| Acute myocardial infarction, discharged alive, with MCCMS-DRG 280 | $37,186 | $12,823 | 290% | — | 35 |
| Bariatric (obesity) surgery, no CC/MCCMS-DRG 621 | $39,614 | $8,272 | 479% | — | 40 |
| Basic metabolic panelCPT 80048 | $16 | $8 | 195% | ~$39 | 98 |
| COPD with MCCMS-DRG 190 | $25,442 | $9,045 | 281% | — | 35 |
| CT abdomen and pelvis with contrastCPT 74177 | $828 | $435 | 190% | ~$696 | 98 |
| CT head without contrastCPT 70450 | $273 | $130 | 209% | ~$437 | 98 |
| CT pelvis with contrastCPT 72193 | $474 | $219 | 216% | ~$504 | 98 |
| Cardiac arrhythmia, no CC/MCCMS-DRG 310 | $13,176 | $3,959 | 333% | — | 35 |
| Cardiac stress testCPT 93017 | $540 | $270 | 200% | $328 | 98 |
| Cardiac valve surgery with cardiac cath, with MCCMS-DRG 216 | $229,473 | — | — | — | 35 |
| Cataract surgery with IOL insertionCPT 66984 | $3,775 | $2,881 | 131% | — | 78 |
| Cellulitis, no MCCMS-DRG 603 | $19,955 | $6,396 | 312% | — | 35 |
| Cervical spinal fusion, no CC/MCCMS-DRG 473 | $53,633 | $16,343 | 328% | — | 35 |
| Cesarean section, no CC/MCCMS-DRG 788 | $17,496 | — | — | — | 40 |
| Cesarean section, with CCMS-DRG 787 | $17,496 | — | — | — | 40 |
| Chest painMS-DRG 313 | $16,162 | — | — | — | 35 |
| Colonoscopy with biopsyCPT 45380 | $2,350 | $1,494 | 157% | — | 78 |
| Colonoscopy with endoscopic ultrasoundCPT 45391 | $2,350 | $1,494 | 157% | — | 78 |
| Colonoscopy with polyp removalCPT 45385 | $2,350 | $1,494 | 157% | — | 78 |
| Colonoscopy, diagnosticCPT 45378 | $2,259 | $1,161 | 195% | — | 78 |
| Complete blood count with differentialCPT 85025 | $11 | $8 | 140% | ~$42 | 98 |
| Complete blood count, automatedCPT 85027 | $8 | $6 | 126% | ~$25 | 98 |
| Comprehensive metabolic panelCPT 80053 | $23 | $11 | 215% | ~$106 | 98 |
| Coronary bypass without cardiac cath, no MCCMS-DRG 236 | $92,882 | $29,454 | 315% | — | 35 |
| Diagnostic mammography, both breastsCPT 77066 | $370 | — | — | ~$150 | 87 |
| Diagnostic mammography, one breastCPT 77065 | $337 | — | — | ~$150 | 87 |
| ED visit, level 3CPT 99283 | $1,543 | $341 | 453% | $404 | 81 |
| ED visit, level 4CPT 99284 | $1,755 | $521 | 337% | $466 | 81 |
| ED visit, level 5CPT 99285 | $1,982 | $743 | 267% | $555 | 81 |
| Echocardiogram, completeCPT 93306 | $1,305 | $682 | 191% | $792 | 98 |
| Electrocardiogram with interpretationCPT 93000 | $25 | — | — | — | 31 |
| Epidural injection, lumbar/sacral, no imagingCPT 62322 | $1,768 | $1,104 | 160% | — | 78 |
| Esophagitis/GI disorders, no MCCMS-DRG 392 | $18,376 | $5,615 | 327% | — | 35 |
| Excision of breast lesionCPT 19120 | $4,341 | $4,888 | 89% | — | 78 |
| Family psychotherapy, with patientCPT 90847 | $281 | $222 | 127% | $102 | 98 |
