| Acute myocardial infarction, discharged alive, with MCCMS-DRG 280 | $20,738 | $11,020 | 188% | — | 9 |
| Bariatric (obesity) surgery, no CC/MCCMS-DRG 621 | $27,878 | $8,272 | 337% | — | 9 |
| Basic metabolic panelCPT 80048 | $260 | $8 | 3078% | ~$35 | 34 |
| COPD with MCCMS-DRG 190 | $20,738 | $7,377 | 281% | — | 9 |
| CT abdomen and pelvis with contrastCPT 74177 | $12,088 | $340 | 3551% | ~$1,617 | 31 |
| CT head without contrastCPT 70450 | $3,004 | $102 | 2945% | ~$402 | 31 |
| CT pelvis with contrastCPT 72193 | $6,043 | $171 | 3531% | ~$809 | 30 |
| Cardiac arrhythmia, no CC/MCCMS-DRG 310 | $20,738 | $3,023 | 686% | — | 9 |
| Cardiac stress testCPT 93017 | $2,695 | $211 | 1279% | $361 | 30 |
| Cardiac valve surgery with cardiac cath, with MCCMS-DRG 216 | $108,155 | — | — | — | 9 |
| Cataract surgery with IOL insertionCPT 66984 | $10,007 | $2,252 | 444% | — | 7 |
| Cellulitis, no MCCMS-DRG 603 | $20,738 | $4,518 | 459% | — | 9 |
| Cervical spinal fusion, no CC/MCCMS-DRG 473 | $35,832 | $16,343 | 219% | — | 12 |
| Cesarean section, no CC/MCCMS-DRG 788 | $14,147 | — | — | — | 12 |
| Cesarean section, with CCMS-DRG 787 | $14,147 | — | — | — | 12 |
| Chest painMS-DRG 313 | $18,877 | $4,020 | 470% | — | 9 |
| Colonoscopy with biopsyCPT 45380 | $4,845 | $1,168 | 415% | — | 7 |
| Colonoscopy with endoscopic ultrasoundCPT 45391 | $4,845 | $1,168 | 415% | — | 7 |
| Colonoscopy with polyp removalCPT 45385 | $4,845 | $1,168 | 415% | — | 7 |
| Colonoscopy, diagnosticCPT 45378 | $4,845 | $907 | 534% | — | 7 |
| Complete blood count with differentialCPT 85025 | $8 | $8 | 100% | — | 9 |
| Complete blood count, automatedCPT 85027 | $200 | $6 | 3083% | ~$27 | 35 |
| Comprehensive metabolic panelCPT 80053 | $474 | $11 | 4491% | ~$64 | 35 |
| Coronary bypass without cardiac cath, no MCCMS-DRG 236 | $72,316 | $29,950 | 241% | — | 12 |
| Diagnostic mammography, both breastsCPT 77066 | $586 | — | — | ~$79 | 33 |
| Diagnostic mammography, one breastCPT 77065 | $457 | — | — | ~$61 | 34 |
| ED visit, level 3CPT 99283 | $1,283 | $266 | 482% | $163 | 35 |
| ED visit, level 4CPT 99284 | $1,831 | $407 | 450% | $217 | 35 |
| ED visit, level 5CPT 99285 | $2,565 | $581 | 441% | $274 | 34 |
| Echocardiogram, completeCPT 93306 | $1,870 | $533 | 351% | $250 | 30 |
| Electrocardiogram with interpretationCPT 93000 | $10 | — | — | — | 3 |
| Epidural injection, lumbar/sacral, no imagingCPT 62322 | $2,358 | $863 | 273% | — | 4 |
| Esophagitis/GI disorders, no MCCMS-DRG 392 | $20,738 | $4,995 | 415% | — | 9 |
| Excision of breast lesionCPT 19120 | $6,914 | $3,820 | 181% | — | 9 |
| Family psychotherapy, with patientCPT 90847 | $689 | $173 | 398% | $92 | 29 |
| Family psychotherapy, without patientCPT 90846 | $694 | $173 | 401% | $92 | 28 |
| Group psychotherapyCPT 90853 | $437 | $99 | 441% | $59 | 27 |
| Heart failure and shock, with CCMS-DRG 292 | $20,738 | $5,927 | 350% | — | 9 |
| Heart failure with MCCMS-DRG 291 | $20,738 | $8,653 | 240% | — | 9 |
| Hip and femur procedures except major joint, with CCMS-DRG 481 | $37,978 | $14,023 | 271% | — | 12 |
| Hysterectomy, no CC/MCCMS-DRG 743 | $27,878 | $10,098 | 276% | — | 9 |
| Inguinal hernia repair, age 5+CPT 49505 | $8,061 | $3,493 | 231% | — | 7 |
| Kidney and urinary tract infections, no MCCMS-DRG 690 | $20,738 | $4,897 | 424% | — | 9 |
| Kidney function panelCPT 80069 | $802 | $9 | 9234% | ~$109 | 33 |
| Knee arthroscopy with meniscectomyCPT 29881 | $8,061 | $3,192 | 253% | — | 9 |
| Laparoscopic cholecystectomyCPT 47562 | $12,199 | $5,899 | 207% | — | 9 |
| Laparoscopic cholecystectomy, no CC/MCCMS-DRG 419 | $27,878 | $8,766 | 318% | — | 9 |
| Laparoscopic radical prostatectomyCPT 55866 | $20,510 | $10,371 | 198% | — | 8 |
| Left heart catheterization, diagnosticCPT 93452 | $13,530 | $3,163 | 428% | — | 10 |
| Lipid panelCPT 80061 | $409 | $13 | 3053% | ~$55 | 34 |
| Liver function panelCPT 80076 | $622 | $8 | 7617% | ~$84 | 33 |
