| Acute myocardial infarction, discharged alive, with MCCMS-DRG 280 | $34,112 | $11,595 | 294% | — | 15 |
| Bariatric (obesity) surgery, no CC/MCCMS-DRG 621 | $32,237 | $8,272 | 390% | — | 12 |
| Basic metabolic panelCPT 80048 | $54 | $8 | 633% | ~$116 | 17 |
| COPD with MCCMS-DRG 190 | $23,338 | $8,240 | 283% | — | 15 |
| CT abdomen and pelvis with contrastCPT 74177 | $1,661 | $374 | 444% | ~$818 | 17 |
| CT head without contrastCPT 70450 | $1,016 | $112 | 906% | ~$482 | 17 |
| CT pelvis with contrastCPT 72193 | $1,374 | $188 | 731% | ~$611 | 17 |
| Cardiac arrhythmia, no CC/MCCMS-DRG 310 | $11,628 | $3,881 | 300% | — | 15 |
| Cardiac stress testCPT 93017 | $1,391 | $231 | 601% | $849 | 17 |
| Cardiac valve surgery with cardiac cath, with MCCMS-DRG 216 | $200,569 | $97,015 | 207% | — | 15 |
| Cataract surgery with IOL insertionCPT 66984 | $7,369 | $2,474 | 298% | — | 15 |
| Cellulitis, no MCCMS-DRG 603 | $18,305 | $6,732 | 272% | — | 15 |
| Cervical spinal fusion, no CC/MCCMS-DRG 473 | $49,199 | $16,343 | 301% | — | 15 |
| Cesarean section, no CC/MCCMS-DRG 788 | $15,331 | — | — | — | 15 |
| Cesarean section, with CCMS-DRG 787 | $16,308 | — | — | — | 15 |
| Chest painMS-DRG 313 | $14,826 | — | — | — | 15 |
| Colonoscopy with biopsyCPT 45380 | $2,857 | $1,283 | 223% | — | 15 |
| Colonoscopy with endoscopic ultrasoundCPT 45391 | $2,857 | $1,283 | 223% | — | 15 |
| Colonoscopy with polyp removalCPT 45385 | $2,857 | $1,283 | 223% | — | 15 |
| Colonoscopy, diagnosticCPT 45378 | $2,493 | $997 | 250% | $1,109 | 17 |
| Complete blood count with differentialCPT 85025 | $49 | $8 | 633% | ~$77 | 17 |
| Complete blood count, automatedCPT 85027 | $41 | $6 | 633% | ~$63 | 17 |
| Comprehensive metabolic panelCPT 80053 | $67 | $11 | 634% | ~$149 | 17 |
| Coronary bypass without cardiac cath, no MCCMS-DRG 236 | $85,458 | $29,171 | 293% | — | 15 |
| Diagnostic mammography, both breastsCPT 77066 | $434 | — | — | ~$280 | 17 |
| Diagnostic mammography, one breastCPT 77065 | $326 | — | — | ~$208 | 17 |
| ED visit, level 3CPT 99283 | $1,527 | $293 | 522% | $706 | 17 |
| ED visit, level 4CPT 99284 | $3,193 | $447 | 714% | $1,120 | 17 |
| ED visit, level 5CPT 99285 | $3,193 | $638 | 500% | $1,366 | 17 |
| Echocardiogram, completeCPT 93306 | $2,805 | $586 | 479% | $1,712 | 17 |
| Epidural injection, lumbar/sacral, no imagingCPT 62322 | $2,208 | $948 | 233% | $1,087 | 17 |
| Esophagitis/GI disorders, no MCCMS-DRG 392 | $16,216 | $5,536 | 293% | — | 15 |
| Excision of breast lesionCPT 19120 | $7,111 | $4,197 | 169% | — | 15 |
| Family psychotherapy, with patientCPT 90847 | $441 | $190 | 232% | $269 | 17 |
| Family psychotherapy, without patientCPT 90846 | $581 | $190 | 306% | $355 | 17 |
| Group psychotherapyCPT 90853 | $183 | $109 | 168% | $109 | 17 |
| Heart failure and shock, with CCMS-DRG 292 | $17,897 | $5,927 | 302% | — | 15 |
| Heart failure with MCCMS-DRG 291 | $27,116 | $9,714 | 279% | — | 15 |
| Hip and femur procedures except major joint, with CCMS-DRG 481 | $43,121 | $15,113 | 285% | — | 15 |
| Hysterectomy, no CC/MCCMS-DRG 743 | $24,343 | $8,416 | 289% | — | 15 |
| Inguinal hernia repair, age 5+CPT 49505 | $8,619 | $3,838 | 225% | — | 15 |
| Kidney and urinary tract infections, no MCCMS-DRG 690 | $16,680 | $5,999 | 278% | — | 15 |
| Kidney function panelCPT 80069 | $55 | $9 | 633% | ~$145 | 17 |
| Knee arthroscopy with meniscectomyCPT 29881 | $9,247 | $3,508 | 264% | — | 15 |
| Laparoscopic cholecystectomyCPT 47562 | $11,070 | $6,481 | 171% | — | 15 |
| Laparoscopic cholecystectomy, no CC/MCCMS-DRG 419 | $27,382 | $8,977 | 305% | — | 15 |
