| Acute myocardial infarction, discharged alive, with MCCMS-DRG 280 | $68,058 | $12,901 | 528% | — | 18 |
| Bariatric (obesity) surgery, no CC/MCCMS-DRG 621 | $60,604 | $8,272 | 733% | — | 18 |
| Basic metabolic panelCPT 80048 | $9 | $8 | 104% | ~$42 | 22 |
| COPD with MCCMS-DRG 190 | $46,573 | $8,360 | 557% | — | 18 |
| CT abdomen and pelvis with contrastCPT 74177 | $523 | $435 | 120% | ~$738 | 29 |
| CT head without contrastCPT 70450 | $187 | $130 | 143% | ~$366 | 30 |
| CT pelvis with contrastCPT 72193 | $275 | $219 | 125% | ~$240 | 29 |
| Cardiac arrhythmia, no CC/MCCMS-DRG 310 | $23,197 | $3,626 | 640% | — | 18 |
| Cardiac stress testCPT 93017 | $303 | $270 | 113% | $694 | 26 |
| Cardiac valve surgery with cardiac cath, with MCCMS-DRG 216 | $400,115 | — | — | — | 18 |
| Cataract surgery with IOL insertionCPT 66984 | $6,037 | $2,881 | 210% | — | 26 |
| Cellulitis, no MCCMS-DRG 603 | $36,523 | $6,350 | 575% | — | 18 |
| Cervical spinal fusion, no CC/MCCMS-DRG 473 | $98,146 | $16,343 | 601% | — | 18 |
| Cesarean section, no CC/MCCMS-DRG 788 | $28,570 | — | — | — | 14 |
| Cesarean section, with CCMS-DRG 787 | $33,520 | — | — | — | 14 |
| Chest painMS-DRG 313 | $29,574 | — | — | — | 18 |
| Colonoscopy with biopsyCPT 45380 | $1,539 | $1,494 | 103% | $2,001 | 45 |
| Colonoscopy with endoscopic ultrasoundCPT 45391 | $1,554 | $1,494 | 104% | $2,691 | 46 |
| Colonoscopy with polyp removalCPT 45385 | $1,539 | $1,494 | 103% | $2,531 | 45 |
| Colonoscopy, diagnosticCPT 45378 | $1,276 | $1,161 | 110% | $1,929 | 46 |
| Complete blood count with differentialCPT 85025 | $4 | $8 | 53% | ~$9 | 24 |
| Complete blood count, automatedCPT 85027 | $4 | $6 | 64% | ~$8 | 24 |
| Comprehensive metabolic panelCPT 80053 | $12 | $11 | 115% | ~$46 | 22 |
| Coronary bypass without cardiac cath, no MCCMS-DRG 236 | $170,479 | $29,950 | 569% | — | 18 |
| Diagnostic mammography, both breastsCPT 77066 | $298 | — | — | ~$421 | 20 |
| Diagnostic mammography, one breastCPT 77065 | $249 | — | — | ~$336 | 20 |
| ED visit, level 3CPT 99283 | $2,842 | $341 | 834% | $689 | 24 |
| ED visit, level 4CPT 99284 | $2,880 | $521 | 553% | $918 | 24 |
| ED visit, level 5CPT 99285 | $2,917 | $743 | 392% | $1,055 | 24 |
| Echocardiogram, completeCPT 93306 | $767 | $682 | 112% | $2,344 | 26 |
| Electrocardiogram with interpretationCPT 93000 | $120 | — | — | — | 2 |
| Epidural injection, lumbar/sacral, no imagingCPT 62322 | $1,121 | $1,104 | 101% | $1,471 | 44 |
| Esophagitis/GI disorders, no MCCMS-DRG 392 | $32,352 | $5,433 | 595% | — | 18 |
| Excision of breast lesionCPT 19120 | $6,730 | $4,888 | 138% | — | 26 |
| Family psychotherapy, with patientCPT 90847 | $228 | $222 | 103% | — | 15 |
| Family psychotherapy, without patientCPT 90846 | $228 | $222 | 103% | — | 15 |
| Group psychotherapyCPT 90853 | $131 | $127 | 103% | — | 15 |
| Heart failure and shock, with CCMS-DRG 292 | $35,710 | $5,927 | 603% | — | 18 |
| Heart failure with MCCMS-DRG 291 | $54,102 | $10,194 | 531% | — | 18 |
| Hip and femur procedures except major joint, with CCMS-DRG 481 | $86,027 | $15,975 | 539% | — | 18 |
| Hysterectomy, no CC/MCCMS-DRG 743 | $49,695 | $10,098 | 492% | — | 18 |
| Inguinal hernia repair, age 5+CPT 49505 | $9,508 | $4,469 | 213% | — | 19 |
| Kidney and urinary tract infections, no MCCMS-DRG 690 | $33,277 | $5,848 | 569% | — | 18 |
| Kidney function panelCPT 80069 | $10 | $9 | 120% | ~$12 | 22 |
| Knee arthroscopy with meniscectomyCPT 29881 | $6,211 | $4,084 | 152% | — | 26 |
| Laparoscopic cholecystectomyCPT 47562 | $14,369 | $7,547 | 190% | — | 17 |
| Laparoscopic cholecystectomy, no CC/MCCMS-DRG 419 | $54,629 | $8,977 | 609% | — | 18 |
| Laparoscopic radical prostatectomyCPT 55866 | $15,923 | $13,269 | 120% | — | 17 |
| Left heart catheterization, diagnosticCPT 93452 | $4,090 | $4,047 | 101% | $2,823 | 46 |
| Lipid panelCPT 80061 | $7 | $13 | 55% | ~$32 | 22 |
| Liver function panelCPT 80076 | $9 | $8 | 107% | ~$11 | 22 |
