| Acute myocardial infarction, discharged alive, with MCCMS-DRG 280 | $33,708 | $11,461 | 294% | — | 35 |
| Bariatric (obesity) surgery, no CC/MCCMS-DRG 621 | $39,614 | $8,272 | 479% | — | 40 |
| Basic metabolic panelCPT 80048 | $16 | $8 | 195% | ~$44 | 112 |
| COPD with MCCMS-DRG 190 | $23,062 | $7,767 | 297% | — | 35 |
| CT abdomen and pelvis with contrastCPT 74177 | $818 | $435 | 188% | ~$784 | 112 |
| CT head without contrastCPT 70450 | $273 | $130 | 209% | ~$492 | 112 |
| CT pelvis with contrastCPT 72193 | $402 | $219 | 183% | ~$567 | 112 |
| Cardiac arrhythmia, no CC/MCCMS-DRG 310 | $11,490 | $2,865 | 401% | — | 35 |
| Cardiac stress testCPT 93017 | $458 | $270 | 170% | $354 | 112 |
| Cardiac valve surgery with cardiac cath, with MCCMS-DRG 216 | $220,798 | — | — | — | 35 |
| Cataract surgery with IOL insertionCPT 66984 | $3,656 | $2,881 | 127% | — | 90 |
| Cellulitis, no MCCMS-DRG 603 | $18,088 | $6,094 | 297% | — | 35 |
| Cervical spinal fusion, no CC/MCCMS-DRG 473 | $48,617 | $16,343 | 297% | — | 35 |
| Cesarean section, no CC/MCCMS-DRG 788 | $17,186 | — | — | — | 40 |
| Cesarean section, with CCMS-DRG 787 | $19,144 | — | — | — | 40 |
| Chest painMS-DRG 313 | $14,650 | $4,743 | 309% | — | 35 |
| Colonoscopy with biopsyCPT 45380 | $2,259 | $1,494 | 151% | — | 90 |
| Colonoscopy with endoscopic ultrasoundCPT 45391 | $2,259 | $1,494 | 151% | — | 90 |
| Colonoscopy with polyp removalCPT 45385 | $2,259 | $1,494 | 151% | — | 90 |
| Colonoscopy, diagnosticCPT 45378 | $2,259 | $1,161 | 195% | — | 90 |
| Complete blood count with differentialCPT 85025 | $11 | $8 | 135% | ~$48 | 112 |
| Complete blood count, automatedCPT 85027 | $8 | $6 | 126% | ~$29 | 112 |
| Comprehensive metabolic panelCPT 80053 | $23 | $11 | 215% | ~$120 | 112 |
| Coronary bypass without cardiac cath, no MCCMS-DRG 236 | $91,630 | $29,950 | 306% | — | 35 |
| Diagnostic mammography, both breastsCPT 77066 | $337 | — | — | ~$153 | 101 |
| Diagnostic mammography, one breastCPT 77065 | $325 | — | — | ~$163 | 101 |
| ED visit, level 3CPT 99283 | $1,250 | $341 | 367% | $394 | 91 |
| ED visit, level 4CPT 99284 | $1,533 | $521 | 294% | $484 | 91 |
| ED visit, level 5CPT 99285 | $1,753 | $743 | 236% | $553 | 91 |
| Echocardiogram, completeCPT 93306 | $1,030 | $682 | 151% | $812 | 112 |
| Electrocardiogram with interpretationCPT 93000 | $18 | — | — | — | 37 |
| Epidural injection, lumbar/sacral, no imagingCPT 62322 | $1,692 | $1,104 | 153% | — | 90 |
| Esophagitis/GI disorders, no MCCMS-DRG 392 | $16,024 | $5,262 | 305% | — | 35 |
| Excision of breast lesionCPT 19120 | $4,318 | $4,888 | 88% | — | 90 |
| Family psychotherapy, with patientCPT 90847 | $280 | $222 | 126% | $115 | 113 |
