| Acute myocardial infarction, discharged alive, with MCCMS-DRG 280 | $30,848 | $11,542 | 267% | — | 35 |
| Bariatric (obesity) surgery, no CC/MCCMS-DRG 621 | $39,614 | $8,272 | 479% | — | 40 |
| Basic metabolic panelCPT 80048 | $16 | $8 | 195% | ~$49 | 96 |
| COPD with MCCMS-DRG 190 | $21,106 | $8,009 | 264% | — | 35 |
| CT abdomen and pelvis with contrastCPT 74177 | $828 | $435 | 190% | ~$864 | 96 |
| CT head without contrastCPT 70450 | $273 | $130 | 209% | ~$542 | 96 |
| CT pelvis with contrastCPT 72193 | $470 | $219 | 215% | ~$625 | 96 |
| Cardiac arrhythmia, no CC/MCCMS-DRG 310 | $11,418 | $3,670 | 311% | — | 35 |
| Cardiac stress testCPT 93017 | $519 | $270 | 192% | $391 | 96 |
| Cardiac valve surgery with cardiac cath, with MCCMS-DRG 216 | $217,545 | — | — | — | 35 |
| Cataract surgery with IOL insertionCPT 66984 | $3,940 | $2,881 | 137% | — | 78 |
| Cellulitis, no MCCMS-DRG 603 | $17,974 | $6,069 | 296% | — | 35 |
| Cervical spinal fusion, no CC/MCCMS-DRG 473 | $44,493 | $16,343 | 272% | — | 35 |
| Cesarean section, no CC/MCCMS-DRG 788 | $17,003 | — | — | — | 35 |
| Cesarean section, with CCMS-DRG 787 | $17,186 | — | — | — | 35 |
| Chest painMS-DRG 313 | $13,408 | — | — | — | 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% | ~$52 | 96 |
| Complete blood count, automatedCPT 85027 | $8 | $6 | 126% | ~$32 | 96 |
| Comprehensive metabolic panelCPT 80053 | $23 | $11 | 215% | ~$132 | 96 |
| Coronary bypass without cardiac cath, no MCCMS-DRG 236 | $86,792 | $29,950 | 290% | — | 35 |
| Diagnostic mammography, both breastsCPT 77066 | $301 | — | — | ~$162 | 85 |
| Diagnostic mammography, one breastCPT 77065 | $264 | — | — | ~$162 | 85 |
| ED visit, level 3CPT 99283 | $1,448 | $341 | 425% | $467 | 76 |
| ED visit, level 4CPT 99284 | $1,564 | $521 | 300% | $544 | 76 |
| ED visit, level 5CPT 99285 | $1,812 | $743 | 244% | $630 | 76 |
| Echocardiogram, completeCPT 93306 | $1,162 | $682 | 170% | $896 | 96 |
| 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 | $15,924 | $5,366 | 297% | — | 35 |
| Excision of breast lesionCPT 19120 | $4,318 | $4,888 | 88% | — | 78 |
| Family psychotherapy, with patientCPT 90847 | $280 | $222 | 126% | $126 | 96 |
| Family psychotherapy, without patientCPT 90846 | $428 | $222 | 193% | $218 | 96 |
| Group psychotherapyCPT 90853 | $182 | $127 | 144% | $63 | 96 |
| Heart failure and shock, with CCMS-DRG 292 | $17,575 | $5,927 | 297% | — | 35 |
| Heart failure with MCCMS-DRG 291 | $24,522 | $9,275 | 264% | — | 35 |
| Hip and femur procedures except major joint, with CCMS-DRG 481 | $38,996 | $15,826 | 246% | — | 35 |
| Hysterectomy, no CC/MCCMS-DRG 743 | $22,528 | $10,098 | 223% | — | 35 |
| Inguinal hernia repair, age 5+CPT 49505 | $4,827 | $4,469 | 108% | $2,584 | 96 |
| Kidney and urinary tract infections, no MCCMS-DRG 690 | $16,379 | $5,445 | 301% | — | 35 |
| Kidney function panelCPT 80069 | $20 | $9 | 225% | ~$68 | 96 |
| Knee arthroscopy with meniscectomyCPT 29881 | $4,069 | $4,084 | 100% | — | 78 |
| Laparoscopic cholecystectomyCPT 47562 | $5,124 | $7,547 | 68% | — | 77 |
| Laparoscopic cholecystectomy, no CC/MCCMS-DRG 419 | $24,763 | $8,977 | 276% | — | 35 |
| Laparoscopic radical prostatectomyCPT 55866 | $5,573 | $13,269 | 42% | — | 78 |
| Left heart catheterization, diagnosticCPT 93452 | $7,196 | $4,047 | 178% | $3,980 | 96 |
| Lipid panelCPT 80061 | $19 | $13 | 140% | ~$61 | 96 |
| Liver function panelCPT 80076 | $16 | $8 | 202% | ~$51 | 96 |
| Lumbar epidural steroid injectionCPT 62323 | $1,859 | $881 | 211% | $646 | 96 |
| MRI brain with and without contrastCPT 70553 | $960 | $435 | 220% | ~$2,034 | 96 |
| MRI lower extremity joint (knee)CPT 73721 | $644 | $298 | 216% | ~$956 | 96 |
| MRI lumbar spine without contrastCPT 72148 | $644 | $298 | 216% | ~$956 | 96 |
