| Acute myocardial infarction, discharged alive, with MCCMS-DRG 280 | $34,349 | $29,913 | 115% | — | 16 |
| Bariatric (obesity) surgery, no CC/MCCMS-DRG 621 | $34,811 | $8,272 | 421% | — | 16 |
| Basic metabolic panelCPT 80048 | $65 | $8 | 771% | ~$9 | 62 |
| COPD with MCCMS-DRG 190 | $25,265 | $7,377 | 342% | — | 16 |
| CT abdomen and pelvis with contrastCPT 74177 | $550 | $435 | 126% | ~$443 | 62 |
| CT head without contrastCPT 70450 | $457 | $130 | 350% | ~$440 | 62 |
| CT pelvis with contrastCPT 72193 | $566 | $219 | 258% | ~$253 | 62 |
| Cardiac arrhythmia, no CC/MCCMS-DRG 310 | $15,297 | $3,269 | 468% | — | 16 |
| Cardiac stress testCPT 93017 | $284 | $270 | 106% | $218 | 62 |
| Cardiac valve surgery with cardiac cath, with MCCMS-DRG 216 | $151,841 | — | — | — | 20 |
| Cataract surgery with IOL insertionCPT 66984 | $2,744 | $2,881 | 95% | $2,299 | 62 |
| Cellulitis, no MCCMS-DRG 603 | $20,934 | $5,675 | 369% | — | 16 |
| Cervical spinal fusion, no CC/MCCMS-DRG 473 | $48,856 | $16,343 | 299% | — | 16 |
| Cesarean section, no CC/MCCMS-DRG 788 | $19,636 | — | — | — | 16 |
| Cesarean section, with CCMS-DRG 787 | $22,211 | — | — | — | 16 |
| Chest painMS-DRG 313 | $18,089 | — | — | — | 16 |
| Colonoscopy with biopsyCPT 45380 | $2,131 | $1,494 | 143% | $1,165 | 62 |
| Colonoscopy with endoscopic ultrasoundCPT 45391 | $1,505 | $1,494 | 101% | $1,165 | 62 |
| Colonoscopy with polyp removalCPT 45385 | $2,131 | $1,494 | 143% | $1,165 | 62 |
| Colonoscopy, diagnosticCPT 45378 | $1,766 | $1,161 | 152% | $886 | 62 |
| Complete blood count with differentialCPT 85025 | $45 | $8 | 582% | ~$11 | 62 |
| Complete blood count, automatedCPT 85027 | $45 | $6 | 699% | ~$11 | 62 |
| Comprehensive metabolic panelCPT 80053 | $65 | $11 | 618% | ~$13 | 62 |
| Coronary bypass without cardiac cath, no MCCMS-DRG 236 | $74,365 | $29,950 | 248% | — | 20 |
| Diagnostic mammography, both breastsCPT 77066 | $219 | — | — | ~$199 | 62 |
| Diagnostic mammography, one breastCPT 77065 | $228 | — | — | ~$158 | 62 |
| ED visit, level 3CPT 99283 | $653 | $341 | 192% | $287 | 40 |
| ED visit, level 4CPT 99284 | $383 | $521 | 73% | $599 | 43 |
| ED visit, level 5CPT 99285 | $743 | $743 | 100% | $605 | 43 |
| Echocardiogram, completeCPT 93306 | $511 | $682 | 75% | $747 | 62 |
| Electrocardiogram with interpretationCPT 93000 | $120 | — | — | $70 | 59 |
| Epidural injection, lumbar/sacral, no imagingCPT 62322 | $1,074 | $1,104 | 97% | $725 | 62 |
| Esophagitis/GI disorders, no MCCMS-DRG 392 | $19,218 | $4,899 | 392% | — | 16 |
| Excision of breast lesionCPT 19120 | $3,963 | $4,888 | 81% | $1,818 | 62 |
| Family psychotherapy, with patientCPT 90847 | $222 | $222 | 100% | $400 | 61 |