| Family psychotherapy, without patientCPT 90846 | $428 | $222 | 193% | $175 | 98 |
| Group psychotherapyCPT 90853 | $182 | $127 | 144% | $51 | 98 |
| Heart failure and shock, with CCMS-DRG 292 | $19,510 | $5,927 | 329% | — | 35 |
| Heart failure with MCCMS-DRG 291 | $29,560 | $10,489 | 282% | — | 35 |
| Hip and femur procedures except major joint, with CCMS-DRG 481 | $47,007 | $17,066 | 275% | — | 35 |
| Hysterectomy, no CC/MCCMS-DRG 743 | $27,157 | $10,098 | 269% | — | 35 |
| Inguinal hernia repair, age 5+CPT 49505 | $5,183 | $4,469 | 116% | $2,081 | 98 |
| Kidney and urinary tract infections, no MCCMS-DRG 690 | $18,901 | $6,343 | 298% | — | 35 |
| Kidney function panelCPT 80069 | $20 | $9 | 225% | ~$55 | 98 |
| Knee arthroscopy with meniscectomyCPT 29881 | $4,297 | $4,084 | 105% | — | 78 |
| Laparoscopic cholecystectomyCPT 47562 | $5,576 | $7,547 | 74% | — | 77 |
| Laparoscopic cholecystectomy, no CC/MCCMS-DRG 419 | $29,850 | $8,977 | 333% | — | 35 |
| Laparoscopic radical prostatectomyCPT 55866 | $5,576 | $13,269 | 42% | — | 78 |
| Left heart catheterization, diagnosticCPT 93452 | $7,368 | $4,047 | 182% | $3,205 | 98 |
| Lipid panelCPT 80061 | $19 | $13 | 140% | ~$50 | 98 |
| Liver function panelCPT 80076 | $16 | $8 | 202% | ~$41 | 98 |
| Lumbar epidural steroid injectionCPT 62323 | $1,859 | $881 | 211% | $521 | 98 |
| MRI brain with and without contrastCPT 70553 | $970 | $435 | 223% | ~$1,638 | 98 |
| MRI lower extremity joint (knee)CPT 73721 | $762 | $298 | 256% | ~$770 | 98 |
| MRI lumbar spine without contrastCPT 72148 | $762 | $298 | 256% | ~$770 | 98 |
| Major joint replacement (hip/knee), no MCCMS-DRG 470 | $42,716 | $15,070 | 283% | — | 35 |
| Major joint replacement (hip/knee), with MCCMS-DRG 469 | $74,052 | $22,346 | 331% | — | 35 |
| Major small and large bowel procedures, with CCMS-DRG 330 | $53,550 | $18,605 | 288% | — | 35 |
| Medical back problems, no MCCMS-DRG 552 | $21,835 | $7,108 | 307% | — | 35 |
| OB global care, VBAC deliveryCPT 59610 | $5,148 | — | — | — | 39 |
| OB global care, cesarean deliveryCPT 59510 | $5,148 | — | — | — | 17 |
| OB global care, vaginal deliveryCPT 59400 | $5,148 | — | — | — | 39 |
| OB ultrasound, 14+ weeksCPT 76805 | $229 | $130 | 175% | ~$160 | 98 |
| Obstetric blood test panelCPT 80055 | $67 | $48 | 140% | — | 75 |
| Office consultation, comprehensiveCPT 99244 | $240 | — | — | — | 8 |
| Office consultation, moderateCPT 99243 | $192 | — | — | — | 8 |
| Office visit, established patient, level 3CPT 99213 | $155 | — | — | $56 | 70 |
| Office visit, established patient, level 4CPT 99214 | $188 | — | — | $68 | 70 |
| Office visit, new patient, level 3CPT 99203 | $155 | — | — | $56 | 70 |
| Office visit, new patient, level 4CPT 99204 | $188 | — | — | $68 | 70 |
