| Acute myocardial infarction, discharged alive, with MCCMS-DRG 280 | $33,011 | $17,904 | 184% | — | 1 |
| Bariatric (obesity) surgery, no CC/MCCMS-DRG 621 | $33,011 | $8,272 | 399% | — | 1 |
| Basic metabolic panelCPT 80048 | $59 | $8 | 694% | ~$68 | 17 |
| COPD with MCCMS-DRG 190 | $33,011 | $12,641 | 261% | — | 1 |
| CT abdomen and pelvis with contrastCPT 74177 | $563 | $435 | 129% | ~$1,531 | 13 |
| CT head without contrastCPT 70450 | $290 | $130 | 222% | ~$668 | 12 |
| CT pelvis with contrastCPT 72193 | $360 | $219 | 164% | ~$1,009 | 8 |
| Cardiac arrhythmia, no CC/MCCMS-DRG 310 | $33,011 | $5,377 | 614% | — | 1 |
| Cardiac stress testCPT 93017 | $443 | $270 | 164% | $421 | 10 |
| Cardiac valve surgery with cardiac cath, with MCCMS-DRG 216 | $33,011 | — | — | — | 1 |
| Cataract surgery with IOL insertionCPT 66984 | $5,490 | $2,881 | 191% | $2,724 | 14 |
| Cellulitis, no MCCMS-DRG 603 | $33,011 | $9,054 | 365% | — | 1 |
| Cervical spinal fusion, no CC/MCCMS-DRG 473 | $33,011 | $16,343 | 202% | — | 1 |
| Chest painMS-DRG 313 | $33,011 | $7,424 | 445% | — | 1 |
| Colonoscopy with biopsyCPT 45380 | $5,171 | $1,494 | 346% | $1,034 | 15 |
| Colonoscopy with polyp removalCPT 45385 | $5,171 | $1,494 | 346% | $1,658 | 15 |
| Colonoscopy, diagnosticCPT 45378 | $4,411 | $1,161 | 380% | $1,658 | 15 |
| Complete blood count with differentialCPT 85025 | $53 | $8 | 676% | ~$41 | 16 |
| Complete blood count, automatedCPT 85027 | $13 | $6 | 200% | ~$28 | 15 |
| Comprehensive metabolic panelCPT 80053 | $176 | $11 | 1668% | ~$147 | 14 |
| Coronary bypass without cardiac cath, no MCCMS-DRG 236 | $33,011 | $38,270 | 86% | — | 1 |
| Diagnostic mammography, both breastsCPT 77066 | $105 | — | — | ~$273 | 9 |
| Diagnostic mammography, one breastCPT 77065 | $56 | — | — | ~$217 | 7 |
| ED visit, level 3CPT 99283 | $1,131 | $341 | 332% | $614 | 20 |
| ED visit, level 4CPT 99284 | $1,310 | $521 | 252% | $920 | 20 |
| ED visit, level 5CPT 99285 | $1,532 | $743 | 206% | $1,058 | 20 |
| Echocardiogram, completeCPT 93306 | $1,120 | $682 | 164% | $1,217 | 8 |
| Epidural injection, lumbar/sacral, no imagingCPT 62322 | $1,974 | $1,104 | 179% | $440 | 18 |
| Esophagitis/GI disorders, no MCCMS-DRG 392 | $15,839 | $8,110 | 195% | — | 1 |
| Excision of breast lesionCPT 19120 | $5,490 | $4,888 | 112% | $1,845 | 18 |
| Family psychotherapy, with patientCPT 90847 | $254 | $222 | 114% | $154 | 6 |
| Family psychotherapy, without patientCPT 90846 | $254 | $222 | 114% | $154 | 6 |
| Group psychotherapyCPT 90853 | $145 | $127 | 114% | $134 | 6 |
| Heart failure and shock, with CCMS-DRG 292 | $33,011 | $8,946 | 369% | — | 1 |
| Heart failure with MCCMS-DRG 291 | $33,011 | $14,684 | 225% | — | 1 |
| Hip and femur procedures except major joint, with CCMS-DRG 481 | $44,820 | $22,672 | 198% | — | 1 |
| Hysterectomy, no CC/MCCMS-DRG 743 | $33,011 | $10,098 | 327% | — | 1 |
| Inguinal hernia repair, age 5+CPT 49505 | $5,782 | $4,469 | 129% | $5,652 | 14 |
| Kidney and urinary tract infections, no MCCMS-DRG 690 | $33,011 | $8,465 | 390% | — | 1 |
| Kidney function panelCPT 80069 | $11 | $9 | 130% | ~$75 | 5 |
| Knee arthroscopy with meniscectomyCPT 29881 | $5,490 | $4,084 | 134% | $1,847 | 14 |
| Laparoscopic cholecystectomyCPT 47562 | $9,762 | $7,547 | 129% | $6,194 | 15 |
| Laparoscopic cholecystectomy, no CC/MCCMS-DRG 419 | $33,011 | $13,440 | 246% | — | 1 |
| Laparoscopic radical prostatectomyCPT 55866 | $12,209 | $13,269 | 92% | $6,638 | 15 |
| Left heart catheterization, diagnosticCPT 93452 | $6,216 | $4,047 | 154% | $3,730 | 14 |
| Lipid panelCPT 80061 | $90 | $13 | 669% | ~$68 | 14 |
| Liver function panelCPT 80076 | $29 | $8 | 359% | ~$93 | 17 |