| Family psychotherapy, without patientCPT 90846 | $214 | $222 | 97% | $397 | 62 |
| Group psychotherapyCPT 90853 | $126 | $127 | 99% | $85 | 62 |
| Heart failure and shock, with CCMS-DRG 292 | $20,552 | $5,927 | 347% | — | 16 |
| Heart failure with MCCMS-DRG 291 | $32,596 | $25,761 | 127% | — | 20 |
| Hip and femur procedures except major joint, with CCMS-DRG 481 | $42,526 | $13,876 | 306% | — | 16 |
| Hysterectomy, no CC/MCCMS-DRG 743 | $27,302 | $10,098 | 270% | — | 16 |
| Inguinal hernia repair, age 5+CPT 49505 | $2,962 | $4,469 | 66% | $3,608 | 62 |
| Kidney and urinary tract infections, no MCCMS-DRG 690 | $19,710 | $15,495 | 127% | — | 16 |
| Kidney function panelCPT 80069 | $65 | $9 | 752% | ~$11 | 62 |
| Knee arthroscopy with meniscectomyCPT 29881 | $2,235 | $4,084 | 55% | $3,176 | 62 |
| Laparoscopic cholecystectomyCPT 47562 | $5,283 | $7,547 | 70% | $5,389 | 62 |
| Laparoscopic cholecystectomy, no CC/MCCMS-DRG 419 | $29,816 | $8,977 | 332% | — | 16 |
| Laparoscopic radical prostatectomyCPT 55866 | $5,379 | $13,269 | 41% | $6,507 | 62 |
| Left heart catheterization, diagnosticCPT 93452 | $3,987 | $4,047 | 99% | $2,893 | 62 |
| Lipid panelCPT 80061 | $65 | $13 | 487% | ~$19 | 62 |
| Liver function panelCPT 80076 | $65 | $8 | 799% | ~$9 | 62 |
| Lumbar epidural steroid injectionCPT 62323 | $870 | $881 | 99% | $725 | 62 |
| MRI brain with and without contrastCPT 70553 | $971 | $435 | 223% | ~$443 | 62 |
| MRI lower extremity joint (knee)CPT 73721 | $615 | $298 | 206% | ~$270 | 62 |
| MRI lumbar spine without contrastCPT 72148 | $588 | $298 | 198% | ~$270 | 62 |
| Major joint replacement (hip/knee), no MCCMS-DRG 470 | $39,765 | $13,045 | 305% | — | 16 |
| Major joint replacement (hip/knee), with MCCMS-DRG 469 | $58,360 | $22,346 | 261% | — | 16 |
| Major small and large bowel procedures, with CCMS-DRG 330 | $48,118 | $16,202 | 297% | — | 16 |
| Medical back problems, no MCCMS-DRG 552 | $22,525 | $6,142 | 367% | — | 16 |
| OB global care, VBAC deliveryCPT 59610 | $3,000 | — | — | $2,166 | 59 |
| OB global care, cesarean deliveryCPT 59510 | $5,332 | — | — | $2,950 | 38 |
| OB global care, vaginal deliveryCPT 59400 | $3,570 | — | — | — | 45 |
| OB ultrasound, 14+ weeksCPT 76805 | $269 | $130 | 206% | ~$130 | 62 |
| Obstetric blood test panelCPT 80055 | $79 | $48 | 166% | ~$56 | 62 |
| Office consultation, comprehensiveCPT 99244 | $173 | — | — | $69 | 34 |
| Office consultation, moderateCPT 99243 | $265 | — | — | $69 | 40 |
| Office visit, established patient, level 3CPT 99213 | $325 | — | — | $176 | 34 |
| Office visit, established patient, level 4CPT 99214 | $330 | — | — | $219 | 34 |
| Office visit, new patient, level 3CPT 99203 | $330 | — | — | $217 | 34 |
| Office visit, new patient, level 4CPT 99204 | $374 | — | — | $186 | 34 |