| Laparoscopic radical prostatectomyCPT 55866 | $24,621 | $11,395 | 216% | — | 9 |
| Left heart catheterization, diagnosticCPT 93452 | $9,262 | $3,475 | 267% | $4,290 | 17 |
| Lipid panelCPT 80061 | $85 | $13 | 633% | ~$111 | 17 |
| Liver function panelCPT 80076 | $52 | $8 | 633% | ~$175 | 17 |
| Lumbar epidural steroid injectionCPT 62323 | $2,190 | $757 | 289% | $1,313 | 17 |
| MRI brain with and without contrastCPT 70553 | $2,307 | $374 | 617% | ~$1,136 | 17 |
| MRI lower extremity joint (knee)CPT 73721 | $2,134 | $256 | 834% | ~$641 | 17 |
| MRI lumbar spine without contrastCPT 72148 | $2,068 | $256 | 808% | ~$641 | 17 |
| Major joint replacement (hip/knee), no MCCMS-DRG 470 | $39,184 | $13,045 | 300% | — | 15 |
| Major joint replacement (hip/knee), with MCCMS-DRG 469 | $66,381 | $22,346 | 297% | — | 15 |
| Major small and large bowel procedures, with CCMS-DRG 330 | $49,122 | $17,415 | 282% | — | 15 |
| Medical back problems, no MCCMS-DRG 552 | $20,030 | $6,750 | 297% | — | 15 |
| OB ultrasound, 14+ weeksCPT 76805 | $844 | $112 | 753% | ~$544 | 17 |
| Obstetric blood test panelCPT 80055 | $399 | $48 | 834% | ~$390 | 17 |
| Office visit, established patient, level 3CPT 99213 | $442 | — | — | $263 | 15 |
| Office visit, new patient, level 3CPT 99203 | $442 | — | — | $263 | 15 |
| Office visit, new patient, level 5CPT 99205 | $519 | — | — | $308 | 15 |
| PSA (prostate specific antigen), totalCPT 84153 | $116 | $18 | 633% | ~$108 | 17 |
| Partial thromboplastin timeCPT 85730 | $38 | $6 | 632% | ~$61 | 17 |
| Physical therapy, therapeutic exerciseCPT 97110 | $156 | — | — | $95 | 17 |
| Prostate biopsyCPT 55700 | $3,546 | — | — | — | 10 |
| Prothrombin timeCPT 85610 | $25 | $4 | 580% | ~$35 | 17 |
| Psychotherapy, 30 minutesCPT 90832 | $366 | $190 | 192% | $217 | 17 |
| Psychotherapy, 45 minutesCPT 90834 | $439 | $190 | 231% | $288 | 17 |
| Psychotherapy, 60 minutesCPT 90837 | $511 | $190 | 269% | $304 | 17 |
| Renal failure, with CCMS-DRG 683 | $18,473 | $6,348 | 291% | — | 15 |
| Screening mammography, bilateralCPT 77067 | $412 | — | — | ~$265 | 17 |
| Sepsis with MCCMS-DRG 871 | $40,776 | $15,047 | 271% | — | 15 |
| Simple pneumonia and pleurisy, with CCMS-DRG 194 | $17,041 | $6,328 | 269% | — | 15 |
| Sleep study (polysomnography)CPT 95810 | $3,735 | $921 | 406% | $2,407 | 17 |
| Stroke (hemorrhage/infarction), no CC/MCCMS-DRG 066 | $14,304 | $4,747 | 301% | — | 15 |
| Stroke (hemorrhage/infarction), with CC or tPAMS-DRG 065 | $21,133 | $7,813 | 270% | — | 15 |
| Thyroid stimulating hormone (TSH)CPT 84443 | $106 | $17 | 633% | ~$124 | 17 |
| Tonsillectomy and adenoidectomy, under age 12CPT 42820 | $5,955 | $6,346 | 94% | — | 15 |
| Transforaminal epidural, lumbar/sacralCPT 64483 | $2,942 | $948 | 310% | $1,738 | 17 |
| Ultrasound, abdomen, completeCPT 76700 | $1,033 | $112 | 922% | ~$666 | 17 |
| Ultrasound, transvaginalCPT 76830 | $686 | $112 | 612% | ~$442 | 17 |
| Upper GI endoscopy with biopsyCPT 43239 | $2,510 | $972 | 258% | $1,140 | 17 |
| Upper GI endoscopy, diagnosticCPT 43235 | $2,431 | $972 | 250% | $1,140 | 17 |
| Urinalysis, automated, with microscopyCPT 81001 | $20 | $3 | 633% | ~$34 | 17 |
| Urinalysis, automated, without microscopyCPT 81003 | $14 | $2 | 632% | ~$25 | 17 |
| Urinalysis, manual, without microscopyCPT 81002 | $16 | $3 | 465% | ~$19 | 17 |
| Vaginal delivery, no sterilization, no CC/MCCMS-DRG 807 | $10,039 | — | — | — | 15 |
| Vaginal delivery, no sterilization, with CCMS-DRG 806 | $11,550 | — | — | — | 15 |
| X-ray, lower back, 4+ viewsCPT 72110 | $686 | $112 | 612% | ~$442 | 17 |
| YAG laser capsulotomy (secondary cataract)CPT 66821 | $3,106 | $590 | 527% | — | 15 |