| Lumbar epidural steroid injectionCPT 62323 | $908 | $881 | 103% | $1,223 | 45 |
| MRI brain with and without contrastCPT 70553 | $808 | $435 | 186% | ~$2,560 | 33 |
| MRI lower extremity joint (knee)CPT 73721 | $658 | $298 | 221% | ~$1,665 | 33 |
| MRI lumbar spine without contrastCPT 72148 | $632 | $298 | 212% | ~$889 | 32 |
| Major joint replacement (hip/knee), no MCCMS-DRG 470 | $78,175 | $15,020 | 520% | — | 18 |
| Major joint replacement (hip/knee), with MCCMS-DRG 469 | $135,515 | $22,346 | 606% | — | 18 |
| Major small and large bowel procedures, with CCMS-DRG 330 | $98,001 | $18,494 | 530% | — | 18 |
| Medical back problems, no MCCMS-DRG 552 | $39,960 | $7,121 | 561% | — | 18 |
| OB global care, VBAC deliveryCPT 59610 | $12,590 | — | — | — | 3 |
| OB global care, cesarean deliveryCPT 59510 | $12,590 | — | — | — | 3 |
| OB global care, vaginal deliveryCPT 59400 | $3,015 | — | — | — | 12 |
| OB ultrasound, 14+ weeksCPT 76805 | $157 | $130 | 120% | ~$443 | 29 |
| Obstetric blood test panelCPT 80055 | $326 | $48 | 681% | — | 4 |
| Office consultation, comprehensiveCPT 99244 | $374 | — | — | — | 3 |
| Office consultation, moderateCPT 99243 | $374 | — | — | — | 3 |
| Office visit, established patient, level 3CPT 99213 | $421 | — | — | $136 | 10 |
| Office visit, established patient, level 4CPT 99214 | $562 | — | — | $175 | 10 |
| Office visit, new patient, level 3CPT 99203 | $421 | — | — | $138 | 10 |
| Office visit, new patient, level 4CPT 99204 | $658 | — | — | $223 | 10 |
| Office visit, new patient, level 5CPT 99205 | $739 | — | — | $276 | 10 |
| PSA (prostate specific antigen), totalCPT 84153 | $22 | $18 | 120% | ~$29 | 24 |
| Partial thromboplastin timeCPT 85730 | $7 | $6 | 120% | ~$7 | 24 |
| Physical therapy, therapeutic exerciseCPT 97110 | $143 | — | — | $105 | 47 |
| Prostate biopsyCPT 55700 | $6,716 | — | — | — | 19 |
| Prothrombin timeCPT 85610 | $5 | $4 | 115% | ~$5 | 24 |
| Psychotherapy, 30 minutesCPT 90832 | $147 | $222 | 66% | — | 15 |
| Psychotherapy, 45 minutesCPT 90834 | $233 | $222 | 105% | — | 15 |
| Psychotherapy, 60 minutesCPT 90837 | $233 | $222 | 105% | — | 15 |
| Renal failure, with CCMS-DRG 683 | $36,855 | $6,541 | 563% | — | 18 |
| Screening mammography, bilateralCPT 77067 | $258 | — | — | ~$376 | 20 |
| Sepsis with MCCMS-DRG 871 | $75,617 | $15,656 | 483% | — | 16 |
| Shoulder arthroscopy, subacromial decompressionCPT 29826 | $7,210 | — | — | — | 12 |
| Simple pneumonia and pleurisy, with CCMS-DRG 194 | $33,998 | $5,419 | 627% | — | 18 |
| Sleep study (polysomnography)CPT 95810 | $1,104 | $1,072 | 103% | $2,781 | 41 |
| Stroke (hemorrhage/infarction), no CC/MCCMS-DRG 066 | $28,538 | $4,565 | 625% | — | 18 |
| Stroke (hemorrhage/infarction), with CC or tPAMS-DRG 065 | $42,166 | $7,719 | 546% | — | 18 |
| Thyroid stimulating hormone (TSH)CPT 84443 | $12 | $17 | 70% | ~$37 | 24 |
| Tonsillectomy and adenoidectomy, under age 12CPT 42820 | $12,590 | $7,390 | 170% | — | 19 |
| Transforaminal epidural, lumbar/sacralCPT 64483 | $1,137 | $1,104 | 103% | $2,551 | 45 |
| Ultrasound, abdomen, completeCPT 76700 | $157 | $130 | 120% | ~$524 | 29 |
| Ultrasound, transvaginalCPT 76830 | $157 | $130 | 120% | ~$550 | 29 |
| Upper GI endoscopy with biopsyCPT 43239 | $1,189 | $1,132 | 105% | $1,472 | 45 |
| Upper GI endoscopy, diagnosticCPT 43235 | $1,189 | $1,132 | 105% | $889 | 45 |
| Urinalysis, automated, with microscopyCPT 81001 | $4 | $3 | 120% | ~$8 | 24 |
| Urinalysis, automated, without microscopyCPT 81003 | $3 | $2 | 114% | ~$5 | 24 |
| Urinalysis, manual, with microscopyCPT 81000 | $12 | $4 | 291% | — | 6 |
| Urinalysis, manual, without microscopyCPT 81002 | $10 | $3 | 274% | — | 6 |
| Vaginal delivery, no sterilization, no CC/MCCMS-DRG 807 | $20,116 | — | — | — | 14 |
| Vaginal delivery, no sterilization, with CCMS-DRG 806 | $22,841 | — | — | — | 14 |
| X-ray, lower back, 4+ viewsCPT 72110 | $168 | $130 | 129% | ~$268 | 30 |
| YAG laser capsulotomy (secondary cataract)CPT 66821 | $2,430 | $687 | 354% | — | 26 |