| Office visit, new patient, level 5CPT 99205 | $600 | — | — | $402 | 34 |
| PSA (prostate specific antigen), totalCPT 84153 | $51 | $18 | 278% | ~$25 | 62 |
| Partial thromboplastin timeCPT 85730 | $48 | $6 | 803% | ~$8 | 62 |
| Physical therapy, therapeutic exerciseCPT 97110 | $237 | — | — | $104 | 62 |
| Preventive visit, new patient, 18-39CPT 99385 | $441 | — | — | $248 | 34 |
| Preventive visit, new patient, 40-64CPT 99386 | $578 | — | — | $347 | 34 |
| Prostate biopsyCPT 55700 | $2,438 | — | — | $1,922 | 61 |
| Prothrombin timeCPT 85610 | $48 | $4 | 1124% | ~$5 | 62 |
| Psychotherapy, 30 minutesCPT 90832 | $207 | $222 | 94% | $137 | 62 |
| Psychotherapy, 45 minutesCPT 90834 | $249 | $222 | 112% | $305 | 62 |
| Psychotherapy, 60 minutesCPT 90837 | $249 | $222 | 112% | $295 | 62 |
| Renal failure, with CCMS-DRG 683 | $21,044 | $5,892 | 357% | — | 16 |
| Screening mammography, bilateralCPT 77067 | $230 | — | — | ~$162 | 62 |
| Sepsis with MCCMS-DRG 871 | $39,992 | $34,046 | 117% | — | 16 |
| Shoulder arthroscopy, subacromial decompressionCPT 29826 | $3,963 | — | — | $1,909 | 59 |
| Simple pneumonia and pleurisy, with CCMS-DRG 194 | $19,783 | $5,177 | 382% | — | 16 |
| Sleep study (polysomnography)CPT 95810 | $1,118 | $1,072 | 104% | $1,055 | 62 |
| Stroke (hemorrhage/infarction), no CC/MCCMS-DRG 066 | $17,512 | $3,679 | 476% | — | 16 |
| Stroke (hemorrhage/infarction), with CC or tPAMS-DRG 065 | $23,441 | $6,559 | 357% | — | 16 |
| Thyroid stimulating hormone (TSH)CPT 84443 | $64 | $17 | 384% | ~$23 | 62 |
| Tonsillectomy and adenoidectomy, under age 12CPT 42820 | $1,774 | $7,390 | 24% | $4,924 | 62 |
| Transforaminal epidural, lumbar/sacralCPT 64483 | $1,546 | $1,104 | 140% | $942 | 62 |
| Ultrasound, abdomen, completeCPT 76700 | $788 | $130 | 604% | ~$493 | 62 |
| Ultrasound, transvaginalCPT 76830 | $294 | $130 | 226% | ~$214 | 62 |
| Upper GI endoscopy with biopsyCPT 43239 | $1,766 | $1,132 | 156% | $912 | 62 |
| Upper GI endoscopy, diagnosticCPT 43235 | $1,706 | $1,132 | 151% | $912 | 62 |
| Urinalysis, automated, with microscopyCPT 81001 | $44 | $3 | 1403% | ~$5 | 62 |
| Urinalysis, automated, without microscopyCPT 81003 | $44 | $2 | 1977% | ~$3 | 62 |
| Urinalysis, manual, with microscopyCPT 81000 | $49 | $4 | 1217% | ~$4 | 62 |
| Urinalysis, manual, without microscopyCPT 81002 | $44 | $3 | 1278% | ~$4 | 62 |
| Vaginal delivery, no sterilization, no CC/MCCMS-DRG 807 | $14,493 | — | — | — | 16 |
| Vaginal delivery, no sterilization, with CCMS-DRG 806 | $15,221 | — | — | — | 16 |
| X-ray, lower back, 4+ viewsCPT 72110 | $112 | $130 | 86% | ~$108 | 62 |
| YAG laser capsulotomy (secondary cataract)CPT 66821 | $1,978 | $687 | 288% | $461 | 62 |