| Family psychotherapy, without patientCPT 90846 | $395 | $222 | 178% | $197 | 113 |
| Group psychotherapyCPT 90853 | $182 | $127 | 144% | $57 | 113 |
| Heart failure and shock, with CCMS-DRG 292 | $17,686 | $5,927 | 298% | — | 35 |
| Heart failure with MCCMS-DRG 291 | $26,795 | $9,818 | 273% | — | 35 |
| Hip and femur procedures except major joint, with CCMS-DRG 481 | $42,610 | $15,586 | 273% | — | 35 |
| Hysterectomy, no CC/MCCMS-DRG 743 | $24,616 | $10,098 | 244% | — | 35 |
| Inguinal hernia repair, age 5+CPT 49505 | $4,674 | $4,469 | 105% | $2,344 | 112 |
| Kidney and urinary tract infections, no MCCMS-DRG 690 | $16,482 | $5,534 | 298% | — | 35 |
| Kidney function panelCPT 80069 | $20 | $9 | 225% | ~$62 | 112 |
| Knee arthroscopy with meniscectomyCPT 29881 | $3,962 | $4,084 | 97% | — | 90 |
| Laparoscopic cholecystectomyCPT 47562 | $5,124 | $7,547 | 68% | — | 89 |
| Laparoscopic cholecystectomy, no CC/MCCMS-DRG 419 | $27,058 | $8,977 | 301% | — | 35 |
| Laparoscopic radical prostatectomyCPT 55866 | $5,573 | $13,269 | 42% | — | 90 |
| Left heart catheterization, diagnosticCPT 93452 | $6,446 | $4,047 | 159% | $3,610 | 112 |
| Lipid panelCPT 80061 | $18 | $13 | 135% | ~$56 | 112 |
| Liver function panelCPT 80076 | $16 | $8 | 202% | ~$46 | 112 |
| Lumbar epidural steroid injectionCPT 62323 | $1,859 | $881 | 211% | $586 | 112 |
| MRI brain with and without contrastCPT 70553 | $951 | $435 | 218% | ~$1,845 | 112 |
| MRI lower extremity joint (knee)CPT 73721 | $644 | $298 | 216% | ~$868 | 112 |
| MRI lumbar spine without contrastCPT 72148 | $644 | $298 | 216% | ~$868 | 112 |
| Major joint replacement (hip/knee), no MCCMS-DRG 470 | $38,721 | $13,045 | 297% | — | 35 |
| Major joint replacement (hip/knee), with MCCMS-DRG 469 | $67,126 | $22,346 | 300% | — | 35 |
| Major small and large bowel procedures, with CCMS-DRG 330 | $48,541 | $18,293 | 265% | — | 35 |
| Medical back problems, no MCCMS-DRG 552 | $19,793 | $6,608 | 300% | — | 35 |
| OB global care, VBAC deliveryCPT 59610 | $3,088 | — | — | — | 45 |
| OB global care, cesarean deliveryCPT 59510 | $5,148 | — | — | — | 17 |
| OB global care, vaginal deliveryCPT 59400 | $3,088 | — | — | — | 45 |
| OB ultrasound, 14+ weeksCPT 76805 | $207 | $130 | 159% | ~$181 | 112 |
| Obstetric blood test panelCPT 80055 | $50 | $48 | 105% | — | 87 |
| Office consultation, comprehensiveCPT 99244 | $212 | — | — | — | 10 |
| Office consultation, moderateCPT 99243 | $167 | — | — | — | 10 |
| Office visit, established patient, level 3CPT 99213 | $155 | — | — | $64 | 80 |
| Office visit, established patient, level 4CPT 99214 | $188 | — | — | $77 | 80 |
| Office visit, new patient, level 3CPT 99203 | $155 | — | — | $64 | 81 |
| Office visit, new patient, level 4CPT 99204 | $188 | — | — | $77 | 81 |