| Lumbar epidural steroid injectionCPT 62323 | $4,988 | $881 | 566% | $1,981 | 14 |
| MRI brain with and without contrastCPT 70553 | $1,597 | $435 | 367% | ~$2,414 | 12 |
| MRI lower extremity joint (knee)CPT 73721 | $593 | $298 | 199% | ~$1,334 | 9 |
| MRI lumbar spine without contrastCPT 72148 | $593 | $298 | 199% | ~$1,568 | 9 |
| Major joint replacement (hip/knee), no MCCMS-DRG 470 | $45,321 | $19,614 | 231% | — | 1 |
| Major joint replacement (hip/knee), with MCCMS-DRG 469 | $72,694 | $22,346 | 325% | — | 1 |
| Major small and large bowel procedures, with CCMS-DRG 330 | $33,011 | $24,914 | 132% | — | 1 |
| Medical back problems, no MCCMS-DRG 552 | $33,011 | $9,805 | 337% | — | 1 |
| OB ultrasound, 14+ weeksCPT 76805 | $169 | $130 | 129% | ~$287 | 5 |
| Office consultation, comprehensiveCPT 99244 | $124 | — | — | $109 | 2 |
| Office consultation, moderateCPT 99243 | $100 | — | — | $90 | 2 |
| Office visit, established patient, level 3CPT 99213 | $84 | — | — | $116 | 9 |
| Office visit, established patient, level 4CPT 99214 | $124 | — | — | $131 | 9 |
| Office visit, new patient, level 3CPT 99203 | $87 | — | — | $129 | 7 |
| Office visit, new patient, level 4CPT 99204 | $142 | — | — | $147 | 7 |
| Office visit, new patient, level 5CPT 99205 | $193 | — | — | $152 | 7 |
| PSA (prostate specific antigen), totalCPT 84153 | $30 | $18 | 165% | ~$77 | 10 |
| Partial thromboplastin timeCPT 85730 | $14 | $6 | 225% | ~$37 | 13 |
| Physical therapy, therapeutic exerciseCPT 97110 | $256 | — | — | $143 | 15 |
| Preventive visit, new patient, 18-39CPT 99385 | $502 | — | — | $73 | 1 |
| Prostate biopsyCPT 55700 | $5,562 | — | — | $1,658 | 11 |
| Prothrombin timeCPT 85610 | $9 | $4 | 203% | ~$28 | 14 |
| Psychotherapy, 30 minutesCPT 90832 | $254 | $222 | 114% | $67 | 6 |
| Psychotherapy, 45 minutesCPT 90834 | $254 | $222 | 114% | $100 | 6 |
| Psychotherapy, 60 minutesCPT 90837 | $254 | $222 | 114% | $134 | 6 |
| Renal failure, with CCMS-DRG 683 | $33,011 | $9,213 | 358% | — | 1 |
| Screening mammography, bilateralCPT 77067 | $283 | — | — | ~$273 | 12 |
| Sepsis with MCCMS-DRG 871 | $33,011 | $22,285 | 148% | — | 1 |
| Shoulder arthroscopy, subacromial decompressionCPT 29826 | $5,294 | — | — | $2,040 | 14 |
| Simple pneumonia and pleurisy, with CCMS-DRG 194 | $33,011 | $8,681 | 380% | — | 1 |
| Sleep study (polysomnography)CPT 95810 | $4,584 | $1,072 | 428% | $1,679 | 12 |
| Stroke (hemorrhage/infarction), no CC/MCCMS-DRG 066 | $33,011 | $6,860 | 481% | — | 1 |
| Stroke (hemorrhage/infarction), with CC or tPAMS-DRG 065 | $33,011 | $12,156 | 272% | — | 1 |
| Thyroid stimulating hormone (TSH)CPT 84443 | $34 | $17 | 200% | ~$82 | 15 |
| Tonsillectomy and adenoidectomy, under age 12CPT 42820 | $7,353 | $7,390 | 100% | $2,713 | 14 |
| Transforaminal epidural, lumbar/sacralCPT 64483 | $3,304 | $1,104 | 299% | $749 | 18 |
| Ultrasound, abdomen, completeCPT 76700 | $169 | $130 | 129% | ~$355 | 6 |
| Ultrasound, transvaginalCPT 76830 | $169 | $130 | 129% | ~$373 | 7 |
| Upper GI endoscopy with biopsyCPT 43239 | $2,528 | $1,132 | 223% | $878 | 18 |
| Upper GI endoscopy, diagnosticCPT 43235 | $4,411 | $1,132 | 390% | $1,658 | 15 |
| Urinalysis, automated, with microscopyCPT 81001 | $9 | $3 | 278% | ~$49 | 15 |
| Urinalysis, automated, without microscopyCPT 81003 | $3 | $2 | 115% | ~$23 | 6 |
| Urinalysis, manual, with microscopyCPT 81000 | $5 | $4 | 130% | ~$14 | 5 |
| Urinalysis, manual, without microscopyCPT 81002 | $5 | $3 | 130% | ~$8 | 5 |
| X-ray, lower back, 4+ viewsCPT 72110 | $169 | $130 | 129% | ~$281 | 5 |
| YAG laser capsulotomy (secondary cataract)CPT 66821 | $4,684 | $687 | 682% | $431 | 12 |