4,888 | 71% | — | 6 |
| Family psychotherapy, with patientCPT 90847 | $139 | $222 | 63% | $78 | 22 |
| Family psychotherapy, without patientCPT 90846 | $130 | $222 | 59% | $78 | 16 |
| Group psychotherapyCPT 90853 | $57 | $127 | 45% | $33 | 22 |
| Heart failure and shock, with CCMS-DRG 292 | $7,853 | $5,927 | 133% | — | 3 |
| Heart failure with MCCMS-DRG 291 | $11,875 | $9,508 | 125% | — | 3 |
| Hip and femur procedures except major joint, with CCMS-DRG 481 | $19,374 | $13,876 | 140% | — | 3 |
| Hysterectomy, no CC/MCCMS-DRG 743 | $11,476 | $10,098 | 114% | — | 3 |
| Inguinal hernia repair, age 5+CPT 49505 | $5,849 | $4,469 | 131% | $4,090 | 16 |
| Kidney and urinary tract infections, no MCCMS-DRG 690 | $7,488 | $5,916 | 127% | — | 3 |
| Kidney function panelCPT 80069 | $23 | $9 | 262% | ~$16 | 15 |
| Knee arthroscopy with meniscectomyCPT 29881 | $3,477 | $4,084 | 85% | — | 6 |
| Laparoscopic cholecystectomyCPT 47562 | $5,158 | $7,547 | 68% | — | 6 |
| Laparoscopic cholecystectomy, no CC/MCCMS-DRG 419 | $12,634 | $8,977 | 141% | — | 3 |
| Laparoscopic radical prostatectomyCPT 55866 | $11,945 | $13,269 | 90% | — | 5 |
| Left heart catheterization, diagnosticCPT 93452 | $5,969 | $4,047 | 147% | $4,174 | 16 |
| Lipid panelCPT 80061 | $35 | $13 | 262% | ~$24 | 15 |
| Liver function panelCPT 80076 | $52 | $8 | 636% | ~$36 | 15 |
| Lumbar epidural steroid injectionCPT 62323 | $1,514 | $881 | 172% | $1,059 | 16 |
| MRI brain with and without contrastCPT 70553 | $1,094 | $435 | 251% | ~$733 | 15 |
| MRI lower extremity joint (knee)CPT 73721 | $743 | $298 | 249% | ~$515 | 15 |
| MRI lumbar spine without contrastCPT 72148 | $741 | $298 | 249% | ~$513 | 15 |
| Major joint replacement (hip/knee), no MCCMS-DRG 470 | $17,842 | $13,045 | 137% | — | 3 |
| Major joint replacement (hip/knee), with MCCMS-DRG 469 | $28,057 | $22,346 | 126% | — | 3 |
| Major small and large bowel procedures, with CCMS-DRG 330 | $22,174 | $16,202 | 137% | — | 3 |
| Medical back problems, no MCCMS-DRG 552 | $8,892 | $6,142 | 145% | — | 3 |
| OB ultrasound, 14+ weeksCPT 76805 | $227 | $130 | 174% | ~$137 | 15 |
| Obstetric blood test panelCPT 80055 | $116 | $48 | 243% | ~$70 | 15 |
| Office visit, established patient, level 3CPT 99213 | $106 | — | — | $74 | 17 |
| Office visit, established patient, level 4CPT 99214 | $140 | — | — | $97 | 17 |
| Office visit, new patient, level 3CPT 99203 | $140 | — | — | $97 | 17 |
| Office visit, new patient, level 4CPT 99204 | $179 | — | — | $124 | 17 |
| Office visit, new patient, level 5CPT 99205 | $234 | — | — | $162 | 17 |
| PSA (prostate specific antigen), totalCPT 84153 | $49 | $18 | 265% | ~$34 | 15 |
| Partial thromboplastin timeCPT 85730 | $16 | $6 | 260% | ~$11 | 15 |
| Physical therapy, therapeutic exerciseCPT 97110 | $83 | — | — | $56 | 18 |
| Prostate biopsyCPT 55700 | $1,151 | — | — | $670 | 16 |
| Prothrombin timeCPT 85610 | $11 | $4 | 251% | ~$7 | 15 |
| Psychotherapy, 30 minutesCPT 90832 | $185 | $222 | 83% | $119 | 16 |
| Psychotherapy, 45 minutesCPT 90834 | $233 | $222 | 105% | $160 | 16 |
| Psychotherapy, 60 minutesCPT 90837 | $258 | $222 | 116% | $180 | 16 |
| Renal failure, with CCMS-DRG 683 | $8,101 | $6,390 | 127% | — | 3 |
| Screening mammography, bilateralCPT 77067 | $256 | — | — | ~$154 | 12 |
| Sepsis with MCCMS-DRG 871 | $17,968 | $14,617 | 123% | — | 3 |
| Shoulder arthroscopy, subacromial decompressionCPT 29826 | $974 | — | — | — | 3 |
| Simple pneumonia and pleurisy, with CCMS-DRG 194 | $7,455 | $5,780 | 129% | — | 3 |
| Sleep study (polysomnography)CPT 95810 | $1,485 | $1,072 | 139% | $893 | 15 |
| Stroke (hemorrhage/infarction), no CC/MCCMS-DRG 066 | $6,331 | $3,679 | 172% | — | 3 |
| Stroke (hemorrhage/infarction), with CC or tPAMS-DRG 065 | $9,345 | $6,559 | 142% | — | 3 |
| Thyroid stimulating hormone (TSH)CPT 84443 | $45 | $17 | 267% | ~$31 | 15 |
| Tonsillectomy and adenoidectomy, under age 12CPT 42820 | $4,729 | $7,390 | 64% | — | 6 |
| Transforaminal epidural, lumbar/sacralCPT 64483 | $631 | $1,104 | 57% | $361 | 16 |
| Ultrasound, abdomen, completeCPT 76700 | $227 | $130 | 174% | ~$137 | 15 |
| Ultrasound, transvaginalCPT 76830 | $227 | $130 | 174% | ~$137 | 15 |
| Upper GI endoscopy with biopsyCPT 43239 | $1,436 | $1,132 | 127% | $866 | 16 |
| Upper GI endoscopy, diagnosticCPT 43235 | $1,225 | $1,132 | 108% | $736 | 16 |
| Urinalysis, automated, with microscopyCPT 81001 | $8 | $3 | 267% | ~$6 | 15 |
| Urinalysis, automated, without microscopyCPT 81003 | $6 | $2 | 289% | ~$5 | 15 |
| Vaginal delivery, no sterilization, no CC/MCCMS-DRG 807 | $6,236 | — | — | — | 3 |
| Vaginal delivery, no sterilization, with CCMS-DRG 806 | $6,974 | — | — | — | 3 |
| X-ray, lower back, 4+ viewsCPT 72110 | $300 | $130 | 230% | ~$180 | 15 |