| Lumbar epidural steroid injectionCPT 62323 | $2,358 | $689 | 342% | — | 4 |
| MRI brain with and without contrastCPT 70553 | $7,984 | $340 | 2346% | ~$1,068 | 30 |
| MRI lower extremity joint (knee)CPT 73721 | $6,016 | $233 | 2584% | ~$805 | 30 |
| MRI lumbar spine without contrastCPT 72148 | $4,302 | $233 | 1848% | ~$572 | 30 |
| Major joint replacement (hip/knee), no MCCMS-DRG 470 | $32,729 | $12,747 | 257% | — | 12 |
| Major joint replacement (hip/knee), with MCCMS-DRG 469 | $39,464 | $22,346 | 177% | — | 12 |
| Major small and large bowel procedures, with CCMS-DRG 330 | $27,878 | $16,690 | 167% | — | 9 |
| Medical back problems, no MCCMS-DRG 552 | $20,738 | $6,135 | 338% | — | 9 |
| OB global care, VBAC deliveryCPT 59610 | $6,408 | — | — | — | 3 |
| OB global care, cesarean deliveryCPT 59510 | $6,408 | — | — | — | 3 |
| OB global care, vaginal deliveryCPT 59400 | $6,408 | — | — | — | 3 |
| OB ultrasound, 14+ weeksCPT 76805 | $2,555 | $102 | 2505% | ~$340 | 28 |
| Obstetric blood test panelCPT 80055 | $352 | $48 | 736% | ~$48 | 33 |
| Office visit, established patient, level 3CPT 99213 | $386 | — | — | $49 | 25 |
| Office visit, established patient, level 4CPT 99214 | $578 | — | — | $73 | 25 |
| Office visit, new patient, level 3CPT 99203 | $562 | — | — | $71 | 25 |
| Office visit, new patient, level 4CPT 99204 | $1,030 | — | — | $131 | 25 |
| Office visit, new patient, level 5CPT 99205 | $1,087 | — | — | $138 | 25 |
| PSA (prostate specific antigen), totalCPT 84153 | $472 | $18 | 2566% | ~$64 | 33 |
| Partial thromboplastin timeCPT 85730 | $256 | $6 | 4251% | ~$35 | 33 |
| Percutaneous cardiac stent, no MCCMS-DRG 247 | $55,754 | — | — | — | 1 |
| Physical therapy, therapeutic exerciseCPT 97110 | $191 | — | — | $25 | 31 |
| Preventive visit, new patient, 18-39CPT 99385 | $68 | — | — | — | 3 |
| Preventive visit, new patient, 40-64CPT 99386 | $83 | — | — | — | 3 |
| Prostate biopsyCPT 55700 | $4,250 | — | — | — | 6 |
| Prothrombin timeCPT 85610 | $111 | $4 | 2594% | ~$15 | 34 |
| Psychotherapy, 60 minutesCPT 90837 | $696 | $173 | 402% | $93 | 27 |
| Renal failure, with CCMS-DRG 683 | $20,738 | $5,738 | 361% | — | 9 |
| Screening mammography, bilateralCPT 77067 | $542 | — | — | ~$79 | 36 |
| Sepsis with MCCMS-DRG 871 | $20,738 | $13,403 | 155% | — | 9 |
| Shoulder arthroscopy, subacromial decompressionCPT 29826 | $6,914 | — | — | — | 6 |
| Simple pneumonia and pleurisy, with CCMS-DRG 194 | $20,738 | $5,334 | 389% | — | 9 |
| Sleep study (polysomnography)CPT 95810 | $2,698 | $838 | 322% | — | 4 |
| Stroke (hemorrhage/infarction), no CC/MCCMS-DRG 066 | $20,738 | $3,713 | 559% | — | 9 |
| Stroke (hemorrhage/infarction), with CC or tPAMS-DRG 065 | $20,738 | $6,340 | 327% | — | 9 |
| Thyroid stimulating hormone (TSH)CPT 84443 | $327 | $17 | 1946% | ~$44 | 34 |
| Tonsillectomy and adenoidectomy, under age 12CPT 42820 | $6,914 | $5,776 | 120% | — | 7 |
| Transforaminal epidural, lumbar/sacralCPT 64483 | $3,551 | $863 | 411% | — | 7 |
| Ultrasound, abdomen, completeCPT 76700 | $2,868 | $102 | 2812% | ~$381 | 28 |
| Ultrasound, transvaginalCPT 76830 | $2,151 | $102 | 2109% | ~$288 | 30 |
| Upper GI endoscopy with biopsyCPT 43239 | $4,845 | $885 | 548% | — | 7 |
| Upper GI endoscopy, diagnosticCPT 43235 | $3,551 | $885 | 401% | — | 7 |
| Urinalysis, automated, with microscopyCPT 81001 | $167 | $3 | 5256% | ~$23 | 34 |
| Urinalysis, automated, without microscopyCPT 81003 | $88 | $2 | 3889% | ~$12 | 34 |
| Urinalysis, manual, with microscopyCPT 81000 | $4 | $4 | 100% | — | 9 |
| Urinalysis, manual, without microscopyCPT 81002 | $3 | $3 | 100% | — | 9 |
| Vaginal delivery, no sterilization, no CC/MCCMS-DRG 807 | $12,814 | — | — | — | 12 |
| Vaginal delivery, no sterilization, with CCMS-DRG 806 | $12,814 | — | — | — | 12 |
| X-ray, lower back, 4+ viewsCPT 72110 | $1,379 | $102 | 1351% | ~$183 | 28 |
| YAG laser capsulotomy (secondary cataract)CPT 66821 | $4,845 | $537 | 903% | — | 7 |