| Office visit, new patient, level 5CPT 99205 | $225 | — | — | $92 | 81 |
| PSA (prostate specific antigen), totalCPT 84153 | $41 | $18 | 225% | ~$69 | 112 |
| Partial thromboplastin timeCPT 85730 | $14 | $6 | 225% | ~$40 | 112 |
| Physical therapy, therapeutic exerciseCPT 97110 | $112 | — | — | $35 | 101 |
| Preventive visit, new patient, 18-39CPT 99385 | $139 | — | — | — | 6 |
| Preventive visit, new patient, 40-64CPT 99386 | $168 | — | — | — | 6 |
| Prostate biopsyCPT 55700 | $3,268 | — | — | — | 90 |
| Prothrombin timeCPT 85610 | $9 | $4 | 207% | ~$25 | 112 |
| Psychotherapy, 30 minutesCPT 90832 | $244 | $222 | 110% | $77 | 113 |
| Psychotherapy, 45 minutesCPT 90834 | $260 | $222 | 117% | $82 | 113 |
| Psychotherapy, 60 minutesCPT 90837 | $276 | $222 | 125% | $87 | 113 |
| Renal failure, with CCMS-DRG 683 | $18,254 | $6,475 | 282% | — | 35 |
| Screening mammography, bilateralCPT 77067 | $330 | — | — | ~$161 | 101 |
| Sepsis with MCCMS-DRG 871 | $40,294 | $15,172 | 266% | — | 35 |
| Shoulder arthroscopy, subacromial decompressionCPT 29826 | $2,804 | — | — | — | 70 |
| Simple pneumonia and pleurisy, with CCMS-DRG 194 | $16,840 | $5,657 | 298% | — | 35 |
| Sleep study (polysomnography)CPT 95810 | $2,898 | $1,072 | 270% | $2,855 | 112 |
| Stroke (hemorrhage/infarction), no CC/MCCMS-DRG 066 | $14,135 | $3,679 | 384% | — | 35 |
| Stroke (hemorrhage/infarction), with CC or tPAMS-DRG 065 | $20,883 | $6,715 | 311% | — | 35 |
| Thyroid stimulating hormone (TSH)CPT 84443 | $23 | $17 | 135% | ~$81 | 112 |
| Tonsillectomy and adenoidectomy, under age 12CPT 42820 | $4,311 | $7,390 | 58% | — | 90 |
| Transforaminal epidural, lumbar/sacralCPT 64483 | $1,675 | $1,104 | 152% | $523 | 112 |
| Ultrasound, abdomen, completeCPT 76700 | $199 | $130 | 153% | ~$264 | 112 |
| Ultrasound, transvaginalCPT 76830 | $206 | $130 | 158% | ~$241 | 112 |
| Upper GI endoscopy with biopsyCPT 43239 | $2,233 | $1,132 | 197% | $704 | 112 |
| Upper GI endoscopy, diagnosticCPT 43235 | $2,431 | $1,132 | 215% | $767 | 112 |
| Urinalysis, automated, with microscopyCPT 81001 | $7 | $3 | 225% | ~$40 | 112 |
| Urinalysis, automated, without microscopyCPT 81003 | $5 | $2 | 202% | ~$12 | 112 |
| Urinalysis, manual, with microscopyCPT 81000 | $4 | $4 | 110% | — | 87 |
| Urinalysis, manual, without microscopyCPT 81002 | $5 | $3 | 131% | ~$9 | 112 |
| Vaginal delivery, no sterilization, no CC/MCCMS-DRG 807 | $12,748 | — | — | — | 40 |
| Vaginal delivery, no sterilization, with CCMS-DRG 806 | $13,047 | — | — | — | 40 |
| X-ray, lower back, 4+ viewsCPT 72110 | $126 | $130 | 96% | ~$146 | 112 |
| YAG laser capsulotomy (secondary cataract)CPT 66821 | $2,813 | $687 | 410% | — | 90 |