| Major joint replacement (hip/knee), no MCCMS-DRG 470 | $35,436 | $14,336 | 247% | — | 35 |
| Major joint replacement (hip/knee), with MCCMS-DRG 469 | $61,432 | $22,346 | 275% | — | 35 |
| Major small and large bowel procedures, with CCMS-DRG 330 | $44,423 | $16,202 | 274% | — | 35 |
| Medical back problems, no MCCMS-DRG 552 | $18,114 | $6,604 | 274% | — | 35 |
| OB global care, VBAC deliveryCPT 59610 | $4,661 | — | — | — | 39 |
| OB global care, cesarean deliveryCPT 59510 | $5,148 | — | — | — | 14 |
| OB global care, vaginal deliveryCPT 59400 | $4,661 | — | — | — | 39 |
| OB ultrasound, 14+ weeksCPT 76805 | $229 | $130 | 175% | ~$199 | 96 |
| Obstetric blood test panelCPT 80055 | $67 | $48 | 140% | — | 75 |
| Office consultation, comprehensiveCPT 99244 | $269 | — | — | — | 5 |
| Office consultation, moderateCPT 99243 | $269 | — | — | — | 5 |
| Office visit, established patient, level 3CPT 99213 | $155 | — | — | $70 | 65 |
| Office visit, established patient, level 4CPT 99214 | $188 | — | — | $85 | 65 |
| Office visit, new patient, level 3CPT 99203 | $155 | — | — | $70 | 65 |
| Office visit, new patient, level 4CPT 99204 | $188 | — | — | $85 | 65 |
| Office visit, new patient, level 5CPT 99205 | $225 | — | — | $102 | 65 |
| PSA (prostate specific antigen), totalCPT 84153 | $41 | $18 | 225% | ~$76 | 96 |
| Partial thromboplastin timeCPT 85730 | $14 | $6 | 225% | ~$45 | 96 |
| Physical therapy, therapeutic exerciseCPT 97110 | $112 | — | — | $39 | 85 |
| Preventive visit, new patient, 18-39CPT 99385 | $148 | — | — | — | 2 |
| Preventive visit, new patient, 40-64CPT 99386 | $177 | — | — | — | 2 |
| Prostate biopsyCPT 55700 | $3,612 | — | — | — | 78 |
| Prothrombin timeCPT 85610 | $9 | $4 | 207% | ~$28 | 96 |
| Psychotherapy, 30 minutesCPT 90832 | $244 | $222 | 110% | $85 | 96 |
| Psychotherapy, 45 minutesCPT 90834 | $260 | $222 | 117% | $90 | 96 |
| Psychotherapy, 60 minutesCPT 90837 | $276 | $222 | 125% | $96 | 96 |
| Renal failure, with CCMS-DRG 683 | $18,030 | $6,166 | 292% | — | 35 |
| Screening mammography, bilateralCPT 77067 | $278 | — | — | ~$154 | 85 |
| Sepsis with MCCMS-DRG 871 | $36,876 | $14,542 | 254% | — | 35 |
| Shoulder arthroscopy, subacromial decompressionCPT 29826 | $3,204 | — | — | — | 64 |
| Simple pneumonia and pleurisy, with CCMS-DRG 194 | $16,734 | $5,301 | 316% | — | 35 |
| Sleep study (polysomnography)CPT 95810 | $3,364 | $1,072 | 314% | $3,205 | 96 |
| Stroke (hemorrhage/infarction), no CC/MCCMS-DRG 066 | $12,936 | $4,037 | 320% | — | 35 |
| Stroke (hemorrhage/infarction), with CC or tPAMS-DRG 065 | $19,112 | $6,469 | 295% | — | 35 |
| Thyroid stimulating hormone (TSH)CPT 84443 | $24 | $17 | 140% | ~$89 | 96 |
| Tonsillectomy and adenoidectomy, under age 12CPT 42820 | $4,311 | $7,390 | 58% | — | 78 |
| Transforaminal epidural, lumbar/sacralCPT 64483 | $1,692 | $1,104 | 153% | $577 | 96 |
| Ultrasound, abdomen, completeCPT 76700 | $205 | $130 | 157% | ~$291 | 96 |
| Ultrasound, transvaginalCPT 76830 | $218 | $130 | 167% | ~$266 | 96 |
| Upper GI endoscopy with biopsyCPT 43239 | $2,341 | $1,132 | 207% | $776 | 96 |
| Upper GI endoscopy, diagnosticCPT 43235 | $2,431 | $1,132 | 215% | $845 | 96 |
| Urinalysis, automated, with microscopyCPT 81001 | $7 | $3 | 225% | ~$44 | 96 |
| Urinalysis, automated, without microscopyCPT 81003 | $5 | $2 | 202% | ~$13 | 96 |
| Urinalysis, manual, with microscopyCPT 81000 | $5 | $4 | 114% | — | 75 |
| Urinalysis, manual, without microscopyCPT 81002 | $5 | $3 | 131% | ~$9 | 96 |
| Vaginal delivery, no sterilization, no CC/MCCMS-DRG 807 | $12,020 | — | — | — | 35 |
| Vaginal delivery, no sterilization, with CCMS-DRG 806 | $12,817 | — | — | — | 35 |
| X-ray, lower back, 4+ viewsCPT 72110 | $126 | $130 | 96% | ~$161 | 96 |
| YAG laser capsulotomy (secondary cataract)CPT 66821 | $3,496 | $687 | 509% | — | 78 |