| Office visit, new patient, level 5CPT 99205 | $225 | — | — | $82 | 70 |
| PSA (prostate specific antigen), totalCPT 84153 | $41 | $18 | 225% | ~$61 | 98 |
| Partial thromboplastin timeCPT 85730 | $14 | $6 | 225% | ~$36 | 98 |
| Physical therapy, therapeutic exerciseCPT 97110 | $127 | — | — | $31 | 87 |
| Preventive visit, new patient, 18-39CPT 99385 | $139 | — | — | — | 5 |
| Preventive visit, new patient, 40-64CPT 99386 | $168 | — | — | — | 5 |
| Prostate biopsyCPT 55700 | $3,698 | — | — | — | 78 |
| Prothrombin timeCPT 85610 | $9 | $4 | 207% | ~$22 | 98 |
| Psychotherapy, 30 minutesCPT 90832 | $244 | $222 | 110% | $68 | 98 |
| Psychotherapy, 45 minutesCPT 90834 | $260 | $222 | 117% | $73 | 98 |
| Psychotherapy, 60 minutesCPT 90837 | $276 | $222 | 125% | $77 | 98 |
| Renal failure, with CCMS-DRG 683 | $20,138 | $7,050 | 286% | — | 35 |
| Screening mammography, bilateralCPT 77067 | $330 | — | — | ~$142 | 87 |
| Sepsis with MCCMS-DRG 871 | $44,451 | $16,464 | 270% | — | 35 |
| Shoulder arthroscopy, subacromial decompressionCPT 29826 | $3,496 | — | — | — | 64 |
| Simple pneumonia and pleurisy, with CCMS-DRG 194 | $19,123 | $6,186 | 309% | — | 35 |
| Sleep study (polysomnography)CPT 95810 | $3,486 | $1,072 | 325% | $1,959 | 98 |
| Stroke (hemorrhage/infarction), no CC/MCCMS-DRG 066 | $15,593 | $4,486 | 348% | — | 35 |
| Stroke (hemorrhage/infarction), with CC or tPAMS-DRG 065 | $23,038 | $8,075 | 285% | — | 35 |
| Thyroid stimulating hormone (TSH)CPT 84443 | $24 | $17 | 140% | ~$72 | 98 |
| Tonsillectomy and adenoidectomy, under age 12CPT 42820 | $4,370 | $7,390 | 59% | — | 78 |
| Transforaminal epidural, lumbar/sacralCPT 64483 | $1,692 | $1,104 | 153% | $464 | 98 |
| Ultrasound, abdomen, completeCPT 76700 | $212 | $130 | 162% | ~$244 | 98 |
| Ultrasound, transvaginalCPT 76830 | $219 | $130 | 168% | ~$223 | 98 |
| Upper GI endoscopy with biopsyCPT 43239 | $2,341 | $1,132 | 207% | $625 | 98 |
| Upper GI endoscopy, diagnosticCPT 43235 | $2,431 | $1,132 | 215% | $681 | 98 |
| Urinalysis, automated, with microscopyCPT 81001 | $7 | $3 | 225% | ~$35 | 98 |
| Urinalysis, automated, without microscopyCPT 81003 | $5 | $2 | 202% | ~$11 | 98 |
| Urinalysis, manual, with microscopyCPT 81000 | $5 | $4 | 114% | — | 75 |
| Urinalysis, manual, without microscopyCPT 81002 | $5 | $3 | 131% | ~$8 | 98 |
| Vaginal delivery, no sterilization, no CC/MCCMS-DRG 807 | $12,782 | — | — | — | 40 |
| Vaginal delivery, no sterilization, with CCMS-DRG 806 | $12,817 | — | — | — | 40 |
| X-ray, lower back, 4+ viewsCPT 72110 | $126 | $130 | 96% | ~$130 | 98 |
| YAG laser capsulotomy (secondary cataract)CPT 66821 | $3,496 | $687 | 509% | — | 78 |